Kuyeza ndi Tanthauzo
Mphamvu yamapapo yonse, kapena TLC, imatanthawuza kuchuluka kwa mpweya m'mapapo mutatha kutenga mpweya wozama kwambiri.
Odwala omwe ali ndi matenda osokoneza bongo (COPD) nthawi zambiri sangathe kuwongolera bwino, zomwe zimachititsa kuti mapapu ndi mphamvu zamapapu zitheke.
Kodi Chiwerengero cha Mphamvu Zowonongeka Zimayesedwa Bwanji?
TLC imayesedwa kupyolera mu thupi kapena m'mapapo , pulogalamu yamakono ambiri, omwe amayesa kudziwa momwe mpweya uliri m'mapapu anu pamene mutenga mpweya wabwino komanso momwe mpweya umasiyamo m'mapapu anu mutatha kutulutsa momwe mungathere .
Thupi la plethysmography limathandiza dokotala kudziwa zambiri zokhudza matenda a mapapu komanso momwe mungachitire.
Kuyesedwa mu milliliters, mphamvu yaikulu ya mapapu abwino ndi pafupifupi 6,000 mL. Kwa odwala omwe ali ndi COPD , kuchuluka kwa mpweya kumasiyapo m'mapapo pamene kupuma kuli kosavuta, chikhalidwe chodziwika kuti hyperinflation.
Spirometry ndi kafukufuku wamapapu kawirikawiri amagwiritsidwa ntchito kuti azindikire COPD, koma mosiyana ndi mapulogalamu a mapuloteni-sizomwe zimapereka chidziwitso cha mphamvu yamapapo kapena mapulogalamu a mapaipi omwe amatsalira (kuchuluka kwa mpweya kumasiyapo m'mapapo pambuyo kutuluka mpweya). Zonsezi, mayeserowa akhoza kupatsa dokotala chithunzi chokwanira cha matenda anu.
Kutentha kwa Hyperinflation mu COPD
Hyperinflation ya mapapo imapezeka mwa anthu ambiri omwe ali ndi COPD. Chimene chimachitika ndi chakuti, kutuluka kwa mpweya wabwino kutuluka, anthu ayamba kuthamanga mpweya wawo asanachotse mapapu awo.
Nthawi iliyonse izi zimachitika, mpweya wambiri umakhala "wotsekedwa" m'mapapu. Chifukwa cha mpweya woterewu, mapapu amafunika hyperinflate kuti apume mpweya wotsatira, ndipo popeza mapapu sanapangidwe ku hyperinflate, mpweya uwu umafuna ntchito yambiri kusiyana ndi yomwe imafunikiridwa ndi mpweya uliwonse.
Kutentha kotereku ndi kuchita masewera olimbitsa thupi kapena ngakhale tsiku ndi tsiku, kumayambitsa dyspnea , kutengeka kwa mpweya wochepa.
Dyspnea mwa anthu omwe ali ndi COPD nthawi zambiri amatsogolera ku:
- Kupewa kuchita masewera olimbitsa thupi
- Kusintha kwa thupi
- Mkhalidwe wapansi wa moyo
- Chiopsezo chachikulu cha matenda ena, monga matenda a mtima
Mtundu wa hyperinflation womwe ukutchulidwa pamwambapa umene munthu ayamba kupuma mpweya usanatuluke kwathunthu umatchedwa "mphamvu ya hyperinflation." Mtundu wina wa hyperinflation wotchedwa "static hyperinflation" ukhozanso kupezeka kwa anthu okhala ndi COPD yoopsa. Kuthamanga kwa magazi kumachitika ngati mapapu amatha kutaya thupi ndipo amafuna kuti miyeso yambiri ikhale ndi mapweya pambuyo pa mpweya uliwonse.
N'chifukwa Chiyani Mavuto Ambiri Amayesedwa?
Mphamvu zamapapo zonse zingayesedwe pa zifukwa zingapo.
- Kufufuza ndi kusiyanitsa zoletsa ndi matenda obwera m'mapapo .
- Kuyesa yankho lanu ku mankhwala monga bronchodilators , methacholine, histamine, kapena isocapnic hyperventilation.
Kodi Lunge Plethysmography Lingachitike Liti?
Musayambe kupuma m'mapapo ngati mutasokonezeka maganizo, muli ndi vuto lopweteka kwambiri kapena Parkinsonism, kapena muli ndi thandizo lopumira la oxygen lomwe simungakhoze kuimitsa ngakhale kwa kanthawi.
Kodi Thupi Lanyama Limapangidwa Motani?
Ngati dokotala akuyesa mayeso a mapapu kuti ayese mphamvu yanu yamapapu, mutha kupeza chitonthozo podziwa mayesowa ndi osavuta komanso opanda zopweteka.
Pakati pa mayeserowo, mutha kukhala mu galasi loyera bwino kukula kwa foni ya foni ndiyeno, kuvala phokoso la mphuno, mudzakulangizidwa ndi opaleshoni yopuma kupuma kudzera m'kamwa ndi kaphatikizidwe ka makina oyesa. Nthaŵi zina, mpweya woipa monga carbon dioxide, umaphatikizidwira mumlengalenga kuchokera kumakina.
Mayesowa amatenga pafupifupi maminiti atatu. Zimasintha kusintha kwa mpweya mkati mwa nyumbayo kuti mudziwe kuchuluka kwa mpweya womwe mungapume m'mapapu anu.
Kuti mupeze zotsatira zolondola kwambiri, musanayese mayeso musayenela:
- Utsi kwa ola limodzi
- Imwani mowa kwa maola anayi
- Kuchita masewera olimbitsa thupi mkati mwa mphindi 30
- Idye chakudya chachikulu mkati mwa maola awiri
Dokotala wanu angakuphunzitseni kuti musamamwe mankhwala ena pa tsiku la mayeso. Onetsetsani kutsatira malangizo a dokotalayo molondola.
Zifukwa Zowonjezereka Zowonjezera Mphamvu
Matenda a m'mapapo ndi otupa omwe amatha kuchoka m'mapapo mofulumira kuposa momwe amachitira, ndipo amakhala ndi zinthu monga COPD, asthma , bronchiectasis , ndi cystic fibrosis. Ndizimenezi, mphamvu yamapapo yonse ikhoza kuwonjezeka chifukwa cha hyperinflation.
Zimayambitsa Kuchuluka kwa Mphamvu za Lung
Mu matenda opatsirana ammapapu, mapapu nthawi zambiri "amalepheretsedwa" kuchotsa mpweya waukulu ndipo mphamvu yamapapo yonse yachepa. Pali mitundu yambiri yamakono yotulukira m'mapapo, malinga ndi momwe chiletsocho chimayambira kunja kwa mapapo kapena m'mapapo okha. Matenda a m'mapapo amkati ndi awa monga sarcoidosis , idiopathic pulmonary fibrosis , chibayo, kapena kuchepa kwa mapapu pambuyo pa opaleshoni yamapapo. Matenda a m'mapapo amkati amaphatikizapo kunenepa kwambiri, scoliosis, ndi chifuwa chachikulu pakati pa ena.
Mfundo Yofunika kwa Anthu Omwe ali ndi COPD ndi Kuwonjezeka kwa Mphamvu Zonse za Lung
Ngati mukukhala ndi COPD, zingakhale zothandiza kumvetsetsa zomwe zafotokozedwa pano zomwe zimayambitsa hyperinflation. Kupuma pang'ono kumabweretsa kuzimitsa, zomwe zimaipitsa zinthu zomwe zimachititsa kupuma pang'ono, ndi zina zotero. Ikhoza kukhala mzere wovuta. Onani zotsatila izi zothandizira kupuma pang'ono ndi COPD poyambira. Yambani kuchita nthawi yomweyo. Ngati simukudziwa kumene mungayambire, onani machitidwe abwino awa kwa anthu omwe ali ndi COPD . Ngati mukuvutika kuti mukhale ndi pulogalamu yochita masewero olimbitsa thupi, pendani zifukwa zisanu zomwe muyenera kuchita ndi COPD .
Pomalizira, ngati wokondedwa wanu m'malo momwenso mukulimbana ndi COPD, onani njira izi kuti muthandize wokondedwa ndi COPD .
Zotsatira:
Godfrey, M., ndi M. Jankowich. Mphamvu Yofunikira Ndiyofunika: Kupatsirana kwa Edzi ndi Kufunika kwa Chipatala cha Spirricry Restrictive Pattern. Chifuwa . 2016. 149 (1): 238-51.
Zysman-Colman, Z., ndi L. Lands. Thupi lonse Plethysmography: Zoganizira. Maphunziro a Zokwanira za Kuzizira . 2016. 19: 39-41.