Kusiyanisa simba ndiyo imwe nzira yekuti inokisijeni uye carbon dioxide zvinoshandiswa zvakadini (zvakaparadzaniswa) pakati pemapapu neropa.
Oxygen uye carbon dioxide zvose zvinoda kupfuura nepamuviri mutsvuku mumapapu anonzi alveolar-capillary membrane. Ichi ndicho chiyero pakati pediki midzi midzi mumapapu (the alveoli ) uye midzi miduku yeropa inofamba mumapapu ( capillaries) ).
Mhepo yakakosha iyo inhaled inogona kupfuura (yakapararira) kubva kune alveoli ichipinda muropa, uye kuti kaboni dioxide inogona sei kupfuura kubva muropa remakristilla kusvika mualveoli uye inopera simba, inofanirwa kuti yakareba sei chikamu ichi, uye inowanika kuti kutumirwa kuitwe.
Chii Chisingakwanisi Kusiyanisa Nzira Inorevei?
Kune nzira mbiri dzakasiyana dzakasiyana siyana dzinogona kuderedzwa.
- Kusiyanisa simba kunogona kunge kwakaderera kana chirwere chemapapu chiripo chinokonzera kuti membrane ive yakasimba, somuenzaniso, mune zvirwere zvakadai seplmonary fibrosis uye sarcoidosis .
- Kusiyanisa simba kunogonawo kuva kwakaderera kana pasina nzvimbo shoma inowanika kuendeswa kwemhepo yakakisi uye carbon dioxide, somuenzaniso, ne emphysema kana kana mapapu kana chikamu chemapapu ichibviswa pamusana wekenza yemapapu .
Sei Kuisa Nzvimbo Yakapedzwa?
Kuedza kuparadzanisa simba kunowanzoitwa pamwe chete nemamwe mapepa ekushanda .
Muchiedzwa ichi, mask akaiswa pamusoro pechiso chenyu. Munguva yekuedzwa, iwe unotora kufema kwakanyanya kwegesi, kubata kufema kwako, uye ipapo mhepo yaunenge uchitora ichaenzaniswa.
Iyo gasi yaunofema inenge iine carbon monoxide pamwe chete negorosi rinoshandiswa sehelium. Cherechedza, kuti izvi zvinoputirwa mune zviduku uye izvi hazvisi kuedza kwakaipisisa.
Apo gorosi rinoputika rinenge rapera, vanachiremba vangazozoona kuti carbon dioxide ne helium yakawanda sei iyo inopararira muAlveoli mumapilisare, nekusarudza musiyano pakati pezvinhu zvinoputika uye izvo zvinobudiswa.
Uyu muedzo unowanzozonzi DLCO-iyo inomirira kupararira mumapapu e carbon monoxide.
Zvinokonzera Kuderera Kusingakwanisi
Pane mitemo yakawanda inogona kukonzera kuderedza kuderedza simba. Zvirwere zvepamuviri zvirwere zvakadai sepermonary fibrosis zvinowanzoita kuti kuderedzwa simba (DLCO) kunokonzerwa nekucheka uye kuwedzerwa kwemahara pakati pealveoli uye capillaries.
Kusiyana neizvi, zvirwere zvinoparadza zvipembenene zvakadai se emphysema zvinogona kuderedza DLCO kuburikidza nekuderedza nzvimbo iyo inogona kuchinjwa gasi. Iwe unogona kudzidza zvakawanda pamusoro pezvirwere zvinoparadza uye zvinoremedza pano .
Mitemo isingabatanidzi zvakananga kumapapu emabasa anogonawo kukonzera kuderera kwenzvimbo inowanikwa pakati pealveoli ne capillaries. Semuenzaniso, ropa rinoputika mune ariti mumapapu ( pulmonary embolism ) rinogona kukonzera carbon monoxide inowanikwa mualveoli isingakwanisi kuendeswa kune ma capillaries ayo aneri anopa.
Zvirwere zvinokonzera kuderera kweDLCO zvinosanganisira:
Zvipembenene zvinokonzera zvirwere zvemapapu zvichikonzera kuwedzerwa kwealveolar-capillary membrane
- Pulmonary fibrosis
- Sarcoidosis
Kuvhara zvirwere zvepapu uye zvirwere zvinokonzera kuderera pasi mumapapu
- Emphysema
- Asthma
- Kanza yemaperembudzi
- Kuvhiyiwa kwakakomba
Mimwe mitemo inoderedza nzvimbo yealveoli-capillary membrane
- Pulmonary embolism
- Kuchengetedza kwemvura
- Primary pulmonary hypertension
Zvinokonzera Kukuru Kusiyanisa Kukwanisa
Kazhinji, DLCO inogona kunge yakakwirira. Izvi zvinogona kuitika ne asthma, polycythemia vera (chirwere chine hemoglobin yakakwirira), uye zvirwere zvinokonzera kuti ropa ribviswe kubva kurutivi rworuboshwe rwemoyo kuenda kurudyi rwemoyo.
Zvikonzero Zvokuita Lung Kusiyaniswa Kuedzwa
Pane zvikonzero zvitatu zvinoita kuti chiremba wako atange kurayira kuparadzirwa kwemapupa. Izvi zvinosanganisira:
- Kuongororwa - Vanachiremba vanogona kushandisa DLCO kuti vaongorore mamiriro ekurapa akadai emphysema,
- Kurapa kuongororwa - Kusiyanisa simba kunogona kuongororwa kuti uone kana mamiriro acho akawedzera, kana kuti akavandudzwa nekurapwa.
- Pre-chirurgic - Nemukenza wemapapu , kuparadzanisa kukwanisa inzira inokosha yevanhu vari kufunga nezvekuvhiyiwa kwekenza yemapapu nokuti inogona kubatsira vanachiremba kuti vaone (pamwe nezvimwe zvinhu) kuti mumwe munhu achabvumira sei kuvhiyiwa.
> Sources:
> National Institute of Health. Medline Plus. Kuvhiringidzika Kwemakumbo Kuedzwa. Updated 11/19/15. https://medlineplus.gov/ency/article/003854.htm
> McCormack, M. Kusiyanisa koni monoxide. Kusvika pari zvino. Yashandurwa 02/10/16. http://www.uptodate.com/contents/diffusing-capacity-for-carbon-monoxide