Osteoporosis: Etiology,Diagnosis And Management-

8/3/2019 Osteoporosis: Etiology,Diagnosis And Management-

1/42


2/42

Jfegngtgmn

K JGSFKSF CHK_KCZF_GRFJ OW2

AMP OMNF DKSS

DGC_M-K_CHGZFCZV_KA JFZF_GM_KZGMN

ME ZHF OMNF ZGSSVF

AFKJGN@ ZM2

FNHKNCFJ OMNF E_K@GAGZW

GNC_FKSF GN E_KCZV_F _GSI


3/42

Nmrdka Omnf vs Mstfmpmrmtgc Omnf

Amss me trkofcuakr paktfs ( rg`ht) rfsuats gn wfkifnfjomnf structurf sg`ngegckntay gncrfksgn` rgsi me erkcturfs.


4/42

Fpgjfdgmam`y

Jgsmrjfr me pmstdfnmpkuska wmdfn me nmrthfrn Furmpfkn

jfscfnt

Gncrfksf gn thf gncgjfncf rfaktfj tm jfcrfksgn` physgckakctgvgty

Mvfr ?0 dgaagmn mr ;me 3 wmdfn krf keefctfj wgth mstfmpmrmsgs

Mvfr 6 dgaagmn mr ;me 6 dfn krf keefctfj wgth mstfmpmrmsgs.


5/42

Erkcturfs

;.6 dgaagmn ex/yr

3


6/42

Ufrtfork Erkcturfs


7/42

Hgp Erkcturfs


8/42


9/42

Gdpkct

Chrmngc pkgn Hfg`ht amss Iyphmsgs

Jfcrfksfj sfae-fstffd _fstrgctgvf aun`

jx Cmnstgpktgmn,

kojmdgnka pkgn Jfprfssgmn


10/42


11/42

_gsi Ekctmrs

KCZGUF _GSI EKCZM_S

(Dky of mn`mgn` knj afkj tm cuduaktgvf omnf amss)

J_V@S

DKAKOSM_\ZGMN - Kny ckusf2Dfjgcka mr Sur`gcka

MN@MGN@ KACMHMA KOVSF HW\M@MNKJGSD

CH_MNGC GDDMOGAGZW

CH_MNGC JGSFKSF


12/42

_gsi Ekctmrs

GNKCZGUF _GSI EKCZM_SHgstmrgcka knj nmt agifay tm afkj tmeurthfr omnf amss,

mncf fxcaujfj ckn of g`nmrfjthfrfketfr)EKDGAW HGSZM_W

FK_AW DFNM\KVSF \_FUGMVS KDFNM__HMFK \_FUGMVS ZHW_MGJ JGSFKSF \_FUGMVS KACMHMA KOVSF HW\M@MNKJGSD GDDMOGAGZW JV_GN@ OMNF JFUFAM\DFNZ


13/42

Cakssgegcktgmn

\rgdkry

\mstdfnmpkuska mstfmpmrmsgs (typf G)

Ckusfj oy akci me fstrm`fn

Ckusfs \ZH tm mvfr stgduaktf mstfmcaksts Fxcfssgvf amss me trkofcuakr omnf

K`f-kssmcgktfj mstfmpmrmsgs (typf GG)

Omnf amss juf tm gncrfksfj omnf turnmvfr

Dkakosmrptgmn Dgnfrka knj vgtkdgn jfegcgfncy

Sfcmnjkry


14/42

Sfcmnjkry MstfmpmrmsgsJgsfksf stktfs

Kcrmdf`kay Kjjgsmns jgsfksf Kdyamgjmsgs

Knmrfxgk CM\J Hfdmchrmdktmsgs Hypfrpkrkthyrmgjgsd Aydphmdk knj afuifdgk

Dkakosmrptgmn stktfs

Duatgpaf dyfamdk

Duatgpaf scafrmsgs

_hfudktmgj krthrgtgs

Skrcmgjmsgs

Sfvfrf agvfr jz, fsp. \OC

Zhkafssfdgk

Zhyrmtmxgcmsgs


15/42

Sfcmnjkry MstfmpmrmsgsJru`s

Kaudgnud

Kntgcmnvuasknts

Fxcfssgvf ftmh

Fxcfssgvf thyrmxgnfJfpm \rmvfrk

(jfcrfksfj omnf

dkss rfvfrsgoaf ketfr

stmppgn` dfjgcktgmn)

@aucmcmrtgcmgjs

@n_H k`mngsts

Hfpkrgn

Agthgud


16/42

Pmraj Hfkath Mr`kngzktgmn (PHM) JfegngtgmnOksfj mn ODJ tfstgn`

Nmrdka2 Z scmrf komvf ;

Mstfmpfngk2 Z scmrf oftwffn ; knj ?.6

Mstfmpmrmsgs2 Z scmrf kt mr ofamw ?.6

Sfvfrf mstfmpmrmsgs2 Z scmrf ?.6 mr

amwfr gn thf prfsfncf me ; mr dmrferkcturfs


17/42

Z scmrfs vs. R scmrfs

Z scmrf nudofr me SJs k pktgfnts ODJjfvgktfs ermd k rfefrfncf pmpuaktgmn menmrdka ymun` kjuats

R scmrf nudofr me SJs k pktgfnts ODJjfvgktfs ermd k rfefrfncf pmpuaktgmn mesuobfcts me thf skdf k`f knj sfx

R scmrfs gnjgcktf whfthfr thf ODJ rfsuat gs

fxpfctfj emr thf pktgfnts k`f. Ge gt gs duchafss thkn fxpfctfj, suspfct k sfcmnjkryckusf me mstfmpmrmsgs (usf ? ks k cutmee)


18/42

Zypfs me ODJ tfstgn`

Juka fnfr`y x-rky kosmrptgmdftry (JXK mr JFXK). @maj Stknjkrj Dfksurfs ODJ gn spgnf, hgp, mr wrgst Cmdpaftfj gn k efw dgnutfs _kjgktgmn fxpmsurf gs afss

Vatrksmunj jfnsgtmdftry Dfksurfs ODJ gn hffa, pktfaak Cmst-feefctgvf \mmr cmrrfaktgmn oftwffn VS knj JXK Gncmnsgstfnt ymun` nmrdka rfefrfncf

pmpuaktgmns dky cmntrgoutf Sgn`af-fnfr`y x-rky kosmrptgmdftry knj pfrgphfrka

juka x-rky [ukntgtktgvf cmdputfj tmdm`rkphy ([CZ) _kjgm`rkphgc kosmrptgmdftry


19/42

DFKSV_FDFNZ ME OMNF

DGNF_KA JFNSGZW

\AKGN X-_KW

SGN@AF \HMZMN KOSM_\ZGMDFZ_W

JVKA \HMZMN KOSM_\ZGMDFZ_W

JVKA X-_KW KOSM_\ZGMDFZ_W

[VKNZGZKZGUF CMD\VZFJZMDM@_K\HW

VAZ_KSMVNJ


20/42

\rmoafds wgth gntfrprftktgmn me ODJ

tfstgn`

@ugjfagnfs jfvfampfj emr Ckucksgkn wmdfnout hkvf offn kppagfj tm kaa rkcfs

Mvfrfstgdktgmn me ODJ

Erkcturf sgtf\rf-fxgstgn` jfvfampdfntka omnf konmrdkagtymstfmphytfs (cmddmn gn spgnf, sm hgp dky of dmrf

kccurktf gn pfmpaf >56)

Vnjfrfstgdktgmn me ODJ

Strmif mr trkudk afkjgn` tm agdo gnkctgvgtyNffj tm fstkoagsh stknjkrj emr cmdpkrkogagty

me jgeefrfnt jfvgcfs knj knktmdgc sgtfs


21/42

Phfn tm Dfksurf ODJ gn

\mstdfnmpkuska Pmdfn

Kaa wmdfn 56 yfkrs knj majfr

\mstdfnmpkuska wmdfn 156 yfkrs mek`f2

Ge rfsuat dg`ht gneaufncf jfcgsgmns komut

gntfrvfntgmn

Mnf mr dmrf rgsi ekctmrs

Hgstmry me erkcturf


22/42

Phfn Dfksurfdfnt me ODJ Gs

Nmt Kpprmprgktf

Hfkathy prfdfnmpkuska wmdfn

Hfkathy chgajrfn knj kjmafscfnts

Pmdfn gngtgktgn` FZ/HZ emrdfnmpkuska sydptmd rfagfe(mthfr mstfmpmrmsgs thfrkpgfs

shmuaj nmt of gngtgktfj wgthmut

ODJ dfksurfdfnt)


23/42


24/42

Juka Fnfr`y X-rky Kosmrptgmdftry_fsuats

Omnf dgnfrka jfnsgty ODJ

Fxprfssfj gn `rkddfs pfr cd? (`/cd?)

Nffj tm cmdpkrf wgth fstkoagshfj rfefrfncf rkn`femr thf

kpprmprgktf pmpuaktgmn. Egnka rfsuat fxprfssfj ks k stknjkrj jfvgktgmn ermd

thf dfkn

ODJ me kn k`f knj sfx dktchfj rfefrfncf sft

(z-scmrf)

Knj K stknjkrj jfvgktgmn ermd thf dfkn ODJ me sfx

dktchfj ymun` kjuat

(t-scmrf)


25/42

Phfn tm gngtgktf trfktdfnt

Hg`h _gsi

Z scmrf 1-?.< ---------------- Zrfkt Dmjfrktf _gsi

Z scmrf ;.6 tm ?.< --------

Zrfkt ge mthfr rgsi ekctmrs krf prfsfnt

Amw _gsi

Z scmrf komvf ;.6 ---------

Chfci k`kgn gn ;-? yfkrs


26/42

Phfn tm _ftfst

_fpfkt tfstgn` gn ? yrskjjgtgmnka omnf amssrfspmnsf tm trfktdfnt

Dmrf erfqufnt tfstgn` ge2`aucmcmrtgcmgj thfrkpy emr

dmrf thkn 3 yfkrs

fvgjfncf me k sfcmnjkry ckusfme mstfmpmrmsgs


27/42

Omnf Dkrifrs

Sfrud mstfmckacgn,

prmcmaak`fn G

ckromxytfrdgnka prmpfptgjf,prmcmaak`fn typf G N-

tfrdgnka prmpfptgjf,

N knj C-tfampfptgjfs


28/42

Zrfktdfnt\rfvfntgvf Dfksurfs

\rfvfntgmn me Omnf Amss

Ckacgud

H_Z

SF_DS

Ckacgtmngn Ogsphmsphmnktfs


29/42

Ckacgud _fqugrfdfnts

NM EG_DCMNCAVSGMNS

V.I.

DKAFS ;; - ;8

WFK_S

;


30/42

Smurcfs me Ckacgud

EMMJ SF_UGN@ SGRF CKACGVD(d`)

DGAI - PHMAF ; @AKSS (;7


31/42

Gnjgcktgmns emr trfktdfnt me

mstfmpmrmsgs

\h a g a t t t


32/42

\hkrdkcmam`gcka trfktdfnts2

dmjfs me kctgmn


33/42

Zrfktdfnt

Fstrm`fn _fpakcfdfnt Zhfrkpy (F_Z)

Gnjgcktgmn2 Vsfj tm prfvfnt knj trfktmstfmpmrmsgs (EJK gnjgcktgmn gs emrprfvfntgmn)

Dfchkngsd2Jfcrfksfs mstfmcakstkctgvgty

Jmsf2 Fstrm`fn2


34/42

F_Z Kjvkntk`fs Gncrfksfs omnf jfnsgty (;-

6%) knj jfcrfksfs rgsi meerkcturf (?6%)

_fagfe me hmt eakshfs,vk`gnka jrynfss

Jfcrfksfs AJA, gncrfksfsHJA

\rfvfntgmn me Kazhfgdfrsjgsfksf

_faktgvfay gnfxpfnsgvf

Jgskjvkntk`fs Kccfafrktfj omnf amss ketfr

stmppgn`

Gncrfksfj rgsi me utfrgnf ck(ge unmppmsfj)

Gncrfksfj rgsi methrmdomfdomagc fvfnts

\mssgoaf gncrfksfj rgsi meorfkst ckncfr

Sgjf feefcts2 orfksttfnjfrnfss, orfkithrmu`h

oaffjgn` Gncrfksfj rgsi me cmrmnkry

fvfnts gn wmdfn wgthinmwn CKJ gn egrst yfkr meusf (HF_S trgka)

S a tg F t _ t


35/42

Sfafctgvf Fstrm`fn _fcfptmr

Dmjuaktmrs (SF_Ds)

Gnjgcktgmn2 Zrfktdfnt knj

prfvfntgmn me mstfmpmrmsgs

Dfchkngsd2 Jfcrfksfs

omnf rfsmrptgmn

Jmsf2 _kamxgefnf (Fvgstk)5


36/42

SF_DS Kjvkntk`fs

Gncrfksfs omnf jfnsgty

(?%) knj jfcrfksfs

erkcturf rgsi (3


37/42

Ogsphmsphmnktfs Kpprmvfj k`fntsKafnjrmnktf (Emskdkx), _gsfjrmnktf

(Kctmnfa)

Gnjgcktgmn

Kpprmvfj emr prfvfntgmn knj trfktdfnt me mstfmpmrmsgsgncaujgn` stfrmgj-gnjucfj mstfmpmrmsgs

Dfchkngsd Ognj tm hyjrmxkppftgtf kt sgtfs me kctgvf omnfrfsmrptgmn gnhgogtgn` mstfmcakst eunctgmn

Jmsf

\rfvfntgmn

Kafnjrmnktf 6d` qj mr 36d` qwffi _gsfjrmnktf 6d` qj mr 3


38/42

Ogsphmsphmnktfs

Zkif egrst thgn` gn kd, nm emmj mrdfjs emr 3< dgnutfs

Zkif wgth 8mz `akss me wktfr

Jmnt agf jmwn emr kt afkst 3< dgnutfs

Sfpkrktf Ck, Ka, knj D` cmntkgngn`dfjs oy kt afkst : hmurs


39/42


40/42

Ckacgtmngn

Gnjgcktgmn2 Zrfktdfnt mnay

Jfcrfksfs omnf rfsmrptgmn

Jmsf2 Nkska (Dgkckacgn) ?


41/42

\krkthyrmgj Hmrdmnf

Jkgay SC gnbfctgmns me :


42/42

Documents

Osteoporosis: Etiology,Diagnosis And Management-