Osteoporosis
Item |
Clinical significance |
Fee |
Precautions |
Report |
Ca & P |
1. Osteocalcin labeling screening 2. Rheumatoid osteoarthritis |
500 |
No need for fasting |
1day |
Osteocalcin |
Osteoproteoprotein |
600 |
Fasting EDTA/plasma freezing |
3 days |
B-CrossLaps- |
Bone resorption index |
1000 |
Fasting EDTA/plasma freezing |
3 days |
DPD |
Loss rate of calcium from bone in the bone |
1000 |
As long as the urine is ok |
3 days |
Vit-D Total |
Total
fat-soluble vitamin D |
1500 |
Blood test, no fasting |
2 days |
3500 |
Fasting blood + urine test |
3-4days |
||
Other inspection VDR Fork, Apa1 Era1 SNP1, Era2 SNP2
Osteoporosis |
|
|
The results show:
If the result is abnormal, it means that your bone loss is too fast, you should prevent osteoporosis as soon as possible!
When should I undergo osteoporosis?
1. It is recommended that under-exercise and women over the age of 30, men over the age of 40, should be examined to understand the underlying conditions of bone loss.
2. Male testosterone deficiency is highly recommended for testing
3. Female menopause, estrogen deficiency, thyroid and parathyroid function, growth hormone GH and cerebral cortex Cortisol abnormalities
4. Poor health status: such as: tooth decay / tooth loss / periodontal disease, etc.
5. Smoking, drinking, coffee and tea overdose, bone loss, postoperative and chemotherapy patients, steroid intake should be tracked once a year.
6. If the Dpd value is too high and the bone mass is quickly lost, it should be added as X-ray bone density to determine whether it should be treated immediately.
7. According to the seventh edition of the Republic of China “Dietary Reference Intakes (DRIs)”, it is recommended that the daily calcium intake of adults over 19 years old is 1000 mg, and the daily maximum intake is 2500 mg. Ingestion of less than 1 cup of milk 240 cc or the same calcium should be tested first.
8. Osteoporosis patients who are treated, need to check Dpd at the 4th week of treatment to evaluate the treatment effect. After three months of treatment, the Dpd value decreased by more than 30%, which was regarded as effective treatment; if the Dpd value decreased by less than 30%, it was regarded as ineffective treatment.
9. Effective treatment of osteoporosis, regular tracking of bone loss control every 6-12 months.
10. Patients with ineffective osteoporosis should consider adjusting the treatment method and testing Dpd after 4 weeks to determine whether the treatment is effective.
Inspection and dietary advice:
1. Deoxypyridinoline Dpd : Determining bone loss
2. Quantitative ultrasound examination: determination of bone stiffness and structural quality to understand the trabecular thinning or fracture
3. Dual energy X-ray bone density was investigated: Determination of existing bone density
4. Increase the frequency of sun exposure and outdoor sports, weight-bearing exercise
5. Health food, health food supplement
something else:
(1) Sample collection: the second fresh urine in the morning is better
(2) Because bone synthesis is mainly serum, it is recommended to take blood test
(3) If the abnormality of osteoporosis detection should be reversed to detect the lack of hormones, males can measure testosterone, females can measure estrogen
(4) General skeletal pattern can be used for ultra-high-energy X-ray wrist/hip joint/spine and initial diagnosis by orthopedics, radiology, and rehabilitation physicians
Cost 3500 NTD report 3-4 days
Online appointment for bone loss all project examination