Rei vak lo i kal hian i keah, a bik takin i bawnghnuteah natna i nei em? Hun engemaw chen i ding a, i kal leh chuan a natna chu a reh em? Hei hi ngaihthah mai mai tur thil a ni lo. I kea thisen kal danah harsatna a awm tih hriattirna a ni thei. Vawiin hian hriat chian tumin test awlsam tak, hrehawm lo tak chungchang kan sawi dawn a ni.
Ankle-Brachial Index (ABI) hi eng nge ni?
A awlsam zawngin sawi ila, Ankle-Brachial Index (ABI) hi test awlsam tak, natna nei lo, i ke ruh leh i kut a thisen sang tehna a ni. It mainly checks for peripheral artery disease (PAD) , chu chu i ke thlenga thisen phur thei arteries-ah thau a awm a, chu chuan a ti tawi a ni
Tui pipe khar chuan tui luang chu a ti hniam ang bawkin, kan kea thisen kalna kawng (arteries) te pawh a ti tawi bawk. ABI test hian thisen kal tlahniam hi a teh a ni. I ABI hi i ke ruh thisen sang chu i kut thisen sang nen a zatvea chhut a ni.
Engtikah nge ABI test ka neih ang?
I doctor hian he test hi a order theih chhan hrang hrang a awm. Symptoms i nei thei a, i nei lo thei bawk.
| Hun remchang / Risk Factor | Hrilhfiahna |
|---|---|
| PAD symptoms a awm thei | Ke natna, a bik takin thiltih laiin, kea kal ang chi. |
| Kum 65 aia upa i nih chuan | A chhan chu kum upat deuh deuh hian arteries-a thau (atherosclerosis) awm theihna a sang chho zel a ni. |
| Kum 50-64 inkar leh risk factors te | Zunthlum, thisen sang, cholesterol sang, zu in tawh emaw, i chhungte zinga mi tu emaw chuan PAD a nei tawh a nih chuan. |
| Kum 50 hnuai lam leh zunthlum vei theihna dang | Zunthlum leh risk factor dang, thisen sang ang chi i neih chuan. |
He ABI test hian a thatna lian ber chu PAD a nasat hmain a detect thei a ni. Hei hian a hmaa enkawl theihna a siam a, chu chuan harsatna lian tak tak, critical limb ischemia emaw amputation emaw a thlen theihna a ti tlem thei a ni.
Engtin nge he test hi i tih?
Hei hi kalphung awlsam tak a ni. A tlangpuiin nurse hian he test hi a ti thin. Thisen sang hi i kut leh ke ruh (arteries) bikteah teh a ni.
Hei hian blood pressure cuff a hmang a, thisen sang check dan pangngai ang bawkin. I kut leh kekawrte chu pakhat khatin a khuh a, chutah second engemaw zat a compress a, zawi zawiin boruak a chhuah tir a ni.
Heta kan enfiah tur artery lian ber berte chu:
- Kut chhunga brachial artery awm .
- Dorsalis pedis artery emaw posterior tibial artery emaw hi ke ruh inzawmna (ankles) inzawmkhawmtu a ni.
He pressure hi a teh lai hian doctor emaw nurse emaw chuan heng thisen kal tlanga thisen luang ri chu handheld ultrasound device (Doppler) hmangin a ngaithla bawk.
Hei hi noninvasive test a ni a, needle emaw vun incision emaw a awm lo tihna a ni. I thisen sang check fo ang chiah a ni a, ke leh ke paliah tih a nih loh chuan.
Test hmain engtin nge i inbuatsaih ang?
Results dik tak i hmuh theih nan leh test i tan awlsam zawk nan heng step te hi zawm rawh.
- Test ni hian caffeine (coffee, tea, soft drink thenkhat) nei engmah in loh tur a ni .
- Test hma darkar khat chhung chu zuk leh hmuam thil emaw zu emaw hman loh tur a ni .
- Test hma darkar khatah exercise lak loh tur .
- I kut chunglam leh kekawrte chungah awlsam taka pressure cuff dah theihna tur thawmhnaw hrual, nuam tak ha rawh.
- Test i kal hmain toilet-ah kal la, i bladder kha khar hmasa phawt ang che.
Tin, a hmain i kea thisen kal chakna tur surgery i neih tawh chuan test titu hnenah hrilh rawh.Min hrilh ngei ang .
Test neih chhung hian eng nge thleng?
Test tan hmain khumah mu turin an ti ang che a, minute 10 atanga 30 chhung chawlh tir i ni ang. Test chhung zawng hian i kut chu chunglam hawia mu turin an ti ang che. A châng chuan, chhiar dik ber tûr chuan i kut leh ke ruhte chu i thinlung nêna inmil tûrin pillow te tak te ang chi thil hmangin i chawisang a ngai mai thei.
Tichuan, tester chuan pressure chu hetiang hian a teh a:
1. Thisen sang hi kut pakhatah teh a ni.
2. Thisen sang hi a ke ruh (ankle of the arm) atanga teh a ni.
3. Ke dang kephah bulah thisen sang teh rawh.
4. A kut lehlamah thisen sang teh tur.
Anni chuan tehna chu tih nawn leh a ngai em tih an hrilh ang che. Pressure tehna zawng zawng hi hun rei lote chauh a ni a, minute 10 leh 20 inkar a ni .
He test hmang hian risk a awm em?
ABI test hi test him tak a ni . Risk a awm lo tlangpui. Mahse, a hnuaia natnate hi i neih chuan i doctor emaw examiner emaw hnenah i hrilh hmasa tur a ni:
- I keah hliam inhawng emaw, ulcer emaw i neih chuan chu hliam chungah chuan pressure cuff chu dah a ni lovang. Test dang i tih a ngai mai thei.
- Tun hnaia vascular bypass surgery i neih tawh chuan , chutiang hmuna pressure cuff hmanga pressure pek chu a hlauhawm thei a, thisen zam a awm theihna a awm avangin.
Engtin nge a rah chhuah chu kan hriatthiam theih ang?
ABI value chhut dan tur
Hei hi a awlsam hle mai. I ankle pressure reading pahnih atanga systolic value sang ber (chu chu pressure number sang ber) i la a, i arm pahnih pressure reading atanga systolic value sang ber nen i then a ni.
Entîr nân, hetiang hian ngaihtuah teh:
- I ke veilam pressure chu 105/65 a ni a, i ke dinglam ah chuan 100/60 a ni.
- I kut veilam pressure chu 130/85 a ni a, i kut dinglam ah chuan 125/80 a ni.
Tunah chuan kekawr (105) atanga hlutna sang ber la in, kut (130) atanga hlutna sang ber nen then ila.
105 ÷ 130 = 0.8 a ni
He value 0.8 atang hian mild PAD i nei tih i sawi thei ang.
A rah chhuah awmzia
ABI value hi a tlangpuiin 1.0 leh 1.3 inkar a ni tur a ni. ABI value 0.9 aia tlem lo chuan PAD i nei tih a tilang.
| ABI hlutna a ni | Awmzia |
|---|---|
| 1.0 – 1.3 inkar a ni | Pangngai |
| 0.9 – 1.0 inkar a ni | Borderline - He natna hi a lo chhuak dawn ta. |
| 0.7 – 0.9 inkar a ni | PAD mild tak a ni |
| 0.4 – 0.7 inkar a ni | PAD a hniam lam a ni |
| 0.4 aia tlem lo | PAD na tak a ni |
A chang chuan ABI value hi 1.4 aia sang pawh a ni thei. Chumi awmzia chu tar emaw, zunthlum emaw avanga i thisen kalna kawng (arteries) a khauh (calcified) tihna a ni. Chutiang hunah chuan ABI test ringawt pawh hian PAD i neih leh neih loh a hre chiang thei lo. Chutiang a nih chuan i doctor chuan test dang a ti leh thei a, chu chu toe-brachial index (chu chuan ke ruh ni lovin ke ruh lianah pressure a teh a ni).
Engtikah nge doctor nen inbiakna neih a ngaih?
I result i hmuh nghal loh chuan test order tu doctor nen inbia ang che. I result a zirin test dang emaw, enkawlna dang emaw i mamawh thei bawk.
I ABI chu normal range pawnah a awm chuan he test hi a hun hunah i tih leh a ngai mai thei. Hei hian i doctor chu i PAD a na zual em tih emaw, enkawlna a thawk tha em tih emaw a hriat theih nan a pui ang.
Take-Home Thuchah a ni
- Ankle-Brachial Index (ABI) hi kea atherosclerotic disease (PAD) hriat theihna tur test awlsam tak, natna nei lo leh him tak a ni.
- Hei hian i ke ruh leh i kut a thisen sang chu a khaikhin a.
- He test hi i ke i kal laiin a na a nih chuan, emaw, zunthlum, thisen sang, meizuk ang chi risk factors i neih chuan a pawimawh hle.
- He natna hi a hmaa hriatchhuah chuan harsatna lian tham tak tak, taksa peng tihchhiat ang chi a veng thei a ni.
- I ABI result leh a hnua i tih tur chungchang chu i doctor nen sawiho fo ang che.











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