Ukuhlaziya ISIZA - kuyini? Izinkomba kanye rate

Ngokuvamile, odokotela linqume iziguli yabo ibhekane cwaningo ISIZA. Kuyini lokhu? Hlobo luni Imiphumela kungenziwa kubhekwe njengento evamile? Yini izifo nezinkinga zempilo Kungahlonzwa ngomshini usebenzisa le ndlela? Lezi zinkinga esinesithakazelo kuyo abaningi.

ISIZA - kuyini?

ISIZA - emelela ukuthi imele "wamaphaphu umsebenzi". Ukutadisha okunjalo ukuhlola umgudu wokuphefumula. Ngokwesibonelo, ngosizo udokotela kunquma ukuthi umoya kakhulu engena amaphaphu nesineke, futhi lokho okuphuma. Ngaphezu kwalokho, phakathi novivinyo, ungakwazi ukuhlaziya ushintsho emoyeni ukugeleza Isivinini ezingxenyeni ezahlukene umgudu wokuphefumula. Ngakho, isifundo kusiza ukuhlola umthamo ukupholisa kwamaphaphu.

ISIZA ukubaluleka imithi yesimanje

Eqinisweni, ukubaluleka kwalesi ucwaningo ayikwazi overestimated. Ngokwemvelo, isetshenziselwa sitholakele izifo ezithile umgudu wokuphefumula. Kodwa uhla isicelo se-ndlela ebanzi lukhulu. Ngokwesibonelo, spirometry Kuphoqelekile, ukuhlolwa njalo abantu abasebenza ezimweni eziyingozi. Ngaphezu kwalokho, imiphumela yale ukuhlaziywa zisetshenziselwa isici nempilo yabantu, ukunquma ukufaneleka yayo ukuze basebenzele abanye ezindaweni.

Lolu cwaningo isetshenziselwa zokuqapha ashukumisayo, njengoba kwenza ukulinganisa ijubane ukuthuthukiswa isifo futhi imiphumela yokwelapha. Kwezinye izimo, ukuhlaziywa ISIZA esetshenziselwa izifo umzimba uxabane nawo, ngoba kusivumela ukulandelela umthelela into phezu ipheshana zokuphefumula. Kwezinye izimo, bafeza okukhulu labantu spirometry ukunquma isimo sempilo kwabakhileyo esishintshashintshayo ahlukahlukene nendawo kanye nezemvelo.

Izinkomba for ukuhlaziya

Ngakho, isifundo batusa ukuthi iziguli somoya okusolakala, ukucinana kwemithambo yomoya emaphashini noma yimuphi omunye nezifo ezingamahlala khona kohlelo bronchopulmonary. Izinkomba zokwenza ukuhlaziywa kukhona ukukhwehlela njengoba okungamahlalakhona, izikhathi zokudakwa kaningi Ukuphelelwa. Ngaphezu kwalokho, ucwaningo isetshenziselwa sitholakele izilonda yamaphaphu semithambo, kuhlanganise thrombosis we Umthambo yamaphaphu, umfutho wegazi ophakeme yamaphaphu nokunye. D. Imiphumela ISIZA kuthiwa kubalulekile nokuphatha kahle izifo ezithile thoraco-diaphragmatic, kuhlanganise ukukhuluphala, ephelezelwa hypoventilation alveolar, futhi Schwarte pleural, ukwephula ahlukahlukene ukuma kanye ugobile yomgogodla, ukukhubazeka kwamanyuroni. Kwezinye izimo ukuhlaziya ezinqunyiwe iziguli ukuze nokuhlola ukusebenza ezikhethiwe ukwelashwa lwemithi.

Indlela ukulungiselela ukuhlolwa

Ukuze uthole imiphumela olunembile kakhulu, kuzomele ulandele iziqondiso ezithile ngaphambi ISIZA. Hlobo luni imithetho ukulungiselela? Eqinisweni, yonke into ilula - kubalulekile ukudala izimo for esiphezulu ukuphefumula khulula. Spirometry ngokuvamile eyenziwa esiswini esingenalutho. Uma ucwaningo kwakuhlelwe ntambama noma ebusuku, ungathatha ukudla ukukhanya, kodwa amahora kungakadluli ezimbili ngaphambi ukuhlolwa. Ngaphezu kwalokho, akukho ukubhema amahora 4-6 ngaphambi kokuqala ucwaningo. Kuyefana nasendleleni ukucindezeleka ngokomzimba - .. Okungenani usuku olulodwa ngaphambi udokotela ISIZA ukuncoma nokukhawulela umsebenzi ngokomzimba, ukukhansela ukuqeqeshwa noma ukugijima, njll On imiphumela cwaningo futhi kungase kuthinte eminye imishanguzo. Ngakho-ke, ngosuku inqubo akufanele bathathe imithi engakuthinta ukungawi ipheshana zokuphefumula, kuhlanganise nezidakamizwa kusukela iqembu non-abakhethayo beta-blocker, kanye nemithi bronchodilators. Kunoma yikuphi, qiniseka ukuthi uyamtshela udokotela wakho mayelana oyiphuzayo uthatha kuwo.

inqubo Uhlolojikelele

Ukuhlolwa kuthatha esingaphansi kwehora. Ukuze uqale, udokotela ukukala ngokucophelela ubude nesisindo isiguli. Ngemva kwalokhu umuntu isampula lufakwa ekhaleni kwesiqeshana ekhethekile - ngakho-ke ungakwazi kuphela uphefumula ngomlomo. Emlonyeni, isiguli egcina isetshenziswa ekhethekile, lapho ukuphefumula - kuhlobene inzwa ekhethekile, okuyinto esiqukethe zonke izinkomba. Okokuqala, udokotela amawashi umjikelezo ovamile zokuphefumula. Ngemva kwalokhu, isiguli kufanele benze iqhinga ukuphefumula - okokuqala yenza kungenzeka umoya kakhulu, bese exhale ngokucijile ukuzama ivolumu esiphezulu emoyeni. isikimu ezinjalo kufanele liphindwe izikhathi eziningana.

Cishe ngemva kwezinyanga 15-20 imizuzu, onguchwepheshe angakwazi kakade ukukunika imiphumela ISIZA. Kuyinsakavukela lapha kuncike ezicini eziningi, kuhlanganise phansi. Ngokwesibonelo, inani wamaphaphu besikhundla amadoda yisilinganiso sesifundo 6.4 amalitha, futhi abesifazane - 4.9 amalitha. Kunoma ikuphi, umgomo wokuhlaziya Imiphumela uzodinga ukubona udokotela, njengoba nje uyazi kanjani humusha ISIZA. Kulungiswa kuyoba kubalulekile ukulungiswa eminye ukwelashwa lwemithi.

izifundo ezengeziwe

Esimweni lapho the classic isikimu spirometry yabonisa khona labo noma ezinye ngeziphambeko kungaba kwenziwe futhi ezinye izinhlobo ezengeziwe of ISIZA. Hlobo luni ukuhlolwa? Ngokwesibonelo, uma isiguli enezimpawu ezinye iziyaluyalu obstructive ventilatory, ke ngaphambi cwaningo unikeze ukulungiselela ekhethekile kusukela iqembu bronchodilators.

"ISIZA bronchodilator - kuyini?" - You buza. Kulula: lokhu muthi usiza ukunweba ushise imigudu yomoya, okwathi ngemva kwalokho ukuhlaziywa Kwenziwa futhi. Le nqubo yenza kube lula ukuhlola degree of reversibility ukwephula itholiwe. Kwezinye izimo, ucwaningo kanye okusheshayo umthamo kwamaphaphu - lokhu ukuhlaziywa inika ukuhlolwa ngokunembile umsebenzi ulwelwesi alveolar-capillary. Ngezinye izikhathi odokotela futhi ukucacisa amandla kwemisipha yokuphefumula, noma okuthiwa airiness ukukhanya.

Izimo ISIZA

Yiqiniso, lolu cwaningo enezinto eziningi Izimo, njengoba akuzona zonke iziguli zidlule ngaphandle ilimaza impilo yabo. Phela, ngesikhathi ahlukahlukene aqondisa zokuphefumula waphawula ukungezwani kwemisipha yokuphefumula, kukhuphuke umthwalo ithambo nemisipha kwesifuba, kanye intracranial yanda, ingcindezi naphakathi-besisu futhi intrathoracic.

Spirometry is contraindicated ezigulini ngaphambilini ethole ukuhlinzwa, kuhlanganise nokuhlinza amehlo - ezimweni ezinjalo kubalulekile ukulinda okungenani amasonto ayisithupha. Izimo futhi zihlanganisa isilethikusebenza, unhlangothi, isifo sokuvuvukala kwemithambo namanye izifo sokuhamba kwegazi. Uhlaziyo akuyona kwenziwe ukuhlola ukusebenza umgudu wokuphefumula zasenkulisa yobudala izingane nasebekhulile (engaphezu kuka-75). Iziguli isithuthwane, ukuzwa nokuphazamiseka engqondweni njengoba akukashicilelwa.

Zikhona yini imiphumela emibi zingenzeka?

Iziguli eziningi unesithakazelo, kungabangela abanye thuthuva ISIZA ukuhlaziywa. Hlobo luni side effects? inqubo kungaba yingozi? Eqinisweni, ucwaningo, kuncike yonke imithetho kuyinto cishe ephephile isiguli. Njengoba ngemiphumela eqonde umuntu phakathi naleyo nqubo kumele liphindwe izikhathi eziningana ukuphefumula umzimba ophoqelelwe ivolumu expiratory, ungase uzizwe ubuthakathaka oluncane kanye nesiyezi. Ungesabi, ngoba le miphumela emibi zinyamalale bebodwa emva kwamaminithi ambalwa. Ezinye izigameko ezingezinhle ezavela kungenzeka ukuhlaziywa ISIZA isampula. Yiziphi lezi zimpawu? Bronchodilators kungadala ukundindizela okuncane ezingalweni nasemilenzeni, futhi ngezinye izikhathi inhliziyo palpitations. Kodwa futhi, lezi zinkinga kukhona ngokwabo ngokushesha ngemva kokuhlinzwa usuphothuliwe.