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骨骼疏松症专题知识讲座::introduction::HIPOsteoporosismakesyourbonesweakandmorelikelytobreak.Anyonecandeveloposteoporosis,butitiscommoninolderwomen.Asmanyashalfofallwomenandaquarterofmenolderthan50willbreakaboneduetoosteoporosis::whatcausesosteoporosisatthe1stplace::::WhoisatRisK??::InMalaysia,itisestimatedthatover1millionpeopleareatriskfromosteoporosis,outofwhich20%aremen.::SyMPTOmpS::::DiagnosE::PREVENTION4.Campaigntoincreaseawarenessamongtheciviliansregardingosteoporosis.4.ImportanceofgoodpostureProperwaytosit-Supportyourlowerbackwithapilloworbyastraighthigh-backedchair.Whendrivingorreading,avoidbendingtheneckforward.Whenrisingfromachair,doitslowly.Properwaytowalkandstand-Keepyourheadhigh,lookforwardwiththechinin.Pullyourshouldersback,pullyourstomachintomaintainthenaturalarchofthelowerback,andtightenyourbuttocks.Wearlow-heeledshoeswithrubbersolesProperwaytolift-Youmustbendyourkneeswhenliftingheavyobjectstoavoidbackstrainandfurthercompressionfractures.UseyourLegmusclesratherthanyourback!5.Avoidtakingtoomuchcoffee,teaorchocolate,becausetheyhelpinlossofCa.HighproteinwillreducetheabilityofCaresorption.Alcoholdestroyscellsformingbone.SmokingreducesestrogenItisimportanttorememberthatwecannotavoidhormonalandgeneticfactorthus,wecontroltheenvironmentanddietfactor,sothatwecanovercometheosteoporosisproblem.TREATMENT-Sideeffectsofbisphosphonatesincludemuscleandjointpain,nausea,andheartburn-commonbisphosphontes;fosamax,reclast,boniva4.Calcitonin-isnaturallymadeinyourbodywhenbloodcalciumlevelsarehigh.Thus,retainscalciumwithintheskeleton,ratherthanreplenishthecalciuminthebloodstream.-administeredbyanasalspray.-Sideeffects-runnynose,headachesandnosebleeds.EstrogenTreatment(ET)orHormoneTreatment(HT)-effectivetreatmentsforpreventingbonelossandreducingriskoffracture.-Unfortunately,ETincreasedtheriskofuterinecancer,thereforeusedinpatientswithpriorhysterectomy(removeuterus)-Concernsaboutincreasedriskofbreastcancer,stroke,andbloodclotshavesurroundedtheuseofthesemedicationsf
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