Machine Translated by Google

‫ﺋﺔ‬
‫ﺒﺎرا ت وﻇﺎﺋﻒ اﻟﺮ‬
‫ﺘ‬‫اﺧ‬
‫‪Machine Translated by Google‬‬

‫ﻣﻘﺪﻣ ﺔ‬

‫ﺘﻨﻔ ﺴ ﻲ‪.‬‬
‫ﺘﻘﻴﻴﻢ وﻇﺎﺋﻒ اﻟﺠﻬﺎز اﻟ‬
‫ﺋ ﺔ )‪(PFTs‬ﻟ‬
‫ﺒﺎرا ت وﻇﺎﺋﻒ اﻟﺮ‬
‫ﺘ‬‫ﺘﺨﺪام اﺧ‬
‫ﺘﻢ اﺳ‬
‫•ﻳ‬

‫ﺘﻌﻤﺎل‪:‬‬
‫•دواﻋ ﻲ اﻹﺳ‬

‫ﺗﻴﻨ ﻲ‪.‬‬
‫ﺒﺪﻧ ﻲ اﻟﺮو‬
‫ﺘﻘﻴﻴﻢ اﻟ‬
‫‪1.‬ﻓ ﻲ اﻷﺷﺨﺎص اﻷﺻﺤﺎء ﻛﺠﺰء ﻣﻦ اﻟ‬

‫ﺑﻴﺌﺎ ت اﻟﻌﻤﻞ(‪.‬‬‫‪2.‬اﻟﺼﺤ ﺔ اﻟﻤﻬﻨﻴ ﺔ )أﻧﻮاع ﻣﻌﻴﻨ ﺔ ﻣﻦ‬

‫ﺋ ﺔ‪.‬‬
‫ﺘﻔﺎخ اﻟﺮ‬
‫ﺑﻮ واﻧ‬
‫ﺜﻞ اﻟﺮ‬
‫ﺋﺔ ﻣ‬
‫‪3.‬ﻳ ﺴﺎﻋﺪ ﻓ ﻲ اﻟﻮﺻﻮل إﱃﺗﺸﺨﻴﺺ اﻟﻌﺪﻳﺪ ﻣﻦ أﻣﺮاض اﻟﺮ‬

‫ﺋ ﺔ أو اﻟﻘﻠ ﺐ‪ ،‬أو‬
‫ﺒﻞ اﻟﻌﻤﻠﻴﺎ ت اﻟﺠﺮاﺣﻴ ﺔ ﻟﻠﻤﺮﺿﻰ اﻟﺬﻳﻦﻳﻌﺎﻧﻮن ﻣﻦ ﻣﺸﺎﻛﻞ ﻓ ﻲ اﻟﺮ‬
‫ﺋﺔ ﻗ‬
‫‪4.‬ﻓﺤﺺ وﻇﺎﺋﻒ اﻟﺮ‬
‫اﻟﻤﺪﺧﻨﻴﻦ‪.‬‬

‫ﺋﻮﻳ ﺔ‪.‬‬
‫ﺑﻘﻴﺎس ﻣﺪى ﺧﻄﻮرة اﻷﻣﺮاض اﻟﺮ‬‫ﺒﺎء‬
‫‪5.‬اﻟ ﺴﻤﺎح ﻟﻸﻃ‬

‫ﺋ ﺔ اﻟﻤﺰﻣﻨ ﺔ‬
‫ﺋ ﺔ وﻏﻴﺮ ﻫﺎ ﻣﻦ أﻣﺮاض اﻟﺮ‬
‫ﺘﻔﺎخ اﻟﺮ‬
‫ﺑﻮ واﻧ‬
‫ﺑ ﺔ ﻟﻌﻼج اﻟﺮ‬
‫ﺘﺠﺎ‬
‫ﺗﻘﻴﻴﻢ اﻻﺳ‬
‫‪6.‬‬
‫ﻣﺸﺎﻛﻞ‪.‬‬
‫‪Machine Translated by Google‬‬

‫ﺋﺔ‬
‫أﺣﺠﺎم اﻟﺮ‬

‫•و ﻫﻢ ‪4:‬‬
‫ﺗﻠﻔﺰﻳﻮن(‪.‬‬
‫‪1.‬ﺣﺠﻢ اﻟﻤﺪ واﻟﺠﺰر )‬

‫ﺘﻴﺎﻃ ﻲ اﻟﺸﻬﻴﻘ ﻲ ‪(IRV).‬‬

‫‪2.‬اﻟﺤﺠﻢ اﻻﺣ‬

‫ﺘﻴﺎﻃ ﻲ اﻟﺰﻓﻴﺮ ‪(ERV).‬‬

‫‪3.‬ﺣﺠﻢ اﺣ‬

‫ﺒﻘ ﻲ ‪(RV).‬‬
‫ﺘ‬‫‪4.‬اﻟﺤﺠﻢ اﻟﻤ‬
 ‫ﺗﻬﺎ‬
‫ﺋ ﺔ وﻗﺪرا‬
‫ﺣﺠﻢ اﻟﺮ‬
‫‪Machine Translated by Google‬‬

‫ﺋ ﺔ ‪1-‬اﻟﺤﺠﻢ اﻟﻤﺪي ‪(Vt ):-‬ﺣﺠﻢ اﻟﻬﻮاء‬

‫ﺣﺠﻢ اﻟﺮ‬
‫ﺛﻨﺎء اﻟﺮاﺣ ﺔ ‪(= 500‬ﻣﻞ(‪.‬‬
‫ﺘﻨﺸﻖ أو اﻟﺰﻓﻴﺮ ﻓ ﻲ اﻟﻨﻔ ﺲ أ‬
‫اﻟﻤ ﺴ‬

‫ﺑﻘﻮة‬‫ﺘﻨﺸﻖ‬
‫ﺘﻴﺎﻃ ﻲ اﻟﺸﻬﻴﻘ ﻲ ‪(IRV):-‬اﻟﺤﺠﻢ اﻷﻗﺼﻰ ﻟﻠﻬﻮاء اﻟﻤ ﺴ‬
‫‪2-‬اﻟﺤﺠﻢ اﻻﺣ‬
‫ﺒﻴﻌ ﻲ ‪(= 3000‬ﻣﻞ(‪.‬‬
‫ﺑﻌﺪ اﻟﺸﻬﻴﻖ اﻟﻄ‬

‫ﺑﻌﺪ‬‫ﺑﻘﻮة‬‫ﺘﻴﺎﻃ ﻲ ﻟﻠﺰﻓﻴﺮ ‪(ERV):-‬اﻟﺤﺪ اﻷﻗﺼﻰ ﻟﺤﺠﻢ اﻟﻬﻮاء اﻟﺰﻓﻴﺮ‬

‫‪3-‬اﻟﺤﺠﻢ اﻻﺣ‬
‫ﺒﻴﻌ ﻲ ‪(= 1100‬ﻣﻞ(‪.‬‬
‫اﻟﺰﻓﻴﺮ اﻟﻄ‬

‫ﺑﻌﺪ اﻟﺰﻓﻴﺮ اﻷﻗﺼﻰ‬‫ﺘﻴﻦ‬

‫ﺋ‬‫ﺒﻘ ﻲ ﻓ ﻲ اﻟﺮ‬
‫ﺘ‬‫ﺒﻘ ﻲ ‪(RV):-‬ﺣﺠﻢ اﻟﻬﻮاء اﻟﻤ‬
‫ﺘ‬‫‪4-‬اﻟﺤﺠﻢ اﻟﻤ‬
‫‪(= 1200‬ﻣﻞ(‪.‬‬
‫‪Machine Translated by Google‬‬

‫ﺒﻘﻴ ﺔ‬
‫ﺘ‬‫ﺣﺠﻢ اﻟﻤ‬

‫ﺑﻌﺪ اﻟﺤﺪ اﻷﻗﺼﻰ‬‫ﺘﻰ‬

‫•ﻳﻌﻤﻞ ﻋﲆ اﻟﺤﻔﺎظ ﻋﲆﺳﺎﻟﻜﻴ ﺔ اﻟﺤﻮﻳﺼﻼ ت اﻟﻬﻮاﺋﻴ ﺔ ﺣ‬
‫ﺘﻬﺎء اﻟﺼﻼﺣﻴ ﺔ اﻟﻘ ﺴﺮي )ﻣﻨﻊ اﻻﻧﻬﻴﺎر(‪.‬‬
‫اﻧ‬

‫ﺋ ﺔ‪.‬‬
‫ﺑﺎ ت اﻟﺮ‬
‫ﺑﻌﺾ اﺿﻄﺮا‬‫ﺘﻢ زﻳﺎدة‬
‫ﺑﻴﻦ اﻷﻧﻔﺎس‪• .‬ﻳ‬‫ﺒﺎدل اﻟﻐﺎزا ت ﻣﻊ اﻟﺪم‬
‫ﺘ‬‫•ﻳﻮﻓﺮ اﻟﻬﻮاء ﻟ‬
‫‪Machine Translated by Google‬‬

‫ﺋﺔ‬
‫ﻗﺪرا ت اﻟﺮ‬

‫ﺜﺮ‪• .‬و ﻫ ﻲ ‪4‬ﻗﺪرا ت‪1. :‬اﻟﻘﺪرة‬

‫ﺘﻤﻞ اﻟ ﺴﻌ ﺔ ﻋﲆ ﻣﺠﻠﺪﻳﻦ أو أﻛ‬
‫ﺗﺸ‬‫•‬

‫اﻟﺸﻬﻴﻘﻴ ﺔ ‪(IC).‬‬

‫‪2.‬اﻟﻘﺪرة اﻟﺤﻴﻮﻳ ﺔ ‪(VC).‬‬

‫ﺒﻘﻴ ﺔ ‪(FRC).‬‬
‫ﺘ‬‫‪3.‬اﻟﻘﺪرة اﻟﻮﻇﻴﻔﻴ ﺔ اﻟﻤ‬
‫ﺋ ﺔ ‪(TLC).‬‬
‫‪4.‬إﺟﻤﺎﻟ ﻲﺳﻌ ﺔ اﻟﺮ‬
‫‪Machine Translated by Google‬‬

‫ﺋ ﺔ ‪1-‬ﺳﻌ ﺔ اﻟﺸﻬﻴﻖ ﻫ ﻲ ﺣﺠﻢ اﻟﻬﻮاء اﻟﺬي‬

‫ﺳﻌﺎ ت اﻟﺮ‬
‫ﺒﻴﻌ ﻲ‪.‬‬
‫ﺑﻌﺪ اﻟﺰﻓﻴﺮ اﻟﻄ‬‫ﺘﻨﺸﻘﻪ اﻟﺸﻬﻴﻖ اﻟﻘ ﺴﺮي‬
‫ﻳﺴ‬

‫ﺗﻠﻔﺰﻳﻮن ‪+ IRV = 3500‬ﻣﻞ‪.‬‬

‫=‬
‫ﺑﻌﺪ أﻗﺼﻰ ﻗﺪر ﻣﻦ‬‫‪2-‬اﻟ ﺴﻌ ﺔ اﻟﺤﻴﻮﻳ ﺔ ‪ (VC):-‬ﻫ ﻲ ﺣﺠﻢ اﻟﻬﻮاء اﻟﺰﻓﻴﺮ إﱃ اﻟﺤﺪ اﻷﻗﺼﻰ‬
‫اﻟﺸﻬﻴﻖ‪.‬‬
‫‪VC = IRV + TV + ERV = 4600‬ﻣﻞ‪.‬‬
‫ﺋﺔ‬
‫ﺋ ﺔ اﻟﻜﻠﻴ ﺔ ﻫ ﻲ ﺣﺠﻢ اﻟﻬﻮاء اﻟﻤﻮﺟﻮد ﻓ ﻲ اﻟﺮ‬
‫‪3-‬ﺳﻌ ﺔ اﻟﺮ‬
‫ﺑﻌﺪ اﻹﻟﻬﺎم اﻟﻘ ﺴﺮي‪.‬‬‫ﺋﺔ‬
‫اﻟﺮ‬
‫‪= VC + RV = 5800‬ﻣﻞ‪.‬‬

‫ﺑﻌﺪ اﻟﺰﻓﻴﺮ‬‫ﺋﺔ‬
‫ﺒﻘ ﻲ ﻓ ﻲ اﻟﺮ‬
‫ﺘ‬‫ﺒﻘﻴ ﺔ = )‪(FRC‬ﺣﺠﻢ اﻟﻬﻮاء اﻟﻤ‬
‫ﺘ‬‫‪4-‬اﻟ ﺴﻌ ﺔ اﻟﻮﻇﻴﻔﻴ ﺔ اﻟﻤ‬
‫ﺒﻴﻌ ﻲ‪.‬‬
‫اﻟﻄ‬
‫‪FRC= ERV + RV = 1100 + 1200 = 2300‬ﻣﻞ‪.‬‬
‫‪Machine Translated by Google‬‬

‫ﺗﻬﺎ‬
‫ﺋ ﺔ وﻗﺪرا‬
‫ﺛﺮة ﻋﲆ ﺣﺠﻢ اﻟﺮ‬
‫اﻟﻌﻮاﻣﻞ اﻟﻤﺆ‬

‫ﺑﻴﻦ ‪20-35‬ﺳﻨ ﺔ‪.‬‬‫•اﻟﻌﻮاﻣﻞ اﻟﻔ ﺴﻴﻮﻟﻮﺟﻴ ﺔ‪1. :‬اﻟﻌﻤﺮ‪ :‬اﻟﺤﺪ اﻷﻗﺼﻰ‬

‫ﺜﺮ ﻣﻨﻪ ﻋﻨﺪ اﻹﻧﺎ ث‪.‬‬

‫‪2.‬اﻟﺠﻨ ﺲ‪ :‬ﻋﻨﺪ اﻟﺬﻛﻮر أﻛ‬

‫ﺜﺮ ﻣﻦ اﻷﺷﺨﺎص اﻟﺬﻳﻦﻳﻌﺎﻧﻮن ﻣﻦ اﻟ ﺴﻤﻨ ﺔ اﻟﻤﻔﺮﻃ ﺔ‪.‬‬

‫‪3.‬ﺟ ﺴﻤﺎﻧ ﻲ اﻟﺠ ﺴﻢ‪ :‬ﻋﻨﺪ اﻷﺷﺨﺎص اﻟﻨﺤﻴﻔﻴﻦ أﻛ‬

‫ﺜﺮ ﻣﻦ ﻏﻴﺮ اﻟﺮﻳﺎﺿﻴﻴﻦ‪.‬‬

‫ﺘﻤﺎرﻳﻦ اﻟﻌﻀﻠﻴ ﺔ‪ :‬ﻟﺪى اﻟﺮﻳﺎﺿﻴﻴﻦ أﻛ‬
‫‪4.‬اﻟ‬

‫ﺘﻠﻘﺎء‪.‬‬
‫ﺜﺮ ﻣﻦ وﺿﻌﻴ ﺔ اﻻﺳ‬
‫‪5.‬اﻟﻮﺿﻌﻴ ﺔ‪ :‬ﻓ ﻲ اﻟﻮﻗﻮف واﻟﺠﻠﻮس أﻛ‬

‫‪6.‬اﻟﺤﻤﻞ‪ :‬أﻗﻞ ﻋﻨﺪ اﻟﻨ ﺴﺎء اﻟﺤﻮاﻣﻞ ﻣﻨﻪ ﻓ ﻲ ﻏﻴﺮ اﻟﺤﻮاﻣﻞ‪.‬‬

‫ﺗﻬﺎ ﻓ ﻲ‪:‬‬
‫ﺋ ﺔ وﻗﺪرا‬
‫ﺛﺮ اﻟﻌﻮاﻣﻞ اﻟﻤﺮﺿﻴ ﺔ وﺣﺠﻢ اﻟﺮ‬
‫ﺘﺄ‬
‫ﺗ‬‫•‬

‫ﺋﻮي وﻣﺤﺪودﻳ ﺔ اﻟﺤﺠﺎ ب اﻟﺤﺎﺟﺰ‬

‫ﺘﻠﻴﻒ اﻟﺮ‬
‫ﺋﻮي واﻟ‬
‫ﺘﻘﺎن اﻟﺮ‬
‫ﺜﻞ اﻻﺣ‬
‫ﺋ ﺔ اﻟﻤﻘﻴﺪة‪ :‬ﻣ‬
‫•أﻣﺮاض اﻟﺮ‬
‫اﻟﺤﺮﻛﺎ ت‪.‬‬

‫ﺒ ﻲ‪.‬‬
‫ﺑﻮ اﻟﻘﺼ‬
‫ﺋﻮي اﻟﻤﺰﻣﻦ واﻟﺮ‬
‫ﺜﻞ ﻣﺮض اﻻﻧ ﺴﺪاد اﻟﺮ‬
‫ﺋ ﺔ اﻻﻧ ﺴﺪادﻳ ﺔ‪ :‬ﻣ‬
‫•أﻣﺮاض اﻟﺮ‬
‫‪Machine Translated by Google‬‬

‫ﺗ ﺔ =ﺣﺠﻢ اﻟﺰﻓﻴﺮ اﻟﻘ ﺴﺮي‬

‫اﻟ ﺴﻌ ﺔ اﻟﺤﻴﻮﻳ ﺔ اﻟﻤﻮﻗﻮ‬

‫ﺑ ﺴﺮﻋ ﺔ‬‫ﺑﺤﺠﻢ اﻟﻬﻮاء اﻟﺬيﻳﻤﻜﻦ أنﻳﺨﺮج‬‫ﺒﺮ ﻋﻨﻬﺎ‬

‫ﺘﻴﻦ وﻳﻌ‬
‫ﺋ‬‫ﺒﺎر اﻟﻘﺪرة اﻟﺤﻴﻮﻳ ﺔ ﻟﻠﺮ‬
‫ﺘ‬‫•اﺧ‬
‫ﺘﺮة زﻣﻨﻴ ﺔ ﻣﻌﻴﻨ ﺔ‪.‬‬
‫ﺑﺎﻟﻘﻮة ﻓ ﻲ ﻓ‬‫واﻟﺰﻓﻴﺮ‬

‫ﺜﺎﻧﻴ ﺔ‬
‫ﺗ ﺴﺎوي ﻋﺎدة اﻟ ﺴﻌ ﺔ اﻟﺤﻴﻮﻳ ﺔ اﻟ ﺴﺎﻛﻨ ﺔ • ‪(VC).‬ﺣﺠﻢ اﻟﺰﻓﻴﺮ اﻟﻘ ﺴﺮي ﻓ ﻲ اﻟ‬
‫• ﻫﻮ ﻗﻴﺎس اﻟﻘﺪرة اﻟﺤﻴﻮﻳ ﺔ‪/‬وﺣﺪة اﻟﺰﻣﻦ‪• .‬اﻟ ﺴﻌ ﺔ اﻟﺤﻴﻮﻳ ﺔ اﻟﻘ ﺴﺮﻳ ﺔ )‪(FVC‬‬

‫ﺑﻌﺪ أﻗﺼﻰ ﺷﻬﻴﻖ‪.‬‬‫ﺒﺮ ﻗﺪر ﻣﻤﻜﻦ ﻣﻦ اﻟﻘﻮة واﻟ ﺴﺮﻋ ﺔ‬

‫ﺑﺄﻛ‬‫اﻷوﱃ )‪ (FEV1‬ﻫﻮ اﻟﺤﺪ اﻷﻗﺼﻰ ﻟﺤﺠﻢ اﻟﻬﻮاء اﻟﺬيﻳﻤﻜﻦ أنﻳﺰﻓﺮ ﻋﻨﺪﻣﺎﻳﺤﺎول اﻟﺸﺨﺺ‬

‫ﺑﺄﻗﺼﻰ ﺟﻬﺪ زﻓﻴﺮ‪.‬‬‫ﺘﻨﻔ ﺲ‬

‫ﺑﺎﻟﺰﻓﻴﺮ ﻓ ﻲ ﻣﻘﻴﺎس اﻟ‬‫ﺛﻢﻳﻘﻮم‬‫ﺋ ﺔ‪،‬‬
‫ﺘﻨﺸﺎق اﻟﺤﺪ اﻷﻗﺼﻰ ﻣﻦ إﺟﻤﺎﻟ ﻲﺳﻌ ﺔ اﻟﺮ‬ ‫•اﻹﺟﺮاء‪:‬ﻳﻘﻮم اﻟﺸﺨﺺ أوﻻ ً‬
‫ﺑﺎﺳ‬
‫‪Machine Translated by Google‬‬

‫‪FVC‬و‪1VEF‬‬

‫ﺛﻮان‪.‬‬
‫ٍ‬ ‫ﺑﺎﻟﻜﺎﻣﻞ ﺧﻼل ‪4‬‬
‫ﺘﻢ ﻃﺮد ﻗﻴﻤ ﺔ ‪FVC‬‬
‫•ﻋﺎدة‪،‬ﻳ‬

‫ﺑﻌﺪ‬
‫ﺛﺎﻧﻴ ﺔ واﺣﺪة ‪(FEV1). • 93%‬‬‫ﺑﻌﺪ‬
‫‪• 83%‬‬

‫ﺛﻮاﻧ ﻲ‬‫ﺛﻼ ث‬‫ﺑﻌﺪ‬

‫ﺘﻴﻦ ‪(FEV2). • 97%‬‬
‫ﺛﺎﻧﻴ‬

‫‪(FEV3).‬‬

‫ﺘﺪﻓﻖ‪.‬‬
‫•ﺣﻠﻘ ﺔ ﺣﺠﻢ اﻟ‬

‫‪FVC‬‬
‫‪Machine Translated by Google‬‬

‫ﺒ ﺔ ‪FEV1/FVC‬‬
‫ﻧﺴ‬

‫ﺜﺎﻧﻴ ﺔ‬
‫ﺒ ﺔ ﺣﺠﻢ اﻟﺰﻓﻴﺮ اﻟﻘ ﺴﺮي ﻓ ﻲ اﻟ‬
‫ﺒ ﺔ ‪ FEV1/FVC‬ﻫ ﻲ ﻧ ﺴ‬
‫•ﻧ ﺴ‬
‫ﺘﻴﻦ‪.‬‬
‫ﺋ‬‫اﻷوﱃ إﱃ اﻟﻘﺪرة اﻟﺤﻴﻮﻳ ﺔ اﻟﻘ ﺴﺮﻳ ﺔ ﻟﻠﺮ‬

‫ﺒ ﺔ ‪4 ÷ 5.5 = 0.72 × 100 = 72%.‬‬

‫ﺜﺎل‪ ،‬ﻧ ﺴ‬
‫ﺒﻴﻞ اﻟﻤ‬‫•ﻋﲆﺳ‬
‫‪FEV1/FVC‬‬

‫ﺒﻴﻌﻴ ﺔ ‪70-80%.‬‬
‫ﺒ ﺔ ‪FEV1/FVC‬ﻃ‬
‫•ﻧ ﺴ‬
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1VEF‫و‬FVC
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‫ﺘﺪﻓﻖ‬
‫ﺣﻠﻘ ﺔ ﺣﺠﻢ اﻟ‬

‫ﺗﺤﺪﻳﺪ ﻣﻮﻗﻊ ﻣﺠﺮى اﻟﻬﻮاء‬

‫ﺘﻐﻴﻴﺮا ت ﻓ ﻲ ﻣﺤﻴﻂ اﻟﺤﻠﻘ ﺔﻳﻤﻜﻦ أنﺗ ﺴﺎﻋﺪ ﻓ ﻲﺗﺸﺨﻴﺺ و‬ ‫•اﻟ‬
‫إﻋﺎﻗ ﺔ‪.‬‬
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‫ﺘﻨﻔ ﺲ‬
‫ﻗﻴﺎس اﻟ‬

‫ﺘﻨﺸﺎق اﻟﻬﻮاء وزﻓﻴﺮه‬

‫ﺒﺎر ﻓ ﺴﻴﻮﻟﻮﺟ ﻲﻳﻘﻴ ﺲ اﻟﻘﺪرة ﻋﲆ اﺳ‬
‫ﺘ‬‫ﺘﻨﻔ ﺲ ﻫﻮ اﺧ‬
‫•ﻗﻴﺎس اﻟ‬
‫اﻟﻌﻼﻗ ﺔ ﻣﻊ اﻟﻮﻗ ﺖ‪.‬‬

‫ﺘﻨﻔ ﺲ ﻫ ﻲ اﻟ ﺴﻌ ﺔ اﻟﺤﻴﻮﻳ ﺔ اﻟﻘ ﺴﺮﻳ ﺔ )‪(FVC‬واﻟﺰﻓﻴﺮ اﻟﻘ ﺴﺮي‬

‫ﺋﻴ ﺴﻴ ﺔ ﻟﻘﻴﺎس اﻟ‬
‫ﺘﺎﺋﺞ اﻟﺮ‬
‫ﺘﻨﻔ ﺴﻴ ﺔ اﻟﻌﺎﻣ ﺔ‪• .‬اﻟﻨ‬
‫ﺒﺎر ﻓﺤﺺ ﻟﻠﺼﺤ ﺔ اﻟ‬
‫ﺘ‬‫ﺘﻨﻔ ﺲ ﻫﻮ اﺧ‬
‫•ﻗﻴﺎس اﻟ‬

‫اﻟﺤﺠﻢ ‪(FEV).‬‬

‫ﺒ ﺔ‪.‬‬
‫ﺑﺎﻟﻘﻴﻢ اﻟﻤﺮﺟﻌﻴ ﺔ اﻟﻤﻨﺎﺳ‬‫ﺘﺮﺟﻢ‬
‫ﺗﻌﺎوﻧﻪ وﻣﻌﺮﻓ ﺔ اﻟﻤ‬
‫ﺒﻴﺮ ﻋﲆ ﺟﻬﺪ اﻟﻤﺮﻳﺾ و‬
‫ﺒﺎر إﱃ ﺣﺪ ﻛ‬
‫ﺘ‬‫ﺘﻤﺪ ﺟﻮدة اﻻﺧ‬
‫ﺗﻌ‬‫•‬
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‫ﺘﻨﻔ ﺲ‬
‫ﻗﻴﺎس اﻟ‬
‫‪Machine Translated by Google‬‬

‫إﺟﺮاءا ت‬

‫ﺘﻘﻴﻤﺎً‪.‬‬
‫‪1.‬ﻳﺠ ﺐ أنﻳﻜﻮن اﻟﻤﺮﻳﺾ ﺟﺎﻟ ﺴﺎ ً وﻣ ﺴ‬

‫‪2.‬اﻟﻘﺪم ﻣ ﺴﻄﺤ ﺔ ﻋﲆ اﻷرض ﻣﻊ ﻋﺪمﺗﻘﺎﻃﻊ اﻟ ﺴﺎﻗﻴﻦ‪.‬‬

‫ﺑ ﺲ اﻟﻀﻴﻘ ﺔ‪.‬‬
‫ﺑﻔﻚ اﻟﻤﻼ‬‫‪3.‬ﻗﻢ‬

‫ﺘﻢﺗﺮﻛﻬﺎ ﻋﺎدة‪.‬‬
‫ﺘ ﻲﻳ‬
‫‪4.‬أﻃﻘﻢ اﻷﺳﻨﺎن اﻟ‬

‫ﺒﻚ اﻷﻧﻒ‪.‬‬
‫ﺘﺨﺪام ﻣﺸ‬
‫‪5.‬ﻳﺠ ﺐ ﻋﲆ اﻟﻤﺮﻳﺾ اﺳ‬

‫ﺛﻼ ث ﻣﺮاﺣﻞ‪:‬‬‫ﺘﻨﻔ ﺲ ﻋﲆ‬

‫ﺘﻢ ﻋﻤﻠﻴ ﺔ ﻗﻴﺎس اﻟ‬
‫ﺗ‬‫‪6.‬‬

‫‪I.‬اﻹﻟﻬﺎم اﻷﻗﺼﻰ‪.‬‬

‫ﺛﺎﻧﻴﺎ‪ .‬أﻗﺼﻰ "اﻧﻔﺠﺎر" ﻟﻠﺰﻓﻴﺮ‪.‬‬

‫ﺘﻰ ﻧﻬﺎﻳ ﺔ‬
‫ﺘﻤﺮار اﻟﺰﻓﻴﺮ اﻟﻜﺎﻣﻞ ﺣ‬
‫ﺜﺎ‪ .‬اﺳ‬
‫ﺛﺎﻟ‬
‫ﺘﺤﺎن‪.‬‬
‫اﻣ‬
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‫ﺘﻨﻔ ﺲ‬
‫ﻗﻴﺎس اﻟ‬
‫‪Machine Translated by Google‬‬

‫ﺘﻨﻔ ﺲ‬
‫ﻗﻴﺎس اﻟ‬

‫ﺘﻨﻔ ﺲ‪:‬‬
‫ﺑﻤﻘﻴﺎس اﻟ‬‫ﺘ ﻲ ﻻﻳﻤﻜﻦ ﻗﻴﺎﺳﻬﺎ‬
‫•اﻷﺣﺠﺎم واﻟ ﺴﻌﺎ ت اﻟ‬

‫ﺒﻘ ﻲ ‪(RV).‬‬
‫ﺘ‬‫‪1.‬اﻟﺤﺠﻢ اﻟﻤ‬

‫ﺒﻘﻴ ﺔ ‪(FRC).‬‬
‫ﺘ‬‫‪2.‬اﻟﻘﺪرة اﻟﻮﻇﻴﻔﻴ ﺔ اﻟﻤ‬

‫ﺋ ﺔ ‪(TLC).‬‬
‫‪3.‬إﺟﻤﺎﻟ ﻲﺳﻌ ﺔ اﻟﺮ‬
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‫ﻣﻈﺎ ﻫﺮة اﻟﻔﻴﺪﻳﻮ‬

https://www.youtube.com/watch?v=Zs8Fs5HaJHs
‫‪Machine Translated by Google‬‬

‫ﺘﺪﻓﻖ اﻟﺰﻓﻴﺮي‬
‫ذروة ﻣﻌﺪل اﻟ‬

‫ﺑﻘﻮة ﻣﻦ‬‫ﺘﻢ ﻃﺮده‬

‫•ذروة ﻣﻌﺪلﺗﺪﻓﻖ اﻟﺰﻓﻴﺮ )‪ (PEFR‬ﻫﻮ ﺣﺠﻢ اﻟﻬﻮاء اﻟﺬيﻳ‬
‫ﺘﻴﻦ ﻓ ﻲ زﻓﻴﺮ واﺣﺪﺳﺮﻳﻊ‪.‬‬
‫ﺋ‬‫اﻟﺮ‬

‫•أﺟﻬﺰة ﺻﻐﻴﺮة وﻏﻴﺮ ﻣﻜﻠﻔ ﺔ ﻟﻘﻴﺎس اﻟﺬروة‬

‫ﺘﺪﻓﻖ‪.‬‬
‫أﺟﻬﺰة ﻗﻴﺎس اﻟ‬

‫ﺛﺎﻧﻴ ﺔ‪.‬‬
‫ﺘﺮ‪/‬‬
‫ﺘﺮ‪/‬دﻗﻴﻘ ﺔ أو ‪10‬ﻟ‬
‫ﺒﺎﻟﻐﻴﻦ اﻷﺻﺤﺎء ‪ : PEFR 500-700‬ﻟ‬
‫ﺒﺎ ب اﻟ‬
‫•ﻓ ﻲ اﻟﺸ‬
‫ﻓ ﻲ اﻟﺬﻛﻮر ‪.‬و‪ 006-004‬ﻟ‬
‫ﺘﺮ‪/‬دﻗﻴﻘ ﺔ ﻓ ﻲ‬

‫ﺘﻤﺪ ﻋﲆ اﻟﺠﻬﺪ‪.‬‬
‫ﺘﻪ ﻣﺤﺪودةﻷﻧﻪﻳﻌ‬
‫•ﻗﻴﻤ‬

‫ﺒﻴﺮة‪.‬‬
‫•ﻳﻘﻴ ﺲ اﻧ ﺴﺪاد اﻟﻤ ﺴﺎﻟﻚ اﻟﻬﻮاﺋﻴ ﺔ اﻟﻜ‬
‫‪Machine Translated by Google‬‬

‫إﺟﺮاءا ت‬

‫‪1.‬اﻏ ﺴﻞﻳﺪﻳﻚ‪.‬‬

‫‪2.‬أدﺧﻞ ﻗﻄﻌ ﺔ اﻟﻔﻢ‪.‬‬

‫ﺗﺼﺎل ﻋﲆ ‪0.‬‬
‫ﺒﻂ اﻻ‬
‫‪3.‬اﺿ‬
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‫إﺟﺮاءا ت‬

‫ﺘﻘﻴﻢ أو واﻗﻔﺎ ً )ﻏﻴﺮ ﻣﻨﺤﻨ ﻲ(‪.‬‬

‫‪4.‬ﻳﺠ ﺐ أنﻳﻜﻮن اﻟﺸﺨﺺ ﺟﺎﻟ ﺴﺎ ً ﻓ ﻲ وﺿﻊ ﻣ ﺴ‬

‫ﺑﻘﻮة‪.‬‬‫‪5.‬ﻳﺠ ﺐ ﻋﲆ اﻟﺸﺨﺺ أنﻳﺄﺧﺬ ﻧﻔ ﺴﺎ ﻋﻤﻴﻘﺎ‪ ،‬وﻳﻀﻊ ﻗﻄﻌ ﺔ اﻟﻔﻢ ﻓ ﻲ ﻓﻤﻪ وﻳﻨﻔﺦ‬

‫ﺛﻼ ث ﻗﺮاءا ت‪.‬‬‫ﺘﻮﺳﻂ أﻋﲆ‬

‫‪6.‬ﺧﺬ ‪3-5‬ﻗﺮاءا ت وﺳﺠﻞ ﻣ‬
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‫ﺒﻴﻖ اﻟ ﺴﺮﻳﺮي ﻟـ ‪PEFR‬‬

‫ﺘﻄ‬‫اﻟ‬

‫ﺑﻮ ﻓ ﻲ اﻟﻤﻨﺰل‪ .‬ﻣﻦ اﻟﻤﻬﻢﺗﺤﺪﻳﺪ أﻓﻀﻞ ‪PEF‬ﻟﻠﺸﺨﺺ‪.‬‬

‫ﺒ ﺔ ﻣﺮﺿﻰ اﻟﺮ‬
‫•ﻣﺮاﻗ‬

‫ﺘﻢ‬
‫ﺛﻢﺗ‬ ‫ﺒﺎﺣﺎ ً وﻣ ﺴﺎ ًء ﻋﲆ ﻣﺪى ‪2-3‬أﺳﺎ‬
‫ﺑﻴﻊ‪.‬‬ ‫ﻳﻤﻜﻦ اﻟﺤﺼﻮل ﻋﲆ أﻓﻀﻞ اﻟﻘﻴﻢ ﺻ‬
‫ﻣﻘﺎرﻧ ﺔ اﻟﻘﻴﺎﺳﺎ ت اﻟﻴﻮﻣﻴ ﺔ ﻣﻊ أﻓﻀﻞ اﻟﻘﻴﺎﺳﺎ ت اﻟﺸﺨﺼﻴ ﺔ‪.‬‬

‫ﺑﻮ‪ .‬وﻳﻤﻜﻦ‬
‫ﺑﺎ ت اﻟﺮ‬
‫ﺒﻜﺮ ﻋﻦ ﻧﻮ‬
‫ﺒ ﺔ اﻟﻴﻮﻣﻴ ﺔ ﻟـ ‪PEF‬ﻳﻤﻜﻦ أنﺗﻮﻓﺮ اﻟﻜﺸﻒ اﻟﻤ‬
‫•اﻟﻤﺮاﻗ‬
‫ﺒﻄ ﺔ‬
‫ﺗ‬‫ﺒﻴﻮﻟﻮﺟﻴ ﺔ( اﻟﻤﺮ‬
‫ﺘﺨﺪاﻣﻪ ﻟﻠﻜﺸﻒ ﻋﻦ أﻧﻤﺎط اﻟﻠﻴﻞ واﻟﻨﻬﺎر )إﻳﻘﺎﻋﺎ ت اﻟ ﺴﺎﻋ ﺔ اﻟ‬
‫اﺳ‬
‫ﺘﻔﺎﻋﻞ ﻣﺠﺮى اﻟﻬﻮاء‪.‬‬
‫ﺑ‬

‫ﺒ ﺔ ‪PEF‬ﻣﻌﺎﻳﻴﺮ ﻣﻮﺿﻮﻋﻴ ﺔ ﻟﻠﻌﻼج‪.‬‬

‫ﺗﻮﻓﺮ ﻣﺮاﻗ‬
‫•‬

‫ﺘﻌﺮض‬
‫ﺒ ﺔ ﻟﻠﺤ ﺴﺎﺳﻴ ﺔ أو اﻟ‬
‫ﺒ‬‫ﺜﻞ اﻟﻤﻮاد اﻟﻤ ﺴ‬
‫ﺒﺎ ت ﻣﺤﺪدة‪ ،‬ﻣ‬
‫ﺒ‬‫•اﻟﻤ ﺴﺎﻋﺪة ﻓ ﻲﺗﺤﺪﻳﺪ ﻣ ﺴ‬
‫ﺒ ﺐ اﻷﻋﺮاض‪.‬‬
‫ﺘ ﻲﺗ ﺴ‬
‫ﻟﻤﻜﺎن اﻟﻌﻤﻞ واﻟ‬
Machine Translated by Google

‫ﻣﻈﺎ ﻫﺮة اﻟﻔﻴﺪﻳﻮ‬

https://www.youtube.com/watch?v=055fSYXgNKU