Analysis ERF - chii? Zviratidzi uye zvazvingava

Kazhinji, vanachiremba akarayira kuti varwere vavo achiona kudzidza ERF. Chii? Rudzii nemigumisiro kunzi dzose? Ndezvipi zvirwere uye zvinetso zvinogona chirwere vachishandisa nzira iyi? nyaya ava kufarira zhinji.

ERF - chii here?

ERF - imwe Acronym kuti anomirira "zvemapapu shanda". Kudzidza kwakadaro kuti vaongorore kufema hurongwa. Somuenzaniso, achibatsirwa chiremba anosarudza sei mhepo zvikuru anopinda mumapapu murwere, uye chii chinobuda. Uyezve, panguva bvunzo, munogona kuongorora kuchinja mudenga aibuda velocity munzvimbo dzakasiyana-siyana dziri kufema hurongwa. Saka, chidzidzo kunobatsira rokuongorora kufefetedza anokwanisa mumapapu.

ERF ukoshi achaporesa ano

Kutaura zvazviri, kukosha tsvakurudzo iyi hazvigoni dzakanaka. Sezvingatarisirwa, rinoshandiswa kuti chirwere vamwe zvirwere zviri kufema hurongwa. Asi kuwanda pokushandisa nzira iri vakwanise zvikuru. Somuenzaniso, spirometry mutemo unoti, nguva miedzo nokuti vanhu kushanda mumamiriro ezvinhu ane ngozi. Uyezve, migumisiro ongororo iyi inoshandiswa kuremara utano hwevanhu, kusarudza vanokodzera here racho basa dzimwe runyararo.

Kudzidza rinoshandiswa kuti simba zvichiongororwa, sezvo runoita kufungidzira kumhanya kukura ane chirwere uye migumisiro yokurapa. Mune zvimwe zviitiko, kuongorora ERF akashandiswa nechirwere ose sema zvirwere, nokuti anotibvumira kuronda matambudziko ane fuma pamusoro kufema turakiti. Mune zvimwe zviitiko, akaita hombe vakawanda spirometry kuona mamiriro utano nevagari siyana nenzvimbo uye zvipenyu zvikamu.

Zvairatidza kuti ongororo

Saka, chidzidzo dzinokurudzira kuti varwere vanofungidzirwa asima, chirwere bronchitis kana zvimwe chirwere ari bronchopulmonary hurongwa. Zvairatidza kuti ndiite kuongorora vane chirwere chikosoro, kakawanda tichibatwa breathlessness. Uyezve, kutsvakurudza rakashandiswa nechirwere pakati pulmonary vascular maronda, kusanganisira thrombosis pamusoro pulmonary tsinga, pulmonary neBP uye zvichingodaro. D. Kunobva ERF vari zvinokosha kuti kurapwa nedzimwe thoraco-diaphragmatic zvinetso, kusanganisira kufutisa, achiperekedzwa alveolar hypoventilation, uye pleural Schwarte, siyana kutyorwa mamiriro uye curvature pamusoro nomuzongoza, neuromuscular dzomuviri. Mune zvimwe zviitiko ongororo iri ushandiswe varwere kuti vaongorore kubudirira yasarudzwa kurapwa zvaiitwa.

How kugadzirira bvunzo

Kuti vawane yakarurama kwazvo zvabuda, unofanira kutevera dzimwe nhungamiro pamberi ERF. Zvakadini nemitemo pakugadzirira mhando? Kutaura zvazviri, zvose zviri nyore - zvakafanira kusika zvinhu nokuda kunonyanyisa vakasununguka kufema. Spirometry Kazhinji kuitwa usina chawadya. Kana chidzidzo yakanzi yaizotongwa masikati kana manheru, unogona kutora vozopindura, asi kwete papera kupfuura mbiri maawa pamberi bvunzo. Uyezve, hapana kuputa maawa 4-6 asati kutanga kuongorora. Izvi zvinoshandawo mumuviri kushushikana - .. At kumuduku rimwe zuva pamberi ERF chiremba dzinokurudzira vakaomerwa kurovedza muviri, kudzima kudzidzisa kana basketball, etc. On migumisiro yechidzidzo kunogona kukanganisa vamwe mishonga. Naizvozvo, nezuva nzira harifaniri kutora mishonga inogona kukanganisa kurwisa zviri kufema turakiti, kusanganisira zvinodhaka kubva boka vasiri kusarudza Beta-blockers, uye bronchodilators. Chero zvazvingava, iva nechokwadi kuudza chiremba wako pamusoro chero mishonga yauri kuushandisa.

nzira Overview

The bvunzo anotora zvishoma pane imwe awa. Chokutanga, chiremba yakanyatsoita kuyera kureba uye kurema murwere. Shure kwaizvozvo mharidzo munhu akapfeka mumhino rinokosha Clip - naizvozvo chete anogona kufema achishandisa muromo. Mumuromo, murwere chinobatanidza chaiyo itaure, kuburikidza icho kufema - hwakabatana pamwe chaiyo Switch, iyo inobudisa ose zviratidzo. Chokutanga, chiremba anoona hwandaiva kufema kutenderera. Shure kwaizvozvo, murwere unofanira kuita kufema rinoshamisa - tanga zvikwanisike befu, ipapo exhale rinooneka kuedza kufadza Vhoriyamu mhepo. vanoronga akadaro rinofanira kudzokororwa kakawanda.

About 15-20 maminitsi Papera, nyanzvi dzinogona kutowanikwa kukupa nemigumisiro ERF. Ndozvakajairwa pano hunotsigirwa zvinhu zvakawanda, kusanganisira pasi. Somuenzaniso, zvachose zvemapapu vanokwanisa nevanhu ndiko avhareji 6.4 litres, uye vakadzi - 4.9 litres. Chero zvazvingava, kuongorora migumisiro vanofanira kuona chiremba, sezvo iye chete anoziva sei kududzira ERF. Decoding ichava inokosha achigadzirira kwohumwe kurapwa zvaiitwa.

mamwe zvidzidzo

Kuri kuti dzekare zano spirometry akaratidza kuvapo avo kana zvimwe zvarakasiya anogona kuitwa uye dzimwe mhando mamwe pamusoro ERF. Zvakadini miedzo mhando? Somuenzaniso, kana murwere achiratidza vamwe obstructive ventilatory zvinetso, hazvina risati kudzidza kupa inokosha gadziriro kubva boka bronchodilators.

"ERF bronchodilator - chii?" - You kubvunza. Zviri nyore: mishonga iyi kubatsira kuwedzera Airways, pashure iyo kuongorora rinoitwa zvakare. nzira Izvi zvinoita kuti kuongorora ukuru reversibility of dzakaonekwa kutyorwa. Mune zvimwe zviitiko, tsvakurudzo uye diffusion inokwana mumapapu - Ongororo iyi anopa kumbonyanya yakarurama tinyatsonzwisisa basa alveolar-rirambe richibvira membrane. Dzimwe nguva vanachiremba uyewo kuona simba kufema tsandanyama, kana vanonzi chiedza airiness.

Contraindications kuna ERF

Chokwadi, kudzidza ichi ane nhamba contraindications, sezvo asina varwere vose vanogona kuenda kuburikidza nayo tisingazvikuvadzi utano hwavo. Pashure pezvose, panguva dzakasiyana-siyana kufema anofambisa vakachengeta kusungika ari kufema tsandanyama, vakawedzera mutoro pamusoro pfupa nemarunda pechipfuva, uyewo wakawedzera intracranial, intra-abdominal uye intrathoracic kuvafurira.

Spirometry iri contraindicated Varwere vakambotadza akanga ndavhiyiwa pokuvhiyiwa, kusanganisira ophthalmic kuvhiya - mune nyaya dzakadaro zvakafanira kumirira kwevhiki nhanhatu. Contraindications zvinosanganisirawo myocardial infarction, sitiroko, aneurysm nevamwe zvirwere kweropa hurongwa. The kuongorora haisi kunze kuongorora mabasa ari kufema ezvinhu kuenda kukireshi-zera vana uye vakwegura (makore anopfuura 75). Varwere nepfari, kunzwa uye zvirwere mupfungwa sezvo haungopiwi.

Pane divi migumisiro zvinobvira?

Varwere vakawanda vanofarira, zvinogona kukonzera zvimwe vachivavhiringidza ERF ongororo. Imhandoi nemishonga? muitiro unogona kuva nengozi? Kutaura zvazviri, kuongorora, pasi rose mitemo iri kunova wakachengeteka nokuda murwere. Kana zvabuda yakarurama munhu panguva nzira inofanira kudzokororwa kakawanda kufema kurovedza pamwe kumanikidzwa expiratory vhoriyamu, unogona kuona munyoro simba uye dzungu. Usatya, nekuti izvi marwadzo inonyangarika pachavo pashure maminitsi mashoma. Vamwe yaivhuvhuta zviitiko zvingaitika mune kuongorora mharidzo ERF. Ndezvipi zviratidzo izvi? Bronchodilators kungaita zvishomanana chakamira pakunodengenyeka zvine ari maoko nemakumbo, uye dzimwe nguva mwoyo palpitations. Asi zvakare, zvirwere izvi pachavo pakarepo pashure nzira kwapera.