Yu blɔd we de go na yu leg fayn? (Ankle-Brachial Index - ABI) Lɛ wi fɛn ɔut wit di tɛst!

Sɔntɛnde yu kin fil yu leg dɛn pen we yu de waka? Ɔ yu kin fil lɛk se yu leg dɛn de go swɛ afta yu dɔn waka fɔ shɔt tɛm? Wan rizin fɔ dis kin bi we di vein dɛn we de gi blɔd to yu leg dɛn kin blok. Wan izi tɛst we nɔ de mek yu fil pen fɔ no if yu gɛt dɛn kayn tin ya na di Ankle-Brachial Index (ABI) tɛst. Lɛ wi tɔk bɔt dis ditayli tide.

Wetin na di Ankle-Brachial Index (ABI)?

Fɔ tɔk am simpul wan, dis ABI na simpul tɛst we de mɛzhɔ blɔd prɛshɔn na yu anklɛ ɛn ɔp an. I de mεnεntli chεk if di big bכdi vεsul dεm na yu leg dεm, di at dεm, dכn blכk כ dεn dכn blכd fכ fכlכ bikoz fכ fεt dεposit (lεk dכti we de kכl wata paip). Dɔktɔ dɛn kin kɔl dis kɔndishɔn ``Pɛriferal Atɛri Disease`` ɔ PAD. Insay Sinhala, i min sik we de na di at.

dis PAD kכndishכn kin mek di lεg dεm nכ gεt inof כksijεn εn nyutriεnt dεm. Na da tɛm de di sayn dɛn we a bin dɔn tɔk bɔt, lɛk we yu de fil pen na yu leg ɛn we yu de waka, kin apin. So di ABI tɛst kin no if yu gɛt PAD ɛn, if na so, aw i siriɔs.

Ustɛm a fɔ mek dɛn du dis ABI tɛst?

Nɔto ɔlman nid fɔ gɛt dis tɛst, bɔt dɔktɔ kin tɛl yu fɔ du ABI tɛst if yu gɛt ɛni wan pan dɛn tin ya:

• Leg pen: If yu fil pen, stif, ɔ fil se yu leg (thighs, calves), mɔ we yu de waka ɔ du ɛksɛsayz, ɛn i kin stɔp afta yu sidɔm fɔ sɔm tɛm ɛn rɛst.
• If yu ol 65 ia ɔ pas dat: Di risk fɔ gɛt PAD kin go ɔp wit yu ej.
• If yu ol bitwin 50 ɛn 64 ia ɛn yu gɛt ɔda tin dɛn we kin mek yu gɛt dis sik:
• If yu gɛt `(Dayabetes)`.
• If yu gɛt ``(High blood pressure)``.
• If yu gɛt ay kɔlɔstrel na yu blɔd.
• If yu na pɔsin we de yuz tabak (lɛk sigrɛt, beedis).
• If ɛnibɔdi na yu famili (mama, papa, brɔda ɛn sista) dɔn gɛt PAD bifo.
• Ivin if yu nɔ rich 50 ia yet, yu gɛt dayabitis ɛn wan ɔda tin we kin mek yu gɛt dis sik (frɔm di wan dɛn we wi dɔn tɔk bɔt).

Imajin, dis ABI tɛst kin no PAD bifo i wɔs. afta dat, dεn kin stat tritmεnt kwik kwik wan εn i go bכku εp fכ mek dεn nכ gεt kכndyushכn dεm lεk ``Critical limb ischemia`` εn ``Amputation``, we kin mek di lεg dεm bכku bכku damej, sכmtεm te dεn kin kכmכt.

Aw dɛn kin du dis ABI tɛst?

Dis na tin we rili simpul. I tan lɛk se dɛn de chɛk yu blɔd prɛshɔn we yu kin go to dɔktɔ nɔmal wan. Bɔt dis tɛm , dɛn kin mɛzhɔ di blɔd prɛshɔn na yu an, yu anklɛ, ɛn ɔl di 4 leg dɛn.

Bɔku tɛm, na nɔs kin du dis tɛst.

1. Fɔs, dɛn kin put blɔd prɛshɔn kɔf na wan pan yu ɔp an dɛn, tay am smɔl, ɛn dɛn kin mɛzhɔ blɔd prɛshɔn as yu de blo ɛn pul wata.

2. Dɔn mɛzhɔ di ɔda an di sem we.

3. Neks, dɛn kin put di kɔf rawnd di anklɛ na wan pan yu leg ɛn dɛn kin mɛzhɔ di blɔd prɛshɔn de bak.

4. Mekɔp di ɔda leg di sem we.

We yu de mɛzhɔ yu blɔd prɛshɔn, yu wɛlbɔdi prɔvayda de yuz wan smɔl ɔltra saund mashin (dɛn kin kɔl am bak hanheld Doppler). dis de lisin to di sawnd we bכdi de fכlכ tru yu brachial atεri, dכsalis pedis atεri, כ posita tibial atεri. Di prɛshɔn gej kin rid di sawnd we dɛn yɛri am.

di mכst imכtant tin na dat dis na `noninvasive` tεst. Dat min se no nidul ɔ kɔt nɔ de na di skin. So natin nɔ de fɔ fred. I rili izi.

Aw a fɔ pripia bifo di ABI tɛst?

Fɔ mek di tɛst izi fɔ yu ɛn fɔ gɛt kɔrɛkt rizɔlt, yu nid fɔ du sɔm tin dɛn:

• Nɔ drink ɛnitin we gɛt kafin (kɔfi, ti, sɔm sɔft drink) di de we dɛn de du di tɛst.
• Nɔ yuz tabak (sigrɛt, beedis) ɛn drink rɔm fɔ wan to tu awa bifo di tɛst.
• Nɔ du ɛni ɛksesaiz fɔ wan awa bifo di tɛst. Dɔn bak, nɔ fɔ waka.
• Wear fayn klos we nɔ tay ɛn we go mek yu ebul fɔ sho di tɔp dɛn na yu an ɛn yu anklɛ dɛn izi wan.
• Bifo yu go fɔ di tɛst, pis fayn fayn wan ɛn ɛmti yu blad. Dis go ɛp yu fɔ fil fayn we yu de du di tɛst.

Wan ɔda impɔtant tin: If yu dɔn du ɛni ɔpreshɔn fɔ mek blɔd go fayn na yu leg (lɛk vaskul baypas), yu fɔ rili tɛl di pɔsin we de du di tɛst bɔt am, bikɔs i kin afɛkt di we aw dɛn de du di tɛst.

Wetin fɔ ɛkspɛkt we dɛn de du di tɛst?

We yu go na di ɛgzam rum, dɛn go aks yu fɔ ledɔm ɛn rilaks fɔ 10 to 30 minit bifo di tɛst bigin. Dis na fɔ ɛp yu bɔdi fɔ kol ɛn yu blɔd prɛshɔn stebul. Yu go nid fɔ ledɔm wit yu an ɛn yu fut stret ɔl di tɛm we yu de du di tɛst. Sɔntɛnde, dɛn go put smɔl smɔl pilo dɛn ɔnda yu an ɛn yu anklɛ, ɛn mek dɛn es ɔp to di lɛvɛl we yu at de. Dis go mek dɛn ebul fɔ rid di blɔd prɛshɔn kɔrɛkt wan.

Dɔn, lɛk aw a bin dɔn tɔk bifo tɛm, di mɛdikal wokman:

1. Dɛn go mɛzhɔ yu blɔd prɛshɔn na wan an.

2. Dɔn, dɛn kin mɛzhɔ di blɔd prɛshɔn na di anklɛ na di leg na di sem say we da an de de.

3. Neks, dεn de mכsu di blכd prεshכn na di ankכl na di כda leg.

4. Fɔ dɔn, dɛn kin mɛzhɔ di blɔd prɛshɔn na di ɔda an.

Sɔntɛnde, if yu want fɔ gɛt mɔ kɔrɛkt ridin, yu kin tek dis mɛzhɔmɛnt pas wan tɛm. Yu wɛlbɔdi biznɛs pɔsin go tɛl yu bɔt dis. Bɔku tɛm, di wan ol tin we dɛn kin du fɔ no di blɔd prɛshɔn kin tek fɔ shɔt tɛm, lɛk 10 to 20 minit. Na dat, di tɛst dɔn dɔn!

Ɛni risk de wit dis tɛst?

Di ABI tɛst na tɛst we rili sef. Jɛnɛral wan, no risk ɔ sayd ɛfɛkt nɔ de.

Bɔt if yu gɛt ɛni wan pan dɛn sik ya, mek shɔ se yu tɛl yu dɔktɔ bifo tɛm se:

• If yu gɛt wund ɔ ɔlsa we nɔ wɛl na yu leg: I nɔ fayn fɔ put kɔf pan da kayn say de, so di dɔktɔ dɛn go avɔyd da say de ɔ yuz ɔda we.
• If yu jɔs dɔn gɛt vaskul baypas ɔpreshɔn na yu leg: Fɔ kɔf dis kayn say kin denja ɛn i kin mek yu blɔd klɔt.

We dɛn tɔk dɛn tin ya, di mɛdikal tim kin du di tin dɛn we dɛn nid.

Wetin kin apin afta di tɛst?

Yu kin bigin fɔ du yu nɔmal tin dɛn bak jɔs afta dɛn dɔn du di tɛst. No rɛst nɔ nid fɔ rɛst. Sɔntɛnde, di mɛdikal wokman dɛm we du di tɛst go ebul fɔ gi yu sɔm fidbak bɔt di rizɔlt. If nɔto dat, yu go nid fɔ mit wit di dɔktɔ we ɔda di tɛst fɔ tɔk bɔt di rizɔlt.

Aw dɛn kin kɔl dis ABI valyu?

Okay, naw mek wi si aw fɔ kɔl dis ABI valyu. Dis kin tan lɛk se na matematiks smɔl, bɔt fɔ tru, i rili izi.

Fɔ tɔk am simpul wan, di ays wan pan yu tu anklɛ blɔd prɛshɔn ridin (systolic - di tɔp nɔmba fɔ yu blɔd prɛshɔn ridin) dɛn sheb am wit di ays pan yu tu an blɔd prɛshɔn ridin. Na dat di ABI bi.

Fɔ ɛgzampul, tink bɔt:

• yu blɔd prɛshɔn na yu lɛft anklɛ na 105/65 mmHg, ɛn na yu rayt anklɛ na 100/60 mmHg.
• di bכdi prεshכn na yu lεft an na 130/85 mmHg, εn na yu rayt an na 125/80 mmHg.

Naw fɔ fɛn di ABI valyu, wi tek di ays wan pan di nɔmba dɛn (`(systolic)`) we dɛn tek frɔm ɛni ples.

• di hεyest ``(systolic)`` valyu frכm ankכl: 105 mmHg
• di hεyest `(systolic)` valyu frכm di an dεm: 130 mmHg

Naw wi nid fɔ sheb di anklɛ valyu (105) wit di an valyu (130).

105 ÷ 130 = 0.807 (we na lɛk 0.8) .

So, insay dis ɛgzampul, di ABI valyu na 0.8.

Wetin dɛn tin ya we dɛn dɔn fɛn de tɔk?

di ABI valyu we yu gεt de gi yu aidia fכ di kכndishכn fכ di blכd vesel dεm na yu leg.

• 1.0 to 1.3: Dis na nɔmal valyu. I min se yu leg dɛn gɛt gud blɔd we de go.
• 0.9 to 1.0: Dis na bɔdalayn valyu. I min se PAD de nia fɔ divɛlɔp. Dɛn kin se yu fɔ chenj di we aw yu de liv yu layf.
• 0.7 to 0.9: Dis na mild PAD kondishכn.
• 0.4 to 0.7: Dis na m כdarεt PAD kכndishכn.
• If i smɔl pas 0.4: Dis na siriɔs PAD . Na dis tɛm, i kin gɛt mɔ sayn dɛn.

If di ABI valyu na 0.9 ɔ less, i min se yu gɛt PAD.

Sɔntɛnde, di ABI valyuI kin ay pas 1.4. if na so, i min se yu bכdi vεsεl dεm (atεri dεm) dכn tכn sכmtεm, ``kalsifayd`` (lεk ston). Dis kin apin as yu de ol, pan pipul dɛm wae gɛt ``diabetes`` (diabetes), ɔr pan pipul dɛm wae gɛt kidni sik. We di vein dεm at lεk dis, i at fכ no fכ sכri if yu gεt PAD wit di ABI tεst. If na so, yu dכkta go oda כda tεst dεm (fכ egzampl, di ``Toe-Brachial Index - TBI)`` tεst - we de mכsu bכdi prεshכn na di big tכ).

Risach dɔn sho se pipul dɛm wae gɛt ABI pas 1.4 kin gɛt bɔrku risk fɔ day bikɔs ɔf sik wae de kam pan dɛn at ɛn blɔd. So, ilɛksɛf di valyu smɔl ɔ ay, if i de ausayd di nɔmal rɛnj, i impɔtant fɔ tɔk to yu dɔktɔ bɔt am.

Ustɛm a fɔ kɔl mi dɔktɔ ?

If yu nɔ gɛt yu rizɔlt jɔs afta yu ABI tɛst, mek shɔ se yu tɛl yu dɔktɔ.

Dipen pan yu ABI rizɔlt, yu dɔktɔ kin tɛl yu fɔ du mɔ tɛst, tritmɛnt, ɔ chenj yu layf (lɛk aw yu de it, ɛksesaiz, ɛn lɛf fɔ smok).

If yu ABI de ausayd di nɔmal rɛnj, yu dɔktɔ kin ɔda fɔ ripit ABI tɛst wan wan tɛm fɔ si if yu PAD de wɔs ɔ if i de bɛtɛ wit tritmɛnt.

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

So naw yu no se dis ABI tɛst na rili simpul, nɔ gɛt pen, ɛn rili impɔtant tɛst. I kin tɛl yu kwik kwik wan bɔt di kayn we aw di blɔd vesel dɛn de na yu leg, mɔ if yu gɛt wan sik we dɛn kɔl PAD.

No rizin nɔ de fɔ mek wi fred. Nɔ nidul, nɔ kɔt, nɔ anestezi. If yu dɔktɔ tɛl yu fɔ du dis tɛst, fɔ tru, du am. I go ɛp yu wɛlbɔdi bad bad wan. If dɛn si wan sik, dɛn kin bigin di tritmɛnt we dɛn nid kwik kwik wan.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ shem ɛn aks yu dɔktɔ. Stay wit wɛlbɔdi!

` ABI, Ankle-Brachial Index, PAD, Pεrifεral Atεri Disiz, Leg Pen, Blɔd Prεshכn, Atεrial Tεst