Tsɔe be èle fiase me yim alo nèle azɔli zɔm vie ko. Ne èzɔ mɔ kpui aɖe vɔ la, kasia nèse veve sesẽ aɖe le wò afɔ ŋu, abe ɖe wò afɔwo le ʋuʋum ene. Ne wotsi tre vie vɔ la, vevesesea nu fa. Ne ègadze azɔlizɔzɔ gɔme ake la, vevesese ma ke gadzena le azɔlizɔzɔ kpui aɖe megbe. Ðe nuteƒekpɔkpɔ sia su asiwò kpɔa? Alo ɖe vevesese sia ƒomevi le ame aɖe si nènya ŋua? Nusi gbɔ esia tso ate ŋu anye ʋuka siwo tsɔa ʋu yia afɔwo gbɔ ƒe xexe ƒomevi aɖe. Eyata, le nɔnɔme sia tɔgbe me la, egbea míele nu ƒom tso dodokpɔ bɔbɔe aɖe ŋutɔ, si me vevesese mele o, si ate ŋu akpe ɖe wò ɖɔkta ŋu wòake ɖe nusi tututu gbɔ wòtso ŋu. Emae nye PVR dodokpɔa.
Kpuie ko la, nukae nye Pulse Volume Recording (PVR)?
Pulse Volume Recording, alo PVR dodokpɔ kpuie, nye dodokpɔ si dzidzea alesi ʋu le zɔzɔm to ʋukawo (ʋukawo) me le wò afɔwo me, nenye be ʋu ma nyo, alo ne ʋu aɖe xe le teƒe aɖe.
Nu nyuitɔ kekeake si le esia ŋue nye be enye dodokpɔ si me womedea abi ame ŋu o si me vevesese, lãɖeɖe, alo aŋe aɖeke mele o . Ne míagblɔe tututu la, wozãa gbeɖiɖi ƒe ƒutsotsoe siwo ƒe tsɔtsɔme sesẽ, alo `(Ultrasound)` mɔ̃ɖaŋununya tsɔ wɔa esia. Eyata naneke meli si ŋu woatsi dzi ɖo o. Ɣeaɖewoɣi la, wogayɔa dodokpɔ sia be `(pulse volume plethysmography)`.
Nukatae ɖɔkta aɖe agblɔ na wò be nàwɔ PVR dodokpɔ?
Zi geɖe la, ɖɔkta aɖe kafu dodokpɔ sia be wòakpɔe ɖa be dɔléle aɖe le ŋuwò si woyɔna be Peripheral Artery Disease (PAD) , alo be yeada nɔnɔmea ƒe afɔɖeɖe kpɔ.
Eyata nukae nye PAD sia?
Kpuie ko la, PAD nye ʋukawo (ʋukawo) siwo tsɔa ʋu dzadzɛ tso míaƒe dzi me yia míaƒe afɔwo gbɔ la ƒe tsitsi vivivi. Nusi koŋ gbɔ esia tsonae nye ʋukawo ƒe ʋuʋu . Esia fia be le ɣeyiɣi aɖe megbe la, ʋumemi kple ami bubuwo (plaque) ƒoa ƒu ɖe ʋukawo ƒe gliwo ŋu, si xea mɔ na ʋu ƒe sisi. Ne ʋu ƒe sisi va xe mɔ alea, ne wò afɔwo hiã ʋu geɖe, abe ne èle zɔzɔm ene la, womate ŋu akpɔ hiahiã ma gbɔ o. Ɣemaɣie vevesesea, abe alesi míegblɔe va yi ene, va.
PVR Dodokpɔ ate ŋu:
- Di afisi ʋuka siwo le wò afɔwo me xe la le teti.
- De dzesi teƒe siwo ʋu ƒe sisi alo nu bubu siwo xe mɔ na ame le.
- Di nusi tututu gbɔ afɔ vevesese tsona ne èle azɔli zɔm.
Le go aɖewo siwo mebɔ o me la, woate ŋu azã dodokpɔ sia hã atsɔ ade dzesi kuxi siwo le ʋuka siwo le abɔ alo asibidɛwo me kple nɔnɔmewo abe Thoracic Outlet Syndrome (TOS) ene.
Ðe PVR koe nye mɔ si dzi woato ade dzesi PADa?
Ao, PVR nye ʋukawo dodokpɔ siwo me womedea abi ame ŋu o la dometɔ ɖeka ko. Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàwɔ dodokpɔ bubuwo kpe ɖe PVR ŋu. Mina míalé ŋku ɖe esiawo ŋu.
| Dodokpɔa ƒe ŋkɔ | Alesi woawɔe bɔbɔe | Nu si nàte ŋu asrɔ̃ tso esia me |
|---|---|---|
| PVR dodokpɔ | Wotsɔa ʋu ƒe sisi ƒe asibidewo dana ɖe teƒe geɖe le afɔ kple alɔnu, eye wozãa ultrasound tsɔ dzidzea ʋu ƒe sisi kabakaba kple eƒe lolome. | Ate ŋu anya afisi ʋuka siwo le afɔawo me xe le teti. Enaa emetsonu siwo de pɛpɛpɛ wu suklidɔlélawo. |
| Afɔkpodzi kple abɔta ƒe dzesi (ABI) . | Wodzidzea ʋu ƒe sisi le afɔkpodzi kple alɔnu, eye wotsɔa asixɔxɔ eveawo sɔna kple wo nɔewo. | Dodokpɔ vevitɔ kple bɔbɔetɔ kekeake si woatsɔ anya ne PAD li alo mele eme o. Menye nya si wogblɔ tsitotsito abe PVR ene o. |
| Ʋukawo ƒe Duplex Ultrasound | Wozãa mɔ̃ aɖe si wotsɔ asi léna (transducer) tsɔ wɔa ʋuka siwo le afɔa me ƒe nɔnɔmetata eye wokpɔnɛ le kɔmpiuta dzi. | Àte ŋu akpɔ ʋuka si tututu xe kple afi si woxe. |
| Kamedede ƒe Nuteɖeamedzi Dodokpɔ | Wodzidzea ʋu ƒe sisi le afɔwo me do ŋgɔ na kamedede kple le kamedede vɔ megbe to azɔlizɔzɔ le afɔdzidemɔ̃ dzi me. | Ekpena ɖe ame ŋu be woakpɔ kuxia le amesiwo ƒe dzesi aɖeke medzena le dzɔdzɔme nu o gake ne wole zɔzɔm ko hafi wosea veve la ŋu. |
Ðe wòhiã be nàdzra ɖo hafi awɔ PVR dodokpɔa?
Naneke tɔxɛ aɖeke meli si ŋu woadzra ɖo ɖo o. Ele bɔbɔe ŋutɔ. Ke hã, wò ɖɔkta ate ŋu agblɔ be:
- Ele be nàƒo asa na atamanono gaƒoƒo ʋɛ aɖewo do ŋgɔ na dodokpɔa, elabena atamanono ate ŋu ana wò ʋukawo natsi hena ɣeyiɣi aɖe.
- Woate ŋu abia tso asiwò be nàdzudzɔ atike aɖewo (abe ʋusɔgbɔdɔ ƒe atike ene) nono hena ɣeyiɣi aɖe hafi woadoe kpɔ. Gake wò ɖɔkta ƒe aɖaŋuɖoɖo ko hafi wòle be nàwɔ esia.
Nukae dzɔna le dodokpɔa wɔɣi?
Esia nye dɔdamɔnu si me vevesese aɖeke mele o si xɔa miniti 30 va ɖo 60. Mègatsi dzi o, makplɔ wò ato nusiwo dzɔna me afɔɖeɖe ɖesiaɖe.
1. Dzadzraɖo: Gbã la, woatsɔ kɔdziwu ado wò. Ahiã be nàɖe atsyɔ̃ɖonu alo nu bubu ɖesiaɖe ɖa le wò ŋutilã ŋu.
2. Nyanyanana: Eyome, ne wowɔ dɔ na wò va yi, abe ʋuka siwo me ʋu sina tona ƒe dɔwɔwɔ, ʋuka si me ʋu sina tona ƒe dɔwɔwɔ, alo ʋuka me ʋu ƒe sisi ene la, ele be nàgblɔe na mɔ̃ɖaŋudɔwɔla si le dodokpɔa wɔm.
3. Mlɔ anyi ɖe dodokpɔ aba dzi: Woana nànɔ anyi alo mlɔ dodokpɔ aba dzi.
4. BP-kɔsɔkɔsɔwo dodo: Eyome wotsɔa ʋusɔgbɔdɔ ƒe asigɛwo dea wò abɔwo, ata ƒe tame kple ete, akɔta, afɔkpodzi, kple ɣeaɖewoɣi wò afɔbidɛ gã la dzi. Wole abe asigɛ siwo míedona ne míele míaƒe ʋu ƒe sisi xɔm ene.
5. Gel zazã: Eyome wotsɔa gel tɔxɛ aɖe dea afɔa ŋu si kpena ɖe ultrasound ƒe ƒutsotsoewo ŋu toa ŋutigbalẽa me nyuie wu.
6. Ʋu ƒe sisi dzidzedze: Azɔ do BP cuff la eye nàdzidze wò ʋu ƒe sisi. Le ɣeyiɣi sia me la, àse le ɖokuiwò me be asigɛa le sesẽm vie, gake màse veve aɖeke o.
7. Ultrasound dodokpɔ: Esi wole BP ƒe abɔta sesẽ la, mɔ̃ɖaŋudɔwɔla la zãa mɔ̃ sue aɖe si wotsɔ asi léna (transducer) tsɔ daae ɖe afɔa ƒe teƒe vovovowo tsɔ léa ŋku ɖe ʋu ƒe sisi ŋu.
8. ŋkuléle ɖe emetsonuwo ŋu: Woɖea nyatakaka siwo tso gbeɖiɖi ƒe ƒutsotsoe siawo me fiana le kɔmpiuta dzi abe "ƒutsotsoe ƒe nɔnɔmewo ene." Ðɔktaa zãa ƒutsotsoe siawo ƒe nɔnɔme tsɔ nyaa alesi wò ʋu le zɔzɔme.
Ɣeaɖewoɣi la, woate ŋu abia tso asiwò be nàzɔ atsa vie alo anɔ tsitre ɖe wò afɔbidɛwo dzi. Kpɔ alesi wò ʋu ƒe sisi trɔna le kamedede ma me ɖa.
Esia nye dodokpɔ si le dedie ŋutɔ, eyata susu aɖeke meli si ta nàtsi dzi ɖe eƒe nugbegblẽ le ame ŋu ŋu o.
Nukae dzɔna le dodokpɔa megbe? Ɣekaɣie maxɔ akɔntabubua?
Ne PVR dodokpɔa wu enu ko la, àte ŋu ayi aƒeme aɖawɔ wò dɔwɔna siwo katã nèwɔna ɖaa.
Mɔ̃ɖaŋudɔwɔla si wɔ dodokpɔa awɔ dɔ kple ɖɔkta aɖe atsɔ adzro wò dodokpɔa me tsonu me. Esia ate ŋu axɔ tso gaƒoƒo ʋɛ aɖewo va ɖo ŋkeke ʋɛ aɖewo. Eyata, bia wò ɖɔkta ɣekaɣie nàte ŋu akpɔ mɔ be yeaxɔ nyatakakaa.
Nukae PVR ƒe nyatakakaa gblɔ?
Wò ɖɔkta atsɔ ʋu ƒe sisi le wò abɔwo kple afɔwo me asɔ kple wo nɔewo koŋ .
- Nusi sɔ: Ele be ʋu ƒe sisi le ame si le lãmesẽ me ƒe afɔwo me nasɔ kple ʋu ƒe sisi le woƒe abɔwo me alo nasɔ gbɔ vie wu.
- Nɔnɔme si mesɔ o: Ne le susu aɖe ta ʋu ƒe sisi le wò afɔwo me ɖiɖi ŋutɔ wu wò abɔwo la, efia be ʋuka aɖe si tsɔa ʋu yia wò afɔwo gbɔ la xe alo xaxa le teƒe aɖe.
Azɔ hã, ne ɖɔktaa tsɔ nyaƒoɖeamenu ƒe nuxexlẽ siwo woɖe tso teƒe vovovowo le afɔa me sɔ kple wo nɔewo la, ate ŋu akpɔe ɖa be nusi xe mɔa le ata, klo te, alo afɔkpodzi ƒo xlãe. Gake PVR dodokpɔa mate ŋu anya ʋuka si tututu xe o . Esia ate ŋu abia dodokpɔ bubu, abe Duplex Ultrasound ene.
Nya siwo wòle be woabia ɖɔktaa
Ne ɖɔkta gblɔ be kuxi aɖe le wò PVR nyatakaka ŋu la, mègavɔ̃ o, ɖeko nàbia nya siawo eme nakɔ.
- Ðe ʋu ƒe sisi le ŋunye le afɔku me le PAD ƒe nɔnɔme sia ta?
- Aleke gbegbee PVR dodokpɔ sia me tsonu de pɛpɛpɛe?
- Atikewɔwɔmɔnu kawoe le asinye? Ðe wòahiã be matrɔ agbenɔnɔ, atike, alo amekokoa?
- Ðe wòahiã be mawɔ dodokpɔ bubuwo abe `(imaging exams)` enea?
Ne èɖo biabia siawo ŋu la, àte ŋu ase wò nɔnɔmea gɔme nyuie wu eye wò kple wò ɖɔkta nàtia atikewɔwɔmɔnu nyuitɔ kekeake.
Gbedasi si Wotsɔ Yi Aƒeme
- Pulse Volume Recording (PVR) nye dodokpɔ si me vevesese mele o, si le dedie, si dzidzea ʋu ƒe sisi le wò afɔwo ƒe ʋukawo me.
- Zi geɖe la, wowɔa esia tsɔ dea dzesi dɔléle aɖe si woyɔna be Peripheral Artery Disease (PAD) , si ate ŋu ana afɔ nase veve ne wole zɔzɔm.
- Dodokpɔ sia mehiã be nàdzra ɖo etɔxɛe o, eye àte ŋu ayi aƒeme vevesese aɖeke manɔmee le dodokpɔa megbe.
- PVR me tsonu ate ŋu ana wò ɖɔkta nakpɔe ɖa be ʋuka siwo le wò afɔ me xe kple afisi wòle hã.
- Ne wò afɔwo hã le veve sem ne èle zɔzɔm la, mègaŋe aɖaba ƒu edzi o eye nàyi ɖɔkta gbɔ enumake aɖaɖo aɖaŋu na wò .
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