Kodi nthawi zina mumamva kupuma pang'ono popanda chifukwa, ngati kuti mukupuma movutikira? Mwina mumavutika kupuma mukakwera masitepe ang'onoang'ono kapena kuyenda mtunda waufupi. Pakhoza kukhala zifukwa zambiri za izi. Koma vuto silimakhala nthawi zonse m'mapapu athu okha. Pali minofu imodzi yayikulu, yamphamvu kwambiri yomwe imatithandiza kupuma, ndipo ndiyo diaphragm. Chifukwa chake, lero tikambirana za mayeso apadera komanso osavuta kuti tiwone ngati diaphragm iyi ikugwira ntchito bwino. Izi zimatchedwa 'Sniff Test'.
Mwachidule, kodi 'Kuyesa Kununkhiza' kumeneku n'chiyani?
Chabwino, tiyeni tifotokoze mwachidule. 'Kuyesa kununkhiza' kwenikweni ndi mtundu wapadera wa mayeso a X-ray. Kwenikweni imayang'ana momwe diaphragm yanu ikugwira ntchito.
Tsopano mwina mukudabwa kuti diaphragm iyi ndi chiyani. Ndi minofu yayikulu, yosalala yomwe ili pakati pa chifuwa chathu ndi mimba. Ili ngati ambulera. Minofu iyi imagwira ntchito yayikulu nthawi iliyonse yomwe timapuma. Chifukwa chake, mu mayeso awa, dokotala kapena katswiri amatenga zithunzi zingapo za X-ray, monga kanema, pamene mukupuma ndi kutuluka. Poyang'ana zithunzi zimenezo, amatha kudziwa ngati pali kufooka kulikonse mu diaphragm yanu, kapena ngati yalephera kugwira ntchito .
Pali mayina ena awiri omwe amagwiritsidwa ntchito poyesa uku. Mayinawa ndi Chest Fluoroscopy ndi Diaphragm Fluoroscopy . Ngati mumva mayina onse awiriwa, zikutanthauza kuti iyi ndi mayeso omwewo.
Kodi 'kuyesa kununkhiza' kuyenera kuchitika liti?
Ngati dokotala wanu akukayikira kuti mitsempha yomwe imalamulira kupuma kwanu ingakhudzidwe, angakulangizeni mayesowa. Izi ndizofunikira makamaka pa matenda ena amitsempha.
Tangoganizirani, pali munthu dzina lake Nimal. Wakhala akuvutika kupuma kwa nthawi ndithu. Madokotala achita mayeso ambiri, koma sanapeze chifukwa chachikulu. Pomaliza, dokotalayo akukayikira kuti pali kufooka kwina m'mitsempha yomwe imalamulira diaphragm yake. Pamenepo 'kuyesa kununkhiza' kumeneku kumakhala kothandiza kwambiri.
Gome ili m'munsimu likuwonetsa zina mwa matenda omwe nthawi zambiri amafunika mayesowa.
| Mkhalidwe | Kufotokozera kosavuta |
|---|---|
| Matenda a Amyotrophic lateral sclerosis (ALS) | Matenda omwe pang'onopang'ono amafooketsa maselo amitsempha muubongo ndi msana. |
| Matenda a kutupa osatha omwe amachititsa kuti mitsempha yamagazi ichotse mitsempha yamagazi (CIDP) | Matenda a nthawi yayitali omwe amawononga mitsempha ya m'thupi. |
| Dermatomyositis | Matenda omwe amayambitsa kufooka kwa minofu ndi matenda a pakhungu. |
| Matenda a Guillain-Barré | Matenda omwe chitetezo cha mthupi chimaukira mitsempha. |
| Matenda a Lambert-Eaton | Matenda omwe amasokoneza kutumiza kwa zizindikiro pakati pa mitsempha ndi minofu. |
| Matenda a sclerosis ambiri (MS) | Matenda omwe amakhudza ubongo ndi msana, kuwononga mitsempha yamagazi. |
| Kusokonekera kwa minofu | Gulu la matenda omwe minofu imafooka pang'onopang'ono komanso kufooka. |
| Myasthenia gravis | Matenda omwe amasokoneza kulumikizana pakati pa mitsempha ndi minofu. |
| Matenda a Pompe | Matenda a majini omwe minofu imafooka chifukwa cha kuchulukana kwa shuga m'maselo a thupi. |
| Matenda a post-polio | Munthu amene kale anali ndi polio akhoza kuyamba kufooka kwa minofu patatha zaka zambiri. |
| Kuvulala kwa msana | Kusokonezeka kwa ntchito ya mitsempha chifukwa cha kuvulala kwa msana. |
Kuwonjezera pa matenda awa, mayesowa akhoza kuchitika m'mikhalidwe ina iwiri:
1. Ngati mukuvutika kupuma mosayembekezereka (dyspnea).
2. Kuyang'ana momwe diaphragm imagwirira ntchito musanachite opaleshoni iliyonse kapena mutachita opaleshoni iliyonse .
Kodi 'kuyesa kununkhiza' kumeneku kumagwira ntchito bwanji?
Iyi ndi njira yosangalatsa kwambiri. Tangoganizirani kuti mwaima patsogolo pa makina a X-ray. Dokotala kapena katswiri adzakulangizani kuti mupume m'njira zosiyanasiyana. Panthawiyo, kamera ya X-ray imatha kuona mkati mwa chifuwa chanu, makamaka diaphragm, ikuyenda bwino.
Izi ndi zinthu zomwe mwauzidwa kuti muchite:
- Pumirani modekha komanso mwachizolowezi .
- Pumirani mozama momwe mungathere.
- Pumulani mpweya mokwanira momwe mungathere.
- Pumirani mpweya mwachangu kudzera m'mphuno mwanu . Ngati kuti mukupuma mpweya wovuta kununkhiza. Ndicho chimene mumatcha "kununkhiza." Mayesowa amatchedwa "kununkhiza" chifukwa cha zimenezi.
Ndiye mukupeza chiyani mu izi?
Kawirikawiri, munthu wathanzi akapuma, diaphragm imatsika (kutsogolo kwa mimba) ndipo imaphwanyika. Izi zimathandiza kuti mapapu adzaze ndi mpweya. Mukapuma, diaphragm imakweranso mmwamba (kutsogolo kwa chifuwa) ndipo imakhala ngati dome (arch).
Komabe, ngati diaphragm siimatsika munthu akapuma, koma m'malo mwake imakwera mmwamba (yokwezedwa) , zikutanthauza kuti pakhoza kukhala vuto ndi diaphragm kapena mitsempha ya phrenic yomwe imayilamulira. Kusuntha kosazolowereka kumeneko ndiko komwe mayesowa amafufuza makamaka .
Kodi ndiyenera kukonzekera bwanji mayesowa?
Ichi ndiye chinthu chabwino kwambiri. Mayeso awa safuna kukonzekera kwapadera . Simukuyenera kusala kudya kapena kumwa mankhwala apadera. Mutha kungochita zinthu zanu zachizolowezi ndikupita kuchipatala panthawi yomwe mwakonza kuti mukayesedwe.
Kodi chimachitika ndi chiyani panthawi ya mayeso?
Mukapita ku chipinda choyezetsera, nthawi zambiri izi zimachitika:
1. Kusintha kaimidwe ka thupi:Katswiri adzakufunsani kuti muyime patsogolo pa kamera ya X-ray. Ngati mukuvutika kuyima, mudzapemphedwa kukhala pampando kapena kugona patebulo lopendekeka. Zingwe zingagwiritsidwe ntchito kuti zikutetezeni ndikukutetezani kuti musaterere. Musadandaule ndi zimenezo.
2. Malangizo okhudza kupuma: Kenako, adzakulangizani kuti mupume m'njira zosiyanasiyana (mwachitsanzo, nthawi zambiri, mozama, kutulutsa mpweya, kununkhiza mofulumira). Ndikofunikira kwambiri kutsatira malangizo awo mosamala momwe mungathere .
3. Kujambula zithunzi za X-ray: Pamene mukupuma motere, iwo amapitiriza kujambula zithunzi za X-ray.
Njira yonseyi imatenga nthawi yochepa kwambiri, pafupifupi mphindi 15 , kotero palibe chifukwa chodera nkhawa za nthawi.
Kodi pali zoopsa kapena zotsatirapo zake pa izi?
Mayeso awa alibe zotsatirapo zoyipa ndipo sapweteka konse.
Kuyezetsa kwa X-ray kumaika thupi lanu pachiwopsezo chochepa kwambiri cha kuwala kwa dzuwa . Koma ndi kochepa kwambiri, pafupifupi kochepa. Dokotala wanu akulangiza kuyesaku chifukwa phindu ndi chidziwitso chomwe mwapeza kuchokera ku mayesowa ndi lalikulu kuposa chiopsezo chochepa. Chifukwa chake palibe chifukwa chodera nkhawa kwambiri za kuwala kwa dzuwa.
Kodi mungamvetse bwanji lipoti la 'kununkhiza'?
Zotsatira za 'kununkhiza' n'zosavuta kwambiri. Zingakhale zabwino kapena zoipa.
| Zotsatira | Tanthauzo losavuta |
|---|---|
| Zabwino (+ ) | Izi zikutanthauza kuti diaphragm yanu imakwera mmwamba modabwitsa mukamapuma. Izi zitha kusonyeza kuti gawo lina kapena diaphragm yanu yonse yafa. |
| Zoipa (-) / Zachizolowezi | Izi zikutanthauza kuti diaphragm yanu ikuyenda bwino, monga momwe iyenera kukhalira. Izi zikutanthauza kuti palibe vuto ndi momwe imagwirira ntchito. |
Dokotala wanu akhoza kukuuzani zotsatira zake nthawi yomweyo. Kapena, zingatenge masiku angapo kuti katswiri wa radiology ayang'anenso zithunzizo, akonze lipoti, ndikutumiza kwa dokotala wanu.
Kumbukirani chinthu chofunikira.
Nthawi zina pamakhala mwayi wochepa woti munthu akhale ndi 'zabodza' (pamene palibe vuto, koma zikuwoneka ngati lilipo) ndi 'zabodza zoipa' (pamene pali vuto, koma mayeso sakusonyeza). Chifukwa chake, dokotala sadzapanga chisankho kutengera lipotili lokha. Adzaganizira zonse pamodzi, kuphatikizapo zizindikiro zanu ndi zotsatira zina za mayeso, kuti afike pamapeto pake.
Ngati zotsatira zake sizili zachilendo, nchiyani chimachitika pambuyo pake?
Ngati mayeso anu a fungo ali ndi zotsatira zabwino, zomwe zikutanthauza kuti zotsatira zake sizinali zachilendo, musadandaule. Dokotala wanu adzakulankhulani ndikukufotokozerani tanthauzo la zotsatira zake poyerekeza ndi vuto lanu.
Ichi si chigamulo chochokera pa kafukufuku mmodzi. Ichi ndi gawo limodzi chabe la chithunzi chachikulu.
Dokotala wanu adzayerekeza lipotili ndi zizindikiro zanu ndi mayeso ena kuti asankhe njira zomwe mungachite kenako. Akhoza kuyitanitsa mayeso ena kapena kuyambitsa dongosolo la chithandizo. Chofunika kwambiri ndikulankhula ndi dokotala wanu za izi ndikufunsa mafunso aliwonse omwe mungakhale nawo.
Kuyesa kununkhiza ndi njira yachangu komanso yopanda ululu kuti dokotala wanu awone momwe mitsempha ndi minofu zomwe zimakuthandizani kupuma zikugwira ntchito. Izi zingathandize kuzindikira chomwe chimayambitsa mavuto anu opuma msanga, kuti athe kuchiritsidwa kapena kupitirira kwa matendawa kuthe kulamulidwa.
Uthenga Wopita Nawo Kunyumba
- 'Kuyesa Kununkhiza' ndi mayeso osavuta komanso osapweteka a X-ray omwe amafufuza momwe diaphragm yanu imagwirira ntchito, minofu yayikulu yomwe imakuthandizani kupuma.
- Izi zimatenga pafupifupi mphindi 15, ndipo palibe kukonzekera kwapadera komwe kumafunika musanayese mayeso.
- Kuyezetsa kumeneku n'kofunika kwambiri pozindikira mavuto osadziwika bwino okhudza kupuma komanso matenda ena amitsempha.
- Musafulumire kuganiza kuti zotsatira za mayeso anu (zabwino kapena zoipa) ndi zanu zokha. Funsani dokotala wanu kuti akufotokozereni zonse komanso zomwe mungachite kenako.
- Kuwala kwa kuwala kuchokera ku mayesowa ndi kochepa kwambiri. Ubwino wa mayesowa ndi woposa chiopsezo chochepa.
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