Ukuskena Kwamathambo

-Delile

• Kuyini ukuskena kwamathambo?
• Kusetshenziselwa ini?
• Kungani ngidinga ukuskenwa kwamathambo?
• Kwenzekani ngesikhathi sokuskena kwamathambo?
• Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?
• Ingabe zikhona izingozi esivivinyweni?
• Isho ukuthini imiphumela?
• Ngabe kukhona okunye engidinga ukukwazi mayelana nokuskena kwamathambo?
• Izinkomba

Kuyini ukuskena kwamathambo?

Iskena sokuqina kwamathambo, esaziwa nangokuthi ukuskena kwe-DEXA, luhlobo lokuhlolwa komthamo ophansi we-x-ray olinganisa i-calcium namanye amaminerali emathanjeni akho. Isilinganiso sisiza ukukhombisa ukuqina nobukhulu (obaziwa ngokuthi ukuminyana kwethambo noma ubukhulu) bamathambo akho.

Amathambo amaningi abantu aya ngokuncipha njengoba ekhula. Lapho amathambo eba mncane kunokujwayelekile, kwaziwa njenge-osteopenia. I-osteopenia ikubeka engcupheni yesimo esibi kakhulu esibizwa nge-osteoporosis. I-osteoporosis yisifo esiqhubekela phambili esenza ukuthi amathambo abe mncane kakhulu futhi aqhekeke. I-osteoporosis ivame ukuthinta abantu asebekhulile futhi ivame kakhulu kwabesifazane abaneminyaka engaphezu kwengama-65. Abantu abane-osteoporosis basengozini enkulu yokuqhekeka (amathambo aphukile), ikakhulukazi ezinqeni zabo, emgogodleni nasezihlakaleni.

Amanye amagama: ukuhlolwa kwamaminerali amathambo, ukuhlolwa kwe-BMD, ukuskena kwe-DEXA, i-DXA; Amandla amabili we-x-ray absorptiometry

Kusetshenziselwa ini?

Ukuskena kwamathambo kusetshenziselwa:

• Thola i-osteopenia (ithambo eliphansi)
• Thola ukuthi i-osteoporosis iyini
• Ukubikezela ingozi yokuphuka okuzayo
• Bona ukuthi ukwelashwa kwe-osteoporosis kuyasebenza yini

Kungani ngidinga ukuskenwa kwamathambo?

Iningi labesifazane abaneminyaka engama-65 noma ngaphezulu kufanele babe nokuskena kwamathambo. Abesifazane abakule minyaka yobudala basengozini enkulu yokulahlekelwa ukuqina kwamathambo, okungaholela ekuqhekekeni. Ungaba sengozini yokuqina kwamathambo uma:

• Yiba nesisindo somzimba esiphansi kakhulu
• Ngibe nokuqhekeka okukodwa noma okuningi ngemuva kweminyaka engama-50
• Ulahlekelwe ukuphakama kwengxenye yesentimitha noma ngaphezulu kungakapheli unyaka owodwa
• Ingabe ungumuntu oneminyaka engaphezu kwengu-70
• Yiba nomlando womndeni we-osteoporosis

Ezinye izinto ezinobungozi zifaka:

• Ukuntuleka kokuzivocavoca umzimba
• Ukubhema osikilidi
• Ukuphuza ngokweqile
• Ukungatholi i-calcium eyanele novithamini D ekudleni kwakho

Kwenzekani ngesikhathi sokuskena kwamathambo?

Kunezindlela ezahlukahlukene zokulinganisa ubukhulu bamathambo. Indlela ejwayelekile futhi enembile isebenzisa inqubo ebizwa nge-dual-energy x-ray absorptiometry, eyaziwa nangokuthi ukuskena kwe-DEXA. Ukuskena kuvamise ukwenziwa ehhovisi likadokotela wemisebe.

Ngesikhathi sokuskena kwe-DEXA:

• Uzolala ngomhlane etafuleni eligwedwe. Cishe uzokwazi ukushiya izingubo zakho zivuliwe.
• Ungadinga ukulala imilenze iqonde, noma ungacelwa ukuthi uphumule imilenze yakho epulatifomu eboshwe.
• Umshini wokuskena uzodlula umgogodla wakho ophansi kanye nesinqe. Ngasikhathi sinye, omunye umshini wokuskena obizwa ngokuthi i-photon generator uzodlula ngaphansi kwakho. Izithombe ezivela kule mishini emibili zizohlanganiswa zithunyelwe kukhompyutha. Umhlinzeki wezokunakekelwa kwempilo uzobuka izithombe esikrinini sekhompyutha.
• Ngenkathi imishini iskena, kuzodingeka uhlale uthule kakhulu. Ungacelwa ukuthi ubambe umoya wakho.

Ukukala ukuminyana kwethambo engalo, umunwe, isandla, noma unyawo, umhlinzeki angasebenzisa isithwebuli esiphathekayo esaziwa njenge-peripheral DEXA (p-DEXA) scan.

Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?

Ungatshelwa ukuthi uyeke ukuthatha izithako ze-calcium amahora angama-24 kuya kwangu-48 ngaphambi kokuhlolwa kwakho. Futhi, kufanele ugweme ukugqoka ubucwebe bensimbi noma izingubo ezinezingxenye zensimbi, njengezinkinobho noma amabhakede.

Ingabe zikhona izingozi esivivinyweni?

Iskena sokuqina kwamathambo sisebenzisa imithamo ephansi kakhulu yemisebe. Kuphephile kubantu abaningi. Kepha akunconyelwe owesifazane okhulelwe. Ngisho nemithamo emincane yemisebe ingalimaza ingane engakazalwa. Qiniseka ukuthi utshela umhlinzeki wakho uma ukhulelwe noma ucabanga ukuthi kungenzeka ukuthi ukhulelwe.

Isho ukuthini imiphumela?

Imiphumela yobuningi bamathambo ivame ukunikezwa ngendlela yesikolo esingu-T. Isilinganiso se-T yisilinganiso esiqhathanisa isilinganiso sakho samathambo nobuningi bethambo lomuntu oneminyaka engama-30 ubudala onempilo. Isibalo esiphansi esingu-T sisho ukuthi mhlawumbe ulahlekelwe ngamathambo.

Imiphumela yakho ingakhombisa okukodwa kokulandelayo:

• Isilinganiso esingu-T sika -1.0 noma ngaphezulu. Lokhu kubhekwa njengokuqina kwethambo okujwayelekile.
• Isilinganiso esingu-T phakathi kuka -1.0 no--2.5. Lokhu kusho ukuthi unesisindo esiphansi samathambo (i-osteopenia) futhi ungaba sengozini yokuhlaselwa ngamathambo.
• Isilinganiso esingu-T esingu--2.5 noma ngaphansi. Lokhu kusho ukuthi mhlawumbe une-osteoporosis.

Uma imiphumela yakho ikhombisa ukuthi unesisindo esiphansi samathambo, umhlinzeki wakho wokunakekelwa kwezempilo uzoncoma izinyathelo zokuvimbela ukulahleka kwamathambo okuqhubekayo. Lokhu kungafaka:

• Ukuzivocavoca umzimba ngokwengeziwe, ngemisebenzi enjengokuhamba, ukudansa nokusebenzisa imishini yesisindo.
• Ukungeza i-calcium nevithamini D ekudleni kwakho
• Ukuthatha imishanguzo kadokotela ukukhulisa ukuminyana kwamathambo

Uma unemibuzo mayelana nemiphumela yakho kanye / noma ukwelashwa kokulahleka kwethambo, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo.

Funda kabanzi mayelana nokuhlolwa kwelabhorethri, ububanzi bezinkomba, nemiphumela yokuqonda.

Ngabe kukhona okunye engidinga ukukwazi mayelana nokuskena kwamathambo?

Ukuskena kwe-DEXA kuyindlela ejwayelekile kakhulu yokukala ukuminyana kwethambo. Kepha umhlinzeki wakho wezokunakekelwa kwempilo anga-oda izivivinyo eziningi ukuqinisekisa ukuxilongwa noma ukuthola ukuthi ukwelashwa kwamathambo kuyasebenza yini. Lokhu kufaka phakathi ukuhlolwa kwegazi kwe-calcium, ukuhlolwa kukavithamini D, kanye / noma ukuhlolwa kwamahomoni athile.

Izinkomba

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Imininingwane ekulesi siza akufanele isetshenziswe esikhundleni sezokunakekelwa kwezokwelapha noma iseluleko. Xhumana nomhlinzeki wezempilo uma unemibuzo ngempilo yakho.