骨鬆→骨折 感脅老命Osteoporosis→ bone fractures flu death threats

骨鬆→骨折 感脅老命 身體若像海砂屋 蹲馬桶 抱孫子 也要小心 一般人脊椎是直的。【圖：潘筱萍醫師提供】 陳爺爺脊椎骨呈彎曲壓迫狀態。【圖：潘筱萍醫師提供】 【劉惠敏】何謂骨質疏鬆症（Osteoporosis）? 國際骨質疏鬆基金會（IOF）說明在字面上的意義就是「多孔的骨頭」（porous bone），世界衛生組織（WHO）定義：因骨量減少、或骨密度降低，而使骨骼微細結構發生破壞的疾病，惡化的結果將導致骨骼脆弱，並使骨折的危險性明顯增高。世界衛生組織也提出警告，隨著人類壽命延長，骨質疏鬆症已成為全球僅次於心血管疾病，威脅健康的第二重大流行病。 本月20日是世界骨鬆日，世界骨質疏鬆症基金會（IOF）將今年主題訂立為「戰勝骨折」（Beat the Break：Know and reduce your osteoporosis risk），強調預防骨折、認知個人骨鬆危險因子對於降低骨鬆風險的重要性。 骨質疏鬆症可以說是「沉默的殺手」，多數人發生骨折後才發現嚴重骨質疏鬆，有些患者動了手術、裝上人工髖關節，也未必能恢復行動能力… 舉步維艱 奶奶髖關節變形 案例一：70多歲的陳奶奶，年紀愈大腰就愈彎，最近已經彎到50、60度了，陳奶奶不僅經常腰痠背痛，行動也愈來愈困難，幾乎舉步維艱，沒走幾步就唉唉叫。 家人帶她去看醫師，發現她已經有嚴重的骨質疏鬆，脊椎和髖骨關節更不知什麼時候曾經發生骨折，大腿髖關節處，也都變形了。 上個廁所 阿嬤脊椎骨折 案例二：72歲王阿嬤本來只是腰痠背痛，有一天，她正準備蹲馬桶，才一彎下腰就覺得背部劇痛，就醫診斷後發現是脊椎骨折，原因是骨質疏鬆所致。 原來王阿嬤一直有嚴重的骨質疏鬆，但她一直以為年紀大了腰痠背痛，是正常的老人病，沒想骨質疏鬆讓身體變成「海砂屋」，脆弱到不可思議。 愈長愈矮 老船員骨鬆啦 案例三：86歲的陳爺爺，年輕時是位瀟灑、壯碩的船員，本來身高有176公分，沒想到年齡增長，身高卻「倒縮」了近20公分，背愈來愈駝、腰愈來愈彎。 陳爺爺直覺認為當年在船上摔了個大跤所造成的，最近幾年行動能力也愈來愈差，幾乎無法正常久站或走路，就醫發現有骨質疏鬆症，他一開始不願相信，沒有聽過男人也會骨鬆。 孫子掙扎 奶奶胸痛骨折 案例四：75歲的王奶奶，有個小孫子難得回家一趟，白白嫩嫩胖嘟嘟的，她忍不住抱起來親一下，這時睡著的小孫子醒過來，翻身掙扎一下，王奶奶突然胸部一陣劇痛，痛到差點昏過去，送醫檢查結果，沒想到竟因抱了一下小孫子，竟然脊椎骨折。 緊急煞車 骨鬆導致骨折 案例五：66歲的張先生坐公車時，沒抓緊把手，一個緊急煞車，他身體往前俯再往後靠回椅背，忽然覺得胸口好痛，痛到很難呼吸，趕快求助鄰座協助，送醫檢查才知是骨折，也是骨鬆惹的禍。 咳嗽一下 離譜到也骨折 上述幾種輕微的骨頭壓力就造成骨折的案例，都是因為骨質疏鬆症。台灣新竹醫院骨科主任王子康說，他還看過不少更離譜的狀況，根本只是咳嗽一下，或者稍微負重，就背痛難忍而緊急就醫，可見骨質疏鬆的可怕。 由於骨鬆是「無聲無息」的出現，多數人發生骨折等症狀才驚覺，台大醫院骨科教授侯勝茂說，「更可惜的是，發現後就得長期依賴輪椅。」 有些脊椎出問題、背痛的患者，還可以用背架支撐，但是髖骨關節骨折之後，就算動手術、裝上人工髖關節，也不一定能恢復行動能力。 長者骨折機率 比中風高 中華民國骨質疏鬆症學會理事長宋永魁表示，根據2005年衛生署國民健康局「國人骨質疏鬆盛行率 」調查，65歲以上罹患骨質疏鬆人口達49萬，約佔21.12%。宋永魁說，長者發生骨折機率比合併中風、心臟病發作以及乳癌來得高，因骨質疏鬆症發生骨折的機率約為腦中風的2到4倍。 宋永魁說明，不少骨鬆患者會多次骨折，又因為骨鬆服藥不一定能明顯展現服藥效果，例如降高血壓藥可從血壓數值看出效果，因此骨鬆服藥遵從率不佳，也容易再次骨折。 2008-10-24 Osteoporosis→ bone fractures flu death threats If the body like a squat toilet Haisha Wu Bao Sunzi have to be careful Most people is the spine straight. Sony: Sheau-Ping Pan physicians to provide】 Chen grandfather spine was bent state oppression. Sony: Sheau-Ping Pan physicians to provide】 LIU Hui-min】 【What is osteoporosis (Osteoporosis)? Of the International Osteoporosis Foundation (IOF) that literally meaning "porous bone" (porous bone), the World Health Organization (WHO) definition: as a result of reduced bone mass, or To lower bone mineral density, thus preventing the destruction of bone micro-structure of the disease, the results will lead to the deterioration of bone fragility and fracture risk of significantly increased. The World Health Organization has warned that the As human life expectancy, osteoporosis has become the world second only to cardiovascular disease, the second major threat to the health epidemic. On the 20th of this month is the world's bone-song, World Osteoporosis Foundation (IOF) will make this year's theme as "fracture to overcome" (Beat the Break: Know and reduce your osteoporosis risk), to emphasize the prevention of fractures, and personal awareness of risk of osteoporosis Factor in lowering the risk of osteoporosis. Osteoporosis can be described as the "silent killer", the majority found that a serious fracture after osteoporosis, and some patients underwent surgery, fitted with artificial hip joint, it may not be able to restore operational capacity ... Grandma difficult hip deformation Case I: 70-year-old grandmother Chen, the greater the age, the more back bends, has recently been to turn 50, 60 degrees, and grandmother Chen not only the regular backaches, and also more and more difficult, almost difficult, not Ai Ai called on a few steps away. To see her family doctor, she found that there had been serious osteoporosis, the spine and hip joints do not know even when there has been fractured thigh hip, are a distortion. On a toilet Spine Fractures grandmother Case II: The 72-year-old woman, Wang had back pain is just one day, she is preparing to squat toilets, only a bent felt pain in his back, for medical treatment after the diagnosis of spinal fractures found to be due to osteoporosis caused. Wang originally grandmother has been a serious osteoporosis, but she always thought that old back pain, it is normal for elderly patients, osteoporosis thought the body into a "Haisha Wu", vulnerable to the unthinkable. The longer the old dwarf, the more you loose bone crew Case III: 86-year-old grandfather Chen, a young man is a chic, the burly crew, there have been 176 centimeters tall, did not expect that age, but is "shrinking back," nearly 20 centimeters, more and more of a camel back, back, the more To bend more. Chen intuition that the grandfather was on board crashed in a big wrestle caused by the last few years has the operational capacity is getting worse, almost not stand or walk for a long time, found medical treatment of osteoporosis, he do not want to believe that the very beginning, there is no Men also heard of osteoporosis. Grandson grandmother struggling chest fracture Four cases: 75-year-old grandmother Wang, a grandson rare trip home, in vain Nennen plump, she could not help but have some pro-up, this time sleeping grandson to wake up, turn over about struggling, Grandma Wang, a sudden chest pain, the pain almost fainted in the past, hospital examination, did not expect was due to hold a small grandchildren about, even spinal fractures. Emergency brake loose bone fractures result in Five cases: 66-year-old Mr. Zhang bus, did not grasp the handle, and an emergency brake, his body lean back to back to back re-Qian Fu, Hao Tong suddenly felt chest, pain that is difficult to breathe, sitting next to him for help as soon as possible Assistance, hospital examination found a bone fracture, bone is also a song blame. You have to cough out fracture Some of these minor bone fractures caused by pressure on the case, because of osteoporosis. Hsinchu, Taiwan director of the Orthopedic Hospital Prince, Culture and Sport said that he also read a lot more out of the situation, it is just like a cough or a little weight on severe back pain and emergency medical treatment, osteoporosis can be seen terrible. As the bone song is "silent", such as fractures occurred in the majority of people realize that the symptoms, a professor of orthopedics at National Taiwan University Hospital Sheng-Mou Hou said, "Unfortunately, the discovery would have to rely on a wheelchair." Some spinal problems, back pain patients, can also be used to support aircraft back, but hip joint fracture, even if an operation, fitted with artificial hip joints, may not be able to restore operational capacity. Elderly stroke higher than the risk of fracture Republic of China Osteoporosis Society, chairman of Song Fukui said, according to the Department of Health in 2005 of the National Health Council, "Chinese prevalence of osteoporosis" survey, over 65 years of age suffer from osteoporosis has a population of 490,000, accounting for 21.12 percent. Song Kui said that the fracture occurred in the elderly than the combined rate of stroke, heart attack and breast cancer is more, as a result of osteoporosis fracture probability of stroke is about 2-4 times. Song Kui that a lot of loose bone fractures in patients with multiple times, as pine bone medication may not be able to show clearly taking effect, such as high blood pressure lowering drugs can be seen from the effects of blood pressure values, the bone-song rate drugs to comply with the poor, but also easy again Fractures. 2008-10-24 View more information, see the World Journal reported that e-ePaper

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