So mogya a ɛkɔ anan no mu no sua? Momma yensua ABI sɔhwɛ no ho ade! (Ankle-Brachial Index - ABI) .

So wote ɛyaw wɔ wo nan mu, titiriw wɔ wo nantwi mma mu, bere a wonam kwan tiaa bi no? Sɛ wugyina kakra na wufi ase nantew bio a, ɛyaw no ano brɛ ase? Eyi nyɛ biribi a ɛsɛ sɛ wubu w’ani gu so kɛkɛ. Ebetumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ ɔhaw bi wɔ mogya a ɛkɔ wo nan mu no mu. Ɛnnɛ, yɛrebɛka sɔhwɛ a ɛyɛ mmerɛw yiye a ɛnyɛ yaw ho asɛm de ahu.

Dɛn ne Ankle-Brachial Index (ABI) no?

Sɛ yɛbɛka no tiawa a, Ankle-Brachial Index (ABI) yɛ nhwehwɛmu a ɛnyɛ den a ɛyaw nnim a ɛkyerɛ mogya mmoroso a ɛwɔ wo nansoaa ne wo nsa mu. Ɛhwɛ titiriw sɛ ebia peripheral artery disease (PAD) , a ɛyɛ tebea a srade boaboa ano wɔ ntini a ɛde mogya kɔ wo nan mu no mu, na ɛma ɛyɛ teateaa .

Sɛnea nsu paipu a asiw ma nsu no brɛ ase no, saa ara na yɛn nan mu ntini a ɛyɛ teateaa no nso yɛ. ABI nhwehwɛmu no susuw mogya a ɛkɔ so no so tew yi. Wɔnam wo nansoaa mu mogya mmoroso a wɔde kyɛ wo nsa mu mogya mmoroso so na ebu wo ABI no ho akontaa.

Bere bɛn na ɛsɛ sɛ meyɛ ABI sɔhwɛ?

Nneɛma pii nti na wo duruyɛfo betumi ahyɛ sɛ wɔbɛyɛ nhwehwɛmu yi. Ebia wubenya yare no ho sɛnkyerɛnne anaasɛ wunnya bi.

Woyɛ dɛn yɛ sɔhwɛ yi?

Eyi yɛ adeyɛ a ɛyɛ mmerɛw yiye. Mpɛn pii no, ɔyarehwɛfo bi na ɔyɛ sɔhwɛ yi. Wɔsusuw mogya mmoroso no wɔ ntini pɔtee bi a ɛwɔ wo nsa ne wo nansoaa mu.

Eyi de mogya mmoroso cuff di dwuma, te sɛ mogya mmoroso a wɔhwɛ daa no ara pɛ. Wɔde kyekyere wo nsa ne wo nansoaa ho, mmiako mmiako, na afei wɔde mia so sikɔne kakraa bi, na ɛde nkakrankakra ma mframa fi mu.

Ntini atitiriw a wɔahwɛ mu wɔ ha ne:

• Brachial artery a ɛwɔ abasa no mu.
• Dorsalis pedis artery anaa posterior tibial artery yɛ ntini a ɛka anansoaa no bom.

Bere a oduruyɛfo anaa ɔyarehwɛfo no resusuw saa nhyɛso yi no, ɔde nsa so afiri a wɔde hwɛ nneɛma yiye (Doppler) nso tie mogya a ɛsen fa ntini ahorow yi mu no nnyigyei.

Eyi yɛ sɔhwɛ a ɛnyɛ nea wɔde hyɛ nipadua mu , a ɛkyerɛ sɛ wɔmfa nnade anaa honam ani ntwitwiridii biara nni hɔ. Ɛte sɛ wo mogya mmoroso nhwehwɛmu a woyɛ daa no ara pɛ, gye sɛ wɔyɛ no wɔ akwaa anan no nyinaa mu.

Ɔkwan bɛn so na ɛsɛ sɛ wusiesie wo ho ansa na woayɛ sɔhwɛ?

Di anammɔn yi akyi na ama woanya nea efi mu ba no pɛpɛɛpɛ na ama sɔhwɛ no ayɛ mmerɛw ama wo.

• Mma nnom biribiara a caffeine wom (kɔfe, tii, anonne a ɛyɛ dɛ bi) da a wɔbɛyɛ sɔhwɛ no.
• Mfa tawa anaa nsa nni dwuma dɔnhwerew biako ansa na woayɛ nhwehwɛmu.
• Mma nteɛteɛ w’apɔw mu dɔnhwerew biako ansa na woayɛ sɔhwɛ no.
• Hyɛ ntade a ɛyɛ mmerɛw na ɛyɛ fɛ a ɛma ɛnyɛ den sɛ wode pressure cuff no bɛto wo nsa atifi ne wo nansoaa so.
• Ansa na wobɛkɔ sɔhwɛ no, kɔ tiafi na yi wo dwonku mu.

Afei nso, sɛ woadi kan ayɛ wo oprehyɛn biara de ama mogya a ɛkɔ wo nan mu atu mpɔn a, ka ho asɛm kyerɛ onipa a ɔreyɛ nhwehwɛmu no.Akyinnye biara nni ho sɛ ka kyerɛ me .

Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?

Ansa na sɔhwɛ no befi ase no, wɔbɛka akyerɛ wo sɛ da mpa so na gye w’ahome simma 10 kosi 30. Wɔbɛka akyerɛ wo sɛ da fam a wo nsa kyerɛ soro wɔ sɔhwɛ no nyinaa mu. Ɛtɔ mmere bi a, sɛnea ɛbɛyɛ na woanya akenkan a edi mu sen biara no, wobetumi de biribi te sɛ apɔw-mu-teɛteɛ nketewa ama wo nsa ne wo nansoaa so sɛnea ɛbɛyɛ a ɛne wo koma bɛyɛ pɛ.

Afei, nea ɔsɔ hwɛ no susuw nhyɛso no nnidiso nnidiso yi:

1. Wɔde abasa biako na ɛsusuw mogya mmoroso.

2. Wɔsusuw mogya mmoroso wɔ nan no nansoaa a ɛwɔ ɔfã koro no ara a ɛwɔ abasa no so.

3. Susu mogya mmoroso wɔ nan foforo no nansoaa so.

4. Susuw mogya mmoroso a ɛwɔ abasa foforo no mu.

Wɔbɛkyerɛ wo sɛ ɛho hia sɛ wɔsan susuw no bio a. Nhyɛso susuw no nyinaa gye bere tiaa bi pɛ, efi simma 10 kosi 20 .

So asiane ahorow bi wɔ sɔhwɛ yi mu?

ABI sɔhwɛ no yɛ sɔhwɛ a ahobammɔ wom yiye . Mpɛn pii no, asiane biara nni hɔ. Nanso, sɛ wowɔ tebea horow a edidi so yi mu biara a, ɛsɛ sɛ wudi kan ka kyerɛ wo duruyɛfo anaa nea ɔreyɛ nhwehwɛmu no:

• Sɛ wowɔ akuru a abue anaasɛ akuru wɔ wo nan so a, wɔremfa pressure cuff no nhyɛ saa kuru no so. Ebia ebehia sɛ woyɛ sɔhwɛ foforo.
• Sɛ wɔayɛ wo vascular bypass oprehyɛn nnansa yi a , ebetumi ayɛ asiane sɛ wode pressure cuff bɛhyɛ baabi a ɛte saa, efisɛ asiane wɔ hɔ sɛ mogya bɛtu.

Ɔkwan bɛn so na yɛbɛte nea efi mu ba no ase?

Sɛnea wobu ABI bo a ɛsom ho akontaa

Eyi yɛ mmerɛw yiye. Wofa systolic bo a ɛkorɔn sen biara (kyerɛ sɛ, nhyɛso dodow a ɛwɔ soro) fi wo nansoaa nhyɛso akenkan abien no mu na wokyekyɛ mu denam systolic bo a ɛkorɔn sen biara a efi wo nsa abien nhyɛso akenkan mu.

Sɛ nhwɛso no, susuw ho hwɛ:

• Nhyɛso a ɛwɔ wo nansoaa benkum mu no yɛ 105/65, na wɔ wo nansoaa nifa mu no yɛ 100/60.
• Nhyɛso a ɛwɔ wo nsa benkum mu no yɛ 130/85, na wɔ wo nsa nifa mu no yɛ 125/80.

Afei momma yɛmfa bo a ɛkorɔn sen biara mfi ankle (105) no mu na yɛnkyɛ mu denam bo a ɛkorɔn sen biara a efi nsa (130) no so.

105 ÷ 130 = 0.8 na ɛwɔ hɔ

Wubetumi agyina saa bo a ɛyɛ 0.8 yi so aka sɛ wowɔ PAD a ɛnyɛ den.

Nea efi mu ba no asekyerɛ

Ɛsɛ sɛ ABI boɔ no taa yɛ 1.0 ne 1.3 ntam. ABI bo a ɛyɛ 0.9 anaa nea ennu saa kyerɛ sɛ wowɔ PAD.

Ɛtɔ da bi a ABI boɔ no tumi boro 1.4 . Eyi kyerɛ sɛ wo ntini ahorow no ayɛ den (calcified) esiane onyin anaa asikreyare nti. Wɔ tebea horow a ɛtete saa mu no, ABI sɔhwɛ no nkutoo ntumi nkyerɛ no yiye sɛ ebia wowɔ PAD anaa. Sɛ ɛba saa a, wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu foforo, te sɛ toe-brachial index (a ɛkyerɛ nhyɛso a ɛwɔ nansoaa kɛse no mu sen sɛ ɛbɛkyerɛ wɔ nansoaa no mu).

Bere bɛn na ɛsɛ sɛ wo ne wo duruyɛfo kasa?

Sɛ woannya nea efii mu bae no ntɛm ara a, wo ne wo duruyɛfo a ɔhyɛɛ sɛ wɔnyɛ nhwehwɛmu no nkasa. Ebia wubehia nhwehwɛmu anaa ayaresa afoforo a egyina nea efi mu ba no so.

Sɛ wo ABI no boro nea ɛfata so a, ebia ɛho behia sɛ wosan yɛ sɔhwɛ yi bere ne bere mu. Eyi bɛboa wo duruyɛfo ma wahu sɛ wo PAD no reyɛ kɛse anaasɛ ayaresa no reyɛ adwuma anaa.