Lub Ntsuas Kev Kuaj

Zoo Siab

• Txoj kev kuaj ntsws ua haujlwm yog dabtsi?
• Lawv siv rau dab tsi?
• Vim li cas kuv thiaj yuav tsum kuaj lub ntsws lub zog ua haujlwm?
• Muaj dab tsi tshwm sim thaum kuaj lub ntsws?
• Kuv puas yuav tau ua dab tsi los npaj rau qhov kev xeem?
• Puas muaj kev pheej hmoo rau cov ntawv xeem?
• Cov txiaj ntsig li cas?
• Puas muaj lwm yam ntxiv uas kuv xav paub txog kev kuaj xyuas lub ntsws?
• Ua tim khawv

Txoj kev kuaj ntsws ua haujlwm yog dabtsi?

Kev kuaj ntsws ntsws muaj nuj nqi, tseem hu ua kev sim tshuaj ntsws ntsws, lossis PFTs, yog ib pab pawg kuaj ntsuas uas tshawb xyuas seb koj lub ntsws puas ua haujlwm zoo. Cov kev ntsuam xyuas rau:

• Cov cua koj lub ntsws ua tau ntau npaum li cas
• Yuav ua li cas zoo koj tsiv cua nyob rau hauv thiab tawm ntawm koj lub ntsws
• Yuav ua li cas lub ntsws tshem tawm cov pa mus rau hauv koj cov hlab ntshav. Koj cov ntshav yuav tsum cov pa oxygen loj hlob thiab noj qab haus huv.

Muaj ntau hom kev kuaj ntsws. Lawv suav nrog:

• SpirometryCov. feem ntau ntau yam kev kuaj kev mob ntsws. Nws ntsuas tau ntau npaum li cas thiab sai npaum li cas koj tuaj yeem txav cua hauv thiab tawm ntawm koj lub ntsws.
• Lub ntsws ntim kuajCov. kuj paub zoo li lub cev plethysmography. Qhov ntsuas no ntsuas seb huab cua koj tuaj yeem tuav tau hauv koj lub ntsws thiab cov pa uas nyob tom qab koj tso pa tawm (ua pa tawm) ntau npaum li koj ua tau.
• Roj diffusion kuaj. Qhov ntsuas ntsuas no qhia paub seb oxygen thiab lwm yam gases txav li cas ntawm lub ntsws mus rau cov ntshav.
• Kev tawm tsam kev ntxhov siab. Qhov kev ntsuam xyuas no yuav xyuas seb cov kev tawm dag zog cuam tshuam rau lub ntsws txoj haujlwm.

Cov kev kuaj no siv tau ua ke los yog ntawm lawv tus kheej, nyob ntawm koj cov tsos mob tshwj xeeb los yog mob.

Lwm lub npe: cov kev sim tshuaj pulmonary, PFT

Lawv siv rau dab tsi?

Kev kuaj kev mob ntsws rau feem ntau siv los:

• Nrhiav cov teeb meem ua pa
• Kev kuaj mob thiab saib xyuas cov kab mob ntsws, nrog rau mob hawb pob, mob ntsws ua tsis txawj zoo (COPD), thiab emphysema
• Saib seb puas muaj kev tiv thaiv kab mob ntsws
• Tshawb xyuas lub ntsws ua haujlwm ua ntej kev phais mob
• Kuaj seb puas muaj tshuaj lom lossis lwm yam tshuaj nyob hauv tsev lossis chaw haujlwm tau ua rau lub ntsws puas

Vim li cas kuv thiaj yuav tsum kuaj lub ntsws lub zog ua haujlwm?

Koj tuaj yeem xav tau qhov kev ntsuas no yog tias koj:

• Muaj cov tsos mob ntawm kev ua pa xws li ua pa luv, hawb pob, thiab / lossis hnoos
• Muaj tus kab mob ntsws
• Tau nyob rau hauv cov tshuaj asbestos lossis lwm yam tshuaj paub uas ua rau mob ntsws
• Muaj scleroderma, ib yam kab mob uas ua kev mob rau cov nqaij mos sib txuas
• Muaj tus mob sarcoidosis, uas yog ib qho mob uas ua rau puas ncig lub ntsws ua rau lub ntsws, lub siab, thiab lwm yam kabmob
• Muaj mob ua pa
• Tau xoo hluav taws xob hauv siab tsis zoo
• Tau teem sijhawm rau kev khiav haujlwm ib yam li kev phais plab lossis lub ntsws

Muaj dab tsi tshwm sim thaum kuaj lub ntsws?

Hauv qab no yog cov kauj ruam rau kev ntsuam xyuas feem ntau ntawm kev ua haujlwm lub ntsws.

Rau kev ntsuas spirometry:

• Koj yuav tau zaum hauv ib lub rooj zaum thiab daim txiag mos yuav muab tso rau koj lub qhov ntswg. Qhov no tau ua yog li koj yuav ua pa tawm ntawm koj lub qhov ncauj, dua li koj lub qhov ntswg.
• Koj yuav tau muab lub ncauj hais qhov txuas nrog tshuab uas hu ua spirometer.
• Koj yuav tsum muab koj daim di ncauj nruj nreem ncig lub qhov ncauj, thiab nqus pa rau hauv thiab tawm raws li kws kho mob qhia koj.
• Lub spirometer yuav ntsuas qhov ntau thiab npaum li cas ntawm cov pa ntws nyob rau lub sijhawm.

Rau lub ntsws ua ntim (lub cev plethysmography):

• Koj yuav zaum hauv chav ntshiab, airtight uas zoo li lub rooj muag khoom xov tooj.
• Ib yam li kev ntsuam xyuas spirometry, koj yuav tau hnav lub qhov ntswg thiab tso koj daim di ncauj ncig lub qhov ncauj txuas nrog lub tshuab.
• Koj yuav tsum tau ua pa thiab ua pa tawm raws li kws kho mob qhia koj.
• Lub siab hloov pauv hauv chav pab ntsuas qhov ntsuas ntsws.

Rau cov roj diffusion kuaj:

• Koj yuav tsum hnav lub npog qhov ncauj txuas nrog lub tshuab.
• Yuav kom koj nqus tau pa (nqus tau) me me, tsis muaj kev phom sij ntawm cov pa carbon monoxide lossis lwm yam roj.
• Kev ntsuas yuav tsum ua thaum koj nqus rau hauv lossis thaum koj ua pa tawm.
• Qhov kuaj sim tuaj yeem qhia koj lub ntsws zoo npaum li cas rau kev txav roj mus rau koj cov hlab ntshav.

Rau kev tawm dag zog, koj yuav:

• Caij tsheb kauj vab nyob ruaj ruaj lossis taug kev ntawm lub cos.
• Koj yuav tau txuas rau cov saib thiab tshuab uas yuav ntsuas cov ntshav oxygen, ntshav siab, thiab lub plawv dhia.
• Qhov no pab qhia tau seb koj lub ntsws ua haujlwm ntau npaum li cas thaum ua exercise.

Kuv puas yuav tau ua dab tsi los npaj rau qhov kev xeem?

Txhawm rau npaj rau kev sim ntsws txoj kev ua haujlwm, koj yuav tsum tau ua qee yam los ua kom ntseeg tau tias koj lub pa ua pa tsis tau pa thiab tsis txwv. Cov no suav nrog:

• Tsis txhob noj mov hnyav ua ntej kev sim.
• Tsis txhob noj zaub mov lossis dej haus nrog caffeine.
• Tsis txhob haus luam yeeb lossis ua kev tawm dag zog ntev li rau teev ua ntej kev sim.
• Hnav xoob, hnav tsoos tsho zoo nkauj.
• Yog tias koj hnav cov hniav looj, koj yuav tsum hnav lawv thaum kuaj. Lawv tuaj yeem pab koj tsim lub qhov rooj ib ncig ntawm lub ncauj qhov ncauj.

Puas muaj kev pheej hmoo rau cov ntawv xeem?

Txoj kev kuaj ntsws muaj mob muaj feem tsawg yuav muaj feem tsawg. Qee tus neeg yuav hnov ​​lub teeb lossis tob tob thaum hais cov txheej txheem. Tsis tas li, qee cov neeg yuav hnov ​​mob chuaustrophobic nyob rau lub sijhawm kuaj mob ntsws. Yog tias koj muaj lus nug lossis kev txhawj xeeb txog kev ntsuam xyuas, tham nrog koj tus kws kho mob.

Cov txiaj ntsig li cas?

Yog tias ib qho ntawm koj lub ntsws kev kuaj pom tsis zoo li qub, nws yuav txhais tau tias koj mob ntsws. Muaj ob hom kev mob ntsws uas tuaj yeem tshawb pom los ntawm kev kuaj ntsws txoj kev ua haujlwm:

• Obstructive kab mob. Cov kab mob no ua rau txoj hlab pa ua qhov nqaim, uas ua rau nws nyuaj rau cov cua ntws tawm ntawm lub ntsws. Teeb meem ntsws muaj xws li hawb pob, mob ntsws, thiab mob ntsws.
• Kev txwv cov kab mob. n Kab mob no, lub ntsws los sis lub hauv siab tsis muaj peev xwm nthuav kom txaus. Qhov no txo ​​cov pa txaus thiab muaj peev xwm xa oxygen mus rau hauv cov hlab ntshav. Kev mob ntsws ntau yam xws li mob scleroderma, sarcoidosis, thiab mob ntsws.

Yog koj muaj lus nug txog koj cov txiaj ntsig, nrog koj tus kws kho mob tham.

Kawm paub ntau ntxiv txog cov kev sim hauv chaw soj ntsuam, cov chaw siv ntsuas, thiab nkag siab cov txiaj ntsig tau.

Puas muaj lwm yam ntxiv uas kuv xav paub txog kev kuaj xyuas lub ntsws?

Koj tus kws kho mob yuav xaj kuaj ntxiv, hu ua arterial blood gases (ABGs), ntxiv rau kev kuaj koj lub ntsws. ABGs ntsuas cov pa oxygen thiab carbon dioxide nyob hauv cov ntshav.

Ua tim khawv

1. Allina Kev Noj Qab Haus Huv [Is Taws Nem]. Minneapolis: Allina Kev Noj Qab Haus Huv; Cov kev ntsuam xyuas mob ntsws ntsig [hais tawm 2019 Feb 25]; [txog 3 ntxaij]. Muaj los ntawm: https://wellness.allinahealth.org/library/content/1/003853
2. Koom Haum Koom Tes Asmeskas [Is Taws Nem]. Chicago: Lub Koom Haum Asmeskas Kev Sib Tw; c2019. Kev Ntsuam Xyuas Txoj Haujlwm Ncaj Ncees [hais tawm 2019 Feb 25]; [txog 3 ntxaij]. Muaj los ntawm: https://www.lung.org/lung- health-and-diseases/lung-procedures-and-tests/lung-function-tests.html
3. Koom Haum Koom Tes Asmeskas [Is Taws Nem]. Chicago: Lub Koom Haum Asmeskas Kev Sib Tw; c2019. Spirometry [hais tawm 2019 Feb 25]; [txog 3 ntxaij]. Muaj los ntawm: https://www.lung.org/lung- health-and-diseases/lung-procedures-and-tests/spirometry.html
4. ATS: American Thoracic Society [Is Taws Nem]. New York: Miskas Thoracic Society; c1998–2018. Cov Ntaub Ntawv Qhia Txog Tus Neeg Mob: Cov Kev Ntsuas Rau Mob Pulmonary [hais tawm 2019 Feb 25]; [txog 3 ntxaij]. Muaj los ntawm: https://www.thoracic.org/patients/patient-resres/resources/pulmonary-function-tests.pdf
5. Johns Hopkins Tshuaj Kho Mob [Internet]. Tsev Kawm Ntawv Johns Hopkins University; c2019. Johns Hopkins Tshuaj: Cov Tsev Noj Qab Haus Huv: Cov Kev Ntsuam Xyuas Mob Pulmonary [hais tawm 2019 Feb 25]; [txog 3 ntxaij]. Muaj los ntawm: https://www.hopkinsmedicine.org/healthlibrary/test_procedures/pulmonary/pulmonary_function_tests_92,p07759
6. Kev Noj Qab Haus Huv Menyuam Yaus los ntawm Nemours [Is Taws Nem]. Jacksonville (FL): Lub Chaw Nemours; c1995–2019. Ntshav [raug foob 2019 Feb 25]; [txog 3 ntxaij]. Muaj los ntawm: https://kidshealth.org/en/parents/blood.html?ref=search
7. Teb Chaws Lub Plawv, Lub Ntsws, thiab Koom Haum Ntshav [Internet]. Bethesda (MD): Asmeskas Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg; Kev Ntsuam Xyuas Mob Pulmonary [hais tawm 2019 Feb 25]; [txog 3 ntxaij]. Muaj los ntawm: https://www.nhlbi.nih.gov/health-topics/pulmonary-function-tests
8. Ranu H, Wilde M, Madden B. Pulmonary Kev Ntsuam Xyuas Muaj nuj nqi. Ulster Med J [Hauv Is Taws Nem]. 2011 Lub Tsib Hlis [hais tawm 2019 Feb 25]; 80 (2): 84-90. Muaj los ntawm: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3229853
9. Tuam Tsev Noj Qab Haus Huv [Is Taws Nem]. Philadelphia: Cov Tsev Kawm Ntawv Qeb Siab Kev Noj Qab Haus Huv Hauv Lub Tuam Tsev; c2019. Kev Ntsuas Cov Haujlwm Ntawm Pulmonary [hais tawm 2019 Feb 25]; [txog 3 ntxaij]. Muaj los ntawm: https://www.templehealth.org/services/treatments/pulmonary-function-testing
10. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2019. Cov Ntaub Ntawv Noj Qab Haus Huv: Lub Ntsuas Kev Ntsuam Xyuas: Nws Yuav Ua Li Cas [kho tshiab 2017 Dec 6; raug nplua 2019 Feb 25]; [txog 5 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/lung-function-tests/hw5022.html#hw5066
11. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2019. Cov Ntaub Ntawv Kev Noj Qab Haus Huv: Lub Ntsuas Kev Ntsuam Xyuas: Yuav Npaj Li Cas [kho tshiab 2017 Dec 6; raug nplua 2019 Feb 25]; [txog 4 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/lung-function-tests/hw5022.html#hw5062
12. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2019. Cov Ntaub Ntawv Kev Noj Qab Haus Huv: Lub Ntsws Kev Ntsuam Xyuas: Txiaj Ntsig [kho tshiab 2017 Dec 6; raug nplua 2019 Feb 25]; [txog 8 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/lung-function-tests/hw5022.html#hw5079
13. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2019. Cov Ntaub Ntawv Kev Noj Qab Haus Huv: Lub Ntsuas Kev Ntsuam Xyuas: muaj kev pheej hmoo [kho tshiab 2017 Dec 6; raug nplua 2019 Feb 25]; [txog 7 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/lung-function-tests/hw5022.html#hw5077
14. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2019. Cov Ntaub Ntawv Kev Noj Qab Haus Huv: Lub Ntsuam Kev Ntsuam Xyuas: Kev Ntsuam Xyuas Cov Ntsiab Lus [kho tshiab 2017 Dec 6; raug nplua 2019 Feb 25]; [txog 2 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/lung-function-tests/hw5022.html#hw5025
15. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2019. Cov Ntaub Ntawv Kev Noj Qab Haus Huv: Lub Ntsuam Kev Ntsuam Xyuas: Yuav Tsum Xav Dab Tsi [kho tshiab 2017 Dec 6; raug nplua 2019 Feb 25]; [txog 10 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/lung-function-tests/hw5022.html#hw5109
16. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2019. Cov Ntaub Ntawv Kev Noj Qab Haus Huv: Lub Ntsuam Kev Ntsuam Xyuas: Vim Li Cas Nws Ua Tas [kho tshiab 2017 Dec 6; raug nplua 2019 Feb 25]; [txog 3 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/lung-function-tests/hw5022.html#hw5054

Cov ntaub ntawv ntawm lub xaib no yuav tsum tsis txhob siv los hloov chaw kho mob lossis tswv yim kho mob. Hu rau kws kho mob yog tias koj muaj lus nug txog koj txoj kev noj qab haus huv.