Ho lekoa ka phapang ea matšoafo

Liteko tsa phapang ea matšoafo li lekanya hore na matšoafo a fapanyetsana likhase hantle hakae. Ena ke karolo ea bohlokoa ea ho etsa liteko tsa matšoafo, hobane mosebetsi o moholo oa matšoafo ke ho lumella oksijene ho "hasana" kapa ho fetela maling ho tsoa matšoafong, le ho lumella carbon dioxide ho "hasana" ho tloha maling ho ea matšoafong.

U hema moea (o hula moea) o nang le carbon monoxide e nyane haholo le khase ea tracer, joalo ka methane kapa helium. U phefumoloha ka metsotsoana e 10, ebe u e butsoela kapele. Khase e ntšitsoeng e lekoa ho fumana hore na ke khase e kae e kenang nakong ea phefumoloho.

Pele o etsa tlhahlobo ena:

• Se ke oa ja lijo tse boima pele ho tlhahlobo.
• Se ke oa tsuba bonyane lihora tse 4 ho isa ho tse 6 pele ho tlhahlobo.
• Haeba u sebelisa bronchodilator kapa meriana e meng e helelitsoeng, botsa mofani oa tlhokomelo ea bophelo hore na u ka li sebelisa pele ho tlhahlobo.

Molomo o lekana hantle molomong oa hau. Likotoana li behiloe ka nko ea hao.

Teko e sebelisetsoa ho fumana mafu a itseng a matšoafo, le ho lekola maemo a batho ba nang le lefu la matšoafo le tiileng. Ho lekanya khafetsa matla a fapaneng ho ka thusa ho tseba hore na lefu lena le ntse le ntlafala kapa le ntse le mpefala.

Liphetho tse tloaelehileng tsa liteko li ipapisitse le:

• Lilemo
• Thobalano
• Bophahamo
• Hemoglobin (protheine e lisele tse khubelu tsa mali tse tsamaisang oksijene)

Liphetho tse sa tloaelehang li bolela hore likhase ha li tsamaee ka mokhoa o tloaelehileng ho pholletsa le lisele tsa matšoafo ho ea methapong ea mali ea matšoafo. Sena se ka bakoa ke mafu a matšoafo a joalo ka:

• COPD
• Mokelikeli oa fibrosis
• Embolism ea pulmonary
• Matšoafo a khatello ea mali
• Sarcoidosis
• Ho tsoa mali ka matšoafong
• Sefuba

Ha ho na likotsi tse kholo.

Liteko tse ling tsa tšebetso ea pulmonary li ka etsoa mmoho le teko ena.

Boemo bo boima; Teko ea DLCO

• Ho lekoa ka phapang ea mapafu

Khauta WM, Koth LL. Ho lekola mosebetsi oa pulmonary. Ka: Broaddus VC, Mason RJ, Ernst JD, et al, li-eds. Buka ea Bongaka ea Phefumoloho ea Murray le Nadel. La 6th. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 25.

Scanlon PD. Mosebetsi oa ho hema: mekhoa le liteko. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 79.