Osteopenia e hlalosoa e le botšepehi bo fokolang ba masapo bo bakoang ke lefu la tahlehelo. Hangata lefu la osteopenia le ka pele ho lefu la ho fokola ha masapo , e leng boemo bo tloaelehileng ba masapo a fokolang a ka senyang. Ka linako tse ling mantsoe a meriana a mabeli a ferekane 'me ke habohlokoa ho tseba phapang le hore na e mong le e mong o amana joang le ramatiki.
Phapang e khōlō ka ho fetisisa pakeng tsa lefu la osteopenia le lefu la ho fokola ha masapo ke hore osteopenia ha e nkoa e le boloetse ha ho fokola ha masapo.
Ho e-na le hoo, osteopenia e nkoa e le letšoao la kotsi ea ho robeha.
Osteopenia e Hlalosoa
Osteopenia e fella ka ha ho thehoa ha lesapo le lecha ho sa hlahe ka tekanyo e ka fokolisang masapo a tloaelehileng. Matšoao a masapo a bone a entse hore ho be bonolo ho lekanya. Pele ho bonela ho hlahlojoa ha lisele , li-radiologists li sebelisitse lentsoe osteopenia ho hlalosa masapo a neng a bonahala a feteletse ho feta a tloaelehileng ka x-ray, 'me lentsoe "osteoporosis" le hlalositse hore ho na le ho robeha ha vertebral.
Densitometry e nang le mesapo ea masapo, kapa botšepehi ba lesapo, e fetole litlhaloso tseo. Ho ea ka Mokhatlo oa Lefatše oa Bophelo, ho fokola ha masapo ho hlalosoa e le matšoao a T-2,5 kapa a theoha le osteopenia e hlalosoa e le matšoao a T ho feta -2.5 empa a le tlaase ho -1.0. Lintlha tse ka holimo -1 li tloaelehile. Matšoao a T ke bone ea masapo ha u bapisoa le seo ka tloaelo se lebeletseng ho motho e moholo ea phetseng hantle ka thobalano ea hau. Ka mokhoa ona, Maamerika a limilione tse 33.6 a na le osteopenia.
Bohlokoa ba palo ena bo tšoana le ho tseba hore na ke mang ea nang le tšoaetso ea mali pele kapa ea nang le k'holeseterole ea borderline. Ka mantsoe a mang, ho khetholla sehlopha se kotsing ea ho hlaolela lefu.
Lintho tse ling tsa Likotsi tsa Fracture
Osteopenia ke eona ntho e le 'ngoe feela e kotsing ea ho robeha. Lintho tse ling tsa kotsi li kenyeletsa:
- ho robeha ho fetileng
- lilemo (kotsi ea ho robeha e eketseha ka lilemo)
- ho tsuba (ho fokolisa masapo)
- ho noa lino tse tahang tse fetang 2 ka letsatsi (ho eketsa kotsi ea ho robeha ha letheka )
- boima ba 'mele (ho eketsa kotsi ea ho robeha ha letheka)
- morabe le bong (basali ba makhooa ba na le kotsing ea makhetlo a mabeli kapa a mararo ha ho bapisoa le banna kapa basali ba batsho le ba ma-Hispanic)
- ho ba le motsoali ea nang le ho robeha ha letheka
- ho phela ka nako e khutšoanyane
- ho kenella ka calcium le ho kenella ka vithamine D
- maemo a eketsang menyetla ea ho oa e kang pono e mpe, lieta tse futsanehileng, maemo a bophelo a amanang le ho leka-lekana, tšebeliso ea meriana ea boipheliso, kapa histori ea ho oa
- ho noa meriana e itseng, ho kopanyelletsa le corticosteroids ho ka fella ka lefu la ho fokola ha masapo le mokokotlo oa lefu la glucocorticoid
- ho ba le maemo a itseng a bophelo, a kang ramatiki a lefu la rumatoid kapa maloetse a mang a bakoang ke lefu la ho ruruha ho ka baka lefu la ho fokola ha masapo
Ho senyeha ha sekhahla ho etsahala ha lefu le ka sehloohong, bothata kapa lithethefatsi le bakoa ke lefu la ho fokola ha masapo. Ha ho se na sesosa sa bobeli se ka khetholloang, boemo bo bitsoa "primary osteoporosis".
Liphetoho tsa bophelo bo ka fokotsa tsoelo-pele ea masapo le ho fokotsa kotsi ea ho robeha. Liphetoho tsa bophelo tse ka thusang ho thibela fractures li kenyeletsa:
- ho boloka boima bo boima
- ho ikoetlisa kamehla, ho kenyeletsa boikoetliso bo boima (ho tsamaea, ho matha, ho tsamaea, tennis ke mehlala ea boikoetliso bo boima ha ho sesa e se boima ba 'mele)
- ho etsa bonnete ba hore o na le vithamine D le khalsiamo e lekaneng lijong tsa hau kapa ka ho nka li-supplements tsa lijo
- H a Ho Tsubeloe
Ho ba le liteko tsa kamehla tsa masapo ho ka thusa ho fokotseha ha lesapo la masapo le ho fokotsa kotsi ea ho robeha ka ho hlahloba litekanyo tsa masapo. Basebetsi ba US Preventive Services Task Force (USPSTF) ba fumane bopaki bo botle ba hore litekanyo tsa masapo a masapo li bolela esale pele kotsi ea likhetho ka nako e khutšoanyane 'me li entse litlhahiso tsena bakeng sa ho hlahloba lefu la ho fokola ha masapo.
Phekolo
Meriana e sebelisoa ho phekola lefu la ho fokola ha masapo empa lingaka (rheumatologists, gynecologists, lingaka tsa lingaka tsa ka hare, le litsebi tsa maqheku) tse tšoarang bakuli ba bontšang matšoao a ho lahleheloa ke masapo a pele ha ba lumellane kamehla ka tsela e ntle ka ho fetisisa.
Na bakuli ba nang le osteopenia ba lokela ho phekoloa ka meriana e thibelang tsoelo-pele ea lefu la masapo?
Mokhatlo oa Sechaba oa Mafu a Lefu, Mokhatlo oa American of Clinical Endocrinologists, le Mokhatlo oa North American Menopause o khothalletsa hore bakuli ba nang le lefu la ho fokola ha masapo kapa ho robeha ho lokela ho phekoloa empa ho na le ho se lumellane ho seo ho khothalletsoang batho ba nang le osteopenia. Na ho sebetsana le lefu la osteopenia hoa hlokahala kapa ho na le chelete e ngata?
Litsebi tse ngata li lumela hore ho phekola osteopenia ka meriana ho ke ke ha e-ba le chelete e ngata. Ka mabaka a mang a kotsing, a kang corticosteroid kapa ho na le ramatiki ea mafu, ho phekola osteopenia ho fetoha haholoanyane.
Ke habohlokoa ho hopola hore litlhoko tsa bolutu feela li ke ke tsa bolela esale pele hore na bakuli ba nang le osteopenia ba tla ba le fracture le hore na bakuli ba ke ke ba e-ba teng. Ho hlahloba lisosa tsohle tsa kotsi ke tsela e molemo ka ho fetisisa ea ho etsa qeto ea hore na phekolo ea meriana ea lefu la masapo e bonahala joang. Bakuli ba nang le matšoao a tahlehelo ea masapo a pele ba lokela ho ameha ka liphetoho tsa mekhoa ea bophelo le ho buisana ka melemo le likotsi tsa meriana ea lefu la masapo le ngaka ea bona.
> Mehloli:
> Cummings MD, Steven R. Mosali ea lilemo li 55 le Osteopenia. Journal of the American Medical Association .
> MD Khosla, Sundeep. et al. Osteopenia. The New England Journal of Medicine . La 31 May, 2007.
> Payne, January W. Na ho Lahleheloa ke Matso a Pele ho Bolela Hore U Hloka Lithethefatsi? US News le World Report . La 30 January, 2008.
> Torpy MD, Janet M. Osteopenia le ho Thibela Fractures. Journal of the American Medical Association .