Mayeso omwe amagwiritsidwa ntchito pofuna kupeza matenda a asthma pamene ena sakudziwa
Kugwiritsa ntchito mankhwalawa ndi imodzi mwa mayesero omwe madokotala amagwiritsa ntchito kuti adziwe matenda a mphumu. Kuti muchite izi, mufunsidwa kuti athandizidwe ndi nebulized kapena kuchita masewera olimbitsa thupi. Mwa njira iyi, dokotala akhoza kutero ngati inu muwona ngati mukuyamba zizindikiro za mphumu kapena muli ndi umboni wosokoneza bomba (monga momwe zimayendera ndi chipangizo chotchedwa spirometer).
Ngati chimodzi mwa zinthu izi chimachitika, amati ndiwe wosasamala.
Zomwe Mavuto a Broncho Akutsutsa Amatiuza
Cholinga cha bronchoprovocation ndi, monga momwe dzina lake likusonyezera, kuti ayankhe yankho m'mapapu. Spirometry yekha sangazindikire ngati mavesi apansi akuwonekera ndipo umboni wokha wa mphumu ndiwo zizindikiro zomwe wodwalayo amaonetsa. Zikatero, mankhwala a bronchoprovocation amagwiritsidwa ntchito poyambitsa kugwiritsa ntchito:
- Methacholine, mankhwala osokoneza bongo omwe mumapanga
- Mbiri yakale, yomwe imadziwika kuti imachititsa kuti anthu asamvetse bwino, imakhalanso yovuta
- Mphepo yotentha, yomwe imadziwika kuti imayambitsa chiphuphu
- Kuchita masewera olimbitsa thupi, choyambitsa kuchita masewero olimbitsa thupi
Ngati mutenga mayeso ndi mapapu anu kuti asamawonetsetse kuti mumakhala osasamala, nkosavuta kuti mukhale ndi mphumu. Ngati muli osasamala, mlingo wa mayankhowo umatsimikizira kuti mphumu yanu ndi yovuta komanso njira yoyenera yothandizira.
Pamene Mayeso a Broncho Provocation Afunsidwa
Kuyezetsa magazi nthawi zambiri kumachitika ngati pali zizindikiro za mphumu koma zimakhala zosavomerezeka , ndipo munthuyo alibe yankho la albuterol (kupulumutsira inhaler).
Pali zina zomwe zimachitika kuti bronchoprovocation ifunsidwe:
- Anthu omwe ali ndi zizindikiro zolakwika zomwe zimawoneka ngati kupuma pang'ono koma palibe umboni wa chitetezo cha mumlengalenga omwe palibe zifukwa zina zomwe zingapezeke
- Anthu omwe angathe kuvulazidwa ndi chifuwa cha mphumu pa ntchito yawo (monga dokotala wa opaleshoni kapena asilikali).
- Anthu omwe nthawi zambiri amawatsitsimula kuti azisokoneza ntchito yawo.
Zotsatira Zimayesedwa
Panthawi ya bronchoprovocation, kuyesa kwa spirometry kudzachitidwa kuti muyese kuchuluka kwa momwe mpweya umayendera komanso kutuluka m'mapapu anu. Chinthu chimodzi chimene dokotala angayang'ane ndicho kuchuluka kwa mpweya womwe mungathe kutulutsa mwachindunji mumphindi imodzi. Izi zimatchedwa voliyumu yofufuzira (FEV) ndipo imayesedwa m'zigawo zapadera imodzi (FEV1), masekondi awiri (FEV2), ndi masekondi atatu (FEV3).
Dokotala adziyerekezera FEV1 yanu isanachitike bronchoprovocation ndi pambuyo. Kuchepa kwa FEV1 pa 20 peresenti kapena kuposerapo kuchokera ku kuwerenga kwanu koyambirira kumayesedwa ngati mayeso abwino.
Kuwonjezera pa kupeza kachilombo koyambitsa matenda a mphumu, kuyesedwa kwa bronchoprovocation kumakhala ndi vuto loipa kwambiri. Choncho, ngati muli ndi zotsatira zoipa, sizingatheke kuti muli ndi mphumu.
Kutsindika Bronsi Si Kwa Aliyense
Sikuti aliyense ayenera kuyesedwa ndi matenda a bronchoprovocation, monga momwe zingathere, nthawi zina, kumayambitsa matenda a mphumu. Izi zikuphatikizapo anthu omwe ali ndi zifukwa zotsatirazi:
- Kutha kwachisawawa kwakukulu (monga momwe zikuyendera ndi FEV1)
- Kutha kwa mtima mkati mwa miyezi itatu yapitali
- Kusayendetsa bwino kwa magazi
- Aortic aneurysm
- Mimba
- Matenda osokoneza maganizo monga amyotrophic lateral sclerosis (ALS) ndi myasthenia gravis (MG)
> Chitsime:
> Leuppi, J. "Kuyezetsa magazi kwa mphumu ya mphumu: kutsutsana ndi zovuta zina." Malingaliro enieni mu Pulmonary Medicine. 2014; 20 (1): 31-36.