Amaphaphu akho asebenza kahle kangakanani? Ake sifunde ngokuhlolwa kwe-"Body Plethysmography"!

Kuvamile ukuzizwa wesaba kancane lapho udokotela ekucela ukuthi wenze into entsha. Kodwa kunezinye izivivinyo ezingakusiza ukuthi ubone izinkinga emzimbeni wakho. Namuhla, sizokhuluma ngokuhlolwa okungakusiza wazi kahle ukuthi amaphaphu akho aphilile kangakanani, futhi akunzima kangako. Kubizwa ngokuthi "i-Body Plethysmography". Kungenzeka ukuthi uke wezwa leli gama ngaphambili. Ake sibone ukuthi liyini, lenziwa kanjani, nokuthi kungani lidingeka.

Kuyini `(Body Plethysmography)`? Kalula nje...

Kalula nje, lokhu ukuhlolwa okukhethekile okuhlola ukuthi amaphaphu akho aphilile kangakanani nokuthi asebenza kahle kangakanani. Lokhu ukuhlolwa okungahlaseli, okungenabuhlungu, futhi okungenasihlaseli. Ngokuqondile, kulinganisa ukuthi amaphaphu akho angawuthatha umoya ongakanani uma uphefumula ngokujulile (uphefumula) nokuthi kusele umoya ongakanani emaphashini akho uma uphefumula ngokujulile (uphefumula). Lolu uhlobo lokuhlolwa kokusebenza kwamaphaphu. Abanye abantu bakubiza nangokuthi "i-lung plethysmography."

Lolu vivinyo luphephile kakhulu futhi lulula. Luphinde lunikeze odokotela ulwazi olubaluleke kakhulu mayelana nendlela amaphaphu akho asebenza ngayo. Lolu lwazi lungasetshenziswa ukubasiza ukuthi bakhe uhlelo lokwelashwa olungcono kakhulu kuwe.

Kungani kwenziwa lokhu kuhlolwa kwe-"Body Plethysmography"?

Kunezizathu eziningana zokwenza lokhu kuhlolwa. Eyokuqala ukuhlonza ngokunembile izifo ezithile zamaphaphu kanye nendlela yokuphefumula. Isibonelo:

• Isifuba somoya
• Isifo Sokuvinjelwa Kwamaphaphu Esingamahlalakhona (i-COPD)
• I-Pulmonary Fibrosis

Lokhu kuhlolwa kuyasiza kakhulu ekuqinisekiseni ukuthi unalezi zinhlobo zezimo noma cha. Ngaphezu kwalokho, ukuhlolwa kwe-``Body Plethysmography`` kungenza okulandelayo:

• Qhathanisa indlela amaphaphu akho asebenza ngayo manje nendlela amaphaphu omuntu ophilile okufanele asebenze ngayo. Ungaqhathanisa futhi nokuhlolwa kwangaphambilini.
• Linganisa ukuthi ukusebenza kwamaphaphu akho kuye kwathinteka kangakanani yizifo zamaphaphu esezinesikhathi eside.
• Uma kukhona izinguquko zakuqala ekusebenzeni kwamaphaphu akho, zibone kusenesikhathi. Ngemuva kwalokho unganquma ukuthi udinga ukwenza ushintsho yini ekwelashweni.
• Thola ukuthi kukhona yini izinto ezibangela umonakalo emaphashini akho ekhaya noma emsebenzini.
• Thola ukuthi amaphaphu akho ayakwazi yini ukumelana nokwelashwa kwezokwelapha, njengokuhlinzwa okuthile.

Kudingeka nini lokhu kuhlolwa?

Uma unezimpawu ezihlobene namaphaphu akho, udokotela wakho angase akuncomele ukuhlolwa kwe-"Body Plethysmography". Ezinye zezimpawu ezingase zibonise lokhu yilezi:

• Uma uzwa ukuqina kwesifuba, ubuhlungu, noma ukuqina.
• Ukukhwehlela, ikakhulukazi uma kukhona ukukhwehlela okuhambisana ne-phlegm.
• Uma uzizwa sengathi kunzima ukuphefumula ngokujulile.
• Uma unenkinga yokuphefumula (ukuphelelwa umoya) noma ukuphelelwa umoya.
• Uma wenza umsindo wokuphefumula uma uphefumula.

Uma imiphumela yalolu vivinyo ingavamile, okungukuthi, "engavamile," kungaqinisekisa ukuthi udokotela unesimo esivimbela amaphaphu akho ukuthi abambe umoya owanele.

Yiziphi izinzuzo zalolu vivinyo?

Kunezinzuzo ezimbili eziyinhloko zokuhlolwa kwe-"Body Plethysmography".

1. Kunembile kakhulu: Imiphumela etholwe kulokhu inembile kakhulu.

2. Okusheshayo: Lokhu kuhlolwa ngokuvamile kungaqedwa ngaphansi kwemizuzu engama-20. Futhi, izilinganiso eziningi zingatholakala ngemizuzu embalwa.

Ingabe kunezinhlobo ezahlukene ze-`(Body Plethysmography)`?

Yebo, kunezinhlobo eziningana eziyinhloko zalolu vivinyo. Ake sibone ukuthi ziyini.

• I-Pressure Plethysmograph: Kulolu vivinyo, ufakwa ebhokisini lepulasitiki elibonakalayo elivaliwe ukuze kungabikho moya ophumayo. Ngaphakathi kwaleli bhokisi kunomoya othile. Njengoba uphefumula, izinguquko zomfutho womoya ngaphakathi kwebhokisi ziyalinganiswa ukuze kutholakale umthamo womoya emaphashini akho. Umshini okhethekile obizwa ngokuthi i-spirometer, onamathiselwe emlonyeni ofanelana nomlomo wakho, ulinganisa umthamo wendawo ephakathi kwentamo yakho nesisu sakho (umgodi wesifuba). Le ndlela inozwela kakhulu futhi ingalinganisa ngisho nezinguquko ezincane kumthamo. Lokhu kubizwa nangokuthi "i-closed-type plethysmograph."

• I-Volume Plethysmograph: Kulokhu, ufakwa ebhokisini lepulasitiki elibonakalayo elivaliwe. Kodwa-ke, izinguquko kumthamo womoya zilinganiswa ngokulinganisa ukuhamba komoya ngaphakathi kwebhokisi. Njengoba umthamo womoya osesifubeni sakho ushintsha, umoya ongaphakathi kwebhokisi uphoqeleka ukuphuma ngembobo exhunywe ku-spirometer. I-spirometer ilinganisa ukuhamba komoya. Le ndlela iyinkimbinkimbi kakhulu, ngakho-ke ivame ukusetshenziswa kakhulu ocwaningweni lwezokwelapha. Lokhu kubizwa nangokuthi "i-plethysmograph yohlobo oluvulekile."

• I-Plethysmograph Yokucindezela-Ivolumu: Njengoba igama lisikisela, lokhu kuyinhlanganisela yezindlela ezimbili ezishiwo ngenhla. Uma uphefumula, ukushintsha kwevolumu esifubeni sakho kubangela ukuthi umoya ongaphakathi ebhokisini ugeleze ngembobo ebhokisini bese ungena ku-spirometer. Abasebenzi bezokwelapha babe sebehlanganisa umehluko wengcindezi noma izilinganiso zokufuduka kwevolumu ukuze benze izibalo.

Ubani owenza lolu vivinyo lwe-``(Body Plethysmography)``?

Lokhu kuhlolwa kuvame ukwenziwa ngudokotela wezifo zokuphefumula.`(Udokotela Wezifo Zokuphefumula)`. Okusho ukuthi, umuntu osiza ekwelapheni amaphaphu akho noma izimo ezihlobene nokuphefumula. Lokhu kwenziwa `(Elebhu Yokusebenza Kwamaphaphu)`. Ngemuva kwalokho, ` (Udokotela Wezifo Zokuphefumula)` uyabuyekeza futhi aqinisekise imiphumela yalolu vivinyo.

Lolu vivinyo lwe-"Body Plethysmography" lusebenza kanjani?

Kulula kakhulu. Ufakwa ngaphakathi kwebhokisi lepulasitiki elivalekile, elingangeni moya, kodwa elingena kalula. Njengoba uphefumula ngepayipi (umlomo) elinamathiselwe emlonyeni wakho, inzwa engaphakathi kwebhokisi ilinganisa izinguquko zomfutho womoya. Leyo nzwa yomlomo iphinde ibe nenzwa elinganisa ukugeleza komoya kanye nomfutho ongaphakathi emlonyeni wakho.

Uma uphefumula, isifuba sakho siya phambili, futhi uma uphefumula, siyabuyela emuva. Njengoba isifuba sakho sanda futhi sincipha, ivolumu kanye nokucindezela komoya ngaphakathi kwebhokisi kulinganiswa yinzwa engaphakathi kwebhokisi. Ngesikhathi esifanayo, inzwa esemlonyeni nayo ilinganisa izinguquko zokucindezela. Lolu lwazi lusetshenziselwa ukubala ulwazi mayelana namaphaphu akho.

Iyini i-"Body Plethysmography" ehlola?

Lokhu kuhlolwa kulinganisa kakhulu amavolumu omoya amaningana emaphashini:

• Umthamo Wamaphaphu Onke (TLC): Leli inani eliphelele lomoya emaphashini akho ngemva kokuphefumula ngokujulile ngangokunokwenzeka.
• Amandla Okusala Okusebenza (i-FRC): Lokhu kungumthamo womoya osele emaphashini ngemva kokukhipha umoya ngendlela evamile.
• Amandla Okusala (RC): Lokhu kungumthamo womoya osele emaphashini ngemva kokukhipha umoya ngamandla akho onke.

Zithathwa kanjani lezi zilinganiso? Ingabe kukhona isisekelo sesayensi?

Yebo, lolu vivinyo lusekelwe emthethweni wesayensi obizwa ngokuthi `(uMthetho kaBoyle)`. Kungenzeka ukuthi uke wezwa ngakho esikoleni. Kalula nje, lo mthetho usho ubudlelwano phakathi komthamo kanye nomfutho wegesi ekushiseni okungaguquki. Okusho ukuthi, njengoba umthamo wegesi ukhuphuka, umfutho uyancipha, futhi njengoba umthamo uncipha, umfutho uyanda. Leso yisimiso esisetshenziswa kulolu vivinyo ukubala umthamo womoya emaphashini. Ngokulinganisa izinguquko zomfutho womoya, kungatholakala umthamo womoya.

Yini okufanele ngiyenze ngaphambi kokuhlolwa?

Udokotela wakho uzokubuza ukuthi uzizwa kahle yini. Uma unomkhuhlane, umkhuhlane, noma olunye ukutheleleka kokuphefumula, kungadingeka ukuthi uhlele kabusha usuku lwakho lokuhlolwa. Lokhu kuzovimbela imiphumela enembile.

Uma uthatha noma yimiphi imithi, kufanele utshele nodokotela wakho ngayo. Ungase ucelwe ukuthi uyeke ukuthatha imithi ethile ngosuku lokuhlolwa.

Ngaphezu kwalokho, udokotela uzokunikeza iseluleko esinjengalesi:

• Ungabhemi okungenani ihora ngaphambi kokuhlolwa.
• UkuhlolwaUngaphuzi utshwala okungenani amahora amane ngaphambi kokuthatha.
• Gwema ukuvivinya umzimba okunzima okungenani imizuzu engama-30 ngaphambi kokuhlolwa.
• Gqoka izingubo ezikhululekile nezikhululekile ezingaqinile esifubeni noma esiswini sakho. Kufanele ukwazi ukuphefumula kalula. Ukugqoka izingubo eziqinile kungashintsha imiphumela.
• Ungadli ukudla okunzima okungenani amahora amabili ngaphambi kokuhlolwa.

Kuphela ngokulandela le miyalelo ngendlela efanele lapho ungathola khona imiphumela enembile kakhulu kusukela ekuhlolweni kwe-"Body Plethysmography".

Kwenzekani ngesikhathi sokuhlolwa? Ngizoba nohlobo luni lwesipiliyoni?

Ngesikhathi sokuhlolwa, uzofakwa ebhokisini lepulasitiki elivaliwe elingenamoya, kodwa ukukhanya kusabonakala. Uma une-claustrophobia, okusho ukuthi unenkinga yokuba sezindaweni ezincane, tshela udokotela wakho kusengaphambili. Bangase bakunike umthamo omncane womuthi okufanele uwuthathe ngaphambi kokuhlolwa ukuze bakusize uphumule. Ungakhathazeki, abasebenzi bezokwelapha bazokhuluma nawe phakathi nokuhlolwa, futhi uzokwazi ukubabona kanye nakho konke okunye ekamelweni ngaphakathi ebhokisini. Uma udinga ukuphumula ngesikhathi sokuhlolwa, ungasho futhi.

Okulandelayo, abasebenzi bezokwelapha bazobeka i-clip encane ekhaleni lakho. Lokhu kuzokusiza ukuthi uphefumule ngomlomo wakho kuphela. Ngemva kwalokho, bazokufundisa ukuthi ungaphefumula kanjani ngomshini wokuphefumula.

Uma usukulungele, bavala umnyango webhokisi, bese kuqala ukuhlolwa.

Okubalulekile: Uma uvame ukuthatha umoya-mpilo owengeziwe (kungaba ethangini noma emshinini), ngeke ukwazi ukuwusebenzisa phakathi nalolu vivinyo.

Ingabe lokhu kuhlolwa kubuhlungu?

Cha, ukuhlolwa kwe-"Body Plethysmography" akubuhlungu nhlobo.

Kodwa-ke, njengoba uphefumula ngokujulile ungena uphuma, ungase uzizwe unesiyezi kancane, unesizungu, noma ukhathele. Ungase futhi ukhwehlele uma uphefumula emlonyeni. Lezi zimpawu zizophela ngemva kwesikhashana ngemva kokuhlolwa. Khumbula, uma udinga ikhefu, tshela abasebenzi.

Akuvamile kakhulu ukuthi amazinga e-carbon dioxide egazini lakho anganda (i-Hypercapnia) noma amazinga e-oxygen egazini lakho angancipha (i-Hypoxia). Lezi zimo zingavela kuphela uma uhlala ebhokisini isikhathi eside. Kodwa lokho akuvamile kakhulu.

Futhi, lokhu kuhlolwa kungabangela ukuthi izinga lokushaya kwenhliziyo yakho likhuphuke kancane. Uma uke waba nokuhlaselwa yinhliziyo ngaphambili, noma unezinye izimo ezihlobene nenhliziyo, qiniseka ukuthi utshela udokotela wakho ngakho.

Kuthatha isikhathi esingakanani ukuhlolwa kwe-"Body Plethysmography"?

Lokhu kuhlolwa kuvame ukuthatha imizuzu eyi-15 ukuqeda. Kushesha kunalokho okucabangayo, akunjalo?

Kwenzekani ngemva kokuhlolwa?

Ngemva kokuthi ukuhlolwa kwakho kwe-Body Plethysmography sekuqediwe, ungabuyela emisebenzini yakho evamile yansuku zonke.

Uma uzizwa unesizungu ngesikhathi sokuhlolwa, abasebenzi bezokwelapha bazoqapha impilo yakho kuze kube yilapho izimpawu zakho seziphelile futhi ungaya ekhaya.

Uyini umphumela "ojwayelekile" `(ojwayelekile)` `(Umzimba we-Plethysmography)`?

Lokho okubhekwa njengomphumela "ojwayelekile" noma "ojwayelekile" ``(Body Plethysmography)`` kungahluka kumuntu nomuntu. Kuncike ezintweni eziningana. Isibonelo:

• iminyaka yakho
• Ukuphakama kwakho
• Uhlanga lwakho (ubuzwe)
• Ubulili bakho (obesifazane/obesilisa)
• Kungakhathaliseki ukuthi usebenzisa imikhiqizo kagwayi
• Isisindo sakho

Udokotela wakho uzocabangela zonke lezi zici futhi anqume ukuthi lingakanani izinga elijwayelekile leqembu lakho leminyaka kanye nolunye ulwazi. Ngakho-ke, umphumela wakho "ojwayelekile" ungase uhluke kumphumela "ojwayelekile" womunye umuntu.

Ngizoyazi nini imiphumela yokuhlolwa?

Ngokuvamile uzoyazi imiphumela zingakapheli izinsuku ezimbalwa kusukela kuhlolwe.

Kufanele ngixhumane nini nodokotela wami?

Udokotela wakho uzokushayela ucingo ezinsukwini ezimbalwa ngemva kokuhlolwa ukuze axoxe ngemiphumela. Uma ungakazwanga kudokotela wakho ngemiphumela yakho ngemva kwezinsuku ezimbalwa, xhumana nodokotela wakho mathupha.

Uma lokhu kuhlolwa kwe-"Body Plethysmography" kukhomba ukuthi unesifo samaphaphu esidala "Isifo Samaphaphu Esingapheli", kungadingeka ukuthi uhlolwe ukusebenza kwamaphaphu njalo ngonyaka .

Uyini umehluko phakathi kwe-`(Spirometry)` kanye ne-`(Body Plethysmography)`?

I-Spirometry ingenye indlela yokuhlola ukusebenza kwamaphaphu. Eqinisweni, iyisivivinyo esivame ukusetshenziswa kakhulu odokotela ukuhlola ukusebenza kwamaphaphu.

Kodwa-ke, ayinembile njenge-"Body Plethysmography". I-"Spirometry" ayikwazi ukukala "Umthamo Wamaphaphu Asele" noma "Umthamo Wamaphaphu Onke".

Nge-Body Plethysmography, ungalinganisa izinto ezifana nomehluko wokucindezela kusuka emlonyeni wakho kuya emaphashini akho (lokhu kubizwa ngokuthi i-Airway Resistance) kanye nomthamo womoya esifubeni sakho (Intrathoracic Gas Volume - ITGV).

Uma ubona noma yiziphi izinguquko endleleni yakho yokuphefumula, kungcono ukukhuluma nodokotela ngakho. Ushintsho lungase lungabi lukhuni, noma lungaba uphawu lwesimo samaphaphu.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Udokotela wakho angasebenzisa isivivinyo esithi "Body Plethysmography" ukusiza ekuxilongeni noma yiziphi izimo zamaphaphu ongase ube nazo. Lesi sivivinyo siyashesha, sinembile, futhi asibuhlungu.Imiphumela ingaziwa ezinsukwini ezimbalwa. Uma usuthole ukuxilongwa okunembile, wena nodokotela wakho ningasebenzisana ukudala uhlelo lwezempilo oluzothuthukisa ikhwalithi yempilo yakho noma lulondoloze isimo sakho samanje. Ngakho-ke, kubalulekile ukulandela imiyalelo kadokotela wakho ngaphandle kokwesaba ukuhlolwa okunjalo.

Amaphaphu , Ukuhlolwa Kwamaphaphu, I-Plethysmography Yomzimba, Isifo Sokuphefumula, Ukuphefumula, Amandla Amaphaphu, I-Spirometry