Ndiani anofanirwa kuyera huwandu hwemapfupa kuburikidza nebhonzo densitometer
Bone Densitometry
Osteoporosis kurasikirwa kukuru kwebhonzo mineral density inobata mamirioni evakadzi, ichivaisa panjodzi yekugona kukanganisa kuputsika.Isu tinopa bhonzo densitometry, iyo inoyera chaizvo bhonzo mineral density (BMD), ichibvumira fungidziro yengozi yekutyoka kwemurwere.Yedu advanced system inokwanisa kunyatso kuverenga BMD mumusana, muhudyu, kana wrist.Iyo sisitimu inobvumidzawo kutsunga kweBMD muhuwandu hwevana.
Chiremba wako anogona kuraira bone densitometry kana iye achifungidzira kuti une kana kuti uri mungozi yekuvandudza osteoporosis.Vanhu vane osteoporosis vane mapfupa asina simba kana kurasikirwa kukuru kwemapfupa avo emamineral density.Mamirioni evakadzi nevarume vakawanda vanova neosteoporosis sezvavanokura.
Mashandiro Anoita Bone Densitometry
Dzimwe nguva bvunzo iyi inodaidzwa kunzi bone density scanning kana dual-energy x-ray absorptiometry (DXA).Iyo yakakwidziridzwa fomu ye x-ray tekinoroji.Muchina weDXA unotumira danda rakatetepa, risingaoneki re-low-dose x-rays kuburikidza nemapfupa.Matishu ako akapfava anotora yekutanga simba danda.Mapfupa ako anotora danda rechipiri.Nekubvisa huwandu hwenyama yakapfava kubva pahuwandu, muchina unopa chiyero chepfupa rako remamineral density (BMD).Density iyoyo inoudza chiremba kusimba kwemapfupa ako.
Sei Vanachiremba Vachishandisa Bone Densitometry
Osteoporosis inosanganisira kurasikirwa kwecalcium mumapfupa ako.Ndiyo mamiriro anowanzobata vakadzi mushure mekuenda kumwedzi, kunyange zvazvo varume vanogona kuva neosteoporosis, zvakare.Pamwe chete nekurasikirwa kwekarusiyamu, mapfupa anoenda kuburikidza nekuchinja kwemaitiro izvo zvinoita kuti vave vatete, vasina kusimba uye vangangotyoka.
DXA inobatsirawo radiologists uye vamwe vanachiremba kuronda kushanda kwemishonga kune chero rudzi rwehutano hwekurasikirwa kwebhonzo.Zviyero zvebvunzo zvinopa humbowo nezvenjodzi yako yekutyoka bhonzo.
Ndiani Anofanira Kugamuchira Bone Mineral Density (BMD) Kuongororwa
• Vakadzi vane makore makumi matanhatu nemashanu zvichikwira
• Vakadzi vapedza kumwedzi vari pasi pemakore makumi matanhatu nemashanu vane njodzi yekutyoka.
• Vakadzi panguva yekuchinja kwekuenda kumwedzi vane ngozi yekliniki yekutyoka, zvakadai sekuderera kwehuremu hwemuviri, vasati vatyoka, kana kushandisa mishonga ine ngozi.
• Varume vane makore makumi manomwe zvichikwira.
• Varume vari pasi pemakore 70 vane kliniki yengozi yekuputsika.
• Vakuru vane fragility fracture.
• Vakuru vane chirwere kana chirwere chinosanganiswa nekuderera kwepfupa kana kurasikirwa kwepfupa.
• Vakuru vanotora mishonga inobatanidza nekuderera kwepfupa kana kurasikirwa kwepfupa.
• Chero ani zvake ari kufungwa nezve pharmacologic (drug) therapy.
• Chero ani ari kurapwa, kutarisa maitiro ekurapa.
• Chero ani zvake asingarapike ane humbowo hwekurasika kwebhonzo kunozoendesa kurapwa.
• Vakadzi vanorega estrogen vanofanira kutariswa kuti vaongororwe kusimba kwemapfupa maererano nezviratidzo zvakanyorwa pamusoro apa.
Nei Vanachiremba Vachishandisa Vertebral Fracture Assessment (VFA)
Imwe bvunzo yakaitwa pamushini weDXA ndeye vertebral fracture assessment (VFA).Iyo yakaderera-dose x-ray kuongororwa kwemusana kunoongorora hutano hwemusana wako.A VFA icharatidza kana iwe uine compression fractures mu vertebra yako (mapfupa ari musana wako).Kuvapo kwekutyoka kwe vertebral kunonyanya kukosha pakufanotaura njodzi yako yekutyoka kwemapfupa mune ramangwana kupfuura DXA chete.Izvi zvinotevera zvikonzero (zviratidzo) zvekuita vertebral fracture assessment (VFA) inobva ku2007 Official Positions ye International Society of Clinical Densitometry (www.iscd.org):
Ndiani Anofanira Kugamuchira VFA
• Vakadzi vakasiya kumwedzi vane low bone mass (osteopenia) maererano neBMD maitiro, PLUS chero chimwe chezvinotevera:
• Zera rinopfuura kana kuenzana nemakore makumi manomwe
• Kurasika kureba kwekare kupfuura masendimita mana (1.6 in.)
• Kurasikirwa nekureba kunodarika 2 cm (0.8 in.)
• Kuzvitaura wega vertebral fracture (isina kunyorwa kare)
• Zviviri kana kupfuura zvezvinotevera;
• Zera 60 kusvika 69 makore
• Self-reported before non-vertebral fracture
• Historical kureba kurasikirwa 2 kusvika 4 cm
• Zvirwere zvisingaperi zvinosangana nekuwedzera kwengozi yekutyoka kwevertebral (somuenzaniso, pakati kusvika kune yakaoma COPD kana COAD, seropositive rheumatoid arthritis, chirwere cheCrohn)
• Varume vane low bone mass (osteopenia) neBMD maitiro, PLUS chero chimwe chezvinotevera:
• Makore makumi masere kana kupfuura
• Kurasika kureba kwekare kupfuura masendimita matanhatu (2.4 mukati)
• Kurasikirwa nekureba kunodarika masendimita matatu (1.2 mukati)
• Kuzvitaura wega vertebral fracture (isina kunyorwa kare)
• Zviviri kana kupfuura zvezvinotevera;
• Zera 70 kusvika 79 makore
• Self-reported before non-vertebral fracture
• Historical kureba kurasikirwa 3 kusvika 6 cm
• Pa pharmacologic androgen deprivation therapy kana kutevera orchiectomy
• Zvirwere zvisingaperi zvinosangana nekuwedzera kwengozi yekutyoka kwevertebral (somuenzaniso, pakati kusvika kune yakaoma COPD kana COAD, seropositive rheumatoid arthritis, chirwere cheCrohn)
• Vakadzi kana varume vane chirwere chisingaperi cheglucocorticoid (yakaenzana ne5 mg kana kupfuura yeprednisone zuva nezuva kwemwedzi mitatu (3) kana kupfuura).
• Vakadzi vane postmenopausal kana varume vane osteoporosis neBMD maitiro, kana zvinyorwa zveimwe kana kupfuura vertebral fractures ichashandura kliniki yehutungamiri.
Kugadzirira For Your Bone Densitometry Exam
Pazuva rako rebvunzo, idya zvakajairika asi ndapota usatore calcium supplements kweanokwana maawa makumi maviri nemana usati wanyora bvunzo yako.Pfeka hanzu dzakasununguka, dzakasununguka uye dzivirira zvipfeko zvine zipi dzesimbi, mabhandi kana mabhatani.Radiology & Imaging inogona kukukumbira kuti ubvise dzimwe kana dzese mbatya dzako uye upfeke gauni kana jasi panguva yebvunzo.Iwe unogona zvakare kubvisa zvishongo, magirazi uye chero zvinhu zvesimbi kana zvipfeko.Zvinhu zvakadai zvinogona kukanganisa mifananidzo ye x-ray.
Rega chiremba wako azive kana iwe uchangobva kuongororwa barium kana kuti wakaiswa jekiseni nechinhu chakasiyana checomputer tomography (CT) scan kana radioisotope (nuclear mushonga) scan.
Gara uchizivisa chiremba wako kana Radiology & Imaging tekinoroji kana paine mukana wekuti une nhumbu.
Chii chinonzi Bone Densitometry Exam
Kuda
Unorara patafura yakakanyiwa.Kuongororwa kweCentral DXA, iyo inoyera kuwanda kwemapfupa muhudyu nemuzongoza, jenareta yex-ray iri pazasi pako uye mudziyo wekufungidzira, kana detector, uri pamusoro.Kuti uongorore musana wako, makumbo ako anotsigirwa pabhokisi rakaputirwa kuti ubate chiuno chako uye pasi (lumbar) musana.Kuti uongorore hudyu, tekinoroji ichaisa tsoka yako mubhandi inotenderera chiuno chako mukati.Muzviitiko zvose izvi, detector inopfuura zvishoma nezvishoma, ichigadzira mifananidzo pakombiyuta yekuongorora.Bvunzo zhinji dzinongotora maminetsi gumi kusvika makumi maviri uye zvakakosha kuti urambe wakanyarara panguva yese yebvunzo.
Benefits & Risks
Bone densitometry iri nyore, inokurumidza uye isingasviki.Hazvidi chero anesthesia.Huwandu hwemwaranzi hunoshandiswa hudiki kwazvo-zvishoma zvishoma pane chiyero chechipfuva x-ray.
Nechero x-ray maitiro, pane mukana mudiki wegomarara kubva pakunyanya kuratidzwa nemwaranzi.Zvisinei, kubatsira kwekuongorora kwakarurama kunopfuura zvikuru ngozi.Vakadzi vanofanirwa kugara vachizivisa chiremba wavo kana Radiology & Imaging technologist kana paine mukana wekuti vane nhumbu.
Miganhu yeBone Densitometry
Bone densitometry haigone kufanotaura ne 100% chokwadi kana iwe uchizosangana nekutyoka mune ramangwana.Nekudaro, inogona kupa zviratidzo zvakasimba zvenjodzi yako yekutyoka kweramangwana.
Pasinei nekubudirira kwayo pakuyera simba remapfupa, bone densitometry kana DXA inoshandiswa zvishoma kune vanhu vane urema hwemusana kana vanhu vakavhiyiwa musana.Kana iwe uine vertebral compression fractures kana osteoarthritis, mamiriro ako anogona kukanganisa kurongeka kwebvunzo.Muzviitiko izvi, imwe bvunzo inogona kuitwa, senge forearm bone densitometry.
Isu Tinoshanda Pakuverengera Bone Mifananidzo
Radiology & Imaging inoshandisa yazvino-ye-the-art michina inopa yakasarudzika yekuongorora ruzivo.Miviri yedu inofungidzira radiologists kana musculoskeletal radiologists inyanzvi mukuverenga bhonzo densitometries zvinoreva humwe hunyanzvi uye ruzivo rwakakuitira iwe.
Nguva yekutumira: Mar-07-2023