Spirography - ke eng? Spirography bronchial asma. Moo etsa spirography. litsupa spirography

phefumoloho batho le hlaha ka mekhahlelo e 'meli e meholo - the Link le dinama tse nyenyane tse. Ha tsamaiso ea litseleng moea tswa nasal cavity ho methapo sefate alveolar ke feela e 'ngoe ea pele. 'Me haeba sebopeho anatomical ea lekala, re ka talima ho sebelisa mekhoa ea mahlaseli a tepelletse maikutlong (X-ray, X-ray, ultrasound ea computed, matla a khoheli gomoso litšoantšo) ke ho hlahloba boemo tshebetso re thusa le disebediswa tse fapaneng ka ho feletseng.

mokhoa

Bakuli ba bangata pulmonologist kapa ngaka e thusang lelapa, fumana litaelo ho ithuta sena, botsa: "Spirography - e lintho li" A re ke re leka ho utloisisa sena 'moho.

'nete ea hore and analysis ena e ka abeloa ho ba batho ba nang le mafu a ea tsamaiso ea ho hema,' me ka bophelo bo botle ka ho feletseng, esita le baatlelete, 'me ka hona ho na le ho se utloisisane. Kahoo spirography khanya - e ke mokhoa bohlokoa bakeng sa ho ithuta mosebetsi ho hema, e leng lumella ho fana ka khakanyo e ho fumana hore na solofetsa ea lihloliloeng tsena ho etsa bonnete ba hore kaofela ha 'mele le oksijene le ho tloswa e lekaneng ea carbon dioxide. ya data tsohle ka ho hlaka, ke hore, ka pampiri, le hoja e le ka lebaka tsejoa hang-hang ka mor'a and analysis ena. spirography litsupa fa ngaka litaba tsa bohlokoa ka airway conductance le bokgoni ba methapo ventilation e lumellang ho hlwaya unit trust tsa tlōlo 'me monyetla oa ho reversibility tsa liphetoho pathological ka eona. Ho phaella moo, ho ka etsahala hore ho hlahloba ho bohlokwa ba tsamaiso ea lithethefatsi e, ho tlosa spirogram pele le ka mor'a tsamaiso. Ka mohlala, e le teko e bonolo o etsoa ka bronchodilators belaela asma.

Terms of

Kahoo, re ileng a sebetsana le taba ea "spirography". Joang ho ithuta ena ke ea bohlokoa ho tseba hape. Ea khethiloeng ke e, hangata ka hoseng kapa thapama lihora tse ngata, ka go tlhaolega ka mpeng letho. Leha ho le joalo ho ka etsahala le ho khanna ka mor'a lijo tsa hoseng khanya, ha feela ka mor'a ho ja lijo tsa e bile dihora bonyane 2. Ntlha ea pele, ho sekaseka lipalo ha fana ka boitsebiso bo fosahetseng ea fuoa le mamello 'meleng le maikutlong ho ba bang kaofela ka metsotso e 15 tsa lutse. Nakong ena, re lokela ho normalize ho otla ha pelo le mekhatlo ho hema, e leng se bolelang hore thuto eo e tla bonts'a setshwantsho oa sebele oa bophelo ba bona. Hape ke habohlokoa hore nakong ea lihora tse 6-12 ho qetela ea bakuli ha noa meriana le phello e bronchodilator.

thepa

Ka mor'a moo, mamello ea lutseng tafoleng, leo Spirograph, apare sekoto se nko inehetseng ho moeeng tsohle tsoa ka molomo feela. Ho feta moo, ho e amana ho sesebediswa ka 'muelli le fana ka ho phetha dikgothaletso le ngaka ho lekanya entsprechen tsohle tse hlokahalang. E le busa, morao-rao spirographs thulaganyou e ya data ka lithahasello tsa bona, ke hore, ka tsela e iketsang, oo ka oona e le ka lebaka le hlaha hang-hang ka mofuta oa cheke ho tswa ho ba le ngolise chelete: joalo e fella ka spirography. Norma tsohle litsupa boela la liha sesebediswa ke bala bong a bona a lekanyelitsoeng le lilemo tsa ba le mamello. Ebe ngaka, ho bapisa ba le balekane ba bona, e bontša ditlolo diriswa. Hape, hoa khoneha ho phetha liteko ka mor'a tsamaiso ea bronchodilators, eo e iphumanela ho ba teng kapa ho ba sieo ha e le hantle bona. Kahoo, ho ithuta ena ke ea bohlokoa phetha mokhoa bakeng sa fumanoe ea bophelo bo botle ba mokuli kapa lefu.

Ho bonahala ho ithuta

Ho bohlokoa ho tseba le ho hlompha phuputso e ba e biditseng "spirography" hore and analysis ena, joaloka tse ling tse leha e le efe, e na le matšoao a itseng ho. e leng:

• haufi ho buuoa (bakeng sa tekolo kotsi nakong tshebetso);
• khetholloa ka wheezing, ho khohlela, bokhutšoanyane phefumoloho le matšoao a ba bang ba tsamaiso ea matšoafo ka sekasekale ea pele ea ho ba le mamello;
• Tepelletse maikutlong isa tekanyong mohato se tsejoa lefu methapo tsamaea le obstruction bronchial kapa boima manyolo le tshebetso mafu a ba tsamaiso ventilation (COPD, bronchial asma, la bronchitis foleng), hammoho le hlahlobo ya e tla phekolo balletsweng;
• lekanngwang itse'ng ea bophelo, ho holofala le ho litsebi tshwanelega bakuli na le boloetse ba lefu ea matšoafo;
• cardiopulmonary lefu, hangata a tsamaea le tlōlo ea mosebetsi le ho hema (lefu la pelo, lefu la tsoekere mellitus, systemic connective dinama tse nyenyane tse maloetse).

tse ling tse bontšang

Ho phaella moo, nako le nako spirography khanya lokela ho tšoaroa ka bakuli ba kotsing ea ho mafu a ea tsamaiso ea ho hema. Ho batho ba tsubang le lilemo le phihlelo, ba sebetsang ka indasteri ea litloebelele le liindasteri tse ling, tsela e 'ngoe kapa e' ngoe ba oela dihlopha ea tlhahiso e kotsi. Ho fapana le hoo, contraindications ho phuputso e entsoeng hona ke kelello, a hlobaetsang le mafu a tsoaetsanoang, boemo bo tebileng ea mokuli, lefuba methapo le bacilli, ho khohlela mali, e kotsing ea ho senyeheloa nakong ea bokhachane.

and analysis sebopeho

Ho joalo, re ile ra fumana hore ba ngolisitsoeng ke phuputso e entsoeng ena spirography, litsupa ba tsamaiso ea batho ho hema. Ha e le hantle, ba tshebetso, ke hore, u se ke ua bontša ho mafu a manyolo, mme le bokgoni ba ventilation.

Ka ho qaqileng, li akarelletsa sekhahla matšoafo (nomoro ya ka motsotso), palo yohle maqhubu le lintho bophahamo ba modumo (khr, ka tjhelete e ya moea hore a ka kena matšoafong ka phefumoloho le 'ngoe), cardiac khumo (tšoanang le ea pejana, ea bohlokoa feela ka motsotso e mong), oa bohlokoa matšoafo bokgoni inspiratory le expiratory (mehato le bokgoni ba palo e kahodimodimo ea makala), le sekhahla tshebediso ya tsa tšebeliso oksijene, ho qobelloa pululo bophahamo ba modumo le inhalation (entseng le gagamalo mesifa sefuba), lebelo moea, li-index Tiffno ( lekanya ke karo-karolelano ea ba qobelloa bophahamo ba modumo expiratory boemong matšoafo bakeng 1 bobeli) 'me ba bang ba bang. litsupa tsena tsohle thusa ngaka etsa e feletseng rutang setshwantsho ka boemo ba khanna litsela tsa moea le khase phapanyetsano lekaneng. Kahoo, oksijene diffusion le hlaha ka assimilation ea matšoafo alveolar lona sacs maling le ferekanngoa le diso mehaho ea matšoafo ka.

Seabo tepelletse maikutlong le

Spirography bronchial asma o na le litšobotsi tsa bobeli ka mokhoa o le ka tlhaloso ea litholoana.

Karolo ea bohlokoa bakeng sa fumanoe lefu lena e bapala qobelloa inhalation le pululo teko, e thehiloeng eo kerafo ya e hahoa ka ho ea ka mokhoa oa ka tsela e iketsang - "bophahamo ba modumo-phallo". Ke bakeng sa sebopeho lona ka ho ba teng ha ho hloleha ho hema e laolwang ke mofuta oa eona: lithibelo (amanang le ho lemala manyolo matšoafo), obstructive (ka lebaka la ho tlōla moea ka bronchial kapa sefate alveolar) kapa e tsoakiloeng. Hape e lokiselitsoe ke phokotso ea molumo e ka amahanngoa qobelloa expiratory phallo sekhahla mothinya tlhōrō le FVC ka mefuta e fapaneng 25-75%, 'me ba qobelloa bophahamo ba modumo inspiratory. Sena pono bontša pathogenesis la asma, eo ho eona ho ke spasms tšohanyetso ba bronchi mafapha distal, e leng e bontšoa litlhaselo tsa breathlessness.

liteko

Obstructive mofuta matšoafo hloleha e boetse ke bohlokoa ho fumana hore na tekanyo ea ho reversibility ea liphetoho, e lumella u ho seta tepelletse maikutlong le ho tiea tsa lefu lena. Kahoo, teko atileng ka ho fetisisa ke diokobatsi teko agonist B2-adrenoreceptor khutšoanyane tshwere, tse akarelletsang lithethefatsi "salbutamol". Ke le phethe ka lihora tse 6 abeloa khanselwa lithethefatsi tse ling tsa liketso tsa tšoanang e ka nako eo e tlalehiloeng mothinya "bophahamo ba modumo-phallo". Ka mor'a moo, mamello e etsa inhalations le 'ngoe kapa tse peli le moriana,' me ka mor'a metsotso e 15 feela, halofo ea hora ka mor'a ho entse ka makhetlo-khetlo spirography. ke eng mofuta ona wa obstruction, lumella phetoho oa ho ithuta le ho hlahloba litsupa. Ho joalo, haeba ba ne ba eketsa ka ho fetang 15% ea sephetho lekhetlo la pele, leka ho nkoa e ntle.

mokhoa o mong

Hobane bakuli ba asma lokela tswelela pele ho hlokomela boemo ba bophelo ba bona, ho na le mokhoa o mong bakeng sa ho bala le mothinya "phallo-bophahamo ba modumo" - pneumotachograph. Ha ho bapisoa ho spirograph ke pete, 'me ka hona a loketse bakeng sa ho intša tsamaiso ke mokuli a le lapeng. E lumella motho hore a laole tshebetsong letsatsi la litsupa ea tsamaiso ea ho hema, 'me haholo simplifies mosebetsi oa ngaka, ka ho fetisisa tshepahalo bonahatsa dipharologanyo ea lefu lena le ka dikgao e pakeng tsa ba etela setsing sa. Pneumotachograph ke e boetse e tube, le 'muelli oa replaceable, tlohang mamello ho sesebediswa dikhomphiutha e kgona ho ka tsela e iketsang bale entsprechen tse ngata mesebetsing ea mothinya le "phallo-bophahamo ba modumo".

bofello

Ya e le hantle, ka liteko tsa tlhathoba tshebetso laela feela pulmonologist, hobane ho bona ho na le matšoao a ka thata-thata. Ea pele, o, ya e le hantle, ba lokela ho fumana tumello ya hae ho tswa ho ba le mamello, 'me ka lebaka o ne a tla u bolella moo spirography etsa, hore na ke eng le hore na morero oa ho e sebelisa. Ke ea bohlokoa haholo ho theha ho tšepa ha ka kamano ea ngaka le mokuli, hammoho le bopa tikolohong e nolofalletsa ho mamella teko, hobane feela matšeliso a kelello ea sephetho mokuli a ithuta a fumana bohlokoa. Le se setšeng laboratori fumana ditshekatsheko, hlalosa melao ea teko, e le liphello e bile tse 'nete e seng feela, empa li boetse li thusa ngaka ho hlahloba lefu lena le mokuli.