Shin akwai ƙarancin kwararar jini zuwa ƙafafu? Bari mu koyi game da gwajin ABI! (Ma'aunin Idon Ƙwaƙwalwa - ABI)

Shin kana jin zafi a ƙafafunka, musamman a cikin 'yan mangwaronka, idan ka yi tafiya na ɗan lokaci? Shin ciwon yana raguwa idan ka tsaya na ɗan lokaci ka sake fara tafiya? Wannan ba abu ne da ya kamata ka yi watsi da shi ba. Yana iya zama alama cewa akwai matsala da kwararar jini zuwa ƙafafunka. A yau, za mu yi magana game da gwaji mai sauƙi, ba tare da ciwo ba don gano.

Menene Ma'aunin Ƙwaƙwalwa da Brachial (ABI)?

A taƙaice dai, ma'aunin ƙashin ido (Ankle-Brachial Index) (ABI) gwaji ne mai sauƙi, ba tare da ciwo ba wanda ke auna hawan jini a idon sawu da hannu. Yana duba cutar jijiyoyin gefe (PAD) , wanda yanayi ne da kitse ke taruwa a cikin jijiyoyin da ke ɗauke da jini zuwa ƙafafunku, wanda ke sa su yi ƙunci .

Kamar yadda bututun ruwa da ya toshe ke rage guduwar ruwa, haka nan ma raguwar jijiyoyin da ke cikin ƙafafunmu ke raguwa. Gwajin ABI yana auna wannan raguwar kwararar jini. Ana ƙididdige ABI ɗinku ta hanyar raba hawan jinin idon ku da hawan jinin hannu.

Yaushe ya kamata in yi gwajin ABI?

Akwai dalilai da dama da yasa likitanka zai iya yin odar wannan gwajin. Kuna iya samun ko ba ku da alamun cutar.

Babban fa'idar wannan gwajin ABI shine yana iya gano PAD kafin ya yi muni. Wannan yana ba da damar yin magani da wuri wanda zai iya rage haɗarin matsaloli masu tsanani, kamar su ischemia mai tsanani a gaɓoɓi ko yanke hannu .

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Yaya kuke yin wannan gwajin?

Wannan hanya ce mai sauƙi. Yawanci ma'aikaciyar jinya ce ke yin wannan gwajin. Ana auna hawan jini a wasu jijiyoyin hannu da idon sawu.

Wannan yana amfani da abin ɗaurewa na hawan jini, kamar yadda ake duba hawan jini akai-akai. Ana naɗe shi a hannunka da idon sawu, ɗaya bayan ɗaya, sannan a matse shi na ɗan lokaci, yana sakin iska a hankali.

Manyan jijiyoyin jini da aka bincika a nan sune:

• Jijiyar brachial a cikin hannaye.
• Jijiyar dorsalis pedis ko kuma jijiyar tibial ta baya jijiyar jini ce da ke haɗa idon sawu.

Yayin da ake auna wannan matsin lamba, likita ko ma'aikaciyar jinya kuma tana sauraron sautin jini da ke gudana ta cikin waɗannan jijiyoyin ta amfani da na'urar duban dan tayi ta hannu (Doppler).

Wannan gwaji ne mara amfani , ma'ana babu allura ko yanke fata. Kamar gwajin hawan jini da ake yi akai-akai ne, sai dai an yi shi a dukkan gaɓoɓi huɗu.

Ta yaya ya kamata ka shirya kafin gwajin?

Bi waɗannan matakan don samun sakamako masu kyau da kuma sauƙaƙa muku gwajin.

• Kada a sha wani abu da ke ɗauke da maganin kafeyin (kofi, shayi, wasu abubuwan sha masu laushi) a ranar gwajin.
• Kada a yi amfani da kayayyakin taba ko barasa na tsawon awa ɗaya kafin a yi gwajin.
• Kada ka motsa jiki awa daya kafin gwajin.
• Sanya tufafi masu laushi da daɗi waɗanda za su ba ka damar sanya matsewar matsi a saman hannunka da idon sawunka cikin sauƙi.
• Kafin a yi gwajin, a je bayan gida a zubar da mafitsara.

Haka kuma, idan an taɓa yi maka tiyata don inganta zagayawar jini a ƙafafunka, ka gaya wa wanda ke yin gwajin game da shi.Lallai ka gaya min .

Me ke faruwa a lokacin gwajin?

Kafin a fara gwajin, za a umarce ka da ka kwanta a kan gado ka huta na tsawon minti 10 zuwa 30. Za a umarce ka da ka kwanta da hannuwanka sama a duk lokacin gwajin. Wani lokaci, domin samun cikakken karatu, hannunka da idon sawu na iya buƙatar a ɗaga su da wani abu kamar ƙananan matashin kai don su kasance daidai da zuciyarka.

Sannan, mai gwajin yana auna matsin lamba a cikin wannan tsari:

1. Ana auna hawan jini a hannu ɗaya.

2. Ana auna hawan jini a idon ƙafar a gefe ɗaya da hannu.

3. A auna hawan jini a idon ƙafar ɗaya.

4. Auna hawan jini a ɗayan hannun.

Za su gaya maka idan ana buƙatar maimaita ma'aunin. Tsarin auna matsin lamba gaba ɗaya yana ɗaukar ɗan lokaci kaɗan, tsakanin mintuna 10 zuwa 20 .

Akwai wasu haɗari da ke tattare da wannan gwajin?

Gwajin ABI gwaji ne mai aminci sosai. Yawanci babu haɗari. Duk da haka, idan kuna da ɗaya daga cikin waɗannan yanayi, ya kamata ku gaya wa likitanku ko mai duba ku a gaba:

• Idan kana da raunuka ko gyambo a ƙafarka, ba za a sanya matsewar matsi a kan wannan raunin ba. Wataƙila za ka buƙaci yin wani gwaji.
• Idan kwanan nan aka yi maka tiyatar jijiyoyin jini , yana iya zama haɗari a shafa matsi a irin wannan wurin da aka yi masa matsi, domin akwai haɗarin kamuwa da toshewar jini.

Yaya za a fahimci sakamakon?

Yadda ake ƙididdige ƙimar ABI

Wannan abu ne mai sauƙi. Za ka ɗauki mafi girman ƙimar systolic (wato, babban adadin matsin lamba) daga karatun matsin lamba na idon sawu biyu sannan ka raba shi da mafi girman ƙimar systolic daga karatun matsin lamba na hannu biyu.

Misali, yi la'akari da:

• Matsin da ke cikin idon ƙafar hagu shine 105/65, kuma a idon ƙafar dama shine 100/60.
• Matsi a hannun hagu shine 130/85, kuma a hannun dama shine 125/80.

Yanzu bari mu ɗauki mafi girman ƙimar daga idon sawu (105) mu raba shi da mafi girman ƙimar daga hannu (130).

105 ÷ 130 = 0.8

Dangane da wannan ƙimar 0.8, za ku iya cewa kuna da PAD mai sauƙi.

Ma'anar sakamakon

Yawan ƙimar ABI yakamata ya kasance tsakanin 1.0 da 1.3. Darajar ABI ta 0.9 ko ƙasa da haka tana nuna cewa kuna da PAD.

Wani lokaci ƙimar ABI na iya zama sama da 1.4 . Wannan yana nufin cewa jijiyoyinku sun taurare (ƙirƙira) saboda tsufa ko ciwon suga. A irin waɗannan yanayi, gwajin ABI kaɗai ba zai iya tabbatar da ko kuna da PAD ba. A wannan yanayin, likitanku na iya yin odar wani gwaji, kamar ma'aunin yatsan ƙafa (wanda ke auna matsin lamba a babban yatsan maimakon idon sawu).

Yaushe kake buƙatar yin magana da likitanka?

Idan ba ka samu sakamakon gwajin nan take ba, ka yi magana da likitanka wanda ya yi odar gwajin. Dangane da sakamakon gwajin, za ka iya buƙatar wasu gwaje-gwaje ko magani.

Idan ABI ɗinka ya wuce yadda aka saba, ƙila ka buƙaci maimaita wannan gwajin lokaci-lokaci. Wannan zai taimaka wa likitanka ya ga ko PAD ɗinka yana ƙara muni ko kuma idan magani yana aiki.