Spirometry: FVC, FEV1, Ƙwararrun Ƙarfafawa
Ma'anarsa
Ma'aunin gwajin aikin huhu wanda ke tantance ƙarfin huhu da kwararar iska:
- FVC (Tsarin Ƙarfin Mahimmanci)- Jimlar yawan iskar da za ku iya fitar da karfi da karfi bayan mafi girman inhalation
- FEV1 (Ƙarfin Ƙarfafa Ƙarfi a cikin dakika 1)- Volume exhale a farkon dakika na tilasta exhalation
- PEF (Kololuwar Ƙarfin Ƙarfafawa)- Matsakaicin saurin fitar numfashi
Me Yasa Yayi Muhimmanci
Ƙimar spirometry suna da mahimmanci don: -Ganewar cutar asma da saka idanu- Gano toshewar hanyar iska -Ƙididdigar COPD- Auna tsananin cutar -Amfanin magani- Bibiyar martani ga magunguna -Shirye-shiryen tiyata- Tantance ajiyar numfashi -Lafiyar sana'a- Kulawa da tasirin fallasa
Yadda Ake Aunawa
Spirometry yana buƙatar kayan aiki na musamman: -Clinical spirometer- Na'urar darajar dakin gwaje-gwaje -Ƙwayoyin spirometers masu ɗaukar nauyi- Na'urorin gida (wasu suna haɗi zuwa HealthKit) -Mitoci masu gudana kololuwa- Sauƙaƙan na'urorin auna PEF
Abubuwan fasaha:1. Matsakaicin zurfin numfashi a ciki 2. Rufe leɓe a kusa da bakin baki 3. Fitar da iska da ƙarfi da sauri 4. Ci gaba har sai huhu ya zama fanko
Dabi'un Magana
An bayyana dabi'u azaman kashi na annabta, bisa: - Shekaru - Jima'i - Tsayi - Kabilanci
| Aunawa | Rage Na Al'ada |
|---|---|
| FVC | ≥80% na annabta |
| FEV1 | ≥80% na annabta |
| rabon FEV1/FVC | ≥70% (ko ƙananan iyaka na al'ada) |
| PEF | Ya bambanta; na sirri mafi kyawun amfani azaman tunani |
Mabuɗin Maɓalli
| Tsarin | FEV1 | FVC | Saukewa: FEV1/FVC |
|---|---|---|---|
| Na al'ada | Na al'ada | Na al'ada | Na al'ada |
| Mai hana (asthma, COPD) | ↓ | Na al'ada ko ↓ | ↓ |
| Ƙuntatawa (fibrosis) | ↓ | ↓ | Na al'ada ko ↑ |
Confounders & Iyakance
- Dabaru-dogara- Ƙoƙari mara kyau yana rinjayar sakamako
- M yanayi- Sanyi, cututtuka suna canza asali
- Magunguna- Bronchodilator yana shafar karatu
- Lokacin yini- Ƙimar ƙila za ta bambanta cikin yini
- Gyaran na'ura- Na'urorin gida basu da inganci fiye da na asibiti
Amfani da Cases
- Shirye-shiryen aikin asma- Yankunan PEF (kore / rawaya / ja)
- COPD da ake bukata- Rarraba tsananin cutar
- Kulawa da magani- Kafin/bayan amsawar bronchodilator
- Dogon lokaci trends- Bibiyar aikin huhu akan lokaci