Ukuhlolwa kokuminyana kwethambo kusetshenziselwa ukukala okuqukethwe kwamaminerali amathambo kanye nokuminyana.Kungenziwa kusetshenziswa ama-X-ray, i-double-energy X-ray absorptiometry (i-DEXA noma i-DXA), noma i-CT scan ekhethekile esebenzisa isofthiwe yekhompyutha ukuze kutholwe ukuminyana kwamathambo enqulu noma umgogodla.Ngenxa yezizathu ezahlukahlukene, ukuskena kwe-DEXA kuthathwa “njengezinga legolide” noma ukuhlolwa okunembe kakhulu.
Lesi silinganiso sitshela umhlinzeki wezokunakekelwa kwempilo ukuthi amathambo ayancipha yini.Lesi yisimo lapho amathambo ephuka khona futhi ethanda ukuphuka noma ukuphuka kalula.
Ukuhlolwa kokuqina kwamathambo kusetshenziswa ikakhulukazi ukuxilonga i-osteopenia kanyei-osteoporosis.Iphinde isetshenziselwe ukunquma ingozi yakho yesikhathi esizayo yokuphuka.Inqubo yokuhlola ngokuvamile ikala ukuminyana kwamathambo amathambo omgogodla, ingalo engezansi, nenyonga.Ukuhlola okuphathekayo kungase kusebenzise irediyasi (1 kwamathambo angu-2 engalo engezansi), isihlakala, iminwe, noma isithende ukuze kuhlolwe, kodwa akunembile njengezindlela ezingaphatheki ngoba isayithi elilodwa lethambo elihlolwayo.
I-X-ray evamile ingase ibonise amathambo abuthakathaka.Kodwa lapho ubuthakathaka bethambo bubonakala kuma-X ray avamile, kungase kuthuthuke kakhulu ukuyelapha.Ukuhlolwa kwe-densitometry yamathambo kungathola ukuncipha kokuminyana namandla esikhathini esingaphambi kwesikhathi lapho ukwelashwa kungaba yinzuzo.
Imiphumela yokuhlolwa kokuminyana kwamathambo
Ukuhlolwa kokuqina kwamathambo kunquma ukuminyana kwamaminerali amathambo (BMD).I-BMD yakho iqhathaniswa nemikhuba emi-2—intsha enempilo enempilo (i-T-score yakho) kanye nabantu abadala abamataniswa neminyaka (amaphuzu akho angu-Z).
Okokuqala, umphumela wakho we-BMD uqhathaniswa nemiphumela ye-BMD evela kubantu abadala abanempilo abaneminyaka engu-25- kuya kwengama-35 ubudala bobulili obufanayo nobuzwe bakho.Ukuchezuka okujwayelekile (SD) umehluko phakathi kwe-BMD yakho kanye neyabantu abadala abanempilo.Lo mphumela uyi-T-score yakho.Ama-T-amaphuzu abonisa ukuthi ithambo linamandla kunokuvamile;Izibalo ze-T ezingezinhle zibonisa ukuthi ithambo libuthakathaka kunokuvamile.
Ngokusho kwe-World Health Organization, i-osteoporosis ichazwa ngokusekelwe kumazinga alandelayo amathambo:
I-T-score engaphakathi kwe-1 SD (+1 noma -1) yomuntu omdala osemncane isho ukuminyana okujwayelekile kwamathambo.
I-T-score ka-1 kuya ku-2.5 SD ngaphansi kwesilinganiso somuntu omdala osemusha (-1 kuya -2.5 SD) ikhombisa isisindo esiphansi samathambo.
I-T-score engu-2.5 SD noma ngaphezulu ngaphansi kwesilinganiso somuntu omdala osemusha (ngaphezu kuka -2.5 SD) ikhombisa ukuba khona kwe-osteoporosis.
Ngokuvamile, ingozi yokuphuka kwethambo iphinda kabili ngayo yonke i-SD ngaphansi kokujwayelekile.Ngakho, umuntu one-BMD ye-1 SD ngaphansi kokujwayelekile (i-T-score of -1) unengozi ephindwe kabili yokuphuka kwamathambo njengomuntu one-BMD evamile.Uma lolu lwazi lwaziwa, abantu abasengozini enkulu yokuphuka kwamathambo bangelashwa ngenhloso yokuvimbela ukuphuka esikhathini esizayo.I-osteoporosis enzima (emisiwe) ichazwa ngokuba nokuminyana kwamathambo okungaphezu kuka-2.5 SD ngaphansi komuntu omdala osemusha kusho ukuphuka okukodwa noma ngaphezulu okudlule ngenxa ye-osteoporosis.
Okwesibili, i-BMD yakho iqhathaniswa nenkambiso ehambisana neminyaka.Lokhu kubizwa nge-Z-score yakho.Izikolo ze-Z zibalwa ngendlela efanayo, kodwa ukuqhathanisa kwenziwa komunye weminyaka yakho, ubulili, uhlanga, ubude, nesisindo.
Ngaphezu kokuhlolwa kwe-bone densitometry, umhlinzeki wakho wokunakekelwa kwezempilo angase atuse ezinye izinhlobo zokuhlolwa, njengokuhlolwa kwegazi, okungase kusetshenziselwe ukuthola ubukhona besifo sezinso, ukuhlola ukusebenza kwe-parathyroid gland, ukuhlola imiphumela yokwelashwa kwe-cortisone, futhi /noma ukuhlola amazinga amaminerali emzimbeni ahlobene namandla amathambo, njenge-calcium.
Kungani ngingadinga ukuhlolwa kokuqina kwamathambo?
Ukuhlolwa kokuqina kwamathambo kwenziwa ikakhulukazi ukubheka i-osteoporosis (amathambo azacile, abuthakathaka) kanye ne-osteopenia (ukuncipha kwamathambo) ukuze lezi zinkinga zelashwe ngokushesha ngangokunokwenzeka.Ukwelashwa kusenesikhathi kusiza ukuvimbela ukuphuka kwamathambo.Izinkinga zamathambo aphukile ezihlobene ne-osteoporosis zivame ukuba nzima, ikakhulukazi kubantu asebekhulile.I-osteoporosis yangaphambi kwesikhathi ingatholakala, lapho ukwelashwa kungaqalwa ngokushesha ukuze kuthuthukiswe isimo kanye/noma kusenze singabi sibi kakhulu.
Ukuhlola ukuminyana kwamathambo kungase kusetshenziselwe:
Qinisekisa ukuxilongwa kwe-osteoporosis uma usuvele uphuke ithambo
Qagela amathuba akho okuphuka kwethambo esikhathini esizayo
Nquma izinga lakho lokulahlekelwa amathambo
Bheka ukuthi ukwelashwa kuyasebenza yini
Kunezici eziningi eziyingozi ze-osteoporosis kanye nezinkomba zokuhlolwa kwe-densitometry.Ezinye izici ezivamile eziyingozi ze-osteoporosis zihlanganisa:
Abesifazane be-post-menopausal abangayithathi i-estrogen
Iminyaka yobudala, abesifazane abangaphezu kweminyaka engama-65 nabesilisa abangaphezu kweminyaka engama-70
Ukubhema
Umlando womndeni wokuphuka kwe-hip
Ukusebenzisa i-steroids yesikhathi eside noma eminye imithi ethile
Izifo ezithile, kuhlanganise nesifo samathambo, uhlobo 1 lwesifo sikashukela, isifo sesibindi, isifo sezinso, i-hyperthyroidism, noma i-hyperparathyroidism
Ukuphuza utshwala ngokweqile
I-BMI ephansi (inkomba yesisindo somzimba)
Sisebenzisa i-Pinyuan Bone densitometer ukugcina impilo yamathambo akho , singabakhiqizi abaqeqeshiwe , imininingwane eyengeziwe sicela ucinge ku-www.pinyuanchina.com
Isikhathi sokuthumela: Mar-24-2023