Menopoz d\u00f6nemi ciddi bir d\u00f6nemdir. Menopozdan sonra pek \u00e7ok kad\u0131nda osteoporoz ile sonu\u00e7lanabilen kemik kayb\u0131 geli\u015fir. Sa\u011fl\u0131kl\u0131 kemik yo\u011fun ve g\u00fc\u00e7l\u00fcd\u00fcr ve b\u00fcy\u00fck miktarda bas\u0131nca dayanabilir. Ancak, osteoporoz geli\u015fti\u011finde, kemikler incelir ve k\u0131r\u0131lgan bir hal al\u0131r ki bu kemiklerin k\u0131r\u0131lma olas\u0131l\u0131\u011f\u0131n\u0131 artt\u0131r\u0131r. Kemi\u011fe direncini veren maddeler \u00f6zellikler kalsiyumun kemikten uzakla\u015fmas\u0131 ile osteoporoz olu\u015fur.
\nEstrojen hormonun olmad\u0131\u011f\u0131 durumlarda kemik kayb\u0131 h\u0131zlan\u0131r ve menopozal d\u00f6nemde g\u00f6zlenen osteoporoz ortaya \u00e7\u0131kar. Menopozda hormon replasman tedavisi alan kad\u0131nlarda kemik erimesi daha az olmaktad\u0131r fakat dikkat edilmesi gereken nokta g\u00fcn\u00fcm\u00fczde ate\u015f basmas\u0131 gibi hi\u00e7bir menopozal \u015fikayeti olmayan kad\u0131nlara sadece kemik erimesini \u00f6nlemek amac\u0131yla \u00f6strojen yani hormon tedavisi \u00f6nerilmemektedir.
\nErken evrede osteoporoz fark edilebilecek nitelikte \u00e7ok az fiziksel de\u011fi\u015fikli\u011fe yol a\u00e7ar. Ancak, hastal\u0131k ilerledik\u00e7e \u00f6zellikle omurga, el bilekleri ve kal\u00e7a kemiklerinde basit travmalarla k\u0131r\u0131klar olu\u015fabilir. Kemik kayb\u0131 ki\u015fide a\u011fr\u0131lara, boy k\u0131salmas\u0131na, hareket k\u0131s\u0131tl\u0131l\u0131\u011f\u0131na ya da omurgan\u0131n e\u011frilmesine dahi (\u201ckocakar\u0131 kamburu\u201d olarak da bilinir) yol a\u00e7abilir.
\nOsteoporoz riskine katk\u0131da bulunabilecek di\u011fer etkenler:
\n– Sigara
\n– \u00c7ok fazla alkol t\u00fcketimi
\n– \u00c7ok az egzersiz, hareketsizlik
\n– \u00c7ok az kalsiyum al\u0131m\u0131 (\u015fimdi ya da \u00e7ocukluk \u00e7a\u011f\u0131nda)
\n– Steroidler (ast\u0131m ve artrit tedavisinde s\u0131k kullan\u0131l\u0131rlar) ve tiroid hormonu (\u00e7ok y\u00fcksek dozda) gibi belirli ila\u00e7lar\u0131n kullan\u0131m\u0131
\n– Erken menopoz (45 ya\u015f\u0131ndan \u00f6nce)
\n– Genetik fakt\u00f6rler
\nProf. Dr. Cansun Demir
\nKad\u0131n Hastal\u0131klar\u0131 \u2013 Do\u011fum ve Perinatoloji Uzman\u0131
\nKemik Mineral \u00d6l\u00e7\u00fcm Y\u00f6ntemlerine g\u00f6re:
\nNormal\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026..T-Score < -1 SD Osteopeni\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026.T-score \u20131, -2.5 SD Osteoporoz\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026..T-score> -2.5 SD ve k\u0131r\u0131k yok.
\nYerle\u015fik osteoporoz\u2026\u2026\u2026\u2026.. T-score > -2.5 SD ve k\u0131r\u0131k var.
\nTedavi:
\n\u0130la\u00e7 tedavisinde kemik y\u0131k\u0131m\u0131n\u0131 azaltanlar (kalsiyum, bifosfonatlar, raloksifen, kalsitonin ve hormon replasman tedavisi) ve kemik yap\u0131m\u0131n\u0131 artt\u0131ranlar (Flor, Paratiroid hormon, D vitamini) olmak \u00fczere \u00e7e\u015fitli ila\u00e7lar kullan\u0131l\u0131r.
\nTedavide beslenme, egzersiz, yeterli g\u00fcne\u015f \u0131\u015f\u0131n\u0131 alma, ya\u015fam \u015feklinin d\u00fczenlemesi de \u00f6nemlidir.
\nKorunmak i\u00e7in neler yapmal\u0131?
\n– Kalsiyum ve D vitamini y\u00f6n\u00fcnden yeterli beslenilmeli
\n– G\u00fcne\u015f \u0131\u015f\u0131nlar\u0131ndan yeterince yararlan\u0131lmal\u0131
\n– Bol hareket ve egzersiz yap\u0131lmal\u0131
\n– Sigara, alkol ve a\u015f\u0131r\u0131 kafein gibi k\u00f6t\u00fc al\u0131\u015fkanl\u0131klar\u0131nda osteoporozu art\u0131r\u0131c\u0131 etkenlerden uzak durmal\u0131
\nPostmenapozal Hormon Tedavisine Alternatif Tedavi Se\u00e7enekleri:
\nMenapoz d\u00f6neminde \u00f6strojen de\u011ferleri d\u00fc\u015ferek s\u0131cak basmas\u0131 gibi bilinen belirtilere neden olabilir.
\nHormon Replasman Tedavisi (HRT) ki\u015finin menapoz sonras\u0131 \u00f6strojen veya \u00f6strojen + progesteron kullanmas\u0131d\u0131r. HRT bu d\u00f6nemdeki semptomlar i\u00e7in en etkili y\u00f6ntemdir ve osteoporozun \u00f6nlenmesine yard\u0131mc\u0131 olur.
\nHormon replasman\u0131n\u0131n kullan\u0131lamad\u0131\u011f\u0131 durumlarda s\u0131k\u00e7a kullan\u0131lan alternatif tedavi se\u00e7enekleri vard\u0131r:
\nS\u0131cak Basmalar\u0131 \u0130\u00e7in:
\nAntidepresanlar
\nActea racemosa yumru k\u00f6kleri ( Klimadynon)
\nKaray\u0131lan Otu (Black Cohosh)
\nBelladon- Ergotamin-Fenobarbital (Bellergal draje)
\nMelissa otu
\nKlonidin
\nSSRI
\nFito\u00f6strojenler
\nBu ila\u00e7lar\u0131n yan etkileri olabilmektedir. Ancak doktorun \u00f6nerdi\u011fi \u015fekilde kullan\u0131lmal\u0131d\u0131r.
\nVajinal Kuruluk \u0130\u00e7in:
\nVajinal \u00d6strojenler: \u00d6strojenli kremler veya vajinal tabletler kandaki \u00f6strojen d\u00fczeyini art\u0131rmadan vajenin do\u011fall\u0131\u011f\u0131n\u0131 korurlar, kuruluk yanma gibi \u015fikayetleri ortadan kald\u0131rabilirler.
\nBunun d\u0131\u015f\u0131nda kayganla\u015ft\u0131r\u0131c\u0131 jeller de ili\u015fkiden \u00f6nce kullan\u0131labilir.<\/p>\n

<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Menopoz…<\/p>\n","protected":false},"author":1,"featured_media":6449,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1523,1576],"tags":[3488,407,411,153],"_links":{"self":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/6446"}],"collection":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/comments?post=6446"}],"version-history":[{"count":0,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/6446\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media\/6449"}],"wp:attachment":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media?parent=6446"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/categories?post=6446"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/tags?post=6446"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}