Ukuphazamiseka Okuchaphazela I-Ability to Exhale okanye Inhale
Xa ebhekisela kwisifo somphunga, ugqirha uya kulubeka njengento ebangela ukuba ingqinisiso okanye inqande. Ekubeni, imigaqo ngokubanzi ikhulumayo ngokwabo ngokuphazamisa iindinyana ezihamba ngomoya kunye nezinye zokuthintela amandla omntu ukuba ahlaziye ngokupheleleyo.
Ukwahlukana okungenakubonakala okokuqala kodwa okungahlukaniswa nebhethri yeemvavanyo ezivavanya amandla kunye nokunyanzeliswa komnxeba womntu kunye nokuphuphuma komzimba.
Iimpawu zeZifo zokuLungisa izifo
Xa umntu enzima ukuxosha yonke umoya kwimiphunga, kuthiwa unesifo sokukhupha umphunga. Ukuvalwa kuyichazwa ngokuphuma kumfutho othobekileyo kwaye ongezantsi kunomntu onempilo.
Ukuphazamiseka kuya kwenzeka xa ukuvuvukala nokuvuvukala kubangela ukuba i-airways ibe yancinci okanye ivalwe, okwenza kube nzima ukukhipha umoya kumaphaphu. Oku kushiya umthamo ophezulu ngokungaqhelekanga womoya esibhekisela kuwo ngokuthi "ukunyuka kwevolumu yomthamo."
Kwiingxaki zokuphazamiseka kwemiphunga, ukunyuka kwevolumu yokutsala kubangela kokubanjwa komoya kunye ne-hyperinflation yamaphaphu-utshintsho olwenza ukuba kube nzima ukubonakalisa iimpawu zokuphefumula.
Izifo ezilandelayo zomphunga zihlelwe njengezikhuseleko:
- Isifo sokuphefumula esingapheliyo (COPD)
- Bronchitis
- Isifuba
- Bronchiectasis
- Bronchiolitis
- Icystic fibrosis
Iziganeko zoMzimba weLung Restricted
Izifo zomngcipheko ezithintekayo zibonakaliswa ngumthamo we-lung we-lung (TLC) .
Ngokuchasene nesithintelo, isithintelo sichazwa ngumoya ogcwalisa imiphunga kakhulu kunokuba kulindeleke kumntu onempilo.
I-TLC ibonisa inani lomoya elikhoyo kwimiphunga emva kokuthatha umoya ophezulu. Ukulinganisa i-TLC ibonwa njengimfuneko ukuqinisekisa ubungqina beqandelelo lokwenene, oluhlanjwe njengento yangaphakathi, i-extrinsic, okanye i-neurological.
Iziphazamiso ezingundoqo ze-intrinsic zizinto ezivela ngenxa yemiphunga ngokwabo kwaye zingaquka:
- Pneumonia
- Isifo sofuba
- Sarcoidosis
- Idiopathic pulmonary fibrosis
- I-Lobectomy kunye ne- pneumonectomy (ukuhlinzwa komhlaza wamaphaphu)
Iziphazamiso ezithintekayo ezigqithisiweyo zibhekisela kulawo aphuma ngaphandle kwemiphunga. Ezi ziquka ukukhubazeka obangelwa ngu:
- Scoliosis
- Ukunyanya
- Ukutshatyalaliswa kwemvelo
- Izidumbu ezibi
- Ama-Ascites (ukuvuvuka kwesisu okubangelwa yi-cirrhosis okanye umdlavuza wesibindi)
- Pleurisy
- IRib fractures
Izifo ezingqinelanayo ngeengxaki zezovalo zibangelwa ziintlungu zesistim se-nervous ekhusela imiphunga ukuba isebenze ngokufanelekileyo. Phakathi kwezona zinto ziqhelekileyo:
- Ukukhubazeka kwesithintelo
- Myasthenia gravis
- I-muscular dystrophy
- I-Amyotrophic lateral sclerosis (i-ALS, okanye izifo zikaLou Gehrig)
Iimvavanyo ezisetyenziselwa ukuchonga iingxaki ezikhuselekileyo nezikhuselweyo
I-Spirometry yinto eqhelekileyo yokuhlola i-ofisi esetyenziselwa ukuvavanya indlela imiphunga yakho isebenza ngayo ngokulinganisa ubuninzi bomoya owenzayo, ubuninzi bokukhupha , kunye nokukhawuleza ukuba uphumelele. Umvavanyo ngamnye uquka:
- Ubunzima obunamandla obunzima (FVC) buqala nomntu othabatha umoya ophezulu kwaye akhuphe ngokukhawuleza ngokukhawuleza. Ngenxa yokuba amandla omphunga ayancitshiswa kwizifo zombini eziphazamisayo nezikhuselekisayo, i-FVC yodwa ayikwazi ukuxilonga okanye ingxaki.
- Ukukhutshwa komqulu wokuphelelwa yisikhathi kwisibini esinye (FEV1) lilinganisa inani elipheleleyo lomoya onokukhishwa ngomoya wokuqala kwisibini sokuqala kovavanyo lwe-FVC. Abantu abanempilo ngokubanzi baxosha ama-75 ukuya kuma-85 ekhulwini kwi-yesibini yesivivinyo. I-FEV1 iyancipha kwizifo zemiphunga eziphazamisayo kwaye ziqhelekile ukuba zinciphise iintsholongwane ezithintekayo kwizifo zemiphunga.
- Ukulinganiswa kwe-FEV1 ukuya kwi-FVC imele ipesenteji ye-FVC iyonke ikhutshwe kwimiphunga ngexesha lokuqala kweyesibini yokunyuka kwamanzi. Lo mgangatho uyancipha kwiingxaki zokuphazamiseka kwemiphunga kunye nokuqhelekileyo ukunyuka kweengxaki zokuphazamiseka kwemiphunga.
- Amandla omthamo wamanzi (TLC) ibalwa ngokufaka umthamo womoya oshiywe kwimiphunga emva kokuphuma kwimoya (ivolumu yokugqibela) kunye neFVC. I-TLC iyinto evamile okanye iyanda kwiimpazamo eziphazamisayo kwaye iyancipha kwiimpazamo ezithintekayo.
Isithintelo kunye nokukhawulelana neTrafti yeTemplate
Ukulinganisa | Indlela yokuvalela | Umzekelo wokuthintela |
Ukuxhotyiswa ngamandla (FVC) | yehla okanye eqhelekileyo | linciphile |
Ukukhutshwa komqulu wokuphefumula | linciphile | yehla okanye eqhelekileyo |
Umlinganiselo we-FEV1 / FVC | linciphile | eziqhelekileyo okanye zanda |
Ubungakanani bemitha yamanzi (TLC) | eziqhelekileyo okanye zanda | linciphile |
> Umthombo:
> Pérez, L. "I-Office ye-spirometry." Osteopathic Family Physician. Matshi-Apreli 2013; 5 (2): 65-69.