I-index ye-BOD isixhobo esisetyenziswe ngabaqeqeshi bezempilo ukuze baqikelele izinga lokufa (izinga lokufa) kwisifo esingapheliyo sesifo se-pulmary disease (COPD). Ukusebenzisa amaphuzu asekelwe kumanyathelo amane ahlukeneyo omsebenzi wamaphaphu, amanqaku e-BODE enza ubungqali malunga nokuba umntu uza kuhlala phi emva kokuxilongwa kweCOPD.
Izinto ezi-4 kwi-BODE Index
Imiba emine eyahlukileyo ihlolwe njengenxalenye ye-BODE index.
Isizathu sale nkcazo kukuba ngasinye salezi zizathu sinokwenza ukubikezela ngokuchasiswa kweCOPD, kodwa kwongezwe ndawonye ukubikezela kunembile. Iileta zimela:
- B-BMI-BMI imele inkcazo yomzimba, isibalo esenziwe ngokuthelekisa ukuphakama kwesisindo.
- O - Ukukhutshwa kwe-Airway - Ukukhutshwa kwe-Airway kulinganiswa ngokuvavanya i- FEV1 -umlinganiselo womoya onokuphelelwa ngamandla kwisibini emva kokuphefumula.
- D - Dyspnea - Dyspnea ibhekisela kwisantya sokuphefumla umntu ovalayo xa ehlala neCOPD.
- I-E-Exercise tolerance - Ukuvavanywa kokuvandlakanya kubhekisela kwindlela abanye benza ngayo uvavanyo lokuhamba ngomzuzu-6.
Makhe sijonge nganye kule migangatho, kwaye siwabe kunye ngokulinganisa i-BODE index.
B - I-Index Mass Mass
I-BMI ibalo elenziwe ngokuthelekisa ukuphakama kwiimitha ngamanani eekhigram. Kukho ababalawuli bokugqiba i-BMI, kunye neetafile ze-BMI kukuqikelela ukuba ukugqithisa ngokweqile okanye ukukhululeka komntu.
Nge-COPD, ukuba ngumntu ongaphantsi kwesondlo okanye ukungondleki ngumqondiso osweleyo xa kuziwa kuhlaziya.
O - Ukuvalwa komoya
I-FEV1 (umqulu ophefumlelweyo wokuphefumula ngomzuzwana we-1) ngumlinganiselo womoya onokukhutshwa ngamandla kwisibini. I-FVC imele amandla okunyanzeliswa okunyanzelekileyo, oko kungumlinganiselo womoya onokutshatyalaliswa ngokupheleleyo emva kokuphefumula.
Umlinganiselo we-FEV1 / FVC , ngoko, umele ipesenti yomoya opheleleyo ongagxinwa kwisiganeko-1 phezu kwayo yonke umoya engagqitywa. Ngokuqhelekileyo lo mlinganiselo ujikeleze u-1, oko kuthetha ukuba siphumelela uninzi lwomoya kwisibini yesibini yokuphuma. Ukuba kukho ukuphazamiseka kwindlela yokucotha umoya okanye ukuthintela ukukhutshwa komoya ngokukhawuleza, umlinganiselo uyahla.
D - Dyspnea
I-Dyspnea yigama elibhekiselele kwintlungu yomzimba wokuphefumula okanye ukuphefumla. Oogqirha banako ukuhlula ngokusekelwe kwinto enokuthi umntu afune ukuyenza-njani asebenzayo - ngaphambi kokuphefumula. Ekuqaleni, umntu unokuphefumula kuphela xa ehamba ngeekhilomitha ezili-5. Kamva, kwi-COPD umntu unokuphawula ukuphefumla nangaluphi na ukunyakaza. Isifo se-dyspnea sichaswa ngumlinganiselo obizwa ngokuba ngu -MRC Dyspnea Index . Kulo mlinganiselo, ukuphefumula kubalwa kwinqanaba le-0 ukuya ku-4:
- I-MMRC 0 - Ukuphefumula ngokuzivocavoca nje
- I-MMRC 1 - Ukuphefumla okufutshane xa ukhawuleza kwinqanaba okanye uhamba ngentaba encinane
- I-MMRC 2 - Ukuphefumla okufutshane kumgangatho wendawo kwaye kufuneka ukuba uyeke ukuphumla ukuphumla ngenxa yokuphefumla (kwaye uhamba kancane kunezinye abantu abaneminyaka yobudala)
- I-MMRC 3 - Ukuphefumla okufutshane kunye nokuyeka emva kokuhamba malunga neemitha ezili-100 okanye emva kwemizuzu embalwa (nangona uhamba ngesantya sakho)
- I-MMRC 4 - Ukuphefumula ukuhamba endlwini okanye ukuphefumla xa ugqoka
I-E-Exercise Tolerance
Ukunyamezela ngokubhekiselele kubhekiselele kwindlela umntu osebenzayo akwazi ngayo ukuba neengqinamba ezibekwe yimfuyo yazo. Uvavanyo olubizwa ngokuba luvavanyo lokuhamba ngomzuzu-6 luyasetyenziswa ukufumana ixabiso lekhowudi yeBODE.
Iimilinganiselo kunye neeRanges
Amanani alandelayo ngabo angabelwa ukucacisa inkcazo yeBODE. Qaphela ukuba amanqaku angabelana ukusuka kwi-0 ukuya kwe-10 ukuxhomekeka kwindlela ezi zongeza ngayo.
B - Iimpawu zoLuntu lweeNkcazo zeMali
- Amanqaku angama-0 we-BMI ngaphezulu kwama-21
- Iphuzu eli-1 le-BMI ngaphantsi kwama-21
I-O-Airway yokuLungulwa kwamaxabiso
- Amanqaku angama-0 we-FEV1 ngaphezu kwama-64%
- 1 iphuzu le-FEV1 ye-50-64%
- Iingongoma ezi-2 ze-FEV1 ye-36-49%
- Iingongoma ezi-3 ze-FEV1 ezingaphantsi kwama-36%
D - Dyspnea Values
- Iingongoma ezi-0 ze-dyspnea index 0-1
- Iphuzu eli-1 lenkcazo ye-dyspnea ye-2
- Iingongoma ezi-2 ze-index ye-dyspnea
- Iingongoma ezi-3 ze-index ye-dyspnea ye-4-5
I-E-Exercise tolerance Values
- Ingongoma engama-0 ukuba unokukwazi ukuhamba ngaphaya kwamamitha angama-349
- Iphuzu eli-1 ukuba unokukwazi ukuhamba ngama-250-249 amitha
- Iingongoma ezi-2 ukuba zikwazi ukuhamba ngee- 150-249 kumitha
- Amanqaku amathathu ukuba unokukwazi ukuhamba ngeekhilomitha ezili-150 okanye ngaphantsi
| Eziguqukayo | Iingongoma kwi-BODE Index | |||
| 0 | 1 | 2 | 3 | |
| I-FEV1 (% iqikelelwe) | ≥65 | 50-64 | 36-49 | ≤35 |
| Uvavanyo lwe-Walk-6 (iMitha) | ≥350 | 250-349 | 150-249 | ≤149 |
| MMRC Dyspnea Scale | 0-1 | 2 | 3 | 4 |
| I-Index Mass Mass | > 21 | ≤21 | ||
Ukubikezela Ukufa
Emva kokufumana isalathisi seBODE, ukufa kufumaneka kwangaphambili. Nceda uqaphele ukuba kukho ezinye izinto ezininzi ezinokuchaphazela ukufa kwabantu kubantu abaneCOPD, kwaye olu vavanyo alufezekanga. Omnye onamanqaku aphakamileyo kakhulu unokuphela kokuphila iminyaka emininzi kwaye umntu onamanqaku aphantsi angadlula kusasa. Izilingo ezinje zilungile ukwenza izibikezelo eziqhelekileyo kunye nokuvavanya amanani, kodwa azinakunikezi ngolwazi lokuqhelisela abantu ngabanye.
UkuPhulwa kweeRhafu
Uhlobo olusondeleyo lweminyaka engama-4 lokusinda lubalwa ngoko:
- 0-2 amanqaku - 80%
- 3-4 amanqaku - 67%
- 5-6 amanqaku - 57%
- 7-10 amanqaku - 18%
Izinto ozilindile emhlabane
Inkcazo yeBODE ngumlinganiselo omnye oqhelekileyo kodwa ukusinda kuyahluka ngokukhawuleza xa uthetha ngabantu ngabanye. Funda ngezinye zezinto ezichaphazela ukulinda kweCOPD kunye nento ongayenza ukuphucula ithuba lakho lokusindisa. Ukuba isifo sakho siba nzima, unokufisa ukufunda noko ungalindela nge -COPD yokugqibela .
QAPHELA: Inkcazo yeBODE ifanele isetyenziswe njengesixhobo, ngenjongo yolwazi kuphela. Akufanele ithathe indawo yeengcebiso zengcali yezempilo.
Imithombo:
Andrianopoulos, V., Wouters, E., Pinto-Plata, V. et al. Ubungakanani bokuba iPromostic Value of Variables echithwe kwiSigqeba soThathatho lweNqununu lweeMvavanyo eziMathandathu kwi-COPD: Iziphumo ezivela kwi-ECLIPSE Study. Amachiza okuphefumula . 2015. 109 (9): 1138-46.
Celli, B., Cote, C., Lareau, S., kunye noP. Meek. I-Predictors of Survival kwi-COPD: Okungekho nje i-FEV1. Amachiza okuphefumula . 2008. 102 Isondlo 1: S27-35.
de Torres, J., Casanova, C., Marin, J. et al. UkuVavanywa kwePrograms ye-COPD Izigulane: IGOLD 2011 ngokuchasene neBODE kunye neCOPD Index Comorbidity Index COTE. Thorax . 2014. 69 (9): 799-804.
Gokdeniz, T., Kalaycioglu, E., Boyaci, F. et al. I-Index yeBODE, i-Multidimensional Grading System, ibonakalisa ukungabikho kwemisebenzi ye-Ventricle Imisebenzi kwizigulane ezinezifo ezingapheliyo zokukhusela izifo: I-Speckle-Tracking Study. Ukuphefumula . 2014. 88 (3): 223-33.