I kea thisen kal dan a tha em? (Ankle-Brachial Index - ABI) Test hmangin i hre chhuak ang u!

I kal laiin i ke a na fo thin em? A nih loh leh rei vak lo i kal hnuah i ke a hring chhuak ang maiin i hria em? Hei hi a chhan pakhat chu i kea thisen petu thisen kalna kawng (veins) a inkharkhip vang a ni thei. Chutiang natna i neih leh neih loh hriat theihna tur test awlsam tak, hrehawm lo tak chu Ankle-Brachial Index (ABI) test hi a ni. Hemi chungchang hi vawiinah hian chipchiar takin sawi ila.

Ankle-Brachial Index (ABI) hi eng nge ni?

A awlsam zawngin sawi ila, he ABI hi test awlsam tak a ni a, i ke ruh leh kut chunglam thisen sang tehna a ni. I kea thisen kalna kawng lian tak tak, thisen kalna kawng (arteries) te chu thau awmna (tui pipe bawlhhlawh ang chi) avanga thisen kal dan a tikhawlo em tih a enfiah ber a ni. Doctor-te chuan he natna hi ``Peripheral Artery Disease`` emaw PAD emaw an ti a. Sinhala tawng chuan peripheral artery disease tihna a ni.

He PAD condition hian kein oxygen leh nutrients a dawng tlem phah thei a ni. Chutah chuan a hmaa ka sawi tawh ang chi, ke na leh kal laia rilru hahna ang chi te chu a lo lang ta a ni. Chuvangin ABI test hian PAD i neih leh neih loh a hriat theih a, a neih chuan engtiang chiahin nge a nasat tih pawh a hriat theih bawk.

Engtikah nge he ABI test hi ka tih tir ang?

Mi zawng zawng hian he test hi an neih a ngai lo va, mahse doctor chuan a hnuaia mi hi i neih chuan ABI test neih a rawt thei ang:

• Ke na: I ke (thighs, calves)-ah na emaw, i ke na emaw, chak lohna emaw i neih chuan, a bik takin kea kal emaw, exercise i tih lai emaw, rei vak lo ṭhut leh chawlh hahdam hnua a reh chuan.
• Kum 65 aia upa i nih chuan: Kum upat danah PAD vei theihna a sang chho zel.
• Kum 50 leh 64 inkar i nih a, risk factor dang i neih chuan:
• `(Diabetes)` i neih chuan.
• ``(High blood pressure)`` i neih chuan.
• I thisenah cholesterol sang i neih chuan.
• Zuk leh hmuam hmang i nih chuan (cigarette, beedis ang chi).
• I chhungkuaah (nu, pa, unau) tu emaw chuan PAD an lo nei tawh a nih chuan.
• Kum 50 hnuai lam i nih pawhin zunthlum leh risk factor dang pakhat (a chunga kan sawi tawhte atang hian) i nei a ni.

Ngaihtuah teh, he ABI test hian PAD a na zual hmain a hre thei ang. Tichuan, enkawlna chu rang takin tan theih a ni a, ``Critical limb ischemia`` leh ``Amputation`` ang chi natna te venna kawngah nasa takin a pui dawn a, hei hian ke a tichhe nasa thei a, a chang chuan ke tan pawh a tichhe thei bawk.

Engtin nge he ABI test hi tih a nih?

Hei hi a awlsam hle. Doctor hnena i kal tlangpui laiin i thisen sang enfiah tir ang mai a ni. Mahse tun ṭumah hian , i kut, i ke ruh, leh i ke pali zawng zawnga thisen sang an teh a.

He test hi nurse-in a ti tlangpui.

1. A hmasa berin i kut chunglam pakhatah thisen sang cuff dah la, tlem i tikhauh a, i inflate leh i deflate ang zelin thisen sang teh thin ang che.

2. Chumi hnuah chuan kut dang pawh chutiang bawk chuan teh rawh.

3. A dawtah chuan cuff chu i ke pakhat kekawr bul vel ah dah la, chutah pawh chuan thisen sang tehna a awm bawk.

4. Ke dang pawh chutiang bawk chuan teh rawh.

I thisen sang tehnaah i healthcare provider chuan ultrasound machine te tak te (handheld Doppler an ti bawk) a hmang thin. Hei hian i brachial artery, dorsalis pedis artery emaw posterior tibial artery emaw atanga thisen luang ri chu a ngaithla thin. Pressure gauge hian a ri a hriat chuan a chhiar chhuak thin.

A pawimawh ber chu hei hi `noninvasive` test a ni. Chumi awmzia chu vunah hian needle leh cut a awm lo tihna a ni. Chuvangin hlauh tur a awm lo. A awlsam hle mai.

ABI test hmain engtin nge ka inbuatsaih ang?

Test awlsam zawka i neih theih nan leh result dik tak i hmuh theih nan thil tlemte i tih a ngai a ni:

• Test ni hian caffeine (coffee, tea, soft drink thenkhat) nei engmah in loh tur a ni.
• Test hma darkar khat atanga darkar hnih chhung chu zuk leh hmuam (cigarette, beedis) hman loh tur a ni.
• Test hma darkar khat chhung chu exercise engmah ti suh. Tin, i kalna pawh khap tlat bawk ang che.
• I kut leh ke ruh chunglam awlsam taka pholan theihna tur thawmhnaw nuam leh hlim lo ha la .
• Test tura i kal hmain uluk takin zun la, i bladder kha empty rawh. Hei hian test neih chhungin i rilru a hahdam ang.

Thil pawimawh dang: I kea thisen kal dan tihchangtlunna tur surgery i neih tawh chuan (vascular bypass ang chi) chu test titu hnenah i hrilh ngei tur a ni, test tih dan a nghawng thei a ni.

Test neih chhung hian eng nge beisei tur?

Exam room-a i kal chuan test tan hmain minute 10 atanga 30 vel mut leh hahdam turin an ti ang che. Hei hi i taksa a reh theih nan leh i thisen sang a nghet theih nan a ni. Test chhung zawng hian i kut leh ke dinglam hawiin i mu a ngai dawn a ni. A châng chuan, i kut leh ke hnuaiah pillow te te dah a ni ang a, i thinlung level thlengin a chawi sang ang. Hei hian thisen sang chhiar dik tak a siam thei dawn a ni.

Tichuan, a hmaa ka sawi tawh ang khan, damdawi lam hnathawk chuan:

1. I thisen sang chu kut pakhatah teh a ni ang.

2. Tichuan, chu kut bulah chuan ke ke ruh (ankle of the ke)-ah thisen sang chu teh a ni.

3. A dawtah chuan ke dang ke ruh (ankle) ah thisen sang teh a ni.

4. A tawp berah chuan a kut lehlamah thisen sang teh a ni.

A châng chuan chhiar dik zâwk neih i duh chuan he tehna hi vawi khat aia tam i la thei bawk. I healthcare provider chuan he thil hi a hrilh ang che. Thisen sang tehna zawng zawng hi a tlangpuiin hun rei vak lo, minute 10 atanga 20 vel a ni. Chu chu a ni ta, test a tawp ta!

He test hmang hian risk a awm em?

ABI test hi a him em em a ni. A tlangpuiin risk leh side effect a awm lo.

Mahse, heng zinga pakhat tal i neih chuan doctor hnenah hrilh hmasa phawt ang che:

• I keah hliam dam lo emaw, ulcer emaw i neih chuan: Chutiang hmunah chuan cuff hnawih chu a tha lo va, chuvangin damdawi lam thawktute chuan chu hmun chu an pumpelh ang emaw, kawng dang an hmang ang.
• Tun hnaia i keah vascular bypass surgery i neih tawh chuan: Chutiang hmuna cuff dah chu a hlauhawm thei a, thisen zam a thlen thei bawk.

Heng thute hi sawi a nih chuan medical team-in a tul angin hma an la thin.

Test zawhah eng nge thleng?

Test zawh veleh i thil tih pangngai chu i thawk leh thei tawh ang. Chawlh hahdam a ngai lo. A chang chuan test titu medical staff te hian result chungchangah feedback engemaw zat an pe thei che a ni. Chutiang a nih loh chuan test tura titu doctor nen in inhmu a, result chungchang sawiho a ngai dawn a ni.

Engtin nge he ABI value hi chhut a nih?

Okay, tunah chuan he ABI value hi engtin nge kan chhut ang tih kan en ang. Hei hi mathematical deuhin a lang thei a, mahse a takah chuan a awlsam khawp mai.

A awlsam zawngin, i ke ruh pahnih zinga a sang ber (systolic - i thisen sang chhiar zat sang ber) chu i kut pahnih thisen sang ber nen i zat a ni. Chu chu ABI chu a ni.

Entîr nân, hetiang hian ngaihtuah teh:

• I ke veilam thisen sang chu 105/65 mmHg a ni a, i ke dinglam ah chuan 100/60 mmHg a ni.
• I kut veilam thisen sang chu 130/85 mmHg a ni a, i kut dinglam ah chuan 125/80 mmHg a ni.

Tunah chuan ABI value zawng tur chuan hmun tin atanga number (`(systolic)`) lak zinga sang ber kan la a.

• Ankle atanga ``(systolic)`` value sang ber: 105 mmHg
• Kut atanga `(systolic)` value sang ber: 130 mmHg

Tunah chuan ankle value (105) chu hand value (130) nen kan then a ngai ta.

105 ÷ 130 = 0.807 (0.8 vel) a ni.

Chuvangin, he entirnan hian ABI value chu 0.8 a ni.

Heng result te hian eng nge a sawi?

ABI value i dawn hian i kea thisen kalna kawng awm dan a hriat theih phah a ni.

• 1.0 atanga 1.3: Hei hi value pangngai a ni. I ke hian thisen a kal tha tihna a ni.
• 0.9 atanga 1.0: Hei hi borderline value a ni. PAD chu a lo thang chak dawn tihna a ni. Nunphung thlak danglam a rawt mai thei.
• 0.7 atanga 0.9: Hei hi PAD condition na lo tak a ni.
• 0.4 atanga 0.7: Hei hi PAD condition moderate tak a ni.
• 0.4 aia tlem a nih chuan: Hei hi PAD na tak a ni. Hetih lai hian symptoms a tam zawk mai thei.

ABI value 0.9 aia tlem a nih chuan PAD i nei tihna a ni.

A chang chuan ABI value pawh a awm thin1.4 aia sang pawh a ni thei. Chutiang a nih chuan i thisen kalna kawng (arteries) te chu a khauh deuh a, ``calcified`` (lung ang maiin) a lo awm tawh tihna a ni. Hei hi i tar chhoh zel angin, ``diabetes`` (diabetes) vei te, emaw, kal natna nei te tan pawh a thleng thei. Hetianga veins a khauh lai hian ABI test hmangin PAD i nei em tih chiang taka hriat a harsa thin. Chutiang a nih chuan i doctor chuan test dang (entir nan, ``Toe-Brachial Index - TBI)`` test - ke ruh liana thisen sang tehna) a ti ang.

Research atanga a lan dan chuan ABI 1.4 aia tam nei te chu rilru lam natna avanga thihna a sang zawk a ni. Chuvangin, a value a hniam emaw a sang emaw pawh nise, a normal range pawn lam a nih chuan i doctor nen inbiakna neih a pawimawh hle.

Engtikah nge ka doctor ka biak ang ?

I ABI test zawhah i result i hmuh thuai loh chuan i doctor hnenah hriattir ngei ngei tur a ni.

I ABI result a zirin i doctor chuan test dang, enkawlna, emaw nunphung thlak danglam (ei leh in, exercise, leh meizuk bânsan ang chi) a rawt thei ang.

I ABI chu normal range pawnah a awm chuan i doctor chuan i PAD a na zual em tih emaw, enkawlna nen a tha chho zel em tih emaw en turin a hun hunah ABI test nawn leh turin a ti thei ang.

A tawp berah chuan thil hriat reng tur

Chuvangin tunah chuan he ABI test hi test awlsam tak, hrehawm lo tak, leh pawimawh tak a ni tih i hre ta. I kea thisen kalna kawngte dinhmun a hrilh hmasa thei che a, a bik takin PAD an tih natna i neih leh neih loh a hrilh thei che a ni.

Hlauhna tur a awm lo. Needle a awm lo va, cut a awm lo va, anesthesia pawh a awm lo. I doctor chuan he test hi ti turin a hrilh che a nih chuan ti ngei ang. I hriselna a pui nasa hle ang. Natna hmuh chhuah a nih chuan a tul anga enkawl tan thuai theih a ni.

Hemi chungchangah hian zawhna dang i neih chuan zak suh la, i doctor hnenah zawt rawh. Hrisel takin awm rawh!

` ABI, Ankle-Brachial Index, PAD, Peripheral Artery Disease, Ke Na, Thisen sang, Arterial Testing te a awm bawk