Inkomba yeBODE iyithuluzi elisetshenziselwa ochwepheshe bezempilo ukubikezela izinga lokufa (izinga lokufa) kusuka elesifo esingenasifo se-pulmonary chronic obstructive (COPD). Ukusebenzisa amaphuzu asekelwe ezinyathweni ezihlukene ze-lung function, i-BODE score yenza isichasiso ngokuthi umuntu uzohlala isikhathi eside kangakanani ngemuva kokuxilongwa kwe-COPD.
Izinto ezi-4 ku-Index BODE
Izici ezine ezihlukene zihlolwe njengengxenye ye-BODE index.
Isizathu sale nkomba siwukuthi ngasinye salezi zici singenza ukubikezela okuthile mayelana nokubikezelwa kwe-COPD, kodwa kwanezelwa ndawonye ukubikezela kunembile kakhulu. Izinhlamvu zimele:
- B - BMI - BMI imele inkomba yomzimba, isibalo esenziwe ngokuqhathanisa ukuphakama kwesisindo.
- O - Ukuvinjelwa kwe-Airway - Ukuvinjelwa kwe-Airway kulinganiswa ngokuhlola i- FEV1 - inani lemimoya engakwazi ukukhipha ngamandla ngesigamu esingu-1 ngemuva kokuphefumula okujulile.
- D - Dyspnea - Dyspnea ibhekisela kwisilinganiso sokuphefumula umuntu ohlangenwe nakho ngenkathi ehlala neCOPD.
- E - Ukubekezelelana nokuzivocavoca - Ukuhlolwa kokuzivocavoca kubhekisela endleleni abanye abaqhuba kahle ngayo ekuvivinyeni kwamaminithi angu-6.
Ake sibheke ngayinye yalezi zinyathelo ngokwehlukana, bese uzibeka ndawonye ekulinganiseni inkomba ye-BODE.
B - I-Mass Mass Index
I-BMI yibalo elenziwe ngokuqhathanisa ukuphakama kwamamitha ngokwesisindo ngama-kilogram. Kukhona izibalo zokunquma i-BMI, kanye namatafula e-BMI ukulinganisa ukuthi ukwedlula ngokweqile noma ukukhululeka kwesisindo somuntu kungakanani.
Nge-COPD, ukungaphansi kwesisindo noma ukungondleki kuyisibonakaliso esibi uma kuziwa ukubikezelwa.
O - Ukuvinjelwa Kwe-Airway
I-FEV1 (ivolumu yokuphefumula okuphoqelelwe ngomzuzwana ongu-1) isilinganiso senani lomoya elingakhutshwa ngamandla kowesibili. I-FVC imelela amandla okuphoqeleka okuphoqelekile, okungukuthi inani lomoya elingadluliselwa ngokuphelele ngemva kokuphefumula okukhulu.
Ngakho-ke inani le- FEV1 / FVC , limelela ukuthi amaphesenti emoyeni ophelele ongagudluzwa ngomzuzwana owodwa phezu kwayo yonke umoya engagudluzwa. Ngokuvamile lesi sinani siseduze no-1, okusho ukuthi siphumelela iningi lomoya emoyeni wokuqala we-exhalation. Uma kunokuvinjelwa emoyeni we-airways ukunciphisa noma ukuvimbela lo moya ophuthumayo womoya, isilinganiso sinciphisa.
D - Dyspnea
I-Dyspnea yigama elibhekisela ekuzweleni ngokomzimba kokuphefumula noma ukuphefumula. Odokotela bangase bahlukanise ngokusekelwe kulokho okumele umuntu akudinge ukukwenza-ukuthi bayasebenza kanjani - ngaphambi kokuphefumula. Ekuqaleni, umuntu angaphefumula kuphela uma ehamba ngamamayela angu-5. Kamuva, ku-COPD umuntu angase abone ukuphefumula nganoma yikuphi ukunyakaza nhlobo. Isibonakaliso se-dyspnea siphambene nesilinganiso esibizwa ngokuthi i- modified MRC Dyspnea Index . Kulesi silinganiso, ukuphefumula kubalwa ngesilinganiso se-0 kuya ku-4:
- I-MMRC 0 - Ukuphefumula ngokuzivocavoca kuphela
- I-MMRC 1 - Ukuphefumula okusheshayo lapho ushesha ngezinga noma uhamba ngezintaba
- I-MMRC 2 - Ukuphefumula okwesikhashana emgqineni wezinga futhi okudingekile ukuyeka ukuzulazula ukuze kuphumule ngenxa yokuphefumula (futhi uhamba kancane kunezinye abantu abaneminyaka yobudala)
- I-MMRC 3 - Ukuphefumula nokuyeka ukuhamba ngemva kokuhamba ngamamitha angaba ngu-100 noma ngemva kwemizuzu embalwa (nakuba uhamba ngezinyawo)
- I-MMRC 4 - Ukuphefumula ukuphuma endlini noma ukuphefumula uma ugqoka
E - Ukubekezelela Ukuzivocavoca
Ukubekezelelana ngokweqile kubhekisela endleleni umuntu osebenzayo akwazi ngayo ukuba nemikhawulo evezwe yisifo samaphaphu. Isivivinyo esibizwa ngokuthi ukuhlolwa kokuhamba ngezinyanga ezingu-6 sisetshenziselwa ukuthola inani le-BODE index.
Amanani namaRang
Amanani alandelayo yilawo angabelwa ukunquma inkomba ye-BODE. Qaphela ukuthi amaphuzu angabalwa ukusuka ku-0 kuya ku-10 inani kuye ngokuthi lezi zengeze kanjani.
B - I-Mass Mass Index Izindinganiso
- Amaphuzu angu-0 we-BMI enkulu kuno-21
- Iphuzu elilodwa le-BMI ngaphansi kuka-21
O - Izimiso Zokuvinjelwa Kwe-Airway
- Amaphoyinti angu-0 we-FEV1 ngaphezulu kuka-64%
- Iphuzu eli-1 le-FEV1 yama-50-64%
- Amaphoyinti amabili we-FEV1 ka-36-49%
- Amaphuzu angu-3 we-FEV1 angaphansi kuka-36%
D - i-Dyspnea Values
- Amaphoyinti angu-0 we-index ye-dyspnea ye-0-1
- Iphuzu eli-1 lenkomba ye-dyspnea ye-2
- Amaphoyinti amabili we-index ye-dyspnea ye-3
- Amaphuzu angu-3 we-index ye-dyspnea ye-4-5
E-Ukuzivocavoca Ukulinganisa Amanani
- Iphuzu eli-0 uma likwazi ukuhamba ngamamitha angu-349
- Iphuzu elingu-1 uma likwazi ukuhamba ngamamitha angu-250-249
- Amaphoyinti angu-2 uma ekwazi ukuhamba ngamamitha angu-150-249
- Amaphoyinti angu-3 uma ekwazi ukuhamba ngamamitha angu-150 noma ngaphansi
| Kuyahluka | Amaphuzu kwi-BODE Index | |||
| 0 | 1 | 2 | 3 | |
| I-FEV1 (% ibikezelwe) | ≥65 | 50-64 | 36-49 | ≤35 |
| Ukuhlolwa kokuhamba kwe-6-Minute (amamitha) | ≥350 | 250-349 | 150-249 | ≤149 |
| I-MMRC Dyspnea Scale | 0-1 | 2 | 3 | 4 |
| I-Mass Mass Index | > 21 | ≤21 | ||
Ukubikezela Ukufa
Ngemuva kokuthola inkomba ye-BODE, ukufa kungabikezelwa. Sicela uqaphele ukuthi kunezinye izici eziningi ezingathinta ukufa kubantu abano-COPD, futhi lokhu kuhlolwa akuphelele. Umuntu ophethe amaphuzu aphakeme kakhulu angaqeda ukuhlala amashumi eminyaka futhi umuntu onamaphuzu aphansi angadlula kusasa. Izivivinyo ezinjengalezi zenza ukubikezela okujwayelekile futhi zihlolisise izibalo, kodwa azihlinzeki ngolwazi lokubikezela kubantu ngabanye.
Amanani Okusinda
Izinga lokusinda iminyaka engaba ngu-4 libalwe ngokuthi:
- 0-2 amaphuzu - 80%
- 3-4 amaphuzu - 67%
- Amaphuzu angu-5-6 - 57%
- 7-10 amaphuzu - 18%
Ukulindela Ukuphila
Inkomba yeBODE yinye isilinganiso esenziwe jikelele kodwa ukusinda kuyahlukahluka kakhulu lapho ukhuluma ngabantu ngabanye. Funda ngezinye zezici ezithinta ukulindela kwe-COPD kanye nalokho ongakwenza ukuze uthuthukise ithuba lakho lokusinda. Uma isifo sakho siba sibi kakhulu, ungase ufise ukufunda ukuthi yini ongayilindela nge -COPD yokugcina .
QAPHELA: I-Index ye-BOD isetshenziselwa ukusetshenziswa njengethuluzi, ngenjongo yokwaziswa kuphela. Akufanele kushintshe izeluleko zomsebenzi wezempilo.
Imithombo:
Andrianopoulos, V., Wouters, E., Pinto-Plata, V. et al. Inani Lokubikezelwa Kwezinto Eziguquguqukayo Ezivela Esivivinyweni Sokuhamba Ngama-Six Minute Ukugula Ezigulini Nge-COPD: Imiphumela Evela ku-ECLIPSE Study. Imithi yokuphefumula . 2015. 109 (9): 1138-46.
Celli, B., Cote, C., Lareau, S., noP. Meek. Izibikezelo zokusinda ku-COPD: Okungaphezu nje kwe-FEV1. Imithi yokuphefumula . 2008. 102 Ukusekela 1: S27-35.
de Torres, J., Casanova, C., Marin, J. et al. Ukuhlaziywa kwe-Prognostic yeziguli ze-COPD: IGOLD 2011 Versus BODE kanye ne-COPD Comorbidity Index COTE. I-Thorax . 2014. 69 (9): 799-804.
Gokdeniz, T., Kalaycioglu, E., Boyaci, F. et al. I-Index ye-BODE, i-Multidimensional Grading System, ibonisa ukungasebenzi kwemisebenzi efanele ye-ventricle ezigulini ezinezifo ezingavamile zokuvimbela izifo: i-Speckle-Tracking Study. Ukuphefumula . 2014. 88 (3): 223-33.