Mamiriro Ezvinhu Neine Oxygen Yakakwana Yokugutsa uye Dyspnea
Kazhinji, kufema kwekufemerwa kunoratidza hutsika hwekusimudzira oksijeni, asi zvinokwanisika kuva nechiratidzo ichi nemazinga ehutomu ekusimudzira oksijeni. Iko inokonzerwa neoksijeni yakagadziriswa (O2 akagara) inenge yakaenzana nehupamhi iyo hemoglobin muropa rako yakazara neokisijeni. Iyo haisi nguva dzose inopindirana nemanzwiro ekufema (dyspnea) . Izvi zvinoreva kuti iwe unganzwa kupera kufema kunyange zvazvo iwe uine kubuda kwemaximum oximetry iyo yakazara zvachose.
O2 wako akagara angaverenga 95 muzana kusvika zana muzana asi iwe unogona kuwana zvakaoma kufema.
Mune murwere ane chirwere chisingaperi chisingagadziriswa chirwere cheplm (COPD) ichi chinoitika chekufema kwepfupi nekugara kwakakwana kweoksijeni kunokonzerwa nekutadza kwemoyo kana nehutachiona hwemasimba. Ngatitarisei pane izvi zvakasiyana.
Co-iripo Inoshaya Mwoyo
Inofungidzirwa kuti vazhinji vanenge 21 kubva muzana yevanhu vane COPD vanewo hukama hwemoyo hunokanganisa. Izvi zvinokosha nokuti vanhu vane zvose izvi vane mamiriro ekufananidzira ari akaipa kudarika izvozvo kune COPD kana mwoyo kusakundikana chete.
Zviratidzo zvekushaya simba kwemoyo uye COPD inowanzotarisana, asi kuziva ichi, zvakakosha kuita kusiyana. Zvose izvi zvinogona kukonzera kufema kufema nemabasa (dyspnea nekushingaira), uye usiku-kuchingaira kunokera. Munhu wose ane zviratidzo izvi anofanira kuongororwa zvakanyatsoona kana zviratidzo izvi zvichibva kuCOPD, nekuda kwekushaya simba kwemoyo, kana kuenderana nekubatanidzwa kwezvose.
Icho Chinhu Chine Chinangwa Chekupfupika kweBreatha muKushona Kwepfungwa
Mune kukanganisa kwemwoyo, kuperevedza kwekufema pamwe nekusagadzikana kwekurovedza muviri , kusuruvara kwemisimba, uye kuneta kusingaperi kunokonzerwa nekuderedza kwehutano hwemwoyo-yehuta yeropa iyo mwoyo inogona kuputira kwenguva yakati. Izvi zvinowanzoitika nokuti nekufamba kwenguva, mwoyo-kuva mutsva mukati-uye-wega-unova usina simba uye haikwanisi kupedza ropa rakawandisa reyerojeni-yakawanda kumasero, nhengo, uye maviri emumuviri.
Varwere vane mbiri dzakagadzikana dzeCOPD (kureva kuti havakwanisi kuwedzera COPD ) uye kukanganisa kwemwoyo kunogona kuratidza maitiro ehutachiona hwekusimudzira oksijeni, asi vachiri kunzwa kusuruvara kwekufema. Izvi zvisiri zvisinganzwisisiki nokuti kuderedzwa kwechibereko chemwoyo hazviiti nguva dzose kuwedzera majini e-saturation-pashoma kwete pakarepo. Nokufamba kwenguva, zvisinei, ropa risina simba rinokanganisa nhengo dzose mumuviri, kusanganisira mapapu, uropi, chiropa, itsvo, uye matumbo, zvichiita kune zvimwe zviratidzo.
Skeletal Muscle Alterations
Skeletal muscle shanduko, kana kana pasina iko kusina mwoyo kusakundikana, zvakare inotarisa basa rinotarisa kuti nei varwere veCOPD vachigona kuve nekupererwa kwemhepo nemafunguro evanhu vanowanzokwanisa kuisa mweya. Mukusavapo kwemwoyo kusakwanisa, skeletal muscle de-conditioning ndicho chikonzero chikuru chekuti vanhu vane COPD vane kupererwa kwemweya iyo isingasanganiswi nemapfungwa avo oximetry kuverenga. Uyezve, skeletal muscle dysfunction-inowanikwa mune zvose COPD nemoyo kusagadzikana-kunogona kutungamirira musimba kuparara, kupindira kwekodzero yemuviri yekushandisa oxygen, uye kunonoka nguva yekudzikinura uye kudzoka kwemaitiro ezvakagadziriswa mushure mokuvhiya.
Vanhu vazhinji vane COPD vanotungamirira mararamiro ekugara, mune chimwe chikamu nokuti kupfupika kwefema uye kuneta kunoita kuti vasaita maitiro ese emitambo.
Kuramba usingaiti basa kunotungamirira kumusana kusashandiswa, kupora-level systemic kuvhiringidzika, uye kuwedzerwa kwekunyanya kunetseka kunokonzera musimba kuderera mukukura uye pakupedzisira kuparadza ( atrophy ). Kana masumbu asina simba uye ane simba zvokuti haakwanisi kuita basa ravo, vanonzwa vanyoro nyore. Izvi zvinowanzokonzera kukurumidza kufema, kunyanya kana misumbu inodanwa kuti iite chero rudzi rwekuita basa. Kusuruvara kwekufema kunokonzerwa nemasumbu ekudengenyeka uye kuneta kunogona kana kuti hakugoni kuwirirana nemazinga eoksijeni ekusimudza, ndicho chikonzero varwere vanogona kunzwa vachingopera kufema, asi vane chimiro chinowanzoita oximetry kuverenga.
Chii Chaunogona Kuita Nekukurumidza kweBreathe Pasinei Nemazuva Oximetry Asingawanzoiti?
Varwere vane COPD uye mwoyo kukundikana kwechiitiko maitiro emakumbo mashanduko anokanganisa maitiro avo ekugona kuita muupenyu hwezuva nezuva. Izvi zvinowedzera kuzivikanwa kune varwere vane zvinhu zvose zviri zviviri, uye zvinopesana nekutenda kwakakurumbira, vanhu vane COPD uye mwoyo kusagadzikana pamwe chete ndivo vanonyanya kutsvaga kwekurovedza muviri. Ichokwadi, maronda emakumbo asina kukanganisa anogona kugadziriswa nekurovedza muviri uye / kana kukodzwa kwemhepo.
Kana iwe uri murwere neCOPD, mwoyo kusakundikana, kana zvose zviri zviviri, taura nachiremba wako nhasi nezvekushandisa chirongwa chemotokari yepoddio-pulmonary muhurumende yako yehutano. Anogona kutanga nokutaura nezveimwe nzira dzekuvandudza maitiro muvanhu vane COPD dzakadai sokusava nevanopisa mafungiro ekumanikidzwa kwemhepo, kupora kwemapurmari, uye mishonga.
Mukuwedzera pakuva nehurukuro yakanaka nachiremba wako, tarisa maitiro akaisvonaka ekuratidza varwere veCOPD uye funga kuti ndezvipi zvinoshandiswa zvakakodzera zvaunoda iwe pachako. Kuva nemumwe "mutungamiri" iwe mukurovedza muviri kunogona kubatsira, uye kushandisa maDVD kune vatevedzeri veCOPD kunogona kungova chikonzero ichocho.
Kufamba ibasa guru reCOPD, asi sezvo mishonga yose ichikurira, kushandura mafambiro eCOPD kunogona kuita zvishamiso zvekuita basa rakakwana.
Chinenge chikonzero chekudzivirira kuita zvekurovedza muviri ndechokuneta, saka pakuwedzera pakunatsiridza mano ako ekuita zvekuita, kunatsiridza hupenyu hwako nekuita nzira dzokurwisa kuneta neCOPD .
Sources:
> Elbehairy, A., Ciavaglia, C., Webb, K. et al. Gulf Pulmonary Exchange Kusakanganiswa Muzvinyoro Zvitsva Zvokudzivirira Pulmonary Disease. Zvinokonzerwa neDyspnea uye Kuedza Kusagadzikana. American Journal of Respiratory and Critical Care Medicine . 2015. 191 (12): 1384-94.
> Langen, R., Gosker, H., Remels, A., uye A. Schols. Zvinokonzera uye Nzira dzeSkeletal Muscle Kutambura Mukurambidza Kunorapwa Pulmonary Disease. International Journal of Biochemistry uye Cell Biology . 2013. 45 (10): 2245-56.
> Nici, L., na R. ZuWallack. Kuzvidzivirira Kusingaperi Pulmonary Disease-Kuvandudza Mazano Mukurapa: Kufambira Mberi Mukugadziriswa Kwemapurmonary. Seminari muKufuridza uye Inonyanya Kurapa Mushonga . 2015. 36 (4): 567-74.