A DEXA Kufufuza Kufooka Kwambiri kwa Matenda Kumene Kungakuuzeni Vuto Lanu la Kufooka kwa Mitsempha
Kuyeza kupima kwa thupi kumalimbikitsidwa kuti apeze mafupa otayika ndi matenda otupa mafupa. Mayeso odziwika kwambiri ndiwotchedwa x-ray absorptiometry (DEXA). Osteoporosis imachititsa kuchepa kwa mafupa, komwe kumatchedwanso kupatulira mafupa. Izi zikachitika, wodwalayo ali ndi matenda otupa mafupa amakhala ndi mphamvu zofooketsa mafupa ndipo amakhala ndi pang'onopang'ono.
Ndani ayenera kukhala ndi DEXA Bone Density Test Test?
Bungwe la National Osteoporosis Foundation liri ndi malangizo awa.
Amapereka chithunzi cha DEXA pamalo omwe amagwiritsa ntchito zowonjezera zowonjezera.
- Amayi onse a zaka zapakati pa 65 ndi zapakati ndi abambo a zaka makumi asanu ndi awiri ndi kuposerapo ayenera kuyesedwa.
- Ngati ali ndi zifukwa zoopsa, amayi omwe amatha zaka makumi asanu ndi awiri ndi makumi asanu ndi awiri kudza makumi asanu ndi awiri (60) akuyenera kuyesedwa.
- Ngati mwakula msinkhu komanso ndinu mayi wamwamuna wa zaka 50 kapena kuposerapo, mayeso a mchere amathandiza kudziwa kuti matenda a osteoporosis ndi otani.
Malingaliro omwe akuchokera ku US Preventative Services Task Force ndiwong'onoting'ono wamatenda osachepera kamodzi kwa amayi onse a zaka zapakati pa 65 ndi zapakati komanso kwa amayi omwe ali ndi chiopsezo chotenga chiopsezo chawo chokwanira ndi choposa kapena chaposa 65- Mkazi wachizungu yemwe ali ndi zaka zambiri yemwe alibe zoopsa zina. Malangizo awa akukambidwa ndikusinthidwa.
Zinthu Zowopsa Chifukwa cha Matenda a Mitsempha
Zina mwazidzidzidzi zomwe zimakhala zoopsa ndizo:
- Kukhala mkazi
- Ukalamba
- Kukhala Caucasian kapena Asia
- Kutsika kwa fupa
- Kukhala woonda kapena kukhala ndi chimango chochepa
- Kukhala ndi moyo wokhazikika
- Mbiri ya banja ya osteoporosis
- Kulephera kwa Estrogen chifukwa cha kusamba, makamaka kumayambiriro kapena opaleshoni
- Anorexia nervosa
- Kugwiritsa ntchito mankhwala ena
- Kusuta fodya
- Kumwa kwambiri mowa
Kodi DEXA Scan Bone Density Density Test isani?
DEXA imayimira "mphamvu zamagetsi x-ray absorptiometry," ndipo imayesedwa kuti ndiyeso yeniyeni yeniyeni ya mafupa.
Ngakhale kuti masewero a-x-ray amawonetsa kusintha kwa fupa la mafupa pafupifupi 40 peresenti, fufuzani DEXA imatha kuzindikira kusintha pakatha kusintha kwa 1%. Kujambula kwa DEXA kumatha pafupifupi mphindi khumi ndikuwonetsa wodwala kuti asakhale ndi ma radiation ochepa kusiyana ndi chifuwa cha x-ray (zomwe zimawoneka ngati kuthamanga kwa dziko lapansi).
Kodi Ndingachite Zotani Zotsatira Zogwiritsa Ntchito Thupi?
Zotsatira za kuchuluka kwa mafupa (DEXA scan) zimanenedwa m'njira ziwiri: monga T-scores ndi Z-scores.
T-chiwerengero cha T chikulinganiza kuchulukana kwa mafupa anu ku msinkhu waukulu kwambiri wa fupa la fupa lanu. Zimanenedwa ngati chiwerengero cha zolakwika zomwe zili pansipa.
- Chiwerengero chachikulu cha T choposa minus-1 chimaonedwa kukhala chachilendo.
- T-chiwerengero chosachepera 1 mpaka 10-2.5 chimaonedwa kuti ndi osteopenia, ndipo chiopsezo chotenga matenda odwala matenda a m'mimba.
- T-chiwerengero chocheperachepera-2.5 ndichochidziwitso cha matenda opatsirana.
Z-zolemba zimagwiritsidwa ntchito kuyerekeza zotsatira zanu kwa ena a msinkhu wanu, kulemera, mtundu, ndi chikhalidwe. Izi ndi zothandiza kudziwa ngati pali chinachake chosawongolera popereka mafupa anu. Z-Z zochepa zochepa kuposa minus-1.5 imadzutsa kudandaula kuti zinthu zina osati ukalamba zikuthandizira kufooka kwa matenda a osteoporosis. Zinthuzi zingaphatikizepo vuto la chithokomiro, kusowa kwa zakudya m'thupi, kumwa mankhwala, kusuta fodya, ndi ena.
Kodi Medicare imalipira DEXA Scans ?
Malamulo omwe alipo tsopano a Medicare Part B (Medical Inshuwalansi) amawunikira mayesowa popanda mtengo kamodzi pa miyezi iwiri iliyonse, kapena nthawi zambiri ngati pakufunikira mankhwala. Mwayesedwa pamilandu yotsatirayi:
- Ndiwe mkazi amene adokotala amakuyesa kuti uli otsika kwambiri pa estrogen ndipo pamakhala chiopsezo cha osteoporosis.
- Kuti muyankhe momwe mungayankhire mankhwala ochepetsa matenda a mitsempha
- Ngati muli ndi vuto lotchedwa primary hyperparathyroidism
- Ngati muli ndi zovuta zina zamtsempha zomwe zingasonyeze kupasuka
- Ngati muli ndi mankhwala a corticosteroid yaitali, monga prednisone
Zotsatira za kupeza DEXA Scan
- Awuza ngati muli ndi matenda odwala matenda a m'mimba
- Chothandiza chodziwiratu choopsa cha mafupa osweka
- Amadziŵa kufunikira kwa chithandizo ndi kuyang'anira mphamvu yake
Wopeza Kupeza DEXA Scan
- Kuopsa kwa kupasuka kumadalira zinthu zambiri osati kungokhala mafupa
- Limbikitsani odwala kutenga mankhwala osayenera
- Amapereka oleza mtima mpaka pazigawo zochepa za ma radiation
> Zotsatira:
> Malamulo a National Osteoporosis Foundation. Buku la Dokotala wa Chitetezo ndi Chithandizo cha Kufooka kwa Mitsempha. Washington, DC: National Osteoporosis Foundation; 2013.
> US Preventive Services Task Force. Kuchepetsa Kufooketsa Mafupa: Chidziwitso cha Uphungu. Am Phys Physician. 2011; 83: 1197-200. PMID: 21568254.