Momwe Kuzindikira kwa Olemala Kumayendera Chithandizo
Dyspnea ndilo mankhwala omwe amagwiritsidwa ntchito pofotokoza mpweya wochepa, chizindikiro chomwe chimayang'aniridwa pakati pa mitundu yonse ya matenda opatsirana ammimba obisala (COPD) kuphatikizapo emphysema ndi bronchitis.
Pamene COPD ikupita patsogolo komanso yosasinthika, kuopsa kwake kwa dyspnea kumathandiza kwambiri pakugwiritsira ntchito njira yothetsera matenda komanso chithandizo choyenera cha mankhwala.
Mavuto Pakudziwa
Kuchokera kuchipatala, vuto la kupeza dyspnea ndilolokhazikika. Ngakhale mayeso a spirometry (omwe amachititsa mphamvu yamapapu) ndi pulse oximetry (yomwe imayendera mpweya wa mpweya m'magazi) angasonyeze kuti anthu awiri ali ndi vuto lofanana ndi kupuma, wina angamveke atagwira ntchito pomwe wina akhoza kukhala wabwino.
Potsirizira pake, malingaliro a munthu pa dyspnea ndi ofunikira chifukwa zimathandiza kuti munthu asatengere kapena kuponderezedwa komanso kuti mankhwala oyenera, ngati akufunikira, adzasintha khalidwe la munthuyo m'malo mochotsa.
Kuti izi zitheke, akatswiri a pulmonologists amagwiritsa ntchito chida chotchedwa Medical Research Council (mMRC) dyspnea scale kuti awonetse kuchuluka kwa kupuma kwa munthu kumayambitsa zolepheretsa dziko lapansi.
Momwe Kuwunika Kumayendera
Njira yoyeza dyspnea ikufanana ndi mayesero omwe amagwiritsidwa ntchito poyesa kupweteka kwa anthu omwe ali ndi ululu wosatha.
M'malo mofotokozera dyspnea ponena za mphamvu zamapapu, mMRC mlingo udzayesa kumva ngati dyspnea monga momwe munthuyo amadziwira.
Kulemera kwa dyspnea kumayesedwa pamtunda wa 0 mpaka 4, mtengo umene udzawongolera dongosolo lachidziwitso ndi mankhwala.
| Kalasi | Tsatanetsatane wa Kufewa |
|---|---|
| 0 | "Ndimasangalala kwambiri ndi kuchita masewera olimbitsa thupi." |
| 1 | "Ndimapuma pang'onopang'ono pamene ndikufulumira pamtunda kapena ndikuyenda pamwamba pa phiri." |
| 2 | "Pansi pamtunda, ndimayenda mocheperapo kusiyana ndi anthu a msinkhu umodzi chifukwa cha kupuma kapena ndikuyenera kupuma ndikuyenda mofulumira." |
| 3 | "Ndikusiya mpweya nditatha kuyenda pafupifupi madireji 100 kapena pambuyo pa mphindi zochepa pamtunda." |
| 4 | "Ndimachita mantha kwambiri kuti ndichoke panyumba, kapena ndimakhala wopuma kwambiri ndikavala." |
Udindo wa Dyspnea Scale MMRC
MMRC dyspnea scale yatsimikiziridwa kuti ndi yamtengo wapatali mmunda wa pulmonology monga imapereka madokotala ndi ofufuza zikutanthauza kuti:
- Ganizirani momwe ntchito yothandizira imathandizira munthu payekha
- Yerekezerani momwe ntchito yothandizira imathandizira anthu
- Lembani nthawi ndi nthawi ya moyo
Kuchokera kuchipatala, mMRC imafanana bwino ndi zofunikira monga mapiritsi oyesera komanso kuyendera . Komanso, zikhulupiliro zimakhala zosasunthika pakapita nthawi, kutanthauza kuti sizing'onozing'ono zosiyana siyana zomwe munthu angaganize.
Pogwiritsa ntchito ndondomeko ya BODE kuti Udziwe Zomwe Zidzapulumutse
MMRC dyspnea scale ikugwiritsidwa ntchito kuwerengera ndondomeko ya BODE , chida chomwe chimathandizira kulingalira nthawi ya moyo ya anthu okhala ndi COPD.
Mndandanda wa BODE umaphatikizapo ndi chiwerengero cha thupi la munthu ("B"), kutsekeka kwa pamsewu ("O"), dyspnea ("D"), ndi kuleza mtima ("E"). Zonsezi zimagwiritsidwa ntchito pamlingo wa 0 mpaka 1 kapena 0 mpaka 3, chiwerengero cha zomwe zimayikidwa pa mtengo wotsiriza.
Phindu lomalizira-kuyambira pa 0 mpaka kufika 10-limapereka madokotala chiwerengero cha momwe munthu angapulumutsidwire kwa zaka zinayi. Mndandanda womaliza wa BODE ukufotokozedwa motere:
- 0 mpaka 2 mfundo: 80 peresenti yokhala ndi moyo wopulumuka
- Mfundo 3 mpaka 4: 67 peresenti yokhala ndi moyo
- 5 pa 6 mfundo: 57 peresenti yokhala ndi moyo wopulumuka
- Mfundo 7 mpaka 10: 18 peresenti yokhala ndi moyo
Zizindikiro za BODE, kaya zazikulu kapena zazing'ono, siziyikidwa pamwala. Kusintha kwa moyo ndi kulumikizana bwino kwa mankhwala kungapangitse zotsatira za nthawi yaitali, nthawi zina zodabwitsa. Izi zimaphatikizapo zinthu monga kusiya kusuta, kukonza zakudya zanu, ndikuchita masewero olimbitsa thupi kuti muthe kupuma kwanu.
Pamapeto pake, nambalayi ndi chabe chithunzi cha thanzi labwino, osati chiwonetsero cha imfa yanu.
Potsirizira pake, moyo umene mumasankha kuchita ukhoza kugwira ntchito yofunikira kuti mudziwe ngati mukukumana ndi inu kapena mukukondwera nazo.
> Zotsatira:
> Chhabra, S., Gupta, A., ndi Khuma, M. "Kuunika kwa miyeso itatu ya dyspnea mu matenda osokoneza bongo." Annals wa Thoracic Medicine. 2009; 4 (3): 128-32. DOI: 10.4103 / 1817-1737.53351.
Perez, T .; Burgel, P .; Paillasseur, J .; et al. "Modified Medical Research Council vs vs Baseline Dyspnea Index kuti awonetsetse dyspnea mu matenda aakulu omwe amachititsa kuti munthu asatenge matenda." Magazini Yachilendo Yopanda Kulepheretsa Matenda Opatsirana . 2015; 10: 1663-72. DOI: 10.2147 / COPD.S82408.