Khawuthelekelele ukuba uya evenkileni okanye uhamba nje umgama omfutshane. Emva kokuhamba umgama omfutshane, ngequbuliso uziva intlungu ebukhali emlenzeni wakho, ngokungathi imilenze yakho iyaphela. Emva kokuma okwethutyana, intlungu iyaphela. Xa uqala ukuhamba kwakhona, intlungu efanayo iyabuya emva kokuhamba umgama omfutshane. Ngaba ukhe waba nalo mava? Okanye ngaba umntu omaziyo unengxaki enjalo? Isizathu soku singaba kukuvaleka kwemithambo yegazi ethwala igazi ukuya emilenzeni. Ngoko ke, kwimeko enjalo, namhlanje siza kuthetha ngovavanyo olulula kakhulu, olungenabuhlungu olunokunceda ugqirha wakho afumane unobangela ochanekileyo. Olu luvavanyo lwe-PVR.
Ngamafutshane, yintoni iPulse Volume Recording (PVR)?
Uvavanyo lwePulse Volume Recording, okanye uvavanyo lwePVR ngamafutshane, luvavanyo olulinganisa indlela igazi elihamba ngayo kwimithambo yegazi (imithambo yegazi) emilenzeni yakho, nokuba ukuhamba kwegazi kulungile na, okanye ukuba kukho ukuvaleka kwenye indawo.
Eyona nto ilungileyo ngale nto kukuba luvavanyo olungangenisi ntlungu, amanxeba, okanye iinaliti . Ngokuchanekileyo, lwenziwa kusetyenziswa amaza esandi aqhelekileyo, okanye iteknoloji ye-`(Ultrasound)`. Ngoko ke akukho nto ixhalabisayo ngayo. Ngamanye amaxesha olu vavanyo lubizwa ngokuba yi-`(pulse volume plethysmography)`.
Kutheni ugqirha ekuxelela ukuba wenze uvavanyo lwe-PVR?
Rhoqo, ugqirha uya kucebisa olu vavanyo ukuze abone ukuba unesifo esibizwa ngokuba yiPeripheral Artery Disease (PAD) , okanye ukuze ahlole inqanaba lale meko.
Ngoko ke yintoni le PAD?
Ngamafutshane, i-PAD kukuncitshiswa kancinci kwemithambo yegazi (imithambo yegazi) ethwala igazi elicocekileyo lisuka entliziyweni yethu liye emilenzeni yethu. Eyona nto ibangela oku yi -atherosclerosis . Oku kuthetha ukuba ngokuhamba kwexesha, i-cholesterol kunye nezinye izinto ezinamafutha (i-plaque) zakha eludongeni lwemithambo yegazi, zivale ukuhamba kwegazi. Xa ukuhamba kwegazi kuvaliwe ngolu hlobo, xa imilenze yakho ifuna igazi elingakumbi, njengaxa uhamba, ayinakukwazi ukuhlangabezana naloo mfuno. Kulapho ke intlungu, njengoko bekutshiwo ngaphambili, ifika khona.
Uvavanyo lwe-PVR lunoku:
- Fumana apho kuthe kratya khona ukuvaleka kwemithambo yegazi emilenzeni yakho.
- Chonga iindawo apho kukho amahlwili egazi okanye ezinye izinto ezivalekileyo.
- Fumana unobangela ochanekileyo wentlungu yomlenze xa uhamba.
Kwezinye iimeko ezingaqhelekanga, olu vavanyo lunokusetyenziswa ukufumanisa iingxaki ngemithambo yegazi engalweni okanye kwiminwe kunye neemeko ezifana neThoracic Outlet Syndrome (TOS).
Ngaba i-PVR yeyona ndlela yodwa yokufumana i-PAD?
Hayi. I-PVR lolunye nje lovavanyo lwemithambo yegazi olungangenisi gazi. Ugqirha wakho angacebisa ezinye iimvavanyo kunye ne-PVR. Makhe sijonge ezo.
| Igama lovavanyo | Indlela yokwenza ngokulula | Oko unokukufunda koku |
|---|---|---|
| Uvavanyo lwe-PVR | Ii-cuffs zoxinzelelo lwegazi zibekwe kwiindawo ezahlukeneyo emlenzeni nasengalweni, kwaye isantya kunye nomthamo wokuhamba kwegazi kulinganiswa kusetyenziswa i-ultrasound. | Ingafumanisa ukuba imithambo yegazi emilenzeni ivaliwe phi. Inika iziphumo ezichanekileyo ngakumbi kubantu abanesifo seswekile. |
| Isalathisi se-Ankle-brachial (ABI) | Uxinzelelo lwegazi lulinganiswa eqatheni nasengalo, kwaye la maxabiso mabini ayathelekiswa. | Uvavanyo oluphambili nolulula lokufumanisa ukuba i-PAD ikhona okanye ayikho. Ayinazo iinkcukacha ezipheleleyo njenge-PVR. |
| I-Arterial Duplex Ultrasound | Isixhobo esiphathwa ngesandla (i-transducer) sisetyenziselwa ukwenza umzobo wemithambo yegazi emlenzeni size siwubone kwiscreen sekhompyutha. | Ungabona ngqo ukuba yeyiphi imithambo yegazi evalekileyo kwaye iphi. |
| Uvavanyo loxinzelelo lomzimba | Uxinzelelo lwegazi lulinganiswa emilenzeni ngaphambi nasemva kokuzilolonga ngokuhamba kwi-treadmill. | Kuyanceda ukufumanisa ingxaki kubantu abaqhele ukungabi nazimpawu kodwa abava iintlungu xa behamba kuphela. |
Ngaba kufuneka uzilungiselele ngaphambi kovavanyo lwe-PVR?
Akukho nto ikhethekileyo onokuyilungiselela. Kulula kakhulu. Nangona kunjalo, ugqirha wakho usenokuthi:
- Ufanele ukuphephe ukutshaya iiyure ezimbalwa ngaphambi kovavanyo, kuba ukutshaya kunokubangela ukuba imithambo yegazi yakho icinezeleke okwethutyana.
- Usenokucelwa ukuba uyeke ukusebenzisa amayeza athile (afana namayeza oxinzelelo lwegazi) okwethutyana ngaphambi kovavanyo. Nangona kunjalo, oku kufanele kwenziwe kuphela phantsi kwengcebiso kagqirha wakho.
Kwenzeka ntoni ngexesha lovavanyo?
Le yinkqubo engenabuhlungu ethatha imizuzu engama-30 ukuya kwengama-60. Ungakhathazeki, ndiza kukubonisa okwenzekayo inyathelo ngenyathelo.
1. Ukulungiselela: Okokuqala, uza kunxitywa ilokhwe yesibhedlele. Kuya kufuneka ukhuphe naziphi na izacholo okanye ezinye izinto emzimbeni wakho.
2. Ukwazisa: Okulandelayo, ukuba ukhe watyandwa naliphi na imithambo yegazi ngaphambili, njengeenkqubo ze-bypass, ukufakwa kwe-stent, okanye i-angioplasty, kufuneka uxelele ingcali yobuchwephesha eqhuba uvavanyo.
3. Ukulala ebhedini yovavanyo: Uza kuphoqeleka ukuba uhlale okanye ulale ebhedini yovavanyo.
4. Ukufaka ii-BP cuffs: Okulandelayo, ii-blood pressure cuffs zifakwa ezingalweni zakho, emathangeni aphezulu nasezantsi, emaqatheni, emaqatheni, kwaye ngamanye amaxesha ubhontsi wakho omkhulu. Zifana nee-cuffs esizinxibayo xa sithatha uxinzelelo lwethu lwegazi.
5. Ukufaka ijeli: Okulandelayo, kufakwa ijeli ekhethekileyo emlenzeni enceda amaza e-ultrasound ukuba adlule kakuhle eluswini.
6. Ukulinganisa uxinzelelo: Ngoku vuthela i-BP cuff uze ulinganise uxinzelelo lwakho lwegazi. Kule ndawo, uza kuziva i-cuff iqina kancinci, kodwa awuyi kuva ntlungu.
7. Uvavanyo lwe-ultrasound: Ngelixa i-BP cuff iqinisiwe, ingcali isebenzisa isixhobo esincinci esiphathwa ngesandla (i-transducer) ukusibeka kwiindawo ezahlukeneyo emlenzeni ukujonga ukuhamba kwegazi.
8. Ukubeka esweni iziphumo: Idatha evela kula maza esandi iboniswa kwiscreen sekhompyutha njenge "waveforms." Ugqirha usebenzisa imilo yala maza ukuze abone ukuba igazi lakho lihamba njani.
Ngamanye amaxesha, unokucelwa ukuba ujikeleze kancinci okanye ume ngeenzwane zakho. Jonga indlela ukujikeleza kwegazi lakho okutshintsha ngayo ngaloo mthambo.
Olu luvavanyo olukhuselekileyo kakhulu, ngoko ke akukho sizathu sokukhathazeka ngemiphumo emibi.
Kwenzeka ntoni emva kovavanyo? Ndiza kuyifumana nini ingxelo?
Kwakuba nje uvavanyo lwe-PVR luphelile, ungagoduka uye kwenza yonke imisebenzi yakho yesiqhelo.
Ingcali eyenze uvavanyo iza kusebenza nogqirha ukuze ihlalutye iziphumo zakho. Oku kungathatha naphi na ukusuka kwiiyure ezimbalwa ukuya kwiintsuku ezimbalwa. Ngoko ke, buza ugqirha wakho ukuba ungalindela nini ukufumana ingxelo.
Ithini ingxelo ye-PVR?
Ugqirha wakho uza kuthelekisa uxinzelelo lwegazi olusezingalweni nasemilenzeni yakho .
- Okuqhelekileyo: Uxinzelelo lwegazi olukwimilenze yomntu ophilileyo kufuneka lufane okanye luphakame kancinci kunoxinzelelo lwegazi olukwiingalo zakhe.
- Imeko engaqhelekanga: Ukuba ngesizathu esithile uxinzelelo lwegazi emilenzeni yakho luphantsi kakhulu kunezingalweni zakho, oko kuthetha ukuba kukho ukuvaleka okanye ukuncitshiswa kwenye indawo emthanjeni othwala igazi liye emilenzeni yakho.
Kwakhona, ngokuthelekisa ukufundwa koxinzelelo oluthathwe kwiindawo ezahlukeneyo emlenzeni, ugqirha unokufumana umbono ocacileyo wokuba ukuvaleka kusethangeni, ngaphantsi kwedolo, okanye kufutshane neqakala. Nangona kunjalo, uvavanyo lwe-PVR alunakuxelela ngqo ukuba yeyiphi imithambo yegazi evalekileyo . Oku kunokufuna olunye uvavanyo, olufana ne-Duplex Ultrasound.
Imibuzo yokubuza ugqirha
Ukuba ugqirha uthi kukho ingxaki kwingxelo yakho ye-PVR, ungoyiki, buza le mibuzo ngokucacileyo.
- Ngaba ndisengozini yokuba negazi eliqhekekileyo ngenxa yesi simo se-PAD?
- Zichaneke kangakanani iziphumo zolu vavanyo lwe-PVR?
- Ziziphi iindlela zonyango endinazo? Ngaba ndiza kufuna utshintsho kwindlela endiphila ngayo, amayeza, okanye utyando?
- Ngaba kuya kufuneka ndibe nezinye iimvavanyo ezifana `(iimviwo zomfanekiso)`?
Ngeempendulo zale mibuzo, ungayiqonda ngcono imeko yakho, kwaye kunye nogqirha wakho, nikhethe isicwangciso sonyango esifanelekileyo.
Umyalezo Wokuya Ekhaya
- Ukurekhoda Umthamo Weepulse (PVR) luvavanyo olungenazintlungu nolukhuselekileyo olulinganisa ukuhamba kwegazi kwimithambo yemilenze yakho.
- Oku kudla ngokwenziwa ukuze kufunyaniswe imeko ebizwa ngokuba yiPeripheral Artery Disease (PAD) , enokubangela iintlungu emilenzeni xa uhamba.
- Olu vavanyo aludingi lungiselelo lukhethekileyo, kwaye ungagoduka ngaphandle kokungakhululeki emva kovavanyo.
- Iziphumo ze-PVR zinokunika ugqirha wakho umbono ongeyonyani wokuba kukho ukuvaleka kwemithambo yegazi emlenzeni wakho kunye nokuba ikuphi na.
- Ukuba unentlungu emilenzeni yakho xa uhamba, musa ukuyityeshela kwaye bonana nogqirha wakho ngokukhawuleza ukuze akunike icebiso.
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