Ukuhlolwa kokusabalala kwamaphaphu

Ukuhlolwa kokusabalala kwamaphaphu kukala ukuthi amaphaphu ashintshana kanjani ngamagesi. Le yingxenye ebalulekile yokuhlolwa kwamaphaphu, ngoba umsebenzi omkhulu wamaphaphu ukuvumela umoya-mpilo ukuthi "usakaze" noma udlulele egazini usuka emaphashini, nokuvumela i-carbon dioxide ukuthi "isakaze" isuke egazini iye emaphashini.

Uphefumula (uhogele) umoya oqukethe inani elincane kakhulu le-carbon monoxide kanye negesi elilandelayo, njenge-methane noma i-helium. Ubamba umoya wakho imizuzwana eyi-10, bese usukhipha ngokushesha (ukhipha). Igesi ekhishiwe iyahlolwa ukuthola ukuthi ingakanani igesi elilandelayo elamunzwa ngesikhathi sokuphefumula.

Ngaphambi kokwenza lokhu kuhlolwa:

• Ungadli ukudla okunzima ngaphambi kokuhlolwa.
• Ungabhemi okungenani amahora amane kuya kwayisithupha ngaphambi kokuhlolwa.
• Uma usebenzisa i-bronchodilator noma eminye imithi ehogelwayo, buza umhlinzeki wakho wezokunakekelwa kwezempilo ukuthi ungayisebenzisa noma cha ngaphambi kokuhlolwa.

Isikhulumi somlomo silingana kahle emlonyeni wakho. Iziqeshana zifakwa ekhaleni lakho.

Ukuhlola kusetshenziselwa ukuxilonga izifo ezithile zamaphaphu, nokuqapha isimo sabantu abanesifo samaphaphu esisunguliwe. Ukuphinda ulinganise amandla okusabalalisa kungasiza ekunqumeni ukuthi ngabe lesi sifo siyathuthuka noma siya ngokuya siba sibi.

Imiphumela yokuhlolwa ejwayelekile incike kokulandelayo:

• Ubudala
• Ucansi
• Ukuphakama
• IHemoglobin (iphrotheni emangqamuzaneni abomvu egazi athwala umoya-mpilo)

Imiphumela engajwayelekile isho ukuthi amagesi awahambi ngendlela evamile ezicubwini zamaphaphu ziye emithanjeni yegazi yamaphaphu. Lokhu kungahle kube ngenxa yezifo zamaphaphu ezinjengalezi:

• I-COPD
• I-fibrosis yangaphakathi
• I-embolism yamaphaphu
• Umfutho wegazi ophezulu wamaphaphu
• I-Sarcoidosis
• Ukopha emaphashini
• Isifuba Somoya

Azikho izingozi ezinkulu.

Ezinye izivivinyo zomsebenzi wamaphaphu zingenziwa kanye nalokhu kuhlolwa.

Amandla okusabalalisa; Ukuhlolwa kwe-DLCO

• Ukuhlolwa kokusabalala kwamaphaphu

Igolide WM, Koth LL. Ukuhlolwa komsebenzi wePulmonary. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, abakwa-eds. Incwadi kaMurray neNadel Yemithi Yokuphefumula. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 25.

IScanlon PD. Umsebenzi wokuphefumula: izindlela nokuhlola. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 79.