Ingabe uzwa ubuhlungu emilenzeni yakho, ikakhulukazi ematholeni akho, uma uhamba ibanga elifushane? Ingabe ubuhlungu buyaphela uma uma isikhashana bese uqala ukuhamba futhi? Lokhu akuyona into okufanele uyishaye indiva. Kungaba uphawu lokuthi kunenkinga ngokugeleza kwegazi emilenzeni yakho. Namuhla, sizokhuluma ngokuhlolwa okulula kakhulu, okungenabuhlungu okufanele sikuthole.
Iyini i-Ankle-Brachial Index (ABI)?
Kalula nje, i-Ankle-Brachial Index (ABI) iwukuhlolwa okulula, okungenabuhlungu okulinganisa umfutho wegazi eqakaleni lakho nasengalweni. Ihlola kakhulu isifo semithambo yegazi engaphandle (i-PAD) , okuyisimo lapho amafutha enqwabelana khona emithanjeni ethwala igazi eya emilenzeni yakho, okubangela ukuba inciphe .
Njengoba nje ipayipi lamanzi elivalekile linciphisa ukugeleza kwamanzi, kanjalo nokuncipha kwemithambo yegazi emilenzeni yethu kwenza kanjalo. Ukuhlolwa kwe-ABI kulinganisa lokhu kwehla kokugeleza kwegazi. I-ABI yakho ibalwa ngokuhlukanisa umfutho wegazi eqakaleni lakho ngomfutho wegazi wengalo yakho.
Kufanele ngithathe nini ukuhlolwa kwe-ABI?
Kunezizathu eziningana zokuthi kungani udokotela wakho engase akucele lokhu kuhlolwa. Kungenzeka ukuthi unezimpawu noma ungabi nazo.
| Isici Sethuba / Ingozi | Incazelo |
|---|---|
| Izimpawu ze-PAD | Ubuhlungu emilenzeni, ikakhulukazi ngesikhathi somsebenzi, njengokuhamba. |
| Uma uneminyaka engu-65 noma ngaphezulu | Ngoba ingozi yokugcwala kwamafutha emithanjeni yegazi (i-atherosclerosis) iyanda njengoba iminyaka ikhula. |
| Iminyaka engu-50-64 kanye nezici eziyingozi | Uma unesifo sikashukela, umfutho wegazi ophakeme, i-cholesterol ephezulu, umlando wokubhema, noma uma othile emndenini wakho eke waba ne-PAD. |
| Abantu abangaphansi kweminyaka engama-50 ubudala kanye nezinye izingozi zesifo sikashukela | Uma unesifo sikashukela kanye nesinye isici esiyingozi, njengomfutho wegazi ophakeme. |
Inzuzo enkulu yalolu vivinyo lwe-ABI ukuthi lungathola i-PAD ngaphambi kokuba lube lubi kakhulu. Lokhu kuvumela ukwelashwa kusenesikhathi okunganciphisa ingozi yezinkinga ezinkulu, njenge- critical limb ischemia noma ukunqunywa kwezicubu .
Ulwenza kanjani lolu vivinyo?
Lena inqubo elula kakhulu. Ngokuvamile umhlengikazi wenza lokhu kuhlolwa. Umfutho wegazi ulinganiswa emithanjeni ethile ezingalweni nasemaqakaleni akho.
Lokhu kusebenzisa i-blood pressure cuff, njengokuhlolwa okuvamile kwengcindezi yegazi. Igoqwa ingalo yakho nasemaqakaleni, ngayinye ngesikhathi, bese icindezelwa imizuzwana embalwa, ikhipha umoya kancane kancane.
Imithambo emikhulu ehlolwe lapha yile:
- Umthambo we-brachial ezingalweni.
- Umthambo we-dorsalis pedis noma umthambo we-posterior tibial uwumthambo oxhumanisa amaqakala.
Ngesikhathi elinganisa lokhu kucindezela, udokotela noma umhlengikazi ulalela nomsindo wegazi eligeleza ngale mithambo esebenzisa idivayisi ye-ultrasound ephathwayo (i-Doppler).
Lokhu ukuhlolwa okungahlaseli , okusho ukuthi azikho izinaliti noma ukusikwa kwesikhumba. Kufana nje nokuhlolwa kwakho okuvamile komfutho wegazi, ngaphandle kokuthi kwenziwa kuzo zonke izitho ezine.
Kufanele uzilungiselele kanjani ngaphambi kokuhlolwa?
Landela lawa macebiso ukuze uthole imiphumela enembile futhi wenze ukuhlolwa kube lula kuwe.
- Ungaphuzi lutho oluqukethe i-caffeine (ikhofi, itiye, iziphuzo ezibandayo) ngosuku lokuhlolwa.
- Ungayisebenzisi imikhiqizo kagwayi noma utshwala ihora elilodwa ngaphambi kokuhlolwa.
- Ungavivinyi umzimba ihora ngaphambi kokuhlolwa.
- Gqoka izingubo ezikhululekile nezikhululekile ezikuvumela ukuthi ubeke kalula i-pressure cuff engalweni yakho engenhla nasemaqakaleni.
- Ngaphambi kokuya esivivinyweni, iya endlini yangasese bese ukhipha amanzi esinyeni sakho.
Futhi, uma wake wahlinzwa ngaphambilini ukuze kuthuthukiswe ukujikeleza kwegazi emilenzeni yakho, tshela umuntu owenza ukuhlolwa ngakho.Ngitshele ngokuqinisekile .
Kwenzekani ngesikhathi sokuhlolwa?
Ngaphambi kokuqala kokuhlolwa, uzocelwa ukuba ulale embhedeni uphumule imizuzu eyi-10 kuya kwengama-30. Uzocelwa ukuba ulale phansi izingalo zakho zibheke phezulu phakathi nokuhlolwa. Ngezinye izikhathi, ukuze uthole ukufundwa okunembile kakhulu, izandla zakho namaqakala kungadingeka kuphakanyiswe ngento efana nemicamelo emincane ukuze kube sezingeni elifanayo nenhliziyo yakho.
Ngemuva kwalokho, umhloli ulinganisa ingcindezi ngale ndlela:
1. Umfutho wegazi ulinganiswa engalweni eyodwa.
2. Umfutho wegazi ulinganiswa eqakaleni lomlenze ohlangothini olufanayo nengalo.
3. Kala umfutho wegazi eqakaleni lomunye umlenze.
4. Kala umfutho wegazi engalweni enye.
Bazokutshela ukuthi isilinganiso sidinga ukuphindwa yini. Inqubo yonke yokulinganisa ingcindezi ithatha isikhathi esifushane kuphela, phakathi kwemizuzu eyi-10 nengama-20 .
Ingabe zikhona izingozi ngalolu vivinyo?
Ukuhlolwa kwe-ABI kuwukuhlolwa okuphephile kakhulu. Ngokuvamile azikho izingozi. Kodwa-ke, uma unezinye zezimo ezilandelayo, kufanele utshele udokotela wakho noma umhloli kusenesikhathi:
- Uma unezilonda ezivulekile noma izilonda emlenzeni wakho, i-pressure cuff ngeke ibekwe phezu kwalelo nxeba. Kungase kudingeke wenze olunye uvivinyo.
- Uma usanda kwenziwa ukuhlinzwa kwe-vascular bypass , kungaba yingozi ukufaka ingcindezi endaweni enjalo nge-pressure cuff, njengoba kunengozi yokwakheka kwamahlule egazi.
Ungayiqonda kanjani imiphumela?
Indlela yokubala inani le-ABI
Lokhu kulula kakhulu. Uthatha inani eliphezulu kakhulu le-systolic (okungukuthi, inani eliphezulu lengcindezi) kusukela ekufundweni kwengcindezi yakho emibili yeqakala bese uyihlukanisa ngenani eliphakeme kakhulu le-systolic kusukela ekufundweni kwengcindezi yakho yezingalo ezimbili.
Isibonelo, cabanga ngalokhu:
- Ingcindezi eqakaleni lakho lesobunxele ingu-105/65, kanti eqakaleni lakho lesokudla ingu-100/60.
- Ingcindezi engalweni yakho yesobunxele ingu-130/85, kanti engalweni yakho yesokudla ingu-125/80.
Manje ake sithathe inani eliphakeme kakhulu kusukela eqakaleni (105) bese silihlukanisa ngenani eliphakeme kakhulu kusukela esandleni (130).
105 ÷ 130 = 0.8
Ngokusekelwe kuleli nani lika-0.8, ungasho ukuthi une-PAD emnene.
Incazelo yemiphumela
Inani le-ABI ngokuvamile kufanele libe phakathi kuka-1.0 no-1.3. Inani le-ABI elingu-0.9 noma ngaphansi libonisa ukuthi une-PAD.
| Inani le-ABI | Incazelo |
|---|---|
| 1.0 – 1.3 | Okuvamile |
| 0.9 – 1.0 | Umngcele - Lesi sifo sesizoqala ukukhula. |
| 0.7 – 0.9 | I-PAD Encane |
| 0.4 – 0.7 | I-PAD Emaphakathi |
| Ngaphansi kuka-0.4 | I-PAD Enzima |
Ngezinye izikhathi inani le-ABI lingaba ngaphezu kuka-1.4 . Lokhu kusho ukuthi imithambo yakho iqinisiwe (i-calcified) ngenxa yokuguga noma isifo sikashukela. Ezimweni ezinjalo, ukuhlolwa kwe-ABI kukodwa akukwazi ukuqiniseka ukuthi une-PAD. Kuleso simo, udokotela wakho angase acele olunye ukuhlolwa, njenge -toe-brachial index (elinganisa ingcindezi kuzwane olukhulu esikhundleni seqakala).
Kunini lapho udinga ukukhuluma nodokotela wakho?
Uma ungatholi imiphumela yakho ngokushesha, khuluma nodokotela wakho owaku-oda ukuhlolwa. Kuye ngemiphumela yakho, ungase udinge ezinye izivivinyo noma ukwelashwa.
Uma i-ABI yakho ingaphandle kwesilinganiso esijwayelekile, kungadingeka ukuthi uphinde lokhu kuhlolwa njalo. Lokhu kuzosiza udokotela wakho ukuthi abone ukuthi i-PAD yakho iba yimbi noma ukuthi ukwelashwa kuyasebenza yini.
Umlayezo Wokuya Nawe Ekhaya
- I-Ankle-Brachial Index (ABI) iyindlela elula kakhulu, engenabuhlungu, futhi ephephile yokuhlola i-atherosclerosis (PAD) emilenzeni.
- Lokhu kuqhathanisa umfutho wegazi eqakaleni lakho nasengalweni.
- Lokhu kuhlolwa kubaluleke kakhulu uma imilenze yakho ibuhlungu lapho uhamba, noma uma unezici eziyingozi ezifana nesifo sikashukela, umfutho wegazi ophakeme, noma ukubhema.
- Ukutholakala kwalesi simo kusenesikhathi kungavimbela izinkinga ezinkulu njengokunqunywa kwesikhumba.
- Khuluma nodokotela wakho njalo ngemiphumela yakho ye-ABI nokuthi yiziphi izinyathelo okufanele uzithathe ngokulandelayo.
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