Index ea BODE ke sesebelisoa se sebelisoang ke litsebi tsa bophelo bo botle ho bolela esale pele hore tekanyo ea batho ba shoang (tekanyo ea lefu) ho tsoa ho lefu le sa foleng la boloetse ba kankere (COPD). Ho sebelisa lintlha tse thehiloeng mehatong e mene e fapaneng ea tšebetso ea matšoafo, palo ea BODE e bolela esale pele hore na motho o tla phela halelele hakae ka mor'a hore a fumanoe ke COPD.
Lintlha tse 4 ho Index ea BODE
Lintlha tse 'nè li hlahlojoa e le karolo ea index ea BODE.
Lebaka la lengolo lena ke hore ntlha e 'ngoe le e' ngoe ea lintlha tsena e ka etsa hore ho boleloe esale pele ka ho phatloha ha COPD, empa e kenyelelitsoe hammoho boprofeta bo nepahetse. Mangolo a eme bakeng sa:
- B - BMI - BMI e emela palo ea 'mele, palo e entsoeng ka ho bapisa bolelele ba boima ba' mele.
- O - Tšitiso ea lifofane - Ho thibela lifofane ho lekanyetsoa ka ho hlahloba FEV1 - boholo ba moea o ka fetolang ka matla ka motsotsoana o 1 ka mor'a phefumoloho e tebileng.
- D - Dyspnea - Dyspnea e bua ka tekanyo ea ho hema motho ea nang le phihlelo ha a ntse a lula le COPD.
- E - Mamello ea ho ikoetlisa - Ho hlahloba ho ikoetlisa ho bolela hore na ba bang ba etsa joang tekong ea ho tsamaea ka metsotso e 6.
A re ke re talimeng litekanyo tsena ka bomong, ebe re li beha hammoho ho lekanya lintlha tsa BODE.
B - Boima ba 'Mele oa' Mele
BMI ke palo e entsoeng ka ho bapisa bophahamo ba limithara ka boima ba lik'hilograma. Ho na le li-calculator bakeng sa ho khetholla BMI, hammoho le litafole tsa BMI ke tekanyo ea hore na ho feta boima ba 'mele kapa boima ba' mele ho motho joang.
Le COPD, ho ba le boima ba 'mele kapa ho se fepe hantle ke letšoao le futsanehileng ha ho tluoa tabeng ea ho fokola.
O - Tloho ea Tsela ea Tsela ea Moea
FEV1 (mohala o qobelloang ka matla ka motsotsoana o 1) ke tekanyo ea moea o ka phethoang ka matla ka motsotso o le mong. FVC e emela matla a qobelloang a qobelloang, e leng tekanyo ea moea e ka phethoang ka ho feletseng kamora ho hema ho tebileng.
Ka kakaretso karolelano ea FEV1 / FVC e emela karolo ea lekholo ea moea o ka phethoang ka metsotso e le 'ngoe holim' a moea oohle o khonang ho tima. Ka karolelano karolelano ena e pota-pota 1, e bolelang hore re tlosa moea o mongata ka metsotsoana ea pele ea pululo. Haeba ho e-na le tšitiso ha lifofane li fokola kapa li thibela moea ona o potlakileng oa moea, karolelano ea fokotseha.
D - Dyspnea
Dyspnea ke lentsoe le bolelang boikutlo ba tlhaho ea phefumoloho e khutšoanyane kapa ho hema. Lingaka li ka 'na tsa khetholla ho latela seo motho a ka' nang a hloka ho se etsa-hore na li sebetsa hakae - pele li haelloa ke phefumoloho. Qalong motho a ka 'na a khathala ha a tsamaea lik'hilomithara tse 5. Hamorao, ho COPD motho a ka 'na a hlokomela ho hema ka tsela efe kapa efe ho hang. Matšoao a dyspnea a hanyetsanoa ke tekanyo e bitsoang phetolelo ea MRC Dyspnea Index . Ka tekanyo ena, ho hema ho lekanyetsoa ka tekanyo ea 0 ho isa ho 4:
- MMRC 0 - Ho tsuba ka ho ikoetlisa ka thata
- MMRC 1 - Ho fokotsa nako ha u potlakisa holimo kapa ho tsamaea leralleng le lenyenyane
- MMRC 2 - Ho phefumoloha moeeng le ho hloka ho emisa intermittently ho phomola ka lebaka la ho hema moea (le ho tsamaea butle ho feta batho ba bang ba lilemo tsa bona)
- MMRC 3 - Ho fokotsa nako le ho emisa kamora ho tsamaea ka limithara tse 100 kapa ka mor'a metsotso e seng mekae (le hoja u tsamaea ka lebelo la hau)
- MMRC 4 - Ho tsuba haholo ho tsoa ntlo kapa ho hema ha u apara
E - Mamello ea ho ikoetlisa
Ho mamella ho ba le maikutlo ho bolela kamoo motho ea sebetsang a khonang ho ba le lithibelo tse behiloeng ke mafu a matšoafo. Teko e bitsoang teko ea metsotso e 6 ea ho tsamaea e sebelisoa ho fumana bohlokoa ba index ea BODE.
Melao le Melao
Litekanyetso tse latelang ke tse ka fuoang ho khetholla lintlha tsa BODE. Hlokomela hore lintlha li ka fapana ho tloha ho 0 ho isa ho 10 ho ea ka hore na li eketsa joang.
B - Boitsebiso bo Botle ba 'Mele oa' Mele
- 0 lintlha tsa BMI tse fetang 21
- 1 ntlha ea BMI tlase ho 21
O - Melao ea Boitšoaro ba ho Khaotsa Tlhaselo ea Moea
- 0 lintlha tsa FEV1 tse fetang 64%
- 1 ntlha ea FEV1 ea 50-64%
- 2 lintlha tsa FEV1 ea 36-49%
- 3 lintlha tsa FEV1 tse ka tlaase ho 36%
D - Dyspnea Melao
- 0 lintlha tsa index ea dyspnea ea 0-1
- 1 ntlha ea index ea dyspnea ea 2
- 2 lintlha tsa index ea 3 ea dyspnea
- 3 lintlha tsa index ea dyspnea ea 4-5
E - Melao ea ho mamella ho ikoetlisa
- 0 ntlha haeba e khona ho tsamaea ka limithara tse 349
- 1 ntlha haeba e khona ho tsamaea 250-249 limithara
- 2 e supa haeba e khona ho tsamaea ka 150-249 metres
- Lintlha tse 3 haeba li khona ho tsamaea ka limithara tse 150 kapa ka tlase
| E ka fetoha | Lintlha tsa Index ea BODE | |||
| 0 | 1 | 2 | 3 | |
| FEV1 (% e boletse esale pele) | ≥65 | 50-64 | 36-49 | ≤35 |
| Teko ea ho tsamaea ka metsotso e 6 (metso) | ≥350 | 250-349 | 150-249 | ≤149 |
| MMRC Dyspnea Scale | 0-1 | 2 | 3 | 4 |
| Index ea 'Mele ea' mele | > 21 | ≤21 | ||
Ho bolela esale pele ka lefu
Ka mor'a hore u fumane index ea BODE, lefu le ka boleloa esale pele. Ka kopo hlokomela hore ho na le lintlha tse ling tse ngata tse ka amang batho ba nang le COPD, 'me teko ena ha e phethahale. Motho ea nang le lintlha tse phahameng a ka qetella a phela lilemo tse mashome 'me motho ea nang le lintlha tse tlaase a ka feta hosasane. Liteko tse kang tsena li molemo bakeng sa ho etsa liketsahalo tse tloaelehileng le ho hlahloba lipalo-palo, empa ha ho joalo hore li fane ka boitsebiso ba pele ho batho ka bomong.
Litšenyehelo tsa ho pholoha
Litefiso tse ka bang lilemo tse 4 tsa ho pholoha li baloa ka nako e le:
- 0-2 lintlha - 80%
- Lintlha tse 3-4 - 67%
- 5-6 lintlha - 57%
- Lintlha tse 7-10 - 18%
Bophelo bo lebeletseng Bophelo
Index ea BODE ke tekanyo e lekaneng ea tlhaho empa ho phela ho fapana haholo ha ho buuoa ka batho ka bomong. Ithute ka tse ling tsa mabaka a susumetsang nako ea tebello ea COPD hammoho le seo u ka se etsang ho ntlafatsa monyetla oa hau oa ho phela. Haeba lefu la hao le ntse le mpefala, o ka rata ho ithuta hantle ka seo u ka se lebellang ka COPD ea bofelo .
TLHOMO: Index ea BODE e reretsoe ho sebelisoa e le sesebelisoa, bakeng sa merero feela. Ha ea lokela ho nka sebaka sa keletso ea setsebi sa tlhokomelo ea bophelo.
Lisebelisoa:
Andrianopoulos, V., Wouters, E., Pinto-Plata, V. le al. Boikarabello ba Mefuta-futa e Nkiloeng ho Metsotso e Tšeletseng Tlhahlobo ea Tsamaea Bakeng sa bakuli ba nang le COPD: Liphello ho tswa ho Thuto ea ECLIPSE. Meriana ea ho hema . 2015. 109 (9): 1138-46.
Celli, B., Cote, C., Lareau, S., le P. Meek. Li-Predictors of Survival ka COPD: Hase feela Fev1. Meriana ea ho hema . 2008. 102 Tlatsetso ea 1: S27-35.
de Torres, J., Casanova, C., Marin, J. le al. Tlhahlobo ea boipiletso ea bakuli ba COPD: GOLD 2011 khahlanong le BODE le COPD Comorbidity Index COTE. Thorax . 2014. 69 (9): 799-804.
Gokdeniz, T., Kalaycioglu, E., Boyaci, F. le al. Index ea BODE, A Multidimensional Grading System, e Bontša ho Hlokahala ha Mesebetsi e Nepahetseng ea Li-ventricle ho bakuli ba nang le mafu a sa foleng a ho thibela mafu a sefuba: Thuto ea ho Etsa Lintho ka Tsela e sa Tšoaneng. Ho hema . 2014. 88 (3): 223-33.