Lɛ wi lan mɔ bɔt di DXA skan (Bone Density Test) we de mɛzhɔ di trɛnk we yu bon dɛn gɛt!

Yu dɔn ɛva wɔnda aw yu bon dɛn strɔng insay? Sɔntɛnde wi nɔ kin si dɛn frɔm do, bɔt na wi skel sistɛm de mek wi tinap stret ɛn sɔpɔt wi ɔl bɔdi. So i rili impɔtant fɔ no bɔt di trɛnk we dɛn bon ya gɛt, mɔ fɔ avɔyd sɔm pan di wɛlbɔdi prɔblɛm dɛn we kin kam wit di ej. Na de di DXA skan (Bone Density Test) kin ɛp wi.

Wetin na DXA skan? Fɔ tɔk am simpul wan...

DXA skan na spɛshal tɛst we de sho aw yu bon dɛn gɛt trɛnk ɔ di density . I de yuz ɛkstrem rayt fɔ si aw yu bon dɛn tik ɛn strɔng. DXA tinap fɔ ``Dual-energy X-ray absorptiometry.'' Bɔt bikɔs i at fɔ mɛmba dis kayn lɔng nem, wi ɔl jɔs kɔl am DXA skan, ɔ bon dɛnsiti tɛst. Dɛn bin de kɔl am DEXA skan, bɔt dɔktɔ dɛn nɔ de yuz da wɔd de bɔku igen.

Us kayn sik dɛn kin yuz DXA skan fɔ no if pɔsin gɛt am?

Bɔku rizin dɛn de we mek dɔktɔ kin aks yu fɔ mek dɛn du DXA skan. Di men wan dɛn na:

• Fɔ no ɔstioporosis: Dis na sik we di bon dɛn kin brok, wik, ɛn i kin brok izi wan. Bɔrku tɛm dis sik kin apun wae pɔrsin de ol.
• Rikɔgnayz di kɔndishɔn fɔ ɔstiopenia: Dis na kɔndishɔn we di bon dɛn kin smɔl pas aw i kin bi, pan ɔl we i nɔ kin bad lɛk ɔstioporosis, ɛn di bon dɛn kin bigin fɔ tan. Dis kin bi di prɛkursɔ fɔ ɔstioporosis.
• Asɛs di risk we yu gɛt fɔ brok: If yu bon dɛn wik, yu go ebul fɔ brok bon ivin if yu fɔdɔm smɔl. Dis skan kin ɛp yu fɔ no di prɔblɛm we yu gɛt.

Dɔktɔ dɛn kin yuz dis tɛst bak fɔ si aw yu bon dɛn kin chenj as tɛm de go. Tink bɔt am dis we:

• Bɔn trɛnk kin go dɔŋ bay insɛf we i ol. Si aw i kin apin kwik kwik wan ɛn aw i dɔn go dɔŋ.
• Sɔm mɛrɛsin dɛn (lɛk kɔtikosterɔyd) kin mek yu bon lɔs as sayd ɛfɛkt we yu bigin fɔ tek dɛn . Chek yu bon wɛlbɔdi bifo yu bigin ɛni tritmɛnt.
• If dɛn dɔn ɔlrɛdi de trit yu fɔ wan sik we dɛn kɔl ``Osteoporosis'' ɔ ``Osteopenia'', chɛk fɔ si if dɛn tritmɛnt dɛn de dɔn mek yu bon dɛn bɛtɛ ɔ strɔng.

A nid fɔ gɛt DXA skan?

Infakt, ɛnibɔdi kin bɛnifit frɔm DXA skan fɔ chɛk dɛn bon dɛnsiti. Yu dɔktɔ kin tɛl yu fɔ du dis tɛst if dɛn gɛt kɔnsyus bɔt yu bon dɛnsiti ɔ yu risk fɔ brok.

Bɔt sɔm pipul dɛn kin gɛt bɔku sik dɛn we kin afɛkt dɛn bon dɛn, lɛk ɔstioporosis. So, sɔm grup dɛn de we kin se dɛn fɔ du DXA skan ɔltɛm :

• Uman dɛn we dɔn pas 65 ia.
• Man dɛn we dɔn pas 70 ia.
• Pipul dɛn we dɔn pas 50 ia we dɛn bin dɔn brok bon bifo (ivin frɔm smɔl aksidɛnt) .
• Pipul dɛn we dɛn mama ɛn papa ɔ grani ɛn granpa dɔn gɛt ɔstioporosis.
• Pipul dεm wae gεt wan εn af inch כ mכr sכt pas aw dεn bin de na dεn pik ayt (bכku tεm na dεn 20 ia). (Dis kin bi sayn fɔ se yu bon dɛn wik.)

Ivin di wan dɛn we yɔŋ pas dɛn ej limit ya, we gɛt ay risk fɔ lɔs dɛn bon, kin nid fɔ gɛt DXA skan ɔltɛm. Yu dɔktɔ go tɛl yu ustɛm ɛn aw ɔltɛm yu fɔ du dis tɛst.

Us ɔda tin dɛn we kin mek pɔsin gɛt prɔblɛm wit di bon dɛn?

Sɔm wɛl bɔdi prɔblɛm ɛn mɛrɛsin dɛm wae yu kin tek kin mek yu gɛt prɔblɛm wit yu bon density bak. Na sɔm ɛgzampul dɛn ya:

• Sɔm sik dɛn we pɔsin kin gɛt we i de fɛt insɛf .
• Fɔ smok ɔ yuz ɔda tin dɛn we dɛn kin yuz fɔ smok.
• Adikshɔn pan rɔm ɔ fɔ drink pas tri yunit rɔm fɔ wan de.
• Vitamin D we nɔ de .
• Yuz mɛrɛsin dɛn lɛk kɔtikosterɔyd fɔ lɔng tɛm .
• Sɔm mɛrɛsin dɛn we dɛn kin yuz fɔ fɛt kansa .
• Sɔm mɛrɛsin dɛn we de mek di bɔdi nɔ gɛt bɛtɛ wɛlbɔdi .
• Di tin dɛn we de mek di ɔmon nɔ de wok .
• Mɛrɛsin fɔ sɔm kayn epilepsy kɔndishɔn dɛn .
• di protכn pכmp inhibito dεm (PPI dεm) (dεn kin gi dεn tin ya fכ kכndishכn dεm lεk gastritis εn gastroesophageal reflux disease (GERD)).
• Heparin (na drɔg we de mek blɔd nɔ klɔt).

Aw dɛn kin du dis bon dɛnsiti tɛst (DXA skan)?

di bon dεnsiti tεst de yuz lכw dכz εks-ray fכ mכsu di dεnsiti εn minral kכmכshכn fכ yu bon dεm. I tan lɛk ɛkstrem rayt we dɛn kin du ɔltɛm. Na dat mek di X na DXA tinap fɔ "X."

Di tin we impɔtant pas ɔl na dat dis na ɔutpatient prosidur . Dat min se yu nɔ nid fɔ de na ɔspitul. Nɔ nidul ɔ injɛkshɔn nɔ de. Ɛn no pen nɔ de.

Yu kin ebul fɔ wɛr yu nɔmal klos fɔ dis tɛst, ɔ dɛn kin aks yu fɔ wɛr ɔspitul gɔn.

Na dis na aw DXA skan kin apin:

1. Dɛn go mek yu ledɔm pan spɛshal X-ray tebul.

2. Teknishian (radiologic technologist) go ɛp yu fɔ posishun yusɛf fayn fayn wan. Dɛn kin put yu ɔnda ɔ rawnd yu leg fɔ ɛp fɔ mek dɛn kɔntinyu fɔ de.

3. Den, dat teknishianDi mashin we de skan de muv wan pat pan yu bɔdi we tan lɛk an tru yu bɔdi. Dis na wetin de tek pikchɔ fɔ yu bon dɛn.

4. Bɔku tɛm , dɛn kin skan yu hip ɛn yu spayna . Bɔt sɔntɛnde, dɛn kin skan ɔda bon dɛn na yu bɔdi, lɛk yu fɔs an bon dɛn bak.

Dis DXA skan de yuz tu kayn low-dose radiation fɔ sho yu bon density as imej ɛn grafik na kɔmpyuta skrin. Yu bon dɛn kin tan lɛk wayt. Fat, mɔsul, ɛn ɔda sɔft tisu dɛn kin apia lɛk dak shado na di pikchɔ dɛn.

Wetin yu fɔ avɔyd fɔ du bifo yu du DXA skan?

Fɔ di bɔku pat, yu nɔ go nid fɔ mek ɛni big chenj to yu ɛvride rutin bifo yu du DXA skan. Tipikli wan:

• Yu kin it ɛn drink bifo di tɛst.
• Yu kin kɔntinyu fɔ tek yu mɛrɛsin dɛn we yu de tek ɛvride lɛk aw yu kin tek am, pas nɔmɔ yu dɔktɔ tɛl yu ɔda we.
• We yu kam fɔ di tɛst , wɛr fayn klos we nɔ fit. Tray fɔ wɛr klos we nɔ gɛt mɛtal pat (lɛk zip, bɔtin, bɔkul). Yu go nid fɔ pul ɛni mɛtal klos ɛn jɔyri bifo di tɛst.

Impɔtant: If yu de tek kalsiɔm sɔpɔtmɛnt ɔ ɔda vaytamɛn dɛn frɔm di famasi, nɔ tek am fɔ 24 awa bifo yu du di tɛst. Tɛl yu dɔktɔ us vaytamɛn ɛn sɔpɔtmɛnt dɛn yu de tek. I go tɛl yu uswan yu kin tek ɛn yu nɔ go ebul fɔ tek bifo di DXA skan.

Dɔn bak, yu nɔ go ebul fɔ gɛt DXA skan insay 24 awa afta yu dɔn du sɔm ɔda imej tɛst dɛn (e.g., CT skan we yuz kɔntrast day). So, bifo yu sɛtul fɔ du DXA skan, tɛl di ɔfisa if yu gɛt ɛni ɔda tɛst we dɛn dɔn sɛtul fɔ du.

Aw lɔng fɔ tɛst di bon dɛnsiti kin tek?

Bɔku tɛm fɔ tɛst di bon dɛnsiti kin tek lɛk 30 minit so . Dis tɛm kin difrɛn smɔl dipen pan ɔmɔs pan yu bon dɛn nid fɔ skan.

Ɛni bad tin de we DXA skan gɛt?

Infakt, di risk dɛn we pɔsin kin gɛt we i du tɛst fɔ no if pɔsin gɛt bon dɛn, kin rili smɔl. Yu nɔ go fil ɛni pen ɔ gɛt ɛni sayd ɛfɛkt afta di skan.

Bɔt if yu gɛt bɛlɛ ɔ yu tink se yu go gɛt bɛlɛ, yu fɔ rili tɛl yu dɔktɔ. Di lɛvɛl fɔ di raytin we dɛn kin yuz fɔ du DXA skan so smɔl dat i nɔ kin ambɔg bɔku pipul dɛn. Bɔt if yu gɛt bɛlɛ, i go fayn fɔ avɔyd ɔl kayn raytin ɛnitɛm we i pɔsibul.

Sɔm stɔdi dɛn dɔn sho se smɔl chenj kin de pan di DXA skan rizɔlt dipen pan di kɔmni we de mek di skan. Bɔt bɔku tɛm dat nɔto sɔntin we yu fɔ wɔri bɔt. Yu dɔktɔ go wach yu bon dɛnsiti as tɛm de go ɛn i kin ɔda fɔ ripit tɛst ɔ ɔda tɛst if nid de.

Wetin na di rizulyt fɔ DXA skan? Wetin dɛn min?

Di rizulyt fɔ DXA skan de sho aw yu bon dɛn dense ɛn strɔng.

Dɔktɔ dɛn kin yuz wan we we dɛn kɔl "T score" fɔ mɛzhɔ yu bon dɛnsiti. dis T skכl de kכmpεr yu bon dεnsiti to di bon dεnsiti fכ wan hεlty, avrej 20 to 30 ia ol. Dɛn kin mɛzhɔ di rizɔlt dɛn as nɛgitiv nɔmba. Di klos we yu T skɔ de nia ziro (i nɔ mata if na pɔzitiv nɔmba), na di mɔ yu bon dɛn strɔng.

• Bitwin 0 ɛn -1: Hεlty bon dεnsiti. (Dis na gud kɔndishɔn!)
• Bitwin -1 ɛn -2.5: Yu gɛt ``Osteopenia``. Dis kin mek yu gɛt mɔ risk fɔ gɛt ``Osteoporosis.``
• -2.5 ɔ less: Yu gɛt ɔstioporosis, ɔ yu bon dɛn we rili wik. Dis min se yu de pan rili ay risk fɔ brok yu bon.

Yu dɔktɔ go tɔk to yu bɔt dɛn rizɔlt ya ɛn ɛksplen wetin dɛn min. If yu bon dɛn nɔ bɔku pas aw yu bin de tink, i go tɛl yu bɔt aw fɔ mɛn yu bon dɛn fɔ ɛp fɔ mek yu bon dɛn strɔng. Fɔ ɛgzampul:

• Ɛksesaiz mɔ: We yu de du yu bɔdi ɔltɛm, dat kin mek yu bon dɛn strɔng. Tin dɛn lɛk fɔ waka, yoga, ɛn fɔ tren trɛnk na fayn tin fɔ mek yu nɔ lɔs yu bon.
• Sɔplɛnt ɔ spɛshal it: Yu dɔktɔ kin tɛl yu fɔ tek vaytamɛn D ɔ kalsiɔm sɔpɔtmɛnt. Dɛn kin tɛl yu bak fɔ it tin dɛn we gɛt bɔku vaytamɛn ɛn minral.
• Mɛrɛsin dɛn: Yu dɔktɔ kin gi yu mɛrɛsin fɔ mek yu bon dɛn nɔ rɔtin sloslo ɛn fɔ mek yu nɔ brok. Sɔm mɛrɛsin fɔ ɔstioporosis kin ɛp bak fɔ mek yu bon dɛn bɔku.

Wetin na di difrɛns bitwin DXA skan ɛn di wan ol bɔdi bon skan?

DXA skan ɛn ɔl bɔdi bon skan na tu tɛst dɛn we fiba. Dɛn tu skan ya de skan yu bon dɛn, bɔt dɔktɔ dɛn kin yuz dɛn fɔ chɛk difrɛn tin dɛn we gɛt fɔ du wit yu bon dɛn wɛlbɔdi.

• DXA skan na spɛshal X-ray tɛst we de mɛzhɔ yu bon dɛnsiti ɛn chɛk fɔ sik dɛn we de mek yu bon wik lɛk ɔstioporosis.
• If yu skan yu bon bɔdi ɔlsay na yu bɔdi, dat kin ɛp dɔktɔ dɛn fɔ si if yu gɛt kansa, lɛk if i dɔn skata to yu bon dɛn (we dɔn mɛtastasayz). I kin ɛp bak fɔ no us stej yu kansa de insay.I kin no bak se yu gɛt infɛkshɔn, yu bon injury, ɛn ɔda prɔblɛm dɛn.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

DXA skan, DEXA skan, bon density test... ɛnitin we yu dɔktɔ kɔl am, na kwik, izi (ɛn nɔ gɛt pen) tɛst.Dis kin mek yu dɔktɔ no di tin dɛn we kin afɛkt di bon dɛn as kwik as i pɔsibul. Dipen pan yu ej, famili histri fɔ sik, ɔr ɔda tin dɛm wae kin mek yu gɛt dis sik yu kin nid fɔ du yu bon density tɛst ɔltɛm.

Ɔlman fɔ wɔri bɔt di bon dɛn we dɛn gɛt as dɛn de ol. Aks yu dɔktɔ aw ɔltɛm yu fɔ du DXA skan. I impɔtant mɔ fɔ mek pipul dɛn we gɛt famili histri bɔt ɔstioporosis fɔ mek dɛn tɛst dɛn bon dɛnsiti ɔltɛm.

Yu dɔktɔ go ɛp yu fɔ mek yu bon dɛn strɔng fɔ sɔpɔt yu ɔl yu layf. So, natin nɔ de fɔ wɔri bɔt. If nid de, du tɛst ɛn no bɔt yu bon wɛlbɔdi.

` DXA skan, bon dεnsiti, כstioporosis, כstiopenia, frakshכn, T skכ, bon hεlth