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- He aha ka scan ami o ka iwi?
- No ke aha ia e hoʻohana ai?
- No ke aha wau e pono ai i kahi scan mānoanoa iwi?
- He aha ka mea e hana ai i ka nānā ʻana o ka iwi iwi?
- Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?
- Aia kekahi mau pilikia i ka hoʻāʻo?
- He aha ke ʻano o nā hopena?
- Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i ka scan iwi ʻeleʻele?
- Nā kūmole
He aha ka scan ami o ka iwi?
ʻO kahi iwi scan scan, i ʻike ʻia ma ke ʻano he DEXA scan, kahi ʻano o ka hoʻāʻo x-ray haʻahaʻa e ana ana i ka calcium a me nā minelala ʻē aʻe i kou mau iwi. Kōkua ke ana i ka ikaika a me ka mānoanoa (ʻike ʻia ʻo ka iwi iwi a i ʻole ka nui) o kou mau iwi.
ʻOi aku ka lahilahi o nā iwi o ka poʻe i ko lākou ʻelemakule ʻana. Ke lahilahi ka iwi ma mua o ka maʻamau, ʻike ʻia ka osteopenia. Hāʻawi ʻo Osteopenia iā ʻoe i kahi makaʻu no kahi ʻano ʻoi aku ka koʻikoʻi i kapa ʻia ʻo osteoporosis. ʻO ka Osteoporosis kahi maʻi holomua e kumu i nā iwi e lahilahi a palupalu. Hoʻopili pinepine ka Osteoporosis i ka poʻe kahiko a maʻa mau i nā wahine ma mua o 65 mau makahiki. ʻOi aku ka makaʻu o ka poʻe me ka osteoporosis i nā haʻi (haki nā iwi), ʻo ia hoʻi i ko lākou pūhaka, koiwi, a me nā pūlima.
Nā inoa ʻē aʻe: hoʻāʻo ʻaʻano mineral mineral iwi, ho'āʻo BMD, scanner DEXA, DXA; Hoʻohālikelike x-ray pālua-ikehu
No ke aha ia e hoʻohana ai?
Hoʻohana ʻia kahi scan scan iwi i:
- Hōʻailona osteopenia (iwi iwi haʻahaʻa)
- Hōʻailona osteoporosis
- Wānana i ka haki o nā haʻihaʻi o ka wā e hiki mai ana
- E ʻike inā e hana nei ka lāʻau no ka osteoporosis
No ke aha wau e pono ai i kahi scan mānoanoa iwi?
ʻO ka hapa nui o nā wahine i piha i ka makahiki 65 a ʻoi paha i ka scan density density iwi. Aia nā wahine i kēia makahiki i ka makaʻu nui no ka nalo ʻana o ka iwi iwi, a hiki ke alakaʻi i nā haki. Hiki paha iā ʻoe ke makaʻu no ka haʻahaʻa iwi haʻahaʻa inā ʻoe:
- Loaʻa i kahi kaumaha haʻahaʻa o ke kino
- Ua loaʻa i hoʻokahi a ʻoi paha o nā haki ma hope o ka makahiki 50
- Ua nalowale ka hapalua ʻīniha a ʻoi paha i ke kiʻekiʻe i loko o hoʻokahi makahiki
- He kāne ma mua o ka makahiki 70
- Loaʻa kahi moʻolelo ʻohana o ka osteoporosis
ʻO nā kumu ʻē aʻe e pili pū me:
- Ka nele o ka hoʻoikaika kino
- Paka paka
- Inu kaumaha
- ʻAʻole lawa ka calcium a me ka wikamina D i kāu papaʻai
He aha ka mea e hana ai i ka nānā ʻana o ka iwi iwi?
Aia nā ala like ʻole e ana ai i ka iwi iwi. ʻO ke ala maʻamau a pololei hoʻi e hoʻohana i kahi hana i kapa ʻia dual-energy x-ray absorptiometry, i ʻike ʻia hoʻi me kahi scan DEXA. Hana pinepine ʻia ka scan ma ke keʻena o ka radiologist.
I ka nānā ʻana o DEXA:
- E moe ʻoe ma kou kua i ka papa ʻaina. Hiki paha iā ʻoe ke waiho i kou kapa.
- Pono paha ʻoe e moe me kou mau wāwae pololei, a i ʻole e noi ʻia ʻoe e kau i kou mau wāwae ma kahi pae padded.
- E hele aʻe kahi mīkini kaʻimi ma luna o kou iwi ʻūʻī a me kou ʻūhā. I ka manawa like, e hala ana kekahi mīkini ʻē aʻe i kapa ʻia ka mīkini paʻi kiʻi ma lalo ou. E hoʻohui ʻia nā kiʻi o nā mīkini ʻelua a hoʻouna ʻia i kahi kamepiula. E ʻike kahi mea mālama ola i nā kiʻi ma ka papapihi kamepiula.
- ʻOiai ke ʻimi nei nā mīkini, pono ʻoe e noho mālie. E noi paha ʻoe e hoʻopaʻa i kou hanu.
No ke ana ʻana i ka iwi i ka forearm, ka manamana lima, ka lima a i ʻole ka wāwae, hiki i kahi mea hoʻolako ke hoʻohana i kahi scanner lawe lima i ʻike ʻia he scan DEXA (p-DEXA) ākea.
Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?
ʻ toldlelo ʻia paha ʻoe e haʻalele i ka lawe ʻana i nā mea hoʻopiha calcium 24 a 48 mau hola ma mua o kāu hōʻike. Eia kekahi, pono ʻoe e hōʻalo i ke kau ʻana i nā mea hao a me nā lole me nā ʻāpana metala, e like me nā pihi a i ʻole nā kīʻaha.
Aia kekahi mau pilikia i ka hoʻāʻo?
Hoʻohana ka scan iwi kiʻekiʻena i nā kaha haʻahaʻa o ka radiation. Palekana ia no ka hapa nui o ka poʻe. Akā ʻaʻole ia e koi ʻia no ka wahine hāpai. ʻOiai ʻo nā kaha haʻahaʻa o ka pāhawewe hiki ke hōʻeha i kahi pēpē i hānau ʻole ʻia. E haʻi pono i kāu mea hāʻawi inā hāpai ʻoe a manaʻo paha ʻoe ua hāpai.
He aha ke ʻano o nā hopena?
Hāʻawi pinepine ʻia nā hualoaʻa iwi ma ke ʻano he helu T. ʻO ke ana helu T kahi ana e hoʻohālikelike i kāu ana o ka iwi iwi me ka momona o ka iwi o kahi makahiki olakino 30 makahiki. ʻO kahi helu T haʻahaʻa e loaʻa ana paha iā ʻoe kahi nalo o ka iwi.
Hōʻike paha kāu mau hopena i kekahi o kēia mau mea:
- He helu T o -1.0 a ʻoi paha. Kuhi ʻia kēia ka nui o ka iwi maʻamau.
- He helu T ma waena o -1.0 a me -2.5. ʻO kēia ke ʻano haʻahaʻa o kou iwi (osteopenia) a makaʻu paha i ka hoʻomōhala ʻana i ka osteoporosis.
- A helu T o -2.5 a ʻoi aku paha. ʻO kēia paha he osteoporosis paha kāu.
Inā hōʻike kāu mau hopena iā ʻoe he haʻahaʻa haʻahaʻa o ka iwi, e paipai kāu kahu mālama ola i nā ʻanuʻu e pale ai i ka nalo hou ʻana o ka iwi. Pākuʻi ʻia kēia mau mea:
- Ke kiʻi hou nei i ka hoʻoikaika kino, me nā hana e like me ka hele wāwae, ka hulahula ʻana, a me ka hoʻohana ʻana i nā mīkini kaupaona.
- Ke hoʻohui nei i ka calcium a me ka huaola D i kāu papaʻai
- Lawe i nā lāʻau i kuhikuhi ʻia e hoʻonui i ka iwi i ka nui
Inā he nīnau kāu e pili ana i kāu hopena a me / a i ʻole nā mālama ʻana no ka nalo ʻana o ka iwi, e kamaʻilio me kāu kauka olakino.
E aʻo hou aʻe e pili ana i nā hoʻokolohua hoʻokolohua, nā pae kuhikuhi, a me ka hoʻomaopopo ʻana i nā hopena.
Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i ka scan iwi ʻeleʻele?
ʻO kahi scan DEXA ke ala maʻamau e ana ai i ka nui o ka iwi. Akā hiki i kāu kauka olakino ke kauoha i nā hoʻokolohua hou aku e hōʻoia i kahi kuhi a i ʻole e ʻike inā ke holo nei ka lāʻau hōʻino iwi. Hoʻopili kēia i kahi hōʻoia koko calcium, kahi hoʻāʻo vitamin D, a / a i ʻole nā hoʻāʻo no kekahi mau hormoni.
Nā kūmole
- Nā Hoʻokolohua Lab ma ka Pūnaewele [Pūnaewele]. Wakinekona D.C .: ʻAmelika Hui Pū ʻIa no ka Chemical Clinical; c2001–2020. Osteoporosis; [hōʻano hou ʻia 2019 ʻOkakopa 30; i helu ʻia ʻo ʻApelila 13 Apr 13]; [ma kahi o 2 pale]. Loaʻa mai: https://labtestsonline.org/conditions/osteoporosis
- Maine Health [Pūnaewele]. Portland (ME): Maine Health; c2020. Hōʻike Bone Density Test / Scanner DEXA; [i helu ʻia 2020 Apr 13]; [ma kahi o 3 pale]. Loaʻa mai: https://mainehealth.org/services/x-ray-radiology/bone-density-test
- Mayo Clinic [Pūnaewele]. Mayo Foundation no ka Hoʻomaʻamaʻa Lapaʻau a me ka noiʻi; c1998–2020. Hōʻike ʻāpana iwi: Overview; 2017 Sep 7 [helu ʻia 2020 Apr 13]; [ma kahi o 3 pale]. Loaʻa mai: https://www.mayoclinic.org/tests-procedures/bone-density-test/about/pac-20385273
- Merck Manual Mea Kūʻai Manuahi [Pūnaewele]. Kenilworth (NJ): Merck & Co. Inc.; 2020. Nā hoʻāʻo no nā Musculoskeletal Disorder; [hōʻano 2020 Mar; i helu ʻia ʻo ʻApelila 13 Apr 13]; [ma kahi o 2 pale]. Loaʻa mai: https://www.merckmanuals.com/home/bone,-joint,-and-muscle-disorder/diagnosis-of-musculoskeletal-disorder/tests-for-musculoskeletal-disorder
- Kaʻu Mea ʻImi Ola [Pūnaewele]. Wakinekona D.C .: U.S.ʻOihana Ola a me nā lawelawe kanaka; E kiʻi i kahi hōʻike hoʻāʻo iwi; [hōʻano 2020 2020 13; i helu ʻia ʻo ʻApelila 13 Apr 13]; [ma kahi o 3 pale]. Loaʻa mai: https://health.gov/myhealthfinder/topics/doctor-visits/screening-tests/get-bone-density-test
- National Osteoporosis Foundation [Pūnaewele]. Arlington (VA): NOF; c2020. Hōʻike Bone Density Exam / Testing; [i helu ʻia 2020 Apr 13]; [ma kahi o 3 pale]. Loaʻa mai: https://www.nof.org/patients/diagnosis-information/bone-density-examtesting
- NIH Osteoporosis a me nā maʻi o ka iwi pili pili pūnaewele National Resource Center [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; Ka Ana Ana o ka Iwi: He aha ka manaʻo o nā helu? [i helu ʻia 2020 Apr 13]; [ma kahi o 2 pale]. Loaʻa mai: https://www.bones.nih.gov/health-info/bone/bone-health/bone-mass-measure
- UF Health: Ke Kulanui o Florida Health [Pūnaewele]. Gainesville (FL): Ke Kula Nui o Florida; c2020. Hōʻike hoʻohiehie iwi o ka iwi: Overview; [hōʻano 2020 2020 13; i helu ʻia ʻo ʻApelila 13 Apr 13]; [ma kahi o 2 pale]. Loaʻa mai: https://ufhealth.org/bone-mineral-density-test
- Kulanui o Rochester Medical Center [Pūnaewele]. Rochester (NY): Kulanui o Rochester Medical Center; c2020. ʻO Encyclopedia Health: Hōʻike ʻIa Bone Density; [i helu ʻia 2020 Apr 13]; [ma kahi o 2 pale]. Loaʻa mai: https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=92&ContentID=P07664
- UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2020. ʻIkepili olakino: Doneity Bone: Pehea e hana ai; [hoʻohou 2019 Aug 6; i helu ʻia ʻo ʻApelila 13 Apr 13]; [ma kahi o 6 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/bone-density/hw3738.html#hw3761
- UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2020. ʻIkepili olakino: ʻIno iwi: nā hopena; [hoʻohou 2019 Aug 6; i helu ʻia ʻo ʻApelila 13 Apr 13]; [ma kahi o 9 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/bone-density/hw3738.html#hw3770
- UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2020. ʻIkepili olakino: ʻIno iwi: nā pilikia; [hoʻohou 2019 Aug 6; i helu ʻia ʻo ʻApelila 13 Apr 13]; [ma kahi o 8 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/bone-density/hw3738.html#hw3768
- UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2020. ʻIkepili olakino: Doneity Bone: Hōʻike Manaʻo Hōʻike; [hoʻohou 2019 Aug 6; i helu ʻia ʻo ʻApelila 13 Apr 13]; [ma kahi o 2 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/bone-density/hw3738.html
- UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2020. ʻIkepili olakino: ʻIno iwi: No ke aha e hana ai; [hoʻohou 2019 Aug 6; i helu ʻia ʻo ʻApelila 13 Apr 13]; [ma kahi o 4 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/bone-density/hw3738.html#hw3752
ʻAʻole pono e hoʻohana i ka ʻike ma kēia pūnaewele i pani no ka mālama olakino ʻoihana a ʻōlelo aʻoaʻo paha. Kāhea aku i ka mea mālama ola inā he nīnau kāu e pili ana i kou olakino.