Medicine Osteoporosis: Diagnosis and Treatment
In Germany, suffering from some 5 million people in osteoporosis. Mainly affected are women between the 50th and 60 Year of life, because at this age they are often in an estrogen deficiency suffer. At the age of osteoporosis, mostly from the 70th Year of life occurs in Germany, suffering every second man.
What is osteoporosis?
The typical indicator of osteoporosis - in the vernacular and bone loss - are a decreased bone mass and porous bone structure. Both can cause bones to be fragile and break easily. Because the bone loss until an advanced stage in full swing, it is not uncommon to fracture without external influences. Even lifting a bag or rigid cough can cause bone fractures
.
Diagnostic
The first signs of osteoporosis can existing acute or chronic back pain, possibly in combination with size reduction, and increasing his poor back. As a trigger for the bone loss frequently Schilddrüsenfehlfunktion, sugar disease (Diabetus mellitus), continuous administration of cortisone, chronic kidney disease
or alcohol addiction in question. The successful treatment is early recognition of symptoms is important. Because the sooner the disease is diagnosed, the better the impact will be minimized. For the diagnosis have improved in recent years, various investigations established.
Osteoporosis diagnosis
X-ray examination
With an X-ray examination, the osteoporosis in a bone fracture, or already have a 30-percent reduction of bone mass detected. It is an X-ray for early detection is not suitable.
Bone Densitometry
The bone density measurement (= osteodensitometry) is the safest method of osteoporosis diagnosis. Once the symptoms or risk factors are true, it is recommended that this investigation (zofran, zofran dose, zofran cost, buy zofran). The most common methods of osteodensitometry to determine the deviation of the measured value of the mean bone density of a healthy 30-year-old man (T-value) of the standard deviation (SD).
• osteopenia (low bone mass):
T-value of -1.0 to - 2.5 SD
• osteoporosis (without fracture):
T-value of <-2.5 SD
• Manifeste osteoporosis (with fractures):
T-value of <-2.5 SD and fractures without the triggering event, such as accident or injury
Computed Tomography
The computed tomography provides comparable results as the bone density measurement. The risks of side effects but are due to the radiation exposure for patients is higher.
Therapy
The therapy of osteoporosis has three objectives:
1. The patient should be pain-free mobility.
2. Fractures should be avoided long term.
3. The patient may be its mobility in old age does not lose.
Medication
Given that osteoporosis is a chronic progressive disease that requires the successful treatment of long-term medication therapy over a period of at least one year. As a basic therapy calcium and vitamin D prescribed. In the course should be treated with fluoride, calcitonin, bisphosphonates or selective estrogen receptor modulator raloxifene. The active ingredients contained in principle, a distinction is inhibiting bone resorption (the so-called "antiresorptive agents") and supporting bone structure (the so-called "substances osteoanabole") funds. Which drug ultimately is best decided by the doctor.
Movement
Even after the diagnosis may include periodic movement slowing bone resorption, because it reinforced calcium in the bones arrived. In addition, regular exercise trains coordination and strength, which consequently reduces the risk of collapse. The sooner with a regular exercise program is started, the better. It should be noted, however, that before training a doctor
Rate to be withdrawn.
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