Osteoporosis

Ka whakakāwea te osteoporosis i ngā wheua kia ngoikore hoki kia pakaru—kia pakaru rawa atu te pakaru i te hinga, te pēhanga iti rānei pēnei i te tūohu, te kōhū rānei. Ko ngā whati e pā ana ki te osteoporosis te nuinga o te wā ka puta ki te kauae, te ringa, te tuawhenua rānei.

He kōeke ora te wheua e whakahoroa ana, e whakakapinga ana hoki tonu. Ka puta te osteoporosis ina kore te hanganga o te wheua hou e tutuki ki te ngaro o te wheua tawhito.

Ka pā te osteoporosis ki ngā tāne, ki ngā wāhine hoki o ngā iwi katoa. Engari ko ngā wāhine Pākehā me ngā wāhine Āhia, ina koa ko ngā wāhine kaumātua kua pahure atu te menopause, kei te nui rawa te tūpono. Ka taea e ngā rongoā, te kai hauora me te whakakori tinana te āwhina i te aukatinga i te ngaro o te wheua, te whakakahangia rānei i ngā wheua kua ngoikore kē.

Ko te nuinga kaore he tohu i nga wa o mua o te ngaro o te wheua. Engari, ki te ngoikore o ou wheua i te osteoporosis, tera pea etahi tohu me nga tohu e uru ana ki: te mamae o te tuara, i puta mai i te wheua pakaru, i te wheua taka i roto i te tuara. Te ngaro o te teitei i te wa. Te tuunga kōkopu. He wheua e pakaru ana i te ngawari atu i te mea i tumanakohia. Kei te hiahia pea koe ki te korero ki to kaiwhakarato hauora mo te osteoporosis ki te haere koe i te menopause wawe, i te tango ranei i nga corticosteroids mo etahi marama i te wa kotahi, ki te pakaru ranei o tetahi o o matua te uaua.

Āta whakarongo ki tō kaiwhakarato hauora mō te ngoikore o ngā wheua, ki te mea kua pāhemo wawe tou wā moe wahine, ki te whakamahi rānei i ngā corticosteroids mō ngā marama maha i te wā kotahi, ki te pakaru rānei te uha o tētahi o ō mātua.

I raro i te microscope, ko te wheua hauora he rite te ahua ki te whatu honi (runga). Ko te wheua osteoporosis ( raro) he nui ake te rua.

Kei roto tonu o koutou wheua i roto i te ahua hou - ka hangaia te wheua hou, ka pakaru te wheua tawhito. I a koe e tamariki ana, ka hanga tere ake to tinana i te wheua hou i te pakaru o te wheua tawhito, ka nui ake to papatipu wheua. I muri i nga tekau tau tuatahi o te 20, ka ngawari tenei tukanga, a ka tae te nuinga o te iwi ki to ratou papatipu wheua teitei rawa i te tau 30. I te pakeketanga o te tangata, ka ngaro te papatipu wheua atu i te hanga.

Ko te āhei o te whanake i te osteoporosis e whakawhirinaki ana ki te nui o te papatipu wheua i whiwhi koe i to tamarikitanga. Ko te papatipu wheua teitei rawa he wahi i tukuna mai, a he rerekē hoki i runga i te roopu iwi. Ko te teitei o to papatipu wheua teitei rawa, ko te nui o te wheua kei a koe "i te putea," a ko te iti o te tupono ka whanake koe i te osteoporosis i a koe e pakeke ana.

He maha ngā take ka piki ake te tūponotanga o te whanaketanga o te osteoporosis — tae atu ki tō tau, iwi, kōwhiringa oranga, me ngā āhuatanga hauora me ngā maimoatanga.

Ko ētahi take tūponotanga mō te osteoporosis kāore e taea te whakahaere, tae atu ki:

• Tō ira tangata. He tino nui ake te tūponotanga o ngā wāhine ki te whanake i te osteoporosis i ngā tāne.
• Tau. Ka pakeke haere koe, ka nui haere tō tūponotanga ki te osteoporosis.
• Iwi. Kei te nui rawa te tūponotanga o te osteoporosis ki a koe ki te mea he Pākehā koe, he Ahia rānei.
• Hītori whānau. Ko te whai mātua, te teina rānei e pangia ana e te osteoporosis ka whakapiki ake i tō tūponotanga, inā koa ki te pakaru te hip o tō whaea, tō papa rānei.
• Rāhi anga tinana. Ko ngā tāne me ngā wāhine he iti te anga tinana ka nui ake te tūponotanga, no te mea pea he iti ake te nui o te wheua hei tango i a rātou e pakeke haere ana.

He maha ake te osteoporosis i roto i te hunga he nui rawa, he iti rawa rānei o ētahi homoni i roto i o rātou tinana. Ko ētahi tauira:

• Homoni ira tangata. Ko te hekenga iho o ngā taumata homoni ira tangata ka whakawaiwai i te wheua. Ko te hekenga iho o ngā taumata estrogen i roto i ngā wāhine i te menopause tētahi o ngā take tūponotanga kaha rawa atu mō te whanaketanga o te osteoporosis. Ko ngā maimoatanga mō te mate pukupuku prostate e whakaiti ana i ngā taumata testosterone i roto i ngā tāne me ngā maimoatanga mō te mate pukupuku u e whakaiti ana i ngā taumata estrogen i roto i ngā wāhine ka tere pea te ngaro o te wheua.
• Ngā raruraru thyroid. Ka taea e te homoni thyroid nui rawa te whakaiti i te wheua. Ka taea tēnei te puta mai ki te mahi nui rawa tō thyroid, ki te tango rānei koe i te rongoā homoni thyroid nui rawa hei whakaora i te thyroid iti rawa.
• Ētahi atu whekau. Kua honoa ano te osteoporosis ki ngā whekau parathyroid me ngā whekau adrenal e mahi nui rawa ana.

He nui ake te tūponotanga o te osteoporosis ki te hunga:

• Iti te kai kāratiuma. Ko te kore o te kāratiuma i te ora katoa he wāhi nui ki te whanaketanga o te osteoporosis. Ko te iti o te kai kāratiuma ka āwhina ki te whakaiti i te nui o te wheua, te ngaro o te wheua i te wā, me te piki ake o te tūponotanga o ngā pakaru.
• Ngā mate kai. Ko te whakaiti rawa i te kai me te taumaha iti ka whakawaiwai i te wheua i roto i ngā tāne me ngā wāhine.
• Ngā pokanga gastrointestinal. Ko te pokanga hei whakaiti i te nui o tō kopu, hei tango rānei i tetahi wāhanga o te whekau ka whakaiti i te nui o te mata e wātea ana hei tango i ngā matūkai, tae atu ki te kāratiuma. Ko ēnei pokanga ko ngā mea hei āwhina i a koe ki te ngaro taumaha me ētahi atu mate gastrointestinal.

Ko te whakamahinga roa o ngā rongoā corticosteroid waha, rānei i whakauruhia, pēnei i te prednisone me te cortisone, ka whakaroa i te tukanga hanga hou o te wheua. Kua honoa ano te osteoporosis ki ngā rongoā e whakamahia ana hei whawhai, hei aukati rānei i:

• Ngā hopu.
• Te reflux o te puku.
• Te mate pukupuku.
• Te whakakahorenga o te whakawhiti.

He nui ake te tūponotanga o te osteoporosis i roto i te hunga he mate hauora motuhake, tae atu ki:

• Te mate celiac.
• Te mate whekau mumura.
• Te mate whatukuhu, te ate rānei.
• Te mate pukupuku.
• Te myeloma maha.
• Te mate pāwera rheumatoid.

Ko ētahi tikanga kino ka piki ake tō tūponotanga ki te osteoporosis. Ko ētahi tauira:

• Te noho noho. Ko te hunga e noho ana i te nuinga o te wā ka nui ake te tūponotanga o te osteoporosis i te hunga e kaha ake ana te mahi. Ko tetahi mahi kaha te taumaha me ngā mahi e whakatairanga ana i te toenga me te tuunga pai he pai mō ō wheua, engari ko te hikoi, te oma, te pūkae, te kanikani me te whakaara i te taumaha ka kitea he tino whai hua.
• Te inu waipiro nui rawa. Ko te inu noa atu i te rua o ngā inu waipiro i te rā ka piki ake te tūponotanga o te osteoporosis.
• Te whakamahinga tapeka. Kāore i te marama te mahi tika a te tapeka i roto i te osteoporosis, engari kua whakaaturia ko te whakamahinga tapeka ka āwhina ki ngā wheua ngoikore.

Ko ngā wheua e hanga ana i tō tuawhenua, e kiia nei ko ngā vertebrae, ka ngoikore rawa pea kia pakaru, kia hinga, ā, ka puta mai pea te mamae o te tuawhenua, te heke o te teitei me te tuunga kōkō.

Ko te whati o ngā wheua, inā te nuinga i te tuawhenua, i te hip rānei, ko ngā raruraru tino nui o te osteoporosis. Ko te whati o te hip te nuinga o te wā he hua o te hinga, ā, ka puta pea te kore e taea te mahi me te nui haere o te tūpono o te mate i roto i te tau tuatahi i muri i te whara.

I ētahi wā, ka puta mai pea te whati o ngā wheua i te tuawhenua ahakoa kāo e hinga. Ko ngā wheua e hanga ana i tō tuawhenua, e kiia nei ko ngā vertebrae, ka ngoikore rawa pea kia hinga, ā, ka puta pea te mamae o te tuawhenua, te heke o te teitei me te tuunga kōkō ki mua.

Ahakoa ka ngaro te iwi katoa i te wheua i te wā o to rātou oranga, he maha ngā kaupapa ka taea e koe te mahi hei pupuri i ō wheua kia hauora. I ngā meneti torutoru e whai ake nei, ka arotakehia e tātou ētahi huarahi whānui e taea ai e koe te whakapai ake i te hauora o ō wheua. Kei roto i ēnei te mahi i ngā whiringa pai hei whakaiti i tō tūponotanga ki te hinga. Te whakamahi i te tikanga pai i te wa e arahi ana kia kore ai e pakaru te tuara. Te noho mahi tonu me ngā mahi taumaha penei i te hikoi. Ā, te whakarite kia whiwhi koe i te nui o te kōparai me te wītamini D. I tua atu i ēnei take nui e taea ana e koe te whakahaere, ko koe me tō kaiwhakarato pea ka whakatau he pai te tango i te rongoā hei whakaiti i tō tūponotanga ki te ngaro o te wheua me te pakaru. Ka taea te kōrero mō tēnei pātai me ētahi atu me tō kaiwhakarato i tēnei rā i te wā o tō hui. Kia mahara, ko te pupuri i ō wheua kia hauora me te ārai i te pakaru he mea nui mō ngā tāngata pakeke katoa. E tumanako ana mātou ko ngā korero ka tirohia e koe i ngā meneti e whai ake nei ka āwhina i a koe ki te mārama pai ake ki te hauora o ō wheua ake me ngā huarahi e taea ai e koe te pupuri i a koe kia kore e pakaru i te wā e whai ake nei. Ko te osteopenia me te osteoporosis te nuinga o te wā kahore he mamae tae noa ki te pakaru te wheua, te pakaru rānei. Ko ēnei pakaru te nuinga o te wā ka puta i te tuara, te hope, te ringa rānei, engari ka puta hoki i ētahi atu wheua. Me kore te rongoā hauora, ka ngaro ngā tāne me ngā wāhine i te 1 ki te 3% o te nui o te wheua ia tau i muri i te 50 tau. I te heke o te kaha o te wheua, te nui rānei, ka tino piki ake te tūponotanga o te iwi ki te whanake i te osteoporosis, ki te pakaru rānei. Ka taea te whanake i te osteoporosis i ngā tau maha. I te wā e koroheke ana koe, ka piki ake te tūponotanga o te whanake i te osteoporosis. Ko te ngaro o te estrogen i ngā wāhine nā te menopause, me ngā taumata testosterone iti i ngā tāne ka piki ake hoki te ngaro o te wheua. Ko ngā wāhine e pā ana ki te menopause wawe, ki te tango rānei i ō rātou ovaries i te tau iti ake, ka piki ake te tūponotanga o te ngaro o te wheua. Ko ētahi rongoā, te inu nui o te waiū, me te wāhineka ka piki ake hoki tō tūponotanga. Ko te hunga kua tango i ngā rongoā e kino ana ki te wheua, he hypogonadism, kua whiwhi i te whakawhiti, kua mahi rānei i te pokanga ngaro taumaha, ka piki ake te tūponotanga o te ngaro o te wheua tere. He maha atu ngā take tūponotanga mō te osteoporosis, tae atu ki te hītori whānau o te osteoporosis, te iwi Pākehā, te iwi Āhia rānei, te anga tinana iti, te kai iti rānei o te kōparai, te wītamini D rānei. Hei āwhina i a koe ki te whai i ngā wheua kaha me te ārai, te whakaiti rānei i te ngaro o te wheua i te wā e koroheke ana koe, he rua ngā mea nui hei arotahi atu, te pupuri i ō wheua kia hauora me te ārai i te pakaru. Ka taea e te katoa te mahi i ngā kaupapa hei āwhina i te pupuri i ngā wheua kia kaha, kia hauora hoki i te wā o te oranga. Ka taea e koe te tīmata i tēnei rā. Ko ngā rima mea nui hei pupuri i ō wheua kia hauora, ko te mahi, te whakakori rānei, te kai i ngā kai kōparai, te whiwhi i te nui o te wītamini D, te mutu i te wāhineka me te whakaiti i te waiū. Ko te whakakori e āwhina ana ki te whakapakari i ngā wheua, te whakaiti i te ngaro o te wheua, me te whakapai ake i te hauora. Kia āta whakatūpato ki te 30 ki te 60 meneti i te rā me te whakakotahitanga o ngā mahi taumaha, ngā mahi aerobic, ngā mahi whakapakari uaua, me ngā mahi kore-pānga. Ko ngā mahi taumaha ko ngā mahi e mahia ana i runga i ō waewae me ō wheua e tautoko ana i tō taumaha. Ko ētahi o ēnei momo whakakori kei roto i te hikoi, te ioi, me te kanikani. Ko te Tai Chi he tauira pai o te whakakori kore-pānga. Kōrero atu ki tō tākua mō te whakakori pea ka pai rawa atu mō tō āhuatanga. He pai ke te whiwhi kōparai mai i tō kai i te mea he pūnaha. Ko ngā hua waiū, ētahi huawhenua matomato penei i te spinach, te broccoli, te kale rānei, me ngā wai hua kōparai me ngā inu soya kei roto i ngā nui o te kōparai. Ko te whāinga, ko te whiwhi i te iti rawa o ngā whakawhāinga toru ia rā mai i tō kai. Pea ka hiahia koe ki te tango i te tāpiri kōparai ki te kore koe e whiwhi i te nui o te kōparai mai i tō kai. Ka ngāwari te whakauru i ngā tāpiringa, he iti te utu, he ngāwari hoki te tango. Ki te tango koe i te tāpiri kōparai, he pai ke te whakakotahi me te wītamini D. He mea nui te wītamini D mō te whakauru kōparai me te pupuri i te hauora o te wheua. Ko te wītamini D te nuinga o te wā ka hangaia i roto i te kiri me te whakaatu nui o te rā, engari kei roto hoki i ētahi kai me ngā tāpiringa wītamini. Pātai atu ki tō kaiwhakarato hauora mō ētahi atu korero mo te nui o te wītamini D e hiahia ana koe me te aha e pā ana ki ngā tāpiringa. Ki te wāhineka koe, mutu. Ko te wāhineka ka piki ake tō tūponotanga ki te osteopenia me te osteoporosis. Ko te whakamahinga waiū ka piki ake hoki tō tūponotanga ki te whanake i te osteoporosis. Whakaitihia te inu waiū ki tetahi inu ia rā ki te wāhine koe, me ngā inu rua ia rā ki te tāne koe. Ka taea e koe te āwhina i te ārai i te pakaru. Ko ngā mea nui e rua e taea ana e koe te mahi hei āwhina ko te karo i ngā hinga me te tango i ngā rongoā. Ko ngā hinga te take tūponotanga nui rawa atu mō te pakaru. Me mahi ngā kaupapa hei ārai i ngā hinga i tō kāinga, kia pai te mārama o ngā ruma me ngā korowhiti. Kaua e piki i ngā arawhata, pupuri i ngā taura hiko me ngā taura waea i waho o ngā ara hikoi, me te tango i ngā mohiti ki te taea. Kia tupato ki ngā mahi e whakatūpono ana i a koe ki te pakaru, penei i te arahi i te taumaha nui rawa atu me te kokiri hukarere. Whakamahia te tikanga arahi tika me te kōrero atu ki tō tākua mō ō whakawhitinga arahi motuhake. He maha ngā momo rongoā ka ārai pea i te ngaro atu o te nui o te wheua tae atu ki te 5 ki te 10%. Ka taea e tēnei te whakaiti nui i te tūponotanga o te pakaru. Ko te nuinga o ngā rongoā osteoporosis ka taea te āwhina i te mutu i te ngaro o te wheua. Ko ētahi atu rongoā e āwhina ana ki te hanga i te wheua. Ka taea e tō kaiwhakarato te āwhina i a koe ki te whakatau i te ātete pea ka pai rawa atu mōu. Matthew T. Drake, M.D., Ph.D.: Ko te osteoporosis me te osteopenia he āhuatanga noa e pā ana ki te haurua neke atu o ngā tāngata katoa 50 tau te pakeke me te pakeke ake i te United States. He maha tonu kahore he tohu tae noa ki te pakaru te wheua, ki te whanake rānei tetahi i te kōroke o te tuara. Whakaarohia te maha o te iwi e mohio ana koe, kua pāngia e te pakaru me te pehea te pānga ki to rātou oranga. Ka taea te ārai i te pakaru o te wheua. Tuatahi, kia whakarite koe kei te whiwhi koe i te nui o te kōparai i waenga i te kai me ngā tāpiringa. Mō te nuinga o te hunga he osteoporosis, he osteopenia rānei, ka tata ki te 1,200 milligrams tēnei. Ko te raruraru ko te kai kōparai toharite o te kai mō te iwi 50 tau te pakeke, te pakeke ake rānei, ko te haurua o te mea e tūtohutia ana. Kua whakaatuhia e ngā rangahau maha ko te kōparai, me ngā rāpoi iti o te wītamini D i ia rā e whakaiti ana i te tūponotanga o te pakaru me te piki ake i te nui o te wheua. He mea nui hoki te wītamini D hei āwhina i a koe ki te whakauru pai i te kōparai. He tino noa te kore o te wītamini D, ina koa i te wā e koroheke ana koe. Ko te whakakori taumaha me te whakapakari, e āwhina ana hoki ki te pupuri i ō wheua kia kaha. Heoi, mō ētahi iwi kei te tūponotanga nui, ehara i te mea nui te tango i te kōparai me te wītamini D me te whakakori hei ārai i te pakaru. Pea ka tūtohu tō kaiwhakarato ki te tango i te rongoā hei tāpiri ki te kōparai me te wītamini D. Ki te nui rawa tō tūponotanga mō te pakaru, ka tino nui ake ngā painga o te tango i te rongoā i ngā tūponotanga e pā ana ki ngā rongoā. Ka taea e tō kaiwhakarato me tō kaihoko rongoā te arotake i te whakamahinga rongoā me koe. Kia mahara, i te wā e koroheke ana koe, ka piki ake hoki tō tūponotanga ki ngā hinga. Ko te nuinga o ngā pakaru ka puta i muri i te hinga. I mohio koe ko te 5% o ngā hinga ka puta he pakaru, 10% ka puta he whara nui, me te 30% ka puta he momo whara? Kaua e hinga. He maha tonu taku kī atu ki aku turoro ki te rite te ahua ki te whakaaro kino, pea he whakaaro kino. E hiahia ana koe ki te piki i te arawhata hei tango i ngā rau mai i te ngongo, ki te taea rānei e tetahi atu te āwhina i a koe? E hiahia ana koe ki te waiho i te mārama, kia kaua e raru tō tane i te wā e haere ana koe ki te wharepaku i waenganui po? Kia whakarite kō kāinga he haumaru mōu. Kua whakaaturia ano hoki ko ngā whakakori toenga penei i te Tai Chi e ārai ana i ngā hinga ki te mahi koe i te iti rawa o ngā wā rua i te wiki. Ko te pupuri i ō wheua kia hauora me te ārai i te pakaru he mea nui mō te katoa i te wā e koroheke ana rātou. E tumanako ana mātou ko ēnei korero ka āwhina i a koe me ō wheua kia hauora i ngā tau e whai ake nei. Wahine: Ki te whai koe i ētahi pātai mō ēnei korero, kōrero atu ki tō kaiwhakarato hauora. He mea nui te kai pai me te whakakori auau mō te pupuri i ō wheua kia hauora i te wā o tō oranga. Ko ngā tāne me ngā wāhine i waenga i ngā tau 18 me te 50 e hiahia ana ki te 1,000 milligrams o te kōparai i te rā. Ka piki tēnei nui o ia rā ki te 1,200 milligrams i te wā e 50 ana ngā wāhine me te 70 ngā tāne. Ko ngā puna pai o te kōparai kei roto i:

• Ngā hua waiū iti te ngako.
• Ngā huawhenua matomato pouri.
• Salmon kānana, mātene rānei me ngā wheua.
• Ngā hua soya, penei i te tofu.
• Ngā mīti kōparai me te wai karaka. Ki te kite koe he uaua te whiwhi i te nui o te kōparai mai i tō kai, whakaarohia te tango i ngā tāpiringa kōparai. Heoi, ko te nui rawa o te kōparai kua honoa ki ngā kohatu whatukuhu. Ahakoa kahore ano kia mārama, kei te kī ētahi tohunga ko te nui rawa o te kōparai, ina koa i ngā tāpiringa, ka piki ake te tūponotanga o te mate ngakau. Ko te Wahanga Hauora me te Rongoā o ngā Karaipiture o ngā Pūtaiao, te Hangarau, me te Rongoā e tūtohu ana ko te nui katoa o te kōparai, mai i ngā tāpiringa me te kai i whakakotahihia, kaua e neke atu i te 2,000 milligrams ia rā mō te iwi 50 tau te pakeke ake. Ka whakapai ake te wītamini D i te kaha o te tinana ki te whakauru i te kōparai me te whakapai ake i te hauora o te wheua i ētahi atu huarahi. Ka taea e te iwi te whiwhi i ētahi o ō rātou wītamini D mai i te rā, engari pea ehara tēnei i te puna pai ki te noho koe i te latitude teitei, ki te noho koe i te whare, ki te whakamahi auau koe i te sunscreen, ki te karo rānei i te rā nā te tūponotanga o te mate pūngāwerewere kiri. Ko ngā puna kai o te wītamini D kei roto i te hinu ate ika, te trout me te salmon. He maha ngā momo miraka me te mīti kua whakakikitia ki te wītamini D. Ko te nuinga o te iwi e hiahia ana ki te iti rawa o te 600 international units (IU) o te wītamini D i te rā. Ka piki taua tūtohu ki te 800 IU ia rā i muri i te 70 tau. Pea ka hiahia ngā iwi kahore atu ngā puna o te wītamini D, me te iti rawa o te whakaatu o te rā, he tāpiringa. Ko te nuinga o ngā hua multivitamin kei roto i waenga i te 600 me te 800 IU o te wītamini D. Tae atu ki te 4,000 IU o te wītamini D i te rā he haumaru mō te nuinga o te iwi. Ka taea e te whakakori te āwhina i a koe ki te hanga i ngā wheua kaha me te whakaiti i te ngaro o te wheua. Ka whai hua te whakakori ki ō wheua ahakoa te wā e tīmata ana koe, engari ka whiwhi koe i ngā painga nui rawa atu ki te tīmata koe ki te whakakori auau i te wā e tamariki ana koe me te haere tonu ki te whakakori i te wā o tō oranga. Whakakotahihia ngā whakakori whakapakari uaua me ngā whakakori taumaha me ngā whakakori toenga. Ko te whakapakari uaua e āwhina ana ki te whakapakari i ngā uaua me ngā wheua i ō ringa me tō tuara o runga. Ko ngā whakakori taumaha—penei i te hikoi, te ioi, te oma, te piki i ngā arawhata, te peke taura, te ski me ngā hākinakina e whakaputa ana i te pānga—e pā ana ki ngā wheua i ō waewae, ō hope me tō tuara o raro. Ko ngā whakakori toenga penei i te tai chi ka taea te whakaiti i tō tūponotanga ki te hinga, ina koa i te wā e koroheke ana koe.

Ka taea te ine i te kaha o ou wheua e te mīhini e whakamahi ana i ngā taumata iti o ngā X-rays hei whakatau i te nui o te mīnerara kei roto i ō wheua. I te wā o tēnei whakamātautau kore mamae, ka takoto koe ki runga i tētahi tēpu kua whakakikīhia i te mea ka neke te kaitātari i runga i tō tinana. I te nuinga o ngā take, ko ētahi wheua anake te tirotirohia—he maha tonu i te hope me te tuawhenua.

Ko ngā tūtohu rongoā e maha ngā wā e ahu mai ana i te whakataurite i tō tūponotanga ki te whati i te wheua i roto i ngā tau tekau e whai ake nei mā te whakamahi i ngā mōhiohio pēnei i te whakamātau wheua. Ki te kore tō tūponotanga e teitei, pea ka kore te rongoā e whakauru i te rongoā, ā, pea ka aro atu ki te whakarerekē i ngā take tūponotanga mō te ngaro o te wheua me ngā hinga. Mo ngā tāne me ngā wāhine e piki ake ana te tūponotanga o te whati i ngā wheua, ko ngā rongoā osteoporosis tino whakamahia ko ngā bisphosphonates. Ko ētahi tauira:

• Alendronate (Binosto, Fosamax).
• Risedronate (Actonel, Atelvia).
• Ibandronate.
• Zoledronic acid (Reclast, Zometa). Ko ngā pānga kino e whakauru ana i te ruaki, te mamae o te kopu me ngā tohu pēnei i te ngakau. Ka iti ake te tūponotanga o ēnei ki te tango tika i te rongoā. Kāre ngā momo bisphosphonates intravenous e pā te kopu, engari ka pā te kirika, te pōuri me ngā mamae o te uaua. He tino onge te raruraru o ngā bisphosphonates he whati, he pakaru rānei i waenganui o te wheua huha. Ko tetahi atu raruraru onge ko te whakaora whakamutunga o te wheua kauae, e kiia nei ko te osteonecrosis o te kauae. Ka taea tēnei te puta i muri i te mahi niho whakauru, pēnei i te tango i te niho. Ki te whakataurite ki ngā bisphosphonates, ko te denosumab (Prolia, Xgeva) e whakaputa ana i ngā hua wheua rite rānei, pai ake rānei, ā, e whakaiti ana i te tūponotanga o ngā momo whati katoa. Ka tukuna te Denosumab mā te wero i raro i te kiri i ia ono marama. Pēnei i ngā bisphosphonates, ko te denosumab he rite te raruraru onge o te whati, te pakaru rānei i waenganui o te wheua huha me te osteonecrosis o te kauae. Ki te tango koe i te denosumab, pea ka hiahia koe ki te haere tonu ki te mahi i te mutunga kore. Ko ngā rangahau hou e whakaatu ana pea he nui te tūponotanga o te whati i te pourewa o te tuara i muri i te mutu o te rongoā. Ko te estrogen, ina koa ka tīmata i muri i te menopause, ka āwhina i te pupuri i te nui o te wheua. Heoi, ka taea e te rongoā estrogen te whakapiki i te tūponotanga o te mate pukupuku u me ngā toto, ka taea te pā te whiu. No reira, ko te estrogen te nuinga o te whakamahi mō te hauora wheua i ngā wāhine taitamariki, i ngā wāhine rānei e hiahia ana hoki ki te rongoā i ō rātou tohu menopause. Ko te Raloxifene (Evista) e rite ana ki ngā pānga pai o te estrogen ki te nui o te wheua i ngā wāhine postmenopausal, kahore he etahi o ngā tūponotanga e hono ana ki te estrogen. Ko te tango i tēnei rongoā ka taea te whakaiti i te tūponotanga o ētahi momo mate pukupuku u. Ko ngā wera wera he pānga kino pea. Ka taea hoki e te Raloxifene te whakapiki i tō tūponotanga o ngā toto. I ngā tāne, pea ka hono te osteoporosis ki te hekenga o te taumata testosterone i te pakeketanga. Ka taea e te rongoā whakakapi testosterone te āwhina i te whakapai ake i ngā tohu o te testosterone iti, engari ko ngā rongoā osteoporosis kua akohia pai ake i ngā tāne hei whakaora i te osteoporosis, ā, no reira ka tūtohutia anake, i tua atu rānei i te testosterone. Ki te whai koe i te osteoporosis kino, ki te kore rānei ngā rongoā noa mō te osteoporosis e mahi pai ana, pea ka kī tō tākuta ki te tamata:
• Teriparatide (Bonsity, Forteo). Ko tēnei rongoā kaha e rite ana ki te homoni parathyroid, ā, e whakaohooho ana i te tipu hou o te wheua. Ka hoatu mā te wero i ia rā i raro i te kiri mō ngā tau e rua noa.
• Abaloparatide (Tymlos) tētahi atu rongoā e rite ana ki te homoni parathyroid. Ka taea te tango i tēnei rongoā mō ngā tau e rua noa.
• Romosozumab (Evenity). Ko tēnei te rongoā hou rawa mō te hanga wheua hei whakaora i te osteoporosis. Ka hoatu hei wero i ia marama i te tari o tō tākuta, ā, kua whakawātea ki te kotahi tau o te rongoā. I muri i to mutu i te tango i ētahi o ēnei rongoā hanga wheua, ka hiahia koe ki te tango i tētahi atu rongoā osteoporosis hei pupuri i te tipu hou o te wheua.

Kaore he uauatanga