Spirometry Zotsatira Zimadalira Kwambiri Pakati pa Odwala ndi Ophunzira
Ngati mwangoyamba kumene kuyesedwa kwa spirometry ndipo zotsatira zanu zinali zosapindulitsa, mwina mumadabwa ngati pali chinachake chomwe mwachita - kapena simunachite - zomwe zikhoza kuti zakhudza zotsatira zanu za spirometry. Kulondola kwa zotsatira za mayeso ndipotu, kudalira kwambiri kwa inu, wodwala, ndi wothandizira kuyesa. Pali zifukwa zingapo zomwe zimadziwika kuti zimakhudza zotsatira za mayesero, zomwe zowonjezereka ndizo:
- Deta Zachiwerengero Zosawerengeka - Pamene mutenga mayeso a spirometer, zotsatira za mayeso anu zikufaniziridwa ndi zomwe zikuyembekezeredwa kuti akhale achilendo, wathanzi. Izi "zoyenera, zomwe zinayesedwa" zimatsimikiziridwa pa kafukufuku wofufuza anthu pogwiritsa ntchito nkhani zomwe zimakhala ndi mapapu ogwira ntchito. Wodwala aliyense ali ndi malamulo ake omwe amatsimikiziridwa pogwiritsa ntchito deta ya anthu omwe ali ndi zaka zofanana, kutalika, kulemera, ndi kugonana (ndipo nthawi zina mafuko). Ngati pazifukwa zina wodwala amapereka deta yolondola ya anthu, kapena deta ya anthu imalowa mwachinyengo ndi wothandizira, zotsatira za mayeso zimakhudzidwa. Dokotala wabwino adzawunika mfundoyi molondola kuti asanamasulire mayesero.
- Zotsatira Zomwe Simungavomereze - Pambuyo pa spirometry, zotsatira zowunika zimayesedwa kuti zivomereze ndi kubereka (onani m'munsimu). Kawirikawiri, FVC ikuyendetsa bwino ngati wodwala atayesetsa - chinthu chomwe chimatsimikiziridwa pogwiritsa ntchito zofunikira. Ngati wodwalayo akudwala, kapena china chake chimalepheretsa khama lake kuti amveketse kapena kupitiliza kuyesedwa panthawi ya mayesero, zotsatira zake sizikhala zolondola ndipo, kotero, zidzakondweretsedwa.
- Zotsatira Zomwe Sizibwezedwanso - Mayeso a spirometry ayenera kubwerezedwa mobwerezabwereza katatu. Pofuna kuthana ndi zizindikiro zobereka, zigawo zitatu za FEV1 , ndi zitatu zonse za FVC ziyenera kukhala zoposa 200 milliliters (ml). Chiyeso ndi FEV1 chachikulu ndi FVC chikuyimira zotsatira za mayesero a wodwalayo pa mayesero omwewo. Ngati chimodzi mwazifukwazi sichinakwaniritsidwe, mayeserowa alephera kukwaniritsa zofunikira.
Zifukwa Zowonjezera Zotsatira Zosavomerezeka Kapena Zosabwereka
Zotsatira zoyesera zomwe sizolandiridwa kapena zobwezeretsedwa sizinayesedwe kuti ziri zolondola, komanso sizidzasonyeza kuwona kwa wodwalayo, kupweteka kwapapu kwapakati. Nazi zifukwa zingapo zomwe zingatheke izi:
- Kulephera kupereka mphamvu zokwanira (nthawi zambiri chifukwa cha matenda kapena kupweteka komwe kumapweteka ndi njira iliyonse).
- Osamvetsetsa mayesero a mayeso (mwina chifukwa cha chilankhulo kapena chidziwitso , kapena kuchepa kwakumvetsera).
- Kuwombera nthawi iliyonse panthawi yoyendetsa, koma makamaka nthawi yachiwiri yoyamba.
- A Valsalva amayendetsa (kugwa pansi) kapena kukayikira pa kayendetsedwe kamene kamayambitsa mpweya kuyenda.
- Chisindikizo chokwanira chozungulira chozungulira cha spirometer.
- Kuwonongedwa kwa cholankhulira (kumachitika pamene lilime kapena mano amaikidwa molakwika pamaso pa pakamwa pamayesero).
- Kusintha kwa cholankhulira (chifukwa cha kuluma kapena kutafuna pamlomo).
Mmene Mungatsimikizirire Kuwona Kwakukulu kwa Spirometry
Ngati muli ndi COPD , spirometry idzabwerezedwa nthawi zosiyanasiyana kuti mudziwe ngati matenda anu apita patsogolo komanso kuti mukutsatira bwanji chithandizo cha COPD . Poyamba, mayesero angaoneke ovuta, koma pasanapite nthawi, idzakhala yachiwiri.
Ngati ili ndiyeso lanu loyamba la spirometry, yang'anani zotsatilazi zotsatira musanayese kuyesa kuti mutsimikize zotsatira zowona bwino:
- Onetsetsani kuti mumamvetsetsa mayesero . Ngati simukutero, funsani wogwira ntchito kuti abwereze pomwe akuwonetsa njira yolondola yolembera ndi kuyimitsa pakapita nthawi.
- Uzani wothandizira ngati simukumva bwino . Mayeso anu angafunikirenso kusinthidwa tsiku lomwe mumakhala bwino.
- Gonani usiku wabwino usanayambe kuyesedwa. Kugona kovuta kwabwino kumakhudza khama.
- Pewani kusuta osachepera ola limodzi musanayese. Kusuta kungakhudze zotsatira zanu.
- Perekani wophunzitsira wanu kulemera koyenera . Kawirikawiri, abambo alibe vuto lokhala owona mtima ponena za kulemera kwawo, koma mwina palibe mkazi wamoyo amene, panthawi ina, sananene zabodza za kulemera kwawo. Kulemera koyenera n'kofunikira powerenga zotsatira za spirometry.
- Pewani kudya zakudya zolemetsa m'mawa a yeseso. Mimba yangwiro ingasokoneze luso lanu lopuma kwambiri.
- Pewani kumwa mowa maola 4 asanayese. Mwa zina, mowa ukhoza kufooketsa khama komanso kusokoneza zotsatira zanu.
- Pewani kuchita masewera olimbitsa thupi osachepera mphindi 30 musanayese. Mudzasowa mphamvu zanu zonse kuti muyesetse kuyesetsa.
- Tsatirani malangizo a dokotala anu omwe mukuyenera kumwa mankhwalawa komanso musamapite tsiku la mayesero. Pogwiritsa ntchito mankhwala a bronchodilator kapena mankhwala ena musanayese zotsatirazo.
> Chitsime:
> American Thoracic Society. Ntchito Yowonongeka. American Journal of Respiratory Critical Care Mankhwala. Vol. 176, P5-6, 2007.