Luyintoni uvavanyo lwe-Ankle Brachial Index kwaye lusetyenziselwa ntoni?

Umxholo

• Yintoni uvavanyo lwe-ankle brachial index?
• Ngubani odinga olu vavanyo?
• Kwenziwa njani?
• Yintoni i-ankle brachial index yokufunda eqhelekileyo?
• Kuthetha ntoni ukufundwa okungaqhelekanga?
• Umgca wezantsi

Ukuba ungumntu ophilileyo ngaphandle kwemicimbi yokujikeleza kwegazi, igazi liphuma lisiya naseziphelweni zakho, njengemilenze neenyawo zakho, ngaphandle kwengxaki.

Kodwa kwabanye abantu, imithambo iqala ukuba mxinwa, enokuthi ithintele ukuhamba kwegazi kwamanye amalungu omzimba wakho. Kulapho kuvavanyo olungafunekiyo olubizwa ngokuba yi-ankle brachial index test.

Uvavanyo lwesalathiso se-ankle brachial yindlela ekhawulezayo yokuba ugqirha wakho ajonge ukuhamba kwegazi ukuya kwiziphelo zakho. Ngokujonga uxinzelelo lwegazi kwiindawo ezahlukeneyo zomzimba wakho, ugqirha wakho uya kulungeleka ngakumbi ukufumanisa ukuba ngaba awunayo imeko ebizwa ngokuba yipheripheral artery disease (PAD).

Kule nqaku, siza kujonga ngokuthe ngqo ukuba yintoni uvavanyo lwe-ankle brachial index, indlela eyenziwe ngayo, kunye nokuba ukufundwa kunokuthetha ntoni.

Yintoni uvavanyo lwe-ankle brachial index?

Eyona nto ibalulekileyo, isalathiso se-ankle brachial index (ABI) silinganisa ukuhamba kwegazi kwimilenze nakwiinyawo zakho. Imilinganiselo inokuqaqambisa naziphi na iingxaki ezinokubakho, ezinje ngokubhloka okanye ukubhloka kwenxalenye ekuhambeni kwegazi ukuya kwiziphelo zakho.

Uvavanyo lwe-ABI luluncedo ngakumbi kuba alungeneleli kwaye kulula ukuluqhuba.

Ngubani odinga olu vavanyo?

Ukuba unayo i-PAD, imilenze yakho isenokungafumani gazi laneleyo. Unokuziva iimpawu ezinjengeentlungu okanye izihlunu xa uhamba, okanye mhlawumbi ukuba ndindisholo, ubuthathaka, okanye ukubanda emilenzeni yakho.

Yintoni eyahlula i-PAD kwezinye izizathu zentlungu yomlenze ziimpawu ezivela emva komgama ochaziweyo (umz.Iibhloko ezi-2) okanye ixesha (umz.Imizuzu eli-10 yokuhamba) kwaye bakhululekile ngokuphumla.

Ukushiya kunganyangwa, i-PAD inokukhokelela kwiimpawu ezibuhlungu kwaye inokunyusa umngcipheko wokulahlekelwa lilungu.

Ayinguye wonke umntu ofuna uvavanyo lwe-ABI. Kodwa abantu abanemingcipheko ethile yesifo somthambo wesifo banokuzuza kwelinye. Iimpawu zomngcipheko oqhelekileyo we-PAD zibandakanya:

• imbali yokutshaya
• igazi elonyukayo
• cholesterol ephezulu
• isifo seswekile
• isifo semithambo

Ugqirha wakho unokuphinda akucebise uvavanyo lwe-ankle brachial index ukuba ukhe wafumana iintlungu zomlenze xa uhamba, ezinokuba luphawu lwe-PAD. Esinye isizathu sokufumana uvavanyo kukuba ngaba uye wahlinzwa kwimithambo yegazi yemilenze yakho, ukuze ugqirha wakho abeke esweni ukuhamba kwegazi kwimilenze yakho.

Ukongeza, kufunyenwe izibonelelo zokuqhuba uvavanyo lwasemva kovavanyo lwe-ABI kubantu ababekrokrela i-PAD kodwa iziphumo zovavanyo oluqhelekileyo ngelixa baphumle.

Ngokwe-US Preventive Services Task Force, isibonelelo esinokubakho ekusebenziseni uvavanyo kubantu abangenazo iimpawu ze-PAD khange sifundwe kakuhle.

Kwenziwa njani?

Iindaba ezimnandi malunga nolu vavanyo: Iyakhawuleza kwaye ayinabuhlungu. Kwaye awunyanzelekanga ukuba wenze naluphi na ulungiselelo olukhethekileyo ngaphambi kokufumana uvavanyo.

Nantsi indlela esebenza ngayo. Ulala phantsi imizuzu embalwa ngaphambi kokuba uvavanyo luqale. Ingcali iyakuthatha uxinzelelo lwegazi kwiingalo zombini nakumaqatha omabini, usebenzisa ikhafula enokungeneka kunye nesixhobo se-ultrasound esiphathwayo ukuva ukubetha kwentliziyo yakho.

Ingcali iya kuqala ngokubeka uxinzelelo lwegazi kwikofu enye engalweni, ihlala ingalo yasekunene. Baya kugcoba i-gel encinci engalweni yakho ngaphezu kwe-brachial pulse yakho, ephezulu ngaphezu kwendawo yangaphakathi yengqiniba yakho. Njengoko uxinzelelo lwegazi lukhukhumala lize emva koko lonakalise, itekhnoloji iya kusebenzisa isixhobo se-ultrasound okanye iprosesa yeDoppler ukumamela ukubetha kwakho kwaye urekhode umlinganiso. Le nkqubo iphinda iphindwe kwingalo yakho yasekhohlo.

Okulandelayo kuza amaqatha akho. Inkqubo iyafana kakhulu naleyo yenziwe ezingalweni zakho. Uya kuhlala kwindawo efanayo. Itekhnoloji iya kuphembelela kwaye icofe uxinzelelo lwegazi kwikofu enye ngelixa usebenzisa isixhobo se-ultrasound ukumamela ukubetha kwakho kwimithambo enika igazi elunyaweni lwakho. Inkqubo iya kuthi iphindaphindwe kwelinye iqatha.

Emva kokuba ugqirha eyigqibile yonke imilinganiselo, loo manani aya kusetyenziselwa ukubala i-ankle brachial index kumlenze ngamnye.

Yintoni i-ankle brachial index yokufunda eqhelekileyo?

Imilinganiselo yovavanyo lwe-ABI iguqulwa yangumlinganiso. Umzekelo, i-ABI yomlenze wakho wasekunene iya kuba yeyona uxinzelelo lwegazi luphezulu kunyawo lwakho lwasekunene eyahlulahlulwe ngoxinzelelo oluphezulu lwe-systolic kwiingalo zombini.

Iingcali zijonga isiphumo sovavanyo lwe-ABI ukuwela phakathi kwe-0.9 kunye ne-1.4.

Kuthetha ntoni ukufundwa okungaqhelekanga?

Ugqirha wakho unokukhathazeka ukuba umyinge wakho ungaphantsi kwe-0.9.Esi salathisi yinto umntu ayibiza ngokuba "luphawu olunamandla oluzimeleyo lomngcipheko wentliziyo." Oku kukubeka emngciphekweni wokukhula ngokuthe ngcembe imigama emifutshane yokuhamba (indlela yokuphila enomda).

Kumanqanaba aphambili, i-PAD iqhubela phambili kwisoyikiso somlenze esingapheliyo (CLTI) apho izigulana zineentlungu zokuphumla (ezingapheliyo, iintlungu ezivuthayo) kukusilela kokuhamba kwegazi kunye / okanye ukukhulisa amanxeba anganyangekiyo. Izigulana ze-CLTI zinezinga eliphezulu kakhulu lokunqunyulwa amalungu xa kuthelekiswa nezigulana ezinesiphelo.

Okokugqibela, ngelixa i-PAD ingasibangeli isifo sentliziyo okanye isifo se-cerebrovascular, izigulana ezine-PAD zihlala zinesifo se-atherosclerotic kweminye imithambo yegazi. Ke ngoko, ukuba ne-PAD kunxulunyaniswa nomngcipheko okhulayo wezinto ezingezizo zomlenze eziphambili zeziganeko zentliziyo ezinje ngokubetha okanye ukubetha kwentliziyo.

Ugqirha wakho uya kufuna ukuthatha ingqalelo kuyo nayiphi na impawu yesifo se-vascular peripheral onokufumana ngaphambi kokuba ufumane ukuxilongwa.

Imbali yosapho lwakho kunye nembali yokutshaya, kunye nokuvavanywa kwemilenze yakho kwiimpawu ezinje ngokuba ndindisholo, ubuthathaka, okanye ukungabikho kwempembelelo, kuya kufuneka kuthathelwe ingqalelo, phambi kokuba kufunyaniswe isifo.

Umgca wezantsi

Uvavanyo lwe-ankle brachial index, ekwabizwa ngokuba luvavanyo lwe-ABI, yindlela ekhawulezayo nelula yokufundwa ngokuhamba kwegazi ukuya kwiziphelo zakho. Kuvavanyo olunokuyalelwa ngugqirha wakho ukuba ngaba unomdla wokuba unokuba neempawu zesifo semithambo esecaleni, okanye unokuba semngciphekweni wale meko.

Olu vavanyo lunokuba luncedo kakhulu njengenye yecandelo lokwenza ukuxilongwa kwemeko efana nesifo se-peripheral disease. Oku kunokunceda ekuqinisekiseni ukuba ufumana olona nyango lufanelekileyo kwangoko.