Dzimwe nguva unonzwa kushaya mweya zvakanaka pasina chikonzero, sekunge uri kufemereka? Pamwe unonetseka nekufema paunenge uchikwira masitepisi madiki kana kufamba chinhambwe chipfupi. Panogona kunge paine zvikonzero zvakawanda zveizvi. Asi dambudziko harisi nguva dzose mumapapu edu chete. Kune tsandanyama imwe huru, ine simba zvikuru inotibatsira kufema, uye ndiyo diaphragm. Saka, nhasi tichataura nezvebvunzo yakakosha, iri nyore yekuona kana diaphragm iyi iri kushanda nemazvo. Izvi zvinonzi 'Sniff Test'.
Zvichitaurwa zviri nyore, chii chinonzi 'Sniff Test' iyi?
Zvakanaka, ngatitsanangure izvi zviri nyore. 'Kuyedzwa kwekunhuhwidza' imhando yakasarudzika yeX-ray test. Inotarisa kuti diaphragm yako iri kushanda zvakanaka sei.
Zvino ungangove uchishamisika kuti diaphragm iyi chii. Imhasuru hombe, yakati sandara iri pakati pechipfuva chedu nedumbu. Yakaita seamburera. Tsandanyama iyi ndiyo inoita basa guru pese patinofema. Saka, mubvunzo uyu, chiremba kana nyanzvi inotora mifananidzo yeX-ray, sevhidhiyo, paunofema uchibuda. Nekutarisa mifananidzo iyoyo, vanogona kuona kana paine kusasimba kwe diaphragm yako, kana kuti yakaremara .
Kune mamwe mazita maviri anoshandiswa pabvunzo iyi. Idzi dzinoti Chest Fluoroscopy neDiaphragm Fluoroscopy . Kana ukanzwa mazita ese aya, zvinoreva kuti iyi bvunzo yakafanana.
'Kuedza kunhuwidza' kunofanira kuitwa rini?
Kana chiremba wako achifungidzira kuti tsinga dzinodzora kufema kwako dzinogona kukanganiswa, vanogona kukurudzira bvunzo iyi. Izvi zvakakosha zvikuru kune mamwe matambudziko etsinga.
Fungidzira, pane mumwe munhu anonzi Nimal. Ave achinetseka kufema kwenguva yakati. Vanachiremba vakaita bvunzo dzakawanda, asi havana kukwanisa kuwana chikonzero chikuru. Pakupedzisira, chiremba anofungidzira kuti pane kusasimba kwetsinga dzinodzora diaphragm yake. Ndipo panotanga kubatsira zvikuru 'bvunzo yekunhuhwirira' iyi.
Tafura iri pazasi inoratidza mamwe ematambudziko ehutano anowanzo da bvunzo iyi.
| Mamiriro | Tsananguro iri nyore |
|---|---|
| Amyotrophic lateral sclerosis (ALS) | Chirwere chinopedza simba masero etsinga muuropi nemumusana zvishoma nezvishoma. |
| Kuzvimba kwenguva refu kunoderedza myelin neuropathy (CIDP) | Chirwere chinogara kwenguva refu chinokuvadza tsinga dzemuviri. |
| Dermatomyositis | Chirwere chinokonzera kushaya simba kwetsandanyama uye hutachiona hweganda. |
| Guillain-Barré syndrome | Chirwere chekuti masoja emuviri anorwisa tsinga. |
| chirwere cheLambert-Eaton | Chirwere chinokanganisa kutapurirana kwemashoko pakati petsinga netsandanyama. |
| Multiple sclerosis (MS) | Chirwere chinokanganisa uropi nemusana, zvichikuvadza tsinga dzeropa. |
| Kusashanda kwetsandanyama | Boka rezvirwere umo tsandanyama dzinopera simba zvishoma nezvishoma uye dzinopera simba. |
| Myasthenia gravis | Chirwere chinokanganisa kutaurirana pakati petsinga netsandanyama. |
| Chirwere chePompe | Chirwere chemajini apo tsandanyama dzinoshaya simba nekuda kwekuungana kweshuga mumasero emuviri. |
| Chirwere cheporiyo mushure memwedzi | Munhu akamborwara nepoliyo anogona kutanga kushaya simba kwetsandanyama makore mazhinji gare gare. |
| Kukuvara kwemusana | Kukanganisika kwebasa retsinga nekuda kwekukuvara kwemusana. |
Kuwedzera kune zvirwere izvi, bvunzo iyi inogona kuitwa mune mamwe mamiriro maviri:
1. Kana uchinetseka nekufema zvisina tsarukano (dyspnea).
2. Kuongorora mashandiro e diaphragm usati wavhiyiwa kana mushure mekuvhiyiwa kupi zvako .
'Kuedza kunhuwidza' uku kunoshanda sei chaizvo?
Iyi inzira inonakidza zvikuru. Fungidzira kuti wakamira pamberi pemuchina weX-ray. Chiremba kana nyanzvi yezvemagetsi achakurayira kufema nenzira dzakasiyana. Panguva iyoyo, kamera yeX-ray inogona kuona mukati mechipfuva chako, kunyanya diaphragm, ichifamba mhenyu.
Izvi ndizvo zvinhu zvaunoudzwa kuti uite:
- Fema zvinyoro nyoro uye zvakajairika .
- Fema zvakadzama sezvinobvira.
- Fema zvakakwana sezvinobvira.
- Fema nekukurumidza nemhino dzako . Sekunge uri kufema chinhu chakaoma kunhuhwirira. Ndizvo zvaunoti "kufemera." Bvunzo iyi inonzi "bvunzo yekufemera" nekuda kwechiito ichi.
Saka chii chaunowana mune izvi?
Kazhinji, kana munhu ane hutano akafema, diaphragm inofamba ichidzika (ichienda kudumbu) yobva yati sandara. Izvi zvinoita kuti mapapu azare nemhepo. Paunenge uchifema, diaphragm inokwira zvakare (ichienda kuchipfuva) yoita seyakaita sedome (arch).
Zvisinei, kana diaphragm isingadzike kana munhu achifema, asi ichikwira (yakakwira) , zvinoreva kuti panogona kunge paine dambudziko nediaphragm kana tsinga ye phrenic inoidzora. Kufamba kusina kujairika ndiko kunonyanya kutariswa nebvunzo iyi.
Ndinofanira kugadzirira sei bvunzo iyi?
Ichi ndicho chinhu chakanakisa. Bvunzo iyi haidi kugadzirira kwakakosha . Hamufanirwe kutsanya kana kunwa chero mushonga chaiwo. Munogona kungoenderera mberi nebasa renyu remazuva ese moenda kuchipatara panguva yakatarwa yebvunzo.
Chii chinoitika panguva yebvunzo?
Paunoenda kukamuri rekuongororwa, matanho aya anowanzoitika:
1. Kugadzirisa chimiro chemuviri:Nyanzvi ichakukumbira kuti umire pamberi pekamera yeX-ray. Kana uchinetseka kumira, uchakumbirwa kugara pachigaro kana kurara patafura yakakotama. Tambo dzinogona kushandiswa kuchengetedza ganda rako uye kudzivirira kuti usatsvedze. Usazvidya mwoyo nezvazvo.
2. Mirayiridzo yekufema: Tevere, vachakuraira kufema nenzira dzakasiyana (semuenzaniso, kazhinji, zvakadzama, kubudisa mweya, kufemera nekukurumidza). Zvakakosha kutevedzera mirairo yavo zvakanyanya sezvinobvira .
3. Kutora mifananidzo yeX-ray: Paunenge uchifema seizvi, ivo vanoramba vachitora mifananidzo yeX-ray.
Maitiro ese aya anotora nguva pfupi, anenge maminetsi gumi nemashanu , saka hapana chikonzero chekunetseka nezvenguva.
Pane njodzi here kana kuti migumisiro yakaipa pane izvi?
Kuongororwa uku hakuna migumisiro yakaipa uye hakurwadzi zvachose.
Kuongororwa kweX-ray kunoisa muviri wako pamwaranzi diki kwazvo . Asi idiki kwazvo, inenge isingakoshi. Chiremba wako anokurudzira bvunzo iyi nekuti kukosha uye mabhenefiti eruzivo rwunowanikwa kubva muongororo iyi zvinopfuura njodzi diki. Saka hapana chikonzero chekunetseka zvakanyanya nezvemwaranzi.
Unganzwisisa sei mushumo we 'sniff test'?
Mhedzisiro ye'kunhuwidza' iri nyore kwazvo. Ingava yakanaka kana kuti yakaipa.
| Mhedzisiro | Zvinoreva zviri nyore |
|---|---|
| Zvakanaka (+ ) | Izvi zvinoreva kuti diaphragm yako inokwira zvisina kujairika paunofema. Izvi zvinogona kuratidza kuti chikamu kana kuti diaphragm yako yese yaoma. |
| Zvakaipa (-) / Zvakajairika | Izvi zvinoreva kuti diaphragm yako iri kufamba zvakanaka, sezvainofanira kufamba. Izvi zvinoreva kuti hapana dambudziko nekushanda kwayo. |
Chiremba wako anogona kukuudza zvabuda ipapo ipapo. Kana kuti, zvinogona kutora mazuva mashoma kuti chiremba weX-ray aongorore mifananidzo, agadzirire mushumo, uye autumire kuna chiremba wako.
Rangarira chimwe chinhu chakakosha.
Dzimwe nguva pane mukana mudiki wekuti munhu ave ne "false positive" (kana pasina dambudziko, asi zvinoita sekunge riripo) uye "false negative" (kana paine dambudziko, asi bvunzo isingariratidze). Saka, chiremba haazoiti sarudzo zvichibva pane mushumo uyu chete. Achaongorora zvese, kusanganisira zviratidzo zvako nezvimwe zvabuda muongororo, kuti asvike pamhedziso yekupedzisira.
Kana mhedzisiro yacho isina kujairika, chii chinozoitika?
Kana bvunzo yenyu yekunhuwidza ikati yabudirira, zvichireva kuti mhedzisiro yenyu haina kunaka, musazvidya mwoyo. Chiremba wenyu achataura nemi otsanangura zvinorehwa nemhedzisiro yacho maererano nemamiriro enyu ezvinhu.
Uyu hausi mutongo wakavakirwa pakuferefeta kumwe chete. Uyu unongova chikamu chimwe chete chemufananidzo mukuru.
Chiremba wako achaenzanisa mushumo uyu nezviratidzo zvako pamwe nemimwe miedzo kuti asarudze matanho ekutevera. Anogona kuraira mimwe miedzo kana kutanga chirongwa chekurapa. Chinhu chakakosha kutaura nachiremba wako nezveizvi uye kubvunza chero mibvunzo yaungave nayo.
Kuongororwa kwekunhuhwidza inzira inokurumidza uye isingarwadzise yekuti chiremba wako aone kuti tsinga netsandanyama zvinokubatsira kufema zviri kushanda sei. Izvi zvinogona kubatsira kuziva chinokonzera matambudziko ako ekufema nekukurumidza, kuitira kuti zvigone kurapwa kana kuti kufambira mberi kwechirwere kudzorwe.
Mharidzo Yekuenda Nayo Kumba
- 'Kuedza Kunonhuhwirira' bvunzo yeX-ray iri nyore, isingarwadzi iyo inoongorora mashandiro e diaphragm yako, tsandanyama huru inokubatsira kufema.
- Izvi zvinotora maminetsi angangoita gumi nemashanu, uye hapana kugadzirira kwakakosha kunodiwa bvunzo isati yaitwa.
- Kuongororwa uku kwakakosha zvikuru pakuongorora matambudziko ekufema asina tsananguro uye mamwe matambudziko etsinga.
- Usakurumidza kufunga nezvemhedzisiro yebvunzo (yakanaka kana yakaipa) wega. Bvunza chiremba wako kuti akupe tsananguro yakazara uye zvekuita zvinotevera.
- Kuratidzwa kwemwaranzi kubva mukuyedzwa uku kwakaderera zvikuru. Mabhenefiti ekuyedzwa uku anopfuura zvikuru njodzi diki.
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