Ingabe ngezinye izikhathi uba nobunzima bokuphefumula, ukuqina kwesifuba, ukuphefumula kanzima, noma ukukhwehlela njalo? Uma unalezi zimpawu, udokotela wakho angase akuncomele ukuhlolwa ukuze abone ukuthi amaphaphu akho asebenza kahle kangakanani. Enye yezivivinyo ezivame kakhulu nezibalulekile ezenziwa ngalezi zikhathi ibizwa ngokuthi i-spirometry. Nakuba igama lingase lizwakale njengento enkulu, empeleni liyisivivinyo esilula kakhulu nesingenabuhlungu.
Kalula nje, iyini i-Spirometry?
Cabanga ngakho njengokuhlola amandla enjini yemoto. I-Spirometry ukuhlolwa okulinganisa "amandla" kanye nokusebenza kwamaphaphu akho. Kubizwa nangokuthi 'Ukuhlolwa Komsebenzi We-Pulmonary' (PFT) noma 'Ukuhlolwa Komsebenzi We-Lung'.
Lokhu kuhlolwa kulinganisa izinto ezimbili ikakhulukazi:
1. Ungakanani umoya ongawuthatha uphume emaphashini akho ngesikhathi esisodwa.
2. Ukuthi ungakhipha umoya ngokushesha kangakanani emaphashini akho.
Lolu lwazi luzosiza udokotela wakho ukuthola umbono ojwayelekile wokuthi amaphaphu akho aphilile futhi asebenza kahle yini, noma ukuthi kukhona ubuthakathaka noma isifo.
Kungani lolu vivinyo lwe-Spirometry lubaluleke kangaka?
Kunezizathu eziningi zokuthi kungani udokotela engase acele lolu hlolo. Eziyinhloko yilezi:
- Ukuhlola izifo zokuphefumula: Lokhu kusiza ukuthola ukuthi yini ngempela ebangela izimpawu zakho. Lokhu kuhlola kubaluleke kakhulu ekuxilongeni izimo ezifana ne -asthma , i-COPD (Isifo Esingapheli Sokuvimbela Amaphaphu) , kanye ne-Pulmonary Fibrosis .
- Linganisa umthamo wamaphaphu akho: Lokhu kuzokutshela ukuthi umoya ongakanani ongabanjwa amaphaphu akho.
- Qapha isimo sesifo: Uma usuvele unesifo sokuphefumula sesikhathi eside, lokhu kuhlolwa kwenziwa njalo ukuze kubonakale ukuthi sishintshile yini ngokuhamba kwesikhathi, ukuthi isimo siya siba ngcono noma sibi kakhulu.
- Hlola impumelelo yokwelashwa: Lokhu kusiza ukuqinisekisa ukuthi imithi oyinikwayo, njenge-inhaler, iyavula yini imigudu yakho yokuphefumula nokuthi ukwelashwa kuyaphumelela yini.
- Hlola izindlela zomoya ezincishisiwe: Lokhu kuzokusiza ukuthi ubone ukuthi kukhona yini ukuncishiswa noma ukuvaleka kwezindlela zakho zomoya.
- Hlola ingozi ngaphambi kokuhlinzwa: Lokhu kuhlolwa ngezinye izikhathi kwenziwa ngaphambi kokuhlinzwa okukhulu ukuhlola ingozi yokucindezeleka kokuphefumula ngesikhathi noma ngemva kokuhlinzwa.
Yiziphi izimpawu udokotela angayala ngazo lolu vivinyo?
Uma uqhubeka nokuba nesinye noma ngaphezulu sezimpawu ezingezansi, udokotela wakho cishe uzoncoma ukuhlolwa kwe-spirometry ukuze kutholakale imbangela.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ukuphelelwa umoya | Ubunzima bokuphefumula, umuzwa wokuminyana, lapho uzikhandla kancane, lapho ukhuphuka izitebhisi, noma ngisho nalapho umile nje. Ngokwezokwelapha, lokhu kubizwa ngokuthi (i-Dyspnea) . |
| Ukukhwehlela okuvamile | Ukukhwehlela isikhathi eside okuhlala amasonto, noma ngabe kukhona noma cha i-phlegm. |
| Ukuqina kwesifuba noma ubuhlungu | Ukungakhululeki noma ubuhlungu obuzwakala sengathi ibhande liyaqina esifubeni. |
| Ukuphefumula | Umsindo ophansi, othi "ushizi-ushizi" uzwakala emphinjeni noma esifubeni lapho uphefumula, ikakhulukazi lapho uphefumula. |
| Ubunzima bokuphefumula ngokujulile | Ukuzizwa sengathi amaphaphu awakwazi ukugcwaliswa ngokuphelele ngomoya, njengokungathi ukuphefumula kuyama phakathi nendawo. |
Uzilungiselela kanjani ngaphambi kokuhlolwa?
Ukuze uthole imiphumela enembile kakhulu ekuhlolweni, udinga ukulandela izinyathelo ezimbalwa ezilula ngaphambi kokuhlolwa. Udokotela wakho uvame ukukweluleka ngalokhu kusengaphambili.
- Umuthi wokuphefumula:Uma usebenzisa ama-inhaler ezinkingeni zokuphefumula, ungase ucelwe ukuthi uyeke ukuwasebenzisa emahoreni ambalwa ngaphambi kokuhlolwa. Lokhu kuzovumela ukuthi umsebenzi wakho wemvelo wamaphaphu ulinganiswe.
- Izingubo: Gqoka izingubo ezikhululekile nezikhululekile ezingakubambezeli emzimbeni wakho. Lokhu kuzokuvumela ukuthi uphefumule kalula nangokujulile.
- Ukudla: Ungadli ukudla okukhulu, okwanelisayo okungenani amahora amabili ngaphambi kokuhlolwa. Isisu esigcwele singacindezela i-diaphragm futhi sithinte amaphethini okuphefumula.
- Ukuzivocavoca: Ungenzi ukuzivocavoca okunzima okungenani imizuzu engama-30 ngaphambi kokuhlolwa.
- Ukubhema: Uma ubhema, gwema ukubhema amahora ambalwa ngaphambi kokuhlolwa.
Ukulandela le miyalelo ngqo kuzosiza kakhulu udokotela wakho ukukunikeza isithombe esinembile ngesimo sakho sezokwelapha.
Ukuhlolwa kwenziwa kanjani? Ingabe kuyinto okufanele uyesabe?
Akukho okufanele ukwesabe nhlobo! Lolu vivinyo olulula kakhulu olungaqedwa ngesikhathi esifushane, cishe imizuzu eyi-15-30.
1. Ukuhlala: Okokuqala, uzohlala kahle esihlalweni.
2. Isiqeshana sekhala: Okulandelayo, isiqeshana esincane, esithambile sizobekwa phezu kwamakhala akho. Lokhu kwenziwa ukuqinisekisa ukuthi uphefumula ngomlomo wakho kuphela, hhayi ngekhala lakho.
3. I-mouthpiece: Okulandelayo, uzocelwa ukuthi ufake ipayipi (mouthpiece) elixhunywe emshinini obizwa ngokuthi i-'Spirometer' emlonyeni wakho. Kuzodingeka ulibambe ngokuqinile ngezindebe zakho ukuze kungabikho moya ophumayo.
4. Ukufutha: Lena yingxenye ebaluleke kakhulu. Umuntu owenza isivivinyo (udokotela, umhlengikazi, noma uchwepheshe wezokwelapha ukuphefumula) uzokutshela ukuthi uphefumule ngokujulile bese ufutha ngamandla nangokushesha ngangokunokwenzeka ungene epayipini kuze kube yilapho wonke umoya uphelile.
5. Phinda izikhathi eziningana: Ukuze uthole imiphumela enembile kakhulu, kutuswa ukuphinda le nqubo okungenani kathathu.
Mhlawumbe isinyathelo sesibili
Ngezinye izikhathi, udokotela wakho angase afune ukubona ukuthi izindlela zakho zomoya ziyasabela yini emithini. Uma kunjalo, ngemva kokuhlolwa kokuqala, uzonikezwa i-bronchodilator nge-inhaler, bese kwenziwa ukuhlolwa kwesibili kwe-spirometry ngemva kwemizuzu embalwa. Imiphumela iyaqhathaniswa. Lokhu kungaba usizo kakhulu ekuxilongeni izimo ezifana ne-asthma.
Ingabe lokhu kuyalimaza?
Cha, ukuhlolwa kwe-Spirometry akubuhlungu nhlobo.
Kodwa-ke, ngoba uphefumula kakhulu futhi uphefumula kanzima, ungase uzizwe unesiyezi futhi unesizungu . Ungase futhi ukhwehlele ngenkathi uphefumula. Lokhu kujwayelekile ngokuphelele. Konke lokhu kungakhululeki kuzophela ngemva kwesikhashana ngemva kokuphela kokuhlolwa. Uma uzizwa ukhathele kakhulu, ungacela umuntu owenza ukuhlolwa ukuthi athathe ikhefu elifushane.
Okubalulekile: Uma uke waba nesifo senhliziyo noma esinye isimo senhliziyo esikhathini esidlule, qiniseka ukuthi wazisa udokotela wakho ngaphambi kokuhlolwa.
Ithini imiphumela?
Uma imiphumela yokuhlolwa itholakele, udokotela uyiqhathanisa "namanani ajwayelekile." Lawa "manani ajwayelekile" ahlukile kumuntu ngamunye. Ancike ezintweni ezifana neminyaka yakho, ubulili, ubude, kanye nohlanga .
Amanani amabili ayinhloko alinganisiwe yile:
- I-Forced Vital Capacity (FVC): Lena inani eliphelele lomoya ongakhishwa uma uphefumula kakhulu futhi ukhipha ngamandla wonke umoya osemaphashini akho.
- Umthamo Wokuphoqeleka Wokuphuma Ngomzuzwana O-1 (FEV1): Leli inani lomoya elingakhishwa ngomzuzwana wokuqala uma ukhipha ngamandla.
Ngokuvamile, inani le-'FEV1' lomuntu ophilile kufanele libe ngaphezu kuka-80% wenani le-'FVC'. Ngokuhlaziya la manani kanye nesilinganiso phakathi kwawo (`FEV1/FVC ratio`), udokotela wakho angabona uhlobo lwenkinga onayo ngamaphaphu akho.
| Uhlobo lwesimo sezokwelapha | Kalula nje... | Izibonelo |
|---|---|---|
| Isifo Samaphaphu Esivimbayo | Ngenxa yomonakalo emaphashini noma emigudwini yomoya, kuba nzima ukukhipha umoya ngokushesha ophefumuliwe. Inani le-FEV1 lehla kakhulu. | Isifuba somoya, i-COPD, i-Bronchiectasis, i-Cystic Fibrosis |
| Isifo Samaphaphu Esivimbelayo | Amaphaphu awakhuli ngokugcwele. Lokhu kusho ukuthi kunzima ngamaphaphu ukungenisa umoya omningi ngangokunokwenzeka . Inani le-FVC liyancipha. | Isifo Samaphaphu Esingaphakathi, I-Scoliosis, I-Muscular Dystrophy |
Umlayezo Wokuya Nawe Ekhaya
- I-Spirometry iwukuhlolwa okulula, okungahlaseli, okungenabuhlungu okuhlola impilo yamaphaphu akho.
- Lokhu kuwusizo olukhulu ekuxilongeni izifo zokuphefumula ezingamahlalakhona njenge-asthma kanye ne-COPD, kanye nasekunqumeni ukuthi ukwelashwa kuyaphumelela yini.
- Ukuze uthole imiphumela enembile kakhulu, landela imiyalelo kadokotela (mayelana nokudla, iziphuzo, imithi, kanye nokuzivocavoca) ngaphambi nje kokuhlolwa.
- Ungakhathazeki uma uzizwa unesiyezi noma ukhwehlela ngesikhathi sokuhlolwa. Lokhu kuvamile futhi kuzophela ngemva kwesikhashana.
- Hlala uvulekile kudokotela wakho nganoma yiziphi izinkinga zokuphefumula ongase ube nazo, kanye nemiphumela yokuhlolwa kwakho. Ukuxilongwa okunembile kanye nohlelo lokwelashwa kuzosiza nakanjani ukuthuthukisa ikhwalithi yempilo yakho.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho