{"id":1341,"date":"2026-06-17T09:06:29","date_gmt":"2026-06-17T06:06:29","guid":{"rendered":"https:\/\/reumatologiebucuresti.ro\/?p=1341"},"modified":"2026-06-17T09:06:29","modified_gmt":"2026-06-17T06:06:29","slug":"osteoporoza-de-ce-apar-fracturile-dupa-traumatisme-minore","status":"publish","type":"post","link":"https:\/\/reumatologiebucuresti.ro\/index.php\/2026\/06\/17\/osteoporoza-de-ce-apar-fracturile-dupa-traumatisme-minore\/","title":{"rendered":"Osteoporoza \u2013 de ce apar fracturile dup\u0103 traumatisme minore?"},"content":{"rendered":"

Mul\u021bi pacien\u021bi afl\u0103 c\u0103 au osteoporoz\u0103 dup\u0103:<\/span><\/span><\/p>\n

– o osteodensitometrie;<\/span><\/span><\/p>\n

– o fractur\u0103 ap\u0103rut\u0103 aparent \u201edin senin\u201d;<\/span><\/span><\/p>\n

– o tasare vertebral\u0103;<\/span><\/span><\/p>\n

– o radiografie f\u0103cut\u0103 pentru dureri de spate.<\/span><\/span><\/p>\n

De multe ori apare \u00eentrebarea:<\/span><\/span><\/p>\n

\u201eCum este posibil s\u0103 am oase fragile dac\u0103 analizele sunt bune \u0219i nu m\u0103 doare nimic?\u201d<\/span><\/span><\/p>\n

Osteoporoza este o boal\u0103 \u00een care rezisten\u021ba osului scade progresiv, iar riscul de fracturi cre\u0219te. Problema este c\u0103 boala poate evolua mul\u021bi ani f\u0103r\u0103 simptome evidente.<\/span><\/span><\/p>\n

Osteoporoza doare?<\/b><\/span><\/span><\/p>\n

\u00cen stadiile ini\u021biale, osteoporoza nu doare direct.<\/span><\/span><\/p>\n

Durerea apare mai ales atunci c\u00e2nd apar:<\/span><\/span><\/p>\n

– fracturi;<\/span><\/span><\/p>\n

– tas\u0103ri vertebrale;<\/span><\/span><\/p>\n

– modific\u0103ri ale pozi\u021biei coloanei;<\/span><\/span><\/p>\n

– contracturi musculare secundare.<\/span><\/span><\/p>\n

Acesta este motivul pentru care unele persoane afl\u0103 c\u0103 au osteoporoz\u0103 abia dup\u0103 o fractur\u0103.<\/span><\/span><\/p>\n

De ce am f\u0103cut fractur\u0103 dac\u0103 nu am c\u0103zut serios?<\/b><\/span><\/span><\/p>\n

Aceasta este una dintre cele mai frecvente \u00eentreb\u0103ri.<\/span><\/span><\/p>\n

\u00cen osteoporoz\u0103, osul devine mai fragil \u0219i se poate fractura la traumatisme minore, de exemplu:<\/span><\/span><\/p>\n

– o c\u0103dere banal\u0103;<\/span><\/span><\/p>\n

– o mi\u0219care brusc\u0103;<\/span><\/span><\/p>\n

– ridicarea unui obiect;<\/span><\/span><\/p>\n

– uneori chiar f\u0103r\u0103 traumatism evident.<\/span><\/span><\/p>\n

Fracturile apar mai frecvent:<\/span><\/span><\/p>\n

– la \u0219old;<\/span><\/span><\/p>\n

– la coloan\u0103;<\/span><\/span><\/p>\n

– la \u00eencheietura m\u00e2inii;<\/span><\/span><\/p>\n

– la um\u0103r.<\/span><\/span><\/p>\n

Ce sunt tas\u0103rile vertebrale?<\/b><\/span><\/span><\/p>\n

Tas\u0103rile vertebrale apar atunci c\u00e2nd vertebrele devin fragile \u0219i se \u201eturtesc\u201d par\u021bial sub greutatea corpului.<\/span><\/span><\/p>\n

Acestea pot produce:<\/span><\/span><\/p>\n

– dureri de spate;<\/span><\/span><\/p>\n

– sc\u0103dere \u00een \u00een\u0103l\u021bime;<\/span><\/span><\/p>\n

– modificarea posturii;<\/span><\/span><\/p>\n

– apari\u021bia coco\u0219\u0103rii;<\/span><\/span><\/p>\n

– limitarea mobilit\u0103\u021bii.<\/span><\/span><\/p>\n

Uneori tas\u0103rile apar lent \u0219i pacientul nu \u00ee\u0219i d\u0103 seama imediat c\u0103 a avut o fractur\u0103 vertebral\u0103.<\/span><\/span><\/p>\n

Cum este durerea din tas\u0103rile vertebrale?<\/b><\/span><\/span><\/p>\n

Durerea produs\u0103 de o tasare vertebral\u0103 poate persista mult timp, uneori luni de zile.<\/span><\/span><\/p>\n

Acest lucru se \u00eent\u00e2mpl\u0103 deoarece:<\/span><\/span><\/p>\n

– vertebra fracturat\u0103 se vindec\u0103 lent;<\/span><\/span><\/p>\n

– musculatura din jurul coloanei r\u0103m\u00e2ne tensionat\u0103;<\/span><\/span><\/p>\n

– postura corpului se modific\u0103;<\/span><\/span><\/p>\n

– alte vertebre \u0219i articula\u021bii ale coloanei sunt suprasolicitate.<\/span><\/span><\/p>\n

Durerea este adesea accentuat\u0103 la:<\/span><\/span><\/p>\n

– stat prelungit \u00een picioare;<\/span><\/span><\/p>\n

– mers;<\/span><\/span><\/p>\n

– schimbarea pozi\u021biei;<\/span><\/span><\/p>\n

– ridicarea din pat;<\/span><\/span><\/p>\n

– efort.<\/span><\/span><\/p>\n

Tas\u0103rile vertebrale se vindec\u0103?<\/b><\/span><\/span><\/p>\n

Da, osul se consolideaz\u0103 \u00een timp.<\/span><\/span><\/p>\n

Totu\u0219i, vertebra nu revine de obicei complet la forma ini\u021bial\u0103 dup\u0103 tasare.<\/span><\/span><\/p>\n

La unele persoane:<\/span><\/span><\/p>\n

– durerea se reduce progresiv;<\/span><\/span><\/p>\n

– mobilitatea se \u00eembun\u0103t\u0103\u021be\u0219te;<\/span><\/span><\/p>\n

– activitatea zilnic\u0103 poate fi reluat\u0103 relativ bine.<\/span><\/span><\/p>\n

\u00cen alte situa\u021bii pot r\u0103m\u00e2ne:<\/span><\/span><\/p>\n

– dureri cronice;<\/span><\/span><\/p>\n

– sc\u0103dere \u00een \u00een\u0103l\u021bime;<\/span><\/span><\/p>\n

– modific\u0103ri de postur\u0103;<\/span><\/span><\/p>\n

– limitarea mobilit\u0103\u021bii.<\/span><\/span><\/p>\n

De ce scad \u00een \u00een\u0103l\u021bime?<\/b><\/span><\/span><\/p>\n

Sc\u0103derea \u00een \u00een\u0103l\u021bime poate avea leg\u0103tur\u0103 cu:<\/span><\/span><\/p>\n

– tas\u0103rile vertebrale;<\/span><\/span><\/p>\n

– modific\u0103rile coloanei;<\/span><\/span><\/p>\n

– accentuarea curburii spatelui.<\/span><\/span><\/p>\n

Dac\u0103 o persoan\u0103 pierde c\u00e2\u021biva centimetri \u00een timp relativ scurt, este important\u0103 evaluarea pentru osteoporoz\u0103.<\/span><\/span><\/p>\n

De ce se coco\u0219eaz\u0103 unele persoane \u00een v\u00e2rst\u0103?<\/b><\/span><\/span><\/p>\n

Coco\u0219area progresiv\u0103 poate ap\u0103rea prin:<\/span><\/span><\/p>\n

– tas\u0103ri vertebrale repetate;<\/span><\/span><\/p>\n

– fragilizarea vertebrelor;<\/span><\/span><\/p>\n

– modificarea curburii coloanei.<\/span><\/span><\/p>\n

\u00cen timp, coloana se curbeaz\u0103 mai accentuat, iar persoana:<\/span><\/span><\/p>\n

– scade \u00een \u00een\u0103l\u021bime;<\/span><\/span><\/p>\n

– merge mai aplecat\u0103;<\/span><\/span><\/p>\n

– poate avea dureri de spate \u0219i oboseal\u0103 muscular\u0103.<\/span><\/span><\/p>\n

M\u0103 doare spatele din cauza osteoporozei?<\/b><\/span><\/span><\/p>\n

Nu orice durere de spate este produs\u0103 de osteoporoz\u0103.<\/span><\/span><\/p>\n

Cele mai frecvente cauze de durere lombar\u0103 r\u0103m\u00e2n:<\/span><\/span><\/p>\n

– artroza;<\/span><\/span><\/p>\n

– discopatia;<\/span><\/span><\/p>\n

– contractura muscular\u0103;<\/span><\/span><\/p>\n

– suprasolicitarea.<\/span><\/span><\/p>\n

Totu\u0219i, osteoporoza poate produce dureri importante atunci c\u00e2nd apar:<\/span><\/span><\/p>\n

– tas\u0103ri vertebrale;<\/span><\/span><\/p>\n

– fracturi;<\/span><\/span><\/p>\n

– modific\u0103ri de postur\u0103.<\/span><\/span><\/p>\n

Este normal s\u0103 m\u0103 doar\u0103 coastele sau spatele dup\u0103 tas\u0103ri?<\/b><\/span><\/span><\/p>\n

Da, uneori durerea poate iradia \u0219i spre:<\/span><\/span><\/p>\n

– coaste;<\/span><\/span><\/p>\n

– zona lateral\u0103 a toracelui;<\/span><\/span><\/p>\n

– musculatura din jurul coloanei.<\/span><\/span><\/p>\n

Acest lucru apare deoarece postura \u0219i biomecanica coloanei se modific\u0103 dup\u0103 tas\u0103ri vertebrale.<\/span><\/span><\/p>\n

Ce \u00eenseamn\u0103 scorul T de la osteodensitometrie?<\/b><\/span><\/span><\/p>\n

Scorul T arat\u0103 c\u00e2t de mult difer\u0103 densitatea osoas\u0103 fa\u021b\u0103 de cea a unui adult t\u00e2n\u0103r s\u0103n\u0103tos.<\/span><\/span><\/p>\n

\u00cen general:<\/span><\/span><\/p>\n

– osteopenia \u00eenseamn\u0103 sc\u0103dere moderat\u0103 a densit\u0103\u021bii osoase;<\/span><\/span><\/p>\n

– osteoporoza \u00eenseamn\u0103 sc\u0103dere mai important\u0103 \u0219i risc mai mare de fracturi.<\/span><\/span><\/p>\n

Interpretarea rezultatului trebuie f\u0103cut\u0103 \u00eempreun\u0103 cu:<\/span><\/span><\/p>\n

– v\u00e2rsta;<\/span><\/span><\/p>\n

– istoricul de fracturi;<\/span><\/span><\/p>\n

– tratamentele urmate;<\/span><\/span><\/p>\n

– al\u021bi factori de risc.<\/span><\/span><\/p>\n

Osteopenia este acela\u0219i lucru cu osteoporoza?<\/b><\/span><\/span><\/p>\n

Nu.<\/span><\/span><\/p>\n

Osteopenia nu \u00eenseamn\u0103 \u00eenc\u0103 osteoporoz\u0103, \u00eens\u0103 arat\u0103 c\u0103 densitatea osoas\u0103 este deja sc\u0103zut\u0103.<\/span><\/span><\/p>\n

Odat\u0103 cu \u00eenaintarea \u00een v\u00e2rst\u0103, mai ales dup\u0103 menopauz\u0103, pierderea de mas\u0103 osoas\u0103 poate continua progresiv, iar unele persoane pot dezvolta ulterior osteoporoz\u0103 \u0219i risc crescut de fracturi.<\/span><\/span><\/p>\n

De ce apare osteoporoza mai ales dup\u0103 menopauz\u0103?<\/b><\/span><\/span><\/p>\n

Dup\u0103 menopauz\u0103, nivelul estrogenului scade semnificativ. Acest hormon are un rol important \u00een men\u021binerea rezisten\u021bei osoase.<\/span><\/span><\/p>\n

Din acest motiv, dup\u0103 menopauz\u0103 pierderea de mas\u0103 osoas\u0103 se accelereaz\u0103, iar riscul de:<\/span><\/span><\/p>\n

– osteopenie;<\/span><\/span><\/p>\n

– osteoporoz\u0103;<\/span><\/span><\/p>\n

– fracturi,<\/span><\/span><\/p>\n

devine mai mare.<\/span><\/span><\/p>\n

C\u00e2nd trebuie f\u0103cut\u0103 osteodensitometria?<\/b><\/span><\/span><\/p>\n

Osteodensitometria este recomandat\u0103 mai ales:<\/span><\/span><\/p>\n

– dup\u0103 menopauz\u0103;<\/span><\/span><\/p>\n

– la persoane v\u00e2rstnice;<\/span><\/span><\/p>\n

– dup\u0103 fracturi ap\u0103rute la traumatisme minore;<\/span><\/span><\/p>\n

– la persoane care folosesc cortizon perioade lungi;<\/span><\/span><\/p>\n

– \u00een prezen\u021ba factorilor de risc pentru osteoporoz\u0103.<\/span><\/span><\/p>\n

Ce este osteodensitometria \u0219i ce rol are examenul DXA?<\/b><\/span><\/span><\/p>\n

Evaluarea densit\u0103\u021bii osoase se poate face prin mai multe metode.<\/span><\/span><\/p>\n

Osteodensitometria calcanean\u0103 poate fi util\u0103 pentru:<\/span><\/span><\/p>\n

– evaluarea ini\u021bial\u0103 a densit\u0103\u021bii osoase;<\/span><\/span><\/p>\n

– identificarea persoanelor cu risc crescut de fragilitate osoas\u0103;<\/span><\/span><\/p>\n

– orientarea c\u0103tre investiga\u021bii suplimentare atunci c\u00e2nd rezultatele sunt modificate.<\/span><\/span><\/p>\n

Totu\u0219i, diagnosticul de osteoporoz\u0103 \u0219i indica\u021bia tratamentului specific se stabilesc \u00een principal pe baza examin\u0103rii DXA efectuate la nivelul:<\/span><\/span><\/p>\n

– coloanei lombare;<\/span><\/span><\/p>\n

– \u0219oldului;<\/span><\/span><\/p>\n

– sau ambelor segmente.<\/span><\/span><\/p>\n

Aceste segmente sunt cele mai importante pentru evaluarea corect\u0103 a densit\u0103\u021bii osoase \u0219i a riscului de fracturi.<\/span><\/span><\/p>\n

De ce este important\u0103 alegerea corect\u0103 a segmentelor pentru examinarea DXA?<\/b><\/span><\/span><\/p>\n

Alegerea segmentelor investigate este important\u0103 deoarece rezultatele pot diferi \u00eentre:<\/span><\/span><\/p>\n

– coloana lombar\u0103;<\/span><\/span><\/p>\n

– \u0219old;<\/span><\/span><\/p>\n

– alte zone osoase.<\/span><\/span><\/p>\n

\u00cen practic\u0103, evaluarea incomplet\u0103 poate duce uneori la:<\/span><\/span><\/p>\n

– subestimarea osteoporozei;<\/span><\/span><\/p>\n

– interpretarea incorect\u0103 a riscului de fracturi;<\/span><\/span><\/p>\n

– \u00eent\u00e2rzierea diagnosticului sau a tratamentului.<\/span><\/span><\/p>\n

Din acest motiv, indica\u021bia pentru examinarea DXA \u0219i interpretarea rezultatului este bine s\u0103 fie f\u0103cute \u00een contextul evalu\u0103rii clinice realizate de medicul specialist.<\/span><\/span><\/p>\n

Rezultatul trebuie corelat cu:<\/span><\/span><\/p>\n

– v\u00e2rsta;<\/span><\/span><\/p>\n

– istoricul de fracturi;<\/span><\/span><\/p>\n

– tratamentele urmate;<\/span><\/span><\/p>\n

– factorii de risc ai pacientului;<\/span><\/span><\/p>\n

– simptomele \u0219i bolile asociate.<\/span><\/span><\/p>\n

\u00cen anumite situa\u021bii, evaluarea doar a unui singur segment poate s\u0103 nu fie suficient\u0103 pentru aprecierea corect\u0103 a riscului osteoporotic.<\/span><\/span><\/p>\n

Pot avea osteoporoz\u0103 dac\u0103 analizele sunt normale?<\/b><\/span><\/span><\/p>\n

Da.<\/span><\/span><\/p>\n

\u00cen multe cazuri, analizele uzuale pot fi normale.<\/span><\/span><\/p>\n

Diagnosticul se stabile\u0219te \u00een principal prin:<\/span><\/span><\/p>\n

– osteodensitometrie;<\/span><\/span><\/p>\n

– evaluarea factorilor de risc;<\/span><\/span><\/p>\n

– istoricul de fracturi;<\/span><\/span><\/p>\n

– investiga\u021bii imagistice.<\/span><\/span><\/p>\n

\n

\n

Vitamina D mic\u0103 \u00eenseamn\u0103 automat osteoporoz\u0103?<\/b><\/span><\/span><\/p>\n

Nu.<\/span><\/span><\/p>\n

Vitamina D sc\u0103zut\u0103 nu \u00eenseamn\u0103 automat osteoporoz\u0103, \u00eens\u0103 poate contribui la:<\/span><\/span><\/p>\n

– fragilizarea osoas\u0103;<\/span><\/span><\/p>\n

– sl\u0103biciune muscular\u0103;<\/span><\/span><\/p>\n

– cre\u0219terea riscului de c\u0103dere.<\/span><\/span><\/p>\n

Diagnosticul de osteoporoz\u0103 se stabile\u0219te \u00een principal prin osteodensitometrie \u0219i evaluarea factorilor de risc.<\/span><\/span><\/p>\n

Osteoporoza apare doar la femei?<\/b><\/span><\/span><\/p>\n

Nu.<\/span><\/span><\/p>\n

Femeile sunt afectate mai frecvent dup\u0103 menopauz\u0103, \u00eens\u0103 osteoporoza poate ap\u0103rea \u0219i la b\u0103rba\u021bi, mai ales:<\/span><\/span><\/p>\n

– la v\u00e2rste \u00eenaintate;<\/span><\/span><\/p>\n

– dup\u0103 tratamente cu cortizon;<\/span><\/span><\/p>\n

– \u00een anumite boli cronice;<\/span><\/span><\/p>\n

– la fum\u0103tori;<\/span><\/span><\/p>\n

– \u00een consum excesiv de alcool.<\/span><\/span><\/p>\n

Dac\u0103 mama a avut osteoporoz\u0103, am risc mai mare?<\/b><\/span><\/span><\/p>\n

Da.<\/span><\/span><\/p>\n

Istoricul familial reprezint\u0103 un factor de risc important. Persoanele care au rude apropiate cu:<\/span><\/span><\/p>\n

– osteoporoz\u0103;<\/span><\/span><\/p>\n

– fracturi de \u0219old;<\/span><\/span><\/p>\n

– tas\u0103ri vertebrale,<\/span><\/span><\/p>\n

pot avea risc mai mare de fragilitate osoas\u0103.<\/span><\/span><\/p>\n

Cortizonul poate produce osteoporoz\u0103?<\/b><\/span><\/span><\/p>\n

Da.<\/span><\/span><\/p>\n

Tratamentul cortizonic utilizat perioade lungi poate reduce rezisten\u021ba osoas\u0103 \u0219i cre\u0219te riscul de fracturi.<\/span><\/span><\/p>\n

De aceea, pacien\u021bii care folosesc:<\/span><\/span><\/p>\n

– Prednison;<\/span><\/span><\/p>\n

– Medrol;<\/span><\/span><\/p>\n

– Dexametazon\u0103;<\/span><\/span><\/p>\n

– alte corticosteroide,<\/span><\/span><\/p>\n

pot necesita monitorizare \u0219i m\u0103suri de preven\u021bie pentru osteoporoz\u0103.<\/span><\/span><\/p>\n

Calciul \u0219i vitamina D sunt suficiente?<\/b><\/span><\/span><\/p>\n

Nu \u00eentotdeauna.<\/span><\/span><\/p>\n

Calciul \u0219i vitamina D sunt importante pentru s\u0103n\u0103tatea osoas\u0103, \u00eens\u0103 \u00een osteoporoza confirmat\u0103 pot fi necesare \u0219i alte tratamente pentru reducerea riscului de fracturi.<\/span><\/span><\/p>\n

Tratamentul se stabile\u0219te \u00een func\u021bie de:<\/span><\/span><\/p>\n

– densitatea osoas\u0103;<\/span><\/span><\/p>\n

– v\u00e2rst\u0103;<\/span><\/span><\/p>\n

– fracturi anterioare;<\/span><\/span><\/p>\n

– factorii de risc asocia\u021bi.<\/span><\/span><\/p>\n

Dac\u0103 iau tratament, osul \u00ee\u0219i revine?<\/b><\/span><\/span><\/p>\n

Tratamentul poate:<\/span><\/span><\/p>\n

– \u00eencetini pierderea osoas\u0103;<\/span><\/span><\/p>\n

– reduce riscul de fracturi;<\/span><\/span><\/p>\n

– cre\u0219te rezisten\u021ba osului \u00een anumite situa\u021bii.<\/span><\/span><\/p>\n

Efectele apar \u00eens\u0103 progresiv \u0219i tratamentul trebuie urmat conform recomand\u0103rilor medicale.<\/span><\/span><\/p>\n

Tratamentul pentru osteoporoz\u0103 este periculos?<\/b><\/span><\/span><\/p>\n

Mul\u021bi pacien\u021bi se tem de reac\u021biile adverse ale tratamentului.<\/span><\/span><\/p>\n

\u00cen realitate, riscul fracturilor osteoporotice severe este de multe ori mai mare dec\u00e2t riscul reac\u021biilor adverse importante.<\/span><\/span><\/p>\n

Totu\u0219i, alegerea tratamentului trebuie individualizat\u0103 \u00een func\u021bie de:<\/span><\/span><\/p>\n

– v\u00e2rst\u0103;<\/span><\/span><\/p>\n

– riscul de fracturi;<\/span><\/span><\/p>\n

– alte boli asociate;<\/span><\/span><\/p>\n

– istoricul pacientului.<\/span><\/span><\/p>\n

Pot face sport dac\u0103 am osteoporoz\u0103?<\/b><\/span><\/span><\/p>\n

Da, iar mi\u0219carea este important\u0103.<\/span><\/span><\/p>\n

Activitatea fizic\u0103 adaptat\u0103 poate ajuta la:<\/span><\/span><\/p>\n

– men\u021binerea masei musculare;<\/span><\/span><\/p>\n

– \u00eembun\u0103t\u0103\u021birea echilibrului;<\/span><\/span><\/p>\n

– reducerea riscului de c\u0103deri;<\/span><\/span><\/p>\n

– men\u021binerea mobilit\u0103\u021bii.<\/span><\/span><\/p>\n

De obicei sunt recomandate:<\/span><\/span><\/p>\n

– mersul;<\/span><\/span><\/p>\n

– exerci\u021biile u\u0219oare;<\/span><\/span><\/p>\n

– kinetoterapia;<\/span><\/span><\/p>\n

– exerci\u021biile pentru echilibru \u0219i postur\u0103.<\/span><\/span><\/p>\n

\u00cenotul ajut\u0103 la osteoporoz\u0103?<\/b><\/span><\/span><\/p>\n

\u00cenotul este benefic pentru:<\/span><\/span><\/p>\n

– mobilitate;<\/span><\/span><\/p>\n

– musculatur\u0103;<\/span><\/span><\/p>\n

– articula\u021bii;<\/span><\/span><\/p>\n

– condi\u021bia fizic\u0103 general\u0103.<\/span><\/span><\/p>\n

Totu\u0219i, exerci\u021biile care stimuleaz\u0103 cel mai bine osul sunt cele cu sprijin pe membre, precum:<\/span><\/span><\/p>\n

– mersul;<\/span><\/span><\/p>\n

– exerci\u021biile u\u0219oare cu greutatea corpului;<\/span><\/span><\/p>\n

– kinetoterapia adaptat\u0103.<\/span><\/span><\/p>\n

Ce mi\u0219c\u0103ri trebuie evitate?<\/b><\/span><\/span><\/p>\n

\u00cen osteoporoza important\u0103 sau dup\u0103 tas\u0103ri vertebrale trebuie evitate:<\/span><\/span><\/p>\n

– ridicarea unor greut\u0103\u021bi mari;<\/span><\/span><\/p>\n

– mi\u0219c\u0103rile bru\u0219te de rota\u021bie;<\/span><\/span><\/p>\n

– aplec\u0103rile repetate;<\/span><\/span><\/p>\n

– eforturile intense neadaptate;<\/span><\/span><\/p>\n

– activit\u0103\u021bile cu risc mare de c\u0103dere.<\/span><\/span><\/p>\n

Mi\u0219carea r\u0103m\u00e2ne important\u0103, \u00eens\u0103 trebuie adaptat\u0103 fiec\u0103rui pacient.<\/span><\/span><\/p>\n

Mersul pe jos ajut\u0103?<\/b><\/span><\/span><\/p>\n

Da.<\/span><\/span><\/p>\n

Mersul moderat poate avea efecte benefice asupra:<\/span><\/span><\/p>\n

– musculaturii;<\/span><\/span><\/p>\n

– echilibrului;<\/span><\/span><\/p>\n

– mobilit\u0103\u021bii;<\/span><\/span><\/p>\n

– s\u0103n\u0103t\u0103\u021bii osoase.<\/span><\/span><\/p>\n

Sedentarismul favorizeaz\u0103 pierderea masei musculare \u0219i cre\u0219te riscul de c\u0103deri.<\/span><\/span><\/p>\n

Este periculos s\u0103 cad dac\u0103 am osteoporoz\u0103?<\/b><\/span><\/span><\/p>\n

Da, deoarece oasele fragile se pot fractura mai u\u0219or.<\/span><\/span><\/p>\n

C\u0103derile pot produce:<\/span><\/span><\/p>\n

– fracturi de \u0219old;<\/span><\/span><\/p>\n

– fracturi vertebrale;<\/span><\/span><\/p>\n

– fracturi ale um\u0103rului;<\/span><\/span><\/p>\n

– fracturi ale \u00eencheieturii m\u00e2inii.<\/span><\/span><\/p>\n

Cum pot preveni c\u0103derile?<\/b><\/span><\/span><\/p>\n

Reducerea riscului de c\u0103dere este foarte important\u0103 \u00een osteoporoz\u0103.<\/span><\/span><\/p>\n

Pot ajuta:<\/span><\/span><\/p>\n

– exerci\u021biile pentru echilibru;<\/span><\/span><\/p>\n

– \u00eenc\u0103l\u021b\u0103mintea stabil\u0103;<\/span><\/span><\/p>\n

– iluminarea bun\u0103 a locuin\u021bei;<\/span><\/span><\/p>\n

– evitarea covoarelor instabile;<\/span><\/span><\/p>\n

– corectarea tulbur\u0103rilor de vedere;<\/span><\/span><\/p>\n

– men\u021binerea musculaturii prin activitate fizic\u0103 adaptat\u0103.<\/span><\/span><\/p>\n

De ce unele persoane fac fracturi iar altele nu?<\/b><\/span><\/span><\/p>\n

Riscul de fracturi depinde de mai mul\u021bi factori:<\/span><\/span><\/p>\n

– densitatea osoas\u0103;<\/span><\/span><\/p>\n

– v\u00e2rst\u0103;<\/span><\/span><\/p>\n

– echilibru;<\/span><\/span><\/p>\n

– masa muscular\u0103;<\/span><\/span><\/p>\n

– riscul de c\u0103dere;<\/span><\/span><\/p>\n

– tratamentele urmate;<\/span><\/span><\/p>\n

– alte boli asociate.<\/span><\/span><\/p>\n

Dou\u0103 persoane cu acela\u0219i rezultat la osteodensitometrie pot avea riscuri diferite de fractur\u0103.<\/span><\/span><\/p>\n

Soarele ajut\u0103 la osteoporoz\u0103?<\/b><\/span><\/span><\/p>\n

Expunerea moderat\u0103 la soare ajut\u0103 organismul s\u0103 produc\u0103 vitamina D, important\u0103 pentru s\u0103n\u0103tatea osoas\u0103.<\/span><\/span><\/p>\n

Totu\u0219i, expunerea la soare singur\u0103 nu este suficient\u0103 pentru prevenirea sau tratamentul osteoporozei.<\/span><\/span><\/p>\n

Ce alimente ajut\u0103?<\/b><\/span><\/span><\/p>\n

Alimenta\u021bia trebuie s\u0103 includ\u0103 suficiente surse de:<\/span><\/span><\/p>\n

– calciu;<\/span><\/span><\/p>\n

– proteine;<\/span><\/span><\/p>\n

– vitamina D.<\/span><\/span><\/p>\n

Sunt importante:<\/span><\/span><\/p>\n

– lactatele;<\/span><\/span><\/p>\n

– pe\u0219tele;<\/span><\/span><\/p>\n

– ou\u0103le;<\/span><\/span><\/p>\n

– legumele verzi;<\/span><\/span><\/p>\n

– expunerea moderat\u0103 la soare.<\/span><\/span><\/p>\n

Pot avea osteoporoz\u0103 \u0219i artroz\u0103 \u00een acela\u0219i timp?<\/b><\/span><\/span><\/p>\n

Da.<\/span><\/span><\/p>\n

Cele dou\u0103 boli sunt diferite, \u00eens\u0103 pot exista la acela\u0219i pacient.<\/span><\/span><\/p>\n

Artroza afecteaz\u0103:<\/span><\/span><\/p>\n

– articula\u021biile;<\/span><\/span><\/p>\n

– cartilajul.<\/span><\/span><\/p>\n

Osteoporoza afecteaz\u0103:<\/span><\/span><\/p>\n

– rezisten\u021ba osoas\u0103;<\/span><\/span><\/p>\n

– riscul de fracturi.<\/span><\/span><\/p>\n

Ce se \u00eent\u00e2mpl\u0103 dac\u0103 osteoporoza nu este tratat\u0103?<\/b><\/span><\/span><\/p>\n

F\u0103r\u0103 tratament sau m\u0103suri de preven\u021bie, riscul de:<\/span><\/span><\/p>\n

– fracturi;<\/span><\/span><\/p>\n

– tas\u0103ri vertebrale;<\/span><\/span><\/p>\n

– sc\u0103dere \u00een \u00een\u0103l\u021bime;<\/span><\/span><\/p>\n

– limitarea mobilit\u0103\u021bii,<\/span><\/span><\/p>\n

poate cre\u0219te progresiv \u00een timp.<\/span><\/span><\/p>\n

De ce unele persoane fac tas\u0103ri f\u0103r\u0103 s\u0103 \u0219tie?<\/b><\/span><\/span><\/p>\n

Unele tas\u0103ri vertebrale apar lent \u0219i nu produc imediat dureri intense.<\/span><\/span><\/p>\n

Persoana poate observa treptat:<\/span><\/span><\/p>\n

– sc\u0103dere \u00een \u00een\u0103l\u021bime;<\/span><\/span><\/p>\n

– modificarea posturii;<\/span><\/span><\/p>\n

– dureri de spate persistente;<\/span><\/span><\/p>\n

– oboseal\u0103 muscular\u0103.<\/span><\/span><\/p>\n

Uneori tas\u0103rile sunt descoperite \u00eent\u00e2mpl\u0103tor la radiografie.<\/span><\/span><\/p>\n

Trebuie s\u0103 port corset dup\u0103 tasare vertebral\u0103?<\/b><\/span><\/span><\/p>\n

\u00cen anumite situa\u021bii, medicul poate recomanda temporar corset pentru:<\/span><\/span><\/p>\n

– reducerea durerii;<\/span><\/span><\/p>\n

– sus\u021binerea coloanei;<\/span><\/span><\/p>\n

– limitarea anumitor mi\u0219c\u0103ri dureroase.<\/span><\/span><\/p>\n

Totu\u0219i, purtarea prelungit\u0103 f\u0103r\u0103 indica\u021bie poate favoriza sl\u0103birea musculaturii spatelui.<\/span><\/span><\/p>\n

\n

Cum \u00eemi dau seama dac\u0103 am f\u0103cut o tasare nou\u0103?<\/b><\/span><\/span><\/p>\n

Uneori o tasare nou\u0103 poate fi suspectat\u0103 dac\u0103 apare:<\/span><\/span><\/p>\n

– durere brusc\u0103 de spate;<\/span><\/span><\/p>\n

– agravarea durerilor deja existente;<\/span><\/span><\/p>\n

– dificultate mai mare la mers;<\/span><\/span><\/p>\n

– accentuarea coco\u0219\u0103rii;<\/span><\/span><\/p>\n

– sc\u0103dere suplimentar\u0103 \u00een \u00een\u0103l\u021bime;<\/span><\/span><\/p>\n

– durere accentuat\u0103 la stat \u00een picioare sau mers.<\/span><\/span><\/p>\n

\u00cen aceste situa\u021bii este important consultul medical \u0219i evaluarea imagistic\u0103.<\/span><\/span><\/p>\n

C\u00e2nd ar trebui s\u0103 merge\u021bi la reumatolog?<\/b><\/span><\/span><\/p>\n

Este important\u0103 evaluarea reumatologic\u0103 dac\u0103:<\/span><\/span><\/p>\n

– a\u021bi avut fracturi dup\u0103 traumatisme minore;<\/span><\/span><\/p>\n

– sc\u0103de\u021bi \u00een \u00een\u0103l\u021bime;<\/span><\/span><\/p>\n

– ave\u021bi tas\u0103ri vertebrale;<\/span><\/span><\/p>\n

– osteodensitometria arat\u0103 osteopenie sau osteoporoz\u0103;<\/span><\/span><\/p>\n

– urma\u021bi tratament cortizonic;<\/span><\/span><\/p>\n

– exist\u0103 factori de risc importan\u021bi pentru fragilitate osoas\u0103.<\/span><\/span><\/p>\n

Consultul reumatologic ajut\u0103 la:<\/span><\/span><\/p>\n

– evaluarea riscului de fracturi;<\/span><\/span><\/p>\n

– interpretarea osteodensitometriei;<\/span><\/span><\/p>\n

– stabilirea investiga\u021biilor necesare;<\/span><\/span><\/p>\n

– alegerea tratamentului potrivit;<\/span><\/span><\/p>\n

– monitorizarea evolu\u021biei.<\/span><\/span><\/p>\n

Osteoporoza se poate vindeca?<\/b><\/span><\/span><\/p>\n

Osteoporoza este o boal\u0103 cronic\u0103, \u00eens\u0103 evolu\u021bia poate fi \u00eencetinit\u0103 semnificativ.<\/span><\/span><\/p>\n

Diagnosticul precoce, tratamentul corect \u0219i prevenirea c\u0103derilor pot reduce important riscul de fracturi \u0219i pot ajuta la men\u021binerea independen\u021bei \u0219i mobilit\u0103\u021bii pe termen lung.<\/span><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Mul\u021bi pacien\u021bi afl\u0103 c\u0103 au osteoporoz\u0103 dup\u0103: – o osteodensitometrie; – o fractur\u0103 ap\u0103rut\u0103 aparent \u201edin senin\u201d; – o tasare vertebral\u0103; – o radiografie f\u0103cut\u0103 pentru dureri de spate. De multe ori apare \u00eentrebarea: \u201eCum este posibil s\u0103 am oase fragile dac\u0103 analizele sunt bune \u0219i nu m\u0103 doare nimic?\u201d Osteoporoza este o boal\u0103 \u00een […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[21],"tags":[],"class_list":["post-1341","post","type-post","status-publish","format-standard","hentry","category-boli-reumatice"],"_links":{"self":[{"href":"https:\/\/reumatologiebucuresti.ro\/index.php\/wp-json\/wp\/v2\/posts\/1341","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/reumatologiebucuresti.ro\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/reumatologiebucuresti.ro\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/reumatologiebucuresti.ro\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/reumatologiebucuresti.ro\/index.php\/wp-json\/wp\/v2\/comments?post=1341"}],"version-history":[{"count":1,"href":"https:\/\/reumatologiebucuresti.ro\/index.php\/wp-json\/wp\/v2\/posts\/1341\/revisions"}],"predecessor-version":[{"id":1342,"href":"https:\/\/reumatologiebucuresti.ro\/index.php\/wp-json\/wp\/v2\/posts\/1341\/revisions\/1342"}],"wp:attachment":[{"href":"https:\/\/reumatologiebucuresti.ro\/index.php\/wp-json\/wp\/v2\/media?parent=1341"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/reumatologiebucuresti.ro\/index.php\/wp-json\/wp\/v2\/categories?post=1341"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/reumatologiebucuresti.ro\/index.php\/wp-json\/wp\/v2\/tags?post=1341"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}