Fibromialgie en osteoporose

Baie fibromialgie-pasiënte wil weet of hulle ook osteoporose het en vra gereeld om ‘n beendigtheid of die bepaling van vitamien D. -vlakke, terwyl baie ander al behandel word met kalsiumaanvullings, vitamien D of selfs meer spesifieke middels vir die behandeling van osteoporose.

Ek wil graag enkele aspekte met betrekking tot hierdie siekte toelig sodat dit nie nog ‘n rede tot kommer vir vroue met fibromialgie word nie.

Die verlies aan beenmassa (wat gemeet word deur densitometrie) kom gedurende die hele lewe stadig voor, maar wanneer die vrou die menopouse bereik, dra die skielike daling in hormone by tot ‘n versnelling van hierdie verlies. Die probleme wat veroorsaak word deur osteoporose (frakture), verskyn egter baie later, ongeveer 70 jaar oud.

Dit beteken dat daar tussen die menopouse en die aanvang van osteoporose ‘n tydperk van ongeveer 25 jaar is waar voorkomende behandeling gedoen kan word om beenbreuke te vermy, en dit is juis gedurende hierdie tyd dat al die maatreëls wat in werking gestel moet word, geïmplementeer moet word. dit verminder beenverlies.

Ons weet dus dat tabak en alkohol twee toksiese faktore is wat nou verband hou met die ontwikkeling van osteoporose, dus moet dit heeltemal uitgeskakel word.

Gereelde liggaamlike oefening hou die beenmassa in die beste moontlike omstandighede, en dit word een van die beste maatreëls om osteoporose te voorkom.

Wat die dieet en kalsiuminname betref, gaan ons terug om oor ons Mediterreense dieet te praat, omdat ons weet dat dit voldoende hoeveelhede kalsium en vitamien D lewer, veral deur melk, kase en melkderivate, wat aanvullings van kalsium en vitamiene.

In Spanje is dit maklik om te son, en ons weet dat dit help om vitamien D te sintetiseer, daarom is dit raadsaam om dit veral op die tye van die jaar met minder lig te doen. Soos met ander dinge, moet gesonde verstand goed toegepas word, sodat hierdie maatreël nie ‘n nuwe probleem word as dit nie op die regte manier gedoen word nie.

Tot dusver het geneesmiddels wat kalsium- en vitamien D-aanvullings bevat, nie doeltreffend getoon om osteoporose te voorkom nie, en aan die ander kant word daar verkies om te vermy verskeie newe-effekte wat die verbruik daarvan inhou. Daarom is dit raadsaam om kalsium en vitamien D uit natuurlike bronne te verkry.

Wat die meer spesifieke medisyne vir die behandeling van osteoporose betref, moet opgemerk word dat dit die beenmassa in die algemeen nie te veel verbeter nie, maar dat dit in die beste gevalle eerder verlies voorkom. Hierdie middels is egter nie vry van newe-effekte nie, en daarom sal dit slegs vir ongeveer vyf jaar aanbeveel word en daarna opgeskort moet word.

Daarom, as ons met hierdie behandelings begin voordat osteoporose reeds ‘n beduidende risiko vir fraktuur het, sal ons geen voordeel vir die pasiënt behaal nie, en wat erger is, sal ons dit moet opskort en die toekomstige gebruik daarvan beperk as gevolg van moontlike gevolge. gepaardgaande sekondêre.

Beendigtheid meet slegs sekere inligting oor hoe die beenmassa is, maar laat nie die risiko van breuk op sigself bereken nie. Die ander risikofaktore wat ons hierbo bespreek het, is baie meer relevant om te voorspel of ‘n pasiënt ‘n groter of minder risiko het om ‘n fraktuur te hê. Dit word egter aanbeveel om vanaf 65 jaar ‘n digitometrie uit te voer om te weet hoe die pasiënt op daardie oomblik is en om te weet hoeveel hy op die ander maatreëls moet aandring.

Vitamien D-vlakke word nie gebruik om die graad van osteoporose of die risiko van fraktuur te bereken nie, daarom is dit nie veel sinvol om dit te doen nie.

Soos ons aan die begin genoem het, moet ‘n vrou met fibromialgie wat die menopouse bereik, nie bekommerd wees oor osteoporose nie. U moet baie duidelik wees dat u nog 25 jaar voorlê om te sorg dat osteoporose in u toekoms nie ‘n probleem word nie deur alles wat ons in hierdie artikel bespreek het, reg te stel en te implementeer.

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235 thoughts on “Fibromialgie en osteoporose”

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