I-osteoporosis yinkinga eyenza buthakathaka amathambo emzimbeni, okuholela engozini yokwanda kwamathambo noma ama-fractures. Ngenxa yezizathu eziningana, ukukhubazeka ngokweqile kuvamile kulabo abane-multiple sclerosis (MS).
Ingxenye ekhohlisayo nge-osteoporosis yukuthi yisimo esithulile, okusho ukuthi umuntu akanalo izimpawu zethambo elibuthakathaka. Isibonelo, awekho ama-acry aches noma ubuhlungu, obonakala kwezinye izifo ezihlangene nezifuba ezifana ne- osteoarthritis .
Eqinisweni, ukuxilongwa kwe-osteoporosis kuvame ukuthathwa ngemva kokuba umuntu ahlolwe ukuhlolwa-i- DEXA ukuskena- noma ngemuva kokuthola ukuhlukana.
Abantu abane-osteoporosis basengozini ikakhulukazi ekuqhekekeni kwe-hip noma isihenqo, okuvame ukuba khona ngemva kokuwa-umphumela ovamile wokunciphisa ukuhamba kubantu abane-MS. Ngaphezu kwalokho, njengoba amathambo ephuka, angakwazi ukuphulukisa kabi-ikakhulukazi uma umuntu ethola ukuhlolwa kwesifo se-osteoporosis. Lokhu kuvame kakhulu ukuhlukunyezwa komgogodla njengoba kungabi buhlungu njalo. Futhi lezi zindlala eziphulukiswe kahle zingakwazi ukufaka isandla kwizinkinga ezihlobene ne-MS-umjikelezo ngokuphelele wokungaxoleli.
Kungani Nginamahloni Wokuthi I-Osteoporosis Ingabe Nginayo I-MS?
I-MS ngokwayo ikholelwa ukuthi idlala indima engozini yokwanda kwe-osteoporosis. Kuyathakazelisa ukuthi ngisho neziguli ezincane ezisezingeni lokuqala ze-MS-ezinezimpawu ezimbalwa futhi zihamba kahle-zilahlekelwe amathambo. Ososayensi abaqiniseki ukuthi kungani kunjalo, kepha cishe kunezizathu eziningi ezithandwayo.
Enye ingozi engaba khona engozini yokuba ne- vitamin D ephansi , okwaziyo okwandisa ingozi yomuntu yokuthuthukisa i-MS. Ngokufanayo, siyazi ukuthi i-vithamini D ibalulekile ekugcineni amandla esithambo, futhi izinga elincane emzimbeni lingabangela i-osteoporosis.
Kunezizathu eziningi zokuthi kungani umuntu engase abe ne-vitamin D ehlulekile.
Kungaba umphumela wokungatholi ilanga elanele-ngoba isikhumba senza i-vitamin D uma idonswa yimisebe ye-UV evela elangeni. Noma kungenzeka ngenxa yesimo sezempilo, njengesifo se-celiac , lapho amavithamini afana ne-vitamin D awaxhunyiwe khona emzimbeni.
Izindaba ezinhle ukuthi uma udokotela wakho ethola ukuthi unamazinga aphansi okuthiwa i-vitamin D, ukuthatha isithako kungakuvimbela ukuba ungagcini ngokweqile noma uthuthukise amandla nempilo yamathambo akho uma usuvele uthola ukuthi une-osteoporosis.
Imithi esetshenziselwa ukwelapha i-MS ibuyelela futhi izimpawu zingabangela nokuba nethambo linciphise; Isikhulu esisodwa esiyinhloko yi-steroid Solu-Medrol . Amakhemikhali e-selective -serotonin reuptake inhibitors (SSRIs) asetshenziselwa ukuphatha ukucindezeleka ku-MS-angabangela nokuba bone buthakathaka futhi kuvezwe i-osteoporosis.
Ingabe Kukhona Izinto Ezihlobene Nezimo Ezihlobene Nama-MS ezenza ukwanda kwe-Osteoporosis?
Kunezici eziningana ezihlobene non-MS ezandisa amathuba okuthola i-osteoporosis, okufaka:
- iminyaka ekhulayo
- ukuphuma esikhathini
- ukubhema
- ngokuba mncane kakhulu
- ukuphuza ngokweqile
- indlela yokuphila yangasese
- umlando womndeni we-osteoporosis
Yini Engingayenza Ukuze Ngivimbele I-Osteoporosis?
I-osteoporosis ingavinjelwa. Uma usuvele uthola ukuthi unayo, ungadikibali. Usengathuthukisa amandla amathambo akho futhi uvimbele ukwehlukana kwesikhathi esizayo.
Enye indlela ngukuzivocavoca. Ngokusho kwe-National Osteoporosis Foundation, ukwenza imizuzu engu-30 yokuzivocavoca nsuku zonke akuvimbeli kuphela ukulahleka kwethambo kodwa kungasiza ekuvimbeleni ukuwa.
Ukuzivocavoca okunamandla okunzima okufana nokukhuphuka izitebhisi kungase kungabi kuhle kwabanye nge-MS, futhi lokho kulungile. Kunezinye izindlela ezinhle kakhulu zokuzivocavoca ezifana nokuhamba ngamandla, ukudansa, ukuphakamisa izisindo, noma ukusebenzisa ama-resistance bands e-wheelchair yakho. Uma ungenayo izisindo noma ibhande lokumelana, qamba futhi usebenzise ukudla okusemathinini noma isibopho se-bathrobe.
Uma ulinganiselwe ekuhambeni kwakho, kulungile, futhi.
Zama ukuma ngangokunokwenzeka usuku lonke ukuqinisa amathambo akho. Uma ungakwazi ukuma wedwa, thola uhlaka lokuma ukukusiza. I-Tai chi ne-wheelchair yoga kungasiza ekuthuthukiseni amandla omzimba, ukulinganisela, nokuguquguquka, okungaqhubeka nokuvimbela ukuwa kanye namaphutha.
Uma ucabangela uhlelo lokuzivocavoca, kungcono ukubuza udokotela wakho ukuthunyelwa kokwelapha ngokomzimba. Uchwepheshe wezokwelapha angakusiza ukuba uhlele uhlelo lokuzivocavoca olwenza ukulinganiselwa kwakho siqu. Okubaluleke nakakhulu, nomuthi wakho, yenza uhlelo oluthandayo-ungase umangale ukuthi ujabule futhi wakhuthazwa kanjani emva kokuzivocavoca.
Ngaphandle kokuzivocavoca, kungase kube usizo ukubuza udokotela wakho ukuhanjiswa kwezilwane-umuntu ongakusiza ukudala ukudla okumnandi, okunomsoco okusiza amathambo akho kanye nempilo yakho yonke. Ukudla okucebile izithelo, imifino, amaprotheni aphilile, i-calcium, namafutha angasetshenzisiwe kubalulekile ukugcina amathambo akho aqinile futhi aqinile.
Uma ukudluliselwa kwezilwane kubiza kakhulu, i-National Osteoporosis Foundation inikeza izindlela zokupheka ezise-calcium ongazizama wena ngokwakho. Ukuba nomnandi ekhishini kungase kube ukuphazamiseka okuhle kusuka kumpawu zakho ze-MS.
Okokugcina, odokotela abathile batusa iziguli zokuhlola ukuhlolwa kwe-MS ngokushesha ngemuva kokuxilongwa, kungakhathaliseki ubudala. Khuluma nodokotela wakho ukuze ubone ukuthi lokhu kufanelekile yini.
Ukuhlola izinga lakho le-vitamin D kuyisimo esihle. Uma izinga lakho liphansi, udokotela wakho cishe uzotusa ama-vitamin D amathebhu ngoba ukuthola i-vitamin D eyanele ekudleni kwakho kungaba nzima. Kodwa khumbula ukuthi ungathathi isisombululo sokudla okunomsoco ngaphandle kokuqondisa odokotela wakho kuqala-bangase bahlanganyele neminye imithi yakho noma bangakufaneleki ngokusekelwe kumlando wakho wezempilo.
Okubalulekile
Ukuba ne-bone ephukile-ikakhulukazi okuvimbela ukuzimela kwakho nokuhamba-ngaphezu kokuphila ne-MS akuyona into ehle kakhulu. Ngakho njengoba nje uthathe indima ejulile ekufundeni nge-MS yakho nokulawula ukuthi yiziphi izici ongazisebenzisa, gcina amathambo akho aphilile ngemisebenzi ejwayelekile kanye nokudla okunomsoco ukuze unciphise i-osteoporosis noma ingozi ehlobene nayo.
Imithombo:
UDobson R, uRamagopalan S, uGiovannoni G. (2012). I-Bone Health and Multiple Sclerosis. Multiple Sclerosis . Nov; 18 (11): 1522-8.
Kampman MT, Eriksen EF, Holmøy T. (2011). I-Multiple Sclerosis, Isizathu Se-Osteoporosis Yesibili? Uyini Ubufakazi Nalokho Okuthinta Ngomtholampilo? I-Acta Neurologica Scandinavica Supplementum , (191): 44-9.
I-National Osteoporosis Foundation. Bone Healthy Recipes .
I-National Osteoporosis Foundation. Imibuzo evame ukubuzwa .
I-North American Menopause Society. (2014). Umkhuba Wokumisa Isikhathi: Umhlahlandlela Wabahlengikazi, 5th ed. Mayfield Heights, OH: I-North American Menopause Society.