Ukuphefumula kuyinto esivame ukuyithatha kalula, kodwa yiyona injini enika amandla umzimba wakho. Nokho, ngezinye izikhathi, uhlelo lwakho lokuphefumula—ikakhulukazi amaphaphu akho—lungabhekana nokuphazamiseka okuncane. Uma lokhu kwenzeka, udokotela wakho udinga ukuhlola ngokunembile impilo yamaphaphu akho kanye namandla okusebenza. Yilapho ukuhlolwa okukhethekile okubizwa ngokuthi i-Spirometry kuba yinto ebalulekile. Nakuba igama lingase lizwakale liyinkimbinkimbi, inqubo ngokwayo ilula kakhulu.
Iyini i-Spirometry, futhi ingabe iyisivivinyo esinzima?
Kalula nje, i-Spirometry iwukuhlolwa kokuphefumula okulula, okungangenisi umswakama okukala ukusebenza kwamaphaphu akho. Ngokuyinhloko ihlola ukuthi ungaphefumula umoya ongakanani ngokuphefumula okukodwa, ukuthi ungaphefumula kangakanani, nokuthi ungaphumula ngokushesha kangakanani emaphashini akho.
Cabanga ngakho njengokucima amakhandlela osuku lokuzalwa ekhekheni. Akubandakanyi ubuhlungu noma ukungakhululeki okukhulu. Idivayisi encane esetshenziswa kulokhu kuhlolwa ibizwa ngokuthi i -Spirometer . Akukho lutho olufakwa emzimbeni wakho, ngakho-ke akukho lutho okufanele ulwesabe.
Kungani kwenziwa i-Spirometry, futhi ubani oyidingayo?
Ungase uzibuze, "Kungani ngidinga lokhu kuhlolwa ?" I-Spirometry ivame ukwenziwa ngezizathu eziningana:
- Ukuhlola izimo ezihlobene namaphaphu: Ingabe uhlushwa ukukhwehlela okuqhubekayo? Ingabe uzizwa uphelelwa umoya? Ingabe kukhona umsindo wokukhala uma uphefumula (lokho esikubiza ngokuthi ukuphefumula ngokuphefumula )? Noma mhlawumbe uzwa ukuqina esifubeni sakho? Lokhu kuhlolwa kusiza ekuboneni imbangela yalezi zimpawu, ikakhulukazi:
- Isifuba somoya ( isifuba somoya ): Isimo esivamile lapho izindlela zakho zomoya zincipha khona.
- I-COPD ( Isifo Sokuvimbela Amaphaphu Esingamahlalakhona ): Isimo sesikhathi eside esivimbela ukuhamba komoya emaphashini. Sivame kakhulu kubantu ababhemayo .
- I-Cystic Fibrosis : Isimo sofuzo esithinta amaphaphu nezinye izingxenye zomzimba.
- I-Pulmonary Fibrosis : Isimo lapho izicubu zamaphaphu ziba nezibazi futhi ziqine, okuvimbela amaphaphu ukuthi akhule kahle.
- Ukuqapha isifo samaphaphu esikhona: Uma usuvele unesifo samaphaphu esitholakale sikhona, lokhu kuhlolwa kusiza udokotela wakho ukuthi alandelele ukuthi imithi yakho yamanje isebenza kahle noma ukuthi isimo sakho siyathuthuka noma siyaba sibi.
- Ukuhlola ukusebenza kwamaphaphu ngaphambi kokuhlinzwa: Ngaphambi kokuhlinzwa okukhulu, ikakhulukazi uma ubhema noma unezimpawu zokuphefumula, lokhu kuhlolwa kubalulekile ukuqinisekisa ukuthi amaphaphu akho angakwazi ukubhekana nokuhlinzwa.
- Ukuthola izimo zamaphaphu ezihlobene nomsebenzi: Ukuchayeka othulini noma kumakhemikhali ezindaweni ezithile zomsebenzi kungalimaza amaphaphu. Lokhu kuhlolwa kusiza ekunqumeni ukuthi usengozini yini.
Cabanga ngomngane wakho, ake simbize ngokuthi uChamal. UChamal uphelelwa umoya lapho ekhuphuka izitebhisi noma egijima ebhasini. Lapho evakashela udokotela, wanikezwa ukuhlolwa kwe-Spirometry, okwamkhomba kahle ukuthi une-Asthma. Manje, ngenxa yemithi efanele, uphila engenazo izimpawu.
Ukuhlolwa kwe-Spirometry kwenziwa kanjani?
Ake sibheke ukuthi ukuhlolwa kwenziwa kanjani. Kulula kakhulu futhi akukho okufanele ukwesabe.
1. Ukulungiselela: Uzocelwa ukuba uhlale kahle esihlalweni.
2. Isiqeshana Sekhala:Kuzofakwa i-clip encane ekhaleni lakho ukuqinisekisa ukuthi uphefumula ngomlomo wakho kuphela. Lokhu kuqinisekisa ukuthi izilinganiso zinembile.
3. I-mouthpiece: Uzocelwa ukuba ubambe i-mouthpiece ehlanziwe, elahlwayo exhunywe ku-spirometer ngezindebe zakho, ukuqinisekisa ukuthi ivaliwe kahle ukuze kungaphumi moya.
4. Inqubo Yokuphefumula:
- Okokuqala, phefumula ngokujwayelekile izikhathi ezimbalwa.
- Bese uphefumula kakhulu ngangokunokwenzeka , kuze kube yilapho amaphaphu akho esegcwele ngokuphelele.
- Okulandelayo, khipha umoya ngamandla nangokushesha ngangokunokwenzeka . Kufana nokucima ikhandlela, kodwa ngamandla amakhulu, uqhubeke isikhathi eside ngangokunokwenzeka (okungenani imizuzwana eyi-6).
5. Isikhuthazo: Uchwepheshe owenza isivivinyo uzokugqugquzela ("Qhubeka! Okuningi! Okuningi! Kuhle!") ukuqinisekisa ukuthi wenza konke okusemandleni akho.
6. Ukuphindaphinda: Ngokuvamile, ukuhlolwa kuphinda okungenani kathathu ukuze kutholakale imiphumela enembile kakhulu.
Ngezinye izikhathi, ngemva kokuhlolwa kokuqala, unganikwa i- bronchodilator (ngokuvamile nge-inhaler) bese ucelwa ukuthi uphinde ukuhlolwa ngemva kwemizuzu eyi-15-20 ukuze ubone ukuthi ukuphefumula kwakho kuyathuthuka yini. Lokhu kuwusizo kakhulu ekuxilongweni kwezimo ezifana ne-Asthma.
Ukuhlolwa kungakwenza uzizwe ukhathele kancane, njengoba kufanele uzame kakhulu, kodwa akubuhlungu.
Ingabe kukhona amalungiselelo adingekayo ngaphambi kokuhlolwa?
Yebo, ukuqinisekisa imiphumela enembile, sicela ugcine izinto ezimbalwa engqondweni:
- Imithi: Tshela udokotela wakho ngayo yonke imithi oyiphuzayo, ikakhulukazi imithi yokufutha izifo zamaphaphu. Ungase ucelwe ukuthi ungasebenzisi imithi ethile yokufutha amahora ambalwa ngaphambi kokuhlolwa.
- Ukubhema: Gwema ukubhema okungenani ihora elilodwa ngaphambi kokuhlolwa. Okungcono kakhulu, zama ukukugwema amahora angama-24.
- Utshwala: Ungaphuzi utshwala ngosuku lokuhlolwa.
- Ukudla: Gwema ukudla ukudla okunzima amahora amabili ngaphambi kokuhlolwa. Ukudla okulula kuyamukeleka.
- I-Caffeine: Kungcono ukugwema iziphuzo ezine-caffeine njengetiye noma ikhofi amahora ambalwa ngaphambi kokuhlolwa.
- Izingubo: Gqoka izingubo ezikhululekile nezikhululekile . Gwema noma yini evimba isifuba sakho.
- Ukuzivocavoca: Gwema ukuzivocavoca okunzima imizuzu engama-30 ngaphambi kokuhlolwa.
Ukulandela lezi zinyathelo kuzokusiza ukuqinisekisa ukuthi uthola imiphumela enembile kakhulu ngangokunokwenzeka.
Isho ukuthini imiphumela yokuhlolwa?
Ukufundwa kungase kubonakale kungokwesayensi, kodwa ungakhathazeki. Udokotela wakho eNirogi Lanka uzochaza konke ngokucacile. Kunezilinganiso ezimbalwa ezibalulekile esizibheka kakhulu:
- I-FVC (Umthamo Obalulekile Ophoqelelwe): Lokhu kulinganisa inani eliphelele lomoya ongawukhipha ngamandla ngemva kokuphefumula kakhulu ngangokunokwenzeka. Kalula nje, imelela umthamo omkhulu wamaphaphu akho .
- I-FEV1 (Umthamo Wokukhipha Umoya Ophoqelelwe ngomzuzwana owodwa): Lokhu kulinganisa inani lomoya ongawukhipha ngesikhathi somzuzwana wokuqala wokuhlolwa. Kusisiza ukuthi sinqume ukuthi amaphaphu akho angakhipha ngokushesha kangakanani.
- Isilinganiso se-FEV1/FVC: Ubudlelwano phakathi kwalezi zindinganiso ezimbili bubalulekile ekuxilongweni okunembile.
Imiphumela yakho iqhathaniswa nezilinganiso ezijwayelekile nezinempilo ezilungiselelwe iminyaka yakho, ubude, ubulili, kanye nobuzwe bakho.
- Iphethini yokuvimbela: Uma i-FEV1 yakho iphansi kakhulu kune-FVC yakho futhi isilinganiso se-FEV1/FVC siphansi, kuphakamisa ukuvinjelwa (njengokuncishiswa kwemigudu yomoya). Lokhu kuvame ukubonakala ezimweni ezifana ne-Asthma noma i-COPD.
- Iphethini yokuvimbela:Uma i-FVC yakho iphansi kodwa isilinganiso sakho se-FEV1/FVC sivamile noma siphezulu, kusho ukuthi amaphaphu akho awakwazi ukukhula ngokugcwele. Le ndlela ivame ukuhlotshaniswa nezimo ezifana ne-Pulmonary Fibrosis.
Okubaluleke kakhulu, sicela ungazami ukuhumusha le miphumela wedwa. Udokotela wakho uzohlaziya imiphumela yakho ye-spirometry kanye nezimpawu zakho zomtholampilo kanye neminye imininingwane yokuxilonga ukuze akunikeze incazelo ecacile neqondene nawe.
Ingabe ikhona imiphumela emibi noma izingozi?
I-Spirometry inqubo ephephile kakhulu . Imiphumela emibi ebalulekile ayivamile kakhulu. Kodwa-ke, ngenxa yokuthi ukuhlolwa kudinga ukuphefumula ngamandla, ungase uzizwe ungakhululekile:
- Isiyezi noma ikhanda elibuthakathaka: Lokhu kuvame ukuphela ngokushesha.
- Ukuphefumula kanzima noma ukuphefumula ngokushesha: Ungase uzizwe uphelelwa umoya ngokushesha ngemva kokuhlolwa.
- Ukukhwehlela: Lokhu kuyindlela evamile yokusabela ekuphefumuleni/ekukhipheni umoya okujulile nokuphoqelelwe.
- Ukukhathala: Ungase uzizwe ukhathele kancane ngemva komzamo.
Ezimweni ezingavamile kakhulu, abanye abantu bangase babhekane nokuqina okungazelelwe kwemigudu yomoya ( i-bronchospasm ), ikakhulukazi labo abane-asthma enzima. Ngenxa yokuthi ukuhlolwa kwenziwa ngaphansi kokuqondisa kochwepheshe bezokwelapha, sikulungele ukuphatha lokhu ngokushesha.
Uma usanda kuhlaselwa yinhliziyo, ukuhlinzwa kwamehlo, ukuhlinzwa kwesifuba noma kwesisu, noma une- aneurysm eyaziwayo noma isifo sofuba esisebenzayo (TB) , sicela wazise udokotela wakho ngokushesha. Ezimweni ezinjalo, lokhu kuhlolwa kungadinga ukuhlehliswa noma kwenziwe ngezinyathelo zokuqapha ezikhethekile.
Kwenzekani ngemva kokuhlolwa?
Ungaqhubeka nemisebenzi yakho evamile ngokushesha ngemva kwenqubo. Uma kusetshenziswe i-bronchodilator, ungase uzizwe ukuthuthumela okuncane noma ukushaya kwenhliziyo okukhuphukile, okuzophela ngokushesha.
Udokotela wakho uzobuyekeza imiphumela nawe, achaze ukuthi isho ukuthini, futhi axoxe ngezinyathelo ezilandelayo—kungakhathaliseki ukuthi lokho kuhilela ukuhlolwa okwengeziwe, ukuqala ukwelashwa okusha, noma ukulungisa imithi yakho yamanje.
Izinto ezibalulekile empilweni yakho
Ake sifingqe amaphuzu abalulekile okufanele uwakhumbule:
- I-Spirometry iyisivivinyo sokuphefumula esilula, esingenabuhlungu esisetshenziselwa ukuhlola impilo yamaphaphu akho.
- Kuyithuluzi elibalulekile lokuxilonga nokuqapha izimo zamaphaphu njenge-Asthma ne-COPD.
- Cabanga ngesivivinyo njengokucima amakhandlela osuku lokuzalwa —kudinga umzamo omuhle, kodwa akunzima.
- Sicela ulandele yonke imiyalelo yangaphambi kokuhlolwa enikezwe yithimba lakho lezokunakekelwa kwempilo maqondana nokudla, iziphuzo, kanye nemithi.
- Ungakhathazeki ngemiphumela noma uzame ukuzihlola. Xoxa ngakho konke ngokukhululekile nodokotela wakho.
Uma udokotela wakho ekuncomile ukuhlolwa kwe-spirometry, akukho okufanele ukwesabe. Kuyisinyathelo esisebenzayo sokuqinisekisa inhlalakahle yakho yokuphefumula. Kwa- Nirogi Lanka , sizibophezele empilweni yakho. Sikufisela okuhle!
i-spirometry, ukuhlolwa kokusebenza kwamaphaphu, ukuhlolwa kokuphefumula, i-asthma, i-COPD, ukusebenza kwamaphaphu, impilo yokuphefumula
