Uvavanyo olusetyenziswa ukufumanisa i-asthma xa abanye bengenakuqinisekiswa
Ukukhonjiswa kweBroncho ngenye yeemvavanyo oogqirha basebenzise ukwenza i-asthma diagnostic. Ukwenza oku, uya kucelwa ukuba uphucule isisombululo se-nebulized okanye wenze umsebenzi. Ngale ndlela, ugqirha unokukwazi ukuba ubona ukuba uvelisa iimpawu zesifo se-asthma okanye unobungqina bendlela yokukhusela umoya (njengoko kulinganiswa ngedivayisi ebizwa ngokuba yi-spirometer).
Ukuba kukho enye yezinto eziza kwenzeka, kuthiwa uhlaziyo.
Ingxaki yoBronchoprovocation Challenge Isitshela
Injongo yecrocoprovocation, njengoko igama layo libonisa, ukukhupha impendulo kwimiphunga. I-Spirometry yodwa iyakuthi ikwazi ukukwazi ukuxilongwa ukuba iziphawulthi zomoya zicacile kwaye ubungqina bodwa be-asthma ziyimpawu ezichazwe ngumguli. Kwimeko enjalo, ukusetyenziswa kwe-bronchoprovocation isetyenziselwa ukuqala impendulo ekusebenziseni:
- I-Methacholine, i-bronchoconstrictor izidakamizwa ozenzayo
- I-Histamine, i-organic compound eyaziwayo ukuba ibangele impendulo, ikhutshwe kwakhona
- Umoya obandayo, owaziwayo ngokusingqongileyo kweso sifo
- Ukuzivocavoca, intambo yokuphefumula isifo se-asthma
Ukuba uthatha uvavanyo kunye nemiphunga yakho yehluleka ukubonakalisa ukungahambelani kakuhle, akunakwenzeka ukuba une-asthma. Ukuba awuyixhasi, iqondo lolo mpendulo liya kugqiba ubunzima be-asthma yakho kunye nekhosi efanelekileyo yokunyango.
Xa Uvavanyo lweBronchoprovocation Testing luya Kucelwa
Ukuhlolwa kwe-brronproprograms kwenziwa ngokuqhelekileyo xa kukho iimpawu ze-asthma kodwa imisebenzi eqhelekileyo yeplmonta , kwaye umntu akanakho impendulo kwi- albuterol (inhaler yokuhlangula).
Kukho ezinye iimeko apho kunokucelwa ukwenziwa kwe-bronchoprovocation:
- Abantu abaneempawu ezichazwe kakubi ezifana nokuphefumula okufutshane, kodwa akukho ubungqina bokhuselo lwangaphandle okungekho naziphi izizathu ezinokufumaneka
- Abantu abangabinobungozi ngokuhlasela kwe-asthma ngexesha lokusebenza kwabo (njengogqirha okanye abasebenzi basezempi).
- Abantu abahlala beveleleke kwiimvumi ezikhuselweyo ngexesha lokusebenza kwabo.
Iziphumo zilinganiselwa njani
Ngexesha lokuqhutyelwa kwe-bronchoprovocation, uvavanyo lwe-spirometry luya kwenziwa ukuze uvavanye indlela kwaye umoya okhawulezayo ungena ngayo kunye nemiphunga yakho. Enye yemilinganiselo ugqirha iya kukhangela ngayo ingakanani umoya onokukugxotha ngamandla kwisibini. Oku kubizwa ngokuba yinyanzelo yokuphefumula (FEV) kwaye ilinganiswa ngokunyuka kweyesibini (FEV1), imizuzwana emibini (FEV2), kunye nemizuzwana emithathu (FEV3).
Ugqirha uya kuqhathanisa i-FEV1 phambi kobushushu be-broncho and after. Ukuhla kwe-FEV1 kweepesenti ezingama-20 okanye ngaphezulu ukusuka ekufundeni kwakho kwasekuqaleni kuthathwa njengesivivinyo esihle.
Ukongezelela ekufumaneni ngokuqinisekileyo ukufumanisa i-asthma, ukuvavanywa kwe-bronchoprovocation kunexabiso eliphezulu eliphambili lokuqikelela. Ngoko ke, ukuba unemiphumo emibi, akunakwenzeka ukuba unayo isifo se-asthma.
Ukukhonjiswa kweBroncho ayikho kuwo wonke umntu
Akuyena wonke umntu kufuneka abe nokuvavanywa kwe-bronchoprovocation test, njengamanye amaxesha, kukhokelela ekuhlaselweni kwe-asthma enkulu. Ezi zibandakanya abantu abaneemeko ezilandelayo:
- Ukukhawulelana ngokukhawuleza kwendlela yokuhamba ngomoya (njengoko kulinganiswa yi-FEV1)
- Ukuhlaselwa kwentliziyo kwinyanga ezintathu zokugqibela
- Ulawulo oluphezulu lwegazi
- Aneorysm yeAortic
- Ukukhulelwa
- Izifo ezixhatshazwayo ze-muscular ezifana ne- amyotrophic lateral sclerosis (ALS) kunye ne- myasthenia gravis (MG)
> Umthombo:
> Leuppi, J. "Iimvavanyo zeBronchoprofection in asthma: ngokubhekiselele kumngeni othe ngqo." Iingcamango zangoku kwiMithi yePulmonary. 2014; 20 (1): 31-36.