Xav txog tias koj tab tom mus rau lub khw lossis tsuas yog taug kev luv luv xwb. Tom qab taug kev luv luv, koj mam li hnov mob heev hauv koj txhais ceg, zoo li koj ob txhais ceg yuav loog. Tom qab sawv ib pliag, qhov mob ploj mus. Thaum koj pib taug kev dua, qhov mob rov qab los tom qab taug kev luv luv. Koj puas tau muaj qhov kev paub no? Los yog ib tus neeg koj paub puas muaj hom kev tsis xis nyob no? Qhov ua rau qhov no yuav yog qee yam kev txhaws hauv cov leeg ntshav uas nqa ntshav mus rau ob txhais ceg. Yog li, nyob rau hauv qhov xwm txheej zoo li no, hnub no peb yuav tham txog kev kuaj mob yooj yim heev, tsis mob uas tuaj yeem pab koj tus kws kho mob nrhiav qhov ua rau tseeb. Ntawd yog qhov kev xeem PVR.
Hauv lwm lo lus, Pulse Volume Recording (PVR) yog dab tsi?
Kev Ntsuas Qhov Ncua Plawv, lossis kev xeem PVR luv luv, yog ib qho kev xeem uas ntsuas seb cov ntshav txav mus los ntawm cov hlab ntsha (arteries) hauv koj ob txhais ceg li cas, seb cov ntshav ntws zoo, lossis yog tias muaj qhov txhaws qhov twg.
Qhov zoo tshaj plaws txog qhov no yog tias nws yog ib qho kev kuaj mob uas tsis mob thiab tsis muaj mob, txiav, lossis koob . Yog xav kom meej, nws yog ua los ntawm kev siv cov suab nrov siab, lossis thev naus laus zis '(Ultrasound)'. Yog li tsis muaj dab tsi yuav txhawj txog. Qee zaum qhov kev kuaj mob no kuj hu ua '(pulse volume plethysmography)'.
Vim li cas tus kws kho mob thiaj hais kom koj ua qhov kev kuaj PVR?
Feem ntau, tus kws kho mob yuav pom zoo kom ua qhov kev kuaj no los txiav txim siab seb koj puas muaj mob hu ua Peripheral Artery Disease (PAD) , lossis los ntsuas theem ntawm tus mob.
Yog li ntawd, PAD no yog dab tsi?
Hais yooj yim xwb, PAD yog qhov uas cov hlab ntsha (arteries) uas nqa cov ntshav huv los ntawm peb lub plawv mus rau peb ob txhais ceg nqaim zuj zus. Qhov ua rau qhov no yog atherosclerosis . Qhov no txhais tau tias dhau sijhawm, cov roj cholesterol thiab lwm yam rog (plaque) yuav sib sau ua ke rau ntawm phab ntsa ntawm cov hlab ntsha, thaiv cov ntshav ntws. Thaum cov ntshav ntws raug thaiv zoo li no, thaum koj ob txhais ceg xav tau ntshav ntau dua, zoo li thaum koj taug kev, lawv tsis tuaj yeem ua tau raws li qhov xav tau ntawd. Yog thaum ntawd qhov mob, raws li tau hais ua ntej, los txog.
Kev Ntsuas PVR tuaj yeem ua tau:
- Nrhiav seb qhov txhaws nyob qhov twg hauv cov hlab ntsha hauv koj ob txhais ceg.
- Txheeb xyuas cov cheeb tsam uas muaj cov ntshav txhaws lossis lwm yam kev thaiv.
- Nrhiav qhov ua rau mob ceg thaum taug kev.
Muaj tej qhov xwm txheej tsis tshua muaj, qhov kev kuaj no kuj siv tau los nrhiav cov teeb meem nrog cov hlab ntsha hauv caj npab lossis cov ntiv tes thiab cov mob xws li Thoracic Outlet Syndrome (TOS).
Puas yog PVR tsuas yog tib txoj kev los ntes PAD xwb?
Tsis yog. PVR tsuas yog ib qho ntawm cov kev kuaj mob vascular uas tsis yog kev phais xwb. Koj tus kws kho mob yuav pom zoo kom ua lwm yam kev kuaj mob nrog rau PVR. Cia peb saib cov ntawd.
| Lub npe ntawm qhov kev xeem | Yuav ua li cas ua nws yooj yim | Koj kawm tau dab tsi los ntawm qhov no |
|---|---|---|
| Kev kuaj PVR | Cov tes ntsuas ntshav siab raug muab tso rau ntawm ntau qhov chaw ntawm ceg thiab caj npab, thiab qhov ceev thiab qhov ntim ntawm cov ntshav ntws raug ntsuas los ntawm kev siv lub tshuab ultrasound. | Nws tuaj yeem txiav txim siab qhov twg cov hlab ntsha hauv ob txhais ceg raug thaiv. Nws muab cov txiaj ntsig tseeb dua rau cov neeg uas muaj ntshav qab zib. |
| Cov ntsuas ntawm pob luj taws thiab caj dab (ABI) | Ntshav siab ntsuas ntawm pob luj taws thiab caj npab, thiab ob qho nqi raug muab piv. | Qhov kev kuaj mob tseem ceeb thiab yooj yim tshaj plaws los txiav txim seb puas muaj PAD lossis tsis muaj. Tsis muaj qhov ntxaws ntxaws li PVR. |
| Kev Siv Ultrasound Duplex Arterial | Ib lub cuab yeej tuav tes (transducer) siv los tsim ib daim duab ntawm cov hlab ntsha hauv ceg thiab saib nws ntawm lub vijtsam computer. | Koj tuaj yeem pom tseeb tias cov hlab ntsha twg raug thaiv thiab qhov twg. |
| Kev Ntsuas Kev Nyuaj Siab ntawm Kev Ua Si | Ntshav siab ntsuas tau rau ntawm ob txhais ceg ua ntej thiab tom qab kev tawm dag zog los ntawm kev taug kev saum lub treadmill. | Nws pab kuaj mob rau cov neeg uas feem ntau tsis muaj tsos mob tab sis tsuas yog mob thaum taug kev xwb. |
Koj puas yuav tsum npaj ua ntej qhov kev xeem PVR?
Tsis muaj dab tsi tshwj xeeb los npaj rau. Nws yooj yim heev. Txawm li cas los xij, koj tus kws kho mob yuav hais tias:
- Koj yuav tsum tsis txhob haus luam yeeb ob peb teev ua ntej qhov kev kuaj mob, vim tias kev haus luam yeeb tuaj yeem ua rau koj cov hlab ntsha nqaim ib ntus.
- Ua ntej koj yuav kuaj, tej zaum lawv yuav hais kom koj tsum tsis txhob noj qee yam tshuaj (xws li tshuaj kho ntshav siab) ib ntus. Txawm li cas los xij, qhov no tsuas yog ua tau raws li koj tus kws kho mob qhia xwb.
Muaj dab tsi tshwm sim thaum lub sijhawm xeem?
Qhov no yog ib txoj kev kho mob uas tsis mob heev thiab siv sijhawm li ntawm 30 txog 60 feeb. Tsis txhob txhawj, kuv yuav qhia koj ib kauj ruam zuj zus txog yam uas tshwm sim.
1. Kev Npaj: Ua ntej, koj yuav raug hnav ib lub tsho hauv tsev kho mob. Koj yuav tsum tshem tawm cov hniav nyiaj hniav kub lossis lwm yam khoom ntawm koj lub cev.
2. Kev Paub: Tom ntej no, yog tias koj tau phais cov hlab ntsha yav dhau los, xws li kev phais bypass, stent placement, lossis angioplasty, koj yuav tsum qhia rau tus kws kho mob uas ua qhov kev kuaj ntawd.
3. Pw saum txaj kuaj mob: Koj yuav raug yuam kom zaum lossis pw saum txaj kuaj mob.
4. Muab cov tes ntsuas ntshav siab: Tom qab ntawd, cov tes ntsuas ntshav siab yuav muab tso rau ntawm koj txhais caj npab, sab saud thiab sab hauv qab ntawm koj lub duav, qhov chaw mos, pob luj taws, thiab qee zaum koj tus ntiv taw loj. Lawv zoo li cov tes ntsuas uas peb hnav thaum peb ntsuas peb cov ntshav siab.
5. Siv ib lub gel: Tom ntej no, ib lub gel tshwj xeeb raug siv rau ntawm ceg uas pab cov nthwv dej ultrasound hla dhau daim tawv nqaij zoo dua.
6. Ntsuas qhov siab: Tam sim no muab lub tes tsho ntsuas ntshav thiab ntsuas koj cov ntshav siab. Thaum no, koj yuav hnov lub tes tsho nruj me ntsis, tab sis koj yuav tsis hnov mob dab tsi.
7. Kev kuaj mob ultrasound: Thaum lub BP cuff raug nruj, tus kws kho mob siv lub cuab yeej me me (transducer) los tso rau ntawm ntau qhov chaw ntawm ceg kom paub tseeb tias cov ntshav ntws.
8. Saib xyuas cov txiaj ntsig: Cov ntaub ntawv los ntawm cov suab no tau tso tawm rau ntawm lub vijtsam computer ua "waveforms." Tus kws kho mob siv cov duab ntawm cov nthwv dej no los txiav txim siab seb koj cov ntshav txav li cas.
Qee zaum, lawv yuav hais kom koj taug kev ncig me ntsis lossis sawv ntawm koj cov ntiv taw. Saib seb koj cov ntshav ncig hloov li cas nrog kev tawm dag zog ntawd.
Qhov no yog ib qho kev sim uas muaj kev nyab xeeb heev, yog li ntawd tsis muaj laj thawj yuav tsum txhawj txog cov kev mob tshwm sim.
Tom qab kuaj tas, yuav muaj dab tsi tshwm sim? Kuv yuav tau txais daim ntawv qhia thaum twg?
Thaum qhov kev xeem PVR tas lawm, koj tuaj yeem mus tsev thiab ua txhua yam koj ua niaj hnub.
Tus kws kho mob uas ua qhov kev kuaj mob yuav ua haujlwm nrog kws kho mob los tshuaj xyuas koj cov txiaj ntsig. Qhov no tuaj yeem siv sijhawm txij li ob peb teev mus txog ob peb hnub. Yog li, nug koj tus kws kho mob thaum twg koj tuaj yeem cia siab tias yuav tau txais daim ntawv qhia.
Daim ntawv qhia txog PVR hais li cas?
Koj tus kws kho mob yuav piv cov ntshav siab ntawm koj txhais tes thiab ob txhais ceg .
- Li qub: Cov ntshav siab ntawm ib tug neeg noj qab nyob zoo ob txhais ceg yuav tsum zoo ib yam li lossis siab dua me ntsis ntawm cov ntshav siab ntawm lawv txhais tes.
- Mob txawv txav: Yog tias muaj qee qhov laj thawj uas cov ntshav siab hauv koj ob txhais ceg qis dua li ntawm koj txhais tes, nws txhais tau tias muaj kev txhaws lossis nqaim qhov twg hauv cov leeg ntshav uas nqa cov ntshav mus rau koj ob txhais ceg.
Tsis tas li ntawd xwb, los ntawm kev sib piv cov kev nyeem siab uas tau los ntawm ntau qhov chaw sib txawv hauv ceg, tus kws kho mob tuaj yeem tau txais lub tswv yim ntxhib ntawm seb qhov kev thaiv puas yog nyob rau hauv lub duav, hauv qab lub hauv caug, lossis nyob ib puag ncig pob luj taws. Txawm li cas los xij, qhov kev xeem PVR tsis tuaj yeem qhia meej tias cov hlab ntsha twg raug thaiv . Qhov no yuav xav tau lwm qhov kev xeem, xws li Duplex Ultrasound.
Cov lus nug uas yuav tsum nug tus kws kho mob
Yog tus kws kho mob hais tias muaj teeb meem nrog koj daim ntawv qhia PVR, tsis txhob ntshai, tsuas yog nug cov lus nug no kom meej meej xwb.
- Kuv puas muaj feem yuav mob ntshav txhaws vim yog tus mob PAD no?
- Cov txiaj ntsig ntawm qhov kev xeem PVR no muaj tseeb npaum li cas?
- Kuv muaj cov kev kho mob twg? Kuv puas yuav tsum tau hloov kuv txoj kev ua neej, noj tshuaj, lossis phais?
- Kuv puas yuav tsum tau muaj lwm yam kev kuaj mob zoo li '(kev kuaj duab)'?
Nrog cov lus teb rau cov lus nug no, koj tuaj yeem nkag siab zoo dua txog koj tus mob thiab, ua ke nrog koj tus kws kho mob, xaiv txoj kev kho mob zoo tshaj plaws.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev Sau Cov Ntaub Ntawv Plawv (PVR) yog ib qho kev kuaj uas tsis mob, muaj kev nyab xeeb uas ntsuas cov ntshav ntws hauv cov leeg ntawm koj ob txhais ceg.
- Qhov no feem ntau ua los kuaj mob hu ua Peripheral Artery Disease (PAD) , uas tuaj yeem ua rau mob ceg thaum taug kev.
- Qhov kev kuaj no tsis tas yuav muaj kev npaj tshwj xeeb, thiab koj tuaj yeem mus tsev yam tsis muaj kev tsis xis nyob tom qab kev kuaj.
- Cov txiaj ntsig PVR tuaj yeem muab rau koj tus kws kho mob lub tswv yim ntxhib txog seb puas muaj kev thaiv hauv cov hlab ntsha hauv koj ceg thiab nws nyob qhov twg.
- Yog tias koj kuj muaj mob hauv koj ob txhais ceg thaum taug kev, tsis txhob tsis quav ntsej nws thiab mus ntsib koj tus kws kho mob tam sim ntawd kom tau txais lus qhia.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus