Some causes and treatments of osteoporosis

SÔNG HÀN |

Osteoporosis is a disease that often progresses silently, without obvious symptoms, so regular health check-ups are needed.

Nhieu doi tuong nguoi cao tuoi kham suc khoe tai Benh vien 199 voi cac benh ly ve co xuong khop, dac biet la loang xuong. Anh: Song Han
Many elderly people have health check-ups at Hospital 199 with musculoskeletal diseases, especially osteoporosis. Photo: Song Han

According to Dr. Tran Ba ​​Thoai, Executive Committee Member of the Vietnam Endocrinology - Diabetes Association, Professional Consultant of Hospital 199, osteoporosis-related fractures can occur in any bone in the body. In the elderly, broken bones are often difficult or impossible to heal. There are many causes of osteoporosis, but there are also many ways to prevent and treat it to give each person a healthier life.

Reason

Age is the leading cause. In addition, the following factors can cause osteoporosis:

Women enter menopause. Men have low testosterone.

A diet lacking in nutrients, especially nutrients beneficial for bones and joints such as calcium, vitamin D, omega-3...

Side effects of drugs such as corticosteroids, heparin….

Lazy, no exercise, low mobility, sitting a lot...

Use a lot of stimulants such as alcohol, beer, cigarettes...

Token

According to medical expert Tran Ba ​​Thoai, osteoporosis often has no obvious signs, the disease progresses silently and patients often do not know they have the disease until their bones become weak and easily broken after minor traumas such as sprains, falls, collisions, etc. Common symptoms of osteoporosis are:

The spine can collapse, fracture, causing back pain, reduced height, hunchback...

Pain in the head of the long bones, even pain all over the body like needle pricks.

Pain in the weight-bearing bones of the body including: spine, lumbar spine, pelvis, hip bones, knees... Pain increases with movement, walking, standing for a long time and is relieved with rest.

Bone density loss in middle-aged people may be accompanied by signs of varicose veins, high blood pressure, osteoarthritis, etc.

Some treatments

1. Non-drug methods

Diet: Patients should supplement calcium-rich foods according to their body's needs and avoid drinking alcohol and smoking. In addition, they should also control their weight well, avoiding being overweight or underweight.

Lifestyle: You should exercise regularly to increase muscle flexibility, but be careful in your daily activities to prevent falls.

Orthopedic devices and braces can be used to reduce pressure on the spine, head bones, and hip bones.

2. Method of using medicine

Supplement Calcium 1,000 - 1,200 mg/day and Vitamin D 800 - 1000 IU/day for the body.

Anti-bone resorption drugs such as: Alendronate: Fosamax plus or Fosamax 5600 (1 tablet/week); Zoledronic acid is administered intravenously at a dose of 5mg/100ml per year.

Calcitonin is indicated for patients with bone fractures or pain due to osteoporosis, 50 - 100 IU/day.

The selective estrogen receptor modulator (SERM), Raloxifene (Evista), is commonly prescribed for postmenopausal women with osteoporosis at a dose of 60 mg/day.

Other medications include: Strontium ranelate (Protelos): A drug that enhances bone formation and inhibits bone resorption, Deca-Durabolin and Durabolin: Drugs that increase anabolism.

SÔNG HÀN
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