Spirography - chii? Spirography Árbol asima. Apo kuita spirography. zviratidzi spirography

munhu kufema kunoitika mumatanho zvikuru zviviri - the kwokunze uye tishu. Nepo ezvinhu mhepo makwara kubva nasal mhango kune pulmonary alveolar muti chete wokutanga. Uye kana anatomical nemamiriro nhengo, tinogona kuona kushandisa nzira nemwaranzi diagnosis (X-ray, X-ray, Ultrasound, computed, rinobva resonance kuri) ndiko kuongorora dzichipfekeka mamiriro kutibatsira zvachose namano.

The nzira

Varwere vakawanda pulmonologist kana mhuri chiremba, kuwana nzira kudzidza ichi, achibvunza: "Spirography - zviri" Ngatiedzei chinetso ichi pamwe chete.

Chokwadi kuti ongororo iyi basa sezvo vanhu vane zvirwere kufema ezvinhu, uye zvachose utano, kunyange vatambi, uye saka pane kusanzwisisa. Saka chiedza spirography - icho nzira chinokosha pakudzidza kufema basa, izvo rinobvumira kupa anoona yokuziva chinhanho kwemiviri izvi kuitira kuti zvose muviri pamwe okisijeni uye kubviswa carbon dioxide inobvisa yakakwana. Vose Data zvakajeka, kureva, papepa, kunyange mugumisiro vakava pakarepo kuzivikanwa mushure kuongorora. spirography zviratidzi kupa chiremba anokosha ruzivo pamusoro yemweya conductance uye pulmonary kufefetedza vanokwanisa kuti unobvumira kuti kuziva chairema mitemo uye nomukana reversibility pakati Kumwe kuchinja kunotanga mairi. Uyezve, zvinoita kuti vaongorore efficacy ane mushonga, vachibvisa spirogram vasati uye pashure kutarisira. Somuenzaniso, muedzo nyore rinoitwa pamwe bronchodilators vanofungidzirwa asima.

Terms of

Saka, taita pamwe pfungwa "spirography". Sei kudzidza ichi Zvinokoshawo kuziva. Kugadzwa nayo, kazhinji mangwanani kana masikati kwemaawa, kunyanya usina chawadya. Zvisinei zvinokwanisika uye kuitisa pashure chiedza kudya, akapa kuti mushure kudya kwave zvinenge 2 maawa. Chokutanga, kuongorora nhamba regai kupa ruzivo nhema yakapiwa murwere mumuviri nomupfungwa kuti zororo maminitsi agere 15. Panguva ino, tinofanira normalize kwemwoyo uye kufema kufamba, izvo zvinoreva kuti kudzidza tigokuzivisai mufananidzo chaicho utano hwavo. Zvinokoshawo kuti mumazuva okupedzisira maawa 6-12 wevarwere havana kutora mishonga pamwe bronchodilator maturo.

midziyo

murwere Next agere patafura, pamusoro izvo Spirograph, pfekai mhino inoti yakatsaurirwa kuna vose mhepo nokupira muromo chete. Uyezve, hwakabatana kuti mudziyo kuburikidza mutauri uye kupa kuita yachiremba dzinoenda kuyera zvakafanira zvose parameters yacho. Kazhinji, ano spirographs muitiro Data pachavo, ndiko kuti, kuchinja, mauri mugumisiro rinowanika pakarepo pamusoro mhando cheki kubva mari mazita: saka rinoguma spirography. Norma zvose zviratidzi uyewo rakapa mudziyo kuburikidza pakuverenga dzavo hama chechikadzi uye zera murwere. Ipapo chiremba, kudzienzanisa nemumwe, anoratidza localization kutyorwa. Zvinogonekawo kuti aite miedzo pashure kwokubatsira bronchodilators, iyo anoona kuvapo kana kusavapo kwavo kushanda. Saka, kudzidza ichi chinokosha paku nzira nokuda nechirwere utano murwere kana chirwere.

Zvairatidza yokudzidza

Zvakakosha kuziva uye kuremekedza kuongorora vanoda "spirography" kuti ongororo iyi, somumwe, ane zvimwe zviratidzo kuti. zvinoti:

• nokukurumidza Kuvhiya (nokuti ngozi tinyatsonzwisisa panguva oparesheni);
• chinozivikanwa wheezing, vangakosora, kupfupika mweya uye zvimwe zviratidzo zviri kufema wemuTesitamende chokutanga kunyatsoongorora murwere;
• Chirwere papi danho kutoziva pulmonary chirwere pamwe Árbol mhingaidzo kana rinorema Organic uye dzichipfekeka nepfungwa yacho kufefetedza system (COPD, Árbol asima, chisingaperi bronchitis), uyewo kunyatsoongorora zviri ushandiswe mishonga;
• Pakusarudza fungidziro youpenyu, vakaremara uye nyanzvi suitability wevarwere nechirwere bapu chirwere;
• Moyo chirwere, kunowanzoguma kutyora kufema basa (zvemwoyo chirwere, chirwere cheshuga mellitus, systemic connective zvinyama zvirwere).

zvimwe zvairatidza

Uyezve, nguva nenguva chiedza spirography zvinofanira kuitwa Varwere pangozi yokubatwa nezvirwere ari kufema hurongwa. It vanosvuta vane makore ruzivo, vanoita rinorema bhizimisi uye mamwe maindasitiri, imwe nzira kana imwe ingawira muchikwata anokuvadza kugadzirwa. Mukupesana, contraindications kuti ongororo iyi mupfungwa, chenjera zvirwere kwakakomba ezvinhu omurwere, pulmonary tibhii pamwe bacilli, vangakosora ropa, mumwe ngozi yokubva pamuviri panguva yepamuviri.

mamiriro ongororo

Saka, takawana kuti tiri vakanyorwa maererano neongororo iyi sezvo spirography, zviratidzo zviri kufema dzevanhu hurongwa. Zvikurukuru, vari kushanda, kureva, regai anoratidza Organic zvinetso, uye kufefetedza vanokwanisa.

Zvose, izvi zvinosanganisira mwero kufema (nhamba paminiti), zvachose naTidhari vhoriyamu (kureva, uwandu mhepo kuti anogona kupinda mumapapu mune rimwe mweya), cardiac goho (rakafanana yapfuura mumwe chete hazvirevi miniti rimwe), inokosha zvemapapu kugona inspiratory uye expiratory (anoyera kunonyanyisa vachikwanisa zvomukati), uye kudya mwero reokisijeni kushandiswa, ari kumanikidzwa nedzinovengwa vhoriyamu uye inhalation (yaakaita voltage pechipfuva tsandanyama), mhepo kumhanya, indekisi Tiffno ( kuyerwa nhamba kumanikidzwa expiratory vhoriyamu mu zvemapapu kukwanisa 1 wechipiri) nevamwe. zviratidzi zvose izvi kubatsira chiremba kuti yakakwana anodzidzisa mufananidzo pamusoro mamiriro achiitisa dzedenga nzira uye zvakakwana gasi exchange. Saka, okisijeni diffusion kunoitika maererano kuitwa ayo zvemapapu alveolar SACS muropa uye kwakakanganiswa pamwe STRUCTURAL maronda ari yemapapu.

Basa iri nechirwere

Spirography Árbol asima ane zvinhu zvose nzira uye kududzirwa zvabuda.

Basa rinokosha kuti chirwere ichi chiri kuridzwa kumanikidzwa inhalation uye nedzinovengwa bvunzo, kwakavakirwa uyo girafu inovakwa nenzira rwoga - "vhoriyamu-chokubuda". Zviri nokuti chimiro chayo pamberi kufema kukundikana vagara vandifungira kwayo mhando: zvinhu (chokuita makemikari Kukuvara yemapapu), obstructive (nokuda kutyorwa mhepo kubudikidza Árbol kana alveolar muti) kana zvakasiyana. Also vakazvigadzirirwa rutapudzo bhuku zvinogona kurondwa kumanikidzwa expiratory aibuda zvazvingava munyonga yepamusorosoro uye FVC vari kuwanda 25-75%, uye kumanikidzwa inspiratory vhoriyamu. Izvi nemaziso unoratidza pathogenesis kuti asima, umo pakarepo kurwadza kwacho pakati principales distal madhipatimendi, iri richiratidzwa yokurwiswa breathlessness.

miedzo

Obstructive mhando kufema kukundikana Zvinokoshawo kuona mwero reversibility kuchinja, izvo zvinoita kuti kuisa nechirwere nekuomarara chirwere. Saka, vakawanda bvunzo ndiyo pharmacological bvunzo agonist B2-adrenoreceptor pfupi-kuita, izvo zvinosanganisira zvinodhaka "salbutamol". Ndokuatakurira kunze kwemaawa 6 basa kukanzura zvimwe zvinodhaka yezviito akafanana ipapo akanyorwa munyonga "vhoriyamu-chokubuda". Next, murwere kuita mumwe kana vaviri inhalations pamwe zvinodhaka, uye pashure maminitsi 15 chete, imwe awa hafu pashure zvakaita inodzokororwa spirography. Chii ichi mhando mhingaidzo, kubvumira shanduko kudzidza kuongorora zviratidzo. Saka, kana vakanga kuwedzera neinopfuura 15% of kutanga zvabuda, muedzo anoonekwa akanaka.

mumwe nzira

Nekuti varwere asima vanofanira kuramba kuongorora mamiriro utano hwavo, pane imwe nzira kuti pakuverenga ari munyonga "chekubuda mavhoriyumu" - pneumotachograph. Kana tichienzanisa spirograph zviri nyore, uye saka yakakodzera nokuzvidzora kwezvinhu maererano murwere kumba. Kunoitawo munhu kudzora nezuva kushanda zviratidzi ari kufema ezvinhu, uye huve nyore basa chiremba kwazvo, sezvo vakawanda yakavimbika zvinoratidza simba chirwere ari zvikamu pakati kushanyira nzvimbo. Pneumotachograph ndiye chubhu ine replaceable itaure zvakare, unobva murwere kuti kadambari mano rinokwanisa kuchinja kuverenga dzichipfekeka parameters pamusoro munyonga uye "kuerera mavhoriyumu" zhinji.

mhedziso

Zvechokwadi, mune miedzo yose yaishandiswa Diagnostics anorayira chete pulmonologist, nekuti ivo varipo yakaoma zviratidzo. Chokutanga, iye, Chokwadi, vanofanira kuwana omuzvarirwo kubva murwere, uye nekuti Aizokuudza apo spirography kuita, chii uye chii chinangwa kushandiswa kwayo. Zvinokosha kuti pave kuvimba nemashoko chiremba ukama murwere, uyewo uvhure kugonesa ezvinhu nokuda bvunzo, nekuti chete mupfungwa ichinyaradzwa murwere pakudzidza zvabuda zviri vakawana kukosha. Uye kare panzvimbo rabhoritari, kugamuchira Analyses, tsanangura mitemo bvunzo, saka migumisiro zvaiva zvechokwadi kwete chete, asiwo kubatsira chiremba rokuongorora chirwere murwere.