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{"id":6484,"date":"2015-12-19T11:58:47","date_gmt":"2015-12-19T09:58:47","guid":{"rendered":"https:\/\/www.coolkadin.com\/?p=6484"},"modified":"2015-12-19T11:58:47","modified_gmt":"2015-12-19T09:58:47","slug":"kemik-erimesi-ve-kalsiyum","status":"publish","type":"post","link":"https:\/\/www.coolkadin.com\/kemik-erimesi-ve-kalsiyum.html","title":{"rendered":"Kemik Erimesi ve Kalsiyum"},"content":{"rendered":"

Osteoporoz ya\u015fla ve do\u011fumla birlikte \u00f6zellikle kad\u0131nlarda g\u00f6r\u00fclen hastal\u0131klardan biridir. 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.<\/p>\n

\u00d6strojen 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 \u015fik\u00e2yeti olmayan kad\u0131nlara sadece kemik erimesini \u00f6nlemek amac\u0131yla \u00f6strojen yani hormon tedavisi \u00f6nerilmemektedir.<\/p>\n

Erken 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 (“kocakar\u0131 kamburu” olarak da bilinir) yol a\u00e7abilir.<\/p>\n

Osteoporoz Riskine Katk\u0131da Bulunabilecek Di\u011fer Etkenler
\nSigara
\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)
\nSteroidler (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
\nErken menopoz (45 ya\u015f\u0131ndan \u00f6nce)
\nGenetik fakt\u00f6rler<\/p>\n

Kemik Mineral \u00d6l\u00e7\u00fcm Y\u00f6ntemlerine G\u00f6re
\nNormal T-skor < -1 SD
\nOsteopeni T-skor \u20131, -2.5 SD
\nOsteoporoz T-skor> -2.5 SD ve k\u0131r\u0131k yok.
\nYerle\u015fik osteoporoz T-skor > -2.5 SD ve k\u0131r\u0131k var.<\/p>\n

Tedavi
\n\u0130la\u00e7 tedavisinde kemik y\u0131k\u0131m\u0131n\u0131 azaltanlar (kalsiyum, bifosfonatlar, raloksifen, kalsitonin ve hormon replasman) ve kemik yap\u0131n\u0131 artt\u0131ran (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.<\/p>\n

Korunmak \u0130\u00e7in Neler Yapmal\u0131?
\nKalsiyum ve D vitamini y\u00f6n\u00fcnden yeterli beslenme
\nG\u00fcne\u015f \u0131\u015f\u0131nlar\u0131ndan yeterince yararlanma
\nBol hareket ve egzersiz
\nSigara, alkol ve a\u015f\u0131r\u0131 kafein gibi k\u00f6t\u00fc al\u0131\u015fkanl\u0131klar\u0131nda osteoporozu art\u0131r\u0131c\u0131 etkenlerden uzak durma.<\/p>\n","protected":false},"excerpt":{"rendered":"

Osteoporoz…<\/p>\n","protected":false},"author":1,"featured_media":6486,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1576],"tags":[577,1373,404,3295,3488,3557,3556,153],"_links":{"self":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/6484"}],"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=6484"}],"version-history":[{"count":0,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/6484\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media\/6486"}],"wp:attachment":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media?parent=6484"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/categories?post=6484"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/tags?post=6484"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}