Kupuma n'kofunika kwambiri kwa ife, sichoncho? Zili ngati injini ya thupi lathu. Koma nthawi zina, dongosolo lathu lopumira, makamaka mapapo, limakhala ndi mavuto ochepa. Kenako madokotala athu amafuna kudziwa momwe mapapo awa alili komanso momwe akugwirira ntchito bwino. Pamenepo ndiye mayeso apadera otchedwa spirometry angatithandize. Mukamva dzinali, lingamveke ngati nkhani yaikulu, koma ndi losavuta kwenikweni.
Kodi spirometry ndi chiyani? Kodi ndi zovuta choncho?
Mwachidule, spirometry ndi njira yosavuta yoyezera kupuma yomwe imayesa ntchito ya mapapo anu. Imayang'ana makamaka kuchuluka kwa mpweya womwe mungalowe ndi mpweya umodzi, kuchuluka kwa mpweya womwe mungatulutse, komanso kuchuluka kwa mpweya womwe mungatulutse mofulumira .
Taganizirani ngati kuzimitsa makandulo pa keke yanu yobadwa. Palibe ululu kapena kusasangalala. Makina ang'onoang'ono omwe amagwiritsidwa ntchito poyesa awa amatchedwa spirometer . Saika chilichonse m'thupi lanu, kotero palibe chifukwa chodera nkhawa.
N’chifukwa chiyani mayeso a spirometry amenewa amachitidwa? Kodi ndi ofunika kwa ndani?
Tsopano mwina mukudabwa kuti, "Chifukwa chiyani ndikufunika mayeso awa?" Spirometry nthawi zambiri imachitika pazifukwa zingapo:
- Dziwani matenda a m'mapapo: Kodi mumadwala chifuwa pafupipafupi? Kodi mumamva kupuma movutikira? Kodi muli ndi phokoso la kupuma pachifuwa? Kapena chifuwa chanu chimamveka cholimba pang'ono? Ngati muli ndi zizindikiro izi, mayesowa angathandize kupeza chomwe chikuyambitsa vutoli. Makamaka:
- Mphumu : Uwu ndi matenda omwe anthu ambiri amawadziwa bwino. Pachifukwa ichi, njira zopumira mpweya zimakhala zochepa.
- COPD ( Matenda Osatha Oletsa Kupuma ): Ili ndi dzina la nthawi yayitali. Mwachidule, ili ndi vuto la nthawi yayitali lomwe limasokoneza kuyenda kwa mpweya kulowa ndi kutuluka m'mapapo. Limapezeka kwambiri mwa anthu omwe amasuta .
- Cystic Fibrosis : Iyi ndi matenda a majini omwe amakhudza mapapo komanso ziwalo zina za thupi.
- Pulmonary Fibrosis : Iyi ndi matenda omwe minofu ya m'mapapo imakula pang'onopang'ono ndipo imakhala yolimba. Mapapo sakutupa bwino.
- Yang'anirani momwe matenda a m'mapapo alili: Ngati muli kale ndi matenda a m'mapapo, mayesowa amachitidwanso kuti aone ngati mankhwala omwe mukumwa akugwira ntchito bwino komanso ngati matendawa ayamba bwino kapena akuipiraipira.
- Yesani momwe mapapo amagwirira ntchito musanachite opaleshoni: Izi ndizofunikira musanachite opaleshoni yayikulu, makamaka ngati mukusuta fodya kapena muli ndi zizindikiro zokhudzana ndi mapapo, kuti muwone momwe mapapo anu angalolere mankhwala oletsa ululu.
- Kuzindikira matenda a m'mapapo okhudzana ndi ntchito: Kuyesaku kumagwiritsidwanso ntchito kudziwa ngati pali chiopsezo cha kuwonongeka kwa mapapo chifukwa cha fumbi ndi mankhwala omwe amapezeka m'malo ena antchito.
Tangoganizani, mnzanu, tiyeni tinene kuti Chamal. Chamal ankapuma pang'onopang'ono akakwera masitepe kapena kuthamangira basi. Atapeza dokotala, anapempha Chamal kuti amuyesere spirometry. Umu ndi momwe anapezedwera ndi mphumu. Tsopano, Chamal akumwa mankhwala ake moyenera ndipo alibe vuto lililonse.
Kodi mayeso a spirometry amenewa amachitidwa bwanji? Kodi ndi nkhani yaikulu?
Chabwino, tsopano tiyeni tiwone momwe tingachitire mayeso awa. Ndi osavuta, palibe choopa.
1. Kukonzekera: Mudzakhala pansi bwino pampando.
2. Chotsekera mphuno: Chotsekera chaching'ono chimayikidwa pamphuno yanu. Izi zimachitika kuti mukapuma, muzipuma kudzera pakamwa panu, osati pamphuno. Umu ndi momwe mungapezere muyeso wolondola.
3. Choyatsira Pakamwa: Kenako, mudzapemphedwa kuti mugwire choyatsira pakamwa cha chubu choyeretsedwa cholumikizidwa ndi spirometer mkamwa mwanu mwamphamvu. Muyenera kuchitseka mwamphamvu ndi milomo yonse iwiri kuti mpweya usatuluke.
4. Njira yopumira:
- Choyamba, pumirani bwino kangapo.
- Kenako, amapemphedwa kuti apume mpweya wambiri , mpaka mapapu onse awiri atadzazidwa ndi mpweya.
- Kenako, muyenera kupumira mpweya wonsewo mwachangu komanso mwamphamvu momwe mungathere. Monga kuzimitsa kandulo, koma mwamphamvu pang'ono, komanso kwa nthawi yayitali momwe mungathere (osachepera masekondi 6).
5. Chilimbikitso: Katswiri amene akuchita mayesowa adzakulimbikitsani mwa kunena zinthu monga "Zambiri! Zambiri! Pumirani! Zabwino! Zabwino!" Amadziwa kuti akufuna kuti muchite zonse zomwe mungathe.
6. Bwerezani: Kawirikawiri, izi zimachitika katatu kuti mupeze zotsatira zolondola kwambiri.
Nthawi zina, mukamaliza mayesowa, mumapatsidwa mlingo waufupi wa bronchodilator (nthawi zambiri inhaler) kenako mayesowo amabwerezedwanso patatha mphindi 15-20. Izi ndizoona ngati kupuma kwanu kwayamba bwino mutatha kumwa mankhwalawo. Izi ndizofunikira kwambiri pozindikira matenda monga mphumu.
Mungathe kumva kutopa pang'ono panthawi yoyezetsa iyi, chifukwa muyenera kutulutsa mpweya wochuluka momwe mungathere. Koma palibe ululu uliwonse.
Kodi pali zinthu zina zomwe tiyenera kukonzekera mayeso asanayambe?
Inde, kuti mupeze zotsatira zolondola kuchokera ku mayeso, pali zinthu zingapo zomwe muyenera kusamala nazo.
- Mankhwala: Uzani dokotala wanu pasadakhale za mankhwala onse omwe mumamwa, makamaka mankhwala opumira omwe amagwiritsidwa ntchito pa matenda a m'mapapo. Mungapemphedwe kuti musiye kugwiritsa ntchito mankhwala ena opumira maola angapo mayeso asanachitike.
- Kusuta: Pewani kusuta fodya kwa ola limodzi musanayese mayeso. Ndi bwino kupewa kusuta fodya kwa maola osachepera 24 ngati n'kotheka.
- Mowa: Musamwe mowa tsiku loyesa.
- Chakudya: Pewani kudya chakudya chachikulu pafupifupi maola awiri mayeso asanachitike. Palibe vuto kudya chakudya chopepuka.
- Kafeini: Ndi bwino kuchepetsa kumwa zakumwa zokhala ndi kafeini monga tiyi ndi khofi maola angapo mayeso asanachitike.
- Zovala: Valani zovala zomasuka komanso zopumira . Pewani zovala zolimba.
- Kuchita masewera olimbitsa thupi: Pewani kuchita masewera olimbitsa thupi otopetsa kwa mphindi pafupifupi 30 musanayese mayeso.
Ngati mutasamalira zinthu izi, mutha kupeza zotsatira zolondola kwambiri.
Kodi zotsatira za mayesowa zikuti chiyani?
Musadandaule ngati zotsatira za mayesowo zikuwoneka zasayansi pang'ono. Dokotala wanu adzakufotokozerani zonse mwachidule. Pali miyeso ikuluikulu ingapo yomwe idzatengedwa:
- FVC (Forced Vital Capacity): Uwu ndi mpweya wonse womwe mungatulutse mwamphamvu mutapuma mozama. Mwachidule, ndi mpweya wochuluka kwambiri womwe mapapu anu angasunge .
- FEV1 (Voliyumu Yotulutsa Mpweya Yokakamizidwa mu sekondi imodzi): Uwu ndi kuchuluka kwa mpweya komwe kungatulutsidwe mu sekondi yoyamba mukatulutsa mpweya mwamphamvu. Izi zikusonyeza momwe mpweya ukutulutsidwira mwachangu m'mapapo.
- Chiŵerengero cha FEV1/FVC: Chiŵerengero cha ziwerengero ziwiri zomwe zatchulidwa pamwambapa n'chofunikanso kwambiri.
Miyezo iyi imayerekezeredwa ndi miyezo yachibadwa ya msinkhu wanu, kutalika, jenda, ndi mtundu wanu.
- Kachitidwe kolepheretsa: Ngati FEV1 yanu ili yotsika kwambiri kuposa FVC yanu, ndipo chiŵerengero chanu cha FEV1/FVC chili chotsika, zikutanthauza kuti pali kutsekeka kwina (monga kuchepa) m'njira zanu zopumira. Izi zitha kuwoneka m'matenda monga mphumu ndi COPD.
- Kachitidwe koletsa: Ngati FVC yanu ndi yotsika, koma chiŵerengero chanu cha FEV1/FVC chili chabwinobwino kapena chapamwamba, zikutanthauza kuti mapapu anu sangathe kufufuma bwino (mapapu sakufufuma bwino). Izi zitha kuwoneka m'matenda monga Pulmonary Fibrosis.
Chofunika kwambiri ndichakuti, musayese kutanthauzira zotsatira izi nokha. Dokotala wanu adzayerekeza zotsatira za spirometry izi ndi zizindikiro zanu ndi malipoti ena a mayeso ndikuwafotokozera m'njira yomwe mungamvetse.
Kodi pali zotsatirapo zilizonse pa izi? Kodi n'zovuta pang'ono?
Kuyeza kwa Spirometry nthawi zambiri kumakhala kotetezeka kwambiri . Zotsatirapo zoyipa sizimachitika kawirikawiri. Komabe, chifukwa mayesowa amafuna kuti mupume mwamphamvu, pakhoza kukhala zovuta zina zazing'ono:
- Mungamve chizungulire kapena mutu wopepuka . Izi zitha zokha pakapita nthawi.
- Pambuyo pa mayeso, mutha kukhala ndi kupuma movutikira kapena kumva mutu wopepuka kwa kanthawi .
- Anthu ena akhoza kukhala ndi chifuwa .
- Mungamve kutopa pang'ono .
Kawirikawiri, anthu ena amatha kuvutika ndi kuchepa kwadzidzidzi kwa njira zopumira m'mapapo ( bronchospasm ), makamaka kwa anthu omwe ali ndi mphumu yayikulu. Komabe, chifukwa mayesowa amachitika moyang'aniridwa ndi dokotala, ngati izi zitachitika, amatha kuchiritsidwa mwachangu.
Muyenera kuuza dokotala wanu ngati mwangochitapo opaleshoni ya mtima, maso, chifuwa kapena m'mimba, aneurysm mu ubongo, kapena chifuwa chachikulu (TB ). Kuyesa kumeneku sikungakhale koyenera pazochitika zotere, kapena kungafunike kuchitidwa mosamala kwambiri.
Kodi chimachitika ndi chiyani pambuyo pa mayeso?
Mukamaliza mayeso, mutha kuchita zinthu zanu zachizolowezi. Ngati mwagwiritsa ntchito bronchodilator kwambiri, mungamve kugwedezeka pang'ono m'manja mwanu kapena kuthamanga pang'ono mumtima mwanu kwa kanthawi. Izi zidzatha pakapita nthawi yochepa.
Kenako, dokotala wanu adzakambirana nanu zotsatira za mayeso. Adzakufotokozerani tanthauzo la zotsatira zake komanso zomwe muyenera kuchita (monga kuyezetsa kwina, kuyamba kumwa mankhwala, kapena kusintha mankhwala omwe mukugwiritsa ntchito panopa).
Ndiye, kodi ndi zinthu ziti zofunika kwambiri zomwe tiyenera kukumbukira?
Chabwino, tiyeni tifotokoze mwachidule zinthu zofunika kwambiri zomwe tiyenera kukumbukira kuchokera pa zomwe takambirana:
- Spirometry ndi njira yosavuta komanso yopanda ululu yoyesera kupuma kuti muone thanzi la mapapo anu.
- Izi ndi zothandiza kwambiri pozindikira ndi kuyang'anira matenda a m'mapapo monga mphumu ndi COPD.
- Kulemba mayeso kuli ngati kuzimitsa makandulo pa tsiku lobadwa , sikovuta kwambiri. Koma muyenera kuyesetsa kwambiri.
- Tsatirani malangizo a dokotala mosamala musanayese mayeso (okhudza chakudya, zakumwa, ndi mankhwala).
- Musaope zotsatira zake kapena kupanga zisankho nokha . Kambiranani zonse ndi dokotala wanu ndipo funsani upangiri.
Kotero, ngati muli ndi vuto lililonse la m'mapapo ndipo dokotala akukuuzani kuti muchite mayeso a spirometry awa, palibe chifukwa choopera. Ingokumbukirani kuti ndi gawo lofunika kwambiri kuti mapapo anu akhale athanzi. Zabwino zonse!
spirometry, mayeso a mapapo, mayeso opumira, mphumu, COPD, ntchito ya mapapo, matenda opumira











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