FVC monga Njira Yoyamba Kuyeza Matenda a Mitsempha
Kuthamanga kwambiri, kapena FVC, ndi kuchuluka kwa mpweya umene ukhoza kutulutsa mpweya kuchokera m'mapapo mutatha kutenga mpweya wakuya kwambiri. FVC imagwiritsidwa ntchito kuthandizira kudziwa kuti kukhalapo kwa matenda a m'mapapo ndi koopsa.
Mwachidule
Kuthamanga kwambiri (FVC) kumayesedwa mu mayeso otchedwa spirometry , mtundu wa pulmonary test test. Mu kuyesa kwa spirometry, chigoba chimayikidwa pamwamba pa nkhope yanu.
Miyeso imatengedwa pamene mumapuma ndikupuma kunja (exhale) monga mwamphamvu momwe mungathere.
Zifukwa zowerengera
Pali zifukwa zambiri zomwe adokotala angasankhe kuyeza FVC yanu - kuchuluka kwa mpweya mungathe kutulutsa. Izi ziphatikizapo:
- Kufufuza zizindikiro zomwe zingasonyeze matenda a mapapo, monga kupuma pang'ono, kukokera, kapena kupuma.
- Kuwunika matenda a mapapo omwe amapezeka kale kuti awone ngati akuipiraipira, kapena awone ngati akukula bwino ndi mankhwala.
- Kufufuza momwe mungathe kulekerera opaleshoni kapena pulogalamu yochita masewera olimbitsa thupi. Nthawi zina madokotala amachititsa kuti kupuma kwanu kukhale kolimba musanayambe opaleshoni, makamaka ngati mutakhala opaleshoni yamapapo. Kuonjezerapo, anthu ena ali ndi mayesowa asanayambe ntchito yatsopano.
- Kuyeza matenda a mtima. Zaka zaposachedwapa, zapezeka kuti FVC imagwirizana kwambiri ndi chiopsezo cha matenda a mtima, ngakhale ikadali "yachibadwa".
- Monga mapeto kumayesero a kachipatala. Mavuto a chipatala akuyang'ana kuti apeze momwe mankhwala akugwiritsira ntchito akhoza kuyesa FVC m'magulu ambiri a anthu poyerekeza ndi mankhwala ochiritsira.
Zomwe Zoyeserazo Zili Zofunikiradi
Poyerekeza kuchuluka kwa mpweya mungathe kulimbana mwamphamvu, madokotala angathe kudziwa zinthu zambiri za mapapu anu ntchito.
Madokotala amayamba kufanizitsa chiyeso chanu ndi zomwe zinganenedweratu malinga ndi msinkhu wanu, kutalika kwake, ndi kulemera kwanu.
Zovuta Kuletsa Matenda Ochepetsa Matenda - FEV1 / FVC
Popeza FVC ingachepetsedwe mofanana m'magulu onse olepheretsa komanso opondereza ammapapo , nthawi zambiri imakhala yothandiza kwambiri ngati imagwiritsidwa ntchito ngati chiŵerengero ndi kuchuluka kwa mpweya umene ungathe kuwombedwa mwamphamvu mphindi imodzi. Mwa kuyankhula kwina, chiŵerengero cha FEV1 / FVC chimathandiza kusiyanitsa zolepheretsa ku matenda ochepetsa mapapo. Pamene FEV1 imapanga zosachepera 80% za FVC imasonyeza kuti chitetezo chikuchitika m'mapapu. Kutsekeka kungakhale kotembenuzidwa, monga ndi mphumu , kapena chosasinthika, monga ndi COPD. Muzirombo zolimbitsa thupi, monga pulmonary fibrosis , nambala zonsezo zacheperapo.
Zinthu
Ndikofunika kuzindikira kuti FVC ikhoza kuyang'anidwa m'njira ziwiri. Zonsezi zikufanana ndi zomwe FVC yanu inaneneratu kuti ikhale yosiyana ndi msinkhu wanu, kutalika kwake, ndi kulemera kwake, ndi momwe FVC yanu imasinthira payekha pa inu. FVC ikhoza kuchepa pazikhalidwe zosiyanasiyana ndipo zingakhale zosakhalitsa kapena zosatha. Ena mwa awa ndi awa:
- Matenda osokoneza bongo (COPD) - Kuphatikizapo bronchitis (FVC ikhoza kukhala yachibadwa kapena yotsika) emphysema (FVC yatsika) ndi bronchiectasis .
- Matenda othawa pamsewu monga idiopathic pulmonary fibrosis .
- Matenda oyenda mumsewu omwe amalembedwa ndi scoliosis ndi chifuwa chachikulu.
- Matenda monga sarcoidosis .
- Matenda a m'mapapo opweteka monga asbestosis ndi silicosis.
- Matenda a khansa.
Gawo lotsatira ngati FVC yatsika ndikuyang'ana chiŵerengero cha FEV1 / FVC kuti azipatula matenda a m'mapapo kukhala zovuta kapena zolepheretsa. Ngati chiŵerengerocho n'chofanana, izi zikutanthauza matenda opatsirana ammapapo ndi mayesero omaliza a pulmonary. Ngati chiŵerengerocho chili ndi zaka zosachepera 80% (kuphatikizapo kapena kuchepetsa malingana ndi zaka komanso zina) matenda a m'mapapo angakhale obstructive.
Gawo loyamba ndiye kuti muwone ngati chilepherero chimasinthidwa (ndi bronchodilator) kapena ayi.
Zotsatira za Kusuta
Kusuta fodya, kuphatikizapo zoopsa zake zonse, kumachepetsa FVC. Chinthu choopsya posachedwapa kwa madokotala ndi momwe izi zimachitikira mwamsanga - ngakhale achinyamata omwe atangotenga chizolowezi posachedwapa.
> Zotsatira:
> Johnson, J., ndi W. Theurer. Njira Yotsata Kufotokozera Kuyesedwa kwa Ntchito Yowonongeka. American Family Physician . 2014. 89 (5): 359-366.
> Godfrey, M., ndi M. Jankowich. Mphamvu Yofunikira Ndiyofunika : Epidemiology > ndi Kufunika kwa Chipatala cha Spirometry Chotsatira. Chifuwa . 2016. 149 (1): 238-251.
> Koo, K., Yun, H., Byeong-Ho, J. et al. Kugwirizana Pakati pa Mphamvu Yofunika Kwambiri ndi Framingham Maphunziro a Kuopsa kwa Magetsi Pambuyo pa Kupezeka kwa Matenda a Metabolic: Fufuzani Kafukufuku Wowunika wa China wa Nthenda ya Nthenda ndi Nutrition. Mankhwala . 2015. 94 (47): e2089