Plethysmography ndiyeso la mapapu (test pulmonary test test) lomwe limachitidwa kuti lizindikire kuti mapapu amatsatira chifukwa chozindikira kuchuluka kwa mpweya wanu m'mapapo. (Lung plethysmography ndi yosiyana ndi impedance plethysmography, mayesero a magazi m'milingo.) Amagwiritsidwa ntchito pamodzi ndi mayeso ena a mapapo chifukwa amatha kudziwa momwe mpweya ulili m'mapapu anu.
Kodi Magetsi Amagwira Ntchito Motani?
Plethysmography amachokera ku malamulo amodzi a mpweya omwe amatchedwa lamulo la Boyle. Malingana ngati kutentha kumakhala kosalekeza, kupanikizika ndi kuchuluka kwa mpweya kumakhala kosiyana kwambiri. Izi zidzakhala zomveka tikamakambirana za ndondomekoyi.
Chiyeso Chimachitika Liti?
Pulogalamu yamakono imatha kulamulidwa pa zifukwa zingapo. Ena mwa awa ndi awa:
- Pofufuza kuti adziwe kusiyana kwa matenda osokoneza bongo . (Nthawi zina zingakhale zovuta kudziwa ngati matenda a mapapu ndi olepheretsa kapena oletsedwa (pamakhala zochitika zina za pulmonary) ndipo plethysmography ingathandize kupanga kusiyana kotereku.
- Kuwona yankho lanu pa mankhwala. Mwachitsanzo, kuwona ngati matenda anu a m'mapapu akukulirakulira, kuwongolera, kapena kukhalabe ofanana.
- Kupenda mapapu anu kuti muwone ngati mungalolere opaleshoni ya khansa yamapapo.
Ndondomeko
Panthawi yachisankho, mudzafunsidwa kuti mukhale mu chipinda chaching'ono chomwe chimakhala ngati mphasa.
Ngati mumagwiritsa ntchito oksijeni, simudzasowa mpweya wanu panthawi ya mayesero. Wophunzitsira wanu adzaika zojambula pamphuno ndikukupatsani mpweya wopumira. Anthu ena amamva ngati chimbudzi chimayamba, koma mukhoza kutsegula chitseko kapena kuchotsa pakamwa panthawi iliyonse ngati mukusowa (ngakhale izi zingathe kupititsa patsogolo). Wophunzitsira adzakuchititsani kupuma mosiyanasiyana, mutapuma mokwanira, ndiye gwiritsani ntchito mpweya wambiri, kenaka mutenge mpweya wabwino ndikuwombera kunja.
Anthu ambiri amalola kuti ndondomekoyi ikhale yabwino kwambiri, ngakhale kuti anthu ena amamva ngati claustrophobic kapena kukhala ndi mutu pamutu. Zonsezi, mbali yogwira ntchitoyi imatenga pafupifupi 15 Mphindi.
Chiyeso Choyesera
Plethysmography amapereka dokotala zomwe zingamuthandize kumvetsa momwe mapapu anu akugwirira ntchito. Zowonjezera zowonjezera ma pulmonary siziyesa kuchepa kwavundi kapena kuchuluka kwa mpweya wotsala m'mapapu anu mutatha kutulutsa mpweya wabwino momwe mungathere. Pozindikira chiyeso ichi, plethysmography imathandiza dokotala kuwerenganso nambala zina. Zomwe zingagwiritsidwe ntchito pogwiritsa ntchito mayeserowa ndi awa:
- Mafuta ogwira ntchito - Vuto lokhazikika la ntchito ndi kuchuluka kwa mpweya wotsala m'mapapu anu mutatha kutulutsa mpweya wabwino momwe mungathere.
- Mphamvu yotsalira yogwira ntchito (FRC) - Mphamvu yotsalira yogwiritsira ntchito (FRC) ndiyomwe muyeso wa mpweya umasiyidwa m'mapapu anu mutatha kutulutsa mpweya. kuphatikizapo kuchuluka kwa mpweya wotsala m'mapapu anu mutapuma mokhazikika (kuchepa kwa voliyumu).
- Mphamvu za m'mapapo (TLC) - Ichi ndi chiwerengero cha kuchuluka kwa mpweya mu chifuwa chanu mutatha kutaya mpweya womwe mungathe.
Kumvetsa Zotsatira
Malingana ndi momwe zotsatira zanu zogwiritsira ntchito zowonjezereka zikukwera, zowonongeka kapena zosachepera, dokotala wanu akhoza kuyesa bwino momwe mungapangire ndi mapapu.
Kuwonjezeka kwa Mphamvu zowonjezera
Matenda opatsirana ammimba amachititsa kuti FRC iwonjezeke. Kuti muwone ichi, mungathe kulingalira momwe, ndi zinthu monga emphysema, pambuyo pa mpweya uliwonse, voliyumu yonse sizimawotha. Kutuluka kwa zotupa kumawonongeka kuti mpweya wochuluka ukhalepo. Mpweya wochuluka umene sungathe kuzimitsidwa umaphatikizidwira ku vesi yowonjezera yotsalira pambuyo popuma. Zinthu zomwe zingachititse kuti FRC yowonjezera ikuphatikizapo:
- Emphysema
- Cystic fibrosis
Kuchepetsa Mphamvu Zomwe Zimagwira Ntchito (FRC)
Kuchepetsa mphamvu yotsalira mphamvu kumatanthauza kuti pali mpweya wotsika womwe ulipo m'mapapu.
Izi, zowonjezera, zingakhale ndi zifukwa zingapo. Mapapu akhoza kukhala "otsika pang'ono" kapena kunja, mwachitsanzo, kufooka kwa mitsempha ya pachifuwa chokhudzana ndi kupweteka, kapena kuchepa kwa mapapo (kuchepa kutsata) chifukwa cha matenda aakulu a mapapu. Onetsetsani kuti mutakhala ndi gawo la mapapo a khansa ya m'mapapo. Zinthu zomwe zingachititse kuti FRC ichepetse monga:
- Idiopathic pulmonary fibrosis
- Mitundu ina ya pulmonary fibrosis
- Sarcoidosis
- Chotsani mapapo kapena gawo la mapapo
- Kunenepa kwambiri
- Sitiroko
- Scoliosis
Ziwerengerozi zikhoza kukhala zosalongosoka ngati mpweya wanu uli wopepatiza kapena wotsekedwa mwanjira ina, ngati mpweya wambiri umasiyapo m'mapapu anu mutatha kutuluka (monga emphysema ), kapena mapapu anu sangathe kukula kwathunthu.
Zitsanzo: Dokotala wa Jay adalangiza kuti apange ndondomeko yotchedwa plethysmography asanachite opaleshoni ya khansara yamapapo .
Zotsatira:
Criee, C., Sorichter, S., Smith H. et al. Thupi lothandizira - Makhalidwe ake ndi ntchito zamagetsi. Mankhwala Opuma . 2011. 105 (7): 959-971.
Laibulale ya National National Medicine. MedlinePlus. Plethysmography. Kusinthidwa 11/22/14. https://www.nlm.nih.gov/medlineplus/ency/article/003771.htm
Zysman-Colman, Z., ndi L. Lands. Thupi lonse Plethysmography: Zoganizira. Maphunziro a Zokwanira za Kuzizira . 2016. 19: 39-41.