Medical Treatment in Patients with Osteoporotic Hip Fracture/Osteoporotik Kalca Kirikli Hastada Medical Tedavi (Education/Egitim) (Report)

Medical Treatment in Patients with Osteoporotic Hip Fracture/Osteoporotik Kalca Kirikli Hastada Medical Tedavi (Education/Egitim) (Report)

Osteoporozun Amerika Birlesik Devletlerinde her yil 1,5 milyon kiriga neden oldugu, bu sayinin en az 1/5’ini (yilda 300.000 adet) kalca kiriklarinin olusturdugu ve sadece kalca kirik insidansinin meme kanseri yillik insidansindan daha fazla oldugu bilinmektedir. Bir yil icinde osteoporotik kiriklar icin harcanan tutarin meme kanseri icin tuketilen miktardan daha fazla olmasi nedeniyle de osteoporozun ne kadar onemli bir toplum sagligi sorunu oldugu aciktir. Kalca kiriklarinin genel insidansi cesitli calismalar yoluyla arastirilsa da, ikinci kalca kirigi epidemiyolojisi ayni derinlikte incelenmemistir. Yapilan az sayidaki calismada ikinci kalca kiri gi insidansinin oldukca yuksek oldugu, kalca kirigi gecirenlerin %6-10’unun 4 yil icinde ikinci bir kalca kirigi gecirdigi bilinmek tedir (1,2). Kalca kirigi geciren 12 kisiden birinin 2 yil icinde ikin ci kalca kirigi gecirmesi soz konusudur (3). Ikinci kalca kirigi riski, birinci kalca kirigini izleyen ilk 8 ayda giderek artar ve 8. ayda maksimum seviyeye cikar (2). Onceki kalca kirigi sadece yeni bir kalca kirigi icin degil, vertebra, on kol kirigi gibi diger osteoporotik kiriklar icin de onemli bir risk faktorudur (4). Tum bu gercekler nedeniyle konuyla ilgili degisik kilavuzlarda oste oporozun onlenmesine yonelik farkli oneriler olmasina ragmen tum kilavuzlar osteoporotik kirk gecirmis bir kisinin mutlaka medikal tedavi yontemleriyle tedavi edilmesi gerektigini vur gulamaktadir.

Medical Treatment in Patients with Osteoporotic Hip Fracture/Osteoporotik Kalca Kirikli Hastada Medical Tedavi (Education/Egitim) (Report)



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