Ndedzipi Dzidziso Dzinofarira Uye Zvepfungwa Mhedzisiro Yekudzidza Oxygen Therapy MuChirwere Chisingaperi chemapapu?

Ndedzipi Dzidziso Dzinofarira Uye Zvepfungwa Mhedzisiro Yekudzidza Oxygen Therapy MuChirwere Chisingaperi chemapapu?

Oxygen therapy inomira seyakakosha kupindira kusimudzira hupenyu kune vanhu vari kunetsekana nezvirwere zvisingaperi zvekufema, kusanganisira Chronic Obstructive Pulmonary Disease (COPD) uye chirwere chemapapu chepakati.Muchirevo chechinyorwa ichi, kurerukainotakurika okisijeni concentrators(POCs) inobuda seimwe inovimbisa imwe nzira kune yechinyakare masisitimu akadai anotakurika akadzvanywa okisijeni silinda.Zvisinei nekugona kwavo, pane kushomeka kwetsvakiridzo yekuongorora zvido zvevarwere uye mhedzisiro yepfungwa ine chekuita nekushandiswa kwemidziyo iyi.
Ichi chidzidzo chine chinangwa chekuongorora zvaidiwa nevarwere pakati peambulatoryokisijeni masisitimu, kunyanya kuenzanisa maPOC nemasilinda madiki, kune vanhu vane COPD uye chirwere chemapapu chepakati chinotarisana neexertional desaturation munzvimbo yekudzorera.Pamusoro pezvo, tsvakiridzo yakaongorora mashandisirwo echishandiso chega chega, zvichibva pane akasiyana emuchina hunhu, ane hukama nezvinonzwisisika mhando yehupenyu, kushushikana, uye kushushikana zviratidzo.

1. Nzira:

Zvidzidzo makumi matatu zvakaonekwa kuti zvine COPD uye chirwere chemapapu chepakati, zvichiratidza kushaya simba panguva ye6-mineti yekufamba bvunzo (6MWT), vakanyorerwa chidzidzo ichi.Mumwe nemumwe anotora chikamu akawana maviri 6MWTs muhurongwa husina kurongeka: mumwe achifema okisijeni kuburikidza nePOC uye mumwe achishandisa inotakurika compressed okisijeni cylinder.Midziyo miviri iyi yakaverengerwa kuchengetedza oxyhemoglobin saturation pakati pe92% ne95% panguva yekuedzwa.Bvunzurudzo yekuongorora kushushikana, kuora mwoyo, uye hupenyu hwehupenyu hwakapedzwa nezvidzidzo zvese.Kugoverwa kwechishandiso chega chega kwakave kwakarongedzerwa kune mumwe nemumwe mubatanidzwa kwevhiki imwe, zvichiteverwa nekutsiviwa neimwe mudziyo muvhiki rinotevera.Pakupera kwenguva yekuedza, vatori vechikamu vakapedza mibvunzo yakazara yekuongorora zvakasiyana-siyana zvemidziyo yeokisijeni yekurapa.

2. Mibairo:

Oxygen Saturation uye Famba Test Performance
Hapana misiyano yakakosha yakaonekwa mukuzara kweokisijeni kana kureba kureba kwakawanikwa panguva ye6MWTs pakati pezviviri zvinotakurika.midziyo yeokisijeni.Vazhinji vezvidzidzo (73.3%) vakaratidza kufarira kukuru kwePOC.Sarudzo iyi yaive yakanangana nekureruka kwekutakura uye huremu hwakadzikira hwakabatana nePOC.Kuwongorora kweCorrelation kwakaratidza kuti zera rezvidzidzo rakaita basa mukuda kwemidziyo.Vadzidzi vadiki vainyanya kunetseka nezvehuremu hweiyo inotakurika yakamanikidzwa oksijeni cylinder, nepo vanhu vakuru vakawana POC iri nyore kubata.

Chirwere-Chaicho Chido
Hapana mutsauko wakakura mune zvaunofarira wakaonekwa pakati pezvidzidzo zvine COPD nevaya vane interstitial mapapu chirwere.

3. Mhedziso:

Kuenzanisa Kwekuita
Ose maviri POC uye inotakurika yakamanikidzwa okisijeni cylinder yakaratidza kuita kwakafanana panguva ye6MWT kune zvidzidzo zvine COPD uye interstitial chirwere chemapapu chiri kusangana neexertional desaturation.

Zvido zvevarwere
Sarudzo dzezvidzidzo zvePOC zvakakonzerwa nekubatana kwayo nekufambisa kwakawedzera, ichisimbisa kureruka kwekutakura uye kuderera uremu sezvinhu zvakakosha zvinokanganisa sarudzo yavo.

Mukupedzisa, chidzidzo ichi chinojekesa kukosha kwezvido zvevarwere uye zvepfungwa mumamiriro ezvinhu.oxygen therapykune zvirwere zvisingaperi zvemapapu.Zvakawanikwa zvinosimbisa kukosha kwekufunga nezvezvido zvemunhu uye hunhu kana uchiraira ambulatoryokisijeni masisitimu, pakupedzisira inobatsira pakuvandudzwa kwemigumisiro yevarwere uye hupenyu hwehupenyu.

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