Waajihi osteoporosis: astaamaha iyo daweynta

Si aad u taariikhda, cudurka nidaamka muruqyada ayaa noqotay yar. Haddii wax yar uun sano ka hor, waxa la filayay, in dhibaatooyinka sida saameeyaa dadka da'da, hadda ku dhow xafiisyada osteopaths, dhabarta lafaha iyo waxaad ka arki kartaa wax badan oo ka mid ah dadka dhallinyarada ah ilaa xad. osteoporosis waajihi ayaa sidoo kale loo arkaa in ay cudurka "dib u soo kacday" waxay u baahan tahay ogaanshaha dhamaystiran iyo daaweynta.

Waa maxay cudurka this?

Loss of cufnaanta lafaha, brittleness iyo dabacsanaan ka mid ah lafaha oo dhan, khafiifiya of unugyada lafta - dhammaan daliilka ugu weyn ee osteoporosis waajihi. Marka la barbar dhigo foomka caadiga ah ee cudurka, isbedel ma yihiin qaar ka mid ah hal meel ah, iyo u shaqeeyo oo dhan. Cudurku waxa lagu gartaa syndrome a fahmayaan xanuun dhibaya qofka, ma aha oo kaliya marka aad wadid gaari, ama dhibta jidhka, laakiin sidoo kale ku nastaan. In isku midka ah, kor u dhaxleen in burburka iyo jab.

osteoporosis waajihi waa khatar, sababtoo ah waxaa lagu ogaadaa in muddada isbedel dhab ah in lafaha, sababtoo ah calaamadaha hore ma aha oo gaar ah oo laga yaabaa maqan dhammaantiis.

ka dhaxleen cudurka

hawlgalka caadiga ah ee jirka ku xiran yahay in ay leeyihiin laba hannaan isku midka ah: formation of unugyada lafta iyo baabba '. Ku xadgudubka dheelitirka iyo dardargelinta ee catabolism waxay keenaysaa in brittleness iyo hoos u cufnaanta lafaha. Nidaamkan waxaa fududeeyey arrimaha soo socda:

1. da'da bukaanka - noolaha gabow aan la baajiyay. Ka dib 50 sano oo gobolka ka mid ah nidaamka muruqyada waa ka sii daraysaa, sida shaqeynayaan xubnaha ugu.
2. isbedel ee hormoon ah ee la xidhiidha dayska, ka saarida oo ka mid ah xubnaha taranka dumarka iyo qanjidhada, isbeddel ah ee qanjidhada adrenal iyo thyroid.
3. Hypovitaminosis D, oo iska xanaajin nuugeynin nidaamka lafta calcium.
4. Isticmaalka muddada dheer ee daawooyinka (hoormoonka, daawooyinka jirka, laabjeexa, anticonvulsants).
5. ku xadgudubka qamriga iyo sigaarka.
6. jimicsi xad dhaaf ah.
7. Joogitaanka burooyin.
8. cabista dhaxlo.

sawir clinical

Muddo dheer cudurka uu leeyahay astaamo ma daliilka in la kordhiyo miisaanka ogaanshaha hore. Xaaladaha intooda badan, bukaanka u barto oo ku saabsan xaaladiisa ka dib markii uu dhaawac ka. Waajihi osteoporosis dhabarta Ulasocto calaamadaha soo socda:

• hoos u dhac in koritaanka a sentimitir yar;
• sameeyaan xadgudub qaab tuur ah;
• xanuun joogta ah,
• lahayo ku of xabadka;
• la'aanta line xidhnaa;
• hoos ku-oolnimada,
• daal degdeg ah.

osteoporosis waajihi, barar laabatooyinka ayaa lagu muujiyay, dhaqdhaqaaqa xaddidan, xanuun, murqo ah addimada hoose.

Sida looga shakisan yahay horumarka cudurka?

bukaan oo keliya ma aha, laakiin sidoo kale ku takhasusay la sannado badan oo dhaqanka, waxaa lagu khaldaa osteoporosis, cudurada bararka kalagoysyada. Inta badan cudurada dhacaan waqti isku mid ah, si kastaba ha ahaatee, kuwanu waa laba cudur aad u kala duwan oo u baahan tixgelin gaar ah.

Nasiib darro, osteoporosis lafta waajihi dhigaysa laftiisa dareemay ka dib markii jab. The lesions ugu caan ku yihiin jab riixo-dhabarta, iyo bidig ama lafta radial in ay dhacaan ka dib soo-gaadhista yar in factor ee argagaxa leh. Sida laga soo xigtay tirakoob, nus ka mid ah bukaannada ku helay burburka riixo, aan ka warqabin ay u saftay. Ka sokow xanuunka soo kabashadiisa dib, wax calaamado laga yaabaa in aanay dhibin.

Dhawr bilood ka dib, xitaa xanuun syndrome baaba'aa, iyo bukaan-socodka ah mid halmaansan dhibaatooyinka ilaa dhaawac soo socda. Xanuun joogto ah uu leeyahay waxba kuma laha jab gaar ah oo u noqon karaan wax caddaynaya ee leukaemia ama lafta metastases myeloid.

Baaritaanka X-ray si loo ogaado daliilka hore ee cudurka lagu muujiyay in ay dadka oo dhan ku jira kooxda halista ah. Tani waxaa ka mid ah dadka qaba shuruudaha soo socda:

• dayska hore;
• daawooyinka hormoonnada dheer;
• joogitaanka jab joogto ah ka hor da'da 40 sano,
• BMI waa caadi ka hooseeyo,
• taariikh qoys adag oo ku saabsan cudurada nidaamka muruqyada.

tallaabooyin lagu ogaanayo

osteoporosis waajihi u baahan tahay daaweyn buuxda oo dhamaystiran, laakiin waxaa suurto gal oo keliya ka dib markii baaritaan buuxa ee jirka, jidaynayey si loo ogaado xaaladda lafaha oo dhan. Ka dib markii ururinta taariikhda takhasus u leh nolosha iyo cudur Dardaarmi bukaanka in baaritaan X-ray, kaas oo u ogolaanaya in ay qiimeeyaan calaamadaha soo socda ee osteoporosis waajihi:

• hoos cufnaanta lafaha,
• khafiifiya of araxda;
• niyad-jabka ah ee cajalladaha intervertebral ah ee jirka ku vertebral;
• joogitaanka of osteophytes (juqda laf ka mid ah unugyada ee foomka of hillocks ama jirad).

Raajada waa hab wargelin ah ee imtixaanka, laakiin isbedelka ma waxaa go'aamiya Gudigga aanlarabin. Mid ka arki kartaa oo kaliya sawirka guud. Si loo isticmaalo ogaanshaha densitometry ah lafaha dheeraad ah oo qoto-dheer u ogolaanaya in uu ogaado "qadar" unugyada lafuhu.

baaritaan noocan oo kale ah lagu samayn karaa iyadoo la isticmaalayo mid ka mid ah hababka caadiga ah ee cudurka, si kastaba ha ahaatee, waxaa loo arkaa inay absorptiometry X-ray ugu badan ee, kaas oo u ogolaanaya si loo ogaado cufnaanta lafaha macdanta. Bukaanka ayaa la dhigayaa on miiska gaar ah, oo ay la socdaan oo ay u dhaqaaqdo scanner. Habka aan u baahnayn tababar gaar ah. RA uu leeyahay laba hab oo lagu ogaanayo: durugsan u ogolaanaya in ay sheeg cufnaanta lafaha gacantiisa, curcurka, ama calcaneus, iyo xarunta - lafta bawdada iyo lafihii dhabarta.

Habka soo socda loo isticmaalo in lagu kala saaro cudurka waxa lagu xisaabiyaa si raajito. Natiijooyinka sahankani waxay samaysaa suurto gal ah in loo xisaabiyo ah indices gaarka ah ee mugga, ku xiran tahay miisaanka jidhka iyo da'da bukaanka.

mabaadi'da therapy

osteoporosis waajihi, daaweynta waa in la fuliyaa ee xarumaha khaaska ah, cidhiidhi ah diirada, waxay u baahan tahay ka qaybgalka khabiiro badan (endocrinologist, lafaxanuunka, neurologist). Doorashada ku lug dhakhaatiirta ku xiran tahay sababta cudurka. The endocrinologist takhasuska inta badan ku lugta leh.

Therapy of osteoporosis waa in la sameeyaa mar la daawaynta cudurada taasoo sababtay in ay dhacdo (tayroodh, hypothyroidism, hypogonadism iyo D. t.). osteoporosis waajihi baahan yahay kooxaha soo socda ee daroogada:

1. daroogada magnyl anti-bararka - xanuunka, la baabi'iyo barar, jaray calaamadaha fal-celin bararka ( "Movalis" "Revmoksikam").
2. Ka dhigan tahay hoos u burburinta ah unugyada lafta ( "Osteohin", "Miakaltsik").
3. Calcium.
4. Taagayo of vitamin D.
5. Daawooyinka kicin shuqulka osteoblasts ( "Ossin").
6. Steroids saamayn nadiifinta dhalashadii labaad ee unugyada lafta ( "teriparatide," "Hormoonkaas").
7. Calcitonin xadgudub ku ah shuqullada qanjirka thyroid.
8. In dayska magacaabay daroogada estrogen iyo progesterone sida Daaweyn laguugu beddelo.
9. Waayo, cadar la mariyo waxaa loo isticmaalaa iyadoo qaybaha anti-bararka.

Waxaa loo oggol yahay isticmaalka daaweynta dabiiciga ah, gaar ahaan, phonophoresis, ultrasound, therapy magnetic, massage, xubno layliyada daweynta.

tallaabooyinka ka hortagga

nafaqo sax ah waa mid ka mid ah arrimaha ka hortagga ma waasac dambidhaafkiisu oo keliya, laakiin sidoo kale noocyo kale oo osteoporosis. Wada jir ah ula badeecada waa in la bixisey qadar ku filan oo fitamiin iyo macdan, gaar ahaan calcium. Diidmada sigaarka iyo ku xadgudubka qamriga sidoo kale kaalin muhiim ah ka hortagga.

dadka waayeelka ah iyo kuwa galay kooxda halista ku dhacay cudurka, waa in baaritaan wareegsan, jidaynayey si loo ogaado horumarka cudurka ku jira marxaladaha hore.

gunaanad

daaweynta osteoporosis waajihi waa geedi socod adag oo dheer, taas oo aan laga yaabaa in had iyo natiijo wanaagsan. Waxaa fudud in looga hortago cudurka, ka dib markii talo khabiir ka badan si ay u qaataan xaddi weyn oo lacag, waqti iyo tamar si uu ula diriro.