Kusakanikirana Kwakukulu Kwambiri

Zamkati

• Kodi kusakanikirana kwa mafupa ndi chiyani?
• Amagwiritsidwa ntchito yanji?
• Chifukwa chiyani ndikufunika sikani yamafupa?
• Kodi chimachitika ndi chiyani pakasanthula kachulukidwe ka mafupa?
• Kodi ndiyenera kuchita chilichonse kukonzekera mayeso?
• Kodi pali zoopsa zilizonse pamayeso?
• Kodi zotsatirazi zikutanthauza chiyani?
• Kodi pali china chilichonse chomwe ndikufunika kudziwa pofufuza kuchuluka kwa mafupa?
• Zolemba

Kodi kusakanikirana kwa mafupa ndi chiyani?

Kuyeza kwa mafupa, komwe kumadziwikanso kuti DEXA scan, ndi mtundu wamayeso ochepa a x-ray omwe amayesa calcium ndi mchere wina m'mafupa anu. Kuyeza kumathandizira kuwonetsa kulimba ndi makulidwe (omwe amadziwika kuti kuchuluka kwa mafupa kapena kuchuluka kwa mafupa anu).

Mafupa a anthu ambiri amakhala owonda akamakalamba. Mafupa akakhala owonda kuposa nthawi zonse, amadziwika kuti osteopenia. Osteopenia imayika pachiwopsezo chodwala kwambiri kufooka kwa mafupa. Osteoporosis ndi matenda omwe amapita patsogolo omwe amachititsa kuti mafupa azikhala owonda kwambiri komanso osalimba. Osteoporosis nthawi zambiri imakhudza anthu okalamba ndipo imafala kwambiri kwa azimayi azaka zopitilira 65. Anthu omwe ali ndi matenda otupa mafupa amakhala pachiwopsezo chachikulu chophwanyika (mafupa osweka), makamaka m'chiuno, msana, ndi maloko.

Mayina ena: kuyesa kwa mafupa amchere, kuyesa kwa BMD, scan DEXA, DXA; Mphamvu-x-ray absorptiometry

Amagwiritsidwa ntchito yanji?

Kusanthula kwamafupa kumagwiritsidwa ntchito:

• Dziwani za osteopenia (mafupa ochepa)
• Dziwani za kufooka kwa mafupa
• Kuneneratu za ngozi zamtsogolo
• Onani ngati chithandizo cha kufooka kwa mafupa chikugwira ntchito

Chifukwa chiyani ndikufunika sikani yamafupa?

Amayi ambiri azaka 65 kapena kupitilira apo amayenera kuyezetsa magazi. Azimayi azaka zino ali pachiwopsezo chachikulu chotaya kuchuluka kwa mafupa, komwe kumatha kubwereka. Muthanso kukhala pachiwopsezo cha kuchepa kwa mafupa ngati:

• Khalani ndi thupi lochepa kwambiri
• Adasweka kamodzi kapena zingapo atakwanitsa zaka 50
• Ndataya theka la inchi kapena kupitilira apo pasanathe chaka chimodzi
• Ndi bambo wazaka zopitilira 70
• Khalani ndi mbiri ya banja la kufooka kwa mafupa

Zina mwaziwopsezo ndizo:

• Kusachita zolimbitsa thupi
• Kusuta ndudu
• Kuledzera
• Kusapeza calcium yokwanira ndi vitamini D mu zakudya zanu

Kodi chimachitika ndi chiyani pakasanthula kachulukidwe ka mafupa?

Pali njira zosiyanasiyana zoyezera kuchuluka kwa mafupa. Njira yofala kwambiri komanso yolondola imagwiritsa ntchito njira yotchedwa dual-energy x-ray absorptiometry, yomwe imadziwikanso kuti scan ya DEXA. Kawirikawiri jambulayi imachitika muofesi ya radiologist.

Pa scan DEXA:

• Ukagona chagada pa tebulo lokutidwa. Mutha kusiya zovala zanu.
• Mungafunike kugona ndi miyendo yanu molunjika, kapena mungafunsidwe kuti mupumitse miyendo yanu papulatifomu.
• Makina osanthula adzadutsa pamsana ndi m'chiuno mwanu. Nthawi yomweyo, makina ena ojambulira otchedwa photon generator adzadutsa pansi panu. Zithunzi za makina awiriwo ziziphatikizidwa ndikutumizidwa ku kompyuta. Wothandizira zaumoyo adzawona zithunzizo pakompyuta.
• Pomwe makina akusanthula, muyenera kukhala chete. Mutha kupemphedwa kuti musunge mpweya wanu.

Kuti muyese kuchuluka kwa mafupa m'manja, chala, dzanja, kapena phazi, woperekayo amatha kugwiritsa ntchito sikani yonyamula yotchedwa pulogalamu ya DEXA (p-DEXA).

Kodi ndiyenera kuchita chilichonse kukonzekera mayeso?

Mutha kuuzidwa kuti musiye kumwa zakumwa za calcium maola 24 mpaka 48 musanayezedwe. Komanso, muyenera kupewa kuvala zodzikongoletsera zachitsulo kapena zovala ndizitsulo, monga mabatani kapena mabotolo.

Kodi pali zoopsa zilizonse pamayeso?

Kujambula kwa mafupa kumagwiritsa ntchito kuchepa kwa radiation. Ndiotetezeka kwa anthu ambiri. Koma sikoyenera kwa mayi wapakati. Ngakhale kuchepa kwa radiation kumatha kuvulaza mwana wosabadwa. Onetsetsani kuuza wothandizira wanu ngati muli ndi pakati kapena mukuganiza kuti mungakhale ndi pakati.

Kodi zotsatirazi zikutanthauza chiyani?

Zotsatira zakuchulukana kwa mafupa zimaperekedwa nthawi zambiri ngati mawonekedwe a T. Chiwerengero cha T ndiyeso yomwe imayerekezera kuyeza kwamafupa anu ndi mafupa a mwana wazaka 30 wathanzi. Mapepala otsika T amatanthauza kuti mwina muli ndi mafupa.

Zotsatira zanu zitha kuwonetsa izi:

• Chiwerengero cha -1.0 kapena kupitilira apo. Izi zimawerengedwa kuti ndi mafupa wamba.
• Chiwerengero cha T pakati -1.0 ndi -2.5. Izi zikutanthauza kuti muli ndi kuchepa kwa mafupa (osteopenia) ndipo mutha kukhala pachiwopsezo chodwala kufooka kwa mafupa.
• Malipiro a T a -2.5 kapena ochepera. Izi zikutanthauza kuti mwina muli ndi kufooka kwa mafupa.

Zotsatira zanu zikusonyeza kuti muli ndi kuchepa kwa mafupa, omwe amakuthandizani pa zaumoyo akulangizani njira zolepheretsa kutayika kwa mafupa. Izi zingaphatikizepo:

• Kuchita masewera olimbitsa thupi, ndikuchita masewera olimbitsa thupi, kuvina, komanso kugwiritsa ntchito makina olemera.
• Kuphatikiza calcium ndi vitamini D pazakudya zanu
• Kutenga mankhwala akuchipatala kukulitsa kuchuluka kwa mafupa

Ngati muli ndi mafunso pazotsatira zanu komanso / kapena chithandizo chamankhwala otayika, lankhulani ndi omwe amakuthandizani.

Dziwani zambiri zamayeso a labotale, magawo owerengera, ndi zotsatira zakumvetsetsa.

Kodi pali china chilichonse chomwe ndikufunika kudziwa pofufuza kuchuluka kwa mafupa?

Kujambula kwa DEXA ndiyo njira yofala kwambiri yoyezera kuchuluka kwa mafupa. Koma wothandizira zaumoyo wanu akhoza kuyitanitsa mayeso ochulukirapo kuti atsimikizire kuti ali ndi vuto kapena kuti adziwe ngati chithandizo chothandizira kutaya mafupa chikugwira ntchito. Izi zikuphatikiza kuyesa magazi a calcium, kuyesa kwa vitamini D, ndi / kapena kuyesa kwa mahomoni ena.

Zolemba

1. Kuyesa kwa Labu Paintaneti [Intaneti]. Washington DC: American Association for Clinical Chemistry; c2001-2020. Kufooka kwa mafupa; [zasinthidwa 2019 Oct 30; yatchulidwa 2020 Apr 13]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://labtestsonline.org/conditions/osteoporosis
2. Maine Health [Intaneti]. Portland (ME): Maine Health; c2020. Kuyesa Kwamafupa / Kujambula kwa DEXA; [adatchula 2020 Apr 13]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: https://mainehealth.org/services/x-ray-radiology/bone-density-test
3. Chipatala cha Mayo [Intaneti]. Mayo Foundation for Medical Education and Research; c1998-2020. Kuyesa kwakachulukidwe ka mafupa: Mwachidule; 2017 Sep 7 [yatchulidwa 2020 Apr 13]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: https://www.mayoclinic.org/tests-procedures/bone-density-test/about/pac-20385273
4. Merck Manual Consumer Version [Intaneti]. Kenilworth (NJ): Merck & Co. Inc. .; 2020. Kuyesedwa kwa Matenda a Musculoskeletal; [kusinthidwa 2020 Mar; yatchulidwa 2020 Apr 13]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera:
5. Wanga Wopeza Zaumoyo [Internet]. Washington D.C .: U.S.Dipatimenti ya Zaumoyo ndi Ntchito Zantchito; Pezani Kuyesedwa Kwakukulu Kwambiri; [zasinthidwa 2020 Apr 13; yatchulidwa 2020 Apr 13]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: https://health.gov/myhealthfinder/topics/doctor-visits/screening-tests/get-bone-density-test
6. National Osteoporosis Foundation [intaneti]. Arlington (VA): NOF; c2020. Kufufuza / Kuyesa Kwamafupa; [adatchula 2020 Apr 13]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: https://www.nof.org/patients/diagnosis-information/bone-density-examtesting
7. NIH Osteoporosis and Related Bone Diseases National Resource Center [Intaneti]. Bethesda (MD): Dipatimenti ya Zaumoyo ndi Zantchito ku U.S. Kuyeza Misa Kwakukulu: Zomwe Manambala Amatanthauza; [adatchula 2020 Apr 13]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://www.bones.nih.gov/health-info/bone/bone-health/bone-mass-measure
8. UF Health: University of Florida Health [Intaneti]. Gainesville (FL): Yunivesite ya Florida Health; c2020. Kuyesa kachulukidwe ka mafupa amchere: Mwachidule; [zasinthidwa 2020 Apr 13; yatchulidwa 2020 Apr 13]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://ufhealth.org/bone-mineral-density-test
9. University of Rochester Medical Center [Intaneti]. Rochester (NY): Yunivesite ya Rochester Medical Center; c2020. Health Encyclopedia: Kuyesa Kwamafupa; [adatchula 2020 Apr 13]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=92&ContentID=P07664
10. UW Health [Intaneti]. Madison (WI): Zipatala za University of Wisconsin ndi Clinics Authority; c2020. Chidziwitso cha Zaumoyo: Kuchuluka Kwa Mafupa: Momwe Zimapangidwira; [yasinthidwa 2019 Aug 6; yatchulidwa 2020 Apr 13]; [pafupifupi zowonetsera 6]. Ipezeka kuchokera: https://www.uwhealth.org/health/topic/medicaltest/bone-density/hw3738.html#hw3761
11. UW Health [Intaneti]. Madison (WI): Zipatala za University of Wisconsin ndi Clinics Authority; c2020. Chidziwitso cha Zaumoyo: Kuchuluka Kwa Mafupa: Zotsatira; [yasinthidwa 2019 Aug 6; yatchulidwa 2020 Apr 13]; [pafupifupi zowonetsera 9]. Ipezeka kuchokera: https://www.uwhealth.org/health/topic/medicaltest/bone-density/hw3738.html#hw3770
12. UW Health [Intaneti]. Madison (WI): Zipatala za University of Wisconsin ndi Clinics Authority; c2020. Chidziwitso cha Zaumoyo: Kuchuluka Kwa Mafupa: Zowopsa; [yasinthidwa 2019 Aug 6; yatchulidwa 2020 Apr 13]; [pafupifupi zowonetsera 8]. Ipezeka kuchokera: https://www.uwhealth.org/health/topic/medicaltest/bone-density/hw3738.html#hw3768
13. UW Health [Intaneti]. Madison (WI): Zipatala za University of Wisconsin ndi Clinics Authority; c2020. Chidziwitso cha Zaumoyo: Kuchuluka Kwa Mafupa: Kufotokozera Mwachidule; [yasinthidwa 2019 Aug 6; yatchulidwa 2020 Apr 13]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://www.uwhealth.org/health/topic/medicaltest/bone-density/hw3738.html
14. UW Health [Intaneti]. Madison (WI): Zipatala za University of Wisconsin ndi Clinics Authority; c2020. Chidziwitso cha Zaumoyo: Kuchulukana Kwa Mfupa: Chifukwa Chake Amachitidwa; [yasinthidwa 2019 Aug 6; yatchulidwa 2020 Apr 13]; [pafupifupi zowonetsera 4]. Ipezeka kuchokera: https://www.uwhealth.org/health/topic/medicaltest/bone-density/hw3738.html#hw3752

Zomwe zili patsamba lino siziyenera kugwiritsidwa ntchito m'malo mwa chithandizo chamankhwala kapena upangiri. Lumikizanani ndi othandizira azaumoyo ngati muli ndi mafunso okhudzana ndi thanzi lanu.