Lokho Ukuhlolwa Kwokufanekisa Kungakwazi Futhi Kusasitshela
Uma udokotela wakho esolwa ukuthi une- chronic obstructive disease pulmonary (COPD) , cishe uzocelwa ukuba ube ne-X-ray esifubeni. I-X-ray yesifuba iyindlela elula yokubona izithombe engasebenziseki esebenzisa amagagasi kagesi ukudala isithombe esisodwa esisenhliziyweni yakho, amaphaphu, nesiphithiphithi.
Ngenkathi i-X-ray yesifuba ingeke ikwazi ukuxilongwa nge-COPD , ikakhulukazi ezifweni zokuqala, ingasiza ukusekela.
Ngokuvamile, i-X-ray yesifuba engavamile ngokuvamile ibonakala lapho umonakalo wamaphaphu ugcwele.
Yeka ukuthi i-X-Ray i-Chest ingasitshela
Ezikhathini zokuqala zesifo, isifo se-X-ray esifubeni singase sibonakale sivamile ngempela. Lokhu akusho ukuthi akukho monakalo; kumane nje ukuthi ukuhlolwa kunemikhawulo yokuthi kungakanani okubonakalayo okungasitshela khona. Ngeke ukwazi ukuchaza amandla akho emaphaphu noma amandla ongawafaka noma ukukhipha umoya.
Lokho ongakwenza kungasinika iphuzu elibukwayo lokubhekwa ngalo okungaqhathaniswa nanoma yiziphi izinguquko ezingathuthuka ngokuhamba kwesikhathi. Ngenxa yalokho, odokotela bayokhuthaza ngokuvamile i-X-ray esifubeni njalo eminyakeni emibili noma emibili kuncike ekutheni i-COPD yakho ikude kangakanani.
Esikhathini sesifo sesigaba esilandelayo, izinguquko ezibonakalayo zizobonakala ngokucacile. Esinye sezici ezisobala kakhulu kuyoba yi- hyperinflation okuthiwa i- hyperinflation yamaphaphu. Uma lokhu kwenzeka, udokotela uzokwazi ukubona izinto eziningana kwi-X-ray:
- Ukuphazamiseka kwesimfucumfucu njengoba amaphaphu ecindezela phansi emisipha
- Usayizi wesifuba owandisiwe njengoba kulinganiswa kusuka phambili kuya emuva
- Inhliziyo egcwele futhi encane
- Amasheya emoyeni abizwa ngokuthi i- bullae azungeze intshi engamatshumi amabili ngesayizi noma ngaphezulu
Uma kwenzeka udokotela wakho edinga umbono obanzi kakhulu wesakhiwo samaphaphu nomonakalo, ukuskena kwe- computed tomography (CT) kungalawulwa . Lapho i-X-ray esifubeni izoletha kuphela isithombe esisodwa semaphaphu, i-CT scan izothatha uchungechunge lwezithombe ukudala ukumelelwa okungaphezulu kwamathathu.
Ngokwenza kanjalo, i-CT scan ingathatha imininingwane egciniwe futhi inikeze odokotela isithombe esiphelele ngokwengeziwe se-COPD yomuntu.
Indlela i-COPD ekhonjiswa ngayo
Ukwenza ucwaningo olunembile lwe-COPD, ukuhlolwa okuphelele kuzokwenzelwa ukunikeza ukuhlolwa okuyisisekelo kwempilo yakho yamanje, umlando womndeni wakho, isimo sakho sokubhema, nanoma yikuphi ukukhwabanisa kwemvelo noma umsebenzi ongase uvezwe kuso.
Ngaphandle kwe-X-ray yesifuba, ungase ucelwe ukuba uhlole noma ukuhlolwa okulandelayo:
- Igazi lokugaya liphela ukucacisa ukuthi ingakanani i-oksijini ne-CO2 egazini lakho
- Ukuhlolwa kwamapulmonary ukuhlola ukuthi amaphaphu akho aphilisa kanjani futhi aphumelele futhi ahambisa kahle kangakanani i-oxygen egazini
- I-bronchoscopy isebenzisa indawo eguquguqukayo, ekhanyiswe ukubukeka ihlole amaphaphu
- I-oximetry ye-pulp ukukala ukugcwalisa oksijini egazini lakho
- Ukuhlolwa kweminithi eyisithupha ukuhlola impendulo yakho yokuphefumula kokuzivocavoca
- Ukukhubazeka kwe-AAT ukuhlola ukuthi kukhona yini ukungabi khona kwamaprotheni e-alpha-1 antitrypsin (AAT) okusiza ukuvikela amaphaphu nesibindi
Uma ukuxilongwa okunempilo kubuyiselwa emuva, udokotela wakho uzobe esecabanga ngesigaba sesifo sakho futhi ahlele uhlelo lwezokwelapha ukusiza ukunciphisa ukuqhubekela phambili kweCOPD.
> Umthombo:
> Vogelmeier, C .; I-Criner, i-G .; UMartinez, F. et al. "Isu Lomhlaba Wonke Lokuthola Ukuxilongwa, Ukuphathwa Nokuvimbela Isifo Sengculazi Esithathelwanayo Sokugula Okungapheliyo 2017 Umbiko Wokubamba GOLD." Umagazini waseMelika Wokuphefumula Nokuphathwa Okunakekelwa Okunzima. 2017; 195 (5): DOI 10.1164 / rccm.201701-0218PP.