Maonero Anoona Nekuremara Anotungamirira Utano
Dyspnea ndiro izwi rezvoutano rinoshandiswa kurondedzera kufema kufema, chiratidzo chinotaridzirwa pakati pemhando dzose dzechirwere chronic obstructive zvirwere (COPD) kusanganisira emphysema uye chronic bronchitis.
Sezvo COPD inofambira mberi uye isingadzokizve, kuoma kwe dyspnea kunobatsira zvikuru pakugadzirisa zvose zvikamu zvechirwere uye kurapwa kwakakodzera.
Matambudziko muKutsvaga
Kubva pane maonero echipatoriki, dambudziko rekuongorora dyspnea ndiyo iyo inofungisisa. Kunyange zvazvo miedzo ye spirometry (iyo inoshandisa simba remapapu) uye kuputika oximetry (iyo inoshandisa maitiro e oxygen muropa) inogona kuratidza kuti vanhu vaviri vane imwechete yehutachiona hwekufema, mumwe anogona kunzwa akazununguka shure kwebasa apo imwe inogona kunge yakanaka.
Pakupedzisira, kunzwisisa kwomunhu kwe dyspnea kunokosha sezvo kunobatsira kugadzirisa kuti munhu haatomboratidzi kana kutorwa uye kuti kurapa kwakatemwa, kana zvichidiwa, kuchavandudza hutano hwomunhu pane kutora kubva pauri.
Pakupedzisira, mapulmologist achashandisa chigadziro chinonzi Modified Medical Research Council (mMRC) dyspnea scale kuti aone kuti kufema kwemhepo kunokonzera kuremara kwenyika chaiyo.
Kuongorora Kwakaitwa Sei
Nzira yekuenzanisa dyspnea yakafanana nekuedzwa kunoshandiswa kuburikidza nekurwadziwa kunzwisisika kune vanhu vane kurwadziwa kusingaperi.
Panzvimbo pokutsanangura dyspnea maererano nehuwandu hwemapapu, mMRC chikamu chichayera kutorwa kwe dyspnea sezvinoonekwa nomunhu wacho.
Kuoma kwe dyspnea kunotaridzwa pamwero we 0 kusvika ku4, kukosha kwayo kunotungamirira zvose zvirwere uye chirongwa chekurapa.
| Bhuku | Tsanangudzo yeUkufema |
|---|---|
| 0 | "Ndinongotanga kufema nokudzidzira muviri." |
| 1 | "Ndinopera kufema kana ndichikurumidza kunzvimbo yepamusoro kana kufamba pamusoro pegomo shoma." |
| 2 | "Panzvimbo yepamusoro, ndinofamba zvishoma kudarika vanhu vezera rimwe chete nekuda kwekufema kana kuti ndinofanira kurega kufema kana ndichifamba pandinenge ndichifamba." |
| 3 | "Ndinomira kufema mushure mokufamba makiromita zana kana mushure memaminitsi mashomanana pane imwe nzvimbo." |
| 4 | "Ndiri kufema zvikuru kuti ndibve mumba, kana kuti ndiri kufema kana ndichipfeka." |
Basa reMMRC Dyspnea Scale
MMRC dyspnea scale yakaratidza kuti inokosha mumunda we pulmonology sezvo inopa vanachiremba nevatsvakurudzi zvinoreva:
- Ongorora kubudirira kwemishonga kune mumwe munhu
- Enzanisa nekubudirira kwekurapa mukati pevanhu
- Anofanotaura nguva yekupona uye mari
Kubvira pamakiriniki ekuona, mMRC yakawanda inobatanidza zvakakwana kune zvakadaro zvinangwa sepermonary work test and walk test . Uyezve, tsika dzinowanzova dzakasimba pane nguva, zvinoreva kuti dzinenge dzisingakwanisi kutenderera kune imwechete iyo inogona kufunga.
Kushandisa Indaneti yeBODE Kufanotaura Kupona
Iyo mMRC dyspnea scale inoshandiswa kuverenga index yeBODE , iyo iyo inobatsira inofungidzira nguva yekurarama yevanhu vanogara neCOPD.
Nhamba yeBODE inoumbwa nemuviri wevanhu mashizha index ("B"), kupindira kwepanyika ("O"), dyspnea ("D"), uye kushivirira kushivirira ("E"). Chimwe nechimwe chezvikamu izvi zvinoshandiswa pachiyero che 0 kusvika 1 kana 0 kusvika ku3, iyo nhamba dzeyo zvino dzakagadzirirwa kuwedzerwa kwekupedzisira.
Kukosha kwekupedzisira-kubva kune yakaderera se 0 kune yakakwirira se-10-kunopa vanachiremba chiyero chekuti munhu angangoita sei kuti ararame kwemakore mana. Bhuku rekupedzisira BODE rinotsanangurwa seizvi:
- 0 kusvika 2 nhope: 80 muzana mukana wekupona
- 3 kusvika ku 4 pfungwa: 67 muzana mukana wekupona
- 5 kubva 6 nhanho: 57 muzana mukana wekupona
- 7 kusvika ku10 pfungwa: 18 muzana mukana wekupona
Zvinhu zveBODE, zvingave zvakakura kana zviduku, hazvigadziri mumatombo. Kuchinja kune mararamiro ehupenyu nekuvandudzwa kwehutano hwekurapa kunogona kuvandudza migumisiro yenguva refu, dzimwe nguva zvinoshamisa. Izvi zvinosanganisira zvinhu zvakadai sokusiya kusvuta, kuvandudza kudya kwako, nekuita mune zvekushandisa zvakakodzera kuti uwedzere kupora kwako simba.
Pakupedzisira, nhamba idzi dzinongova chinyorwa chehutano huripo, kwete chirevo chekufa kwako.
Pakupedzisira, mararamiro aunosarudza unogona kuita basa rinokosha pakusarudza kana zvipingamupinyi zvinopesana newe kana kuti iwe.
> Sources:
> Chhabra, S., Gupta, A., naKhuma, M. "Kuongorora kwezvikamu zvitatu zve dyspnea mune chirwere chisingaperi chisinganzwisisiki cheplm." Annals of Thoracic Medicine. 2009; 4 (3): 128-32. DOI: 10.4103 / 1817-1737.53351.
Perez, T .; Burgel, P .; Paillasseur, J .; et al. "Modified Medical Research Council scale vs Baseline Dyspnea Index yekuongorora dyspnea mune chirwere chisingaperi chisingabvumirwi nehosha." International Journal of Chronic Obstructive Pulmonary Disease . 2015; 10: 1663-72. DOI: 10.2147 / COPD.S82408.