tailieunhanh - Loãng xương: Phương thức phòng chống và điều trị

Hầu hết các trao đổi chất thông thường rối loạn loãng xương xương IS, nào ảnh hưởng đến người Mỹ, 80% là phụ nữ ai. Mất xương ở phụ nữ thường XẢY RA NHẤT Sau khi mãn kinh, khi tỉ lệ thất thoát cao như tháng Hãy 2% mỗi năm. Thánh Lễ xương có thể được hấp thu Quyết tâm với x-quang năng lượng kép. | Osteoporosis Current Modes of Prevention and Treatment Joseph M. Lane MD and Martin Nydick MD Abstract The most common metabolic bone disorder is osteoporosis which affects 25 million Americans of whom 80 are women. Bone loss in women occurs most commonly after menopause when the rate of loss may be as high as 2 per year. Bone mass can be determined with dual-energy x-ray absorptiometry. The rate of active loss can be assayed by the detection of bone collagen breakdown products . N-telopeptide pyridinoline in the urine. Although it has been suggested that white women are most commonly affected Hispanic and Asian women are also affected. Strategies for the prevention and treatment of osteoporosis are directed at maximizing peak bone mass by optimizing physiologic intake of calcium vitamin D therapy exercise and maintenance of normal menstrual cycles from youth through adulthood. Coupled with drug therapy should be a comprehensive approach to exercise and fall prevention. Stretching strengthening impact and balance exercises are effective. Of the balance exercises tai chi chuan has proved to be the most successful in decreasing falls. Prevention of bone loss is obviously preferable to any remedial measures but new therapeutic strategies provide a means of restoring deficient bone. J Am Acad Orthop Surg 1999 7 19-31 Osteoporosis is a common disorder affecting both women and men that leads to fragility 2 Based on the World Health Organization WHO criteria 3 about a third of white women over age 65 have osteoporosis. Approximately 20 of white women past the age of 50 have osteoporosis of the hip and 16 have osteoporosis of the vertebral bodies rates for Hispanic and African-American women are lower. The two most important risk factors for osteoporosis are insufficient bone mass at the time of skeletal maturity and rapid loss of bone after menopause. If a sub-jectÕs bone mass is 1 SD less than the mean value for peers the risk of hip fracture is increased