FEV1 - Ukumiswa kanye nencazelo yamanani
Uyazi ukuthi amaphaphu akho anamandla kangakanani? Ivolumu yokuphefumula okuphoqelelwe ngomzuzwana owodwa, noma i-FEV1, umaka osetshenziselwa ukukala ukusebenza kwephunga futhi ingakusiza ukuqapha isifo sakho se- chronic obstructive pulmonary (COPD) noma ezinye izifo zamaphaphu ngokuhamba kwesikhathi. Nakhu okumele ukwazi ngo-FEV1, ukuthi kulinganiswa kanjani, nokuthi kusho ukuthini i-COPD yakho.
Kuyini FEV1?
I-FEV1 yinani lomoya elingabhalwa ngamandla emaphashini ngomzuzwana wokuqala wokuphefumula okuphoqelelwe.
Kungenye yezindlela odokotela abazisebenzisayo ukunquma umsebenzi wakho wamaphaphu. Ngenxa yokuthi i-COPD ibangela umoya emaphaphini akho ukuthi uphuthumiswe ngesilinganiso esisheshayo futhi emalini amancane kuqhathaniswa nomuntu onempilo ngaphandle kwe-COPD, ukukala ukuthi ungakwazi kanjani ukuphuma emoyeni ngokukhululekile kungasiza ekunqume ukuthi unayo i-COPD noma ezinye izifo zamaphaphu kanye nobukhulu lesi sifo.
I-FEV1 ingenye yezinyathelo zomsebenzi wepaymoni ezenziwa ukuhlola umsebenzi wamaphaphu.
Ukulinganisa i-FEV1
Ukuze unqume u-FEV1 wakho, udokotela wakho uzoqhuba ukuhlolwa kwe-spirometry . Ngesikhathi sokuhlolwa kwe-spirometry uzocelwa ukuthi uphumele ngaphakathi kwipayipi. Izindlela zithathwa kuthiwa zihlanganisa ukuthi ungakanani umoya ongakwazi ukuwusebenzisa ngamandla okwesibili ngomzuzwana wokuqala we-exvation-FEV1 yakho. Ezinye izivivinyo zixoxwe ngezansi.
Umphumela wezilinganiso zakho uzobe uqhathaniswa namanani "okubikezelwe" -kuphi ukufundwa okujwayelekile kulindeleke kumuntu ofanayo ubudala, ubulili, ubukhulu bomzimba, nobuhlanga, ongenaso isifo sephaphu.
Lokhu kwenziwa ukulinganisela ukufundwa kwakho futhi kuvumela odokotela ukuthi baqhathanise imiphumela yakho yokuhlolwa kubantu abafanayo abanomsebenzi wamaphaphu evamile.
Izilinganiso zivame ukuthathwa futhi ziphindwe emva kokuphathwa kwe- bronchodilator . I-bronchodilator imithi eyenzelwe ukuvula imimoya yakho. Ukubuka umehluko emisebenzini yakho yamaphaphu kokubili futhi ngaphandle kwe-bronchodilator kuvumela udokotela wakho ukuba ahlole ukuthi ukwelashwa kwakho kusebenza kanjani nokuthi izimpawu zakho ze-COPD ziye zathuthuka.
Ezinye izivivinyo zilinganiselwe kanye ne-FEV1
Njengoba odokotela ngokuvamile bebukela inhlanganisela yokuhlolwa kokusebenza kwamaphalenda, kungaba usizo ukuqonda okufushane kwezinye izivivinyo ezenziwa kanye ne-FEV1. Lezi zivame ukufaka:
- Umthamo we-Vital - Umthamo we- Vital uyinani eliphakeme lemimoya engakwazi ukukhipha noma ukuphuma emaphashini.
- Amandla amakhulu okuphoqeleka (FVC) - Amandla amakhulu okuphoqelelwa yizinga eliphakeme lemimoya engakwazi ukuphuma emaphashini ngemuva kokuthatha umoya ojulile.
- Inani lezinga lokugeleza lokuphefumula
- Izinga lokugeleza lokuphefumula
Izinombolo Zisho ukuthini?
Udokotela wakho uzokwazisa inombolo ye-FEV1 yakho ebhalwe njengephesenti yalokho okubikezelwe kumuntu onamaphaphu aphilile.
- I-FEV1 kusuka kumaphesenti angama-80 kuya kwangu-100 ngokuvamile ibhekwa njengokujwayelekile
- I-FEV1 phakathi kwamaphesenti angu-60 no-79 okubikezelwa kubonisa ukuvinjelwa okuncane
- I-FEV1 phakathi kwamaphesenti angu-40 no-59 ibonisa ukuvinjelwa okulinganayo
- Amaphesenti angu-40 noma ngaphansi kunalokho okubikezelwe kuthathwa njengokuvimbela okukhulu
Indlela Yokuthuthukisa i-FEV1
Uma i-FEV1 yakho engavamile, udokotela wakho cishe uzotusa inhlanganisela yezokwelapha ezihlanganisa kokubili imithi kanye nezinguquko zokuphila.
Imithi yokwandisa FEV1
Uma i-FEV1 yakho incishisiwe, imithi kaningi ibhalwa ukuze kuthuthukiswe ukuphefumula kwakho.
Kokubili ama- bronchodilator abambe isikhathi esifushane futhi asebenza isikhathi eside yiyona ndlela eyinhloko yokwelapha. Imithi ihlanganisa:
- Ama-agonists angasetshenziswa ngomlomo noma nge-inhalation futhi afaka kokubili amalungiselelo okuthatha isikhathi esifushane nokwenza isikhathi eside.
- I-Anticholinergics efana ne-Spiriva inikezwa ngokungafihli.
- Ama-methylxanthini afana ne-theophylline asetshenziswa ngezikhathi ezithile.
Kunezidakamizwa ezihlanganisiwe ezibandakanya inhlanganisela yale mithi ukuze unciphise inani lemithi okudingeka uyenze nsuku zonke. Udokotela wakho angasiza ekutholeni ukuthi iyiphi yalezi zidakamizwa ezizosebenza kangcono kakhulu izimpawu zakho ezithile kanye nokuphazamiseka kwemaphaphu.
Izindlela zokuphila eziguqukayo zokukhulisa FEV1
Izindlela zokuphila , nakuba zivame ukuqhutshelwa emlilweni ngemuva kokugxila emithini yemithi, kubaluleke kakhulu kokubili ukuphatha izimpawu zeCOPD nokunciphisa ukuqhubeka kwesifo.
- Ukuyeka ukubhema kubaluleke kakhulu ekuthuthukiseni i-FEV1 nokunciphisa ukuqhubekela phambili kwe-COPD.
- Ukuzivocavoca nakho kuyasiza ekuthuthukiseni i-FEV1 nokuthuthukisa izimpawu ze-COPD. Ukuze uqalise, hlola lezi zivivinyo ezingcono kakhulu zabantu abane-COPD .
Ngezansi ku-FEV1 ku-Management of COPD
I-FEV1 nezinye izivivinyo zomsebenzi we-pulmonary zingadlala indima ebalulekile ekuphathweni kwe-COPD. Kubalulekile ukuthi uqaphele ukuthi kubaluleke kakhulu ukuphatha abantu kunezinombolo. Abanye abantu babekezelela i-FEV1 ephansi kakhulu kanti abanye abantu bangase babe nezimpawu ezincane ngokuncipha okuncane ku-FEV1.
Enye yezinto ezibaluleke kakhulu ongayenza (ngaphandle kokuyeka ukubhema uma ubhema, yiqiniso) ukufunda ngesifo sakho. Funda mayelana nokuhlolwa okusetshenziselwa ukuxilonga isifo sakho kanye nezinye izici ezingathinta imiphumela. Thatha isikhathi sokufunda ngemithi yakho, kokubili ukuthi basebenza kanjani nokuthi yini imiphumela emibi engaba nayo.
> Imithombo:
> Guirguis-Blake, J., Senger, C., Webber, E., Mularski, R., no-E. Whitlock. Ukuhlolwa Kwezifo Eziphuthumayo Zokuvimbela Izifo Eziphuthumayo: Umbiko Wezobufakazi Nokubuyekezwa Okuhlelekile Kwe-US Preventive Services Task Force. I-JAMA . 2016. 315 (13): 1378-93.
> Lahham, A., McDonald, C., no-A. Holland. Ukuqeqeshwa Ukuzivocavoca Owodwa Noma Ngokungezelela Ukweluleka Kuthuthukisa Izinga Lomsebenzi Wokwenyama E-COPD: Ukubuyekezwa Okuhlelekile Nokuhlaziywa Kwezinguquko Ezilawulwa Ngemihla. I-International Journal ye-Chronic Obstructive Pulmonary Disease . 2016. 11: 3121-3136.