Current treatment of osteoporosis

Current treatment of osteoporosis is caused by various reasons 2010-12-24 20:17 bone metabolism disorders, mainly for the reduction of bone mass per unit volume, the organic component of bone matrix and calcium were reduced calm , but the basic structure can remain the same. clinical manifestations were bone pain and fractures, X-ray performances are cortical thinning and reduced trabecular bone characteristics.

1) cause of treatment: ① Vitamin D and calcium deficiency, calcium and the right type of vitamin D; ② renal acidosis, sodium bicarbonate, sodium citrate correct acidosis; ③ primary hyperparathyroidism, parathyroid lesions removed; ④ multiple myeloma, the appropriate chemotherapy.

2) symptomatic treatment: in postmenopausal and senile, treatment is mainly symptomatic. hormone treatment: on older women, estrogen replacement therapy methods can control; calcium Supplementary: normal daily needs of calcium 10 mg / kg body weight, 17 mg of calcium per day to be / kg body weight, in order to maintain calcium balance, may be supplemented from the diet, such as chicken soup, volleyball slip soup, milk, shrimp, tofu , vegetables and other foods are rich in calcium, calcium can also be used nightly before bedtime calcium 1; Vitamin D: on a simple invalid, if accompanied by osteomalacia, may increase with vitamin D, both with the calcium , sex hormone combination; inorganic phosphate: it can improve after fracture; calcitonin: It inhibits osteoclast activity, slow decomposition of bone metabolism, reduce blood calcium, to stimulate new bone formation; pain treatment: Pain drugs, calcitonin, etc..

3) inhibition of elevated bone turnover treatment: used estrogen, calcitonin, three kinds of amino-bisphosphonate drugs inhibit bone resorption. postmenopausal estrogen for After the disease; calcitonin for patients, including those of bone turnover rate; amino-bisphosphonates for postmenopausal patients, older men, long-term glucocorticoids are medicinal.

4) inhibition secondary hyperparathyroidism treatment: mainly supply the appropriate amount of calcium and vitamin D to correct hypocalcemia. add at least 800 milligrams per day of elemental calcium, vitamin D 400 units a day for adults, the elderly 600 per day units, persons with poor kidney function of alpha hydroxylation D. 0.25 to 0.5 micrograms per day.

5) physical therapy: physical therapy, many different types, such as FM, infrared, medicine and other ions through the people, to promote muscle fascia and other soft tissue absorption of aseptic inflammation, ease muscle tension, eliminating the pain. physiotherapy for low back syndrome or other bit of pain occurs in patients.

6) Integrated treatment: no current disease an effect of treatment, must adhere to the comprehensive treatment, it may be effective in improving bone metabolism, decrease bone loss or increase bone mass, alleviate and reduce the clinical symptoms. modern medical treatment of symptomatic common method of synthesis of 6 kinds: drug therapy, exercise therapy, physical therapy, nutritional therapy, surgical therapy, the hook live surgery therapy.

7) in elderly patients with kidney and bone health can be traditional Chinese medicine; such as XLGB, strong capsule and so on.