Ortopedi ve Travmatoloji uzman\u0131 Op. Dr. Serdar Alfidan, “D Vitamini yeterli miktarda al\u0131nmal\u0131d\u0131r. Kollar ve bacaklar\u0131n a\u00e7\u0131kta kald\u0131\u011f\u0131 g\u00fcnl\u00fck yar\u0131m saatlik g\u00fcne\u015flenme yeterlidir. Sa\u011fl\u0131kl\u0131 kemik geli\u015fimi i\u00e7in d\u00fczenli spor ve fiziksel aktiviteler mutlaka yap\u0131lmal\u0131d\u0131r. T\u00fcm ya\u015f gruplar\u0131nda alkol ve sigara kullan\u0131m\u0131ndan uzak durulmal\u0131d\u0131r” dedi.<\/p>\n
Osteoporozun d\u00fc\u015f\u00fck kemik k\u00fctlesi ve kemik dokusunun mikromimari yap\u0131s\u0131n\u0131n bozulmas\u0131 ile olu\u015ftu\u011funu ve b\u00f6ylece kemik k\u0131r\u0131lganl\u0131\u011f\u0131nda ve k\u0131r\u0131\u011fa yatk\u0131nl\u0131kta art\u0131\u015f g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc ifade eden Memorial Antalya Hastanesi Ortopedi ve Travmatoloji uzman\u0131 Op. Dr. Serdar AlfidanAlfidan, “Osteoporoz tan\u0131s\u0131 i\u00e7in k\u0131r\u0131k varl\u0131\u011f\u0131 gerekmiyor. Osteoporozda gerekli korunma tedbirlerinin al\u0131nmas\u0131, hastal\u0131\u011f\u0131n erken te\u015fhis edilmesi ve do\u011fru tedavinin uygulanmas\u0131 kritik rol oynuyor. Hastal\u0131\u011f\u0131n ileri safhalar\u0131nda g\u00f6r\u00fclen kemik k\u0131r\u0131klar\u0131 hastan\u0131n ya\u015fam\u0131n\u0131 tehdit edebilecek sorunlara yol a\u00e7abildi\u011fi gibi sosyal g\u00fcvenlik sistemi \u00fczerinde de ciddi bir y\u00fck olu\u015fturabiliyor. Kemik dokusu, insan ya\u015fam\u0131 boyunca s\u00fcrekli devam eden yap\u0131lanma ve yeniden yap\u0131lanma olarak isimlendirilen iki farkl\u0131 d\u00f6ng\u00fcy\u00fc i\u00e7erir. Kemik dokusu art\u0131\u015f\u0131 ve b\u00fcy\u00fcmeyle karakterize yap\u0131lanma safhas\u0131 \u00e7ocukluk d\u00f6neminin bir \u00f6zelli\u011fidir. Eri\u015fkinlik d\u00f6neminde g\u00f6r\u00fclen yeniden yap\u0131lanma ise mekanik a\u00e7\u0131dan yetersizle\u015fen kemi\u011fin ortadan kald\u0131r\u0131l\u0131p yerine yeni g\u00fc\u00e7l\u00fc kemi\u011fin olu\u015fturulmas\u0131d\u0131r. Bu d\u00f6ng\u00fcsel i\u015flem eri\u015fkin insanda kemik y\u0131k\u0131m\u0131 ile ba\u015flar, yap\u0131m\u0131 ile sonlan\u0131r ve ortalama 3-12 ay s\u00fcren bir d\u00f6ng\u00fcd\u00fcr. Bu d\u00f6ng\u00fcn\u00fcn h\u0131z\u0131 paratiroid hormon (PTH) , tiroksin, b\u00fcy\u00fcme hormonu ve D Vitamini ile artt\u0131r\u0131labilir ayr\u0131ca kalsitonin, \u00f6strojen ve glukokortikoid hormonlar\u0131 ile azalt\u0131labilir” diye belirtti.<\/p>\n
“Koruyucu tedavileri ihmal etmeyin”<\/p>\n
35 ya\u015f\u0131ndan sonra kemik k\u00fctlesinin azalmaya ba\u015flad\u0131\u011f\u0131n\u0131 ve bu azal\u0131\u015f\u0131n 85-90 ya\u015flar\u0131na kadar devam etti\u011fini aktaran Alfidan, “Ya\u015fam boyunca kaybedilen kemik miktar\u0131 erkeklerde y\u00fczde 20-30, kad\u0131nlarda ise y\u00fczde 45-50 civar\u0131ndad\u0131r. Kad\u0131nlarda menopoza ba\u011fl\u0131 \u00f6strojen yetersizli\u011fi kemik kayb\u0131na neden olan en \u00f6nemli fakt\u00f6rd\u00fcr. \u00d6strojen azal\u0131m\u0131 kemik y\u0131k\u0131m faz\u0131n\u0131 artt\u0131r\u0131r. Kemik koruyucu bir hormon olan kalsitonin sal\u0131n\u0131m\u0131 azalt\u0131r ayr\u0131ca kalsiyum metabolizmas\u0131n\u0131 bozar. Kad\u0131nlarda koruyucu ve destekleyici tedaviler b\u00fcy\u00fck \u00f6nem ta\u015f\u0131maktad\u0131r. Osteoporozda s\u0131rt ve bel a\u011fr\u0131s\u0131 gibi \u015fikayetlerin yan\u0131 s\u0131ra boyda k\u0131salma, omurgada olu\u015fan \u015fekil bozukluklar\u0131 ve k\u0131r\u0131klar gibi klinik bulgularla da tan\u0131 konulabilmektedir. \u00d6zellikle 65 ya\u015f \u00fczeri beyaz tenli, osteoporoz aile \u00f6yk\u00fcs\u00fc olan, erken menopoza girmi\u015f, hareketsiz ya\u015fam s\u00fcrd\u00fcren kad\u0131nlar risk grubundad\u0131r. Osteoporoz tan\u0131s\u0131 kemik mineral yo\u011funlu\u011fu \u00f6l\u00e7\u00fcm\u00fc (DEXA) ile belirlenir. Bu y\u00f6ntem \u00f6zellikle 65 ya\u015f \u00fczerindeki kad\u0131nlar, 65 ya\u015f alt\u0131nda olan ancak risk fakt\u00f6rlerine sahip postmenopozal kad\u0131nlar, erken menopoz ge\u00e7irenler, min\u00f6r travma ile olu\u015fan k\u0131r\u0131k ge\u00e7irmi\u015f ki\u015filer, 70 ya\u015f \u00fczerindeki erkekler ve kemik yo\u011funlu\u011funu azaltan ila\u00e7 kullanan bireylere uygulanmal\u0131d\u0131r” ifadelerinde bulundu.<\/p>\n
“Osteoporozda koruyucu \u00f6nlemler \u00fc\u00e7e ayr\u0131l\u0131yor”<\/p>\n
“Osteoporoz tedavisinin en \u00f6nemli k\u0131sm\u0131n\u0131 osteoporoz olu\u015fma riskini azaltan koruyucu \u00f6nlemler olu\u015fturur” diyen Alfidan, “Birincil korunmada \u00e7ocukluktan itibaren d\u00fczenli ve kalsiyum a\u00e7\u0131s\u0131ndan zengin beslenme al\u0131\u015fkanl\u0131\u011f\u0131n\u0131n kazand\u0131r\u0131lmas\u0131, d\u00fczenli spor yapma, g\u00fcne\u015flenme k\u00fclt\u00fcr\u00fcn\u00fcn yerle\u015ftirilmesi \u00e7ok \u00f6nemlidir. \u0130lerleyen ya\u015flarda ise sigara ve alkolden uzak durulmas\u0131, d\u00fczg\u00fcn adet g\u00f6r\u00fclmesinin ve \u00fcreme fonksiyonlar\u0131n\u0131n d\u00fczenlili\u011finin sa\u011flanmas\u0131 gereklidir. \u0130kincil korunma; osteoporozun erken tan\u0131nmas\u0131, osteoporoz geli\u015fen hastalarda uygun tedavinin sa\u011flanmas\u0131 ve k\u0131r\u0131k olu\u015fumunun \u00f6nlenmesidir. \u00dc\u00e7\u00fcnc\u00fcl korunma da ise k\u0131r\u0131k geli\u015fen hastalar\u0131n bu durumu minimum zararla atlatmas\u0131, komplikasyon olu\u015fumunun \u00f6nlenmesi ve ya\u015fam kalitesinin artt\u0131r\u0131lmas\u0131 ama\u00e7lan\u0131r” diye konu\u015ftu.<\/p>\n
“Kalsiyum al\u0131m\u0131na dikkat”<\/p>\n
Osteoporozdan korunmak i\u00e7in \u00f6neriler payla\u015fan Alfidan, her ya\u015f grubunda yeterli kalsiyum al\u0131m\u0131na dikkat edilmesi gerekti\u011finin alt\u0131n\u0131 \u00e7izerek, “20\u2019li ya\u015flardan itibaren g\u00fcnde 1000-1200 mg kalsiyum al\u0131m\u0131 \u00f6nerilmektedir. Bu, g\u00fcnde 5 su barda\u011f\u0131 s\u00fct veya s\u00fct grubuna denk gelmektedir. D Vitamini yeterli miktarda al\u0131nmal\u0131d\u0131r. Kollar ve bacaklar\u0131n a\u00e7\u0131kta kald\u0131\u011f\u0131 g\u00fcnl\u00fck yar\u0131m saatlik g\u00fcne\u015flenme yeterlidir. Sa\u011fl\u0131kl\u0131 kemik geli\u015fimi i\u00e7in d\u00fczenli spor ve fiziksel aktiviteler mutlaka yap\u0131lmal\u0131d\u0131r. T\u00fcm ya\u015f gruplar\u0131nda alkol ve sigara kullan\u0131m\u0131ndan uzak durulmal\u0131d\u0131r. Ya\u015fl\u0131lar i\u00e7in ya\u015fam alanlar\u0131nda d\u00fc\u015fme riskini azaltacak \u00f6nlemler al\u0131nmal\u0131d\u0131r. Yap\u0131lan DEXA de\u011ferlendirmesi sonras\u0131 doktorun verdi\u011fi uygun kemik y\u0131k\u0131m\u0131n\u0131 azalt\u0131c\u0131 ila\u00e7 tedavileri ve kalsiyum – D Vitamini takviyeleri eksiksiz kullan\u0131lmal\u0131d\u0131r” dedi.<\/p>\n","protected":false},"excerpt":{"rendered":"
ORTOPED\u0130 VE TRAVMATOLOJ\u0130 B\u00d6L\u00dcM\u00dc\u2019NDEN OP. DR. SERDAR ALF\u0130DAN, “D V\u0130TAM\u0130N\u0130 YETERL\u0130 M\u0130KTARDA ALINMALIDIR. KOLLAR VE BACAKLARIN A\u00c7IKTA KALDI\u011eI G\u00dcNL\u00dcK YARIM SAATL\u0130K G\u00dcNE\u015eLENME YETERL\u0130D\u0130R. SA\u011eLIKLI KEM\u0130K GEL\u0130\u015e\u0130M\u0130 \u0130\u00c7\u0130N D\u00dcZENL\u0130 SPOR VE F\u0130Z\u0130KSEL AKT\u0130V\u0130TELER MUTLAKA YAPILMALIDIR. T\u00dcM YA\u015e GRUPLARINDA ALKOL VE S\u0130GARA KULLANIMINDAN UZAK DURULMALIDIR” DED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":216822,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[44,4925,11154,42143],"class_list":["post-216821","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-icin","tag-korunmak","tag-oneri","tag-osteoporozdan"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/10\/osteoporozdan-korunmak-icin-6-oneri_7b63637.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-Up7","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/216821","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/comments?post=216821"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/216821\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/216822"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=216821"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=216821"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=216821"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}