Hōʻike hoʻowahā paʻa iwi

ʻO ke ana o ka mineral mineral density (BMD) e ana i ka nui o ka calcium a me nā ʻano minerals i kahi o kou iwi.

Kōkua kēia hoʻāʻo i kāu mea mālama ola e ʻike i ka osteoporosis a wānana i kou pilikia no ka haʻi iwi.

Hiki ke hana ʻia ka hoʻāʻo ʻana o ka iwi iwi ma kekahi ʻano.

Hoʻohana ka ala maʻamau a pololei hoʻi i kahi scanner x-ray absorptiometry (DEXA) pālua. Hoʻohana ʻo DEXA i nā kukuna x kukuna haʻahaʻa. (Loaʻa ʻoe i ka radiation hou aʻe mai kahi pahu x-ray.)

ʻElua ʻano o ka scanner DEXA:

• Central DEXA - moe ʻoe ma ka papa ʻaina palupalu. Hele ka scanner ma luna o kou iwikuʻula haʻahaʻa a me kou ʻūhā. I ka hapanui o nā hihia, ʻaʻole pono ʻoe e wehe i ka lole. ʻO kēia scan ka hōʻoia maikaʻi loa e wānana i kou makaʻala no nā haki, ʻo ia hoʻi o ka ʻūhā.
• Peripheral DEXA (p-DEXA) - Ke ana nei kēia mau mīkini liʻiliʻi i ka nui o ka iwi i kou lima, nā manamana lima, ka wāwae a me kou kuʻekuʻe wāwae. Aia kēia mau mīkini i nā keʻena mālama olakino, nā hale kūʻai lāʻau, nā kikowaena kūʻai, a ma nā hale kūʻai olakino.

Inā hāpai ʻoe a i ʻole hāpai paha, e haʻi i kāu mea hoʻolako ma mua o ka pau ʻana o kēia hōʻike.

Mai lawe i nā mea hoʻopiha calcium no 24 mau hola ma mua o ka hoʻāʻo.

E haʻi ʻia ʻoe e hemo i nā mea hao a pau mai kou kino, e like me nā mea hoʻonaninani a me nā pale.

ʻAʻole ʻeha ka scanner. Pono ʻoe e noho mālie i ka wā o ka hoʻāʻo.

Hoʻohana ʻia nā hoʻāʻo mineral Bone (BMD) i:

• Nānā i ka nalo ʻana o ka iwi a me ka osteoporosis
• E ʻike i ka maikaʻi o ka hana ʻana o ka lāʻau osteoporosis
• Wānana i kou makaʻā no nā haʻi iwi o ka wā e hiki mai ana

Paipai ʻia ka hoʻāʻo ʻana o ka iwi iwi i nā makahiki he 65 a ʻoi.

ʻAʻole piha ka ʻaelike inā e hana nā kāne i kēia ʻano hoʻokolohua. Paipai kekahi mau pūʻulu i ka hoʻāʻo ʻana i nā kāne ma ka makahiki 70, ʻoiai haʻi ʻē aʻe ʻaʻole lawa ka hōʻike e ʻōlelo ai inā he pōmaikaʻi ke kāne i kēia makahiki mai ka kānana ʻana.

ʻO nā wahine ʻōpio, a me nā kāne o nā makahiki, pono paha i ka hoʻāʻo ʻana i ka iwi inā pilikia lākou i ka osteoporosis. ʻO kēia mau kumuhana pilikia:

• ʻO ka haki ʻana i kahi iwi ma hope o ka makahiki 50
• ʻO ka mōʻaukala ʻohana ikaika o ka osteoporosis
• ʻO ka mōʻaukala o ka mālama ʻana no ka maʻi ʻaʻai prostate a i ʻole ka maʻi ʻaʻai umauma
• ʻO ka mōʻaukala o nā kūlana olakino e like me ka rheumatoid arthritis, diabetes, imbalances thyroid, a anorexia nervosa paha.
• Menopause mua (mai nā kumu kūlohelohe a i ʻole hysterectomy)
• Hoʻohana wā lōʻihi o nā lāʻau e like me corticosteroids, thyroid hormone, a i ʻole nā ​​mea kāohi aromatase
• Kaumaha o ke kino haʻahaʻa (ma lalo o 127 mau paona) a i ʻole ka helu papa haʻahaʻa o ke kino (ma lalo o 21)
• Lilo nui o ke kiʻekiʻe
• Paka wā lōʻihi a hoʻohana nui paha i ka waiʻona

Hōʻike pinepine ʻia nā hopena o kāu hoʻokolohua ma ke ʻano he māka helu T a me ka helu Z:

• Hoʻohālikelike ka helu helu helu i kou nui iwi me ka wahine ʻōpio olakino.
• Hoʻohālikelike ʻo Z-score i kou kiʻiona iwi me nā poʻe o kou mau makahiki, ka wahine, a me ka lāhui.

Me nā helu ʻelua, ʻo kahi helu maikaʻi ʻole ʻoi aku kou i nā iwi lahilahi ma mua o ka awelika. ʻO ka maikaʻi ʻole o ka helu, ʻo ke kiʻekiʻe o kou makaʻi no ka haki iwi.

Aia kahi helu T-i loko o ka pae maʻamau inā -1.0 a ʻoi paha.

ʻAʻole ʻike ʻia ka hoʻāʻo ʻana i nā haʻi i nā mineral. Me nā kumu pilikia ʻē aʻe āu e loaʻa ai, kōkua ia i ka wānana i kāu makaʻu no ka haki ʻana o ka iwi i ka wā e hiki mai ana. E kōkua kāu mea hāʻawi iā ʻoe e hoʻomaopopo i nā hopena.

Inā kāu helu helu T:

• Ma waena o -1 a me -2.5, loaʻa paha iā ʻoe ka nalo mua o ka iwi (osteopenia)
• Ma lalo -2.5, loaʻa paha ʻoe i ka osteoporosis

Pili ka ʻōlelo aʻoaʻo i kāu hopena i ka haki āpau. Hiki ke helu ʻia kēia makaʻu ma ka hoʻohana ʻana i ka mākia FRAX. Hiki i kāu mea hāʻawi ke haʻi hou aku iā ʻoe e pili ana i kēia. Hiki iā ʻoe ke ʻike i ka ʻike e pili ana iā FRAX ma ka pūnaewele.

Hoʻohana ka nui o ka mineral iwi i kahi nui o radiation. Manaʻo ka hapa nui o nā loea he haʻahaʻa loa ka makaʻikaʻi ke hoʻohālikelike ʻia me nā pono o ka loaʻa ʻana o ka osteoporosis ma mua o kou haki ʻana i kahi iwi.

Hoʻāʻo BMD; Hoʻāʻo hoʻohiwi iwi; Iwi densitometry; ʻImi ʻo DEXA; DXA; Hoʻohui lua-ikehu x-ray absorptiometry; p-DEXA; Osteoporosis - BMD; Hoʻohālikelike x-ray pālua

• ʻ densitymiʻi iwi ʻiʻo
• Osteoporosis
• Osteoporosis

ʻO Compston JE, McClung MR, ʻo Leslie WD. Osteoporosis. Lancet. 2019; 393 (10169): 364-376. PMID: 30696576 pubmed.ncbi.nlm.nih.gov/30696576/.

Kendler D, Almohaya M, Almehthel M. Dual x-ray absorptiometry a me ke ana o ka iwi. I: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, eds. Rheumatology. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 51.

ʻO ka Hana Hana Hana Hana Preventive US; ʻO Curry SJ, Krist AH, Owens DK, et al. Ke nānā ʻana no ka osteoporosis e pale ai i nā haki: ʻōlelo aʻoaʻo a ka US Preventive Services Task Force. JAMA. 2018; 319 (24): 2521-2531. PMID: 29946735 pubmed.ncbi.nlm.nih.gov/29946735/.

ʻO Weber TJ. Osteoporosis. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 230.