Iimeko kunye ne-Oxygen Standard Saturation kunye neDyspnea
Ngokuqhelekileyo, ukuphefumula okufutshane kukubonakalisa ukuthotywa kwe-oksijini ephantsi, kodwa kunokwenzeka ukuba unalo mqondiso ngezinga eliqhelekileyo lokuzalisa i-oxygen. Ipesenti ye-oxygen saturation (i-O2 ehleli) ngumlinganiselo wezinga apho i-hemoglobin egazini lakho ligcwele umoya-mpilo. Ayisoloko ihambelana nokuvakalelwa komzimba (dyspnea) . Oku kuthetha ukuba unokuvakalelwa kukuphefumula nangona unesifo sokufunda u-oximetry oqhelekileyo.
I-O2 yakho ihleli ifunde ama-95 ekhulwini ukuya kuma-100 ekhulwini kodwa usenokufumanisa nzima ukuphefumula.
Kwisigulane esinesifo esingapheliyo sesifo se-pulmary disease (COPD) le nzekayo yokuphefumla okufutshane kunye ne-oksijeni ye-oksijeni eqhelekileyo ibangelwa kukusilela kwintliziyo okanye ukuguqulwa kwesisu somzimba. Makhe sijonge ezi zinto ngokwahlukileyo.
Ukungaphumeleli Kwintliziyo Ekhoyo
Kuqikelelwa ukuba amaninzi angama-21 ekhulwini abantu abaneCOPD nabo banakho ukuhluleka kwentliziyo. Oku kubalulekile kuba abantu abaneziganeko bahlasele ngakumbi kunokuba kukho i-COPD okanye ukuhluleka kwentliziyo yodwa.
Iimpawu zokuhluleka kwentliziyo kunye neCOPD ihlala iphela, kodwa ukwazi oku, kubalulekile ukwenza ukwahlukana. Zombini iimeko zingabangela ukuphefumla okufutshane kunye nomsebenzi (i-dyspnea kunye nokusebenza), kunye nokukhwehlela kwexesha lokuhlwaya. Nabani na abaneempawu kufuneka bahlolwe ngenyameko ukuze babone ukuba iimpawu zibangelwa yi-COPD, ngenxa yokungaphumeleli kwintliziyo okanye ukudibanisa kokubili.
Inkqubo eSebenzayo yokuNcincika koBuhlungu entliziyweni
Ukungaphumeleli kwentliziyo, ukuphefumula okufutshane kunye nokunyamezela , ukungabikho kwemisipha kunye nokukhathala okungapheliyo kubangelwa ukunciphisa imveliso yenyama-umthamo wegazi intliziyo ingakwazi ukupompa ngexesha elide. Oku kwenzeka ngenxa yokuhamba kwexesha, intliziyo-ibe ngumsila-kwaye-ngokwawo-iba buthathaka kwaye ayikwazi ukupompa igazi elaneleyo le-oxygen kwiiseli, izitho kunye nezicubu zomzimba.
Izigulane kunye neCOPD ezizinzileyo (zithetha ukuba abanakho ukukhushulwa kwe- COPD ) kunye nokungaphumeleli kwintliziyo kungabonakalisa amanqanaba e-oksijeni okwenziwe nge-oksijeni, nangona kunjalo uvakalelwa kukuphefumla. Oku akuqhelekanga kuba ukunciphisa ukuveliswa komzimba akusoloko kuthintela amanqanaba e-oxyde-saturation-ubuncinane kungekudala. Ngexesha, nangona kunjalo, ukuhamba kwegazi kakubi kuthintela zonke iziko emzimbeni, kuquka imiphunga, ingqondo, isibindi, iintso, namathumbu, okukhokelela kwezinye iimpawu.
Ukuguqulwa kwamathambo eSkeletal
Ukuguqulwa kwamathambo, kunye okanye ukungafezeki kwintliziyo ekhoyo, kudlala indima ebangela inkqubela ukuba kutheni izigulane zeCOPD zifumana ukuphefumula okufutshane kunye namazinga aqhelekileyo okwe-oxygen. Ngaphandle kokungaphumeleli kwintliziyo, ukuxhaswa kwe-muscle conditioning isisona sizathu esona sizathu sokuba abantu abaneCOPD banokuphefumula okungahambisani ne-pulse ye-oximetry yokufunda. Ukongezelela, i-squelettic muscle disysction-eziqhelekileyo kwi-COPD kunye nokungaphumeleli kwintliziyo-inokukhokelela ekulahlekeni kwemisipha, ukuphazamiseka kwamandla omzimba wokusebenzisa i-oksijini, kunye nokulibaziseka ixesha lokubuyisela kunye nokubuya kwe-oxygenation evamile emva kokuzivocavoca.
Abantu abaninzi abaneCOPD baqhuba indlela yokuphila yokuhlala, ngenxa yokuba ukuphefumula nokuphelelwa amandla kubenza baphephe zonke iintlobo zomsebenzi.
Ukungasebenzi ngokuqhubekayo kubangela ukuxhatshazwa kwemisipha, ukunyuka kwezinga eliphantsi, kunye nokunyuka kwengcinezelo eyenza ukuba imisipha iyancipha ngobukhulu kwaye ekugqibeleni ilahleke (i- atrophy ). Xa izihlunu zingekho nto kwaye zibuthathaka kakhulu ukuba zenze umsebenzi wazo, ziyakhathala lula. Oku kukhokelela ekuphefumlweni okufutshane, ngakumbi xa iimfudu zibizwa ukuba zenze nayiphi na uhlobo lomsebenzi. Ukuphefumla okufutshane ngenxa yokuhlutha kwesisu kunye nokukhathala kunokusenza ihlale ihambelana namazinga e-oxygen saturation, oko kutheni izigulana zivakalelwa kukuphefumula, kodwa zikwazi ukufundela i-pulmatic oximetry.
Yintoni Ongayenza Ngomfutshane Wokuphefumula Naphezu Kwee-Oximetry Eziqhelekileyo?
Izigulane kunye neCOPD kunye nokungaphumeleli kwintliziyo ukuguqulwa kwamathambo okuguqula izifo ezichaphazela amandla abo okusebenza kwimpilo yemihla ngemihla. Ezi ziphumo zivakaliswe ngakumbi kwizigulane ezinezimbini, kunye nokuchasene nenkolelo ephakamileyo, abantu abaneCOPD kunye nokungafihli kwenhliziyo kudibaniswe ngabaviwa abaphambili ekuqeqesheni uqeqesho. Enyanisweni, ukungahlambuluki kwemisipha kungasuswa ngumzimba kunye / okanye ukuvuselelwa kwe-cardiopulmonary.
Ukuba uyigulane neCOPD, ukungaphumeleli kwentliziyo, okanye zombini, xela ugqirha wakho namhlanje malunga nokuphunyezwa kweprogram ye- cardio-pulmonary program kwinkqubo yakho yokonyango. Unokuqala ngokuthetha ngezinye zezicwangciso zokuphucula umthambo kubantu abano-COPD njengengeniso yokungena emngciphekweni, ukulungiswa kwamapulmoni kunye neyeza.
Ukongezelela ekubeni nencoko enhle nogqirha wakho, qwa lasela izigulane ezona zifanelekileyo kwiigulane zeCOPD kwaye ucinge malunga nokuzibandakanya okufanelekileyo okuthandayo. Ukuba nomntu "okhokela" ekusebenziseni umzimba kunokunceda, kwaye usebenzise iiDVD kwizonyango zeCOPD unokuba ngumxhasi nje.
Ukuhamba ngumsebenzi omkhulu weCOPD, kodwa ekubeni yonke imisipha ikhula, ukuzitshintsha kokusebenza kweCOPD kunokwenza imimiselo yokugqiba okupheleleyo.
Isizathu esicacileyo sokuphepheza ukuzivocavoca ukhathala, ngoko ukongeza ekuphuculeni ubuchule bakho bokusebenzisa, phucula ubomi bakho ngokusebenzisa iindlela zokulwa nokukhathala kunye neCOPD .
Imithombo:
> Elbehairy, A., Ciavaglia, C., Webb, K. et al. Ukutshintshiselwa kweGesi yeePommonary engavumelekanga kwiSifo esiPhezulu seMpilo esiPhezulu seMpilo. Impembelelo yeDyspnea kunye nokunyanzeliswa. I-American Journal ye-Respiratory and Critical Care Medicine . 2015. 191 (12): 1384-94.
> Langen, R., Gosker, H., Remels, A., kunye no-A. Schols. Iingxaki kunye neendlela zoMzimba we-Skeletal Ukuxhatshazwa kwiSifo esiPhezulu esiMngcipheko. I-International Journal ye-Biochemistry ne-Cell Biology . 2013. 45 (10): 2245-56.
> Nici, L., no R. ZuWallack. Izifo eziPhephayo eziPhezulu eziPhezulu eziPhephayo-Iingcamango zokuThuthukiswa kweZonyango: Ukuqhubela phambili kwiPulmonary Rehabilitation. Iimviwo kwiMpilo yeMpilo yokuHluma nokuHlola . 2015. 36 (4): 567-74.