Bambanta da cututtuka da ƙuntataccen ƙwayoyin cuta tare da FEV1 / FVC
A cikin bincikar maganin cututtuka da cututtuka irin su cutar kututtuka na al'ada (COPD), likitoci sukan yi amfani da wasu gwaje-gwaje don sanin ƙimar cutar. Ɗaya daga cikinsu shi ne gwajin da ake kira spirometry , wanda za'a iya lissafta ma'aunin ƙwayoyin sutura.
Ana auna FEV1 / FVC
Ɗaya daga cikin muhimman magungunan likitocin amfani da su don saka idanu kwayoyin aiki shine rabo daga ƙarar ƙirar tilasta a karo na biyu ( FEV1 ) akan ƙarfin tilasta tilasta ( FVC ), wanda aka sani da sunan Tiffeneau-Pinelli.
Wannan shine jimlar adadin iska da aka fitar da karfi a daya na biyu idan aka kwatanta da cikakken adadin iska wanda za'a iya motsa jiki cikin cikakken numfashi.
Adadin iska da kuke ciki a cikin na biyu shine a rubuce da kuma yawan yawan iska da kuke iya fitarwa. Bisa ga yawan FVC da aka ƙidaya don shekarunka da girmanka, ana danganta rabo daga waɗannan dabi'u 2. A al'ada, halayen biyu sun dace. Idan an rage FVC, to ana duba dalla-dalla a hankali.
Rage FVC tare da tsarin FEV1 / FVC mai ƙayyadewa
Idan an rage FVC amma rabo daga FEV1 / FVC na al'ada, wannan yana nuna alamar ƙira. Kwayoyin cututtukan ƙwayar ƙwayar cuta na iya kasancewa waɗanda cutar da kanta ta lalace, ko kuma lokacin da wani mutum ya kasa yin numfashi kamar yadda al'ada. Wasu misalai sun haɗa da:
- Tashin fibrosis na ƙwayoyin cuta , irin su gurbrosis na huhu , maganin ƙwayoyin cuta marasa tabbas.
- Rashin nakasa daga cikin kirji kamar scoliosis ko kirji bango scaring
- Yin aikin tiyata na huhu, irin su lobectomy ko pneumonectomy
- Kwayoyin cututtuka da cututtuka masu ƙumburi irin su ciwon huhu, tarin fuka, sarcoidosis, silicosis, da asbestosis
- Magungunan rashin lafiya irin su ALS
- Girma mai launi, wanda yake da ruwa a yankin tsakanin linings wanda ke kewaye da huhu
- Ascites, gina ruwa a cikin ciki saboda cutar ciwon huhu ko ciwon daji a cikin ciki zai iya haifar da wani abu mai ƙyama ta hanyar ƙayyade ikon yin numfashi mai zurfi.
Rage FVC tare da Rage FEV1 / FVC Ratio-Tsarin Dama
Idan an rage FVC naka kuma an rage ragowar FEV1 / FVC ɗinka, wannan ya dace da nau'i na cututtuka na huhu irin su asma da COPD. Yawancin lokaci, wannan ganewar ta zo idan FEV1 / FVC ya kasa ko kuma daidai da 70 zuwa 80 bisa dari na manya, da kashi 85 cikin yara. Damage zuwa hanyoyi na iska da / ko ƙaddarar hanyoyi na hanyoyi suna nuna alamun yanayin kamar:
- Asthma
- Hanyar hana cututtukan cututtuka irin su ciwon daji, emphysema, da bronchiectasis
- Bronchiolitis
Matakai na gaba
Idan an kiyaye wani abu mai ƙyama, likitoci za su bayar da shawarar cikakkun aikin gwaje-gwaje don kara faɗar cutar ka. Idan an samo wani abu mai ruɗuwa , mataki na gaba shine yawanci don bayar da shawara da maganin tare da bronchodilator , magani wanda ke taimakawa wajen rage ƙarfin iska da kuma sake gwada gwaji.
Idan ana bi da ku don cutar cututtuka, likitanku zai iya lura da ci gaba ta amfani da tsarin FEV1 / FVC. Idan rabo ya inganta tare da bronchodilator, wannan yana nufin cewa hanawa shi ne a kalla a wani bangaren "reversible." Ana ganin wannan tare da yanayi kamar fuka.
Idan rabo bai inganta tare da bronchodilator ba, yana iya zama mai ƙyama, kamar COPD.
Sources:
> Godfrey, M., da Mr. Jankowich. Abinda ke da muhimmanci yana da mahimmanci: ilimin cututtuka da ilimin cututtuka na mahimmancin rubutun rubutun ƙira. Chest . 2016 149 (1): 238-251.
Johnson, J., da kuma W. Theurer. Wata hanya mai zurfi zuwa ga fassarar ayyukan gwaje-gwaje na yau da kullum. Aminiya na Yammacin Amirka . 2014. 89 (5): 359-366.
> Koo, K., Yun, H., Byeong-Ho, J. et al. Dangantaka tsakanin Ƙarfiyar Dama da Dama da Framingham Bincike Hanyoyin Tsarin Lafiya Ba tare da Ciwo na Ciwo na Metabolic: Kwalejin Kasa na Koriya ta Koriya ta Kwalejin Kwalejin Kwalejin Nutrition. Magunguna . 2015. 94 (47): e2089.