Osteoporosis Affects Women Most


Yeni Yüzyıl University Gaziosmnapaşa Hospital, Department of Nuclear Medicine, Uzm. Dr. Selda Yılmaz gave information about 'What should be considered against osteoporosis'.

Osteoporosis, known as osteoporosis among the people, is the most common metabolic disease of the bone. According to studies, one out of every three women over the age of 50 and one in five men over the age of 50 have osteoporosis. The most common symptom of osteoporosis is pain in the spine and back. Although osteoporosis does not cause major problems in the early period, it can cause damage to the bones as age progresses, and the disease can be detected and controlled in the early period with routine scans.

Yeni Yüzyıl University Gaziosmnapaşa Hospital, Department of Nuclear Medicine, Uzm. Dr. Selda Yılmaz gave information about 'What should be considered against osteoporosis'.

Bone mineral density measurement is the best method used in the diagnosis of osteoporosis.

Bone mineral density can be determined by methods such as conventional radiography, quantitative ultrasound, quantitative computed tomography, neutron activation analysis, magnetic resonance, radiographic absorptiometry, photon-X ray absorptiometry and, in recent years, QCT. Dual energy X-ray absorptiometry (DEXA) is the most widely used bone mineral density measurement method.

In addition to being the most important measurement method in the diagnosis and follow-up of systemic diseases such as osteoporosis, DEXA measurements can also provide information about the health status of the bone tissue around the orthopedic prosthesis and cause the surgical treatment preferences to be reviewed.

Osteoporosis is the most important risk factor for postmenopausal women.

The fragility (or durability) of the bone is proportional to the order in the structure of the bone and the amount of mineral substance, namely calcium and phosphorus. As a result of a local pathology or a systemic disease, the mineral substance deficiency in the unit area of ​​the bone, which is in high agreement with the volumetric bone mineral density (BMD/density), increases the risk of fracture (fracture).

There are many risk factors for osteoporosis. The most important of them are; Post-menopausal women, 65 years of age and older, use of drugs that will cause loss of BMD or the presence of a disease. If there is a family history of fracture, glucocorticoid therapy for at least 3 months, malabsorption causes, diseases or operations that may cause intestinal malabsorption, primary hyperparathyroidism, tendency to fall, appearance of osteopenia on radiographs, hormonal causes such as hypogonadism, eating disorders such as anorexia, early menopause (under 45 years of age), systemic diseases such as rheumatoid arthritis and drugs used in their treatment, weight loss 25% more than 10 years old, being less than 57 kilograms, smoking, excessive alcohol intake, low dietary calcium intake, long-term heparin, anticonvulsant use, If you have thyrotoxicosis, hypercortisolism, vitamin D deficiency, kidney or liver disease, you should be more careful because the risk will increase and you should definitely measure your BMD values ​​with DEXA or the methods your doctor will recommend to you.

Osteoporosis (bone loss) is a very difficult disease to treat when it starts to show itself with fractures. Of course, it is possible to treat osteoporosis with both drugs and surgical methods at every stage, but when diagnosed early, the quality of life of the person increases.

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