Girma da Ma'ana
Ƙididdigar ƙarfin huhu, ko TLC, tana nufin yawan iska a cikin huhu bayan ya ɗauki mawuyacin numfashi.
Magunguna masu ciwo da cututtuka na al'ada (COPD) ba su da ikon yin cikakken motsa jiki, suna haifar da hyperinflation daga cikin huhu da kuma karfin daji mafi girma.
Ta yaya aka gwada cikakken ƙarfin wutsiya?
Ana auna ƙwayar TLC ta hanyar jigilar jiki ko ƙwayoyin cuta , daya daga cikin gwaje-gwaje da yawa wanda ke taimakawa wajen sanin yadda iska take a cikin huhu lokacin da kake daukar numfashi mai zurfi da kuma yadda yawan iska ke bar a cikin huhu bayan ka yi aiki kamar yadda za ka iya .
Jirgin jita-jita yana taimaka wa likitanka don ƙarin bayani game da cutar kututtuka da kuma yadda za a bi da shi.
An auna a cikin milliliters, matsakaicin iyakar lafiyar lafiya shine kimanin 6,000 mL. A cikin marasa lafiya tare da COPD , adadin iska da ya rage a cikin huhu lokacin da take numfashi yafi al'ada, yanayin da ake kira hyperinflation.
Spirometry shi ne gwajin gwaji wanda aka saba amfani dashi don gano asali COPD, amma ba kamar labarun kwayar cutar ba - ba a kan kansa ba da cikakkiyar bayanai game da yawancin hanzari ko ƙwayar ƙwayar juji (yawan iska da aka bari a cikin huhu bayan fitarwa). Tare, waɗannan gwaje-gwaje na iya ba likitan ku cikakken cikakkiyar hoto game da yanayinku.
Lung Hyperinflation a cikin COPD
Harkar da ƙwayar cutar yana faruwa a mafi yawan mutane tare da COPD. Abin da ya faru shi ne, tun lokacin da aka rage yawan iska mai iska, mutane sukan fara daukar numfashin su gaba daya kafin sun gama kwatsam daga numfashi na ƙarshe.
Duk lokacin da wannan ya faru, karin iska ta zama "tarkon" a cikin huhu. Saboda wannan rudun iska, mahaukaci suna bukatar hyperinflate su dauki numfashi na gaba, kuma tun da ba a sanya huhu akan hyperinflate ba, waɗannan numfashi suna buƙatar karin aiki fiye da yadda ake buƙata da kowane numfashi.
Wannan hyperinflation tare da motsa jiki ko ma ayyukan yau da kullum, sa dyspnea , jin dadin rashin ƙarfi na numfashi.
Dyspnea a cikin mutane tare da COPD sau da yawa yakan kai ga:
- Samun aikin jiki
- Cushewar jiki
- Kyakkyawan dabi'u na rayuwa
- Rashin haɗarin wasu cututtuka, irin su cututtukan zuciya
Irin nau'in hyperinflation da aka tattauna a sama wanda mutum ya fara ɗaukar numfashin su na gaba kafin numfashi na gaba an lalace shi gaba ɗaya ana kiransa "hyperinflation tsauri." Wani nau'i na hyperinflation ake kira "hyperinflation sticking" na iya faruwa a cikin mutane tare da COPD mai tsanani. Hakanan hyperinflation mai tsanani yana faruwa a yayin da huhu ke rasa haɗayarsu kuma yana buƙatar buƙatar iska da yawa don kula da ƙwayar ƙwayar jikin huhu bayan kowane numfashi.
Me ya sa aka gwada cikakken ƙarfin wutan lantarki?
Koda za a iya gwada yawancin hanzarin ƙwayoyin cuta don dalilai da dama.
- Don ganewar asali da kuma bambance cututtukan cututtuka masu rikitarwa masu rikitarwa .
- Don gwada gwajinku ga jiyya irin su bronchodilators , methacholine, histamine, ko isowa ta hanyar isocapnic.
Yaushe Ya kamata a Yi Kullun Wuta?
Kada kayi shan damun kwayoyin cutar idan kun kasance cikin rikice-rikice, kuna da magungunan tsoka ko Parkinsonism, ko kuma a kan ci gaba da tallafin oxygen da ba za a iya dakatar ko da na dan lokaci ba.
Ta Yaya Yayi Cikin Jirgin Jiki?
Idan likitanku ya umarci gwajin gwajin gwaji don auna yawan ƙarfin ku, za ku iya ta'aziyya da sanin wannan gwaji yana da sauki kuma marar jin dadi.
A lokacin jarabawar, za ku zauna a cikin wani gilashin gilashi mai haske kamar girman gidan waya kuma to, ku saka hanci a kunne, likitan kwantar da hankalinku zai koya muku numfashi don yin numfashi ta bakin bakin ciki da tube wanda aka haɗa da na'urar gwaji. Wasu lokuta, gas ɗin mai hakar gas kamar carbon dioxide, an haɗa shi a cikin iska ta fito daga na'ura.
Jarabawar yawanci yana daukan kimanin minti uku. Ya yi canje-canjen canje-canje a tasirin iska a cikin ɗakin don tantance iska da za ku iya numfasawa a cikin huhu.
Don samun sakamako mafi kyau, kafin gwaji kada ku:
- Shan taba don akalla sa'a daya
- Sha giya don akalla sa'o'i hudu
- Aiki a cikin minti 30
- Ku ci abinci mai yawa cikin sa'o'i biyu
Kwararka zai iya koya maka kada ka dauki wasu magunguna a ranar gwajin. Tabbatar ku bi umarnin likitan ku daidai.
Dalili na Ƙarƙwashin Ƙarƙashin Ƙwayar Lung
Kwayoyin cututtuka masu ƙwayar cuta sune wadanda iska ke motsa daga cikin huhu a hankali fiye da na al'ada, kuma ya haɗa da yanayin kamar COPD, fuka , bronchiectasis , da cystic fibrosis. Tare da waɗannan yanayi, zafin jiki zai iya ƙaruwa saboda hyperinflation.
Dalili na Rashin Ƙididdigar Ƙwayar Lung Capacity
A cikin cututtukan ƙwayar cutar huhu, a kullum ana "ƙuntata" huhu daga shan zurfin numfashi kuma ƙarfin tamanin ya rage. Akwai nau'o'in cututtukan ƙwayoyin ƙwayoyin cuta da ƙwayoyin cuta masu mahimmanci dangane da ko ƙuntatawa yana faruwa a waje da huhu ko cikin cikin huhu. Cututtuka na kwayar cutar na ciki sun haɗa da sarcoidosis , fibrosis na huhu , cututtukan jiki, ko kuma rage ƙwayar ƙwayar cuta bayan ƙwayar daji. Kwayoyin cuta masu dauke da kwayar cutar sun hada da kiba, scoliosis, da kuma ruɗaniyar juna a tsakanin wasu.
Ƙashin Rashin Ƙara ga waɗanda ke tare da COPD da Haɓaka Ƙarƙwarar Ƙwayar Lung
Idan kana zaune tare da COPD, zai iya taimaka maka fahimtar tsarin da aka tattauna a nan wanda ke haifar da hyperinflation. Lalacin numfashi yana haifar da lalata, wanda ke damun abubuwan da ke haifar da gajeren numfashi, da sauransu. Zai iya zama da'irar mugunta. Bincika waɗannan matakai na sarrafa manaccen numfashi tare da COPD don masu farawa. Fara farawa nan da nan. Idan ba ku san inda za ku fara ba, duba waɗannan ayyukan da suka dace don mutanen da ke COPD . Idan kana da wuya a ci gaba da shirin motsa jiki, duba wadannan dalilai guda biyar da ya sa dole ne kayi aiki tare da COPD .
A ƙarshe, idan kina ƙaunarka maimakon kanka wanda ke bin COPD, duba waɗannan hanyoyi don taimakawa ƙaunata tare da COPD .
Sources:
Godfrey, M., da Mr. Jankowich. Abinda ke da muhimmanci shine muhimmi: ilimin cututtuka da kuma na asibiti na ka'idojin rubutun ƙira. Chest . 2016 149 (1): 238-51.
Zysman-Colman, Z., da L. Lands. Kayan Jiki na Kwayoyin Halitta: Mahimman Bayanai. Pediatric Respiratory Reviews . 2016. 19: 39-41.