I-Plethysmography ukuhlolwa kwamaphaphu (test pulmonary function) eyenziwa ukukala ukuhambisana kwamaphaphu ngokunquma ukuthi umoya wamaphaphu akho angabamba kangakanani. (Lung plethysmography ihlukile kune-impedance plethysmography, ukuvivinya ama-blood clots emilenzeni.) It isetshenziswa kanye nezinye izivivinyo zamaphaphu ngoba ikwazi ukucacisa ivolumu ephelele emaphashini akho.
I-Plethysmography Isebenza Kanjani?
I-Plethysmography isekelwe eminye yemithetho yegesi ebizwa ngokuthi umthetho kaBoyle. Uma nje izinga lokushisa lihlala liqhubeka, ingcindezi nomthamo wegesi zilinganiselwe. Lokhu kuzokwenza kube ngcono uma sixoxa ngenqubo.
Uhlolo Lwenziwe Ngini?
I-plethysmography ingahle ilandelwe ngezizathu eziningana. Ezinye zazo zihlanganisa:
- Ukuxilongwa ukuhlukanisa izifo ezivimbela ukuvimbela izifo . (Kwezinye izimo kungase kube nzima ukunquma ukuthi isifo sephaphu siyasivimbela yini noma sinqande (kukhona ukuqhuma kwezinye izivivinyo zomsebenzi we-pulmonary) futhi plethysmography ingasiza ukwenza lokhu kube nzima.
- Ukuhlola impendulo yakho ekwelapheni. Isibonelo, ukubona ukuthi isifo sakho sephaphu siyaqhubeka yini, sithuthukise, noma sihlale sinye.
- Ukuhlola amaphaphu akho ukuze ubone ukuthi uzobekezelela yini ukuhlinzwa komdlavuza wamaphaphu.
Inqubo
Phakathi ne-plethysmography, uzocelwa ukuba uhlale ekamelweni elincane, elingaphansi kwamanzi elibukeka njengebhokisi lefoni.
Uma ngokuvamile usebenzisa i-oxygen, ngeke kudingeke uthole umoya wakho ngesikhathi sokuhlolwa. Ochwepheshe wakho uzobeka iziqeshana ekhaleni lakho futhi akunike umlomo wokuphefumula. Abanye abantu bazizwa benesifiso sokushisa lapho inqubo iqala, kodwa ungakwazi ukuvula umnyango noma ukususa umlomo nganoma yisiphi isikhathi uma udinga (nakuba lokhu kungakwandisa inqubo.) Uchwepheshe uzobe esekuthatha amaphethini aphefumulayo ahlukahlukene, uma uphefumulela ngokujwayelekile, bese uphonsa ukuphefumula eziningana, bese uthatha ukuphefumula okujulile futhi uphumele konke.
Iningi labantu libekezelela kahle le nqubo, nakuba abanye abantu bengase babe nomuzwa wokuthi i-claustrophobic noma i-head head during the procedure. Ngokugcwele, ingxenye esebenzayo yaloluhlolo ithatha cishe imizuzu engu-15.
Lokho okulingwa yiLinga
U-Plethysmography unikeza izilinganiso zakho zodokotela ezingamsiza ukuthi aqonde ukuthi amaphaphu akho asebenza kanjani kahle. Amaphesenti amaningi okusebenza kwamapayipi ayilinganisi ivolumu elishisayo noma inani lomoya elishiye emapapheni akho emva kokuba uphume umoya ongcwele ngangokunokwenzeka. Ngokunquma lesi silinganiso, plethysmography kusiza udokotela wakho ukubala ezinye izinombolo. Izinyathelo ezingenziwa ngokusebenzisa le test zifaka:
- Ivolumu yokusala okusebenzayo - Ivolumu yokususa esebenza kahle inani lemvelo elisele emapapheni akho ngemuva kokuthi uphume umoya ongcwele ngangokunokwenzeka.
- Amandla asele asetshenziselwa ukusebenza (FRC) - Amandla okusala okusebenzayo (FRC) isilinganiso sokuthi umoya ushiywe kangakanani emaphashini wakho ngemuva kokuthi uphumelele ngangokunokwenzeka ( ivolumu yokulondoloza ukuphefumula ). kanye nenani lomoya elishiye emaphashini wakho emva kokuphefumula ngokujwayelekile (ivolumu yokusala.)
- Isilinganiso samandla emaphaphu (I-TLC) - Lokhu kuyilinganiso yenani eliphelele lemvelo esifubeni sakho ngemva kokuba uthathe umoya ojulile ongase ukwazi.
Ukuqonda Imiphumela
Kuncike ekutheni imiphumela yakho yokuthi amandla akho asele asetshenziselwe ukuphakama, evamile noma ngaphansi kunalindelekile, udokotela wakho angakwazi ukuhlola kangcono ukuthi iyiphi imaphaphu ongase uhlupheke nayo.
Amandla Okuhlala Asebenzayo Okuqhubekayo
Izifo zamaphaphu ezivimbelayo ngokuvamile zibangele ukwanda kwe-FRC. Ukuze ucabange lokhu, ungacabanga ukuthi, ngezimiso ezinjenge-emphysema, emva kokuphefumula komunye, ivolumu egcwele ayikhiphi. Ukuphumula okusilekelekile kubonakele ukuze umoya owedlule ushiywe. Imoya eyengeziwe eyashiywe engakwazi ukukhipha ingeziwe kumvuthano evamile osele ngemuva kokuphefumula. Izimo ezingase zenze ukuthi i-FRC ekhuphuke ihlanganisa:
- Emphysema
- I-cystic fibrosis
Ukunciphisa amandla okuhlala okusebenzayo (FRC)
Umthamo wokuncipha osebenzayo owehlisiwe kusho ukuthi kunesilinganiso esinciphile se-airspace esikhona emaphashini.
Lokhu, nakho, kungaba nezimbangela eziningana. Amapayipi angase abe "okuncane kakhulu" ngaphandle noma ngaphakathi, isibonelo, kusukela ebuthakathakeni bemisipha yesifuba ehlobene nesifo, noma ukwehla kwezinga lamaphaphu ngokwawo (ukwehlisa ukuhambisana) ngenxa yesimo esingapheli sephaphu. futhi kubonakale ukuthi ngabe uyingxenye yamaphaphu isuswe ngomdlavuza wamaphaphu. Izimo ezingaholela ekunciphiseni i-FRC zibandakanya:
- Idiopathic pulmonary fibrosis
- Ezinye izinhlobo ze-fibrosis ye-pulmonary
- I-Sarcoidosis
- Susa amaphaphu noma ingxenye yamaphaphu
- Ukukhuluphala
- Izibhamu
- I-Scoliosis
Lezi zinombolo zingase zibe ezingavamile uma izindiza zomoya zingaphansi noma zivinjiwe ngandlela-thile, uma umoya omningi ushiywe emapapheni akho ngemuva kokuphuma (njengokuthi ku- emphysema ), noma uma amaphaphu akho engakwazi ukunweba ngokuphelele.
Izibonelo: Udokotela ka Jay watusa ukuthi abe nenqubo ebizwa ngokuthi plethysmography ngaphambi kokuhlinzwa kwakhe ngomdlavuza wamaphaphu .
Imithombo:
Criee, C., Sorichter, S., Smith H. et al. I-plethysmography yomzimba - Izimiso zayo nokusetshenziswa komtholampilo. Imithi yokuphefumula . 2011. 105 (7): 959-971.
Ilabhulali Kazwelonke Yezokwelapha yase-US. I-MedlinePlus. Plethysmography. Kubuyekezwe 11/22/14. https://www.nlm.nih.gov/medlineplus/ency/article/003771.htm
Zysman-Colman, Z., naseL. Lands. Umzimba Wonke Plethysmography: Ukucabangela Okuwusizo. Ukuhlolwa kokuphefumula kwezingane . 2016. 19: 39-41.