Page 64 - วารสารปีที่16ฉบับที่2

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1) §à“ª√‘¡“μ√Õ“°“»®“°°“√À“¬„®ÕÕ°‡μÁ¡∑’Ë „π™à«ß°÷Ëß°≈“ߢÕß°“√À“¬„®ÕÕ° (forced expira-
À≈—ß®“°°“√À“¬„®‡¢â“‡μÁ¡∑’Ë (vital capacity: VC) tory flow between 25 and 75% of forced vital

2) §à“ª√‘¡“μ√ Ÿß ÿ¥¢ÕßÕ“°“»∑’ËÀ“¬„®ÕÕ° capacity: FEF 25-75 )
Õ¬à“ß√«¥‡√Á«·≈–·√߇μÁ¡∑’ËÀ≈—ß®“°°“√À“¬„®‡¢â“‡μÁ¡∑’Ë °“√‡°Á∫¢âÕ¡Ÿ≈°“√∑¥ Õ∫ ¡√√∂¿“æªÕ¥
(forced vital capacity: FVC) ·μà≈–μ—«·ª√„™â Vitalograph Spirometer

3) §à“ª√‘¡“μ√¢ÕßÕ“°“»∑’Ë∂Ÿ°¢—∫ÕÕ°„π (Vitalograph Ltd, England) μ“¡‡°≥±å¡“μ√∞“π
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À≈—ß®“°°“√À“¬„®‡¢â“‡μÁ¡∑’Ë (forced expiratory vol- (spirometry) ®”π«π 3 §√—Èß √“¬ß“πº≈°“√
ume in one second: FEV ) »÷°…“‚¥¬„™â§à“ Ÿß ÿ¥¢Õß·μà≈–μ—«·ª√ ∑—Èßπ’È„™â§à“
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4) §à“ª√‘¡“μ√¢ÕßÕ“°“»∑’Ë∂Ÿ°¢—∫ÕÕ°„π«‘π“∑’ Õâ“ßÕ‘ß¡“μ√∞“π ¡√√∂¿“æªÕ¥ (predicted value)

·√°¢Õß°“√À“¬„®ÕÕ°Õ¬à“߇√Á«·≈–·√߇μÁ¡∑’ËÀ“√ ´÷Ëߧ”π«≥μ“¡ §«“¡ Ÿß πÈ”Àπ—°μ—« Õ“¬ÿ ·≈–‡æ»
¥â«¬ª√‘¡“μ√ Ÿß ÿ¥¢ÕßÕ“°“»∑’ËÀ“¬„®ÕÕ°Õ¬à“ß (√Ÿª∑’Ë 5)

√«¥‡√Á«·≈–·√߇μÁ¡∑’Ë (FEV /FVC)
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√Ÿª∑’Ë 5 · ¥ß°“√«—¥ ¡√√∂¿“æªÕ¥

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°≈ÿà¡μ—«Õ¬à“ß®–‰¥âΩñ°∑à“°“¬∫√‘À“√ƒÂ…’¥—¥μπ §«Ë”≈ß (√Ÿª∑’Ë 6) ¢—ÈπμÕπ∑’Ë 2 Ÿ¥≈¡À“¬„®‡¢â“„Àâ≈÷°
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ª√–°Õ∫¥â«¬ 2 ®—ßÀ«– ¥—ßπ’È ‰«â‡Àπ◊Õ»’√…–„π≈—°…≥–‡À¬’¬¥μ√ß„Àâ·¢π·π∫™‘¥
®—ßÀ«–∑’Ë 1 ¢—ÈπμÕπ∑’Ë 1 πÕπÀß“¬ ¢“·≈–≈” „∫ÀŸ °≈—Èπ≈¡À“¬„®‰«â 5 «‘π“∑’ (√Ÿª∑’Ë 7) ¢—ÈπμÕπ∑’Ë 3