Yu kin fil pen na yu leg, mɔ na yu kaw pikin, we yu de waka fɔ shɔt tɛm? Yu tink se di pen kin stɔp we yu stɔp fɔ sɔm tɛm ɛn bigin fɔ waka bak? Dis nɔto sɔntin we yu fɔ jɔs ignore. I kin bi sayn fɔ se prɔblɛm de wit di blɔd we de flɔ na yu leg. Tide, wi go tɔk bɔt wan rili simpul tɛst we nɔ gɛt pen fɔ no.
Wetin na di Ankle-Brachial Index (ABI)?
Fɔ tɔk am simpul wan, di Ankle-Brachial Index (ABI) na simpul tɛst we nɔ de mek yu fil pen, we de sho di blɔd prɛshɔn na yu anklɛ ɛn yu an. I kin chɛk mɔ fɔ si if yu gɛt peripheral artery disease (PAD) , we na wan sik we fat kin bɔku na di at dɛn we kin kɛr blɔd go na yu leg dɛn, ɛn dis kin mek dɛn smɔl .
Jɔs lɛk aw wata paip we dɔn lɔk kin mek di wata nɔ flɔ sloslo, na so bak di at dɛn we de na wi leg dɛn kin smɔl. Di ABI tɛst de mɛzhɔ dis ridɔkshɔn pan blɔd flɔ. Dɛn kin kɔl yu ABI bay we yu sheb yu anklɛ blɔd prɛshɔn to yu an blɔd prɛshɔn.
Ustɛm a fɔ tek ABI tɛst?
Bɔku rizin dɛn de we mek yu dɔktɔ kin tɛl yu fɔ du dis tɛst. Yu kin gɛt ɔr nɔr kin gɛt sɔm kayn sik.
| Opportunity / Risk Fakta we de mek pɔsin gɛt prɔblɛm | Tɔk bɔt |
|---|---|
| PAD simptom dɛn | Pen na di leg, mɔ we yu de du tin, lɛk we yu de waka. |
| If yu ol 65 ia ɔ pas dat | Bikɔs di risk fɔ mek fat de na di at (atherosclerosis) de go ɔp wit di ej. |
| Ej 50-64 ɛn di tin dɛn we kin mek pɔsin gɛt dis sik | If yu gɛt dayabitis, ay blɔd prɛshɔn, ay kɔlɔstrel, yu dɔn gɛt histri fɔ smok, ɔ if sɔmbɔdi na yu famili dɔn gɛt PAD. |
| Ɔnda 50 ia ɛn ɔda risk dɛn wit dayabitis | If yu gɛt dayabitis ɛn ɔda tin we kin mek yu gɛt dis sik, lɛk ay blɔd prɛshɔn. |
Di big advantej fɔ dis ABI tɛst na dat i kin no PAD bifo i wɔs. Dis kin mek dɛn ebul fɔ trit am kwik kwik wan we kin ridyus di risk fɔ gɛt siriɔs prɔblɛm dɛn, lɛk krichɔl limb ischemia ɔ amputation .
Aw yu kin du dis tɛst?
Dis na rili simpul we fɔ du tin. Bɔku tɛm, na nɔs kin du dis tɛst. Dɛn kin mɛzhɔ di blɔd prɛshɔn na sɔm patikyula at dɛn na yu an ɛn yu anklɛ.
Dis kin yuz blɔd prɛshɔn kɔf, jɔs lɛk aw dɛn kin chɛk blɔd prɛshɔn ɔltɛm. Dɛn kin rap am rawnd yu an ɛn yu anklɛ, wan bay wan, dɔn dɛn kin kɔmprɛs am fɔ sɔm sɛkɔn, ɛn smɔl smɔl i kin mek di briz kɔmɔt.
di men at dεm we dεn egzamin ya na:
- Di brachial atεri na di an dεm.
- di dכsalis pedis atεri כ di posita tibial atεri na at we de kכnεkt di ankכl dεm.
We di dɔktɔ ɔ nɔs de mɛzhɔ dis prɛshɔn, i kin lisin bak to di sawnd we di blɔd de mek we de pas na dɛn at ya bay we i de yuz wan ɔltra saund divays we dɛn kin ol na in an (Doppler).
Dis na tɛst we nɔ de ambɔg pɔsin , we min se dɛn nɔ gɛt nidul ɔ say we dɛn kɔt di skin. I jɔs tan lɛk aw yu kin chɛk yu blɔd prɛshɔn ɔltɛm, pas nɔmɔ dɛn kin du am na ɔl di 4 pat dɛn.
Aw yu fɔ pripia bifo di tɛst?
Fɔ fala dɛn step ya fɔ gɛt kɔrɛkt rizɔlt ɛn mek di tɛst izi fɔ yu.
- Nɔ drink ɛnitin we gɛt kafin (kɔfi, ti, sɔm sɔft drink) di de we dɛn de du di tɛst.
- Nɔ yuz tabak ɔ rɔm fɔ wan awa bifo yu du di tɛst.
- Nɔ ɛksesaiz wan awa bifo di tɛst.
- Wear klos we nɔ tay ɛn we go mek yu ebul fɔ put di prɛshɔn kɔf na yu ɔp an ɛn yu anklɛ izi wan.
- Bifo yu go na di tɛst, go na tɔylɛt ɛn ɛmti yu blad.
Dɔn bak, if yu dɔn du ɛni ɔpreshɔn fɔ mek blɔd go fayn na yu leg, tɛl di pɔsin we de du di tɛst bɔt dat.Fɔ tru, tɛl mi .
Wetin kin apin we dɛn de du di tɛst?
Bifo di tɛst bigin, dɛn go aks yu fɔ ledɔm na bed ɛn rɛst fɔ 10 to 30 minit. Dɛn go aks yu fɔ ledɔm wit yu an dɛn we de fes ɔp ɔl di tɛm we dɛn de du di tɛst. Sɔntɛnde, fɔ mek yu rid di rayt we, yu kin es yu an ɛn yu anklɛ dɛn ɔp wit sɔntin lɛk smɔl pilo so dat dɛn go de na di sem lɛvul wit yu at.
Dɔn, di pɔsin we de tɛst di prɛshɔn de mɛzhɔ di prɛshɔn insay dis ɔda:
1. Dɛn kin mɛzhɔ blɔd prɛshɔn na wan an.
2. Dɛn kin mɛzhɔ blɔd prɛshɔn na di anklɛ na di leg na di sem say we di an de.
3. Mek di blɔd prɛshɔn na di anklɛ na di ɔda leg.
4. Mek di blɔd prɛshɔn na di ɔda an.
Dɛn go tɛl yu if dɛn nid fɔ ripit di mɛzhɔmɛnt. di ol prεshכn mεzhɔmεnt prכsεs de tek sכm tεm nכmכ, bitwin 10 εn 20 minit .
Ɛni risk de wit dis tɛst?
Di ABI tɛst na tɛst we rili sef . Bɔku tɛm, no risk nɔ de. Bɔt if yu gɛt ɛni wan pan dɛn tin ya, yu fɔ tɛl yu dɔktɔ ɔ di pɔsin we de chɛk yu bifo tɛm:
- If yu gɛt wund ɔ ɔlsa we opin na yu leg, dɛn nɔ go put di prɛshɔn kɔf oba da wund de. Sɔntɛm yu go nid fɔ du ɔda tɛst.
- If dɛn jɔs du yu vaskul baypas ɔpreshɔn , i kin denja fɔ put prɛshɔn pan da kayn say de wit prɛshɔn kɔf, bikɔs i kin mek blɔd klɔt.
Aw fɔ ɔndastand di tin dɛn we kin apin?
Aw fɔ kɔl di ABI valyu
Dis na tin we rili izi. yu tek di hεyest sistolik valyu (dat na di tכp nכmba fכ di prεshכn) frכm yu tu ankכl prεshכn ridin dεm εn divayd am wit di hεyest sistolik valyu frכm yu tu an prεshכn ridin dεm.
Fɔ ɛgzampul, tink bɔt:
- Di prɛshɔn na yu lɛft anklɛ na 105/65, ɛn na yu rayt anklɛ na 100/60.
- Di prɛshɔn na yu lɛft an na 130/85, ɛn na yu rayt an na 125/80.
Naw lɛ wi tek di valyu we ay pas ɔl frɔm di anklɛ (105) ɛn sheb am wit di valyu we ay pas ɔl frɔm di an (130).
105 ÷ 130 = 0.8. Di wan dɛn we de wok
Bay dis valyu we na 0.8, yu kin se yu gɛt mild PAD.
Minin fɔ di rizɔlt dɛn
Di ABI valyu fɔ nɔmal fɔ de bitwin 1.0 ɛn 1.3. ABI valyu we na 0.9 ɔ less de sho se yu gɛt PAD.
| ABI valyu | Minin |
|---|---|
| 1.0 – 1.3 | Nɔmal |
| 0.9 – 1.0 | Bɔdalayn - Di sik de kam fɔ kam. |
| 0.7 – 0.9 | Mild PAD we nɔ gɛt wan bɔt |
| 0.4 – 0.7 | Modaret PAD we dɛn kin yuz |
| I nɔ rich 0.4 | PAD we gɛt siriɔs sik |
Sɔntɛnde di ABI valyu kin ay pas 1.4 . Dis min se yu at dɛn kin at (calcified) bikɔs ɔf ol ɔ dayabitis. Insay dɛn kayn tin ya, di ABI tɛst nɔmɔ nɔ go ebul fɔ no fɔ tru if yu gɛt PAD. If na so i bi, yu dɔktɔ kin ɔda fɔ du ɔda tɛst, lɛk di toe-brachial index (we de mɛzhɔ prɛshɔn na di big fut insted ɔf di anklɛ).
Ustɛm yu nid fɔ tɔk to yu dɔktɔ?
If yu nɔ gɛt yu rizɔlt wantɛm wantɛm, tɔk to yu dɔktɔ we ɔda di tɛst. Dipen pan yu rizulyt, yu kin nid ɔda tɛst ɔ tritmɛnt.
If yu ABI de ausayd di nɔmal rɛnj, yu kin nid fɔ ripit dis tɛst wan wan tɛm. Dis go ɛp yu dɔktɔ fɔ si if yu PAD de wɔs ɔ if di tritmɛnt de wok.
Mɛsej we dɛn kin kɛr go na os
- Di Ankle-Brachial Index (ABI) na wan simpul, nɔ gɛt pen, ɛn sef tɛst fɔ no if pɔsin gɛt atherosclerotic disease (PAD) na di leg dɛn.
- Dis kin kɔmpia di blɔd prɛshɔn na yu an ɛn yu an.
- Dis tɛst rili impɔtant if yu leg dɛn de at we yu de waka, ɔ if yu gɛt tin dɛn lɛk dayabitis, ay blɔd prɛshɔn, ɔ we yu de smok.
- If yu no di sik kwik kwik wan, dat kin mek yu nɔ gɛt siriɔs prɔblɛm dɛn lɛk fɔ kɔt dɛn an.
- Ɔltɛm tɔk to yu dɔktɔ bɔt yu ABI rizɔlt ɛn us step fɔ tek nɛks.
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