Kupuma nthawi zambiri timaona ngati chinthu chosavuta, koma ndi injini yomwe imagwira ntchito m'thupi lanu. Komabe, nthawi zina, dongosolo lanu lopumira—makamaka mapapu anu—likhoza kukhala ndi vuto laling'ono. Izi zikachitika, dokotala wanu ayenera kuwunika bwino thanzi la mapapu anu komanso momwe amagwirira ntchito. Apa ndi pomwe mayeso apadera otchedwa Spirometry amakhala ofunikira. Ngakhale dzinalo lingamveke lovuta, njira yokhayo ndi yosavuta.
Kodi Spirometry ndi chiyani, ndipo kodi ndi mayeso ovuta?
Mwachidule, Spirometry ndi njira yosavuta yoyezera kupuma yomwe imayesa momwe mapapo anu amagwirira ntchito. Imayang'ana makamaka kuchuluka kwa mpweya womwe mungapume mpweya kamodzi kokha, kuchuluka kwa mpweya womwe mungapume, komanso kuchuluka kwa mpweya womwe mungatulutse m'mapapo mwanu mwachangu.
Taganizirani ngati kuzimitsa makandulo a tsiku lobadwa pa keke. Sizimabweretsa ululu kapena kusasangalala kwenikweni. Chipangizo chaching'ono chomwe chimagwiritsidwa ntchito poyesa uku chimatchedwa Spirometer . Palibe chomwe chimayikidwa m'thupi lanu, kotero palibe chomwe muyenera kuopa.
Chifukwa chiyani Spirometry imachitidwa, ndipo ndani akuifunikira?
Mwina mukudzifunsa kuti, "Chifukwa chiyani ndikufunika mayeso awa?" Spirometry nthawi zambiri imachitika pazifukwa zingapo:
- Kuti mudziwe matenda okhudzana ndi mapapo: Kodi mumadwala chifuwa chosatha? Kodi mumamva kupuma movutikira? Kodi mumamva phokoso la mluzu mukamapuma (zomwe timazitcha kuti kupuma movutikira )? Kapena mwina mumamva kupsinjika pachifuwa panu? Kuyezetsa kumeneku kumathandiza kuzindikira chomwe chimayambitsa zizindikiro zotere, makamaka pa:
- Mphumu ( Asthma ): Matenda ofala omwe njira zanu zopumira mpweya zimakhala zochepa.
- COPD ( Matenda Osatha Oletsa Kupuma ): Matenda a nthawi yayitali omwe amalepheretsa mpweya kuyenda m'mapapo. Amafala kwambiri mwa anthu omwe amasuta .
- Cystic Fibrosis : Matenda a majini omwe amakhudza mapapo ndi ziwalo zina za thupi.
- Pulmonary Fibrosis : Matenda omwe minofu ya m'mapapo imakhala ndi zipsera komanso zolimba, zomwe zimalepheretsa mapapo kukula bwino.
- Kuwunika matenda a m'mapapo omwe alipo: Ngati muli kale ndi vuto la m'mapapo lomwe lapezeka, mayesowa amathandiza dokotala wanu kudziwa ngati mankhwala omwe mukumwa akugwira ntchito bwino kapena ngati vuto lanu likukulirakulira kapena likuipiraipira.
- Kuyang'ana momwe mapapo amagwirira ntchito musanachite opaleshoni: Musanayambe opaleshoni yayikulu, makamaka ngati mukusuta fodya kapena muli ndi zizindikiro za kupuma, mayesowa ndi ofunikira kuti mapapu anu athe kuthana ndi mankhwala oletsa ululu.
- Kuzindikira matenda a mapapo okhudzana ndi ntchito: Kukhudzana ndi fumbi kapena mankhwala m'malo ena ogwirira ntchito kungawononge mapapo. Kuyesaku kumathandiza kudziwa ngati muli pachiwopsezo.
Tangoganizirani mnzanu, tiyeni timutche Chamal. Chamal amavutika kupuma akamakwera masitepe kapena akuthamanga pa basi. Atapita kwa dokotala, adapatsidwa mayeso a Spirometry, omwe adazindikira bwino kuti ali ndi mphumu. Tsopano, chifukwa cha mankhwala oyenera, alibe zizindikiro.
Kodi mayeso a Spirometry amachitidwa bwanji?
Tiyeni tiwone momwe mayesowa amachitikira. Ndi osavuta ndipo palibe choopa.
1. Kukonzekera: Mudzapemphedwa kukhala pansi pampando momasuka.
2. Chogwirira Mphuno:Kachidutswa kakang'ono kadzayikidwa pamphuno yanu kuti muwonetsetse kuti mukupuma kudzera pakamwa panu pokha. Izi zimatsimikizira kuti muyeso wake ndi wolondola.
3. Chopaka pakamwa: Mudzapemphedwa kuti mugwire chopaka pakamwa choyeretsedwa, chogwiritsidwa ntchito ngati chotayidwa cholumikizidwa ku spirometer ndi milomo yanu, kuonetsetsa kuti chitsekedwe bwino kuti mpweya usatuluke.
4. Njira Yopumira:
- Choyamba, pumirani bwino kangapo.
- Kenako, pumani mpweya wozama momwe mungathere , mpaka mapapu anu adzaza mokwanira.
- Kenako, tulutsani mpweya mwamphamvu komanso mwachangu momwe mungathere . Mofanana ndi kuzimitsa kandulo, koma ndi mphamvu zambiri, pitirizani kwa nthawi yayitali momwe mungathere (osachepera masekondi 6).
5. Chilimbikitso: Katswiri wochita mayeso adzakulimbikitsani ("Pitirizani! Zambiri! Zambiri! Zabwino!") kuti atsimikizire kuti mukuchita zonse zomwe mungathe.
6. Kubwerezabwereza: Kawirikawiri, mayesowa amabwerezedwa katatu kuti apeze zotsatira zolondola kwambiri.
Nthawi zina, mutatha mayeso oyamba, mungapatsidwe bronchodilator (nthawi zambiri kudzera mu inhaler) ndikupemphedwa kuti mubwereze mayesowo patatha mphindi 15-20 kuti muwone ngati kupuma kwanu kwayamba bwino. Izi ndizothandiza kwambiri pozindikira matenda monga Asthma.
Mayesowa angakupangitseni kumva kutopa pang'ono, chifukwa muyenera kuchita khama kwambiri, koma si opweteka.
Kodi pali zinthu zina zofunika kukonzekera musanayese mayeso?
Inde, kuti muwonetsetse kuti zotsatira zake ndi zolondola, chonde kumbukirani zinthu zingapo:
- Mankhwala: Uzani dokotala wanu za mankhwala onse omwe mukumwa, makamaka mankhwala ophera matenda a m'mapapo. Mungapemphedwe kuti musagwiritse ntchito mankhwala ena ophera kwa maola angapo mayeso asanachitike.
- Kusuta: Pewani kusuta fodya kwa ola limodzi musanayesedwe. Chabwino, yesetsani kupewa kusuta fodya kwa maola 24.
- Mowa: Musamwe mowa tsiku loyesa.
- Chakudya: Pewani kudya chakudya cholemera kwa maola awiri musanayese mayeso. Chakudya chopepuka n'chovomerezeka.
- Kafeini: Ndi bwino kupewa zakumwa zokhala ndi kafeini monga tiyi kapena khofi kwa maola angapo musanayesedwe.
- Zovala: Valani zovala zomasuka komanso zomasuka . Pewani chilichonse chomwe chingakutsekerezeni pachifuwa.
- Kuchita masewera olimbitsa thupi: Pewani kuchita masewera olimbitsa thupi otopetsa kwa mphindi 30 musanayese mayeso.
Kutsatira njira izi kudzakuthandizani kuti mupeze zotsatira zolondola kwambiri.
Kodi zotsatira za mayeso zikutanthauza chiyani?
Mawerengedwe ake angawoneke ngati asayansi, koma musadandaule. Dokotala wanu ku Nirogi Lanka adzafotokoza zonse momveka bwino. Pali miyeso ingapo yofunika kwambiri yomwe timayang'ana makamaka:
- FVC (Kuthamangitsidwa Kwambiri): Izi zimayesa kuchuluka kwa mpweya womwe mungathe kutulutsa ndi mphamvu mutapuma mozama kwambiri momwe mungathere. Mwachidule, zimayimira mphamvu yayikulu ya mapapu anu .
- FEV1 (Voliyumu Yotulutsa Mpweya Yokakamizidwa mu sekondi imodzi): Izi zimayesa kuchuluka kwa mpweya womwe mungatulutse panthawi ya sekondi yoyamba ya mayeso. Zimatithandiza kudziwa momwe mapapu anu angatulutsire mpweya mwachangu.
- Chiŵerengero cha FEV1/FVC: Ubale pakati pa zizindikiro ziwirizi ndi wofunikira kwambiri kuti munthu adziwe matenda molondola.
Zotsatira zanu zimayerekezeredwa ndi miyezo yoyenera komanso yabwino yogwirizana ndi zaka zanu, kutalika kwanu, jenda lanu, ndi mtundu wanu.
- Kachitidwe kolepheretsa: Ngati FEV1 yanu ili yotsika kwambiri kuposa FVC yanu ndipo chiŵerengero cha FEV1/FVC chili chotsika, zimasonyeza kutsekeka (monga kuchepa kwa njira zopumira). Izi nthawi zambiri zimawoneka m'matenda monga Asthma kapena COPD.
- Kachitidwe koletsa:Ngati FVC yanu ndi yotsika koma chiŵerengero chanu cha FEV1/FVC chili chabwinobwino kapena chapamwamba, zikusonyeza kuti mapapu anu sangathe kukula mokwanira. Izi nthawi zambiri zimagwirizanitsidwa ndi matenda monga Pulmonary Fibrosis.
Chofunika kwambiri, chonde musayese kutanthauzira zotsatirazi nokha. Dokotala wanu adzasanthula zotsatira za spirometry yanu pamodzi ndi zizindikiro zanu zachipatala ndi zina zomwe mumapeza kuti akupatseni kufotokozera momveka bwino komanso koyenera.
Kodi pali zotsatirapo kapena zoopsa zilizonse?
Kuyeza kwa Spirometry ndi njira yotetezeka kwambiri . Zotsatirapo zoyipa kwambiri sizimachitika kawirikawiri. Komabe, chifukwa mayesowa amafuna kupuma mwamphamvu, mutha kukhala ndi vuto laling'ono:
- Chizungulire kapena mutu wopepuka: Izi nthawi zambiri zimatha msanga.
- Kupuma movutikira kapena kupuma mofulumira: Mungamve ngati mukupuma pang'ono mutangomaliza mayeso.
- Kutsokomola: Izi zimachitika kawirikawiri munthu akapuma movutikira/kutulutsa mpweya mozama.
- Kutopa: Mungamve kutopa pang'ono mutachita khama.
Nthawi zina, anthu ena angakumane ndi vuto la kupuma movutikira ( bronchospasm ), makamaka omwe ali ndi mphumu yayikulu. Popeza mayesowa amachitika moyang'aniridwa ndi akatswiri azachipatala, tili okonzeka kuthana ndi vutoli nthawi yomweyo.
Ngati mwachitapo opaleshoni ya mtima posachedwapa, opaleshoni ya maso, opaleshoni pachifuwa kapena m'mimba, kapena muli ndi aneurysm yodziwika bwino kapena chifuwa chachikulu (TB) , chonde dziwitsani dokotala wanu nthawi yomweyo. Zikatero, mayesowa angafunike kuchedwetsedwa kapena kuchitidwa mosamala kwambiri.
Kodi chimachitika ndi chiyani pambuyo pa mayeso?
Mukhoza kuyambiranso ntchito zanu zachizolowezi nthawi yomweyo mutatha opaleshoniyi. Ngati mutagwiritsa ntchito bronchodilator, mungamve kunjenjemera pang'ono kapena kugunda kwa mtima kwakukulu, komwe kudzatha posachedwa.
Dokotala wanu adzayang'ananso zotsatira zake nanu, adzakufotokozerani tanthauzo lake, ndikukambirana njira zotsatirazi—kaya izi zikuphatikizapo kuyezetsa kwina, kuyambitsa chithandizo chatsopano, kapena kusintha mankhwala omwe muli nawo panopa.
Mfundo zofunika pa thanzi lanu
Tiyeni tifotokoze mwachidule mfundo zofunika kukumbukira:
- Spirometry ndi njira yosavuta komanso yopanda ululu yoyezera kupuma yomwe imagwiritsidwa ntchito poyesa thanzi la mapapo anu.
- Ndi chida chofunikira kwambiri pozindikira ndi kuyang'anira matenda a m'mapapo monga Asthma ndi COPD.
- Ganizirani mayesowo ngati kuzimitsa makandulo a tsiku lobadwa —kumafuna khama lalikulu, koma sikovuta.
- Chonde tsatirani malangizo onse omwe gulu lanu lazachipatala lapereka musanayesedwe okhudzana ndi chakudya, zakumwa, ndi mankhwala.
- Musadandaule za zotsatira zake kapena kuyesa kudziyesa nokha. Kambiranani zonse momasuka ndi dokotala wanu.
Ngati dokotala wanu wakupatsani mayeso a spirometry, palibe choopa. Ndi sitepe yothandiza kuti mutsimikizire kuti kupuma kwanu kuli bwino. Ku Nirogi Lanka , tili odzipereka ku thanzi lanu. Tikukufunirani zabwino!
spirometry, mayeso a ntchito ya mapapo, mayeso opumira, mphumu, COPD, ntchito ya m'mapapo, thanzi la kupuma
