Idivaysi inceda ukuphonononga nokugqiba inkqubo yokonyango
Ukuba uye wafumanisa ukuba unesifo se-asthma, uya kucela ukuba ufake inkqubo ebizwa ngokuba yi-spirometry. I-Spirometry yinto eqhelekileyo yokuvavanya ebonisa ukuba zininzi kangakanani kwaye umoya okhawulezayo uhamba ngayo kwimiphunga yakho. Uvavanyo oluthembekileyo ngakumbi kunophulo lokuphela kwexesha (PEF), elilinganisa kuphela isantya sokuphela.
Ngoxa i-spirometry ayikwazi ukufumanisa i-asthma yodwa, yinto yezixhobo ezisetyenziselwa ukuxilongwa.
Kwakhona kunceda ulawulo lwesifo sakho kwaye lunokusetyenziswa ukujonga ukuqhubela phambili kwithuba. Uvavanyo lwe-spirometry lwenziwa kwiofisi yegqirha kwaye lunokuthabatha ukusuka kwimizuzu eyi-10 ukuya kwe-30, kuxhomekeke kuvavanyo.
Indlela Yomoya Eyasetyenziswa ngayo
I-Spirometry ivumela ugqirha wakho ukulinganisa imiba emininzi yomsebenzi wakho wamaphaphu ukucacisa ubunzima be-asthma yakho kunye nokulawula iimpawu zakho. Amanqanaba amathathu angundoqo:
- Umthamo omkhulu - umthamo omkhulu womoya uxoshwa emva kokuphefumula
- I-Peak yokuphumla kwezinga lokuphumla (PEFR) - isantya esiphezulu sokuphela kwexesha
- Ukukhutshwa komqulu wokuphefumula (FEV1) - ukuba umoya uchithelwa ngaphantsi kwesibini
I-spirometer iqulethwe ngomlomo oqhagamshelwe kwisixhobo esiphethwe ngesandla esenza iziphumo njengoko uphefumula. Xa uvavanywa, uya kunikwa iklip yephunga ukukhusela ukuphefumula ngamakha. Emva kokubhaliweyo ngokucokisekileyo, uya kucelwa ukuba uphumelele ngamandla kwaye ngokude kunokwenzeka.
I-Spirometry iya kuphindwa kathathu ukuze ibhale umphumo wakho. Unokuphinda ucelwe ukuba uphinde uvavanyo emva kokusebenzisa i- bronchodilator emfutshane efana ne-Albuterol.
Ukutolika iziphumo
Enye yezinto eziphambili ugqirha uya kujonga yi-FEV1 yakho. Ixabiso li sekelwe kwipesenti yento enokulindelwa kubemi bonke.
Ngokusekelwe kuloo pesenti, ugqirha wakho uya kukwazi ukuluhlula umgangatho wesithintelo somphunga obangelwa yi-asthma yakho. Ixabiso le-FEV1 lidilizwe ngolu hlobo lulandelayo:
- I-FEV1 ngaphezu kwama-80 ekhulwini okuchazwe = okuqhelekileyo
- I-FEV1 yeepesenti ezingama-60 ukuya kuma-79 ekhulwini we-predicted = Ukukhuseleka okulula
- I-FEV1 i-40 ekhulwini ukuya kuma-59 ekhulwini we-predicted = Imingcipheko emiselweyo
- I-FEV1 ngaphantsi kwama-40 ekhulwini okuchazwe = ukukhutshwa okukhulu
Ukuba ugqirha wakho akaqinisekanga ukuba une-asthma, ukuphuculwa kweepesenti ezili-12 okanye ngaphezulu emva kokusebenzisa i-inhaler yokuhlangula kunele ukuqinisekisa ukuxilongwa.
Iinkonzo kunye ne-Cons Home Spirometry
Kukho izizathu zokuba kutheni ufuna ukuthenga iyunithi ye-spirometry yendlu. Abanye abantu basebenzisa njengendlela yokuzijonga esweni sabo. Abanye bathenga omnye xa bengenakuqinisekiswa, bancedwa phantsi, okanye abakwazi ukufumana iindleko zokutyelela ugqirha.
Ngokuphuculwa kwitheknoloji, i-home spirometry iye yamkelwa ngokwentlalo yoluntu. Ngaphandle kokulula, isixhobo sasekhaya sikuvumela ukuba ubeke iliso rhoqo kwiimpawu zexesha kwaye uxelele ugqirha wakho. Le yodwa inokukunceda ukwazise unyango ngokugqithiseleyo kunokuhlolwa kweofisi enye.
Kwiphepha le-flip, ngelixa iindleko zehla kakhulu, ukuchaneka kwezixhobo kunokuhluka ngohlobo, ngeeyunithi ezincinci zexabiso ezihambisa iziphumo ezintle.
Ngaloo ndlela, i-spirometer yekhaya inokubonelela ngeyona ndlela yinkcazo kunokwenene, okwenza kube luncedo kakhulu kwisimo seklinikhi. Abanye ababoneleli baye bavakalisa ukuxhalabisa ukuba i-home spirometers ingasetyenziselwa ukuba ithathe indawo yokutyelela ngokugqithiseleyo ugqirha okanye ukukhuthaza abantu ukuba bahlengahlengise unyango ngaphandle kwegalelo kwigqirha wabo.
Ukuba unomdla kwi-spirometer yekhaya, cela udokotela wakho kwiingcebiso okanye ufake ifowuni eofisini ukwenzela ukuba inokuthelekiswa nomnye ugqirha wakho usebenzisa.
> Umthombo:
> McLaughlin, M .; Rance, K .; kunye nesisigxina, J. "Ukuqonda i-Spirometry kwi-Primary Care." I-Journal ye-Asthma ne-Allergy Educators. 2013; 4 (6): 282-289.