Zomwe muyenera kudziwa za vutoli lodziwika bwino
Ngati muli ndi matenda osokoneza bongo (COPD), muli ndi chiopsezo chowonjezereka pa zovuta zambiri, kuphatikizapo mapapu a hyperinflated. Anthu ambiri omwe ali ndi COPD ali ndi kuchuluka kwa hyperinflation m'mapapo, mosasamala kanthu za kuuma kwa chikhalidwe chawo. Koma kodi muyenera kuda nkhawa? Nazi mfundo zokhudzana ndi vutoli, kuphatikizapo chomwe chiri, chomwe chimayambitsa, komanso mapapu a hyperinflated angakhudze thanzi lanu.
Kodi Hyperinflation ya Mabungula ndi chiyani?
Kawirikawiri, hyperinflation ya mapapo imapezeka pamene wodwala ayamba kuphulika mpweya utatha. Izi zimapangitsa kuti mpweya wambiri ulowe m'mapapo ndi mpweya uliwonse wotsatira, zomwe zimawapangitsa kuti azigwira zambiri kuposa momwe ayenera kukhalira ndikugwira ntchito mochepa. Mapapu opatsirana mobwerezabwereza nthawi zambiri amakhalabe osadziwika kwa anthu omwe ali ndi COPD, pokhapokha atapeza chifuwa cha X-ray.
Kulimbana ndi Dynamic Hyperinflation
Pali mitundu iwiri ya mapapu a hyperinflation: static and dynamic. Kuthamanga kwa magazi kumapezeka chifukwa cha kuchepa kwa mapapu. Mitsempha yotchedwa alveoli , yomwe ndi ing'onoing'ono m'mapapu omwe amachititsa kuti mpweya wa okosijeni ndi mpweya wa carbon dioxide ukhale wosakanikirana, ndipo mpweya wabwino wamapapu wabwino ndi wotsekemera, womwe umatsegula mpweya panthawi yopuma. Pamene mapapu amatha kutuluka , mapapu amafunikira mavoti ambiri kuti athe kugwira ntchito zawo zowonongeka. Kusintha kumeneku kumapangitsa kuti pakhoma la chifuwa ndi m'mapapo zikhale zovuta kwambiri ndipo zingayambitse mavuto.
Mtundu uwu wa hyperinflation umayamba kuchitika pa milandu yoopsa kwambiri ya COPD.
Mtundu wochuluka wa hyperinflation umene umapezeka mwa anthu omwe ali ndi COPD amatchedwa mphamvu ya hyperinflation. Izi zimachitika pamene wina ayamba kuvuta kwake asanatuluke bwinobwino. Pakapita nthawi, mpweya wochuluka umalowerera m'mapapo ndi mpweya uliwonse, kuchititsa mapapu kuti afalikire kupitirira kutalika kwake.
Izi zimachitika kwa anthu omwe ali ndi COPD chifukwa cha kuchepa kwa kayendetsedwe ka ndege, kutukusira ndi ntchentche zomwe zikudula zomwe zingatenge nthawi yomwe imatuluka.
Momwe Mafupa Amadzimadzi Amakhudzira Thanzi Lanu
Monga tanenera, anthu ambiri omwe ali ndi COPD ali ndi mapapu a hyperinflated koma sakudziwa. Iwo samva ngati pali cholakwika chirichonse ndipo sangazindikire vuto linalake la thanzi, kupatulapo zizindikiro za COPD . Komabe, mwa zina, hyperinflation ikhoza kulepheretsa kwambiri kupuma. Pazochitikazi, kusintha kwakukulu kumawoneka kwa odwala atapatsidwa opaleshoni yochepetsa opaleshoni, njira yomwe minofu yowonjezera imachotsedwa m'mapapo kuti awagwiritse ntchito bwino.
Ngati muli ndi COPD, lankhulani ndi dokotala wanu kuti mudziwe ngati mungakhale pa chiopsezo cha zotsatira za mapapo a hyperinflated.
Zotsatira:
Gary T. Ferguson "Nchifukwa Chiyani Mphungu Yamadzimadzi Yotchedwa Hyperinflate?" Mapulogalamu a American Thoracic Society, Vol.3, No.2 (2006), masamba 176-179.
Chipatala cha Mayo. (2014, November 14). Emphysema: Chifuwa chaposachedwa X-ray chinasonyeza kuti ndiri ndi mapapu a hyperinflated. Nchiyani chingayambitse izi?
University of Southern California. (nd). Kuchiza kwa Emphysema: Opaleshoni Yopewera Mphamvu (LVRS).