I-Spirometry Iziphumo zixhomekeke kakhulu kwi-Patient and Technician
Ukuba usandul 'uvavanyo lwe- spirometry kwaye iziphumo zakho zazingekho ngaphantsi kwezinto ezilungileyo, mhlawumbi uzibuza ukuba kukho into oyenzile - okanye ungenzanga - oko kunokushukumisa iziphumo zakho ze-spirometry. Ukuchaneka kweziphumo zokuvavanya, ngokwenene, kuxhomekeka kakhulu kuwe, isigulane, kunye nochwephesha olawula uvavanyo. Kukho inani lezinto ezaziwa ukuba zichaphazele iziphumo zokuvavanya, eziqhelekileyo zazo ziyi:
- Idatha engabonakaliyo yabemi - Xa uthabatha uvavanyo lwe-spirometer, iziphumo zakho zokuvavanya zifaniswa nalawo alindelekileyo ukuba aqhelekileyo, aphilileyo. Ezi "ziqhelo eziqhelekileyo, eziqikelelweyo" zichongiwe ngexesha lophando olwenziwa ngabantu-basebenzisa izifundo ezinemiphunga eqhelekileyo yokusebenza. Isigulane ngasinye sinesiqokelelo sakhe semilinganiselo eqikelelweyo esekelwe kwidatha yoluntu kumntu ofanayo ubudala, ukuphakama, ubunzima, kunye nesondo (ngamanye amaxesha ubuhlanga). Ukuba ngesizathu esithile isigulane sinika idatha yolwazi olungalungileyo, okanye idatha yoluntu ingeniswe ngokungalunganga ngutitshala, iziphumo zovavanyo ziya kuthinteka. Ugqirha omuhle uza kuhlaziya le ngcaciso ngokuchanekileyo phambi kokutolika uvavanyo.
- Iziphumo ezingamkelekiyo - Emva kokuba i-spirometry iqhutywe, iziphumo zokuvavanya zivandlakanywa ukwenzela ukuba zamkeleke kunye nokuzaliswa (jonga ngezantsi). Ngokuqhelekileyo, uhambo lwe- FVC luyamkeleka ukuba isigulane senze umgudu omhle-into ebalulekileyo ngaphambi kokuba isebenzise ukusebenzisa imigaqo ethile. Ukuba isigulane siyagula, okanye enye into ephazamisa umzamo wakhe wokunyanzelisa okanye ukukhupha ngexesha lokuvavanya, iziphumo aziyi kuchaneka kwaye ngoko ke ziya kuthathwa njengamkelekanga.
- Iziphumo ezingabonakaliyo - Uvavanyo lwe- spirometry kufuneka luphindwe ngokuphindwe kathathu. Ukuze kuhlangane neendlela zokuzalisa ukuzaliswa, zonke iindlela ezintathu ze- FEV1 , kunye neendlela ezintathu ze-FVC kufuneka zibe ngama-milliliters angama-200 (ml) omnye komnye. Uvavanyo kunye ne-FEV1 enkulu kunye ne-FVC imela iziphumo zokuvavanya isigulane kuloo vavanyo. Ukuba nayiphi na le miqathango ayifumanekanga, uvavanyo aluphumelelanga ukuhlangabezana neenqobo zokuzikhusela.
Izizathu eziqhelekileyo zeziphumo ezingavumelekanga okanye ezingabonakaliyo
Iziphumo zokuvavanya ezingavumelekanga okanye ezizaliswayo azibonwanga zichanekileyo, kwaye aziyi kubonakalisa okwenyaniso isiguli, ukukhubazeka kwamaphaphu. Nazi izizathu ezimbalwa ezenza ukuba oku kwenzeke:
- Ukuhluleka ukubonelela ngenzame (ngokuqhelekileyo ngenxa yokugula okanye intlungu ebangela ukuba usebenze ngalunye).
- Ukungaqondisi imiyalelo yokuvavanya (mhlawumbi ngenxa yeelwimi okanye inkcazo yokuqonda , okanye ukuphulwa kwetyala).
- Ukuqhwaba nayiphi na ixesha ngexesha lokuqhuba, kodwa ngokukodwa ngexesha lesibini lokuqala.
- I- Valsalva yokuhamba (ukubetha) okanye ukungazithembi ngexesha lolawulo olwenza ukuba umoya uphelise.
- Isalathisi esingeneli malunga nomlomo we-spirometer.
- Ukuvalwa komlomo (kwenzeka xa ulwimi okanye amazinyo afakwa ngokungalunganga phambi komlomo ngexesha lovavanyo).
- Ukuguqulwa komlomo (kubangelwa ukubetha okanye ukuhlafuna emlonyeni ngokwakhe).
Indlela yokuqinisekisa i-Spirometry Results
Ukuba unayo i- COPD , i-spirometry iya kuphinda iphindwe ngezihlandlo ezahlukahlukeneyo ukuqinisekisa ukuba isifo sakho siphumelele kwaye usabela njani kakuhle kwi- COPD unyango . Ekuqaleni, ukuvavanya kunokubonakala kunzima, kodwa kungekudala, kuya kuba yinto yesibini.
Ukuba lo luvavanyo lwakho lokuqala lwe-spirometry, hlaziya la macebiso alandelayo ngaphambi kokuba uthathe uvavanyo lwakho ukuqinisekisa iziphumo ezichanekileyo:
- Qiniseka ukuba uyaqonda imiyalelo yokuvavanya . Ukuba awuyiyo, cela umqeqeshi ukuba aphinde aphinde aphinde abonise indlela echanekileyo yokunyusa nokukhupha ngexesha lovavanyo.
- Yazisa ochwepheshe ukuba ungeva kakuhle . Uvavanyo lwakho ludinga ukuhlaziywa usuku xa uziva ungcono.
- Fumana ubusuku obuhle ubuthongo ngobusuku phambi kovavanyo. Ubuthongo obunzima obubi buchaphazela umzamo.
- Yeka ukutshaya ubuncinane iyure enye phambi kovavanyo. Ukubhema kunokuchaphazela iziphumo zakho.
- Nika itekisi lakho ubunzima obuchanekileyo . Ngokuqhelekileyo, abazalwana abanalo ingxaki yokunyaniseka ngesisindo sabo, kodwa mhlawumbi asikho intokazi ephilileyo ngubani, ngandlela-thile ebomini bakhe, engazange axoke ngokunyaniseka kwakhe. Isisindo esifanelekileyo kubalulekile ekubaleni iziphumo ze-spirometry.
- Musa ukutya isidlo esinzima ekuseni. Isisu esipheleleyo sinokuphazamisa ukukwazi kwakho ukuphefumula.
- Gwema ukusela utywala okungenani iiyure ezingama-4 phambi kovavanyo. Phakathi kwezinye izinto, utywala kunokuphazamisa umgudu kunye nokuchaphazela kakubi iziphumo zakho.
- Gwema ukuzilolonga okunzima ubuncinane imizuzu engama-30 phambi kovavanyo. Uzakufuna wonke amandla akho ukuba enze umzamo okwaneleyo ngexesha lovavanyo.
- Landela imiyalelo yegqirha yakho ukuba imithi oyifanelekileyo kwaye akufanele ithathe ngosuku lovavanyo. Ukusebenzisa i- bronchodilator okanye ezinye iindidi zamachiza phambi kokuba uvavanyo lungathintela iziphumo zakho.
> Umthombo:
> I-American Thoracic Society. Uvavanyo lokuSebenza kwePulmonary. I-American Journal of Respiratory Medicinal Care Care. Vol. 176, P5-6, 2007.