{"id":446,"date":"2009-08-26T11:18:14","date_gmt":"2009-08-26T12:18:14","guid":{"rendered":"https:\/\/turanuslu.net\/?p=446"},"modified":"2022-01-16T20:49:39","modified_gmt":"2022-01-16T20:49:39","slug":"osteoporoz-kemik-erimesi","status":"publish","type":"post","link":"https:\/\/turanuslu.net\/es\/osteoporoz-kemik-erimesi\/","title":{"rendered":"Osteoporosis"},"content":{"rendered":"<h2>Osteoporosis<\/h2>\n<p style=\"text-align: justify;\"><img class=\"lazyload\" decoding=\"async\" style=\"border: 0pt none;\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27500%27%20height%3D%27461%27%20viewBox%3D%270%200%20500%20461%27%3E%3Crect%20width%3D%27500%27%20height%3D%27461%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/turanuslu.net\/icerikresimleri\/osteoporoz\/op11.gif\" alt=\"\" width=\"500\" height=\"461\" border=\"0\" \/><\/p>\n<p style=\"text-align: justify;\"><!--more--> Halk aras\u0131nda kemik erimesi olarak bilinen bir hastal\u0131kt\u0131r. Osteo (kemik) ve poroz (g\u00f6zenekli) kelimelerinden olu\u015fmu\u015ftur. D\u00fcnya sa\u011fl\u0131k \u00f6rg\u00fct\u00fc 1994 y\u0131l\u0131nda osteoproz\u2019u d\u00fc\u015f\u00fck kemik k\u00fctlesi ve kemik dokusunun mikro yap\u0131s\u0131nda bozulma sonucu kemik k\u0131r\u0131lganl\u0131\u011f\u0131na yatk\u0131nl\u0131k ve k\u0131r\u0131k riskinde art\u0131\u015f ile karakterize bir hastal\u0131k olarak tan\u0131mlanm\u0131\u015ft\u0131r.<\/p>\n<div style=\"text-align: justify;\">Kemik kalsiyum ve proteinden olu\u015fan ya\u015fayan ve geli\u015fen bir olayd\u0131r. Bir yandan yeni kemik d\u00fc\u015ferken bir yandan eskiler y\u0131k\u0131l\u0131r.Geli\u015fme d\u00f6neminde kemik yap\u0131s\u0131 zamanla artar ve kemikler g\u00fc\u00e7lenir belli bir ya\u015ftan sonra (ki\u015fiden ki\u015fiye de\u011fi\u015fir) bu kemik yap\u0131s\u0131 azal\u0131r ve durur. Zaman i\u00e7inde yava\u015f yava\u015f kemik dokusu zay\u0131flar ve ya\u015f ilerledik\u00e7e kemikler incelir.B\u00f6ylece kemikler k\u0131r\u0131lgan hale gelir. Kemik kayb\u0131 s\u0131kl\u0131kla bel kemiklerinde, el bile\u011finde ve kal\u00e7a b\u00f6lgesinde g\u00f6r\u00fcl\u00fcr. Bu b\u00f6lgeler ileri ya\u015flarda k\u0131r\u0131klar\u0131nda s\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fc b\u00f6lgelerdir.<\/div>\n<p style=\"text-align: justify;\"><img class=\"lazyload\" decoding=\"async\" style=\"border: 0pt none;\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27300%27%20height%3D%27160%27%20viewBox%3D%270%200%20300%20160%27%3E%3Crect%20width%3D%27300%27%20height%3D%27160%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/turanuslu.net\/icerikresimleri\/osteoporoz\/opvert1.jpg\" alt=\"\" width=\"300\" height=\"160\" border=\"0\" \/><\/p>\n<div style=\"text-align: justify;\">Kemik k\u00fctlesi genellikle 35 ya\u015f\u0131ndan itibaren ba\u015flar. B\u00fcy\u00fcme tamamland\u0131ktan sonra kad\u0131nlarda kemik dokunun % 30-50 erkeklerde % 20 \u2013 30 \u2018u zaman i\u00e7inde kaybolur. Kad\u0131nlarda menapoz bu kemik kayb\u0131n\u0131 h\u0131zland\u0131ran bir fakt\u00f6rd\u00fcr.<\/div>\n<p style=\"text-align: justify;\"><strong>OSTEOPOROZ T\u0130PLER\u0130 <\/strong><\/p>\n<ul style=\"text-align: justify;\">\n<li>T\u0130P 1 : 50 \u2013 75 ya\u015f aras\u0131 kad\u0131nlarda g\u00f6r\u00fcl\u00fcr.Kemik ili\u011findeki kay\u0131p fazlad\u0131r.Omurga ve el bile\u011fi k\u0131r\u0131klar\u0131 daha s\u0131kt\u0131r. Hormon de\u011fi\u015fiklikleri vard\u0131r.<\/li>\n<li>T\u0130P 2 : 70 ya\u015f \u00fcst\u00fcnde g\u00f6r\u00fcl\u00fcr. Kad\u0131n ve erkeklerde e\u015fit oranda g\u00f6r\u00fcl\u00fcr.Kemik b\u00fct\u00fcn\u00fcnde kay\u0131p vard\u0131r. Kemik b\u00f6lgesinde k\u0131r\u0131k riski y\u00fcksektir. Genellikle kad\u0131nlarda menapoz onras\u0131 d\u00f6nemde daha s\u0131k g\u00f6r\u00fcl\u00fcr. Fakat erkeklerde ve baz\u0131 hastal\u0131klar sonucu her ya\u015fta insanlarda g\u00f6r\u00fclebilir. Osteoporozun kesin neden oldu\u011fu tam olarak bilinemez. Fakat baz\u0131 fakt\u00f6rler osteporozu haz\u0131rlar.<\/li>\n<\/ul>\n<ul style=\"text-align: justify;\">\n<li>Envejecimiento<\/li>\n<li>Hareket azalmas\u0131<\/li>\n<li>\u00d6strojen hormonu seviyesinin azalmas\u0131<\/li>\n<li>Kortizon kullan\u0131m\u0131<\/li>\n<li>A\u015fr\u0131 tiroid hormonu<\/li>\n<li>A\u015f\u0131r\u0131 alkol al\u0131nmas\u0131<\/li>\n<li>sigara kemik kayb\u0131n\u0131 artt\u0131r\u0131r.<\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><strong>OSTEOPOROZ OLUP OLMADI\u011eIMIZI NASIL ANLARIZ? <\/strong><\/p>\n<div style=\"text-align: justify;\">Bir\u00e7ok ki\u015fi kemik kayb\u0131 oldu\u011funun fark\u0131nda de\u011fildir ancak k\u0131r\u0131k olu\u015funca fark eder. Normal \u015fartlarda anlamay\u0131z kemik kayb\u0131 \u00e7ok yava\u015f olu\u015fan bir olay oldu\u011fu i\u00e7in belirgin \u015fikayetlere yol a\u00e7maz . Osteoporozda ilk bulgular boy k\u0131salmas\u0131, omuzlarda ve kal\u00e7alarda yuvarlakla\u015fma ve bel \u2013 s\u0131rt a\u011fr\u0131s\u0131d\u0131r. Hastal\u0131ktan \u015f\u00fcphelenilmesi halinde kemik \u00f6l\u00e7\u00fcm\u00fc yap\u0131lmal\u0131d\u0131r.<\/div>\n<p style=\"text-align: justify;\"><strong>KEM\u0130K \u00d6L\u00c7\u00dcM\u00dc NED\u0130R? <\/strong><\/p>\n<div style=\"text-align: justify;\">Kemi\u011fin \u00f6l\u00e7\u00fcm\u00fc kemi\u011fin i\u00e7indeki minarelleri \u00f6l\u00e7ebilen bir alet ile yap\u0131lan bir tetkiktir. Genellikle dual energy x- ray prensibi ile \u00e7al\u0131\u015fan densitometre denen cihazlarla \u00f6l\u00e7\u00fcl\u00fcr. Tetkik s\u00fcresi yakla\u015f\u0131k 15 \u2013 20 dakikad\u0131r. Standart olarak kal\u00e7a , bel veya her iki b\u00f6lgeden \u00f6l\u00e7\u00fcmler yap\u0131l\u0131r. Tetkik a\u011fr\u0131l\u0131 ve s\u0131k\u0131nt\u0131l\u0131 de\u011fildir ve bilinen bir riski yoktur.<\/div>\n<div style=\"text-align: justify;\">Bu tetkik sadece kemiklerde mineral yap\u0131y\u0131 g\u00f6sterir fakat kemi\u011fin mikroskopi yap\u0131s\u0131n\u0131 g\u00f6stermez . Bundan dolay\u0131 kemik g\u00fcc\u00fcn\u00fcn kesin durumunu belirtmez . \u00d6l\u00e7\u00fcm sonu\u00e7lar\u0131 toplumdaki normal ki\u015filerin kemik yap\u0131lar\u0131 ortalamas\u0131na g\u00f6re yap\u0131l\u0131r. Bu tetkik kemi\u011fin k\u0131r\u0131lmaya yatk\u0131nl\u0131\u011f\u0131n\u0131 g\u00f6sterir fakat ne zaman olaca\u011f\u0131n\u0131 g\u00f6stermez.<\/div>\n<div style=\"text-align: justify;\">Kemik yo\u011funlu\u011fu ya\u015f ilerledik\u00e7e azal\u0131r. Ya\u015fl\u0131lar\u0131n pek \u00e7o\u011funda kemik yo\u011funlu\u011fu gene eri\u015fkinlere oranla azalm\u0131\u015ft\u0131r. Bir \u00e7al\u0131\u015fmaya g\u00f6re kad\u0131nlar\u0131n % 66 s\u0131nda 40 ya\u015f \u00fcst\u00fcnde osteoporoz veya osteoporoza yatk\u0131nl\u0131k vard\u0131r. (gen\u00e7 eri\u015fkinlerle mukayese edildi\u011finde)<\/div>\n<p style=\"text-align: justify;\"><strong>Kemik \u00d6l\u00e7\u00fcm\u00fc;<\/strong><\/p>\n<div style=\"text-align: justify;\"><strong>Normal: <\/strong>Gen\u00e7 sa\u011fl\u0131kl\u0131 pop\u00fclasyonda standart sapma -1 in alt\u0131nda olmas\u0131d\u0131r.<\/div>\n<div style=\"text-align: justify;\"><strong>D\u00fc\u015f\u00fck kemik k\u00fctlesi (ostoponi):<\/strong> Gen\u00e7 sa\u011fl\u0131kl\u0131 pop\u00fclasyonun ortalama de\u011feri -1 ile -2.5 SD aras\u0131nda olmas\u0131d\u0131r.<\/div>\n<div style=\"text-align: justify;\"><strong>Osteoporoz:<\/strong> Gen\u00e7 sa\u011fl\u0131kl\u0131 pop\u00fclasyonun ortalama de\u011ferinin -2.5 SD nin \u00fcst\u00fcnde olmas\u0131d\u0131r (yani kemik kayb\u0131 normal insanlara g\u00f6re % 25 daha fazlad\u0131r). A\u011f\u0131r osteoporoz: Osteoporozoa ba\u011fl\u0131 k\u0131r\u0131\u011f\u0131 olanlar bu gruptad\u0131r.<\/div>\n<p style=\"text-align: justify;\"><strong>KEM\u0130K \u00d6L\u00c7\u00dcM\u00dc N\u0130YE OSTEOPOROZ \u0130\u00c7\u0130N KES\u0130N B\u0130R TANI METODU DE\u011e\u0130LD\u0130R<\/strong><\/p>\n<div style=\"text-align: justify;\">\u00c7\u00fcnk\u00fc kemik kuvveti kemik yo\u011funlu\u011fu ve kemi\u011fin mikroskopik yap\u0131s\u0131n\u0131n ortak g\u00f6stergesidir. Bir tetkik ile sadece yo\u011funlu\u011fu \u00f6l\u00e7e biliriz . Yani her kemik yo\u011funlu\u011fu azalan ki\u015fide mutlaka k\u0131r\u0131k olu\u015facak demek de\u011fildir. Bunun yan\u0131 s\u0131ra kemik yo\u011funlu\u011fu azalmas\u0131 kemik k\u0131r\u0131\u011f\u0131 riskini riskini artt\u0131ran sebeplerden sadece bir tanesidir. Az hareket dengesiz beslenme ila\u00e7 kullan\u0131m\u0131 denge sorunu di\u011fer baz\u0131 hastal\u0131klarda kemikte zay\u0131flama yapabilir.Bug\u00fcnk\u00fc tedavi metotlar\u0131 kemik kayb\u0131n\u0131 yava\u015flat\u0131r fakat kaybolan kemik dokusu yerine konulamaz.<\/div>\n<div style=\"text-align: justify;\">Kemiklerimizi korumal\u0131y\u0131z.Osteoporozun en etkili tedavisi kemik kayb\u0131n\u0131n \u00f6nlenmesidir.<\/div>\n<div style=\"text-align: justify;\">Genel olarak s\u00f6ylemek gerekirse baz\u0131 basit \u00f6nlemlerle kemik kayb\u0131 yava\u015flat\u0131labilir. Kemik yo\u011funlu\u011funuz ne olursa olsun yeterli kalsiyum almak iyidir, d\u00fczenli egzersiz yapmak , sigara i\u00e7mekten ka\u00e7\u0131nmak aktif olun ve gereksiz ila\u00e7 kullanmay\u0131n.<\/div>\n<p style=\"text-align: justify;\"><strong>KEM\u0130K KAYBINI \u00d6NLEMEK VE KIRIK R\u0130SK\u0130N\u0130 AZALTMAK \u0130\u00c7\u0130N<\/strong><\/p>\n<ul style=\"text-align: justify;\">\n<li>Yeterli kalsiyum ve D vitamin al\u0131n<\/li>\n<li>Sigara i\u00e7meyin<\/li>\n<li>Ani kilo kayb\u0131ndan ka\u00e7\u0131n\u0131n<\/li>\n<li>D\u00fczenli egzersiz yap\u0131n<\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><strong>KIRIK R\u0130SK\u0130N\u0130 AZALTMAK \u0130\u00c7\u0130N<\/strong><\/p>\n<ul style=\"text-align: justify;\">\n<li>D\u00fczenli egzersiz<\/li>\n<li>Alkol kullanmay\u0131n<\/li>\n<li>Uygun ve kaymayan ayakkab\u0131 giyin<\/li>\n<li>G\u00f6rme bozuklu\u011fu tak\u0131l\u0131p d\u00fc\u015fmeye neden olur bundan dolay\u0131 g\u00f6z muayenesi olun ve dereceli g\u00f6zl\u00fc\u011f\u00fc kullan\u0131n<\/li>\n<li>Evde tak\u0131labilecek ayak alt\u0131 cisimleri kald\u0131r\u0131n ( oyuncak, elektrik kordonu vb. )<\/li>\n<li>Uyku hap\u0131 veya sakinle\u015ftirici ila\u00e7 kullan\u0131rken soka\u011fa yan\u0131m\u0131zda biriyle \u00e7\u0131k\u0131n halsizlik veya dikkatsizlik neticesinde d\u00fc\u015febilirsiniz.<\/li>\n<li>Doktorunuzla konu\u015fun ve ya\u015fam sitilinizi ve diyetinizi d\u00fczenleyin<\/li>\n<li>Hormon tedavisi gerekiyor mu<\/li>\n<li>Ba\u015fka ila\u00e7 tedavisi gerekiyor mu<\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><strong>OSTEOPOROZ (KEM\u0130K ER\u0130MES\u0130) HAKKINDA B\u0130LMEK \u0130STED\u0130KLER\u0130N\u0130Z<\/strong><br \/>\n<strong>Osteoporoz (kemik erimesi) nedir?<\/strong><\/p>\n<div style=\"text-align: justify;\">Osteoporoz, kemi\u011fin mineral ve matriks y\u00f6n\u00fcnden azalmas\u0131 ve yap\u0131s\u0131n\u0131n de\u011fi\u015fmesiyle kolay k\u0131r\u0131labilir hale gelmesidir.<\/div>\n<p style=\"text-align: justify;\"><strong>Osteoporoz yeni ke\u015ffedilmi\u015f bir hastal\u0131k m\u0131d\u0131r? <\/strong><\/p>\n<div style=\"text-align: justify;\">Ya\u015fl\u0131 n\u00fcfusun art\u0131\u015f\u0131yla, ge\u00e7mi\u015fte dikkat \u00e7ekmeyen bu hastal\u0131k, k\u0131r\u0131klara neden olarak bireylerin hayat kalitesini de etkiledi\u011finden, giderek dikkat \u00e7ekmi\u015f, \u00f6nem kazanm\u0131\u015ft\u0131r. A\u011f\u0131r bedensel aktivitelerin azalmas\u0131, ortalama \u00f6mr\u00fcn uzamas\u0131, insanlar\u0131n daha ince ve narin g\u00f6r\u00fcnme iste\u011fi bu hastal\u0131\u011f\u0131n s\u0131kl\u0131\u011f\u0131n\u0131 ve \u00f6nemini art\u0131rm\u0131\u015ft\u0131r.<\/div>\n<p style=\"text-align: justify;\"><strong>Osteoporoz nas\u0131l oluyor?<\/strong><br \/>\n<img class=\"lazyload\" decoding=\"async\" style=\"border: 0pt none;\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27250%27%20height%3D%27460%27%20viewBox%3D%270%200%20250%20460%27%3E%3Crect%20width%3D%27250%27%20height%3D%27460%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/turanuslu.net\/icerikresimleri\/osteoporoz\/opb.jpg\" alt=\"\" width=\"250\" height=\"460\" border=\"0\" \/><\/p>\n<div style=\"text-align: justify;\">Kemik devaml\u0131 olarak yap\u0131lan ve y\u0131k\u0131lan, kendini yenileyen bir organd\u0131r. Gen\u00e7lerde kemik yap\u0131m\u0131, y\u0131k\u0131m\u0131na e\u015fittir. Ya\u015f ilerledik\u00e7e giderek y\u0131k\u0131m, yap\u0131mdan daha fazla olur ve kemik kitlesi azal\u0131r. Kad\u0131nlarda \u00f6strojen denilen hormon kemiklerin y\u0131k\u0131m\u0131n\u0131 \u00f6nlemektedir. Adetten kesilmeyle (menopoz), bu hormon azald\u0131\u011f\u0131ndan kemik y\u0131k\u0131m\u0131 artar. \u00c7ocuk ve gen\u00e7 eri\u015fkin, yeterli kalsiyum alm\u0131yor, g\u00fcne\u015f \u0131\u015f\u0131nlar\u0131na yeteri kadar maruz kalm\u0131yorsa, kemik kitlesi azd\u0131r. Mevcut kemik kitlesi menopoz sonras\u0131 d\u00f6nemde kolayl\u0131kla kaybedilir. Osteoporoz i\u00e7in kal\u0131tsal bir yatk\u0131nl\u0131k da vard\u0131r, hatta bazen bu yatk\u0131nl\u0131k \u00e7evresel ve hayat tarz\u0131 ile ilgili fakt\u00f6rlerden daha \u00f6nemlidir.<\/div>\n<p style=\"text-align: justify;\"><strong>Menopozun hangi devresi osteoporoz i\u00e7in \u00f6nemlidir?<\/strong><\/p>\n<div style=\"text-align: justify;\">Kemik kayb\u0131, menopozun ilk 5 y\u0131l\u0131nda en fazlad\u0131r. Sonraki y\u0131llarda kemik kay\u0131p h\u0131z\u0131 azalarak devam eder.<\/div>\n<p style=\"text-align: justify;\"><strong>Cerrahi veya do\u011fal menopozda, osteoporoz geli\u015fme riski farkl\u0131 m\u0131d\u0131r?<\/strong><\/p>\n<div style=\"text-align: justify;\">Ameliyatla yumurtal\u0131klar\u0131 al\u0131nan ve hormon tedavisi almayan kad\u0131nlarda ve menopoza erken giren kad\u0131nlarda osteoporoz riski y\u00fcksektir.<\/div>\n<p style=\"text-align: justify;\"><strong>Osteoporozun bana zarar\u0131 ne olabilir?<\/strong><br \/>\n<img class=\"lazyload\" decoding=\"async\" style=\"border: 0pt none;\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27400%27%20height%3D%27320%27%20viewBox%3D%270%200%20400%20320%27%3E%3Crect%20width%3D%27400%27%20height%3D%27320%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/turanuslu.net\/icerikresimleri\/osteoporoz\/ophipfracture.jpg\" alt=\"\" width=\"400\" height=\"320\" border=\"0\" \/><\/p>\n<div style=\"text-align: justify;\">Osreoporoz kemikleri kolay k\u0131r\u0131labilir yapar, kal\u00e7an\u0131n veya omurlar\u0131n kolayl\u0131kla k\u0131r\u0131lmas\u0131na, boy k\u0131salmas\u0131na, kamburla\u015fmaya, s\u0131rt a\u011fr\u0131lar\u0131na, g\u00f6\u011f\u00fcs kafesinin \u015fekil de\u011fi\u015fikli\u011fine ve hacminin azalmas\u0131na neden olur. K\u00fc\u00e7\u00fclm\u00fc\u015f g\u00f6\u011f\u00fcs kafesi kalp ve akci\u011ferin normal \u00e7al\u0131\u015fmas\u0131n\u0131 engeller. Kal\u00e7a k\u0131r\u0131klar\u0131 ameliyat gerektirir, ameliyat sonras\u0131 kemi\u011fin kaynamas\u0131 da zordur. Kaynamayan kemikler, hastan\u0131n y\u00fcr\u00fcyememesine, ba\u015fkalar\u0131na ba\u011f\u0131ml\u0131 olmas\u0131na ve hareketsizli\u011fe neden olarak kemi\u011fin daha da erimesine neden olur.<\/div>\n<p style=\"text-align: justify;\"><strong>Osteoporozum var m\u0131? Nas\u0131l anlayabilirim?<\/strong><br \/>\n<img class=\"lazyload\" decoding=\"async\" style=\"border: 0pt none;\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27335%27%20height%3D%27305%27%20viewBox%3D%270%200%20335%20305%27%3E%3Crect%20width%3D%27335%27%20height%3D%27305%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/turanuslu.net\/icerikresimleri\/osteoporoz\/opa.jpg\" alt=\"\" width=\"335\" height=\"305\" border=\"0\" \/><\/p>\n<div style=\"text-align: justify;\">Kemik kitlesi, 10-15 dakika gibi k\u0131sa bir s\u00fcrede \u00f6l\u00e7\u00fclebilir. \u00d6l\u00e7\u00fcm, a\u011fr\u0131 veya herhangi bir rahats\u0131zl\u0131\u011fa neden olmaz. Osteoporoz ilerledi\u011fi zaman d\u00fcz r\u00f6ntgen filmlerinde de g\u00f6r\u00fclebilir. Hastal\u0131\u011f\u0131n yada tedavinin ilerlemesini g\u00f6rmek i\u00e7in kemik yo\u011funlu\u011fu \u00f6l\u00e7\u00fclmelidir. Kemik dansitometresinin yan\u0131nda mutlaka d\u00fcz r\u00f6ntgen filmleride \u00e7ektirilmelidir.<\/div>\n<p style=\"text-align: justify;\"><strong>Osteoporozu kolayla\u015ft\u0131ran fakt\u00f6rler nelerdir? <\/strong><\/p>\n<div style=\"text-align: justify;\">Kalsiyum eksikli\u011fi, D vitamini eksikli\u011fi, sigara i\u00e7ilmesi, fazla alkol al\u0131nmas\u0131, baz\u0131 ila\u00e7lar, a\u015f\u0131r\u0131 kafein al\u0131nmas\u0131 kemik yapan h\u00fccrelere zararl\u0131d\u0131r. Baz\u0131 hastal\u0131klar, hareketsiz ya\u015fant\u0131 kemik erimesi riskini art\u0131r\u0131r.<\/div>\n<div style=\"text-align: justify;\">Osteoporoz kad\u0131nlarda erkeklere, ince yap\u0131l\u0131larda \u015fi\u015fmanlara ve k\u0131sa boylularda uzun boylulara g\u00f6re daha \u00e7ok g\u00f6r\u00fcl\u00fcr.<\/div>\n<p style=\"text-align: justify;\"><strong>Sigara ile osteoporozun ili\u015fkisi nedir?<\/strong><\/p>\n<div style=\"text-align: justify;\">Sigara kemik yapan h\u00fccreler i\u00e7in zararl\u0131d\u0131r, kemik erimesi yapar. Sigara miktar\u0131 ve kullan\u0131m s\u00fcresi ile kemik kitlesi kayb\u0131 orant\u0131l\u0131d\u0131r. Sigara i\u00e7en kad\u0131nlarda menopoz da daha erken olur.<\/div>\n<p style=\"text-align: justify;\"><strong>Osteoporoz ve Egzersiz<\/strong><\/p>\n<p style=\"text-align: justify;\"><img class=\"lazyload\" decoding=\"async\" style=\"border: 0pt none;\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27389%27%20height%3D%27246%27%20viewBox%3D%270%200%20389%20246%27%3E%3Crect%20width%3D%27389%27%20height%3D%27246%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/turanuslu.net\/icerikresimleri\/osteoporoz\/opegz.gif\" alt=\"\" width=\"389\" height=\"246\" border=\"0\" \/><\/p>\n<div style=\"text-align: justify;\">Fiziksel aktivite kemik kitlesini art\u0131r\u0131r. Hareketsiz veya yata\u011fa ba\u011f\u0131ml\u0131larda kas kitlesiyle birlikte kemik kitlesi de azal\u0131r. Osteoporozlularda d\u00fczenli egzersiz kemik kitlesini art\u0131r\u0131r.<\/div>\n<p style=\"text-align: justify;\"><strong>G\u0131dalarda Kalsiyum var m\u0131d\u0131r? Yoksa ilac olarak m\u0131 al\u0131nmal\u0131d\u0131r?<\/strong><\/p>\n<div style=\"text-align: justify;\">S\u00fct ve s\u00fctten yap\u0131lm\u0131\u015f g\u0131da maddelerinin kalsiyum i\u00e7eri\u011fi y\u00fcksektir. Her g\u00fcn belirli miktarlarda, \u00e7ocukluktan itibaren t\u00fcketilmelidir. Ya\u015fl\u0131lar, iyi beslenemedi\u011finden kalsiyum, ila\u00e7 olarak g\u00fcnde 1-1.5 gr olarak al\u0131nmal\u0131d\u0131r. Ayr\u0131ca menopoz ve emzirme d\u00f6neminde ilave kalsiyum al\u0131nabilir.<\/div>\n<p style=\"text-align: justify;\"><strong>D vitamininin osteoporozda \u00f6nemi nedir? <\/strong><\/p>\n<div style=\"text-align: justify;\">Kalsiyumun barsaktan emilebilmesi i\u00e7in D vitamini gereklidir. Derimizde mevcut aktif olmayan D vitamini, g\u00fcne\u015f \u0131\u015f\u0131nlar\u0131 ile aktif hale ge\u00e7er. G\u00fcne\u015fe yeterli maruz kalmam\u0131\u015flarda, D vitamini eksikli\u011fi olur, kalsiyum barsaktan emilemez. G\u00fcne\u015f \u0131\u015f\u0131\u011f\u0131n\u0131n az oldu\u011fu \u00fclkelerde s\u00fct, D vitamini ilave edilerek sat\u0131lmaktad\u0131r. Baz\u0131 \u00fclkelerde (Suudi Arabistan ve \u0130ran gibi) geleneksel olarak v\u00fccudun her taraf\u0131n\u0131n giysi ile kapat\u0131lmas\u0131, kad\u0131nlar\u0131 da D vitamini eksikli\u011fine sebep olarak osteoporozun kad\u0131nlarda \u00e7ok erken ya\u015flarda g\u00f6r\u00fclmesine neden olmaktad\u0131r. Ya\u015fl\u0131lar\u0131n evden fazla \u00e7\u0131kmamalar\u0131 sonucu, g\u00fcne\u015fe maruz kalamamalar\u0131, osteoporozu daha da kolayla\u015ft\u0131r\u0131r.<\/div>\n<p style=\"text-align: justify;\"><strong>Osteoporoz sadece kad\u0131nlarda m\u0131 olur?<\/strong><\/p>\n<div style=\"text-align: justify;\">Osteoporoz erkeklerde de g\u00f6r\u00fcl\u00fcr. Erkeklik hormonu kemikleri erimeye kar\u015f\u0131 korumas\u0131na kar\u015f\u0131n, 60 ya\u015f\u0131na ula\u015fmam\u0131\u015f erkeklerin % 10&#8242; unda da osteoporoz vard\u0131r. 65 ya\u015f sonras\u0131nda ise risk kad\u0131nlardaki kadard\u0131r. Risk fakt\u00f6rleri olanlar, yayg\u0131n kemik a\u011fr\u0131lar\u0131 oldu\u011funda osteoporoz olup olmad\u0131\u011f\u0131n\u0131n anla\u015f\u0131lmas\u0131 i\u00e7in doktorlar\u0131na ba\u015fvurmal\u0131d\u0131r.<\/div>\n<p style=\"text-align: justify;\"><strong>Osteoporoz tan\u0131s\u0131 konanlarda tedavi ile kemikler normale d\u00f6nebilir mi?<\/strong><\/p>\n<div style=\"text-align: justify;\">Osteoporotik kemikler, genellikle mevcut tedavilerle tam normale d\u00f6nemeyebilir. Fakat ka\u00e7\u0131n\u0131lmaz olan kemik kayb\u0131, tedavi ile durdurulabilir, hatta bazen bir miktar kemik kazan\u0131l\u0131r. \u0130la\u00e7 tedavisi ve d\u00fczenli egzersiz ile kemik kitlesi art\u0131r\u0131l\u0131r, ayr\u0131ca d\u00fc\u015fmelerin \u00f6nlenmesi i\u00e7in gerekli tedbirlerin al\u0131nmas\u0131 k\u0131r\u0131k riskini \u00f6nemli \u00f6l\u00e7\u00fcde azalt\u0131r.<\/div>\n<p style=\"text-align: justify;\"><strong>Osteoporozlu hastalarda k\u0131r\u0131klar en s\u0131k nerede olur ?<\/strong><\/p>\n<div style=\"text-align: justify;\">Osteoporozdan en fazla etkilenen kemikler omurga, kal\u00e7a, el bilek ve omuz kemikleridir, k\u0131r\u0131klar en s\u0131k bu kemiklerde olur. El bile\u011fi ve omurga k\u0131r\u0131klar\u0131n\u0131n tedavisi olduk\u00e7a kolayd\u0131r ancak kal\u00e7a k\u0131r\u0131klar\u0131n\u0131n \u00f6l\u00fcme bile yol a\u00e7an ciddi komplikasyonlar\u0131 vard\u0131r.<\/div>\n<p style=\"text-align: justify;\"><strong>Osteoporozlu hastalar\u0131n d\u00fc\u015fme, \u00e7arpma gibi bir neden olmadan da k\u0131r\u0131klar\u0131 olabilir mi?<\/strong><\/p>\n<div style=\"text-align: justify;\">Nadiren belirgin bir neden olmaks\u0131z\u0131n veya \u015fiddetli olmayan d\u00fc\u015fme ve \u00e7arpmalarla osteoporotik kemikler k\u0131r\u0131labilir. \u00d6zellikle omurga k\u0131r\u0131klar\u0131 bazen hi\u00e7bir sebep yokken olur ve hi\u00e7bir belirti vermez.<\/div>\n<p style=\"text-align: justify;\"><strong>\u0130lerde osteoporotik olmamak i\u00e7in ne yapmal\u0131y\u0131m?<\/strong><\/p>\n<ul style=\"text-align: justify;\">\n<li>\u00c7ocukluktan itibaren kalsiyumdan zengin diyet, menopozda ve ya\u015fl\u0131l\u0131kta diyete ek kalsiyum al\u0131n.<\/li>\n<li>Y\u00fcr\u00fcy\u00fc\u015f, merdiven \u00e7\u0131kma, y\u00fczme gibi egzersizler yap\u0131n. Haftada enaz 3 g\u00fcn sert ad\u0131mlarla 30-45 dk y\u00fcr\u00fcy\u00fcn.<\/li>\n<li>A\u011f\u0131rl\u0131k ta\u015f\u0131man\u0131n da faydas\u0131\u0131 vard\u0131r. Onun i\u00e7in, \u00e7ar\u015f\u0131 filelerinizin bir k\u0131sm\u0131n\u0131, e\u011fer sa\u011fl\u0131\u011f\u0131n\u0131z\u0131 bozmayacaksa (kalp hastal\u0131\u011f\u0131 gibi) kendiniz ta\u015f\u0131y\u0131n.<\/li>\n<li>G\u00fcne\u015fli g\u00fcnlerde, a\u00e7\u0131k havada cildinizi g\u00fcne\u015fe maruz tutun.<\/li>\n<li>Sigara, alkol ve kemik y\u0131k\u0131m\u0131n\u0131 art\u0131ran ila\u00e7lar kullanmaktan ka\u00e7\u0131n\u0131n.<\/li>\n<li>Menopoza girince, alman\u0131z sak\u0131ncal\u0131 de\u011filse uzun s\u00fcreli (5-10 y\u0131l) hormon tedavisi kullan\u0131n.<\/li>\n<li>Kortizon, heparin, antiepileptik gibi ila\u00e7lar kullan\u0131rken bir uzmandan yard\u0131m al\u0131n.<\/li>\n<li>Kemik metabolizmas\u0131n\u0131 etkileyen hastal\u0131\u011f\u0131n\u0131z varsa uygun ve erken tedavisini sa\u011flay\u0131n.<\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><strong>Menopoza girmek \u00fczere veya menopozda olanlar nas\u0131l tedavi otmal\u0131d\u0131r?<\/strong><\/p>\n<div style=\"text-align: justify;\">Menopoza girildi\u011finde doktorunuzla hormon tedavisinin sizin i\u00e7in uygun olup olmad\u0131\u011f\u0131n\u0131 tart\u0131\u015f\u0131n. Bu konuda bir jinekolog veya endokrinolog tan yard\u0131m alabilirsiniz.<\/div>\n<div style=\"text-align: justify;\">Bug\u00fcn i\u00e7in hormon tedavisindeki yakla\u015f\u0131mla, rahim kanseri olma olas\u0131l\u0131\u011f\u0131n\u0131 ortadan kald\u0131rm\u0131\u015ft\u0131r. Fakat meme kanseri yapma oran\u0131 d\u00fc\u015f\u00fck de olsa vard\u0131r. Hormon tedavisi kalp hastal\u0131\u011f\u0131ndan ve erken bunamadan kad\u0131n\u0131 korur. Meme kanseri olma korkusu ile hormon almama sonucu olu\u015facak sa\u011fl\u0131k sorunlar\u0131 \u00e7ok fazlad\u0131r. \u00c7\u00fcnk\u00fc hormon tedavisi olmayan kad\u0131nlar\u0131n enfarkt\u00fcsten \u00f6lme riskleri, meme kanserinden \u00f6lme riskinden daha y\u00fcksektir.<\/div>\n<p style=\"text-align: justify;\"><strong>Osteoporoz tedavisinde ama\u00e7 nedir?<\/strong><\/p>\n<div style=\"text-align: justify;\">Osteoporoz tedavisinde ama\u00e7 mevcut kemik kitlesinin korunmas\u0131 veya art\u0131r\u0131lmas\u0131, k\u0131r\u0131klar\u0131n \u00f6nlenmesi ve varsa tedavisidir.<\/div>","protected":false},"excerpt":{"rendered":"<p>Osteoporosis<\/p>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[351],"tags":[345,347,349,352,357,353,354,358,359],"class_list":["post-446","post","type-post","status-publish","format-standard","hentry","category-osteoporoz","tag-kemik-erimesi","tag-kemik-erimesi-tedavisi","tag-osteoporos","tag-osteoporoz","tag-osteoporoz-egzersizleri","tag-osteoporoz-nedir","tag-osteoporoz-tedavisi","tag-osteoporozdan-korunmak-icin-yapilmasi-gerekenler","tag-osteoporozun-belirtileri"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/posts\/446","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/comments?post=446"}],"version-history":[{"count":1,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/posts\/446\/revisions"}],"predecessor-version":[{"id":10773,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/posts\/446\/revisions\/10773"}],"wp:attachment":[{"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/media?parent=446"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/categories?post=446"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/turanuslu.net\/es\/wp-json\/wp\/v2\/tags?post=446"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}