Bone mineral density bvunzo

Bonzo remamineral density (BMD) bvunzo rinoyera huwandu hwecalcium uye mamwe marudzi emaminerari ari munzvimbo yefupa rako.

Bvunzo iyi inobatsira wako wekuchengeta hutano kuona osteoporosis uye kufanotaura njodzi yako yekutyoka kwemapfupa.

Kuongororwa kwepfupa kwefupa kunogona kuitwa nenzira dzinoverengeka.

Nzira yakajairika uye yakajeka inoshandisa maviri-simba x-ray absorptiometry (DEXA) scan. DEXA inoshandisa yakaderera-dose x-rays. (Unogamuchira mamwe mwaranzi kubva muchipfuva x-ray.)

Kune maviri marudzi eDEXA scans:

• Central DEXA - Unovata patafura yakapfava. Iyo scanner inodarika pamusoro wako wezasi musana uye hudyu. Muzviitiko zvakawanda, haufanire kupfekenura. Iyi scan ndiyo yakanyanya kuyedza kufanotaura njodzi yako yekutyoka, kunyanya muchiuno.
• Peripheral DEXA (p-DEXA) - Iyi michina midiki inoyera huwandu hwefupa muchanza chako, zvigunwe, gumbo, kana chitsitsinho. Iyi michina iri mumahofisi ekuchengetedza hutano, mafesi, nzvimbo dzekutengesa, uye kumafaro ehutano.

Kana iwe uri kana uchigona kuve nepamuviri, udza mupi wako usati bvunzo iyi yaitwa.

Usatore macalcium ekuwedzera kwemaawa makumi maviri nemaviri usati waedzwa.

Iwe unozoudzwa kubvisa zvese simbi zvinhu kubva mumuviri wako, senge zvishongo uye mabhureki.

Iyo scan haina kurwadziwa. Unofanirwa kuramba wakanyarara panguva yekuyedzwa.

Bone mineral density (BMD) bvunzo dzinoshandiswa ku:

• Ongorora kurasikirwa kwepfupa uye osteoporosis
• Ona mashandiro anoita mushonga we osteoporosis
• Fungidzira njodzi yako yeramangwana mapfupa akatsemuka

Kuongorora kwehupfupa kwemafupa kunokurudzirwa kune vese vakadzi vane makore makumi matanhatu nemashanu zvichikwira

Iko hakuna chibvumirano chakazara chekuti varume vanofanirwa kuenda nemhando iyi yekuyedzwa. Mamwe mapoka anokurudzira kuyedzwa kwevarume pazera ramakumi manomwe, nepo mamwe achitaura kuti humbowo hauna kujeka zvakakwana kuti utaure kana varume pazera iri vanobatsirwa nekuongororwa.

Vakadzi vadiki, pamwe nevarume vezera ripi zvaro, vangangodawo kuyerwa kwefupa kana vaine njodzi dze osteoporosis. Izvi zvinhu zvine njodzi zvinosanganisira:

• Kupwanya pfupa mushure memakore makumi mashanu
• Yakasimba nhoroondo yemhuri ye osteoporosis
• Nhoroondo yekurapwa kwekenza yeprostate kana gomarara repazamu
• Nhoroondo yemamiriro ekurapa senge rheumatoid arthritis, chirwere cheshuga, kusaenzana kwetachiona, kana anorexia nervosa
• Kutanga kuenda kumwedzi (kungave kunobva pazvinhu zvakasikwa kana hysterectomy)
• Kushandiswa kwenguva refu kwemishonga yakadai secorticosteroids, thyroid hormone, kana aromatase inhibitors
• Kurema kwemuviri muviri (asingasviki 127 mapaundi) kana yakaderera body mass index (isingasvike makumi maviri nesere)
• Kurasikirwa kwakakosha kwekukwirira
• Yenguva refu fodya kana kunyanya kushandisa doro

Mhedzisiro yemuedzo wako inowanzo kutaurwa seT-mamaki uye Z-mamaki:

• T-mamaki anofananidza huremu hwepfupa rako newemukadzi wechidiki ane hutano.
• Z-mamaki anofananidza huremu hwepfupa hwako nehwevamwe vanhu vezera rako, bonde, uye dzinza.

Uine chero zvibodzwa, nhamba isina kunaka zvinoreva kuti une mapfupa akaonda kupfuura avhareji. Iyo yakanyanya kushata iyo nhamba, inowedzera mukana wako wekutyoka kwepfupa.

A T-mamaki ari mukati meyakajairika renji kana iri -1.0 kana pamusoro.

Bone mineral density kuyedza hakuongorori kutsemuka. Pamwe pamwe nezvimwe zvinhu zvine njodzi zvaungave nazvo, zvinobatsira kufanofungidzira njodzi yako yekutyoka pfupa mune ramangwana. Wako mupi achakubatsira kuti unzwisise mhedzisiro.

Kana yako T-mamaki iri:

• Pakati -1 uye -2.5, unogona kunge uine pfupa rekutanga kurasikirwa (osteopenia)
• Pazasi pe -2.5, unogona kunge uine osteoporosis

Kurudziro yekurapa inoenderana neyako yakazara ngozi yekutyoka. Iyi njodzi inogona kuverengerwa uchishandisa iyo FRAX mamaki. Wako mupi anogona kukuudza zvakawanda nezve izvi. Iwe unogona zvakare kuwana ruzivo nezve FRAX online.

Bone mineral density inoshandisa mashoma emwaranzi. Nyanzvi zhinji dzinofunga kuti njodzi yakadzika kwazvo kana ichienzaniswa nezvakanakira kuwana osteoporosis usati watyora pfupa.

BMD bvunzo; Bone kuwanda bvunzo; Bone densitometry; DEXA scan; DXA; Dual-simba x-ray absorptiometry; p-DEXA; Osteoporosis - BMD; Dual x-ray absorptiometry

• Bone kuwanda scan
• Osteoporosis
• Osteoporosis

Compston JE, McClung MR, Leslie WD. Osteoporosis. Lancet. 2019; 393 (10169): 364-376. PMID: 30696576 pubmed.ncbi.nlm.nih.gov/30696576/.

Kendler D, Almohaya M, Almehthel M. Dual x-ray absorptiometry uye kuyerwa kwepfupa. Mu: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, eds. Rheumatology. 7th ed. Philadelphia, PA: Elsevier; 2019: chits. 51.

US Preventive Services Task Force; Curry SJ, Krist AH, Owens DK, uye al. Kuongorora osteoporosis kudzivirira kutsemuka: US Preventive Services Task Force chirevo chekukurudzira. JAMA. 2018; 319 (24): 2521-2531. PMID: 29946735 pubmed.ncbi.nlm.nih.gov/29946735/.

Weber TJ. Osteoporosis. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 230.