Tangoganizani kuti mukupita kusitolo kapena kungoyenda pang'ono. Mukayenda pang'ono, mwadzidzidzi mumamva kupweteka kwambiri mwendo wanu, ngati kuti miyendo yanu yayamba kuchita dzanzi. Mukayima kwakanthawi, ululu umachepa. Mukayambanso kuyenda, ululu womwewo umabwereranso mukayenda pang'ono. Kodi mudakumanapo ndi izi? Kapena kodi wina amene mumamudziwa ali ndi vuto lotere? Choyambitsa izi chikhoza kukhala kutsekeka kwa mitsempha yomwe imanyamula magazi kupita ku miyendo. Chifukwa chake, mu mkhalidwe wotere, lero tikambirana za mayeso osavuta komanso osapweteka omwe angathandize dokotala wanu kupeza chomwe chimayambitsa. Umenewo ndi mayeso a PVR.
Mwachidule, kodi Pulse Volume Recording (PVR) ndi chiyani?
Kujambula kwa Pulse Volume, kapena mayeso a PVR mwachidule, ndi mayeso omwe amayesa momwe magazi akuyendera kudzera m'mitsempha yamagazi (mitsempha) ya miyendo yanu, kaya magaziwo ali bwino, kapena ngati pali kutsekeka kwinakwake.
Chabwino kwambiri pa izi ndikuti ndi mayeso osavulaza omwe sakhudza kupweteka kulikonse, mabala, kapena singano . Kunena zoona, amachitika pogwiritsa ntchito mafunde amphamvu, kapena ukadaulo wa `(Ultrasound)`. Chifukwa chake palibe chodetsa nkhawa. Nthawi zina mayesowa amatchedwanso `(pulse volume plethysmography)`.
N’chifukwa chiyani dokotala angakuuzeni kuti muyesedwe ndi PVR?
Kawirikawiri, dokotala amalangiza mayesowa kuti adziwe ngati muli ndi vuto lotchedwa Peripheral Artery Disease (PAD) , kapena kuti aone ngati vutoli lafika pachimake.
Ndiye kodi PAD iyi ndi chiyani?
Mwachidule, PAD ndi kuchepa pang'onopang'ono kwa mitsempha yamagazi (mitsempha) yomwe imanyamula magazi oyera kuchokera mumtima mwathu kupita ku miyendo yathu. Chifukwa chachikulu cha izi ndi atherosclerosis . Izi zikutanthauza kuti pakapita nthawi, cholesterol ndi zinthu zina zamafuta (plaque) zimasonkhana pamakoma a mitsempha yamagazi, ndikutseka kuyenda kwa magazi. Pamene kuyenda kwa magazi kutsekedwa motere, miyendo yanu ikafuna magazi ambiri, monga mukamayenda, sizingakwaniritse zosowazo. Pamenepo ndi pomwe ululu, monga tafotokozera kale, umabwera.
Mayeso a PVR akhoza:
- Pezani pafupi komwe kuli kutsekeka kwa mitsempha yamagazi m'miyendo yanu.
- Dziwani malo omwe magazi amaundana kapena zinthu zina zotsekeka.
- Pezani chifukwa chenicheni cha kupweteka kwa mwendo mukamayenda.
Nthawi zina, mayesowa angagwiritsidwenso ntchito kuzindikira mavuto a mitsempha ya m'manja kapena zala ndi matenda monga Thoracic Outlet Syndrome (TOS).
Kodi PVR ndiyo njira yokhayo yodziwira PAD?
Ayi. PVR ndi imodzi mwa mayeso osavulaza mitsempha yamagazi. Dokotala wanu angakulangizeni mayeso ena pamodzi ndi PVR. Tiyeni tiwone zimenezo.
| Dzina la mayeso | Momwe mungachitire mosavuta | Zimene mungaphunzire kuchokera pamenepa |
|---|---|---|
| Mayeso a PVR | Ma cuff a kuthamanga kwa magazi amaikidwa pamalo angapo pa mwendo ndi mkono, ndipo liwiro ndi kuchuluka kwa magazi zimayesedwa pogwiritsa ntchito ultrasound. | Imatha kudziwa komwe mitsempha yamagazi m'miyendo yatsekeka. Imapereka zotsatira zolondola kwambiri kwa anthu omwe ali ndi matenda ashuga. |
| Chizindikiro cha Ankle-brachial (ABI) | Kuthamanga kwa magazi kumayesedwa pa bondo ndi mkono, ndipo ziwerengero ziwirizi zimayerekezeredwa. | Mayeso akulu komanso osavuta oti mudziwe ngati PAD ilipo kapena ayi. Sizili mwatsatanetsatane ngati PVR. |
| Kujambula kwa Mitsempha ya Duplex Ultrasound | Chipangizo chogwiridwa ndi dzanja (transducer) chimagwiritsidwa ntchito popanga chithunzi cha mitsempha yamagazi yomwe ili mu mwendo ndikuchiwona pa kompyuta. | Mukhoza kuona bwino lomwe mtsempha wamagazi womwe watsekedwa komanso komwe uli. |
| Mayeso Olimbitsa Thupi | Kuthamanga kwa magazi kumayesedwa m'miyendo musanayambe komanso mutatha kuchita masewera olimbitsa thupi poyenda pa treadmill. | Zimathandiza kuzindikira vutoli mwa anthu omwe nthawi zambiri samakhala ndi zizindikiro koma amamva kupweteka akamayenda kokha. |
Kodi muyenera kukonzekera mayeso a PVR musanayambe?
Palibe chapadera choti mukonzekere. N'zosavuta kwambiri. Komabe, dokotala wanu angakuuzeni kuti:
- Muyenera kupewa kusuta fodya kwa maola angapo musanayesedwe, chifukwa kusuta fodya kungachepetse mitsempha yanu yamagazi kwakanthawi.
- Mungapemphedwe kuti musiye kumwa mankhwala ena (monga mankhwala othamanga magazi) kwa kanthawi musanayesedwe. Komabe, izi ziyenera kuchitika pokhapokha ngati dokotala wanu wakupatsani malangizo.
Kodi chimachitika ndi chiyani panthawi ya mayeso?
Iyi ndi njira yopanda ululu yomwe imatenga pakati pa mphindi 30 ndi 60. Musadandaule, ndikukufotokozerani zomwe zimachitika pang'onopang'ono.
1. Kukonzekera: Choyamba, mudzavekedwa diresi la kuchipatala. Muyenera kuchotsa zodzikongoletsera zilizonse kapena zinthu zina m'thupi lanu.
2. Chidziwitso: Kenako, ngati mudachitidwapo opaleshoni ya mitsempha yamagazi kale, monga njira zodulira magazi, kuika stent, kapena angioplasty, muyenera kuuza katswiri wochita mayesowo.
3. Kugona pabedi lopimidwa: Mudzakakamizidwa kukhala pansi kapena kugona pabedi lopimidwa.
4. Kuvala ma cuff a BP: Kenako, ma cuff a blood pressure amaikidwa m'manja mwanu, m'chiuno ndi m'chiuno, m'mapazi, m'miyendo, ndipo nthawi zina chala chanu chachikulu cha phazi. Ali ngati ma cuff omwe timavala tikamayesa kuthamanga kwa magazi athu.
5. Kupaka jeli: Kenako, jeli yapadera imayikidwa pa mwendo yomwe imathandiza mafunde a ultrasound kudutsa bwino pakhungu.
6. Kuyeza kuthamanga kwa magazi: Tsopano onjezerani mpweya mu BP cuff ndikuyeza kuthamanga kwa magazi anu. Pa nthawiyi, mudzamva kuti cuff ikulimba pang'ono, koma simudzamva kupweteka kulikonse.
7. Kuyezetsa kwa Ultrasound: Pamene BP cuff ikulimba, katswiri amagwiritsa ntchito chipangizo chaching'ono chogwiridwa ndi dzanja (transducer) kuti achiike pamalo osiyanasiyana pa mwendo kuti aone momwe magazi akuyendera.
8. Kuyang'anira zotsatira: Deta yochokera ku mafunde a phokoso awa imawonetsedwa pa kompyuta ngati "ma waveforms." Dokotala amagwiritsa ntchito mawonekedwe a mafunde awa kuti adziwe momwe magazi anu akuyendera.
Nthawi zina, mungapemphedwe kuti muyende pang'ono kapena kuimirira ndi zala zanu. Onani momwe kayendedwe ka magazi anu kamasinthira ndi masewera olimbitsa thupi amenewo.
Iyi ndi njira yotetezeka kwambiri yoyezera, kotero palibe chifukwa chodera nkhawa ndi zotsatirapo zake.
Kodi chimachitika ndi chiyani pambuyo pa mayeso? Kodi ndidzalandira liti lipotilo?
Mukangomaliza mayeso a PVR, mutha kupita kunyumba ndikuchita ntchito zanu zonse zachizolowezi.
Katswiri amene anachita mayesowa adzagwira ntchito ndi dokotala kuti afufuze zotsatira zanu. Izi zitha kutenga maola angapo mpaka masiku angapo. Chifukwa chake, funsani dokotala wanu nthawi yomwe mungayembekezere kulandira lipotilo.
Kodi lipoti la PVR likuti chiyani?
Dokotala wanu adzayerekeza makamaka kuthamanga kwa magazi m'manja ndi miyendo yanu .
- Zachibadwa: Kuthamanga kwa magazi m'miyendo ya munthu wathanzi kuyenera kukhala kofanana kapena kokwera pang'ono kuposa kuthamanga kwa magazi m'manja mwake.
- Matenda Osazolowereka: Ngati pazifukwa zina magazi m'miyendo mwanu ndi otsika kwambiri kuposa m'manja mwanu, zikutanthauza kuti pali kutsekeka kapena kuchepa kwinakwake mumtsempha komwe kumanyamula magazi kupita kumiyendo mwanu.
Komanso, poyerekeza kuchuluka kwa kuthamanga kwa magazi komwe kwatengedwa kuchokera m'malo osiyanasiyana mwendo, dokotala amatha kudziwa ngati kutsekekako kuli m'ntchafu, pansi pa bondo, kapena mozungulira bondo. Komabe, mayeso a PVR sangadziwe bwino lomwe mtsempha wamagazi womwe watsekeka . Izi zingafunike mayeso ena, monga Duplex Ultrasound.
Mafunso oti mufunse dokotala
Ngati dokotala wanena kuti pali vuto ndi lipoti lanu la PVR, musachite mantha, ingofunsani mafunso awa momveka bwino.
- Kodi ndili pachiopsezo chotenga magazi chifukwa cha vuto la PAD?
- Kodi zotsatira za mayeso a PVR awa ndi zolondola bwanji?
- Kodi ndi njira ziti zochiritsira zomwe ndili nazo? Kodi ndikufunika kusintha moyo wanga, mankhwala, kapena opaleshoni?
- Kodi ndiyenera kuchita mayeso ena monga `(mayeso ojambula zithunzi)`?
Ndi mayankho a mafunso awa, mutha kumvetsetsa bwino za vuto lanu, ndipo pamodzi ndi dokotala wanu, mungasankhe njira yabwino kwambiri yothandizira.
Uthenga Wopita Nawo Kunyumba
- Kujambula Volume ya Magazi (PVR) ndi njira yoyesera yopanda ululu komanso yotetezeka yomwe imayesa kuyenda kwa magazi m'mitsempha ya miyendo yanu.
- Izi nthawi zambiri zimachitika kuti adziwe matenda otchedwa Peripheral Artery Disease (PAD) , omwe angayambitse kupweteka kwa miyendo poyenda.
- Mayeso awa safuna kukonzekera kwapadera, ndipo mutha kupita kunyumba popanda kuvutika mukamaliza mayeso.
- Zotsatira za PVR zingapatse dokotala wanu lingaliro lomveka bwino la ngati pali kutsekeka kwa mitsempha yamagazi m'mwendo wanu komanso komwe ili.
- Ngati muli ndi ululu m'miyendo yanu mukuyenda, musanyalanyaze ndipo pitani kwa dokotala nthawi yomweyo kuti akupatseni upangiri.
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