Unonzwa kurwadziwa mumakumbo ako here, kunyanya mumakumbo ako, paunofamba chinhambwe chipfupi? Kurwadziwa kunoderera here paunomira kwechinguva wotanga kufamba zvakare? Ichi hachisi chinhu chaunofanira kungoregeredza. Chinogona kunge chiri chiratidzo chekuti pane dambudziko rekuyerera kweropa mumakumbo ako. Nhasi, tichataura nezvebvunzo iri nyore kwazvo, isingarwadzi kuti uzive.
Chii chinonzi Ankle-Brachial Index (ABI)?
Zvichitaurwa zviri nyore, Ankle-Brachial Index (ABI) ibvunzo iri nyore, isingarwadzi inoyera BP mugumbo neruoko. Inonyanya kuongorora chirwere che peripheral artery (PAD) , inova mamiriro ezvinhu apo mafuta anoungana mutsinga dzinotakura ropa kuenda kumakumbo ako, zvichiita kuti dzitete .
Sezvinoita pombi yemvura yakavharika inoderedza kuyerera kwemvura, ndizvo zvinoitawo kutetepa kwetsinga dzeropa mumakumbo edu. Bvunzo yeABI inoyera kuderera uku kweropa. ABI yako inoverengwa nekukamura BP yegumbo rako neBP yeruoko rwako.
Ndinofanira kuita bvunzo yeABI riini?
Pane zvikonzero zvakawanda nei chiremba wako angaraira bvunzo iyi. Ungave uine zviratidzo kana kuti usina.
| Mikana/Njodzi | Tsananguro |
|---|---|
| Zviratidzo zvePAD | Kurwadziwa mumakumbo, kunyanya panguva yekushanda, senge kufamba. |
| Kana uine makore makumi matanhatu nemashanu kana kupfuura | Nekuti njodzi yekuzara kwemafuta mutsinga dzeropa (atherosclerosis) inowedzera nekukura. |
| Makore 50-64 uye zvinhu zvinokonzera njodzi | Kana uine chirwere cheshuga, BP yakakwira, cholesterol yakakwira, nhoroondo yekuputa fodya, kana kana mumwe munhu mumhuri mako akambova nePAD. |
| Vari pasi pemakore makumi mashanu uye dzimwe njodzi dzechirwere cheshuga | Kana uine chirwere cheshuga nechimwe chinhu chine njodzi, senge BP. |
Chinhu chikuru chebvunzo iyi yeABI ndechekuti inogona kuona PAD isati yanyanya kuipa. Izvi zvinoita kuti kurapwa kutange nekukurumidza izvo zvinogona kuderedza njodzi yematambudziko akakomba, akadai sekurwadziwa kwemakumbo kana kuchekwa kwenhengo .
Unoita sei bvunzo iyi?
Iyi nzira iri nyore kwazvo. Kazhinji nesi ndiye anoita bvunzo iyi. Kumanikidzwa kweropa kunoyerwa mutsinga dzeropa dziri mumaoko ako nepazvitsitsinho.
Izvi zvinoshandisa chivharo cheBP, sezvinoitwa nguva dzose pakuongorora BP. Chinotenderedzwa paruoko rwako nepagumbo, chimwe nechimwe panguva, uye chobva chadzvanywa kwemasekonzi mashoma, chichiburitsa mweya zvishoma nezvishoma.
Mitsipa mikuru inoongororwa pano ndeiyi:
- Tsinga yeropa iri mumaoko.
- Iyo dorsalis pedis artery kana kuti posterior tibial artery itsinga inobatanidza makumbo.
Paanenge achiyera kumanikidzwa uku, chiremba kana nesi anoteererawo ruzha rweropa richiyerera nemutsinga idzi achishandisa mudziyo we ultrasound unotorwa nemaoko (Doppler).
Iyi bvunzo isingapindi mumuviri , zvichireva kuti hapana tsono kana mavanga eganda. Zvakafanana nekuongororwa kweropa nguva dzose, kunze kwekunge zvichiitwa mumakumbo ese mana.
Unofanira kugadzirira sei bvunzo isati yaitwa?
Tevedzera matanho aya kuti uwane mhinduro dzakarurama uye kuti bvunzo ive nyore kwauri.
- Usanwe chero chinhu chine caffeine (kofi, tii, zvinwiwa zvisina kudhakwa) pazuva rekuongororwa.
- Usashandise fodya kana doro kweawa imwe chete bvunzo isati yaitwa .
- Usaite maekisesaizi awa imwe usati waita bvunzo.
- Pfeka mbatya dzakareruka, dzakanaka dzinokutendera kuti uise nyore nyore pressure cuff paruoko rwako rwepamusoro nepagumbo.
- Usati waenda kunoongororwa, enda kuchimbuzi wobvisa tsvina mumuviri wako.
Uyewo, kana wakambovhiyiwa kuti ropa rifambe zvakanaka mumakumbo ako, udza munhu ari kuvhiyiwa nezvazvo.Ndiudzei zvechokwadi .
Chii chinoitika panguva yebvunzo?
Musati matanga bvunzo, muchakumbirwa kurara pamubhedha mozorora kwemaminitsi gumi kusvika makumi matatu. Muchakumbirwa kurara pasi maoko enyu akatarisa mudenga panguva yese yebvunzo. Dzimwe nguva, kuti muwane kuverenga kwakanyatsojeka, maoko enyu nemakumbo enyu zvingada kusimudzwa nechinhu chakaita semapiro madiki kuitira kuti zvive padanho rakaenzana nemoyo wenyu.
Zvadaro, muedzi anoyera kumanikidzwa nenzira iyi:
1. Kumanikidzwa kweropa kunoyerwa neruoko rumwe chete.
2. Kumanikidzwa kweropa kunoyerwa pagumbo regumbo riri kurutivi rumwe chete neruoko.
3. Yera BP iri pagumbo rerimwe gumbo.
4. Yera BP iri muruoko rumwe.
Vachakuudza kana kuyerwa kwacho kuchida kudzokororwa. Maitiro ese ekuyera kumanikidzwa anongotora nguva pfupi, pakati pemaminitsi gumi kusvika makumi maviri .
Pane njodzi here nebvunzo iyi?
Bvunzo yeABI bvunzo yakachengeteka zvikuru. Kazhinji hapana njodzi. Zvisinei, kana uine chimwe chezvinotevera, unofanira kuudza chiremba wako kana muongorori wako pachine nguva:
- Kana uine maronda akavhurika kana maronda pagumbo rako, pressure cuff haizoiswa pamusoro peronda iroro. Ungangoda kuita imwe bvunzo.
- Kana wakambovhiyiwa vascular bypass munguva pfupi yapfuura, zvinogona kuva nengozi kuisa pressure panzvimbo yakadaro uchishandisa pressure cuff, sezvo paine njodzi yekuti ropa riite clots.
Nzira yekunzwisisa sei mhedzisiro?
Maitiro ekuverenga kukosha kweABI
Izvi zviri nyore kwazvo. Unotora chiyero chepamusoro che systolic (ndiko kuti, nhamba yepamusoro yedzvinyiriro) kubva mukuverenga kwako kudzvanywa kwemakumbo ako maviri woipatsanura nechiyero chepamusoro che systolic kubva mukuverenga kwako kudzvanywa kwemaoko ako maviri.
Semuenzaniso, funga nezve:
- Kumanikidzwa kwegumbo rako rekuruboshwe kuri 105/65, uye mugumbo rako rerudyi kuri 100/60.
- Kumanikidzwa kweruoko rwako rweruboshwe kuri 130/85, uye muruoko rwako rwerudyi kuri 125/80.
Zvino ngatitorei kukosha kwepamusoro kubva pagumbo (105) togovanisa nemutengo wepamusoro kubva paruoko (130).
105 ÷ 130 = 0.8
Zvichibva pahuwandu uhwu hwe0.8, unogona kutaura kuti une PAD isina kusimba.
Zvinoreva mhedzisiro
Kukosha kweABI kunowanzo kuve pakati pe1.0 ne1.3. Kukosha kweABI kwe0.9 zvichidzika kunoratidza kuti une PAD.
| Kukosha kweABI | Zvinoreva |
|---|---|
| 1.0 – 1.3 | Zvakajairika |
| 0.9 – 1.0 | Muganho - Chirwere ichi chava kuda kutanga. |
| 0.7 – 0.9 | PAD nyoro |
| 0.4 – 0.7 | PAD ine mwero |
| Zvisingasviki 0.4 | PAD yakaoma |
Dzimwe nguva kukosha kweABI kunogona kunge kwakakwira kupfuura 1.4 . Izvi zvinoreva kuti tsinga dzako dzakaoma (dzakakora) nekuda kwekukwegura kana chirwere cheshuga. Muzviitiko zvakadaro, bvunzo yeABI yega haigone kuratidza zvechokwadi kana uine PAD. Kana zvakadaro, chiremba wako anogona kuraira imwe bvunzo, senge toe-brachial index (iyo inoyera kumanikidzwa muchigunwe chikuru pane chegumbo).
Ndinguva ipi yaunofanira kutaura nachiremba wako?
Kana usingawane mhinduro dzako nekukasika, taura nachiremba wako akakuraira bvunzo. Zvichienderana nemhinduro dzako, ungangoda mimwe miedzo kana kurapwa.
Kana ABI yako iri kunze kwehuwandu hwakajairika, ungangoda kudzokorora bvunzo iyi nguva nenguva. Izvi zvichabatsira chiremba wako kuona kana PAD yako iri kuipa kana kuti kurapwa kuri kushanda.
Mharidzo Yekuenda Nayo Kumba
- Chiyero cheAnkle-Brachial Index (ABI) chiri nyore kwazvo, chisingarwadzi, uye chakachengeteka chekuongorora atherosclerosis (PAD) mumakumbo.
- Izvi zvinoenzanisa kumanikidzwa kweropa mugumbo rako neruoko.
- Kuongororwa uku kwakakosha zvikuru kana makumbo ako achirwadza paunenge uchifamba, kana kana uine zvinhu zvine njodzi zvakaita sechirwere cheshuga, BP, kana kusvuta.
- Kuonekwa kwechirwere ichi nekukurumidza kunogona kudzivirira matambudziko akakomba akadai sekugurwa nhengo.
- Gara uchitaura nachiremba wako nezvemigumisiro yeABI yako uye matanho ekutevera.
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