Secondary osteoporosis
Dr. Hanan Al Rais *
That osteoporosis is an important health threat affects 50% of Saudis aged 50 and above those about 80% were women.
There are several medical problems associated with debilitating bone and increase the risk of fractures. And to distribute those reasons varies according to demographic groups.
Secondary
causes are in bone are men of 30-60% of cases of male hormone
deficiency and the use of cortisone (ghlokostirued) and alcoholism is
the most common cause.
When
women stop menstrual age, 50% of cases are associated with secondary
causes the most common lack of estrogen or use cortisone or thyroid
hormone, treatment with anticonvulsants (epilepsy).
Secondary
causes of osteoporosis: the use of cortisone is the most common cause
of bone weakness resulting from the use of medication.
Accompanied
by the use of alkortisonat for a long time in patients with rheumatoid
arthritis and COPD patients with a high percentage of fractures.
For
example in one study addressed a group of patients with 10 milligrams
neeson mail for twenty weeks, were lack of 8% of bone mineral density in
the spine.
Studies
have shown that a patient uses an oral dose of alghlokokortikuedat
(kalbridnison) of 5 milligram or more for more than three months at risk
of bone loss. and alghlokokrortiaedat are currently used to treat
chronic inflammatory diseases many children and adults & the bone
alatharalganbet for this treatment you need to keep in mind if I need
treatment for long periods.
We
do not know clearly what are the long-term effects on bone health
resulting from intermittent treatment periods of systemic steroids or
chronic use the inhalation steroids prescribed for asthma.
In
addition to corticosteroids the following medications may have side
effects harmful to bone up for osteoporosis: thyroid hormones
alzaedhmdadat anticonvulsants (epilepsy) antacids containing aluminium
liberated llghonadotrobine hormones used to treat endometriosis
(alandomtrioss) almitotrixat used to treat rheumatoid arthritis
(Rheumatoid) plus some chemical treatments for cancers Cyclosporine as a
factor to discourage immune heparin (blood liquefacient) which is used
for treatment of diseases of the blood clot.
Alkolistramine
used to control blood cholesterol level diseases that may cause
secondary osteoporosis: digestive diseases and malabsorption (including
cystic fibrosis and chronic inflammatory bowel disease and abdominal
disease "Celik"), chronic renal failure, increased thyroid activity,
increase the activity of the thyroid, parathyroid glands disease
rheumatoid arthritis (Rheumatoid), a psychiatric disorder that leads to
appetite and irregular eating, anorexia nervosa, koshangvaza you suffer
from any of these cases, your risk of developing osteoporosis may
increase.
Prevention
and treatment: there are several ways for prevention and treatment of
secondary osteoporosis of early diagnosis and treatment of diseases
previously mentioned and osteoporosis, as well as the adequate intake of
calcium and vitamin d. that non-pharmacological treatment posts such as
aerobic exercise that increases strength and balance (Calgary and
style) are necessary for strengthening and maintenance of bone, the
patient needs medication causing vulnerability such as cortisone
periodic tests, bone density and consult a doctor for appropriate
action.
* Rheumatologists and internal diseases Advisory Board member of the society of osteoporosis
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