Luyini Uvavanyo Lwe-Ankle Brachial Index futhi Lusetshenziselwani?

-Delile

• Kuyini ukuhlolwa kwe-ankle brachial index?
• Ngubani odinga lokhu kuhlolwa?
• Kwenziwa kanjani?
• Yini ukufundwa kwe-ankle brachial index okujwayelekile?
• Kusho ukuthini ukufunda okungajwayelekile?
• Okubalulekile

Uma ungumuntu ophilile ngaphandle kwezinkinga zokujikeleza kwegazi, igazi ligeleza liye noma lisuka emaphethelweni akho, njengemilenze nezinyawo zakho, ngaphandle kwezinkinga.

Kodwa kwabanye abantu, imithambo yegazi iqala ukuba mincane, okungaphazamisa ukuhamba kwegazi liye kwezinye izingxenye zomzimba wakho. Yilapho ukuhlolwa okungekho emthethweni okubizwa nge-ankle brachial index test kungena khona.

Ukuhlolwa kwe-ankle brachial index kuyindlela esheshayo yokuthi udokotela wakho abheke ukugeleza kwegazi kuye emaphethelweni akho. Ngokuhlola umfutho wegazi lakho ezindaweni ezihlukene zomzimba wakho, udokotela wakho uzokulungela kangcono ukunquma ukuthi unaso yini isimo esibizwa ngokuthi yi-peripheral artery disease (PAD).

Kule ndatshana, sizobhekisisa ukuthi ukuhlolwa kwe-ankle brachial index kuyini, kwenziwa kanjani, nokuthi ukufunda kungasho ukuthini.

Kuyini ukuhlolwa kwe-ankle brachial index?

Empeleni, ukuhlolwa kwe-ankle brachial index (ABI) kukala ukugeleza kwegazi kuye emilenzeni nasezinyaweni zakho. Izilinganiso zingagqamisa noma yiziphi izinkinga ezingaba khona, njengokuvinjelwa noma ukuvinjelwa okuyingxenye ekugelezeni kwegazi kuye emaphethelweni akho.

Ukuhlolwa kwe-ABI kuwusizo ikakhulukazi ngoba akuhlaseli futhi kulula ukwenziwa.

Ngubani odinga lokhu kuhlolwa?

Uma une-PAD, izitho zakho kungenzeka zingatholi igazi elanele. Ungazizwa izimpawu ezifana nobuhlungu noma amajaqamba lapho uhamba, noma mhlawumbe ukuba ndikindiki, ukuba buthakathaka, noma ukubanda emilenzeni yakho.

Yini ehlukanisa i-PAD kwezinye izimbangela zobuhlungu bomlenze yizimpawu ezivela ngemuva kwebanga elichaziwe (isb. Amabhlokhi ama-2) noma isikhathi (isb.imizuzu eyi-10 yokuhamba) futhi zikhululiwe ngokuphumula.

Uma ingalashwa, i-PAD ingaholela ezimpawu ezibuhlungu futhi ingakhuphula ubungozi bokulahlekelwa isitho.

Akuwona wonke umuntu odinga ukuhlolwa kwe-ABI. Kepha abantu abanezici ezithile zobungozi besifo semithambo eseceleni bangazuza kokukodwa. Izici ezinobungozi ezijwayelekile ze-PAD zifaka:

• umlando wokubhema
• umfutho wegazi ophakeme
• cholesterol ephezulu
• isifo sikashukela
• isifo sokuqina kwemithambo yegazi

Udokotela wakho futhi angancoma ukuhlolwa kwe-ankle brachial index uma ngabe uhlangabezana nobuhlungu bomlenze lapho uhamba, okungaba uphawu lwe-PAD. Esinye isizathu esingaba khona sokuhlolwa ukuthi ngabe uke wahlinzwa yini emithanjeni yegazi yemilenze yakho, ukuze udokotela wakho akwazi ukuqapha ukugeleza kwegazi kuye emilenzeni yakho.

Ngokwengeziwe, ngithole izinzuzo zokwenza ukuhlolwa kwe-ABI ngemuva kokuzivocavoca kubantu ababesola i-PAD kepha imiphumela ejwayelekile yokuhlolwa ngenkathi bephumule.

Ngokusho kwe-U.S. Preventive Services Task Force, inzuzo engaba khona ekusebenziseni isivivinyo kubantu abangenazo izimpawu ze-PAD ayifundiswanga kahle.

Kwenziwa kanjani?

Izindaba ezinhle ngalesi sivivinyo: Iyashesha futhi ayinabuhlungu. Futhi, awudingi ukwenza amalungiselelo akhethekile ngaphambi kokuthola isivivinyo.

Nakhu ukuthi kusebenza kanjani.Ulala phansi imizuzu embalwa ngaphambi kokuqala kokuhlolwa. Uchwepheshe uzothatha umfutho wegazi lakho ezingalweni zombili nasemaqakaleni womabili, esebenzisa ikhafula elifuthwayo kanye nedivayisi ephathwa ngesandla ye-ultrasound ukuzwa ukushaya kwakho.

Uchwepheshe uzoqala ngokufaka inkomishi yegazi engalweni eyodwa, imvamisa ingalo yangakwesokudla. Bazobe behlikihla i-gel encane engalweni yakho ngaphezulu kwenhliziyo yakho ye-brachial, engaphezulu nje kwengaphakathi lendololwane yakho. Njengoba ikhakha yengcindezi yegazi ikhukhumala bese ikhubazeka, i-tech izosebenzisa idivayisi ye-ultrasound noma iphenyo le-Doppler ukulalela ukushaya kwenhliziyo yakho nokuqopha isilinganiso. Le nqubo iyaphindwa engalweni yakho yesobunxele.

Okulandelayo kuza amaqakala akho. Inqubo ifana kakhulu naleyo eyenziwe ezandleni zakho. Uzohlala endaweni efanayo eyehlisiwe. Ubuchwepheshe buzokhuphula futhi buthambise isikhwama somfutho wegazi esizungeze iqakala elilodwa ngenkathi kusetshenziswa idivaysi ye-ultrasound ukulalela ukushaya kwenhliziyo emithanjeni ehambisa igazi onyaweni lwakho. Inqubo-ke izophindwa kwelinye iqakala.

Ngemuva kokuthi uchwepheshe eseqede zonke izilinganiso, lezo zinombolo zizosetshenziswa ukubala inkomba ye-ankle brachial yomlenze ngamunye.

Yini ukufundwa kwe-ankle brachial index okujwayelekile?

Izilinganiso ezivela ekuhlolweni kwe-ABI ziguqulwa zibe isilinganiso. Isibonelo, i-ABI yomlenze wakho wangakwesokudla kungaba yi-systolic blood pressure ephezulu kakhulu enyaweni yakho yangakwesokudla ehlukaniswe yingcindezi ephezulu kakhulu ye-systolic ezingalweni zombili.

Ochwepheshe bacabanga ukuthi imiphumela yokuhlolwa kwe-ABI iwele phakathi kuka-0.9 no-1.4.

Kusho ukuthini ukufunda okungajwayelekile?

Udokotela wakho angakhathazeka uma isilinganiso sakho singaphansi kuka-0.9. Le nkomba yilokho umuntu akubiza ngokuthi “uphawu oluzimele olunamandla lwengozi yenhliziyo nemithambo yegazi.” Lokhu kukubeka engcupheni yokuthuthuka ngokuhamba kancane amabanga okuhamba (indlela yokuphila ekhawulela ukucacisa).

Ezigabeni ezithuthukile, i-PAD iqhubekela phambili isongela i-ischemia (CLTI) engalapheki lapho iziguli zinezinhlungu zokuphumula (ukuqhubeka, ubuhlungu obuvuthayo) ngokungabi khona kokuhamba kwegazi kanye / noma ukuthuthukisa amanxeba angapholi. Iziguli ze-CLTI zinezinga eliphakeme kakhulu lokunqunywa uma kuqhathaniswa neziguli ezinama-claudication ngezikhathi ezithile.

Ekugcineni, ngenkathi i-PAD ingabangeli isifo senhliziyo noma isifo se-cerebrovascular, iziguli ezine-PAD ngokuvamile zinesifo se-atherosclerotic kweminye imithambo yegazi. Ngakho-ke, ukuba ne-PAD kuhlotshaniswa nengozi eyandayo yezenzakalo ezinkulu zenhliziyo ezingezona zomlenze njengokushaywa unhlangothi noma isifo senhliziyo.

Udokotela wakho uzophinde afune ukucabangela noma yiziphi izimpawu zesifo semithambo yegazi ongase ubhekane naso ngaphambi kokwenza ukuxilongwa.

Umlando womndeni wakho nomlando wokubhema, kanye nokuhlolwa kwemilenze yakho ukuthola izimpawu ezifana nokuba ndikindiki, ubuthakathaka, noma ukungashayeki kwenhliziyo, kuzodingeka ukuthi kubhekwe nakho, ngaphambi kokuxilongwa.

Okubalulekile

Ukuhlolwa kwe-ankle brachial index, okwaziwa nangokuthi ukuhlolwa kwe-ABI, kuyindlela esheshayo nelula yokufundwa ngokugeleza kwegazi kuye emaphethelweni akho. Kuyisivivinyo udokotela wakho angaku-oda uma bekhathazekile ungaba nezimpawu zesifo semithambo eseceleni, noma ukuthi usengcupheni yalesi simo.

Lokhu kuhlolwa kungasiza kakhulu njengengxenye eyodwa yokwenza ukuxilongwa kwesimo esifana nesifo semithambo yegazi. Lokhu kungasiza ekuqinisekiseni ukuthi uthola ukwelashwa okufanele kakhulu zisuka nje.