Osteopenia yog thaum koj muaj pob txha ntom nti, tseem hu ua T -qhab nia, ntawm -1 txog -2.5. Osteopenia yuav yog qhov ua ntej ntawm pob txha, uas yog thaum koj cov pob txha ntog qis dua -2.5. Nws yog ib qho tseem ceeb los kho osteopenia ua ntej nws nce mus vim nws ua rau koj muaj kev pheej hmoo ntawm kev tawg ntawm lub ntsag, femur, lossis vertebra. Tau txais kev kuaj mob los ntawm koj tus kws kho mob thiab tham txog koj cov kev kho mob. Koj kuj tseem tuaj yeem sim hloov txoj kev ua neej kom thim rov qab osteopenia.
Cov kauj ruam
Txoj Kev 1 ntawm 2: Nrhiav Kev Kho Mob Kho Mob
Kauj Ruam 1. Tau txais kev xeem DXA los txiav txim siab koj txoj kev pheej hmoo tawg pob txha
Kuj tseem hu ua dual-energy x-ray absorptiometry lossis DEXA, qhov kev xeem DXA ntsuas qhov ntom ntawm koj cov pob txha. Qhov kev xeem tsis mob thiab tsis mob. Lub tshuab ntsuas koj lub cev thaum koj tseem pw ntawm lub rooj. Qhov tshwm sim ntawm hom kev xeem no hu ua T -score, thiab yog tias koj muaj osteopenia, cov qhab nia yuav nyob nruab nrab ntawm -1 txog -2.5.
Koj txoj kev pheej hmoo ntawm pob txha tawg nce nrog tus lej DXA qis dua. Piv txwv li, yog tias koj tau qhab nia -1 ntawm kev xeem DXA, koj muaj 16% txoj hauv kev txhawm rau pob txha, lossis 27% txoj hauv kev nrog tus qhab nia ntawm -2, lossis 33% lub sijhawm nrog tus qhab nia ntawm -2.5
Kauj Ruam 2. Qhia koj tus kws kho mob txog cov tshuaj uas koj tab tom noj tam sim no
Qee cov tshuaj tau paub tias yuav ua rau muaj kev pheej hmoo ntawm osteopenia, yog li nws tseem ceeb uas yuav qhia rau koj tus kws kho mob txog cov tshuaj uas koj tab tom noj tam sim no. Lawv yuav pom zoo hloov pauv yog tias qhov kev pheej hmoo ntawm cov pob txha hnyav zuj zus tshaj qhov muaj txiaj ntsig zoo ntawm kev siv tshuaj. Qee cov tshuaj uas yuav ua rau muaj kev pheej hmoo ntawm osteopenia suav nrog:
- Corticosteroids, xws li prednisone
- Anticonvulsants
- Heparin
- Diuretics
Kauj Ruam 3. Tau tshuaj xyuas seb puas muaj lwm yam mob uas yuav ua rau mob pob txha
Osteopenia tuaj yeem tshwm sim raws li qhov tshwm sim ntawm lwm yam mob, yog li nws tseem ceeb heev uas yuav tsum txiav tawm ib qho laj thawj. Yog tias koj muaj qhov mob hauv qab, kho nws tuaj yeem pab thim rov qab koj cov pob txha los yog tsawg kawg tiv thaiv nws kom tsis txhob mob ntxiv. Qee yam mob uas tuaj yeem ua rau osteopenia suav nrog:
- Cushing tus kab mob
- Ntshav qab zib mellitus
- Hypogonadism
- Acromegaly
- Mob raum mob
- Hyperparathyroidism
Tswv yim: Nco ntsoov tias koj txoj kev pheej hmoo ntawm osteopenia kuj nce ntxiv thaum cev xeeb tub, tom qab lub cev ntas, thiab tom qab hnub nyoog 65 xyoos.
Kauj Ruam 4. Nug koj tus kws kho mob txog kev noj tshuaj yog tias koj muaj kev pheej hmoo siab ntawm kev tawg
Koj tus kws kho mob yuav pom zoo pib siv tshuaj yog tias koj txoj kev pheej hmoo ntawm pob txha tawg nyob rau 10 xyoo tom ntej no ntau dua 3% lossis yog tias koj txoj kev pheej hmoo ntawm kev tawg pob txha loj dua ntau dua 20%. Koj tuaj yeem txiav txim siab koj txoj kev pheej hmoo siv World Health Organization's FRAX lub laij lej: https://www.sheffield.ac.uk/FRAX/tool.aspx?country=9 Tsis tas li, yog tias koj muaj T -qhab nia ntawm -2.5 lossis qis dua, ces koj tus kws kho mob yuav pom zoo pib siv tshuaj los kho pob txha.
- Cov tshuaj feem ntau tau sau tseg rau kev txhim kho pob txha nrawm yog biophosphonates, xws li alendronate, risedronate, ibandronate, thiab zoledronic acid.
- Yog tias koj yog poj niam tom qab cev xeeb tub, koj tus kws kho mob kuj tseem yuav pom zoo kom hloov tshuaj estrogen los pab kho tus mob pob txha. Txawm li cas los xij, qhov no tsis yog txoj kev kho thawj zaug vim tias nws tuaj yeem ua rau muaj kev pheej hmoo mob qog noj ntshav, mob hlab ntsha tawg, kab mob hauv lub plawv, thiab mob ntshav thromboembolism venous.
- Cov tshuaj tuaj yeem pab ua kom koj tus qhab -nees T rov qab los saum -1 thiab zam kev cia nws poob mus ntxiv rau hauv pawg pob txha, uas suav nrog txhua yam hauv qab -2.5. Thaum nws poob qis dua -2.5, cov tshuaj yuav zoo li tsim nyog txhawm rau txhim kho koj cov pob txha ntom ntom.
Txoj Kev 2 ntawm 2: Hloov Txoj Kev Ua Neej
Kauj Ruam 1. Ua kom hnyav hnyav rau ntau hnub ntawm lub lim tiam
Kev hnyav hnyav los ntawm kev taug kev, dhia, ua aerobics, seev cev, thiab ua lwm yam dej num uas yuav tsum tau sawv tuaj yeem pab txhawb koj cov pob txha ntom ntom. Mus rau 30 feeb taug kev ntawm 5 hnub ntawm lub lim tiam rau txoj hauv kev yooj yim kom tau txais kev tawm dag zog hnyav, lossis ua lwm yam haujlwm uas koj nyiam. Kho qhov qoj ib ce uas koj ua raws li koj qib qoj ib ce.
- Piv txwv li, yog tias taug kev 30 feeb ntawm ib lub sijhawm nyuaj rau koj, pib los ntawm kev taug kev 10 feeb, thiab tom qab ntawd nce tus nqi koj taug kev txhua lub lim tiam los ntawm 5 feeb kom txog thaum koj taug kev 30 feeb ib zaug.
- Koj tseem tuaj yeem rhuav koj cov kev tawm dag zog niaj hnub ua ntu me me, xws li taug kev ob peb feeb 15 feeb lossis peb taug kev 10 feeb.
Kauj Ruam 2. Tau txais kev pom zoo txhua hnub ntawm calcium thiab vitamin D
Calcium thiab vitamin D tsis txaus yog qhov ua rau osteopenia, yog li nws tseem ceeb heev uas yuav tsum ua cov no rau hauv koj cov zaub mov lossis noj ntxiv yog tias koj muaj teeb meem tau txais cov lus pom zoo txhua hnub. Cov neeg feem coob xav tau txog 1, 000 mg ntawm calcium txhua hnub thiab 600 iu (15 micrograms) ntawm cov vitamin D, tab sis tham nrog koj tus kws kho mob ua ntej pib siv tshuaj ntxiv kom paub seb qhov twg yog qhov zoo rau koj.
- Cov peev txheej zoo ntawm calcium suav nrog mis nyuj, cheese, yogurt, zaub ntsuab nplooj, ntses nrog cov pob txha mos, noj tau zoo li sardines, thiab cov zaub mov muaj calcium ntxiv, xws li kua txiv kab ntxwv thiab cereal.
- Cov peev txheej zoo ntawm cov vitamin D suav nrog cov roj ntshav siab, cov kaus poom tuna, kua txiv kab ntxwv muaj zog, mis, yogurt, thiab qe.
Kauj Ruam 3. Txiav luam yeeb yog tias koj haus luam yeeb
Kev haus luam yeeb nce koj txoj kev pheej hmoo ntawm kev tsim osteopenia, yog li yog tias koj haus luam yeeb, txiav tawm yuav pab txhim kho koj tus mob. Tham nrog koj tus kws kho mob txog cov tshuaj thiab cov khoom hloov pauv nicotine uas yuav pab koj txiav luam yeeb. Tej zaum kuj tseem muaj lwm cov peev txheej hauv koj thaj chaw rau cov neeg uas xav txiav luam yeeb.
- Buproprion thiab varenicline tartrate yog cov tshuaj noj uas yuav pab tau koj txiav luam yeeb los ntawm kev txo koj cov kev ntshaw. Koj tseem tuaj yeem sim cov khoom hloov pauv nicotine, xws li cov pos hniav, lozenges, thiab thaj ua rau thaj kom pab nrog kev tshaib plab.
- Coob leej neeg kuj tau txais txiaj ntsig los ntawm kev siv kev sab laj, pab pawg, thiab cov xov tooj ntse siv los pab lawv txiav luam yeeb.
Kauj Ruam 4. Txiav rov qab lossis txiav luam yeeb yog tias koj haus cawv tsis tu ncua
Kev haus cawv yog lwm qhov kev pheej hmoo tshwm sim rau osteopenia. Yog tias koj haus dej cawv hnyav lossis niaj hnub, tom qab txiav lossis txiav tawm tuaj yeem pab thim rov qab koj cov pob txha. Tham nrog koj tus kws kho mob yog tias koj muaj teeb meem txiav rov qab lossis txiav luam yeeb. Muaj cov tshuaj thiab cov phiaj xwm uas tuaj yeem pab tau.
Kev haus dej nruab nrab txhais tau tias tsis pub haus ntau tshaj 1 zaug hauv ib hnub rau poj niam lossis tsis pub haus ntau tshaj 2 zaug hauv ib hnub rau txiv neej. Yog tias koj tshaj qhov nyiaj no, tej zaum koj yuav xav txiav rov qab lossis txiav luam yeeb
Kauj Ruam 5. Ua kom hnyav dua yog tias koj rog dhau
Kev rog dhau kuj tseem ua rau koj muaj osteopenia. Yog tias koj muaj lub cev ntsuas qhov ntsuas ntawm 18.5 lossis qis dua, tom qab ntawd koj tau txiav txim siab hnyav dua. Tham nrog koj tus kws kho mob kom txiav txim siab qhov hnyav rau koj.
Ua kom nce hnyav hnyav dhau sijhawm los ntawm kev ntxiv cov khoom noj muaj txiaj ntsig zoo rau hauv koj cov zaub mov. Piv txwv, pib koj cov zaub mov ntawm cov zaub mov, xws li nplej zom, mov, lossis qhob cij, thiab suav nrog kev noj zaub, txiv hmab txiv ntoo, cov protein qis, thiab cov rog zoo nrog txhua pluas noj
Tswv yim: Kev noj zaub mov tsis zoo yog qhov muaj feem cuam tshuam rau kev txhim kho pob txha, yog li noj ntau yam zaub mov noj qab nyob zoo txhua hnub.
