Osteoporosis yog kab mob ntawm cov neeg laus.Tam sim no, Tuam Tshoj yog lub teb chaws uas muaj cov neeg mob osteoporosis ntau tshaj plaws hauv ntiaj teb.Osteoporosis kuj yog cov kab mob ntau tshaj plaws ntawm cov neeg laus thiab cov laus.Raws li cov ntaub ntawv cuam tshuam, tus naj npawb ntawm cov neeg mob osteoporosis hauv Suav teb yog kwv yees li 70 lab.Nrog rau kev nce qib ntawm Tuam Tshoj txoj kev laus hauv zej zog, pob txha pob txha tau nce zuj zus los ua ib qho teeb meem tseem ceeb ntawm pej xeem kev noj qab haus huv hauv Suav teb.
01. Osteoporosis yog dab tsi?
Osteoporosis yog cov pob txha pob txha ua kom nruj thiab cov pob txha ua kom zoo, pob txha micremility txo qis, thiab pob txha tsis sib xws yuav tshwm sim.Tsis muaj cov tsos mob pom tseeb nyob rau theem pib ntawm osteoporosis.Nrog rau qhov hnyav ntawm osteoporosis, yuav muaj cov tsos mob xws li mob nraub qaum, hunchback, thiab luv luv.Fracture yog cov tsos mob hnyav tshaj plaws ntawm osteoporosis.Ntawm lawv, qhov kev tuag ntawm pob txha pob txha hauv cov neeg laus yog siab heev.
02. Kev kuaj pob txha pob txha yog lub hauv paus tseem ceeb rau kev kuaj mob osteoporosis
Cov pob txha pob txha pob txha yog hais txog cov pob txha loj uas muaj nyob rau hauv chav tsev ntim (ntim ntim) lossis cheeb tsam (chaw ntom ntom), uas yog qhov tseem ceeb ntawm cov pob txha zoo, qhia txog qib ntawm pob txha, thiab tseem yog lub hauv paus tseem ceeb rau kev kwv yees qhov kev pheej hmoo ntawm tawg.Dual-energy X-ray absorptiometry (DXA) yog "tus qauv kub" ntawm kev kuaj pob txha.Nws ntsuas tus kws kuaj xyuas cov pob txha pob txha los ntawm kev siv tshuab scan, thiab tuaj yeem ntsuas qhov ntsuas ntawm cov pob txha poob hauv cov neeg mob.lub hauv paus tseem ceeb rau kev kuaj mob.
03 Dab tsi yog T-score thiab Z-score ntawm cov pob txha ntom ntom?
Cov txiaj ntsig ntawm kev kuaj pob txha ceev yog xam los ntawm kev sib piv nrog cov txheej txheem database kom tau txais cov txheeb ze T thiab Z qhov tseem ceeb.
T tus nqi: Tus nqi txheeb ze ntawm tus nqi ntsuas thiab qhov nruab nrab tus nqi ntawm cov neeg laus ntawm tib poj niam txiv neej (rau cov qauv txiav txim ntawm cov neeg laus ntsuas)
Z-tus qhab nia: Tus nqi txheeb ze ntawm tus nqi ntsuas mus rau qhov nruab nrab tus nqi ntawm cov phooj ywg ntawm tib tug poj niam txiv neej (tus qauv txiav txim rau cov menyuam kev ntsuas).
Cov txheej txheem kuaj mob rau T tus nqi yog:
| ib txwm pob txha loj | T-tus nqi ≥ - 1 |
| Osteopenia | -2.5﹤T-tus nqi﹤-1 |
| Osteoporosis | T-tus nqi ≤ -2.5 |
| mob osteoporosis hnyav | T-tus nqi ≤ -2.5nrog ib lossis ntau qhov pob txha |
Z-score diagnostic cov txheej txheem yog:
| ib txwm pob txha loj | Z-tus nqi≧-1 |
| me ntsis tsis txaus pob txha muaj zog | -1﹥Z-value≥-1.5 |
| Cov pob txha tsis muaj zog txaus | -1.5﹥Z-value≥-2 |
| Mob pob txha tsis txaus | Z-tus nqi <-2 |
04. Pom zoo cov pej xeem rau kev kuaj pob txha
Raws li "Cov Lus Qhia rau Kev Tshawb Fawb thiab Kev Kho Mob Osteoporosis hauv Suav Teb" uas tau muab los ntawm Pob Txha thiab Kab Mob Mineral Ceg ntawm Tuam Tshoj Medical Association hauv xyoo 2017, cov pab pawg hauv qab no yuav tsum tau kuaj xyuas pob txha kom ntxov:
1. Cov poj niam hnub nyoog tshaj 65 xyoo thiab cov txiv neej hnub nyoog tshaj 70 xyoo, tsis hais txog lwm yam kev pheej hmoo ntawm pob txha.
2. Cov poj niam hnub nyoog qis dua 65 xyoos thiab cov txiv neej hnub nyoog qis dua 70 xyoo muaj ib lossis ntau qhov kev pheej hmoo rau pob txha
3. Cov neeg laus muaj keeb kwm ntawm cov pob txha tawg
4. Cov neeg laus uas muaj cov tshuaj hormones qis los ntawm ntau yam
5. Cov neeg uas muaj osteoporotic hloov hauv X-ray zaj duab xis
6. Cov neeg uas tau txais kev kho mob pob txha thiab saib xyuas cov nyhuv curative
7. Cov neeg uas muaj keeb kwm cuam tshuam cov kab mob hauv pob txha los yog siv cov tshuaj uas cuam tshuam rau cov pob txha metabolism
8. Cov lus teb zoo rau kev kuaj IOF osteoporosis ib feeb
9. OSTA tshwm sim ≤ -1
Qhov kev qhia no yog qhov dav heev, thiab cov neeg muaj hnub nyoog tshaj 40 xyoo thiab cov neeg muaj kev pheej hmoo tuaj yeem kuaj xyuas pob txha.
05 Kev ceev faj rau kev kuaj pob txha:
DXA muaj qhov zoo ntawm cov hluav taws xob tsawg, nyab xeeb thiab ceev, thiab ntsuas qhov tseeb.Nws cov koob tshuaj hluav taws xob tsawg heev.Rau cov neeg mob uas tau kuaj mob plab hnyuv hauv lub lim tiam dhau los, kev kuaj mob pob txha yuav tsum tau ua ob peb hnub (ntau tshaj 7 hnub zoo dua);rau cov neeg mob uas tau kuaj xyuas cov tshuaj nuclear, nws yog qhov zoo tshaj rau kev kuaj xyuas pob txha ua ntej lossis hnub tom qab zoo dua;Thaum tus neeg mob tsis tuaj yeem pw tsaug zog lossis siab tshaj qhov hnyav ntawm lub rooj kuaj mob, cov pob txha ntom ntom ntawm lub cev tsis tuaj yeem kuaj tau, tab sis cov pob txha ntom ntom ntawm lub forearm tuaj yeem ntsuas tau.
06 Yuav tiv thaiv thiab kho mob pob txha li cas?
Yog tias koj pom tias koj muaj osteopenia lossis osteoporosis, koj yuav tsum ua tib zoo saib xyuas nws.Kev tiv thaiv thiab kev kho mob feem ntau suav nrog kev hloov pauv hauv kev ua neej, tshuaj kho pob txha, thiab tshuaj kho mob.
Kho txoj kev ua neej: ntxiv dag zog rau kev noj haus, kev noj zaub mov zoo;tshav ntuj txaus;kev tawm dag zog tsis tu ncua;txiav luam yeeb, txwv tsis pub haus cawv;tsis txhob haus kas fes ntau dhau;tsis txhob haus cov dej haus carbonated ntau dhau;
Cov pob txha noj qab haus huv: xyuas kom cov calcium noj txhua hnub ntawm 1000mg, cov poj niam hnub nyoog tshaj 50 xyoo, cov txiv neej tshaj 70 xyoo, yuav tsum tau nce calcium kom tsawg rau 1200mg;cov vitamin D txaus tuaj yeem ua rau cov plab hnyuv plab zom mov, txhawb cov pob txha muaj zog, tswj cov leeg nqaij, txhim kho kev sib npaug thiab txo qhov kev pheej hmoo ntawm kev poob.
07. Kev tiv thaiv kab mob osteoporosis, tsom rau kev ua
Rau osteoporosis, kev tiv thaiv ntxov thiab kev cuam tshuam zoo tuaj yeem tiv thaiv kev laus thiab ua kom lub neej ntev mus rau qee yam.Kev ntsuas pob txha pob txha yog qhov tseem ceeb hauv kev tshawb pom ntxov ntawm osteopenia thiab osteoporosis.Nws raug nquahu kom cov hluas thiab cov phooj ywg nruab nrab kom them nyiaj rau lawv tus kheej cov pob txha ceev, thiab tiv thaiv cov kabmob Osteoporosis, pib los ntawm kev ntsuas cov pob txha ceev.
No.1thawj kev tiv thaiv ntawm osteoporosis
Thawj qhov kev tiv thaiv ntawm osteoporosis yuav tsum pib thaum yau thiab hluas.Ua tib zoo noj cov zaub mov uas muaj calcium ntau, ua kom qoj ib ce, tawm lub hnub ntau dua, tsis txhob haus luam yeeb lossis haus dej ntau, thiab haus kas fes tsawg, tshuaj yej muaj zog thiab dej qab zib, thiaj li txo qis kev pheej hmoo ntawm osteoporosis ntau li ntau tau.Ua kom koj cov pob txha ncov tus nqi mus rau qib siab dua thiab khaws cov pob txha txaus rau koj lub neej yav tom ntej.
No.2Secondary kev tiv thaiv ntawm osteoporosis
Qhov thib ob kev tiv thaiv ntawm osteoporosis yog hais txog cov poj niam hnub nyoog nruab nrab, tshwj xeeb tshaj yog cov poj niam postmenopausal, thaum lub sij hawm tus nqi ntawm cov pob txha poob yog ceev.Nws raug nquahu kom kuaj xyuas pob txha ceev txhua 1-2 xyoos kom nkag siab txog cov kev hloov ntawm pob txha pob txha.Nyob rau tib lub sijhawm, kev ntxiv calcium thiab vitamin D kom raug, ua raws li kev ua neej zoo, xws li kev ua lub cev tsis tu ncua, kev noj zaub mov kom zoo, tsis haus luam yeeb, thiab haus cawv tsawg tuaj yeem tiv thaiv kev mob pob txha.
No.3Tertiary tiv thaiv osteoporosis
Kev tiv thaiv tertiary ntawm osteoporosis feem ntau yog nrhiav cov pob txha tsawg los yog twb raug mob osteoporosis tom qab hnub nyoog laus.Nyob rau lub sijhawm no, peb yuav tsum tau ua kom muaj zog ntxiv, tiv thaiv kev ntog, thiab tiv thaiv kev puas tsuaj.Nyob rau tib lub sijhawm, peb yuav tsum tseem nquag ntxiv calcium thiab vitamin D, ntxiv dag zog rau kev kho mob tuaj yeem tiv thaiv cov pob txha tsis zoo thiab txo qhov kev pheej hmoo ntawm pob txha, thiab txawm rov qab pob txha ceev.
Nws yeej tsis lig dhau los pib tsom mus rau pob txha noj qab haus huv.
Pinyuan Ultrasound Bone Densitometer thiab DXA Pob Txha Denstometry Tiv Thaiv Koj Cov Pob Txha.
Post lub sij hawm: Mar-17-2023