Pulmonary rehabilitation chirongwa chakazara chekupindira chinoenderana nekuongororwa kwakazara kwevarwere, kusanganisira asi kwete kugumira pakudzidziswa kwemitambo, dzidzo, uye shanduko yemafambiro, ine chinangwa chekuvandudza mamiriro emuviri uye epfungwa evarwere vane chirwere chisingaperi chekufema.Danho rokutanga nderokuongorora kufema kwemurwere.
Breathing Mode Analysis yePulmonary Rehabilitation
Breathing mode haisi iyo yekunze yekufema chete, asiwo kutaura kwechokwadi kwekushanda kwemukati.Kufema hakusi kufema chete, asiwo maitiro ekufambisa.Inofanira kudzidzwa uye yakasikwa, kwete kuora mwoyo kana kuderera zvakanyanya.
Main Breathing Modes
Kufemera mudumbu: inozivikanwawo sekufema kwediaphragmatic.Inoshanda nekubatana kwemhasuru dzemudumbu uye diaphragm, uye kiyi ndeye kurongedza mafambiro avo.Paunenge uchifema, zorodza tsandanyama dzemudumbu, diaphragm inobata, chinzvimbo chinodzika pasi, uye madziro edumbu anoputika.Kana uchifemesa, tsandanyama dzemudumbu dzinobata, diaphragm inozorora, yodzokera panzvimbo yepakutanga, dumbu rinonyura, zvichiwedzera huwandu hwemvura yekupera.Munguva yekufema maekisesaizi, kuderedza intercostal tsandanyama uye kubatsira kufema tsandanyama kuita basa ravo kuti varambe vakasununguka uye kuzorora.
Chifuva kufema: vanhu vazhinji, kunyanya vakadzi, vanoshandisa kufema muchipfuva.Iyi nzira yekufema inoratidzwa apo mbabvu dzinofamba dzichikwira nekudzika uye chipfuva chinowedzera zvishoma, asi tendon yepakati ye diaphragm haikoni, uye maalveoli akawanda ari pasi pemapapu haazove nekuwedzera uye kuderera, saka haakwanise kuwana kurovedza muviri kwakanaka.
Pasinei nechepakati tsinga dzinodzora zvinhu, chinhu chinonyanya kukosha chinokanganisa maitiro ekufema imhasuru.Kune varwere vakanyanya kutarisirwa, nekuda kwechirwere kana kukuvadzwa, kugara kwenguva refu pamubhedha kana kusashanda zvakanaka, vangave nekuderera kwesimba remhasuru, zvichikonzera dyspnea.
Kufema kunonyanya kuenderana nediaphragm.Pasina diaphragm, hapana kufema (zvechokwadi, mhasuru dzemukati, tsandanyama dzedumbu, uye tsandanyama dzehunde dzinoshanda pamwe chete kubatsira vanhu kufema).Naizvozvo, kudzidziswa kwe diaphragm ndiko kwakanyanya kukosha kuvandudza kunaka kwekufema.
Respiratory Muscle Strength Test uye Ongororo muPulmonary Rehabilitation
Kuti udzivise kufemerwa kwemhasuru kunokonzerwa nekudzoreredza simba remadziro echipfuva nemapapu, zvinodikanwa kurekodha kuyerwa kukosha kweiyo inoshanda yasara vhoriyamu.Nekudaro, vhoriyamu yemapapu iyi yakaoma kugadzirisa.Muchiito chekiriniki, iyo yakanyanya kufemerwa kudzvanywa uye yakanyanya kupera simba inoedzwa kuti ione kusimba kwemhasuru dzekufema.Iyo yakanyanya kufemerwa kudzvanywa kwakayerwa nevhoriyamu yakasara uye iyo yakanyanya kufemerwa yekumanikidza yakayerwa nehuwandu hwese hwemapapu.Zviyero zvishanu zvichaitwa.
Chinangwa chePulmonary Function Measurement
① Kunzwisisa mamiriro ehupenyu hwekufema system;
② Kujekesa maitiro uye marudzi ekuputika kwepulmonary;
③ Tonga dhigirii rekukuvadzwa kwemaronda uye tungamira kudzoreredzwa kwechirwere;
④ Kuongorora kushanda kwemishonga nedzimwe nzira dzekurapa;
⑤ Kuongorora maitiro ekurapa ekurapa kwechipfuva kana zvirwere zvekuwedzera-thoracic;
⑥ Kufungidzira kuchengetedzwa kwemapapu kuti ape referensi yekurapa, sekutarisa kwesimba kwekushanduka kwechirwere chisati chavhiyiwa;
⑦ Kuongorora kusimba kwebasa uye kutsungirira.
Kune vashandi vezvokurapa vari mukurapa kwakanyanya kwekudzoreredza, kunyanya kudzoreredza kufema, zvinodikanwa kuziva dzimwe nzira, maparamendi, uye kukosha kwehupenyu hwekuona kushanda kwemapapu.Chinangwa ndechekuziva mamiriro emurwere nemazvo uye nenguva uye kutora kurapa kwakakodzera kuchengetedza hupenyu hwemurwere munguva yenjodzi.
Chete mushure mekunzwisisa "huwandu" hwegasi inopinda uye nzira ye "huwandu" hwegesi inopinda nekubuda mukati mematishu, uye zvinoreva zvakasiyana-siyana zvekuona paramita, tinogona kuita tarisiro yekufemerwa kwevarwere vakakomba pasi pechikonzero chekuva nechokwadi chekuti vatarise. kuchengeteka.
Nguva yekutumira: Kubvumbi-19-2021