Kunjani ukujikeleza kwegazi emilenzeni yakho? (Ukuqoshwa Kwevolumu Yokushaya Kwenhliziyo - PVR) Ake sifunde ngokuhlolwa!

Uke wakhuluma nodokotela ngobuhlungu kanye nokuba ndikindiki ozizwa ngezinye izikhathi emilenzeni yakho? Noma, ingabe usola kancane ngokujikeleza kwegazi emilenzeni yakho? Uma kunjalo, udokotela wakho kungenzeka ukuthi ukutshelile ngokuhlolwa okubizwa ngokuthi i-Pulse Volume Recording (PVR) . Namuhla, sizoxoxa ngokuningiliziwe ngokuthi lokhu kuyini ngempela, kwenziwa kanjani , nokuthi kukhona yini okufanele ukwesabe. Kulula kakhulu, ngakho ungakhathazeki, kulungile?

Kuyini Ukuqopha Ivolumu Ye-Pulse (PVR)?

Kalula nje, ukuhlolwa kwe-Pulse Volume Recording (PVR) kuyindlela yokulinganisa ukugeleza kwegazi emilenzeni yakho, noma ukujikeleza kwegazi. Kusebenzisa ubuchwepheshe be-ultrasound . Lokhu kusho ukuthi kusebenzisa amaza omsindo avame kakhulu ukubheka igazi eligeleza ngaphakathi kwemithambo yakho.

Ingxenye engcono kakhulu ukuthi, ukuhlolwa okungenabuhlungu , okungahlaseli . Lokho kusho ukuthi azikho izinaliti noma ukusikwa kwesikhumba. Abanye bakubiza ngokuthi "ukuqoshwa kwevolumu yokushaya kwenhliziyo," abanye bakubiza ngokuthi "ukuhlolwa kwengcindezi yengxenye." Noma ngabe yikuphi, kwenza into efanayo.

Ukuhlolwa kwe-PVR kwenziwa nini?

Ngokuvamile, udokotela uzoncoma lokhu kuhlolwa kwe-PVR ukuze ahlole isimo esibizwa ngokuthi i-Peripheral Artery Disease (PAD) futhi abone ukuthi sibi kangakanani.

Uyazi ukuthi iyini i-PAD?

I-PAD yisimo lapho imithambo yegazi (imithambo yegazi) ethwala igazi lisuka enhliziyweni yethu liye emilenzeni yethu incipha kancane kancane. Kufana nombhobho wamanzi ovalwa ukungcola ngokuhamba kwesikhathi. Imbangela enkulu yalokhu i-atherosclerosis . Lokhu kwenzeka lapho i-cholesterol nezinye izinto ezinamafutha ziqoqana ngaphakathi kwemithambo yegazi bese ziyivimba.

Uma uzwa ubuhlungu obungachazeki emilenzeni yakho lapho uhamba, udokotela angenza lolu vivinyo lwe-PVR ukuze abone ukuthi kukhona yini ihlule legazi noma okunye ukuvaleka emithanjeni yegazi emilenzeni yakho.

Ngezinye izikhathi ukuhlolwa kwe-PVR kungasiza ekutholeni izimo ezifana nalezi:

• Isifo semithambo yegazi ezingalweni noma eminweni.
• Isifo Sokuphuma Kwesifuba (i-TOS) .

Ingabe i-PVR iyindlela kuphela yokuhlola isimo se-PAD?

Cha, i-PVR iyindlela eyodwa yokuhlola i-PAD. Kuwukuhlolwa kwemithambo yegazi okungahlaseli . Udokotela wakho angenza nezinye izivivinyo kanye nokuhlolwa kwe-PVR, okufana nalokhu:

• Inkomba ye-Ankle-brachial (ABI): Lolu uhlobo lokuhlolwa oluvame kakhulu lokuxilonga i-PAD. Udokotela uzofaka i-blood pressure cuff eqakaleni lakho.Kufakwa eyodwa bese ingcindezi iqhathaniswa nengcindezi engalweni. Lokhu kufana kakhulu ne-PVR. Kodwa-ke, ngenxa yokuthi i-PVR ilinganisa ivolumu yokushaya kwenhliziyo ezindaweni eziningana emlenzeni, i-PVR inganikeza imiphumela enembile kubantu abanemithambo yegazi eqinile/eqinile ngenxa yesifo sikashukela noma isifo sezinso esingamahlalakhona .
• I-arterial duplex ultrasound: Kulolu vivinyo, udokotela usebenzisa ithuluzi eliphathwa ngesandla ukuthumela amaza omsindo avame kakhulu emilenzeni yakho. Imiphumela ikhombisa lapho imithambo yegazi incishisiwe noma ivalekile khona. Kodwa-ke, ngokungafani ne-PVR, ayilinganisi umfutho wegazi.
• Ukuhlolwa kokucindezeleka kokuzivocavoca: Ungase ucelwe ukuba uhambe nge- treadmill . Udokotela wakho angase alinganise umfutho wegazi lakho ngaphambi nangemva kokuzivocavoca. Lokhu kuhlolwa kokuzivocavoca kungenziwa uma imiphumela yakho ye-PVR yokuphumula ijwayelekile, kodwa unezimpawu ezingachazeki, njengobuhlungu bomlenze lapho uhamba.

Ubani owenza lolu vivinyo lwe-PVR?

Ngokuvamile, lezi zivivinyo ze-PVR kanye nezinye izivivinyo zemithambo yegazi ezingangenisi igazi zenziwa ngabantu abaqeqeshwe ngokukhethekile ababizwa ngokuthi ochwepheshe bemithambo yegazi noma ochwepheshe bemithambo yegazi . Ngezinye izikhathi, umhlengikazi angenza nokuhlolwa kwakho kwe-PVR.

Ingabe ngidinga ukulungiselela noma yini ngaphambi kokuhlolwa kwe-PVR?

Empeleni, akukho ukulungiselela okukhethekile okudingekayo ukuze kuhlolwe i-PVR. Kodwa-ke, udokotela angase akucele ukuthi uyeke ukuthatha imithi ethile ngosuku olwandulela ukuhlolwa, noma uma ubhema, uyeke isikhashana. Izinto ezincane ezinjalo.

Kwenzekani ngesikhathi sokuhlolwa kwe-PVR?

Ngaphambi kokuhlolwa kwe-PVR, kuzodingeka ukhumule noma yiziphi izingubo kanye nobucwebe bese ugqoka ingubo yasesibhedlela. Njengoba kushiwo ngaphambili, lokhu ukuhlolwa okungenabuhlungu, okungangenisi umswakama, ngakho ngeke udinge umuthi wokubulala izinzwa noma umuthi wokulala. Ukuhlolwa kwe-PVR kuvame ukuthatha imizuzu engama-30 kuya kwengama-60 .

Okubalulekile: Uma uke waphathwa izifo zemithambo yegazi ngaphambilini, isibonelo, uma uke wafakwa i -stent , wahlinzwa i-angioplasty , noma wahlinzwa i-bypass , kufanele utshele uchwepheshe oqhuba ukuhlolwa.

Nakhu okwenzekayo ngesikhathi sokuhlolwa kwe-PVR:

• Uzohlala etafuleni lokuhlolwa elinophahla.
• Udokotela noma uchwepheshe uzofaka ama-blood pressure cuffs ezinzwaneni zakho ezinkulu, emaqakaleni, ezihlakaleni, emathangeni aphezulu nangaphansi, nasezingalweni.Imichilo inamathele emzimbeni wakho. Ijeli ekhethekile nayo ifakwa esikhumbeni sakho. Lokhu kusiza amagagasi e-ultrasound ukuthi adlule kahle.
• Bese befutha ama-cuff bese bewaqinisa ukuze balinganise umfutho wegazi lakho. Uzozwa i-cuff iqina, kodwa ngeke uzizwe ungakhululekile.
• Kwezinye izimo, udokotela angase akutshele ukuthi uhambe noma ume ngezinzwane zakho.
• Ngesikhathi ama-cuffs eqinisiwe, udokotela usebenzisa idivayisi encane ephathwa ngesandla ebizwa ngokuthi i-transducer ukuqondisa amaza e-ultrasound ezindaweni ezahlukene emlenzeni wakho.
• Lawa maza omsindo alinganisa ijubane kanye nomthamo wegazi elihamba emilenzeni yakho. Le miphumela ivela esikrinini sekhompyutha njenge- "waveforms," ​​noma amaphethini aqinile. Udokotela usebenzisa ukuma kwala maza ukuze anqume ukuthi igazi lihamba kanjani.

Kwenzekani ngemva kokuhlolwa kwe-PVR?

Ngemva kokuphela kokuhlolwa kwe-PVR, ungaya ekhaya. Ungaqhubeka nemisebenzi yakho evamile njengenjwayelo. Akukho nkinga.

Ingabe zikhona izingozi zokuhlolwa kwe-PVR?

Cha. Ukuhlolwa kwe-PVR kuyinqubo ephephile, engahlaseli . Ngakho-ke, azikho izingozi ezinkulu. Akukho okufanele ukwesabe.

Kuthatha isikhathi esingakanani ukwazi imiphumela yokuhlolwa kwe-PVR?

Uchwepheshe wemithambo yegazi noma i-sonographer uzosebenza nodokotela ukuhlola nokuhumusha imiphumela. Lokhu kungathatha amahora amaningana noma ngisho nezinsuku. Ngakho-ke, buza udokotela wakho ukuthi kuzothatha isikhathi esingakanani ukuthola imiphumela.

Ithini imiphumela yokuhlolwa kwe-PVR?

Udokotela wakho uzoqhathanisa umfutho wegazi emilenzeni yakho nomfutho wegazi ezingalweni zakho. Uma umfutho wegazi wakho uphansi emilenzeni yakho kunasezingalweni zakho, ungase ube nesifo semithambo yegazi. Udokotela wakho uzoqhathanisa nokushaya kwenhliziyo ezingxenyeni ezahlukene zemilenze yakho ukuze athole ukuthi imithambo yegazi ivinjiwe noma incishisiwe kuphi. Kodwa-ke, ukuhlolwa kwe-PVR akukwazi ukusho ngqo ukuthi yimiphi imithambo yegazi ethintekile. Kudingeka ezinye izivivinyo ukuze kutholakale lokho.

Yimiphi imibuzo okufanele uyibuze udokotela mayelana nokuhlolwa kwe-PVR?

Uma imiphumela yokuhlolwa kwe-PVR ingajwayelekile, ungabuza udokotela wakho imibuzo efana nale:

• Uma ngine-PAD, ingabe ngisengozini yokuqhekeka kwegazi?
• Inembile kangakanani imiphumela yokuhlolwa kwe-PVR?
• Yiziphi izindlela zokwelapha i-PAD?
• Ingabe kuzodingeka ngenze ezinye izivivinyo, njengokuhlolwa kwezithombe ?

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukuqoshwa Kwevolumu Yenhliziyo (i-PVR) ukuhlolwa kwemithambo yegazi okungenabuhlungu, okungangenisi igazi okukala umfutho wegazi kanye nokugeleza kwegazi emithanjeni esemilenzeni yakho. Lokhu ukuhlolwa kwesifo semithambo yegazi engaphandle (i-PAD).Ukuhlolwa okuvamile okusetshenziselwa ukuxilonga nokuhlola izimo ezifana nalezi:

Ngakho-ke, uma udokotela ekucela ukuthi wenze ukuhlolwa kwe-PVR, ungesabi noma ukhathazeke ngakho ngokungadingekile. Lena yindlela elula nephephile yokuthola impilo yemilenze yakho. Khuluma nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho.

Ukuhlolwa kwe- PVR, ukujikeleza kwegazi emilenzeni, isifo semithambo yegazi engaphandle, i-PAD, i-ultrasound, umfutho wegazi, ukuhlolwa kwemithambo yegazi