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Specialists in Sun-good Hospital: It is osteoporosis that makes fracture easily happen for the old. While spring is the right time for calcium supplem
Addtime:2014-06-28 10:45:15 Hit:4394

"Why do old people is too easy to broke their bones?" Perhaps it is the same question for most aging people. Sun Rilin, specialist of orthopedics Department, says that it is all because of osteoporosis that makes this happen. Osteoporosis is a kind of disease that is doig harm to the whole world and affecting the quality of elder people's life. It is characterized by losing bones and degeneration of bones microstructure. Therefore, it is a systemic skeletal disease which makes facture easy to happen.



The specialist of Sun-good Hospital Sun Rilin says," With the aging of population in recent years, osteopporosis has been a serious public health problem. Women more than 50 years old and men more than 60 years old are have high risk of getting osteoporosis.

    Seriously lacking of female hormone is the main reason of osteoporosis. It can be devided into two kinds, including primary osteoporosis and secondary osteoporosis. Primary osteoporosis includes women menopause, endocrine disorders, nutritional factors, disuse factors, genetic factors, ethnic factors, such as smoking and excessive drinking. While secondary osteoporosis consists of kidney disease, diabetes, chronic gastroenteritis, chronic liver, thyroid metabolism, Cushing syndrome, menopause or ovariectomy and so on.  

In clinical,  osteoporosis is characterized by kyphosis, loss of height, limp back pain, limb or even the whole body pain, weakness, not discreet, limited mobility; particularly fond of sweating, diarrhea, cramps and easy, prone to fractures and other performance.

    Orthopedics specialist in Sun-good Sun Rilin says that treating osteoporosis requires triology.



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First step: calcium supplement in spring and bask in the sun.

Spring is the best time for calcium supplement. For spring comes after the winter, the elder have little out-door activity in winter, receiving the sunlight UV irradiation is obviously not enough and only depend on intaking our body's own calcium is difficult to meet our body's need. Besides, the elder 's metabolism becomes slow and digestive function weakens. So they need an increasing calcium requirements. Middled-aged people lost osteocalcin gradually. Women aged over 65 years old may lost 35%~50% of their osteocalcin while men may lost 30%~36%. Then, after lacking of calcium, the metabolic disorder of calcium that have comes subsequently is one of the main reason causing osteoporosis. Sun Rilin introduces that the sun can promote the absorption of calcium fully. Thus, the old have better go out to have some activities and bask in the sun. Spring sunlight is not very strong. In order to let the sun shine on you from your head to your feet, it will be better to not wear hats. Also, old people who suffer from "the old cold legs" should go out often to get rid of "the cold legs". For it not only can alleviate the leg cramps effectively, but also can accelerate the absorption of calcium of legs to let the legs have stronger bones and have a good prevention of osteoporosis.

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Second step: medicine and food for the supplement of vitamin D.

Vitamin D is essential in the prevention and treatment of osteoporosis. Without it, human can not absorb and utilize calcium. Normally, people need about 400 international units of vitamin D, which is equal to 100ml of milk, a multidimensional pill or sun bath of 30 to 60 minutes per week. But, overdose of vitamin D will do harm to our bodies. After vitamin D getting into the liver and a series of enzyme catalyzed reactions, it generates 1,25 (OH2) D active metabolites involved in bone metabolism. Rocalirol, also named as calcitriol, is one of the active metabolite of vitamin D. It not only can  promote intestinal calcium absorption, increase urinary calcium of distal convoluted renal tubular absorption, but also can active the osteoclasts for the  bone resorption and active the osteoblast for the bone formation.

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Third step: supplement of estrogen. After menopause, level of estrogen declines,  which results in bone loss and the bone begins to become brittle. Estrogen replacement therapy can prevent osteoporosis, reducing the fracture rate and menopausal symptoms, such as flushing, vaginal secretion reduced, irritability, insomnia and sweating, lower the level of blood cholesterol, so as to reduce the incidence of heart disease. Estrogen replacement can be oral,  injection or subcutaneous embedding method.  Estrogen replacement therapy can cause breast tenderness and fluid retention. Some wemen have  menstruation again, but cannot be pregnant. Some people worry about estrogen carcinogenesis, but if use progesterone in the treatment simultaneously, it can reduce the risk of cancer. For those people who already have osteoporosis, using calcitonin, two phosphate, sodium fluoridecan rapidly relieve pain and relieve the illness but it must be used under the doctor's guidance. In addition, people who have fracture must have more  surgical treatment to prevent complications.

Specialist Introduction:

Sun Rilin  http://www.sun-good.net/En/information.asp?id=144&ClassType=3


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神谷专家: 老人易骨折大部分是骨质疏松惹的祸,春天补钙正当时


   “人老了为什么稍一不留神就易发生骨折?”这是许多上了年纪的人共同的感受。神谷中医骨科专家孙日林说,这都是骨质疏松症惹的祸。骨质疏松症是当前全世界危害严重、严重影响了中老年人们生活质量的一类疾病。该病以骨量减少,骨微观结构退化为特征,极易发生骨折的一种全身性骨骼疾病。


神谷中医骨科专家孙日林说,近年来随着人口老龄化,骨质疏松症在我国已经构成了一个严重的公众健康问题。大于50岁的女性和大于60岁的男性是发生骨质疏松症的高危人群。


骨质疏松的主要原因为是雌性激严重素缺乏所致。骨质疏松可分为原发性骨质疏松和继发性骨质疏松两种。原发性骨质疏松如妇女绝经、内分泌紊乱、营养因素、废用因素、遗传因素、种族因素、吸烟和过量饮酒等;继发性骨质疏松:如肾病、糖尿病、慢性胃肠炎、慢性肝病、甲状腺功能代谢异常、库欣综合症、闭经或卵巢切除等。


骨质疏松在临床上以驼背、身高变矮;腰背酸软疼痛、肢体甚至周身骨痛;乏力、不能持重、活动受限;特别爱出汗、腹泻、易抽筋;易于发生骨折等表现为特征。

神谷中医骨科专家孙日林说,治疗骨质疏松需要三部曲

第一步春季补钙晒太阳

“春季是补钙的黄金季节。因为冬春季节相连,冬季里老人们户外活动一般都比较少,接受阳光紫外线照射明显不足,单纯靠体内摄入的钙难以满足身体的需要。加上老年人新陈代谢逐渐变缓,消化功能减弱,钙的需要量也相对增加。人过中年,骨钙就逐渐丢失,65岁以后女性可能丢失骨钙的35—50%,男性丢失30—36%。缺钙和随之产生的是钙的代谢紊乱,是造成骨质疏松的主要原因之一。孙日林介绍说,晒太阳能充分促进钙质的吸收。因此,建议老人们多外出活动晒太阳。春天阳光并没有那么强烈,外出晒太阳时最好不要戴帽子,让太阳充分的从头照到脚。 另外,患“老寒腿”的老人也应常出来晒晒,驱除双腿的寒气,不仅能有效缓解小腿抽筋,而且还能加速腿部钙质的吸收,让双腿骨骼更健壮,很好地预防骨质疏松的发生。

第二步药食同补维生素D

  维生素D在防治骨质疏松中必不可少。无维生素D,人体便不能吸收和利用钙,常人每日约需400国际单位的维生素D(相当于]100毫升牛奶,—片多维丸或每周30—60分钟的日光浴),过量的维生素D对人体有害。维生素D进入肝脏后,经过一系列羟化酶促反应,生成1,25(OH2)D等活性代谢产物参与骨代谢。罗钙全也称钙三醇,是维生素D活性代谢产物之一,不仅能促进肠道钙离子吸收,增加远曲肾小管对尿钙的重吸收,而且活化破骨细胞使骨吸收和活化成骨细胞促进骨形成。

第三步补雌激素

  绝经期后,雌激素水平下降,造成骨质丢失,使骨骼开始变脆,雌激素替代疗法能防治骨质疏松,降低骨折发生率;减少绝经期的症状,如潮红、阴道分泌减少、脾气暴躁、失眠和多汗等;降低血中胆固醇水平,从而减少心脏病的发生。雌激素替代方法可以口服、注射或皮下埋植法。雌激素替代法可引起乳房触痛和体液潴留。一些妇女可再次来月经,但不会怀孕。有人提心雌激素致癌,如在治疗中同时使用孕激素,可以减少癌的危险性。对已有典型骨质疏松者,选用降钙素、二磷酸盐、氟化钠等能迅速减轻疼痛,缓解病情,但需在医师指导下使用。对已发生骨折的病人,加强外科治疗,防止并发症。


专家介绍:

孙日林

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