Bala isisindo sakho esifanele somzimba usebenzisa izindlela ezine ezihlolwe (Devine, Robinson, Miller, Hamwi). Thola isikhewu sesisindo esiphilile sobude bakho nubulili.
68.7 – 72 kg
Isikhewu Sasisindo Esifanele
Kubuyekezwe kokugcina:
Isisindo Somzimba Esifanele
Isisindo Somzimba Esifanele (IBW) yihlobo lasisindo esilinganisiwe elihlobene nemiphumela emihle yezempilo kwi-ubude nobulili obukhethiwe. Ngokungafani ne-BMI, amafomula e-IBW alinganisa isisindo lapho umzimba usebenza ngokuphelele — nalapho idatha ye-clinical ikhombisa ukunciphiseka kwengozi yesifo sangesikhathi eside. Lawa mafomula asetshenziswa kakhulu ezibhedlela ukubala izimiselo zemishanguzo, izilungiselelo ze-ventilator, nezidingo zokondla.
Lesi sibali sisebenzisa amafomula amane asekelwe ubufakazi: Devine (1974) — elishiwo kakhulu ekusebenzeni kwe-clinical; Robinson (1983) — elisetshenziswa ku-North American nutrition protocols; Miller (1983) — livame ukukhiqiza izilinganiso eziphansi kakhulu; Hamwi (1964) — livame ukukhiqiza izilinganiso eziphakeme kakhulu.
Amafomula Amane
Devine (1974) — 50 kg (owesilisa) noma 45.5 kg (owesifazane) + 2.3 / 2.2 kg nge-inch engaphezu kwesinqe esilingana nezinyawo ezihlanu. Umgomo wamazwe wonke wokudosa imishanguzo nezibalo ze-mechanical ventilation.
Robinson (1983) — i-52 kg yomsuka kwabesilisa, ukwenyuka okuncane nge-inch. Kuvamile ku-clinical nutrition. Miller (1983) — i-56.2 kg yomsuka, ukwenyuka okuncane kakhulu nge-inch, izilinganiso eziphansi kakhulu. Hamwi (1964) — i-48 kg yomsuka + 2.7 kg/inch, izilinganiso eziphakeme kakhulu phakathi kwezine.
I-BMI Ngokuqhathaniswa ne-IBW
Ihlobo le-BMI elimaphilile (18.5–24.9) liguqulwa ngqo lifinyelele ihlobo lasisindo ngoluphi ubude. Kowesilisa wama-175 cm, lokhu kulingana cishe i-57–76 kg. Amafomula e-IBW ngokuvamile awa phakathi naleli hlobo, nakuba angahluka ngama-kilogramu ambalwa.
Umehluko osemqoka: amafomula e-IBW avela idatha ye-actuarial ne-clinical futhi abheka ubulili ngokucacile. I-BMI iyimathematikha nje futhi ayibheki ubulili. Ezilungiselweni ze-clinical, i-IBW ikhangelelwe ekudoseni izidakamizwa; i-BMI yokuhlunga kwezempilo ezingeni labantu.
Amaqiniso Abalulekile
Ubuningi bemisipha
Abasubathi bavame ukweqa i-IBW kuyilapho benamafutha aphansi omzimba - amafomula awabali ukwakheka komzimba.
Ubudala
Abantu abadala asebekhulile bangase babe nezisindo ezifanele ezihlukene ngenxa yoshintsho lwesisindo somzimba kanye nokuminyana kwamathambo.
Ubude bungaphansi kwamafidi angu-5
Wonke amafomula amane agunyazwe kubantu abadala abade kuno-152.4 cm futhi angase angathembeki kubantu abafushane.
Ukuhluka komuntu ngamunye
Impilo ithonywa izakhi zofuzo, indlela yokuphila, nezinga lokufaneleka - hhayi isisindo kuphela.
10% ukubekezelelana
Odokotela abaningi babheka isisindo esingaphakathi kwe-10% ye-IBW njengokwamukeleka ngokomtholampilo.
Sebenzisa njengendawo yokuqala
I-IBW iwuhlu lwereferensi yezibalo — isiqalo sengxoxo nodokotela, hhayi into eqinile yomuntu siqu.
Akukho ndlela eyodwa eyona 'enembe' ngokujwayelekile — yonke yakhiwe ngenhloso ethile yokulapha. Indlela ye-Devine isetshenziswa kakhulu emunyango wezokwelapha ekuhlawuleni izidakamizwa. Ukuze ulinganise ngokujwayelekile, umverage wazo zonke izindlela ezine (ukhombiswa njengeISikhewu Sasisindo Esifanele) indlela eyalinganisiwe kakhulu.
Ukuba ngaphezulu kwasisindo sakho esifanele akusho ngokuzenzakalelayo impilo embi. Umkhokha wamasimu, isakhiwo somzimba, iminyaka, nobuzwe bonke bathinta isisindo esifanele. Abahlinzeki ngokuvamile bacabanga isisindo ngaphakathi kwe-10–20% sasisindo esifanele njengokwemukelekayo. Gcina amehlo ekwakhiweni komzimba nezimpawu zempilo esikhundleni sokufuna inombolo eqondile.
Cha — zonke izindlela ezine (Devine, Robinson, Miller, Hamwi) zihlolwe kubantu abadala kuphela. Kwezingane nasebusheni, sebenzisa amagrafu ukukhula ageliwe iminyaka nangobulili kusuka kumpetha wakho noma iziqondiso zezwe zezempilo.
Zihlangana kodwa azifani. Isikhewu se-BMI esiphilile (18.5–24.9) sinikeza isikhewu sesisindo esibanzi ngokusekelwa ngobude kuphela, kuyilapho izindlela zasisindo esifanele ziphinda zibheke ubulili zabalwa kusukela kudatha yemiphumela yezokwelapha. Izindlela zasisindo esifanele ngokuvamile zihlala ngaphakathi kwesikhewu se-BMI-esiphilile kodwa zingahluka nge-2–5 kg.
Isisindo esifanele somzimba sisetshenziswa ukubala amalinganiso ezidakamizwa (ikakhulukazi kwizidakamizwa ezingasabalali ezimweni zamafulethi), ukubeka amavelo e-ventilator ku-ICU iziqu, kanye nokulinganisa izidingo zokukhanya. Ukusebenzisa isisindo sangempela salezo zibalwa kwiziguli ezinesikhodi singaholela ekwedluliseni amalinganiso.