Постменопаузный остеопороз: причины, симптомы, лечение

1196
Постменопаузальный остеопороз – что это, симптомы, лечение

Выражение «хрупкая женщина» в определенном возрасте перестает быть фигуральным. Речь идет о заболевании, которое называется постменопаузальный остеопороз. Внешне он выражается в нарушении осанки, участившихся переломах, сопровождающих падение, а в тяжелых случаях даже неловкое вставание с кровати. Развивается на фоне гормонального сдвига при уменьшении выработки половых гормонов, что значительно ухудшает усвоение кальция, но способствует его ускоренному вымыванию из костной массы.

Симптомы постменопаузального остеопороза

Заболевание чаще всего появляется в преклонном возрасте. Патологическая деструкция костной ткани очень трудно диагностируется, особенно на раннем сроке. Точный диагноз ставится только после детального обследования и подтверждается частыми переломами. В целом не представляет прямой угрозы жизни, но при быстром развитии и отсутствии симптоматического лечения может привести к общей деформации скелетной основы вплоть до ограничения возможности самостоятельного передвижения.

Описание постменопаузального остеопороза, его симптомы и методы лечения давно не являются секретом, стабилизация состояния возможна, как и улучшение общего самочувствия при проведении комплексной терапии.

Постменопаузальный остеопороз

Основной причиной развития заболевания становится гормональный дисбаланс в период климакса. При этом неважно, естественный он или искусственный, вызванный оперативным вмешательством, курсом лечения. Кроме основной причины есть ряд сопутствующих:

  • малоподвижный образ жизни;
  • нерациональное питание;
  • нарушение обмена веществ;
  • бездумная приверженность монодиетам;
  • генетическая предрасположенность;
  • ряд хронических заболеваний, включая почечную недостаточность;
  • вредные привычки;
  • длительное грудное вскармливание 3 и более детей.

Неблагоприятные условия внешней среды, опасные для здоровья виды деятельности, длительная работа на вредных предприятиях тоже накладывают свой отпечаток, снижая естественный иммунитет и запуская механизм ускоренной потери костной массой кальция и фосфора.

На фоне участившихся переломов снижается скорость регенерации.

Некоторые симптомы позволяют заподозрить начало заболевания. Нужно насторожиться, если появилась боль в районе поясницы и лопаток, усиливающаяся при незначительных физических нагрузках и длительных прогулках. Более явным проявлением становится видимое искривление позвоночника, частые переломы кисти, лодыжек, повреждение лучевых и берцовых костей.

Диагностика

Чем раньше определено наличие заболевания, тем успешнее его лечение. Женщинам, имеющим в роду подобные нарушения, нужно быть особенно внимательным к своему здоровью и при первых признаках наступающего климакса обратиться к врачу для прохождения обследования и назначения поддерживающей терапии.

Диагностика

В диагностику входят:

  • осмотр специалиста;
  • костная денситометрия, выявляющая минеральный состав;
  • УЗИ;
  • анализ крови на кальций и кальцитонин;
  • исследование мочи на коллаген и сывороточный остеокальцин.

Могут понадобиться дополнительные консультации специалистов. Рентгенография в данном случае покажет нарушение только при тяжелой форме заболевания, когда потеря костной массы составит больше 30%. По результатам обследования назначается медикаментозное лечение, ЛФК и даются рекомендации по виду диеты.

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Мастопатия при климаксе: причины, симптомы, лечение

Лечение

Понимая, что такое постменопаузальный остеопороз и какие осложнения могут возникнуть на его фоне, откладывать меры по восстановлению костной массы нельзя. Нужно учесть, что лечение постменопаузального остеопороза проводится только комплексным методом, иначе улучшений придется ждать очень долго. Комплекс складывается из нескольких аспектов.

Медикаментозный комплекс

Прежде всего для предотвращения потери необходимых организму веществ назначаются:

  • Кальцитонин;
  • Этидроновая кислота;
  • Кальция карбонат;
  • Тамоксифен.

Курс длительный, составляет от 3 месяцев до нескольких лет. По индивидуальным показаниям план лечения может быть изменен.

Диетический комплекс

Здоровое питание

Вторым важным фактором является особая диета. Она не предусматривает строгих ограничений, направлена на естественное пополнение микроэлементов и витаминов через продукты питания. В список обязательно включаются продукты с повышенным содержанием кальция, фтора, йода, магния.

В фаворитах морепродукты, листовая зелень, крупы, молочные продукты, орехи, растительные масла.

Физические нагрузки

При понижении плотности костной массы возрастает риск переломов, но еще опаснее малоподвижный образ жизни, замедляющий метаболизм. Дозированные физические нагрузки необходимы. Для этого идеально подойдут сеансы плавания и специальный комплекс гимнастики, разработанный специалистами лечебной физкультуры. Освоить его можно во время групповых занятий в кабинете ЛФК. Во время выполнения упражнение рекомендуется носить поддерживающий ортопедический корсет.

Профилактические меры

Климакс наступает неизбежно, это нормальный физиологический процесс. Другое дело, в каком физическом состоянии женщина войдет в этот период и насколько она готова соблюдать рекомендации для поддержания прежнего уровня жизни. Приливы, головокружения и прочие симптомы климактерического синдрома способны на время выбить из колеи и спрятать более серьезные нарушения, такие как обострения хронических болезней и уменьшение плотности костей. Но внимательно слушая свой организм и выполняя несколько несложных правил, можно избежать многих проблем, в том числе и развития постменопаузального остеопороза. Для этого потребуется:

  • пересмотреть рацион в пользу овощей, зелени, злаков и растительных масел;
  • скорректировать распорядок дня, уделив достаточно времени активному отдыху;
  • уменьшить количество чая и кофе, отказаться от алкоголя, сигарет;
  • по мере возможности щадить организм, избегая чрезмерных нагрузок, ударов, падений, травм;
  • при первых симптомах климакса начинать прием растительных препаратов на основе фитогормонов, поддерживающих гормональный баланс.

Не стоит ждать первого перелома или других грозных симптомов постменопаузального остеопороза. Достаточно разумно подойти к вопросу предупреждения болезни, что позволит избежать потери плотности костной ткани, снизить риск переломов и сохранить до преклонных лет гордую аристократическую осанку.

1196 КОММЕНТАРИИ

  1. Всегда за состояние костей переживала, а когда климакс начался-так вообще стала с ума сходить. Врач посоветовала наряду с ледис формулой менопаузой принимать ледис формулу укрепление костной ткани. Уже года два сижу на этих комплексах и жаловаться не на что. Действительно, и самочувствие хорошее, и с костями всё в порядке.

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