Spirography - ndichiyani? Spirography bronchial mphumu. Kodi spirography. zizindikiro spirography

mpweya anthu kumachitika panthawi kuwiri - kunja ndi minofu. Pamene dongosolo la njira mpweya kuchokera m'mphuno kwa m'mapapo mwanga mtengo alveolar yekha woyamba. Ndipo ngati kapangidwe anatomical wa limba, tiyenera kuona kuti ntchito njira cheza matenda (X-ray, x-ray, ultrasound, yopangidwa, maginito kumveka kulingalira) ndi kuonanso boma zinchito kutithandiza zipangizo chosiyana.

njira

odwala ambiri pulmonologist kapena dokotala banja, kupeza mayendedwe phunziro ili, kufunsa kuti: "Spirography - izo" Tiyeni yesetsani kuthetsa pamodzi.

chakuti kusanthula izi kukachita anthu ndi matenda a dongosolo kupuma, ndi thanzi langwiro, ngakhale mpikisanowo, choncho pali kusamvetsetsa. Choncho spirography kuwala - ndi njira zofunika kwa kuphunzira ntchito kupuma, amene amalola potipatsa kafukufuku kuti adziwe imawonongeratu matupi awa kuonetsetsa kuti zonse za thupi ndi mpweya ndi kuchotsa chokwanira mpweya. deta onse momveka, ndiko kuti, pa pepala, ngakhale zotsatira zinadziwika yomweyo pambuyo kuwunika. spirography zizindikiro kupereka dokotala zina zofunika zokhudza airway conductance ndi mphamvu m'mapapo mwanga mpweya kuti amalola kuti tidziwe unit wa kuphwanya ndi kuthekera reversibility kusintha pathological mu izo. Komanso, n'zotheka amayang'anitsitsa efficacy mankhwala ndi pochotsa spirogram isanayambe kapena itatha utsogoleli. Mwachitsanzo, mayeso ophweka imagwiridwa ndi bronchodilators amaganiziridwa mphumu.

Terms of

Kotero, ife mwachitira maganizo "spirography". Kodi Phunziro lino Nkofunika kudziwa komanso. Kuikidwa ndi izo, zambiri m'mawa kapena masana maola, makamaka pa chopanda kanthu m'mimba. Komabe n'zotheka ndi kuchititsa pambuyo chakudya kuwala, malinga pambuyo chakudya wakhala maola osachepera 2. Choyamba, kupenda kanjedza musataye nkhani zonama kuperekedwa kwa wodwala thupi ndi maganizo mpumulo kwa mphindi 15 n'kumaimba. Panthawi imeneyi, tiyenera matenda kugunda kwa mtima ndi kupuma kayendedwe, kutanthauza kuti phunziro kukuwonetsani chithunzi chenicheni cha thanzi lawo. N'kofunikanso kuti pa maola 6-12 otsiriza odwala musamwe mankhwala ndi zotsatira bronchodilator.

zida

Kenako, mtima uli pansi pa tebulo, umene Spirograph, kuvala kopanira mphuno odzipereka kwa mpweya onse kuchokera mkamwa mwa yekha. Ndiponso, chikugwirizana ndi chipangizo kupyolera cholankhulira ndi kupereka kuchita kuimilidwa ndi dokotala kuyeza magawo zonse zofunikira. Monga ulamuliro, masiku ano spirographs ndondomeko deta okha, ndiye basi, umene ndi chifukwa zikuoneka yomweyo mtundu wa cheke ku m'kaundula ndalama: kotero umatha spirography. Norma onse zizindikiro komanso chikalata chipangizo ndi kuwerengetsa amuna kapena akazi wachibale ndi zaka za wodwalayo. Kenako dokotalayu, anawayerekezera ndi mzake, amati kuyan'anila kutanthauzira. N'zothekanso kuchita mayesero pambuyo ka bronchodilators, amene detects kukhalapo kapena kusapezeka kwa zotsatira zawo. Motero, kuphunzira izi ndi zofunika malangizo njira matenda a thanzi wodwala kapena matenda.

Zikuonetsa kuti aziphunzira

Nkofunika kudziwa komanso kulemekeza kafukufuku lotchedwa "spirography" kuti kusanthula izi, ngati wina aliyense, ali ndi zizindikiro ena. akuti:

• kwayandikirako opaleshoni (kwa kuwerengetsa zowopseza pa ntchito);
• amadziŵika ndi wheezing, kutsokomola, kufupika kwa mpweya ndi zizindikiro zina za dongosolo kupuma mu kuunikaku woyambirira wa wodwalayo;
• Matendawa mmene sitepe waonetsedwa kale matenda m'mapapo mwanga limodzi ndi kutsekeka bronchial kapena katundu organic ndi zinchito matenda a dongosolo mpweya (COPD, bronchial mphumu, chifuwa), komanso kufufuza mankhwala zotchulidwa;
• kudziwa kuti madokotala ananena zawo za moyo, olumala ndi akatswiri woyenerera wa odwala ndi matenda a m'mapapo;
• mouzirira matenda, nthawi zambiri limodzi ndi kuphwanya ntchito kupuma (matenda a mtima, shuga, zokhudza zonse connective minofu matenda).

nkhani zina

Komanso, nthawi spirography kuwala iyenera kuchitikira odwala pachiopsezo matenda a dongosolo kupuma. Iwo osuta ndi zaka zambiri, antchito a makampani olemera ndi mafakitale zina, mwanjira ina amagwa gulu kupanga zoipa. M'malo mwake, contraindications ndi kafukufuku ameneyu ndi maganizo, pachimake nthenda, chikhalidwe kwambiri wodwala, TB m'mapapo mwanga ndi oyambitsa, kutsokomola magazi, chiopsezo padera pa mimba.

kusanthula dongosolo

Kotero, ife tinapeza kuti anawerengedwa mwa kafukufukuyu monga spirography, zizindikiro za dongosolo anthu kupuma. Kwenikweni, ndi zinchito, ie, satsanzira matenda organic, ndi luso mpweya wabwino.

Mwatsatanetsatane zinthu monga ndalama kupuma (chiwerengero pa mphindi), okwana osefukira buku (ie, kuchuluka kwa mpweya kuti akhoza kulowa mapapo mu mpweya umodzi), mtima linanena bungwe (wofanana ndi m'mbuyomu, zimawerengeredwa yekha kwa miniti imodzi), zofunika kwambiri m'mapapo mphamvu inspiratory ndi expiratory (amaona mphamvu pazipita ziwalo), ndi mlingo kumwa ntchito mpweya, yokakamiza mpweya voliyumu ndi inhalation (anapangana ndi voteji minofu chifuwa), liwiro mpweya, index Tiffno ( kuwayeza chiŵerengero cha amakakamizidwa buku expiratory m'njira m'mapapo 1 wachiwiri) ndi ena. zolozerazi zonse kuthandiza dokotala kupanga wathunthu nkhani chithunzi za mmene kuchititsa njira mpweya ndi mpweya kuwombola chokwanira. Choncho, mpweya mayamwidwe kumachitika mwa kuloŵerera a m'mapapo alveolar ake sacs mu magazi ndi akusokoneza ndi zotupa structural ya phapo.

Udindo mu matenda

Spirography bronchial mphumu ali mbali ya onse ndondomeko ndi kutanthauzira zotsatira.

Yofunika kwambiri kwa matenda a matenda ankaimba amakakamizidwa inhalation ndi mpweya mayeso, potengera zomwe Zithunzi ndi inamangidwa mwa unsembe wa basi - "buku otaya". Ndi chifukwa mawonekedwe ake pamaso pa kulephera kupuma anatsimikiza ndi mtundu wake: kutipanikiza (kugwirizana ndi choipa organic m'mapapo), obstructive (chifukwa kuphwanya mpweya kudzera bronchial kapena mtengo alveolar) kapena losanganikirana. Komanso anawakonzera kuchepetsa voliyumu unkagwiritsidwa amakakamizidwa expiratory otaya mlingo pamapindikira pachimake ndi FVC mu osiyanasiyana 25-75%, kukhonda buku inspiratory. Izi zowoneka umaonetsa pathogenesis mphumu, imene pali spasms mwadzidzidzi wa bronchi m'madipatimenti wapotalikira, omwe amasonyeza matenda breathlessness.

mayesero

Obstructive mtundu kupuma kulephera ndi chofunika kudziwa mlingo wa reversibility kusintha, amene amalola kuti inu mukhale matenda ndi zovuta matenda. Choncho, mayeso ambiri ndi pharmacological mayeso agonist B2-adrenoreceptor wotenga nthawi yochepa, monga mankhwala "salbutamol". Kulinyamula kwa maola 6 anatumizidwa Kulipira mankhwala ena zochita zofanana ndiye analemba pamapindikira "buku otaya". Kenako, wodwalayo akuchita inhalations mmodzi kapena awiri ndi mankhwala, ndipo pambuyo Mphindi 15 okha, theka la ola pambuyo mobwerezabwereza spirography. Kodi mtundu wa kutsekeka, kulola kusinthaku kuphunzira kusanthula zizindikiro. Choncho, ngati kuonjezera ndi oposa 15% ya zotsatira koyamba, mayeso imatengedwa zabwino.

njira ina

Chifukwa odwala mphumu ayenera mosalekeza kuwayang'anira boma la thanzi lawo, pali njira ina kwa iwo ankatha kuwerengetsera pamapindikira "otaya-buku" - pneumotachograph. Poyerekezera spirograph ndi chosavuta, choncho oyenera kudziletsa makonzedwe ndi wodwala kunyumba. Timatha munthu kuyendetsa kugwira ntchito tsiku la zizindikiro za dongosolo kupuma, ndipo kwambiri zimatithandiza ntchito kwa dotoloyo, ambiri molondola amasonyeza mphamvu ya matenda mu intervals pakati kupita kwa pamalowo. Pneumotachograph ndi chubu ndi kamwa replaceable, kulumikiza wodwalayo chipangizo kompyuta okhoza basi kuwerengetsa magawo ambiri zinchito za pamapindikira ndi "otaya-buku".

Pomaliza

Inde, mayesero a diagnostics zinchito potsogolera yekha pulmonologist, chifukwa kwa iwo zikuoneka kwambiri. Choyamba, iye, ndithudi, ayenera kupeza zambiri chilolezo kwa wodwalayo, ndipo chifukwa sadafune ndikuuzani inu kumene spirography kuchita, ndi ndi chimene cholinga cha ntchito zake. Nkofunika kwambiri kuti akhazikitse kukhulupirirana ndi ubwenzi dokotala ndi wodwala, komanso amalola kuwapangitsa mayeso, chifukwa yekha kulimbikitsidwa maganizo zotsatira wodwalayo kafukufuku amene analandira kwambiri. Ndipo kale pa malo choyezera, kulandira kufufuza, amafotokoza za malamulo mayeso, choncho zinali koona, komanso kuthandiza adokotala matenda a wodwalayo.