DLCO dodokpɔ (Lung Diffusion Testing) dzidzea oxygen agbɔsɔsɔme si tututu toa lãkusi me yia ʋua me.

Ðe gbɔgbɔ sesẽna na wò ɣeaɖewoɣi, akɔta tena ɖe dziwò, alo kɔdzidɔ si nu metsina oa? Ne ɖɔkta gblɔ be ehiã be nàwɔ dodokpɔ aɖe atsɔ akpɔ wò lãkusi ƒe dɔwɔwɔ la, ke ɖewohĩ DLCO dodokpɔe. Eyata mina míaƒo nu tso esia ŋu egbea ko. Esia menye naneke si ŋu woavɔ̃ ɖo o, enye dodokpɔ bɔbɔe aɖe ŋutɔ.

Kpuie ko la, nukae nye DLCO dodokpɔ sia?

DLCO dodokpɔ nye dodokpɔ tɔxɛ aɖe si dzidzea alesi oxygen le zɔzɔm tso wò lãkusi me yina wò ʋu me nyuie. Ne míagblɔe tututu la, enye dodokpɔ gbogbo aɖewo siwo dzidzea lãkusi ƒe dɔwɔwɔ la dometɔ ɖeka. Ate ŋu ana wò ɖɔkta nanya alesi wò lãkusiwo le lãmesẽ me eye wowɔa dɔ nyuie.

Le dodokpɔ sia me la, wotsɔa carbon monoxide sue aɖe ŋutɔ si megblẽa nu le ame ŋu o la dea ya si nègbɔna me. Emegbe, wodzidzea carbon monoxide agbɔsɔsɔme si woxɔna tso wò lãkusi me yia wò ʋu me. Woyɔa esia be "carbon monoxide ƒe kaka ƒe ŋutete," alo DLCO kpuie.

Nukae nye ‘Kaka’? Aleke wòle vevie na mí?

Bu eŋu kpɔ, ne míele gbɔgbɔm la, ɔksidzin si le yame la gena ɖe míaƒe lãkusiwo me. Tso afima la, ɔksidzin sia yia yakotoku sue ŋutɔ (alveoli) siwo le lãkusi me la me. Ʋuka siwo le sue ŋutɔ (capillaries) siwo kaka abe ɖɔ ene la ƒo xlã yakotoku siawo.

‘Kaka’ fia alesi oxygen kakana tso yakotoku mawo me yia ʋukawo me eye wòtsaka kple ʋua. Ele abe ne wotsɔ tii kotoku de tsi dzodzoe kplu me eye tii la ƒo ɖe tsia me ene. Oxygen si tsakana kple ʋua alea zɔa mɔ toa míaƒe ŋutilã katã me eye wònaa ŋusẽ míaƒe lãmenugbagbeviwo.

Eyata alesi wotsɔa ɔksidzin sia dea ʋua me kabakaba kple alesi wòwɔa dɔ nyuie la nɔ te ɖe nu geɖe dzi:

• Ya kotoku (alveoli) siwo le wò lãkusi me ƒe akpa si le gota.
• Aleae ʋu sɔ gbɔ ɖe ʋuka suesuesue siwo ƒo xlã yakotokuawo me.
• Hemoglobin, si nye protein si tsɔa oxygen yia wò ʋu me ƒe agbɔsɔsɔme.
• Lãmetsi tsɛ si le yakotokua kple ʋukaa dome ƒe titrime.
• Ne tsi ƒo ƒu ɖe yadoƒeawo me madzemadzee.

Ne nu siawo dometɔ aɖe trɔ la, oxygen si yia ʋua me ate ŋu agblẽ. Emae nye nusi DLCO dodokpɔa le vevie na ekpɔkpɔ.

Nukatae ɖɔkta akafu DLCO dodokpɔ sia?

Susu geɖewo li siwo tae ɖɔkta ate ŋu abia tso asiwò be nàwɔ dodokpɔ sia. Na míalé ŋku ɖe susu vevi siwo tae ŋu.

Nukae dzɔna ne èwɔ dodokpɔa?

Esia le bɔbɔe ŋutɔ. Susu aɖeke meli si ta nàvɔ̃ alo atsi dzimaɖi o.

Mɔ̃ɖaŋudɔwɔla si awɔ dodokpɔa atsɔ nu sue aɖe aɖo wò ŋɔti dzi gbã. Dzudzɔ gbɔgbɔ to ŋɔti ma me. Emegbe woagblɔ na wò be nàwɔ ɖe afɔɖeɖe siawo dzi:

1. Da wò nu ɖe ​​nuƒomɔ̃ dzi:Ele be nàtsɔ wò nu ade nuƒomɔ̃ si wotsɔ do ka kple mɔ̃ aɖe me eye nàblae sesĩe ale be ya aɖeke nagado le eme o.

2. Gbɔgbɔ nyuie: Gbã la, gbɔ ya nyuie, nàgbɔ ya eye nàgbɔ ya.

3. Gbugbɔ ya sesĩe: Eyome wogblɔ na wò be nàgbɔ ya sesĩe alesi nàte ŋui.

4. Lé wò gbɔgbɔ ɖe te: Fifia ele be nàlé wò gbɔgbɔ ɖe te abe sɛkɛnd 10 ene. Esiae nye esime carbon monoxide si le gas tɔxɛ si wotsɔ tsakae me la ge ɖe wò ʋu me.

5. Gbugbɔ ya kaba: Emegbe, ele be nàgbɔ wò gbɔgbɔ katã ɖe mɔ̃a me zi ɖeka, kaba.

Mɔ̃a dzidzea carbon monoxide si susɔ ɖe ya si nègbɔna me. Tso ema dzi bua akɔnta le agbɔsɔsɔ si ge ɖe wò ʋu me ŋu. Àte ŋu agbugbɔ awɔ esia zi ɖeka alo zi eve ake be nàxlẽ nu wòade pɛpɛpɛ.

Ðe wòhiã be madzra ɖo hafi adoe kpɔa?

Ẽ, be nàkpɔ dodokpɔa me tsonu siwo de pɛpɛpɛ la, ele be nàwɔ ɖe afɔɖeɖe bɔbɔe ʋɛ aɖewo dzi. Wò ɖɔkta agblɔ nya sia na wò. Zi geɖe la, afɔɖeɖe siawoe nye:

• Ƒo asa na atamanono gaƒoƒo 4-6 do ŋgɔ na dodokpɔa.
• Ne èle oxygen kpeɖeŋutɔ zãm la, dzudzɔe aɖabaƒoƒo 10 do ŋgɔ na dodokpɔa (ne àte ŋu awɔe dedie ko hafi).
• Mègade kame vevie hafi dodokpɔa nadze egɔme o.

Aleke míase dodokpɔa me tsonu gɔmee?

Wotsɔ dodokpɔa me tsonuawo na abe alafa memamã ene. Esia gblɔa alesi gbegbe wò dzesiwo sɔ kple DLCO ƒe dzesi si wòle be wòanɔ asiwò le dzɔdzɔme nu, eye wòbua nusiwo le abe wò ƒexɔxɔ, wò kɔkɔme, kple ŋutsu alo nyɔnu nyenye ene ŋu.

Nukawoe nye susu siwo tae DLCO ƒe asixɔxɔ dzi ɖe kpɔtɔ ɖo?

DLCO ƒe xexlẽme si bɔbɔ fia be womele oxygen tso wò lãkusi me yina wò ʋu me nyuie o. Esia ate ŋu atso lãkusi alo dzidɔ aɖewo gbɔ. Le kpɔɖeŋu me:

• Sigaretnono
• Nɔnɔmewo abe COPD (Chronic Obstructive Pulmonary Disease) kple Emphysema ene
• Dɔléle siwo gblẽa nu le lãkusiwo ŋu, abe sarcoidosis ene
• Dzi kple ʋuka me dɔlélewo - le kpɔɖeŋu me, aklã me ʋu ƒe sisi (PE), aklã me ʋukawo me ʋusɔgbɔdɔ, dzi ƒe dɔmawɔmawɔ nyuie
• Ʋusɔgbɔdɔ
• Dɔlélenutsiŋutete ƒe dɔlélewo - le kpɔɖeŋu me, Lupus (SLE), Scleroderma

Ðe DLCO ƒe asixɔxɔ ate ŋu adzi ɖe edzia?

Ẽ, le go aɖewo me la, DLCO ƒe asixɔxɔ ate ŋu asɔ gbɔ wu alesi wokpɔ mɔe. Nusiwo gbɔna ate ŋu anye susu siwo tae wòle alea ɖo:

• Asrãdɔ
• Amidada
• Kamedede do ŋgɔ na dodokpɔa
• To kɔkɔwo dzi nɔnɔ
• Ʋu si le dodom le lãkusiwo me
• Ʋumedɔlélewo abe polycythemia vera ene

Ne emetsonuwo mesɔ o la, nukae nàwɔ kplɔe ɖo?

Ðo ŋku esia dzi. DLCO dodokpɔa nye nyabiasea ƒe akpa ɖeka ko. Wò ɖɔkta atsɔ dodokpɔ sia me tsonu akpe ɖe wò dzesiwo ŋu, kple aɖuɖɔtoe dodokpɔ bubuwo abe spirometry ene me tsonu be wòakpɔ dɔléle mamlɛtɔ.

Ne emetsonuwo mesɔ o la, woate ŋu abia tso asiwò be nàgawɔ dodokpɔ bubuwo, ɖewohĩ CT-dɔdamɔnu, be nànya nusi tututu gbɔ wòtso. Eyata mègavɔ̃ be yeabu emetsonuwo ɖeɖeko ŋu o. Ƒo nu tso eŋu kple wò ɖɔkta eye nàwɔ ɖe eƒe aɖaŋuɖoɖo dzi.