00:00Welcome to the show, what the doctor says, the show is sponsored by the Doctor Network app,
00:18a social network of health information that can not be missing in every family, where to provide
00:22accurate medical records.
00:23With today's topic is detoxification and to have useful information on these issues,
00:29we can not not mention Dr. Nguyen Minh Tu and his brother.
00:33Doctor, can you introduce yourself to the audience watching the show?
00:38I am Nguyen Minh Tu, I am the head of the Data Physics Department of the Rehabilitation Center
00:43ATI Thien Hao University.
00:50I see most of the elderly have a common disease, which is osteoporosis.
00:57Can you explain to everyone watching the show what osteoporosis is?
01:04Osteoporosis is a very common disease in today's society.
01:08Osteoporosis, in general, means that our joints are losing function, losing flexibility.
01:14Often found in the elderly or those who have been injured before.
01:20After that, their joints will lose the fluid in the joints.
01:24For a long time, the surrounding organs will collide, creating an inflammatory process
01:29and pain for the patient.
01:30And for a long time, the process continues, it continues, and it will cause stiff joints
01:36and reduce the quality of life of the patient.
01:39Where are the places that can be osteoporosis?
01:44In theory, all joints on the body can be osteoporosis.
01:52However, there are some joints that are more prone to osteoporosis than others.
01:56For example, the knee joint is a joint that undergoes a lot of pressure every day.
02:03It is the joint that is most prone to osteoporosis.
02:06In terms of life, we can find osteoporosis, osteoporosis, osteoporosis, or osteoporosis.
02:15In short, osteoporosis is often found in the elderly.
02:23In addition, small joints such as fingers, fingers, toes, or toes can also be osteoporosis.
02:30However, in theory, all joints can be osteoporosis.
02:35What is the cause of osteoporosis?
02:40There are many causes of osteoporosis, but we are still researching a lot.
02:46However, I can tell you a few causes of osteoporosis.
02:52The first is the age.
02:54When we are old, our joints are not as flexible as they used to be.
03:05This can lead to osteoporosis.
03:07The second is the physical appearance.
03:10Those who have a slightly larger body shape, such as athletes,
03:16or those who play sports, those who exercise a lot,
03:21their joints are under a lot of pressure, so they can also be osteoporosis.
03:28In addition, those who have a chronic illness,
03:34such as low-grade arthritis, or systemic arthritis can also be osteoporosis.
03:43What are the symptoms of osteoporosis?
03:46There are many symptoms of osteoporosis.
03:48The main feature of osteoporosis is that the symptoms of osteoporosis do not change at all.
03:54I can tell you a few symptoms of osteoporosis.
03:57The first is pain.
03:59When osteoporosis occurs, we will feel pain.
04:02The pain may originate from joint pain or muscle pain.
04:06The muscles around the joints are painful.
04:08In addition, we may have swelling and redness around the joints.
04:14This is osteoporosis.
04:16The third is stiff joints.
04:19When we wake up, we may have stiff joints and stiff joints when we rest.
04:25Next, we may also have a lot of noise in the joints.
04:29This is a very common symptom.
04:31A lot of people have a lot of noise in their joints.
04:34It is usually due to the organs inside the joints moving close together,
04:39which causes the noise.
04:41There are other symptoms, such as limited mobility.
04:45When we have osteoporosis, the flexibility of the joints is no longer there.
04:50We will have limited mobility.
04:52This is the most typical symptom.
04:54When we climb stairs, we may have difficulty.
04:57A serious symptom is osteoporosis.
05:01When we have osteoporosis for a long time,
05:03we may have osteoporosis.
05:06When we work,
05:10when we move,
05:12do we hear the sound of bones cracking?
05:16It is usually not osteoporosis.
05:18In our joints, there are air bubbles.
05:22When we move our joints, there will be a sound like that.
05:26What factors do doctors use to diagnose osteoporosis?
05:32The factors to diagnose osteoporosis,
05:36generally, doctors will use
05:401. Ask about the patient's symptoms.
05:432. Check the lung.
05:463. Use imaging.
05:504. Use tests to exclude.
05:53About the patient's symptoms,
05:56when the patient comes, we have to ask
05:58how the pain develops.
06:01What is the pain level?
06:04What is the joint stiffness in the morning?
06:06What is the appearance of osteoporosis?
06:08In the clinic, we will use different light imaging techniques
06:13to assess the patient's condition.
06:15To assess swelling, pain,
06:18and joint deformation.
06:21In imaging, we can use ultrasound, X-ray,
06:26or MRI
06:28to check the degree of osteoporosis.
06:32Blood test is not used for diagnosis.
06:38However, we need to use it for diagnosis.
06:42As I said, osteoporosis patients
06:45do not have typical symptoms.
06:48Therefore, it is easy to be mistaken for other diseases.
06:51Therefore, we need to assess the difference.
06:53Which objects are most prone to osteoporosis?
06:57The objects that are most prone to osteoporosis,
07:00basically, all of us can have osteoporosis.
07:05But there are some cases that are more prone to osteoporosis than others.
07:10First, the elderly.
07:12The elderly do not have flexible joints.
07:17They are prone to osteoporosis.
07:19Secondly, the obese people
07:24have a lot of pressure on their joints.
07:27It can lead to osteoporosis in obese people.
07:29In addition, professional athletes
07:35or strong athletes
07:37have a lot of pressure on their joints.
07:40It can also lead to osteoporosis in young people.
07:44Another reason is the old disease.
07:48For example, systemic joint disease or low joint inflammation
07:52can also lead to osteoporosis.
07:55If so, young people like us
07:58can still be prone to osteoporosis, right?
08:01Yes, osteoporosis is getting younger.
08:05This is due to our lifestyle habits.
08:08Is this disease dangerous?
08:12Systemic osteoporosis is not dangerous to life.
08:16However, it will cause many symptoms
08:19related to our quality of life.
08:23For example, if we have pain,
08:25if we are restricted from exercising,
08:26we will not be able to live like normal people.
08:29When we can't live like normal people,
08:34we will be stressed and anxious.
08:38What are the most memorable cases of your treatment?
08:44The most memorable case is
08:50a 17-year-old man.
08:54He had a spinal cord injury.
08:56He was treated but not properly.
09:00Then he started playing sports again.
09:02Then he had another spinal cord injury
09:05and he had to remove the spinal cord.
09:07Then he continued to play sports
09:09and he had a lot of joint pain.
09:13Then he went to the X-quad team
09:16and was diagnosed with osteoporosis.
09:18When he came to me,
09:20he treated me for about 3 months
09:24but his knee joint still hurt.
09:26This is a case that I remember very well
09:28because this is almost the first case
09:30that I treated for 3 months and the patient still hurt.
09:32However, after that,
09:34he treated for another 2 months
09:36and now he can play sports again.
09:40He can play football again.
09:41He is from Bac Ninh.
09:43He invited me to play football in Bac Ninh.
09:45This is a case that I remember very well
09:47because this is also a typical case
09:51of osteoporosis compared to injury.
09:54If so,
09:56can osteoporosis be treated completely?
10:00And how should it be treated?
10:02Actually, osteoporosis
10:04is still not found
10:06a way to treat completely.
10:08However, we can treat it
10:10on the symptom side.
10:12We can treat it
10:14to reduce the process of osteoporosis.
10:16We can use
10:18methods such as medicine.
10:20The first medicine we can use is
10:22painkillers.
10:24For example, paracetamol painkillers
10:26are very common.
10:28We can also use painkillers
10:30that do not have a specific purpose
10:32such as NSAIDs.
10:34We can also use functional foods.
10:36We can also use medicines
10:38that reduce the process of osteoporosis.
10:40For example,
10:42we can use antibiotics such as glucosamine
10:44or chondroitin sulfate.
10:46We can also use functional exercises.
10:48This is the case that I just mentioned.
10:50We can do functional exercises
10:52using special exercises
10:54to support the strength
10:56and flexibility of the muscles.
10:58This will reduce the process of osteoporosis
11:00and treat it.
11:02In addition, we can use
11:04therapeutic methods.
11:06We use hot and cold therapy
11:08and therapeutic massages
11:10to reduce the pain of the patient.
11:12In addition, we use nutrients.
11:14We use foods
11:16that contain calcium
11:18and vitamin D
11:20to treat the patient.
11:22And the last method
11:24is surgery.
11:26This is a method
11:28that when all the above methods
11:30are no longer effective,
11:32then we need surgery.
11:34So how can we prevent the disease?
11:36To prevent osteoporosis,
11:38we have many ways.
11:40For example,
11:42when we play sports,
11:44we use
11:46methods to protect
11:48the equipment
11:50to play.
11:52If we are on a diet,
11:54we need to lose weight.
11:56We have a healthy diet
11:58with vitamin D
12:00and calcium.
12:02And most importantly,
12:04we use therapeutic methods
12:06and functional exercises
12:08to practice special exercises
12:10for osteoporosis.
12:12We can use yoga,
12:14therapy,
12:16aerobics,
12:18cycling, swimming,
12:20walking.
12:22These are the methods
12:24we can use to prevent osteoporosis.
12:26I would like to ask
12:28those who are obese
12:30are more likely to have osteoporosis
12:32than normal people, right?
12:34It is true that obesity
12:36can lead to a higher rate of osteoporosis.
12:38The reason is
12:40that our joints
12:42can only withstand
12:44certain weights
12:46and not too much
12:48compared to
12:50those joints.
12:52Usually, the ratio
12:54is based on BMI.
12:56When the BMI exceeds the allowed level,
12:58our joints
13:00will be under more pressure than usual.
13:02Therefore,
13:04when we are obese,
13:06the pressure is much higher
13:08than normal people.
13:10Therefore, obese people
13:12are more likely to have osteoporosis.
13:14Is osteoporosis
13:16permanent
13:18or can it be treated?
13:20As I said earlier,
13:22osteoporosis
13:24cannot be treated
13:26at the moment.
13:28However, we can treat
13:30osteoporosis symptoms.
13:32We can reduce
13:34the progress of osteoporosis
13:36and we can improve
13:38the quality of life for patients
13:40with osteoporosis.
13:42I have a question.
13:44What should people
13:46with obesity, diabetes
13:48or pregnancy
13:50who have osteoporosis
13:52pay attention to?
13:54Those who already have
13:56osteoporosis
13:58should consult
14:00a doctor first.
14:02For example,
14:04people with diabetes
14:06should go to a gynecologist
14:08and those who are pregnant
14:10should go to a doctor
14:12specialized in gynecology.
14:16Then, those people
14:18can contact doctors
14:20specialized in functional support.
14:22There will be suitable
14:24functional support exercises
14:26for people
14:28who have problems with
14:30such diseases,
14:32especially obesity.
14:34In addition, there are also
14:36yoga exercises
14:38for pregnant women
14:40or functional support exercises
14:42that are very good
14:44and safe for people
14:46with diabetes, diabetes
14:48and pregnancy.
14:50To end the show,
14:52do you have any comments
14:54and advice
14:56about osteoporosis
14:58for those who are watching the show?
15:00To give you advice,
15:02we should avoid osteoporosis
15:04as soon as possible
15:06with strong
15:08lifestyle habits,
15:10strong exercise habits.
15:12For example,
15:14when we sit in the office for a long time,
15:16sit in the office for many hours,
15:18in about 2 hours,
15:20we can stand up
15:22and do some simple movements
15:24that can help us
15:26not only reduce the rate of osteoporosis,
15:28but also reduce the rate of
15:30back pain due to work.
15:32In addition,
15:34we should have healthy eating habits
15:36and should practice
15:38exercises that can
15:40support joints,
15:42such as knee joints,
15:44back joint,
15:46which are the most common joints.
15:48Thank you, doctor.
15:50This is the end of the show.
15:52Thank you, Dr. Nguyen Minh Tu,
15:54for coming to the show
15:56and sharing useful information
15:58about osteoporosis.
16:00This is Dr. Network,
16:02the social network of health information
16:04that can not be missing in every family.
16:06Goodbye and see you again.
16:30Thank you for watching.
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