I-DEXA Ukujonga I-Bone Ukunyaniseka kwe-Bone Can Tell Your Risk of Osteoporosis
Uvavanyo lokuxinwa kwe-Bone linconywa ukuba luhlolisise ukulahleka kwegazi kunye ne-osteoporosis. Uvavanyo oluqhelekileyo luyi-scan-ray-radi-absorptometry (DEXA). I-osteoporosis ibangela ukuhla kwe-bone mass, edlalwa ngokuba yincinci yethambo. Xa oko kwenzeka, isigulane esinama-osteoporosis siya kuba namandla amathambo kwaye ibe nomngcipheko ophezulu wokuphulwa kwethambo .
Ngubani omele abe ne-DEXA Test Density Test?
I-National Osteoporosis Foundation inezi khokelo zeklinikhi.
Bancoma i-DEXA ukuskena kwisibonelelo esisebenzisa amanyathelo okuqinisekisa umgangatho.
- Bonke abafazi abaneminyaka engama-65 nangaphezulu kunye namadoda aneminyaka engama-70 nangaphezulu kufuneka bavavanywe.
- Ukuba banomngcipheko, abafazi be-postmenopausal kunye namadoda aneminyaka eyi-50-69 kufuneka bavavanywe.
- Ukuba uneminyaka engama-100 ubudala okanye u-50 ubudala okanye ngaphezulu, ukuvavanywa kwamathambo kunokunceda ukuxilonga i-osteoporosis.
Isiphakamiso samanje esivela kwi-US Preventative Task Force Force sisetyenziselwa ukuvavanywa kwamathambo ubuncinane kanye kanye kubo bonke abasetyhini abaneminyaka engama-65 nangaphezulu kunye nabasetyhini abasebancinci abanezinto ezinobungozi obuphakamisa umngcipheko wabo wokungqubuzana ulingana okanye ukhulu kunaloo-65- Umfazi omdala oneminyaka emhlophe ongenayo ingozi eyongeziweyo. Ezi zikhokelo zihlaziywa kwaye zihlaziywa.
Iingxaki zobungozi be-Osteoporosis
Ezinye zezinto eziqhelekileyo zobungozi zibandakanya:
- Ukuba ngumfazi
- Ubudala
- Ukuba yiCaucasian okanye yaseAsia
- Ubunzima bethambo
- Ukuba mncinci okanye ube nesakhelo esincinci
- Indlela yokuphila
- Imbali yentsapho ye-osteoporosis
- Ukusilela kwe-Estrogen ngenxa yokunyuka kwesisu, ngokukodwa kwangoko okanye kuqhutywe
- Anorexia nervosa
- Ukusetyenziswa kwamachiza athile
- Ukubhema ugwayi
- Ukusela ngokweqile utywala
Yiyiphi i-DEXA Scan Scan Bone Attitude?
I-DEXA imele "i-absorptiometry yamandla emibini-yamandla," kwaye ithathwa njengolu vavanyo oluchanekileyo lweethambo.
Nangona i-x-ray imilinganiselo ibonisa utshintsho kwi-bone strength emva kwe-40% yokulahlekelwa kwethambo , i-DEXA yokukhangela iyakwazi ukubona utshintsho emva kwe-1% utshintsho. I-DEXA iskena malunga nemizuzu eyi-10 kwaye iveza isigulane ukuya kumbane ongaphantsi kwe-x-ray esifubeni (malunga nomlinganiselo ofanayo wokutshatyalaliswa kwemisebe njengokuthatha i-flight-continental flight).
Ziyintoni Iingxelo Zomvavanyo Zomzimba Wamaxhala?
Iziphumo zesilinganiselo sokuxinwa kwethambo (DEXA scan) zichazwe ngeendlela ezimbini: njengezikolo ze-T kunye nezikolo ze-Z.
Umlinganiselo we- T uqhathanisa ubuxhakaxhaka bethambo lwakho kwiqondo eliphezulu leethambo lobukhulu besini sakho. Kubikwa njengenani leempazamo eziqhelekileyo ezingaphantsi komyinge.
- I-T-amanqaku angaphezu kwe-minus-1 ithathwa njengesiqhelo.
- I-T-score ye-minus-1 ukuya kwi-minus-2.5 ithathwa njenge-osteopenia, kwaye ingozi yokuphucula i-osteoporosis.
- I-T-amanqaku angaphantsi kwe-minus-2.5 ixilongwa ye-osteoporosis.
Isikolo se- Z sisetyenziselwa ukuthelekisa iziphumo zakho kwabanye abalingani bakho, ubunzima, ubuhlanga kunye nobulili. Oku kuncedo ukunquma ukuba kukho into engavumelekanga yokufaka isandla ekulahlekeni kwethambo lakho. Umlinganiselo we-Z ongaphantsi kwe-minus-1.5 uphakamisa inkxalabo yokuba izinto ezingafani nokuguga zigalela kwi-osteoporosis. Ezi zinto zingabandakanya ukungabikho kwe-thyroid, ukungondleki, ukusetyenziswa kwamachiza, ukusetyenziswa kwecuba kunye nabanye.
Ngaba unyango luya kuhlawula i- DEXA Scans ?
I-Medicare yangoku iNgxenye B (i-Inshurensi yezoNyango) ikhupha le mvavanyo ngaphandle kweendleko rhoqo emva kweenyanga ezingama-24, okanye ngokuphindaphindiweyo ukuba kuyimfuneko yokwelapha. Uvumelekile kula maxesha alandelayo:
- Wena ungumfazi ogqirha ugqibe ukuba uphantsi kwe-estrogen kwaye usemngciphekweni we-osteoporosis.
- Ukuvavanya impendulo yakho kwimithi ye-osteoporosis
- Ukuba unemeko ebizwa ngokuba yi-primary hyperparathyroidism
- Ukuba unobunqunu obunamanzi obunokuthi bubonise ukuphuka
- Ukuba uhlala kwixesha elide lonyango lwe-corticosteroid, njenge-prednisone
Iinkqubo zokufumana i-DEXA Scan
- Uxelela ukuba unayo i-osteoporosis
- Uncedo olusisigxina lomngcipheko wamathambo aphukileyo
- Inquma imfuno yonyango kwaye ilungele ukusebenza kwayo
Umxholo wokufumana i-DEXA Scan
- Umngcipheko weqhekeza uxhomekeka kwiimeko ezininzi kunokuba nje uxinzelelo lweethambo
- Inokuthi ikhuthaze izigulane ukuba zithathe amachiza angadingekile
- Ibonisa isigulane kumazinga aphantsi emisebe
> Imithombo:
> I-National Osteoporosis Foundation. Isikhokelo seNtsholongwane kuPhephelo nokuPhathwa kwe-Osteoporosis. I-Washington, DC: Isiseko se-Osteoporosis Foundation; 2013.
> I-US Preventive Services Task Force. Ukuhlolwa kwe-Osteoporosis: INkcazo yeNkcazo. I-Phys Physician. 2011; 83: 1197-200. PMID: 21568254.