I-FEV1 - Ulungiso kunye Nentsingiselo yamaxabiso
Ngaba uyazi ukuba imiphunga yakho isomelele kangakanani? Umqulu owodwa wokuphefumula ngomzuzwana omnye, okanye i-FEV1, umakishi osetyenziselwa ukulinganisa umsebenzi wamaphaphu kwaye unokukunceda uqaphele isifo sakho esingapheliyo sesifo se-pulmonary (COPD) okanye ezinye izifo zamaphaphu ngokuhamba kwesikhathi. Nantsi into oyaziyo malunga ne-FEV1, ilinganiswa njani, kwaye ithetha ntoni kwiCOPD yakho.
Yintoni i-FEV1?
I-FEV1 yimalini yomoya onokukhutshwa ngamandla emiphakeni kwisibini sokuqala yomsindo ophoqelekileyo.
Enye yeendlela ozenza oogqirha basebenzise ukujonga umsebenzi wakho wemiphunga. Ngenxa yokuba i-COPD ibangela umoya kwimipompo ukuba ikhutshwe kwizinga eliphantsi kunye kunye namanani amancinci xa kuthelekiswa nomntu onempilo ngaphandle kwe-COPD, ukulinganisa indlela okwazi ukuyikhupha ngayo umoya unokuncedisa ukuba ngaba unayo i-COPD okanye ezinye izifo zamaphaphu kunye nobunzima sesifo.
I-FEV1 yinto enye yeemvavanyo zepmonta eziyenziwa ukuhlola umsebenzi wemiphunga.
Ukulinganisa i-FEV1
Ukuze uqinisekise i-FEV1 yakho, ugqirha wakho uya kuqhuba uvavanyo lwe-spirometry . Ngexesha lovavanyo lwe-spirometry uya kucelwa ukuba uqhube kwi-tube. Amanyathelo athatyathwa kuquka okokuba ungakanani umoya onokukhupha ngamandla kwinqanaba lokuqala lokuphumayo-i-FEV1 yakho. Ezinye iimvavanyo zixutyushwa ngezantsi.
Isiphumo semilinganiselo yakho siya kuqhathaniswa nxamnye nemilinganiselo "eqikelelwe" -uphi ukufundwa okuqhelekileyo kulindeleke kumntu ofanayo ubudala, ubulili, ubungakanani bomzimba kunye nohlanga, ongenaso isifo somphunga.
Oku kwenziwa ukwenzela ukulinganisa ukufunda kwakho kwaye uvumela oogqirha ukuba balinganise iziphumo zakho zokuvavanya kubantu abafana nomsebenzi wamaphaphu oqhelekileyo.
Iimvavanyo zithathwa kwaye ziphindaphindiwe emva kokulawulwa kwe- bronchodilator . I-bronchodilator yinkonzo eyenzelwe ukuvula i-airways yakho. Ukujonga umehluko kumsebenzi wakho wamaphaphu kunye kunye kunye ne-bronchodilator kuvumela ugqirha wakho ukuba ahlole indlela unyango lwakho lisebenza ngayo kwaye ukuba iimpawu zakho zeCOPD ziphucule.
Ezinye iimvavanyo zilinganiselwe kunye ne-FEV1
Njengoko oogqirha babheka ngokudibanisa uvavanyo lwemihlaba eyahlukeneyo, kuya kuba luncedo ukuba ube nokuqonda okufutshane kwezinye iimvavanyo ezenziwe kunye ne-FEV1. Ezi ziquka rhoqo:
- Ubungakanani bemandla - Ubuninzi bemandla ngumlinganiselo ophezulu womoya onokukhatyathwa okanye uphumelele kumaphaphu.
- Ukuxhotyiswa ngamandla (FVC) - Ukuxhotyiswa kwamandla okubalulekayo yimalini yomoya onokuphelelwa ngumphunga emva kokuthatha umoya ophezulu.
- Inqanaba lepopiratory flow flow rate
- Ukunyanzeliswa kwezinga lokungapheliyo
Inani elithethayo?
Ugqirha wakho uya kukuxelela inombolo ye-FEV1 yakho ebhaliweyo njengepesenti yaloo nto yayichazwe kumntu onemiphunga enempilo.
- I-FEV1 ukusuka kwi-80 ukuya kwi-100 ekhulwini iqhelekileyo ithathwa njengesiqhelo
- I-FEV1 phakathi kwama-60 no-79 ekhulwini we-predicted ibonisa umqobo onzima
- I-FEV1 ephakathi kwama-40 no-59 ekhulwini ibonisa ukungqinelana okuthe ngqo
- I-40% yeepesenti okanye ngaphantsi kwexesha eliqikelelwayo ithathwa njengesithintelo esinzima
Indlela yokuphucula i-FEV1
Ukuba i-FEV yakho ayiqhelekanga, ugqirha wakho uya kucetyiswa ukuba udibaniso lwezonyango oluquka zombini iyeza kunye neenguqu zokuphila.
Amachiza okwandisa i-FEV1
Ukuba i-FEV1 yakho iyancitshiswa, imithi imiselwe ukuba iphucule ukuphefumula.
Bobabini abasebenza ngokukhawuleza kunye nabasebenzi bexesha elide be- bronchodilators yiyona nto eyona nto yonyango. Amayeza afaka:
- I-Beta-agonists ingasetyenziselwa ngomlomo okanye nge-inhalation kwaye ibandakanye amabini amalungiselelo amancinci kunye nesikhathi eside.
- I-Anticholinergics efana ne-Spiriva inikezwa nge-inhalation.
- I-Methylxanthines efana ne-theophylline isetyenziswa ngamanye amaxesha.
Kukho izidakamizwa ezidibeneyo ezibandakanya ukudibana kwala mayeza ukwenzela ukunciphisa inani lemichiza ofunekayo ukuba uyenze imihla ngemihla. Ugqirha wakho unokuncedisa ukuba zeziphi izidakamizwa ziza kusebenza kakuhle ngeempawu zakho kunye nemiphunga yokukhubazeka.
Indlela yokuphila iguqula ukunyuka kwi-FEV1
Izinto zokuphila , nangona zihlala ziqhutyelwa kwi-burner emva kokuba sigxile kwimichiza, zibaluleke kakhulu ekulawuleni iimpawu zeCOPD kunye nokunciphisa ukuqhubeka kwesifo.
- Ukuyeka ukubhema kukubaluleke kakhulu ekuphuculeni i-FEV1 kunye nokunciphisa ukuqhubela phambili kweCOPD.
- Ukuzivocavoca kunenzuzo ekuphuculeni i-FEV1 kunye nokuphucula iimpawu zeCOPD. Ukuze uqalise, qwa lasela oku kusebenze kakuhle kubantu abaneCOPD .
Ngaphantsi kwe-FEV1 kuLawulo lweCOPD
I-FEV1 kunye nezinye iimvavanyo zomsebenzi wepmonta zingadlala indima ebalulekileyo ekulawuleni i-COPD. Kubalulekile ukuqaphela, nangona kunjalo, kubaluleke kakhulu ukuphatha abantu kunamanani. Abanye abantu banyamezela i-FEV1 ephantsi kakhulu kanti abanye abantu bangabonakalisa impawu ezincinci ngokunciphisa okuncinane kwi-FEV1.
Enye yezona zinto zibaluleke kakhulu ongayenza (ngaphandle kokuyeka ukutshaya xa ubhema, ngokuqinisekileyo) kukufunda ngesifo sakho. Funda malunga neemvavanyo ezisetyenziselwa ukuxilonga isifo sakho kunye nezinye zezinto ezinokuchaphazela iziphumo. Thatha ixesha lokufunda malunga namachiza akho, kokubili ukuba basebenze njani kunye nokuba yintoni imiphumo emibi echaphazelekayo.
> Imithombo:
> Guirguis-Blake, J., Senger, C., Webber, E., Mularski, R., no-E. Whitlock. Ukuhlolwa kweeNtsholongwane eziPhephayo eziPhezulu ngokuSigxina: INgxelo yoBungqina kunye nokuHlola okuHloniphekileyo kwi-US Force Preventive Services Task Force. JAMA . 2016. 315 (13): 1378-93.
> Lahham, A., McDonald, C., no A. Holland. Ukuqeqeshwa kokuQinisekisa kuphela okanye kunye neNgezelelo yoLuleko kuphucula iiNqanaba zoLwazi lwePhysics kwiCOPD: UkuHlola okuHlolo kunye nokuHlanywa kweeNzululwazi eziLawulayo. I-International Journal ye-Pulmonary Disease . 2016. 11: 3121-3136.