Kune vanhu vane osteoporosis kana osteopenia, kukwegura hakusi nyore. Izvi zvinetso zvakabatana, izvo zvinoratidzirwa nekuonda uye kuora simba mapfupa, kazhinji zvinotungamirira kumagetsi ekudengenyeka kwemafuro - kana kuisa zvakanyanya, mapfupa anoputika mumaruva omupfu.
Ichokwadi, International International Osteoporosis Foundation inotaura kuti osteoporosis inokonzera kuputsika kumwe (kwemarudzi ose) kwemaminitsi matatu.
Ndiani anonyanya kunetseka nehutachiona hunokonzerwa nehutachiona kana osteopenia? Kazhinji ivo vakadzi vakuru uye vakwegura (kunyange zvazvo varume vari pangozi, pamwe chete.) A 2012 nyaya yakabudiswa nePermanente Journal yakawana kuti vanenge 25 muzana yevakadzi vose vepopopopaopaus vanowana kupera kwepamuviri panguva imwechete yehupenyu hwavo.
Kana iwe uri mukadzi anopfuura makore makumi mashanu uye iwe unorarama nechirwere, unenge anenge 1 mu3 mukana wekusimudzira kupera kwepelinha, maererano neInternational Foundation of Osteoporosis. Uyezve, iwe unowanzoputsika zvakare mune ramangwana.
Pamwe nemarwadzo ekudzokera shure (zvose zvenguva pfupi zvinopera uye kusagadzikana kwemazuva mazhinji) kuputsika kwegungwa kunogona kukonzera kuora kwepamuviri, kuremara kana kuderedza simba rekuita mabasa ako ezuva nezuva, kuderedza hupenyu hwehupenyu uye mari yepamusoro yezvokurapa.
A meta-analysis protocol, yakabudiswa muna 2017, inoshuma kuti kupera kwemafupa kunowanzoitika shure kwekuwa kwepamberi yemutsara wepelinha.
Vertebral Compression Fractures
Vertebral compression fractures inowanzoitika apo chikamu chepamberi chemupfupa (chinonzi vertebral body uye chinokurukurwa zvakanyatsorondedzerwa pasi) -chikonzero chipi zvacho - hachigoni kutsigira mutoro wepamusoro. Kunyange zvazvo uhu hunosangana nezera hwehutano husingawanikwi hutachiona hunowanzoita basa rakakura mukutanga kwepinja yekuputika (zvikurukuru kana uchitarisa nhamba yematambudziko muvanhu pamwe chete) zvimwe zvinokonzera zviripo.
Izvi zvinogona kusanganisira kukuvadza kumusana, pamwe nezvirwere zvinokanganisa bone (somuenzaniso, kenza kana utachiona.)
Zviratidzo zvekuputsika kwepeminha kuputsika kunosanganisira kurwadza kwakanyanya, kwakanyanya kunobatsira apo iwe uchizorora. Nharaunda iri pedyo nekukuvadza ingave ine nyoro kumubata, zvakare. Iwe unogonawo kuona radiculopathy, kana nerve inofanirwa kunzwisisika (pamwe nemarwadzo, hongu) anowira pasi rimwe gumbo kana ruoko, kunyange zvazvo izvi zviratidzo zvisingawanzoitiki mumagunha ekuputika. Njodzi inogona kuitika kana iwe ukakotama kana kushandura musana wako.
Kukanganiswa kwemafuro kazhinji kunoguma nekurasikirwa kwemazamu akareba, nekudzorera iyo yakakwirira ndiyo chinangwa chekuvhiya kunowanzoitwa nekuda kwekukuvara uku. Kurasikirwa kwehupamhi kunowanzoenderana nekugadziriswa kwepamberi yemupfupa, kureva, chimiro chechimiro chechimiro, muchimiro chekukanda, chinowanzoitika sechiguma chekuwa. (Ring ye bony iyo yakabatanidzwa kumashure kwechimiro chegungwa inoramba ichiregererwa, kunyange zvakadaro.)
Kunzwisisa Vertebral Body
Sezvataurwa pamusoro apa, kupera kwemapapu kunokanganisa hutachiona. Chimiro chemuviri ndicho chikamu chikuru chepinini, uye chinosanganisira chikamu chepakati che vertebra, zvinoreva kuti chiri mberi, maererano neketani yebony yakaiswa pairi.
Kubva kune rumwe rutivi, mberi kwechimiro chechimiro chiri pedyo nechemberi kwomuviri wako, nepo bony ring iri pedyo nechemberi.
Mhuka yemhuka inowanzoumbwa seyfupi cylinder. Muzvakanaka, musina kumiswa kwemapfupa emumumumvu, iyi mhando yemagetsi inowirirana zvishoma, zvichienderana nokuti inowanikwa mumutsipa (mutsi) thoracic (pakati nepasi / kana kumusoro) kana nzvimbo dzomukati . (Izvozvowo ndezvechokwadi kune zvimwe zvikamu zve vertebra, somuenzaniso, tsvina yepamusoro pamutsipa wekervical vertebrae yakanyanyisa kupfuura iyo yevumbar spine.)
Miti miviri yeganda iri mumakumbo emvura yakakura, yakasimba uye yakavakwa yakarurama kupfuura inonzi thoracic uye chiberekero chemavira.
Izvi zvingangodaro zvakabatana nehuwandu hunorema hunodiwa hwe vertobrae lumbar kana ichifananidzwa ne thoracic uye chiberekero, iyo iri pamusoro pavo.
Iyo miviri yakasvibirira yemutsara wepemusoro kune umwe kune imwe kuumba ivhu rakaoma . Iyo miviri inobatsira inobatsira kupa rubatsiro runokosha rwekugara, kumire, kufamba uye zvimwe kufamba. Pakati pemitumbi yakasviba ndiyo inonzi intervertebral discs , inopa kuvhiringidza uye kunetseka.
Miti yemichero inopawo (pamwe chete nedzimwe nhengo dze vertebra) miganhu yemiganhu inoshandiswa nemutsipa wepelinha, pamwe nekubatanidza mutsara unobuda mumutsara munzira yavo kuenda kumativi ese emuviri.
Mishonga yeVertebral Compression Fractures
Kurapa kweputsika remapfupa emaspini kunosanganisira kuvhiyiwa nekuchengetedzwa kwakachengeteka. Maviri ekuvhiyiwa anowanzopiwa ibhaluni kyphoplasty uye verterbroplasty yakasiyana-siyana. Nzira mbiri idzi dzinoedza kudzorerazve kukanganisa kwakasvibira kune bone rakagumburwa. Conservative, aka non-chirurgical care, inogona kuva nemubhedha wezororo, mishonga, kupfeka mushure mutsva uye / kana chirwere chepanyama. Kana iwe uchienda nenzira yakachengetedza, ziva kuti kusimbisa musana wako kuchava chikamu chinokosha cherapi yako.
Kunobva:
Alexandru, DMD, Nokudaro, WMD Kuongorora uye Kutungamirirwa kweVertebral Compression Fractures Perm J. 2012 Fall; 16 (4): 46-51.
> Kan, S., Yu, Z., Chen, L., Sun, J., Ning, G., Feng, S.. Ndeipi iri nani kune osteoporotic vertebral compression fractures: bhokoni kyphoplasty, vertebroplasty kana kuti isiri kurapwa? A protocol protocol for a Bayesian network meta-analysis. Jan. 2017. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5253565/
> Vakadzi vanopfuura makumi mashanu vachawana osteoporotic Fractures, sezvinoita varume. Chokwadi uye nhamba. International Osteoporosis Foundation website. https://www.iofbonehealth.org/facts-statistics