He mea e kore e arohia e tātou te manawa, engari koinei tonu te miihini e whakakaha ana i tō tinana. Heoi, i ētahi wā, ka pāngia tō pūnaha manawa—ina koa ō pukahukahu—e ngā pēhanga iti. Mēnā ka puta tēnei, me arotake tika e tō tākuta te hauora o ō pukahukahu me tō kaha mahi. Koinei te wāhi e hiahiatia ai he whakamātautau motuhake e kiia nei ko te Spirometry . Ahakoa te ahua uaua o te ingoa, he tino māmā te tukanga.
He aha te Spirometry, ā, he whakamātautau uaua?
He māmā noa iho te whakamātau manawa a te Spirometry, kāore e pokanoa, e ine ana i te mahi a ō pukahukahu. Ko te mea matua ko te aromatawai i te nui o te hau ka taea e koe te manawa i roto i te kotahi manawa, te nui o te hau ka taea e koe te whakaputa, me te tere o te whakakore i ō pukahukahu.
Whakaarohia he rite ki te pupuhi i ngā kānara huritau ki runga i te keke. Kāore he mamae, kāore hoki he āwangawanga nui. Ko te taputapu iti e whakamahia ana mō tēnei whakamātautau e kiia ana ko te Spirometer . Kāore he mea e whakaurua ki roto i tō tinana, nō reira kāore rawa he mea e wehi ai koe.
He aha i mahia ai te Spirometry, ā, ko wai e hiahia ana ki tēnei?
Tērā pea kei te whakaaro koe, "He aha ahau i hiahia ai ki tēnei whakamātautau ?" He maha ngā take e mahia ai te Spirometry:
- Hei tātaritanga i ngā mate e pā ana ki te pukahukahu: Kei te pāngia koe e te maremare tonu? Kei te pōturi tō manawa? He tangi whiowhio ina manawa koe (e kīia nei ko te wheezing )? He mamae rānei tō uma? Mā tēnei whakamātautau ka āwhina i te tautuhi i te pūtake o ēnei tohu, inā koa mō:
- Te mate huango ( Huakino ): He mate noa e whaiti ai ō ara manawa.
- COPD ( Mate Pūkahukahu Ārai Mau tonu ): He mate roa e aukati ana i te rere o te hau i roto i ngā pūkahukahu. He nui ake te kitea i roto i te hunga kaipaipa .
- Te Pūkahukahu Kirikiri : He mate ira e pā ana ki ngā pukahukahu me ētahi atu wāhanga o te tinana.
- Te Pūkahukahu Pūkahukahu : He āhuatanga ka pakaru, ka mārō te kiko o te pūkahukahu, ā, ka kore e taea te whānui tika.
- Hei aroturuki i te mate pūkahukahu o nāianei: Mena kua tautuhia kētia tō mate pūkahukahu, ka āwhina tēnei whakamātautau i tō tākuta ki te aroturuki mēnā kei te whai hua tō rongoā o nāianei, mēnā rānei kei te pai haere, kei te kino haere rānei tō āhua.
- Hei tirotiro i te mahi a ō pukahukahu i mua i te pokanga: I mua i ngā pokanga nui, ina koa mēnā he kaipaipa koe, he tohumate manawa rānei, he mea nui tēnei whakamātautau kia taea ai e ō pukahukahu te whakahaere i te rongoā whakamoe.
- Hei tautuhi i ngā mate pūkahukahu e pā ana ki te mahi: Ka taea e te pānga o te puehu, ngā matū rānei i ētahi wāhi mahi te kino i ngā pūkahukahu. Mā tēnei whakamātautau ka taea te whakatau mēnā kei te mōrearea koe.
Whakaarohia tō hoa, me karanga ia ko Chamal. Ka pāngia a Chamal e te poto o te manawa i a ia e piki ana i ngā arawhata, e oma ana rānei mō te pahi. I tana haerenga ki te tākuta, ka tohua he whakamātautau Spirometry ki a ia, ā, i kitea tika ai he mate huango tōna. Ināianei, nā te rongoā tika, ka ora ia me te kore he tohu.
Me pēhea te whakahaere i te whakamātautau Spirometry?
Me titiro tātou ki te āhua o te whakamātautau. He tino māmā noa iho, ā, kāore he mea e wehi ai.
1. Te Whakarite: Ka tonoa koe kia noho pai ki runga i tētahi tūru.
2. Porowhita Ihu:Ka whakanohoia he topenga iti ki tō ihu kia mā te waha anake koe e manawa ai. Mā tēnei ka tika ngā inenga.
3. Waha: Ka tonoa koe kia pupuri i tētahi waha kua horoia, kua whakakorengia, e hono ana ki te ine manawa mā te whakamahi i ō ngutu, kia mau ai te hiri kia kore ai e turuturu te hau.
4. Te Tukanga Manawa:
- Tuatahi, manawa noa kia maha ngā wā.
- Kātahi, tangohia te manawa hōhonu rawa e taea e koe , kia kī rawa rā anō ōu pukahukahu.
- Muri iho, pupuhihia te hau kia kaha, kia tere hoki . He rite ki te pupuhi i te rama, engari kia kaha ake, me te haere tonu mō te roa e taea ana (kia 6 hēkona pea te iti rawa).
5. Whakatenatena: Ka tautoko te tohunga hangarau e mahi ana i te whakamātautau i a koe ("Me haere tonu! Nui atu! Nui atu! Pai rawa atu!") kia tino whakapau kaha ai koe.
6. Te Whakahoki: I te nuinga o te wā, ka whakahokia te whakamātautau kia toru ngā wā, kia whiwhi ai i ngā hua tino tika.
I ētahi wā, i muri i te whakamātautau tuatahi, ka hoatu pea he rongoā whakawhanui i te manawa (mā te whakamahi i te inhaler) ā, ka tonoa kia whakahokia te whakamātautau i muri i te 15-20 meneti kia kite ai mēnā ka pai ake tō manawa. He tino whai hua tēnei mō te tautuhi i ngā mate pēnei i te mate huango.
Tērā pea ka paku ngenge koe i te whakamātautau, nā te mea me whakapau kaha koe, engari kāore e mamae.
He whakaritenga kei mua i te whakamātautau?
Āe, kia tika ai ngā hua, me mahara ki ētahi mea:
- Ngā Rongoā: Kōrerotia ki tō tākuta ngā rongoā katoa e tangohia ana e koe, inā koa ngā mea whakangā mō ngā mate pūkahukahu. Tērā pea ka tonoa koe kia kaua e whakamahi i ētahi mea whakangā mō ētahi haora i mua i te whakamātautau.
- Te kai hikareti: Kaua e kai hikareti mō te haora kotahi i mua i te whakamātautau. Ko te mea pai, me karo mō ngā haora 24.
- Waipiro: Kaua e inu waipiro i te rā o te whakamātautau.
- Kai: Kaua e kai i te kai taumaha mō ngā haora e rua i mua i te whakamātautau. He pai te kai māmā.
- Kawheine: He pai ake te karo i ngā inu kawheine pēnei i te tī, i te kawhe rānei mō ētahi haora i mua i te whakamātautau.
- Kākahu: Kia mau ki ngā kākahu e kore e tau, e whakamarie ana . Āta karohia ngā mea e whakawhāiti ana i tō uma.
- Whakakorikori Tinana: Kaua e whakakorikori tinana kaha mō te 30 meneti i mua i te whakamātautau.
Mā te whai i ēnei mahi ka āwhina i a koe ki te whiwhi i ngā hua tino tika.
He aha te tikanga o ngā hua o te whakamātautau?
Ahakoa te āhua pūtaiao o ngā inenga, kaua e manukanuka. Mā tō tākuta i Nirogi Lanka e whakamārama mārama ngā mea katoa. Anei ētahi inenga matua ka tirohia e mātou:
- FVC (Forced Vital Capacity): Ka ine tēnei i te nui o te hau ka taea e koe te whakaputa mā te kaha i muri i te tango i te manawa hohonu rawa atu. He māmā noa iho, ko te kaha mōrahi o ō pukahukahu te tohu.
- FEV1 (Te Rōrahi Whakapūmau i te 1 hēkona): Ka ine tēnei i te nui o te hau ka taea e koe te whakaputa i roto i te hēkona tuatahi o te whakamātautau. Ka āwhina i a tātou ki te whakatau i te tere o te whakawātea o ō pukahukahu.
- Ōwehenga FEV1/FVC: He mea nui te whanaungatanga i waenga i ēnei uara e rua mō te tautuhi tika.
Ka whakaritea ō hua ki ngā paearu hauora paerewa kua whakaritea mō tō tau, tō teitei, tō ira tangata, me tō iwi.
- Tauira aukati: Mena he iti iho tō FEV1 i tō FVC, ā, he iti te ōwehenga FEV1/FVC, e tohu ana tēnei he aukati (pēnei i te whaiti o ngā ara manawa). Ka kitea whānuitia tēnei i roto i ngā āhuatanga pēnei i te mate huango, te COPD rānei.
- Tauira here:Mena he iti tō FVC engari he noa, he teitei rānei tō ōwehenga FEV1/FVC, e tohu ana tēnei kāore e taea e ō pukahukahu te whānui katoa. He maha ngā wā ka honoa tēnei tauira ki ngā āhuatanga pēnei i te Pulmonary Fibrosis.
Ko te mea nui, kaua e ngana ki te whakamārama i ēnei hua i a koe anō. Ka tātarihia e tō tākuta ngā hua o tō inenga spirometry me ō tohumate haumanu me ētahi atu raraunga tātaritanga hei whakarato i tētahi whakamārama mārama, whaiaro hoki ki a koe.
He pānga taha, he mōrearea rānei kei reira?
He tikanga tino haumaru te Spirometry. He tino onge ngā pānga taha nui. Heoi, nā te mea me kaha te manawa i roto i te whakamātautau, tera pea ka pāngia koe e te mamae iti:
- Pōuriuri, māuiui rānei: Ka tere tonu te memeha atu o tēnei.
- Te poto o te manawa, te tere rānei o te manawa: Tērā pea ka paku hauhautanga koe i muri tonu i te whakamātautau.
- Maremare: He tauhohenga noa tēnei ina kaha te manawa/te whakaputanga o te hau ki waho.
- Ngenge: Tērā pea ka paku ngenge koe i muri i te mahi.
I ētahi wā tino onge, ka pāngia ētahi tāngata e te whakawhāiti ohorere o ngā ara manawa ( bronchospasm ), inā koa ko te hunga he mate huango kino. Nā te mea ka whakahaerehia te whakamātautau i raro i te tirotiro hauora ngaio, kua rite mātou ki te whakahaere tonu i tēnei.
Mena kua pāngia koe e te mate manawa, te pokanga kanohi, te pokanga uma, te pokanga puku rānei, kua mōhiotia rānei he aneurysm , he mate kohi kaha rānei (TB) , tena koa whakamōhio atu ki tō tākuta tonu. I roto i ēnei āhuatanga, me whakaroa pea tēnei whakamātautau, me whakahaere rānei me ngā tūpato motuhake.
He aha te mea ka tupu i muri i te whakamātautau?
Ka taea e koe te hoki anō ki ō mahi o ia rā i muri tonu i te tikanga. Mēnā i whakamahia he rongoā whakawhanui i te manawa, tera pea ka rongo koe i te wiri iti, i te piki haere rānei o te tere o te manawa mō te wā poto, ā, ka tere te memeha.
Ka arotakehia ngā hua e tō tākuta me koe, ka whakamāramahia te tikanga o aua hua, ā, ka matapakihia ngā mahi e whai ake nei—ahakoa he whakamātautau anō, he tīmatanga o tētahi maimoatanga hou, he whakarerekētanga rānei i te rongoā o nāianei.
Ngā mea nui hei whakaaroaro māu mō tō hauora
Me whakarāpopoto ngā kōrero nui hei maumahara mā tātou:
- He whakamātautau manawa māmā noa iho te Spirometry, kāore he mamae hoki, e whakamahia ana hei aromatawai i te hauora o ō pukahukahu.
- He taputapu nui tēnei mō te tātaritanga me te aroturuki i ngā mate pūkahukahu pēnei i te mate huango me te COPD.
- Whakaarohia te whakamātautau he rite ki te pupuhi i ngā kānara huritau —e hiahia ana ki te whakapau kaha, engari ehara i te mea uaua.
- Me whai i ngā tohutohu katoa i mua i te whakamātautau kua whakaratohia e tō rōpū hauora e pā ana ki te kai, te inu me te rongoā.
- Kaua e manukanuka ki ngā hua, kaua hoki e ngana ki te tātaritanga i a koe anō. Kōrerohia ngā mea katoa ki tō tākuta.
Mena kua tūtohutia e tō tākuta he whakamātautau spirometry, kāore he mea e wehi ai. He taahiraa matatau tēnei hei whakarite i tō oranga manawa. I Nirogi Lanka , e whakapau kaha ana mātou ki tō hauora. Ngā mihi nui ki a koe!
te whakamātautau manawa, te whakamātautau mahi a te pukahukahu, te whakamātautau manawa, te mate huango, te COPD, te mahi a te pukahukahu, te hauora manawa
