Kusiyanitsa Zopinga Ndiponso Zopinga Matenda a Matenda Ndi FEV1 / FVC
Pofuna kupeza ndi kuchiza matenda obwera m'mapapo monga matenda osokoneza bongo (COPD), madokotala nthawi zambiri amagwiritsa ntchito mayesero osiyanasiyana kuti adziwe kuopsa kwa matendawa. Chimodzi mwa izi ndi mayesero otchedwa spirometry , omwe muyezo wa mapapu amatha kuwerengedwa.
Kuyeza FEV1 / FVC
Madokotala amodzi ofunikira amayesetsa kufufuza mapuloteni ndi chiŵerengero cha voliyumu yothamangitsidwa mumphindi imodzi ( FEV1 ) pa mphamvu yowunikira ( FVC ), yomwe imadziwikanso ndi ndondomeko ya Tiffeneau-Pinelli.
Iyi ndiyeso ya kuchuluka kwa mpweya wotuluka mkati mwachiwiri chimodzimodzi poyerekezera ndi kuchuluka kwa mpweya umene ukhoza kutuluka mwa mpweya wonse.
Kuchuluka kwa mpweya womwe mumatuluka mumphindi umodzi ndi wowerengedweranso pamtundu wonse wa mpweya womwe mumatha kufotokozera. Malinga ndi chiwerengero cha FVC yowerengera zaka zanu ndi kukula kwake, chiŵerengero cha zikhalidwe ziwirizi ndizofufuzidwa. Kawirikawiri, makhalidwe awiriwa ndi ofanana. Ngati FVC yatsika, ndiye kuti chiŵerengero chikuyang'anitsitsa kwambiri.
Kuchepetsa FVC Ndi Pulogalamu ya FEV1 / FVC Zowonongeka
Ngati FVC yanu yatsika koma chiŵerengero cha FEV1 / FVC ndi chachilendo, izi zikuwonetseratu chitsanzo choletsa. Matenda opatsirana ammimba amatha kukhala omwe maonekedwe a mapapo awonongeka, kapena akonza kuti wina asapume mokwanira monga mwachibadwa. Zitsanzo zina ndi izi:
- Pulmonary fibrosis, monga idiopathic pulmonary fibrosis , scarce ya mapapo a chifukwa chosadziwika.
- Zofooka za chifuwa monga scoliosis kapena chifuwa khoma scaring
- Opaleshoni ya khansa ya m'mimba, monga lobectomy kapena pneumonectomy
- Matenda ndi matenda opweteka monga chibayo, chifuwa chachikulu, sarcoidosis, silicosis, ndi asbestosis
- Matenda a ubongo monga ALS
- Pleural effusion, yomwe imakhala yamadzimadzi m'deralo pakati pa makina omwe amayandikana m'mapapu
- Ascites, kumangiriza madzi m'mimba chifukwa cha matenda a chiwindi kapena khansara m'mimba kungayambitse chizoloŵezi chotsutsana ndi kuchepetsa mphamvu yakupuma.
Kuchepetsa FVC ndi kuchepa kwa FEV1 / FVC Makhalidwe Oletsedwa
Ngati FVC yanu yatsika ndipo chiwerengero chanu cha FEV1 / FVC chicheperachepetsanso, izi zikugwirizana ndi matenda obwera m'mapapu monga asthma ndi COPD. Kawirikawiri, matendawa amafikira ngati FEV1 / FVC ili yochepa kapena yofanana ndi 70 mpaka 80 mwa anthu akuluakulu, ndipo 85 peresenti ya ana. Kuonongeka kwa mpweya ndi / kapena kugwedeza kwa airways ndi chizindikiro cha zinthu monga:
- Phumu
- Matenda osokoneza bongo omwe amachititsa kuti matendawa asapitirire monga matenda a bronchitis, emphysema, ndi bronchiectasis
- Bronchiolitis
Zotsatira Zotsatira
Ngati chizoloŵezi choletsedwa chimawonedwa, madokotala nthawi zambiri amalimbikitsa mayesero onse a pulmonary ntchito kuti apitirize kusonyeza matenda a mapapo. Ngati njira yowopsya ikupezeka, sitepe yotsatira nthawi zambiri imalimbikitsa mankhwala ndi bronchodilator , mankhwala omwe amathandiza kuchepetsa constriction ya airways ndi kubwereza mayeso.
Ngati mukuchiritsidwa matenda opatsirana a m'mapapo, dokotala wanu angayang'ane zomwe mukuchita pogwiritsa ntchito chiwerengero chanu cha FEV1 / FVC. Ngati chiŵerengerochi chikukula bwino ndi bronchodilator, izo zikutanthauza kuti kulepheretsa kumakhala kochepa "kotembenuzidwa." Izi zimawoneka ndi zinthu monga asthma.
Ngati chiŵerengerocho sichikuyenda bwino ndi bronchodilator, chikhoza kukhala chosasinthika, monga COPD.
Zotsatira:
> Godfrey, M., ndi M. Jankowich. Mphamvu Yofunika Ndiyofunika: Kupatsirana kwa Edzi ndi Kufunika kwa Chipatala cha Spirometry Chotsatira. Chifuwa . 2016. 149 (1): 238-251.
Johnson, J., ndi W. Theurer. Njira Yotsata Kufotokozera Kuyesedwa kwa Ntchito Yowonongeka. American Family Physician . 2014. 89 (5): 359-366.
> Koo, K., Yun, H., Byeong-Ho, J. et al. Kugwirizana Pakati pa Mphamvu Yofunika Kwambiri ndi Framingham Maphunziro a Kuopsa kwa Magetsi Pambuyo pa Kupezeka kwa Matenda a Metabolic: Fufuzani Kafukufuku Wowunika wa China wa Nthenda ya Nthenda ndi Nutrition. Mankhwala . 2015. 94 (47): e2089.