Tekanyetso ea masapo a masapo

Litaba

• Sesepa sa sekhahla sa masapo ke eng?
• E sebelisetsoa eng?
• Hobaneng ha ke hloka ho hlahlojoa ha masapo?
• Ho etsahalang nakong ea sekhahla sa masapo?
• Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?
• Na ho na le likotsi tsa tlhahlobo?
• Liphetho li bolelang?
• Na ho na le eng kapa eng eo ke hlokang ho e tseba ka sekene sa masapo a masapo?
• Litšupiso

Sesepa sa sekhahla sa masapo ke eng?

Sesebelisoa sa masapo a masapo, se tsejoang hape e le sesebelisoa sa DEXA, ke mofuta oa tlhahlobo ea x-ray ea tekanyo e tlase e lekanyang calcium le liminerale tse ling masapong a hau. Tekanyo e thusa ho bontša matla le botenya (bo tsejoang e le masapo a masapo kapa boima) ba masapo a hau.

Masapo a batho ba bangata a ba masesaane ha ba ntse ba tsofala. Ha masapo a ba mosesaane ho feta tloaelo, a tsejoa e le osteopenia. Osteopenia e beha kotsing ea lefu le tebileng le bitsoang "osteoporosis". Lefu la ho fokola ha masapo ke lefu le tsoelang pele le etsang hore masapo a be mosesaane haholo 'me a robehe. Lefu la ho fokola ha masapo hangata le ama batho ba baholo 'me le atile haholo ho basali ba ka holimo ho lilemo tse 65. Batho ba nang le lefu la masapo ba kotsing e kholo ea ho robeha masapo, haholo-holo thekeng, mokokotlong le matsohong.

Mabitso a mang: tlhahlobo ea letsoai la masapo, tlhahlobo ea BMD, scan ea DEXA, DXA; Matla a mabeli a x-ray absorptiometry

E sebelisetsoa eng?

Sesebelisoa sa masapo a masapo se sebelisetsoa ho:

• Hlahloba osteopenia (masapo a tlaase)
• Hlahloba lefu la ho fokola ha masapo
• Ho bolela esale pele kotsi ea ho robeha ha nako e tlang
• Bona hore na kalafo ea lefu la ho fokola ha masapo e ea sebetsa

Hobaneng ha ke hloka ho hlahlojoa ha masapo?

Boholo ba basali ba lilemo li 65 kapa ho feta ba lokela ho hlahlojoa ke masapo. Basali ba lilemong tsena ba kotsing e kholo ea ho lahleheloa ke masapo a masapo, a ka lebisang ho robeheng. Hape o kanna oa ba kotsing ea ho fokola ha masapo haeba u:

• E-ba le boima ba 'mele bo tlase haholo
• Ke bile le fracture e le 'ngoe kapa ho feta kamora lilemo tsa 50
• U lahlile bophahamo ba halofo ea lisenthimithara kapa ho feta pele ho selemo
• Ke monna ea ka holimo ho lilemo tse 70
• Ho ba le nalane ea lelapa ea lefu la masapo

Mabaka a mang a kotsi a kenyelletsa:

• Ho hloka boikoetliso
• Ho tsuba sakerete
• Ho noa haholo
• Ho se fumane calcium le vithamine D tse lekaneng lijong tsa hau

Ho etsahalang nakong ea sekhahla sa masapo?

Ho na le mekhoa e fapaneng ea ho metha bongata ba masapo. Tsela e atileng haholo le e nepahetseng e sebelisa ts'ebetso e bitsoang dual-energy x-ray absorptiometry, e tsejoang hape e le scan ea DEXA. Hangata sekena se etsoa ofising ea radiologist.

Nakong ea scan ea DEXA:

• U tla robala ka mokokotlo tafoleng e nang le marulelo. Mohlomong u tla khona ho siea liaparo tsa hau.
• U kanna ua hloka ho robala ka maoto a otlolohile, kapa u ka kopuoa ho phomotsa maoto a hau holim'a sethala se katiloeng.
• Mochini oa ho sekena o tla feta mokokotlong le thekeng la hao le tlase. Ka nako e ts'oanang, mochini o mong oa ho sekena o bitsoang photon jenereithara o tla feta ka tlase ho uena. Litšoantšo tse tsoang mechineng e 'meli li tla kopanngoa ebe li romelloa komporong. Mofani oa tlhokomelo ea bophelo o tla sheba litšoantšo tse hlahang komporong.
• Ha mechini e ntse e hlahloba, o tla hloka ho lula o khutsitse. O ka kopuoa ho ts'oara moea.

Ho lekanya botenya ba masapo sephakeng, monoaneng, letsohong kapa leotong, mofani oa thepa a ka sebelisa sekena se nkehang habonolo se tsejoang ka hore ke pheriferale ea DEXA (p-DEXA).

Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?

U kanna oa bolelloa hore u tlohele ho noa likhalsiamo tse tlatselletsang lihora tse 24 ho isa ho tse 48 pele ho tlhahlobo ea hau. Hape, o lokela ho qoba ho roala mabenyane a tšepe kapa liaparo tse nang le likarolo tsa tšepe, joalo ka likonopo kapa mekotla.

Na ho na le likotsi tsa tlhahlobo?

Sesepa sa letsoalo la masapo se sebelisa mahlaseli a fokolang haholo. E sireletsehile ho batho ba bangata. Empa ha e khothalletsoe bakeng sa moimana. Le tekanyetso e tlase ea radiation e ka lematsa lesea le e-so hlahe. Etsa bonnete ba hore o bolella mofani oa hau haeba o imme kapa o nahana hore o ka ima.

Liphetho li bolelang?

Liphello tsa masapo a masapo hangata li fanoa ka sebopeho sa lintlha tsa T. Tekanyo ea T ke litekanyo tse bapisang tekanyo ea masapo a hao le masapo a masapo a ngoana ea lilemo li 30 ea phetseng hantle. Palo e tlase ea T e bolela hore mohlomong o na le tahlehelo ea masapo.

Liphetho tsa hau li ka bontša e 'ngoe ea tse latelang:

• Palo ea T ea -1.0 kapa e phahameng. Sena se nkoa e le letsoalo le tloaelehileng la masapo.
• Palo ea T lipakeng tsa -1.0 le -2.5. Sena se bolela hore o na le masapo a tlase (osteopenia) mme o kanna oa ba kotsing ea ho tšoaroa ke lefu la masapo.
• Palo ea T ea -2.5 kapa ka tlase. Sena se bolela hore mohlomong o na le lefu la masapo.

Haeba sephetho sa hau se bontša hore u na le masapo a fokolang, mofani oa hao oa tlhokomelo ea bophelo o tla khothaletsa mehato ea ho thibela ho senyeha ho eketsehileng ha masapo. Tsena li ka kenyelletsa:

• Ho ikoetlisa haholoanyane, ka ho etsa lintho tse kang ho tsamaea, ho tantša le ho sebelisa mechini ea boima.
• Ho eketsa calcium le vithamine D lijong tsa hau
• Ho nka meriana ea ngaka ho eketsa masapo

Haeba u na le lipotso mabapi le liphetho tsa hau le / kapa kalafo ea tahlehelo ea masapo, bua le mofani oa tlhokomelo ea bophelo.

Ithute haholoanyane ka liteko tsa laboratori, libaka tsa litšupiso, le liphetho tsa kutloisiso.

Na ho na le eng kapa eng eo ke hlokang ho e tseba ka sekene sa masapo a masapo?

Tlhatlhobo ea DEXA ke eona tsela e tloaelehileng haholo ea ho metha bongata ba masapo. Empa mofani oa hao oa tlhokomelo ea bophelo a ka laela liteko tse ling ho netefatsa tlhahlobo ea lefu lena kapa ho fumana hore na kalafo ea tahlehelo ea masapo e ea sebetsa. Tsena li kenyelletsa tlhahlobo ea mali ea calcium, teko ea vithamine D, le / kapa liteko tsa lihormone tse itseng.

Litšupiso

1. Liteko tsa Lab Marang-rang [Inthaneteng]. Washington DC: Mokhatlo oa Amerika oa Clinical Chemistry; c2001--2020. Lefu la ho fokola ha masapo; [e ntlafalitsoeng 2019 Oct 30; e qotsitsoeng ka la 2020 Mmesa 13]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://labtestsonline.org/conditions/osteoporosis
2. Maine Health [Inthanete]. Portland (ME): Maine Health; c2020. Teko ea Boitšoaro ba Bone / Scan ea DEXA; [e qotsitsoeng ka la 2020 Mmesa 13]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://mainehealth.org/services/x-ray-radiology/bone-density-test
3. Mayo Clinic [Inthaneteng]. Motheo oa Mayo oa Thuto ea Bongaka le Patlisiso; c1998-2020. Teko ea letsoalo la masapo: Kakaretso; 2017 Sep 7 [e qotsitsoeng ka 2020 Mmesa 13]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.mayoclinic.org/tests-procedures/bone-density-test/about/pac-20385273
4. Phetolelo ea Merck Manual Consumer [Inthanete]. Kenilworth (NJ): Merck & Co Inc .; Liteko tsa Mathata a Musculoskeletal; [e ntlafalitsoeng 2020 Mar; e qotsitsoeng ka la 2020 Mphalane 13]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho:
5. Setsi sa ka sa bophelo bo botle se fumanehang [Inthanete]. Washington D.C .: U.S.Lefapha la Bophelo le Litšebeletso tsa Botho; Fumana Teko ea Boitšoaro ba Masapo; [e nchafalitsoeng 2020 ka la 13; e qotsitsoeng ka la 2020 Mphalane 13]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://health.gov/myhealthfinder/topics/doctor-visits/screening-tests/get-bone-density-test
6. National Osteoporosis Foundation [Marang-rang]. Arlington (VA): NOF; c2020. Tlhatlhobo ea liteko tsa masapo [e qotsitsoeng ka la 2020 Mmesa 13]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.nof.org/patients/diagnosis-information/bone-density-examtesting
7. NIH Osteoporosis le Setsi sa Tlhahiso ea Naha ea Mafu a Amanang le Masapo [Internet]. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Tekanyo ea Masapo a Masapo: Seo Lipalo li se Bolelang; [e qotsitsoeng ka la 2020 Mmesa 13]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.bones.nih.gov/health-info/bone/bone-health/bone-mass-measure
8. Bophelo ba UF: Univesithi ea Florida Health [Marang-rang]. Gainesville (FL): Univesithi ea Florida Health; c2020. Teko ea masapo a masapo a masapo: Kakaretso; [e nchafalitsoeng 2020 ka la 13; e qotsitsoeng ka la 2020 Mphalane 13]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://ufhealth.org/bone-mineral-density-test
9. Setsi sa Bongaka sa Rochester [Internet]. Rochester (NY): Setsi sa Bongaka sa Univesithi ea Rochester; c2020. Health Encyclopedia: Teko ea Boima ba Lesapo; [e qotsitsoeng ka la 2020 Mmesa 13]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=92&ContentID=P07664
10. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2020. Tlhahisoleseling ea Bophelo: Ho Tšoaroa ke Lesapo: Kamoo E Etsoang Kateng [e ntlafalitsoeng 2019 Aug 6; e qotsitsoeng ka la 2020 Mphalane 13]; [li-skrini tse ka bang 6]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/bone-density/hw3738.html#hw3761
11. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2020. Tlhahisoleseling ea Bophelo: Boikarabello ba masapo: Liphetho; [e ntlafalitsoeng 2019 Aug 6; e qotsitsoeng ka la 2020 Mphalane 13]; [li-skrini tse ka bang 9]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/bone-density/hw3738.html#hw3770
12. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2020. Tlhahiso-leseling ea bophelo bo botle: Boikarabello ba masapo: Likotsi; [e ntlafalitsoeng 2019 Aug 6; e qotsitsoeng ka la 2020 Mphalane 13]; [li-skrini tse ka bang 8]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/bone-density/hw3738.html#hw3768
13. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2020. Tlhahisoleseling ea Bophelo: Boikarabello ba masapo: Kakaretso ea liteko; [e ntlafalitsoeng 2019 Aug 6; e qotsitsoeng ka la 2020 Mphalane 13]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/bone-density/hw3738.html
14. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2020. Tlhahisoleseling ea Bophelo: Boikarabello ba masapo: Hobaneng ha e etsoa; [e ntlafalitsoeng 2019 Aug 6; e qotsitsoeng ka la 2020 Mphalane 13]; [hoo e ka bang li-skrini tse 4]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/bone-density/hw3738.html#hw3752

Tlhahisoleseling e fumanehang sebakeng sena sa marang-rang ha ea lokela ho sebelisoa ho nka sebaka sa tlhokomelo ea bongaka le likeletso. Ikopanye le mofani oa tlhokomelo ea bophelo haeba u na le lipotso ka bophelo ba hau.