Yintoni i-Sniff Test? Impendulo kwiingxaki zakho zokuphefumla!

Ngaba ngamanye amaxesha uziva ngathi unengxaki yokuphefumla? Okanye ngaba ugqirha wakho ukuxelele ukuba kufuneka ujonge ukusebenza kwe-diaphragm yakho? Ngelo xesha, ungacelwa ukuba wenze 'uvavanyo lokufutha'. Ngoko ke, masithethe ngale nto ngokulula nangokuchanekileyo, akunjalo?

Yintoni kanye kanye uvavanyo lokufunxa?

Ngamafutshane, olu luvavanyo lwe-X-ray. Ukuze kube yinyani ngakumbi, lukwabizwa ngokuba yi-chest fluoroscopy . Olu vavanyo lujonga indlela esebenza ngayo i-diaphragm yakho, umsipha omkhulu ophakathi kwesifuba sakho nesisu okuncedayo ukuphefumla. Imifanekiso ye-X-ray ibonisa indlela i-diaphragm ehamba ngayo xa uphefumlela ngaphakathi nangaphandle. Oku kunokunceda ekuqinisekiseni ukuba i-diaphragm ibuthathaka okanye ayinamandla.

Kutheni kufuneka senze uvavanyo lokufunxa?

Ugqirha uhlala eyalela olu vavanyo ukuba unemeko abacinga ukuba inokuba ichaphazela imithambo-luvo elawula ukuphefumla kwakho. Umzekelo, cinga ngeemeko ezinje ngezi:

• I-Amyotrophic Lateral Sclerosis (ALS)
• I-Chronic Inflammatory Demyelinating Polyneuropathy (CIPD)
• I-Dermatyositis
• Isifo sikaGuillain-Barré
• Isifo sikaLambert-Eaton
• I-Multiple Sclerosis (MS)
• Ukungasebenzi kakuhle kwemisipha
• I-Myasthenia Gravis
• Isifo sePompe
• I-Post-polio syndrome
• Ukulimala komqolo

Ukongeza kwezi zifo, olu vavanyo lukwasetyenziswa ukuba unengxaki yokuphefumla engachazekiyo (i-dyspnea) , okanye ukujonga ukuba i-diaphragm yakho ihamba njani ngaphambi okanye emva kotyando.

Olu vavanyo lokufunxa lusebenza njani?

Kulula kakhulu. Ngexesha lovavanyo, ikhamera ye-X-ray iya kukujonga uphefumla uphuma ungena. Baza kukuxelela ukuba wenze oku:

• Phefumla kancinci kwaye ngokwesiqhelo.
• Thatha umphefumlo onzulu.
• Phuma wonke umphefumlo.
• Phefumla kakhulu nangokukhawuleza ngempumlo yakho (ngokungathi ufunxa into ethile - yiyo loo nto ibizwa ngokuba luvavanyo 'lokukrwempa'! ).

Ngoku khangela, ukuba i-diaphragm yakho isebenza kakuhle, xa uphefumla, iya kutsalela phantsi, oko kukuthi, iye ngasesiswini sakho, ize ithambe. Xa uphefumla ngaphandle, iya kubuyela phezulu ize ibonakale njenge-arch. Nangona kunjalo, ukuba, xa uphefumla, i-diaphragm isaya kunyuka ize ibonakale njenge-arch (ephakanyisiweyo), kunokubakho into engalunganga nge-diaphragm okanye nge-phrenic nerve enceda i-diaphragm isebenze.

Ndilungiselela njani olu vavanyo?

Nantsi eyona nto ilungileyo. Akukho nto ikhethekileyo ekufuneka uyenze ukuze ulungiselele olu vavanyo lokufunxa. Kufuneka nje ube ngumntu oqhelekileyo. Kulula kakhulu, akunjalo?

Kwenzeka ntoni ngexesha lovavanyo? Ndingalindela ntoni?

Nantsi into eyenzekayo xa usenza uvavanyo lokufunxa, okanye i-fluoroscopy yesifuba:

• Okokuqala, umncedisi wezonyango uza kukunceda ume phambi kwekhamera ye-X-ray. Ukuba unengxaki yokuma, baza kukubeka esihlalweni okanye bakubeke etafileni ethe tyaba kancinci. Baza kukufaka imitya ejikeleze iingalo nemilenze yakho ukuze ungatyibiliki, kwaye baza kukunika nendawo yokuphumza iinyawo zakho. Ungakhathazeki, oku kukukhusela.
• Emva koko, baya kukuxelela ukuba uphefumle ngeendlela ezahlukeneyo (umzekelo, ngesiqhelo, nzulu, ukhuphe umoya, kwaye uphefumle kakhulu ngempumlo yakho). Kufuneka uzame ukwenza kanye njengoko bekuxelela . Oku kubaluleke kakhulu ukuze iziphumo zichaneke.
• Bathatha imifanekiso ye-X-reyi kulo lonke olu vavanyo.

Akukho nto yokoyika, oku kulula kakhulu kwaye akubuhlungu.

Uvavanyo lokufunxa luthatha ixesha elingakanani?

Olu vavanyo lokufunxa ludla ngokuthatha malunga nemizuzu eli-15 ukugqitywa , kwaye luphela ngokukhawuleza kunokuba ucinga.

Ngaba kukho naziphi na iingozi kolu vavanyo? Ngaba kukho naziphi na iziphumo ebezingalindelekanga?

Enyanisweni, akukho miphumo mibi ibangelwa luvavanyo lokufunxa. I-X-ray ikubeka kwindawo encinci kakhulu yemitha. Kodwa iphantsi kakhulu, njengokufumana i-X-ray yesifuba. Ugqirha wakho uza kulinganisa iingenelo zokwenza olu vavanyo kunye nomngcipheko omncinci wemitha.

Ngoko ke akukho nto ibalulekileyo. Oogqirha basoloko bezama ukwenza okulungileyo kuwe.

Ingxelo yovavanyo oluqhelekileyo lokufunxa ibukeka njani?

Iziphumo zovavanyo lokufunxa zibuya zisithi 'zilungile' okanye 'zimbi'. Masibone ukuba yintoni leyo.

• Uvavanyo lokunuka olubonisa ukuba kukho i-positive sniff luthetha ukuba imifanekiso ibonisa ukuba i-diaphragm yakho iphezulu xa uphefumla. Oku kunokuthetha ukuba inxalenye okanye yonke i-diaphragm yakho ikhubazekile.
• Kuqhelekile, oko kukuthi, uvavanyo lokunuka olungalunganga.Ingxelo ibonisa ukuba i-diaphragm yakho isebenza kakuhle, njengoko kufanele ukuba njalo. Oko kuthetha ukuba i-diaphragm ihamba kakuhle xa uphefumla.

Ndiza kukwazi nini ukwazi iziphumo zolu vavanyo?

Ngamanye amaxesha, ugqirha wakho uya kukwazi ukukuxelela iziphumo ngoko nangoko emva kovavanyo . Okanye, ingcali ye-radiologist - ugqirha ochwephesha ekuxilongeni izifo esebenzisa imifanekiso efana ne-X-ray - uya kujonga imifanekiso yakho aze athumele iziphumo kugqirha wakho. Oku kungathatha iintsuku ezimbalwa. Ungakhathazeki ngaloo nto.

Ukuba iziphumo aziqhelekanga, kuza kwenzeka ntoni emva koko?

Khawuthelekelele ukuba uvavanyo lwakho lokunuka lulungile. Ugqirha wakho uza kuthetha nawe aze akuchazele indlela oluchaphazela ngayo imeko yakho. Ngamanye amaxesha, iziphumo zovavanyo lokunuka zinokubonisa 'iimeko ezingalunganga' . Oku kuthetha ukuba i-diaphragm isenokuphakama ngexesha lovavanyo, kodwa imithambo-luvo isenokungasebenzi ngokwenene. Okanye zinokubonisa 'iimeko ezingalunganga' . Oku kuthetha ukuba i-diaphragm isenokubonakala isebenza kakuhle, kodwa kunokubakho into engalunganga ngemithambo-luvo.

Ngoko ke, ugqirha wakho akayi kuthathela ingqalelo kuphela iziphumo zovavanyo lokufunxa, kodwa neziphumo zezinye iimvavanyo, iimpawu zakho, nayo yonke enye into onayo ukuze agqibe ngento oza kuyenza ngokulandelayo. Ngoko ke, musa ukwenza izigqibo ngokusekelwe kwingxelo enye kuphela.

Ndifanele ndibize ugqirha wam nini?

Ukuba unemibuzo malunga nolu vavanyo okanye iziphumo zalo, ungathandabuzi ukuthetha nogqirha wakho . Ungoyiki ukubuza, "Gqirha, andiqondi, ungandicacisela kwakhona?" Lilungelo lakho elo.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Uvavanyo lokufunxa luvavanyo olukhawulezileyo nolungangenisi gazi olunokunika ugqirha wakho ulwazi oluninzi malunga nendlela esebenza ngayo imithambo-luvo kunye nezihlunu ezikuncedayo ukuphefumla.

• Oku kuya kukunceda ukulawula nasiphi na isifo okanye isifo onokuba naso.
• Oku kunokunceda ekuchongeni ubunzima bokuphefumla okanye iingxaki nge-diaphragm kwasekuqaleni , nto leyo eyandisa amathuba okunyangwa nokulawulwa kwesi sifo.

Ngoko ke, ungoyiki ukubuza imibuzo malunga nokuba kutheni ugqirha esenza olu vavanyo kunye nokuba iziphumo zithetha ukuthini. Kubalulekile ukuhlala unolwazi malunga nempilo yakho. Ukuba nolwalamano oluhle nogqirha wakho kunokukunceda kakhulu ekukuncedeni uzive ungcono.

Uvavanyo lokufutha , i-fluoroscopy yesifuba, i-diaphragm, ukuphefumla, uvavanyo lwe-X-ray, izifo zemithambo-luvo, ubunzima bokuphefumla