Waa inay cufnaanta lafaha ku cabbiraan densitometer lafaha
Densitometry lafaha
Lafo-jileecu waa lumin weyn oo cufnaanta macdanta lafaha taasoo saamaysa malaayiin haween ah, taas oo u gelinaysa khatarta jabka daciifka ah.Waxaan bixinaa densitometry lafaha, kaas oo si sax ah u cabbiraya cufnaanta macdanta lafaha (BMD), taas oo u oggolaanaysa in la qiyaaso khatarta jabka bukaanka.Nidaamkeena horumarsan ayaa awood u leh inuu si sax ah u xisaabiyo BMD ee lafdhabarta, sinta, ama curcurka.Nidaamku wuxuu sidoo kale ogolaanayaa go'aaminta BMD ee dadweynaha carruurta.
Takhtarkaaga ayaa laga yaabaa inuu amro densitometry lafaha haddii isaga ama iyadu ay ka shakiyaan inaad qabto ama aad halis ugu jirto inuu kugu dhaco lafo-jileecu.Dadka qaba osteoporosis waxay leeyihiin lafo daciif ah ama luminta cufnaanta macdanta lafaha.Malaayiin dumar ah iyo rag badan ayaa ku dhaca lafo-jileecu marka ay da'da noqdaan.
Sida Densitometry Lafaha u shaqeeyo
Mararka qaarkood baaritaankaan waxaa loo yaqaannaa iskaanka cufnaanta lafaha ama laba-tamar raajada absorptiometry (DXA).Waa nooc la xoojiyey ee farsamada raajada.Mashiinka DXA wuxuu u soo diraa lafaha dhuuban, iftiin aan la arki karin oo raajada qiyaas yar.Nudahaaga jilicsan waxay nuugaan iftiinka tamarta ugu horreysa.Lafahaagu waxay nuugaan laydh labaad.Markaad ka jarto cadadka jilicsan ee wadarta guud, mashiinku wuxuu bixiyaa cabbirka cufnaanta macdanta lafahaaga (BMD).Cufnaantaasi waxay u sheegaysaa dhakhtarka xoogga lafahaaga.
Sababta ay Dhakhaatiirtu u isticmaalaan Densitometry lafaha
Lafo-jileecu waxay ku lug leedahay luminta calcium ee lafahaaga.Waa xaalad inta badan ku dhacda dumarka ka dib menopause, in kasta oo ragga ay sidoo kale yeelan karaan lafo-jileec.Marka ay la socoto luminta kaalshiyamka, lafaha waxay maraan isbeddelo qaab dhismeed ah oo keena inay noqdaan kuwo khafiif ah, jilicsan oo ay u badan tahay inay jabaan.
DXA waxay sidoo kale caawisaa dhakhaatiirta shucaaca iyo dhakhaatiirta kale inay la socdaan waxtarka daaweynta ee nooc kasta oo xaalad lumis ah.Cabbirrada imtixaanku waxay caddayn ka bixinayaan halista aad lafaha jabin karto.
Yaa Qaadan Kara Cufnaanta Macdanta Lafaha (BMD).
• Haweenka da'doodu tahay 65 iyo wixii ka weyn
• Dumarka ka dambeeya menopause ee da'doodu ka yar tahay 65 jir oo leh arrimo halis u ah jabka.
• Haweenka inta lagu jiro kala-guurka menopausal ee leh arrimo halis caafimaad oo jab ah, sida miisaanka jirka oo hooseeya, jabka ka hor, ama isticmaalka daawaynta khatarta sare leh.
• Ragga da'doodu tahay 70 iyo ka weyn.
• Ragga da'doodu ka yar tahay 70 jir oo leh arrimo halis caafimaad u leh jab.
• Dadka waaweyn ee jabka jilicsan.
• Dadka waaweyn ee qaba cudur ama xaalad la xiriirta cufnaanta lafaha oo hooseeya ama luminta lafaha.
• Dadka waaweyn ee qaata dawooyinka lafo-beelka hooseeya ama luminta lafaha.
• Qof kasta oo loo tixgeliyo daawaynta dawooyinka (daawoyinka).
• Qof kasta oo la daweynayo, si loola socdo saamaynta daawaynta.
• Qof kasta oo aan helin daawaynta taasoo caddaynta lafaha luminta ay horseedi doonto daaweyn.
• Haweenka joojiya estrogen waa in loo tixgeliyo baaritaanka cufnaanta lafaha iyadoo loo eegayo calaamadaha kor ku taxan.
Maxay Dhakhaatiirtu u Isticmaalaan Qiimaynta Jabka Vertebral (VFA)
Imtixaan kale oo lagu sameeyay mishiinka DXA waa qiimaynta jabka laf dhabarta (VFA).Waa raajada qiyaasta hoose ee laf dhabarta taasoo qiimaynaysa caafimaadka laf dhabartaada.VFA waxay daaha ka qaadi doontaa haddii aad leedahay jabka jaban ee laf dhabartaada (lafaha laf dhabartaada).Jiritaanka jabka laf dhabarta ayaa xitaa ka qiimo badan saadaalinta halista lafahaaga ee mustaqbalka marka loo eego DXA oo keliya.Kuwa soo socdaa waa sababaha (calaamadaha) samaynta qiimaynta jabka laf dhabarta (VFA) ee ku salaysan Jagooyinka Rasmiga ah ee 2007 ee Bulshada Caalamiga ah ee Densitometry Clinical (www.iscd.org):
Yaa la gudboon inuu helo VFA
• Haweenka ka dambeeya ee leh lafo hoose (osteopenia) marka loo eego shuruudaha BMD, PLUS mid ka mid ah kuwan soo socda:
• Da'da ka weyn ama la mid ah 70 sano
• Dhimista dhererka taariikheed ee ka weyn 4 cm (1.6 inji)
• Dhererka la filayo inuu lumiyo in ka badan 2 cm (0.8 inji)
• Laf-dhabarta laf-dhabarta oo iskeed uga warbixisay (aan hore loo diiwaangelin)
Laba ama in ka badan kuwan soo socda;
• Da'da 60 ilaa 69 sano
• Is-sheegid ka hor jab aan vertebral ahayn
• Dhimista dhererka taariikhiga ah ee 2 ilaa 4 cm
• Cudurada habdhiska daba dheeraada ee la xidhiidha khatarta korodhka ah ee jabka laf dhabarta (tusaale, dhexdhexaad ilaa daran COPD ama COAD, seropositive rheumatoid arthritis, cudurka Crohn)
• Ragga qaba cufnaanta lafaha hoose (osteopenia) marka loo eego shuruudaha BMD, PLUS mid ka mid ah kuwan soo socda:
• Da'da 80 sano ama ka weyn
• Dhimista dhererka taariikheed ee ka weyn 6 cm (2.4 inji)
• Dhimista dhererka la filayo ee ka weyn 3 cm (1.2 inji)
• Laf-dhabarta laf-dhabarta oo iskeed uga warbixisay (aan hore loo diiwaangelin)
Laba ama in ka badan kuwan soo socda;
• Da'da 70 ilaa 79 sano
• Is-sheegid ka hor jab aan vertebral ahayn
• Dhimista dhererka taariikhiga ah ee 3 ilaa 6 cm
• Daawaynta ka-la'aanta androgen-ka ee farmashiyaha ama ka dib orchiectomy
• Cudurada habdhiska daba dheeraada ee la xidhiidha khatarta korodhka ah ee jabka laf dhabarta (tusaale, dhexdhexaad ilaa daran COPD ama COAD, seropositive rheumatoid arthritis, cudurka Crohn)
• Haweenka ama ragga qaata daawaynta glucocorticoid ee raaga (oo u dhiganta 5 mg ama in ka badan oo prednisone ah maalin kasta saddex (3) bilood ama ka badan).
• Dumarka ka dib menopause ama ragga qaba lafo-beelka marka loo eego shuruudaha BMD, haddii dukumeentiyada hal ama ka badan oo jabka vertebral ay bedeli doonaan maareynta kiliinikada.
U diyaargarowga Imtixaanka Densitometry ee Lafahaaga
Maalinta imtixaankaaga, wax u cun si caadi ah laakiin fadlan ha qaadanin kaalshiyamka kaalshiyam ugu yaraan 24 saacadood ka hor baaritaankaaga.Xiro dhar dabacsan, raaxo leh oo iska ilaali dharka sibadaha birta ah, suumanka ama badhamada.Radiology & Imaging ayaa laga yaabaa inay ku weydiiyaan inaad iska bixiso qaar ama dhammaan dharkaaga oo aad xidhato gown ama khamiis inta lagu jiro imtixaanka.Waxa kale oo laga yaabaa inaad iska saarto dahabka, muraayadaha indhaha iyo shay kasta oo bir ah ama dhar ah.Waxyaabahan oo kale waxay faragelin karaan sawirada raajada.
U sheeg dhakhtarkaaga haddii aad dhawaan samaysay baadhis barium ama lagugu muday shay ka duwan si loo sawiro sawir sawireed (CT) ama radioisotope (daawoyinka nukliyeerka).
Had iyo jeer u sheeg dhakhtarkaaga ama Tignoolajiyada Radiology & Imaging teknoolajiyada haddii ay jirto suurtogalnimo inaad uur leedahay.
Waa maxay Imtixaanka Densitometry ee Lafaha
Sida
Waxaad ku jiifsanaysaa miis daboolan.Imtixaanka dhexe ee DXA, kaas oo cabbiraya cufnaanta lafaha sinta iyo laf dhabarta, dhaliyaha raajada ayaa kaa hooseeya adiga iyo qalabka sawir-qaadista, ama baaraha, ayaa ka sarreeya.Si loo qiimeeyo laf dhabartaada, lugahaaga waxaa lagu taageerayaa sanduuq daboolan si loo simo miskahaaga iyo laf dhabarta hoose (lumbar).Si loo qiimeeyo sinta, tignoolajiyada farsamada ayaa cagtaada gelin doona garab sintaada gudaha u rogaya.Labada xaaladoodba, qalabka wax baadha ayaa si tartiib ah u gudba, isaga oo soo saaraya sawiro kumbiyuutarka kormeeraha.Imtixaanada badankoodu waxay qaataan kaliya 10-20 daqiiqo, waxaana muhiim ah inaad weli ku jirto inta imtixaanku socdo.
Faa'iidooyinka & Khatarta
densitometry lafaha waa mid fudud, degdeg ah oo aan waxyeello lahayn.Uma baahna wax suuxdin ah.Qadarka shucaaca la isticmaalay aad ayuu u yar yahay- aad ayuu uga yar yahay qiyaasta raajada xabadka ee caadiga ah.
Nidaam kasta oo raajo ah, waxaa jira fursad yar oo kansar ah oo ka yimaada soo-gaadhista xad-dhaafka ah ee shucaaca.Si kastaba ha ahaatee, faa'iidada ogaanshaha saxda ah ayaa aad uga miisaan culus khatarta.Dumarku waa inay had iyo jeer la socodsiiyaan dhakhtarkooda ama Tignoolajiyada Radiology & Imaging teknoolajiyada haddi ay jirto suurtogalnimo inay uur leeyihiin.
Xadka Densitometry Lafaha
densitometry lafaha ma saadaalin karo 100% hubaal haddii aad la kulmi doonto jab mustaqbalka.Si kastaba ha ahaatee, waxay ku siin kartaa tilmaamo xooggan oo ku saabsan khatartaada jabka mustaqbalka.
In kasta oo ay waxtar u leedahay cabbiraadda xoogga lafaha, densitometry lafaha ama DXA waa isticmaal xaddidan oo loogu talagalay dadka qaba cillad laf dhabarta ama dadka lagu sameeyay qalliinka laf dhabarta.Haddii aad qabtid jabka jabka vertebral ama osteoarthritis, xaaladaadu waxay faragelin kartaa saxnaanta baaritaanka.Xaaladahan, baaritaan kale ayaa la samayn karaa, sida densitometry lafaha hore.
Waxaan ku takhasusay Akhrinta Sawirrada Lafaha
Radiology & Imaging waxay isticmaashaa qalab casri ah oo bixiya tafaasiisha ogaanshaha gaarka ah.Raajo-yaqaannada sawir-qaadista jirkeena ama raajo-yaqaannada murqaha waxay ku takhasusaan akhrinta cufnaanta lafaha taasoo macnaheedu yahay khibrad iyo waayo-aragnimo dheeraad ah ayaa kuu shaqeyneysa.
Waqtiga boostada: Mar-07-2023