骨骼疏松癥專題知識(shí)講座培訓(xùn)課件

骨骼疏松癥專題知識(shí)講座::introduction::Osteoporosisisadiseaseinwhichbonesbecomefragileandmorelikelytobreak.Ifnotpreventedorifleftuntreated,osteoporosiscanprogresspainlesslyuntilabonebreaks.Thesebrokenbones,alsoknownasfractures,occurtypicallyinthehip,spine,andwrist.Anybonecanbeaffected,butofspecialconcernarefracturesofthehipandspine.Ahipfracturealmostalwaysrequireshospitalizationandmajorsurgery.Itcanimpairaperson'sabilitytowalkunassistedmaycauseprolongedorpermanentdisabilityorevendeath.Spinalorvertebralfracturesalsohaveseriousconsequences,includinglossofheight,severebackpain,anddeformity2骨骼疏松癥專題知識(shí)講座HIPHIPSSPINEWRIST3骨骼疏松癥專題知識(shí)講座Osteoporosismakesyourbonesweakandmorelikelytobreak.Anyonecandeveloposteoporosis,butitiscommoninolderwomen.Asmanyashalfofallwomenandaquarterofmenolderthan50willbreakaboneduetoosteoporosis

4骨骼疏松癥專題知識(shí)講座::whatcausesosteoporosisatthe1stplace::Bonesarelivingtissuesthatmustbeconstantlyrebuiltviaatwopartprocess,bywhichbothofosteoblastandosteclastfunctionnormally.Osteoclastsandosteoblastsareactivatedbyparathyroidhormone(PTH)whichsignalsosteoclaststopullcalciumfromthebones.Calcitoninisthehormonethatstimulatesosteoblaststodepositcalciumintothebones.TheproblemsbeginwhenthedelicatebalancebetweenPTHandCalcitoninisdisrupted.5骨骼疏松癥專題知識(shí)講座::WhoisatRisK??::Riskfactorsyoucannotchangeinclude:Gender.Womengetosteoporosismoreoftenthanmen.Age.Theolderyouare,thegreateryourriskofosteoporosis.Bodysize.Small,thinwomenareatgreaterrisk.Ethnicity.WhiteandAsianwomenareathighestrisk.BlackandHispanicwomenhavealowerrisk.Familyhistory.Osteoporosistendstoruninfamilies.Ifafamilymemberhasosteoporosisorbreaksabone,thereisagreaterchancethatyouwilltoo.6骨骼疏松癥專題知識(shí)講座Otherriskfactorsare:Sexhormones.Lowestrogenlevelsduetomissingmenstrualperiodsortomenopausecancauseosteoporosisinwomen.Lowtestosteronelevelscanbringonosteoporosisinmen.[Duringmenopouse,bonelosscanrangefrom4to8%]CalciumandvitaminDintake.AdietlowincalciumandvitaminDmakesyoumorepronetoboneloss.[InMalaysiamostpeoplehatedrinkingmilkandhenceincreasetheirprobabilitytowardsosteoporosis]Medicationuse.Somemedicinesincreasetheriskofosteoporosis.

TooMuchacidityinFood.

AsthebloodmustbeaneutralpH,yourbodypullscalciumfromthebonestoneutralizetheacidity.Thisisoftenthemajorfactorinthedevelopmentofosteoporosis7骨骼疏松癥專題知識(shí)講座InMalaysia,itisestimatedthatover1millionpeopleareatriskfromosteoporosis,outofwhich20%aremen.

ReportedbyArthritisFoundation,Malaysia9骨骼疏松癥專題知識(shí)講座::SyMPTOmpS::Osteoporosisiscalledthe"silentdisease“becauseboneislostwithnosigns.Youmaynotknowthatyouhaveosteoporosisuntilastrain,bump,orfallcausesabonetobreak.10骨骼疏松癥專題知識(shí)講座::DiagnosE::Abonemineraldensitytest(calledaDXA)isthebestwaytocheckyourbonehealth.Thistestcan:DiagnoseosteoporosisCheckbonestrengthSeeiftreatmentsaremakingthebonesstronger.

BonedensitometryBoneMassmeasurementSpineX-ray11骨骼疏松癥專題知識(shí)講座PREVENTIONEnoughcalciumintakedaily;800-1000mg,alsootherimportantnutrients;proteins,zinc,mg&vitaminDforhealthyandstrongboneVitaminDisimportantinabsorptionofCafromfoodandincorporateitintobones

1glassofhighCamilk=500mgCaBoneexamination–freeduringWorldOsteoporosisDay–accessriskoflossofmassofboneExercisesbutnotexcessive!!!(3-4timesaweek)Exercisealtershormonalbalances,favoringthehormonesthatprotectsboneSo,walkratherthanride,climbthestairsratherthanusinglift,standratherthansitwhenappropriate:P

12骨骼疏松癥專題知識(shí)講座4.Campaigntoincreaseawarenessamongtheciviliansregardingosteoporosis.13骨骼疏松癥專題知識(shí)講座4.

Importanceofgoodposture

Properwaytosit

-Supportyourlowerbackwithapilloworbyastraighthigh-backedchair.Whendrivingorreading,avoidbendingtheneckforward.Whenrisingfromachair,doitslowly.

Properwaytowalkandstand-Keepyourheadhigh,lookforwardwiththechinin.Pullyourshouldersback,pullyourstomachintomaintainthenaturalarchofthelowerback,andtightenyourbuttocks.Wearlow-heeledshoeswithrubbersolesProperwaytolift-Youmustbendyourkneeswhenliftingheavyobjectstoavoidbackstrainandfurthercompressionfractures.UseyourLegmusclesratherthanyourback!

14骨骼疏松癥專題知識(shí)講座5.

Avoidtakingtoomuchcoffee,teaorchocolate,becausetheyhelpinlossofCa.HighproteinwillreducetheabilityofCaresorption.Alcoholdestroyscellsformingbone.SmokingreducesestrogenItisimportanttorememberthatwecannotavoidhormonal

andgeneticfactorthus,wecontroltheenvironmentanddietfactor,sothatwecanovercometheosteoporosisproblem.15骨骼疏松癥專題知識(shí)講座TREATMENTCalciumandvitaminDintake–reducefracturesbymaintainingBMD(bonemineraldensity)

VitaminDisnecessaryforourbodytoabsorbcalciumoptimumintakecombinationofdietaryCasourceandCainpillsformPhysicalactivity–essentialforbonegrowthandmaintenance-improvesmusclestrengthandbalance,thus,decreasetheriskoffractureandfallsBisphosphontes-atypeofmedicationknownasantiresporptivemedications,takenorallyorininjectableform-preventbonelossbyinhibitingthenormalfunctionofcellscalledosteoclasts.Thesearethecellsresponsibleforremovingoldbone.16骨骼疏松癥專題知識(shí)講座-Sideeffectsofbisphosphonatesincludemuscleandjointpain,nausea,andheartburn-commonbisphosphontes;fosamax,reclast,boniva4.Calcitonin-isnaturallymadeinyourbodywhenbloodcalciumlevelsarehigh.Thus,retainscalciumwithintheskeleton,ratherthanreplenishthecalciuminthebloodstream.-administeredbyanasalspray.-Sideeffects-runnynose,headachesandnosebleeds.17骨骼疏松癥專題知識(shí)講座EstrogenTreatment(ET)orHormoneTreatment(HT)

-effectivetreatmentsforpreventingbonelossandreducingriskoffracture.-Unfortunately,ETincreasedtheriskofuterinecancer,thereforeusedinpatientswithpriorhysterectomy(removeuterus)-Concernsaboutincreasedriskofbreastcancer,stroke,andbloodclotshavesurroundedtheuseofthesemedicationsforosteoporosis.Therefore,theFDArecommendstheuseofET/HTonlyifothermedicationscannotbeusedandthereisasignificantriskofosteo