Izwi reBODE ndiro chigadzirwa chinoshandiswa nevashandi vezvoutano kuti vafanotaura kufa kwehuwandu (kufa kwechirwere) kubva kune chirwere chisingaperi chinoparadza zvirwere (COPD). Kushandisa nheyo dzinobva pamatanho mana akasiyana emapapu ekushanda, chikamu cheBODE chinotaurira kuti munhu achagara kwenguva yakareba sei mushure mekuongororwa kweCOPD.
The 4 Factors mu Index BODE
Zvinhu zvina zvakasiyana zvinoongororwa sechikamu chendaneti yeBODE.
Chikonzero cherondedzero iyi ndechekuti chimwe nechimwe chezvinhu izvi chinogona kuita chimwe chirevo pamusoro pekufananidzira kweCOPD, asi yakawedzerwa pamwe kufanotaura kwakarurama. Tsamba idzi dzinomiririra:
- B - BMI - BMI inomiririra huwandu hwemuviri, chiyero chakaitwa nekuenzanisa urefu hwekukura kwehutano.
- O - Kupindira kweMhepo - Kuvhara kwemhepo kunotaridzirwa nekuongorora FEV1 - chiyero chemweya chinogona kubudiswa nesimba mumushure wechipiri mushure mekufema kwakadzika.
- D - Dyspnea - Dyspnea inoreva kuwedzerwa kwekufema mumwe munhu anowanikwa paanogara naCOPD.
- E - Kuedza kushivirira - Kuedza kudzidzira kunongedzera kuti vamwe vanoita sei pamutambo wemaminitsi matanhatu.
Ngatitarise chimwe nechimwe chezviyero izvi zvakasiyana, uye wozviisa pamwe pakuyera nhamba yeBODE.
B - Muviri Misa Index
BMI chiyero chinoitwa nekuenzanisa urefu mumamita nekurema mu kilogiramu. Kune zviyero zvekutarisa BMI, pamwe nematafura BMI inotarisirwa kuti kuwandisa kwehuwandu hwehuwandu hwevanhu kana kuderedza muviri kune munhu chii.
NeCOPD, kuva pasi pekushaya simba kana kudyiwa zvisina kusimbisa chiratidzo chisina kunaka apo chinosvika pakufungidzira.
O - Kuvharwa Kwemhepo
FEV1 (kumanikidzirwa kuporesa ivheti pa1 seconds) chiyero chehuwandu hwemweya unogona kubudiswa nesimba mumutsara wekutanga. FVC inomiririra kukamanikidzwa kunokosha, iyo ndiyo yakawanda yemhepo inogona kubudiswa zvachose mushure mokufema kwakadzika.
Chiyero cheFiV1 / FVC , naizvozvo, chinomiririra chikamu chezana chemhepo yose inokwanisa kubudiswa mukati mechikamu chekutanga pamusoro pemhepo yose inogona kubudiswa. Kazhinji izvi zviyero zvakapoteredza 1, izvo zvinoreva kuti tinodzinga huwandu hwemhepo mugore rekutanga rekuzununguka. Kana paine kuvhara mumhepo inoenda kunononoka kana kudzivirira kubuda kwekukurumidza kwemhepo, chiyero chinoderera.
D - Dyspnea
Dyspnea ndiro izwi rinoreva kunzwa kwepfungwa yekufema kwepfupi kana kufema. Vanachiremba vanogona kusiyanisa kubva pane izvo mumwe munhu angada kuti aite - anoshanda sei - vasati vapera kufema. Pakutanga, munhu anogona kungofema kana achifamba makiromita mashanu. Gare gare, muCOPD munhu angaona kufema uye chero kufamba kwose. Chiratidzo che dyspnea hachibvumirwi nechiyero chinonzi modified MRC Dyspnea Index . Muchiyero ichi, kufema kunotariswa pamwero we 0 kusvika ku4:
- MMRC 0 - Kufuridzirwa nekutangisa muviri chete
- MMRC 1 - Mhepo inopfurikidza kana ichikurumidza kusvika kumazinga kana kufamba pamusoro pegomo shoma
- MMRC 2 - Kupera kufema panzvimbo yepamusoro uye zvichida kumira mukati-kati nekuzorora kuzorora nekuda kwekufema (uye inofamba zvishoma kupfuura vamwe vanhu vezera ravo)
- MMRC 3 - Kupfupika uye kumira shure kwekufamba anenge mamita zana kana mushure memaminitsi mashomanana (kunyange zvazvo uchifamba pachedu pachedu)
- MMRC 4 - Kunyanya kufema kubuda mumba kana kufema kana ukapfeka
E-Kuedza Kutsungirira
Kudzidzira kushivirira kunoreva kuti mumwe munhu anoshingaira anogona sei kuva nemitemo inoratidzwa nemapapu avo. Muedzo unonzi 6-minute test test inoshandiswa kuwana kukosha kwehuwandu hweBODE.
Maitiro uye Ranges
Izvo zvinotevera ndezviya zvinogona kugoverwa kusarudza index BODE. Cherechedza kuti zvikwangwani zvinogona kubva kune 0 kusvika ku10 zvizere zvichienderana nekuti izvi zvinowedzera sei.
B - Mutumbi Misa Index Mazano
- 0 nhamba ye BMI inopfuura 21
- 1 pfungwa ye BMI pasi pe21
O - Maitiro Ekudzimiswa Kwemhepo
- 0 inoratidza imwe FEV1 inopfuura 64%
- 1 pfungwa ye FEV1 ye50-64%
- 2 inotaura ye FEV1 ye 36-49%
- 3 inotaura ye FEV1 yepasi pe 36%
D - Dyspnea Values
- 0 inoratidza dyspnea index ye 0-1
- 1 pfungwa ye dyspnea index ye 2
- 2 inoratidza dyspnea index ye 3
- 3 inoratidza dyspnea index ye 4-5
E-Kuedza Kuita Maonero Okuteerera
- 0 nhope kana akakwanisa kufamba kupfuura mamita 349
- 1 pfungwa kana akakwanisa kufamba 250-249 mamita
- 2 inoratidza kana yakakwanisa kufamba 150-249 mamita
- 3 inotaura kana yakakwanisa kufamba 150 mamita kana pasi
| Variable | Points on BODE Index | |||
| 0 | 1 | 2 | 3 | |
| FEV1 (% yakafanotaurwa) | ≥65 | 50-64 | 36-49 | ≤35 |
| 6-Minute Walk Test (mamita) | ≥350 | 250-349 | 150-249 | ≤149 |
| MMRC Dyspnea Scale | 0-1 | 2 | 3 | 4 |
| Mutumbi Mass Index | > 21 | ≤21 | ||
Kufanotaura kufa
Mushure mekutora index yeBODE, kufa kunogona kufanotaurwa. Ndapota cherechedza kuti pane zvimwe zvinhu zvakawanda zvinogona kukanganisa kufa kune vanhu vane COPD, uye iyi miedzo haina kukwana. Mumwe munhu ane purogiramu yakakwirira aigona kupedzisira apedza makore makumi maviri uye mumwe munhu ane puropu shoma angapfuura mangwana. Miedzo yakaita seyiyo yakanaka pakugadzira huwandu hwezvakaitika uye kuongorora nhamba, asi hazvirevi kupa ruzivo rwekufananidzira kune vamwe vanhu.
Survival Rates
Inenge makore mana ekupona kwemazana anobva averengwa se:
- 0-2 points - 80%
- 3-4 pfungwa - 67%
- 5-6 inotaura - 57%
- 7-10 pfungwa - 18%
Makore ekurarama
Izwi reBODE nderimwe ruzivo rwehuwandu asi hupenyu hunosiyana zvikuru kana uchitaura pamusoro pevanhu. Dzidza pamusoro pezvimwe zvezvinhu zvinokonzera kutarisira kweCOPD pamwe chete nezvaunogona kuita kuti uwedzere nguva yako yega yekupona. Kana chirwere chako chichiwedzera, iwe unogona kuda kudzidza zvakare pamusoro pezvaunogona kutarisira nemagumo ekupedzisira COPD .
Cherechedzai: Indekisi yeBODE inoshandiswa kushandiswa sechishandiso, nokuda kwechinangwa chekuziva chete. Hazvifananidzi kutora mazano ehutano wehutano.
Sources:
Andrianopoulos, V., Wouters, E., Pinto-Plata, V. et al. Chirevo chekufananidzira kwezvinhu zvakasiyana-siyana Zvakatorwa Mutsara Wechitanhatu Kufamba Muedzo Muvarwere NaCOPD: Zviwanikwa Kubva kuC ECIPSE Yokudzidza. Respiratory Medicine . 2015. 109 (9): 1138-46.
Celli, B., Cote, C., Lareau, S., uye P. Meek. Predictors of Survival muCOPD: Handizi Chete FEV1. Respiratory Medicine . 2008. 102 Kubatsira 1: S27-35.
de Torres, J., Casanova, C., Marin, J. et al. Kujekesa Kuongorora kweCOPD Varwere: GOLD 2011 Kusiyana neBODE uye COPD Comorbidity Index COTE. Thorax . 2014. 69 (9): 799-804.
Gokdeniz, T., Kalaycioglu, E., Boyaci, F. et al. Nhamba yeBODE, A Multidimensional Grading System, Inoratidza Kuora Kwemabasa Ekubwinya Kwevashandi Muvarwere Vane Zvirwere Zvisingagadziriswi Pulmonary Disease: A Speckle-Tracking Study. Kuremekedza . 2014. 88 (3): 223-33.