Kutenderera kweropa rako mumakumbo ako kwakanaka here? (Ankle-Brachial Index - ABI) Ngationei nebvunzo!

Dzimwe nguva unonzwa makumbo ako achirwadza here paunofamba? Kana kuti unonzwa sekunge makumbo ako ari kupera simba mushure mekufamba chinhambwe chipfupi? Chimwe chikonzero cheizvi chingave kuvharika kwetsinga dzinopa ropa kumakumbo ako. Kuyedzwa kuri nyore uye kusingarwadzi kuti uone kana uine matambudziko akadaro bvunzo yeAnkle-Brachial Index (ABI). Ngatitaurei nezvazvo zvakadzama nhasi.

Chii chinonzi Ankle-Brachial Index (ABI)?

Zvichitaurwa zviri nyore, iyi ABI bvunzo iri nyore inoyera kumanikidzwa kweropa mugumbo rako neparuoko. Inonyanya kuongorora kana mitsipa mikuru yeropa mumakumbo ako, mitsipa, yavharika kana kuti yaderera kuyerera kweropa nekuda kwemafuta akaunganidzwa (sekunge tsvina yakavhara pombi yemvura). Vanachiremba vanodana chirwere ichi kuti ``Peripheral Artery Disease`` kana kuti PAD. MuchiSinhala, zvinoreva chirwere chemitsipa yeropa yeropa.

Dambudziko iri rePAD rinogona kukonzera makumbo kusawana okisijeni yakakwana uye zvinovaka muviri. Ndipo panotanga kuoneka zviratidzo zvandakambotaura, zvakaita sekurwadziwa kwemakumbo uye kusanzwa kana uchifamba. Saka bvunzo yeABI inogona kuona kana uine PAD uye, kana zvakadaro, kuti yakanyanya sei.

Ndinofanira kuita bvunzo iyi yeABI rini?

Haasi munhu wese anofanira kuita bvunzo iyi, asi chiremba anogona kukurudzira bvunzo yeABI kana uine chimwe chezvinotevera:

• Kurwadziwa kwemakumbo: Kana uchinzwa kurwadziwa, kuomarara, kana kunzwa kushaya simba mumakumbo ako (zvidya, mazamu), kunyanya paunenge uchifamba kana kurovedza muviri, uye zvinodzikira mushure mekugara kwenguva yakati wozorora.
• Kana uine makore makumi matanhatu nemashanu zvichikwira: Njodzi yekubatwa nechirwere chePAD inowedzera nekukura.
• Kana uri pakati pemakore makumi mashanu nemana uye uine zvimwe zvinhu zvinokonzera njodzi:
• Kana uine `(Shuga)`.
• Kana uine ``(BP yakakwira)``.
• Kana uine cholesterol yakakwira muropa rako.
• Kana uri mushandisi wefodya (senge fodya, beedis).
• Kana paine mumwe munhu mumhuri yako (amai, baba, vanun'una nemadzikoma) akambobatwa nePAD.
• Kunyangwe uri pasi pemakore makumi mashanu, une chirwere cheshuga uye chimwe chinhu chinokonzera njodzi (kubva kune zvataurwa pamusoro).

Fungidzira, bvunzo iyi yeABI inogona kuona PAD isati yanyanya kuipa. Zvadaro, kurapwa kunogona kutanga nekukurumidza uye kuchabatsira zvikuru kudzivirira zvirwere zvakaita se "Critical limb ischemia" uye "Amputation", izvo zvinogona kukonzera kukuvara kukuru kumakumbo, dzimwe nguva kusvika pakutemwa makumbo.

Kuedzwa uku kweABI kunoitwa sei?

Izvi zviri nyore kwazvo. Zvakafanana nekuongororwa BP yako paunoenda kuna chiremba. Asi panguva ino , vanoyera BP iri mumaoko ako, muzviziso, nemakumbo ese mana.

Bvunzo iyi inowanzoitwa nemukoti.

1. Kutanga, chivharo cheBP chinoiswa paruoko rwako rwepamusoro, chosimbiswa zvishoma, uye BP inoyerwa sezvaunozvimba uye uchidzipa.

2. Wobva wayera rumwe ruoko nenzira imwecheteyo.

3. Zvadaro, cuff inoiswa yakatenderedza gumbo regumbo rako uye BP inoyerwa ipapo zvakare.

4. Yera rimwe gumbo nenzira imwecheteyo.

Pakuyera BP yenyu, chiremba wenyu anoshandisa muchina mudiki we ultrasound (unonziwo handheld Doppler). Uyu unoteerera ruzha rweropa richiyerera nemutsinga yenyu ye brachial, dorsalis pedis artery, kana posterior tibial artery. Pressure gauge inoverenga ruzha kana rwuri kunzwika.

Chinhu chinonyanya kukosha ndechekuti iyi bvunzo 'isingapindi'. Izvi zvinoreva kuti hapana tsono kana mavanga paganda. Saka hapana chekutya. Zviri nyore kwazvo.

Ndinofanira kugadzirira sei bvunzo yeABI isati yaitwa?

Kuti bvunzo ive nyore kwauri uye kuti uwane mhedzisiro chaiyo, unofanirwa kuita zvinhu zvishoma:

• Usanwe chero chinhu chine caffeine (kofi, tii, zvinwiwa zvisina kudhakwa) pazuva rekuongororwa.
• Dzivisa kushandisa fodya (fodya, beedis) uye kunwa doro kweawa imwe kusvika maviri bvunzo isati yaitwa.
• Usaite maekisesaizi kweawa imwe usati waenda kunoongororwa. Nyangwe kufamba zvishoma.
• Pfeka mbatya dzakapfava, dzisingabatike dzinokutendera kuti ukwanise kuburitsa maoko ako netsoka dzako pachena zviri nyore.
• Usati waenda kunoongororwa, bvisa weti zvakanaka wobvisa tsvina mudundira. Izvi zvichakubatsira kuti unzwe wakasununguka panguva yekuongororwa.

Chimwe chinhu chakakosha: Kana wakambovhiyiwa kuti ropa rifambe zvakanaka mumakumbo ako (sekuvhiyiwa kweropa mutsinga), unofanira kuudza munhu ari kuita bvunzo nezvazvo, sezvo zvingakanganisa maitirwo ebvunzo.

Chii chekutarisira panguva yebvunzo?

Paunoenda kukamuri rekuongororwa, uchakumbirwa kurara pasi wozorora kwemaminitsi gumi kusvika makumi matatu bvunzo isati yatanga. Izvi zvinoitirwa kubatsira muviri wako kudzikama uye BP yako kugadzikana. Uchafanira kurara pasi maoko ako nemakumbo akatwasuka panguva yese yekuedzwa. Dzimwe nguva, mapiro madiki anoiswa pasi pemaoko ako nemakumbo, achiasimudza kusvika padanho remwoyo wako. Izvi zvichaita kuti uverenge BP yako nemazvo.

Zvadaro, sezvandambotaura, mushandi wezvekurapa:

1. Kumanikidzwa kweropa rako kuchayerwa neruoko rumwe chete.

2. Zvadaro, BP inoyerwa mugumbo regumbo riri kurutivi rumwe chete neruoko irworwo.

3. Tevere, BP inoyerwa mugumbo rerimwe gumbo.

4. Pakupedzisira, BP inoyerwa mune rumwe ruoko.

Dzimwe nguva, kana uchida kuverenga kwakarurama, unogona kutora chiyero ichi kanopfuura kamwe chete. Chiremba wako achakuudza nezveizvi. Maitiro ese ekuyera BP anowanzo tora nguva pfupi, maminetsi angangoita gumi kusvika makumi maviri. Ndizvozvo, bvunzo yapera!

Pane njodzi here nebvunzo iyi?

Bvunzo yeABI bvunzo yakachengeteka zvikuru. Kazhinji hapana njodzi kana migumisiro yakaipa.

Zvisinei, kana uine chimwe chezvirwere izvi, iva nechokwadi chekuudza chiremba wako pachine nguva:

• Kana uine maronda kana maronda asina kupora pamakumbo ako: Hazvina kunaka kuisa cuff panzvimbo yakadaro, saka vashandi vekurapa vachadzivisa nzvimbo iyoyo kana kushandisa imwe nzira.
• Kana wakambovhiyiwa gumbo rako ne vascular bypass munguva pfupi yapfuura: Kuvhara nzvimbo yakadaro kunogona kuva nengozi uye kunogona kukonzera kuumbwa kweropa.

Kana zvinhu izvi zvataurwa, timu yezvekurapa inotora matanho anodiwa.

Chii chinoitika mushure mekuyedzwa?

Unogona kutangazve mabasa ako enguva dzose kana bvunzo yapera. Hapana zororo rinodiwa. Dzimwe nguva vashandi vezvehutano vakaedza bvunzo vachakwanisa kukupa mamwe mashoko pamusoro pemhinduro. Kana zvisina kudaro, uchafanira kusangana nachiremba akaraira bvunzo kuti mukurukure zvabuda.

Kukosha uku kweABI kunoverengwa sei?

Zvakanaka, ngationei kuti tingaverenga sei kukosha kweABI uku. Izvi zvingaita semasvomhu, asi zviri nyore chaizvo.

Zvichitaurwa zviri nyore, huwandu hwakanyanya hweropa remumakumbo ako (systolic - nhamba yepamusoro yeropa rako) hunokamurwa nehuwandu hwakanyanya hweropa remumaoko ako maviri. Ndizvo zvinoreva ABI.

Semuenzaniso, funga nezve:

• Kumanikidzwa kweropa rako mugumbo rekuruboshwe kuri 105/65 mmHg, uye mugumbo rekururudyi kuri 100/60 mmHg.
• Kumanikidzwa kweropa muruoko rwako rweruboshwe kuri 130/85 mmHg, uye muruoko rwako rwerudyi kuri 125/80 mmHg.

Zvino kuti tiwane kukosha kweABI, tinotora nhamba yepamusoro (`(systolic)`) inotorwa kubva panzvimbo imwe neimwe.

• Kukosha kwepamusoro-soro kwe ``(systolic)`` kubva pagumbo: 105 mmHg
• Kukosha kwepamusoro-soro kwe`(systolic)` kubva mumaoko: 130 mmHg

Zvino tinofanira kupatsanura kukosha kwegumbo (105) ne kukosha kweruoko (130).

105 ÷ 130 = 0.807 (inenge 0.8)

Saka, mumuenzaniso uyu, kukosha kweABI i0.8.

Mhedzisiro iyi inoti chii?

Kukosha kweABI kwaunowana kunopa pfungwa yemamiriro etsinga dzeropa mumakumbo ako.

• 1.0 kusvika 1.3: Izvi zvinoonekwa sezvinowanzoitika . Zvinoreva kuti makumbo ako ane kutenderera kweropa kwakanaka.
• 0.9 kusvika 1.0: Iyi inhamba yemuganhu . Zvinoreva kuti PAD yava kuda kukura. Kuchinja mararamiro kunogona kukurudzirwa.
• 0.7 kusvika 0.9: Ichi chirwere chePAD chisina kunyanya kuoma .
• 0.4 kusvika 0.7: Ichi chirwere chePAD chiri pakati nepakati .
• Kana iri pasi pe0.4: Iyi iPAD yakanyanya . Panguva ino, panogona kunge paine zvimwe zviratidzo.

Kana kukosha kweABI kuri 0.9 kana pasi, zvinoreva kuti une PAD.

Dzimwe nguva kukosha kweABIInogona kunge yakakwira kupfuura 1.4. Kana zvakadaro, zvinoreva kuti mitsipa yeropa (tsinga) yako yave yakaoma zvishoma, "yakagayiwa" (sematombo). Izvi zvinogona kuitika sezvaunokura, kuvanhu vane ``diabetes`` (chirwere cheshuga), kana kuvanhu vane chirwere cheitsvo. Kana mitsipa yakaoma seizvi, zvakaoma kuziva zvechokwadi kana uine PAD neABI test. Kana zvakadaro, chiremba wako acharaira mimwe miedzo (semuenzaniso, ``Toe-Brachial Index - TBI)``` test - iyo inoyera BP mugunwe guru).

Ongororo yakawana kuti vanhu vane ABI inodarika 1.4 vane njodzi huru yekufa nekuda kwechirwere chemwoyo. Saka, kungave kuri pasi kana kuti kwakakwira, kana kuri kunze kwehuwandu hwakajairika, zvakakosha kutaura nachiremba wako nezvazvo.

Ndinofanira kufonera chiremba wangu rini?

Kana usingawane mhinduro dzako nguva pfupi mushure mekuongororwa kweABI, iva nechokwadi chekuzivisa chiremba wako.

Zvichienderana nemhedzisiro yeABI yako, chiremba wako anogona kukurudzira kuongororwa kwakawanda, kurapwa, kana shanduko dzemararamiro (senge kudya, kurovedza muviri, uye kurega kusvuta).

Kana ABI yako iri kunze kwehuwandu hwakajairika, chiremba wako anogona kuraira bvunzo dzeABI dzinodzokororwa nguva nenguva kuti aone kana PAD yako iri kuipa kana kuti iri kuva nani nekurapwa.

Pakupedzisira, zvinhu zvekurangarira

Saka ikozvino wava kuziva kuti bvunzo iyi yeABI iri nyore kwazvo, isingarwadzi, uye inokosha zvikuru. Inogona kukuudza nekukurumidza nezvemamiriro etsinga dzeropa mumakumbo ako, kunyanya kana uine chirwere chinonzi PAD.

Hapana chikonzero chekutya. Hapana tsono, hapana mavanga, hapana anesthesia. Kana chiremba wako akakuudza kuti uite bvunzo iyi, ita izvozvo zvechokwadi. Zvichabatsira hutano hwako zvakanyanya. Kana chirwere chikawanikwa, kurapwa kwakakodzera kunogona kutanga nekukurumidza.

Kana muine mimwe mibvunzo nezvenyaya iyi, musanyara kubvunza chiremba wenyu. Rambai muine hutano hwakanaka!

ABI , Ankle-Brachial Index, PAD, Peripheral Artery Disease, Marwadzo Emakumbo, Kumanikidzwa Kweropa, Kuedzwa KweArterial