He uaua ki a koe te manawa i ētahi wā, he kikī te uma, he whewhe, he maremare tonu rānei? Mena kei a koe ēnei tohu, ka tūtohu pea tō tākuta kia whakamātauria kia kitea ai te pai o te mahi a ō pukahukahu. Ko tētahi o ngā whakamātautau tino noa me te mea nui e mahia ana i aua wā ko te spirometry. Ahakoa te ahua nui o te ingoa, he whakamātautau tino māmā, kāore hoki he mamae.
He aha te Spirometry?
Whakaarohia he rite ki te tirotiro i te kaha o te miihini o te motuka. Ko te Spirometry he whakamātautau e ine ana i te "kaha" me te mahi a ōu pukahukahu. Ka kiia hoki ko te 'Pulmonary Function Test' (PFT) ko te 'Lung Function Test' rānei.
E rua ngā mea matua e inehia ana e tēnei whakamātautau:
1. Te nui o te hau ka taea e koe te mimiti ki roto, ki waho hoki i ō pukahukahu i te wā kotahi.
2. Te tere o te whakaputanga o te hau mai i ō pukahukahu.
Mā ēnei mōhiohio ka āwhina i tō tākuta kia mōhio whānui ai mēnā kei te hauora ōu pūkahukahu, ā, kei te pai te mahi, mēnā rānei he ngoikore, he mate rānei.
He aha te hiranga o tēnei whakamātautau Spirometry?
He maha ngā take ka tonoa ai e te tākuta tēnei whakamātautau. Ko ngā take matua ko:
- Tātarihia ngā mate manawa: Mā tēnei ka āwhina i a koe ki te kimi i te pūtake o ō tohu. He mea nui rawa atu tēnei whakamātautau mō te tātaritanga i ngā mate pēnei i te mate huango , te COPD (Mate Pūkahukahu Ārai Mau) , me te Pulmonary Fibrosis .
- Ine i te kaha o tō pukahukahu: Mā tēnei ka mōhio koe ki te nui rawa o te hau ka taea e ō pukahukahu te pupuri.
- Aroturuki i te āhua o tētahi mate: Mena kua roa kē tō mate manawa e pāngia ana e koe, ka mahia tēnei whakamātautau i ia wā, i ia wā, kia kite ai mēnā kua rerekē i roto i te wā, mēnā kei te pai haere te āhua, kei te kino haere rānei.
- Tirohia te angitu o te maimoatanga: Mā tēnei ka āwhina ki te whakaū mēnā kei te whakatuwherahia ō ara manawa e ngā rongoā e hoatu ana ki a koe, pērā i te inhaler, me te angitu hoki o te maimoatanga.
- Tirohia mēnā he whaiti ngā ara manawa: Mā tēnei koe e āwhina ki te whakatau mēnā he whaiti, he ārai rānei kei roto i ō ara manawa.
- Aromatawai i te mōrearea i mua i te pokanga: I ētahi wā ka mahia tēnei whakamātautau i mua i te pokanga nui hei aromatawai i te mōrearea o te uaua o te manawa i te wā o te rongoā whakamoe, i muri rānei i te pokanga.
He aha ngā momo tohu e tonoa ai tēnei whakamātautau e te tākuta?
Mena kei te mau tonu tētahi, ētahi rānei o ngā tohu i raro nei, ka tūtohu pea tō tākuta kia whakahaerehia he whakamātautau spirometry hei whakatau i te take.
| Tohu | He whakamārama māmā |
|---|---|
| Te poto o te manawa | Te uaua ki te manawa, te ahua o te hemokai ina whakapau kaha koe, ina piki arawhata, ahakoa kei te tū noa koe. I roto i te rongoā, ka kiia tēnei ko te (Dyspnea) . |
| Maremare auau | He maremare roa e mau ana mō ngā wiki, me te huware, me te kore rānei he huware. |
| Te kikī o te uma, te mamae rānei | Te mamae, te kore whakamarie rānei, me te mea kei te whakawhāitihia te uma e te whitiki. |
| Te whewhe | Ka rangona he oro iti, "tīhi-tīhi" i te korokoro, i te uma rānei i te wā e manawa ana, inā koa i te wā e tukuna ana te manawa. |
| He uaua ki te manawa hōhonu | Te āhua nei kāore e taea te whakakī katoa i ngā pukahukahu i te hau, me te mea nei kua mutu te manawa i waenganui. |
Me pēhea tāu whakarite i mua i te whakamātautau?
Hei whiwhi i ngā hua tino tika mai i te whakamātautau, me whai koe i ētahi mahi māmā i mua i te whakamātautau. Mā tō tākuta koe e tohutohu i mua i tēnei.
- Rongoā manawa:Mena ka whakamahia e koe ngā inhaler mō ngā raruraru manawa, ka tonoa pea koe kia mutu te whakamahi i aua mea i mua i te whakamātautau. Mā tēnei ka taea te ine i te mahi tūturu o tō pukahukahu.
- Kākahu: Kia mau ki ngā kākahu ngāwari, whakamarie, kāore e piri ki tō tinana. Mā tēnei ka taea e koe te manawa ngāwari, te manawa hōhonu hoki.
- Kai: Kaua e kai i tētahi kai nui, whakakīkī mō ngā haora e rua i mua i te whakamātautau. Ka taea e te puku kī tonu te pēhi i te diaphragm me te pā ki ngā tauira manawa.
- Whakakorikori Tinana: Kaua e mahi i ngā mahi whakakorikori tinana taumaha mō te 30 meneti pea i mua i te whakamātautau.
- Te kai hikareti: Mena he kai hikareti koe, karohia te kai hikareti mō ētahi haora i mua i te whakamātautau.
Mā te whai i ēnei tohutohu ka tino āwhina i tō tākuta ki te hoatu he pikitia tika mō tō āhua.
Me pēhea te whakahaere i te whakamātautau? He mea hei wehi māu?
Kāore he mea e wehi ai! He whakamātautau tino māmā tēnei ka taea te whakaoti i roto i te wā poto, tata ki te 15-30 meneti.
1. Te nohoanga: Tuatahi, ka noho tika koe ki runga i te tūru.
2. He topenga ihu: Muri iho, ka whakatakotoria he topenga iti, ngohengohe ki runga i ō pongaponga ihu. Ka mahia tēnei hei whakarite kia mā roto i tō waha anake koe e manawa ai, kaua mā roto i tō ihu.
3. Waha: Muri iho, ka tonoa koe kia whakatakoto i tētahi ngongo (waha) e hono ana ki tētahi mīhini e kiia nei ko te `Spirometer` ki roto i tō waha. Me pupuri pūmau e koe ki ō ngutu kia kore ai e puta te hau.
4. Te pupuhi: Koinei te wāhanga tino nui. Mā te tangata e mahi ana i te whakamātautau (tākuta, nēhi, kaiwhakaora manawa rānei) koe e tohutohu kia manawa hōhonu, kia pupuhi kaha, kia tere hoki ki roto i te ngongo kia pau katoa te hau.
5. Whakahokia kia maha ngā wā: Hei whakatutuki i ngā hua tino tika, e taunakihia ana kia toru ngā wā e whakahokia ai tēnei tukanga.
Ko te taahiraa tuarua pea
I ētahi wā, ka hiahia pea tō tākuta ki te tirotiro mēnā kei te aro atu ō ara manawa ki tētahi rongoā. Mēnā koinei te āhua, i muri i te whakamātautau tuatahi, ka hoatu he mea whakawhanui i te manawa mā te whakamahi i tētahi mea manawa, ā, i muri i ētahi meneti ka mahia he whakamātautau spirometry tuarua. Kātahi ka whakatauritea ngā hua. He tino āwhina tēnei ki te tautuhi i ngā mate pēnei i te mate huango.
He mamae tēnei?
Kāo, kāore te whakamātautau Spirometry i te mamae rawa.
Heoi, nā te mea kei te manawa hōhonu koe, ā, kei te pupuhi kaha, ka pōuri pea koe, ka māuiui hoki te mahunga . Tērā pea ka maremare koe i a koe e pupuhi ana. He mea noa iho ēnei. Ka memeha haere ēnei mamae katoa i muri i tētahi wā i muri i te otinga o te whakamātautau. Mēnā kei te tino ngenge koe, ka taea e koe te tono atu ki te tangata e mahi ana i te whakamātautau kia okioki mō tētahi wā poto.
He mea nui: Mena kua pāngia koe e te mate ngakau, e tētahi atu mate ngakau rānei i mua, me whakamōhio atu ki tō tākuta i mua i te whakamātautau.
He aha tā ngā hua e kī ana?
Ina tae mai ngā hua o te whakamātautau, ka whakaritea e te tākuta ki ngā "uara noa". He rerekē ēnei "uara noa" mō ia tangata. Ka whakawhirinaki ēnei ki ngā āhuatanga pēnei i tō tau, tō ira tangata, tō teitei, me tō iwi .
Ko ngā uara matua e rua i inehia ko:
- Te Āheinga Hira Whakakaha (FVC): Koinei te nui o te hau ka taea te whakaputa i te manawa ina tangohia e koe tō manawa hohonu, ā, ka tukuna kahatia te hau katoa i roto i ō pukahukahu.
- Te Rōrahi Manawa Āwhina i te 1 hēkona (FEV1): Koinei te nui o te hau ka taea te whakaputa i te hēkona tuatahi ina kaha te whakaputa.
I te nuinga o te wā, me nui ake te uara `FEV1` o te tangata hauora i te 80% o te uara `FVC`. Mā te tātari i ēnei uara me te ōwehenga i waenganui i a rātou (`ōwehenga FEV1/FVC`), ka taea e tō tākuta te tautuhi i te momo raruraru kei a koe me ō pukahukahu.
| Te momo āhua hauora | Hei whakarāpopototanga... | Ngā tauira |
|---|---|---|
| Mate Pūkahukahu Ārai | Nā te kino o ngā pukahukahu, o ngā ara manawa rānei, ka uaua te whakaputa wawe i te hau kua manawahia. Ka tino heke te uara FEV1 . | Te mate huango, te COPD, te mate pūkahukahu, te mate pukupuku pūkahukahu |
| Mate Pūkahukahu Ārai | Kāore ngā pūkahukahu e tino whānui. Ko te tikanga o tēnei he uaua ki ngā pūkahukahu te ngongo i te nui o te hau e hiahiatia ana . Ka heke te uara FVC . | Mate Pūkahukahu Interstitial, Scoliosis, Mate Pūkahukahu Uaua |
Karere Tangohia ki te Kāinga
- He whakamātautau māmā noa iho te Spirometry, kāore e pokanoa, kāore hoki he mamae, e tirotiro ana i te hauora o ō pukahukahu.
- He āwhina nui tēnei mō te tautuhi i ngā mate manawa mau tonu pērā i te huango me te COPD, me te whakatau mēnā kei te angitu te maimoatanga.
- Hei whiwhi i ngā hua tino tika, whai i ngā tohutohu a te tākuta (mō te kai, te inu, te rongoā, me te korikori tinana) i mua tonu i te whakamātautau.
- Kaua e manukanuka mēnā ka pōuri koe, ka maremare rānei i te wā o te whakamātautau. He mea noa tēnei, ā, ka memeha haere i muri i tētahi wā.
- Kia tūwhera tonu ki tō tākuta mō ngā uauatanga manawa e pāngia ana koe, tae atu ki ngā hua o ō whakamātautau. Mā te tautuhi me te mahere maimoatanga tika ka tino āwhina i te whakapai ake i tō kounga o te oranga.
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