Ithuluzi lokuHlola lokuKhuphuka
I-FRAX iyithuluzi elakhiwe yi-World Health Organization ngo-2008 ukuhlola ingozi yokuhlukana. I-FRAX ihlanganisa izici ezingozini zemitholampilo kanye ne- bone mineral mass (BMD) entanyeni yezinsikazi ukuze kuboneke amathuba okuhlukunyezwa kweminyaka engu-10 kwabesilisa nabesifazane. Kalula nje, kungumbala wokubala wokulahleka.
Amamodeli asetshenziselwa ukuthuthukisa i-FRAX wokubala atholakala ekutadisheni iziguli zesiguli eNyakatho Melika, eYurophu, e-Asia nase-Australia.
Kukhona izinguqulo zephepha ze-FRAX ezitholakalayo kepha ithuluzi le-FRAX le-intanethi likhona futhi. Inguqulo yewebhu iyatholakala ngezilimi ezihlukahlukene.
Ngokusho kwe- Postgraduate Medicine , "Ukukhubazeka kwe- osteoporosis (ukuhlukumeza okuncane noma ukuhlukumeza okuncane) kudala ukukhubazeka okukhulu, izindleko zokunakekelwa kwezempilo kanye nokufa phakathi kwabesifazane be-postmenopausal namadoda amadala. Ucwaningo lwe-Epidemiologic lubonisa ukuthi okungenani isigamu somthwalo wabantu wezinhlupho ezihlobene ne-osteoporosis kuthinta abantu abanesifo se- osteopenia (isibalo esincane se-bone), esihlanganisa ingxenye enkulu yabantu kunelabo abane-osteoporosis. Imithwalo yempilo yomphakathi yezinhlanzi ngeke ihluleke ukwehliswa ngaphandle kokuthi i-subset yeziguli ezinezinthambo eziphansi ezisengozini yokuphulwa ehlonziwe futhi ephathwa. "
Ukwazi ukuthi kungenzeka ukuhlukunyezwa kweminyaka engu-10 yakho kukuvumela wena nodokotela wakho ukuba wenze izinqumo zokwelapha. Umgomo, uma ukwelashwa kuboniswa, kungaba ukwehlisa ubungozi bokuphuka kwamathambo nokuvimbela i-osteoporosis.
Ngenxa yokuthi i-osteoporosis iyisifo esithulile, okusho ukuthi azikho izimpawu ezibonakalayo kuze kube yilapho kwenzeka ukuphuka, ukwehlisa ingozi kubalulekile. I-National Osteoporosis Foundation incoma ukuthi ukwelapha iziguli ezine-FRAX zeminyaka engama-10 emingciphekweni 'enkulu noma elingana namaphesenti amathathu' ngenxa yokuqhaqhaza kweqhwa noma 'ngaphezulu noma elingana namaphesenti angu-20' ngenxa yokuphuka okukhulu kwe-osteoporotic ukunciphisa ingozi yokuphulwa.
I-Questionnaire ye-FRAX
I-FRAX ibuza imibuzo engu-12 bese ibala ukuthi kungenzeka yini ukuhlukunyezwa kweminyaka engama-10. Ukwaziswa okufakwayo ukuze kunqume ingozi yakho yokuhlukumeza kuhlanganisa:
- Ubudala noma Usuku Lokuzalwa
- Owesilisa noma owesifazane
- Isisindo ngama-kilogram
- Ukuphakama ngamentimitha
- Ukuphulwa kwangaphambili (cha noma cha)
- I-hip ephukile yomzali (cha noma cha)
- Ukubhema kwamanje (cha noma cha)
- I-glucocorticoids (cha noma cha)
- I-arthritis ye-rheumatoid (cha noma cha)
- Ukuphefumula kwesibili (akukho noma cha)
- Utshwala - amayunithi amathathu noma ngaphezulu ngosuku (cha noma cha)
- I-femoral neck bone bone amaminerali - i-BMD ku-g / cm (isikwele)
I-calculator ye-FRAX ibuza imibuzo ecacile ehlobene ne-glucocorticoids, isifo samathambo, isifo se-osteoporosis sesibili, nokusetshenziswa kotshwala. Ukuze uphendule u-Yebo kumbuzo we-glucocorticoid, kumelwe ukuthi uthathe izinyanga ezintathu noma ngaphezulu kwe-prednisolone ku-5 mg ngosuku (noma isilinganiso esilinganayo samanye ama-steroids). "Yebo" for arthritis rheumatoid kusho ukuthi uthola ukuqinisekiswa okuqinisekisiwe. "Yebo" ekwenzeni i-osteoporosis yesibili kusho ukuthi unesimo esixhunyaniswe kakhulu ne-osteoporosis.
Okubalulekile
I-calculator ye-FRAX inquma ukuthi kungenzeka ukuhlukunyezwa kweminyaka engu-10 kwesiguli ngasinye. Ngokwenza kanjalo, i-calculator ngokuyisisekelo ithola iziguli ezidinga ukunakekelwa noma ukwelashwa ukwehlisa lelo thuba.
Imiphumela ingasiza ukuphatha ingozi ye-osteopenia, i-osteoporosis, ne-bone break. I-osteoporosis yimbangela yezigidi eziyizinkulungwane ezingu-1.5 ngonyaka. Cishe izigidi ezingama-54 zaseMelika zine-osteoporosis noma i-bone mass ezenza kube nengozi yokuhlaselwa kwe-osteoporosis. Ucwaningo lubonisa ukuthi cishe owesifazane kwababili kwababili futhi kuze kube yinye kwabaneminyaka emine ubudala abaneminyaka engama-50 nangaphezulu bayophula amathambo ngenxa ye-osteoporosis ngesikhathi esithile empilweni yabo. Lokho kusho, kuyilapho kuyindlela ephumelelayo yokukhomba iqembu elibhekene nezingozi kakhulu, i-FRAX ayifuni izinqumo zokuxilonga noma zokwelashwa kudokotela.
I-FRAX iyatholakala futhi njenge-iPhone app ye $ 5.99.
Imithombo:
I-FRAX. Ithuluzi Lokuhlola Ingozi Ye-WHO.
Ithuluzi lokubala le-FRAX. Ithuluzi Lokuhlola Ingozi Ye-WHO.
Hashimoto K. et al. I-Calcium yezokwelapha. > Ukusetshenziswa kwe-FRAX nezindaba zesikhathi esizayo empilweni yabesifazane. 2009 Dec; 19 (12): 1742-8
Siris ES et al. Ukusetshenziswa ngokuyinhloko kwe-FRAX: Ukuhlolwa kokungabikho kokuhlukumezeka ngokuphelele kwabesifazane be-postmenopausal namadoda amadala. Imithi ye-Postgraduate. 2010 Jan; 122 (1): 82-90.
Kuyini Ukukhubazeka Kwegazi? I-National Osteoporosis Foundation.