Osteoporosis is the most common worldwide diseases of bones and he is known as the silent disease. The patient usually has no symptoms until they break down bone (fracture), ie, the person off and fall and fracture their forearms, is generally considered a failure, but it should be seen as a red flag to be screened for osteoporosis. ie, the person who breaks the bones in the spine (called vertebral fracture) will start back pain, but 75% of fractures of the spine clinically silent. This means that there is pain at first, but then the pain is reduced or may stop. The man who broke bones in the spine, usually begins to lose height. Loss of height can occur because, as the bones in the spine collapse (fracture) loss of height and / or hump may develop. Osteoporosis, if not diagnosed and left treated, can cause severe pain, loss of independence and can lead to premature death. Osteoporosis can be prevented and treated in most people, but people are usually not diagnosed until they had multiple fractures. Because osteoporosis is widely regarded as a condition that only affects older women, men are at a disadvantage because it is not considered as a diagnosis in men. As a result, they usually do not scan to determine whether they have osteoporosis. One in five men over age 50 will develop osteoporosis fractures during their lives. Up to 20% of symptomatic vertebral fractures and 30% of hip fractures occur in men, where they are associated with excess mortality, morbidity significant, possibly because concomitant diseases associated with osteoporosis, not to destroy itself. All countries with low trauma fractures of both sexes should be treated osteoporosis unless proven otherwise. Osteoporosis risk factor questionnaire to be filled, if any man has a low fracture injury. This destruction of the standing position or less. Examples: broken bone / in trip and fall, coughing, sneezing, perevertayuchys in bed. There is increased morbidity and mortality after all major fractures is higher in men than women. 20% of people aged 60 + who are hip fracture die within 6-12 months due to secondary complications of osteoporosis, which are blood clots, pneumonia or infection from associated beds. 50% of people aged 60 + who fracture a hip will no longer be able to dress, bathe and walk without assistance. Only 30% of people aged 60 + who fracture a hip will recover their independence. Men like women with symptoms of fractures of the spine, often complain of back pain, loss of height and kyphosis (hump on the back), but in men is much less energy, poorer sleep, more emotional problems and reduced mobility than the same age control group. The most common cause of osteoporosis is hypogonadism. (Lack of male hormone testosterone), it may be the result of a number of conditions, including abnormal chromosome, excessive stress, physical or psychological. Overtraining in athletes, especially those that need to maintain low body weight, usually associated with low testosterone and high levels of cortisol (which affects the bones) and low bone density. Dietary problems, low calorie intake, lack of calcium and vitamin D levels in the diet, also play a role. Alcohol abuse me. ie more than 21 units of alcohol a week for people, excessive consumption of caffeine, smoking and lack of exercise are also risk factors. Men with a family history of osteoporosis or a close relative with a history of low trauma hip fracture or fractures of the spine should be submitted for scanning DXA. Genetics is one of the strongest ties to treat osteoporosis, because bone is 80% genetic. Low fracture injury, which is a broken bone from a trip and fall should not be considered normal at any age if your bones are healthy, they will not break easily. Osteoporosis can occur as a result of a wide range of medical or surgical conditions or their treatment, these include the use of any of the following procedures:
corticosteroids, some anticonvulsant therapy (drug against epileptic) chronic warfarin or heparin, long-term lithium, increased prolactin Antipsychotic drugs, proton pump inhibitors, chemotherapy, radiation cancer, aromatase inhibitors, used in treating prostate cancer, or immunosuppressive drugs after organ transplants and certain diuretics (diuretics). There is also a higher risk of fracture of the hip joint of the conditions associated with increased risk of falls, such as stroke, Parkinson's disease, dementia, dizziness, blindness and alcoholism. Prospective study from Australia showed a higher risk of fracture of the hip joint in men with low bone density of the hip, quadriceps weakness (front thigh muscles), increased the influence of the body and the history of the fall of last year. It is recommended that anyone with one or more risk factors, regardless of age and gender, should consider DXA scanning as a silent disease, and so you will not know if you already have. If you have a DXA scan and you have a normal outcome, with risk factors for lifestyle than you can help prevent yourself from developing osteoporosis through lifestyle changes. If you have a DXA scan and the result shows that you have low bone density, you can take appropriate steps for its improvement. Diagnostic evaluation of patients with osteoporosis should be after the full application of risk factors, but generic lasix important, reason / s you can find and address, as well as osteoporosis. DXA scans of the spine and hip is the gold standard for measuring bone mineral density. Irish Society of osteoporosis do not recommend any kind of five scanning to diagnose osteoporosis. The risk of fracture is determined by risk factors and results of bone mineral density of spine and hip (IPC)
Again, all patients with fractures of the spine or low trauma fracture should be investigated in osteoporosis. Treatment of men with osteoporosis should receive life tips, how to reduce bone loss, including adequate intake of calories, calcium and vitamin D, 30 minutes of daily exercise appropriate bearing weight, giving up smoking and reduction of alcohol. If you have a history of falls, attempts should be directed at identifying and changing the main reasons and, in the hope that they can be modified and the risk of further falls and fractures decreased. Example: a pair of walking shoes to wear at home to provide maximum support. Open the back slippers or sandals are not recommended. All procedures should be appointed on an individual basis. Perhaps the main cause of secondary osteoporosis should be treated. Various blood tests and urine tests may be needed before the treatment of osteoporosis. If there is a significant reduction of male hormone in young patients, the treatment of male hormone replacement myself. E. Testosterone may be appropriate.
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