{"id":13364,"date":"2024-02-07T10:47:48","date_gmt":"2024-02-07T10:47:48","guid":{"rendered":"https:\/\/ro.cvot.md\/osteoporoz\/"},"modified":"2024-02-07T10:47:48","modified_gmt":"2024-02-07T10:47:48","slug":"osteoporoz","status":"publish","type":"page","link":"https:\/\/ro.cvot.md\/en\/bolile-reumatice\/osteoporoz\/","title":{"rendered":"Osteoporoza oaselor"},"content":{"rendered":"\n<p><strong>Osteoporoza<\/strong>&#8211; este o problem\u0103 urgent\u0103 \u00een medicina modern\u0103. Prevalen\u021ba sa este destul de mare. Aproximativ 40 din 100 de femei \u0219i 13 din 100 de b\u0103rba\u021bi cu v\u00e2rsta peste 50 de ani sufer\u0103 una sau mai multe fracturi de schelet asociate cu osteoporoz\u0103. Boala se dezvolt\u0103 treptat, manifest\u00e2ndu-se cel mai adesea sub forma a\u0219a-numitelor fracturi osteoporotice. Cele mai frecvente fracturi patologice asociate osteoporozei sunt corpurile vertebrale.<\/p>\n\n\n\n<p>Durerea local\u0103 \u00eenso\u021be\u0219te 84% din fracturile vertebrale \u00een osteoporoz\u0103. Durata sindromului durerii este de cel pu\u021bin 4-6 s\u0103pt\u0103m\u00e2ni, dar, \u00een ciuda terapiei tradi\u021bionale, regresia sa complet\u0103 este adesea absent\u0103 din cauza prezen\u021bei deform\u0103rii reziduale a corpului vertebral \u0219i a func\u021biei de sprijin afectate.<\/p>\n\n\n\n<p>F\u0103r\u0103 tratamentul adecvat, fracturile vertebrale datorate osteoporozei \u00eenr\u0103ut\u0103\u021besc semnificativ calitatea vie\u021bii pacien\u021bilor, cauzeaz\u0103 sindromul durerii severe, depresie, insomnie, deficite neurologice \u0219i sc\u0103derea capacit\u0103\u021bii de munc\u0103. Prezen\u021ba fracturilor de compresie multiple ale corpurilor vertebrale poate duce la o postura slaba, la formarea cifozei \u0219i la sc\u0103derea capacit\u0103\u021bii vitale a pl\u0103m\u00e2nilor.<\/p>\n\n\n\n<p><br>Metodele tradi\u021bionale de tratare a fracturilor de compresie ale corpurilor vertebrale includ utilizarea de analgezice, miorelaxante musculare, imobilizare, repaus la pat, fizioterapie \u0219i purtarea corsetul extern. Cu toate acestea, repausul prelungit la pat, lipsa activ\u0103rii precoce din cauza sindromului durerii severe duc la sc\u0103derea poftei de m\u00e2ncare, constipa\u021bie, toleran\u021b\u0103 afectat\u0103 la glucoz\u0103, dezvoltarea pneumoniei hipostatice, flebotromboz\u0103 \u0219i, ca urmare, embolie pulmonar\u0103. \u00cen plus, datorit\u0103 sc\u0103derii \u00eenc\u0103rc\u0103rii \u00een repaus la pat, densitatea osoas\u0103 scade (p\u00e2n\u0103 la 2% pe s\u0103pt\u0103m\u00e2n\u0103), osteoporoza progreseaz\u0103.<\/p>\n\n\n\n<p>VERTEBROPLASTIE \u2013 O METOD\u0102 MINIM INVAZIV\u0102 PENTRU TRATAMENTUL FRACTURILOR CORPULUI VERTEBRAL<\/p>\n\n\n\n<p><br>Fracturile de compresie ale coloanei vertebrale sunt o complica\u021bie destul de frecvent\u0103 la pacien\u021bii cu osteoporoz\u0103. Sub influen\u021ba chiar \u0219i a unor sarcini minore, corpul vertebral se aplatizeaz\u0103 (pierderea \u00een\u0103l\u021bimii sale). \u00cen fiecare an peste 1.500.000 de oameni sufer\u0103 de fracturi de compresie osteoporotic\u0103 ale coloanei vertebrale. Aceste fracturi provoac\u0103 cifoz\u0103 crescut\u0103 (cocoa\u0219\u0103), durere sever\u0103 \u0219i adesea duc la incapacitatea de a duce o via\u021b\u0103 normal\u0103.<\/p>\n\n\n\n<p>ESEN\u021aA PROBLEMEI:<\/p>\n\n\n\n<p>Componenta principal\u0103 a coloanei vertebrale este vertebra. Fracturile de compresie duc la distrugerea acesteia. Vertebra zdrobita confer\u0103 coloanei vertebrale un aspect oblic numitul cifoza, iar pierderea \u00een\u0103l\u021bimii (datorit\u0103 unei vertebre aplatizate) determin\u0103 contractarea mu\u0219chilor paravertebrali. Aceasta cre\u0219te presiunea asupra mu\u0219chilor antagoni\u0219ti, provoc\u00e2nd oboseal\u0103 muscular\u0103 \u0219i durere.<\/p>\n\n\n\n<p>CE FAC CHIRURGII?<br>\u00cen trecut, chirurgii foloseau opera\u021bia deschis\u0103 standard pentru a repara fracturile de compresie cauzate de osteoporoz\u0103. Opera\u021bia deschis\u0103 necesit\u0103 incizii largi pentru a oferi un acces necesar. Interven\u021biile chirurgicale de multe ori nu au adus rezultatele scontate, \u00een principal datorit\u0103 complexit\u0103\u021bii opera\u021biilor pe oase osteoporotice moi \u0219i slabe. \u00cen plus, multe persoane cu fracturi sunt fizic incapabile s\u0103 reziste astfel de opera\u021bii. Vertebroplastia permite chirurgilor s\u0103 repare osul rupt f\u0103r\u0103 probleme asociate cu o interven\u021bie chirurgical\u0103 deschis\u0103. Spre deosebire de chirurgia deschis\u0103, vertebroplastia este o procedur\u0103 minim invaziv\u0103 care reduce \u0219ansele de s\u00e2ngerare, infec\u021bie \u0219i leziuni musculare \u0219i tisulare.<\/p>\n\n\n\n<p>VERTEBROPLASTIE SPINAL\u0102:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Aceast\u0103 metod\u0103 minim invaziv\u0103 este cea mai eficient\u0103 \u00een tratamentul hemangiomului coloanei vertebrale. Principalul efect clinic pozitiv al metodei este o reducere aproape instantanee a sindromului durerii, o \u00eembun\u0103t\u0103\u021bire a calit\u0103\u021bii vie\u021bii.<\/li>\n\n\n\n<li>Aceast\u0103 metod\u0103 poate fi utilizat\u0103 \u00een tratamentul fracturilor vertebrale necomplicate \u0219i profilactic pentru \u00eent\u0103rirea corpurilor vertebrale, al c\u0103ror risc este relativ ridicat.<\/li>\n<\/ul>\n\n\n\n<p><br>DESCRIEREA METODEI:<\/p>\n\n\n\n<p><br>Vertebroplastia percutanat\u0103 implic\u0103 introducerea unui ac metalic \u00een corpul vertebral, prin care sub control tomograf fluoroscopic \u0219i computerizat se injecteaz\u0103 amestecul format din ciment osos pe baz\u0103 de PMMA, antibiotic \u0219i material de contrast. Introducerea acului \u00een corpul vertebral se efectueaz\u0103 transpedicular pentru patologia nivelului toracic \u0219i lombar. Pentru leziunile de nivel cervical, se utilizeaz\u0103 o abordare lateral\u0103 anterioar\u0103.<\/p>\n\n\n\n<p><br>Viteza de \u00eent\u0103rire \u0219i durata st\u0103rii pastorale a PMMA este cea mai important\u0103 caracteristic\u0103, deoarece aceast\u0103 perioad\u0103 (6-11 minute) este alocat\u0103 pentru introducerea substan\u021bei \u0219i umplerea cavit\u0103\u021bii patologice sau fracturii. Cimentul osos, polimeriz\u00e2nd, se \u00eenc\u0103lze\u0219te p\u00e2n\u0103 la 70 de grade, av\u00e2nd un efect citotoxic asupra celulelor tumorale \u0219i oferind sprijin corpului vertebrei afectate. Odat\u0103 \u00eent\u0103rit, cimentul \u00eent\u0103re\u0219te vertebra, ceea ce permite nu numai tratarea eficient\u0103 a consecin\u021belor fracturilor de compresie ale corpurilor vertebrale datorate osteoporozei, dar este, de asemenea, utilizat pentru tratarea durerii cauzate de hemangioamele corpurilor vertebrale sau metastazele tumorale la nivelul coloanei vertebrale.<\/p>\n\n\n\n<p><br>Aceast\u0103 metod\u0103 este radical\u0103 \u0219i, dac\u0103 este efectuat\u0103 corect, nu necesit\u0103 reinjectarea cimentului osos. Respingerea cimentului osos nu are loc niciodat\u0103.<\/p>\n\n\n\n<p>INDICA\u021aII PENTRU VERTEBROPLASTIA PERCUTAN\u0102:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tumori ale coloanei vertebrale (hemangioame agresive, mieloame, osteolitice).<\/li>\n\n\n\n<li>Osteoporoza &#8220;critic\u0103&#8221; a coloanei vertebrale.<\/li>\n\n\n\n<li>Leziuni traumatice\n<ul class=\"wp-block-list\">\n<li>Proaspete necomplicate fracturi de compresie ale corpurilor vertebrale din etapa I.<\/li>\n\n\n\n<li>Osteonecroza posttraumatic\u0103 (boala K\u00fcmmel).<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p><br>CONTRAINDICA\u021aII LA VERTEBROPLASTIE:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Stare somatic\u0103 general\u0103 sever\u0103 a pacientului (tulbur\u0103ri critice ale sistemului de coagulare a s\u00e2ngelui, insuficien\u021b\u0103 cardiovascular\u0103 \u0219i respiratorie decompensat\u0103).<\/li>\n\n\n\n<li>Caracterul \u0219i \u00eentinderea leziunilor corpului vertebral<\/li>\n\n\n\n<li>Sc\u0103derea semnificativ\u0103 (mai mult de 70% din original) \u00een \u00een\u0103l\u021bimea corpului vertebral.<\/li>\n\n\n\n<li>R\u0103sp\u00e2ndirea extravertebral\u0103 a procesului<\/li>\n\n\n\n<li>\u00cenfr\u00e2ngere pe mai multe niveluri<\/li>\n\n\n\n<li>Leziuni infec\u021bioase ale corpurilor vertebrale.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Osteoporoza&#8211; este o problem\u0103 urgent\u0103 \u00een medicina modern\u0103. Prevalen\u021ba sa este destul de mare. Aproximativ 40 din 100 de femei \u0219i 13 din 100 de b\u0103rba\u021bi cu v\u00e2rsta peste 50 de ani sufer\u0103 una sau mai multe fracturi de schelet asociate cu osteoporoz\u0103. Boala se dezvolt\u0103 treptat, manifest\u00e2ndu-se cel mai adesea sub forma a\u0219a-numitelor fracturi [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":13369,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-13364","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Osteoporoza oaselor - Asocia\u0163ia Ob\u015fteasc\u0103 &#039;&#039;HEALTHY SPINE&#039;&#039;<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ro.cvot.md\/en\/bolile-reumatice\/osteoporoz\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Osteoporoza oaselor - Asocia\u0163ia Ob\u015fteasc\u0103 &#039;&#039;HEALTHY SPINE&#039;&#039;\" \/>\n<meta property=\"og:description\" content=\"Osteoporoza&#8211; este o problem\u0103 urgent\u0103 \u00een medicina modern\u0103. 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