Yaya Yadda Sanin Gudanar da Lafiya ta Kira
Dyspnea shine maganin likita da aka yi amfani da shi don bayyana rashin gajeren numfashi, alama ce dauke da tsakiya ga duk nau'i na cututtuka na nakasa (COPD) na yau da kullum ciki har da emphysema da ciwon daji.
Kamar yadda COPD ya kasance mai cigaba kuma ba a iya juyo baya ba, ƙananan dyspnea yana taka muhimmiyar rawa wajen tantance matakan da cutar ta dace da magani.
Kalubale a cikin ganewar asali
Daga wata alama ta asibiti, gwagwarmayar bincikar dyspnea shine ainihin batun. Yayinda gwaje-gwajen spirometry (abin da ma'aunin ƙwayar hanzari) da bugun kwayar cutar (wanda ya daidaita matakan oxygen a cikin jini) na iya nuna cewa mutane biyu suna da nauyin nauyin numfashi, wanda zai iya jin motsa jiki bayan aiki yayin da ɗayan na iya zama lafiya.
Yawanci, fahimtar mutum game da dyspnea yana da mahimmanci yayin da yake taimakawa tabbatar da cewa mutum ba shi da damuwa ba kuma ba shi da damuwa kuma cewa wajabtaccen magani, lokacin da ake buƙata, zai inganta yanayin rayuwar mutum maimakon ɗaukar shi.
A karshen wannan, masanan sunyi amfani da kayan aiki da ake kira Sashen Kimiyyar Lafiya (MMRC) da aka tsara don tabbatar da yadda yawancin mutum ya takaita rashin lafiya a duniya.
Yadda ake gudanar da aikin
Hanyar aunawa dyspnea yana kama da gwaje-gwaje da aka yi amfani da auna jin dadi a cikin mutane tare da ciwo na kullum.
Maimakon bayani game da dyspnea dangane da ƙwayar kututture, ƙwayar mMRC za ta iya fahimtar jin dyspnea kamar yadda mutum ya gane shi.
Girman dyspnea an kiyasta a kan sikelin 0 zuwa 4, darajarsa zai jagoranci duka ganewar asali da tsarin kulawa.
| Grade | Bayanin rashin rashin lafiya |
|---|---|
| 0 | "Ina samun numfashi tare da motsa jiki mai tsanani." |
| 1 | "Ina da numfashi lokacin da nake hanzari a filin kasa ko tafiya a kan wani dutsen." |
| 2 | "A matakin kasa, na yi tafiya cikin hankali fiye da mutanen da ke cikin wannan zamani saboda rashin ƙarfi ko kuma in dakatar da numfashi lokacin da nake tafiya a hankalina." |
| 3 | "Na dakatar da numfashi bayan tafiya kimanin mita 100 ko bayan 'yan mintoci kaɗan a ƙasa." |
| 4 | "Ina da numfashi don barin gidan, ko kuma lokacin da nake yin riguna." |
Matsayi na MMRC Dyspnea Scale
Matakan mysyran mMRC sun tabbatar da mahimmanci a fannin ilimin pulmonology kamar yadda yake ba likitoci da masu bincike da ma'anar:
- Bada la'akari da tasirin magani a kan kowane mutum
- Kwatanta tasiri na jiyya a cikin yawan jama'a
- Tsaran lokutan rayuwa da ƙimar kuɗi
Daga hanyar tunani na asibiti, sikelin mMRC ya dace sosai ga waɗannan matakan da suka dace kamar gwajin gwagwarmaya da kuma tafiya da gwaje-gwaje . Bugu da ƙari, dabi'un da aka saba da su sun kasance a cikin kwanciyar hankali, ma'anar cewa sun kasance mafi ƙanƙanta ga rashin daidaituwa wanda mutum zai ɗauka.
Amfani da Rukunin Rukunin Hanya don Tattaunawa Rayuwa
Ana amfani da sikelin dyspnea na mMRC akan lissafin BODE , kayan aiki wanda ke taimakawa wajen kiyasta lokutan rayuwa na mutanen da ke zaune tare da COPD.
HASUMIYAR TSARO ya ƙunshi nau'in ma'auni na jiki ("B"), ƙuntatawar iska ("O"), dyspnea ("D"), da kuma yin haƙuri ("E"). Kowane ɗayan waɗannan kayan aikin an ƙera shi a kan sikelin ko dai 0 zuwa 1 ko 0 zuwa 3, ana ƙidayar lambobin don ƙimar ƙarshe.
Ƙimar karshe - saurin daga low zuwa 0 har zuwa 10-bayar da likitoci yawancin yadda mutum zai iya rayuwa har shekaru hudu. An bayyana magungunan ƙaddarar ta ƙarshe kamar haka:
- 0 zuwa 2 maki: 80 kashi likita na rayuwa
- 3 zuwa 4 points: 67 bisa dari likeli na rayuwa
- 5 na 6 maki: 57 bisa dari likita rayuwa
- 7 zuwa 10 maki: 18 kashi likelihood rayuwa
Ƙididdiga na ƙwallon ƙaran, ko babba ko ƙananan, ba a saita a dutse ba. Canje-canje ga salon rayuwa da ingantaccen maganin kulawa zai iya inganta sakamakon lokaci mai tsawo, wani lokaci maimaitawa. Wadannan sun hada da abubuwa kamar dakatar da shan taba, inganta cin abinci naka, da kuma yin aiki mai kyau don inganta ƙarfin motsinka.
A ƙarshe, lambobi sune hoto ne kawai na lafiyar yanzu, ba wani batu na mutuwa ba.
Ƙarshe, zaɓin zaɓin rayuwar da kake yi zai iya taka muhimmiyar gudummawa wajen ƙayyade ko matakan da ke kanka ko a cikin ni'imarka.
> Sources:
> Chhabra, S., Gupta, A., da kuma Khuma, M. "Bayar da ma'auni na uku na dyspnea a cikin cututtuka na nakasasshen cuta." Annals na Thoracic Medicine. 2009; 4 (3): 128-32. DOI: 10.4103 / 1817-1737.53351.
> Perez, T. Burgel, P .; Paillasseur, J .; et al. "Cibiyar Nazarin Kimiyyar Lafiya ta Sauya da Cibiyar Dyspnea ta Baseline don kimanta dyspnea a cikin cutar ta hanyar ciwon kwari." Wallafe-wallafe na kasa da kasa na cutar cututtuka . 2015; 10: 1663-72. DOI: 10.2147 / COPD.S82408.