So wo nan yɛ wo yaw bere a wonam no? Momma yensua PVR sɔhwɛ (Pulse Volume Recording) no ho ade .

Fa no sɛ worekɔ sotɔɔ mu anaasɛ worekɔ akyirikyiri kakra. Sɛ wonantew akyirikyiri a, mpofirim ara wote ɛyaw a ano yɛ den wɔ wo nan mu, te sɛ nea wo nan reyɛ ayɛ mmerɛw. Sɛ wogyina hɔ kakra a, ɛyaw no ano brɛ ase. Sɛ wufi ase nantew bio a, ɛyaw koro no ara san ba bere a woanantew kwan tiaa bi akyi. So woanya saa osuahu yi? Anaasɛ obi a wunim no wɔ ɔhaw a ɛte sɛɛ? Nea ɛde eyi ba betumi ayɛ ntini bi a esiw mogya a ɛde mogya kɔ nan no mu no. Enti, wɔ tebea a ɛte saa mu no, ɛnnɛ yɛrebɛka nhwehwɛmu a ɛyɛ mmerɛw yiye a ɛnyɛ yaw a ebetumi aboa wo duruyɛfo ma wahu nea ɛde ba ankasa ho asɛm. Ɛno ne PVR sɔhwɛ no.

Sɛ yɛbɛka no tiawa a, dɛn ne Pulse Volume Recording (PVR)?

Pulse Volume Recording, anaa PVR sɔhwɛ tiawa no yɛ sɔhwɛ a ɛkyerɛ sɛnea mogya fa mogya ntini (ntini) a ɛwɔ wo nan mu no mu, sɛ ebia saa mogya no ye, anaasɛ sɛ biribi asiw baabi.

Ade a eye sen biara wɔ eyi ho ne sɛ ɛyɛ sɔhwɛ a ɛnyɛ nea wɔde hyɛ nipadua mu a ɛyaw, ntwitwiridii, anaa nnade biara nka ho . Sɛ yɛbɛka no pɛpɛɛpɛ a, wɔde nnyigyei asorɔkye a ɛkɔ soro, anaa `(Ultrasound)` mfiridwuma na ɛyɛ. Enti biribiara nni hɔ a ɛsɛ sɛ ɛhaw yɛn ho. Ɛtɔ da bi a wɔsan frɛ saa sɔhwɛ yi `(pulse volume plethysmography)`.

Dɛn nti na oduruyɛfo bɛka akyerɛ wo sɛ yɛ PVR nhwehwɛmu?

Mpɛn pii no, oduruyɛfo bɛkamfo nhwehwɛmu yi akyerɛ de ahu sɛ wowɔ tebea bi a wɔfrɛ no Peripheral Artery Disease (PAD) , anaasɛ ɔde ahwɛ sɛnea tebea no te.

Enti dɛn ne saa PAD yi?

Sɛ yɛbɛka no tiawa a, PAD yɛ mogya ntini (ntini) a ɛde mogya a ɛho tew fi yɛn koma mu kɔ yɛn nan mu no a ɛyɛ teateaa nkakrankakra. Nea ɛde eyi ba titiriw ne ntini mu yare . Eyi kyerɛ sɛ bere kɔ so no, srade ne srade afoforo (plaque) boaboa ano wɔ mogya ntini no afasu so, na esiw mogya no kwan. Sɛ mogya no siw kwan saa a, sɛ wo nan hia mogya pii, te sɛ bere a wonam a, entumi nni saa ahiade no ho dwuma. Ɛno na ɛyaw no, sɛnea yɛadi kan aka no, ba.

PVR Sɔhwɛ betumi:

• Hwehwɛ baabi a mogya ntini a ɛwɔ wo nan mu no asiw no bɛyɛ sɛ.
• Kyerɛ mmeae a mogya atɔ anaa nneɛma afoforo a esiw kwan wɔ hɔ.
• Hwehwɛ nea ɛde nan mu yaw ba ankasa bere a wonam no.

Wɔ tebea horow bi a ɛntaa nsi mu no, wobetumi de sɔhwɛ yi nso adi dwuma de ahu ɔhaw ahorow a ɛwɔ ntini ahorow a ɛwɔ nsa anaa nsateaa mu ne tebea horow te sɛ Thoracic Outlet Syndrome (TOS).

So PVR nkutoo ne ɔkwan a wɔfa so hu PAD?

Dabi, PVR yɛ ntini mu nhwehwɛmu a ɛnyɛ nea wɔde hyɛ nipadua mu no mu biako pɛ. Ebia wo duruyɛfo bɛkamfo nhwehwɛmu afoforo aka PVR ho. Momma yɛnhwɛ saa nneɛma no.

So ɛsɛ sɛ wusiesie wo ho ansa na woayɛ PVR sɔhwɛ no?

Biribi titiriw biara nni hɔ a ɛsɛ sɛ wusiesie wo ho. Ɛyɛ mmerɛw yiye. Nanso, ebia wo duruyɛfo bɛka sɛ:

• Ɛsɛ sɛ wokwati sigaretnom nnɔnhwerew kakraa bi ansa na wɔayɛ nhwehwɛmu no, efisɛ sigaretnom betumi atew wo mogya ntini mu bere tiaa bi.
• Ebia wɔbɛka akyerɛ wo sɛ gyae nnuru bi (te sɛ mogya mmoroso nnuru) nom kakra ansa na wɔayɛ nhwehwɛmu no. Nanso, ɛsɛ sɛ woyɛ eyi wɔ wo duruyɛfo afotu nkutoo ase.

Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?

Eyi yɛ adeyɛ a ɛnyɛ yaw a egye simma 30 kosi 60. Mma ɛnhaw wo, mɛfa nea ɛkɔ so no mu anammɔn biara.

1. Ahosiesie: Nea edi kan no, wɔde ayaresabea atade bɛhyɛ wo. Ɛho behia sɛ wuyi agude anaa nneɛma foforo biara fi wo nipadua mu.

2. Nhumu: Afei, sɛ woadi kan ayɛ wo mogya ntini oprehyɛn biara, te sɛ akwan a wɔfa so twa ho hyia, stent a wɔde si hɔ, anaa angioplasty a, ɛsɛ sɛ woka kyerɛ mfiridwuma ho nimdefo a ɔreyɛ nhwehwɛmu no.

3. Da sɔhwɛ mpa so: Wɔbɛma woatra sɔhwɛ mpa so anaasɛ wobɛda.

4. BP cuffs a wode bɛhyɛ: Afei, wɔde mogya mmoroso cuffs gu wo nsa, w’asen atifi ne fam, wo srɛ, wo nansoaa, ne ɛtɔ mmere bi a wo nansoaa kɛse no so. Wɔte sɛ nsateaa a yɛhyɛ bere a yɛrefa yɛn mogya mmoroso no.

5. Gel a wɔde bɛhyɛ: Afei, wɔde gel soronko bi gu nan no so a ɛboa ma ultrasound asorɔkye no fa honam ani yiye.

6. Nhyɛso a wobɛsusuw: Afei fa BP cuff no hyɛ mu na susuw wo mogya mmoroso. Saa bere yi de, wobɛte nka sɛ cuff no reyɛ den kakra, nanso worente ɛyaw biara.

7. Ultrasound nhwehwɛmu: Bere a wɔakyekyere BP cuff no mu den no, mfiridwumayɛfo no de afiri ketewaa bi a wɔde nsa kura (transducer) di dwuma de si mmeae ahorow wɔ nan no so de hwɛ sɛnea mogya no rekɔ.

8. Nea efi mu ba no a wɔbɛhwɛ so: Wɔde nsɛm a efi nnyigyei asorɔkye yi mu no kyerɛ wɔ kɔmputa so sɛ "asorɔkye nsusuwii." Oduruyɛfo no de sɛnea asorɔkye yi te no di dwuma de hu sɛnea wo mogya no retu.

Ɛtɔ da bi a, ebia wɔbɛka akyerɛ wo sɛ nantew kakra anaa gyina wo nansoaa so. Hwɛ sɛnea wo mogya no sesa wɔ saa apɔw-mu-teɛteɛ no mu.

Dɛn na ɛba wɔ sɔhwɛ no akyi? Bere bɛn na menya amanneɛbɔ no?

Sɛ PVR sɔhwɛ no ba awiei ara pɛ a, wubetumi akɔ fie akɔyɛ wo dwumadi ahorow a wotaa yɛ nyinaa.

Mfiridwuma ho nimdefo a ɔyɛɛ nhwehwɛmu no ne oduruyɛfo bi bɛyɛ adwuma ahwehwɛ nea efii mu bae no mu. Eyi betumi agye nnɔnhwerew kakraa bi kosi nna kakraa bi. Enti, bisa wo duruyɛfo bere a wubetumi ahwɛ kwan sɛ wo nsa bɛka amanneɛbɔ no.

Dɛn na PVR amanneɛbɔ no ka?

Wo duruyɛfo no de mogya mmoroso a ɛwɔ wo nsa ne wo nan mu no bɛtoto ho titiriw .

• Sɛnea ɛte daa: Ɛsɛ sɛ mogya mmoroso a ɛwɔ obi a ɔwɔ apɔwmuden nan mu no ne mogya mmoroso a ɛwɔ wɔn nsa mu no yɛ pɛ anaasɛ ɛboro so kakra.
• Tebea a ɛnteɛ: Sɛ biribi nti mogya mmoroso a ɛwɔ wo nan mu no so tew kɛse sen wo nsa mu a, ɛkyerɛ sɛ ntini bi a ɛde mogya kɔ wo nan mu no asiw anaasɛ ɛyɛ teateaa wɔ baabi.

Afei nso, ɛdenam nhyɛso akenkan a wogye fii mmeae ahorow wɔ nan no mu a wɔde toto ho so no, oduruyɛfo no betumi anya adwene a ɛyɛ den sɛ ebia nea asiw kwan no wɔ asen no mu, kotodwe ase, anaasɛ atwa anan no ho ahyia. Nanso, PVR nhwehwɛmu no ntumi nhu mogya ntini a asiw no ankasa . Ebia eyi behia sɛ wɔyɛ nhwehwɛmu foforo te sɛ Duplex Ultrasound.

Nsɛmmisa a ɛsɛ sɛ wobisa oduruyɛfo no

Sɛ oduruyɛfo no ka sɛ ɔhaw bi wɔ wo PVR amanneɛbɔ no mu a, nsuro, bisa nsɛm yi pefee kɛkɛ.

• So mewɔ asiane mu sɛ mogya bɛtɔ me esiane PAD tebea yi nti?
• Nea afi PVR sɔhwɛ yi mu aba no yɛ nokware dɛn?
• Ayaresa ahorow bɛn na mewɔ? So ɛho behia sɛ mesesa m’asetra, nnuru, anaa oprehyɛn?
• So ɛho behia sɛ meyɛ sɔhwɛ afoforo te sɛ `(imaging exams)`?

Sɛ wunya nsɛmmisa yi ho mmuae a, wubetumi anya wo tebea no ho ntease pa na wo ne wo duruyɛfo abom apaw ayaresa nhyehyɛe a eye sen biara.