Ingabe ngezinye izikhathi uzizwa uphelelwa umoya uma uhamba ibanga elifushane? Noma uvaleke isifuba noma ukhwehlela okuqhubekayo? Uma unezimpawu ezinjengalezi, udokotela wakho uzofuna ukwazi ukuthi amaphaphu akho asebenza kahle yini. Ngakho-ke, namuhla sizokhuluma ngokuhlolwa okukhethekile nokunembile okuzohlola lokho kanye.
Kuyini i-Body Plethysmography?
Leli gama lingase lizwakale liyinkimbinkimbi kancane, kodwa empeleni lilula kakhulu. Kalula nje, i-Body Plethysmography iyisivivinyo esilinganisa ukuthi ungawuthatha umoya ongakanani nokuthi ungakanani umoya osele ngemva kokukhipha umoya. Liwela ngaphansi kwesigaba sezivivinyo ezilinganisa ukusebenza kwamaphaphu, ezaziwa ngokuthi yi-Pulmonary Function Tests (PFTs).
Cabanga ngakho njengebhaluni. Kufana nokubona ukuthi ungaligcwalisa ngomoya ongakanani nokuthi kusele umoya ongakanani ngemva kokulikhipha. Lokhu kuhlolwa kuphephile kakhulu futhi kungenziwa ngaphandle kokungakhululeki. Ulwazi oluthola kulokhu luzosiza udokotela wakho ukuthi athuthukise uhlelo lokwelashwa olungcono kakhulu kuwe.
Kungani kwenziwa lokhu kuhlolwa? Kutholani?
Kunezizathu eziningana zokuthi kungani udokotela angase ancome lokhu kuhlolwa. Esona siyinhloko ukuthi kusiza ekuxilongeni izifo zamaphaphu nezokuphefumula.
- Thola izifo ezifana ne-asthma: Thola ukuthi une-asthma noma cha.
- Thola izimo ezifana ne-COPD: Thola isifo samaphaphu esingamahlalakhona esibizwa ngokuthi "Isifo Sokuvimbela Amaphaphu Esingamahlalakhona".
- I-Pulmonary Fibrosis: Thola ngezimo ezibangela ukuba amaphaphu aqine.
Akukhona lokho kuphela, lolu vivinyo lubalulekile kwezinye izinto eziningi.
- Qhathanisa ukusebenza kwamaphaphu: Bheka ukuthi amaphaphu akho asebenza kahle yini ngokweminyaka yakho nobude bakho. Ungaqhathanisa nemiphumela yakho nokuhlolwa kwangaphambilini.
- Linganisa impumelelo yokwelashwa: Ake sithi une-asthma, futhi udokotela ubhalele imithi. Manje lokhu kuhlolwa kusiza ukubona ukuthi amaphaphu akho asebenza kahle yini ngalowo muthi.
- Thola izinguquko emaphashini kusenesikhathi: Ngezinye izikhathi lokhu kungabona ngisho nezinguquko ezincane emaphashini ngaphambi kokuba kuvele izimpawu.
- Hlola umthelela wendawo ezungezile: Thola ukuthi amaphaphu akho ayonakaliswa yini izinto ezifana nothuli namakhemikhali emsebenzini noma ekhaya.
- Ikhono lokubekezelela ukuhlinzwa: Ngaphambi kokuhlinzwa okukhulu, hlola ukuthi amaphaphu akho angakwazi yini ukubhekana nakho.
| Izimpawu ezingadinga lolu vivinyo | |
|---|---|
| Isibonakaliso | Incazelo |
| Ukuqina kwesifuba noma ubuhlungu | Ukuzizwa sengathi kukhona okucindezela esifubeni. |
| Ukukhwehlela | Ukukhwehlela okuqhubekayo, ikakhulukazi uma kune-mucus. |
| Ubunzima bokuphefumula ngokujulile | Ukuzizwa unenkinga yokuphefumula. |
| Ubunzima bokuphefumula (i-Dyspnea) | Ukuzizwa ucindezelekile, uphelelwa umoya. |
| Umsindo wokuphefumula (ushizi) lapho uphefumula | Umsindo othambile ovela emphinjeni noma esifubeni uma uphefumula noma uphefumula. |
Ulwenza kanjani lolu vivinyo?
Lokhu kuhlolwa kwenziwa ngaphakathi kwebhokisi elenziwe ngengilazi ecacile noma ipulasitiki elivaliwe ukuze kungabikho moya ohambahambayo. Cabanga ngakho njengebhokisi locingo. Ngesikhathi uhleli esihlalweni ngaphakathi, ucelwa ukuba uphefumulele ngaphakathi nangaphandle ngepayipi.
Uma uphefumula uphuma futhi ungena, isifuba sakho siyakhula futhi sinciphe. Umfutho womoya ngaphakathi kwegumbi uyashintsha ngokuya ngalolo shintsho. Ngokulinganisa lezo zinguquko zomfutho, ungakwazi ukubala kahle ukuthi ungakanani umoya osemaphashini akho. Lokhu kwenziwa kusetshenziswa isimiso sesayensi esibizwa ngokuthi "umthetho kaBoyle".
Ungabona abasebenzi bezokwelapha ngesikhathi sokuhlolwa, futhi bangakubona. Ngakho-ke asikho isizathu sokwesaba. Ungakhuluma nabo nganoma yisiphi isikhathi.
Uzilungiselela kanjani ngaphambi kokuhlolwa?
Ukuze uthole umphumela onembile, udinga ukulandela izinto ezimbalwa kusukela ngosuku olungaphambi kokuhlolwa. Udokotela wakho uzokweluleka ngalokhu.
- Gwema ukubhema: Ungabhemi okungenani ihora elilodwa ngaphambi kokuhlolwa.
- Akukho utshwala: Ungaphuzi utshwala okungenani amahora amane ngaphambi kokuthatha.
- Ungenzi ukuzivocavoca okunzima: Gwema ukuzivocavoca okunzima imizuzu engama-30 ngaphambi kokuhlolwa.
- Ungadli ukudla okukhulu: Ungadli uze uqede amahora amabili ngaphambi kokudla.
- Qaphela izingubo zakho: Gqoka izingubo ezikhululekile ezinganciphisi isifuba nesisu . Izingubo eziqinile zingashintsha imiphumela.
- Tshela udokotela wakho ngayo yonke imithi oyithathayo. Ungase ucelwe ukuthi uyeke ukuthatha eminye imithi ngosuku lokuhlolwa.
Ingabe ukuhlolwa kubuhlungu? Kuzoba luhlobo luni lokuhlangenwe nakho?
Cha, lokhu kuhlolwa akubuhlungu nhlobo.
Okumele ukwenze nje ukuhlala ngaphakathi kwegumbi, ubeke i-clip encane ekhaleni lakho (phefumula ngomlomo wakho kuphela), bese uphefumula ungene epayipini ngokwemiyalelo abakunikeza yona. Ukuhlolwa konke kuthatha cishe imizuzu eyi-15.
Kodwa-ke, abanye abantu bangase bazizwe benesiyezi noma bekhathele njengoba bephefumula futhi bekhipha umoya ngokujulile. Bangase futhi bakhwehlele. Kodwa ungakhathazeki, lokhu kuzophela ngokushesha ngemva kokuphela kokuhlolwa. Uma uzizwa ungakhululekile, tshela abasebenzi futhi bazokunikeza ikhefu elifushane.
Akuvamile kakhulu ukuthi kube nezimo ezinjengokwanda kwe-carbon dioxide egazini (hypercapnia) noma ukwehla komoya-mpilo (hypoxia). Kodwa-ke, lezi azivamile kakhulu.
Yiziphi izinto eziyinhloko ezilinganiswa ngokuhlolwa?
Lokhu kuhlolwa kungalinganisa ulwazi olubaluleke kakhulu ngamaphaphu akho.
| Ukulinganisa | Incazelo elula |
|---|---|
| Amandla Onke Amaphaphu (i-TLC) | Inani eliphelele lomoya emaphashini akho ngemva kokuphefumula ngokujulile ongakuthola. |
| Amandla Okusala Okusebenza (i-FRC) | Inani lomoya osele emaphashini ngemva kokukhipha umoya ojwayelekile. |
| Amandla Okusala (RC) | Inani lomoya osele emaphashini akho ngemva kokukhipha umoya ngamandla akho onke. |
Uyini umehluko phakathi kwe-Spirometry ne-Body Plethysmography?
Kungenzeka ukuthi uke wezwa ngokuhlolwa okubizwa ngokuthi `(Spirometry)`. Futhi kuyindlela yokuhlola evame ukusetshenziswa elinganisa ukusebenza kwamaphaphu. Kodwa-ke, ukuhlolwa kwe-Body Plethysmography kunembe kakhulu futhi kunemininingwane eminingi kunokuhlolwa kwe-`(Spirometry)`.
Umehluko omkhulu ukuthi i-`(Spirometry)` ayikwazi ukukala i-`(Residual Capacity - RC)` okukhulunywe ngayo ngenhla, okungukuthi, inani lomoya osele emaphashini ngemva kokukhipha umoya ngokuphelele. Kodwa-ke, i-Body Plethysmography ingakulinganisa ngokunembile. Ngakho-ke, lokhu kuhlolwa kubalulekile ukuze kutholakale izimo ezithile zezokwelapha.
Ngizoyithola nini imiphumela (umbiko)?
Ngokuvamile ungathola imiphumela yakho zingakapheli izinsuku ezimbalwa kusukela kuhlolwe. Udokotela wakho uzobuyekeza umbiko bese echaza ukuthi usho ukuthini kuwe.
Lokho okubhekwa "njengokujwayelekile" kuyahlukahluka kumuntu nomuntu. Kuncike ezintweni ezifana neminyaka yakho, ukuphakama, isisindo, kanye nobulili . Ngakho-ke ungaqhathanisi imiphumela yakho neyomunye umuntu. Into ebaluleke kakhulu ukukhuluma nodokotela wakho ngalokhu bese unquma ngesimo sakho sempilo kanye nokwelashwa kwesikhathi esizayo.
Umlayezo Wokuya Nawe Ekhaya
- I-Body Plethysmography iyisivivinyo esiphephile esihlinzeka ngolwazi olunembile kakhulu mayelana nempilo yamaphaphu akho.
- Lokhu kusiza kakhulu ekuxilongeni izifo ezifana ne-asthma kanye ne-COPD kanye nokulinganisa impumelelo yokwelashwa.
- Ukuhlolwa akubuhlungu nhlobo futhi kuthatha imizuzu engaba ngu-15 kuphela.
- Landela imiyalelo kadokotela ngokucophelela ngaphambi kokuhlolwa (njengokugwema ukubhema notshwala).
- Ngemva kokuthola umbiko wakho wokuhlolwa, qiniseka ukuthi uxoxa ngawo kanye nezinyathelo zakho ezilandelayo nodokotela wakho.
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