DEXA Kufufuza Zosintha Mmene Mungayambitsire Kufooka Kwambiri kwa Mthupi
Kujambula kwa DEXA (awiri mphamvu ya ray x-ray absorptiometry) ndi mayeso omwe amafufuza ngati muli ndi mphamvu yapafupa ya pfupa, kuchepa kwa fupa (komwe kumatchedwanso osteopenia ), kapena kufooka kwa mafupa . Kawirikawiri, DEXA scan, yomwe imatchedwanso kuti DEXA scan, imapangitsa mphamvu ya mafupa anu m'chiuno kapena msana kumene kumapezeka mafupa ambiri okhudzana ndi matenda a mitsempha. Ngati simungathe kukhala ndi mchiuno kapena msana (mwachitsanzo, mwinamwake chifukwa cha kubwezeretsa), ndiye kuti fupa lapafupi la nsongayo limalowezedwa ngati malo a yeseso.
Kodi Zimakhala Bwanji Kukhala ndi DEXA Scan?
Kujambula kwa DEXA sikupweteka ndipo sikungotenge nthawi yochuluka. Pamene mumagona pamsana panu pa tebulo la kujambula, chipangizo chopangira mawonekedwe (passenger) chimadutsa thupi lanu kuti chifufuze zigawo za mchiuno ndi msana. Kufufuza kwa DEXA kumatulutsa mpweya wotsika kwambiri, pafupifupi gawo limodzi mwa magawo khumi a ma radiation omwe mumapeza ndi chifuwa cha x-ray. Mayeso amatenga pafupifupi 10 mpaka 15 mphindi.
Ndani ayenera kupeza DEXA Scan?
National Osteoporosis Foundation imalimbikitsa DEXA kufufuza kuti:
- akazi a zaka 65 kapena kupitirira
- amuna makumi asanu ndi awiri kapena kuposerapo
- anthu omwe athyola fupa atatha zaka 50
- Azimayi a msinkhu wa menopausal omwe ali ndi zifukwa zoopsa za matenda a mitsempha
- Azimayi omwe ali ndi zaka zosakwana 65 ali ndi zifukwa zoopseza matenda a mitsempha
- Amuna 50-69 ali ndi zifukwa zoopsya za matenda a mitsempha
Kujambula kwa DEXA kumalimbikitsidwanso ngati mwakhala ndi msana wa x-ray wosonyeza kupuma kapena kupweteka kwa mafupa, ululu wammbuyo womwe ungagwirizane ndi kutuluka kwa msana , kapena kutaya kwa msinkhu (masentimita imodzi kapena kuposa chaka chimodzi kapena 1-1 / 2 mainchesi kuchokera kutalika kwakenthu).
Kodi DEXA Imasintha Chiyani?
Dokotala wa DEXA amawona mafupa ofooka kapena otupa musanagwidwe. Maphunzirowa amathandiza kufotokozeratu kuti mungathe kupasuka m'tsogolo, ndipo mwinamwake kufunika kwa mankhwala odwala matenda a osteoporosis. Dongosolo la DEXA, poyerekeza ndi zotsatira zapitazo za DEXA, zimasonyeza ngati kuchuluka kwa mafupa anu kukukula, kuwonjezereka, kapena kukhalabe chimodzimodzi.
Zimathandiza kudziwa ngati mankhwala anu odwala matenda a m'mimba akugwira ntchito. Pambuyo pakutha, DEXA imawunikira ngati imawoneka chifukwa cha matenda otupa mafupa.
Kutanthauzira Zotsatira za DEXA
Zotsatira za DEXA zowonongeka zimafotokozedwa ngati T-scores. A T-chiwerengero amasonyeza kuchulukitsitsa kapena kuchepa kwapafupa kwanu ndi kuposa munthu wathanzi, wazaka 30. Bungwe la World Health Organization limati:
- Zotsatira za -1.0 kapena pamwamba ndi zachilendo
- Maphunziro omwe amatha pakati pa -1.0 ndi -2.5 amasonyeza kuperewera kwa mafupa, kapena osteopenia
- Maphunziro a -2.5 kapena pansipa amatsimikizira kuti matendawa amatha
Makamaka, zochepa za T zimagwirizanitsa ndi kuchepa kwa mafupa. Chiwerengero cha T chanu ndi chida chimodzi chothandizira ngati mukufunikira kumwa mankhwala ochepetsa matenda a mitsempha kapena kusintha zochitika zomwe zingakuthandizeni kuti mupeze mankhwala. Zina mwazidzidzidzi zimayanjaniranso.
Palinso Z-zolemba. A Z-chiwerengero chikuyerekeza kupambanitsa kwa mafupa anu ku zomwe mukuyembekezera kwa wina wa msinkhu wanu, mwamuna, kulemera, mtundu, ndi mtundu.
Mitundu Yina ya Matenda Okhudzana ndi Matenda Aakulu
Mwinamwake mwakumana ndi mayesero a zowona kapena kuyesera kuwonetsetsa kwa osteoporosis. Izi zimaperekedwa kuzipinda zamankhwala. Pali pDEXA (pulogalamu yamagetsi yamphamvu x-ray absorptiometry), QUS (kuchuluka kwa ultrasound), ndi pQCT (phokoso la chiwerengero cha tomography).
Ndikofunika kudziŵa kuti mayesero owonetsetsa sangathe kudziwa kuti matendawa ndi osteoporosis. Kuyeza kuyesa kumangosonyeza anthu omwe ayenera kuyesedwa kupyolera pakati pa DEXA. Zotsatira za pulogalamuyo poyerekeza ndi mayesero apakati a DEXA siziyeneranso.
Zotsatira:
Kugwedeza kwa mafupa Kuyeza / kuyesa. National Osteoporosis Foundation.
Dual Energy X-ray Absorptiometry (DEXA) Fufuzani. Cedars-Sinai Medical Center.