Hello edition! What necessary material! Low bow To my mum 43 years At it disease - "ревматоидный an arthritis with deforming остепорозом" is ill it 8 years. I will operate now!
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It is published White. In пн, 09/07/2011 - 13:46
Forgive, please, for a question, not idle. Остепороз, the doctor has appointed 2 years ago actovel, drink I it could not, probably something with kidneys (hypostases, pressure, an urine incontience), now I do not transfer medicines, but analyses all while in norm, I drink one calcium. What preparations (those that applies in Россиии) it is possible to try for treatment остепороза.
I will be very grateful for the help.
Yours faithfully White.
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It is published Doctor-therapist Ruslan Vjacheslavovich, Volgograd in пн, 09/07/2011 - 13:49
Respected, white - calcium - a preparation for osteoporosis preventive maintenance. For treatment it is used in complex therapy.
Preparation which to you have appointed - актонель (you were mistaken in one letter). As. As well as фосамакс on which the question has been asked, it is a preparation from group бисфосфонатов, only is to derivatives ризедроновой (instead of алендроновой) acids.
Both these of a preparation (and their new colleagues - золедроновая acid and др) are preparations of the first line in the USA (and now and all over the world) for лечени яостеопороза. In Europe still recently домнировал миакальцик. Now remained as a preparation of the second line under narrower indications (with what my question to our colleague has been connected).
Preparations золедроновой acids in general are entered once a year инъекционно, that allows to bring to nothing their undesirable effect on zheludochno - an intestinal path (but you had other problems).
Whether In a word, you should discuss following problems - with the doctor application of any бисфосфоната (т. е to specify character of the former collateral reactions) is for you impossible, that it is more preferable from преапататов than the second line - форстео (терипаратид). миакальцик or бивалос (strontium ранелат, I I do not know, whether зарегистирирован it in the USA). In a word, different groups of preparations can be applied to the osteoporosis treatment, the first preparation. Appointed to you. Really is the most universal and often used, at real intolerance other variants are discussed.
How much I remember. Your age allows to speak and about possibility ЗГТ (НRT) - I do not know, whether there are contra-indications (and it too work of your doctor). To in total you kind. Address to the attending physician!!!!
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It is published ESTEEM in вт, 10/07/2011 - 09:26
The Literature
1. Osteoporosis prevention, diagnosis, and therapy. JAMA 2001; 285:785-795.
2. Nasonov E. L., Skripnikova I. A., Nasonov V. A. An osteoporosis problem in rheumatology. М, Стин, 1997.
3. Eastell R. Treatment of postmenopausl osteoporosis. N. Engl. J. Med., 1998; 338:736-746.
4. Benevolensky L. I.general principles of preventive maintenance and osteoporosis treatment//the Consultation, 2000, № 2, with. 240-244.
5. Nasonov E. L.preventive maintenance and osteoporosis treatment: a modern condition of a problem//Russian medical magazine, 1998, № 6, with. 1176-1180.
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It is published Konstantin in вт, 10/07/2011 - 09:27
Hello, my name is Konstantin, me of 25 years. Petersburg.
Has come on reception to the neurologist with complaints to burning pains under a shovel of the left hand around a backbone. Earlier these pains were in the childhood then have diagnosed "instability of cervical department of backbone С1-С2 С5-С6. The doctor has looked a shoulder, it шелкает, movements are limited, but the pain is not present.
Have made a picture: "the osteoporosis бугорков a humeral bone - an indirect sign of a syndrome плечелопаточного периартрита Is defined". Now we will start to treat "sharp корешковый a syndrome" - massage and манульной.
Tell, and what to me now to do with a shoulder? How to treat an osteoporosis? Similar problems are and with a backbone.
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It is published Лиза in пт, 13/07/2011 - 09:03
All women should accept daily three-four portions of food rich with calcium for strengthening of bones and osteoporosis prevention. During time менопаузы and pregnancy they require in большем quantity of calcium: it is necessary to eat products containing it at least four times a day. If you, trying to lower weight, намерены to exclude dairy products from the diet, do not forget, that in the removed milk there is a calcium and few fat.
The magnesium Lack creates a similar problem as at its deficiency calcium is badly acquired by an organism. Magnesium is available in meat, sea products, green vegetables and dairy products. However do not abuse meat: too the fiber considerable quantity also conducts to an osteoporosis as because of glut by fiber the organism starts to be released from calcium.
Try to include in each dish the products rich with calcium.
The best sources of calcium are low-fat milk, yoghurt and fast cheese.
One portion of food rich with calcium is equivalent to 40 grammes of cheese, a milk glass (200 ml) or a yoghurt jar.
It is possible to carry cabbage-broccoli to not dairy sources of calcium, tinned sardines, a salmon (with bones), a tofu, bean, мюсли with nuts and a white loaf.
Use less than salt, coffee, sugar and alcohol as all these products wash away calcium from an organism.
Remember that caffeine is both in chocolate, and in drinks кола, and not just in coffee. Even tea contains a caffeine small amount.
Stop to smoke. Along with the destructive harm, which nicotine puts to an organism, it reduces production of a female hormone of an estrogen.
Eat more products containing nonsaturated acids, for example fish, sunflower and сафлоровое oil. These fat acids promote mastering by a calcium organism
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It is published Катерина in ср, 18/07/2011 - 12:14
The American experts, for example, recommend:
Drink the fat-free or removed milk instead of water, satisfying thirst.
Increase consumption of foodstuff rich with calcium at the raised stressful loadings
If at present you accept any medical products, specify, whether they break a calcium exchange
Do not smoke are reduces calcium absorption.
Physical activity increases density of bones.
Use the removed milk in soup instead of water.
Caffeine consumption can reduce calcium absorption.
Add fat-free cheese to sandwiches, the salads, the second dishes etc.
Eat fat-free yoghurts or cheeses as snack.
Выберайте desserts rich with calcium.
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It is published Helen in ср, 01/08/2011 - 18:02
You have lifted very much the pressing question, concerning applications of the medical products based not on scientifically-demonstrative medicine, and on commercial and other approaches.
Certainly, to appoint the complex of treatment including medicamentous treatment, a diet, an impellent mode the pharmaceutical firm, and your attending physician should not, being based on standards and recommendations (the international and state level), developed taking into account data многоцентровых scientific researches.
But in your concrete case the preparation алендронат, entering into group бисфосфонатов – ингибиторов bone резорбции, is a preparation with the proved action and effect on decrease pathological резорбции a bone fabric that is a principal cause of development of an osteoporosis. It is included in the international recommendations about osteoporosis treatment (it is a question of operating substance – алендронате).
In comparison by other preparations applied to treatment of an osteoporosis, it possesses the least by-effects, basically – on a gastroenteric path (эзофагит, the gastritis, a diarrhoeia), that happens far not at all patients and is easily prevented by reception альмагеля or маалокса, or the milk use (at its normal shipping). Duration of treatment is defined by the attending physician.
Along with medicamentous therapy the eutrophy and an impellent mode, physical culture, stay on fresh air has huge value.
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It is published Irina, Moscow in ср, 01/08/2011 - 18:03
The Preparation алендронат with the proved efficiency increases mineral density of a bone fabric and reduces risk of crises. It is applied on 10-15 mg a day, washing down with 1 glass of water, and not accepting horizontal position within 30-40 minutes in order to avoid action on the top departments of a gastroenteric path. Duration of reception is unlimited, but 1 month for years is more often applied by courses for 3 months with breaks.
Other by-effects, except influence on a gastroenteric path (a gullet, a stomach, intestines), it is not described, and and in practice and these phenomena met seldom enough. At their occurrence it is necessary to stop temporarily reception, and then to renew under protection enveloping преператов which, however, should not affect it всасывание and bioavailability.
Preparation Фосамакс, I think, corresponds to standards though the information for this reason to a preparation I have also no information on its fakes did not hear. Do not forget about calcium enough in a diet and the physical exercises stimulating остеогенез.
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It is published Nikolay in чт, 04/02/2010 - 12:32
Remarkable article, only here is not present anything directly about medicines which can be drunk for профилактки an osteoporosis. They different happen... I, for example, somewhere read, that any of them destroys liver cages, and Кальцемин, for example, is rather good. There fills shortage of microcells, warns diseases of kostno-muscular system and so on. At least, I from doctors about it only heard the good, they to very many people recommend it, even - to them from 20 weeks it is possible for pregnant women. And feeding too.
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