Lefu la ho fokola ha masapo

Lefu la ho fokola ha masapo ke lefu leo ​​ho lona masapo a senyehang habonolo 'me ho ka bang bonolo hore a robehe.

Lefu la masapo ke mofuta o tloaelehileng haholo oa lefu la masapo.

Ho fokola ha masapo ho eketsa menyetla ea ho roba lesapo. Hoo e ka bang halofo ea basali bohle ba ka holimo ho lilemo tse 50 ba tla robeha letheka, letsoho, kapa lesapo la mokokotlo (masapo a mokokotlo) nakong ea bophelo ba bona. Ho robeha ha mokokotlo ke hona ho atileng haholo.

'Mele oa hau o hloka calcium le phosphate ho etsa le ho boloka masapo a phetseng hantle.

• Nakong ea bophelo ba hau, 'mele oa hau o tsoela pele ho khutlisa lesapo la khale hape o theha lesapo le lecha.
• Hafeela 'mele oa hau o na le botsitso bo botle ba masapo a macha le a khale, masapo a hau a lula a phetse hantle' me a le matla.
• Ho senyeha ha masapo ho etsahala ha lesapo la khale le ts'oaroa bocha ho feta lesapo le lecha.

Ka linako tse ling, ho senyeha ha masapo ho hlaha ntle le lebaka le tsejoang. Ka linako tse ling, ho senyeha ha masapo le masapo a masesaane a matha ka malapeng. Ka kakaretso, basali ba basoeu, ba seng ba holile ke bona ba nang le monyetla oa ho tsoa masapo haholo.

Masapo a robehang habonolo, a ka senyeha habonolo a ka bakoa ke eng kapa eng e etsang hore 'mele oa hau o senye lesapo le lengata, kapa o sitisang' mele oa hau ho etsa lesapo le lecha le lekaneng. Ha u ntse u tsofala, 'mele oa hau o ka sebelisa calcium le phosphate masapong a hau ho fapana le ho boloka liminerale tsena masapong a hau. Sena se etsa hore masapo a hao a fokole.

Kotsi e kholo ke ho hloka calcium e lekaneng ho aha lisele tse ncha tsa masapo. Ho bohlokoa ho ja / ho noa lijo tse nang le khalsiamo e lekaneng. Hape o hloka vithamine D, hobane e thusa 'mele oa hau ho monya calcium. Masapo a hao a ka 'na a robeha habonolo' me a ka 'na a robeha haeba:

• Haeba u sa je lijo tse lekaneng ka calcium le vithamine D
• 'Mele oa hau ha o monye calcium e lekaneng lijong tsa hau, joalo ka kamora ho buuoa ka mpeng

Lisosa tse ling tsa tahlehelo ea masapo li kenyelletsa:

• Ho fokotseha ha estrogen ho basali nakong ea ho khaotsa ho ilela khoeli le ho fokotseha ha testosterone ho banna ha ba ntse ba tsofala
• Ho koalloa betheng ka lebaka la ho kula nako e telele (hangata ho ama masapo ho bana)
• Ho ba le maemo a itseng a bongaka a bakang ho ruruha ho eketsehileng 'meleng
• Ho noa meriana e meng, joalo ka meriana e itseng ea ho inkela ka mahahapa, kalafo ea lihormone bakeng sa senya kapa mofetše oa matsoele le meriana ea steroid e nkiloeng nako e fetang likhoeli tse tharo.

Mabaka a mang a kotsi a kenyelletsa:

• Ho ba sieo ha linako tsa ho ilela khoeli nako e telele
• Nalane ea lelapa ea lefu la masapo
• Ho noa joala bo bongata
• Boima ba mmele o tlase
• Ho tsuba
• Ho ba le bothata ba ho ja, joalo ka anorexia nervosa

Ha ho na matšoao mathatong a pele a lefu la masapo. Hangata, batho ba tla robeha pele ba tseba hore ba na le lefu lena.

Ho robeha ha masapo a mokokotlo ho ka baka bohloko kae kapa kae mokokotlong. Tsena li bitsoa compression fractures. Hangata li etsahala ntle le kotsi. Bohloko bo hlaha ka tšohanyetso kapa butle butle ka nako.

Ho ka ba le tahlehelo ea bophahamo (boholo ba lisenthimithara tse 6 kapa lisenthimithara tse 15) ka nako. Boemo bo kobehileng kapa boemo bo bitsoang hump ea dowager bo ka hlaha.

Sesepa sa DEXA ke x-ray e nang le radiation e tlase e lekanyang botenya ba liminerale masapong a hau. Hangata, e metha botenya mokokotlong le masapo a noka. Mofani oa hao oa tlhokomelo ea bophelo o sebelisa tlhahlobo ena ho:

• Hlahloba ho lahleheloa ke masapo le lefu la ho fokola ha masapo.
• Bolela kotsi ea ho robeha ha masapo nakong e tlang.
• Bona kamoo moriana oa lefu la masapo o sebetsang hantle kateng. (DEXA e phetoa khafetsa lilemo tse ling le tse ling tse peli.)

X-ray ea mokokotlo kapa ea letheka e bonolo e ka bonts'a ho robeha kapa ho putlama ha masapo a mokokotlo. Leha ho le joalo, li-x-ray tse bonolo tsa masapo a mang ha lia nepahala haholo ha u bolela esale pele hore na u ka ba le lefu la masapo. X-ray e ncha ea radiation ea mahlaseli a tlase e bitsoang tlhahlobo ea ho robeha ha lesapo la mokokotlo (VFA) e se e etsoa khafetsa ka DEXA ho khetholla masapo a se nang matšoao.

U kanna ua hloka liteko tsa mali le moroto haeba mofani oa hau a nahana hore sesosa sa lefu la hau la masapo ke boemo ba bongaka, ho fapana le ho fokola ha masapo butle ka lebaka la botsofali.

Liphetho tsa scan tsa DEXA li bapisa letsoalo la hau la diminerale le motho e moholo ea se nang lesapo le batho ba lilemo tsa hau le thobalano. Sena se bolela hore ha a le lilemo li 80, hoo e ka bang karolo ea boraro ea basali ba nang le tahlehelo ea masapo e tloaelehileng e amanang le lilemo ba tla ba le lefu la masapo, ho ipapisitsoe le liphetho tsa bona tsa scan tsa DEXA.

Kalafo ea lefu la masapo e ka kenyelletsa:

• Ho etsa liphetoho tseleng eo u phelang ka eona, joalo ka ho fetola tsela eo u jang ka eona le ho ikoetlisa
• Ho nka litlatsetso tsa calcium le vithamine D
• Ho sebelisa meriana

Meriana e sebelisoa ho matlafatsa masapo ha:

• Lefu la ho fokola ha masapo le fumanoe ka boithuto ba bongata ba masapo, hore na o robehile kapa che, 'me kotsi ea ho robeha ha hao e phahame.
• U kile ua robeha masapo, 'me tlhahlobo ea masapo a eona e bontša hore u na le masapo a masesaane, empa ha u na masapo.

Meriana e sebelisetsoang ho phekola lefu la masapo e kenyelletsa:

• Bisphosphonates - lithethefatsi tse ka sehloohong tse sebelisetsoang ho thibela le ho phekola lefu la masapo ho basali ba postmenopausal. Li ka fanoa ka molomo kapa ka IV.
• Denusomab - e fokotsa tahlehelo ea masapo le ho eketsa masapo. E fanoe ka ente tlasa letlalo.
• Teriparatide kapa abaloparatide - mefuta e entsoeng ke motho ea hormone eo 'mele oa hau o e eketsang e eketsa masapo.
• Romosozumab - sethethefatsi se secha bakeng sa ho fokotsa masapo a mabe le ho feta.
  Li-modulator tsa li-receptor tsa Estrogen.
  Calcitonin - mofuta o entsoeng ke motho oa hormone eo 'mele oa hau o e eketsang e eketsa masapo. E sebelisoa haholo ho phekola bohloko ba tšohanyetso bo tsoang ho robeha ha mokokotlo

Nako e telele eo mosali a hlokang ho noa meriana ena ho latela boemo ba hae ba kotsi. Litlhahiso li kenyelletsa:

• Kotsi e fokolang ea ho robeha - lilemo tse 5 tsa meriana ea molomo kapa lilemo tse 3 tsa kalafo ea IV
• Kotsi e kholo ea ho robeha - lilemo tse 10 tsa meriana ea molomo kapa lilemo tse 6 tsa kalafo ea IV

Ho ikoetlisa ho bapala karolo ea bohlokoa ho boloka botsitso ba masapo ho batho ba baholo. Tse ling tsa boikoetliso bo khothalletsoang ho fokotsa menyetla ea ho robeha li kenyelletsa:

• Boikoetliso bo nang le boima ba 'mele, joalo ka ho tsamaea, ho matha, ho bapala tenese, kapa ho tantsha bonyane metsotso e 30, makhetlo a mararo ka beke.
• Litekanyo tsa mahala, mechini ea boima, marapo
• Boikoetliso bo leka-lekaneng, joalo ka tai chi le yoga
• Mechine ea ho soka sekepe

Qoba boikoetliso bofe kapa bofe bo hlahisang kotsi ea ho oa. Hape, u se ke ua ikoetlisa ka tšusumetso e matla e ka bakang ho robeha ha batho ba baholo.

Latela litataiso tsena tsa ho fumana calcium le vithamine D tse lekaneng:

• Batho ba baholo ba ka tlase ho lilemo tse 50 ba lokela ho ba le li-calcium tse 1000 mg le li-Units tsa Machaba (IU) tse 400 ho isa ho tse 800 tsa vithamine D ka letsatsi.
• Basali ba lilemo li 51 ho isa ho 70 ba lokela ho ba le 1,200 mg ea calcium le 400 ho 800 IU ea vithamine D ka letsatsi.
• Banna ba lilemo li 51 ho isa ho 70 ba lokela ho ba le 1 mg ea calcium le 400 ho 800 IU ea vithamine D ka letsatsi.
• Batho ba baholo ba fetang lilemo tse 70 ba lokela ho ba le 1,200 mg ea calcium le 800 IU ea vithamine D ka letsatsi.
• Mofani oa hau a ka khothaletsa tlatsetso ea calcium.
• Latela lijo tse fanang ka khalsiamo e lekaneng le vithamine D. Sebelisa li-supplement ho koala khaello ha feela lijo tsa hau li se na chelete e khothalletsoang.
• Mofani oa hau a ka khothaletsa litekanyo tse phahameng tsa vithamine D haeba o na le lisosa tsa kotsi ea lefu la masapo kapa boemo bo tlase ba vithamine ena.

(Tlhokomeliso: Lihlopha tse ling tsa litsebi ha li na bonnete ba hore melemo le polokeho ea bongata ba vithamine D le calcium li feta likotsi tsa tsona. Etsa bonnete ba hore o tla buisana le mofani oa hau hore na litlatsetso ke khetho e ntle ho uena.)

Emisa litloaelo tse sa lokang:

• Khaotsa ho tsuba, haeba u tsuba.
• Fokotsa ho noa ha hao haholo. Joala bo bongata haholo bo ka senya masapo a hao. Sena se u beha kotsing ea ho oa le ho robeha lesapo.

Ho bohlokoa ho thibela ho oela ke batho ba baholo. Litlhahiso tsena li ka thusa:

• Se ke oa noa meriana e etsang hore u otsele le ho se tsitse. Haeba u tlameha ho li nka, hlokomela haholoanyane ha u tsohile 'me u tsamaea. Mohlala, tšoarella holim'a li-countertop kapa thepa ea ka tlung e tiileng ho qoba ho oa.
• Tlosa likotsi tse ka tlung, joalo ka ho lahlela limmete, ho fokotsa kotsi ea ho oa.
• Tlohela mabone bosiu e le hore u bone hantle ha u ntse u tsamaea ka tlung ea hau.
• Kenya le ho sebelisa mekoallo ea litšireletso ka kamoreng ea ho hlapela.
• Kenya marulelo a antislip ka libaka tsa ho hlapela le lipula.
• Etsa bonnete ba hore pono ea hau e ntle. Etsa hore mahlo a hao a hlahlojoe hang kapa habeli ka selemo ke ngaka ea mahlo.
• Apara lieta tse u lekanang hantle le tse nang le lieta tse tlaase. Sena se kenyelletsa li-slippers. Li-slippers tse se nang lirethe li ka etsa hore u khoptjoe 'me u oe.
• U se ke ua tsamaea ka ntle u le mong matsatsing a leqhoa.

Ho buoa ho phekola bohloko bo matla, bo holofatsang ba ho robeha ha mokokotlo ka lebaka la lefu la masapo ho kenyelletsa:

• Kyphoplasty (sesebelisoa se kenngoa ka lesapo la mokokotlo oa hau ho khutlisa bophahamo ba li-vertebrae)
• Mokokotlo oa mokokotlo (masapo a mokokotlo oa hau a kopane hoo a sa tsamaeeng)

Meriana ea ho phekola lefu la masapo e ka thusa ho thibela ho robeha ha nako e tlang. Masapo a mokokotlo a seng a oele a ke ke a matlafatsoa.

Lefu la ho fokola ha masapo le ka etsa hore motho a holofalehe masapong a fokolang. Ho robeha ha letheka ke le leng la mabaka a mantlha a etsang hore batho ba amoheloe mahaeng a maqheku.

Etsa bonnete ba hore o fumana calcium le vithamine D tse lekaneng ho aha le ho boloka masapo a phetseng hantle. Ho latela phepo e nepahetseng, e nang le phepo e nepahetseng ho ka u thusa ho fumana limatlafatsi tsena le tse ling tsa bohlokoa.

Malebela a mang a thibelo:

• Se ke oa noa joala bo bongata.
• Se ke oa tsuba.
• Ikoetlise kamehla.

Meriana e ka phekola lefu la masapo le ho thibela ho robeha ha mafu. Mofani oa hau a ka u joetsa hore na ho na le tse u loketseng.

Masapo a masesaane; Botenya ba masapo; Lefu la masapo a metabolism Ho robeha ha letheka - lefu la masapo; Ho robeha ha khatello ea maikutlo - lefu la masapo; Ho robeha letsoho - lefu la masapo

• Ho robeha ha letheka - ho tsoa
• Ho thibela ho oa

• Ho robeha ha khatello ea maikutlo
• Sesebelisoa sa masapo
• Lefu la ho fokola ha masapo
• Lefu la ho fokola ha masapo
• Ho robeha ha letheka
• Mohloli oa vithamine D
• Molemo oa calcium
• Mohloli oa calcium
• Boikoetliso ba ho haha ​​masapo
• Liphetoho mokokotlong ka lilemo

Adler RA, El-Hajj Fuleihan G, Bauer DC, le al. Ho sebetsana le lefu la masapo ho bakuli ba kalafo ea nako e telele ea bisphosphonate: tlaleho ea Task Force ea American Society for Bone and Mineral Research. J Bone Miner Res. 2016; 31 (10): 1910. PMID: 27759931 www.ncbi.nlm.nih.gov/pubmed/27759931.

Mnyama DM, Rosen CJ. Tloaelo ea bongaka: lefu la ho fokola ha masapo ka mor'a ho ilela khoeli. N Engl J Med. 2016; 374 (3): 254-262. PMID: 26789873 www.ncbi.nlm.nih.gov/pubmed/26789873.

Compston JE, McClung MR, Leslie WD. Lefu la ho fokola ha masapo. Lancet. 2019; 393 (10169): 364-376. PMID: 30696576 www.ncbi.nlm.nih.gov/pubmed/30696576.

Cosman F, ea Beur SJ, LeBoff MS, le al; Motheo oa Naha oa ho Fokola ha Masapo. Tataiso ea ngaka ea thibelo le kalafo ea lefu la masapo. Osteoporos Int. 2014; 25 (10): 2359-2381. PMID: 25182228 www.ncbi.nlm.nih.gov/pubmed/25182228.

De Paula FJA, Black DM, Rosen CJ. Osteoporosis: lintlha tsa mantlha le tsa bongaka. Ka: Melmed S, Auchus RJ, Goldfine AB, Loenig RJ, et al, li-eds. Buka ea Williams ea Endocrinology. La bo14 la ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 30.

Eastell R, Rosen CJ, DM e Ntšo, et al. Tlhokomelo ea meriana ea lefu la masapo ho basali ba postmenopausal: Mokhatlo oa Endocrine * tataiso ea litloaelo tsa bongaka. J Kliniki ea Endocrinol Metab. 2019; 104 (5): 1595-1622. PMID: 30907593 www.ncbi.nlm.nih.gov/pubmed/30907953.

Kemmler W, Bebenek M, Kohl M, von Stengel S. Ho ikoetlisa le ho robeha basali ba postmenopausal. Liphetho tsa hoqetela tsa Erlangen Fitness le Osteoporosis Prevention Study (EFOPS). Osteoporos Int. 2015; 26 (10): 2491-2499. PMID: 25963237 www.ncbi.nlm.nih.gov/pubmed/25963237.

Moyer VA; Sesole sa Ts'ireletso ea U.S. Vitamin D le calcium supplementation ho thibela ho robeha ha batho ba baholo: Polelo ea khothaletso ea Sesole sa Ts'ireletso ea US. Ann Intern Med. 2013; 158 (9): 691-696. PMID: 23440163 www.ncbi.nlm.nih.gov/pubmed/23440163.

Qaseem A, Forciea MA, McLean RM, le al. Kalafo ea masapo a fokolang kapa lefu la masapo ho thibela ho robeha ha banna le basali: tlhaiso-leseling ea tataiso ea bongaka e tsoang ho American College of Physicians. Ann Intern Med. 2017; 166 (11): 818-839. PMID: 28492856 www.ncbi.nlm.nih.gov/pubmed/28492856.