Kodi DEXA Scan ndi Chiyani?

Zamkati

• Amagulitsa bwanji?
• Mankhwala
• Cholinga cha sikani ndi chiyani?
• Dokotala wanu akakalamula DEXA
• Kuyeza kapangidwe ka thupi
• Kodi mumakonzekera bwanji sikani ya DEXA?
• Ndondomeko yake ndi yotani?
• Kodi zotsatirazi zikutanthauza chiyani?
• Maganizo ake ndi otani?

Kujambula kwa DEXA ndi mtundu wa X-ray wolondola kwambiri womwe umayeza kuchuluka kwa mchere wamafupa ndi kutayika kwa mafupa. Ngati mafupa anu ndi ochepera kuposa msinkhu wanu, zimawonetsa chiwopsezo cha kufooka kwa mafupa ndi mafupa.

DEXA imayimira mphamvu ziwiri za X-ray absorptiometry. Njirayi idayambitsidwa kuti igulitsidwe mu 1987. Imatumiza matabwa awiri a X-ray pamiyeso yamphamvu yayikulu pamapfupa olunjika.

Nsonga ina imakhudzidwa ndi minofu yofewa ndipo inayo ndimafupa. Kuchuluka kwa minofu yofewa ikamachotsedwa pamayamwa onse, otsalawo ndiye kuchuluka kwa mafupa anu.

Chiyesocho sichitha, ndichachangu, komanso cholondola kuposa X-ray yanthawi zonse. Zimaphatikizapo kuchepa kwa radiation.

World Health Organisation (WHO) idakhazikitsa DEXA ngati njira yabwino kwambiri yoyezera kuchuluka kwa mchere wamfupa mwa amayi omwe atha msambo. DEXA imadziwikanso kuti DXA kapena bone densitometry.

Amagulitsa bwanji?

Mtengo wa sikani ya DEXA umasiyana, kutengera komwe mumakhala komanso mtundu wa malo omwe akuyeserako.

Makampani a inshuwaransi nthawi zambiri amalipira zonse kapena gawo lina la mtengo ngati dokotala wanu walamula kuti asanthule monga momwe angafunikire kuchipatala. Ndi inshuwaransi, mutha kukhala ndi copay.

American Board of Internal Medicine imaganizira $ 125 ngati ndalama zoyambira kuthumba. Malo ena amalipiritsa kwambiri. Ndibwino kuti mufunsane ndi omwe amakuthandizani azaumoyo, ndipo ngati zingatheke, muziyenda pafupi.

Mankhwala

Medicare Part B imakhudza mayeso a DEXA kamodzi pakatha zaka ziwiri zilizonse, kapena kangapo ngati kuli kofunikira kuchipatala, mukakumana ndi chimodzi mwanjira izi:

• Dokotala wanu amatsimikiza kuti muli pachiwopsezo cha kufooka kwa mafupa, kutengera mbiri yanu yazachipatala.
• Ma X-ray akuwonetsa kuthekera kwa kufooka kwa mafupa, osteopenia, kapena fractures.
• Mukumwa mankhwala a steroid, monga prednisone.
• Muli ndi hyperparathyroidism yoyamba.
• Dokotala wanu akufuna kuwunika kuti awone ngati mankhwala anu a kufooka kwa mafupa akugwira ntchito.

Cholinga cha sikani ndi chiyani?

Kujambula kwa DEXA kumagwiritsidwa ntchito kuti mudziwe chiwopsezo chanu cha kufooka kwa mafupa komanso kuphwanya mafupa. Itha kugwiritsidwanso ntchito kuwunika ngati chithandizo chanu cha kufooka kwa mafupa chikugwira ntchito. Nthawi zambiri jambulani limayang'ana msana wanu wam'munsi ndi chiuno.

Kufufuza kwa X-ray koyambirira komwe kunagwiritsidwa ntchito chitukuko cha DEXA chisanachitike sikungathe kuzindikira kutayika kwa mafupa komwe kunali kwakukulu kuposa 40 peresenti. DEXA imatha kuyeza mkati mwa 2 peresenti mpaka 4 peresenti molondola.

Pambuyo pa DEXA, chizindikiro choyamba cha kuchepa kwa mafupa chimatha kukhala munthu wamkulu akamathyola fupa.

Dokotala wanu akakalamula DEXA

Dokotala wanu atha kuyitanitsa sikani ya DEXA:

• ngati ndinu mayi wazaka zopitilira 65 kapena bambo wazaka zopitilira 70, zomwe ndi malingaliro a National Osteoporosis Foundation ndi magulu ena azachipatala
• ngati muli ndi zizindikiro za kufooka kwa mafupa
• ngati mutathyola fupa mutakwanitsa zaka 50
• ngati ndinu bambo wazaka 50 mpaka 59 kapena mayi amene watha msinkhu kusamba zaka 65 ali ndi zifukwa zoopsa

Zowopsa za kufooka kwa mafupa ndizo:

• kugwiritsa ntchito fodya komanso mowa
• kugwiritsa ntchito corticosteroids ndi mankhwala ena
• mndandanda wotsika wa thupi
• matenda ena, monga nyamakazi
• kusagwira ntchito
• mbiri ya banja ya kufooka kwa mafupa
• zophulika zam'mbuyomu
• Kutaya kwakutali kuposa inchi

Kuyeza kapangidwe ka thupi

Ntchito ina pakuyesa kwa DEXA ndikuyesa momwe thupi limapangidwira, minofu yowonda, ndi minofu yamafuta. DEXA ndi yolondola kwambiri kuposa chikhalidwe chamagulu (BMI) posankha mafuta owonjezera. Chithunzi chathunthu chitha kugwiritsidwa ntchito kuyesa kuwonda kapena kulimbitsa minofu.

Kodi mumakonzekera bwanji sikani ya DEXA?

Zoyeserera za DEXA nthawi zambiri zimakhala njira zothandizira odwala. Palibe zokonzekera zilizonse zofunika, kupatula kuti musiye kumwa zowonjezera calcium iliyonse kwa maola 24 mayeso asanayesedwe.

Valani zovala zabwino. Kutengera ndi malo omwe thupi lanu likuyang'aniridwa, mungafunikire kuvula zovala zilizonse zomangira zachitsulo, zipi, kapena ngowe. Katswiri akhoza kukupemphani kuti muchotse zodzikongoletsera kapena zinthu zina, monga makiyi, omwe angakhale ndi chitsulo. Mutha kupatsidwa chovala chaku chipatala chovala mukamayesedwa.

Adziwitseni dokotala pasadakhale ngati mwakhala ndi CT scan yofuna kugwiritsa ntchito zinthu zosiyanitsa kapena mukayezetsa barium. Atha kukufunsani kuti mudikire masiku ochepa musanapange sikani ya DEXA.

Muyenera kumudziwitsa adotolo ngati muli ndi pakati kapena mukuganiza kuti mwina muli ndi pakati. Angafune kulepheretsa scan DEXA mpaka mutabereka mwana kapena kusamala.

Ndondomeko yake ndi yotani?

Zipangizo za DEXA zimaphatikizapo tebulo lathyathyathya lomwe mumagonapo. Dzanja losunthika pamwamba limanyamula chowunikira cha X-ray. Chida chomwe chimapanga X-rays chili pansi pa tebulo.

Katswiriyu adzakuikani patebulo. Amatha kuyika mphero pansi pa mawondo anu kuti ikuthandizireni msana wanu chithunzicho, kapena kuyika chiuno chanu. Akhozanso kuyika dzanja lanu pofufuza.

Katswiriyu akupemphani kuti mukhale chete pamene mkono wojambula pamwamba ukuyenda pang'onopang'ono thupi lanu. Mulingo wama radiation wa X-ray ndiwotsika kuti walola kuti akhalebe nanu mchipinda pomwe akugwiritsa ntchito chipangizocho.

Njira yonseyi imatenga mphindi zochepa.

Kodi zotsatirazi zikutanthauza chiyani?

Zotsatira zanu za DEXA ziwerengedwa ndi radiologist ndikupatsani inu ndi dokotala m'masiku ochepa.

Dongosolo lakuwunika kwa scan limathandizira kuti mafupa anu atayike motsutsana ndi achikulire athanzi, malinga ndi zomwe bungwe la WHO linakhazikitsa. Izi zimatchedwa kuchuluka kwanu kwa T. Ndikusiyana pakati pa kufupika kwa mafupa ndi kuyerekezera.

• Mphambu ya -1 kapena pamwambapa amaonedwa ngati wabwinobwino.
• Mphambu pakati -1.1 ndi -2.4 amaonedwa ngati osteopenia, chiopsezo chowonjezeka cha kusweka.
• Mphambu ya -2.5 ndi pansipa amaonedwa ngati kufooka kwa mafupa, chiopsezo chachikulu chovulala.

Zotsatira zanu zingakupatseninso mphambu wa Z, womwe umafanizira kutayika kwa mafupa anu ndi kwa anzanu amsinkhu wanu.

Malipiro a T ndiyeso ya chiopsezo, osati kuneneratu kuti mudzasweka.

Dokotala wanu adzakufunsani zotsatira za mayesowo. Akambirana ngati chithandizo ndi chofunikira, komanso zomwe mungasankhe. Dokotala angafune kutsata sikani yachiwiri ya DEXA zaka ziwiri, kuti athe kuyesa kusintha kulikonse.

Maganizo ake ndi otani?

Ngati zotsatira zanu zikuwonetsa kufooka kwa mafupa kapena kufooka kwa mafupa, dokotala wanu akambirana nanu zomwe mungachite kuti muchepetse mafupa ndikukhala athanzi.

Chithandizo chitha kungotengera kusintha kwa moyo. Dokotala wanu akhoza kukulangizani kuti muyambe kuchita masewera olimbitsa thupi, kuchita masewera olimbitsa thupi, kulimbikitsa zolimbitsa thupi, kapena pulogalamu yolemetsa.

Ngati mavitamini D kapena calcium yanu ili yochepa, akhoza kukuyambitsani pazowonjezera.

Ngati kufooka kwa mafupa kukukulirakulira, adokotala angakulangizeni kuti mutenge mankhwala amodzi mwa mankhwala omwe amathandiza kulimbitsa mafupa komanso kuchepetsa mafupa. Onetsetsani kuti mufunse zotsatira zoyipa zamankhwala aliwonse.

Kusintha moyo wanu kapena kuyambitsa mankhwala kuti muchepetse kutaya mafupa anu ndikubwezeretsa thanzi lanu komanso kukhala ndi moyo wautali. Kafukufuku akuwonetsa kuti 50 peresenti ya azimayi ndi 25 peresenti ya amuna azaka zopitilira 50 adzathyola fupa chifukwa cha kufooka kwa mafupa, malinga ndi National Osteoporosis Foundation (NOF).

Zimathandizanso kuti mudziwe zambiri zamaphunziro atsopano komanso njira zatsopano zothandizira. Ngati mukufuna kukambirana ndi anthu ena omwe ali ndi matenda otupa mafupa, NOF ili ndi magulu othandizira mdziko lonselo.