Ingabe ngezinye izikhathi uzizwa uphelelwa umoya? Noma uvaleke esifubeni noma ukhwehlela njalo? Lezi zinto zingaba izimpawu zenkinga ngamaphaphu akho. Ngakho-ke, uma udokotela wakho efuna ukwazi kahle ukuthi amaphaphu akho asebenza kahle kangakanani, kukhona ukuhlolwa okulula, okungenabuhlungu abangakucela ukuba ukwenze. Yilokho esikubiza ngokuthi Ukuhlolwa Komsebenzi We-Pulmonary (PFTs) .
Kalula nje, kuyini i-Pulmonary Function Test (PFT)?
Cabanga ngakho njengokuyisa imoto yakho esikhungweni sesevisi ukuze ubone ukuthi injini isebenza kahle yini. I-PFT futhi iyisethi yezivivinyo ezilinganisa ukuthi 'injini' ebizwa ngokuthi amaphaphu ethu isebenza kahle kangakanani, ukuthi siphefumula futhi sikhipha umoya kahle kangakanani. Abanye abantu babiza lokhu ngokuthi 'Ukuhlolwa Komsebenzi Wamaphaphu'.
Lezi zivivinyo zibheka kakhulu:
- Ungaphefumula futhi ukhiphe umoya ngokushesha kangakanani futhi ungakanani umoya?
- Ungakanani umoya okwazi ukugcinwa amaphaphu akho?
- Amaphaphu akho amunca kahle kangakanani umoya-mpilo egazini lakho?
- Ngezinye izikhathi, babheka nendlela amaphaphu akho asabela ngayo lapho uzivocavoca.
Into ebaluleke kakhulu ukuthi lezi zivivinyo azibuhlungu nganoma iyiphi indlela. Futhi azizona izivivinyo ezingahlaseli ezihilela ukufaka amakhamera noma amanye amadivayisi emzimbeni. Ngakho-ke asikho isizathu sokwesaba.
Yiziphi izinhlobo eziyinhloko zama-PFT?
I-PFT akuyona ukuhlolwa okukodwa, kodwa inhlanganisela yezivivinyo eziningana. Kuye ngezimpawu zakho kanye nalokho udokotela wakho akufunayo, ukuhlolwa okukodwa noma ngaphezulu kungenziwa.
| Igama lokuhlolwa | Yini elinganiswa kalula? |
|---|---|
| I-Spirometry | Lolu uhlobo lokuhlola oluvame kakhulu. Lulinganisa ukuthi ungaphefumula futhi ukhiphe umoya ongakanani, kanye nokuthi ungaphefumula ngokushesha kangakanani. |
| Amavolumu Amaphaphu noma i-Body Plethysmography | Inani eliphelele lomoya emaphashini akho lilinganiswa ngezigaba ezahlukene zokuphefumula nokukhipha umoya. Lokhu kwenziwa ngenkathi uhleli ekamelweni elincane lengilazi. |
| Ucwaningo Lokusabalalisa Igesi | Kukala ukuthi amagesi, njenge-oxygen, adluliselwa kahle kangakanani esuka emaphashini akho aye egazini lakho. |
| Ukuhlolwa Kokuzivocavoca Kwenhliziyo Nemithambo Yezinhliziyo (i-CPET) | Ilinganisa ukuthi inhliziyo yakho, amaphaphu, kanye nemisipha yakho kusebenza kanjani ndawonye uma uzivocavoca (njengokuhamba nge-treadmill). |
Kukuziphi izimo lapho udokotela angakutshela khona ukuthi wenze i-PFT?
Udokotela wakho angase akuncome lokhu kuhlolwa uma unezimpawu noma usola isimo sempilo. Kungenziwa futhi njengengxenye yokuhlolwa okuvamile kwezokwelapha, noma ngabe awunazo izimpawu.
Uma unezimpawu ezinjengalezi...
- Uma uzizwa uqinile, ubuhlungu, noma ukucindezeleka esifubeni sakho.
- Ukukhwehlela okuqhubekayo, ikakhulukazi uma kungukukhwehlela okukhiqiza amafinyila.
- Uma kunzima ukuphefumula ngokujulile.
- Uma uphefumula kanzima.
- Uma uzwa umsindo wokukhala kwekhwela (ukushaya umoya) lapho uphefumula.
Khomba noma qapha lezi zinhlobo zezimo...
Ukuhlolwa kwe-PFT kungasiza kakhulu udokotela wakho ukuthi athole izimo ezifana nalezi:
- Isifuba somoya
- Isifo Sokuvinjelwa Kwamaphaphu Esingamahlalakhona (i-COPD)
- I-Pulmonary Fibrosis ( ukuqina kwezicubu zamaphaphu)
- Ubuthakathaka bemisipha yokuphefumula
- Ukuncishiswa kwe-trachea
Ngaphezu kwalokho, ukuhlolwa kwe-PFT kungasiza ekulinganiseni umonakalo emaphashini omuntu obhemayo, kubone ukuthi imithi ithuthukisa kanjani ukuphefumula, futhi kunqume ukuthi amaphaphu akho angakwazi yini ukumelana nokuhlinzwa okukhulu.
Kufanele ngilungiselele kanjani ngaphambi kokuhlolwa?
Lokhu akudingi ukulungiselela okuningi. Kodwa-ke, ukuze uthole imiphumela enembile kakhulu kusukela ekuhlolweni, udokotela wakho angase akucele ukuthi:
- Ama-inhalers noma eminye imithi oyisebenzisela ubunzima bokuphefumulaUma unazo, gwema ukuzisebenzisa amahora ambalwa ngaphambi kokuhlolwa. Udokotela wakho uzokunikeza imiyalelo ecacile ngalokhu.
- Ungagqoki izingubo eziqinile nezicindezelayo , kodwa gqoka izingubo ezikhululekile nezikhululekile.
- Gwema ukuvivinya umzimba okunzima ngosuku olwandulela noma ekuseni kokuhlolwa.
- Gwema ukubhema ngokuphelele ngaphambi kokuhlolwa.
- Ngaphambi kokuhlolwa , yidla ukudla okuphelele futhi ugweme ukuphuza iziphuzo ezine -caffeine njengetiye nekhofi.
Kwenzekani ngosuku lokuhlolwa?
Lokhu kuhlolwa kuvame ukwenziwa elabhorethri ekhethekile yokusebenza kwamaphaphu esibhedlela noma emtholampilo. Kwenziwa ngumelaphi wokuphefumula othole ukuqeqeshwa okukhethekile ngale njongo.
Ngesikhathi sokuhlolwa
1. Ulwazi oluyisisekelo: Okokuqala, bazoqopha ulwazi oluthile ngawe, njengokuphakama kwakho, isisindo, ubudala, kanye nobulili. Lolu lwazi luyadingeka ukuze kuqhathaniswe imiphumela yakho namanani ajwayelekile eminyaka yakho nokuphakama.
2. Imishini: Uzonikezwa i-clip encane ekhaleni lakho ukuze uzijwayeze ukuphefumula ngomlomo wakho. Uzonikezwa i-mouthpiece ongayibamba emlonyeni wakho. Lokhu kuxhunywe emshinini olinganisa ukuphefumula kwakho (spirometer).
3. Ukuphefumula: Okulandelayo, umhloli uzokunikeza imiyalelo yokuthi ungaphefumula kanjani futhi ukhiphe kanjani umoya. Isibonelo, bazosho izinto ezinjengokuthi, "Phefumula ngokujulile... manje khipha umoya ngokushesha nangokunzima ngangokunokwenzeka!"
4. I-Body Plethysmography: Uma une-Body Plethysmography test, uzofakwa ekamelweni elikhanyayo, elingenamoya imizuzu embalwa. Uma uzizwa ungenaso isifiso sokudla , yazisa umhloli kusenesikhathi. Bazokusiza uzizwe ukhululekile kakhudlwana.
Isivivinyo sonke sivame ukuthatha imizuzu eyi-15 kuya kwengama-45 . Uma uzizwa ukhathele, sicela usazise. Uzonikezwa ithuba lokuphumula phakathi kwezingxenye zesivivinyo.
Ake sifunde ngezingozi nangemva kokuhlolwa.
Ngemva kokuphela kokuhlolwa, ungaqhubeka nanoma yimiphi imithi otshelwe ukuthi uyeke. Ungaqhubeka nemisebenzi yakho evamile kanye nokuzivocavoca. Uma uzizwa unesiyezi noma uzizwa ukhathazekile ngesikhathi sokuhlolwa, bazokuqapha kuze kube yilapho izimpawu ziphela bese bekuthumela ekhaya.
Ingabe ikhona ingozi?
I-PFT iyisivivinyo esiphephile kakhulu. Kodwa-ke, abanye abantu bangase bazizwe benesiyezi noma bekhathele ngenxa yokuphefumula okujulile nokukhipha umoya. Bangase futhi bakhwehlele kancane ngenxa yokuphefumula ngamandla emlonyeni. Zonke lezi zimpawu zizophela ngemva kwesikhashana ngemva kokuhlolwa.
Akuvamile kakhulu, futhi ngisho ukuthi akuvamile kakhulu, into efana nokuwa kwamaphaphu (i-pneumothorax) ingenzeka. Uma uke waba nokuhlaselwa yinhliziyo muva nje noma esinye isimo senhliziyo, kubalulekile ukwazisa udokotela kanye nomhloli kusenesikhathi.
Mayelana nemiphumela
Uzothola imiphumela yakho zingakapheli izinsuku ezimbalwa. Udokotela wakho uzoqhathanisa imiphumela yakho namanani ajwayelekile ngokweminyaka yakho nobude bakho ukuze akunike umbono ocacile wokuthi amaphaphu akho asebenza kahle kangakanani.
Okubalulekile: Lokhu kuhlolwa akusikho ukuhlolwa "kokuphasa" noma "kokuhluleka". Uma imiphumela yakho ingavamile, akusho ukuthi "uhlulekile." Kusho nje ukuthi udokotela wakho angakwazi ukuxilonga isimo sakho futhi ahlele ukwelashwa okudingayo.
Uma ungakayizwa impendulo evela kudokotela wakho zingakapheli izinsuku ezimbalwa, ungangabazi ukubuza udokotela wakho ngakho.
Umlayezo Wokuya Nawe Ekhaya
- Izivivinyo Zokusebenza Kwephaphu (ama-PFT) ziwuchungechunge lwezivivinyo ezilula, ezingenabuhlungu ezilinganisa ukuthi amaphaphu akho asebenza kahle kangakanani.
- Lokhu kuhlolwa kubalulekile ekuxilongeni nasekuqapheni izifo zokuphefumula ezifana ne-asthma kanye ne-COPD.
- Kubaluleke kakhulu ukulandela imiyalelo kadokotela (njengokuyeka imithi, ukugwema ukubhema) ngaphambi kokuhlolwa ukuze uthole imiphumela enembile.
- Ungase uzizwe unesizungu kancane ngesikhathi sokuhlolwa, kodwa lokhu kuvamile futhi kuzophela maduze. Asikho isidingo sokukhathazeka.
- Uma ubona noma yiziphi izinguquko endleleni yakho yokuphefumula, njengokukhwehlela okuqhubekayo, bona udokotela wakho ngokushesha ukuze uthole iseluleko.
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