Ngati muli ndi zovuta kupuma , dokotala wanu akhoza kuyesa mayesero angapo a pulmonary yanu kuti mupeze miyeso yomwe ingathandize kuzindikira kukula kwa chikhalidwe chanu. Chimodzi mwa mayeserowa ndizomwe zimakhala zowonjezereka (ERV). Kodi ndiyeso yanji, ndiyeso yanji, ndipo ndi liti pamene zingakhale zothandiza pakupeza ndi kuchiza matenda a mapapo?
Kodi Kachilombo ka Chitetezo Ndi Chotani makamaka Buku kapena ERV?
Ngati munayamba mwawombera buluni, mwinamwake mumadzidzimutsa mumagulu anu osungiramo katundu.
Kuyeza kumeneku komwe amagwiritsidwa ntchito ndi madokotala kuti aone anthu ndi vuto la kupuma kumatanthauza mphamvu yowonjezera ya mpweya yomwe ingathe kutuluka ndi mphamvu yochulukirapo kupitirira msinkhu womwe ufikira pamapeto a mpweya wabwino, wosasuntha. Kuchuluka kwa mpweya kumachitika nthawi yapadera (kawirikawiri mphindi imodzi).
Mwa kuyankhula kwina, ngati mwatulutsa kale mpweya (mwauzira) kawirikawiri ndikuyesera kutulutsa mapapu anu mwakuya mwa kukankhira mpweya wonse mwa iwo omwe mungathe, mpweya umenewo "ndiwowonjezereka.
Malo Otsitsimula Mapulogalamu ndi Zolemba Zowonjezera Zina
Dokotala wanu sangakuzindikire kuti mumachokera pazotsatira za mayeso anu osungirako mapepala otetezedwa. Kuyesera kwanu koyesa kupuma kwa voti, komabe, kungapereke dokotala wanu zizindikiro za matenda anu. Malingaliro amenewo, kuphatikizapo mbiri yanu ya zamankhwala ndi zotsatira za mayeso anu, ayenera kutsogolera dokotala wanu kuchipatala choyenera.
Zosungira zowonjezereka zowonjezereka zikhoza kuchitika ngati mbali ya mndandanda wa mapulogalamu oyendetsa mapapu, omwe amatha kuphatikizapo miyeso yambiri ya voliyumu yanu ndi mphamvu. Zoyeza izi madokotala amagwiritsa ntchito pozindikira matenda a m'mapapo monga asthma, emphysema, ndi fibrosis.
Zomwe zimasungira zowonjezera nthawi zambiri zimayesedwa pamodzi ndi mphamvu yofunikira (kuchuluka kwa mpweya umene ukhoza kutuluka, kuphatikizapo ERV) ndi mphamvu yosungiramo mpweya, yomwe mungathe kulingalira-muyeso wa mpweya wambiri womwe mungathe kulowa m'mapapu anu mutapuma mokhazikika.
Kawirikawiri, mawerengedwe osiyanasiyana amalingalira pogwiritsa ntchito miyezo. Mwachitsanzo, ngati ERV ili yofunika kwambiri, imasonyeza kuti mapapu ali olimba ndipo sangathe kukulitsa ndipo mgwirizano wabwino ndi wamapapu akhoza kukhala wopweteka. Kapena, ngati chiŵerengero chimenecho ndi chochepa kwambiri, chikhoza kutanthawuza kukanika m'mapapu chifukwa cha mphumu.
Momwe Zimayesedwa
Zosungira zowonjezereka zowonjezereka ndi zina zamapiritsi a mapapu amapezeka nthawi zambiri pogwiritsa ntchito njira yotchedwa spirometry . Imeneyi ndi imodzi mwa mayesero ambiri a mapapu, koma pali zina zambiri zomwe zingagwiritsidwe ntchito poyeza mapiritsi.
Kuyeza kwa spirometry kumafuna kuti mupume mu chubu lopangidwa ndi makina otchedwa spirometer. Pamene mutakhala pansi ndipo mumphuno mwanu mutatsekeka, muzitha kupindula kwambiri. Kenaka, mudzayika milomo yanu kuzungulira chubu, kapena spirometer, ndikupanga chisindikizo cholimba kuti zisawononge mpweya, ndikupuma mokakamizika kwa masekondi angapo.
Chiyesochi chimabwerezedwa kawiri katatu kuti zitsimikizire zotsatira zosagwirizana.
Makhalidwe Amene ERV Ndi Ofunika
Pali zifukwa zingapo pamene chotsalira chanu chitetezera mphamvu chingapereke chinsinsi pa thanzi la mapapu anu. Izi ziphatikizapo:
- Matenda osokoneza bongo
- Phumu
- Matenda a m'mapapo opatsirana (gulu la matenda omwe m'mapapu anu alibe ma volume ambiri momwe ayenera)
- Cystic fibrosis
Dokotala wanu akhoza kuyesa izi ngati gawo la njira yofufuza kuti mudziwe chifukwa chake mumakhala ndi zizindikiro monga kupuma, kukhwima , kuthamanga , ndi zizindikiro za mpweya wabwino m'magazi anu.
Angayesenso kuyesedwa ngati gawo la kuyang'aniridwa kwa chikhalidwe chanu, kudziwa ngati mwakhazikika kapena ngati mapapu anu akugwira ntchito.
Pomaliza, nthawi zina mayeserowa amathamangira kuwonetsa mavuto a m'mapapo omwe amasuta fodya kapena anthu omwe ali ndi ntchito zomwe zimawaika pamatenda a m'mapapo, mwachitsanzo, akhoza kukhala ndi mankhwala oopsa kuntchito.
Pansi
Kupuma kwa voliyumu ndiyeso yothandiza kupimidwa kwa pulmonary koma imakhala yothandiza kwambiri pokhudzana ndi zotsatira za mayeso ena. Poyamba kupeza matenda a mapapu, mayeserowa ndi othandiza kwambiri kusiyanitsa pakati pa matenda obwera m'mapapo, monga COPD ndi mphumu, komanso matenda opatsirana monga pulmonary fibrosis. Maphunziro odziwika ngati ma x-ray kapena CT sizingapangitse kusiyana kumeneku, kupangitsa mapulogalamu a mapapo kukhala othandiza kwambiri.
Mayeso a mimba ndi othandizira pakuwunika momwe matenda akuyendera, pozindikira kuwonjezereka ndi kuyang'ana kulikonse ngati akuthandizani.
> Zotsatira:
Kasper, Dennis L .., Anthony S. Fauci, ndi Stephen L .. Hauser. Mfundo za Harrison za Mankhwala a M'kati. New York: maphunziro a Mc Graw Hill, 2015. Print.
> Lutfi, M. The Physiological Basis ndi Clinic Zofunika za Mipukutu ya Mapulogalamu. Mitundu Yambiri Yopumiritsa Mankhwala . 2017. 12: 3.