Xiao Chaoyang, a rheumatology, allergy and immunologist at Tucheng Hospital, pointed out that the location of the dual-energy X-ray absorption analyzer (DXA) for bone mineral density examination. Take the hip joint as an example. (Provided by Tucheng Hospital)
[Reporter Qiu Shuyu/New Taipei Report]A 65-year-old Ms. Xiao went to the doctor with joint stiffness one morning. After examination, she found degenerative arthritis in her knees and hands. After taking blood sugar, blood pressure, bone density and other tests, she was diagnosed with have osteoporosis. Xiao Chaoyang, a rheumatology, allergy and immunologist at Tucheng Hospital, said that according to statistics, 1/4 of Chinese men and 1/3 of women over the age of 50 suffer from osteoporosis. This disease is the second largest epidemic in the world. Symptoms are often found after the fracture has long been ridden.
Xiao Chaoyang said that osteoporosis means that the density and quality of the bones are not good, and fractures are easy to occur. Vertebral fractures increase the risk of death,
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He said that usually people over the age of 40 to 50 can use medical history, physical examination and standardized questionnaire tools to assess the risk of fracture during consultation, and bone mineral density examination is a part of fracture risk assessment. , represents a greater than 20% chance of major osteoporotic fractures and a greater than 3% chance of hip fractures in the next ten years, and the use of osteoporosis drugs to prevent fractures is recommended.
In addition, because postmenopausal women, women over 65 years old, men over 70 years old, special diseases and family history of fractures are all prone to osteoporosis, so bone density examination is usually recommended.
For the prevention of osteoporosis in diet, Lin Yushan, a nutritionist from the Nutrition Therapy Department of Tucheng Hospital, pointed out that getting enough calcium and vitamin D is the most basic step in the prevention and treatment of osteoporosis. Taiwan recommends calcium and vitamin D for adults over 50 years old. The intake is 1000 mg of calcium and 15 micrograms of vitamin D, respectively, and patients treated for osteoporosis can be increased to 1200 mg of calcium and 20 micrograms of vitamin D per day.
On the other hand, Xiao Chaoyang also reminded patients that before using osteoporosis drugs, it is recommended to go to the dentist to treat the teeth with poor prognosis first, or after the wounds of dental implants and tooth extractions are treated, wait for the wounds to heal, and then use osteoporosis drugs will be more secure.
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