Kusokonezeka Komwe Kumakhudza Mphamvu Yowonjezera Kapena Kuika
Ponena za matenda a m'mapapo, adokotala nthawi zambiri amachititsa kuti izi zisawonongeke. Pamwamba, mawuwa amadzilankhulana okha ndi kulepheretsa ndime zapansi ndi zina zomwe zimalepheretsa munthu kukhala ndi mphamvu zokwanira.
Ndi kusiyana komwe sikungakhale koyambirira poyamba koma kamene kamatha kusiyanitsidwa ndi mayesero a batri omwe amayesa mphamvu ndi mphamvu ya inhalation ndi kutuluka kwa munthu.
Zizindikiro za Matenda Oletsa Matenda
Pamene munthu akuvutika kutulutsa mpweya wonse m'mapapo, iye amati ali ndi matenda obwera m'mapapo. Kuwonongedwa kumatanthauzidwa ndi kutuluka kunja komwe kumakhala kochepetseka komanso kosasuntha kusiyana ndi munthu wathanzi.
Kutsekeka kumatha kuchitika pamene kutupa ndi kutupa zimapangitsa kuti mpweyawo usatsekerere kapena kutsekeredwa, zomwe zimapangitsa kuti zikhale zovuta kuchotsa mpweya m'mapapo. Izi zimachititsa kuti mlengalenga mlengalenga mpweya wochuluka kwambiri womwe timatcha "kuwonjezeka kwavunduku."
Mitsempha ya m'mapapo yowonongeka, kuwonjezeka kwavuto kumatulutsa mpweya wambiri komanso kutentha kwa mapapu-kusintha kumene kumapangitsa kuti zizindikiro za kupuma ziwonjezeke.
Matenda ammapapu otsatirawa ndi olepheretsa:
- Matenda osokoneza bongo (COPD)
- Matenda a bronchitis
- Phumu
- Bronchiectasis
- Bronchiolitis
- Cystic fibrosis
Makhalidwe Oletsedwa Matenda Achilombo
Zokakamiza mapapo a m'mapapo amadziwika ndi kuchepetsedwa kwathunthu mapapu mphamvu (TLC) .
Mosiyana ndi chilepherero, choletsedwa chimatanthauzidwa ndi kupuma kumene kumadzaza mapapo kusiyana ndi momwe angayang'anire munthu wathanzi.
TLC imayimira kuchuluka kwa mpweya womwe ulipo m'mapapu mutatha kutenga mpweya wozama kwambiri. Kuyeza TLC kumaonedwa kuti ndi kofunikira kutsimikizira kukhalapo kwa choletsa chenichenicho, kugawidwa ngati chinthu, chokhazikika, kapena chamoyo.
Matenda oponderezedwa m'thupi ndi omwe amapezeka chifukwa cha mapapo okha ndipo angaphatikizepo:
- Chibayo
- Chifuwa chachikulu
- Sarcoidosis
- Idiopathic pulmonary fibrosis
- Lobectomy ndi pneumonectomy (opaleshoni ya khansa yamapapo)
Matenda osokoneza bongo amatanthauza zomwe zimachokera kunja kwa mapapo. Izi zikuphatikizapo kuwonongeka koyambitsa:
- Scoliosis
- Kunenepa kwambiri
- Pleural effusion
- Matenda owopsa
- Ascites (kutupa m'mimba chifukwa cha matenda a chiwindi kapena chiwindi cha chiwindi)
- Pleurisy
- Kuphulika kwa Rib
Matenda osokoneza ubongo ndi omwe amayamba chifukwa cha matenda omwe amachititsa kuti mapapu asagwire bwino ntchito. Zina mwazimene zimayambitsa:
- Kufa ziwalo za diaphragm
- Myasthenia gravis
- Mitsempha yotupa
- Amyotrophic lateral sclerosis (ALS, kapena Matenda a Lou Gehrig)
Mayesero Amagwiritsidwa Ntchito Kuti Azindikire Matenda Oletsedwa ndi Oletsedwa
Spirometry ndi malo omwe amagwiritsidwa ntchito pofufuza momwe mapapu anu amagwiritsira ntchito poyeza kuchuluka kwa mpweya womwe mumapanga, kuchuluka kwa momwe mumatulutsira , ndi momwe mumatulutsira mwamsanga. Mayesero amodzi ndi awa:
- Kuthamanga kwambiri (FVC) kumayambira ndi munthu amene amatenga mpweya wokwanira momwe angathere ndiyeno akuwombera mokakamiza kwa nthawi yaitali. Chifukwa chakuti mphamvu yamapapu imachepetsedwa m'magulu onse olepheretsa komanso oletsa, FVC yokha siingathe kupeza vuto lililonse.
- Vuto lopatsirizika pamtunda umodzi (FEV1) limayeza kuchuluka kwa mpweya umene ungathe kutulutsa mpweya muyeso yoyamba yachiyeso cha FVC. Anthu odwala nthawi zambiri amathamangitsa pafupifupi 75 mpaka 85 peresenti. The FEV1 imachepa m'matenda a m'mapapo omwe amachititsa kuti matenda a m'mapapo asokonezeke komanso kuti asachepetse m'maganizo amtundu wa m'mapapo.
- Chiwerengero cha FEV1 mpaka FVC chimaimira kuchuluka kwa chiwerengero cha FVC kuchotsedwa m'mapapu pa nthawi yachiwiri yoyamba kuthamangitsidwa. Chiŵerengero chimenechi chacheperachepera m'mitsempha yowonongeka ndi yachibadwa kuti iwonjezeke m'mabvuto okhudza mapapo.
- Mphamvu zonse zamapapo (TLC) zimawerengedwa powonjezera mpweya wa mpweya womwe umatsalira m'mapapu pambuyo pa kutuluka kwa mpweya (kuchepa kwa voliyumu) ndi FVC. TLC ndi yachibadwa kapena yowonjezereka mu zolepheretsa obstructive ndipo inachepa mu zolepheretsa.
Zopinga ndi Zolepheretsa Chingwe Chapafupi Chapafupi
Kuyeza | Njira zoletsera | Chizoloŵezi choletsa |
Kulimbikitsidwa kwambiri (FVC) | kuchepa kapena zachizolowezi | kuchepa |
Voliyumu yothamanga yopuma | kuchepa | kuchepa kapena zachizolowezi |
Gawo la FEV1 / FVC | kuchepa | yachibadwa kapena yowonjezereka |
Mphamvu yamapapo yonse (TLC) | yachibadwa kapena yowonjezereka | kuchepa |
> Chitsime:
> Pérez, L. "Ofesi ya spirometry." Osteopathic Family Physician. March-April 2013; 5 (2): 65-69.