A châng chuan thawk harsa i nei em, i rilru a na a, i thawk hah a, i khuh reng bawk em? Heng symptoms te hi i neih chuan i doctor chuan i lung a thawk tha em tih enfiah turin a rawt thei ang. Chutiang huna test tih tlanglawn leh pawimawh ber pakhat chu spirometry an ti a. A hming hi thil lian tak angin lang mah se, a takah chuan test awlsam tak leh hrehawm lo tak a ni.
A awlsam zawngin, Spirometry hi eng nge ni?
Car engine chakna check ang maiin han ngaihtuah teh. Spirometry hi i lungphu "power" leh hnathawh dan tehna test a ni. Tin, `Pulmonary Function Test` (PFT) emaw `Lung Function Test` emaw an ti bawk.
He test hian thil pahnih a teh ber a:
1. Vawi khatah i lung chhunga boruak engzat nge i luh leh chhuah theih.
2. I lung atanga boruak i chhuah chak dan.
He thu hian i doctor chu i lung a hrisel em tih leh a thawk tha em tih te, chak lohna emaw natna emaw a awm em tih te, a tlangpuiin a hriat theih nan a pui ang.
Engvangin nge he Spirometry test hi a pawimawh em em?
Doctor-in he test hi a order theih chhan tam tak a awm. A bulpui berte chu:
- Thluak lam natna hriatchhuah: Hei hian i natna lan chhuah chhan dik tak hriat theih nan a pui a ni. He test hi a bik takin asthma , COPD (Chronic Obstructive Pulmonary Disease) , leh Pulmonary Fibrosis ang chi natna hriat theihna atan a pawimawh hle.
- I lung capacity teh rawh: Hei hian i lungin boruak a vawn theih zat tam ber a hrilh ang che.
- Natna dinhmun enfiah: Hun rei tak chhunga thawkna lama natna i neih tawh chuan he test hi a hun takah tih thin a ni a, hun kal zelah a danglam em tih te, i dinhmun a tha lehzual em tih hriat nan.
- Enkawlna hlawhtlinna enfiah: Hei hian damdawi i pek, inhaler ang chi te hian i thawkna kawng a hawng em tih leh enkawlna chu a hlawhtling em tih hriat chian nan a pui a ni.
- Thlawhna kawng a tawi em tih enfiah: Hei hian i thawkna kawng a zim emaw, a khar emaw a awm leh awm loh a hriat theih nan a pui ang che.
- Surgery hmaa risk tehna: He test hi a chang chuan major surgery hmain anesthesia neih lai emaw, anesthesia hnua thawk lama harsatna awm thei tur tehna atan an ti thin.
Eng ang symptoms nge doctor chuan he test hi a order ang?
A hnuaia symptom pakhat emaw a aia tam emaw i neih chhunzawm zel chuan i doctor chuan a chhan hriat nan spirometry test neih a rawt ber ang.
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| Thâwk a tawi | Thâwk harsa, thawk hah lutuk, tlem i thawhrim lai te, stairs i chhoh lai te, a nih loh leh i ding reng lai pawhin. Damdawi lamah chuan hei hi (Dyspnea) an ti a. |
| Khuh fo thin | Kar tam tak chhung khuh rei tak, phlegm nei emaw nei lo emaw. |
| Chest tightness emaw a na emaw | Belt ang maia hriatna hrehawmna emaw, natna emaw chu rilru vel a tikhauh a ni. |
| A rilru a buai hle | Thâwk chhuah laiin, a bîk takin thawk chhuah laiin, rilru emaw, rilruah emaw thawm hniam tak, "cheese-cheese" tih hriat a ni. |
| Thâwk lak harsa | Lung chu boruakin a khat kim thei lo ang maia hriat a, thawk pawh a chanve vel a tawp. |
Test hmain engtin nge i inbuatsaih thin?
Test atanga result dik ber hmuh tur chuan test hmain step awlsam tlemte i zawm a ngai a ni. Hemi chungchangah hian i doctor chuan a lo hrilh hmasa ber ang che.
- Thâwk lakna damdawi: .Thâwk lama harsatna neia inhaler i hman chuan test hma darkar tlemteah hman tawh loh turin an ti mai thei. Hei hian i natural lung function chu a teh theih phah ang.
- Thawmhnaw: I taksaa tight lo, thawmhnaw hring, nuam tak ha rawh. Hei hian awlsam tak leh thûk takin thawk i la thei ang.
- Chaw: Test hma darkar hnih tal chaw lian tak, filling tak ei loh tur. Pum khat pum hian diaphragm-ah pressure a siam thei a, thawk dan pawh a nghawng thei bawk.
- Exercise: Test hma minute 30 tal exercise hahthlak tak ti suh.
- Meizial zuk: Meizial zu mi i nih chuan test hma darkar engemaw zat chu zuk loh tur a ni.
Heng thupekte dik taka zawm hian i doctor-in i damdawi lam dinhmun dik tak a hriat theih nan nasa takin a pui ang che.
Engtin nge test hi an tih thin? Hlauh tur thil a ni em?
Hlauh tur a awm lo tak tak! Hei hi test awlsam tak a ni a, hun rei lote chhunga tihfel theih a ni a, minute 15-30 vel a ni.
1. Thut: Pakhatnaah chuan thutthlengah mumal takin i thut ang.
2. Hnar clip: A dawtah chuan i hnar kawngkhar chungah clip te tak te, nem tak dah a ni ang. Hei hi i hnar hmanga thawk ni lovin, i hmui hmang chauha thawk i nih theih nan tih a ni.
3. Mouthpiece: A dawtah chuan i hmuiah `Spirometer` an tih machine nena inzawm tube (mouthpiece) dah turin an ti ang che. Thli a chhuah loh nan i hmui hmangin nghet takin i chelh a ngai dawn a ni.
4. Blowing: Hei hi a pawimawh ber a ni. Test titu (doctor, nurse, emaw thawkna lama thawktu) chuan thawk la la, boruak zawng zawng a bo vek hma loh chuan tube chhungah i theih ang tawkin nasa leh rang takin thawk turin a hrilh ang che.
5. Vawi tam tak tih leh: Results dik ber hmuh theih nan hetiang hian vawi thum tal tih leh a tha.
Step hnihna pawh a ni mai thei
A châng chuan, i doctor chuan i thawkna kawngte hian damdawi a dawng em tih a en duh mai thei. Chutiang a nih chuan test hmasa ber hnuah inhaler hmangin bronchodilator pek i ni ang a, chutah chuan minute engemaw zat hnuah spirometry test pahnihna an nei leh ang. Chumi hnuah chuan result chu khaikhin a ni. Hei hian asthma ang chi natna hriatchhuahna kawngah a pui thei hle.
Hei hian a ti na em?
Ni lo, Spirometry test hi a hrehawm lo tak zet a ni.
Mahse, thawk i lak a, i thawk nasa em avangin i lu a buai deuh a, i lu a hah deuh mai thei . Thâwk chhuah laiin i khuh thei bawk . Hengte hi thil pangngai tak a ni. Heng hrehawmna zawng zawng hi test zawh hnu rei vak lo hnuah a bo vek ang. I chau hle tih i hriat chuan test titu chu chawlh rei vak lo la turin i ti thei ang.
Pawimawh: Tun hmaa heart attack emaw heart condition dang emaw i lo neih tawh chuan test hmain doctor hnenah hriattir hmasa phawt ang che.
Results hian eng nge a sawi?
Test result a dawn chuan doctor chuan "normal value" nen a khaikhin thin. Heng "normal value" te hi mi tin tan a inang lo vek. I kum, i mipa leh hmeichhia, i san zawng, leh i hnam ang chi thilteah an innghat a ni .
A tehna value lian ber pahnih chu:
- Forced Vital Capacity (FVC): Hei hi i thawk thûk ber i lak a, i lung chhunga boruak zawng zawng chu tharum hmanga i chhuah chhuah huna boruak chhuah theih zawng zawng a ni.
- Forced Expiratory Volume in 1 second (FEV1): Hei hi chak taka thawk chhuah huna second khatna chhunga boruak chhuah theih zat a ni.
A tlangpuiin mi hrisel `FEV1` hlutna chu `FVC` hlutna 80% aia tam a ni tur a ni. Heng value te leh an inkar ratio (`FEV1/FVC ratio`) te hi thlirletna hmang hian i doctor chuan i lung natna chi hrang hrang i neih chu a hre thei ang.
| Damdawi lam dinhmun chi hrang hrang | A awlsam zawngin... | Entirnan |
|---|---|---|
| Lung natna (obstructive Lung Disease) a ni | Lung emaw, thawkna kawng emaw a chhiat avangin boruak hip tawh chu rang taka chhuah a harsa thin. FEV1 value hi a tlahniam nasa hle. | Asthma, COPD, Bronchiectasis, Cystic Fibrosis natna te a awm bawk |
| Lung natna khap tlat | Lung hi a zau kim lo. Chumi awmzia chu lungte tan boruak mamawh zat lakluh a harsa tihna a ni . FVC value a tlahniam. | Interstitial Lung Disease, Scoliosis, Muscular Dystrophy te a awm bawk |
Take-Home Thuchah a ni
- Spirometry hi test awlsam tak, non-invasive, natna nei lo, i lung hriselna enfiahna a ni.
- Hei hi thawkna lama natna khirh tak tak, asthma leh COPD te hriatchhuahna kawngah te, enkawlna a hlawhtlin leh hlawhtlin loh hriatna kawngah te a pui hle.
- Results dik ber hmuh theih nan doctor thupek (ei leh in, damdawi leh exercise chungchang) chu test hmain dik takin zawm tur a ni.
- Test neih laiin luak chhuak tlem emaw, khuh emaw i neih chuan lungngai suh. Hei hi thil pangngai a ni a, rei vak lo hnuah a reh mai ang.
- I thawk harsatna i tawh theih dan tur te, i test result te pawh i doctor hnenah inhawng reng ang che . Diagnosis leh treatment plan dik tak chuan i nunphung a tichangtlung ngei ang.
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