Osteoporosis treatment in men with androgen-deprivation because of prostate cancer
Men with prostate cancer often get over a longer period of treatment with LHRH agonists, ie, a hormone withdrawal treatment. The male sex hormones (testosterone) play a crucial role in bone metabolism. In the absence of testosterone may cause the reduction of bone mass, which favors osteoporosis. To "stop" the osteoporosis there are various drug therapy measures (eg, bisphosphonates, calcium, vitamin D) and behavioral proposals, including preventive Art In the overall concept of treatment play alongside the doctors and the oncology nurses play an important role.
men with advanced or metastatic prostate cancer received frequently over a longer period of treatment with LHRH agonists (lutenizing hormone releasing hormone), ie, a hormone withdrawal treatment. This prolonged treatment caused a drop in male sex hormones and thus a chronic testosterone deficiency. The male sex hormones play a critical role in bone metabolism. In the absence of androgens leads to a withdrawal of bone building bone formation and the other hand to increase the bone-destroying activities. This results in a loss of bone mass, which may favor osteoporosis.
the effects of treatment with LHRH agonists have been investigated for osteoporosis in various scientific studies. Likewise, it was examined what influence pharmacological agents (eg, bisphosphonates), dietary supplements (eg, calcium, vitamin D) or athletic exercises (calisthenics) on the process of osteoporosis, ie whether they can slow down or speed it up.These results represent an important contribution to patient counseling dar. Pharmacological options for the treatment options for osteoporosis for men are little results before.Bisphosphonates have been shown in the prevention and treatment of osteoporosis as effectively. Inhibition of bone resorbing activity it comes to the increase in bone density and thus a decrease in the fracture rate. Side effects Gastrointestinal complaints are described, inter alia. Taking bisphosphonates supplementary calcium and vitamin D intake is required.Calcitonin is another medication that could stop the bone loss. behavior suggestions for practice In men with prostate cancer who receive hormone deprivation therapy, or have received, should be a regular monitoring of bone mass and density take place. To maintain normal bone function adequate intake of calcium and vitamin D in the diet is often difficult, especially with the age of the calcium and vitamin D intake are reduced. Men should with the daily food intake to take a lot of dairy and grain products, since they contain a lot of calcium.With the food, for example, recorded by citrus calcium is better metabolized by the body. The for bone metabolism erforderlicheVitamin D, which is usually formed by sunlight, usually must be taken in addition. Various physical exercises can help to keep the bones in good condition.This includes power-conserving practices, such as climbing stairs, Sports on equipment, jogging, weight training. Sports go as hiking, biking and swimming improve the "bone strength" not. These activities should therefore be supported by, for example, "strength training" at home. The exercises should be 30-60 minutes 3 - 4 times be conducted per week. Various programs in athletic clubs, or homes for the elderly also provide appropriate exercises. smoking has adverse effects on bone strength and density. Under alcohol abuse may, as well as in neurological diseases, increased tendency to fall, and dizziness or interaction of various diseases, often to falls and thus also come to fractures. Besides the attending physicians also play the oncology nurses play an important role in the "health education "the men affected by it could also draw attention to the possible effects of osteoporosis by LHRH agonist therapy those affected. The nurses should be able to evaluate symptoms appropriate so that appropriate preventive measures can be initiated at an early stage osteoporosis Osteoporosis is a systemic, ie the entire organ system in question, skeletal disease, which is characterized by a decrease in bone mass and deterioration of the microarchitecture of bone tissue. In bone metabolism is a balance between bone formation and bone resorption. Through a metabolic imbalance conditional, ie if the bone resorption exceeds formation significantly, it may lead to osteoporosis. There is an increased risk of getting bone fractures. . Among the first affected bone hip, pelvis, carpal bones and the spine , osteoporosis can the quality of life of those affected negatively influenced
men with advanced or metastatic prostate cancer received frequently over a longer period of treatment with LHRH agonists (lutenizing hormone releasing hormone), ie, a hormone withdrawal treatment. This prolonged treatment caused a drop in male sex hormones and thus a chronic testosterone deficiency. The male sex hormones play a critical role in bone metabolism. In the absence of androgens leads to a withdrawal of bone building bone formation and the other hand to increase the bone-destroying activities. This results in a loss of bone mass, which may favor osteoporosis.
the effects of treatment with LHRH agonists have been investigated for osteoporosis in various scientific studies. Likewise, it was examined what influence pharmacological agents (eg, bisphosphonates), dietary supplements (eg, calcium, vitamin D) or athletic exercises (calisthenics) on the process of osteoporosis, ie whether they can slow down or speed it up.These results represent an important contribution to patient counseling dar. Pharmacological options for the treatment options for osteoporosis for men are little results before.Bisphosphonates have been shown in the prevention and treatment of osteoporosis as effectively. Inhibition of bone resorbing activity it comes to the increase in bone density and thus a decrease in the fracture rate. Side effects Gastrointestinal complaints are described, inter alia. Taking bisphosphonates supplementary calcium and vitamin D intake is required.Calcitonin is another medication that could stop the bone loss. behavior suggestions for practice In men with prostate cancer who receive hormone deprivation therapy, or have received, should be a regular monitoring of bone mass and density take place. To maintain normal bone function adequate intake of calcium and vitamin D in the diet is often difficult, especially with the age of the calcium and vitamin D intake are reduced. Men should with the daily food intake to take a lot of dairy and grain products, since they contain a lot of calcium.With the food, for example, recorded by citrus calcium is better metabolized by the body. The for bone metabolism erforderlicheVitamin D, which is usually formed by sunlight, usually must be taken in addition. Various physical exercises can help to keep the bones in good condition.This includes power-conserving practices, such as climbing stairs, Sports on equipment, jogging, weight training. Sports go as hiking, biking and swimming improve the "bone strength" not. These activities should therefore be supported by, for example, "strength training" at home. The exercises should be 30-60 minutes 3 - 4 times be conducted per week. Various programs in athletic clubs, or homes for the elderly also provide appropriate exercises. smoking has adverse effects on bone strength and density. Under alcohol abuse may, as well as in neurological diseases, increased tendency to fall, and dizziness or interaction of various diseases, often to falls and thus also come to fractures. Besides the attending physicians also play the oncology nurses play an important role in the "health education "the men affected by it could also draw attention to the possible effects of osteoporosis by LHRH agonist therapy those affected. The nurses should be able to evaluate symptoms appropriate so that appropriate preventive measures can be initiated at an early stage osteoporosis Osteoporosis is a systemic, ie the entire organ system in question, skeletal disease, which is characterized by a decrease in bone mass and deterioration of the microarchitecture of bone tissue. In bone metabolism is a balance between bone formation and bone resorption. Through a metabolic imbalance conditional, ie if the bone resorption exceeds formation significantly, it may lead to osteoporosis. There is an increased risk of getting bone fractures. . Among the first affected bone hip, pelvis, carpal bones and the spine , osteoporosis can the quality of life of those affected negatively influenced
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