Izvo Zvaunoda Kuti Uzive Nezve V / Q Mismatch

Zvemukati

• Mhedziso
• Izvo zvinorehwa neV / Q zvinorevei
• V / Q mismatch zvinokonzera
• Chirwere chisingaperi chinodzivirira pulmonary chirwere (COPD)
• Asima
• Chirwere chemabayo
• Chirwere bronchitis
• Pulmonary edema
• Kuvharika kwemumhepo
• Pulmonary embolism
• V / Q mismatch njodzi zvinhu
• Kuyera V / Q reshiyo
• V / Q mismatch kurapwa
• Tora woenda nazvo

Mhedziso

Muchikamu cheV / Q, iyo V inomirira kufefetedza, unova mweya waunofemera mukati. Oxygen inoenda mune alveoli uye kabhoni dhayokisaidhi inobuda. Alveoli madiki masaga emweya pamagumo ebronchioles ako, ayo ari ako madiki emweya machubhu.

Q, zvakadaro, inomirira perfusion, inova kuyerera kweropa. Deoxygenated ropa kubva pamoyo wako rinoenda kumapurmonary capillaries, ayo ari madiki mitsipa yeropa. Kubva ipapo, iyo kabhoni dhayokisaidhi inobuda muropa rako kuburikidza nealveoli uye iyo okisijeni inodhonzwa.

Chiyero cheV / Q ndiyo huwandu hwemhepo inosvika kune yako alveoli yakakamurwa neiyo huwandu hwekuyerera kweropa mumapapirari mumapapu ako.

Apo mapapu ako ari kushanda nemazvo, 4 litita emweya anopinda munzira yako yekufema nepo 5 litita eropa achipfuura nemuma capillaries ako miniti yega yeV / Q reshiyo ye0.8. Nhamba iri pamusoro kana pasi inonzi V / Q mismatch.

Izvo zvinorehwa neV / Q zvinorevei

Iko kusanzwisisika kweV / Q kunoitika kana chikamu chemapapu ako chichigamuchira okisijeni isina kubuda kweropa kana kuyerera kweropa pasina oxygen. Izvi zvinoitika kana iwe uine yakavharika nzira yemhepo, senge paunenge uchidzipwa, kana kana iwe uine yakavharika tsinga yeropa, senge reropa rakavhara mumapapu ako. Zvinogona zvakare kuitika kana mamiriro ekurapa achikonzera kuti uunze mweya asi usingaburitse okisijeni, kana kuunza ropa asi usingatore okisijeni.

Kufanana kweV / Q kunogona kukonzera hypoxemia, ayo ari mashoma oxygen mazinga muropa rako. Kusina yakakwana ropa okisijeni kunogona kutungamira mukufema kutadza.

V / Q mismatch zvinokonzera

Chero chipi zvacho chinokanganisa kugona kwemuviri wako kuendesa oxygen yakakwana muropa rako kunogona kukonzera kutadza kweV / Q.

Chirwere chisingaperi chinodzivirira pulmonary chirwere (COPD)

COPD chirwere chisingaperi chemapapu chinokanganisa kufefetera kwemhepo kumapapu ako. Inobata kupfuura vanhu pasi rese.

Emphysema uye chisingaperi bronchitis ndiwo mamiriro akajairika anoenderana neCOPD. Vanhu vazhinji vane COPD vane zvese. Chikonzero chakajairika cheCOPD utsi hwefodya. Kuratidzwa kwenguva refu kumakemikari anogumbura kunogona zvakare kukonzera COPD.

COPD inowedzera njodzi yako kune mamwe mamiriro anokanganisa mapapu nemoyo, senge kenza yemapapu uye chirwere chemwoyo.

Zvimwe zviratidzo zvinosanganisira:

• kunetseka kufema
• chisingaperi chikosoro
• kurira
• yakawandisa kugadzirwa kwemukasi

Asima

Chirwere chirwere chinokonzera kuti mweya wako uzvimbe uye utete. Icho chiitiko chakajairika chinokanganisa dzinenge 1 muvanhu gumi nevatatu.

Nyanzvi hadzina chokwadi kuti chii chinokonzeresa vamwe vanhu kuita asthma, asi zvakatipoteredza uye genetics zvinoita kunge zvinoita basa. Chirwere chinogona kukonzereswa nezvinhu zvinoverengeka, zvinosanganisira zvinowanzoitika allergenji senge:

• mukume
• muforoma
• mweya wekufema
• zvinosvibisa mweya, senge utsi hwefodya

Zviratidzo zvinogona kusiyana kubva pakunyoro kusvika kune zvakakomba uye zvinogona kusanganisira:

• mweya wekufema
• kuomesa pachipfuva
• kukosora
• kurira

Chirwere chemabayo

Pneumonia chirwere chemapapu chinogona kukonzerwa nehutachiona, hutachiona, kana fungus. Iyo inogona kukonzera alveoli kuzadza ne fluid kana pus, zvichiita kuti zviome kwauri kufema.

Mamiriro acho anogona kusiyana kubva pane zvinyoro kusvika kune zvakakomba, zvinoenderana nechikonzero uye zvinhu zvakaita sezera rako uye hutano hwakazara. Vanhu vanopfuura makore makumi matanhatu nemashanu, avo vane mamiriro emwoyo, uye vanhu vane immune system isina kugadzikana vane njodzi yakanyanya yemabayo.

Pneumonia zviratidzo zvinosanganisira:

• kunetseka kufema
• chikosoro pamwe phlegm
• fivha uye kutonhora

Chirwere bronchitis

Bronchitis ndiko kuzvimba kwetambo yemabhuroni ako. Iyo bronchial machubhu anotakura mweya kuenda nekubva kumapapu ako.

Kusiyana neacute bronchitis inouya nekukurumidza, isingagumi bronchitis inokura nekufamba kwenguva uye inokonzeresa zviitiko zvinodzokororwa zvinogona kupedza mwedzi kana kunyange makore. Iko kusingaperi kuzvimba kunoguma nekunyanyisa mucus buildup mumhepo yako nzira, iyo inodzivisa mweya kubuda mukati nekubuda mumapapu ako uye inoramba ichiwedzera. Vanhu vazhinji vane chisingaperi bronchitis vanozopedzisira vaita emphysema neCOPD.

Zviratidzo zvechirwere chisingaperi chinosanganisira:

• chisingaperi chikosoro
• mukobvu wakakora, wakatsvuka
• mweya wekufema
• kurira
• kurwadziwa pachipfuva

Pulmonary edema

Pulmonary edema, inozivikanwawo seyemapapu kusanganiswa kana kusanganiswa kwemapapu, mamiriro ezvinhu anokonzerwa nekuwandisa kwemvura mumapapu. Mvura inovhiringidza kugona kwemuviri wako kuwana oxygen yakakwana muropa rako.

Inowanzo kukonzerwa nematambudziko emoyo, senge congestive moyo kutadza, asi zvakare inogona kukonzerwa nekushungurudzika pachipfuva, mabayo, uye kusvibiswa nehupfu kana kukwirira kwakakwirira.

Zviratidzo zvinosanganisira:

• kufema kana uchinge warara izvo zvinovandudzika paunogara
• kupfupika kwemweya pakushanda
• kurira
• kukurumidza kuwedzera huremu, kunyanya mumakumbo
• kuneta

Kuvharika kwemumhepo

Kuvharika kwemumhepo ndiko kuvhara kwechimwe chikamu chenzira yako yemumhepo. Inogona kukonzerwa nekumedza kana kufema chinhu chekunze, kana na:

• anaphylaxis
• tambo yezwi kuzvimba
• kushungurudzika kana kukuvadzwa nenzira yemhepo
• kuputa utsi
• kuzvimba kwehuro, matoni, kana rurimi

Kuvharika kwemumhepo kunogona kuve kwakapfava, kuchidzivirira kungofefetera kwemhepo, kuomarara zvakakwana kukonzeresa kuvharika kwakazara, inova emergency emergency.

Pulmonary embolism

Embonism embolism inguva yeropa mumapapu. Ropa rinovhara rinotadzisa kuyerera kweropa, uko kunogona kukuvadza mapapu nedzimwe nhengo.

Iwo anonyanya kukonzerwa neakadzika vein thrombosis, ayo ari maropa eropa anotanga mutsinga mune mamwe mativi emuviri, kazhinji makumbo. Kuvhara kweropa kunogona kukonzerwa nekukuvara kana kukuvara kumidziyo yeropa, mamiriro ekurapa, uye kusaita basa kwenguva yakareba.

Kupfupika kwemweya wekufema, kurwadziwa pachipfuva, uye kurova kwemoyo zvisina kujairika zviratidzo zvinozivikanwa.

V / Q mismatch njodzi zvinhu

Izvi zvinotevera zvinowedzera njodzi yako yeV / Q mismatch:

• chirwere chekufema, senge pneumonia
• mamiriro emapapu, akadai seCOPD kana asthma
• mamiriro emwoyo
• kusvuta
• kuvhiringidza kufema kufema

Kuyera V / Q reshiyo

V / Q reshiyo inopimwa uchishandisa bvunzo inonzi pulmonary ventilation / perfusion scan. Inosanganisira akateedzana ezviongororwa zviviri: imwe yekuyera mafambiro anoita mweya kuburikidza nemapapu ako uye imwe kuratidza iko kuyerera kweropa mumapapu ako.

Chiyero chinosanganisira jekiseni rechinhu chine mwaranzi chinoungana munzvimbo dzemafashama emweya zvisina kujairika kana kuyerera kweropa. Izvi zvinobva zvaratidza mumifananidzo inogadzirwa nemhando yakasarudzika ye scanner.

V / Q mismatch kurapwa

Kurapa kweV / Q kusanganisa kuchasanganisira kurapa chikonzero. Izvi zvinogona kusanganisira:

• bronchodilators
• inhaled corticosteroids
• oxygen therapy
• muromo steroid
• mishonga inorwisa mabhakitiriya
• pulmonary yekuvandudza kurapwa
• ropa rinoonda
• kuvhiya

Tora woenda nazvo

Iwe unoda huwandu hwakaringana hweoksijeni uye kuyerera kweropa kuti ufeme. Chero chipi zvacho chinokanganisa chiyero ichi chinogona kukonzeresa kutadza kweV / Q. Kufema kwekufema, kunyangwe kana kuri kupfava, kunofanirwa kuongororwa nachiremba. Zvikonzero zvakawanda zveV / Q mismatch zvinogona kutarisirwa kana kurapwa, kunyangwe kurapwa kwakakodzera nguva kuchikosha.

Kana iwe kana mumwe munhu akasangana nekukasira kana kwakanyanya kufema kwekufema kana kurwadziwa pachipfuva, tora kurapwa kwekukurumidza panguva iyoyo.