Gebelik ve Emzirmeyle İlişkili Osteoporoz

Gebeliğe ve emzirmeye bağlı gelişen osteoporoz etiyolojisi ve patofizyolojisi tam olarak bilinmeyen ve nadir görülen bir klinik problemdir. Gebelik ve emzirme kemik kaybı üzerinde belirgin bir rol oynayarak gebeliğe bağlı osteoporoza ve buna bağlı gelişebilecek olan kırıklara sebep olur. Semptomlar genellikle ilk gebelikten sonra olur ve tekrar etmez. Gebelik sırasında ağrı ve kırık sebebi olabilen kemik erimesinin sekonder sebepleri ayırıcı tanıda düşünülmelidir. Bu nadir görülen osteoporozun belirlenmiş bir tedavi algoritması yoktur, bu yüzden her olgu bireysel olarak ele alınmalıdır ve tedavi planı belirlenmelidir. Bu olgu sunumu ile 25 yaşında doğum yaptıktan yirmi gün sonra şiddetli bel ağrısı başlayan bir olgu rapor edilmiştir

Pregnancy and Lactation-Associated Osteoporosis

Osteoporosis in pregnancy and during lactation period is a rare clinical problem with unknown etiology and pathophysiology. Pregnancy and lactation may have significant impact on bone loss and this may result in osteoporosis and related fractures. The symptoms often occur during the first pregnancy and usually do not recur. Secondary causes of osteoporosis that may cause back pain and fractures during pregnancy should be taught in differential diagnosis. Still no guidelines exist about the accurate treatment of this rarely seen osteoporosis type, this means each case must be evaluated on an individual basis in order to decide for a treatment plan. In this case report, a 25-year-old woman, complaining of severe back pain after twenty days of giving birth, is reported.

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