He aha ka DEXA Scan?

Anter

• Ehia na kumukuai?
• Medicare
• He aha ke kumu o ka scan?
• Ke kauoha kāu kauka iā DEXA
• Ke ana ʻana i ka haku ʻana o ke kino
• Pehea ʻoe e hoʻomākaukau ai no kahi scan ʻo DEXA?
• He aha nā kaʻina hana?
• He aha ke ʻano o nā hopena?
• He aha ke kuanaʻike?

ʻO kahi scan DEXA kahi ʻano kikoʻī kiʻekiʻe loa o X-ray e ana ai i ka momona o ka iwi a me ka nalo ʻana o ka iwi. Inā ʻoi aku ka haʻahaʻa o kou iwi ma mua o ka maʻamau no kou mau makahiki, hōʻike ia i kahi makaʻu no ka osteoporosis a me nā haʻi iwi.

Kū ʻo DEXA no ka absorptiometry X-ray pālua. Ua hoʻolauna ʻia kēia hana no ka hoʻohana kalepa ʻana i ka makahiki 1987. Hoʻouna ia i ʻelua mau kukuna X-ray ma nā alapine piko ikehu kiʻekiʻe i nā iwi i hoʻopaʻa ʻia.

Hoʻokomo ʻia kahi piko e nā mea palupalu a ʻo ka iwi e ka iwi. Ke lawe ʻia ka nui o ka nui o ka momona o ke kino mai ka huina piha, ʻo ke koena kou nui o ka mineral o ka iwi.

Noninvasive, wikiwiki, a ʻoi aku ka pololei ma mua o kahi X-ray maʻamau. Pili ia i kahi pae haʻahaʻa loa o ka pāhawewe.

Ua hoʻokumu ka World Health Organization (WHO) iā DEXA ma ke ʻano he ʻoi loa no ka loiloi i ka nui o ka mineral iwi i nā wahine postmenopausal. ʻIke ʻia ʻo DEXA ma ke ʻano DXA a i ʻole ka densitometry iwi.

Ehia na kumukuai?

ʻOkoʻa ke kumukūʻai o kahi scan DEXA, ma muli o kahi āu e noho ai a me ke ʻano o nā wahi e hana ana i ka hoʻokolohua.

Uhi pinepine nā ʻoihana ʻinikua āpau a i ʻole ʻāpana o ke kumukūʻai inā ua kauoha kau kauka i ka scan e like me ka pono e pono ai ka lāʻau. Me ka ʻinikua, he copay paha kāu.

Ua koho ka Papa ʻAmelika Hui Pū ʻIa o ʻAmelika i $ 125 ma ke ʻano he kumu kūʻai o waho o ka ʻūlū. Hoʻonui paha ka uku o kekahi mau hale. ʻOi aku ka maikaʻi e nānā me kāu kauka, a inā hiki, e kūʻai a puni.

Medicare

Uhi piha ʻo Medicare ʻĀpana B i kahi hōʻike DEXA i hoʻokahi manawa i kēlā me kēia mau makahiki ʻelua, a ʻoi aku ka pinepine inā pono ke olakino, inā ʻoe e hālāwai me hoʻokahi o kēia mau pae hoʻohālikelike.

• Hoʻoholo kāu kauka aia ʻoe i ka makaʻu no ka osteoporosis, ma muli o kāu mōʻaukala.
• Hōʻike nā kukuna X i ka hiki i ka osteoporosis, osteopenia, a me nā haki.
• Ke lawe nei ʻoe i kahi lāʻau steroid, e like me prednisone.
• Loaʻa iā ʻoe ka hyperparathyroidism mua.
• Makemake kāu kauka e nānā e ʻike inā e hana ana kāu lāʻau osteoporosis.

He aha ke kumu o ka scan?

Hoʻohana ʻia kahi scan DEXA e hoʻoholo ai i kāu makaʻu o ka osteoporosis a me ka haki iwi. Hoʻohana ʻia paha ia e nānā inā paha e holo ana kāu lāʻau osteoporosis. ʻO ka maʻamau ka māka o ka iwi ʻūʻī a me kou pūhaka i lalo.

ʻO nā diagnostics X-ray maʻamau i hoʻohana ʻia ma mua o ka hoʻomohala ʻana o ka ʻenehana DEXA i hiki ke ʻike wale i ka nalo ʻana o ka iwi i ʻoi aku ma mua o 40 pākēneka. Hiki iā DEXA ke ana ma waena o 2 pakeneka a 4 pakeneka kikoʻī.

Ma mua o DEXA, ka hōʻailona mua o ka nalo ʻana o ka iwi i ka wā i haki ai kahi ʻelemakule makua i ka iwi.

Ke kauoha kāu kauka iā DEXA

E kauoha paha kāu kauka i kahi scan ʻo DEXA:

• inā he wahine ʻoe ma luna o 65 a i ʻole kahi kāne ma luna o 70, ʻo ia ka ʻōlelo a ka National Osteoporosis Foundation a me nā hui olakino ʻē aʻe.
• inā loaʻa iā ʻoe nā ʻōuli o ka osteoporosis
• inā haki ʻoe i kahi iwi ma hope o ka makahiki 50
• inā he kāne ʻoe he 50 a 59 paha makahiki a i ʻole he wahine postmenopausal ma lalo o 65 me nā kumu pilikia

ʻO nā kumu pilikia o Osteoporosis:

• hoʻohana i ka paka a me ka waiʻona
• ka hoʻohana ʻana i nā corticosteroids a me kekahi mau lāʻau ʻē aʻe
• papa kuhikuhi kino haʻahaʻa
• kekahi mau maʻi, e like me rheumatoid arthritis
• hooikaika kino
• moʻolelo o ka ʻohana o ka osteoporosis
• haʻi haʻi mua
• ke kiʻekiʻe o ke kiʻekiʻe o hoʻokahi ʻīniha

Ke ana ʻana i ka haku ʻana o ke kino

ʻO kahi hoʻohana ʻē aʻe no ka scan DEXA e ana i ke ʻano o ke kino, nāʻiʻo wīwī, a me nā mea momona. ʻOi aku ka pololei o ka DEXA ma mua o ka helu kino kuʻuna kino (BMI) i ka hoʻoholo ʻana i ka momona nui. Hiki ke hoʻohana ʻia i ke kiʻi kino a pau e loiloi i ka hoʻohaʻahaʻa kaumaha a i ʻole ka hoʻoikaika ʻana i nā mākala.

Pehea ʻoe e hoʻomākaukau ai no kahi scan ʻo DEXA?

ʻO ka scanner DEXA nā ʻōnaehana outpatient maʻamau. ʻAʻole pono nā hoʻomākaukau kūikawā e pono ai, koe wale no ka hoʻōki ʻana i ka lawe ʻana i nā pāʻina calcium no 24 mau hola ma mua o ka hoʻāʻo.

E komo i nā lole ʻoluʻolu. Kaukaʻi ʻia i ka ʻāpana o ke kino e nānā ʻia, pono paha ʻoe e hemo i nā lole me nā mea hoʻopaʻa hao, nā ziper, a me nā lou. E noi paha ka loea iā ʻoe e hemo i nā mea kāhiko a i ʻole nā ​​mea ʻē aʻe, e like me nā kī, i loaʻa i ka mea hao. Hāʻawi ʻia iā ʻoe i ka ʻaukā lole e komo ai i ka wā o ka hoʻokolokolo.

E hoʻomaopopo i kāu kauka i mua inā loaʻa iā ʻoe kahi CT scan e koi ana i ka hoʻohana ʻana i kahi mea ʻokoʻa a i ʻole he hōʻike barium. E noi paha lākou iā ʻoe e kali i kekahi mau lā ma mua o ka hoʻonohonoho ʻana i kahi scan ʻo DEXA.

E hōʻike ʻoe i ke kauka inā hāpai ʻoe a manaʻo paha ʻoe ua hāpai ʻoe. Makemake paha lākou e hoʻopaneʻe i ka scan DEXA a hiki i ka wā o kāu pēpē a i ʻole e mālama i nā hana kūikawā.

He aha nā kaʻina hana?

Hoʻokomo ʻia nā hāmeʻa DEXA i kahi pākaukau pale pale moe āu e moe ai. ʻO kahi lima hoʻoneʻe ma luna e paʻa i ka mea huli X-ray. Aia kahi hāmeʻa e hana i nā kukuna X ma lalo o ka papa.

Na ka ʻenehana e hoʻonoho iā ʻoe ma ka papa. Hiki iā lākou ke kau i kahi ʻūlū ma lalo o kou mau kuli e kōkua i ka pālahalaha ʻana i kou iwi kuamoʻo no ke kiʻi, a i ʻole ke hoʻonohonoho i kou pūhaka. Hiki iā lākou ke hoʻonohonoho i kou lima no ka nānā ʻana.

E noi ka mea loea iā ʻoe e paʻa mālie ʻoiai e neʻe mālie nei ka lima kiʻi ma luna o kou kino. ʻO ke kiʻekiʻe o ka radiation radiation X he mea liʻiliʻi ia e ʻae ai i ka ʻenehana e noho i loko o ka lumi me ʻoe i ka wā e hana ana i ka hāmeʻa.

Lawe ke kaʻina holoʻokoʻa i mau minuke wale nō.

He aha ke ʻano o nā hopena?

E heluhelu ʻia kāu hopena DEXA e kahi radiologist a hāʻawi ʻia iā ʻoe a me kāu kauka i loko o kekahi mau lā.

ʻO ka ʻōnaehana helu no ka scan e ana i kou nalo ʻana o ka iwi i ka poʻe ʻōpio olakino olakino, e like me nā kūlana i hoʻokumu ʻia e ka WHO. Kapa ʻia kēia kāu helu T. ʻO ia ka hoʻololi maʻamau ma waena o kāu nalo iwi i ana ʻia a me ka awelika.

• He helu o -1 a ʻoi paha manaʻo ʻia he maʻamau.
• He helu ma waena -1.1 a me -2.4 manaʻo ʻia he osteopenia, hoʻonui i ka makaʻu no ka haki.
• He helu o -2.5 a ma lalo manaʻo ʻia he osteoporosis, kūlana kiʻekiʻe no ka haki.

Hāʻawi paha kāu mau hopena iā ʻoe i kahi helu Z, ka mea e hoʻohālikelike ai i kou nalo ʻana o ka iwi i ka poʻe ʻē aʻe i kāu pae makahiki.

ʻO ka helu T kahi ana o ka makaʻu pili, ʻaʻole ka wānana e loaʻa iā ʻoe kahi haki.

E hele pū kāu kauka me nā hopena hōʻike me ʻoe. E kūkākūkā lākou inā pono ka lāʻau, a he aha kāu koho lapaʻau. Makemake paha ke kauka e ukali me ka scan DEXA ʻelua i loko o ʻelua mau makahiki, e ana i nā loli.

He aha ke kuanaʻike?

Inā hōʻike kāu hopena i ka osteopenia a i ʻole ka osteoporosis, e kūkākūkā ke kauka me ʻoe i ka mea e hiki iā ʻoe ke hana e lohi i ka nalo ʻana o ka iwi a ola olakino.

Hoʻopili wale paha ka mālama ʻana i nā loli nohona. E aʻoaʻo paha kāu kauka iā ʻoe e hoʻomaka i nā hana hāpai i ke kaupaona, nā hana kaulike, nā hoʻoikaika hoʻoikaika ʻana, a i ʻole kahi papahana hoʻemi kino.

Inā haʻahaʻa kāu mau huaʻai D a calcium, hoʻomaka paha lākou iā ʻoe ma nā mea hoʻopiha.

Inā ʻoi aku ka koʻikoʻi o kāu osteoporosis, hiki i ke kauka ke ʻōlelo aku iā ʻoe e lawe i kekahi o nā lāʻau i hoʻolālā ʻia e hoʻoikaika i nā iwi a hoʻēmi i ka nalo ʻana o ka iwi. E nīnau e pili ana i ka hopena o nā lāʻau lapaʻau.

Ke hoʻololi nei i kahi ʻano nohona a i ʻole ka hoʻomaka ʻana i kahi lāʻau e kōkua i ka lohi o kou nalowale iwi kahi waiwai maikaʻi i kou olakino a me kou ola lōʻihi. Hōʻike nā noiʻi e 50 pākēneka o nā wahine a me 25 pākēneka o nā kāne ma luna o 50 e haki i kahi iwi no ka osteoporosis, e like me ka National Osteoporosis Foundation (NOF).

He mea kōkua nō hoʻi e noho ʻike e pili ana i nā noiʻi hou a me nā hana hou e hiki ai. Inā makemake ʻoe e kamaʻilio me nā poʻe ʻē aʻe i loaʻa ka osteoporosis, he mau pūʻulu kākoʻo ko ka NOF a puni ka ʻāina.