I-DEXA Ihlola Ukuhlola I-Risk Yokuhlukunyezwa Kwe-Osteoporosis-Related Fracture Risk
Iskena se-DEXA (i-double-ray energy-ray-absorptiometry) iyisivivinyo esihlola ukuthi unesisindo samathambo ajwayelekile, isisindo samathambo aphansi (okubizwa nangokuthi i- osteopenia ), noma i- osteoporosis . Ngokuvamile, i-DEXA ukuskena, ebizwa nangokuthi i-DEXA eskena, isilinganisa isibalo sakho samathambo esikhwameni noma emgogodleni lapho kutholakala khona ukuhlukunyezwa okuhlobene nokwehla kwesifo se-osteoporosis. Uma ungeke ukwazi ukuba nomlenze noma ukuhlolwa kwesivinini (isib. Mhlawumbe ngenxa yokukhishwa esikhundleni), i-radius bone ye-forearm ishintshwe njengesiza sokuhlolwa.
Yini Efana Nokuthola I-DEXA Scan?
I-DEXA ukuskena ayibuhlungu futhi ayithathi isikhathi esiningi. Njengoba ulala emhlane wakho etafuleni lokucabanga, idivaysi yomshini (isithwebuli) idlulela emzimbeni wakho ukuhlola izifunda ze-hip nezimpumputhe. Iskena se-DEXA sikhipha izinga eliphansi kakhulu lemisebe, cishe ingxenye eyodwa kweyeshumi yemisebe oyithola nge-x-ray yesifuba. Ukuhlolwa kuthatha imizuzu engaba ngu-10 kuya ku-15.
Ngubani okufanele athole i-DEXA Scan?
I-National Osteoporosis Foundation incoma i-DEXA ukuhlola:
- abesifazane besifazane abaneminyaka engama-65 nangaphezulu
- amadoda angama-70 nangaphezulu
- abantu abaye baphuna amathambo ngemva kweminyaka yobudala engama-50
- abesifazane besilisa abaneminyaka engama-36 ubudala abanengozi yokugula ngokweqile
- Abesifazane abaseminyakeni engaphansi kwengu-65 abanesifo sengculazi abanezici eziyingozi zokuphefumula kwamathambo
- amadoda angama-50-69 anezici ezingozini zokuphefumula kwe-osteoporosis
I-DEXA scan iphinde iphakanyiswe uma uye waba nomswakama x-rays obonisa ikhefu noma ukulahleka kwethambo, ubuhlungu bokubuyela emuva okungase buhlobene nokuphulwa komgogodla , noma ukulahlekelwa ukuphakama (enye intshi noma ngaphezulu ngaphezulu konyaka noma 1-1 / 2 amasentimitha ukusuka ukuphakama okuphelele).
Uyini i-DEXA Scan Show?
I-DEXA ukuskena ithola amathambo aphansi noma aphikisayo ngaphambi kokuthi uphuke. Isibalo sisiza ukubikezela amathuba okuphuka esikhathini esizayo, futhi mhlawumbe isidingo semithi ye-osteoporosis. I-DEXA ukuskena, uma kuqhathaniswa nemiphumela yangaphambilini ye-DEXA yokuskena, ibonisa ukuthi ubukhulu bethambo lwakho buyathuthuka, buya buya, noma buhlala bufanayo.
Kuyasiza ukuthola ukuthi imithi yakho ye-osteoporosis isebenza kanjani. Ngemuva kwephulwa, i-DEXA iskena ihlola ukuthi ngabe kungenzeka yini ngenxa ye-osteoporosis.
Ukuhumusha imiphumela ye-DEXA Scan
Imiphumela ye-scan ye-DEXA ibikwa njengezi-T izikolo. I-T-score ibonisa ukuthi ziphakeme kangakanani noma zinciphisa amathambo akho ngaphezu kwalowo omdala onempilo, oneminyaka engu-30 ubudala. I-World Health Organization ithi:
- Isilinganiso se-T se--1.0 noma ngaphezulu sijwayelekile
- I-T-score ewela phakathi kwe--1.0 no--2.5 ibonisa ukwehlisa amathambo, noma i-osteopenia
- I-T-score ye--2.5 noma ngezansi iqinisekisa ukuxilongwa kwe-osteoporosis
Ngokuyinhloko, izilinganiso eziphansi ze-T zihambisana nomthamo we-bone ophansi. I-T-score yakho iyithuluzi elilodwa lokuhlola ukuthi ngabe udinga ukuthatha imithi ye-osteoporosis noma wenze ukuguqulwa kokuphila okungenza ngcono isikolo sakho. Ezinye izici ezingozini zibhekwa njengalokhu.
Kukhona ne-Z-score. Isilinganiso se-Z siqhathanisa amathambo akho kulokho okulindeleke kumuntu oneminyaka yakho, ubulili, isisindo, ubuhlanga, nohlanga.
Ezinye izinhlobo ze-Bone Density Test
Kungenzeka ukuthi uhlangabezane nezivivinyo ze-périipheral noma ukuhlola ukuhlolwa kwe-osteoporosis. Lezi zivame ukuhlinzekwa kuma-fairs ezempilo. Kukhona i-pDEXA (i-peripheral double-ray i-absorptometry yamandla), i-QUS (i-ultrasound ye-quantitative), ne-pQCT (i-peripheral quantitative computed tomography).
Kubalulekile ukwazi ukuthi izivivinyo zokuhlola azikwazi ukuxilonga i-osteoporosis. Izivivinyo zokuhlola zivele zikhomba abantu okufanele bathole ukuhlolwa okunye ne-DEXA ephakathi. Imiphumela ye-peripheral ehambisana nokuhlolwa kwe-DEXA ephakathi nayo ayifani nhlobo.
Imithombo:
I-Bone Density Exam / Ukuhlolwa. I-National Osteoporosis Foundation.
I-Dual Energy X-ray Absorptiometry (DEXA) Skena. Isikhungo sezokwelapha saseCedars-Sinai.