Njengoba ukhula, amandla omzimba wakho ayancipha, futhi ingabe uzizwa sengathi udinga ukuqaphela kakhudlwana lapho uhamba? Ngezinye izikhathi, ngisho nokuwa okuncane kungaholela ekuphukeni kwengalo noma umlenze. Isizathu esiyinhloko salokhu amathambo abuthakathaka. Ngakho-ke namuhla sikhuluma ngendlela engakwazi ukunquma ngokunembile amandla, noma ubuningi, bamathambo akho. Lokho kubizwa ngokuthi i-DXA scan.
Kalula nje, kuyini ukuskena kwe-DXA?
I-DXA scan iyisivivinyo se-X-ray esikhethekile esilinganisa amandla amathambo akho. Ukuze kube nembile, ibheka ubuningi bamaminerali amathambo akho . I-DXA imele i-`(dual-energy X-ray absorptiometry)`. Kodwa-ke, uma sikhuluma ngayo, siyibiza ngokuthi "i-DXA scan" noma "ukuhlolwa kobuningi bamathambo." Womabili la magama abhekisela esivivinyweni esifanayo.
Yini etholwa yilolu vivinyo?
Udokotela ukucela ukuthi ubhale lolu vivinyo ukuze uthole izinto ezimbalwa ezibalulekile.
- Thola ukuthi une-osteoporosis: Yilokhu esikubiza ngokuthi “ukulahlekelwa amathambo.” Kulesi simo, amathambo abuthakathaka kakhulu futhi angaphuka kalula.
- Thola isimo se-Osteopenia: Lokhu kusho ukuthi ubuningi bamathambo akho buphansi kunokuvamile, kodwa abububi njenge-osteoporosis. Kodwa-ke, kwandisa ingozi yakho yokuthola i-osteoporosis.
- Hlola ingozi yokuphuka kwethambo lakho: Ngokusekelwe emandleni amathambo akho, udokotela wakho angathola umbono wokuthi kungenzeka kangakanani ukuthi ithambo liphuke ngisho noma liwile kancane.
Ngaphezu kwalokho, lokhu kuhlolwa kusetshenziselwa nokuqapha izinguquko emathanjeni akho ngokuhamba kwesikhathi. Isibonelo, ngemva kokuqala ukwelashwa kwe-osteoporosis, lokhu kuskena kwenziwa njalo ukuze kubonakale ukuthi umuthi uyawaqinisa yini amathambo akho.
Ubani odinga ukuskena kwe-DXA?
Noma ubani angathola lokhu kuhlolwa, kodwa abanye abantu basengozini enkulu yokuthola amathambo abuthakathaka kunabanye. Ngakho-ke, laba bantu kufanele bahlale benakekela impilo yamathambo abo.
Abantu abasengozini enkulu:
- Abesifazane abangaphezu kweminyaka engama-65 ubudala.
- Amadoda angaphezu kweminyaka engama-70 ubudala.
- Umuntu owaphuka ithambo ngemuva kokuwa kancane ngemuva kweminyaka engu-50.
- Uma kukhona emndenini (umama, ubaba, ugogo, umalumekazi) onesifo sokuwohloka kwamathambo.
- Uma manje usuyi-intshi nesigamu noma mfushane kakhulu kunangesikhathi usemncane.
Ngisho noma ungaphansi kwale mingcele yobudala, udokotela wakho angase ancome lokhu kuhlolwa kulabo abasengozini yokuba buthakathaka kwamathambo ngenxa yezinye izizathu.
Ezinye izinto eziyingozi
Ezinye izifo kanye nemithi kunganciphisa amandla amathambo.
- Ezinye izifo ezibangelwa amasosha omzimba.
- Ukubhema noma ukusebenzisa eminye imikhiqizo kagwayi.
- Ukuphuza utshwala ngokweqile.
- Ukuntuleka kwevithamini D.
- Ukusetshenziswa isikhathi eside kwemithi efana ne -corticosteroids .
- Eminye imithi yokulwa nomdlavuza.
- Ukusetshenziswa okuqhubekayo kwemithi efana ne -proton pump inhibitors (PPIs), esiyithathayo ye-gastritis.
- Imithi evimbela ukujiya kwegazi, njenge- heparin .
Uma unesinye noma ngaphezulu salezi zici eziyingozi, kubaluleke kakhulu ukukhuluma nodokotela wakho bese ubuza ukuthi udinga yini ukuskena kwe-DXA.
Ungakwenza kanjani lokhu kuhlolwa? Kulula kakhulu!
Lokhu ukuhlolwa okulula kakhulu, okungenabuhlungu. Akudingeki uhlale esibhedlela. Azikho izinaliti noma imijovo.
- Okokuqala, uzolaliswa embhedeni ngomshini we-X-ray okhethekile.
- Uchwepheshe we-radiologic uzokukhombisa ukuthi ungazibeka kanjani endaweni efanele. Bangase babeke into efana nama-cushion e-foam ngaphansi kwemilenze yakho ukuze bakusize uhlale endaweni efanele.
- Bese kuba khona ingxenye efana nengalo yomshini wokuskena ehambahamba phezu komzimba wakho. Yilapho kuthathwa khona izithombe zamathambo.
- Ngokuvamile, izinqe zakho nomgogodla kuyaskenwa ngoba lezi yizindawo ezithinteka kakhulu ukulahleka kwamathambo. Ngezinye izikhathi, amathambo asezandleni zakho nawo angaskenwa.
Lonke lolu hlelo luthatha cishe imizuzu engama-30 .
Yini okufanele uyenze futhi ungayiyenzi ngaphambi kokuhlolwa?
Lokhu akudingi ukulungiselela okuningi.
- Ungadla futhi uphuze ngendlela evamile ngaphambi kokuhlolwa.
- Ngaphandle kokuthi udokotela wakho akutshele ngokuqondile ukuthi ungaphuzi, thatha imithi yakho yansuku zonke njengenjwayelo.
- Gqoka izingubo ezikhululekile nezikhululekile. Kungcono ukugqoka izingubo ezingenazo izingxenye zensimbi njengeziphu, izinkinobho, noma amabhakede, njengoba kuzodingeka ususe konke ngensimbi ngaphambi kokuhlolwa.
- Okubaluleke kakhulu: Uma uthatha amaphilisi e-calcium noma amanye amavithamini, kufanele uyeke ukuwathatha emahoreni angama-24 ngaphambi kokuhlolwa . Tshela udokotela wakho ngalokhu kusenesikhathi.
Lokhu kuhlolwa akwenziwa kwabesifazane abakhulelwe noma labo abasola ukuthi bakhulelwe. Nakuba izinga lemisebe liphansi kakhulu, kungcono ukugwema imisebe ngangokunokwenzeka ngesikhathi sokukhulelwa.
Imiphumela ithini? Ake sibone!
Umbiko owutholayo ngemva kokuskena uzokutshela ngobuningi bamathambo akho. Odokotela basebenzisa "i-T score" ukukala lokhu.Inani elibizwa ngokuthi. Kalula nje, lesi sibalo se-T siqhathanisa ubuningi bamathambo akho nobukhulu bamathambo bomuntu osemusha ophilile (ophakathi kweminyaka engu-20-30).
Kulula kakhulu ukukuqonda lokhu. Ake sibheke ithebula elingezansi.
| Inani lesikolo se-T | Kusho ukuthini? |
|---|---|
| Phakathi kuka-0 no-1 | Amathambo aphilile. Amathambo akho anobukhulu obuhle kakhulu. |
| Phakathi kuka -1 no -2.5 | I-Osteopenia. Ubuningi bamathambo buncishisiwe kancane. Kukhona ingozi yokuthola i-osteoporosis esikhathini esizayo. |
| -2.5 noma ngaphansi | I-Osteoporosis. Amathambo abuthakathaka kakhulu. Ingozi yokuqhekeka kwamathambo iphezulu kakhulu. |
Ungakhathazeki uma i-T-score yakho iphansi. Udokotela wakho uzokunikeza iseluleko sokuthi ungawaqinisa kanjani amathambo akho.
- Ukuzivocavoca: Izinto ezifana nokuhamba, i-yoga, kanye nokuzivocavoca kokuphakamisa izinsimbi kuqinisa amathambo.
- Ukudla kanye nezithako zokudla: Bakutshela ukuthi udle ukudla okucebile nge-calcium kanye ne-vitamin D. Bangase batuse nokuthi uphuze amaphilisi e-calcium kanye ne-vitamin D.
- Imithi: Kunemithi ekhethekile enganciphisa ukulahleka kwamathambo futhi ivimbele ukuphuka kwamathambo. Udokotela wakho uzoyinikeza uma kudingeka.
Uyini umehluko phakathi kwe-DXA scan kanye ne-'Whole-Body Bone Scan'?
Nakuba zombili ziyizinhlobo zokuskena ezihlola amathambo, izinhloso zazo zihlukile ngokuphelele.
- I-DXA scan: Lokhu kubheka kuphela ubuningi bamathambo . Lokhu kusetshenziselwa ukuthola izimo ezifana ne-osteoporosis.
- Ukuskena Kwamathambo Omzimba Wonke: Lokhu kuvame ukwenziwa ezigulini ezinomdlavuza. Kusetshenziselwa ukubona ukuthi umdlavuza ususakazeke yini (ususakazeke) emathanjeni. Kusetshenziswa futhi ukuthola izifo emathanjeni.
Ngakho-ke ungadideki lezi zivivinyo ezimbili.
Umlayezo Wokuya Nawe Ekhaya
- Ukuskena kwe-DXA kuyindlela yokuhlola i-X-ray engenabuhlungu, elula kakhulu elinganisa amandla amathambo akho.
- Lokhu kubaluleke kakhulu ekutholakaleni kusenesikhathi kwe-osteoporosis, isifo esivelela kwabesifazane nabesilisa asebekhulile njengoba bekhula, ikakhulukazi ngemva kokunqamuka kokuya esikhathini.
- Isibalo se-T sinikeza umbono ocacile wempilo yamathambo akho.
- Ungesabi imiphumela. Udokotela wakho uzokuqondisa ngokuzivocavoca, ukudla, kanye nemithi oyidingayo ukuze ugcine amathambo akho eqinile.
- Uma ucabanga ukuthi ungase ube sengozini yokuba namathambo abuthakathaka, qiniseka ukuthi ukhuluma nodokotela wakho ukuze uthole ulwazi olwengeziwe ngalokhu.
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