Aunt Liu has had sudden chest pain for three days, and she has been tortured enough to choke, as long as she coughs slightly, turns over or moves her body, it will induce unbearable chest pain! Her experience has a certain particularity, but the cause exists in many elderly women, and we will tell you about the harm of osteoporosis through this case!
It happened after a casual bend
To say that Aunt Liu's condition is also quite coincidental, three days ago, Aunt Liu made breakfast and found that the chopsticks fell to the ground, when bending down to pick up the chopsticks, suddenly there was a sharp chest pain, and according to the aunt at that time, she heard a noise, and then did not dare to watch the activity.
A little activity on the feel severe chest pain, pain straight out of cold sweat, the family looked worried about not being a myocardial infarction, quickly led to the hospital to do ECG and related tests, the result was nothing, excluded the myocardial infarction; the doctor was afraid of aneurysm tearing, did the corresponding examination, also ruled out, in the hospital to stay overnight, the symptoms did not change much, the vital signs are quite normal, go home to observe the condition.
However, Aunt Liu's chest pain was not relieved at all, a slight cough or some actions to increase abdominal pressure, such as stool will induce obvious chest pain, at home for two days, really can't stand it, this time I want to look at the hospital again.
To tell the truth, when the clinic just received the aunt, it was true that there was no possibility of rib fractures, but when examining Aunt Liu's body, we found that slightly squeezing her chest would induce obvious chest pain for the aunt.
Later, I learned about Aunt Liu's medical history in detail and found that she had a compression fracture of the vertebral body because of a fall three years ago, and two years ago, she also suffered a fracture because her little toe collided with the corner of the table.
This is to consider whether it is possible that a fracture of the ribs caused her chest pain? However, there is no obvious history of trauma, ah, to know that the ribs protect our chest, if you want to fracture, it takes a certain amount of violence.
Can a single bend cause a fracture?
As a result, Aunt Liu's chest X-ray gave us the answer, and a total of three ribs were fractured.
In this case, it means that the elderly are likely to have severe osteoporosis, so I suggested that Aunt Liu do a bone density test, and we got his T-value of -2.9.
Under normal circumstances, the bone density T value is between -1.0 and -2.5, we consider bone loss, if it is below -2.5, it can already diagnose osteoporosis, then if a minor violently induced fracture occurs, it is diagnosed as severe osteoporosis.
Aunt Liu is a patient with severe osteoporosis!
In this case we recommend hospitalization, further examination, the purpose of which is not to treat fractures, but to find out whether there are other reasons for her bone mass reduction so obvious, so easy to fracture, and even to rule out whether she has some bone metabolism diseases, and even whether there is a possibility of tumor bone metastasis, because the possibility of causing osteoporosis is not so single, senile osteoporosis, postmenopausal osteoporosis and osteoporosis secondary to certain diseases may lead to the brittleness of bones. This eventually leads to fractures.
This case is relatively special, but osteoporosis is widely present in the bodies of many elderly women, and many elderly people do not know it, which is very dangerous.
Osteoporosis is known as the "Killer of Silence"
Osteoporosis has a less dignified title called "Silent Killer!" Why do you have such a title? In fact, it means that when it hurts our body, it is often silent, and when you have a fracture because of a slight violence, it is found that there is already osteoporosis after examination, and it is very difficult to correct it.
Especially for many elderly women, with the increase of age, our bone mass will be normal due to the weakening of bone formation leading to a decrease in bone mass, there may be senile osteoporosis, female friends and men are different, in many women between 45 and 55 years old will experience a special period of time called perimenopause, during this time, estrogen levels will have a cliff-like decline, many of our female friends only know that after the decline in estrogen levels will lead to hot flashes, night sweats, It can lead to problems such as changes in female sexual characteristics, but we have no idea that estrogen levels cause a special kind of cell in our body, called osteoclasts, to become more active.
Don't think of osteoclasts as a relatively bad cell, it is actually a kind of cell that helps us to clear the old bone structure, and there are osteoblasts and osteoclasts working together to keep our bones in a metabolic state and maintain a healthy balance.
However, if osteoclasts become too active, it will cause a large loss of bone mass, and osteoporosis in women in special periods is called postmenopausal osteoporosis.
Therefore, many women are not only facing senile osteoporosis, but also face the threat of postmenopausal osteoporosis, so the possible results of this 1+1 will be greater than 2.
How do you know if you have bone mass changes?
So can we tell us that we may have osteopenia or even osteoporosis through some clues?
● If you are between the ages of 45 or 55 and your period has changed, then your estrogen levels may be changing, and if you have unbearable back pain, lower back pain, and peripheral wandering (channeling pain) pain during this particular period of time, it is recommended that you have a bone density test.
● In this period of time, if you feel obvious fatigue and weakness around you, or even have manifestations of depression, then it is recommended that you have a bone density test, and at the same time, you should perform a vitamin D test to clarify the level of vitamin D, because vitamin D is very powerful for regulating the metabolism of calcium, and the lack of vitamin D bone calcium deposition and bone calcium absorption will be affected.
● If you frequently develop tenosynovitis of the tendons of the fingers during this period, it may be caused by changes in hormone levels, but we should also consider that it may be induced by osteoporosis, because the skin does not exist, the hair will be attached, the stop point of the tendon is the bone, if the strength of the bone becomes weaker, then the tendon will also change and cause problems.
But by the symptoms to judge are not accurate, the diagnosis of bone loss and osteoporosis of the gold standard, at present or dual-energy X-ray examination, it is recommended that you start to change after menstruation, especially after menopause, female friends should check the dual-energy X-ray once a year, so as to truly accurately understand our bone mass status and avoid osteoporosis.
In addition, regular checks for bone density are also recommended in these cases:
● Smoke more than 20 cigarettes per day.
●Underweight, BMI below 18.
● Menopause before the age of 45.
●Diarrhea is frequent.
●Have been taking cortisone, prednisone and other hormone drugs for more than three consecutive months.
●Parents suffer from osteoporosis, and even fractures have occurred due to minor collisions.
How to prevent osteoporosis
In fact, the best way to prevent osteoporosis is to pay attention to a high-calcium diet when we are young, especially when we are teenagers, to exercise, to sun, and to raise our bone mass to be great, that is to say, to save the bottom of the family a little thicker, so that even in old age, even if there is bone loss, but because the bottom of the home is relatively thick, the change in bone mass will be relatively small.
So be sure to pay attention to your child's diet and exercise, especially girls, daily drinking milk and eating nuts and fresh vegetables can help us supplement the calcium needed by the body, and to instruct children to do more weight-bearing exercises to help strengthen bones.
For female friends who are already in the age group of 45 to 55 years old, regular examination is a very important measure for us to clarify bone mass changes, in daily life should also pay attention to high-calcium diet, every day to ensure 200 ~ 300 ml of milk, to eat 20 ~ 30 grams of nuts, to ensure about 500 grams of fresh vegetables every day, especially dark green vegetables, to adhere to weight-bearing exercises, such as jogging, brisk walking, cycling, tai chi and ballroom dance, etc., are OK, choose one you like, And the weight-bearing exercise that can be sustained is very important.
In daily life, we should also pay attention to the sun, sun exposure can help us better convert vitamin D into active vitamin D to promote the absorption of calcium, promote the deposition of calcium, but the sun must not be separated by glass, and the daily sun exposure time should reach 20 to 30 minutes, do not sunshine when the sun is more intense, so it is easy to increase the risk of skin cancer, female friends pay attention not to apply sunscreen and then sunburn, so it does not work.
summary
Although osteoporosis and age have a certain correlation, many of our friends also think that as long as they are old, there will definitely be osteoporosis, but the fact is not so, clinically we have also met a lot of 60 to 70-year-old female friends who did not appear osteoporosis when they went to physical examination, which is a very gratifying thing.
This also shows from the side that osteoporosis can be prevented and controlled, we must not think that osteoporosis is irreversible, as long as the early stage of bone mass change is controlled in time, timely change your lifestyle to intervene, according to the state of your bone mass to seek medical help, scientific anti-osteoporosis, can greatly reduce your fracture risk.
Don't let osteoporosis go unchecked and let this silent killer hurt us!
Enjoy old age well, isn't it good?
I am insisting on using simple language to explain the knowledge of complex diseases Xie Xinhui, code words are not easy, if you agree with my point of view, please help to pay attention to or like it, if you or your family and friends also have elderly women osteoporosis in this area of trouble, or want to know how to prevent osteoporosis, try to avoid the risk of osteoporosis, please forward this article to the need for them, thank you!