Isivivinyo Sihlola Ukuqina Kwezingxube Zethu Ne-Wall Chest
Amandla asele asetshenziswayo (FRC) abhekisela kumthamo womoya oshiywe emaphashini ngemva kokuphumula okuvamile, okungahambi kahle. Isetshenziselwa ukuhlola ukuqina kwamaphaphu kanye nodonga lwesifuba kubantu abanezifo zokuphefumula ezifana nesifo se-chronic obstructive pulmonary (COPD) .
Okwenza Kubaluleke Kakhulu Ukusebenza Okusemandleni
Uma uphuma, awukhiphi wonke umoya kusuka emaphashini akho.
Ezinye zizohlala ngemva kokuphefumula ukuze kugcinwe ukuqina kwesigungu.
Cabanga ngakho njengombhaluni okulula ukuwugcwalisa uma sekusele kakade isigamu. Isimiso esifanayo sisebenza emaphashini. I-air egciniwe (eyaziwa ngokuthi i-volume residual volume) ivumela amaphaphu ukuba agcwalise imizamo encane ngenkathi egcina amandla anqwabelana okungahoxiswa nokuphumula okulinganayo. Ngaphandle kwalesi silinganiso, ukushintshana phakathi kwe-oxygen ne-carbon dioxide e- alveoli yethu kuzohluka, ngezinye izikhathi ngokuphawulekayo.
Inhloso yekhono lokuSebenzayo lokuSebenza
I-FRC ilinganisa iphuzu lapho amandla angaphakathi emaphaphini ekhuphisana khona nokuthambekela kobukhosi besifuba ukuhambisa ngaphandle.
Uma inhalation kanye nokuphumula kuyalingana, akukho mncintiswano nokuphefumula kuthathwa njengokujwayelekile. Ngakolunye uhlangothi, uma engalingani, ikhono lethu lokuthola ama-molecule e-oksijeni egazini lethu noma ukususa i-carbon dioxide egazini lethu liye lahleka.
I-FRC iyivivinyo elilodwa udokotela ozisebenzisayo ukuhlola i-COPD yakho. Ezinye zihlanganisa umthamo wokugcinwa kokuphefumula okuphoqelelwe (FEV) , okulinganisa ukuthi ungakanani umoya ongaziqeda ngamandla ngomzuzwana owodwa, futhi unamandla okuphoqeleka (FVC), okulinganisa inani lemvelo elingaxoshwa ngamandla emaphashini.
I-FRC, ngezinye izindlela, ingaba ngesilinganiso esingcono salokho okwenzeka ngempela emaphashini akho njengoba ukuphefumula okuningi kungapheli kunokukhupha ngamandla.
Ukuxhumana phakathi kweCOPD kanye nekhono lokuHlala lokuSebenza
I-COPD ibhekene nokulahlekelwa ukuphuluka okunamandla kwamaphaphu. Lokhu kuguqula ibhalansi ngendlela esiphefumulela ngayo futhi kuholele ku-FRC eyengeziwe (hyperinflation).
I-hyperinflation, nayo, iholela esimweni esiyibiza ngokuthi i- dyspnea , noma ukuphefumula okuncane. Uma lokhu kwenzeka, kufanele uphefumule ngokushesha ukuze uthole umoya owanele emaphashini akho. Ukunciphisa ikhono lakho lokuzivocavoca noma ukwenza umsebenzi okhuni ngoba kukhona okwanele oksijini okwenziwe ukuze usebenze amaseli akho, izinhliziyo, kanye nobuchopho.
I-FRC ingashintsha ngenxa yeminye imibandela engaphezu kwe-COPD. Kunganciphisa uma kukhona ukucindezela okuphikisanayo phezu kwesibindi, njengoba kungenzeka ngesikhathi sokukhulelwa, lapho isibindi sakho noma ipeni likhulisiwe, noma uma kukhona uketshezi olulondoloziwe esiswini ( ascites ) obangelwa yi-cirrhosis noma umdlavuza wesibindi. Ngokuphambene nalokho, kungakhuphuka lapho kukhona ukuvinjelwa okukhulu kwemimoya njengoba kubonakala kubantu abane- emphysema .
I-FRC Yazisa kanjani Ukwelashwa kwe-COPD
I-COPD ibangela ukugujwa kwesimo somzimba jikelele okuthinta kokubili amandla omzimba kanye nokuqina kwebhande lesifuba. Lezi zinsizakalo zandisa kakhulu izimpawu zeCOPD futhi yisona sizathu esiyinhloko esenza ukuthi isimo somzimba sibaluleke kakhulu kubantu abaphila nalesi sifo.
Ngokusekelwe esimweni sakho somzimba kanye nobukhulu bezimpawu zakho, udokotela wakho angase anikeze inkambo yokwelapha ngokomzimba ngokuhambisana nesimo sokufaneleka esifanelwe ukulinganiselwa kwakho. Kulokhu, i-FRC izosetshenziselwa ukuqapha inqubekela phambili.
Ezimweni ezimbi lapho ukuvivinya umzimba kungenzeki khona, ukucindezeleka okuphelile-ukuphefumula (PEEP) (uhlobo olungenayo invasive) lungasetshenziswa ukusiza ukuphefumula.
Imithombo:
> Gagnon, P .; UGuenette, J .; Langer, D .; et al. "I-Pathogenesis ye-Hyperinflation e-Chronic Obstructive Pulmonary Disease." I-International Journal ye-Chronic Obstructive Pulmonary Disease . 2014. 9: 187-201.
> Rossi, A .; I-Aisanov, i-Z .; I-Avdeev, S; et al. "Izindlela, Ukuhlola, kanye Nemiphumela Yokwelapha ye-Lung Hyperinflation ku-COPD." Imithi yokuphefumula . 2015. 109 (7): 785-802.
> UThomas, uM .; I-Decramer, M .; no-O'Donnell, D. "Akukho Igumbi Lokuphefumula: Ukubaluleka Kwe-Lung Hyperinflation ku-COPD." Journal Care Respiratory Journal . 2013. 22 (1): 101-11.