Osteoporosis is the depending on progressive decrease of osseous mass disease. To sure the degree decrease this at men of dorosłych is the physiological phenomenon, because after achievement the tzw. of peak osseous mass (ok. 30 year of life) the processes of resorption ( the loss of os) they begin overweighing over processes of synthesis ( the rebuilding the osseous tissue). About 50 year of life it begins, first of all at women (with reason of essential hormonal changes), the phaze of accelerated loss of osseous mass. We according to respects of World Organization of Health to class 30% women after menopause even to group of osteoporosis can. It was one should know, that is then disease we which can prevent and which it subjects taking a cure.
Osteoporosis runs on totality bezobjawowo initially. The fractures of os in later period of disease the the most dramatic symptoms of osteoporosis are, in this the dangerous fractures of neck of femoral os ( the hip). The circles undergo the fracture often ( the tzw. of fracture the kompresyjne – the "crash” of circle) as well as the os of forearm in neighbourhood of wrist. It to fractures comes without injury or near small injuries, which for healthy os do not make up no threat.
For example fracture, where osteoporosis is guilty one is fracture near unlocking the chest of couch - to testify the violent pain of spine it can, that the fracture of circle happened. At chorego on osteoporosis near fall on even road support oneself to cause with hand the fracture of os of wrist can. They concern this type of fracture mainly older women after menopause, but not only.
the Decrease of growth the caused the fractures, oblique figure, rounded the and stooped backs, kompresyjnymi of circles then the feature the pushing suspicion of osteoporosis.
Remembered fractures have near advanced process place sick leave above. Can them prevent applying proper prophylaxis.
different pictorial techniques In diagnosis of osteoporosis were used was: radiation X-ray, ultrasounds, or else magnetical resonance.
Usual X-ray picture shows osseous atrophy really then, when he is already considerable. More tender the investigation is the densytometryczne of os. It permits to affirm, or patient has lowered osseous mass the being the state of threat osteoporosis, or already osteoporosis. The investigation the densytometryczne permits to qualify the threat the fractures in studied section of skeleton (np. in spine or the hip). Apart from investigation the densytometrycznym, that is the investigation of thickness of minerals os, important the biochemical investigations are ( the investigation of blood), permitting to estimate the mineral economy of system. It values oneself the calcium economy and fosforanową the system, and the levels of hormones regulating the "state” of os also.
In case of osteoporosis about unclear cause, np. at men of młodych the typical factors of risk in which do not step out, of meringues of essential disorders in biochemical investigations, the diagnostic biopsy of os was executed was. Steered on concrete disorders in osseous tissue treatment permits to initiate this quickly.
In osteoporosis huge meaning has prophylaxis. The elimination of factors of risk osteoporosis then the basis of the preventive treatment the disease. It on some of factors of threat was can not with osteoporosis however affect, they are this the niemodyfikowalne the factors of risk: the female sex, age, building of body, heirdom family.
it Is also however sure group of factors of risk which can modify " to reduce” it. It was can in sure range influence on exchanged factors below:
was can not Obviously put away medicines which cause osteoporosis, because connected from their non will taking more serious than these connected from their workings consequences side. However doctor can modify suitably treatment and recommend proper conduct preventive.
Diet is the very important element of prophylaxis. The replenishing in organism of calcium plays the key part. In many countries consumption the calcium is about many za low - the man should accept ok. 1000 mg of calcium daily. 1000 mg of calcium this 4 cup of milk or 150 g of cheese. They to rich products in calcium belong first of all milk and his products, and also green, deciduous vegetables, np. cabbage, broccolis, spinach, rhubarb, dill, moreover sardine, salmon, almonds. In special situations the lacking quantity of calcium can replenish according to doctor's recommendations with pharmacological preparation.
the Vitamin the D plays the important part in assimilating the calcium, and co it for this goes, the health of os. She comes into being in skin under influence of sunny light. Her production depends from health of kidneys also and liver ( her transformations set there). How her production results with investigations falls at older persons, spending in house steels, jesienno gets smaller in period also - winter. You should replenish the vitamin the D at persons from group of risk the falling ill on osteoporosis according to medical recommendations in these situations.
effort is for correc building of os Extremely important factor and physical activity. Longer immobilizing in bed is cause progressive osseous atrophy violently (in this case necessary rehabilitation). Movement and physical exercise stimulate growing up os and they prevent the loss of osseous mass. The best practice this walking on walks, foot tourism, aerobics. This concerns however to prevent chorujący on osteoporosis persons, and willings her in future rather. Persons with fly's osteoporosis would be careful insignificant injury during practices did not cause fracture.
Smoking cigarettes is so samo harmful for os, as for lungs and heart. It is this the unquestionable factor of risk of osteoporosis. The blazing women earlier come in in period fading than non-smoking, they lose so the protective influence of estrogens, gorzej also they absorb in intestines the spożyć calcium. Generally saying: who wants to be healthy it can not smoke.
Abuse liquor can lead to damage of osseous arrangement at the men's młodych even. This caused is it is not only bad concurrent nourishing the abuse the liquor, but and the disorders of transformation of vitamin the D in liver.
Important the early diagnosis of disease is as well as the early beginning of treatment and the rehabilitation. In it treatment osteoporosis it complies first of all pharmacological centres. It however was one should remember about parallel applying prophylaxis.
the preparations of calcium find Use and vitamin D, which permit to replenish their shortages in organism.
In treatment at women osteoporosis after menopause use finds hormonal supplementary therapy. Working in relation to os depends on accepting having estrogens protective.
the Effective zamiennikami of estrogens are bifosfoniany particularly, meanwhile alendronian, which both it prevents osteoporosis, as and it treats her. They the Bifosfoniany reduce the loss of osseous mass across slow down the activity of cells the kościogubnych ( the osteoklastów).
At the women, which over-ripe to menstruate before what the least 5 years was it been proper to pass salmon kalcytoninę (in figure of sprayu to nose or the injections). The improvement of thickness of os after 2 years the treatment was has noted down.
doctor about farmakoterapii decides Obviously taking under attention, indication and przeciwwskazania to applying at given patient individual medicines.
Before us winter. Then the time of frequent falls as a result of slipping on ice-cream of, snow, the covered zmarzniętą the layer the sidewalks. Such falls are particularly dangerous for persons with osteoporosis. The most important caution is. Moreover helpful they can be:
And with general advices, with which was can use by whole year:
the Above mentioned article the state the only outline of knowledge about osteoporosis. It in case of doubt, what to conduct wholesome was one should be successful after advice to doctor. Doctor has relating diseases, their prophylaxis knowledge and treatment. Only medical leaning on personal examining patient, interview with sick leave advice and conduct guarantees additional investigations always safe, such, which can give desirable wholesome effect.