Analysis ERF - ndichiyani? Indicators ndi mlingo

Nthawi zambiri, madokotala mankhwala odwala awo kuti alandire kuphunzira ERF. Ndi chiyani icho? Kodi mtundu wa zotsatira tinganene kuti ndi wabwinobwino? Kodi matenda ndi matenda akhoza anapezeka ntchito njira imeneyi? Nkhanizi ndi chidwi ambiri.

ERF - ndichiyani?

ERF - ndi acronym kuti umaimira "m'mapapo ntchito". phunziro limeneli kupenda dongosolo kupuma. Mwachitsanzo, mothandizidwa ndi dokotala chimasonyeza kuti mpweya kwambiri akulowa mapapo wodwala, ndi chimene chikutuluka. Komanso, pa mayeso, inu akhoza kukambirana za kusintha kwa mpweya otaya mathamangidwe mu madera osiyana a dongosolo kupuma. Motero, kuphunzira kumathandiza kuti aone mpweya mphamvu m'mapapo.

ERF kufunika kwa mankhwala amakono

Ndipotu, phindu la kafukufuku sitingalephere kukambapo. Mwachibadwa, ntchito matenda a matenda ena a dongosolo kupuma. Koma osiyanasiyana ntchito njira ndi onse kwambiri. Mwachitsanzo, spirometry ndi kuvomerezedwa, mayesero zonse kwa anthu ntchito zinthu woopsawo. Komanso, zotsatira za kuwunika ichi ntchito chilema thanzi la munthu, kudziwa olimba ake ntchito zina mapangidwe.

phunziro ntchito yowunikira amphamvu, monga chimathandiza chaka ndi changu cha chitukuko cha matenda ndi zotsatira za mankhwala. Mu zina, kusanthula ERF ntchito matenda a matenda awo sagwirizana, chifukwa watilola mme- mmene zinthu pa mundawo kupuma. Nthawi zina, ikuchitika yaikulu anthu spirometry kudziwa ukupeza anthu a mabacteria zosiyanasiyana m'mayiko ambirimbiri ndiponso zachilengedwe.

Zikuonetsa kwa kusanthula

Motero, kuphunzira za amalangiza kuti odwala mphumu amaganiziridwa, chifuwa kapena aakulu matenda a dongosolo bronchopulmonary. Zikuonetsa yokwaniritsira kuwunika ngati aakulu chifuwa, kumwa kawirikawiri breathlessness. Komanso kafukufuku ntchito matenda a zotupa m'mapapo mwanga mtima, kuphatikizapo thrombosis a mtsempha wamagazi ndi m'mapapo mwanga, matenda oopsa m'mapapo mwanga ndi zina zotero. D. Zotsatira za ERF ndi zofunika kwa mankhwalawa zina matenda thoraco-diaphragmatic, kuphatikizapo kunenepa, limodzi ndi hypoventilation alveolar, ndi pleural Schwarte, kuyan'anila zosiyanasiyana kaimidwe ndi kupindika msana, neuromuscular ziwalo. Nthawi zina kuwunika Kwalamulidwa kwa odwala kuti asa- mphamvu ya anasankha chithandizo chakudya.

Kodi pokonzekera mayeso

Pofuna kupeza zotsatira zolondola kwambiri, muyenera kutsatira malangizo ena pamaso pa ERF. Kodi mtundu wa malamulo kukonzekera? Ndipotu, zonse ndi losavuta - m'pofunika kulenga zinthu pazipita ufulu kupuma. Spirometry nthawi zonse umachitikira pa chopanda kanthu m'mimba. Ngati kuphunzira anauika kwa masana kapena madzulo, mukhoza kutenga chakudya kuwala, koma pasanafike maola awiri pamaso pa mayeso. Komanso, palibe kusuta maola 4-6 isanafike chiyambi cha kafukufukuyu. N'chimodzimodzinso ndi kupanikizika thupi - .. chimodzi tsiku pamaso pa dokotala ERF amalangiza Kuchepetsa zolimbitsa thupi, kuletsa maphunziro kapena kuthamanga, etc. Pa zotsatira za kafukufuku akhoza kusokoneza ena mankhwala. Choncho, tsiku la ndondomeko sayenera kumwa mankhwala zimene zingakhudze kukana pa mundawo kupuma, kuphatikizapo mankhwala kwa gulu la anthu omwe sanali kusankha beta-blockers, ndi bronchodilators. Mulimonsemo, sindilephera dokotala wanu za mankhwala aliwonse mukutenga izo.

ndondomeko mwachidule

Mayeso amatenga pasanathe ola. Kuyamba, dokotala mosamala kuyeza kutalika ndi kulemera kwa wodwalayo. Pambuyo munthu uyu chitsanzo kuvala mphuno kwa kopanira wapadera - kotero likhoza kupuma kupyolera pakamwa. M'kamwa, wodwalayo ali ndi kamwa wapadera, amene kupuma - izo chikugwirizana ndi kachipangizo wapadera, amene analanda zizindikiro zonse. Choyamba, dokotala akungoyang'ana mkombero kupuma bwinobwino. Patatha izi, wodwala ayenera kuchita kupuma mchitidwe - nuyambe zotheka mpweya kwambiri, ndiye kutulutsa zikuchepa kuyesa voliyumu pazipita mpweya. Amenewa chiwembu ayenera mobwerezabwereza kangapo.

About 15-20 mphindi zingapo, katswiri akhoza kale kupereka zotsatira za ERF. Ponseponse muno amadalira zifukwa zambiri, monga pansi. Mwachitsanzo, okwana m'mapapo mphamvu mu amuna ndi avareji ya malita 6.4, ndi akazi - 4.9 malita. Mulimonsemo, ndi kusanthula zotsatira afunika kuonana ndi dokotala, monga iye yekha amadziwa kumasulira ERF. Decoding adzakhala kwambiri kwa yokonza mankhwala zina chakudya.

maphunziro

Kukachitika kuti chakale chiwembu spirometry anasonyeza pamaso pa anthu kapena zina zolakwika angathe kuchitidwa ndi ena mitundu zina ERF. Kodi mtundu wa mayesero? Mwachitsanzo, ngati wodwalayo amasonyeza zizindikiro zina matenda obstructive ventilatory, izo asanayambe kuphunzira kupereka kukonzekera mwapadera ku gulu la bronchodilators.

"ERF bronchodilator - ndichiyani?" - Inu kufunsa. Ndi yosavuta: mankhwala ndi kuthandiza kukuza Airways, kenako kuwunika ikuchitika kachiwiri. njirayi limachititsa ganizilani kuchuluka kwa reversibility wa kuyan'anila wapezeka. Nthawi zina, kufufuza ndi mayamwidwe mphamvu mapapo - kusanthula izi zimapereka ziyenera n'ngolondoladi ntchito ya nembanemba alveolar-capillary. Nthawi zina madokotala kudziwa mphamvu ya minofu kupuma, kapena otchedwa kuwala airiness.

Contraindications ERF

Kumene, phunziroli angapo a contraindications, si monga odwala onse akhoza kudutsa popanda owononga thanzi lawo. Ndipotu, pa ayendetsa zosiyanasiyana kupuma anati mavuto a minofu kupuma, kuchuluka katundu fupa ndi Mitsemphayi a chifuwa, komanso kuchuluka intracranial, kwapakati pa-m'mimba ndi intrathoracic kuthamanga.

Spirometry ali contraindicated odwala amene kale anali atachitidwa opaleshoni, kuphatikizapo opaleshoni ophthalmic - mu Zikatero m'pofunika kudikira masabata osachepera asanu. Contraindications mulinso m'mnyewa wamtima infarction, sitiroko, aneurysm ndi matenda ena a m'thupi. kusanthula si ikuchitika kuwunika ntchito a dongosolo kupuma ana sukulu zaka ndi okalamba (zaka zopitirira 75). Odwala khunyu, kumva ndi mavuto a m'maganizo ngati si zinalembedwa.

Kodi pali zovuta zilizonse n'zotheka?

odwala ambiri ndi chidwi, angachititse anthu ena chisokonezo ERF kusanthula. Kodi mtundu mavuto? Ndondomeko angakhale oopsa? Ndipotu, kuphunzira phunziro onse malamulo pafupifupi otetezeka wodwalayo. Koma zotsatira zolondola munthu pa ndondomeko ayenera mobwerezabwereza kangapo kupuma kokoka ndi kukakamizidwa buku expiratory, mungachite kufooka wofatsa ndiponso chizungulire. Musaope, chifukwa zotsatirapo zimenezi kutha okha patapita mphindi pang'ono. Ena zochitika chowawa kumachitika mu kusanthula chitsanzo ERF. ndi zizindikiro zotani? Bronchodilators zikhoza inagwedezeka pang'ono nthambi, ndipo nthawizina palpitations mtima. Koma kachiwiri, matenda amenewa ali okha yomweyo pambuyo ndondomeko udzatha.