Izimo Nge-Saturation Normal Saturation ne-Dyspnea
Ngokujwayelekile, ukuphefumula kufaka umoya ophansi we-oxygen saturation, kodwa kungenzeka ukuthi ube nalesi sibonakaliso ngamazinga avamile okwethula oksijeni. Iphesenti ye-oxygen saturation (i-O2 ehlezi) iyinani lezinga lapho i-hemoglobin egazini lakho ligcwele umoya-mpilo. Akuhambisani ngaso sonke isikhathi nokuzwa ukuphefumula (dyspnea) . Lokhu kusho ukuthi ungase uzwe ukuphefumula noma ngabe unayo ukufundwa kwe-pulmatic oximetry okujwayelekile.
U-O2 wakho uhlala angafunda amaphesenti angu-95 kuya kuma-100 amaphesenti kodwa ungase uthola kunzima ukuphefumula.
Esigulini esine- chronic obstructive pulmonary disease (COPD) lesi simo sokuphefumula okuphefumulayo okujwayelekile okubangelwa ukuphefumula kwe-oksijeni kubangelwa ukuhluleka kwenhliziyo noma ukuguqulwa kwamasipha omzimba. Ake sibuke ngalokhu ngokwehlukana.
Ukuhluleka Kwenhliziyo Ekhona
Kulinganiselwa ukuthi abangamaphesenti angu-21 abantu abaneCOPD nabo banokuhluleka kwenhliziyo ekhona. Lokhu kubalulekile ngoba abantu abanezimo zombili lezi zimo banesifo esibi kakhulu kunalokho okungenzeka ku-COPD noma ukuhluleka kwenhliziyo yedwa.
Izimpawu zokuhluleka kwenhliziyo futhi i-COPD ivame ukuhamba, kodwa ukwazi lokhu, kubalulekile ukwenza umehluko. Zombili izimo zingase zenze ukuphefumula okufushane nomsebenzi (i-dyspnea nokuzikhandla), kanye nezikhathi zokukhwehlela isikhathi sokuhlwa. Noma ubani onalezi zimpawu kufanele ahlolwe ngokucophelela ukuze abone ukuthi izimpawu zibangelwa i-COPD, ngenxa yokuhluleka kwenhliziyo, noma okuhlobene nokuhlanganiswa kokubili.
Inqubo Eyisisekelo Yokunciphisa Ukuphefumula Enkonzweni Yenhliziyo
Ukuhluleka kwenhliziyo, ukwephuza umoya kanye nokungahambisani nokuzivocavoca , ukudangala kwemisipha, nokukhathala okungapheli ngenxa yokunciphisa ukuphuma kwenhliziyo-umthamo wegazi inhliziyo engakwazi ukupompa isikhathi esithile. Lokhu kwenzeka ngoba ngokuhamba kwesikhathi, inhliziyo-ibe yisisipha ngaphakathi-futhi-ngokwayo-iba buthakathaka futhi ayikwazi ukuphambanisa okwanele igazi elicebile oksijini ezitokisini, izitho namazimba omzimba.
Iziguli zombili ze-COPD (ezisho ukuthi azikho ukwanda okukhulu kwe-COPD ) nokuhluleka kwenhliziyo kungabonisa amazinga ajwayelekile we-oxygen saturation, nokho isabhekana nokuzwa ukuphefumula. Lokhu kuyinto engavamile ngoba ukunciphisa ukukhishwa kwenhliziyo akuthinti ngaso sonke isikhathi amazinga e-oxygen saturation-okungenani hhayi ngokushesha. Nokho, ngokuhamba kwesikhathi, ukugeleza kwegazi okungakahle kuthinta wonke amalungu emzimbeni, kuhlanganise namaphaphu, ubuchopho, isibindi, izinso, namathumbu, okuholela kwezinye izimpawu.
Ukuguqulwa kwamaSkeletal Muscle
Ukuguqulwa kwesisipha samathambo, noma ngaphandle kokuhluleka kwenhliziyo ekhona, futhi kudla indima ebonakalayo ukuthi kungani iziguli ze-COPD zingase zizwe ukuphefumula ngamazinga avamile okwethula oksijeni. Uma kungekho ukuhluleka kwenhliziyo, isifo se-muscle de-conditioning yisona sizathu esiyinhloko sokuthi abantu abaneCOPD banokuphefumula okungahambisani nokufundwa kwe-pulmatic oximetry. Ukwengeza, ukukhubazeka kwemisipha yamagciwane-okuvamile kokubili kwe-COPD nokuhluleka kwenhliziyo-kungaholela ekuqothulweni kwemisipha, ukuphazanyiswa ikhono lomzimba lokusebenzisa i-oksijeni, nokuphuza isikhathi sokuphumula kanye nokubuya kwe-oxygenation evamile ngemuva kokuzivocavoca.
Abantu abaningi abane-COPD bahola izindlela zokuphila ezingezansi, ngenxa yokuthi ukuphefumula nokuphelelwa amandla okubavimbela ukuba bagweme zonke izinhlobo zomsebenzi womzimba.
Ukungasebenzi okuqhubekayo kuholela ekusetshenzisweni kwemisipha, ukuvuvukala kwezinga eliphansi, nokucindezeleka okwenyuka kwe-oxidative okwenza imisipha iyancipha ngesayizi futhi ekugcineni ilahleke (i- atrophy ). Lapho imisipha ingenalo isimo futhi ifinyeleleke kakhulu ukwenza umsebenzi wayo, iyakhathala kalula. Lokhu kuvame ukuholela ekuphefumuleni, ikakhulukazi uma imisipha ibizwa ukuba yenze noma yiluphi uhlobo lomsebenzi womzimba. Ukuphefumula okubangelwa ukuhlukunyezwa kwemisipha kanye nokukhathala kungenzeka noma kungahambisani ngaso sonke isikhathi namazinga e-oxygen saturation, yingakho iziguli zingazizwa ziphefumula, kodwa zinezikhathi ezijwayelekile zokufunda i-pulmatic oximetry.
Yini Ongayenza Ngomfushane Wokuphefumula Naphezu Kwe-Oximetry Ejwayelekile?
Iziguli ezine-COPD kanye nokuhluleka kwenhliziyo isipiliyoni sezinhlanzi zamasipha eziguquguqukayo ezithinta ikhono labo lokusebenza empilweni yansuku zonke. Lezi zimo zikhulunywa kakhulu ezigulini ezinezimo zombili, futhi ngokuphambene nenkolelo evamile, abantu abaneCOPD kanye nokuhluleka kwenhliziyo kuhlanganiswe yizikhulu eziphezulu zokuqeqesha umzimba. Eqinisweni, ukukhubazeka kwemisipha engaphelele kungahle kuguqulwe ngokuzivocavoca umzimba kanye / noma ukuvuselelwa kwe-cardiopulmonary.
Uma unesiguli nge-COPD, ukuhluleka kwenhliziyo, noma kokubili, khuluma nodokotela wakho namuhla mayelana nokuqalisa uhlelo lokuzivocavoca lwe-cardio-pulmonary ohlelweni lwakho lwezokwelapha. Angase aqale ngokukhuluma ngamanye amasu okuthuthukisa ukuvivinya umzimba kubantu abaneCOPD njengokungabonakali kokucindezela okungenayo okungenasidalwa, ukuvuselelwa kwamaphalenda kanye nemithi.
Ngaphandle kokuba nengxoxo enhle nodokotela wakho, hlola izivivinyo ezingcono kakhulu zeziguli ze-COPD futhi ucabange ukuthi yiziphi izivivinyo ezifanelana nezifiso zakho. Ukuba nomuntu "okuqondisayo" ekuzivocavoca kungasiza, futhi usebenzise ama-DVD ku-COPD iziguli kungaba yilokho okugqugquzelayo.
Ukuhamba kungumsebenzi omkhulu we-COPD, kodwa njengoba yonke imisipha ikhula, ukuzivumelanisa nezimo ze-COPD kungenza izimangaliso ukuze ufunde ngokugcwele.
Isizathu esivela emhlabeni jikelele sokugwema ukuzivocavoca ukhathala, ngakho-ke ngaphezu kokuthuthukisa ikhono lakho lokuzivocavoca, ngcono impilo yakho ngokusebenzisa izindlela zokulwa nokukhathala nge-COPD .
Imithombo:
> Elbehairy, A., Ciavaglia, C., Webb, K. et al. Ukukhubazeka Kwegesi Lokumiswa Kwegesi Elimnyama Emzimbeni Obuthakathaka Obuhlungu Obunzima bokuvimbela Izifo. Umphumela we-Dyspnea nokuzivocavoca. I-American Journal of Respiratory and Critical Care Medicine . 2015. 191 (12): 1384-94.
> Langen, R., Gosker, H., Remels, A., no A. Schols. Izimbangela Nezinqubo Ze-Skeletal Muscle Ezibhekana Nezifo Eziphuthumayo Zokuvimbela Izifo. I-International Journal ye-Biochemistry ne-Cell Biology . 2013. 45 (10): 2245-56.
> Nici, L., no R. ZuWallack. Izifo Eziphuthumayo Zokuvimbela Izifo-Ukuguquka Kwemibono Yokuphulukiswa: Ukuthuthukiswa Kwokuvuselelwa Kwamapulangwe. Ama-Seminar in Medicine Care and Respiratory Care . 2015. 36 (4): 567-74.