ʻO nā ho'āʻo o ka Osteoporosis a me ka hōʻoia

Anter

• He aha nā ala i kahi ʻike osteoporosis?
• Ke lawe nei i kahi mōʻaukala olakino
• Ke hana nei i kahi hoʻokolohua kino
• Ke hoʻāʻo nei i kahi hoʻāʻo density iwi
• Hana i ke koko a me ka hoʻāʻo ʻana
• Pehea e hana ai i ka hoʻāʻo Mineral iwi iwi?
• He aha nā makaʻina o nā hōʻike diagnostic osteoporosis?
• Pehea wau e hoʻomākaukau ai no nā hōʻoia diagnostic osteoporosis?
• He aha ke kuanaʻike ma hope o ka ʻike o ka osteoporosis?

He aha ka osteoporosis?

ʻO Osteoporosis kahi kūlana i loaʻa i ka manawa e ʻike ai ke kanaka i ka nalo nui ʻana o ka nui o ka iwi. ʻO kēia ke kumu e nāwaliwali ai nā iwi a maʻalahi i ka haki. ʻO ka huaʻolelo "osteoporosis" ʻo ia hoʻi "iwi porous."

Hoʻopili pinepine kēia ʻano i nā mākua a hiki ke hoʻoweliweli i ke kiʻekiʻe.

He aha nā ala i kahi ʻike osteoporosis?

ʻImi pinepine i ka osteoporosis i mau ʻanuʻu. E loiloi pono ke kauka i kāu pilikia no ka osteoporosis a me ka ʻeha ʻeha. ʻO nā ʻanuʻu no ka hōʻoia ʻana i ka osteoporosis me kēia mau mea:

Ke lawe nei i kahi mōʻaukala olakino

E nīnau kahi kauka i nā nīnau e pili ana i ka hopena o ka osteoporosis. Hoʻonui ka mōʻaukala ʻohana osteoporosis i kou makaʻu. ʻO nā mea ola, e like me ka papaʻai, ka hoʻoikaika kino, nā ʻano inu, a me nā ʻano puhipaka hiki ke hoʻopili i kāu makaʻu. E nānā hou kekahi kauka i nā kūlana olakino āu i loaʻa ai a me nā lāʻau āu i lawe ai. Nā ʻōuli o ka osteoporosis e nīnau aku paha kāu kauka iā ʻoe e pili ana i nā haʻi iwi i hana ʻia, kahi moʻolelo pilikino o ka ʻeha o ke kua, kahi nalowale o ke kiʻekiʻe ma luna o ka manawa, a i ʻole ke kūlana stooped.

Ke hana nei i kahi hoʻokolohua kino

E ana ke kauka i ke kiʻekiʻe o ke kanaka a hoʻohālikelike i kēia i nā ana o mua. Hiki i ke kiʻekiʻe ke hōʻike i ka osteoporosis. E nīnau paha kāu kauka inā pilikia ʻoe e piʻi aʻe mai kahi noho mai me ka hoʻohana ʻole i kou mau lima e pahu iā ʻoe i luna. Hiki iā lākou ke hana i nā hoʻokolohua koko e loiloi i kāu mau pae o ka vitamini D, a me kekahi mau ho'āʻo koko e hoʻoholo ai i ka hana metabolic āpau o kāu mau iwi. E hoʻonui ʻia paha ka hana Metabolic i ka hihia o osteoporosis.

Ke hoʻāʻo nei i kahi hoʻāʻo density iwi

Inā hoʻoholo ke kauka aia ʻoe i ka makaʻu no ka osteoporosis, hiki iā ʻoe ke hoʻokau i ka hoʻāʻo ʻana o ka iwi. ʻO kahi laʻana maʻamau kahi scanner X-ray absorptiometry pālua (DEXA) scanner. Hoʻohana kēia hōʻike ʻeha ʻole, wikiwiki i nā kiʻi X-ray e ana i ka iwi iwi a me ka ʻeha haki.

Hana i ke koko a me ka hoʻāʻo ʻana

Hiki i nā kūlana olakino ke lilo i ka nalo o ka iwi. Hoʻopili kēia i ka parathyroid a me ka hana thyroid. Hiki i ke kauka ke hana i ka hoʻāʻo ʻana i ke koko a me ka mimi e hōʻole i kēia. Hiki paha i ka hoʻāʻo ke uhi i nā pae o ka calcium, ka hana thyroid a me nā pae testosterone i nā kāne.

Pehea e hana ai i ka hoʻāʻo Mineral iwi iwi?

Wahi a ka Radiological Society of North America (RSNA), ʻo ka scan DEXA ke kūlana no ke ana ʻana i ka nui o nā iwi o kekahi kanaka a me ko lākou pilikia no ka osteoporosis. Hoʻohana kēia hōʻike ʻehaʻeha ʻole i nā kukuna X e ana i ka nui o ka iwi.

Hana kahi ʻenehana ʻenehana i kahi kānana DEXA e hoʻohana ana i kahi kikowaena a i ʻole mea hāmeʻa peripheral. Hoʻohana pinepine ʻia kahi mea kikowaena i ka haukapila a i ʻole ke keʻena o ke kauka. Ke moe nei ke kanaka ma kahi pākaukau ʻoiai ka scanner e hoʻohana ʻia e ana i ka ʻūhā a me ka iwi iwi kuamoʻo.

Hoʻohana pinepine ʻia kahi mea hana peripheral ma nā hale kūʻai olakino kelepona a i ʻole nā ​​hale kūʻai lāʻau. Kapa nā kauka i nā hoʻokolohua ākea “nā hōʻike loiloi.” ʻOi aku ka liʻiliʻi o ka hāmeʻa a me ka pahu-like. Hiki iā ʻoe ke kau i ka wāwae a i ʻole ka lima i ka scanner e ana i ka nui o ka iwi.

Wahi a ka RSNA, lawe ka hōʻike ma kahi o 10 a 30 mau minuke e hana ai. Hiki paha i nā kauka ke hana i kahi hōʻike hou aʻe i ʻike ʻia ma ke ʻano he loiloi vertebral lateral (LVA). Ma muli o ka ʻeha hope he hōʻailona pinepine ia o nā haki vertebral mai ka osteoporosis a me kahi hōʻailona maʻamau i ka nui, ua loiloi ʻia ʻo LVA e hoʻoholo inā hiki ke kōkua i nā kauka e hoʻokaʻawale i ka osteoporosis mai ka ʻeha hope ʻole kikoʻī. Hoʻohana kēia ho'āʻo i nā mīkini DEXA e kōkua ai e hoʻoholo inā loaʻa i kekahi i nā haʻihaʻi iwi. ʻO ka pono o ka pono olakino o kēia hōʻoia ma ka ʻike a me ka hoʻokele o ka osteoporosis e noho hoʻopaʻapaʻa ana.

Loaʻa nā hopena kiʻi DEXA i ʻelua mau helu: he helu T a me kahi helu Z. Hoʻohālikelike ka helu T i ka nui o ka iwi o kekahi kanaka me kahi ʻōpio makua o ka like kāne. Wahi a ka National Osteoporosis Foundation, hāʻule nā ​​helu i nā ʻano aʻe:

• ʻoi aku ma mua o -1: maʻamau
• -1 a -2.5: nā iwi iwi haʻahaʻa (i kapa ʻia ʻo osteopenia, kahi kūlana ma mua o ka osteoporosis)
• emi ma mua o -2.5: hōʻike maʻamau i ka osteoporosis

Hoʻohālikelike ka helu Z i ka nui o ka minamina iwi o kekahi kanaka i ka poʻe o ko lākou mau makahiki, ke kāne, a me ke ʻano o ke kino holoʻokoʻa. Inā kāu helu Z ma lalo -2, ʻo kahi mea ʻē aʻe ma mua o ka ʻelemakule maʻamau ke kuleana no kāu hōʻemi ʻana i ka nui o ka iwi iwi. Pono e hōʻoia hou ʻia ka hoʻāʻo ʻana.

ʻAʻole manaʻo kēia mau hōʻoia diagnostic e ʻike maoli ʻoe i ka osteoporosis a i ʻole ka haki iwi. Akā, kōkua lākou i kāu kauka i ka loiloi ʻana i kāu makaʻu. Hoʻomaopopo pū lākou i kahi kauka e pono ai ka lāʻau hou a pono e kūkākūkā.

He aha nā makaʻina o nā hōʻike diagnostic osteoporosis?

ʻAʻole manaʻo ʻia kahi scan ʻo DEXA e hōʻeha i ka ʻeha. Eia nō naʻe, pili ia i kekahi hōʻike radiation liʻiliʻi. Wahi a ka RSNA, ʻo ka hōʻike he ʻumi hapaʻumi ia o kahi X-ray kuʻuna.

ʻO nā wahine hiki ke hāpai keiki ke aʻo ʻia paha e kūʻē i ka hōʻike. Inā loaʻa kahi hōʻailona o kahi osteoporosis kiʻekiʻe i ka wahine hāpai, makemake paha ʻo ia e noʻonoʻo e kūkākūkā i nā maikaʻi a me nā maikaʻi ʻole o ka hoʻāʻo ʻana DEXA me kāna kauka.

Pehea wau e hoʻomākaukau ai no nā hōʻoia diagnostic osteoporosis?

ʻAʻole pono ʻoe e ʻai i kahi papaʻai kūikawā a hōʻole paha i ka ʻai ʻana ma mua o ka hoʻāʻo DEXA. Eia nō naʻe, hiki i ke kauka ke koi aku i ka hōʻole ʻana i ka lawe ʻana i nā mea hoʻopiha calcium i hoʻokahi lā ma mua o ka hoʻāʻo.

Hoʻomaopopo pū kekahi wahine i ka ʻenehana loea X inā hiki ke hāpai ʻo ia. Hiki paha i ke kauka ke hoʻopanee i ka hoʻokolohua a hiki i ka wā e hānau ai ka pēpē a koi paha i nā ala e hōʻemi ai i ka pāhawewe.

He aha ke kuanaʻike ma hope o ka ʻike o ka osteoporosis?

Hoʻohana nā kauka i nā hopena hōʻike e hana i nā ʻōlelo aʻoaʻo no ka poʻe me ka osteopenia a me ka osteoporosis. Pono paha kekahi poʻe e hoʻololi i ka nohona. Pono paha nā poʻe ʻē aʻe i nā lāʻau.

Wahi a ka American College of Rheumatology, hiki i ka poʻe me ka helu haʻahaʻa haʻahaʻa o ka iwi ke loaʻa i ka helu helu helu pilikia (FRAX). Kuhi kēia helu i ka likelike o ke kanaka e haki ka iwi i loko o nā makahiki he ʻumi e hiki mai ana. Hoʻohana nā kauka i nā helu FRAX a me ka nui o ka mineral mineral iwi (BMD) e hōʻike i nā hopena.

ʻAʻole manaʻo kēia mau helu e holomua ʻoe mai ka osteopenia a i ka osteoporosis a i ʻole ke ʻike i kahi haki. Akā, paipai lākou i nā ʻano pale. ʻO nā laʻana me:

• hāʻule nā ​​hana pale
• ke hoʻonui nei i ka calcium
• lawe lāʻau
• ka pale ʻana i ka puhipaka