I-Ultrasound bone densitometer ikunikeza ukuhlolwa kwe-osteoporosis.amasistimu e-ultrasound ahlola ingozi yokuphuka kwesiguli phakathi nemizuzu.
Umshini usebenzisa i-ultrasound ukukala ukuminyana kwamathambo e-Radius ne-Tibia, inqubo yokulinganisa ayinalo isilonda, ifaneleka ngokukhethekile abesifazane abakhulelwe, izingane kanye nezinye izakhamuzi ezikhethekile.
Ingavivinya abantu abaneminyaka engu-0-120 ubudala.
Umshini ofanele zonke izinhlobo zezikhungo zokuhlolwa kwezokwelapha nezomzimba, unganikeza usuku lokulinganisa oluningiliziwe lwe-osteoporosis asebekhulile kanye nokuthuthukiswa kwezingane zamathambo.
Ukuhlola ukuminyana kwamaminerali amathambo kunquma ukuthi amathambo akho anothe kangakanani kumaminerali afana ne-calcium ne-phosphorus.Lapho inani lamaminerali liphezulu, amathambo akho ayaqina futhi aqine futhi mancane amathuba okuthi aphuke kalula.
I-Ultrasonic Bone Densitometer yethu inesicelo esibanzi: isetshenziselwa Izikhungo Zezempilo Zomama Nengane, Isibhedlela SaseGeriatric, I-Sanatorium, Isibhedlela Sokuvuselela, Isibhedlela Sokulimala Kwamathambo, Isikhungo Sokuhlolwa Komzimba, Isikhungo Sezempilo, Isibhedlela Somphakathi, Imboni Yemithi, Ikhemisi kanye Nemikhiqizo Yokunakekelwa Kwezempilo.
Umnyango Wesibhedlela Esijwayelekile, Njengomnyango Wezingane, Umnyango Wezifo Zabesifazane Nezokubelethisa, Umnyango Wezifo Zamathambo, Umnyango Wezifo Zabadala, Ukuhlolwa Komzimba, Umnyango, Umnyango Wokuvuselela
1.Izingxenye zokulinganisa: i-radius ne-Tibia
2. Imodi yokulinganisa: ukuphuma kabili nokwamukela kabili
3.Amapharamitha wokulinganisa: Isivinini somsindo (SOS)
4.Idatha Yokuhlaziya: T- Score, Z-Score, Iphesenti Ubudala[%], Amaphesenti Abantu Abadala[%], BQI (Bone Quality Index ), PAB[Unyaka] (iminyaka yobudala yethambo), EOA[Unyaka] (I-Osteoporosis Elindelwe ubudala), i-RRF(Ingozi Yokuphuka Okuhlobene).
5.Ukunemba Kwesilinganiso : ≤0.15%
6.Ukulinganisa Ukukhiqiza Kabusha: ≤0.15%
7.Isikhathi sokulinganisa: Imijikelezo emithathu yokukala komuntu omdala 8.Imvamisa ye-Probe : 1.20MHz
9.Ukuhlaziywa kosuku : kusebenzisa uhlelo olukhethekile lokuhlaziya idatha yesikhathi sangempela, lukhetha imininingwane egciniwe yomuntu omdala noma yengane ngokuya ngeminyaka ngokuzenzakalelayo .
10. Ukulawula izinga lokushisa: Isampula ye-Perspex enemiyalo yezinga lokushisa
Ukuhlolwa kokuqina kwamathambo amaminerali kwenziwa ukuze kutholwe ukuthi une-osteoporosis noma kungenzeka ukuthi usengozini yokuba nesifo.I-osteoporosis yisimo lapho amathambo encipha kancane futhi ukwakheka kwawo kwawohloka, okuwenza abe ntekenteke futhi athambekele ekuqhekekeni (ukuphuka).I-osteoporosis ivamile, ikakhulukazi kubantu abadala base-Australia.Ayinazimpawu futhi ngokuvamile ayitholakali kuze kube yilapho kwenzeka ukuphuka, okungaba yingozi kubantu asebekhulile ngokwempilo yabo jikelele, ubuhlungu, ukuzimela kanye nokukwazi ukuhambahamba.
Ukuhlola ukuminyana kwamaminerali amathambo nakho kungathola i-osteopenia, isigaba esimaphakathi sokulahleka kwamathambo phakathi kokuqina kwamathambo okujwayelekile kanye ne-osteoporosis.
Udokotela wakho angase futhi asikisele ukuhlolwa kwe-bone mineral density ukuze aqaphe ukuthi amathambo akho asabela kanjani ekwelashweni uma usuvele utholwe ukuthi une-osteoporosis.
Ukuhlolwa kokuqina kwamathambo amaminerali kwenziwa ukuze kutholwe ukuthi une-osteoporosis noma kungenzeka ukuthi usengozini yokuba nesifo.I-osteoporosis yisimo lapho amathambo encipha kancane futhi ukwakheka kwawo kwawohloka, okuwenza abe ntekenteke futhi athambekele ekuqhekekeni (ukuphuka).I-osteoporosis ivamile, ikakhulukazi kubantu abadala base-Australia.Ayinazimpawu futhi ngokuvamile ayitholakali kuze kube yilapho kwenzeka ukuphuka, okungaba yingozi kubantu asebekhulile ngokwempilo yabo jikelele, ubuhlungu, ukuzimela kanye nokukwazi ukuhambahamba.
Ukuhlola ukuminyana kwamaminerali amathambo nakho kungathola i-osteopenia, isigaba esimaphakathi sokulahleka kwamathambo phakathi kokuqina kwamathambo okujwayelekile kanye ne-osteoporosis.
Udokotela wakho angase futhi asikisele ukuhlolwa kwe-bone mineral density ukuze aqaphe ukuthi amathambo akho asabela kanjani ekwelashweni uma usuvele utholwe ukuthi une-osteoporosis.
Isikolo se-T:Lokhu kuqhathanisa ukuminyana kwakho kwamathambo nomuntu omdala onempilo, osemncane wobulili bakho.Amaphuzu abonisa ukuthi ukuminyana kwakho kwamathambo kuyinto evamile, ngaphansi kokujwayelekile, noma emazingeni abonisa i-osteoporosis.
Nakhu okushiwo umphumela we-T:
● -1 nangaphezulu: Ukuminyana kwakho kwamathambo kujwayelekile
● -1 kuya ku-2.5: Amathambo akho aphansi, futhi kungase kubangele ukukhumuzeka kwamathambo
● -2.5 nangaphezulu: Une-osteoporosis
Isikolo se-Z:Lokhu kukuvumela ukuthi uqhathanise ukuthi ungakanani isisindo samathambo osuqhathanise nabanye abantu bentanga yakho, ubulili, nosayizi.
Isikolo se-AZ ngezansi -2.0 sisho ukuthi unesisindo esincane samathambo kunomuntu olingana nawe futhi singabangelwa enye into ngaphandle kokuguga.
I-Bone Densitometry ukukala ukuminyana kwamathambo noma amandla ethambo le-People's radius kanye ne-tibia.Yenzelwe Ukuvimbela i-osteoporosis.I-Bone Mass Iqala ukulahlekelwa ngokungenakuhlehliswa kusukela eminyakeni engu-35 ubudala.Ukuhlolwa kokuminyana kwamaminerali, ngezinye izikhathi okubizwa nje ngokuthi ukuhlola ukuminyana kwamathambo, kuthola ukuthi une-Osteopenia(Ukulahlekelwa Kwamathambo) i-osteoporosis.
Kunezinhlobo eziningana zokuhlola ukuminyana kwamaminerali.I-Ultrasound Bone Densitometer, i-Dual Energy X Ray absorptiometry Bone Densitometer ( DEXA noma DXA ), Ukuhlola ngokuvamile kugxila emathanjeni okungenzeka aphuke ngenxa ye-osteoporosis - umgogodla ophansi (i-lumbar) ne-hip (i-femur), i-radius ne-Tibia . I-X-ray yomgogodla yenziwa uma kusolwa ukuphuka kwe-vertebral.
Ubani okufanele abe nokuhlolwa kokuminyana kwamaminerali?
Udokotela wakho angase asikisele ukuthi ube nokuhlolwa kokuqina kwamaminerali amathambo uma uke waphuka ngemva kokulimala okungatheni noma uma kusolwa ukuthi unomgogodla (umgogodla) wokuphuka .Lolu hlobo lokuphuka alubangeli ubuhlungu ngaso sonke isikhathi kodwa lunganciphisa ubude bakho noma lubangele ukukhubazeka komgogodla wakho (isb. 'i-dowager's hump').
Ngaphezu kwalokho, iRoyal Australian College of General Practitioners yeluleka ukuthi uxoxisane nodokotela wakho ngengozi yakho ye-osteoporosis nokuthi kufanele yini uphenywe ukuminyana kwakho kwamaminerali ethambo uma une (noma ube) nobungozi obukhulu be-osteoporosis, okuhlanganisa:
● ukwelashwa kwe-corticosteroid (ngomlomo) isikhathi esingaphezu kwezinyanga ezi-3 noma i-Cushing syndrome;
● ukungabi khona kokuya esikhathini isikhathi esingaphezu kwezinyanga eziyisi-6 ngaphambi kweminyaka yobudala engama-45 (kuhlanganise nokunqamuka kokuya esikhathini ngaphambi kwesikhathi, kodwa kungafaki ukukhulelwa);
● ukuntuleka kwe-testosterone (uma ungowesilisa);
● isifo sesibindi noma sezinso sesikhathi eside noma isifo samathambo;
● indlala yegilo noma i-parathyroid;
● isimo esikuvimbela ukumunca umsoco ekudleni (njengesifo se-celiac);
● i-myeloma eminingi;noma
● ubudala obungaphezu kweminyaka engama-70.
IKolishi liphinde leluleke ngokuthi abesifazane abaneminyaka engaphezu kwengama-50 nabesilisa abaneminyaka engaphezu kuka-60 kufanele baxoxe ngengozi yabo ye-osteoporosis nodokotela wabo uma benezinye izici ezibeka engcupheni yokuncipha kwamathambo noma ukuphuka okufana nalokhu:
● umlando womndeni wokuphuka ngemva kokulimala okungatheni;
● isisindo somzimba esiphansi (inkomba yesisindo somzimba [BMI] ngaphansi kuka-19 kg/m²);
● umlando wokubhema noma ukuphuza kakhulu utshwala (iziphuzo ezijwayelekile ezingaphezu kwezingu-2-4 ngosuku zabesilisa, ngaphansi kwabesifazane);
● i-calcium eyanele (ngaphansi kuka-500-850 mg/ngosuku) noma uvithamini D (isb. ukuchayeka elangeni okulinganiselwe);
● ukuwa okuphindaphindiwe;noma
● ukungasebenzi komzimba isikhathi eside.
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