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Из-за этого даже небольшой удар или падение могут привести к перелому [1](https://stolichki.ru/clubs/health/podkast/osteoporoz). Чаще всего ломаются позвоночник, бедро и запястья [1](https://stolichki.ru/clubs/health/podkast/osteoporoz). \n\nВыделяют два вида остеопороза [1](https://stolichki.ru/clubs/health/podkast/osteoporoz): \n1. **Первичный** — связан с естественным старением организма [1](https://stolichki.ru/clubs/health/podkast/osteoporoz). Например, постменопаузальный остеопороз — развивается у женщин после менопаузы из-за снижения уровня эстрогена [1](https://stolichki.ru/clubs/health/podkast/osteoporoz)[4](https://vitaexpress.ru/articles/osteoporoz/). \n2. **Вторичный** — вызван другими болезнями, например диабетом или болезнями почек, а также лекарствами [1](https://stolichki.ru/clubs/health/podkast/osteoporoz).\n\n## Причины\nНекоторые причины остеопороза: \n* **Возрастные изменения** — после 50 лет кости постепенно теряют прочность [1](https://stolichki.ru/clubs/health/podkast/osteoporoz). \n* **Нехватка кальция и витамина D** — кальций необходим для выстраивания и обновления костной ткани, а витамин D нужен для всасывания кальция из желудочно-кишечного тракта [1](https://stolichki.ru/clubs/health/podkast/osteoporoz). \n* **Гормональные изменения** — у женщин после менопаузы снижается уровень эстрогена, что ускоряет потерю костной массы [1](https://stolichki.ru/clubs/health/podkast/osteoporoz). \n* **Малоподвижный образ жизни** — если человек мало двигается, костная ткань слабеет [1](https://stolichki.ru/clubs/health/podkast/osteoporoz).\n\n## Симптомы\nНа ранних стадиях симптомов нет, поэтому болезнь называют «тихим вором костей» [1](https://stolichki.ru/clubs/health/podkast/osteoporoz). Позже могут появиться: \n* боли в спине, вызванные микропереломами позвонков [1](https://stolichki.ru/clubs/health/podkast/osteoporoz); \n* уменьшение роста, так как позвоночник проседает [1](https://stolichki.ru/clubs/health/podkast/osteoporoz); \n* сутулость из-за разрушения позвонков [1](https://stolichki.ru/clubs/health/podkast/osteoporoz); \n* частые переломы даже от лёгких падений [1](https://stolichki.ru/clubs/health/podkast/osteoporoz). \n\nПереломы мелких костей, например фаланг пальцев, для остеопороза нехарактерны [1](https://stolichki.ru/clubs/health/podkast/osteoporoz).\n\n## Диагностика\nОсновной метод диагностики — **денситометрия** — обследование, которое оценивает плотность костной ткани [1](https://stolichki.ru/clubs/health/podkast/osteoporoz). Могут потребоваться дополнительные исследования, например анализы крови (проверяют уровень кальция, витамина D, паратгормона, фосфора и других показателей) [1](https://stolichki.ru/clubs/health/podkast/osteoporoz). Если уже есть переломы или подозрение на их наличие, делают рентген или компьютерную томографию [1](https://stolichki.ru/clubs/health/podkast/osteoporoz).\n\n## Лечение\nЦель лечения — укрепить кости и снизить риск переломов [1](https://stolichki.ru/clubs/health/podkast/osteoporoz). Для этого используют лекарственные препараты, которые тормозят разрушение костной ткани [1](https://stolichki.ru/clubs/health/podkast/osteoporoz). Также врач может назначить дополнительный приём кальция и витамина D [1](https://stolichki.ru/clubs/health/podkast/osteoporoz). Женщинам после менопаузы подбирают гормональную терапию [1](https://stolichki.ru/clubs/health/podkast/osteoporoz). \n\nТакже в комплексной терапии применяют: \n* **Физиотерапию** — ультразвуковую терапию, магнитотерапию, электрофорез с кальцием и фосфором [18](https://Medgorod-clinic.ru/stati/kakie-profilakticheskie-mery-i-korrektiruyushchie-terapii-pomogayut-borotsya-s-osteoporozom-i-snizhe/). \n* **Лечебную физкультуру (ЛФК)** — под контролем специалиста подбирается комплекс упражнений, рассчитанный на уровень физической подготовки, возраст и сопутствующие заболевания [18](https://Medgorod-clinic.ru/stati/kakie-profilakticheskie-mery-i-korrektiruyushchie-terapii-pomogayut-borotsya-s-osteoporozom-i-snizhe/). \n* **Массаж** — регулярные курсы массажа помогают улучшить кровообращение и общее состояние опорно-двигательного аппарата, но при выраженном остеопорозе массаж должен быть щадящим, чтобы избежать травм [18](https://Medgorod-clinic.ru/stati/kakie-profilakticheskie-mery-i-korrektiruyushchie-terapii-pomogayut-borotsya-s-osteoporozom-i-snizhe/).","linksData":[{"sourceId":1,"url":"https://stolichki.ru/clubs/health/podkast/osteoporoz","shownUrl":"https://stolichki.ru/clubs/health/podkast/osteoporoz","title":"Остеопороз: как спасти кости от переломов","shortUrl":"stolichki.ru","isTranslated":false,"description":"","greenUrl":"stolichki.ru"},{"sourceId":2,"url":"https://www.celt.ru/articles/art/osteoporoz-bolezn-vozrasta.phtml","shownUrl":"https://www.celt.ru/articles/art/osteoporoz-bolezn-vozrasta.phtml","title":"Остеопороз — болезнь возраста. 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