FEV1 - Kusankha ndi Tanthauzo la Makhalidwe
Kodi mukudziwa momwe mapapu anu alili amphamvu? Mavotolo opatsirana opaleshoni mumphindi imodzi, kapena FEV1, ndi chizindikiro chogwiritsira ntchito kupima mapapu ndipo angakuthandizeni kufufuza matenda opatsirana am'mimba (COPD) kapena matenda ena a m'mapapo. Pano pali zomwe muyenera kudziwa za FEV1, ndiyeso bwanji, ndikutanthauza chiyani kwa COPD yanu.
Kodi FEV1 N'chiyani?
FEV1 ndi kuchuluka kwa mpweya womwe ukhoza kutuluka mpweya kuchokera m'mapapo m'chigawo choyamba cha mpweya wokakamizidwa.
Ndi imodzi mwa njira zomwe madokotala amagwiritsira ntchito kutulukira mapapu anu. Chifukwa COPD imapangitsa mpweya kutuluka m'mapapo anu pang'onopang'ono komanso pang'onopang'ono poyerekeza ndi munthu wathanzi popanda COPD, kuyerekezera momwe mungathe kutulutsa mpweya molimbika kungathandize kudziwa ngati muli ndi COPD kapena matenda ena a m'mapapo komanso kuti muli ndi vutoli. wa matendawa.
FEV1 ndi imodzi mwa mayesero a pulmonary omwe amayesedwa kuti aunike mapapu.
Kuyeza FEV1
Kuti mudziwe FEV1 wanu, dokotala wanu adzayesa mayeso a spirometry . Pa kuyesa kwa spirometry mudzafunsidwa kuti mulowe mu chubu. Zikatero zimatengedwa kuphatikizapo za mpweya womwe mungathe kutulutsa mwamphamvu mumphindi woyamba wa mpweya wanu-FEV1 yanu. Mayesero ena akufotokozedwa pansipa.
Zotsatira za mayeso anu zidzafaniziridwa motsutsana ndi "zikhalidwe zanenedweratu" -momwe mukuwerengera mwachibadwa munthu yemwe ali ndi zaka zofanana, chikhalidwe, kukula kwa thupi, ndi chikhalidwe, omwe alibe matenda a m'mapapo.
Izi zimachitidwa kuti muyese kuwerenga kwanu ndipo amalola madokotala kufanizitsa zotsatira za mayeso kwa anthu ofanana omwe ali ndi mapapo abwino.
Nthawi zambiri zimatengedwa ndikubwerezedwa mobwerezabwereza pambuyo poyang'anira wa bronchodilator . Bronchodilator ndi mankhwala omwe amayenera kutsegula. Kuwona kusiyana kwa mapapo anu kumagwirira ntchito komanso popanda bronchodilator amalola dokotala wanu kufufuza momwe mankhwala anu akugwirira ntchito komanso ngati zizindikiro za COPD zakhala bwino.
Mayesero Ena amayesedwa Pamodzi ndi FEV1
Monga momwe madokotala amachitira kawirikawiri zochitika zosiyanasiyana za pulmonary ntchito, zingakhale zothandiza kuti mumvetse mwachidule zina mwa mayesero ena omwe anachita pamodzi ndi FEV1. Izi nthawi zambiri zimaphatikizapo:
- Mphamvu yamtengo wapatali - Mphamvu yamtengo wapatali ndipamwamba pamtunda wa mpweya womwe ukhoza kutsekedwa kapena kutuluka m'mapapo.
- Kuthamanga kwambiri (FVC) - Kuthamanga kwambiri ndi mphamvu yapamwamba ya mpweya yomwe ikhoza kutuluka m'mapapo mutatha kutenga mpweya wozama kwambiri.
- Chiwerengero cha odwala opaleshoni
- Kulimbitsa thupi kuthamanga
Kodi Numeri Imatanthauza Chiyani?
Dokotala wanu adzakuuzani chiwerengero cha FEV1 yanu yomwe yalembedwa ngati peresenti ya zomwe zinalosedwera kwa munthu yemwe ali ndi mapapu abwino.
- FEV1 kuyambira 80 mpaka 100 peresenti kawirikawiri amawoneka kuti ndi abwino
- FEV1 pakati pa 60 ndi 79 peresenti yazinenedweratu imasonyeza kuwonongeka pang'ono
- FEV1 pakati pa 40 ndi 59 peresenti imasonyeza kuponderezedwa koyenera
- ZOCHITIKA 40 peresenti kapena zosachepera zomwe zanenedweratu zimaonedwa ngati zowonongeka kwakukulu
Mmene Mungakulitsire FEV1
Ngati FEV1 yanu si yachilendo, dokotala wanu angapangire mankhwala othandiza kuphatikizapo mankhwala ndi kusintha kwa moyo.
Mankhwala Oonjezera FEV1
Ngati FEV1 yanu yachepa, nthawi zambiri mankhwala amaperekedwa kuti mupume bwino.
Mankhwalawa amawopsa kwambiri. Mankhwalawa ndi awa:
- Beta-agonists angagwiritsidwe ntchito pamlomo kapena mwa kulemba ndi kuphatikizapo kukonzekera kanthawi kochepa komanso kochitapo kanthu.
- Anticholinergics monga Spiriva amaperekedwa ndi inhalation.
- Methylxanthini monga theophylline nthawi zina amagwiritsidwa ntchito.
Palinso mankhwala osakaniza omwe akuphatikizapo mankhwalawa kuti athe kuchepetsa chiwerengero cha mankhwala omwe mukufunikira kuti mutenge tsiku lililonse. Dokotala wanu akhoza kuthandizira kudziwa kuti mankhwala awa ndi omwe angagwiritse ntchito bwino kwambiri kuti zizindikiro zanu ndi kupweteka kwa mapapo.
Kusintha kwa Moyo kwa Kuwonjezeka FEV1
Zochita za moyo , ngakhale kuti nthawi zambiri zimasunthira kumoto wam'mbuyo pamene tikuganizira kwambiri za mankhwala, ndizofunikira kwambiri pakuyang'anira zizindikiro za COPD ndi kuchepetsa kukula kwa matendawa.
- Kusuta fodya ndi chinthu chofunikira kwambiri pakuthandizira FEV1 ndi kuchepetsa kukula kwa COPD.
- Kuchita masewera olimbitsa thupi kumapindulitsanso kuwongolera FEV1 ndikukwaniritsa zizindikiro za COPD. Kuti muyambe, yang'anani machitidwe abwino awa kwa anthu omwe ali ndi COPD .
Pansi pa FEV1 mu Utsogoleri wa COPD
FEV1 ndi mayesero ena a pulmonary ntchito angathe kugwira ntchito yofunikira pa kasamalidwe ka COPD. Ndikofunikira kuzindikira kuti ndi kofunika kwambiri kuti muwachitire anthu kuposa nambala. Anthu ena amalekerera otsika kwambiri FEV1 pomwe anthu ena akhoza kukhala owonetsa kwambiri ndi kuchepetsa pang'ono mu FEV1.
Chimodzi mwa zinthu zofunika kwambiri zomwe mungachite (kupatula kusiya kusuta ngati mumasuta, ndithudi) ndiko kuphunzira za matenda anu. Phunzirani za mayesero omwe amagwiritsidwa ntchito kuti mudziwe matenda anu ndi zina zomwe zingakhudze zotsatira. Tengani nthawi kuti mudziwe za mankhwala anu, momwe amagwirira ntchito komanso zomwe zimawopsa.
> Zotsatira:
> Guirguis-Blake, J., Senger, C., Webber, E., Mularski, R., ndi E. Whitlock. Kuyeza Kulimbana ndi Matenda Opatsirana Opatsirana: Mauthenga Umboni ndi Kukonzekera Mwatsatanetsatane kwa Gulu la Ntchito Yothandizira Anthu ku US. JAMA . 2016. 315 (13): 1378-93.
> Lahham, A., McDonald, C., ndi A. Holland. Kuphunzitsa Kukhalera Pokha Kapena Kuwonjezerapo Uphungu Kumapanga MaseĊµera Ogwira Ntchito Pamagulu a COPD: Kukonzekera Mwadongosolo ndi Kusanthula Mchitidwe Woyesedwa Wowonongeka. Magazini Yachilendo Yopanda Kulepheretsa Matenda Opatsirana . 2016. 11: 3121-3136.