Imiphumela ye-Spirometry Iphezulu kakhulu Ixhomeke KuMguli Neziguli
Uma usanda kuba nokuhlolwa kwe- spirometry futhi imiphumela yakho yayingaphansi kokuhle, mhlawumbe uyazibuza ukuthi kukhona yini okwenzile - noma awukwenzi - okungenzeka ukuthi kwathonya imiphumela yakho ye-spirometry. Ukunemba kwemiphumela yokuhlola, empeleni, kuxhomeke kakhulu kuwe, isiguli, kanye nochwepheshe abaqhuba ukuhlolwa. Kunezici ezimbalwa ezaziwa ukuthi zithonya imiphumela yokuhlolwa, evame kakhulu kuwo:
- Idatha engavumelekile yabantu - Uma uthatha ukuhlolwa kwe-spirometer, imiphumela yakho yokuhlolwa iqhathaniswa nalabo okulindeleke ukuba kube abantu abavamile, abanempilo. Lezi "zindinganiso ezijwayelekile, ezibikezelwe" zizinqunywe phakathi nezifundo zocwaningo olususelwa emphakathini zisebenzisa izihloko ezineziphawu ezivamile zokusebenza. Isiguli ngasinye sinesiqoqo sakhe samanani asetshenziswe ngokusekelwe kwedatha yemininingwane kusuka kumuntu ofanayo ubudala, ukuphakama, isisindo, kanye nobulili (futhi ngezinye izikhathi ubuhlanga). Uma ngesizathu esithile isiguli sinikeza idatha engacacile yomuntu, noma idatha yezenhlalakahle ingeniswe ngendlela engafanele yilezi zinkampani, imiphumela yokuhlolwa izophazamiseka. Udokotela omuhle uzobukeza lolu lwazi ngokunemba ngaphambi kokuhumusha ukuhlolwa.
- Imiphumela engamukeleki - Ngemuva kokuba i-spirometry yenziwe, imiphumela yokuhlolwa ihlolwe ukwamukeleka nokukhiqizwa (bheka ngezansi). Ngokuvamile, ukuhamba kwe- FVC kuyamukeleka uma isiguli senze umzamo omuhle - isici esandulele ukusetha ukusebenzisa izinqubo ezithile. Uma isiguli sigula, noma okunye okuphazamisa umzamo wakhe wokuphoqa noma ukukhipha ngesikhathi sokuvivinywa, imiphumela ngeke ibe yinto enembile futhi, ngakho-ke, iyoyithathwa ingamukeleki.
- Imiphumela Engabonakaliyo - Ukuhlolwa kwe- spirometry kumele kuphindwe ngokuphindwe kathathu. Ukuze uhlangabezane ne-reproducibility criteria, zonke izilinganiso ezintathu ze- FEV1 , nazo zonke izilinganiso ezintathu ze-FVC kufanele zibe ngaphansi kwezigidigidi ezingu-200 (ml) zomunye nomunye. Ukuhlolwa nge-FEV1 ne-FVC enkulu kunazo zonke kumelela imiphumela yokuhlola yesiguli yalolu daba oluthile. Uma ngabe enye yalezi zimo ayitholakali, ukuhlolwa kuhlulekile ukuhlangabezana nokulandelana kokukhiqiza.
Izizathu Ezivamile Zomphumela Ongamukeleki Noma Ongewona Okwehlelwa Yize
Imiphumela yokuhlolwa engamukeleki noma yokukhiqizwa kabusha ayibhekwa njengembile, futhi ngeke ibonise ukukhubazeka kwamaphaphu okweqiniso, okuyisisekelo samaphaphu. Nazi izizathu ezimbalwa ukuthi kungani lokhu kungase kwenzeke:
- Ukuhluleka ukunikeza umzamo okwanele (ngokuvamile ngenxa yokugula noma ubuhlungu obunzima ngokuhamba ngakunye).
- Ukungaqondisi iziyalezo zokuhlola (mhlawumbe ngenxa yocingo noma ingozi yokuqonda , noma ukwephulwa kokuzwa).
- Ukushaya nganoma yisiphi isikhathi ngesikhathi sokuhamba, kodwa ikakhulukazi ngesikhathi sesibili sokuqala.
- Ukuhamba kwe- Valsalva (ukushaya phansi) noma ukungazami ngesikhathi sokubangela ukuthi umoya uphele ukugeleza.
- Uphawu olungenalutho oluzungeza umlomo we-spirometer.
- Ukuvalwa komlomo (kwenzeka lapho ulimi noma amazinyo efakwe ngokungalungile phambi komlomo ngesikhathi sokuhlolwa).
- Ukuguqulwa komlomo (okubangelwa ukushaya noma ukuhlafuna emlonyeni ngokwawo).
Indlela Yokuqinisekisa Imiphumela Ye-Spirometry Eqondile
Uma une- COPD , i-spirometry izophindaphinda ngezikhathi ezihlukahlukene ukucacisa ukuthi isifo sakho sithuthukile nokuthi uphendula kanjani kahle ukwelashwa kwe-COPD . Ekuqaleni, ukuhlolwa kungase kubonakale kuyinkimbinkimbi, kodwa kungakabiphi, kuyoba yinto yesibili.
Uma lokhu kuhlolwa kwakho kokuqala kwe-spirometry, ubuyekeze amathiphu alandelayo ngaphambi kokuthatha uhlolo lwakho ukuqinisekisa imiphumela enembile kakhulu:
- Qiniseka ukuthi uyaqonda imiyalelo yokuhlola . Uma ungenjalo, cela umqeqeshi ukuba aphinde abuyele lapho ebonisa indlela efanele yokufaka futhi ukukhipha ngesikhathi sokuhlolwa.
- Yazisa lochwepheshe uma ungezwa kahle . Isivivinyo sakho singadinga ukuhlelwa kabusha usuku lapho uzizwa ungcono.
- Thola ubuthongo obuhle ngobusuku ngaphambi kokuhlolwa. Ukulala kwekhwalithi engalungile kungathinta umzamo.
- Gwema ukubhema okungenani ihora elilodwa ngaphambi kokuhlolwa. Ukubhema kungathinta imiphumela yakho.
- Nikeza lochwepheshe isisindo sakho esinembile . Ngokuvamile, izinduna azikho inkinga yokuthembeka ngesisindo sayo, kodwa kungenzeka ukuthi akekho owesifazane ophilayo ohlala engakaqamba amanga ngesisindo sakhe sangempela. Isisindo esinembile sibalulekile ekubaleni imiphumela ye-spirometry.
- Gwema ukudla ukudla okunzima ekuseni ekuseni. Isisu esigcwele singaphazamisa ikhono lakho lokuthatha umoya ojulile.
- Gwema ukuphuza utshwala okungenani amahora amane ngaphambi kokuhlolwa. Phakathi kwezinye izinto, utshwala bungabangela umzamo futhi kuthinte kabi imiphumela yakho.
- Gwema ukuvivinya okunzima okungenani imizuzu engu-30 ngaphambi kokuhlolwa. Uzodinga wonke amandla akho ukubeka umzamo owanele ngesikhathi sokuhlolwa.
- Landela imiyalelo kadokotela wakho ukuthi yimiphi imithi okufanele uyenze futhi akufanele ithathe ngosuku lokuhlolwa. Ukusebenzisa i- bronchodilator noma ezinye izinhlobo zemithi ngaphambi kokuhlolwa kungathinta imiphumela yakho.
> Umthombo:
> I-American Thoracic Society. Ukuhlolwa kokusebenza kwePulmonary. Umagazini waseMelika Wokuphefumula Okubalulekile Wokuphefumula. I-Vol. 176, P5-6, 2007.