Ingabe ngezinye izikhathi unenkinga yokuphefumula, ukuqina kwesifuba, noma ukukhwehlela okuqhubekayo? Uma udokotela ethi udinga ukwenza isivivinyo sokuhlola ukusebenza kwamaphaphu akho, mhlawumbe ukuhlolwa kwe-DLCO. Ngakho ake sixoxe ngalokhu namuhla. Lokhu akumelwe ukwesabe, ukuhlolwa okulula kakhulu.
Kalula nje, luyini lolu vivinyo lwe-DLCO?
Ukuhlolwa kwe-DLCO kuwukuhlolwa okukhethekile okukala ukuthi umoya-mpilo uhamba kahle kangakanani usuka emaphashini akho uye egazini lakho. Ukuze kube sobala, kungenye yezivivinyo eziningana ezikala ukusebenza kwamaphaphu. Kunganikeza udokotela wakho umbono omuhle wokuthi amaphaphu akho aphilile futhi asebenza kahle kangakanani.
Kulolu vivinyo, inani elincane kakhulu, elingenangozi le-carbon monoxide liyangezwa emoyeni owuphefumulayo. Bese kuba khona inani le-carbon monoxide elimuncwa emaphashini akho liye egazini lakho. Lokhu kubizwa ngokuthi "umthamo wokusabalalisa we-carbon monoxide," noma i-DLCO ngamafuphi.
Kuyini 'ukusabalalisa'? Kubaluleke kangakanani kithi?
Cabanga nje, uma siphefumula, umoya-mpilo osemoyeni uya emaphashini ethu. Ukusuka lapho, lo moya-mpilo uya emasakeni amancane kakhulu omoya (alveoli) emaphashini. Kuzungeze lawa masakeni omoya asakazeke njengenethiwekhi yemithambo yegazi emincane kakhulu (ama-capillaries).
'Ukusabalala' kubhekisela enkambisweni lapho umoya-mpilo usakazeka khona kulezo zingxenyana zomoya uye emithanjeni yegazi bese uxubana negazi. Kufana nokufaka isikhwama setiye enkomishini yamanzi ashisayo bese itiye lincibilika emanzini. Umoya-mpilo oxubana negazi ngale ndlela uhamba emzimbeni wethu wonke futhi unikeze amangqamuzana ethu amandla.
Ngakho-ke, isivinini kanye nokusebenza kahle kokufakwa kwale oksijini egazini kuncike ezintweni eziningana :
- Indawo engaphezulu yamasaka omoya (i-alveoli) emaphashini akho.
- Yilokho igazi eliningi elisemithanjeni yegazi emincane (ama-capillary) azungeze amasaka omoya.
- I-hemoglobin, iphrotheni ethwala umoya-mpilo egazini lakho.
- Ubukhulu be-membrane encane phakathi kwesikhwama somoya nomthambo wegazi.
- Ingabe kukhona ukwakheka koketshezi okungadingekile ngaphakathi kwezindawo zokungenisa umoya.
Uma noma yiziphi zalezi zici zishintsha, ukulethwa komoya-mpilo egazini kungase kuphazamiseke. Yilokho ukuhlolwa kwe-DLCO okubalulekile ekukutholeni.
Kungani udokotela angancoma lolu vivinyo lwe-DLCO?
Kunezizathu eziningana zokuthi kungani udokotela angase akucele ukuthi wenze lokhu kuhlolwa. Ake sibheke izizathu eziyinhloko.
| Isizathu sokuhlola | Incazelo elula |
|---|---|
| Ukuthola imbangela yezimpawu | Qonda ukuthi imbangela yangempela yokuphelelwa umoya nokukhwehlela kwakho iyinkinga yamaphaphu. |
| Ukuhlola umonakalo emaphashini | Linganisa ukuthi kungakanani umonakalo owenziwe emaphashini ngenxa yesifo noma esinye isizathu. |
| Ukuxilonga ezinye izifo zamaphaphu | Lolu vivinyo lusetshenziselwa ukuthola kusenesikhathi (ukuhlolwa) kwezifo ezithile zamaphaphu. |
| Ngaphambi kokuhlinzwa | Ngaphambi kokuhlinzwa okukhulu, hlola ukuthi amaphaphu akho asebenza kahle yini. |
| Ukulinganisa impumelelo yokwelashwa | Uma usuvele welashwa isifo samaphaphu, bheka ukuthi lowo muthi usebenza kahle kangakanani. |
| Ukuqapha isimo sesifo | Bheka ukuthi isimo sezokwelapha samanje siyathuthuka noma siyaba sibi. |
Kwenzekani uma ubhala isivivinyo?
Lokhu kulula kakhulu. Akukho sizathu sokuba wesabe noma ukhathazeke.
Uchwepheshe owenza ukuhlolwa uzoqala ngokubeka i-clip encane ekhaleni lakho. Yeka ukuphefumula ngaleyo khala. Bese bekutshela ukuthi ulandele lezi zinyathelo:
1. Beka umlomo wakho esitsheni somlomo:Udinga ukufaka umlomo wakho emlonyeni oxhunywe emshinini bese uwuqinisa kakhulu ukuze kungabikho moya ophumayo.
2. Phefumula ngendlela evamile: Okokuqala, phefumula ngendlela evamile, uphefumule futhi ukhiphe umoya.
3. Phefumula kakhulu: Okulandelayo, utshelwa ukuthi uphefumule kakhulu ngangokunokwenzeka.
4. Bamba umoya wakho: Manje udinga ukubamba umoya wakho cishe imizuzwana eyi-10. Yilapho i-carbon monoxide engxubeni ekhethekile yegesi imuncwa egazini lakho.
5. Khipha umoya ngokushesha: Ngemuva kwalokho, udinga ukukhipha wonke umoya wakho emshinini ngesikhathi esisodwa, ngokushesha.
Umshini ulinganisa inani le-carbon monoxide elisele emoyeni owukhiphayo. Kusukela lapho, babala ukuthi kungakanani okumuncwe egazini lakho. Ungaphinda le nqubo kanye noma kabili ukuze uthole ukufundwa okunembile.
Into ebaluleke kakhulu ukuthi inani le-carbon monoxide elisetshenziswe kulolu vivinyo lincane kakhulu . Ngeke lilimaze umzimba wakho nganoma iyiphi indlela. Ngakho ungakhathazeki ngakho.
Ingabe ngidinga ukulungiselela ngaphambi kokuhlolwa?
Yebo, ukuze uthole imiphumela yokuhlolwa enembile, udinga ukulandela izinyathelo ezimbalwa ezilula. Udokotela wakho uzokutshela ngalokhu. Ngokuvamile, lezi yizinyathelo:
- Gwema ukubhema amahora angu-4-6 ngaphambi kokuhlolwa.
- Uma usebenzisa i-oxygen eyengeziwe, yiyeke imizuzu eyi-10 ngaphambi kokuhlolwa (kuphela uma ungakwenza ngokuphephile).
- Ungazivocavoci kakhulu ngaphambi kokuhlolwa.
Ungayiqonda kanjani imiphumela yokuhlolwa?
Imiphumela yokuhlolwa inikezwa njengephesenti. Lokhu kukutshela ukuthi amaphuzu akho aqhathaniswa kangakanani nephuzu le-DLCO okufanele ube nalo ngokujwayelekile, kucatshangelwa izici ezifana neminyaka yakho, ubude, kanye nobulili.
| Umphumela | Inani (njengephesenti yenani elilindelekile) | Incazelo |
|---|---|---|
| Okuvamile | Phakathi kuka-75% no-140% | Amaphaphu akho athola umoya-mpilo owanele egazini lakho. |
| Kuncishiswe kancane | Phakathi kuka-60% no-75% | Ukushintshana komoya-mpilo kuyaphazamiseka kancane. Lokhu kungaba ukuqala kwesimo esithile sezokwelapha. |
| Kuncishiswe kakhulu | Ngaphansi kuka-40% | Ukushintshana komoya-mpilo kuyaphazamiseka kakhulu. Lokhu kudinga ukuhlolisiswa kabanzi. |
Yiziphi izizathu zokwehla kwenani le-DLCO?
Inani eliphansi le-DLCO lisho ukuthi umoya-mpilo awudluliswa usuka emaphashini akho uye egazini lakho ngendlela efanele. Lokhu kungabangelwa yizimo ezithile zamaphaphu noma zenhliziyo. Isibonelo:
- Ukubhema
- Izimo ezifana ne-COPD (Isifo Esingapheli Sokuvimbela Amaphaphu) kanye ne-Emphysema
- Izifo ezithinta izicubu zamaphaphu, njenge-sarcoidosis
- Izifo zenhliziyo nemithambo yegazi - isibonelo, i-pulmonary embolism (PE), umfutho wegazi ophakeme emaphashini, ukwehluleka kwenhliziyo okuhlanganisiwe
- I-anemia
- Izinkinga zokuzivikela komzimba - isibonelo, i-Lupus (SLE), i-Scleroderma
Ingabe inani le-DLCO lingakhuphuka?
Yebo, kwezinye izimo inani le-DLCO lingase libe phezulu kunalokho obekulindelwe. Lokhu okulandelayo kungaba yizizathu:
- Isifuba somoya
- Ukukhuluphala ngokweqile
- Ukuzivocavoca ngaphambi kokuhlolwa
- Ukuhlala ezindaweni eziphakeme zezintaba
- Ukopha ngaphakathi emaphashini
- Izifo zegazi ezifana ne-polycythemia vera
Uma imiphumela ingajwayelekile, yini oyenzayo ngokulandelayo?
Khumbula lokhu. Ukuhlolwa kwe-DLCO kumane nje kuyisici esisodwa sephazili. Udokotela wakho uzohlanganisa imiphumela yalolu vivinyo nezimpawu zakho, kanye nemiphumela yezinye izivivinyo zamaphaphu, njenge-spirometry, ukuze kufinyelelwe ekuxilongweni kokugcina.
Uma imiphumela ingajwayelekile, ungase ucelwe ukuthi wenze ezinye izivivinyo, mhlawumbe i-CT scan, ukuze uthole imbangela eqondile. Ngakho ungesabi ukucabanga ngemiphumela wedwa. Khuluma nodokotela wakho ngakho bese ulandela iseluleko sakhe.
Umlayezo Wokuya Nawe Ekhaya
- I-DLCO (Ukuhlolwa Kokusabalalisa Amaphaphu) kuyindlela yokuhlola ephephile kakhulu nelula elinganisa ukuthi umoya-mpilo udlula kahle kangakanani emaphashini akho uye egazini lakho.
- Lokhu kusiza ekutholeni imbangela yezimpawu ezifana nokuphelelwa umoya, ukuhlonza izifo zamaphaphu, kanye nokukala impumelelo yokwelashwa.
- Kubalulekile ukugwema ukubhema nokuzivocavoca ngokweqile ngaphambi kokuhlolwa ukuze uthole imiphumela enembile.
- Uma unemibuzo mayelana nemiphumela yokuhlolwa, ungesabi ukubuza udokotela wakho. Uzokuchazela konke.
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