Kodi Kuyesa kwa Ankle Brachial Index Ndi Chiyani?

Zamkati

• Kodi mayeso a ankolo brachial index ndi ati?
• Ndani amafunikira mayesowa?
• Zimatheka bwanji?
• Kodi kuwerenga brakoli ya ankolo kwabwinobwino ndi kotani?
• Kodi kuwerenga kosazolowereka kumatanthauza chiyani?
• Mfundo yofunika

Ngati ndinu munthu wathanzi wopanda vuto lililonse loyendera magazi, magazi amathamangira ndikupita kumapeto kwanu, ngati miyendo ndi mapazi anu, popanda vuto lililonse.

Koma mwa anthu ena, mitsempha ya mitsempha imayamba kuchepa, zomwe zingalepheretse magazi kulowa mbali zina za thupi lanu. Ndipamene mayeso osavomerezeka omwe amatchedwa ankle brachial index test amabwera.

Mayeso a brachial index ndi njira yachangu kuti dokotala wanu athe kuwona momwe magazi amayendera mpaka kumapeto kwanu. Poyang'ana kuthamanga kwa magazi m'malo osiyanasiyana amthupi lanu, dokotala wanu amakhala wokonzeka kudziwa ngati muli ndi vuto lotchedwa peripheral artery disease (PAD).

M'nkhaniyi, tiwunikiranso zomwe mayeso a ankolo brachial index, momwe amachitira, ndi zomwe kuwerenga kungatanthauze.

Kodi mayeso a ankolo brachial index ndi ati?

Mwakutero, kuyesa kwa bondo brachial index (ABI) kumayesa magazi kupita kumapazi ndi mapazi anu. Miyesoyi imatha kuwunikira zovuta zilizonse zomwe zingachitike, monga zotchinga kapena zotchinga pang'ono zamagazi mpaka kumapeto kwanu.

Mayeso a ABI ndi othandiza makamaka chifukwa ndiosagwirizana komanso osavuta kuchita.

Ndani amafunikira mayesowa?

Ngati muli ndi PAD, ziwalo zanu mwina sizikupeza magazi okwanira. Mutha kumva zisonyezo zakumva kupweteka kapena kukokana minofu mukamayenda, kapena mwina kufooka, kufooka, kapena kuzizira m'miyendo yanu.

Chomwe chimasiyanitsa PAD ndi zina zomwe zimayambitsa kupweteka kwa mwendo ndi zizindikilo zomwe zimabwera patadutsa kutalika (mwachitsanzo 2 midadada) kapena nthawi (mwachitsanzo kuyenda kwa mphindi 10) ndipo amasulidwa ndi kupumula.

Ngati simulandila chithandizo, PAD imatha kubweretsa zowawa ndipo zitha kukulitsa chiopsezo chotaya mwendo.

Sikuti aliyense amafunikira mayeso a ABI. Koma anthu omwe ali ndi zifukwa zina zoopsa za matenda a mitsempha ya m'mimba amatha kupindula ndi imodzi. Zomwe zimayambitsa PAD ndizo:

• mbiri ya kusuta
• kuthamanga kwa magazi
• cholesterol yambiri
• matenda ashuga
• atherosclerosis

Dokotala wanu angalimbikitsenso kuyerekezera kwa brachial index ya bondo ngati mwakhala mukumva kupweteka kwa mwendo poyenda, chomwe chingakhale chizindikiro cha PAD. Chifukwa china chotheka kuti mukayesedwe ndikuti mwachitidwapo opaleshoni pamitsempha yamagazi yamiyendo yanu, kuti dokotala wanu athe kuyang'anira magazi akuyenda mpaka miyendo yanu.

Kuphatikiza apo, adapeza zabwino pakuyesa mayeso a ABI pambuyo pa anthu omwe amakayikira PAD koma zotsatira zoyeserera atapuma.

Malinga ndi US Preventive Services Task Force, phindu lomwe lingakhalepo pakugwiritsa ntchito mayeso mwa anthu omwe alibe zizindikiro za PAD silinaphunzire bwino.

Zimatheka bwanji?

Nkhani yabwino yokhudza mayeso awa: Ndi achangu mwachangu komanso osapweteka. Komanso, simuyenera kuchita kukonzekera musanayese mayeso.

Umu ndi momwe zimagwirira ntchito. Mumagona pansi kwa mphindi zingapo mayeso asanayambe. Katswiri amatenga kuthamanga kwa magazi anu m'manja ndi m'miyendo yonse iwiri, pogwiritsa ntchito khafu yotsekemera komanso chida cham'manja chomvera kuti mumve kugunda kwanu.

Wophunzitsayo ayamba kuyika chikho cha magazi pamkono umodzi, nthawi zambiri chimanja chakumanja. Kenako amapaka gel osungika m'manja mwanu pamwamba pamiyeso yanu ya brachial, yomwe ili pamwamba penipeni pa chigongono chanu. Pomwe khafu yamagazi imakwera ndiyeno imasokonekera, chatekinoloje imagwiritsa ntchito chipangizo cha ultrasound kapena kafukufuku wa Doppler kuti mumvetsere momwe mungayendere komanso mulembe muyesowo. Izi zimabwerezedwanso kudzanja lanu lamanzere.

Kenako bwerani akakolo anu. Ntchitoyi ndi yofanana kwambiri ndi yomwe idachitidwa m'manja mwanu. Mudzakhalabe pamalo omwewo. Chithunzicho chimakulitsa ndikuchepetsa khafu yamagazi mozungulira bondo limodzi mukamagwiritsa ntchito chida cha ultrasound kuti mumvetsere momwe zimakhalira mumitsempha yomwe imapereka magazi kuphazi lanu. Njirayi ibwerezedwanso pamwendo wina.

Katswiri akamaliza kuyeza zonse, manambalawo adzagwiritsidwa ntchito kuwerengera chikhomo cha brachial mwendo uliwonse.

Kodi kuwerenga brakoli ya ankolo kwabwinobwino ndi kotani?

Miyeso yochokera pamayeso a ABI yasinthidwa kukhala chiyerekezo. Mwachitsanzo, ABI ya mwendo wanu wakumanja ikadakhala systolic magazi othamanga kwambiri phazi lanu lamanja logawidwa ndi kuthamanga kwambiri kwa systolic m'manja onse awiri.

Akatswiri amaganiza kuti zotsatira zoyeserera za ABI zitha kugwa pakati pa 0.9 ndi 1.4.

Kodi kuwerenga kosazolowereka kumatanthauza chiyani?

Dokotala wanu akhoza kuda nkhawa ngati chiŵerengero chanu chiri pansi pa 0.9.Mlozera mawu umenewu ndi umene wina anautcha kuti “chizindikiro chodziimira pawokha cha kuopsa kwa mtima ndi mtima.” Izi zimayika pachiwopsezo chokhala ndi mtunda woyenda pang'onopang'ono (moyo wochepetsa malire).

Pakadutsa, PAD imapita kumapazi osagwirizana ndi ziwopsezo za ischemia (CLTI) momwe odwala amakhala ndi ululu wopuma (wopitilira, wopweteka) chifukwa chosowa magazi komanso / kapena kukhala ndi zilonda zosachiritsa. Odwala a CLTI ali ndi ziwalo zochulukirapo kwambiri poyerekeza ndi odwala omwe ali ndi maudindo apakati.

Pomaliza, pomwe PAD siyimayambitsa matenda amtima kapena matenda amisala, odwala omwe ali ndi PAD amakhala ndi matenda a atherosclerotic m'mitsempha ina. Chifukwa chake, kukhala ndi PAD kumalumikizidwa ndi chiopsezo chowonjezeka cha zochitika zopanda vuto zazikulu zamtima monga stroke kapena matenda amtima.

Dokotala wanu adzafunikanso kuganizira zizindikiro zilizonse za matenda a mitsempha omwe mungakhale nawo musanadziwe.

Mbiri yakubanja lanu komanso mbiri yakusuta, komanso kupenda miyendo yanu ngati muli ndi dzanzi, kufooka, kapena kusakhazikika, kuyeneranso kulingaliridwa, musanapezeke ndi matendawa.

Mfundo yofunika

Mayeso a brachial index, omwe amadziwikanso kuti kuyesa kwa ABI, ndi njira yachangu komanso yosavuta yowerengera magazi mpaka kumapeto kwanu. Ndiyeso lomwe dokotala akhoza kuyitanitsa ngati ali ndi nkhawa kuti mutha kukhala ndi zizindikilo za mtsempha wamagazi, kapena kuti mutha kukhala pachiwopsezo cha izi.

Mayesowa atha kukhala othandiza ngati chinthu chimodzi chodziwitsa matenda am'mitsempha. Izi zitha kuthandiza kuti mupeze chithandizo choyenera nthawi yomweyo.