Aleke ʋu ƒe sisi le wò afɔwo me le? (Pulse Volume Recordings - PVR) Mina míasrɔ̃ nu tso dodokpɔa ŋu!

Ðe nèƒo nu tso vevesese kple lãmetutudɔ si nèsena le wò afɔwo ŋu ɣeaɖewoɣi ŋu kple ɖɔkta kpɔa? Alo, ɖe nèke ɖi vie le ʋu ƒe sisi le wò afɔwo me ŋua? Ne nenemae la, ke ɖewohĩ wò ɖɔkta gblɔ dodokpɔ aɖe si woyɔna be Pulse Volume Recording (PVR) ŋu nya na wò. Egbea, míaƒo nu tsitotsito tso nusi tututu esia nye, alesi wowɔe, kple ne nane li si ŋu woavɔ̃ ɖo ŋu. Ele bɔbɔe ŋutɔ, eyata mègatsi dzi o, enyoa?

Nukae Nye Pulse Volume Recording (PVR)?

Kpuie ko la, Pulse Volume Recording (PVR) dodokpɔ nye mɔnu si dzi woato adzidze ʋu ƒe sisi le wò afɔwo me, alo ʋu ƒe sisi. Ezãa ultrasound mɔ̃ɖaŋununya. Esia fia be ezãa gbeɖiɖi ƒe ƒutsotsoe siwo ƒe tsɔtsɔme sesẽ tsɔ léa ŋku ɖe ʋu si le sisim le wò ʋukawo me ŋu.

Akpa nyuitɔ kekeakee nye be, enye dodokpɔ si me vevesese aɖeke mele o , si me womewɔa nuvevi ame o . Ema fia be aŋe alo ŋutigbalẽ ƒe lãɖeɖe aɖeke mele afima o. Ame aɖewo yɔe be "pulse volume recording," ame bubuwo yɔe be "segmental pressure test." Aleke kee wòɖale o, nu ma ke wòwɔna.

Ɣekaɣie wowɔa PVR dodokpɔ?

Zi geɖe la, ɖɔkta aɖe kafu PVR dodokpɔ sia be woatsɔ akpɔ dɔléle aɖe si woyɔna be Peripheral Artery Disease (PAD) eye wòakpɔ alesi gbegbe wòsẽe.

Ènya nusi PAD nyea?

PAD nye nɔnɔme si me ʋukawo (ʋukawo) siwo tsɔa ʋu tso míaƒe dzi me yia míaƒe afɔwo gbɔ la va le tsitsim vivivi. Ele abe tsi ƒe pɔmpi si me ɖi ƒona le le ɣeyiɣi aɖe megbe ene. Nusi koŋ gbɔ esia tsonae nye ʋukawo ƒe ʋuʋu . Esiae nye esime ʋumemi kple ami bubuwo ƒoa ƒu ɖe ʋukawo me eye woxea mɔ na wo.

Ne èse veve si womate ŋu aɖe o le wò afɔwo me ne èle zɔzɔm la, ɖɔkta ate ŋu awɔ PVR dodokpɔ sia be wòakpɔe ɖa be ʋukawo xe alo xe mɔ bubu aɖe le wò afɔwo me hã.

Ɣeaɖewoɣi la, PVR dodokpɔ ate ŋu akpe ɖe ame ŋu hã be woade dzesi nɔnɔmewo abe:

• Ʋukawo ƒe dɔléle le abɔ alo asibidɛwo me.
• Akɔta ƒe Dɔléle (TOS) .

Ðe PVR koe nye mɔ si dzi woato akpɔ PAD ƒe nɔnɔmea?

Ao, mɔ ɖeka koe PVR nye si dzi woato akpɔe ɖa be PAD hã le eme. Enye ʋukawo dodokpɔ si me womedea abi ame ŋu o . Wò ɖɔkta ate ŋu awɔ dodokpɔ bubu aɖewo hã kpe ɖe PVR dodokpɔa ŋu, abe:

• Ankle-brachial index (ABI): Esiae nye dodokpɔ si bɔ wu tsɔ dea dzesi PAD. Ðɔkta atsɔ ʋu ƒe sisi ƒe asibide abla wò afɔkpodzi.Wotsɔa ɖeka dea eme eye wotsɔa nyaƒoɖeamenua sɔna kple nyaƒoɖeamenu si le alɔnu. Esia sɔ kple PVR ŋutɔ. Gake esi wònye be PVR dzidzea ʋu ƒe sisi ƒe sesẽme le afɔa ƒe teƒe vovovowo ta la, PVR ate ŋu ana nusiwo do tso eme nade pɛpɛpɛ wu le amesiwo ƒe ʋuka siwo me calcified/sesẽ le le suklidɔ alo ayikudɔ si nɔa anyi didi ta la gome .
• Arterial duplex ultrasound: Le dodokpɔ sia me la, ɖɔkta zãa asi dɔwɔnu aɖe tsɔ ɖoa ​​gbeɖiɖi ƒe ƒutsotsoe siwo ƒe tsɔtsɔme sesẽ ɖe wò afɔwo me. Nusiwo do tso eme ɖe afisi ʋukawo xaxa alo xe. Gake to vovo na PVR la, medzidzea ʋu ƒe sisi o.
• Kamedede ƒe nuteɖeamedzi dodokpɔ: Woate ŋu abia tso asiwò be nàzɔ afɔdzidemɔ̃ dzi . Emegbe wò ɖɔkta ate ŋu adzidze wò ʋu ƒe sisi do ŋgɔ na kamedede kple le kamedede vɔ megbe. Woate ŋu awɔ kamedede dodokpɔ sia ne wò ɖiɖiɖeme PVR ƒe dodokpɔ me tsonu sɔ, gake dzesi siwo womenya o le ŋuwò, abe afɔ ƒe vevesese ne èle zɔzɔm ene.

Amekae le PVR dodokpɔ sia wɔm?

Zi geɖe la, ame siwo wona hehee etɔxɛe siwo woyɔna be ʋukawo ŋuti mɔ̃ɖaŋudɔwɔlawo alo gbeɖiɖiŋutinunyalawoe wɔa PVR dodokpɔ siawo kple ʋukawo dodokpɔ bubu siwo me womezãa ʋukawo le o . Ɣeaɖewoɣi la, dɔnɔdzikpɔla ate ŋu awɔ wò PVR dodokpɔ hã.

Ðe wòhiã be madzra nane ɖo hafi woawɔ PVR dodokpɔa?

Le nyateƒe me la, dzadzraɖo tɔxɛ aɖeke mehiã na PVR dodokpɔa o. Gake ɖɔkta ate ŋu abia tso asiwò be nàdzudzɔ atike aɖewo nono ŋkeke si do ŋgɔ na dodokpɔa, alo ne ènoa atama la, nàdzudzɔ hena ɣeyiɣi aɖe. Nu suesuesue mawo tɔgbe.

Nukae dzɔna le PVR dodokpɔ me?

Hafi nàwɔ PVR dodokpɔa la, ahiã be nàɖe awu kple atsyɔ̃ɖonu ɖesiaɖe ɖa eye nàdo kɔdziwu. Abe alesi míegblɔe va yi ene la, esia nye dodokpɔ si me vevesese aɖeke mele o, si me womewɔa nuvevi ame o, eyata màhiã atike si naa alɔ̃dɔdɔ alo alɔ̃dɔdɔ ƒe atike aɖeke o. Zi geɖe la , PVR dodokpɔ xɔa miniti 30 va ɖo 60 .

Vevietɔ: Ne èwɔ atike aɖe na ʋuka me dɔlélewo va yi, le kpɔɖeŋu me, ne woda ʋuka me ʋukawo ƒe ʋuka me ʋu na wò, ʋukawo me ʋu ƒe sisi , alo bypass procedure , la, ele be nàgblɔe na mɔ̃ɖaŋudɔwɔla si le dodokpɔa wɔm.

Nusiwo dzɔna le PVR dodokpɔ me enye si:

• Woanɔ anyi ɖe dodokpɔkplɔ̃ si dzi wofa nu ɖo dzi.
• Ðɔkta alo mɔ̃ɖaŋudɔwɔla aɖe atsɔ ʋu ƒe sisi ƒe asigɛwo abla wò afɔbidɛ gãwo, afɔkpodziwo, asibidɛwo, ata si le etame kple ete, kple abɔwo.Wotsɔa ka blaa wò ŋutilã. Wotsɔa gel tɔxɛ aɖe hã dea wò ŋutigbalẽ ŋu. Esia kpena ɖe ultrasound ƒutsotsoeawo ŋu toa eme nyuie.
• Emegbe wodoa ya ɖe asigɛawo me eye woblaa wo sesĩe be woatsɔ adzidze wò ʋu ƒe sisi. Àse le ɖokuiwò me be asigɛa le sesẽm, gake màse veve aɖeke o.
• Le go aɖewo me la, ɖɔkta ate ŋu agblɔ na wò be nàzɔ alo nàtsi tre ɖe wò afɔbidɛwo dzi.
• Esi wobla asibideawo sesĩe la, ɖɔkta zãa asinu sue aɖe si woyɔna be transducer tsɔ fiaa mɔ ultrasound ƒutsotsoewo yia teƒe vovovowo le wò afɔ dzi.
• Gbeɖiɖi ƒe ƒutsotsoe siawo dzidzea ʋu si le zɔzɔm to wò afɔwo me ƒe duƒuƒu kple eƒe lolome. Nusiwo do tso eme siawo dzena le kɔmpiuta dzi abe "ƒutsotsoe ƒe nɔnɔmewo," alo ƒutsotsoe ƒe nɔnɔmewo ene. Ðɔktaa zãa ƒutsotsoe siawo ƒe nɔnɔme tsɔ nyaa alesi ʋua le zɔzɔm.

Nukae dzɔna le PVR dodokpɔa megbe?

Ne PVR dodokpɔa wu enu la, àte ŋu ayi aƒeme. Àte ŋu ayi wò dɔwɔna siwo nèwɔna ɖaa dzi abe ale si nèwɔnɛ ɖaa ene. Kuxi aɖeke meli o.

Ðe afɔku aɖewo le PVR dodokpɔ mea?

Ao, PVR dodokpɔ nye dɔdamɔnu si le dedie, si me womewɔa nuvevi ame o . Eyata afɔku gã aɖeke mele eme o. Naneke mele asiwò nàvɔ̃ o.

Ɣeyiɣi didi kae wòxɔna hafi wonyaa PVR dodokpɔa me tsonu?

Ʋukawo ŋuti mɔ̃ɖaŋudɔwɔla alo gbeɖiɖiŋutinunyala awɔ dɔ kple ɖɔkta aɖe atsɔ ada emetsonuwo kpɔ ahaɖe wo gɔme. Esia ate ŋu axɔ gaƒoƒo geɖe alo ŋkeke geɖe gɔ̃ hã. Eyata, bia wò ɖɔkta ɣeyiɣi didi si wòaxɔ hafi nàkpɔ emetsonuwo.

Nukae PVR dodokpɔa me tsonu gblɔ?

Wò ɖɔkta atsɔ ʋu ƒe sisi le wò afɔwo me asɔ kple ʋu ƒe sisi le wò abɔwo me. Ne wò ʋu ƒe sisi ɖiɖi le wò afɔwo me wu wò abɔwo la, ke ʋukawo me dɔléle ate ŋu anɔ ŋuwò. Wò ɖɔkta atsɔ ʋu ƒe sisi le wò afɔ ƒe akpa vovovowo hã asɔ kple wo nɔewo be yeanya afisi ʋukawo xe alo xaxa le teti. Gake PVR dodokpɔ mate ŋu anya ʋuka siwo tututu ŋu wògblẽ nu le o. Dodokpɔ bubuwo hiã be woatsɔ anya ema.

Nya kawoe wòle be nàbia ɖɔktaa tso PVR dodokpɔa ŋu?

Ne PVR dodokpɔa me tsonu mesɔ o la, àte ŋu abia wò ɖɔkta nyawo abe:

• Ne PAD le ŋunye la, ɖe ʋu ƒe sisi le ŋunyea?
• Aleke gbegbee PVR dodokpɔ me tsonu de pɛpɛpɛe?
• Nukawoe nye atikewɔmɔnu siwo woate ŋu azã na PAD?
• Ðe wòahiã be mawɔ dodokpɔ bubu aɖewo, abe nɔnɔmetatawo dodokpɔ enea ?

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Pulse Volume Recording (PVR) nye ʋukawo dodokpɔ si me vevesese aɖeke mele o, si me womezãa ʋu ƒe sisi le o, si dzidzea ʋu ƒe sisi kple ʋu ƒe sisi le ʋuka siwo le wò afɔwo me me. Esia nye dodokpɔ na ʋuka siwo le gota ƒe dɔléle (PAD).Dodokpɔ si bɔ si wozãna tsɔ dea dzesi nɔnɔmewo abe:

Eyata ne ɖɔkta aɖe bia tso asiwò be nàwɔ PVR dodokpɔ la, mègavɔ̃ alo atsi dzi ɖe eŋu madzemadzee o. Mɔ bɔbɔe aɖe si le dedie si dzi nàto anya nu tso wò afɔwo ƒe lãmesẽ ŋu koe nye esia. Ƒo nu kple wò ɖɔkta tso nyabiase alo nu siwo ŋu nètsi dzi ɖo ŋu.

` PVR dodokpɔ, ʋu ƒe sisi le afɔwo me, ʋuka siwo le gota ƒe dɔléle, PAD, ultrasound, ʋu ƒe sisi, ʋukawo dodokpɔ