Ingabe ngezinye izikhathi uzizwa uphelelwa umoya, noma uzithola uphelelwa umoya ngokukhuphuka izitebhisi nje? Ingabe ubhekene nokukhwehlela okuqhubekayo? Noma mhlawumbe uqaphela umsindo wokuphefumula lapho uphefumula? Ukuze uqonde ukuthi yini engabangela lezi zimpawu, odokotela bethu bavame ukuthembela ethuluzini elincane kodwa elibaluleke kakhulu. Namuhla, sizokhuluma nge- spirometer . Nakuba igama lingase lizwakale lesabisa, empeleni liyithuluzi lokuxilonga elilula kakhulu.
Iyini i-spirometer? Kalula nje...
Kalula nje, i-spirometer umshini omncane olinganisa ukuthi amaphaphu akho asebenza kahle kangakanani. Njengoba nje i-thermometer isetshenziswa ukukala izinga lokushisa lomzimba wakho, i-spirometer isetshenziswa ukuhlola impilo yamaphaphu akho.
Ukuhlolwa ngokuyinhloko kulinganisa ukuthi amaphaphu akho angabamba umoya ongakanani nokuthi ungawukhipha ngamandla kangakanani lowo moya. Lolu lwazi luvumela udokotela wakho ukuthi abone noma yibuphi ubuthakathaka obungaba khona noma izimo ezingaphansi kwamaphaphu akho. Akukho okufanele ukwesabe; lokhu kuhlolwa kuyindlela ewusizo yokuqonda kangcono impilo yakho yokuphefumula.
Ukuhlolwa kwe-spirometry kwenziwa kanjani?
Lolu vivinyo kulula kakhulu ukuludlula futhi alubuhlungu.
Ukulungiselela ukuhlolwa kwakho…
Udokotela wakho uzokunikeza imiyalelo embalwa elula ngaphambi kokuba uqale.
- Ungase ucelwe ukuthi uyeke ukuthatha imithi ethile (ikakhulukazi ama-inhaler) amahora ambalwa ngaphambi kokuhlolwa. Udokotela wakho uzokunikeza isiqondiso esiqondile ngalokhu.
- Uma ubhema , kufanele ugweme ukubhema ngaphambi kokuhlolwa.
- Gwema ukudla ukudla okunzima ngaphambi nje kokuba ufike. Ukudla okulula, okuvamile kulungile.
- Kungcono ukugqoka izingubo ezikhululekile nezikhululekile ezingakuvimbeli isifuba noma ukuphefumula.
- Kuyelulekwa futhi ukugwema i-caffeine , njengekhofi noma itiye, ngaphambi nje kwenqubo.
Kwenzekani ngesikhathi sokuhlolwa?
Ake sihambe ngenqubo ndawonye.
1. Okokuqala, uzocelwa ukuthi uhlale uqonde esihlalweni.
2. Umhlengikazi noma uchwepheshe uzobeka i -clip encane ekhaleni lakho. Lokhu kuqinisekisa ukuthi uphefumula ngomlomo wakho kuphela futhi kuvimbela umoya ukuthi ungaphumi ngamakhala akho. Kungase kuzwakale kungavamile, kodwa akubuhlungu.
3. Okulandelayo, uzonikezwa umlomo omncane ozowubamba emlonyeni wakho. Lokhu kuxhunywe emshinini we-spirometer. Kumelwe wakhe isivalo esiqinile ngezindebe zakho zizungeze umlomo ukuqinisekisa ukuthi awuphumi umoya.
4. Manje ingxenye eyinhloko. Uzoqala ngokuphefumula okumbalwa okuvamile.
5. Ngemuva kwalokho, uzocelwa ukuba uphefumule ngokujulile ngangokunokwenzeka, bese, ngokunyakaza okukodwa okunamandla, uvuthela wonke lowo moya ungene epayipini. Cabanga ngakho njengokucima amakhandlela amaningi okuzalwa ngesikhathi esisodwa noma ukugcwalisa ibhaluni. Udinga ukukhipha umoya ngamandla nangokushesha ngangokunokwenzeka kuze kube yilapho amaphaphu akho ezwa engenalutho.
6. Njengoba ushaya ihlombe, abasebenzi bazokukhuthaza ngokuthi, “Kunzima! Qhubeka! Okunye! Kuhle kakhulu!”
7. Uzocelwa ukuthi uphinde le nqubo izikhathi ezimbalwa ukuqinisekisa ukuthi ukufundwa kwayo kuyahambisana futhi kunembile.
Ukuhlolwa konke kuthatha imizuzu eyi-15 kuya kwengama-30. Ungase uzizwe ukhathele noma uzizwa uphelelwe yithemba ngemva kwalokho, kodwa inqubo ngokwayo ayibuhlungu.
Iyini ngempela i-spirometer elinganisayo?
Ungase uzibuze ukuthi le datha isitshelani ngempela. I-spirometer ilinganisa izinkomba eziningana ezibalulekile zempilo yamaphaphu. Nazi eziyinhloko:
- I-FVC (Umthamo Obalulekile Ophoqelelwe): Lokhu kumelela inani eliphezulu lomoya ongawukhipha ngenkani. Kalula nje, yinani eliphelele lomoya amaphaphu akho angawukhipha ngemva kokuphefumula kakhulu ngangokunokwenzeka. Lokhu kusiza udokotela wakho ukuqonda umthamo ophelele womoya wakho.amaphaphu .
- I-FEV1 (Umthamo Wokukhipha Umoya Ophoqelelwe ngomzuzwana owodwa): Lokhu kubhekisela enanini lomoya ongawukhipha ngesikhathi somzuzwana wokuqala wokuhlolwa. Lokhu kuyisilinganiso esibalulekile ngoba kusiza udokotela ukuthola noma yikuphi ukuvinjelwa noma ukuncipha kwamapayipi akho e-bronchial. Uma izindlela zakho zokuphefumula zivaliwe, inani lomoya okhishwayo kulowo mzuzwana wokuqala lizoncishiswa kakhulu.
- Isilinganiso se-FEV1/FVC: Leli iphesenti elitholakala ngokuhlukanisa inani lakho le-FEV1 nge-FVC yakho. Linikeza ukuqonda okwengeziwe ngempilo yamaphaphu akho kanye nokuqina kwemigudu yakho yomoya.
Lezi zindinganiso zisiza udokotela wakho ukuthi anqume ukuthi ukusebenza kwamaphaphu akho kungaphakathi kwesilinganiso esijwayelekile, noma uma kudingeka uphenyo olwengeziwe.
Kungani sidinga ukuhlolwa kwe-spirometry?
Kunezizathu eziningana zokuthi kungani udokotela wakho engase ancome lokhu kuhlolwa.
Ukuxilonga izimo:
Isetshenziselwa ukuhlonza izifo ezahlukahlukene ezihlobene namaphaphu.
- I-asthma : Lokhu kuhlolwa kuyinto ejwayelekile uma kukhona okusolwayo nge-asthma.
- I-COPD ( Isifo Sokuvimbela Amaphaphu Esingamahlalakhona ): Lesi simo sivame kakhulu kubantu ababhema isikhathi eside noma labo abachayeka othulini, entuthwini, nasezintweni ezibangela ukucasuka kwamakhemikhali emsebenzini. Sihlanganisa izimo ezifana ne -Emphysema kanye ne -Chronic Bronchitis .
- I-Cystic Fibrosis: Isimo sofuzo esithinta amaphaphu nezinye izingxenye zomzimba.
- I-Pulmonary Fibrosis: Isimo lapho izicubu zamaphaphu ziba nezibazi futhi ziqine, okwenza kube nzima ngamaphaphu ukufutha kahle.
Ukuqapha izimo ezikhona:
Uma usuvele uthola ukwelashwa kwesimo samaphaphu, i-spirometry yesikhathi esivamile iyasiza ekunqumeni ukuthi imithi yakho isebenza kahle yini nokuthi isimo sakho sizinzile noma siyashintsha.
Ngaphambi kokuhlinzwa:
Ngaphambi kokuhlinzwa okukhulu, lokhu kuhlolwa kubalulekile ukuqinisekisa ukuthi impilo yamaphaphu akho yanele inqubo.
Ukuhlola umonakalo wamaphaphu emsebenzini:
Uma usebenza ezindaweni ezinobungozi obukhulu njengezimayini, izinkwali, noma izimboni zamakhemikhali, lokhu kuhlola kusiza ukuhlola ukuthi ukuchayeka othulini noma kumakhemikhali kuye kwalimaza yini ukusebenza kwamaphaphu akho.
Ingabe unalezi zimpawu?
Uma uhlangabezana nalokhu okulandelayo, udokotela wakho angase akuncomele ukuhlolwa kwe-spirometry:
- Ukukhwehlela okuqhubekayo
- Ukuphefumula kanzima , ikakhulukazi ngesikhathi somsebenzi womzimba
- Umuzwa wokuqina noma ukucinana esifubeni
- Ukuphefumula (umsindo wokukhala kwekhwela uma uphefumula)
Iqondwa kanjani imiphumela yalolu vivinyo?
Uma ukuhlolwa kwakho sekuqediwe, udokotela wakho uzochaza imiphumela yakho (njenge-FVC kanye ne-FEV1) ngokuyiqhathanisa namanani ajwayelekile ngokusekelwe eminyakeni yakho, ubude, ubulili, kanye nobuzwe . Lokhu kungenxa yokuthi ayikho inani elilodwa "eliphelele" lawo wonke umuntu; isibonelo, amandla amaphaphu engane ahluka kakhulu kwelomuntu omdala.
"Cabanga ngalokhu njengekhadi lombiko wesikole. Uma izinombolo ziphansi kunalokho obekulindelwe, ungesabi. Lolu lwazi lusisiza nje ukuthi sibone imbangela ukuze sikwazi ukukunikeza ukwelashwa okufanele ngezidingo zakho ezithile."
Uma imiphumela yakho iphansi kunezinga elijwayelekile, kungase kubonise inkinga ngamaphaphu akho. Lokhu kungaba ukuvimba (lapho izindlela zomoya zincishisiwe, njengoba kubonakala ku-asthma noma i-COPD) noma kube nomkhawulo(lapho amaphaphu engakwazi ukukhula ngokugcwele, njengoba kubonakala ezimweni ezifana ne-pulmonary fibrosis). Udokotela wakho eNirogi Lanka uzochaza kahle ukuthi imiphumela yakho isho ukuthini kuwe.
Ngezinye izikhathi, udokotela wakho angakunika umuthi nge-inhaler (eyaziwa ngokuthi i- bronchodilator , esiza ukuvula imigudu yakho yomoya) bese ekucela ukuthi uphinde uvivinye ngemva kwemizuzu embalwa. Lokhu kwenzelwa ukubona ukuthi ukusebenza kwamaphaphu akho kuyathuthuka yini ngemithi, okuwusizo kakhulu ekuxilongeni izimo ezifana ne-asthma.
Ingabe zikhona izingozi noma imiphumela emibi?
Ezimweni eziningi, le inqubo iphephile kakhulu.
Kodwa-ke, ngenxa yokuthi kudingeka ukhiphe umoya ngamandla, abanye abantu bangase bazizwe isikhashana:
- Ubuhlanya
- Ukuphelelwa umoya
- Ukukhwehlela
- Ukukhathala okuncane
Le mizwa ivame ukuphela ngemizuzwana embalwa.
Sicela uqaphele: Uma usanda kuba nokuhlaselwa yinhliziyo, ukuhlinzwa okukhulu kwamehlo, ukuhlinzwa kwesisu noma kwesifuba muva nje, noma umfutho wegazi ophakeme ongalawuleki , udokotela wakho angase anqume ukuhlehlisa ukuhlolwa. Kubalulekile ukunikeza udokotela wakho umlando onembile wezimo zakho zempilo kanye nemithi oyiphuzayo njengamanje.
Ubani ovame ukudinga ukuhlolwa kwe-spirometry?
Njengoba kushiwo, lolu vivinyo lubaluleke kakhulu ku:
- Ababhemayo bamanje noma bangaphambilini.
- Abantu ababhekene nezimpawu ezifana nokukhwehlela okungapheli, ukuphefumula kanzima, ukuphelelwa umoya, noma ukuqina kwesifuba.
- Labo abanomlando womndeni wesifo samaphaphu (njenge-asthma noma i-COPD).
- Abantu abachayeke othulini noma ezintweni ezibangela ukucasuka kwamakhemikhali emsebenzini wabo.
- Iziguli ezilungiselela izinhlobo ezithile zokuhlinzwa.
Ukulungiselela ukuhlolwa kwakho: Uhlu lokuhlola olusheshayo
- Gqoka izingubo ezikhululekile nezikhululekile.
- Landela imiyalelo kadokotela wakho mayelana nanoma yimiphi imithi okufanele uyithathe noma oyigweme.
- Gwema ukubhema amahora amaningana ngaphambi kokuhlolwa.
- Ungadli ukudla okukhulu noma okunzima ngaphambi kwesikhathi.
- Gwema ukuphuza i-caffeine (itiye noma ikhofi) lapho isikhathi sakho sokubonana sisondela.
- Gwema ukuvivinya umzimba okunzima ngaphambi kokuhlolwa.
- Uma uphethwe umkhuhlane noma umkhuhlane, sicela wazise udokotela wakho kusenesikhathi ukuze i-aphoyintimenti ihlelwe kabusha uma kudingeka.
Umyalezo Wokuya Nawo Ekhaya
Ukuhlolwa kwe-spirometry akwesabisi njengoba kungase kubonakale. Kuyindlela elula, engenabuhlungu, futhi enolwazi oluningi yokuthola ukuqonda okubalulekile ngempilo yamaphaphu akho.
Uma udokotela wakho encoma lokhu kuhlolwa, ungakhathazeki noma ungabaza. Lokhu sikwenza ngenxa yenhlalakahle yakho. Ngokuvamile kungabona izinkinga zamaphaphu ngaphambi kokuba izimpawu zibe zimbi kakhulu, okusivumela ukuthi siqale ukwelashwa kusenesikhathi futhi sivimbele izinkinga zempilo ezinkulu.
Amaphaphu akho ayinjini yempilo yakho. Kungumthwalo wakho ukuwagcina esesimweni esihle—ngakho-ke beka phambili ukuphefumula kwakho, futhi ungangabazi ukwenza lolu vivinyo uma kudingeka!
I-Spirometer, ukuhlolwa kokusebenza kwamaphaphu, ukuphelelwa umoya, i-asthma, i-COPD, impilo yamaphaphu, i-FVC, i-FEV1
