D\u00fcnya genelinde 500 milyondan fazla ki\u015fiyi etkileyen osteoporoz, kemiklerin yo\u011funlu\u011funu ve kalitesini kaybederek k\u0131r\u0131lgan hale gelmesine yol a\u00e7\u0131yor. 50 ya\u015f \u00fczerindeki her \u00fc\u00e7 kad\u0131ndan biri ve her be\u015f erkekten biri, ya\u015fam\u0131n\u0131n geri kalan\u0131nda osteoporoza ba\u011fl\u0131 k\u0131r\u0131k riski ta\u015f\u0131yor. \u00d6zellikle kal\u00e7a k\u0131r\u0131klar\u0131, ya\u015fam kalitesini ciddi \u00f6l\u00e7\u00fcde d\u00fc\u015f\u00fcr\u00fcrken \u00f6l\u00fcm riskini de art\u0131r\u0131yor. Memorial Antalya Hastanesi Ortopedi ve Travmatoloji B\u00f6l\u00fcm\u00fc\u2019nden Prof. Dr. Ahmet Turan Ayd\u0131n, 20 Ekim D\u00fcnya Osteoporoz G\u00fcn\u00fc kapsam\u0131nda kemik sa\u011fl\u0131\u011f\u0131n\u0131n korunmas\u0131, erken tan\u0131 ve k\u0131r\u0131k riskinin azalt\u0131lmas\u0131 hakk\u0131nda \u00f6nemli bilgiler payla\u015f\u0131yor.<\/p>\n
Kemikleri g\u00fc\u00e7lendirmek i\u00e7in hi\u00e7bir zaman ge\u00e7 de\u011fil<\/p>\n
Osteoporoz, kemik k\u00fctlesinin ve dayan\u0131kl\u0131l\u0131\u011f\u0131n\u0131n azalmas\u0131yla ortaya \u00e7\u0131kan, \u00e7o\u011fu zaman belirti vermeden ilerleyen bir hastal\u0131kt\u0131r. Kemiklerdeki zay\u0131flama uzun s\u00fcre fark edilmeyebilir ve hastal\u0131k ilk kez basit bir d\u00fc\u015fme ya da g\u00fcnl\u00fck ya\u015fam s\u0131ras\u0131nda meydana gelen k\u0131r\u0131kla ortaya \u00e7\u0131kabilir. \u00d6zellikle kal\u00e7a k\u0131r\u0131klar\u0131, ileri ya\u015flarda hareket kabiliyetinin kaybedilmesine, yata\u011fa ba\u011f\u0131ml\u0131l\u0131\u011fa ve ya\u015fam\u0131 tehdit eden komplikasyonlara neden olabilmektedir. Osteoporoza ba\u011fl\u0131 k\u0131r\u0131klar\u0131n sonu\u00e7lar\u0131, hastal\u0131\u011f\u0131n erken d\u00f6nemde belirlenmesinin \u00f6nemini ortaya koymaktad\u0131r. Kal\u00e7a k\u0131r\u0131\u011f\u0131 ge\u00e7iren hastalar\u0131n \u00f6nemli bir b\u00f6l\u00fcm\u00fc ba\u011f\u0131ms\u0131z ya\u015fam\u0131na geri d\u00f6nmekte zorlan\u0131rken, bir k\u0131sm\u0131 uzun s\u00fcre yata\u011fa ba\u011f\u0131ml\u0131 kalabilmektedir. K\u0131r\u0131k sonras\u0131nda \u00f6l\u00fcm riskinin artmas\u0131 da hastal\u0131\u011f\u0131n yaln\u0131zca kemik sa\u011fl\u0131\u011f\u0131n\u0131 de\u011fil, genel sa\u011fl\u0131k durumunu da etkiledi\u011fini g\u00f6stermektedir. K\u0131r\u0131k ge\u00e7iren hastalar\u0131n \u00f6nemli bir b\u00f6l\u00fcm\u00fcnde daha \u00f6nce tan\u0131 konulmam\u0131\u015f veya tedavi edilmemi\u015f osteoporoz bulunmas\u0131, koruyucu sa\u011fl\u0131k hizmetlerinin ve erken de\u011ferlendirmenin \u00f6nemini art\u0131rmaktad\u0131r.\u00a0<\/p>\n
50 ya\u015f \u00fczerinde her 4 ki\u015fiden biri osteoporoz riski ta\u015f\u0131yor<\/p>\n
T\u00fcrkiye\u2019de de kemik sa\u011fl\u0131\u011f\u0131 \u00f6nemli bir halk sa\u011fl\u0131\u011f\u0131 sorunudur. Elli ya\u015f \u00fczerindeki her d\u00f6rt ki\u015fiden birinde osteoporoz bulundu\u011funa ili\u015fkin veriler, ya\u015flanan n\u00fcfusla birlikte hareketsiz ya\u015fam tarz\u0131 ve yetersiz beslenmenin de dikkate al\u0131nmas\u0131 gerekti\u011fini ortaya koymaktad\u0131r. Kemik sa\u011fl\u0131\u011f\u0131n\u0131 korumak i\u00e7in hi\u00e7bir ya\u015f ge\u00e7 de\u011fildir. Risk fakt\u00f6rlerini \u00f6\u011frenmek, d\u00fczenli hareket etmek, dengeli beslenmek ve k\u0131r\u0131k sonras\u0131nda kemik sa\u011fl\u0131\u011f\u0131n\u0131 mutlaka de\u011ferlendirmek, al\u0131nabilecek temel \u00f6nlemler aras\u0131nda yer almaktad\u0131r.<\/p>\n
\u00a0Kemik sa\u011fl\u0131\u011f\u0131n\u0131 \u00e7ocukluk ve ergenliktin itibaren korumak gerekiyor<\/p>\n
Kemik sa\u011fl\u0131\u011f\u0131 yaln\u0131zca ileri ya\u015flarda \u00f6nem kazanan bir konu de\u011fildir. \u00c7ocukluktan itibaren kazan\u0131lan sa\u011fl\u0131kl\u0131 ya\u015fam al\u0131\u015fkanl\u0131klar\u0131, ilerleyen y\u0131llardaki kemik dayan\u0131kl\u0131l\u0131\u011f\u0131n\u0131n temelini olu\u015fturmaktad\u0131r. Osteoporozdan korunmak ve k\u0131r\u0131k riskini azaltmak i\u00e7in ya\u015fam\u0131n farkl\u0131 d\u00f6nemlerinde \u00fc\u00e7 temel ad\u0131ma dikkat edilmesi gerekmektedir. Kemik k\u00fctlesinin b\u00fcy\u00fck b\u00f6l\u00fcm\u00fc \u00e7ocukluk ve ergenlik d\u00f6neminde olu\u015fmaktad\u0131r. Bu s\u00fcre\u00e7te yeterli kalsiyum, protein ve D vitamini al\u0131m\u0131 ile kemikleri y\u00fck ta\u015f\u0131yarak \u00e7al\u0131\u015ft\u0131ran fiziksel aktiviteler b\u00fcy\u00fck \u00f6nem ta\u015f\u0131maktad\u0131r. Yeti\u015fkinlik d\u00f6neminde de d\u00fczenli egzersiz ve dengeli beslenme al\u0131\u015fkanl\u0131klar\u0131n\u0131n s\u00fcrd\u00fcr\u00fclmesi, kemik kayb\u0131n\u0131n azalt\u0131lmas\u0131na katk\u0131 sa\u011flamaktad\u0131r. Sigara kullan\u0131m\u0131ndan ve a\u015f\u0131r\u0131 alkol t\u00fcketiminden uzak durmak, sa\u011fl\u0131kl\u0131 v\u00fccut a\u011f\u0131rl\u0131\u011f\u0131n\u0131 korumak da kemik sa\u011fl\u0131\u011f\u0131n\u0131 destekleyen \u00f6nemli fakt\u00f6rler aras\u0131nda bulunmaktad\u0131r.<\/p>\n
Kemik kayb\u0131n\u0131 \u00f6nlemek i\u00e7in risk fakt\u00f6rlerini bilmek gerekiyor<\/p>\n
Kemik sa\u011fl\u0131\u011f\u0131n\u0131n korunmas\u0131nda ikinci a\u015fama, mevcut kemik k\u00fctlesini m\u00fcmk\u00fcn oldu\u011funca korumak ve k\u0131r\u0131k riskini azaltmakt\u0131r. Ailede osteoporoz \u00f6yk\u00fcs\u00fc bulunmas\u0131, boy k\u0131salmas\u0131, uzun s\u00fcreli kortizon kullan\u0131m\u0131 ve erken menopoz gibi durumlar osteoporoz riskini art\u0131rabilmektedir. Bu nedenle risk grubundaki ki\u015filerin hekim de\u011ferlendirmesinden ge\u00e7mesi ve gerekli g\u00f6r\u00fcld\u00fc\u011f\u00fcnde kemik mineral yo\u011funlu\u011fu \u00f6l\u00e7\u00fcm\u00fc yapt\u0131rmas\u0131 gerekmektedir. Kemik sa\u011fl\u0131\u011f\u0131n\u0131n korunmas\u0131nda d\u00fc\u015fmelerin \u00f6nlenmesi de \u00f6nemli bir yer tutmaktad\u0131r. Ev ortam\u0131ndaki kaygan zeminlerin ve tak\u0131lmaya neden olabilecek e\u015fyalar\u0131n d\u00fczenlenmesi, yeterli ayd\u0131nlatman\u0131n sa\u011flanmas\u0131 ve denge egzersizlerinin yap\u0131lmas\u0131, \u00f6zellikle ileri ya\u015ftaki bireylerde d\u00fc\u015fmeye ba\u011fl\u0131 k\u0131r\u0131k riskini azaltmaya yard\u0131mc\u0131 olmaktad\u0131r.<\/p>\n
K\u0131r\u0131k sonras\u0131nda yeni k\u0131r\u0131klar\u0131 \u00f6nlemek b\u00fcy\u00fck \u00f6nem ta\u015f\u0131yor<\/p>\n
Osteoporoza ba\u011fl\u0131 bir k\u0131r\u0131k ya\u015fanmas\u0131, sonraki k\u0131r\u0131klar a\u00e7\u0131s\u0131ndan \u00f6nemli bir uyar\u0131 i\u015faretidir. K\u0131r\u0131k sonras\u0131nda yeni bir k\u0131r\u0131k geli\u015fme riski artmakta ve \u00f6zellikle ilk bir-iki y\u0131lda daha yak\u0131ndan takip gerekmektedir. Bu nedenle k\u0131r\u0131k tedavisiyle yetinilmemesi, altta yatan kemik hastal\u0131\u011f\u0131n\u0131n da ara\u015ft\u0131r\u0131lmas\u0131 gerekmektedir. Uygun hastalarda hekim taraf\u0131ndan planlanan tedaviler, d\u00fczenli fiziksel aktivite, yeterli beslenme ve d\u00fc\u015fmeleri \u00f6nlemeye y\u00f6nelik uygulamalar birlikte y\u00fcr\u00fct\u00fclmelidir. B\u00f6ylece kemik kayb\u0131n\u0131n ilerlemesinin yava\u015flat\u0131lmas\u0131 ve yeni k\u0131r\u0131klar\u0131n \u00f6nlenmesi hedeflenmektedir.<\/p>\n
Erken tan\u0131 ve do\u011fru tedavi k\u0131r\u0131k riskini azalt\u0131yor<\/p>\n
Osteoporozun tan\u0131s\u0131nda kemik mineral yo\u011funlu\u011fu \u00f6l\u00e7\u00fcm\u00fc \u00f6nemli bir yer tutmaktad\u0131r. DXA ad\u0131 verilen y\u00f6ntemle yap\u0131lan \u00f6l\u00e7\u00fcm, kemik yo\u011funlu\u011funun de\u011ferlendirilmesine ve k\u0131r\u0131k riskinin belirlenmesine yard\u0131mc\u0131 olmaktad\u0131r. T-skorunun -2,5 veya alt\u0131nda olmas\u0131, osteoporoz tan\u0131s\u0131nda kullan\u0131lan temel \u00f6l\u00e7\u00fctlerden biridir. Bununla birlikte tedavi karar\u0131 yaln\u0131zca bu de\u011fere g\u00f6re de\u011fil; ki\u015finin ya\u015f\u0131, daha \u00f6nce k\u0131r\u0131k ge\u00e7irip ge\u00e7irmedi\u011fi, di\u011fer risk fakt\u00f6rleri ve genel sa\u011fl\u0131k durumu birlikte de\u011ferlendirilerek verilmektedir. Osteoporoz tedavisinde fiziksel aktivitenin art\u0131r\u0131lmas\u0131, beslenmenin d\u00fczenlenmesi, ihtiya\u00e7 halinde kalsiyum ve D vitamini deste\u011finin sa\u011flanmas\u0131 ve uygun hastalarda kemik kayb\u0131n\u0131 azaltmaya y\u00f6nelik tedavilerin uygulanmas\u0131 \u00f6nem ta\u015f\u0131maktad\u0131r. G\u00fcnl\u00fck y\u00fcr\u00fcy\u00fc\u015fler, ki\u015finin sa\u011fl\u0131k durumuna uygun egzersizler ve yeterli g\u00fcne\u015f \u0131\u015f\u0131\u011f\u0131ndan yararlanma da kemik sa\u011fl\u0131\u011f\u0131n\u0131 destekleyen uygulamalar aras\u0131nda yer almaktad\u0131r. Kalsiyum ve D vitamini deste\u011finin gereklili\u011fi ile tedavi se\u00e7ene\u011fi, hekim de\u011ferlendirmesi do\u011frultusunda belirlenmelidir. Osteoporozun erken d\u00f6nemde tan\u0131nmas\u0131, yaln\u0131zca kemik yo\u011funlu\u011funun korunmas\u0131 a\u00e7\u0131s\u0131ndan de\u011fil, k\u0131r\u0131klara ba\u011fl\u0131 hareket kayb\u0131n\u0131n ve ya\u015fam kalitesindeki d\u00fc\u015f\u00fc\u015f\u00fcn \u00f6nlenmesi a\u00e7\u0131s\u0131ndan da \u00f6nemlidir. \u00d6zellikle d\u00fc\u015f\u00fck enerjili bir d\u00fc\u015fme sonras\u0131nda k\u0131r\u0131k geli\u015fen ki\u015filerin osteoporoz y\u00f6n\u00fcnden de\u011ferlendirilmesi gerekmektedir. Bireylerin risk fakt\u00f6rlerini dikkate almas\u0131, gerekli kontrollerini yapt\u0131rmas\u0131 ve kemik sa\u011fl\u0131\u011f\u0131n\u0131 ya\u015fam boyu korumaya y\u00f6nelik ad\u0131mlar atmas\u0131, osteoporozla m\u00fccadelede belirleyici rol oynamaktad\u0131r.<\/p>\n
\u00a0<\/p>\n
\u00a0<\/p>\n
Kaynak: (BYZHA) Beyaz Haber Ajans\u0131<\/p>\n","protected":false},"excerpt":{"rendered":"
D\u00fcnya genelinde 500 milyondan fazla ki\u015fiyi etkileyen osteoporoz, kemiklerin yo\u011funlu\u011funu ve kalitesini kaybederek k\u0131r\u0131lgan hale gelmesine yol a\u00e7\u0131yor. 50 ya\u015f \u00fczerindeki her \u00fc\u00e7 kad\u0131ndan biri ve her be\u015f erkekten biri, ya\u015fam\u0131n\u0131n geri kalan\u0131nda osteoporoza ba\u011fl\u0131\u2026<\/p>\n","protected":false},"author":1,"featured_media":12365,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-12364","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik"],"_links":{"self":[{"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/12364","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/comments?post=12364"}],"version-history":[{"count":0,"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/posts\/12364\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/media\/12365"}],"wp:attachment":[{"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/media?parent=12364"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/categories?post=12364"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vansondakikahaberler.com.tr\/index.php\/wp-json\/wp\/v2\/tags?post=12364"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}