Kemik erimesi belirtilerinin ya\u015fand\u0131\u011f\u0131 andan itibar\u0131n kemik kontrol\u00fcn\u00fcn, \u00f6l\u00e7\u00fcm\u00fcn\u00fcn yap\u0131lmas\u0131 \u00f6nemlidir.<\/p>\n

Kemik Mineral Yo\u011funlu\u011fu \u00d6l\u00e7\u00fcm\u00fc Testi (KMY, BMD)
\nKemik yo\u011funlu\u011fu \u00f6l\u00e7\u00fcm\u00fc (kemik taramas\u0131 testi) nedir?
\nKemik mineral yo\u011funlu\u011fu (KMY) = BMD (Bone Mineral Density)<\/p>\n

Kemik yap\u0131s\u0131n\u0131n \u00f6nemli k\u0131sm\u0131n\u0131 i\u00e7erisindeki kalsiyum ve fosfor gibi mineraller olu\u015fturur.Kemik yo\u011funlu\u011fu (dansitesi) \u00f6l\u00e7\u00fcm y\u00f6ntemlerindeki ama\u00e7 kemi\u011fin bu mineral k\u0131sm\u0131n\u0131n miktarsal oran\u0131n\u0131 belirlemektir. Kemikteki minerallerin kayb\u0131 ne kadar fazla ise yo\u011funluk o miktar d\u00fc\u015f\u00fck \u00f6l\u00e7\u00fcl\u00fcr, bu durumda kemik mineral yo\u011funlu\u011fu azalm\u0131\u015f yani kemik erimesi (osteoporoz) meydana gelmi\u015f \u015feklinde yorum yap\u0131l\u0131r. Kemik mineral yo\u011funlu\u011fu \u00f6l\u00e7\u00fcm\u00fc kad\u0131nlarda, erkeklerde, \u00e7ocuklarda baz\u0131 durumlarda yap\u0131lmas\u0131 gereken bir tetkiktir, bu yaz\u0131da kad\u0131nlarda \u00f6zellikle menopoza ba\u011fl\u0131 kemik erimesi durumunda kemik yo\u011funlu\u011fu \u00f6l\u00e7\u00fcmlerinden bahsedilecektir.<\/p>\n

Kemik mineral yo\u011funlu\u011fu \u00f6l\u00e7\u00fcm\u00fc s\u0131kl\u0131kla kemik taramas\u0131, kemik taramas\u0131 tahlili, kemik taramas\u0131 testi, kemik erimesi testi, kemik tarama filmi, kemik erimesi filmi gibi de isimlendirilmektedir. K\u0131saca KMY veya BMD \u015feklinde yaz\u0131l\u0131r.<\/p>\n

Kemik yo\u011funlu\u011fu \u00f6l\u00e7\u00fcm\u00fc kimlere ve ne zaman yap\u0131l\u0131r?
\n\u2022 Menapoz sonras\u0131nda
\n\u2022 65 ya\u015f \u00fczeri kad\u0131nlarda
\n\u2022 Steroid ila\u00e7lar gibi kemik kayb\u0131na neden olan ila\u00e7lar\u0131 kullananlar
\n\u2022 Kendisinde veya annesinde kal\u00e7a k\u0131r\u0131\u011f\u0131 hikayesi olan hastalar
\n\u2022 Tip 1 diabet, karaci\u011fer ve b\u00f6brek hastal\u0131\u011f\u0131 olanlar
\n\u2022 Ciddi hipertiroidi hastalar\u0131
\n\u2022 Hafif bir travma ile k\u0131r\u0131k olu\u015fan hastalar
\n\u2022 R\u00f6ntgen filminde kemik erimesi (osteoporoz) veya omurga k\u0131r\u0131\u011f\u0131 \u015f\u00fcphesi g\u00f6zlenen hastalar
\nKemik tarama testi ne s\u0131kl\u0131kla yap\u0131l\u0131r?
\nKemik yo\u011funlu\u011fu \u00f6l\u00e7\u00fcm\u00fc menopoz sonras\u0131nda ortalama 2 y\u0131lda bir yap\u0131lmakla beraber risk fakt\u00f6rleri varl\u0131\u011f\u0131nda daha s\u0131k yap\u0131labilir veya kemik yo\u011funlu\u011fu iyi olan risk fakt\u00f6r\u00fc olmayan ki\u015filerde 3-5 y\u0131lda bir gibi daha seyrek yap\u0131labilir.<\/p>\n

Kemik mineral yo\u011funlu\u011fu \u00f6l\u00e7\u00fcm\u00fc (kemik tarama testi) nas\u0131l yap\u0131l\u0131r?<\/p>\n

Kemik mineral yo\u011funlu\u011fu saptamak i\u00e7in g\u00fcn\u00fcm\u00fczde en s\u0131k kullan\u0131lan DEXA (DXA diye de k\u0131salt\u0131labilir) y\u00f6ntemi basit, k\u0131sa s\u00fcren, a\u011fr\u0131s\u0131z bir y\u00f6ntemdir. Hasta resimde g\u00f6r\u00fcld\u00fc\u011f\u00fc gibi cihaz \u00fczerine yatar ve bu pozisyonda i\u015flem ger\u00e7ekle\u015ftirilir. Hasta \u00e7ok az miktarda radyasyon \u0131\u015f\u0131n\u0131na maruz kal\u0131r, al\u0131nan radyasyon miktar\u0131 bir akci\u011fer r\u00f6ntgen filmindeki dozun onda biri kadard\u0131r neredeyse. Omurgan\u0131n bel k\u0131sm\u0131 (L1-L4) ve kal\u00e7aya (femur) \u00e7ekim yap\u0131l\u0131r genellikle. \u00c7ekim en fazla 10 dakika s\u00fcrer ve \u00e7ekim sonras\u0131nda sonu\u00e7 raporu genellikle yar\u0131m saat i\u00e7erisinde hastaya verilir.<\/p>\n

\u00d6l\u00e7\u00fcm\u00fcn yap\u0131laca\u011f\u0131 g\u00fcn hastan\u0131n a\u00e7 veya tok olmas\u0131 fark etmez. \u00d6nceden bir ila\u00e7 almas\u0131 gerekmez. \u00c7ekim alan\u0131na girmemesi i\u00e7in \u00fczerinde metal d\u00fc\u011fme, kemer, fermuar olmayan k\u0131yafetler tercih edilmemelidir. \u00c7ekim alan\u0131na metal girmedi\u011fi s\u00fcrece elbise ile de \u00e7ekim yap\u0131labilir ancak bazen baz\u0131 k\u0131yafetler \u00e7\u0131karman\u0131z istenebilir.<\/p>\n

\u00c7ekim s\u0131ras\u0131nda omurgan\u0131n bel b\u00f6lgesinin d\u00fczle\u015fmesi i\u00e7in (lordozun d\u00fczle\u015fmesi i\u00e7in) hastan\u0131n bacaklar\u0131 karn\u0131na do\u011fru gelecek \u015fekilde \u00e7ekilerek destek \u00fczerine konur.Kal\u00e7a \u00e7ekiminde bacak yani femur kemi\u011fi i\u00e7e do\u011fru \u00e7evrilir (i\u00e7 rotasyon).<\/p>\n

Kemik yo\u011funlu\u011fu \u00f6l\u00e7\u00fcm\u00fc neden yap\u0131l\u0131r?<\/p>\n

Ba\u015fl\u0131ca sebep ki\u015fide kemik erimesi (osteoporoz) varl\u0131\u011f\u0131n\u0131 ara\u015ft\u0131rmakt\u0131r. Bunun yan\u0131 s\u0131ra k\u0131r\u0131k riskini belirlemede kullan\u0131l\u0131r. Kemik erimesi olan hastalarda kal\u00e7a k\u0131r\u0131klar\u0131 ve omurga k\u0131r\u0131klar\u0131 daha s\u0131k g\u00f6r\u00fcl\u00fcr. Kemik mineral yo\u011funlu\u011fu (DEXA) \u00f6l\u00e7\u00fcm\u00fcnde saptanan T-skor de\u011feri ile k\u0131r\u0131k riski aras\u0131nda do\u011frudan ili\u015fki saptanm\u0131\u015ft\u0131r. T-skoru ne kadar d\u00fc\u015f\u00fckse kemik erimesi o kadar fazlad\u0131r ve k\u0131r\u0131k riski de ayn\u0131 oranda \u00fcstsel olarak artmaktad\u0131r. Ayr\u0131ca kemik erimesi i\u00e7in tedavi verilen hastalarda tedavi ile meydana gelen de\u011fi\u015fimi ve tedavinin faydas\u0131n\u0131 g\u00f6zlemek i\u00e7in de belli aral\u0131klarla kemik yo\u011funlu\u011fu \u00f6l\u00e7\u00fcm\u00fc yap\u0131l\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"

Kemik…<\/p>\n","protected":false},"author":1,"featured_media":6472,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1576],"tags":[3488,3530,3529,3528,411,153],"_links":{"self":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/6470"}],"collection":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/comments?post=6470"}],"version-history":[{"count":0,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/6470\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media\/6472"}],"wp:attachment":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media?parent=6470"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/categories?post=6470"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/tags?post=6470"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}