Ukulinganisa kunye nenjongo
Umthamo wamandla omthamo, okanye i-TLC, ibhekisela kwisixa esiphezulu somoya kwimiphunga emva kokuthatha umoya ophezulu.
Izigulane ezinezifo ezingapheliyo zokuphefumula (COPD) zihlala zingenakukwazi ukukhupha ngokupheleleyo, zibangele i-hyperinflation yemiphunga kunye nomthamo omkhulu wamaphaphu.
I-Total Lung Capacity Test?
I-TLC iyalinganiswa ngomzimba okanye kumaphaphu plethysmography , enye yeemvavanyo ezininzi zomsebenzi wamapulmoni ezikunceda ukuqonda ukuba umoya ungaphi emiphakeni yakho xa uthatha umoya ophefumlelweyo kunye nokuba umoya ushiywe njani kwimiphunga yakho emva kokuba uphumelele njengoko unakho .
I-plethysmography yonyango inceda ugqirha wakho ukuba azi ngakumbi malunga nesifo sakho semiphunga kunye nendlela yokunyanga ngayo.
Elinganiselwe kwi-milliliters, ubukhulu bamandla empompo enempilo buyi-6,000 mL. Kwizigulane ezineCOPD , isixa somoya esishiywe kwimiphunga ngexesha lokuphefumla ngaphezu kweqhelekileyo, imeko ebizwa ngokuba yi-hyperinflation.
I-Spirometry ngumvavanyo weemiphunga ngokuqhelekileyo usetyenziselwa ukuxilonga i-COPD, kodwa-ngokungafani ne-lung-plethysmography- ayikunikezeli ulwazi ngokwamandla omlinganiselo wamapayipi okanye umthamo wokuhlala okhupha (umlinganiselo womoya ushiywe kwimiphunga emva kokuphuma kwimoya). Ngokubambisana, le mvavanyo inokunika ugqirha wakho umfanekiso opheleleyo ngakumbi wesimo sakho.
I-Hyperinflation ye-Lung kwi-COPD
I-Hyperinflation yemiphunga iyenzeka kubantu abaninzi abaneCOPD. Oku kwenzekayo, kuba ukuphefumula kwomoya kuyancitshiswa, abantu baqala ukuthatha umoya wabo olandelayo ngaphambi kokuba bachithe ngokupheleleyo imiphunga yabo yokuphefumula kokugqibela.
Ngalinye ixesha le nzekayo, umoya ogqithisileyo uya "kubanjelwa" emiphakeni. Ngenxa yolu hlobo lomoya, imiphunga ifuna i-hyperinflate ukuthatha ukuphefumula okulandelayo, kwaye ekubeni imiphunga ingenziwa kwi-hyperinflate, le miphefumlo idinga umsebenzi ongaphezulu kunokuba kufuneka ukuba ufune ukuphefumula.
Le hyperinflation kunye nokusetyenziswa okanye kwimihla ngemihla, ibangela i- dyspnea , ukuvakalelwa kokuphefumula.
UDyspnea kubantu abano-COPD bahlala bekhokelela eku:
- Ukuphepha komsebenzi
- Ukumiswa komzimba
- Umgangatho ophantsi wobomi
- Umngcipheko ophezulu wezinye izifo, ezifana nesifo senhliziyo
Uhlobo lwe-hyperinflation ekhulunywe ngasentla apho umntu eqala ukuthatha umoya olandelayo ngaphambi kokuphefumula kwangaphambili ubizwa ngokuba yi "hyperinflation". Olunye uhlobo lwe-hyperinflation ebizwa ngokuba yi "static hyperinflation" lingafumaneka nakwabantu abaneCOPD eqinile. I-hyperinflation eqingqiweyo iyenzeka njengemiphunga ilahlekelwa yi-elasticity kwaye ifuna ukukhululeka komoya ukuze kugcinwe ukunyuka kwempompo emva kokuphefumula.
Kutheni i-Total Lung Capacity Tested?
Umthamo wamandla omyinge ungaphendulwa ngezizathu ezininzi.
- Ukuxilonga kunye nokwahlula izifo ezithintekayo ezikhuselweyo kunye neziphazamiseko zomphunga .
- Ukuvavanya impendulo yakho kunyango ezifana ne- bronchodilators , i-methacholine, i-histamine, okanye i-isocapnic hyperventilation.
Xa Ubungakanani Ubungqingili Plethysmography Ongazange Buyenze?
Awufanele ufumane i-lungthmemography xa udidekile ngengqondo, unokulawulwa kwemisipha embi okanye i-Parkinsonism, okanye uxhomekeke kwi-oxygen inkxaso engapheliyo.
I-Body Plethysmography eyenziwa njani?
Ukuba ugqirha wakho uyalela ukuhlolwa kweepmethmmmography ukuze ulinganise umthamo wakho wamaphaphu, unokufumana induduzo ngokwazi ukuba olu vavanyo lulula kwaye lubuhlungu.
Ngexesha lokuvavanya, uya kuhlala kwisibheno esicacileyo seglasi ngokubanzi ubukhulu befowuni kwaye ke, ugqoke iqhosha lempumlo, uya kufundiswa ngumphefumli wokuphefumula ukuphefumula ngokusebenzisa umlomo kunye ne-tube ehlanganiswe nomatshini wokuvavanya. Ngamanye amaxesha, i-gascer tracer efana ne-carbon dioxide, ibandakanywa emoyeni evela kumatshini.
Uvavanyo luthatha malunga nemizuzu emithathu. Iyatshintsha utshintsho kwingcinezelo yomoya ngaphakathi kwidokodo ukuqinisekisa indlela umoya onokuphefumula ngayo kwimiphunga yakho.
Ukufumana iziphumo ezichanekileyo, phambi kovavanyo awufanelekanga:
- Umsi ubuncinane kwiyure enye
- Phuza utywala ubuncinane ubuncinane iiyure
- Ukuzivocavoca phakathi kwemizuzu engama-30
- Yidla isidlo esikhulu phakathi kweeyure ezimbini
Ugqirha wakho unokukuyalela ukuba ungathathi amachiza athile ngosuku lovavanyo. Qinisekisa ukulandela imiyalelo yakho ugqirha ngokuchanekileyo.
Izizathu zokunyuka kweMandla okuLungisa
Izifo zomngcipheko ezithintekayo yilabo umoya ophuma emiphakeni kwizinga elincinci kunexesha eliqhelekileyo, kwaye kubandakanya izimo ezifana neCOPD, i- asthma , i- bronchiectasis kunye ne-cystic fibrosis. Ngale miqathango, umthamo wamaphaphu uwonke unganyuswa ngenxa ye-hyperinflation.
Iimbangela zoLungelelwano oluNcinane lweLung Capacity
Kwiimpawu zomngcipheko ezithintekayo, imiphunga ihlala "ikhutshwe" ekuthatheni umoya ophefumlelweyo kunye nomthamo wesifo somphunga uyancipha. Zizo zombini izifo ezisemaphandleni ezisemaphandleni kunye nezangaphakathi kuxhomekeke ekubeni ngaba umqobo unqanda ngaphandle kwemiphunga okanye kwimiphunga ngokwabo. Izifo zomphunga zangaphakathi zibandakanya ezo ezifana ne- sarcoidosis , idiopathic pulmonary fibrosis , i-pneumonia, okanye iyanciphisa umthamo wamaphaphu emva kokuhlinzwa kwemiphunga. Izifo zamaphaphu zangaphakathi ziquka ukukhuluphala, ukunyuka kwe-scoliosis, kunye nokunyaniseka kwabanye.
Ngaphantsi kwalabo abaneCOPD kunye Nokwanda kweZakhono zokuLungisa
Ukuba uhlala neCOPD, kunokuba luncedo ukuqonda inkqubo exoxwa apha ekhokelela kwi-hyperinflation. Ukuphefumula kufutshane nokukhokelela ekugqibeleni, okwenza kube nzima ukuphefumla, kunye njalo njalo. Ingaba yinqanaba elibi. Hlola ezi ngcebiso zokulawula ukuphefumula okufutshane kunye neCOPD kubaqalayo. Qalisa ukusebenzisa ngokukhawuleza. Ukuba awuqinisekanga ukuba ungaqala kuphi, qwa lasela oku kusebenze kakuhle kubantu abaneCOPD . Ukuba unzima ukunamathela kwinkqubo yovavanyo, hlola izizathu ezi zihlanu ukuba kutheni ufanele usebenzise neCOPD .
Ekugqibeleni, ukuba ungumthandi wakho kunokuba nguwe ojamelana neCOPD, khangela ezi ndlela zokunceda umntu omthandayo kunye neCOPD .
Imithombo:
UThixofrey, M., noMnu Jankowich. Ubunono obubalulekileyo bubaluleke kakhulu: i-Epidemiology kunye neKlinikhi ebalulekileyo ye-Restrictive Spirometry Pattern. Esifubeni . 2016. 149 (1): 238-51.
Zysman-Colman, Z., neL. Lands. IQumrhu Elipheleleyo Plethysmography: Ukuqwalasela ngokufanelekileyo. IziPhulo zoPhulo . 2016. 19: 39-41.