ʻO ka hoʻāʻo ʻana o ka Lung Diffusion

Anter

• He aha ka diffusion māmā?
• He aha ke kumu o ka hoʻāʻo diffusion māmā?
• Pehea wau e hoʻomākaukau ai no kahi hōʻike diffusion lung?
• He aha kaʻu e manaʻo ai i ka wā o ka hoʻāʻo diffusion lung?
• Aia kekahi mau pilikia e pili ana i kahi hoʻāʻo diffusion lung?
• He aha ke ʻano o kaʻu mau hopena hōʻike?
• He aha ke kumu o nā hopena hoʻokolohua ʻole?
• He aha nā hoʻokolohua hana ʻē aʻe e hana ʻia ai?

He aha ka hoʻāʻo diffus lung?

Mai ka hānō a i ka maʻi pulmonary obstructive maʻi (COPD), aia nā ʻano like ʻole i hiki ke hoʻopili i nā māmā. Wheezing a i ʻole ka pōkole nui o ka hanu he mau hōʻailona paha e holo pono ʻole nā ​​māmā me he mea lā. Inā hōʻike ʻoe i nā hōʻailona o nā pilikia o ka mumū, kauoha paha kāu kauka i nā hoʻokolohua e loiloi i ka hana o ka lung.

ʻO kekahi o kēia mau hoʻāʻo kahi hōʻike diffusion lung. Hoʻohana ʻia kahi hōʻike diffusion māmā e nānā ai pehea e hana ai kāu mau māmā i ka ea. Me nā hoʻokolohua ʻē aʻe, hiki iā ia ke kōkua i kāu kauka e hoʻoholo inā maikaʻi a maikaʻi paha kāu ʻōnaehana hanu. ʻIke ʻia ia paha he mana diffuse o ka māmā no ka hoʻāʻo carbon monoxide (DLCO).

He aha ka diffusion māmā?

Hoʻolālā ʻia ka hoʻāʻo diffus leum e hoʻāʻo i ke ʻano o ka ʻae ʻana o kou mau māmā i ka oxygen a me ka carbon dioxide e hele i loko a i waho o kou koko. Kapa ʻia kēia hana he diffusion.

Ke hanu ʻoe, hanu ʻoe i ka ea i loaʻa ka oxygen ma o kou ihu a me kou waha. Hele kēia ea i lalo o kāu trachea, a i ʻole ka aniani, a i loko o kou mau māmā.I ka manawa ma nā māmā, hele ka lewa ma waena o nā hanana ʻoi aku ka liʻiliʻi i kapa ʻia ʻo bronchioles. Hiki i nā ʻeke liʻiliʻi i kapa ʻia ʻo alveoli.

Mai ka alveoli, ka oxygen mai ka ea āu e hanu ai e komo i kou koko i nā moku koko kokoke. ʻO kēia kahi hana i kapa ʻia ka oxygen diffusion. I ka manawa e oxygenated kou koko, lawe ia i oxygen ma loko o kou kino.

Kū kekahi ʻano diffusion ke hoʻi ke koko i loko o carbon dioxide i kou mau māmā. Holo ka carbon dioxide mai kou koko i kāu alveoli. Kipaku ʻia ia ma o ka hemo ʻana. ʻO kēia kahi hana i kapa ʻia ʻo carbon dioxide diffusion.

Hiki ke hoʻohana ʻia ka hoʻāʻo diffus lung e kālailai i ka oxygen a me ka carbon dioxide diffusion.

He aha ke kumu o ka hoʻāʻo diffusion māmā?

Hoʻohana maʻamau nā kauka i nā hoʻokolohua diffusion lung e loiloi i ka poʻe i loaʻa i ka maʻi maʻi a i ʻole e kōkua i ke kuhi ʻana i ia ʻano maʻi. Pono ka loiloi kūpono a me ka hōʻailona no ka hāʻawi ʻana i kahi lāʻau maikaʻi loa.

Inā hōʻike ʻoe i nā ʻōuli o ka maʻi lolo, hiki ke hoʻohana ʻia nā hoʻokolohua diffusion lung e kālailai pehea e hana ai kāu mau māmā. Eia nō hoʻi, inā ke hana nei ʻoe i ka lāʻau no ka maʻi maʻi, hiki i kāu kauka ke kauoha i kēia hoʻokolohua mai kēlā me kēia manawa e nānā i ka holomua o ka maʻi a me ke ʻano o ka maikaʻi o kāu mālama ʻana.

Pehea wau e hoʻomākaukau ai no kahi hōʻike diffusion lung?

Ma mua o ka hoʻāʻo ʻana, e noi paha kāu kauka iā ʻoe e hana i kekahi mau hana e hoʻomākaukau ai no ka hoʻāʻo diffusion māmā. E noi ʻia ʻoe e:

• e hōʻalo i ka hoʻohana ʻana i ka bronchodilator a i ʻole nā ​​lāʻau ʻino ʻē aʻe i mua o ka hoʻāʻo ʻana
• pale i ka ʻai ʻana i ka nui o ka meaʻai ma mua o ka hoʻāʻo
• e hōʻalo i ka puhipaka no kekahi mau hola ma mua o ka hoʻāʻo

He aha kaʻu e manaʻo ai i ka wā o ka hoʻāʻo diffusion lung?

I ka hapanui o nā hihia, pili kahi hōʻike diffusion lung i kēia mau hana:

1. E kau ʻia kahi waha waha a puni kou waha. E pili pono ia. Kau kau kauka i nā kīwī ma kou ihu e pale aku ai iā ʻoe mai ka hanu ʻana ma waena o kou mau ihu.
2. E lawe ʻoe i ka hanu o ka ea. E loaʻa i kēia ea he wahi liʻiliʻi, a palekana, o ka carbon monoxide.
3. E paʻa ʻoe i kēia ea no ka helu o 10 a ʻoi.
4. E hoʻopuka koke ʻoe i ka ea āu e paʻa nei i kou mau ake māmā.
5. E hōʻiliʻili ʻia kēia ea a kālailai ʻia.

Aia kekahi mau pilikia e pili ana i kahi hoʻāʻo diffusion lung?

ʻO ka hoʻāʻo ʻana o ka Lung diffusion kahi hana palekana a pololei ʻole. ʻAʻole pili kahi hōʻike diffusion lung i kekahi makaʻu koʻikoʻi. He hana wikiwiki ia a ʻaʻole pono e hana i ka hapa nui o ka poʻe i kahi ʻeha nui a i ʻole hōʻoluʻolu ʻole.

ʻO ka hapanui paha, ʻaʻole ʻoe e ʻike i nā hopena maikaʻi ʻole ma hope o ka pau ʻana o ka hoʻāʻo.

He aha ke ʻano o kaʻu mau hopena hōʻike?

Nānā kēia hoʻāʻo i ka nui o kekahi gas āu e hanu ai a i ka nui o ka ea āu e hemo ai. ʻO ka maʻamau, e hoʻohana ka lab i ka carbon monoxide, a i ʻole kahi gas "tracer" ʻē aʻe, e hoʻoholo ai i ka hiki i kāu mau māmā e hoʻolahalaha i nā kinoea.

E noʻonoʻo ka lab i nā mea ʻelua i ka hoʻoholo ʻana i nā hopena o ka hoʻāʻo: Ka nui o carbon monoxide āu i hanu mua ai a me ka nui āu i huki ai.

Inā ʻoi aku ka liʻiliʻi o ke kalapona monoxide i loko o ka hāpana i hemo ʻia, hōʻike ia i ka nui o ke kinoea i hoʻokahe ʻia mai kou mau māmā i kou koko. He hōʻailona kēia o ka ikaika o ka hana māmā. Inā like ka nui o nā laʻana ʻelua, ua kaupalena ʻia ka hiki diffuse o kou mau māmā.

He loli nā hopena hōʻike, a he aha ka mea i manaʻo ʻia he "maʻamau" e loli ʻia mai kēlā me kēia kanaka. Pono kāu kauka e noʻonoʻo i nā helu he nui e hoʻoholo ai inā hōʻike kāu hopena hōʻike i nā pilikia me ka hana o ka māmā, e like me:

• inā ʻaʻole ʻoe he emysema
• inā he kāne a wahine paha ʻoe
• kou mau makahiki
• kou heihei
• kou kiʻekiʻe
• ka nui o ka hemoglobin i kou koko

Ma ka ʻōlelo maʻamau, e hoʻohālikelike kāu kauka i ka nui o ka carbon monoxide a lākou e manaʻo ai e hemo i ka nui o carbon monoxide āu e huki ai.

Inā ʻoe e hemo i kēlā me kēia wahi mai 75 a 140 pakeneka o ka nui a lākou e wānana ai, e manaʻo ʻia kāu mau hopena hōʻike he mea maʻamau. Inā ʻoe e hemo ma waena o 60 a 79 pakeneka o ka nui i wānana ʻia, e hoʻoliʻiliʻi haʻahaʻa ʻia kāu hana lung. ʻO kahi hopena hōʻike ma lalo o 40 pākēneka he hōʻailona ia o ka hoʻoliʻiliʻi loa o ka hana o ka māmā, me kahi hopena ma lalo o 30 pākēneka e hiki ai iā ʻoe ke loaʻa i nā pono kīnā ʻole Social Security.

He aha ke kumu o nā hopena hoʻokolohua ʻole?

Inā hoʻoholo kāu kauka ʻaʻole e laha ana kāu mau māmā i ka gas ma ka pae e pono ai, aia paha he mau kumu. Hiki i nā kūlana aʻe ke alakaʻi i nā hopena kūpono ʻole:

• hānō
• kahawai
• pulmonary hypertension, a i ʻole ke koko kiʻekiʻe ma nā aʻa o nā akemāmā
• sarcoidosis, a mumū paha o ka ake māmā
• pohō a me nā maʻi nui loa
• kino haole e keʻakeʻa nei i kahi alahele
• nā pilikia me ke kahe o ke kahe arterial
• pulmonary embolism (PE), a i ʻole ke aʻa i ālai ʻia i ka māmā
• hemorrhage i ka hāhā

He aha nā hoʻokolohua hana ʻē aʻe e hana ʻia ai?

Inā kānalua kāu kauka ʻaʻole e holo pono ana kāu mau māmā, kauoha paha lākou i kekahi mau hoʻokolohua ma ka hoʻohui o ka hoʻāʻo diffusion māmā. ʻO kekahi o ia ʻano hoʻāʻo ka spirometry. Ana kēia i ka nui o ka ea āu e lawe ai a me ka wikiwiki e hiki ai iā ʻoe ke hoʻokuʻu. ʻO kahi hōʻoia ʻē aʻe, ana i ka nui o ka māmā, hoʻoholo i kāu nui māmā a me kou hiki. Kapa ʻia ia he hoʻāʻo plethysmography lung.

Hiki i nā hopena i hoʻohui ʻia o kēia mau hoʻāʻo ke kōkua i kāu kauka e noʻonoʻo i nā mea hewa a me nā ʻanuʻu e hiki ai ke hōʻoluʻolu i kāu mau ʻōuli.