Ingabe Ukucinana Kwamathambo Kuzosiza Ukwelapha I-Osteoporosis Yami?

-Delile

• Kuyini ukuskena kwamathambo?
• Ukuqonda imiphumela yeskena sokuqina kwamathambo
• Izingozi zokuskena kwamathambo
• Izinzuzo zokuthola ukuskena kokuqina kwamathambo
• Imibuzo okufanele ubuze udokotela wakho mayelana nokuskena kwamathambo

Njengomuntu ophila ne-osteoporosis, kungenzeka ukuthi uthathwe ukuskena kwamathambo ukusiza udokotela wakho ukuthola isimo. Kodwa-ke, udokotela wakho angancoma ukuskena okulandelwayo ukuhlola ubukhulu bamathambo akho ngokuhamba kwesikhathi.

Ngenkathi ukuskena kungekona ukwelashwa kwe-osteoporosis, abanye odokotela bayakusebenzisa ukuqapha ukuthi imithi nokunye ukwelashwa kwamathambo kusebenza kanjani.

Kuyini ukuskena kwamathambo?

Iskena sokuqina kwamathambo isivivinyo esibuhlungu, esingenabuhlungu esisebenzisa ama-X ray ukuthola ukuthi amathambo aminyene asezindaweni ezisemqoka kangakanani. Lokhu kungafaka umgogodla wakho, izinkalo, izihlakala, iminwe, amadolo nezithende. Kodwa-ke, kwesinye isikhathi odokotela baskena kuphela izindawo ezithile, ezinjengezinqulu zakho.

Iskena sokuqina kwamathambo singaphothulwa kusetshenziswa i-CT scan, enikela ngemininingwane eningiliziwe nenezinhlangothi ezintathu.

Izinhlobo ezahlukene zeskena sokuqina kwamathambo zikhona:

• Amadivayisi aphakathi angalinganisa ubukhulu bamathambo ezinqeni zakho, umgogodla, nasemzimbeni ophelele.
• Amadivayisi we-peripheral alinganisa ubukhulu bamathambo eminwe yakho, izihlakala, amadolo, izithende, noma amathambo. Kwesinye isikhathi amakhemisi nezitolo zezempilo zinikela ngamadivayisi okuskena okuphathelene nomgwaqo.

Izibhedlela ngokuvamile zinama-scanner amakhulu, aphakathi nendawo. Ukuskena kwamathambo ngamadivayisi aphakathi kungabiza ngaphezu kwezimbangi zawo zomngcele. Noma yikuphi ukuhlolwa kungathatha noma yikuphi kusuka kumaminithi ayi-10 kuya kwangu-30.

Ukuskena kukala ukuthi mangaki amagremu e-calcium namanye amaminerali abalulekile ethambo asezingxenyeni zethambo lakho. Ukuskena kwamathambo akufani nokuhlola amathambo, odokotela abakusebenzisayo ukuthola ukuphuka kwamathambo, ukutheleleka, nomdlavuza.

Ngokusho kwe-U.S. Preventive Services Task Force, bonke abesifazane asebekhulile kuneminyaka yobudala engama-65 kufanele bahlolwe ubukhulu bamathambo. Abesifazane abangaphansi kweminyaka yobudala engama-65 abanezici zobungozi be-osteoporosis (njengomlando womndeni we-osteoporosis) kufanele bahlolwe ubukhulu bamathambo.

Ukuqonda imiphumela yeskena sokuqina kwamathambo

Udokotela uzobuyekeza imiphumela yakho yokuqina kwamathambo nawe. Imvamisa, kunezinombolo ezimbili ezinkulu zokuminyana kwethambo: i-T-score ne-Z-score.

I-T-score isilinganiso samathambo akho siqu uma kuqhathaniswa nenombolo ejwayelekile yomuntu onempilo oneminyaka yobudala engama-30. I-T-score ukuphambuka okujwayelekile, okusho ukuthi mangaki amayunithi ubukhulu bamathambo omuntu angaphezulu noma ngaphansi kwesilinganiso. Ngenkathi imiphumela yakho ye-T-score ingahluka, okulandelayo amanani ajwayelekile we-T-scores:

• –1 nangaphezulu: Ubuningi bamathambo bujwayelekile ngeminyaka nobulili.
• Phakathi kuka -1 no-2.5: Ukubalwa kwamathambo kukhombisa i-osteopenia, okusho ukuthi ukuminyana kwethambo kungaphansi kokujwayelekile.
• –2.5 nangaphansi: Ubuningi bamathambo bukhombisa ukukhumuzeka kwamathambo.

Isikolo se-Z yisilinganiso senombolo yeziphambeko ezijwayelekile ngokuqhathaniswa nomuntu oneminyaka yakho yobudala, ubulili, isisindo, kanye nemvelaphi yobuhlanga noma yobuhlanga. Izikolo ze-Z ezingaphansi kuka-2 zingakhombisa ukuthi umuntu uhlangabezana nokulahleka kwethambo okungalindelekile ngokuguga.

Izingozi zokuskena kwamathambo

Ngenxa yokuthi ukuskena kwamathambo kuhilela ama-X-ray, ubhekene nemisebe ethile. Kodwa-ke, inani lemisebe lithathwa njengelincane. Uma ngabe uke waba nama-X-ray amaningi noma okunye ukuvezwa emisebeni phakathi nempilo yakho, ungafisa ukukhuluma nodokotela wakho mayelana nokukhathazeka okungaba khona kokuskena kwamathambo okuphindaphindwayo.

Esinye isici sobungozi: Amanani wokuqina kwamathambo kungenzeka angabikezeli kahle ubungozi bokuphuka. Alukho uvivinyo olunembe ngamaphesenti ayi-100 ngaso sonke isikhathi.

Uma udokotela ekutshela ukuthi unengozi enkulu yokuqhekeka, ungahle ube nengcindezi noma ukukhathazeka ngenxa yalokho. Yingakho kubalulekile ukwazi ukuthi wena nodokotela wakho nizokwenzani ngolwazi olunikezwa ukuskena kwamathambo.

Futhi, ukuskena kwamathambo akusho ukuthi kungani une-osteoporosis. Ukuguga kungaba esinye sezimbangela eziningi. Udokotela kufanele asebenze nawe ukunquma ukuthi unazo yini ezinye izinto ezinomthelela ongaziguqula ukuze uthuthukise ukuminyana kwethambo.

Izinzuzo zokuthola ukuskena kokuqina kwamathambo

Ngenkathi ukuskena kwamathambo kusetshenziselwa ukuxilonga i-osteoporosis futhi kubikezela nengozi yomuntu yokuhlangabezana nokuqhekeka kwamathambo, nakho kunenani kulabo asebevele betholakele benaleso simo.

Udokotela angancoma ukuskena kwamathambo njengendlela yokulinganisa ukuthi ngabe ukwelashwa kwamathambo kuyasebenza yini. Udokotela wakho angaqhathanisa imiphumela yakho nanoma yikuphi ukuskena kokuqala kwamathambo ukuthola ukuthi ubukhulu bamathambo akho buba ngcono noma buba bubi yini. Ngokusho kweNational Osteoporosis Foundation, abahlinzeki bezokunakekelwa kwempilo bavame ukuncoma ukuthi kuphindwe ukuskenwa kwamathambo unyaka owodwa ngemuva kokuqala ukwelashwa futhi njalo ngemuva kweminyaka emibili kuya kwemibili.

Kodwa-ke, imibono yochwepheshe ixubekile mayelana nosizo lwezikena ezivamile zamathambo ngemuva kokutholakala kokuxilongwa nokwelashwa kwaqalwa. Omunye uhlole cishe abesifazane abayi-1,800 belashelwa ubuthakathaka bamaminerali aphansi. Okutholwe ngabaphenyi kuveze ukuthi odokotela abavamile ukwenza izinguquko ohlelweni lokwelashwa kokuqina kwamathambo, ngisho nakulabo abancipha emathanjeni abo ngemuva kokwelashwa.

Imibuzo okufanele ubuze udokotela wakho mayelana nokuskena kwamathambo

Uma uthatha imishanguzo ye-osteoporosis noma wenze izinguquko kwimpilo yakho ukuqinisa amathambo akho, udokotela wakho angancoma ukuphinda ukuskena kwamathambo. Ngaphambi kokuhlolwa kaninginingi, ungabuza udokotela wakho imibuzo elandelayo ukubona ukuthi ukuskena okuphindaphindwayo kuyisinqumo esingcono kakhulu kuwe:

• Ngabe umlando wami wokuchayeka emisebeni uyangibeka engcupheni yokuthola eminye imiphumela engemihle?
• Usebenzisa kanjani imininingwane oyithola kuskena sokuqina kwamathambo?
• Uncoma kaningi kangakanani ukuskena kokulandelela?
• Ingabe kukhona ezinye izivivinyo noma izinyathelo engingazithatha ongazincoma?

Ngemuva kokuxoxa ngezikhawu zokulandelela ezingaba khona, wena nodokotela wakho nizonquma ukuthi ukuskena okuqhubekayo kwamathambo kungazithuthukisa yini izindlela zakho zokwelashwa.