Pulmonary Rehabilitation

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 se diaphragmatic breathing.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 maekisesaizi akanaka.

Pasinei nechepakati tsinga dzekugadzirisa zvinhu, chinonyanya kukosha chinokanganisa maitiro ekufema ndeyemhasuru.Kune varwere vakanyanya kuchengetedza, nekuda kwechirwere kana kushungurudzika, kugara kwenguva refu pamubhedha kana kusashanda zvakanaka, vangave nemhasuru simba kuderera, 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 Nzwisisa mamiriro emuviri wekufema 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 kwekuchinja kwechirwere chisati chavhiyiwa;

⑦ Kuongorora kusimba kwebasa uye kutsungirira.

Kune vashandi vezvokurapa vari mukurapa kwakakomba kwekudzoreredza, kunyanya kudzoreredza kufema, zvinodikanwa kuziva dzimwe nzira, zvimiro, uye kukosha kwehupenyu hwekuonekwa kwekushanda 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 mumatishu, uye zvinoreva zvakasiyana-siyana zvekuona parameters, tinogona kuita tarisiro yekufemerwa kwevarwere vakakomba pasi pechikonzero chekuva nechokwadi chekuti vatarise. kuchengeteka.