Kana chiremba wako akakuudza kuti iwe unofanira kuongororwa emphysema , ungangodaro unetseka kuti zvii zvinoshandiswa kuita kuti zviongororwe.
Emphysema inoratidzirwa nechirwere chisingagadziriswi chinonzi pulmonary, kana kuti COPD , iyo inosanganisira kukanganisa kwe- alveoli , maduku maduku emhepo umo kushandiswa kweokisijeni uye carbon dioxide kunoitika. Kana izvi zvikaitika, zvinogona kuita kuti zvive zvakaoma kufema.
Iwe uye chiremba wako angave ane hanya kana iwe uine zviratidzo kana zviratidzo zvekuvhara muviri zvakadai sekupererwa kwepfungwa , kuora kwekusingaperi (kana pasina michina yekuita,) kuderedzwa kushandiswa kwekurovedza muviri kana kusatarisira kushaya kurasikirwa.
Kunyatsoongorora emphysema kunowanzobatanidza kuongorora mapapu ako nekuita kuti uve nechokwadi chokuti hauna zvimwe zvinokonzera zviratidzo zvako. Ngatinyatsoongororai zvimwe zvekuedzwa zvakashandiswa kuita izvi kuongororwa.
Nhoroondo uye Nyama
Zviratidzo zvekupa uye zviwanikwa zvakagadzirwa panguva yekuongorora kwepanyama kupa chiremba wako nezvinyorwa zvekutanga kune dambudziko rehutano, emphysema inosanganisira.
Munguva yekushanya kwehofisi yako, chiremba wako achakubvunza mibvunzo yakawanda yakabatana nehupenyu hwako. Izvi zvinosanganisira kubvunza pamusoro pezviratidzo zvakajairika zvakadai sokuti:
- Chirwere chinopfuurira (kana kuti pasina kukonzera sputum)
- Kukurumidza kufema ( tachypnea ) - Muitiro wekufema unowanikwa kune vanhu vakuru ndewe 12 kusvika ku18 kufema paminiti
- Kupfupika kwemhepo
- Simba risina kudzidzira kuraira kupfuura kare
- Kuonda
- Yakaderedza chido
- Wheezing
- Mashoma kurara
- Kuora mwoyo
Achatokubvunzawo nezvemungozi yekusimba kwemhepo yakadai sekusvuta, kusvuta fodya , uye kumusha uye kushanda kune makemikari nezvimwe zvinhu.
Zvakakosha kucherechedza kuti kana emphysema inowanzokonzerwa nekutsvuta, vanhu vasina kumbobvira vachema vanogona kuwedzera chirwere chacho zvakare.
Iwewo uchabvunzwa iwe nezvehupenyu hwemhuri yako. Zvimwe zvinokonzera emphysema, zvakadai seal alpha-1-antitrypsin kukwana , runza mumhuri. Zvinonyanya kukosha kuti chiremba wako azive kana mitezo yemhuri yako ine emphysema asi isina kusvuta.
Mushure mokutora nhoroondo yakanyatsocherechedza, chiremba wenyu achaita kuongorora mumuviri. Anoteerera mapapu ako, asiwo tarisa zvimwe zviratidzo zvekuvhara muviri zvakadai se:
- Abnormal breath sounds
- Bhokisi rebarari (Bhokisi rebhokisi rinoreva kukomba kwebhokisi inogona kuitika nekuda kwehuwandu hwemapapu)
- Tsvina inopera
- Kuonda
- Kubhabhatidza kwembambo dzako (Clubbing is chiratidzo umo migumo yeminwe inotarisa kuonekwa kwezviputi-pasi)
- Kushandiswa kwezvinhu zvinosungirirwa - Kana vanhu vari kuedza zvakaoma kufema nemapapu emapapu zvinowanzoona kuvhara kwemitsipa yemutsipa mukuedza kuwana mhepo yakawanda.
Bofu X-Ray
Bhokisi re x-radhi inongororwa mavara emapapu, mwoyo, mishonga yakakura, mbabvu, uye diaphragm. Bhokisi re x-ray rinogona kuitwa mune radhiology yebazi, hofisi yechiremba kana pamubhedha wako kana uri muchipatara.
Chiremba wako achaita chikwata chekutanga x-ray kuti amubatsire kusvika pakuongorora chirwere chemphysema, uye zvakare pakati pese mukurapa kwako kuti uone kufambira mberi kwako. Pamusoro pe-x-ray, mapapu emphysematous anotarisa hyper Lucent ane maitiro akajeka kubva mumidziyo yeropa kusanyanya kudarika. Iyo diaphragms inoratidzika seyakatapudzwa nekuda kwehuwandu hwemapapu (iyo inodonha pasi pechipfupa.) Nhamo, kuchinja pa x-ray hakuwanzoonekwi kusvikira chirwere ichi chazara.
Kazhinji, chifu che CT scan chichaitwa, zvose kuti zvibatsirwe nekuongororwa uye kutonga zvimwe zviitiko zvinogona kuita zviratidzo zvakadai sekenza yemapapu .
Basa rePulmonary Tests
Pulmonary function tests (PFTs) inoitwa kuti iongorore basa remapapu uye inotarisa dambudziko rekuparara kumapapu.
Mune varwere vane emphysema, pangava nekuwedzera kwepamusoro wepamusoro wemapapu (TLC), uwandu hwemhepo yaunokwanisa kufema iwe mushure mekutora mweya wakadzika zvikuru unogona kuitika asi kuderera muhutano hunokosha (chiyero chemweya chinogona kuvharidzirwa kana kubudiswa kubva pamapapu) uye kumanikidzirwa kupera simba (FEV), iyo yakawandisa yemhepo inogona kubudiswa (kazhinji iyo yakawanda iyo inogona kubudiswa mune imwe yechipiri). Kusiyanisa simba ndechimwe chiitiko chinokosha. Inotarisa kuti oxygen yakajeka zvakadini kubva kuAlveoli kusvika muropa (capillaries) uye kuti kabhoni dioxide yakajeka sei kubva muropa kusvika mune ye alveoli kuti ibudiswe.
Spirometry isuedzo yakajeka iyo inowanzoitwa kuongorora emphysema. Iyo inoyera chikamu uye kuti iwe unokurumidza kufema sei uye kufema.
Chimwe chiedzo chinonzi Lung plethysmography chingaitwawo kuitira kuti uone kushanda kwako kwekugadzirisa simba , iyo yakawanda yemhepo yakasara mumapapu ako mushure mokutora kufema. Inowanzoshandiswa kana kuongororwa kusingazivikanwi kuitira kuti tisiyanise zvinopesana nezvirwere zvinokonzera maperembudzi .
Zvose izvi ndezvekuvhiringidza, asi kuti unzwisise chirwere chako chinokosha kuti chiremba wako atsanangure zvavari uye zvavanoreva. Kunzwisisa apo nhamba idzi dziri panguva yekuongororwa zvinogona kukubatsira kunzwisisa kana zviratidzo zvako zviri kuwedzera kana kuwedzera kukura pashure pekurapa.
Ropa Ropa Gases
Arterial blood gases (ABGs) inoitwa nekutora ropa kubva muyeri, yakadai seyeri inonzi radial muwende rako kana kuti mishonga yako yevakadzi mukati mako.
Uyu muedzo unoyera kuwanda kwe okisijeni uye carbon dioxide muropa uyewo kukubvumirai iwe nachiremba wako kuziva nezvesa acidity (pH) yeropa rako.
I-ABG inogona kushandiswa kubatsira kubatsira kuongorora kukura kwechirwere chako pamwe nekupindura kumishonga.
Complete Blood Count
Nhamba yakakwana yeropa (CBC) inopa kuongorora ropa iyo inogona kushandiswa kubatsira kubatsira kuongorora emphysema uye kutarisira mhando dzakasiyana siyana.
ICBC inowanzoitwa panguva yaunotanga kuongorora muviri uye nenguva nenguva kuti uongorore mamiriro ako.
Chiremba wako angangotarisa CBC yako kazhinji, sezvo iyi ndiyo imwe nzira yekuona kuvepo kwehutachiona. Sezvo zvirwere zvepapupa uye emphysema zvingave nezviratidzo zvakafanana, ichi chiyero chinogona kubatsira chiremba wako kuti aone kana zviratidzo zvipi zvaunazvo zvine chokuita neCOPD yako kana kana, pane kudaro, unogona kuva nechirwere chinowedzera COPD yako.
An Emphysema Diagnosis
Kunyanya kukosha kwekuongororwa kwemphysema hakugone kusimbiswa. Kunyange zvazvo emphysema isingashandurwi netsanangudzo, kurapwa kwekutanga emphysema nekuongororwa kwakanaka kunogona kubatsira kuderedza kufambira mberi kwechirwere nekuvandudza hupenyu hwako.
> Sources
> Kasper, Dennis L .., Anthony S. Fauci, naStefano L .. Hauser. Harrison's Principles of Internal Medicine. New York: Mc Graw-Hill Dzidzo, 2015. Print.
National Heart, Lung, uye Blood Institute. COPD. Kuziva. Updated 04/28/17.