Isilinganiso Sokugeleza Okuphakeme Okuphakeme
-Delile
- Udokotela ukuncoma nini ukuhlolwa okuphezulu kokuphuma kokuphefumula?
- Ngisilungiselela kanjani isivivinyo sokuhlolwa kokugeleza okuphezulu okuphezulu?
- Ngabe kunikezwa kanjani ukuhlolwa okuphezulu kokuphuma kokuphefumula?
- Ngidinga kangaki ukwenza isivivinyo?
- Yiziphi izingcuphe ezihambisana nokuhlolwa kwesilinganiso sokugeleza okuphezulu?
- Ngazi kanjani ukuthi isilinganiso sami sokugeleza okuphefumulayo sijwayelekile?
- Kusho ukuthini uma ngithola imiphumela engajwayelekile?
Luyini uvivinyo lokugeleza okuphezulu kokuphefumula?
Isivivinyo se-peak expiratory flow rate (PEFR) silinganisa ukuthi umuntu angakhipha ngokushesha kangakanani. Isivivinyo se-PEFR sibizwa nangokuthi ukugeleza okuphezulu. Lokhu kuhlolwa kuvame ukwenziwa ekhaya ngedivayisi ephathwa ngesandla ebizwa nge-peak flow monitor.
Ukuze ukuhlolwa kwe-PEFR kube wusizo, kufanele ugcine amarekhodi aqhubekayo wezinga lokugeleza kwakho. Ngaphandle kwalokho ungahle ungaboni amaphethini avela lapho isilinganiso sakho sokugeleza siphansi noma sincipha.
Lawa maphethini angakusiza ukuthi uvimbele izimpawu zakho ekubeni zimbi kakhulu ngaphambi kokuhlaselwa yisifuba somoya. Ukuhlolwa kwe-PEFR kungakusiza ukuthi uthole lapho udinga ukulungisa imithi yakho. Noma kungasiza ekunqumeni ukuthi ngabe izinto zemvelo noma ukungcola kuthinta ukuphefumula kwakho.
Udokotela ukuncoma nini ukuhlolwa okuphezulu kokuphuma kokuphefumula?
Ukuhlolwa kwe-PEFR ukuhlolwa okuvamile okusiza ukuxilonga nokuhlola izinkinga zamaphaphu, njenge:
- isifuba somoya
- isifo esingapheliyo sokuvimbela kwamaphaphu (COPD)
- iphaphu elitshalwe kabusha elingasebenzi kahle
Ungase futhi wenze lolu vivinyo ekhaya. Kuzosiza ukunquma ukuthi ngabe izindlela zokwelashwa kwamaphaphu ziyasebenza yini ukuvimbela izimpawu ukuthi zande.
Ngisilungiselela kanjani isivivinyo sokuhlolwa kokugeleza okuphezulu okuphezulu?
Ukuhlolwa kwe-PEFR akudingi ukulungiswa okuningi. Ungahle uthande ukukhulula noma yiziphi izingubo eziqinile ezingakuvimbela ekuphefumuleni ngokujulile. Qiniseka ukuthi ume noma uhlale uqonde ngenkathi wenza isivivinyo.
Ngabe kunikezwa kanjani ukuhlolwa okuphezulu kokuphuma kokuphefumula?
Uzosebenzisa i-peak expiratory flow monitor ukwenza isivivinyo se-PEFR.Lokhu kuyinsimbi ephathwa ngesandla enomlomo ohlangothini olulodwa nesikali ngakolunye. Uma ushaya umoya emlonyeni, umcibisholo omncane wepulasitiki uyahamba. Lokhu kukala isivinini sokuhamba komoya.
Ukuze uvivinye, uzo:
- Phefumulela ngaphakathi ujule ngangokunokwenzeka.
- Shaya okhulumela umlomo ngokushesha nangokunzima ngangokunokwenzeka. Ungafaki ulimi lwakho phambi komlomo.
- Yenza isivivinyo kathathu.
- Qaphela ijubane eliphakeme kunazo zonke ezintathu.
Uma ukhwehlela noma uthimula ngenkathi uphefumula, kuzodingeka uqale futhi.
Ngidinga kangaki ukwenza isivivinyo?
Ukuze unqume "okungcono kakhulu komuntu siqu," kufanele ulinganise isilinganiso sakho sokugeleza okuphezulu:
- okungenani kabili ngosuku amasonto amabili kuya kwamathathu
- ekuseni, lapho uvuka, futhi ntambama noma kusihlwa
- Imizuzu eyi-15 kuya kwengu-20 ngemuva kokusebenzisa i-beta2-agonist esebenza ngokushesha, esebenza ngokushesha
Umuthi ojwayelekile we-beta2-agonist yi-albuterol (Proventil neVentolin). Lo muthi udambisa imisipha ezungeze imigwaqo yomoya ebasiza ukuthi banwebe.
Yiziphi izingcuphe ezihambisana nokuhlolwa kwesilinganiso sokugeleza okuphezulu?
Ukuhlolwa kwe-PEFR kuphephile ukwenziwa futhi akunazingozi ezihambisana nakho. Ezimweni ezingavamile, ungazizwa unekhanda elincane ngemuva kokuphefumulela emshinini kaningana.
Ngazi kanjani ukuthi isilinganiso sami sokugeleza okuphefumulayo sijwayelekile?
Imiphumela yokuhlolwa ejwayelekile iyahluka kumuntu ngamunye kuye ngeminyaka yakho, ubulili, nobude. Imiphumela yokuhlolwa ihlukaniswa njengezindawo eziluhlaza, eziphuzi, nezibomvu. Unganquma ukuthi uwela kusiphi isigaba ngokuqhathanisa imiphumela yakho edlule.
| Indawo eluhlaza: amaphesenti angama-80 kuya kwayi-100 wesilinganiso sakho sokugeleza esijwayelekile | Le yindawo ekahle. Kusho ukuthi isimo sakho silawulwa. |
| Indawo ephuzi: amaphesenti angama-50 kuya kwangama-80 wezinga lakho lokugeleza elijwayelekile | Izindlela zakho zokuphefumula kungenzeka ziqala ukuncipha. Khuluma nodokotela wakho ngokuthi ungayiphatha kanjani imiphumela yendawo ephuzi. |
| Indawo ebomvu: ngaphansi kwamaphesenti angama-50 wezinga lakho elijwayelekile | Izindlela zakho zokuphefumula zincipha kakhulu. Thatha imishanguzo yakho yokutakula futhi uthinte abezimo eziphuthumayo. |
Kusho ukuthini uma ngithola imiphumela engajwayelekile?
Izinga lokugeleza lincipha lapho imigwaqo yomoya ivinjiwe. Uma ubona ukwehla okuphawulekayo esivinini sakho sokugeleza okuphezulu, kungabangelwa ukuqhuma kwesifo sakho samaphaphu. Abantu abane-asthma bangathola amazinga okugeleza okuphakeme kakhulu ngaphambi kokuba baqale izimpawu zokuphefumula.
Uma kwenzeka noma yiziphi kulezi zimpawu ezilandelayo, iya egumbini labezimo eziphuthumayo ngokushesha. Lezi yizimpawu zesimo esiphuthumayo sezokwelapha:
- ukuncipha kokuqapha - lokhu kufaka ukozela okukhulu noma ukudideka
- ukuphefumula okusheshayo nokucindezela imisipha yesifuba ukuze uphefumule
- umbala oluhlaza okwesibhakabhaka ebusweni noma ezindebeni
- ukukhathazeka okukhulu noma ukwethuka okubangelwa ukungakwazi ukuphefumula
- ukujuluka
- ishayela ngokushesha
- ukukhwehlela okhulayo
- ukuphelelwa umoya
- ukuphefumula noma ukuphefumula
- ayikwazi ukukhuluma ngaphezu kwemishwana emifushane
Ungafisa ukuvakashela udokotela wakho futhi uthole ukufundwa okunembe kakhudlwana nge-spirometer uma imiphumela yakho yokuhlolwa ihlobene. I-spirometer iyithuluzi lokuqapha ukugeleza kokuthuthuka okuthuthuke kakhulu. Kulesi sivivinyo, uzophefumulela esikhaleni somlomo esixhunywe kumshini we-spirometer olinganisa amazinga akho okuphefumula.
Posed Namuhla
Yini Ongayenza Ukuze Uguqule Ukungasebenzi Kwe-Erectile (ED)?
