Amene ayenera kuyeza kachulukidwe mafupa kudzera fupa densitometer
Bone Densitometry
Osteoporosis ndi kuchepa kwakukulu kwa kachulukidwe ka mafupa am'mafupa komwe kumakhudza amayi mamiliyoni ambiri, kuwayika pachiwopsezo cha kuthyoka komwe kungathe kufooketsa.Timapereka ma densitometry a mafupa, omwe amayesa ndendende kuchuluka kwa mchere wam'mafupa (BMD), kulola kuyerekeza kwa chiwopsezo cha kuthyoka kwa wodwala.Makina athu apamwamba amatha kuwerengera molondola BMD mumsana, chiuno, kapena dzanja.Dongosololi limalolanso kutsimikiza kwa BMD mwa ana.
Dokotala wanu akhoza kuyitanitsa fupa la densitometry ngati akukayikira kuti muli ndi vuto la osteoporosis.Anthu omwe ali ndi matenda osteoporosis amakhala ndi mafupa ofooka kapena kutaya kwambiri kwa mafupa awo.Amayi mamiliyoni ambiri ndi amuna ambiri amadwala matenda osteoporosis akamakalamba.
Momwe Bone Densitometry Imagwirira Ntchito
Nthawi zina mayesowa amatchedwa kuwunika kachulukidwe ka mafupa kapena awiri-energy x-ray absorptiometry (DXA).Ndi njira yowonjezera yaukadaulo wa x-ray.Makina a DXA amatumiza mtengo wochepa, wosawoneka wa ma X-ray otsika kudzera m'mafupa.Minofu yanu yofewa imatenga mphamvu yoyamba.Mafupa anu amatenga mtanda wachiwiri.Pochotsa kuchuluka kwa minofu yofewa pamlingo wonse, makinawo amapereka muyeso wa kuchuluka kwa mafupa anu amchere (BMD).Kuchulukana kumeneko kumauza dokotala mphamvu ya mafupa anu.
Chifukwa Chake Madokotala Amagwiritsira Ntchito Bone Densitometry
Osteoporosis imaphatikizapo kutayika kwa calcium m'mafupa anu.Ndi chikhalidwe chomwe nthawi zambiri chimakhudza amayi pambuyo posiya kusamba, ngakhale kuti amuna amatha kukhala ndi osteoporosis, nawonso.Pamodzi ndi kutayika kwa kashiamu, mafupa amadutsa kusintha kwapangidwe komwe kumawapangitsa kukhala ochepa thupi, osalimba komanso othyoka.
DXA imathandizanso akatswiri a radiology ndi madotolo ena kuyang'anira momwe chithandizo chamankhwala chimathandizira mtundu uliwonse wa kuwonongeka kwa mafupa.Miyezo ya mayeso ikupereka umboni woti mungathyole fupa.
Ndani Ayenera Kuyezetsa Kachulukidwe ka Mafupa a Mafupa (BMD).
• Amayi azaka 65 ndi kupitilira apo
• Amayi omwe ali ndi zaka zopitirira 65 omwe ali ndi vuto losweka.
• Azimayi pa nthawi ya kusintha kwa msambo omwe ali ndi chiopsezo cha matenda othyoka, monga kulemera kwa thupi, kuthyoka kusanachitike, kapena kugwiritsa ntchito mankhwala osokoneza bongo.
• Amuna azaka 70 ndi kupitilira apo.
• Amuna osakwana zaka 70 omwe ali ndi chiopsezo cha matenda osweka.
• Akuluakulu omwe ali ndi fragility fracture.
• Akuluakulu omwe ali ndi matenda kapena chikhalidwe chokhudzana ndi kuchepa kwa mafupa kapena mafupa.
• Akuluakulu omwe amamwa mankhwala okhudzana ndi kuchepa kwa mafupa kapena mafupa.
• Aliyense amene akuganiziridwa chithandizo chamankhwala.
• Aliyense amene akuthandizidwa, kuyang'anira zotsatira za mankhwala.
• Aliyense amene sakulandira chithandizo chamankhwala amene umboni wakuti mafupa awo waduka ungamuthandize kuti alandire chithandizo.
• Amayi omwe amasiya kumwa estrogen ayenera kuganiziridwa kuti ayezetse kachulukidwe ka mafupa malinga ndi zomwe zalembedwa pamwambapa.
Chifukwa Chake Madokotala Amagwiritsira Ntchito Vertebral Fracture Assessment (VFA)
Kuyesa kwina komwe kumachitika pamakina a DXA ndikuwunika kwa vertebral fracture assessment (VFA).Ndiko kuyesa kwa X-ray kwa msana komwe kumayesa thanzi la msana wanu.A VFA adzawulula ngati muli ndi kupanikizana fractures mu vertebra wanu (mafupa msana).Kukhalapo kwa fracture ya vertebral ndikopindulitsa kwambiri kulosera za ngozi yanu yosweka mafupa m'tsogolo kuposa DXA yokha.Zotsatirazi ndi zifukwa (zizindikiro) zochitira vertebral fracture assessment (VFA) yochokera ku 2007 Official Positions of the International Society of Clinical Densitometry (www.iscd.org):
Ndani Ayenera Kulandira VFA
• Amayi osiya kusamba omwe ali ndi mafupa ochepa (osteopenia) motsatira mfundo za BMD, KUWONJEZERA chimodzi mwa izi:
• Zaka zazikulu kuposa kapena zofanana ndi zaka 70
• Kutalika kwa mbiri yakale kupitirira masentimita 4 (1.6 in.)
• Kutaya utali woyembekezeredwa kupitirira 2 cm (0.8 in.)
• Kuthyoka kwa msana (osati kulembedwa kale)
• Ziwiri kapena kuposerapo mwa izi;
• Zaka 60 mpaka 69 zaka
• Kudziwonetsa nokha kusanachitike fracture yopanda vertebral
• Kutaya kwa mbiri yakale kwa 2 mpaka 4 cm
• Matenda osachiritsika okhudzana ndi chiopsezo chowonjezereka cha kuthyoka kwa msana (mwachitsanzo, COPD kapena COAD, seropositive rheumatoid arthritis, Crohn's disease).
• Amuna omwe ali ndi mafupa ochepa (osteopenia) motsatira mfundo za BMD, KUWONJEZERA chimodzi mwa izi:
• Zaka 80 kapena kupitirira
• Kutalika kwa mbiri yakale kwambiri kuposa masentimita 6 (2.4 mu)
• Kutsika koyembekezeka kwa kutalika kwakukulu kuposa 3 cm (1.2 mu)
• Kuthyoka kwa msana (osati kulembedwa kale)
• Ziwiri kapena kuposerapo mwa izi;
• Zaka 70 mpaka 79 zaka
• Kudziwonetsa nokha kusanachitike fracture yopanda vertebral
• Kutaya kwa mbiri yakale kwa 3 mpaka 6 cm
• Pa pharmacologic androgen deprivation therapy kapena kutsatira orchiectomy
• Matenda osachiritsika okhudzana ndi chiopsezo chowonjezereka cha kuthyoka kwa msana (mwachitsanzo, COPD kapena COAD, seropositive rheumatoid arthritis, Crohn's disease).
• Amayi kapena abambo omwe amamwa mankhwala a glucocorticoid osatha (ofanana ndi 5 mg kapena kuposerapo a prednisone tsiku lililonse kwa miyezi itatu (3) kapena kupitilira apo).
• Amayi omwe ali ndi postmenopausal kapena amuna omwe ali ndi matenda osteoporosis ndi BMD, ngati zolemba za fractures imodzi kapena zingapo zidzasintha kasamalidwe kachipatala.
Kukonzekera Mayeso Anu a Bone Densitometry
Patsiku la mayeso anu, idyani bwinobwino koma chonde musamamwe mankhwala owonjezera a calcium kwa maola osachepera 24 mayeso anu asanafike.Valani zovala zomasuka, zomasuka ndipo pewani zovala zokhala ndi zipi zachitsulo, malamba kapena mabatani.Radiology & Imaging angakufunseni kuti muchotse zina kapena zovala zanu zonse ndi kuvala chovala kapena mwinjiro panthawi ya mayeso.Mukhozanso kuchotsa zodzikongoletsera, magalasi a maso ndi zinthu zilizonse zachitsulo kapena zovala.Zinthu ngati izi zimatha kusokoneza zithunzi za x-ray.
Adziwitseni dokotala wanu ngati posachedwapa munapimidwa ndi barium kapena mwabayidwa ndi zinthu zosiyana pa scan scan ya computed tomography (CT) kapena radioisotope (mankhwala a nyukiliya).
Nthawi zonse dziwitsani dokotala wanu kapena Radiology & Imaging technologist ngati pali kuthekera kuti muli ndi pakati.
Kodi Mayeso a Bone Densitometry Ndi Chiyani
Monga
Mumagona patebulo lopindidwa.Pa mayeso a Central DXA, omwe amayesa kuchuluka kwa mafupa m'chiuno ndi msana, jenereta ya x-ray ili pansi panu ndipo chipangizo chojambula, kapena chojambulira, chili pamwamba.Kuti muwone msana wanu, miyendo yanu imathandizidwa pabokosi lokhala ndi zingwe kuti muchepetse chiuno chanu ndi msana (lumbar).Kuti awone chiuno, katswiri wamakono adzayika phazi lanu muzitsulo zomwe zimazungulira chiuno chanu mkati.Muzochitika zonsezi, chowunikira chimadutsa pang'onopang'ono, ndikupanga zithunzi pakompyuta.Mayeso ambiri amangotenga mphindi 10 mpaka 20 ndipo ndikofunikira kuti mukhalebe pompo nthawi yonse ya mayeso.
Ubwino & Zowopsa
Bone densitometry ndi yosavuta, yachangu komanso yosasokoneza.Sichifuna opaleshoni iliyonse.Kuchuluka kwa ma radiation omwe amagwiritsidwa ntchito ndi ochepa kwambiri-ochepa kwambiri kuposa mlingo wa x-ray wa chifuwa.
Ndi njira iliyonse ya x-ray, pali mwayi wochepa wokhala ndi khansa kuchokera pakukhudzidwa kwambiri ndi ma radiation.Komabe, phindu la kuzindikiridwa kolondola limaposa ngoziyo.Amayi nthawi zonse azidziwitsa adotolo awo kapena katswiri waukadaulo wa Radiology & Imaging ngati kuli kotheka kuti ali ndi pakati.
Malire a Bone Densitometry
Mafupa a densitometry sangathe kulosera motsimikizika 100% ngati mudzathyoka mtsogolo.Komabe, ikhoza kupereka zisonyezero zolimba za chiopsezo chanu cha kusweka kwamtsogolo.
Ngakhale kuti n'zothandiza poyeza mphamvu ya fupa, fupa la densitometry kapena DXA ndi ntchito yochepa kwa anthu omwe ali ndi vuto la msana kapena kwa anthu omwe achitidwa opaleshoni ya msana.Ngati muli ndi vertebral compression fractures kapena osteoarthritis, matenda anu akhoza kusokoneza kulondola kwa mayeso.Pazifukwa izi, kuyesa kwina kungachitike, monga forearm bone densitometry.
Timagwira Ntchito Mwapadera Kuwerenga Zithunzi Zafupa
Radiology & Imaging amagwiritsa ntchito zida zamakono zomwe zimapereka chidziwitso chapadera.Ma radiology athu oyerekeza matupi athu kapena ma radiology a minofu ndi mafupa amakhazikika pakuwerenga ma densitometries a mafupa zomwe zikutanthauza kuti ukatswiri wochulukirapo komanso zokumana nazo zikugwira ntchito kwa inu.
Nthawi yotumiza: Mar-07-2023