Kodi magazi amachepa kupita ku miyendo? Tiyeni tiphunzire za mayeso a ABI! (Ankle-Brachial Index - ABI)

Kodi mumamva kupweteka m'miyendo yanu, makamaka m'mapazi anu, mukayenda mtunda waufupi? Kodi ululu umachepa mukayima kwakanthawi ndikuyambanso kuyenda? Izi sizinthu zomwe muyenera kungonyalanyaza. Zingakhale chizindikiro chakuti pali vuto la kuyenda kwa magazi m'miyendo yanu. Lero, tikambirana za mayeso osavuta komanso osapweteka kuti mupeze.

Kodi Ankle-Brachial Index (ABI) ndi chiyani?

Mwachidule, Ankle-Brachial Index (ABI) ndi njira yosavuta komanso yopanda ululu yoyezera kuthamanga kwa magazi m'kakolo ndi m'manja. Imayang'ana makamaka matenda a mitsempha yamagazi (PAD) , yomwe ndi vuto lomwe mafuta amasonkhana m'mitsempha yomwe imanyamula magazi kupita kumiyendo yanu, zomwe zimapangitsa kuti ipapatizeke .

Monga momwe chitoliro cha madzi chotsekedwa chimachedwetsera kuyenda kwa madzi, momwemonso kuchepa kwa mitsempha yamagazi m'miyendo yathu. Mayeso a ABI amayesa kuchepa kwa kuyenda kwa magazi kumeneku. ABI yanu imawerengedwa pogawa kuthamanga kwa magazi m'kakolo mwanu ndi kuthamanga kwa magazi m'manja mwanu.

Kodi ndiyenera kuchita mayeso a ABI liti?

Pali zifukwa zingapo zomwe dokotala wanu angakulamulireni mayesowa. Mwina muli ndi zizindikiro kapena ayi.

Kodi mumayesa bwanji mayeso awa?

Iyi ndi njira yosavuta kwambiri. Nthawi zambiri namwino amachita mayesowa. Kuthamanga kwa magazi kumayesedwa m'mitsempha inayake m'manja ndi m'mapazi.

Izi zimagwiritsa ntchito chotsukira kuthamanga kwa magazi, monga momwe zimakhalira nthawi zonse. Chimazunguliridwa mozungulira mkono ndi bondo lanu, chimodzi ndi chimodzi, kenako chimakanikizidwa kwa masekondi angapo, pang'onopang'ono kutulutsa mpweya.

Mitsempha ikuluikulu yomwe yafufuzidwa apa ndi iyi:

• Mtsempha wamagazi m'manja.
• Mitsempha ya dorsalis pedis kapena posterior tibial artery ndi mitsempha yomwe imalumikiza akakolo.

Dokotala kapena namwino akamayesa kuthamanga kumeneku, amamvetseranso phokoso la magazi omwe akuyenda kudzera m'mitsempha iyi pogwiritsa ntchito chipangizo chopangidwa ndi ultrasound (Doppler) chogwiritsidwa ntchito m'manja.

Iyi ndi njira yoyesera yopanda kuvulaza , zomwe zikutanthauza kuti palibe singano kapena mabala a khungu. Zili ngati njira yoyezera kuthamanga kwa magazi nthawi zonse, koma zimachitika m'miyendo yonse inayi.

Kodi muyenera kukonzekera bwanji musanayese mayeso?

Tsatirani njira izi kuti mupeze zotsatira zolondola ndikupangitsa mayeso kukhala osavuta kwa inu.

• Musamwe chilichonse chokhala ndi caffeine (khofi, tiyi, zakumwa zina zoziziritsa kukhosi) patsiku loyesa.
• Musagwiritse ntchito fodya kapena mowa kwa ola limodzi musanayesedwe .
• Musachite masewera olimbitsa thupi ola limodzi musanachite mayeso.
• Valani zovala zomasuka komanso zomasuka zomwe zimakulolani kuyika mosavuta chogwirira cha pressure cuff pa mkono wanu wapamwamba ndi akakolo.
• Musanapite kukayezetsa, pitani kuchimbudzi ndipo tulutsani madzi m'chikhodzodzo chanu.

Komanso, ngati mudachitidwapo opaleshoni ina iliyonse kuti magazi aziyenda bwino m'miyendo yanu, uzani munthu amene akuyesayo za vutoli.Ndiuzeni ndithu .

Kodi chimachitika ndi chiyani panthawi ya mayeso?

Musanayambe mayeso, mudzapemphedwa kugona pabedi ndikupumula kwa mphindi 10 mpaka 30. Mudzapemphedwa kugona pansi manja anu akuyang'ana mmwamba panthawi yonse yoyeserera. Nthawi zina, kuti mupeze kuwerenga kolondola kwambiri, manja anu ndi akakolo anu angafunike kukwezedwa ndi chinthu chonga mapilo ang'onoang'ono kuti akhale pamlingo womwewo ndi mtima wanu.

Kenako, woyesayo amayesa kupanikizika motere:

1. Kuthamanga kwa magazi kumayesedwa ndi dzanja limodzi.

2. Kuthamanga kwa magazi kumayesedwa pa bondo la mwendo womwe uli mbali yomweyo ya mkono.

3. Yesani kuthamanga kwa magazi pa bondo la mwendo wina.

4. Yesani kuthamanga kwa magazi m'dzanja lina.

Adzakuuzani ngati muyesowo ukufunika kubwerezedwa. Njira yonse yoyezera kuthamanga imatenga nthawi yochepa, pakati pa mphindi 10 ndi 20 .

Kodi pali zoopsa zilizonse ndi mayesowa?

Kuyesa kwa ABI ndi kotetezeka kwambiri. Nthawi zambiri sipamakhala zoopsa. Komabe, ngati muli ndi vuto lililonse mwa zotsatirazi, muyenera kuuza dokotala wanu kapena woyesa wanu pasadakhale:

• Ngati muli ndi mabala otseguka kapena zilonda pa mwendo wanu, chotsukira cha pressure sichidzayikidwa pamwamba pa balalo. Mungafunike kuyesanso.
• Ngati mwachitidwa opaleshoni ya vascular bypass posachedwapa, kungakhale koopsa kuika mphamvu pamalo otere pogwiritsa ntchito pressure cuff, chifukwa pali chiopsezo cha magazi kuundana.

Kodi mungamvetse bwanji zotsatira zake?

Momwe mungawerengere mtengo wa ABI

Izi n'zosavuta kwambiri. Mumatenga systolic value yapamwamba kwambiri (ndiko kuti, nambala yapamwamba kwambiri ya kuthamanga kwa magazi) kuchokera ku ma readings awiri a kuthamanga kwa magazi anu a akakolo ndikugawa ndi systolic value yapamwamba kwambiri kuchokera ku ma readings awiri a kuthamanga kwa magazi anu a manja.

Mwachitsanzo, taganizirani izi:

• Kupanikizika kwa bondo lanu lamanzere ndi 105/65, ndipo ku bondo lanu lamanja ndi 100/60.
• Kupanikizika kwa dzanja lanu lamanzere ndi 130/85, ndipo m'dzanja lanu lamanja ndi 125/80.

Tsopano tiyeni titenge mtengo wapamwamba kwambiri kuchokera pa bondo (105) ndikuugawa ndi mtengo wapamwamba kwambiri kuchokera pa dzanja (130).

105 ÷ 130 = 0.8

Kutengera ndi mtengo uwu wa 0.8, mutha kunena kuti muli ndi PAD yofatsa.

Tanthauzo la zotsatira zake

Mtengo wa ABI nthawi zambiri uyenera kukhala pakati pa 1.0 ndi 1.3. Mtengo wa ABI wa 0.9 kapena kuchepera umasonyeza kuti muli ndi PAD.

Nthawi zina ABI ikhoza kukhala yokwera kuposa 1.4 . Izi zikutanthauza kuti mitsempha yanu imauma (yokhala ndi calcified) chifukwa cha ukalamba kapena matenda a shuga. Pazochitika zotere, mayeso a ABI okha sangadziwe ngati muli ndi PAD. Pankhaniyi, dokotala wanu angakupatseni mayeso ena, monga toe-brachial index (yomwe imayesa kupanikizika kwa chala chachikulu m'malo mwa bondo).

Kodi ndi liti pamene muyenera kulankhula ndi dokotala wanu?

Ngati simunapeze zotsatira zanu nthawi yomweyo, lankhulani ndi dokotala wanu amene analamula mayesowo. Kutengera ndi zotsatira zanu, mungafunike mayeso ena kapena chithandizo.

Ngati ABI yanu ili kunja kwa mlingo woyenera, mungafunike kubwereza mayesowa nthawi ndi nthawi. Izi zithandiza dokotala wanu kuona ngati PAD yanu ikuipiraipira kapena ngati chithandizo chikugwira ntchito.