Densitometry - ihe ọ bụ? Ọkpụkpụ densitometry na n'ọkpụkpụ azụ: egosi na ahịa

Ọkpụkpụ njupụta egosiputa larịị nke ịta nke inorganic ogige (e.g., calcium). Nanị tinye, a oke-egosi ike nke ndị ọcha.

Isi

Na ego nke ọkpụkpụ maka onye ọ bụla ihe karịrị afọ mbelata. Ihe ibu thinner na ha mebere atumatu - ọzọ porous. Nke a bụ n'ihi na eziokwu na e guzobere ọkpụkpụ anụ ahụ bụ iji nwayọọ karịa mbibi, catabolism-enwe n'elu anabolism. Na afọ enwekwukwa leaching nke inorganic ogige nke ndị ọcha. Nke a, n'aka nke ya, na-ebelata ike nke ọkpụkpụ, na-amụba ohere fractures. Ya mere, osteopenia nwayọọ nwayọọ na-eduga ná osteoporosis. The denser mbụ ọkpụkpụ, na ogologo ya ga-mbibi ya. Iji ike irè omumu (ọzụzụ na simulators na-eje ije) na calcium Mmeju. The kasị oge a na-agụnye ngwá ọrụ ndị dị ka "Actonel", "Fomasaks", "Miakaltsik". Menopausal inyom kenyere hormone (nnọchi) ọgwụ. Ọ na-enyere ndị kwụsịtụ catabolism.

ihe ize ndụ ihe

na-eme ka mmepe nke osteoporosis, ụfọdụ ihe.

• Age. A, 30 afọ na-enweta kacha ike na ọkpụkpụ njupụta. Mgbe na e nwere a jiri nwayọọ nwayọọ na ọnụ.
• The okike akpata. Greater susceptibility na mmepe nke mbibi ndị inyom karịrị afọ 50. Ha bụ ugboro anọ karịa ndị ewekarị osteoporosis.
• Ọkpụkpụ Ọdịdị na ahu aro. Large inyom na-ndị na-enwekarị osteoporosis karịa dabere na mkpa. Ọ bụ otú ahụ na adynamic mmadụ.
• Ịnakwere a ọnụ ọgụgụ nke ọgwụ. Ka ihe atụ, na ruo ogologo oge iji steroid elekọta mmadụ (e.g. ọgwụ "prednisolone") na-adịkwu mmetụta ọjọọ n'ahụ na ọkpụkpụ ahụ ike. Nke a, n'aka nke ya, na-enwekwu ohere na-emepe emepe osteoporosis.
• Ọnụnọ nke ọkpụkpụ fractures na anamnesis.
• Postoperative ọnọdụ mgbe mwepụ nke ovaries.
• Family mere eme. Otu n'ime ihe ndị kasị dị ịrịba ama ihe na mmepe nke ọkpụkpụ ọrịa a na-atụle ga-butere n'aka. Ọ bụrụ na ọ bụrụ na ndị ikwu (nne na nna ochie, ndị nne na nna, nne na nna ochie) ugbu ịrịba ama nke osteoporosis (eg, mgbaji ọkpụkpụ nke femur na a nta ọdịda), ihe ize ndụ nke ya mmepe bụ nnọọ elu.
• Oké oriri nke mmanya.
• Ọnụnọ nke a somatic daa ọrịa so site oké excretion nke calcium na ọkpụkpụ anụ ahụ (e.g. hypothyroidism).
• Emegaghị.
• Ná mmalite, na mkpa ọkpụkpụ.
• Food na ala ọdịnaya nke vitamin D na calcium.
• Early menopause.

N'ihe nke anụ ahụ njupụta: Ụzọ

E nwere ụzọ dị iche iche na-eduzi ọmụmụ ihe. Otu na-ewu ewu usoro bụ densitometry. Olee ụdị nnyocha? Nke a na usoro a rụrụ na a pụrụ iche ụbọchị akụrụngwa. N'oge ọmụmụ ọrịa dabeere na ya azụ na a table na agbarụ agbarụ n'akụkụ ikpere ala ma ọ bụ ogologo ụkwụ. Ọzọ, tụlee ihe nwere ike densitometry, ọ bụ ihe ọ bụla ikpe na-atụ aro.

Dual-ike X-ray nchọpụta nsogbu

Nke a bụ otu n'ime ụzọ na ike ga-rụrụ densitometry. Gịnị bụ na ọ na - sọrọ-ume x-ray? Nke a na usoro a na-ewere ndị kasị ezi n'ihe na anụ ahụ. Na nke a, na abụọ dị iche iche ibé. Nke a na usoro a rụrụ densitometry nke ọkpụkpụ azụ na n'úkwù. The denser anụ ahụ, na ihe siri ike ọ gāgabiga X-ray doo ya. Na nkwubi, na-atụnyere ihe ndị abụọ absorption mmetụta ọkachamara bụ ike ọzọ n'ụzọ ziri ezi ka ndị njupụta Mbelata ke anụ ahụ. Site densitometry nwere ike tụrụ site ọnwụ nke 2% nke ya uka kwa afọ. Dịruru densitometry (ya bụ, n'elu) a obere oge. The radieshon dose dị ala na-amụ ihe.

Elu ọkpụkpụ densitometry

The ozi na-amụ na-akwadebe na ihe analogous n'ụzọ ahụ a kọwara n'elu. Densitometry, ego nke nke ga-atụle n'okpuru, na-enye ohere inyocha njupụta nke anụ ahụ na ụkwụ na aka - na ikiri ụkwụ na nkwojiaka. Otú ọ dị, ndị ọzọ ebe ka mepụta n'ihe bụ oké ike. Karịsịa, a na-emetụta ndị spain na elu na ala na nsọtụ, ebe fractures ime ọtụtụ ugboro ugboro. Mgbe nke a ọmụmụ eji a nnọọ ala onunu ogwu nke radieshon. Elu densitometers bụ obere igwe. Ha nwere ike ga-eji na ihe nkịtị dọkịta. Ọ ga-kwuru na ihe ọmụma ọdịnaya nke a nnyocha usoro bụghị nnọọ elu. Elu ọkpụkpụ densitometry atọrọ mgbe n'ịrụ echetakwa assays nakwa nlekota arụmọrụ nke ọgwụgwọ nke osteoporosis.

The abụọ na-photon usoro

Na nke a na-amụ, na-eji redioaktivu isotopes. The usoro na-eme ka o kwe omume na-eme atụmatụ na njupụta nke anụ ahụ na ọkpụkpụ azụ na hip. N'oge usoro, na-eji na ala radieshon onunu ogwu. Ọ ga-kwuru na abụọ-photon densitometry nke ọkpụkpụ azụ na hip-achọ a ogologo oge iji nweta ihe.

quantitative CT

Nke a bụ otu ụdị Onyonyo, nke maka Onyonyo ọkpụkpụ owuwu na a ezi na foto nke anụ ahụ ala nke X-ray radieshon na-eji na nnukwu ụdị. Otú ọ dị, usoro a na-adịghị eji na-eme dị ka mgbe, e.g., elu ọkpụkpụ densitometry (dị ka ọ na-akọwara n'elu). Nke a bụ n'ihi na elu radieshon ibu na organism.

ultrasound densitometry

Nke a na usoro nke nchoputa dabeere n'ihe nke ife ike ọsọ nke na ọ na-ekesa ihe karịrị ákwà n'elu. Ke adianade do, na-eme atụmatụ brọdband achụsasị ke iche mpaghara. N'ihi nke a na usoro, a ọkachamara nwere ike amata bụghị naanị njupụta, kamakwa isi na ekwedo nke anụ ahụ. Informativeness nke ọmụmụ a bụ budata ala karịa ndị nke X-ụzarị na-eji.

na-agba akaebe

Ata densitometry na-atụ aro ndị na-esonụ na edemede nke ụmụ amaala.

• Persons enwe ihe karịrị 2 ihe ize ndụ ihe maka osteoporosis.
• Women na menopause. Ga-atụle otú wuru (mgbe mwepụ nke ovaries) na na eke na ala.
• Men karịrị afọ 50.
• Ọrịa onye ziri osteoporosis na radiographs.
• Persons site na 40 afọ ndị nwere otu ma ọ bụ karịa fractures (bụrụ na nke mberede, dara, unan na-arụ ọrụ ma ọ bụ egwuregwu).
• Ọrịa na endocrine na rheumatic pathologies.
• Ọrịa na scoliosis, herniated discs, ala azụ mgbu ma ọ bụ ọgidigi azụ unan.
• Ndị na-anata ọgwụgwọ nke osteoporosis (iji chọpụta arụmọrụ).
• Women, ogologo oge iji mmiri ọgwụ gbochie afọ.
• Ndị na-a nta mmụba (ruo otu na ọkara mita), abụghị n'ihi na si n'aka ruo n'aka.
• Persons uka index nke esịmde 18.5 nkeji.

contraindications

Ebe ọ bụ na mmejuputa usoro ọrịa na-gụrụ X-ray ikpughe adịghị atụ aro densitometry (ọbụna obere doses) ka nwanyị dị ime. Nke a bụ n'ihi na elu puru nke oghom mmetụta nke radieshon na nwa ebu n'afọ. Tinyere ihe ndị ọzọ ihe mere maka ọmụmụ nwere ike contraindicated, ọ ga-kwuru:

• ọnụnọ nke dara implants eji na reconstructive ịwa ahụ;
• ogbu na nkwonkwo nke ọkpụkpụ azụ;
• adịbeghị anya unan, fractures.

Densitometry adịghị atụ aro maka 10 ụbọchị mgbe X-ray ule iji a barium iche.

ọzụzụ

Densitometry, ego nke nke dịgasị n'etiti 2,000 rubles - a enweghi mgbu usoro. Tupu ya, mmejuputa iwu dịghị mkpa n'ụzọ ọ bụla pụrụ iche na njikere. A, maka n'ihe nke anụ ahụ njupụta bụ zuru ezu a otu usoro.

The ọmụmụ

Tupu na-arụ usoro, onye ọrịa na-jụrụ na-ewepụ ihe niile ọla ihe na metal ọcha. The ọmụmụ adịghị akpata mmadụ erughị ala, bụ ndị na-abụghị invasive. Densitometry anaghị ka oghom mmetụta. Ya oge - 5-20 nkeji. Na oge na-adabere na ego nke nnyocha. N'oge ịgụ isiokwu usoro a rụrụ na X-ụzarị skeletal ebe. Atụ larịị nke radieshon absorption fixes a mmetụta. Dabere na ozi a, na oge a na-ewu. The n'ihe òkè nke ntule ebe na ịta nke ịnweta ogige. Na ndabere nke a na-egosi na gbakọọ anụ ahụ njupụta.

N'ihi

The ụkpụrụ nwetara site n'ịtụ ọgwụgwụ, kwupụtara na-egosi T na Z. The mbụ T-akara emen njupụta nke ọkpụkpụ anụ ahụ nke ọrịa na-achịkwa kwa nke ndị ahụ siri ike 30 afọ. Z n'ọtụtụ-enye gị ohere iji tụnyere ihe nkezi kwa na ndị bi dị ka agbụrụ, okike na afọ. Nọmalị, ịkwụsi ike kwesịrị bụghị ala karịa 1 ọkọlọtọ ndiiche. The njupụta ke nso site na -1 na -2,5 T-akara na-ahuta ka osteopenia, i.e. ala tupu ọdịdị osteoporosis na agafeghị oke ize ndụ nke fractures. Mgbe na-eduzi na-achọpụta ọrịa sonye na akaụntụ anụ ahụ njupụta nonuniformity na dị iche iche na saịtị.

Ná mmechi

Taa, nchoputa nke osteoporosis, ndị kasị ewu ewu research usoro bụ kpọmkwem densitometry. Ebe eme usoro? Nchọpụta a na a rụrụ n'ime ihe fọrọ nke nta ọ bụla nke obodo ahu, Multilateral na warara-profaịlụ clinics. Ọ bụrụ na ọ dị mkpa ka ikwugharị usoro na nyere aka na-achịkwa ahụ na ala nke ịnweta metabolism. Ha ugboro ole a na-ahọrọ maka onye ọ bụla ndidi n'otu n'otu. Nke a na-atụmatụ nke ọrụ, afọ, na ọgwụ na ihe mere eme.