I kou wā ʻelemakule, emi iho ka ikaika o kou kino, a ke manaʻo nei hoʻi ʻoe e pono ʻoe e akahele iki i ka wā e hele ana? I kekahi manawa, ʻoiai ka hāʻule iki ʻana hiki ke alakaʻi i ka haki ʻana o ka lima a i ʻole ka wāwae. ʻO ke kumu nui o kēia, ʻo ia nā iwi nāwaliwali. No laila i kēia lā ke kamaʻilio nei mākou e pili ana i kahi ʻano hana e hiki ai ke hoʻoholo pololei i ka ikaika, a i ʻole ka mānoanoa, o kou mau iwi. Ua kapa ʻia kēlā he scan DXA.
I ka ʻōlelo maʻalahi, he aha ka scan DXA?
He hoʻāʻo X-ray kūikawā ka scan DXA e ana i ka ikaika o kou mau iwi. I mea e pololei ai, nānā ia i ka nui o nā minerala o kou mau iwi . ʻO DXA ke kū nei no `(dual-energy X-ray absorptiometry)`. Eia naʻe, ke kamaʻilio mākou e pili ana i ia mea, kapa wale mākou ia he "DXA scan" a i ʻole he "bone density test." Pili nā inoa ʻelua i ka hoʻāʻo hoʻokahi.
He aha ka mea i loaʻa i kēia hoʻokolohua?
Ke noi aku nei ke kauka iā ʻoe e hana i kēia hoʻokolohua e ʻike i kekahi mau mea koʻikoʻi.
- E ʻike inā he osteoporosis kou: ʻO kēia ka mea a mākou e kapa nei he "poho iwi." I kēia kūlana, ua nāwaliwali loa nā iwi a hiki ke haki maʻalahi.
- E ʻike i ke ʻano Osteopenia: ʻO ke ʻano kēia, ʻoi aku ka haʻahaʻa o kou iwi ma mua o ka maʻamau, akā ʻaʻole i koʻikoʻi e like me ka osteoporosis. Eia nō naʻe, hoʻonui ia i kou pilikia o ka loaʻa ʻana o ka osteoporosis.
- E nānā i kou pilikia o ka haki ʻana: Ma muli o ka ikaika o kou mau iwi, hiki i kāu kauka ke loaʻa kahi manaʻo pehea e hiki ai iā ʻoe ke haki i ka iwi me ka hāʻule iki ʻana.
Eia kekahi, hoʻohana ʻia kēia hoʻāʻo e nānā i nā loli i kou mau iwi i ka hala ʻana o ka manawa. No ka laʻana, ma hope o ka hoʻomaka ʻana o ka mālama ʻana no ka osteoporosis, hana ʻia kēia scan i kēlā me kēia manawa e ʻike ai inā e hoʻoikaika ana ka lāʻau i kou mau iwi.
ʻO wai ka mea e pono ai ka scan DXA?
Hiki i kekahi ke loaʻa i kēia hoʻokolohua, akā ʻoi aku ka nui o ka pilikia o kekahi poʻe i ka loaʻa ʻana o nā iwi nāwaliwali ma mua o nā poʻe ʻē aʻe. No laila, pono e mālama mau kēia poʻe i ke olakino o ko lākou iwi.
ʻO nā kānaka i ka pilikia kiʻekiʻe:
- Nā wahine ma luna o 65 mau makahiki.
- ʻO nā kāne ma luna o 70 mau makahiki.
- ʻO kekahi kanaka i haki ka iwi ma hope o kahi hāʻule iki ʻana ma hope o 50 mau makahiki.
- Inā loaʻa kekahi o ka ʻohana (makuahine, makuakāne, kupuna wahine, ʻanakē) i ka osteoporosis.
- Inā he ʻīniha a me ka hapa a ʻoi aku paha kou pōkole ma mua o kou wā ʻōpiopio.
ʻOiai inā ʻoi aku kou ʻōpio ma mua o kēia mau palena makahiki, hiki i kāu kauka ke ʻōlelo i kēia hoʻokolohua no ka poʻe i pilikia i ka nāwaliwali o ka iwi ma muli o nā kumu ʻē aʻe.
Nā kumu pilikia ʻē aʻe
Hiki i kekahi mau maʻi a me nā lāʻau lapaʻau ke hōʻemi i ka ikaika o ka iwi.
- ʻO kekahi mau maʻi autoimmune.
- Ka puhipaka a i ʻole ka hoʻohana ʻana i nā huahana paka ʻē aʻe.
- Ka inu nui ʻana i ka waiʻona.
- Ka nele o ka wikamina D.
- Ka hoʻohana lōʻihi ʻana i nā lāʻau lapaʻau e like me corticosteroids .
- ʻO kekahi mau lāʻau anticancer.
- Ka hoʻomau ʻana i ka hoʻohana ʻana i nā lāʻau lapaʻau e like me nā mea hoʻopaʻa proton pump (PPI), a mākou e lawe ai no ka gastritis.
- Nā lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko, e like me ka heparin .
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau mea pilikia, he mea nui loa e kamaʻilio me kāu kauka a nīnau inā pono ʻoe e hana i kahi scan DXA.
Pehea e hana ai i kēia hoʻāʻo? He maʻalahi loa ia!
He hoʻāʻo maʻalahi loa kēia, ʻaʻohe ʻeha. ʻAʻole pono ʻoe e noho i ka haukapila. ʻAʻohe nila a i ʻole nā inikini.
- ʻO ka mea mua, e hoʻomoe ʻia ʻoe ma luna o kahi moe me kahi mīkini X-ray kūikawā.
- E hōʻike aku kekahi loea radiological iā ʻoe pehea e hoʻonoho pono ai iā ʻoe iho. Hiki iā lākou ke kau i kahi mea e like me nā uluna huʻa ma lalo o kou mau wāwae e kōkua iā ʻoe e noho i ke kūlana kūpono.
- A laila, neʻe kahi ʻāpana e like me ka lima o ka mīkini scan i mua a i hope ma luna o kou kino. ʻO kēia ka manawa e lawe ʻia ai nā kiʻi o nā iwi.
- ʻO ka hapa pinepine, ua nānā ʻia kou mau pūhaka a me kou iwi kuamoʻo no ka mea ʻo ia nā wahi i hoʻopilikia nui ʻia e ka nalowale o ka iwi. I kekahi manawa, hiki ke nānā ʻia nā iwi ma kou mau lima.
Ma kahi o 30 mau minuke ka lōʻihi o kēia kaʻina hana holoʻokoʻa.
He aha kāu e hana ai a he aha kāu e hana ʻole ai ma mua o ka hoʻāʻo ʻana?
ʻAʻole pono kēia i ka hoʻomākaukau nui ʻana.
- Hiki iā ʻoe ke ʻai a inu ma ke ʻano maʻamau ma mua o ka hoʻāʻo.
- Inā ʻaʻole haʻi pololei kāu kauka iā ʻoe ʻaʻole, e lawe i kāu mau lāʻau lapaʻau i kēlā me kēia lā e like me ka mea maʻamau.
- E ʻaʻahu i nā lole ʻoluʻolu a palupalu. ʻOi aku ka maikaʻi o ke komo ʻana i nā lole me nā ʻāpana hao ʻole e like me nā zippers, nā pihi, a i ʻole nā buckles, no ka mea, pono ʻoe e wehe i nā mea āpau me ka hao ma mua o ka hoʻāʻo.
- ʻO ka mea nui loa: Inā ʻoe e lawe ana i nā pila calcium a i ʻole nā huaora ʻē aʻe, pono ʻoe e hoʻōki i ka lawe ʻana iā lākou 24 mau hola ma mua o ka hoʻāʻo . E haʻi i kāu kauka e pili ana i kēia ma mua.
ʻAʻole hana ʻia kēia hoʻāʻo ma luna o nā wahine hāpai a i ʻole ka poʻe e manaʻo nei ua hāpai lākou. ʻOiai he haʻahaʻa loa ka pae radiation, ʻoi aku ka maikaʻi o ka pale ʻana i ka radiation i ka hiki ke hiki i ka wā hāpai.
He aha ka ʻōlelo a nā hualoaʻa? E nānā kākou!
E haʻi aku ka hōʻike āu e loaʻa ai ma hope o ke scan iā ʻoe e pili ana i ka nui o kou iwi. Hoʻohana nā kauka i kahi "T score" e ana i kēia.He waiwai i kapa ʻia. I ka ʻōlelo maʻalahi, hoʻohālikelike kēia helu-T i kou nui o ka iwi me ka nui o ka iwi o kahi ʻōpio olakino (ma waena o nā makahiki 20-30).
He mea maʻalahi loa kēia e hoʻomaopopo. E nānā kākou i ka papa ma lalo.
| Ka waiwai helu T | He aha ke ʻano o ia mea? |
|---|---|
| Ma waena o 0 a me -1 | Nā iwi olakino. He mānoanoa maikaʻi loa ko kou mau iwi. |
| Ma waena o -1 a me -2.5 | Osteopenia. Ua emi iki ka nui o ka iwi. Aia kahi pilikia o ka loaʻa ʻana o ka osteoporosis i ka wā e hiki mai ana. |
| -2.5 a emi mai paha | Osteoporosis. Ua nāwaliwali loa nā iwi. Kiʻekiʻe loa ka pilikia o ka haki ʻana. |
Mai hopohopo inā haʻahaʻa kāu helu T. E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo aʻoaʻo no ka hoʻoikaika ʻana i kou mau iwi.
- Hoʻoikaika Kino: ʻO nā hana e like me ka hele wāwae, ka yoga, a me nā hoʻoikaika kino hāpai kaumaha e hoʻoikaika i nā iwi.
- ʻAi a me nā mea hoʻohui: Ke haʻi aku nei lākou iā ʻoe e ʻai i nā meaʻai waiwai i ka calcium a me ka wikamina D. Hiki paha iā lākou ke paipai i ka lawe ʻana i nā pila calcium a me ka wikamina D.
- Nā lāʻau lapaʻau: Aia nā lāʻau lapaʻau kūikawā e hiki ke hoʻolohi i ka nalowale o ka iwi a pale i nā haki. Na kāu kauka e kuhikuhi iā lākou inā pono.
He aha ka ʻokoʻa ma waena o kahi scan DXA a me kahi 'Whole-Body Body Scan'?
ʻOiai ʻelua mau ʻano scan e nānā ai i nā iwi, ʻokoʻa loa kā lāua mau hana.
- ʻO ke kiʻi DXA: Nānā wale kēia i ka mānoanoa o nā iwi . Hoʻohana ʻia kēia e ʻike i nā kūlana e like me ka osteoporosis.
- ʻO ke Kānana Iwi Holoʻokoʻa: Hana pinepine ʻia kēia no nā poʻe maʻi kanesa. Hoʻohana ʻia ia e ʻike inā ua laha ke kanesa (metastasized) i nā iwi. Hoʻohana ʻia nō hoʻi ia e ʻike i nā maʻi i loko o nā iwi.
No laila, mai huikau i kēia mau hoʻokolohua ʻelua.
Leka Lawe-Home
- He hoʻāʻo X-ray maʻalahi a ʻeha ʻole ka DXA scan e ana i ka ikaika o kou mau iwi.
- He mea nui loa kēia no ka ʻike mua ʻana i ka osteoporosis, kahi maʻi e kū mai ana i nā wāhine a me nā kāne ʻelemakule i ko lākou wā ʻelemakule, ʻoiai ma hope o ka menopause.
- Hāʻawi ka helu T i kahi manaʻo maopopo o ke olakino o kou mau iwi.
- Mai makaʻu i nā hopena. Na kāu kauka e alakaʻi iā ʻoe i nā hoʻoikaika kino, ka ʻai, a, inā pono, nā lāʻau lapaʻau āu e pono ai e hoʻoikaika i kou mau iwi.
- Inā manaʻo ʻoe he pilikia paha ʻoe no nā iwi nāwaliwali, e kamaʻilio me kāu kauka e aʻo hou e pili ana i kēia.











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