Kodi kuyesa kachulukidwe ka mafupa ndi chiyani?

Kuyeza kachulukidwe ka mafupa kumagwiritsidwa ntchito kuyeza kuchuluka kwa mchere wam'mafupa ndi kuchuluka kwake.Zitha kuchitidwa pogwiritsa ntchito X-rays, awiri-energy X-ray absorptiometry (DEXA kapena DXA), kapena CT scan yapadera yomwe imagwiritsa ntchito mapulogalamu apakompyuta kuti adziwe kuchuluka kwa mafupa a chiuno kapena msana.Pazifukwa zosiyanasiyana, kujambula kwa DEXA kumatengedwa ngati "golide" kapena mayeso olondola kwambiri.

Kuyeza uku kumauza achipatala ngati mafupa achepa.Ichi ndi chikhalidwe chomwe mafupa amakhala ophwanyika komanso amatha kusweka kapena kuthyoka mosavuta.

Kuyeza kachulukidwe ka mafupa kumagwiritsidwa ntchito makamaka pozindikira osteopenia ndimatenda osteoporosis.Amagwiritsidwanso ntchito kuti adziwe ngozi yanu yamtsogolo yosweka.Njira yoyesera imayesa kuchuluka kwa mafupa a msana, mkono wakumunsi, ndi chiuno.Kuyesa kwapang'onopang'ono kungagwiritse ntchito radius (1 ya mafupa a 2 a m'munsi mwa mkono), dzanja, zala, kapena chidendene poyesa, koma sizolondola monga njira zosasunthika chifukwa malo amodzi okha amayesedwa.

Ma X-ray okhazikika amatha kuwonetsa mafupa ofooka.Koma pamene kufooka kwa mafupa kungawonekere pa X-ray wamba, zikhoza kukhala zapamwamba kwambiri kuti zithetsedwe.Kuyeza kwa mafupa a densitometry kumatha kupeza kuchepa kwa kachulukidwe ka mafupa ndi mphamvu pakanthawi koyambirira pamene chithandizo chingakhale chopindulitsa.

Zotsatira zoyezetsa kachulukidwe ka mafupa

Kuyeza kachulukidwe ka fupa kumatsimikizira kuchuluka kwa mchere wa fupa (BMD).BMD yanu ikufaniziridwa ndi 2 machitidwe-achinyamata athanzi (T-score yanu) ndi akuluakulu ofananira ndi zaka (Z-score yanu).

Choyamba, zotsatira za BMD zanu zimafaniziridwa ndi zotsatira za BMD zochokera kwa akuluakulu athanzi azaka 25 mpaka 35 azaka zakubadwa kapena mtundu womwewo.Kupatuka kokhazikika (SD) ndiko kusiyana pakati pa BMD yanu ndi ya achinyamata athanzi.Zotsatirazi ndi T-score yanu.Zotsatira zabwino za T zimasonyeza kuti fupa ndi lamphamvu kuposa lachibadwa;Zotsatira zoyipa za T zikuwonetsa kuti fupa ndi lofooka kuposa momwe limakhalira.

Malinga ndi World Health Organisation, matenda osteoporosis amatanthauzidwa kutengera kuchuluka kwa mafupa:

T-score mkati mwa 1 SD (+1 kapena -1) ya wachinyamatayo amatanthauza kuchulukira kwa mafupa.

T-score ya 1 mpaka 2.5 SD pansi pa msinkhu wachinyamata (-1 mpaka -2.5 SD) imasonyeza kuchepa kwa mafupa.

T-score ya 2.5 SD kapena kupitirira pansi pa msinkhu wachinyamata (kuposa -2.5 SD) imasonyeza kukhalapo kwa osteoporosis.

Nthawi zambiri, chiwopsezo cha kuthyoka kwa mafupa chimawonjezeka kawiri ndi SD iliyonse pansi pazabwinobwino.Choncho, munthu yemwe ali ndi BMD ya 1 SD pansi pa chikhalidwe (T-score of -1) ali ndi chiopsezo chowirikiza cha kusweka kwa fupa ngati munthu yemwe ali ndi BMD yachibadwa.Chidziwitsochi chikadziwika, anthu omwe ali ndi chiopsezo chachikulu cha kuthyoka kwa mafupa amatha kuchiritsidwa ndi cholinga chopewa kusweka kwamtsogolo.Osteoporosis yoopsa (yokhazikitsidwa) imatanthauzidwa kukhala ndi fupa la mafupa omwe ali oposa 2.5 SD pansi pa wachinyamata wamkulu amatanthawuza ndi fracture imodzi kapena zingapo zapitazo chifukwa cha matenda osteoporosis.

Kachiwiri, BMD yanu imafananizidwa ndi chikhalidwe chofananira ndi zaka.Izi zimatchedwa Z-score yanu.Z-ziwerengero zimawerengedwa mofanana, koma kufananitsa kumapangidwa ndi munthu wa msinkhu wanu, kugonana, mtundu, kutalika, ndi kulemera kwake.

Kuphatikiza pa kuyesa kwa mafupa a densitometry, wothandizira zaumoyo wanu angakulimbikitseni mitundu ina ya mayesero, monga kuyesa magazi, omwe angagwiritsidwe ntchito kuti apeze kupezeka kwa matenda a impso, kuyesa ntchito ya chithokomiro cha parathyroid, kuyesa zotsatira za mankhwala a cortisone, ndi / kapena kuwunika kuchuluka kwa mchere m'thupi okhudzana ndi kulimba kwa mafupa, monga calcium.

Chifukwa chiyani ndingafunikire kuyezetsa kachulukidwe ka mafupa?

Kuyeza kachulukidwe ka mafupa kumachitidwa makamaka kuti ayang'ane matenda a osteoporosis (mafupa ochepa kwambiri, ofooka) ndi osteopenia (kuchepa kwa mafupa) kuti mavutowa athe kuchiritsidwa mwamsanga.Kuchiza msanga kumathandiza kupewa kusweka kwa mafupa.Zovuta za mafupa osweka okhudzana ndi matenda osteoporosis nthawi zambiri zimakhala zovuta, makamaka kwa okalamba.Matenda a osteoporosis oyambirira amatha kupezeka, chithandizo mwamsanga chingayambitsidwe kuti chiwongolerocho chikhale bwino komanso / kapena kuti chisaipire.

Kuyeza kuchuluka kwa mafupa kungagwiritsidwe ntchito:

Tsimikizirani matenda a osteoporosis ngati mwathyoka kale fupa

Fotokozerani mwayi wanu wothyola fupa m'tsogolomu

Dziwani kuchuluka kwa mafupa anu

Onani ngati chithandizo chikugwira ntchito

Pali zifukwa zambiri zowopsa za osteoporosis komanso zowonetsa pakuyezetsa densitometry.Zina mwazomwe zimayambitsa matenda a osteoporosis ndi awa:

Azimayi osiya kusamba osamwa estrogen

Ukalamba, akazi azaka zopitilira 65 ndi amuna opitilira 70

Kusuta

Mbiri ya banja la kusweka kwa chiuno

Kugwiritsa ntchito ma steroid kwa nthawi yayitali kapena mankhwala ena

Matenda ena, kuphatikizapo nyamakazi, mtundu woyamba wa shuga, matenda a chiwindi, matenda a impso, hyperthyroidism, kapena hyperparathyroidism.

Kumwa mowa mopitirira muyeso

Low BMI (body mass index)

Kugwiritsa ntchito Pinyuan Bone densitometer kuti mafupa anu akhale ndi thanzi labwino , ndife akatswiri opanga , zambiri chonde fufuzani www.pinyuanchina.com