Medical Library - Medical Teaching Hospital, Maribor (SBMB)
13.
Diagnostika osteoporoze in smernice ISCD = Diagnosis of osteoporosis and guidelines ISCD
Čokolič, Miro
Osteoporoza je najbolj razširjena presnovna kostna bolezen v razvitem svetu in postaja eden glavnih zdravstvenih problemov razvitih družb. Izguba kosti je asimptomatska in prvi znak osteoporoze je ...ponavadi zlom. Obravnava bolnika obsega anamnezo, klinični pregled, laboratorijske in slikovne preiskave. Osteoporoza se po veljavni strokovni doktrini (v odsotnosti osteoporotičnega zloma) diagnosticira z merjenjem mineralne kostne gostote z metodo dvojnoenergijske rentgenske absorpciometrije (DXA), katere izvid omogoča razvrstitev bolnika v skladu z veljavno klasifikacijo Svetovne zdravstvene organizacije. Stroški zlomov so ogromni, v EU so 31,7 milijard evrov in bodo narasli na 76,7 milijard evrov v letu 2050, v ZDA pa znašajo 17 milijard dolarjev. Predstavljena so uradna stališča Mednarodnega združenja za klinično denzitometrijo (ISCD) v zvezi z merjenjem kostne gostote z DXA. Ta veljajo za celovita in najširše klinično uporabljana ter pokrivajo vse pomembne aspekte klinične denzitometrije.
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