Spirometry: Nheyo Yenheyo Yokuita COPD Kuziva
Mushure mokuverenga nyaya ino, kuda kwenyu kune mukana wekugoverana pamusoro pezvawakadzidza kubvira pawakatanga kufungidzirwa kweCOPD .
Maererano neGlobal Initiative for Obstructive Lung Disease (GOLD), kuongororwa kweCOPD kunofanirwa kutaridzirwa mune chero murwere ane nguva shoma, kufema kwenguva refu kana kugadzirwa kweputum uye / kana nhoroondo yekutarisana neCOPD zvimwe zvinhu.
Spirometry: Inonyanya Kuziva Chirongwa muCOPD
Kuongororwa kwe spirometry kunofanirwa kuita kliniki kuongororwa kweCOPD. Kupfuurira kwemafunguro emhepo, kana COPD, kunosimbiswa apo mitsva yekuedza inoratidza FEV1 / FVC inopfuura 0.70 mushure mekunge murwere achishandisa bronchodilator.
Zvimwe Zvidzidzo Zvinotsigira COPD Kuziva
Kunyange zvazvo spirometry ndiyo inonyanya kushandisa chigadziro muCOPD, chiremba wako anogona kuita chero chipi zvacho kana kuti zvese zvinotevera zvidzidzo zvekuongorora panguva yekuongorora kwake kwokutanga kutsigira COPD kuongororwa:
Nhoroondo uye Nyama
Kana chiremba wako achifungira COPD, kuongorora kwako kunotanga nekutarisa zvakadzama munhoroondo yako. Izvi zvinofanira kusanganisira kuongorora:
- ikozvino kuitika kune ngozi kune zvimwe zvinhu zvakadai sekusvuta, utsi hwechipiri , kusvibiswa kwemweya uye / kana kushanda kwebasa kune guruva, mafuta, uye makemikari.
- nhoroondo yako yezvechiremba, kunyanya sezvo inotaura nezvezvinovhiringidzika kupora sezvakafanana nechirwere chemafi, chirwere chetachiona kana sinusitis uye / kana zvirwere zvokufema mukati mehucheche.
- vasati vaenda kuchipatara, kunyanya kana vaibatanidzwa nehosha yekufema.
- kana mumwe munhu ari mumhuri yako akambova neCOPD kana chero ipi zvayo isina chirwere chepapu chirwere.
- kana uine zvimwe zvehutano huripo, zvakadai sechirwere chepfungwa kana osteoporosis, iyo inogona kuwedzera hutano hwekuongororwa kweCOPD.
- chimiro chechiratidzo chako kukura, kusanganisira kana zviratidzo zvako zvatanga uye kuti wakamirira kwenguva refu usati watanga kurapa.
- kunokonzerwa nechirwere paupenyu hwako hwezuva nezuva; somuenzaniso kana zviratidzo zvako zvaita kuti iwe urege kushandira basa, rega kuita mabasa ako nguva dzose kana kuti unzwe uora mwoyo kana kuti unonetseka.
Chiremba wako anofanirwawo kuongorora zvakakwana mumuviri zvinogona kusanganisira:
- Kutora kutonhora kwako, kupisa, kufema neminiti, kupisa uye ropa
- Kuteerera mwoyo wako nemapapu ne stethoscope
- Kuongorora nzeve dzako, mhuno, maziso uye nehuro nokuda kwezviratidzo zvehutachiona
- Kuongorora minwe yako nokuda kwezviratidzo zve cyanosis uye clubbing
- Kuongorora zviratidzo zvekudzivirira mumakumbo ako, maziso, netsoka kana zvimwe zvikamu zvemuviri wako
- Kuongorora mitsipa mumutsipa wako kuti uongorore zvinetso zveCOPD zvakadai seCor pulmonale
Zvimwe zvePulmonary Functions Tests (PFTs)
Mukuwedzera kune spirometry, pane mamwe maviri emapurmoni anoedza kuongorora anokosha kana achiongorora mapapu ekushanda muCOPD: miedzo yekupukisa mapapu uye muviri plethysmography. Aya maedzo anoyera kuparadzanisa simba remapapu emakonta monoxide uye kuwanda kwemweya mumapapu mumatanho akasiyana-siyana ekufema, maererano.
Chep X-ray
Bhokisi re-ray-raga roga haritisi kuongororwa kweCOPD. Chiremba wako anogona kuraira imwe pakutanga asi, kutonga kunze kwezvimwe zvikonzero zvezviratidzo zvako kana kusimbisa kuvapo kweiyo iripo comorbid chimiro .
Bhokisi re x-ray rinogona kushandiswa nguva nenguva mukurapa kwako kwose kuti uone kufambira mberi kwako.
Computerized Tomography (CT) Scan
Kunyange zvazvo CT isingawanzobvunzirwe paunenge uchitaridzirwa neCOPD, chiremba wako anogona kurayira imwe kana zvichiratidzwa (hutachiona hahugadzirise, kuchinja kwezviratidzo, kufunga nezvekuvhiyiwa, nezvimwewo.) Apo chifukidzo che X-ray chinoratidza nzvimbo dzakakura dzehuwandu hwevanhu mapapu, CT scan inonyanya kujekesa, kuratidza tsanangudzo yakanaka iyo X-ray haina chepfu. Dzimwe nguva, isati yasvika CT scan, zvinhu zvinonzi kusiyana zvakakonzerwa mumvura. Izvi zvinobvumira chiremba wako kuti aone kuipa kwemuapapu ako zvakajeka.
Complete Blood Count
Ropa rakazara rega (CBC) richaratidza chiremba wako kune hutachiona uye kumuudza, pakati pezvimwe zvinhu, kuti hemoglobin yakawanda sei muropa rako. Hemoglobin ndiyo inonzi iron-ine pigment iri muropa rako iyo inotakura oksijeni kubva mumapapu ako kuenda kune imwe muviri wako wose.
Ropa Ropa Gases
MuCOPD, uwandu hwemweya waunofema mukati uye huri mumapapu ako hahuna maturo. Arterial blood inopera (ABGs) inoyera oxygen uye carbon dioxide muropa rako uye inogadzirisa muviri wako pH uye sodium bicarbonate. I-ABG inokosha pakuumba chirwere cheCOPD pamwe nekugadzirisa kudiwa kwekugadzirisa kubuda kwehutachiona hwemhepo .
Pulse Oximetry
Pulse oximetry inzira isingaoneki yekuyera kuti matukisi ako ari kugoverwa sei neoksijeni. Shanduro kana sensor inowanzobatanidzwa pamunwe, pahuma, earlobe kana bhiriji yemhino. Pulse oximetry inogona kuenderera mberi kana inopindirana. Chiyero che 95% kusvika ku100% chinonzi chakanaka. Pamwe chete neABGs, kuyera yako oxygen saturation level nenzira yekupisa oximetry inobatsira chiremba wako kuti aongorore kudiwa kwerojeni yehutano.
Alpha-1-Antitrypsin Kukwana Kuongorora
Kana iwe uchigara mune imwe nzvimbo umo kune huwandu hwakawanda hweAlpha-1-antitrypsin (AAT) inoshaya, World Health Organization inokurudzira kuti iwe uedzwe chirwere ichi. AAT inoshaya ndeye chimiro chinogona kutungamirira kuCOPD. Kunyangwe uongororwa pane imwe nguva duku (pasi pemakore makumi mana nemashanu) unofanirawo kutarisa vanachiremba kuti mukana wekuti AAT inoshaya ndeye chikonzero chinokonzera COPD yako. Kurapa kweCOPD iyo inokonzerwa nekushayikwa kweAAT kunosanganisira kuwedzera kwekurapa .
Kunobva:
The Global Initiative for Obstructive Lung Disease. Global Strategic for the diagnosis, Management and Prevention of COPD. Yakavandudzwa 2011. Inowanikwa kubva kugooglecopd.org.