Ho Fokotsa Mathata le Mathata a Matšoao a Mafu a Mafu le FEV1 / FVC
Ha ho hlahlojoa le ho phekola maloetse a matšoafo a thibelang mafu a kang lefu la chronic obstructive pulmonary (COPD), lingaka li atisa ho sebelisa liteko tse sa tšoaneng ho fumana hore na lefu lena le matla hakae. E 'ngoe ea tsona ke teko e bitsoang spirometry , eo litekanyo tse fapa-fapaneng tsa matšoafo a tsona li ka baloang.
Ho lekanya FEV1 / FVC
Lingaka tse ling tsa bohlokoa tsa tekanyo li sebelisa ho shebella mapheo a boipheliso ke karolelano ea molumo o qobelloang oa ho phefumoloha ka motsotso o le mong ( FEV1 ) ka lebaka la matla a qobelloang a qobelloang ( FVC ), a tsejoang hape e le letšoao la Tiffeneau-Pinelli.
Ena ke tekanyo ea hore na moea o tsoa kae ka metsotso e le 'ngoe ha o bapisoa le tekanyo e feletseng ea moea e ka phefumolohang ka matla ka phefumoloho e feletseng.
Boima ba moea oo u o fumanang ka motsotsoana o le mong bo ngotsoe hammoho le kakaretso ea moea oo u khonang ho o kenya. Ho itšetlehile ka palo ea FVC e baloang ho lilemo tsa hau le boholo, karolelano ea litekanyetso tsena tse peli e hlahlojoa. Ka tlhaho, litekanyetso tsena tse peli li lekane. Haeba FVC e fokotseha, joale karolelano e shebahala haufi-ufi.
Ho fokotseha FVC Ho latela mohlala oa FEV1 / FVC oa Mohlala-o thibelang
Haeba FVC ea hau e fokotsehile empa karolelano ea FEV1 / FVC e tloaelehile, sena se bontša mokhoa o thibelang. Matšoafo a matšoao a thibelang mafu a ka 'na a e-ba a' ona ao lisele tsa matšoafo ka boeona li senyehileng, kapa ha ho hlophisoa hore motho e mong a sitoa ho hema ka tsela e tloaelehileng joaloka e tloaelehileng. Mehlala e meng e kenyelletsa:
- Pulmonary fibrosis, e kang idiopathic pulmonary fibrosis , e leng khutsufatso ea matšoafo a sesosa se sa tsitsang.
- Bofokoli ba sefubeng joaloka scoliosis kapa sefubelu leboteng scaring
- Ho buuoa ka kankere ea moriana, joaloka lobectomy kapa pneumonectomy
- Matšoao le maloetse a bakoang ke pneumonia, lefuba, sarcoidosis, silicosis, le asbestosis
- Mathata a kelello a kang ALS
- Pleural effusion, e leng mokelikeli sebakeng seo pakeng tsa linings tse potolohileng matšoafo
- Li-Ascites, ho hahoa ha metsi ka mpeng ka lebaka la lefu la sebete kapa kankere ka mpeng ho ka baka mokhoa o thibelang motho ka ho fokotsa matla a ho hema haholo.
Ho fokotseha FVC ho fokotseha ka tsela e fokotsehileng ea FEV1 / FVC
Haeba FVC ea hau e fokotsehile mme phaello ea hau ea FEV1 / FVC e boetse e fokotsehile, sena se lumellana le mokhoa o thibelang mafu a matšoafo a kang asthma le COPD. Hangata, sena se fumanoa haeba FEV1 / FVC e ka tlaasana kapa e lekana le karolo ea 70 ho ea ho ea 80 lekholong ea batho ba baholo, le karolo ea 85 lekholong ho bana. Litšenyo ho li-airways le / kapa khohlano ea lifofane li bontša maemo a kang:
- Pherekano
- Matšoao a sa foleng a ho thibela maloetse a kang lefu la sefuba, emphysema le bronchiectasis
- Bronchiolitis
Mehato e latelang
Haeba mokhoa o thibelang o hlokomeloa, hangata lingaka li khothalletsa liteko tsa lisebelisoa tsa pulmonary tse feletseng ho tsoela pele ho bontša lefu la matšoafo a hau. Haeba ho fumanoa mokhoa o thibelang, hangata mohato o latelang ke oa ho buella phekolo le bronchodilator , meriana e thusang ho fokotsa constriction ea moea le ho pheta tlhahlobo.
Haeba u ntse u phekoloa bakeng sa lefu la tšoaetso ea matšoafo, ngaka ea hao e ka 'na ea hlahloba tsoelo-pele ea hau e sebelisa karolo ea FEV1 / FVC ea hau. Haeba karo-karolelano e ntlafala le bronchodilator, seo se bolela hore ho thibela bonyane ka mokhoa o sa fellang "ho tsosolosoa." Sena se bonoa ka maemo a kang asthma.
Haeba karolelano e sa ntlafatse ka bronchodilator, e ka 'na ea se ke ea ts'oaroa, joalo ka COPD.
Lisebelisoa:
> Godfrey, M., le M. Jankowich. Bohlokoa ba Bohlokoa ke ba Bohlokoa: Epidemiology le Boikarabello ba Meriana ea Spirometry e Tobellehang Mohlala. Sefuba . 2016. 149 (1): 238-251.
Johnson, J., le W. Theurer. Tsela e Bobebe ea Tlhaloso ea Tlhahlobo ea Boipheliso. Ngaka ea Lelapa la Amerika . 2014. 89 (5): 359-366.
> Koo, K., Yun, H., Byeong-Ho, J. et al. Likamano pakeng tsa Palo ea Bohlokoa Bohlokoa le Pherekano ea Meriana ea Framingham Ho feta Boteng ba Metabolism Syndrome: Phuputso ea Bongaka ea Korea ea Bophelo le Phepo ea Lithethefatsi. Meriana . 2015. 94 (47): e2089.