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INFORMATION SHEET

OSTEOMALACIA (in Gujarati)

Osteomalacia
Osteomalacia, meaning soft bones, is a con- AaisTAaomalaoisaAaÊ AoTlao ko narma haDkaMÊ Ao
dition which affects the skeleton. The bones may haDkaMnaa ZaMcaanao Asar krtI Aok pirisqait Co.
bend, particularly in children, and can also break Kasa krInao baaLkaomaaMÊ haDkaM vaLI Sako CoÊ Anao
sarLtaqaI tUTI pNa Sako Co. Ao maaoTa BaagaoÊ pNa
easily. It is often, but not always, caused by lack hMmaoSaa naihÊ ivaTamaIna DI naI ]Napnao laIQao qaaya
of vitamin D. In this country, people of South Co. Aa doSamaaMÊ maUL dixaNa AoiSayaanaa laaokao
Asian origin are often affected by osteomalacia. GaNaIvaar AaoisTAaomalaoisaAaqaI pIDaya Co.

For healthy bones the body needs calcium, phos- svasqa haDkaM maaTo SarIrnao koilSayamaÊ faosfoTsa
phorus and vitamin D. If the body does not have Anao ivaTamaIna DI naI j$r pDo Co. jao SarIrnao
enough of any one of these, osteomalacia will AamaaMnauM kao[pNa Aok pyaa-Pt maa~amaaM na
develop. Calcium and phosphorous deficiency maLo taoÊ AaoisTAaomalaoisaAa ivakasa pamaSao.
koilsayama Anao faosfoTsanaI ]Nap jUj Co.
are rare. The most common cause of osteomalacia AaoisTAaomalaoisaAanauM saaOqaI saamaanya karNa
is a lack of vitamin D. ivaTaimana DI naI ]Nap Co.

VITAMIN D ivaTaimana DI
The body can make its own vitamin D. When
sunlight falls on the skin cholesterol in the SarIr svayaM paotanauM ivaTaimana DI banaavaI Sako Co.
jyaaro caamaDI pr saUya-p`kaSa pDo Co %yaaro caamaDImaaM
skin is turned into vitamin D. Vitamin D helps kaolaosT/aola ivaTaimana DI maaM forvaa[ jaya Co.
calcium and phosphorous to be absorbed and ivaTaimana DI haDkaMmaaM koilsayama Anao faosfoTsa
incorporated into the bones. During the summer, SaaoYavaamaaM madd kro Co. ]naaLamaaM caamaDI SarIr
the skin produces enough vitamin D for the body maaTo pyaa-Pt ivaTaimana DI ]%pnna krI do Co jo
to build up a store for the winter. iSayaaLamaaM pNa caalao.

Your diet can also provide vitamin D. Oily fish tmaarao Kaorak pNa ivaTaimana DI pUruM paDI Sako
such as mackerel, herring and kippers are good Co. tOlaI maaClaI jovaI ko maokorolaÊ hoirMga Anao
ikpsa- saara s~aotao Co - kdaca dr AzvaaiDyao Aok
sources – one portion each week is probably Baaga pyaa-Pt Co. [MDaÊ dUQanaa ]%padnaao Anao
sufficient. Eggs, dairy products and margarine maagaa-irna pNa ivaTaimana DI Qaravao Co. Amauk
also contain vitamin D. Some foods, such as Kaorakao jovaa koÊ naastanaa isairyalsamaaM ivaTaimana
breakfast cereals, have vitamin D added. Most DI ]maorayauM haoya Co. prMtuÊ maaoTaBaaganaa KaorakmaaM
foods, however, contain very little vitamin D. ivaTaimana DI bahu AaoCI maa~amaaM haoya Co.

Certain groups of people, who get less exposure Amauk jUqanaa laaokaoÊ joAaonao AaoCao saUya-p`kaSa
to sunlight, are at risk from vitamin D deficiency. maLo CoÊ tomanao ivaTaimana DI naI ]Nap qavaanauM
jaoKma rholauM Co. vaRw laaokaoÊ joAao bahar naIkLI
Elderly people, people who are too ill to go out, na Sakta haoya Aovaa KUba j baImaar laaokaoÊ
and people who cover their skin for religious Anao Qaaima-k karNaaonao laIQao joAao tomanaI caamaDI
purposes (for example, with the burka) may not ZaMkI lao Co ³joma koÊ baurKa´ toAao kdaca tomanaI
make enough vitamin D in their skin, and will caamaDImaaM pyaa-Pt ivaTaimana DI na banaavaI SakoÊ
need to make sure that they get enough from Anao AaqaI toAaoAo KatrI krvaI pDSao ko toAao
tomanaa Kaorak Anao Anya pUrvaNaIAaomaaMqaI pyaa-
their diet or take supplements.
Pt maa~amaaM ivaTaimana DI maoLvaI lao Co.

WHY ARE PEOPLE OF SOUTH


Saa maaTo maUL dixaNa AoiSayaanaa laaokao
ASIAN BACKGROUND MORE AT
vaQau jaoKma Qaravao CoÆ
RISK?
There are two main reasons for this: Aanaa mau#ya bao karNaao CoÁ

Sunlight
Dark skin is protective in parts of the world

PUBLISHED BY THE ARTHRITIS RESEARCH CAMPAIGN (arc), COPEMAN HOUSE, ST MARY’S COURT,
ST MARY’S GATE, CHESTERFIELD, DERBYSHIRE S41 7TD. REGISTERED CHARITY NO. 207711.
where the sun is intense. In areas where there is saUya-p`kaSa
less daily sunlight (such as the UK) dark skin may
be ‘overprotective’ and the skin may produce duinayaanaa jo BaagaaomaaM saUya- Aakrao Co %yaaM kaLI
caamaDI rxaNa pUruM paDo Co. jo BaagaaomaaM idvasanaa
less vitamin D. Traditional dress, such as the AaoCao saUya-p`kaSa haoya Co ³joma ko yaukomaaM´ %yaaM
burka, will also reduce the ability of your skin kaLI caamaDI 'vaQau pDtuM rxaNa' pUruM paDo Co Anao
to produce vitamin D, because it stops sunlight kdaca caamaDI AaoCuM ivaTaimana DI ]%pnna kro.
falling on the skin. parMpairk vas~aoÊ jovaa ko baurKaÊ pNa kdaca
tmaarI caamaDInaI ivaTaimana DI ]%pnna krvaanaI
Diet samaqa-ta AaoCI krI doÊ karNa ko Ao saUya-p`kaSanao
Diet is particularly important for people who tmaarI caamaDI pr pDta raoko Co.
do not produce enough vitamin D in the skin.
Kaorak
Vegans (who don’t eat meat, fish or dairy prod-
ucts) are most at risk, as they get very little vit- Kaorak Kasa krInao Aovaa laaokao maaTo mah<vanaao
amin D or calcium. But you can also be at risk if Co joAao caamaDImaaM pyaa-Pt ivaTaimana DI ]%pnna
you are on a lacto-vegetarian diet (you eat dairy naqaI krta. caust SaakaharIAao ³joAao maaMsaÊ
products but not meat or fish). This provides maaClaI ko dUQanaa ]%padnaao naqaI Kata´ vaQau
jaoKma hozL CoÊ karNa ko tomanao ivaTaimana DI ko
calcium but may not contain enough vitamin D, koilsayama KUba j AaoCI maa~amaaM maLo Co. prMtu
which is needed to absorb the calcium. Chapatti jao tmao saamaanya SaakaharI hao ³maaMsaÊ maaClaI na
flour may also reduce the absorption of calcium Kata hao pNa tmao dUQanaI podaSaao Kata hao´Ê tao
from the stomach. pNa tmanao jaoKma Co. Aa koilsayama pUruM paDo CoÊ
pNa kdaca ivaTaimana DI pyaa-Pt maa~amaaM na maLo
jo koilsayamanao SaaoYavaa maaTo j$rI Co. raoTlaInaao
WHAT ARE THE SYMPTOMS OF
laaoT pNa kdaca poTmaaMqaI koilsayama SaaoYavaanauM
OSTEOMALACIA? AaoCuM krI do.
Osteomalacia causes bone pain and muscle
weakness, but symptoms are so vague that they AaoisTAaomalaoisaAanaa laxaNaao kyaa CoÆ
may be put down to ‘rheumatics’ or ‘fibrositis’. It
is common for people to suffer from osteomalacia AaoisTAaomalaoisaAanao laIQao haDkamaaM duKavaao
Anao snaayauAaomaaM nabaLa[ laagaoÊ prMtu laxaNaao
for 2–3 years before it is diagnosed. AoTlaa AspYT Co ko tomanao 'rhyaumaoiTk\sa' ko
The pain does not normally affect any one part 'fa[ba`aoisaiTsa' trIko pNa AaoLKI Sakaya.
saamaanya rIto AaoisTAaomalaoisaAanauM inadana qataM
of the body, but is most often felt in the legs, the pholaaM 2–3 vaYaao- sauQaI laaokao tonaaqaI pIData haoya
groin, upper thighs, and knees, and sometimes Co.
in the feet when you stand, walk or run. Sitting
or lying down relieves the pain. Backache is saamaanya rIto duKavaao SarIrnaa kao[ Aok Baaganao
common, and sometimes a minor knock is Asar naqaI krtaoÊ pNa maaoTa Baagao Ao pgamaaMÊ
jaMGanaa saaMQaamaaMÊ saaqaLnaa ]prnaa BaagamaaM Anao
unnaturally painful. GaUMTNamaaM AnauBavaaya CoÊ Anao kao[kvaar tmao
]Baa rhaoÊ ko daoDao %yaaro pgamaaM duKavaao jNaaya
Some of the pain is caused by slight cracks in Co. baosavaaqaI ko AaDa pDvaaqaI duKavaamaaM raht
the bone (partial fractures), which are visible qaaya Co. pIzmaaM duKavaao saamaanya CoÊ Anao
on x-rays. Occasionally the cracks can lead to Amaukvaar naanakDao Qakkao pNa AsaamaanyarIto
complete breaks (complete fractures), but these duKo Co.
will heal once treatment begins.
Amauk duKavaao haDkamaaM pDolaI naanaI itraDaonao
Muscle weakness tends to affect the thighs and laIQao ³AaMiSak Íokcasa-´ haoya CoÊ jo Aok\saromaaM
doKaya Co. kyaarok Aa itraDaonao laIQao haDkuM
the shoulders making it difficult to climb stairs or
saMpUNa- rIto tUTo Co ³saMpUNa- Íokcasa-´Ê pNa Aokvaar
get out of a chair. Sometimes people walk with a icaik%saa Sa$ qayaa baad Ao zIk qa[ jSao.
waddle, rocking from side to side. If your illness
is very severe you may not be able to get out of snaayauAaonaI nabaLa[ saaqaL Anao KBaanao Asar
bed. kro CoÊ joqaI dadra caZvaa ko KurSaImaaMqaI ]Baa
qavaamaaM mauSkolaI pDo Co. kyaarok laaokao AokbaajuqaI
baIŸ baaju halakDaolak qata saoDla la[nao caalao
HOW IS IT DIAGNOSED? Co. jao tmaarI baImaarI KUba j gaMBaIr hSao tao
A simple blood test is all that is needed – the tmao kdaca plaMga prqaI ]Baa pNa naih qa[
levels of calcium, phosphorus and vitamin D are Sakao.
easily measured. An x-ray may show the typical AonauM inadana kovaI rIto kraya CoÆ
partial fractures. Your doctor will take particular
note of your diet and any tablets you are taking, maa~ Aok saadI laaohInaI tpasa j$rI Co - jomaaM
koilsayamaÊ faosfoTsa Anao ivaTaimana DI naI maa~a
and any family history of bone disorders. sarLtaqaI maapvaamaaM Aavao Co. Aok\sa¹ro maaM
AaMiSak Íokcasa- kdaca doKaya Aavao. tmaara
HOW IS IT TREATED? DaokTr Kasa krInao tmaara Kaorak Anao tmao jo
Treatment will usually cure osteomalacia, although ToblaoT\sa laota hao AonaI naaoMQa laoSaoÊ tomaj tmaara
kuTuMbamaaM haDkaMnaI tklaIfnaa [ithasa ivaSao
it may take several months for symptoms to pUCSao.
improve. Daily treatment with vitamin D tablets
is all that is needed. Alternatively, some doctors Aonaao ]pcaar k[ rIto qaaya CoÆ
may give an injection once a year. Calcium
supplements are also advised, particularly if the ]pcaarqaI AaoisTAaomalaoisaAa maTI jSaoÊ pNa
diet is poor in calcium and phosphate. Foods laxaNaaonao sauQarta kdaca maihnaaAao laagaI jaya.
rich in calcium are dairy products, bread and maa~ raojnaI ivaTaimana DI naI ToblaoT\sanaao ]pcaar
j$rI Co. vaOkilpk rIto Amauk DaookTsa- vaYa-
some fish, particularly those where the bones maaM Aok [MjokSana Aapo Co. jao KaorakmaaM
are included such as tinned sardines. Vitamin D koilsayama banao faosfoTnaI maa~a AaoCI haoya taoÊ
supplements will be required over a long period koilsayamanaI pUrvaNaIAaonaI pNa BalaamaNa kraya
to prevent the osteomalacia coming back. Co. koilsayamanaI ivapula maa~a Qaravata Kaorak
Co dUQanaI banaavaTao jovaI ko pa]M Anao Amauk
RARER CAUSES OF OSTEOMALACIA maaClaIAaoÊ Kasa krInao jomaaM haDkaM samaaivaYT
haoya Co jovaI ko TInD saaiD-nsa. ivaTaimana DI naI
Although lack of vitamin D is the most common pUrvaNaI laaMbaao samaya caalau raKvaI pDSao joqaI
cause of osteomalacia your doctor will need frIqaI AaoisTAaomalaoisaAa ]qalaao na maaro.
to check for rarer causes such as liver disease,
kidney failure and coeliac disease. Some cases of AaoisTAaomalaoisaAanaa jUj karNaao
osteomalacia are due to inherited abnormalities
Aama tao AaoisTAaomalaoisaAa qavaanauM saaOqaI
in the metabolism of calcium and phosphorous. saamaanya karNa ivaTaimana DI naI ]Nap haoya
Osteomalacia can also be caused by tablets CoÊ prMtu tmaara DaokTro jUj karNaao jovaa ko
for epilepsy, or it can sometimes happen after laIvarnaao raogaÊ ikDnaI kama na krtI haoya Anao
stomach surgery. kaoilaAak raoga maaTo pNa tpasa krvaI pDSao.
AaoisTAaomalaoisaAanaa Amauk ikssaaAao koilsayama
These other causes are generally detected by Anao faosfrsanaa rasaayaiNak pirvat-namaaM maLolaI
blood tests and x-rays, similar to those described vaarsaagat Asaamaanyatanao karNao haoya Co.
AaoisTAaomalaoisaAa vaa[naI ToblaoT\sanao laIQaoÊ
above.
Aqavaa Amaukvaar poTnaa AaoproSana pCI pNa qa[
People with the rarer causes of osteomalacia Sako Co.
often need lifelong supervision from their Aa Anya karNaao saamaanyarIto ]pr jNaavyaa
doctor. People with kidney failure or inherited maujbanaI laaohInaI tpasa Anao Aok\sa¹roqaI SaaoQaaya
forms of osteomalacia usually need special forms Co.
of vitamin D (calcitriol), which is normally
produced by the kidney. They will need to be jUj karNaaoqaI AaoisTAaomalaoisaAa Qaravata
laaokaonauM tomanaa DaokTr Wara Ÿvanapya-Mt Qyaana
monitored regularly in hospital. raKvauM pDo Co. ikDnaI kama na krtI haoya ko
AaoisTAaomalaoisaAanaa vaarsaagat p`karvaaLa
WHAT CAN I DO TO HELP MYSELF? laaokaonao ivaiSaYT p`karnaa ivaTaimana DI ³koilsaT/
Look carefully at your diet, or ask to see a aola´naI j$r pDo Co. tomanaI inayaimatpNao
haoispTlamaaM doKroK raKvaI pDSao.
dietitian. Foods high in vitamin D and calcium
are mentioned above. You may need to take
huM manao madd krvaa SauM krI SakuMÆ
supplements, particularly if you are elderly, preg-
nant or breastfeeding, or if you wear traditional tmaara Kaoraknao QyaanapUva-k juAaoÊ Aqavaa kao[
dress that covers much of the skin. Some chapatti DayaoiTSaIyananao maLao. ivaTaimana DI Anao koilsayama
flours now have added vitamin D – check the ivapula maa~amaaM Qaravata Kaorakao ]pr jNaavyaa
packaging for this information. Co.
SUMMARY tmanao kdaca ivaTaimana DI Anao koilsayamanaI
pUrvaNaIAao laovaI pDoÊ Kasa krInao jao tmao vaRw
OSTEOMALACIA (in Gujarati) Osteomalacia often happens because of a lack haoÊ sagaBaa- hao ko stnapaana kravata haoÊ Aqavaa
of vitamin D. It causes severe bone pain and tmao caamaDInao ZaMkta vas~ao phorta hao. Amauk
muscle weakness. In most cases, after treatment raoTlaInaa laaoTmaaM hvao ivaTaimana DI ]maorvaamaaM
with vitamin D, the osteomalacia is cured and Aavao CoÊ Aa maaihtI maaTo pokoŸMga juAao.
symptoms will disappear. Even the rarer causes
can be successfully treated with long-term saaraMSa
treatment. AaoisTAaomalaoisaAa maaoTa Baagao ivaTaimana
DI naI ]Napnao laIQao qaaya Co. tonao laIQao
haDkaMmaaM saKt duKavaao qaaya Co Anao
snaayauAaomaaM nabaLa[ jNaaya Co. maaoTa Baaganaa
ikssaaAaomaaM ivaTaimana DI saaqaonaI icaik%saa
pCI AaoisTAaomalaoisaAa maTI jaya Co Anao
laxaNaao Ad`Sya qa[ jSao. jUj karNaaonao pNa
laaMbaI¹maudtnaI icaik%saaqaI safLtapUva-k maTaDI
Sakaya Co.

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