2023-08-22 10:33:00
Health22 Aug. 23 17:33
Among the diseases that often accompany aging “Osteoporosis” is one of the most feared silent threats.
therefore should always be prepared to be on the lookout To prevent the occurrence of fragile bones that are at risk of fracture. This may cause the loss of the opportunity to continue having a good quality of life in the later stages of life.
Emeritus Professor Dr. Saranet Waikkul, Consultant, Department of Orthopedic Surgery and Physical Therapy Faculty of Medicine Siriraj Hospital, Mahidol University has revealed the past missions for the community and the nation which has deposited research results to provide knowledge which is “Wisdom of the Land” according to the determination of Mahidol University
From leading the team to survey communities in Bangkok Noi and communities in the same neighborhood. Good visions were found which ensured that Osteoporosis can be better controlled.
From the survey results, it was found that more than 50 percent of the population in the area had sufficient knowledge about osteoporosis and learned how to protect themselves. Until being able to introduce a person in the family and people around them about 15 percent
which “osteoporosis” can be prevented by choosing a diet that contains about 800-1,000 milligrams of calcium per day. It should be considered from the food source type “milk” first. as it is the best calcium food source Which is composed of protein group “Casein” (Casein) that is easy to absorb.
While eating fish bones, which are rich in phosphorus (Phosphorus), but difficult to absorb. and eating grains It is rich in calcium oxalate crystals (Oxalates) and Phytates (Phytates), but is more difficult to absorb as well.
“Just drink 1 – 1.5 liters of milk or about 2 slices of cheese to get enough calcium to meet the daily needs of the body. without having to eat synthetic calcium.”
“However, it should be supplemented with vitamin D intake. Ready to allow the body to receive sunlight regularly between 10.00 – 14.00 to stimulate the action of vitamin D Which is currently available in 3 types, “Vitamin D2” is a vitamin that everyone can access at a price of only 1 – 1.50 baht per tablet, taking only 1 tablet per week (20,000 units) is essential for the elderly. In addition to “Vitamin D3” and “Vitamin D Active” which cost 10 times higher than “Prof. Emeritus Dr. Saranet Waikkul said
It should also be supplemented with regular physical activity to stimulate sustainable bone mass formation. In which the elderly should exercise with a pose that is not too intense. Because otherwise, it may harm the ligament system and bone. In general, the management principle is used by contracting the muscles (Isometric Exercises) to contract the muscles. Without having to move, such as sitting on a chair and lifting your legs up. To create force on the legs and thighs to create good bones.
It can also be administered in the neck. by contracting the neck muscles by using the hands to push the head and contract the neck muscles against the force of the hands Or sit upright and insert your hands into the back cover and apply pressure. to strengthen the spinal muscles without relying on movement
Another way to exercise your body is Eccentric Exercises, which train your muscles to contract. while being stretched in order to have force transmitted to the bone and keep stimulating the bones to be strong during the head up-down and turn the neck left-right slowly
And another way to manage Eccentric Exercises that can be practiced by standing behind a chair. Then grab the top of the chair with your hands before squatting down with your knees bent at 90 degrees so as not to affect your joints. Then try to stand up slowly. which is an exercise position with weight and moving slowly to stimulate bone formation and protect “Muscle atrophy”, especially in the elderly
“Amino acids” that prevent muscle atrophy Or good muscle breakdown, including “Valine” (Valine) and “Leucine” (Leucine), which is a protein found in milk and eggs. by Emeritus Professor Dr. Saranet Waikkul has observed the inappropriate selection of protein foods at present. from eating too much protein
Including protein foods that are not useful, such as “collagen”, which can be found in general. But there is no certification from the Food and Drug Administration (FDA) as eating poor quality protein. The lack of amino acids “Valine” (Valine) and “Leucine” (Leucine) to make bones and muscles strong. What’s more, it has been reported that it will result in increased kidney function that may lead to a risk of kidney failure.
If the doctor has assessed that the risk of fracture is high Anti-bone resorption drugs will be considered. Or the anti-osteoporosis drug (Prolia), which, according to the recommendations of the National Essential Medicines List must start with “eating medicines” for reasons of drug administration and economic status of the country
Except there is a prohibition on the use of oral drugs. From finding symptoms of kidney dysfunction and severe osteoporosis Therefore, it is considered to use injections, which “Prolia”, in addition to being an “anti-bone decomposition drug”, has some information that it can “stimulate bone formation”
However, Professor Emeritus Dr. Saranetwaikkul Has reiterated the use of anti-osteoporosis drugs (Prolia) that will be considered for use only in patients with “There is a clear indication” only because there may be complications. or have an allergic reaction to gingivitis
In addition, before receiving treatment The patient must undergo a blood test to look at the function of various internal organs. to prevent complications that may occur to the heart and brain As well as watching the level of vitamin D (25(OH)D), the doctor will consider injecting Prolia to treat osteoporosis in patients with vitamin D (25(OH)D) levels higher than 30 micrograms.
Schedule 1 injection every 6 months, along with follow-up blood tests to see if the bone marker progress is in normal range or not. as well as having bone density checked again at the end of 2 years if there are no complications will be examined again in 2 years. After this, the examination will be stopped in order for the bones to adjust. before reappraisal
Emeritus Professor Dr. Saranet Waikkul concluded that Osteoporosis treatment is a “symptomatic treatment”. “Check your bone density” and prevent osteoporosis by choosing foods that contain calcium – vitamin D – exercising properly. with the hope that all Thai people will be far away from osteoporosis to have a good quality of life to be an important force for society and the country in the future
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