Osteoporoz kad\u0131nlar\u0131n ya\u015fad\u0131\u011f\u0131 kabuslardan biridir. Risk fakt\u00f6rleri, maj\u00f6r ve min\u00f6r olmak \u00fczere iki ba\u015fl\u0131k alt\u0131nda toplan\u0131yor. Maj\u00f6r risk fakt\u00f6rleri aras\u0131nda en \u00e7ok d\u00fc\u015f\u00fck kemik yo\u011funlu\u011fu g\u00f6r\u00fcl\u00fcyor. Bu nedenle menopoz ya\u015f\u0131 olarak kabul edilen 45-50 ya\u015flar\u0131nda mutlaka bir kez kemik yo\u011funlu\u011fu \u00f6l\u00e7\u00fcm\u00fc yapt\u0131r\u0131lmas\u0131 gerekiyor.
\nRisk fakt\u00f6rleri de\u011ferlendirildikten sonra bu \u00f6l\u00e7\u00fcmlerin ne s\u0131kl\u0131kta tekrarlanaca\u011f\u0131n\u0131n hekim taraf\u0131ndan belirlenmesi gerekiyor. Genellikle bizim tercihimiz 1 y\u0131ld\u0131r. Ama 2 y\u0131lda bir tekrarlamak da olduk\u00e7a yayg\u0131n. Asl\u0131nda ilk y\u0131l ve daha sonraki y\u0131llarda elde edilen sonu\u00e7lar ka\u00e7 y\u0131lda bir tekrarlanmas\u0131 gerekti\u011fini ortaya koyuyor.
\nBir di\u011fer risk fakt\u00f6r\u00fc de ya\u015f. Kemik yo\u011funlu\u011fu ayn\u0131 olan biri 50, di\u011feri 80 ya\u015f\u0131ndaki iki hastan\u0131n k\u0131r\u0131\u011fa maruz kalma riski birbirinden \u00e7ok farkl\u0131d\u0131r. \u00c7\u00fcnk\u00fc ya\u015fla birlikte kemik kalitesi de bozulur. Kalitenin bozulmas\u0131, yo\u011funluk ne olursa olsun k\u0131r\u0131k riskini art\u0131rmaktad\u0131r. Ge\u00e7mi\u015fteki bilgilerimizin aksine, k\u0131r\u0131k riskini de\u011ferlendirirken art\u0131k sadece kemik yo\u011funlu\u011funa de\u011fil, kemi\u011fin mikromimari yap\u0131s\u0131 ve kalitesine de bak\u0131yoruz.
\nDaha \u00f6nce ge\u00e7irilmi\u015f olan k\u0131r\u0131klar, k\u0131r\u0131k riskini art\u0131r\u0131r. E\u011fer hastan\u0131n ge\u00e7mi\u015finde bir omur k\u0131r\u0131\u011f\u0131 varsa, 1 y\u0131l i\u00e7inde yeni bir omur k\u0131r\u0131\u011f\u0131 olu\u015fma riskinin 5 kat, kal\u00e7a k\u0131r\u0131\u011f\u0131 riskinin ise 3 y\u0131l i\u00e7inde 2 kat artt\u0131\u011f\u0131n\u0131 s\u00f6ylemek m\u00fcmk\u00fcn. Anne, k\u0131z karde\u015f ya da teyzelerde ge\u00e7irilmi\u015f bir k\u0131r\u0131k hikayesi varsa, yeni bir k\u0131r\u0131k ge\u00e7irme riski 1 y\u0131l i\u00e7inde 1.5 ile 2 kat aras\u0131nda art\u0131yor.<\/p>\n

Min\u00f6r risk fakt\u00f6rleri neler?
\nOsteoporozun min\u00f6r risk fakt\u00f6rlerinin ba\u015f\u0131nda ise cinsiyet yer al\u0131yor. \u00c7\u00fcnk\u00fc her 5 k\u0131r\u0131ktan 4`\u00fc kad\u0131nlarda g\u00f6r\u00fcl\u00fcyor. Beyazlar\u0131n k\u0131r\u0131k riski ise Afrikal\u0131 kad\u0131nlara oranla \u00e7ok daha y\u00fcksek. G\u00fcn\u00fcm\u00fczde genetik \u00f6zelliklerin de kemik yap\u0131s\u0131n\u0131 y\u00fczde 70 ile 80 oran\u0131nda etkiledi\u011fi d\u00fc\u015f\u00fcn\u00fcl\u00fcyor. A\u015f\u0131r\u0131 alkol ve kafein t\u00fcketimi, kortikosteroid ad\u0131 verilen ila\u00e7 grubunun ve tiroid tedavisinde kullan\u0131lan ila\u00e7lar\u0131n uzun s\u00fcreli kullan\u0131m\u0131 da osteoporoz riskini art\u0131ran nedenlerden. \u00d6strojen hormonunun eksikli\u011fi de osteoporozun geli\u015fimini tetikliyor.
\nErken menopoz ya da cerrahi giri\u015fim sonucu meydana gelen menopoz, kemi\u011fin yap\u0131m ve yap\u0131m dengesini yap\u0131m aleyhine bozuyor. Bu nedenle 38 ya\u015f ve \u00f6ncesinde herhangi bir nedenle menopoza girmi\u015f olan kad\u0131nlar\u0131n, osteoporoz a\u00e7\u0131s\u0131ndan yak\u0131ndan incelenmesi gerekiyor. Ayr\u0131ca tiroid bezi, a\u011f\u0131r karaci\u011fer ve b\u00f6brek hastal\u0131klar\u0131, baz\u0131 romatizmal hastal\u0131klar yine min\u00f6r fakt\u00f6rler aras\u0131nda yer al\u0131yor.
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Osteoporoz…<\/p>\n","protected":false},"author":1,"featured_media":6468,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1576],"tags":[1373,184,3488,411,3519,153],"_links":{"self":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/6465"}],"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=6465"}],"version-history":[{"count":0,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/6465\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media\/6468"}],"wp:attachment":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media?parent=6465"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/categories?post=6465"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/tags?post=6465"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}