Qianjiang Evening News·Hours News Reporter Liu Qian Correspondent Chen Ying
October 20 is World Osteoporosis Day . This year's publicity theme is "Consolidate your life and win the fight against fractures." Osteoporosis is a common bone metabolic disease in middle-aged and elderly people. The prevalence of osteoporosis among people over 65 years old is 32%, of which 51.6%. This disease is called the "silent killer", and its early symptoms are hidden, and the complications caused by osteoporotic fractures are very serious.
"Clinically, many patients have fractures caused by mild activity. More than 50% of elderly patients only know that they have osteoporosis problems after fracture." Chen Zhi, director of the Department of Orthopedics of Zhejiang University of Traditional Chinese Medicine (Zhengshan Hospital), reminded that when the seasons change in autumn and winter, middle-aged and elderly people encounter sudden low back pain, chest pain and chest tightness, they should be vigilant about whether osteoporotic fractures occur.
Source: Visual China
No fall or trauma, and you can also fracture by carrying things
Osteoporosis onset hiding Menopause High incidence of women
73-year-old Grandma Lu (pseudonym) never thought that because she bent down and carried a bucket of oil, she had low back pain and urinary incontinence, and she also entered the operating room.
"Last month before making dinner, I found that the oil was gone, and I wanted to get a bucket of new sequel. I just lifted it up, and suddenly there was a 'click', and there was a severe back pain. I couldn't get up, and I started sweating..." Grandma Lu said, at first she thought she had twisted her waist, lay on the bed, and used some blood-activating and pain-relieving medicine. Who knew that after more than ten days, her waist was getting more and more painful, and she couldn't stand even when she finally developed to the point where she couldn't hold her back...
in Zhejiang In the orthopedics clinic of Zhongshan Hospital in Jiang Province, Director Chen Zhi had a basic judgment after hearing Grandma Lu's illness: "It is highly likely that it is a fracture caused by osteoporosis."
As expected, further CT examination showed that Grandma Lu's lumbar 1 vertebrae compressive fracture, combined with bone density test, T value was -4.5 (a common indicator for measuring osteoporosis, the normal value is in the range of -1 to +1), which represents severe osteoporosis.
Source: Visual China
"The old man just carries things, and he has no fall or any external injuries. Why did he have a fracture?" Grandma Lu and his family found it incredible.
Chen Zhi explained that the culprit of Grandma Lu’s fracture was osteoporosis. As the age of age, calcium in the bones gradually loses, and the bone density of and bone mass decrease. Especially after menopause, the estrogen level drops sharply, and the loss of bone mass increases, and the risk of osteoporotic fractures is greater.
"What's worse is that osteoporosis is often difficult to detect, and the early symptoms of are hidden. Many patients in our outpatient clinic are like Grandma Lu, turning around, bent over to grab something, mopping the floor, and even sneezing. After these slight movements induce fractures, they realize that the bones are fragile. " said Chen Zhi.
Treat both the symptoms and the root causes, preventing refractory fractures
Combined with traditional Chinese and Western medicine to treat anti-bone loosening greatly
At present, the most urgent task is to solve Grandma Lu's low back pain problem.
Director Chen Zhi suggested that Grandma Lu perform "percutaneous puncture vertebrae" , which is currently the mainstream treatment method for vertebral compression fractures. After local anesthesia of , "bone cement" was injected into Grandma Lu's lumbar fracture with minimally invasive technology, and then "support" the compressed lumbar spine. The operation was completed in less than half an hour. The wound was only as big as the needle hole. Grandma Lu felt that the pain was much relieved after the operation and she could get out of bed the next day.
Chen Zhi told Grandma Lu: "The next step is to carry out full-process and systematic anti-bone loose treatment, treat both the symptoms and the root causes, and prevent the occurrence of osteoporosis fractures again."
"The probability of another fracture within one year of bone loose fractures reaches 45%, and the postoperative anti-osteoporosis treatment plan is particularly important." Chen Zhi said.
Considering that Grandma Lu also suffers from underlying diseases such as hypertension , diabetes , stomach disease , Chen Zhi formulated a "anti-bone loose treatment plan for integrating traditional Chinese and Western medicine" for Grandma Lu.Chen Zhi introduced: "Using anti-bone loose treatment is a long-term process. The elderly will experience intolerance, such as nausea, vomiting, and burning gastrointestinal tract after taking the medicine. The auxiliary conditioning of traditional Chinese medicine can relieve stomach discomfort, regulate the liver and kidneys, strengthen the muscles and bones, and can also promote the absorption of vitamin D, strengthen the bones, and improve the effectiveness of the treatment."
Chen Zhi's other osteoporosis patient, Xiang Dajie (pseudonym), a 65-year-old Shaoxing native, also caused a compression fracture of the thoracic spine due to sneezing. After receiving minimally invasive surgery, she insisted on anti-bone loose treatment of traditional Chinese and Western medicine for more than a year, and the bone density value increased from -4 to -3. Not only did she get better, she spoke well and her mental outlook was completely renewed.
Director Chen Zhi was in the rounds
A while ago, she happily told Chen Zhi when she came to follow up: "Director Chen, the effect of interventional treatment of traditional Chinese medicine is really good. I used to feel weak when I walked, and I had to take a break even after walking 500 meters. Now it is okay to hike 5 miles, and I sleep very soundly at night."
Stay away from osteoporosis, do these things well
Chen Zhi believes that strong bones are the key to maintaining human health. Osteoporosis should be prevented and treated, and prevention is greater than treatment. "Prevention should run through the entire life cycle and improve the public's awareness of the disease. As doctors, we don't want to see patients wait until they have a fracture before paying attention to osteoporosis." He emphasized that in daily prevention, the first thing is to have a balanced diet, especially paying attention to the intake of vitamin D and high-quality protein , such as eating more dairy products, soy products, and fish and shrimps; second, insist on exercise and bask in the sun more, middle-aged and elderly people can choose to walk, jog, Tai Chi and other exercises; third, avoid staying up late, staying away from tobacco and alcohol, drinking less strong tea and carbonated drinks .
For postmenopausal women, in addition to daily and scientific diet, this type of osteoporosis should also undergo bone density checks once a year and supplement vitamin D appropriately. If bone density and bone quality are found to decrease, or symptoms such as back pain and chest pain are present, go to the hospital in time for early detection and early treatment.
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