Kuyera uye chinangwa
Zvose masimba emapapu, kana TLC, inoreva huwandu hwemhepo mumapapu mushure mekutora kufema kwakadzika kunogona.
Varwere vane chirwere chisingaperi chisinganzwisisiki chinokonzera chirwere (COPD) kazhinji havakwanisi kubudisa zvakakwana, zvichiita kuti huwandu hwemapapu uye huwandu hwemapapu huve nesimba.
Nhamba Ipi Yakawanda Yakaremera Inogona Kuedzwa?
TLC inotaridzwa kuburikidza nemuviri kana mapapu plethysmography , chimwe chezvizhinji zvemapirmoni zvinoshanda zvinoshandiswa kuziva kuti mweya uripo sei mumapapu ako kana iwe uchitora kufema kwakanyanya uye kuti mweya unosara mumapapu ako mushure mekunge uchibudisa zvakanyanya sei iwe unogona .
Mutumbi plethysmography inobatsira chiremba wako kuziva zvakawanda pamusoro pemapapu ako uye nzira yekurapa nayo.
Yakayerwa mu milliliters, huwandu hwepamusoro hwemapapu ane hutano inenge 6 000 mL. Mune varwere vane COPD , uwandu hwemhepo yakasara mumapapupa panguva yekufema kunopfuura kudarika, chiitiko chinonzi hyperinflation.
Spirometry chirwere chepapu chinowanzoshandiswa kuongororwa COPD, asi-kusiyana nemapapu ekutenderera-haisi pachedu inopa ruzivo rwehuwandu hwemapapu kana simba remapapu rekusimba (kuwandisa kwemhepo yakasara mumapapu mushure mokunge yabuda). Pamwe chete, miedzo iyi inogona kupa chiremba wako mufananidzo wakakwana wemamiriro ako.
Lung Hyperinflation muCOPD
Hyperinflation yemapapu inoitika kuvanhu vazhinji vane COPD. Chinoitika ndechekuti sezvo kupera kwemhepo kunopera, vanhu vanotanga kutora mweya yavo mushure mekunge vanyatsopedza mapapu avo ekupedzisira kufema.
Nguva imwe neimwe ino ichiitika, mhepo yakawanda inova "yakabatwa" mumapapu. Pamusana pemhepo inovhara, mapapu anoda hyperinflate kutora mhepo inotevera kufema, uye sezvo mapapu asina kuitirwa hyperinflate, izvi zvinopfurikidza zvinoda basa rakawanda kudarika raiwanzodiwa nemhepo imwe neimwe.
Iyi hyperinflation nekurovedza muviri kana kunyange basa rezuva nezuva, inokonzera dyspnea , kunzwa kwekufema kwekufema.
Dyspnea kuvanhu vane COPD vanowanzotungamirira kune:
- Kuzvidzivirira kwekuita basa
- Kuderedza muviri
- Unhu huri pasi hwehupenyu
- Nengozi yakakwirira yemamwe zvirwere, zvakadai sepfungwa yemwoyo
Mhando ye hyperinflation inokurukurwa pamusoro apa iyo munhu anotanga kutora kufema kwayo mushure mokunge kufema kwacho kwapera zvachose kunonzi "simba rinopisa hyperinflation." Imwe mhando ye hyperinflation inonzi "static hyperinflation" inogonawo kuitika kuvanhu vane COPD yakaoma. Hematicinflation inomira inoitika apo mapapu anorasikirwa nekusimba kwawo uye anoda mhepo yakawanda yemhepo kuti ichengetedze kupera kwemapapu mushure mekufema kwega.
Nei Kuwanda Kwakawanda Kwakawanda Kunoedzwa?
Zvose zvikamu zvepamupa zvinogona kuedzwa nekuda kwezvikonzero zvakawanda.
- Kuchengetedza uye kusiyanisa zvipembenene nezvipembenene zvinoparadza zvipembenene .
- Kuedza kupindura kwako kumarapirwo akadai sebronchodilators , methacholine, histamine, kana isocapnic hyperventilation.
Ndeipi Rinofanira Kuchengeta Plethysmography Kwete Kuitwa?
Iwe haufaniri kutora mapapu plethysmography kana iwe uchinge wakavhiringidzika mupfungwa, uine masimba ekudzivirira masimba kana kuti Parkinsonism, kana uri pakutsigirwa kweyakisijini inopfuurira isingagoni kumira kunyange kwechinguva.
Muviri Unobatsira Sei?
Kana chiremba wako akarayira chikwata chemapapu chekuongorora mapeji kuti aenzane mapapiro ako ose emapapiro, unogona kuwana nyaradzo pakuziva kuedza uku kuri nyore uye kusuruvara.
Munguva yekuedzwa, iwe uchagara munzvimbo yakajeka girasi mahombekombe zvakakosheswa nehupamhi hwefoni yefoni uye zvakare, uchipfeka pikicha yemapapu, iwe ucharayirirwa nehutachiona hwekufema kuti ufuridzire mumuromo uye tube inowanikwa pamichina yekuedza. Dzimwe nguva, gasi rinokonzera sek carbon dioxide, rinowanikwa mumhepo inobva kumushini.
Chiyero chinotora anenge maminitsi matatu. Inoshandura kuchinja mumhepo inodzvinyirira mukati mehotera kuti uone kuti mweya unogona kufema sei mumapapu ako.
Kuti uwane migumisiro yakanakisisa, usati waedzwa iwe haufaniri:
- Shamba kweawa imwe chete
- Inwa doro kwemaawa mana
- Dzidzira muviri mukati memaminitsi makumi matatu
- Idya zvokudya zvakawanda mumaawa maviri
Chiremba wako anogona kukurayiridzawo kuti usatora mimwe mishonga pazuva rekuedzwa. Iva nechokwadi chekutevera mirairo yachiremba wako chaizvoizvo.
Zvinokonzera Kuwedzera Kuwanda Kwemhando Yakasimba
Zvirwere zvemapapu zvinodzivirira ndezviya umo mweya unobuda mumapapu zvishoma nezvishoma kudarika, uye unosanganisira zvinhu zvakadai seCOPD, asthma , bronchiectasis , uye cystic fibrosis. Nezvozviitiko, huwandu hwemapapu hune huwandu hunogona kuwedzerwa nekuda kwehuwandu hwemvura.
Zvinokonzera Kuderera Kuwanda Kwemhando Yakasimba
Mune zvirwere zvinogadziriswa zvemapapu, mapapu kazhinji anowanzo "vadzivirirwa" kubva kutora kufema kwakadzika uye huwandu hwepapu hune simba hunoderedzwa. Iko kune zvose zvirwere zvepapu zvinowedzera uye zvinopindirana zvichienderana nekuti kuvharirwa kunoitika kunze kwemapapu kana mumapapu pachavo pachavo. Zvirwere zvemapapu zvinotakura zvinosanganisira izvo zvakadai sarcoidosis , idiopathic pulmonary fibrosis , pneumonia, kana kuti yakaderera mapapu mukati mushure mekuvhiyiwa kwemapapu. Zvirwere zvemapapu zvinotakura zvinosanganisira kuneta, scoliosis, uye kunyunyuta kwezvinyorwa pakati pevamwe.
Pasi pepamusoro kune avo vane COPD uye Kuwedzerwa Kwose Kwemhando yeLung
Kana uri kurarama neCOPD, zvinogona kubatsira kubatsira nhaurirano inokurukurwa pano inotungamirira ku hyperinflation. Kupfupika kwemhepo kunotungamirira kukudzikisa, izvo zvinowedzera izvo zvinokonzera kupfupika kwekupema, nezvimwe zvakadaro. Inogona kuva denderedzwa yakaipa. Tarisa mazano aya ekutarisa kufema kwepfufu neCOPD yekutanga. Tanga kudzidzira pakarepo. Kana iwe usingazivi kuti unotanga kupi, tarisa aya maitiro akaisvonaka kune vanhu vane COPD . Kana uri kuwana zvakaoma kusunga nepurogiramu yekurovedza muviri, chengorora zvikonzero zvishanu izvi nei uchifanira kushandisa neCOPD .
Pakupedzisira, kana iwe mudiwa wako kupfuura iwe iwe uri kurwisana neCOPD, tarisa nzira idzi kubatsira murwi neCOPD .
Sources:
Mwarifrey, M, uye M. Jankowich. Kukosha Kwakakosha kunokosha: Epidemiology uye Clinical Significance ye Restrictive Spirometry Pattern. Chest . 2016. 149 (1): 238-51.
Zysman-Colman, Z., uye L. Nyika. Muviri Wega Plethysmography: Kubatsira Kunobatsira. Chirwere Chekuporesa Kuongorora . 2016. 19: 39-41.