Zinthu Zolimbitsa Mafuta Oxygen ndi Dyspnea
Kawirikawiri, kupuma pang'ono kumasonyeza kutsika kwa oksijeni, komabe n'zotheka kukhala ndi chizindikiro ichi ndi magulu okwanira odzoza oksijeni. Mafuta okwana oksijeni (O2 anakhala) ndiyeso ya momwe hemoglobini mumagazi anu amadzaza ndi mpweya. Sikuti nthawi zonse zimagwirizanitsa ndi kupuma (dyspnea) . Izi zikutanthauza kuti mungathe kupuma mpweya ngakhale mutakhala ndi kuwerenga kwa oximetry zomwe si zachilendo.
O2 anu amatha kuwerenga 95 peresenti mpaka 100 peresenti koma mwina mukuvutika kuti mupume.
Mmodzi wodwalayo ali ndi matenda osokoneza bongo (COPD) omwe amachititsa kuti pakhale mpweya wochepa wa mpweya wokhala ndi mpweya wabwino, umayamba chifukwa cha kupweteka kwa mtima kapena kusintha kwa mitsempha. Tiyeni tione izi padera.
Kulephera Kwambiri Kwa Mtima
Akuti anthu 21 peresenti ya anthu omwe ali ndi COPD amakhalanso ndi mtima wolephera. Izi ndizofunikira chifukwa anthu omwe ali ndi zikhalidwe zonsezi ali ndi vuto loipa kuposa la COPD kapena mtima wolephera.
Zisonyezo za kulephera kwa mtima ndi COPD zimachitika mobwerezabwereza, komabe podziwa izi, ndikofunikira kuti apange kusiyana. Zonsezi zingayambitse kupuma pang'ono ndi ntchito (dyspnea ndi exertion), ndi nthawi yozizira nthawi. Aliyense amene ali ndi zizindikirozi ayenera kuyang'anitsitsa mosamala kuti awone ngati zizindikirozo zimachokera ku COPD, chifukwa cha kulephera kwa mtima, kapena zokhudzana ndi kuphatikiza zonse ziwiri.
Njira Yowonongeka ya Kufooka kwa Mtima Wopuma M'mtima
Kufooka kwa mtima, kupuma kwafupipafupi komanso kusagwirizana ndi masewera olimbitsa thupi , kupweteka kwa minofu, ndi kutopa chifukwa cha kuchepa kwa mtima wa mtima-kuchuluka kwa magazi omwe mtima ukhoza kupopera kwa nthawi. Izi zimachitika chifukwa m'kupita kwanthawi, mtima wokhala ndi minofu mkati mwake-umakhala wofooka ndipo sungathe kupopera magazi okwanira oksijeni m'maselo, ziwalo, ndi ziphuphu za thupi.
Odwala omwe ali ndi COPD wodekha (kutanthauza kuti alibe kuchuluka kwa COPD ) ndipo mtima wosayenerera ukhoza kusonyeza magulu okwanira odzoza oksijeni, komabe akukumana ndi kupuma. Izi si zachilendo chifukwa kuchepetsa kuwonetsa mtima sikugwiritse ntchito ma okosijeni okwanira-osachepera nthawi yomweyo. Komabe, patapita nthawi, kutaya magazi kumakhudza ziwalo zonse za thupi, kuphatikizapo mapapo, ubongo, chiwindi, impso, ndi matumbo, zomwe zimayambitsa zizindikiro zina zambiri.
Ziphuphu Zosokonezeka Minofu
Kusintha kwa mitsempha ya mitsempha, kapena popanda kulephera kwa mtima, imathandizanso kuti nyamayi izikhala ndi chifukwa chomwe odwala a COPD amatha kupuma pang'ono ndi magulu okwanira okwanira okosijeni. Ngati palibe vuto la mtima, chifuwa chachikulu cha mitsempha ndi chifukwa chachikulu chomwe anthu omwe ali ndi COPD amakhala ndi mpweya wochepa umene sagwirizana ndi kuwerenga kwawo. Kuwonjezera pamenepo, matenda osokonezeka a mitsempha-omwe amapezeka pakati pa COPD ndi mtima wolephera-angayambitse kupweteketsa minofu, kusokoneza mphamvu ya thupi yogwiritsira ntchito mpweya, ndi kuchepetsa nthawi yowonzanso ndi kubwerera kwa mpweya wabwino pambuyo pochita masewera olimbitsa thupi.
Anthu ambiri omwe ali ndi COPD amatsogoleredwa ndi moyo wautali, makamaka chifukwa chakuti mpweya wochepa komanso kutopa zimawathandiza kupewa zochitika zonse.
Kupitirizabe kugwira ntchito kumayambitsa kusokonezeka kwa minofu, kutsika kwa thupi, komanso kuwonjezereka kwa okosijeni zomwe zimachititsa kuti minofu ichepe kukula kwake ndipo potsirizira pake iwonongeke ( atrophy ). Pamene minofu ilibe vutoli ndipo imalephera kugwira ntchito, imatopa mosavuta. Izi nthawi zambiri zimapangitsa kuti mpweya ukhale wochepa, makamaka pamene minofu ikufunsidwa kuchita mtundu uliwonse wa masewera olimbitsa thupi. Kutaya mpweya chifukwa cha kupweteka kwa minofu ndi kutopa kungakhale kosagwirizana nthawi zonse ndi magulu okwanira okosijeni, chifukwa chake odwala amatha kupuma pang'ono, komabe ali ndi chizoloŵezi chowerenga.
Kodi Mungatani Ngati Mwayamba Kutentha Kwambiri Ngakhale Kuti Muli ndi Oximetry Wambiri?
Odwala omwe ali ndi COPD ndi mtima wolephera amatha kusintha kusintha kwa mitsempha yomwe imakhudza kuthekera kwawo kugwira ntchito tsiku ndi tsiku. Zotsatirazi zimatchulidwa kwambiri kwa odwala omwe ali ndi zikhalidwe zonsezi, ndipo mosiyana ndi zomwe anthu ambiri amakhulupirira, anthu omwe ali ndi COPD ndi mtima wosagwirizana pamodzi ndiwo omwe amafunika kuti aphunzitsidwe. Ndipotu, kupweteka kwa mitsempha kumatha kusinthidwa ndi masewera olimbitsa thupi komanso / kapena kukonzanso thupi.
Ngati muli wodwala ndi COPD, mtima wosagwirizana, kapena onse awiri, lankhulani ndi dokotala lero za kuyambitsa pulogalamu ya cardio-pulmonary mu dongosolo lanu la mankhwala. Angayambe mwa kuyankhula za njira zina zowonjezera masewero olimbitsa thupi mwa anthu omwe ali ndi COPD monga osagonjetsa mpweya wabwino, mpweya wabwino, ndi mankhwala.
Kuphatikiza pa kukambirana bwino ndi dokotala, onani zochitika zabwino kwa odwala COPD ndikuganiza za zochitika zomwe zikugwirizana ndi zosankha zanu. Kukhala ndi munthu "akutsogolerani" muzochita masewera olimbitsa thupi kungathandize, ndikugwiritsa ntchito ma DVD kwa odwala COPD kungakhale cholinga chokhacho.
Kuyenda ndizochita masewera olimbitsa thupi kwa COPD, koma popeza minofu yonse ikuyamba kuwonongeka, kuchita masewera olimbitsa thupi kwa COPD kungakhoze kuchita zodabwitsa kuti mupange masewera olimbitsa thupi.
Chifukwa chodziŵira kupeŵa zochita zolimbitsa thupi ndikutopa, kotero kuwonjezera pa kukonzanso luso lanu lochita masewera olimbitsa thupi, yongolani moyo wanu mwa kuchita njira zothetsera kutopa ndi COPD .
Zotsatira:
> Elbehairy, A., Ciavaglia, C., Webb, K. et al. Kusintha kwa Gasi Yowonongeka kwa Matenda Osawonongeka Kwambiri Kulimbana ndi Matenda Opatsirana. Zotsatira za Dyspnea ndi Exercise Kusalolera. American Journal of Respiratory and Critical Care Medicine . 2015. 191 (12): 1384-94.
> Langen, R., Gosker, H., Remels, A., ndi A. Schols. Zovuta ndi Njira za Mitsempha Yopweteka Yopeweratu Matenda Opatsirana Osawononga Matenda. International Journal ya Biochemistry ndi Cell Biology . 2013. 45 (10): 2245-56.
> Nici, L., ndi R. Zu Wallack. Matenda Ovutitsa Matenda Odzidzimutsa-Malingaliro Othandiza Ochiza Chithandizo: Kupititsa patsogolo pa Kukonzekera kwa Makhalidwe Abwino. Seminars mu Kuzizira ndi Zofunikira Kusamalira Mankhwala . 2015. 36 (4): 567-74.