Uma unenkinga yokuphefumula , udokotela wakho angase asebenze izivivinyo eziningana zomsebenzi wakho wepulmoni ukuze uthole izilinganiso ezingasiza ekunqumeni ubukhulu besimo sakho. Enye yalezi zivivinyo ivolumu yokugcina yokuphefumula (ERV). Luyini uhlolo, lulinganisani, futhi lungasisiza nini ekuxilongweni nasekwelapheni izifo zamaphaphu?
Yikuphi ngempela i-Reserve Reservoir Reserve noma i-ERV?
Uma uke uphonse ibhaluni, mhlawumbe ungazi ukuthi ungene emvolini wakho wokugcina wokuphefumula.
Lesi sifo esivame ukusetshenziswa odokotela ukuhlola abantu abanezinkinga zokuphefumula kubhekisela kumthamo owedlule womoya ongagudluzwa ngomzamo omkhulu ngaphezu kwezinga elifinyelele ekupheleni kwesimo sokuvuthwa esivamile, esingahambi kahle. Lesi sibalo somoya sivame ukubikwa esikhathini esithile (ngokuvamile ngesigamu esisodwa).
Ngamanye amazwi, uma usuvele uphumelele (uphefumulelwe) ngokujwayelekile bese uzama ukuchitha amaphaphu akho ngokuphelele ngokuphonswa ngenhloso yonke umoya ongakwenza, ukuthi "umoya" owengeziwe ingumqulu wakho wokuphelelwa yisikhathi.
I-Expiratory Reserve Reserve ne-Other Lung Volumes
Udokotela wakho ngeke ahlolisise ukuthi usekelwe kuphela emiphumeleni yakho yokuhlola ivolumu yokuphumula yamapayipi okuphelelwa yisikhathi. Ukuhlola kwakho kwevolumu yokuphefumula kungaphazamisa udokotela wakho ngemininingwane mayelana nesimo sakho. Lezo zici, ezihlangene nomlando wakho wezokwelapha kanye nemiphumela yokuhlolwa kwakho, kufanele ziholele udokotela wakho ekuxilongweni okufanele.
Izindleko zokulondoloza isikhathi esiphezulu cishe ziyokwenzeka njengengxenye yochungechunge lwezivivinyo zomsebenzi wamaphaphu jikelele, okungenzeka futhi zihlanganise nezinye izinyathelo eziningi zamanani wamapayipi akho nomthamo. Lolu chungechunge lwezilinganiso odokotela basebenzisa ukuxilonga izifo zamaphaphu ezinjenge-asthma, emphysema, ne-fibrosis.
Ivolumu yokulondoloza isikhathi esivame ukuvame ukulinganisa kanye nomthamo obalulekile (ingqikithi yenani elingakwazi ukukhathala, kufaka phakathi i-ERV) kanye nomthamo wokugcina ophefumulayo, okungathi-njengoba ungase ucabange-ulinganisa inani lemimoya engaphezulu ongayidonsa ngamabomu akho ngamabomu emva kokuphefumula ngendlela evamile.
Ngokuvamile, ukulinganisa okuhlukahlukene kubalwa ngokusebenzisa izilinganiso. Isibonelo, uma i-ERV isilinganiso esiphakeme somthamo iphezulu, iphakamisa ukuthi amaphaphu anzima futhi angakwazi ukwandisa futhi inkontileka efanele kanye ne-lung fibrosis ingase ibe yikhotho. Noma, uma leso silinganiso siphansi kakhulu, singasho ukumelana emaphashini okubangelwa yi-asthma.
Indlela Elinganiselwe ngayo
Ivolumu yokulondoloza okuphelelwa yisikhathi kanye nezinye izilinganiso zevolumu yamaphaphu ngokuvamile zenziwa ngokusebenzisa inqubo ebizwa ngokuthi i- spirometry . Lokhu kungenye yezivivinyo ezivame ukugijima zomsebenzi wamaphaphu, kodwa kunamanye amaningi angase asetshenziswe ukuthatha isilinganiso sevolumu yamaphaphu.
Isivivinyo se-spirometry sidinga ukuba uphefumule ku-tube ehlanganiswe nomshini obizwa nge-spirometer. Ngesikhathi uhlezi futhi amacici akho evala, uzongena ngokujulile. Khona-ke, uzobeka izindebe zakho ezungeze ithubhu, noma i-spirometer, ukudala uphawu oluqinile ukuze kuvimbele ukuvuza kwemoya, futhi uphefumule ngokucindezela imizuzwana embalwa.
Uhlolo luvame ukuphinda kathathu ukuqinisekisa imiphumela ehambisanayo.
Izimo Lapho ERV Kubalulekile
Kukhona izimo eziningana lapho ivolumu yakho yokugcina yokuphefumula inganikeza izinkomba mayelana nempilo yamaphaphu akho. Lezi zimo zihlanganisa:
- Isifo se-lung obstructive pulmonary
- I-asthma
- Izifo zamaphaphu ezithintekayo (iqembu lezifo lapho amaphaphu akho engenayo ivolumu eningi njengoba kufanele)
- I-cystic fibrosis
Udokotela wakho angase asebenze lokhu kuhlola njengengxenye yenqubo yokuxilongwa ukuze uthole ukuthi kungani unesibindi sokuphefumula, ukukhwehlela okungapheli , ukukhwehlela , nezibonakaliso zomoya ophansi egazini lakho.
Ungase futhi ugijime uhlolo njengengxenye yokuqapha okuqhubekayo kwesimo sakho, ukucacisa ukuthi uzinzile yini noma uma umsebenzi wakho wamaphaphu unqatshiwe.
Okokugcina, ngezinye izikhathi lezi zivivinyo zigijimela esibukweni sezinkinga zamaphaphu kubantu ababhemayo noma kubantu abanemisebenzi ebafaka engozini yezifo zamaphaphu-ngokwesibonelo, bangase bavezwe emakhemikhali anobuthi emsebenzini.
Ngaphansi
Ivolumu yokulondoloza okuphelelwa yisikhathi kuyimfuneko ebalulekile yokuhlolwa kwamaphalenda kodwa iyasiza kakhulu uma ihlanganiswa neminye imiphumela evela kwezinye izivivinyo zomsebenzi wamaphalenda. Lapho uqala ukuhlola isimo se-lungs, lezi zivivinyo ziwusizo kakhulu ekuhlukaniseni izifo zamaphaphu ezivimbelayo, njenge-COPD ne-asthma, nezifo ezivimbela ukuphazamiseka njenge-pulmonary fibrosis. Ucwaningo oluvamile lwe-x-rays noma i-CT kaningi alukwazi ukwenza lezi zihlukaniso, okwenza ukuhlolwa kwamaphaphu kusize kakhulu.
Izivivinyo ze-Lung nazo ziwusizo ekuqapheleni ukuqhubeka kwesifo, ukuphawula kwanoma yisiphi isimo esibucayi nesibhekayo ukubona ukuthi ukwelashwa kuyasiza.
> Imithombo:
> Kasper, uDennis L .., u-Anthony S. Fauci, noStephen L .. Hauser. Izimiso zikaHarrison zeMithi yangaphakathi. ENew York: imfundo kaMc Graw Hill, 2015. Print.
> Lutfi, M. I-Physiological Basis kanye nokubaluleka komtholampilo we-Lung Volume Measurements. Imithi yokuphefumula eminingi . 2017. 12: 3.