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Yintoni uvavanyo lokuxinana kwamathambo?

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Uvavanyo loxinaniso lwethambo lusetyenziselwa ukulinganisa umxholo weeminerali zethambo kunye nobuninzi.Ingenziwa ngokusebenzisa i-X-rays, i-double-energy X-ray absorptiometry (i-DEXA okanye i-DXA), okanye i-CT scan ekhethekileyo esebenzisa isoftware yekhompyutha ukumisela ukuxinana kwamathambo e-hip okanye umqolo.Ngenxa yezizathu ezahlukeneyo, i-DEXA scan ithathwa ngokuba "ngumgangatho wegolide" okanye uvavanyo oluchanekileyo.

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Lo mlinganiselo uxelela umboneleli wezempilo ukuba kukho ukuncipha kwamathambo.Le yimeko apho amathambo e-brittle ngakumbi kwaye athambekele ekubeni aphuke okanye aphuke ngokulula.

Uvavanyo lokuxinana kwamathambo lusetyenziswa ikakhulu ukuxilonga i-osteopenia kunyei-osteoporosis.Ikwasetyenziselwa ukumisela umngcipheko wakho wokwaphuka kwixesha elizayo.Inkqubo yokuvavanya ngokuqhelekileyo ilinganisa ukuxinana kwamathambo amathambo omqolo, ingalo ephantsi, kunye ne-hip.Uvavanyo oluphathekayo lunokusebenzisa i-radius (i-1 yamathambo e-2 yengalo engezantsi), isihlahla, iminwe, okanye isithende sokuvavanya, kodwa ayichanekanga njengeendlela ezingenakuthwalwa ngenxa yokuba indawo enye yethambo ivavanywa.

Ii-X-reyi eziqhelekileyo zinokubonisa amathambo abuthathaka.Kodwa kwinqanaba apho ubuthathaka bamathambo bunokubonwa kwii-X-reyi eziqhelekileyo, kusenokuba kukude kakhulu ukunyanga.Uvavanyo lwe-Bone densitometry lunokufumana ukuncipha koxinzelelo lwamathambo kunye namandla kwinqanaba langaphambili xa unyango lunokuba luncedo.

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Iziphumo zovavanyo lokuxinana kwamathambo

Uvavanyo loxinaniso lwethambo lumisela ukuxinana kweeminerali zamathambo (BMD).I-BMD yakho ithelekiswa nemimiselo ye-2-abaselula abanempilo (i-T-score yakho) kunye nabantu abadala abaneminyaka yobudala (i-Z-score yakho).

Okokuqala, isiphumo sakho se-BMD sithelekiswa neziphumo ze-BMD ezivela kubantu abadala abasempilweni abaneminyaka engama-25 ukuya kuma-35 ubudala besini esifanayo kunye nobuhlanga bakho.Ukutenxa okusemgangathweni (SD) ngumahluko phakathi kwe-BMD yakho kunye neyabantu abadala abasempilweni.Esi siphumo sisiphumo sakho seT.Amanqaku e-T abonisa ukuba ithambo lomelele kunesiqhelo;Amanqaku e-T abonisa ukuba ithambo libuthathaka kunesiqhelo.

Ngokutsho koMbutho wezeMpilo weHlabathi, i-osteoporosis ichazwa ngokusekwe kula manqanaba alandelayo okuxinana kwamathambo:

I-T-score ngaphakathi kwe-1 SD (+1 okanye -1) yomntu omdala oselula ithetha ubuninzi obuqhelekileyo bamathambo.

I-T-score ye-1 ukuya kwi-2.5 SD ngaphantsi komntu omdala oselula ithetha (-1 ukuya -2.5 SD) ibonisa ubunzima obuphantsi bamathambo.

I-T-score ye-2.5 SD okanye ngaphezulu ngaphantsi komntu omdala oselula uthetha (ngaphezu kwe -2.5 SD) ibonisa ubukho be-osteoporosis.

Ngokubanzi, umngcipheko wokuqhekeka kwamathambo uphindwe kabini ngayo yonke i-SD engaphantsi kwesiqhelo.Ngaloo ndlela, umntu ophethe i-BMD ye-1 SD ngaphantsi kwesiqhelo (T-score of -1) unomngcipheko ophindwe kabini wokuphulwa kwamathambo njengomntu ophethe i-BMD eqhelekileyo.Xa olu lwazi luyaziwa, abantu abasengozini enkulu yokuphuka kwamathambo banokunyangwa ngenjongo yokuthintela ukuphulwa kwexesha elizayo.I-osteoporosis enzima (esekiweyo) ichazwa ngokuba ne-bone density engaphezu kwe-2.5 SD ngaphantsi komntu omdala oselula ithetha kunye nokwaphuka okudlulileyo okudlulileyo ngenxa ye-osteoporosis.

Okwesibini, i-BMD yakho ithelekiswa nesiqhelo esihambelana nobudala.Oku kubizwa ngokuba yi-Z-score yakho.Amanqaku e-Z abalwa ngendlela efanayo, kodwa uthelekiso lwenziwa kumntu oneminyaka yakho, isini, uhlanga, ukuphakama, kunye nobunzima.

Ukongeza kwi-bone densitometry yovavanyo, umboneleli wakho wezempilo unokuncoma ezinye iintlobo zeemvavanyo, ezifana novavanyo lwegazi, olungasetyenziselwa ukufumana ubukho besifo sezintso, ukuvavanya umsebenzi we-parathyroid gland, ukuvavanya imiphumo yonyango lwe-cortisone, kwaye /okanye uvavanye amanqanaba eeminerali emzimbeni anxulumene nokomelela kwamathambo, njenge-calcium.

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Kutheni ndingadinga uvavanyo lokuxinana kwamathambo?

Uvavanyo loxinaniso lwethambo lwenziwa ikakhulu ukujonga i-osteoporosis (amathambo amancinci, abuthathaka) kunye ne-osteopenia (ukuncipha kwamathambo) ukuze ezi ngxaki zinyangwe ngokukhawuleza.Unyango lwakwangoko lunceda ukuthintela ukuqhekeka kwamathambo.Iingxaki zamathambo aphukileyo ezinxulumene ne-osteoporosis zihlala zinzima, ngakumbi kubantu abadala.I-osteoporosis yangaphambili inokufunyaniswa, ngokukhawuleza unyango lunokuqaliswa ukuphucula imeko kunye/okanye ukuyigcina ingabi mandundu.

Uvavanyo loxinaniso lwamathambo lunokusetyenziswa:

Qinisekisa ukuxilongwa kwe-osteoporosis ukuba sele unokwaphuka kwethambo

Qikelela amathuba akho okuphuka kwethambo kwixesha elizayo

Qinisekisa izinga lakho lokulahleka kwethambo

Jonga ukuba unyango luyasebenza na

Kukho izinto ezininzi ezinobungozi kwi-osteoporosis kunye nezibonakaliso zovavanyo lwe-densitometry.Ezinye izinto eziqhelekileyo zomngcipheko we-osteoporosis ziquka:

Abasetyhini abasemva kokuya exesheni abangayithathiyo i-estrogen

Ubudala, abafazi abangaphezu kweminyaka engama-65 kunye namadoda angaphezu kwama-70

Ukutshaya

Imbali yentsapho yokuphuka kwe-hip

Ukusebenzisa i-steroids ixesha elide okanye amanye amayeza athile

Izifo ezithile, kuquka i-rheumatoid arthritis, uhlobo lwe-1 yeswekile, isifo sesibindi, isifo sezintso, i-hyperthyroidism, okanye i-hyperparathyroidism

Ukusetyenziswa kotywala ngokugqithisileyo

I-BMI ephantsi (isalathisi sobunzima bomzimba)

Ukusebenzisa iPinyuan Bone densitometer ukugcina impilo yamathambo akho , singabenzi bobuchwephesha , ulwazi oluthe kratya nceda ukhangele www.pinyuanchina.com


Ixesha lokuposa: Mar-24-2023