Kodi nthawi zina mumavutika kupuma, kulimba pachifuwa, kupuma movutikira, kapena kutsokomola kosalekeza? Ngati muli ndi zizindikiro izi, dokotala wanu angakulangizeni kuti muyesedwe kuti muwone momwe mapapu anu akugwirira ntchito. Chimodzi mwa mayeso ofala komanso ofunikira omwe amachitidwa nthawi ngati zimenezi chimatchedwa spirometry. Ngakhale kuti dzinalo lingamveke ngati lalikulu, kwenikweni ndi mayeso osavuta komanso osapweteka.
Mwachidule, kodi Spirometry ndi chiyani?
Taganizirani izi ngati kuyang'ana mphamvu ya injini ya galimoto. Spirometry ndi mayeso omwe amayesa "mphamvu" ndi momwe mapapu anu amagwirira ntchito. Amatchedwanso `Pulmonary Function Test` (PFT) kapena `Lung Function Test`.
Mayesowa makamaka amayesa zinthu ziwiri:
1. Kodi mpweya wochuluka bwanji womwe mungalowe ndi kutuluka m'mapapu anu nthawi imodzi?
2. Kodi mumatha kutulutsa mpweya mwachangu bwanji kuchokera m'mapapo mwanu?
Izi zithandiza dokotala wanu kudziwa ngati mapapu anu ali ndi thanzi labwino komanso akugwira ntchito bwino, kapena ngati pali kufooka kulikonse kapena matenda.
Nchifukwa chiyani mayeso a Spirometry awa ndi ofunikira kwambiri?
Pali zifukwa zambiri zomwe dokotala angalamule mayesowa. Zifukwa zazikulu ndi izi:
- Kuzindikira matenda opumira: Izi zimathandiza kudziwa chomwe chikuyambitsa zizindikiro zanu. Kuyesa kumeneku n'kofunika kwambiri pozindikira matenda monga mphumu , COPD (Chronic Obstructive Pulmonary Disease) , ndi Pulmonary Fibrosis .
- Yesani mphamvu ya mapapu anu: Izi zikuwonetsani kuchuluka kwa mpweya womwe mapapu anu angathe kusunga.
- Yang'anirani momwe matenda alili: Ngati muli kale ndi matenda a kupuma kwa nthawi yayitali, mayesowa amachitika nthawi ndi nthawi kuti muwone ngati asintha pakapita nthawi, kaya matendawo akukulirakulira kapena ayi.
- Onani ngati chithandizocho chapambana: Izi zimathandiza kutsimikizira ngati mankhwala omwe mwapatsidwa, monga inhaler, akutsegula njira zanu zopumira komanso ngati chithandizocho chapambana.
- Yang'anani ngati njira zopumira mpweya zachepa: Izi zikuthandizani kudziwa ngati pali njira zopumira mpweya zomwe zachepa kapena zotsekeka.
- Yesani zoopsa musanachite opaleshoni: Nthawi zina mayesowa amachitidwa opaleshoni yayikulu isanachitike kuti muwone zoopsa za kupuma panthawi yopuma kapena pambuyo pake.
Kodi dokotala angalamule kuti aone zizindikiro zotani?
Ngati mukupitiriza kukhala ndi chimodzi kapena zingapo mwa zizindikiro zotsatirazi, dokotala wanu mwina angakulangizeni kuti muyesedwe ndi spirometry kuti mudziwe chomwe chimayambitsa.
| Chizindikiro | Kufotokozera kosavuta |
|---|---|
| Kupuma movutikira | Kuvuta kupuma, kumva ngati ukulephera kupuma, pamene ukuchita khama pang'ono, pamene ukukwera masitepe, kapena ngakhale pamene ukungoyima. Malinga ndi zamankhwala, izi zimatchedwa (Dyspnea) . |
| Chifuwa chobwerezabwereza | Chifuwa chokhalitsa chomwe chimatenga milungu ingapo, kaya ndi phlegm kapena ayi. |
| Kulimba pachifuwa kapena kupweteka | Kusamva bwino kapena kupweteka komwe kumamveka ngati lamba akumangirira pachifuwa. |
| Kupuma movutikira | Phokoso lotsika, la "tchizi-tchizi" limamveka pakhosi kapena pachifuwa mukapuma, makamaka mukatulutsa mpweya. |
| Kuvuta kupuma mozama | Kumva ngati mapapu sangathe kudzazidwa ndi mpweya wonse, ngati kuti kupuma kumasiya pakati. |
Kodi mumakonzekera bwanji mayeso asanayambe?
Kuti mupeze zotsatira zolondola kwambiri kuchokera ku mayeso, muyenera kutsatira njira zosavuta musanayese mayeso. Dokotala wanu nthawi zambiri amakulangizani pa izi pasadakhale.
- Mankhwala opumira:Ngati mugwiritsa ntchito mankhwala opumira mpweya chifukwa cha mavuto opuma, mungapemphedwe kuti musiye kuwagwiritsa ntchito maola angapo mayeso asanachitike. Izi zithandiza kuti ntchito ya mapapo anu yachibadwa iyesedwe.
- Zovala: Valani zovala zomasuka komanso zomasuka zomwe sizikukanikiza thupi lanu. Izi zidzakuthandizani kupuma mosavuta komanso mozama.
- Chakudya: Musadye chakudya chachikulu komanso chokhutiritsa kwa maola osachepera awiri musanayesedwe. Mimba yodzaza imatha kukakamiza diaphragm ndikukhudza momwe thupi limapumira.
- Kuchita Maseŵera Olimbitsa Thupi: Musachite masewera olimbitsa thupi otopetsa kwa mphindi zosachepera 30 musanayese mayeso.
- Kusuta: Ngati ndinu wosuta fodya, pewani kusuta kwa maola angapo musanayesedwe.
Kutsatira malangizo awa molondola kungathandize kwambiri dokotala wanu kukupatsani chithunzi cholondola cha matenda anu.
Kodi mayesowa amachitidwa bwanji? Kodi ndi chinthu choopa?
Palibe choopa konse! Iyi ndi mayeso osavuta kwambiri omwe amatha kuchitidwa munthawi yochepa, pafupifupi mphindi 15-30.
1. Kukhala pansi: Choyamba, mudzakhala pansi bwino pampando.
2. Chogwirira mphuno: Kenako, chogwirira chaching'ono, chofewa chidzaikidwa pamphuno zanu. Izi zimachitika kuti muwonetsetse kuti mukupuma kudzera pakamwa panu, osati kudzera mumphuno.
3. Choyatsira Pakamwa: Kenako, mudzapemphedwa kuti muyike chubu (choyatsira pakamwa) cholumikizidwa ndi makina otchedwa `Spirometer` mkamwa mwanu. Muyenera kuchigwira mwamphamvu ndi milomo yanu kuti mpweya usatuluke.
4. Kupumira: Iyi ndi gawo lofunika kwambiri. Munthu amene akuchita mayeso (dokotala, namwino, kapena katswiri wothandiza kupuma) adzakulangizani kuti mupume mpweya wozama ndikupumira mwamphamvu komanso mwachangu momwe mungathere mu chubu mpaka mpweya wonse utapita.
5. Bwerezani kangapo: Kuti mupeze zotsatira zolondola kwambiri, tikukulimbikitsani kubwereza njirayi katatu.
Mwina sitepe yachiwiri
Nthawi zina, dokotala wanu angafune kuona ngati njira zanu zopumira zikuyankha mankhwala. Zikatero, mutatha mayeso oyamba, mudzapatsidwa bronchodilator kudzera mu inhaler, kenako mayeso ena a spirometry adzachitika patatha mphindi zochepa. Zotsatira zake zimayerekezeredwa. Izi zitha kukhala zothandiza kwambiri pozindikira matenda monga mphumu.
Kodi izi zimapweteka?
Ayi, mayeso a Spirometry si opweteka konse.
Komabe, chifukwa mukutenga mpweya wozama ndikupuma mwamphamvu, mungamve chizungulire pang'ono komanso mutu wopepuka . Muthanso kutsokomola mukamapuma. Izi ndi zachilendo. Kusasangalala konseku kumatha pakapita kanthawi mayeso atatha. Ngati mukumva kutopa kwambiri, mutha kupempha munthu amene akuchita mayeso kuti apumule pang'ono.
Chofunika: Ngati mudadwalapo matenda a mtima kapena matenda ena a mtima m'mbuyomu, onetsetsani kuti mwadziwitsa dokotala wanu musanayesedwe.
Kodi zotsatira zake zikuti chiyani?
Zotsatira za mayeso zikalandiridwa, dokotala amaziyerekeza ndi "miyezo yachibadwa." "Miyezo yachibadwa" iyi ndi yosiyana kwa munthu aliyense. Zimatengera zinthu monga zaka zanu, jenda, kutalika, ndi mtundu wanu .
Ma mtengo awiri akuluakulu oyezedwa ndi awa:
- Mphamvu Yokakamiza ya Mphamvu Yogwira Ntchito (FVC): Iyi ndi kuchuluka kwa mpweya wonse womwe ungatuluke mukapuma mpweya wozama kwambiri ndikutulutsa mpweya wonse m'mapapu anu mwamphamvu.
- Mphamvu Yotulutsa Mpweya Pa Sekondi 1 (FEV1): Uwu ndi kuchuluka kwa mpweya womwe ungatulutsidwe mu sekondi yoyamba mukatulutsa mpweya mwamphamvu.
Kawirikawiri, `FEV1` ya munthu wathanzi iyenera kukhala yoposa 80% ya `FVC`. Mwa kuwunika `FEV1/FVC` iyi ndi ratio pakati pawo (`FEV1/FVC ratio`), dokotala wanu akhoza kuzindikira mtundu wa vuto lomwe muli nalo m'mapapu anu.
| Mtundu wa matenda | Mwachidule... | Zitsanzo |
|---|---|---|
| Matenda a M'mapapo Oletsa Kutsekeka | Chifukwa cha kuwonongeka kwa mapapo kapena njira zopumira, zimakhala zovuta kutulutsa mpweya mwachangu womwe wapumidwa. Kuchuluka kwa FEV1 kumachepa kwambiri. | Mphumu, COPD, Bronchiectasis, Cystic Fibrosis |
| Matenda a M'mapapo Oletsa Kuletsa | Mapapu sakukulirakulira mokwanira. Izi zikutanthauza kuti n'zovuta kuti mapapo alandire mpweya wochuluka momwe akufunira . Kuchuluka kwa FVC kumachepa. | Matenda a m'mapapo a m'mimba, Scoliosis, ndi Muscular Dystrophy |
Uthenga Wopita Nawo Kunyumba
- Spirometry ndi njira yosavuta, yosavulaza, komanso yopanda ululu yomwe imayesa thanzi la mapapo anu.
- Izi zimathandiza kwambiri pozindikira matenda osatha a kupuma monga mphumu ndi COPD, komanso kudziwa ngati chithandizocho chayenda bwino.
- Kuti mupeze zotsatira zolondola kwambiri, tsatirani malangizo a dokotala (okhudza chakudya, zakumwa, mankhwala, ndi kuchita masewera olimbitsa thupi) musanayesedwe.
- Musadandaule ngati mukumva chizungulire pang'ono kapena chifuwa panthawi yoyezetsa. Izi ndi zachilendo ndipo zidzatha pakapita kanthawi.
- Nthawi zonse khalani omasuka ndi dokotala wanu za vuto lililonse la kupuma lomwe mungakhale nalo, komanso zotsatira za mayeso anu. Kuzindikira matenda molondola ndi dongosolo la chithandizo kudzakuthandizani kusintha moyo wanu.

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