E aʻo hou kākou e pili ana i ka DXA scan (Bone Density Test) e ana i ka ikaika o kou mau iwi!

Ua noʻonoʻo paha ʻoe i ka ikaika o kou mau iwi i loko? I kekahi manawa, ʻaʻole hiki iā mākou ke ʻike iā lākou mai waho mai, akā, ʻo ko mākou ʻōnaehana iwi ka mea e hoʻopaʻa pono ai iā mākou a kākoʻo i ko mākou kino holoʻokoʻa. No laila, he mea nui loa ka ʻike e pili ana i ka ikaika o kēia mau iwi, ʻoiai hoʻi e pale aku i kekahi o nā pilikia olakino e hele mai me ka ʻelemakule. ʻO ia kahi e hiki ai i ka DXA scan (Bone Density Test) ke kōkua iā mākou.

He aha ka scan DXA? I ka ʻōlelo maʻalahi...

He hoʻāʻo kūikawā ka scan DXA e ana i ka ikaika, a i ʻole ka nui o kou mau iwi. Hoʻohana ia i nā kukuna X e ʻike i ka mānoanoa a me ka ikaika o kou mau iwi. ʻO DXA ke kū nei no ka "Dual-energy X-ray absorptiometry." Akā no ka mea he paʻakikī ke hoʻomanaʻo i kahi inoa lōʻihi, kapa mākou āpau ia he scan DXA, a i ʻole he hoʻāʻo nui o ka iwi. Ua kapa ʻia ia he scan DEXA, akā ʻaʻole hoʻohana nui nā kauka i kēlā huaʻōlelo i kēia manawa.

He aha nā ʻano maʻi e hoʻohana ʻia ai ka scan DXA no ka ʻike ʻana?

Aia kekahi mau kumu e noi aku ai ke kauka iā ʻoe e hana i kahi scan DXA. ʻO nā mea nui:

• E ʻike i ka Osteoporosis: He maʻi kēia e palupalu ai nā iwi, nāwaliwali, a maʻalahi hoʻi e haki. Hoʻomaka pinepine kēia ʻano me ka ʻelemakule.
• E hoʻomaopopo i ke kūlana o ka osteopenia: He kūlana kēia kahi i haʻahaʻa ai ka nui o ka iwi ma mua o ka maʻamau, ʻoiai ʻaʻole i koʻikoʻi e like me ka osteoporosis, a ke hoʻomaka nei nā iwi e lahilahi. Hiki i kēia ke lilo i mea mua i ka osteoporosis.
• E loiloi i kou pilikia o ka haki ʻana: Inā nāwaliwali kou mau iwi, ʻoi aku ka nui o kou haki ʻana i ka iwi me ka hāʻule iki ʻana. Hiki i kēia scan ke kōkua iā ʻoe e hoʻoholo i kou pilikia.

Hoʻohana pū nā kauka i kēia hoʻāʻo e ʻike i ke ʻano o ka loli ʻana o kou mau iwi i ka hala ʻana o ka manawa. E noʻonoʻo e pili ana i kēia ʻano:

• E emi maoli ana ka ikaika o ka iwi me ka ʻelemakule. E ʻike i ka wikiwiki o kona hana ʻana a me ka nui o kona emi ʻana.
• Hiki i kekahi mau lāʻau lapaʻau (e like me nā corticosteroids) ke hoʻoulu i ka nalowale o ka iwi ma ke ʻano he hopena ʻaoʻao ke hoʻomaka ʻoe e lawe iā lākou . E nānā i ke olakino o kou iwi ma mua o ka hoʻomaka ʻana i kekahi lāʻau lapaʻau.
• Inā ʻoe e mālama ʻia nei no kahi maʻi i kapa ʻia ʻo "Osteoporosis" a i ʻole "Osteopenia", e nānā e ʻike inā ua hoʻomaikaʻi a hoʻoikaika paha kēlā mau lāʻau i kou mau iwi.

Pono anei iaʻu e hana i kahi scan DXA?

ʻO ka ʻoiaʻiʻo, hiki i kekahi ke pōmaikaʻi mai kahi scan DXA e nānā i ko lākou nui o ka iwi. Hiki i kāu kauka ke paipai i kēia hoʻāʻo inā he hopohopo ko lākou e pili ana i kou nui o ka iwi a i ʻole kou pilikia o ka haki ʻana.

Eia nō naʻe, ʻoi aku ka nui o ka pilikia o kekahi poʻe i ka loaʻa ʻana o nā maʻi e hoʻopilikia ai i ka nui o ka iwi, e like me ka osteoporosis. No laila, aia kekahi mau hui e paipai nei i nā scan DXA maʻamau :

• Nā wahine ma luna o 65 mau makahiki.
• ʻO nā kāne ma luna o 70 mau makahiki.
• ʻO nā kānaka ma luna o 50 mau makahiki i loaʻa ka iwi haki ma mua (ʻoiai mai kahi ulia liʻiliʻi)
• ʻO ka poʻe nona nā mākua a i ʻole nā ​​kūpuna i loaʻa i ka osteoporosis.
• ʻO ka poʻe he hoʻokahi a me ka hapa ʻīniha a ʻoi aku paha ka pōkole ma mua o ko lākou kiʻekiʻe loa (maʻamau i ko lākou mau makahiki 20). (Hiki i kēia ke lilo i hōʻailona o ka nāwaliwali o ka iwi.)

ʻOiai ka poʻe ʻōpio ma mua o kēia mau palena makahiki, ka poʻe i ʻoi aku ka nui o ka pilikia o ka nalowale o ka iwi, pono paha lākou e loaʻa i nā scan DXA maʻamau. E haʻi aku kāu kauka iā ʻoe i ka manawa a me ka pinepine e pono ai ʻoe e hana i kēia hoʻokolohua.

He aha nā kumu pilikia ʻē aʻe e hoʻopilikia ai i ka nui o ka iwi?

Hiki i kekahi mau kūlana olakino a me nā lāʻau lapaʻau āu e lawe ai ke hoʻonui i kou pilikia o ka loaʻa ʻana o nā pilikia me ka nui o kou iwi. Eia kekahi mau laʻana:

• ʻO kekahi mau maʻi autoimmune .
• Ka puhipaka a i ʻole ka hoʻohana ʻana i nā huahana paka ʻē aʻe.
• Ka hoʻomaʻamaʻa ʻana i ka waiʻona a i ʻole ka inu ʻana ma mua o ʻekolu mau ʻāpana waiʻona i ka lā.
• Ka nele o ka wikamina D.
• Ka hoʻohana lōʻihi ʻana i nā lāʻau lapaʻau e like me corticosteroids .
• ʻO kekahi mau lāʻau anti-cancer .
• ʻO kekahi mau lāʻau immunosuppressant .
• Nā lāʻau hoʻopau hormone .
• Nā lāʻau lapaʻau no kekahi mau maʻi epilepsy .
• ʻO nā mea hoʻopaʻa pamu proton (PPIs) (ua kuhikuhi pinepine ʻia kēia mau mea no nā kūlana e like me ka gastritis a me ka maʻi reflux gastroesophageal (GERD)).
• ʻO Heparin (kahi lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko).

Pehea e hana ʻia ai kēia hoʻāʻo paʻa o ka iwi (DXA scan)?

Hoʻohana kahi hoʻāʻo paʻa iwi i nā kukuna X haʻahaʻa e ana i ka paʻa a me ka haku mele o kou mau iwi. Ua like ia me kahi kukuna X maʻamau. ʻO ia ke kumu e kū ai ka X ma DXA no "X."

ʻO ka mea nui loa, he hana ma waho kēia. ʻO ia hoʻi, ʻaʻole pono ʻoe e noho i ka haukapila. ʻAʻohe nila a i ʻole nā ​​inikini. A ʻaʻohe ʻeha.

Hiki paha iā ʻoe ke komo i kou mau lole maʻamau no kēia hoʻokolohua, a i ʻole e noi ʻia paha ʻoe e komo i ka ʻaʻahu haukapila.

Eia ke ʻano maʻamau o ka hana ʻana o kahi scan DXA:

1. E hoʻomoe ʻia ʻoe ma luna o kahi papa kiʻi X-ray kūikawā.

2. E kōkua kekahi loea (radiological technologist) iā ʻoe e hoʻonoho pono iā ʻoe iho. Hiki ke waiho ʻia ʻoe ma lalo a puni paha o kou mau wāwae e kōkua ai e mālama iā lākou ma kahi.

3. A laila, ʻo kēlā loeaHoʻoneʻe ka mīkini scan i kahi ʻāpana e like me ka lima o kou kino ma o kou kino. ʻO kēia ka mea e lawe i nā kiʻi o kou mau iwi.

4. ʻO ka hapa pinepine , ua scan ʻia kou ʻūhā a me kou iwi kuamoʻo . Eia nō naʻe, i kekahi manawa hiki ke scan ʻia nā iwi ʻē aʻe i loko o kou kino, e like me kou mau iwi lima.

Hoʻohana kēia mīkini nānā DXA i ʻelua ʻano o ka radiation haʻahaʻa e hōʻike i kou nui o ka iwi ma ke ʻano he mau kiʻi a me nā kiʻi ma kahi pale kamepiula. ʻIke ʻia kou mau iwi keʻokeʻo. ʻIke ʻia ka momona, nā ʻiʻo, a me nā ʻiʻo palupalu ʻē aʻe ma ke ʻano he mau aka ʻeleʻele ma nā kiʻi.

He aha kāu e pono ai e hana ma mua o ka nānā ʻana i ka DXA?

No ka hapa nui, ʻaʻole pono ʻoe e hana i kekahi mau hoʻololi nui i kāu hana maʻamau ma mua o ka nānā ʻana i ka DXA. ʻO ka maʻamau:

• Hiki iā ʻoe ke ʻai a inu ma mua o ka hoʻāʻo ʻana.
• Hiki iā ʻoe ke hoʻomau i ka lawe ʻana i kāu mau lāʻau lapaʻau i kēlā me kēia lā e like me ka mea maʻamau, ke ʻole kāu kauka e haʻi iā ʻoe i kahi ʻē aʻe.
• Ke hele mai ʻoe no ka hoʻokolohua , e ʻaʻahu i nā lole ʻoluʻolu a palupalu. E hoʻāʻo e ʻaʻahu i nā lole me nā ʻāpana hao ʻole (e like me nā zippers, nā pihi, nā buckles). Pono ʻoe e wehe i nā lole hao a me nā mea hoʻonani ma mua o ka hoʻokolohua.

He mea nui: Inā ʻoe e lawe ana i nā mea hoʻohui calcium a i ʻole nā ​​​​huaora ʻē aʻe mai ka hale kūʻai lāʻau lapaʻau, mai lawe iā lākou no 24 mau hola ma mua o ka hoʻāʻo. E haʻi i kāu kauka i nā huaora a me nā mea hoʻohui āu e lawe nei. E haʻi aku ʻo ia iā ʻoe i nā mea hiki iā ʻoe ke lawe a ʻaʻole hiki ke lawe ma mua o ke scan DXA.

Eia kekahi, ʻaʻole hiki iā ʻoe ke hana i kahi scan DXA i loko o 24 mau hola ma hope o kekahi mau hoʻokolohua kiʻi ʻē aʻe (e laʻa, kahi scan CT i hoʻohana i ka dye contrast). No laila, ma mua o kou hoʻonohonoho ʻana i kahi scan DXA, e haʻi i ka luna inā he mau hoʻokolohua ʻē aʻe kāu i hoʻonohonoho ʻia.

ʻEhia ka lōʻihi o ka hoʻāʻo ʻana i ka nui o ka iwi?

ʻO ka maʻamau, he 30 mau minuke ka lōʻihi o ka hoʻāʻo ʻana i ka nui o ka iwi. Hiki ke ʻokoʻa iki kēia manawa ma muli o ka nui o kou mau iwi e pono e nānā ʻia.

Aia kekahi mau pōmaikaʻi ʻole o ka DXA scan?

ʻO ka ʻoiaʻiʻo, haʻahaʻa loa nā pilikia o kahi hoʻāʻo paʻa iwi. ʻAʻole ʻoe e ʻeha a loaʻa paha nā hopena ʻaoʻao ma hope o ke scan.

Eia nō naʻe, inā hāpai ʻoe a manaʻo paha ʻoe e hāpai ana, pono ʻoe e haʻi aku i kāu kauka. ʻO ka pae o ka radiation i hoʻohana ʻia i nā scan DXA he haʻahaʻa loa ia ʻaʻole ia he mea ʻino i ka hapa nui o ka poʻe. Eia nō naʻe, inā hāpai ʻoe, ʻoi aku ka maikaʻi o ka pale ʻana i nā ʻano radiation āpau i ka wā hiki.

Ua ʻike ʻia kekahi mau noiʻi he hiki ke loaʻa nā ʻokoʻa iki i nā hopena scan DXA ma muli o ka hui e hana ana i ka scanner. Akā, ʻaʻole ia he mea āu e hopohopo ai. E nānā kāu kauka i kou mānoanoa o ka iwi i ka hala ʻana o ka manawa a e kauoha paha i nā hoʻokolohua hou a i ʻole nā ​​hoʻokolohua ʻē aʻe inā pono.

He aha nā hopena o kahi scan DXA? He aha ko lākou manaʻo?

Hōʻike nā hopena o kahi scan DXA i ka mānoanoa a me ka ikaika o kou mau iwi.

Hoʻohana nā kauka i kahi ʻano i kapa ʻia ʻo "T score" e ana i kou nui o ka iwi. Hoʻohālikelike kēia helu T i kou nui o ka iwi i ka nui o ka iwi o kahi kanaka olakino maʻamau, he 20 a 30 mau makahiki. Hoʻohana pinepine ʻia nā hopena ma ke ʻano he helu maikaʻi ʻole. ʻO ka kokoke o kāu helu T i ka ʻole (ʻaʻole ia he mea nui inā he helu maikaʻi), ʻoi aku ka ikaika o kou mau iwi.

• Ma waena o 0 a me -1: Mānoanoa o ka iwi olakino. (He kūlana maikaʻi kēia!)
• Ma waena o -1 a me -2.5: Loaʻa iā ʻoe ka "Osteopenia". Hiki i kēia ke hoʻonui i kou pilikia o ka loaʻa ʻana o ka "Osteoporosis."
• -2.5 a emi mai paha: Loaʻa iā ʻoe ka osteoporosis, a i ʻole nā ​​​​iwi nāwaliwali loa. ʻO ke ʻano kēia, aia ʻoe i kahi pilikia kiʻekiʻe loa o ka haki ʻana o ka iwi.

E kūkākūkā kāu kauka i kēia mau hopena me ʻoe a wehewehe i ko lākou manaʻo. Inā haʻahaʻa kou nui o ka iwi ma mua o ka mea i manaʻo ʻia, e hāʻawi ʻo ia i nā lāʻau lapaʻau e kōkua i ka hoʻoikaika ʻana i kou mau iwi. Eia kekahi laʻana:

• E hoʻoikaika kino hou aku: Hoʻoikaika ka hana kino mau i kou mau iwi. He mea maikaʻi nā mea e like me ka hele wāwae, ka yoga, a me ka hoʻomaʻamaʻa ikaika no ka pale ʻana i ka nalowale o ka iwi.
• Nā mea hoʻohui a i ʻole nā ​​​​meaʻai kūikawā: Hiki i kāu kauka ke haʻi aku iā ʻoe e lawe i kahi mea hoʻohui huaora D a i ʻole calcium. Hiki iā lākou ke haʻi aku iā ʻoe e ʻai i nā meaʻai i kiʻekiʻe i kekahi mau huaora a me nā minelala.
• Nā lāʻau lapaʻau: Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e hoʻolohi i ka nalowale o ka iwi a pale i nā haki. Hiki i kekahi mau lāʻau lapaʻau no ka osteoporosis ke kōkua i ka hoʻonui ʻana i kou paʻapū o ka iwi.

He aha ka ʻokoʻa ma waena o kahi scan DXA a me kahi scan iwi o ke kino holoʻokoʻa?

ʻElua mau hoʻokolohua like nā scan DXA a me nā scan iwi o ke kino holoʻokoʻa. Nānā nā scan ʻelua i kou mau iwi, akā hoʻohana nā kauka iā lākou e nānā i nā ʻano like ʻole o ke olakino o kou iwi.

• ʻO ka DXA scan kahi hoʻāʻo X-ray kūikawā e ana i kou mānoanoa o ka iwi a nānā i nā maʻi hoʻonāwaliwali i ka iwi e like me ka osteoporosis.
• Hiki i ke scan iwi o ke kino holoʻokoʻa ke kōkua i nā kauka e ʻike inā he maʻi kanesa kou, e like me ka laha ʻana i kou mau iwi (metastasized). Hiki iā ia ke kōkua i ka hoʻoholo ʻana i ke kahua o kou maʻi kanesa. Hiki iā ia ke ʻike i nā maʻi, nā ʻeha o ka iwi, a me nā pilikia ʻē aʻe.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

ʻO ke kiʻi DXA, ke kiʻi DEXA, ka hoʻāʻo paʻa iwi ... ʻo nā mea a pau a kāu kauka e kapa ai, he hoʻāʻo wikiwiki, maʻalahi (a ʻeha ʻole).ʻAe kēia i kāu kauka e ʻike i nā kūlana e hoʻopilikia paha i ka nui o ka iwi i ka wā hikiwawe loa. Ma muli o kou mau makahiki, ka mōʻaukala ʻohana o ka maʻi, a i ʻole nā ​​​​kumu pilikia ʻē aʻe e pono ai ʻoe e hana i nā hoʻokolohua nui o ka iwi maʻamau.

Pono nā kānaka a pau e hopohopo e pili ana i ka nui o ko lākou iwi i ko lākou wā ʻelemakule. E nīnau i kāu kauka i ka pinepine o kāu hana ʻana i kahi scan DXA. He mea nui loa ia no ka poʻe me ka mōʻaukala ʻohana o ka osteoporosis e hoʻāʻo pinepine ʻia ko lākou iwi.

E kōkua kāu kauka iā ʻoe e mālama i kou mau iwi i ka ikaika e kākoʻo iā ʻoe i kou ola a pau. No laila, ʻaʻohe mea e hopohopo ai. Inā pono, e hoʻāʻo ʻia a e makaʻala i ke olakino o kou iwi.

ʻO ke kiʻi DXA, ka nui o ka iwi, ka osteoporosis, ka osteopenia, nā haki, ka helu T, ke olakino o ka iwi