Dzimwe nguva unombonetseka nekufema, kusimba kwechipfuva, kana kukosora nguva dzose here? Kana chiremba akati unofanira kuita bvunzo yekutarisa mashandiro emapapu ako, pamwe bvunzo yeDLCO. Saka ngatitaurei nezvazvo nhasi. Izvi hazvina chekutyiwa, bvunzo iri nyore kwazvo.
Zvichitaurwa zviri nyore, chii chinonzi bvunzo iyi yeDLCO?
Bvunzo yeDLCO bvunzo yakakosha inoyera kuti okisijeni iri kufamba zvakanaka sei kubva mumapapu ichipinda muropa rako. Kutaura chokwadi, ndeimwe yebvunzo dzakawanda dzinoyera mashandiro emapapu. Inogona kupa chiremba wako pfungwa yakanaka yekuti mapapu ako ane hutano uye anoshanda sei.
Mukuedzwa uku, huwandu hushoma kwazvo, husina njodzi hwecarbon monoxide hunowedzerwa mumhepo yaunofema. Zvadaro, huwandu hwecarbon monoxide inotorwa kubva mumapapu ako ichipinda muropa rako hunoyerwa. Izvi zvinonzi "diffusing capacity yecarbon monoxide," kana kuti DLCO muchidimbu.
Chii chinonzi 'Diffusion'? Chinokosha sei kwatiri?
Fungidzira, patinofema, okisijeni iri mumhepo inopinda mumapapu edu. Kubva ipapo, okisijeni iyi inoenda kumasacheni madiki emhepo (alveoli) ari mumapapu. Masacheni aya akatenderedza masacheni aya akapararira setiweki yetsinga dzeropa dzakapfava kwazvo (capillaries).
'Kupararira' zvinoreva nzira iyo okisijeni inopararira nayo kubva mumabhegi emhepo ichipinda mutsinga dzeropa yosangana neropa. Zvakafanana nekuisa bhegi retii mukapu yemvura inopisa uye tii inonyungudika mumvura. Okisijeni inosanganiswa neropa nenzira iyi inofamba mumuviri wedu wese uye inopa simba kumasero edu.
Saka, kukurumidza uye kushanda zvakanaka kweokisijeni iyi muropa zvinoenderana nezvinhu zvakati wandei :
- Nzvimbo yepamusoro pemasagi emhepo (alveoli) mumapapu ako.
- Ndiwo huwandu hweropa riri mutsinga diki dzeropa (capillaries) dzakatenderedza masaga emhepo.
- Kuwanda kwehemoglobin, puroteni inotakura okisijeni muropa rako.
- Ukobvu hweganda rakatetepa riri pakati pebhegi remhepo netsinga yeropa.
- Kana paine kuungana kwemvura kusingakoshi mukati memaburi emhepo.
Kana chimwe chezvinhu izvi chikachinja, kuendeswa kweokisijeni muropa kunogona kukanganisika. Ndizvo zvakakosha pakuongorora kweDLCO.
Sei chiremba angakurudzira bvunzo iyi yeDLCO?
Pane zvikonzero zvakawanda zvinoita kuti chiremba akukumbire kuti uedze bvunzo iyi. Ngatitarisei zvikonzero zvikuru.
| Chikonzero chekuyedzwa | Tsananguro iri nyore |
|---|---|
| Kuti uwane chikonzero chezviratidzo | Nzwisisa kana chikonzero chaicho chekusafema zvakanaka nekukosora chiri dambudziko remapapu. |
| Kuongorora kukuvara kwemapapu | Yera kuti mapapu akakuvara zvakadii nekuda kwechirwere kana chimwe chikonzero. |
| Kuongorora zvimwe zvirwere zvemapapu | Bvunzo iyi inoshandiswa pakuongorora zvirwere zvemapapu nekukurumidza. |
| Usati wavhiyiwa | Usati wavhiyiwa zvikuru, tarisa kuti mapapu ako ari kushanda zvakanaka here. |
| Kuyera kubudirira kwekurapwa | Kana uri kutorapwa chirwere chemapapu, ona kuti mushonga iwoyo unoshanda sei. |
| Kutarisa mamiriro echirwere | Tarisa kana mamiriro ehutano aripo iye zvino ari kuvandudzika kana kuti ari kuipa. |
Chii chinoitika kana wanyora bvunzo?
Izvi zviri nyore kwazvo. Hapana chikonzero chekuti utye kana kunetseka.
Nyanzvi ichaita bvunzo iyi ichatanga yaisa kachidhindo kadiki pamhino yako. Rega kufema nemhino iyoyo. Ipapo vachakuudza kuti utevedzere matanho aya:
1. Isa muromo wako pamuromo:Unofanira kuisa muromo wako mumuromo wakabatana nemuchina wousimbisa zvakasimba kuitira kuti pasave nemhepo inobuda.
2. Fema zvakanaka: Kutanga, fema zvakanaka, kufema zvakanaka uye kufema zvakanaka.
3. Fema zvakadzika: Tevere, unoudzwa kuti ufeme zvakadzika zvakanyanya sezvinobvira.
4. Bata mweya wako: Iye zvino unofanira kubata mweya wako kwemasekondi angangoita gumi. Apa ndipo apo kabhoni monoxide iri musanganiswa wegasi chaiyo inonyudzwa muropa rako.
5. Kufema nekukurumidza: Zvadaro, unofanira kufema mweya wako wese mumuchina panguva imwe chete, nekukurumidza.
Muchina uyu unoyera huwandu hwecarbon monoxide inosara mumhepo yaunoburitsa. Kubva ipapo, vanoverenga kuti yakawanda sei yapinda muropa rako. Unogona kudzokorora maitiro aya kamwe chete kana kaviri kuti uwane kuverenga kwakarurama.
Chinhu chakakosha ndechekuti huwandu hwecarbon monoxide hunoshandiswa muongororo iyi hudiki kwazvo . Hahuzokuvadzi muviri wako chero nenzira ipi zvayo. Saka usazvidya mwoyo nazvo.
Ndinofanira kugadzirira bvunzo ndisati ndaita here?
Ehe, kuti uwane mhinduro chaiyo yebvunzo, unofanirwa kutevedzera matanho mashoma ari nyore. Chiremba wako achakuudza nezvazvo. Kazhinji, aya ndiwo matanho:
- Usasvuta maawa 4-6 usati waenda kunoongororwa.
- Kana uri kushandisa okisijeni yekuwedzera, rega maminetsi gumi bvunzo isati yaitwa (chero kana uchikwanisa kuzviita zvakachengeteka).
- Usaite maekisesaizi anorema usati waenda kunoongororwa.
Unganzwisisa sei mhedzisiro yebvunzo?
Mhedzisiro yebvunzo inopiwa sechikamu. Izvi zvinokuudza kuti mamakisi ako anoenzaniswa zvakadini nemamakisi eDLCO aunofanira kuva nawo, tichifunga nezvezvinhu zvakaita sezera rako, kureba, uye murume kana mukadzi.
| Mhedzisiro | Kukosha (sechikamu chemutengo unotarisirwa) | Zvinoreva |
|---|---|---|
| Zvakajairika | Pakati pe75% ne140% | Mapapu ako ari kuwana okisijeni yakakwana muropa rako. |
| Yakaderedzwa zvishoma | Pakati pe60% ne75% | Kuchinjana kweokisijeni kwava kukanganisa zvishoma. Izvi zvinogona kuva kutanga kwechimwe chirwere. |
| Yaderedzwa zvakanyanya | Zvisingasviki 40% | Kuchinjana kweokisijeni kwakanganiswa zvakanyanya. Izvi zvinoda kuongororwa zvakadzama. |
Ndezvipi zvikonzero zvekudzikira kweDLCO kukosha?
Kuderera kweDLCO zvinoreva kuti okisijeni haisi kutamiswa kubva kumapapu kuenda kuropa rako zvakanaka. Izvi zvinogona kukonzerwa nemamwe mamiriro emapapu kana emwoyo. Semuenzaniso:
- Kusvuta
- Zvirwere zvakaita sechirwere chemapapu chinogara kwenguva refu (COPD) uye emphysema
- Zvirwere zvinokanganisa mapapu, zvakaita se sarcoidosis
- Zvirwere zvemwoyo netsinga dzeropa - semuenzaniso, pulmonary embolism (PE), pulmonary arterial hypertension, congestive heart failure
- Kushaya ropa
- Zvirwere zve autoimmune - semuenzaniso, Lupus (SLE), Scleroderma
Ko kukosha kweDLCO kunogona kuwedzera here?
Ehe, mune dzimwe nguva, kukosha kweDLCO kunogona kunge kwakakwira kupfuura zvaitarisirwa. Izvi zvinogona kunge zviri zvikonzero zveizvi:
- Asima
- Kufuta
- Kurovedza muviri usati watanga bvunzo
- Kugara munzvimbo dzakakwirira dzemakomo
- Kubuda ropa mukati memapapu
- Zvirwere zveropa zvakaita se polycythemia vera
Kana mhedzisiro yacho isina kujairika, chii chaunotevera kuita?
Rangarirai izvi. Bvunzo yeDLCO ingori imwe yepuzzle. Chiremba wenyu achasanganisa mhedzisiro yebvunzo iyi nezviratidzo zvenyu, pamwe nemhedzisiro yemimwe bvunzo dzemapapu, dzakadai se spirometry, kuti asvike pakuongorora kwekupedzisira.
Kana mhedzisiro yacho isina kujairika, ungakumbirwa kuti uite mimwe miedzo, pamwe neCT scan, kuti uwane chikonzero chaicho. Saka usatya kufunga nezvemhedzisiro yacho wega. Taura nachiremba wako nezvazvo uye tevera mazano ake.
Mharidzo Yekuenda Nayo Kumba
- DLCO (Kuyedzwa kweKupararira Kwemapapu) inzira yakachengeteka uye iri nyore yekuyera kuti okisijeni inopinda sei muropa kubva mumapapu.
- Izvi zvinobatsira kuwana chikonzero chezviratidzo zvakaita sekushaya mweya, kuongorora zvirwere zvemapapu, uye kuyera kubudirira kwekurapwa.
- Zvakakosha kudzivisa kusvuta uye kurovedza muviri zvakanyanya usati waenda kunoongororwa kuti uwane mhinduro dzakarurama.
- Kana muine mibvunzo nezvemhedzisiro yebvunzo, musatya kubvunza chiremba wenyu. Iye achakutsanangurirai zvese.
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