Kodi kuyenda kwa magazi m'miyendo yanu kuli bwanji? (Kujambula kwa Pulse Volume - PVR) Tiyeni tiphunzire za mayesowa!

Kodi mudalankhulapo ndi dokotala za ululu ndi dzanzi zomwe nthawi zina mumamva m'miyendo mwanu? Kapena, kodi mukukayikira pang'ono za kayendedwe ka magazi m'miyendo mwanu? Ngati ndi choncho, dokotala wanu mwina adakuuzani za mayeso otchedwa Pulse Volume Recording (PVR) . Lero, tikambirana mwatsatanetsatane za izi kwenikweni, momwe zimachitikira, komanso ngati pali chilichonse choopa. Ndi zophweka kwambiri, kotero musadandaule, chabwino?

Kodi Kujambula Volume ya Pulse (PVR) n'chiyani?

Mwachidule, mayeso a Pulse Volume Recording (PVR) ndi njira yoyezera kuyenda kwa magazi m'miyendo yanu, kapena kuyenda kwa magazi. Amagwiritsa ntchito ukadaulo wa ultrasound . Izi zikutanthauza kuti amagwiritsa ntchito mafunde amphamvu kuti aone magazi omwe akuyenda m'mitsempha yanu.

Chabwino kwambiri ndi chakuti, ndi mayeso osapweteka , osavulaza . Izi zikutanthauza kuti palibe singano kapena mabala a khungu. Ena amatcha "kujambula kwa pulse volume," ena amatcha "kuyesa kwa segmental pressure." Mulimonsemo, imachitanso chimodzimodzi.

Kodi mayeso a PVR amachitidwa liti?

Kawirikawiri, dokotala amalangiza mayeso a PVR awa kuti aone ngati ali ndi vuto lotchedwa Peripheral Artery Disease (PAD) komanso kuti aone ngati ndi loopsa bwanji.

Kodi mukudziwa kuti PAD ndi chiyani?

PAD ndi vuto lomwe mitsempha yamagazi (mitsempha) yomwe imanyamula magazi kuchokera mumtima mwathu kupita ku miyendo yathu imachepa pang'onopang'ono. Zili ngati chitoliro chamadzi chomwe chimatsekedwa ndi dothi pakapita nthawi. Chifukwa chachikulu cha izi ndi atherosclerosis . Izi zimachitika pamene cholesterol ndi zinthu zina zamafuta zimasonkhana mkati mwa mitsempha yamagazi ndikuzitseka.

Ngati mukumva kupweteka kosaneneka m'miyendo yanu mukamayenda, dokotala akhoza kuchita mayeso a PVR kuti aone ngati pali magazi oundana kapena kutsekeka kwina m'mitsempha yamagazi m'miyendo yanu.

Nthawi zina kuyezetsa kwa PVR kungathandizenso kuzindikira matenda monga:

• Matenda a mitsempha m'manja kapena zala.
• Matenda a Thoracic Outlet (TOS) .

Kodi PVR ndiyo njira yokhayo yowonera momwe PAD ilili?

Ayi, PVR ndi njira imodzi yokha yodziwira PAD. Ndi mayeso a mitsempha osalowa m'thupi . Dokotala wanu angachitenso mayeso ena pamodzi ndi mayeso a PVR, monga:

• Chizindikiro cha Ankle-brachial (ABI): Ichi ndi mayeso ofala kwambiri pozindikira PAD. Dokotala adzayika chotsukira magazi ku bondo lanu.Chimodzi chimayikidwa ndipo kupanikizika kumayerekezeredwa ndi kupanikizika kwa mkono. Izi zikufanana kwambiri ndi PVR. Komabe, chifukwa PVR imayesa kuchuluka kwa kugunda kwa mtima pamalo angapo mwendo, PVR imatha kupereka zotsatira zolondola kwambiri kwa anthu omwe ali ndi mitsempha yamagazi yolimba chifukwa cha matenda a shuga kapena matenda a impso osatha .
• Kuyeza kwa mitsempha ya m'magazi (arterial duplex ultrasound): Mu mayeso awa, dokotala amagwiritsa ntchito chida chogwiritsidwa ntchito m'manja kutumiza mafunde amphamvu kwambiri m'miyendo yanu. Zotsatira zake zimasonyeza komwe mitsempha yamagazi imachepa kapena kutsekeka. Komabe, mosiyana ndi PVR, siimayesa kuthamanga kwa magazi.
• Mayeso oyeserera: Mungapemphedwe kuyenda pa treadmill . Dokotala wanu angayese kuthamanga kwa magazi anu musanayambe komanso mutatha kuchita masewera olimbitsa thupi. Mayeso oyeserera awa angachitike ngati zotsatira za PVR yanu yopumula zili bwino, koma muli ndi zizindikiro zosamveka bwino, monga kupweteka kwa mwendo mukamayenda.

Ndani akuchita mayeso a PVR awa?

Kawirikawiri, mayeso a PVR ndi mayeso ena osavulaza mitsempha yamagazi amachitidwa ndi anthu ophunzitsidwa bwino otchedwa akatswiri a vascular technologists kapena sonographers . Nthawi zina, namwino angachitenso mayeso anu a PVR.

Kodi ndikufunika kukonzekera chilichonse ndisanachite mayeso a PVR?

Ndipotu, palibe kukonzekera kwapadera kofunikira pa mayeso a PVR. Komabe, dokotala angakufunseni kuti musiye kumwa mankhwala ena tsiku lisanafike mayeso, kapena ngati mukusuta, kuti musiye kwakanthawi. Zinthu zazing'ono ngati zimenezo.

Kodi chimachitika ndi chiyani panthawi yoyesa PVR?

Musanayambe mayeso a PVR, muyenera kuchotsa zovala ndi zodzikongoletsera zonse ndikuvala diresi la kuchipatala. Monga tanenera kale, iyi ndi mayeso osapweteka, osavulaza, kotero simungafunike mankhwala oletsa ululu kapena mankhwala ogona. Mayeso a PVR nthawi zambiri amatenga pakati pa mphindi 30 ndi 60 .

Chofunika: Ngati mudalandirapo chithandizo chilichonse cha matenda a mitsempha yamagazi, mwachitsanzo, ngati mudayikidwapo stent , angioplasty , kapena bypass operation , muyenera kuuza katswiri wochita kafukufukuyo.

Izi ndi zomwe zimachitika panthawi yoyeserera PVR:

• Mudzakhala patebulo lokhala ndi mapepala oyesera.
• Dokotala kapena katswiri adzamangirira zotchingira kuthamanga kwa magazi ku zala zanu zazikulu za mapazi, akakolo, manja, ntchafu zanu zapamwamba ndi zapansi, ndi manja.Zingwe zimamangiriridwa ku thupi lanu. Gel yapadera imapakidwanso pakhungu lanu. Izi zimathandiza kuti mafunde a ultrasound adutse bwino.
• Kenako amadzaza ma cuffs ndikuwalimbitsa kuti ayesere kuthamanga kwa magazi anu. Mudzamva cuff ikulimba, koma simudzamva kupweteka kulikonse.
• Nthawi zina, dokotala angakuuzeni kuti muyende kapena kuima ndi zala zanu.
• Pamene ma cuffs ali olimba, dokotalayo amagwiritsa ntchito chipangizo chaching'ono chogwiritsidwa ntchito m'manja chotchedwa transducer kuti atsogolere mafunde a ultrasound pamalo osiyanasiyana pa mwendo wanu.
• Mafunde a phokoso awa amayesa liwiro ndi kuchuluka kwa magazi omwe akuyenda m'miyendo yanu. Zotsatirazi zimawonekera pa kompyuta ngati "ma waveforms," ​​​​kapena mawonekedwe a wavy. Dokotala amagwiritsa ntchito mawonekedwe a ma waveforms awa kuti adziwe momwe magazi akuyendera.

Kodi chimachitika ndi chiyani pambuyo pa mayeso a PVR?

Mayeso a PVR akatha, mutha kupita kunyumba. Mutha kupitiriza ntchito zanu zachizolowezi monga mwachizolowezi. Palibe vuto.

Kodi pali zoopsa zilizonse pa mayeso a PVR?

Ayi. Kuyesa kwa PVR ndi njira yotetezeka komanso yosavulaza . Chifukwa chake, palibe zoopsa zazikulu. Palibe choopa.

Kodi zimatenga nthawi yayitali bwanji kuti mudziwe zotsatira za mayeso a PVR?

Katswiri wa za ukadaulo wa mitsempha yamagazi kapena katswiri wa sonographer adzagwira ntchito ndi dokotala kuti aunike ndikutanthauzira zotsatira zake. Izi zitha kutenga maola angapo kapena masiku angapo. Chifukwa chake, funsani dokotala wanu nthawi yayitali bwanji kuti mupeze zotsatira zake.

Kodi zotsatira za mayeso a PVR zikuti chiyani?

Dokotala wanu adzayerekeza kuthamanga kwa magazi m'miyendo yanu ndi kuthamanga kwa magazi m'manja mwanu. Ngati kuthamanga kwa magazi kwanu kuli kotsika m'miyendo yanu kuposa m'manja mwanu, mwina muli ndi matenda a mitsempha yamagazi. Dokotala wanu adzayerekezeranso kugunda kwa mtima m'mbali zosiyanasiyana za miyendo yanu kuti adziwe komwe mitsempha yamagazi yatsekedwa kapena yachepa. Komabe, mayeso a PVR sangadziwe bwino lomwe mitsempha yamagazi yomwe yakhudzidwa. Mayeso ena amafunika kuti adziwe zimenezo.

Ndi mafunso ati omwe muyenera kufunsa dokotala okhudza mayeso a PVR?

Ngati zotsatira za mayeso a PVR sizili bwino, mutha kufunsa dokotala wanu mafunso monga:

• Ngati ndili ndi PAD, kodi ndili pachiwopsezo cha magazi kuundana?
• Kodi zotsatira za mayeso a PVR ndi zolondola bwanji?
• Kodi njira zochiritsira za PAD ndi ziti?
• Kodi ndiyenera kuchita mayeso ena aliwonse, monga mayeso ojambula zithunzi ?

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Kujambula Mtima (PVR) ndi njira yoyezera kuthamanga kwa magazi ndi kuyenda kwa magazi m'mitsempha ya m'miyendo yanu popanda kupweteka. Iyi ndi njira yoyezera matenda a mitsempha ya m'mitsempha (PAD).Mayeso ofala omwe amagwiritsidwa ntchito pozindikira ndikuwunika matenda monga:

Choncho, ngati dokotala akukupemphani kuti muyesedwe PVR, musachite mantha kapena kuda nkhawa nazo. Iyi ndi njira yosavuta komanso yotetezeka yodziwira thanzi la miyendo yanu. Lankhulani ndi dokotala wanu za mafunso kapena nkhawa zilizonse zomwe mungakhale nazo.

Kuyesa kwa PVR, kuyenda kwa magazi m'miyendo, matenda a mitsempha ya m'mitsempha, PAD, ultrasound, kuthamanga kwa magazi, mayeso a mitsempha yamagazi