About Steoporoz - A disease associated with thinning of the bones: they lose strength and can break easily. The disease, which occurs almost always without symptoms, called "silent epidemic of the century" or "silent killer." Its consequences are severe - fractures of the spine, femoral neck and radius. Every moment in Russia there is 17 fractures of the peripheral skeleton, 7 vertebral fractures caused by osteoporosis. Every 5 minutes - hip fracture.
Now osteoporosis delivered over 14 million. Russians - that is, every tenth compatriot. But, according to expert estimates, the real figure is closer to 34 million. According to the Russian Association for osteoporosis, the disease is diagnosed in one in three women and one in five men after 50 years. A bone fractures - 24% of women and 13% of elderly men living in urban areas. And often only after fractures people learn on their existing osteoporosis.
- Fractures in this disease can be obtained even when falling from his own height, shaking in the car, coughing or even "out of the blue" without injury - says the president of the Russian Association for osteoporosis, Professor Olga Lesniak.
There are two types of osteoporosis: primary and secondary. Primary (85%) are common in the elderly. With age, there is an infringement of bone tissue structure: a picture of the patient can be seen that his bones seemed riddled with worms. Most of all, osteoporosis affects women, and more often after menopause: at the age of 50-70 years is a disease in women occurs in 6 times more often than men. Secondary osteoporosis occurs against a background of ongoing disease, such as rheumatoid arthritis, thyroid diseases, blood, kidney or reception of several drugs.
But lately, the disease rapidly "younger" began to identify cases of primary juvenile osteoporosis. The reason - a way of life. Smoking, alcohol abuse, lack of calcium in the diet, lack of exercise increases the risk and accelerate the process of developing the disease. In addition, osteoporosis can be inherited. Detected and geographical dependence: Europeans and Asians suffer from them more often than blacks. After all, residents of the southern countries do not lack of vitamin D, necessary for the absorption of the main building material of bones - calcium.
According to statistics, after a hip fracture die before half of the patients, one in three survived until the end of days is confined to bed, and another one in three dies within a year after the fracture. In Russia - the extremely low activity in surgical hip fracture: only 33-40% of patients hospitalized and only 13% are operated. And without surgery femoral neck never heals, and often a person becomes confined to a wheelchair. This situation is a major concern among physicians.
Now osteoporosis delivered over 14 million. Russians - that is, every tenth compatriot. But, according to expert estimates, the real figure is closer to 34 million. According to the Russian Association for osteoporosis, the disease is diagnosed in one in three women and one in five men after 50 years. A bone fractures - 24% of women and 13% of elderly men living in urban areas. And often only after fractures people learn on their existing osteoporosis.
- Fractures in this disease can be obtained even when falling from his own height, shaking in the car, coughing or even "out of the blue" without injury - says the president of the Russian Association for osteoporosis, Professor Olga Lesniak.
There are two types of osteoporosis: primary and secondary. Primary (85%) are common in the elderly. With age, there is an infringement of bone tissue structure: a picture of the patient can be seen that his bones seemed riddled with worms. Most of all, osteoporosis affects women, and more often after menopause: at the age of 50-70 years is a disease in women occurs in 6 times more often than men. Secondary osteoporosis occurs against a background of ongoing disease, such as rheumatoid arthritis, thyroid diseases, blood, kidney or reception of several drugs.
But lately, the disease rapidly "younger" began to identify cases of primary juvenile osteoporosis. The reason - a way of life. Smoking, alcohol abuse, lack of calcium in the diet, lack of exercise increases the risk and accelerate the process of developing the disease. In addition, osteoporosis can be inherited. Detected and geographical dependence: Europeans and Asians suffer from them more often than blacks. After all, residents of the southern countries do not lack of vitamin D, necessary for the absorption of the main building material of bones - calcium.
According to statistics, after a hip fracture die before half of the patients, one in three survived until the end of days is confined to bed, and another one in three dies within a year after the fracture. In Russia - the extremely low activity in surgical hip fracture: only 33-40% of patients hospitalized and only 13% are operated. And without surgery femoral neck never heals, and often a person becomes confined to a wheelchair. This situation is a major concern among physicians.
- The quota allocated by the State for the operation of arthroplasty, is about $ 4,000, the amount of total quota of 14 000, whereas hip fractures - about 100,000 a year. If operated on all fractures, would have to spend more than $ 537 million. Dollars per year. And given the growth forecast for hip fractures only in connection with the aging of the population by 23% by 2030, it becomes clear that the budget for such a load can not cope - says Professor Lesniak.
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| Fractures Are The Scourge Of Our Time |
How To Protect Yourself?
Doctors believe that the Russians need early diagnosis of the disease, when there is an opportunity to start preventive treatment and reduce the risk of fractures. Diagnose in the early stages allows research on densitometer (device diagnostics mineralization of bone density). In the capital's hospitals pass it is not difficult: Moscow accounts for half of the 167 X-ray densitometers that are in the country. But most people do not even know about this kind of survey, and district doctors without complaint is not directed at him. If the person is diagnosed early (under the so-called osteopenia), he has every chance to live a long healthy life.
Today in Russia, in contrast to most countries of the world do not have regulations involving as the standard surgical treatment of hip fracture in the first days after the injury. Specialists believe that osteoporosis is time to recognize the socially significant disease and its diagnosis and treatment included in the program of state guarantees of free medical care. Health centers do not focus on the prevention of the disease and its diagnostic devices for there is simply no.
Long-term treatment of osteoporosis, but not complicated. The main thing - to move a lot, get calcium and vitamin D, as well as drugs that strengthen the bone - bisphosphonates. In Russia has registered about 50 official osteoporosis treatment centers. There is equipment and specialists. Also, the treatment of osteoporosis can be engaged rheumatologists, endocrinologists in clinics in the community.
To prevent the disease, doctors advised to eat calcium-rich foods: dairy (cheese, cottage cheese, yogurt), dried fruits, fish (sardines and salmon), sesame seeds. But calcium is well absorbed only when sufficient supply of vitamin D, which doctors advise reception not only children but also adults. For the prevention and help moderate exercise. Scientists have found that women who regularly engage in certain sports (dancing, aerobics, jogging, walking), even in postmenopausal women retained a high bone density. The sooner you start preventing the disease, the more effective it will be: because the more bone mass you have dialed up to 30 years, the later comes its critical loss in the elderly.
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