Post
Transplant, Osteoporosis & Right Diet (后移植、 骨质疏松症 & 正确的饮食)
Why this topic – Post Transplant &
Osteoporosis?
I hope by sharing my experience on this topic will
benefit many other post-transplant friends as many doesn’t even aware of the
importance of Bone Mineral Density (BMD) test (骨密度测试).
One of the post-transplant complications is osteoporosis.
Post-transplant osteoporosis and fracture occur in a substantial proportion of
patients.
Many patients who had undergoing kidney dialysis prior
to undergoing transplantation are already having low bone mineral density and vitamin
D deficiency.
So what is BMD test?
BMD Test
It is a test using X-rays to measure how many grams of
calcium and other bone minerals are packed into a segment of bone.
Purposes of BMD Test
· Identify decreases in bone density before you break a bone
· Determine the risk of broken bones (fractures)
· Confirm a diagnosis of osteoporosis
·
Monitor osteoporosis treatment
The higher your bone mineral
content, the denser your bones are (骨矿物含量越高，骨头的密度越大). And the denser your bones, the
stronger they generally are and the less likely they are to break (密度越大的骨头，更不容易破裂).
My doctor orders test on my spine and hip twice a year.
Relationship of Osteoporosis and Post-Transplant
Transplant patients are highly recommended to have
periodic BMD test because of:
· Taking steroid medications such as prednisolone interferes with the
bone-rebuilding process and will lead to osteoporosis.
·
Anti-rejection drugs taken by transplant patients interfere
with the bone-rebuilding process and thus we are at higher risk of osteoporosis
In addition, I
strongly recommend you taking a BMD Test prior to transplant if you are
undergoing dialysis now. Such test will
give you a base line to measure against post-transplant. Those had dialysis for many years tend to
have higher risk of osteoporosis as against those with shorter period of
dialysis.
How is BMD being measured?
Results are reported in two numbers:
· T-score
·
Z-score
T-score – The bone density as compare to what is normally
expected in a healthy young adult of same sex. T-score is the number of units —
called standard deviations — that is above or below the average population.
T-score
|
What your score means
|
-1
and above
|
Your
bone density is considered normal.
|
Between
-1 and
-2.5
|
Your
score is a sign of osteopenia, a condition in which bone density is below
normal and may lead to osteoporosis.
|
-2.5
and below
|
Your
bone density indicates you likely have osteoporosis.
|
Z-score – It is the number of standard deviations above
or below what's normally expected for someone of your age, sex, weight, and
ethnic or racial origin. If your Z-score is -2 or lower, it may suggest that
something other than aging is causing abnormal bone loss. If your doctor can
identify the underlying problem, that condition can often be treated and the
bone loss slowed or stopped.
Symptoms
Osteoporosis is being nicknamed as the ‘silent disease’
because bone loss occurs without symptoms and is painless. The condition often
is not detected until it is quite advanced. Some signs in the advanced stages
may include:
· Fracture of the hip, spine and wrists
· Back pain
·
Loss of height over time
What is the right diet?
Taking calcium-rich foods like milk and soya products can
grow strong bones to protect against osteoporosis developing later (吸收象牛奶和大豆产品的钙丰富的食物可能生长强的骨头以防止受到后期骨质疏松症).
Vegetables:
1. Kai Lan (Kale)
2. Chinese and English Spinach (菠菜)
3. Chye Sim (菜心)
4. Long and French bean (长和扁豆)
5. Broccoli (绿花椰菜)
Fish:
1. Salmon (鲑鱼)
2. Cooked Sardine once a week (1 sardine = 190mg
of sardine) {煮熟的沙丁鱼每星期一次 (1个沙丁鱼沙丁鱼=190mg)}
3. Anchovies (aka Ikan Bilis) soup and eat the
bones which has the calcium that is essential for the growth and maintenance of
strong bones
Others:
1. High calcium but low fat milk such as HL Milk
(高钙，但是低脂牛奶例如HL
Milk)
2. Four tea-spoons of milk powder (四个茶匙奶粉)
3. Wholemeal bread (全麦面包)
4. Packed soy milk (包装的豆奶)
5. Exposed your hands to sunlight for 10 minutes
between 10am to 3pm
6. Palm full of almond or peanuts daily (每日吃小部分杏仁或花生)
For the
past one year, I have been following the above diet though I don’t take milk
power that much nowadays. So how’s my
HydroxyVitamin D serum test result? Here
you go:
·
February 2015 – 30.5 MCG/L
·
May 2014 – 21.2 MCG/L
The acceptable reference range is 10.1 – 41.3
MCG/L
Calcium Supplements
Some doctors suspect that calcium supplement may increase
risk of heart attack. A recent study
from the National Institutes of Health suggests there is an increased risk of
heart attack, stroke or other cardiovascular diseases from taking calcium
supplements for men only. Other studies suggest there is an increased risk for
both men and women. As such, further
researches are necessary. I am glad that
I have stopped taking the supplements one year ago.
Underlying message of my post to you:
·
One can change the diet to achieve the desirable
results – It’s Your Life
·
Have regular check up to ensure one is healthy
·
Exercise regularly to build up strong bones – Engage in regular weight-bearing
exercise
Other
Relevant Posts for your Reading (您能读其他相关的博克):
· Eating Healthy to Lower Your Blood Pressure {Update#1} (吃健康降低您的血压)
· Blood
Test Report & Creatinine (验血报告&肌氨酸酐)
· Difference between
Glycosylated Hemoglobin (HbA1c) and Blood Glucose (葡基化的血红蛋白 (HbA1c) 和血糖之间的别)
Disclaimer: I am not a Medical Doctor. All my blog postings
are based on my personal experience that I've went thru and what I've read up
from the internet. If you've any symptoms of diabetes OR want to better manage
your health, I strongly urge you to have regular medical-ups to avoid future
complications. In addition, control your diet portions and have regular
exercise.
(我不是一位医生。所有我的博克投稿是我的个人经验，并且我从互联网读了。如果您有糖尿病的任何症状或要更好处理您的健康，我强烈敦促您有规则健康检查以避免未来复杂化。另外，控制您的饮食部分并且有定期运动.)
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