Pamusangano wemwedzi uno wekutsigira varwere Phil Langridge, Nyanzvi yePhysiotherapist paManchester University NHS Foundation Trust, Wythenshawe Hospital, akapa hurukuro inonakidza nezve spirometry uye bvunzo dzekushanda kwemapapu.

Akatanga hurukuro nemubvunzo uri nyore "Unoshuvira bvunzo dzekushanda kwemapapu?" Imwe nhengo yevateereri yakapa mhinduro iri nyore “Kwete, ipurigatori”.

Miyedzo yekushanda kwemapapu yakaoma. Icho chinhu ndechekuti, iwo maeximu ebasa bvunzo. Vashandi vari kuita bvunzo dzimwe nguva vanonzwika vakaomesesa, vachikuudza zvakasimba kuti uenderere mberi uye uise simba rakawanda mukati. Miedzo yakaoma, uye kune vamwe vanhu inogona kutora nguva kuti apore. Imhaka yekuti ivo vanoda zvakanyanya kushanda nesimba uye zvinogona kutora zvakawanda kubva kune vamwe vanhu.

Phil akatipa muchidimbu bvunzo dzinowanzo shandiswa, kutanga ne spirometry test. Dzimwe nguva ongororo idzi dzinogona kuitwa kunaChiremba wenyu wekuvhiyiwa nana mukoti anodzidzira kushanda munzvimbo yaanojaira. Dzimwe nguva vanofanirwa kuitirwa muchipatara uye izvi zvinogona kushaya kuvanzika uye kutyisa. Edza kusanetsekana, vashandi vanonzwisisa izvi, ingovaudza kuti uri kunzwa kutya uye vachaita zvavanogona kubatsira kuitira kuti bvunzo yako ipe mhedzisiro yakanakisa.

Spirometry inoshandiswa ku:

• Ziva chirwere chekufema
• Edza kupindura kwebronchi
• Kuongorora uye kusiyanisa pakati pechirwere chemapapu chinodzivisa uye chirwere chemapapu chinodzivisa
• Ongorora kukanganisa kubva kuasma yebasa
• Ita pre-operative njodzi yekuongorora pamberi peanesthesia kana cardiothoracic operation
• Kuyera mhinduro pakurapwa kwemamiriro ayo spirometry Inoona - kusanganisira aspergillosis.

Nhamba dzekushanda kwemapapu dzinotsamira pachii?

Zvinhu zvakawanda zvinopesvedzera nhamba dzebasa remapapu zvinosanganisira zera, murume kana mukadzi, rudzi, kureba uye uremu.

Iwe unogona kufanotaurwa nhamba inogona kukupa iwe kunzwa kwaunogara mu 'zvakajairika' renji.

Asi haufanirwe kugadzirisa pane iyo nhamba, kuita kwako mubvunzo kunogona kukanganiswa nezvinhu izvo zvisiri zvekunetseka nazvo, semuenzaniso, unogona kunge wakarara marara husiku, wasvetuka kudya kwemangwanani, waifanira kumirira zera mukamuri yekumirira. waona physio kare kuti atore sputum sample uye ZVAKAZOITA basa remapapu. Maonero ako anogona kuzosiyana nerimwe zuva raunofamba wakananga muimba yekuedza wakarara semwana mucheche, uchinyatso taura chirungu uye uri munhu wekutanga kuonekwa zuva iroro.

Miyedzo inoyera chii?

FEV1. Iri ndiro vhoriyamu yekumanikidzirwa yekubvisa musekondi imwe kureva kuti wakawanda sei mweya waungaburitsa kubva mumapapu ako musekondi yekutanga - ichi chiyero chakanaka chekuvharira mhepo yako, kana kuti 'floppy' yako yakaita sei. Kana yakadzikira pane yaitarisirwa, unogona kunge wakavharira mhepo. Izvi zvakakosha kuyera paunenge uchiita bvunzo dzekubudirira kwezvinodhaka.

FVC. Uku ndiko kumanikidzwa kwakakosha uye ndiyo bvunzo yauri kuridza yako zvakanyanya uye physio iri kudaidzira 'Ramba uchienda! Ramba uchienda! Ramba uchienda!' uye unonzwa sokuti unogona kupera! FVC ndiyo huwandu hwemweya waunogona kudzinga kubva mumapapu ako zvachose uye saka unokurudzirwa kuti 'urambe uchienda' nekuti vashandi vanofanirwa kuve nechokwadi kuti urikupa nepaunogona napo uye uchibvisa zvachose mapapu ako kuti mhedzisiro yebvunzo ndeyechokwadi. uye zvine zvazvinoreva.

Iwe unogona kupfeka mhino clip panguva yeFVC. Izvi ndezvekuti urege kuburitsa mweya kuburikidza nemhino dzako izvo zvinogona kupa yakaderera mhedzisiro. Iwe kazhinji unofanirwa kuita FVC katatu uye avhareji mhedzisiro inotorwa, muchina waunofuridza mukati kuti utore vhoriyamu inobuditswa nenguva.

Peak Flow -Kumhanyisa kwaunokwanisa kufema. Muedzo uyu unogona kubatsira sechishandiso chekutarisa asthma asi haishandiswe kazhinji mukiriniki.

Chinhu chine zviyero izvi zvichienzaniswa semuenzaniso kuongororwa ropa kana CT scans ndechekuti ivo vanovimba nesimba. Zvakakosha kuyeuka kuti kuti mhedzisiro ive ine revo uye nekudaro inodzidzisa uye inobatsira, iwe unofanirwa kuita nepese paunogona napo.

FVC inogona kudzikiswa kana uine chinotadzisa kana kudzora mamiriro. Huyero huri pakati peFVC neFEV1 hunopa ruzivo rwekuti une chinokuvhiringidza here kana kuti unorambidza uye unogona kubatsira kuongorora mamiriro akaita seCOPD.

Munhu ane hutano achava nereshiyo yeanenge 80%, kureva kuti paanobudisa mapapu ake, 80% yemhepo inodzingwa musekondi yekutanga, asi kana iwe uchinetseka kuti mhepo ibude nekuda kwekuvharidzirwa kana floppy airways zvinokutora nguva yakareba. kuti uzvidurure, zvingava zvakaderera. Kana iri 70% kana pasi inogona kunge iri COPD.

Kuita izvi kwaChiremba kunogona kubatsira kuongorora pasina kutumira vanhu kunzvimbo ine nyanzvi nemari yese yekufamba uye yekupaka uye kushushikana kwakanyanya kwekuve munzvimbo yausina kujaira. Kuvhiya kwaGP kwakawanda kwava nemanesi vanogona kuita spirometry kubatsira neCOPD kuongororwa.

Kuwanda kwekuedzwa kunogona kusiyana zvakare, zvichienderana nemamiriro ako, kurapwa kwauri, kana uri kuchinja marapirwo, kana uri kuita ongororo. Kana wakagadzikana neCOPD uye asima uye uri kutungamirirwa naChiremba wako, unogona kungoongororwa kushanda kwemapapu makore mashanu kana kupfuura. Zvinochinja zvikuru.

Heino zano repamusoro kubva kuna Phil! Rega zera rako remapapu kana wazviudzwa! Zvinotyisa uye hazvina maturo!

Phil ane makore makumi mana nerimwe ekuberekwa, ane utano hwakanaka, haana chirwere chemapapu, anochovha bhasikoro kuenda kubasa uye anotambira timu yekutanga kukirabhu yake yehoki nguva dzose. Zera rake remapapu rakabuda pa41!

Zvinoita sezvinotyisa! Kana ukazviudzwa, zvinogona kuita kuti unzwe kunetseka zvikuru. Tine varwere vanoshanyira kiriniki yedu vane zera remapapu rezana nemakumi mashanu uye vakagadzikana uye vanga vaine kukosha ikoko kwemakore nemakore. Hazvirevi chinhu.

Nei vanhu vangazviudzwa ipapo? Zvakanaka, zvingadzokera pakunyengetedza vanhu kurega kusvuta, zvinogona kutyisidzira vanhu kuti vasiye kusvuta kana vakaudzwa kuti vane mapapu emunhu ane makore 90 asi ivo vane makore 60 chete. Asi izvi zvinogona kudzorera moto uye kusava nechokwadi, vanhu vanogona kufunga kuti 'Ah zvakanaka, mapapu angu apfurwa kuita zvidimbu, hapana chikonzero chekuita chero chinhu kuti ndibatsire, ndinongoenderera sezvandiri'. Haisi chiyero chinobatsira zvachose.

Mimwe yemibvunzo kubva muchikamu:

Unogona here kuwedzera mapapu wakabviswa lobe nekuda kweaspergilloma?

Mushure mekuvhiyiwa thoracic unogona kuiswa pachirongwa chekuvandudza kupora. Iwe unogona kupiwa spirometer yekukurudzira kuti ikurudzire kutora kufema kwakadzika. Kufema kwakadzika uye kurovedza muviri sekufamba nekukurumidza kunogona kubatsira nekupora kubva pakuvhiyiwa zvakare.

Iwe unofanirwa kunetseka nezvekubuda kweropa paunenge uchiita bvunzo dzekushanda kwemapapu?

Kufemereka kwakadzika hakuzokonzerese kuti mapapu ako abude ropa asi kiriniki yako inogara yakangwarira kana uchizivikanwa kuti une mapapu matete ane madziro.

Tarisa hurukuro yaPhil uye tizivise zvaunofunga!