Ukulinganisa kanye nencazelo
Isilinganiso samandla emaphaphu, noma i-TLC, ibhekisela engqikeni yomoya emaphashini ngemva kokuthatha umoya ojulile.
Iziguli ezine- chronic obstructive pulmonary disease (COPD) kaningi azikwazi ukuphuma ngokugcwele, okwenza kube nomfutho wegazi emiphakathini kanye nomthamo omkhulu wamaphaphu.
Ukulinganiselwa Konke Amandla Okulingana Avivinywa Kanjani?
I-TLC ilinganiswa ngomzimba noma emaphaphuththmmmography , enye yezivivinyo eziningi zomsebenzi wamapulmoni ezisiza ukunquma ukuthi umoya ukhona kangakanani emaphashini akho uma uthatha umoya ojulile nokuthi umoya ushiywe emaphashini wakho emva kokuba uphume ngendlela ongakwenza ngayo .
I-plethysmography yomzimba isiza udokotela wakho ukuthi azi kabanzi mayelana nesifo sakho sephaphu nokuthi ungayiphatha kanjani.
Kulinganiselwe ngama-milliliters, umthamo omkhulu wephaphu eliphilile cishe cishe 6,000 mL. Ezigulini ezine- COPD , inani lomoya elishiye emaphashini ngenkathi inqubo yokuphefumula ingaphezu kokuvamile, isimo esibizwa ngokuthi i-hyperinflation.
I-Spirometry ukuhlolwa kwamaphaphu kuvame ukusetshenziselwa ukuxilonga i-COPD, kodwa-ngokungafani ne-lung-plethysmography-akusiyo eyedwa inika ulwazi kumthamo wamapayipi ophelele noma ivolumu yokunciphisa amaphaphu (inani lomoya lishiywe emaphashini ngemva kokuphefumula). Ngokubili, lezi zivivinyo zinganikeza udokotela wakho isithombe esiphelele sesimo sakho.
I-Hyperinflation ye-Lung ku-COPD
I-hyperinflation yamaphaphu kwenzeka kubantu abaningi abane-COPD. Okukwenzekayo, ngoba ukugeleza komoya okunciphisa umzimba kuncishisiwe, abantu baqala ukuthatha umoya wabo olandelayo ngaphambi kokuba baphule ngokuphelele amaphaphu abo wokuphefumula kokugcina.
Ngalinye isikhathi lapho lokhu kwenzeka, umoya omningi uba "uboshwe" emaphashini. Ngenxa yale moya eboshiwe, amaphaphu adinga ukuthi i-hyperinflate ithathe ukuphefumula okulandelayo, futhi kusukela amaphaphu engenziwanga ku-hyperinflate, lawaphefumula adinga umsebenzi ongcono kunalokho okwakudingeka njalo ngomoya ngamunye.
Le hyperinflation ngokuzivocavoca noma imisebenzi yansuku zonke, ibangela i- dyspnea , ukuzwa kokuphefumula.
I-Dyspnea kubantu abane COPD ivame ukuholela ku:
- Ukugwema ukusebenza komzimba
- Ukumiswa kwemvelo
- Ikhwalithi ephansi yokuphila
- Ingozi ephakeme yezinye izifo, ezifana nesifo senhliziyo
Uhlobo lwe-hyperinflation olukhulunywe ngenhla lapho umuntu eqala ukuthatha ukuphefumula okulandelayo ngaphambi kokuphefumula kuqala kubizwa ngokuthi "i-hyperinflation enamandla." Olunye uhlobo lwe-hyperinflation olubizwa ngokuthi "i-hyperinflation static" lungenzeka nakwabantu abane-COPD enzima. I-hyperinflation eqondile yenzeka njengoba amaphaphu elahlekelwa ukuqina kwawo futhi adinga amandla amaningi okugcina umoya wokuphuluka kwempipho ngemva kokuphefumula.
Kungani Kuphelele Ukulingwa Kwamandla?
Isamba samaphaphu esiphelele singahlolwa ngezizathu eziningana.
- Ukuxilongwa nokuhlukanisa izifo ezithintekayo zokuvimbela izifo zamaphaphu .
- Ukuhlola impendulo yakho ezithombeni ezifana ne- bronchodilators , i-methacholine, i-histamine, noma i-isocapnic hyperventilation.
Ngabe I-Plethysmography Kufanele Yenziwe Ngani?
Akufanele ube ngaphansi kwe-lung plethysmography uma udidekile ngokwengqondo, ube nokulawulwa kwemisipha embi noma i-Parkinsonism, noma usekelwa ngokuqhubekayo oksijini okwenziwe okwesikhashana.
I-Body Plethysmography Yenziwa Kanjani?
Uma udokotela wakho ehlola ukuhlolwa kwe-lungththmmmography ukuze ulinganise umthamo wakho wamaphaphu wakho, ungathola induduzo ngokwazi lokhu kuhlolwa okulula futhi okungenabuhlungu.
Ngesikhathi sokuhlolwa, uzohlala egumbini elikhanyayo elibucayi cishe ubukhulu besikhwama sefoni bese-ke, ugqoke isiqeshana sekhasi, uzobe ufundiswe isifo sokuphefumula ukuze uphefumule ngomlomo nangomshini ohlangene nomshini wokuhlola. Ngezinye izikhathi, i-tracer gas egesi carbon dioxide, ifakiwe emoyeni ovela kumshini.
Isivivinyo sithatha cishe imizuzu emithathu. Ilinganisa izinguquko emoyeni wokucindezela emoyeni ngaphakathi kwedokodo ukuze kunqume ukuthi ingakanani umoya ongaphefumula emaphashini akho.
Ukuze uthole imiphumela enembile kakhulu, ngaphambi kokuhlolwa akufanele:
- Suthu okungenani ihora elilodwa
- Phuza utshwala okungenani amahora amane
- Ukuzivocavoca ngaphakathi kwemizuzu engu-30
- Yidla ukudla okukhulu ngaphakathi kwamahora amabili
Udokotela wakho angase akufundise ukuba ungathathi imithi ethile ngosuku lokuhlolwa. Qinisekisa ukulandela imiyalelo kadokotela wakho ngokuqondile.
Izimbangela Zokukhuphuka Konke Amandla Lungwane
Izifo zamaphaphu ezivimbelayo yizo lapho umoya ophuma khona emaphashini ngesilinganiso esincane kunokujwayelekile, futhi kufaka izimo ezifana ne-COPD, i- asthma , i- bronchiectasis ne-cystic fibrosis. Ngalesi simo, inani lomthamo wamaphaphu lingakhuphuka ngenxa ye-hyperinflation.
Izimbangela Zokunciphisa Ingqikithi Yokubamba Amandla
Ezifo ezithathelwanayo zamaphaphu, amaphaphu ngokuvamile "avinjelwe" ekutheni athathe umoya ojulile futhi amandla amaphepha aphelele ayancipha. Kukhona kokubili izifo eziphuthumayo nezingaphakathi zempuphu kuye ngokuthi ngabe ukuvimbela kwenzeka ngaphandle kwamapayipi noma ngaphakathi kwamaphaphu ngokwabo. Izifo zamaphaphu ezingaphakathi zihlanganisa lezo ezifana ne- sarcoidosis , idiopathic pulmonary pulmonary , i-pneumonia, noma iyanciphisa umthamo wamaphaphu ngemva kokuhlinzwa kwamaphaphu. Izifo zamaphaphu zangaphakathi zifaka ukukhuluphala, ukukhipha isisindo, kanye nokuhlukumeza kwamanye amazwi phakathi kwabanye.
Ngezansi kulabo abane COPD futhi Ukwandisa Total Lung Amandla
Uma uhlala ne-COPD, kungaba usizo ukuqonda inqubo exoxwa lapha eholela ekukhuliseni i-hyperinflation. Ukuphefumula kufinyelela ekwenzeni izinto ezimbi, okwenza kube nzima ukuphefumula, nokunye okuqhubekayo. Kungaba yimbuthano enonya. Hlola lawa mathiphu wokuphatha ukuphefumula kokuphefumula ne-COPD ukuze uqale. Qala ukusebenzisa ngokushesha. Uma ungaqiniseki ukuthi uzoqala kuphi, hlola lezi zivivinyo ezinhle kakhulu zabantu abane-COPD . Uma ukuthola kunzima ukunamathela ohlelweni lokuzivocavoca, buyekeza lezi zizathu ezinhlanu ukuthi kungani kufanele usebenzise i-COPD .
Okokugcina, uma ngabe othandekayo wakho kunokuba wena obhekana noCOPD, hlola lezi zindlela ukusiza othandekayo nge-COPD .
Imithombo:
U-Godfrey, M., noMnuz Jankowich. Ikhono eliyigugu liyi-Vital: i-Epidemiology kanye nokubaluleka komtholampilo we-Restrictive Spirometry Pattern. Isifuba . 2016. 149 (1): 238-51.
Zysman-Colman, Z., naseL. Lands. Umzimba Wonke Plethysmography: Ukucabangela Okuwusizo. Ukuhlolwa kokuphefumula kwezingane . 2016. 19: 39-41.