{"id":1314,"date":"2024-08-11T14:15:52","date_gmt":"2024-08-11T14:15:52","guid":{"rendered":"https:\/\/tramedhealth.com\/?p=1314"},"modified":"2024-08-17T14:15:49","modified_gmt":"2024-08-17T14:15:49","slug":"prevent-osteoporosis-now-or-never","status":"publish","type":"post","link":"https:\/\/tramedhealth.com\/vi\/musculoskeletal-disease\/prevent-osteoporosis-now-or-never\/","title":{"rendered":"Lo\u00e3ng x\u01b0\u01a1ng v\u00e0 l\u00e0m sao \u0111\u1ec3 c\u00f3 cu\u1ed9c s\u1ed1ng t\u1ed1t nh\u1ea5t?"},"content":{"rendered":"<h2 class=\"wp-block-heading\">\u0110\u1ecbnh ngh\u0129a lo\u00e3ng x\u01b0\u01a1ng<\/h2>\n\n\n\n<p><strong><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28722930\/\" target=\"_blank\" rel=\"noopener\" title=\"\">Lo\u00e3ng x\u01b0\u01a1ng <\/a><\/strong>is a metabolic bone disorder, which consequently results in impaired bone strength and an increased risk of fractures. Specifically, bone strength encompasses the integrity of bone mass, including bone mineral density and bone mass. Additionally, it involves bone quality, which encompasses bone volume, bone microarchitecture, and bone turnover.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"960\" height=\"480\"    src=\"https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/04.png\" alt=\"Osteoporosis\" class=\"wp-image-1318\" style=\"width:636px;height:auto\" srcset=\"https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/04.png 960w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/04-300x150.png 300w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/04-768x384.png 768w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/04-18x9.png 18w\" sizes=\"auto, (max-width: 636px) 100vw, 636px\" \/><figcaption class=\"wp-element-caption\"><em>Bone mineral density<\/em><\/figcaption><\/figure><\/div>\n\n\n<h2 class=\"wp-block-heading\">Nguy\u00ean nh\u00e2n c\u1ee7a lo\u00e3ng x\u01b0\u01a1ng<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Lo\u00e3ng x\u01b0\u01a1ng ng\u01b0\u1eddi gi\u00e0 (Lo\u00e3ng x\u01b0\u01a1ng ti\u00ean ph\u00e1t)<\/strong><br>Primary bone loss often appears late, progresses slowly, increases gradually, and has few severe complications such as fractures or vertebral collapse.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Lo\u00e3ng x\u01b0\u01a1ng sau m\u00e3n kinh<\/strong><br>Postmenopausal reduced bone density worsens age-related osteoporosis in women due to a sudden decrease in estrogen during menopause.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Lo\u00e3ng x\u01b0\u01a1ng th\u1ee9 ph\u00e1t<\/strong> tends to become more severe earlier and is associated with more complications if the patient has one or more of the following risk factors:\n<ul class=\"wp-block-list\">\n<li>Firstly, poor physical development since childhood can contribute to the progression of bone loss. Additionally, a family history of parents with weak bones or fractures can increase the likelihood of developing the condition.<\/li>\n\n\n\n<li>Moreover, insufficient physical activity, limited outdoor activities, and long-term immobility due to illness or occupation are significant risk factors. Furthermore, habitual use of alcohol, beer, coffee, and tobacco negatively impacts bone health.<\/li>\n\n\n\n<li>In addition, long-term use of certain medications, such as corticosteroid anti-inflammatory drugs and diabetes medications, can exacerbate the condition. Finally, suffering from certain diseases, including endocrine disorders and gonadal insufficiency in both males and females, can also significantly increase the risk of bone loss.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Tri\u1ec7u ch\u1ee9ng<\/h2>\n\n\n\n<p>Weak bone is a silent disease with <strong>kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng \u0111\u1eb7c tr\u01b0ng,<\/strong>ch\u1ec9 bi\u1ec3u hi\u1ec7n khi \u0111\u00e3 c\u00f3 bi\u1ebfn ch\u1ee9ng.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Acute and chronic bone pain and <a href=\"https:\/\/tramedhealth.com\/vi\/musculoskeletal-disease\/exploring-low-back-pain-treatment-and-prevention-free-at-home\/\" target=\"_blank\" rel=\"noopener\" title=\"\">back pain<\/a>. A feeling of heat and cold deep in the bone may accompany it.<\/li>\n\n\n\n<li>Bi\u1ebfn d\u1ea1ng c\u1ed9t s\u1ed1ng: G\u00f9, v\u1eb9o c\u1ed9t s\u1ed1ng, gi\u1ea3m chi\u1ec1u cao do th\u00e2n c\u00e1c \u0111\u1ed1t s\u1ed1ng b\u1ecb g\u00e3y.<\/li>\n\n\n\n<li>\u0110au ng\u1ef1c, kh\u00f3 th\u1edf, ch\u1eadm ti\u00eau\u2026 do \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn l\u1ed3ng ng\u1ef1c v\u00e0 th\u00e2n c\u00e1c \u0111\u1ed1t s\u1ed1ng.<\/li>\n\n\n\n<li>G\u00e3y x\u01b0\u01a1ng: C\u00e1c v\u1ecb tr\u00ed th\u01b0\u1eddng g\u1eb7p l\u00e0 g\u00e3y \u0111\u1ea7u d\u01b0\u1edbi x\u01b0\u01a1ng quay, g\u00e3y c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i, g\u00e3y c\u00e1c \u0111\u1ed1t s\u1ed1ng (l\u01b0ng v\u00e0 th\u1eaft l\u01b0ng); xu\u1ea5t hi\u1ec7n sau ch\u1ea5n th\u01b0\u01a1ng r\u1ea5t nh\u1eb9, th\u1eadm ch\u00ed kh\u00f4ng r\u00f5 ch\u1ea5n th\u01b0\u01a1ng.<\/li>\n<\/ul>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"737\"    src=\"https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/03-Osteoporosis-1024x737.jpg\" alt=\"Osteoporosis \" class=\"wp-image-1315\" style=\"width:613px;height:auto\" srcset=\"https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/03-Osteoporosis-1024x737.jpg 1024w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/03-Osteoporosis-300x216.jpg 300w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/03-Osteoporosis-768x553.jpg 768w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/03-Osteoporosis-18x12.jpg 18w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/03-Osteoporosis.jpg 1500w\" sizes=\"auto, (max-width: 613px) 100vw, 613px\" \/><figcaption class=\"wp-element-caption\"><em>Gi\u1ea3m chi\u1ec1u cao<\/em><\/figcaption><\/figure><\/div>\n\n\n<h2 class=\"wp-block-heading\">Ch\u1ea9n \u0111o\u00e1n<\/h2>\n\n\n\n<p>V\u00ec kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng \u0111\u1eb7c tr\u01b0ng, th\u00f4ng th\u01b0\u1eddng lo\u00e3ng x\u01b0\u01a1ng ch\u1ec9 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n khi c\u00f3 tri\u1ec7u ch\u1ee9ng nh\u01b0 tr\u00ean ho\u1eb7c v\u00f4 t\u00ecnh ki\u1ec3m tra th\u1ea5y khi kh\u00e1m t\u1ed5ng qu\u00e1t ho\u1eb7c c\u00e1c b\u1ec7nh c\u01a1 x\u01b0\u01a1ng kh\u1edbp kh\u00e1c. C\u00e1c c\u1eadn l\u00e2m s\u00e0ng c\u1ea7n thi\u1ebft nh\u01b0:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Xquang quy \u01b0\u1edbc: h\u00ecnh \u1ea3nh \u0111\u1ed1t s\u1ed1ng t\u0103ng th\u1ea5u quang, bi\u1ebfn d\u1ea1ng th\u00e2n \u0111\u1ed1t s\u1ed1ng (g\u00e3y l\u00e0m x\u1eb9p v\u00e0 l\u00fan c\u00e1c \u0111\u1ed1t s\u1ed1ng), v\u1edbi c\u00e1c x\u01b0\u01a1ng d\u00e0i th\u01b0\u1eddng gi\u1ea3m \u0111\u1ed9 d\u00e0y v\u1ecf x\u01b0\u01a1ng (khi\u1ebfn \u1ed1ng t\u1ee7y r\u1ed9ng ra).<\/li>\n\n\n\n<li>\u0110o kh\u1ed1i l\u01b0\u1ee3ng x\u01b0\u01a1ng (BMD) b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p \u0111o h\u1ea5p ph\u1ee5 tia X n\u0103ng l\u01b0\u1ee3ng k\u00e9p (Dual Energy Xray Absorptiometry - DXA) \u1edf c\u00e1c v\u1ecb tr\u00ed trung t\u00e2m nh\u01b0 x\u01b0\u01a1ng v\u00f9ng kh\u1edbp h\u00e1ng ho\u1eb7c c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng, \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh lo\u00e3ng x\u01b0\u01a1ng, \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 lo\u00e3ng x\u01b0\u01a1ng, d\u1ef1 b\u00e1o nguy c\u01a1 g\u00e3y x\u01b0\u01a1ng v\u00e0 theo d\u00f5i \u0111i\u1ec1u tr\u1ecb.<\/li>\n\n\n\n<li>Some other methods: CT Scan or MRI can be used to assess bone mass, especially in the spine or femoral neck.<\/li>\n<\/ul>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"642\" height=\"361\"    src=\"https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/02-Osteoporosis.jpg\" alt=\"Osteoporosis \" class=\"wp-image-1316\" style=\"width:642px;height:auto\" srcset=\"https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/02-Osteoporosis.jpg 642w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/02-Osteoporosis-300x169.jpg 300w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/02-Osteoporosis-18x10.jpg 18w\" sizes=\"auto, (max-width: 642px) 100vw, 642px\" \/><figcaption class=\"wp-element-caption\"><em>\u0110o BMD t\u1ea1i \u0111\u1ed1t s\u1ed1ng th\u1eaft l\u01b0ng v\u00e0 c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i<\/em><\/figcaption><\/figure><\/div>\n\n\n<p>Ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n lo\u00e3ng x\u01b0\u01a1ng c\u1ee7a T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi (WHO) n\u0103m 1994, \u0111o m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng t\u1ea1i c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng v\u00e0 c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i theo ph\u01b0\u01a1ng ph\u00e1p DXA:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>X\u01b0\u01a1ng b\u00ecnh th\u01b0\u1eddng: T score t\u1eeb \u2013 1SD tr\u1edf l\u00ean.<\/li>\n\n\n\n<li>Thi\u1ebfu x\u01b0\u01a1ng (Osteopenia): T score d\u01b0\u1edbi \u2013 1SD \u0111\u1ebfn \u2013 2,5SD.<\/li>\n\n\n\n<li>Lo\u00e3ng x\u01b0\u01a1ng (Osteoporosis): T score d\u01b0\u1edbi \u2013 2,5SD.<\/li>\n\n\n\n<li>Lo\u00e3ng x\u01b0\u01a1ng n\u1eb7ng: T score d\u01b0\u1edbi \u2013 2,5 SD k\u00e8m ti\u1ec1n s\u1eed\/ hi\u1ec7n t\u1ea1i c\u00f3 g\u00e3y x\u01b0\u01a1ng.<\/li>\n<\/ul>\n\n\n\n<p><strong>Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>B\u1ea5t to\u00e0n t\u1ea1o x\u01b0\u01a1ng hay x\u01b0\u01a1ng th\u1ee7y tinh (Osteogenesis Imperfecta \u2013 OI).<\/li>\n\n\n\n<li>C\u00e1c lo\u00e3ng x\u01b0\u01a1ng th\u1ee9 ph\u00e1t nh\u01b0 ung th\u01b0 di c\u0103n x\u01b0\u01a1ng, c\u00e1c b\u1ec7nh \u00e1c t\u00ednh c\u1ee7a c\u01a1 quan t\u1ea1o m\u00e1u (\u0111a u t\u1ee7y x\u01b0\u01a1ng, b\u1ec7nh b\u1ea1ch c\u1ea7u leucemie\u2026).<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">\u0110i\u1ec1u tr\u1ecb lo\u00e3ng x\u01b0\u01a1ng<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u0110i\u1ec1u tr\u1ecb kh\u00f4ng d\u00f9ng thu\u1ed1c<\/strong>\n<ul class=\"wp-block-list\">\n<li>Ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng: B\u1ed5 sung ngu\u1ed3n th\u1ee9c \u0103n gi\u00e0u calci (theo nhu c\u1ea7u c\u1ee7a c\u01a1 th\u1ec3 : t\u1eeb 1.000-1.500mg h\u00e0ng ng\u00e0y, t\u1eeb c\u00e1c ngu\u1ed3n: th\u1ee9c \u0103n, s\u1eefa v\u00e0 d\u01b0\u1ee3c ph\u1ea9m)<\/li>\n\n\n\n<li>Tr\u00e1nh c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1: thu\u1ed1c l\u00e1, caf\u00e9, r\u01b0\u1ee3u\u2026 tr\u00e1nh th\u1eeba c\u00e2n ho\u1eb7c thi\u1ebfu c\u00e2n.<\/li>\n\n\n\n<li>Ch\u1ebf \u0111\u1ed9 sinh ho\u1ea1t: T\u0103ng c\u01b0\u1eddng v\u1eadn \u0111\u1ed9ng, t\u0103ng d\u1ebbo dai c\u01a1 b\u1eafp, tr\u00e1nh t\u00e9 ng\u00e3.<\/li>\n\n\n\n<li>S\u1eed d\u1ee5ng c\u00e1c d\u1ee5ng c\u1ee5, n\u1eb9p ch\u1ec9nh h\u00ecnh (cho c\u1ed9t s\u1ed1ng, cho kh\u1edbp h\u00e1ng) gi\u1ea3m s\u1ef1 t\u1ef3 \u0111\u00e8 l\u00ean c\u1ed9t s\u1ed1ng, \u0111\u1ea7u x\u01b0\u01a1ng, x\u01b0\u01a1ng v\u00f9ng h\u00f4ng.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u0110i\u1ec1u tr\u1ecb d\u00f9ng thu\u1ed1c<\/strong>\n<ul class=\"wp-block-list\">\n<li>C\u00e1c thu\u1ed1c b\u1ed5 sung n\u1ebfu ch\u1ebf \u0111\u1ed9 \u0103n kh\u00f4ng \u0111\u1ee7 (d\u00f9ng h\u00e0ng ng\u00e0y trong su\u1ed1t qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb).<\/li>\n\n\n\n<li>Calci: c\u1ea7n b\u1ed5 sung calci 500 \u2013 1.500mg h\u00e0ng ng\u00e0y<\/li>\n\n\n\n<li>Vitamin D 800 - 1.000 UI h\u00e0ng ng\u00e0y.<\/li>\n\n\n\n<li>C\u00e1c thu\u1ed1c ch\u1ed1ng h\u1ee7y x\u01b0\u01a1ng: L\u00e0m gi\u1ea3m ho\u1ea1t t\u00ednh t\u1ebf b\u00e0o h\u1ee7y x\u01b0\u01a1ng: Alendronat, Zoledronic acid, Calcitonin.<\/li>\n\n\n\n<li>Thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng k\u00e9p: Strontium ranelate<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"643\"    src=\"https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/01-Osteoporosis-1024x643.png\" alt=\"Osteoporosis \" class=\"wp-image-1317\" style=\"width:543px;height:auto\" srcset=\"https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/01-Osteoporosis-1024x643.png 1024w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/01-Osteoporosis-300x188.png 300w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/01-Osteoporosis-768x482.png 768w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/01-Osteoporosis-1536x964.png 1536w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/01-Osteoporosis-18x12.png 18w, https:\/\/tramedhealth.com\/wp-content\/uploads\/2024\/08\/01-Osteoporosis.png 2024w\" sizes=\"auto, (max-width: 543px) 100vw, 543px\" \/><figcaption class=\"wp-element-caption\"><em>X\u01b0\u01a1ng b\u00ecnh th\u01b0\u1eddng v\u00e0 x\u01b0\u01a1ng b\u1ecb lo\u00e3ng x\u01b0\u01a1ng<\/em><\/figcaption><\/figure><\/div>\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u0110i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng<\/strong>\n<ul class=\"wp-block-list\">\n<li>Ch\u1ec9 \u0111\u1ecbnh c\u00e1c thu\u1ed1c gi\u1ea3m \u0111au theo b\u1eadc khi c\u1ea7n thi\u1ebft.<\/li>\n\n\n\n<li>C\u00e1c thu\u1ed1c gi\u1ea3m \u0111au th\u1ea7n kinh, vitamin nh\u00f3m B.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u0110i\u1ec1u tr\u1ecb ngo\u1ea1i khoa c\u00e1c bi\u1ebfn ch\u1ee9ng g\u00e3y c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i, g\u00e3y th\u00e2n \u0111\u1ed1t s\u1ed1ng<\/strong><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Ph\u00f2ng ng\u1eeba<\/h2>\n\n\n\n<p><strong>Lo\u00e3ng x\u01b0\u01a1ng l\u00e0 b\u1ec7nh c\u00f3 th\u1ec3 ph\u00f2ng ng\u1eeba:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Cung c\u1ea5p \u0111\u1ea7y \u0111\u1ee7 calci, vitamin D v\u00e0 c\u00e1c d\u01b0\u1ee1ng ch\u1ea5t c\u1ea7n thi\u1ebft chung cho c\u01a1 th\u1ec3 trong su\u1ed1t cu\u1ed9c \u0111\u1eddi, theo nhu c\u1ea7u c\u1ee7a t\u1eebng l\u1ee9a tu\u1ed5i v\u00e0 t\u00ecnh tr\u1ea1ng c\u01a1 th\u1ec3.<\/li>\n\n\n\n<li>Duy tr\u00ec ch\u1ebf \u0111\u1ed9 v\u1eadn \u0111\u1ed9ng th\u01b0\u1eddng xuy\u00ean gi\u00fap d\u1ef1 tr\u1eef calci cho x\u01b0\u01a1ng, t\u0103ng s\u1ef1 kh\u00e9o l\u00e9o, s\u1ee9c m\u1ea1nh c\u01a1, s\u1ef1 c\u00e2n b\u1eb1ng \u0111\u1ec3 gi\u1ea3m kh\u1ea3 n\u0103ng t\u00e9 ng\u00e3 v\u00e0 g\u00e3y x\u01b0\u01a1ng.<\/li>\n\n\n\n<li>H\u1ea1n ch\u1ebf m\u1ed9t s\u1ed1 th\u00f3i quen: h\u00fat thu\u1ed1c l\u00e1, u\u1ed1ng nhi\u1ec1u r\u01b0\u1ee3u, nhi\u1ec1u c\u00e0 ph\u00ea, \u00edt v\u1eadn \u0111\u1ed9ng.<\/li>\n\n\n\n<li>Khi b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 lo\u00e3ng x\u01b0\u01a1ng (BMD t\u1eeb -1,5 \u0111\u1ebfn - 2,4 SD), nh\u01b0ng l\u1ea1i c\u00f3 nhi\u1ec1u y\u1ebfu t\u1ed1 nguy c\u01a1: ph\u1ea3i d\u00f9ng corticosteroid \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh n\u1ec1n, ti\u1ec1n s\u1eed gia \u0111\u00ecnh c\u00f3 g\u00e3y x\u01b0\u01a1ng do lo\u00e3ng x\u01b0\u01a1ng, nguy c\u01a1 t\u00e9 ng\u00e3 cao..., bisphosphonates c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111\u1ec3 ph\u00f2ng ng\u1eeba lo\u00e3ng x\u01b0\u01a1ng.<\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>Osteoporosis is a metabolic bone disorder resulting in impaired bone strength and increased fracture risk. Bone strength includes the integrity of bone mass (bone mineral density, bone mass) and bone quality (bone volume, bone microarchitecture, bone turnover).<\/p>","protected":false},"author":2,"featured_media":1320,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[50],"tags":[55,62,70,79,80,51],"class_list":["post-1314","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-musculoskeletal-disease","tag-co-xuong-khop","tag-dau","tag-dau-lung","tag-dau-xuong","tag-loang-xuong","tag-musculoskeletal-disease"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/posts\/1314"}],"collection":[{"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/comments?post=1314"}],"version-history":[{"count":6,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/posts\/1314\/revisions"}],"predecessor-version":[{"id":1416,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/posts\/1314\/revisions\/1416"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/media\/1320"}],"wp:attachment":[{"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/media?parent=1314"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/categories?post=1314"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tramedhealth.com\/vi\/wp-json\/wp\/v2\/tags?post=1314"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}