Ukuba unobungozi bokuphefumula , ugqirha wakho unokuqhuba iimvavanyo eziliqela zomsebenzi wakho wepmonta ukuze ufumane imilinganiselo enokukunceda ukucacisa ubunzima beemeko zakho. Enye yezo vavanyo yimiqulu yokugcina iphephelo (ERV). Uluphi uvavanyo, luyilinganisa, kwaye nini lunokukunceda ekuxilongeni nasekunyangeni kwe-lung disease?
Yintoni eyiyo yokuphefumula uMqulu okanye i-ERV?
Ukuba uke wavuthela ibhaluni, mhlawumbi uyazi ngokungazi kakuhle umqulu wakho wokuphelisa.
Lo mqathango uvame ukusetyenziswa ngabagqirha ukuvavanya abantu abaneengxaki zokuphefumula kubhekisela kumthamo ophezulu womoya onokuphelelwa ngumda kunye nomgudu ophezulu ngaphaya kwinqanaba elifikelele ekupheleni kwesimo esivamile. Isixa somoya sivame ukuxelwa ngexesha elithile (ngokuqhelekileyo isibini).
Ngamanye amagama, ukuba usuvele uphumelele (uphefumlelwe) ngokuqhelekileyo kwaye uzama ukukhupha imiphunga yakho ngokupheleleyo ngokunyanzelisa yonke into ephuma kuyo ukuba unako, ukuba "ingaphezulu" emoyeni ngumqulu wakho wokulondoloza.
I-Exiratory Reserve Reserve kunye nezinye iiVolum Volumes
Ugqirha wakho akayi kukufumanisa ukuba usekelwe kuphela kwimiphumo yokuhlolwa kwempompo yakho yokuphefumula. Uvavanyo lwakho lokuvotela umthamo okhuselekileyo luya kunika ugqirha wakho ngeenkcukacha malunga nesimo sakho. Ezi zikhokelo, ezidibaniswe nembali yakho yezonyango kunye neziphumo zovavanyo lwakho, kufuneka zikhokele ugqirha wakho kwisifo esifanelekileyo sokuxilongwa.
Umqulu wokugcina okhuselekileyo uninzi luya kwenzeka njengenxalenye yechungechunge lweemvavanyo zomsebenzi zomphunga jikelele, nazo ezinokuthi zibandakanye amanye amanyathelo omqulu wemiphunga kunye namandla. Olu luchungechunge lwemilinganiselo oogqirha basebenzisa ukuxilonga izifo zemiphunga ezifana ne-asthma, emphysema, kunye ne-fibrosis.
Umthamo wokugcina okhuselekileyo uvame ukulinganiswa kunye nomthamo obalulekileyo (inani elipheleleyo lomoya onokutshatyalaliswa, kubandakanywa i-ERV) kunye nomthamo wokugcina ophefumlelweyo, njengokuba ungacinga-ulinganisa umlinganiselo womoya ogqithisileyo ongayifaka ngenjongo kwimiphunga yakho emva kokuphefumula ngokuqhelekileyo.
Ngokuqhelekileyo, izilinganiso ezahlukahlukeneyo zibalwa ngokulinganisa. Ngokomzekelo, ukuba i-ERV kumlinganiselo ophezulu wamandla uphakamileyo, ibonisa ukuba imiphunga iyanzima kwaye ayikwazi ukukhulisa kwaye inkontileka ngokufanelekileyo kunye ne-lung fibrosis inokuba yinto enecala. Okanye, ukuba loo mlinganiselo iphantsi kakhulu, kunokuthi ukuchasana kwimiphunga kuphethwe yi-asthma.
Indlela elinganiselwe ngayo
Umthamo wokugcina okhuselekileyo kunye neminye imilinganiselo yemilinganiselo yamapopu idla ngokusetyenziswa ngokusetyenziswa kwendlela ebizwa ngokuba yi- spirometry . Le ngenye yezona zivame ukuqhuba iimvavanyo zomsebenzi wamaphaphu, kodwa kukho ezinye ezininzi ezingasetyenziselwa ukuthatha amanani omlinganiselo wamaphaphu.
Uvavanyo lwe-spirometry ludinga ukuba uphefumle kwi-tube ehlanganiswe nomshini obizwa ngokuba yi-spirometer. Ngethuba uhleli kunye namakha akho aphelile, uya kuguqula. Emva koko, uya kufaka umlomo wakho nge-tube, okanye i-spirometer, ukudala isityinwa esinamandla ukukhusela ukuvuza komoya, nokuphefumula ngokukhawuleza imizuzwana embalwa.
Uvavanyo luvame ukuphindwa kathathu ukuze kuqinisekiswe iziphumo ezifanayo.
Iimeko apho i-ERV ibalulekile
Kukho imimiselo emininzi apho umthamo wakho wokugcina umxhesho ungabonelela ngempilo yakho yemiphunga yakho. Ezi meko ziquka:
- Isifo sokuphefumula esingapheliyo
- Isifuba
- Izifo zomngcipheko ezithintekayo (iqela lezifo apho imiphunga yakho ingenawo umthamo omkhulu njengoko kufuneka)
- Icystic fibrosis
Ugqirha wakho unokuqhuba lo vavanyo njengenxalenye yenkqubo yokuxilongwa ukuze ubone ukuba kutheni unesifo esinokubangela ukuphefumula, ukukhwehlela okungapheliyo , ukuhamba , kunye nemiqondiso ye-oksijini ephantsi egazini lakho.
Unokuphinda usebenze uvavanyo njengenxalenye yokubeka esweni imeko yakho, ukugqiba ukuba uzinzile okanye ukuba umsebenzi wakho wamaphaphu unqatshelwe.
Ekugqibeleni, ngamanye amaxesha le mvavanyo iqhutyelwa kwisikrini seengxaki zemiphunga kubantu ababhemayo okanye kubantu abaneemisebenzi ababeka engozini yemfuyo-ngokomzekelo, banokuthi bavelele kwiikhemikhali ezinobuthi emsebenzini.
Okukwintsusa
Umthamo wokugcina okhuselekileyo uphezulu luyimfuneko ebalulekileyo yokuhlolwa kwepmonta kodwa luyiluncedo kakhulu xa luhlanganiswe neziphumo ezivela kwezinye izilingo zomsebenzi wamapulmoni. Xa uqala ukufumanisa imeko yomphunga, le mvavanyo iyanceda kakhulu ukuhlula phakathi kwezifo eziphazamisayo zezifo, ezifana neCOPD kunye nesifo se-asthma, kunye nezifo eziphazamisayo zepulmoni ezifana ne-pulmonary fibrosis. Izifundo eziqhelekileyo zokucinga ezifana ne-x-ray okanye i-CT izicwangciso azikwazi ukuzenza ezihlukeneyo, ukwenza iimvavanyo zamaphaphu zincede kakhulu.
Iimvavanyo ze-Lung nazo zinceda ekujongeni inkqubela yesi sifo, ukuphawula kwanoma yiyiphi ingxaki kunye nokukhangela ukubona ukuba unyango luncedo.
> Imithombo:
> Kasper, uDennis L .., u-Anthony S. Fauci, noStephen L .. Hauser. Iinqununu zeHarrison zeMithi yoPhakathi. ENew York: imfundo kaMc Graw Hill, 2015. Print.
> ULutfi, M. UMgangatho wePhysical and Value of the Lung Volume Measurements. Imithi yokuphefumula emininzi . 2017. 12: 3.