Muedzo unoshandiswa kuongororwa nechirwere apo vamwe vasingazivi
Broncho provocation ndedzimwe yezviedzo vanachiremba vanoshandisa kuita chirwere chekushaya mweya. Kuti uite izvi, iwe unogona kubvunzwa kuti unyore sarudzo ye nebulized kana kuita basa racho. Nenzira iyi, chiremba anogona kuita kana iwe ukaona kana iwe uine zviratidzo zve asthma kana uine uchapupu hwekudzivirira kwendege (sezvinoyerwa nemutambo unonzi spirometer).
Kana chimwe chezvinhu izvi zvichiitika, iwe unonzi unofunga.
Icho chinonzi Broncho Provocation Challenge Inotitaurira
Chinangwa chebrocoprovocation ndechokuti, sezvinonzi zita rayo rinoratidza, kumutsa mhinduro mumapapu. Spirometry ndoga kazhinji haigone kukwanisa kuongororwa kana ndima dzomugwagwa dzakajeka uye humwe humwe uchapupu hwehutenda ndeye zviratidzo zvinoratidzwa nemurwere. Mumamiriro ezvinhu akadaro, bronchoprovocation inoshandiswa kutangisa mhinduro kumushandisi we:
- Methacholine, chirwere che bronchoconstrictor chaunoshandisa
- Histamine, imwe nhengo yehupenyu inozivikanwa kuti inokonzera kugadziriswa kwezvimwe zvirwere, zvakare inhaled
- Mhepo inotonhora, inozivikanwa nemhuka inokonzerwa nehutachiona
- Kudzidzira, chikonzero chekuvhiya-induced asthma
Kana iwe ukatora muedzo uye mapapu ako akundikana kuratidzira kusaremekedza, hazvisi nyore kuti une asthma. Kana iwe uine hanya, chiyero chekupindura ikoko chichagadzirisa zvose zvakasimba zvehma yako uye nzira yakakodzera yekurapa.
Apo Chiyero cheBroncho Provocation Chingave Chichikumbira
Broncho kupupurirwa kuongorora kunowanzoitwa kana pane zviratidzo zvechirwere asi zvirwere zvinowanzoitika mumapurmonary , uye munhu anenge asina mhinduro kune albuterol (inoponesa inhaler).
Kune dzimwe mamiriro ezvinhu apo bronchoprovocation inogona kukumbirwa:
- Vanhu vane zvirwere zvakatsanangurwa zvisina kufanira zvakadai sokupererwa kwepfufu asi hapana uchapupu hwekudzivirira kwendege umo pasina zvimwe zvikonzero zvinogona kuwanikwa
- Vanhu vangave vakakuvadzwa zvakakomba nekurwiswa kwepamu munguva yemabasa avo (akadai chiremba kana varwi).
- Vanhu vanogara vaine ruzivo rwekuvhiringidzika mukati mekuita basa ravo.
Migumisiro Inogadziriswa Inoenzaniswa Sei
Munguva yechirongwa chekurwisana, chirwere che spirometry chichaitwa kuti chiongorore kuti mweya uye zvakananga mhepo inoenda sei uye kunze kwemapapu ako. Chimwe chezviyero izvo chiremba achatarisa ndehuwandu hwemhepo iwe unogona kukudzinga nesimba mune imwe yechipiri. Izvi zvinonzi kunomanikidzirwa kuporesa ivhu (FEV) uye inoyerwa muzvidimbu zvechipiri chepiri (FEV1), masekondi maviri (FEV2), nemaminitsi matatu (FEV3).
Chiremba achafananidza FEV1 yako kubva pane bronchoprovocation uye pashure. Kupera muFIVV1 kwe20 muzana kana kupfuura kubva kubva kuverenga kwako kwekutanga kunonzi kuve kwakanaka.
Mukuwedzera pakuona kuongorora hutachiona, kuongorora kwechirwere kunokonzerwa nehuwandu hwehuwandu hwehuwandu hunokosha. Nokudaro, kana iwe uine chikonzero chakaipa, hazvigoneki kuti une asthma.
Broncho Provocation Haisi Kuvanhu Vose
Haasi munhu wose anofanira kunge ane chirwere chekuita sachiedza sezvinogona, mune zvimwe zviitiko, zvinotungamirira kune zvinogona kukanganisa kushaya mweya. Izvi zvinosanganisira vanhu vane mamiriro anotevera:
- Nzira yakakura kune yakasimba yokuvhara mhepo (sekuenzaniswa neFVV1)
- Kurwisa kwemwoyo mukati memwedzi mitatu yapfuura
- Kusachengetedzwa kwehuwandu hwehutano
- Aortic aneurysm
- Kuberekwa
- Zvirwere zvinokanganisa muscular such amyotrophic lateral sclerosis (ALS) uye myasthenia gravis (MG)
> Kwakabva:
> Leuppi, J. "Broncho provocation test in asthma: zvakananga zvichienderana nezvinetso zvisiri izvo." Nhasi Maonero muPulmonary Medicine. 2014; 20 (1): 31-36.