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October 10, 2025
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Ukuphuma kwegazi ekhala kwenzeka lapho imithambo yegazi ngaphakathi ekhaleni lakho iqhekeka futhi iphume igazi. Ukuphuma kwegazi ekhala okuningi akuyingozi nhlobo futhi kuyazima ngokwako ngemizuzu embalwa.
Ikhala lakho liqukethe imithambo eminingi emincane yegazi ehlala eduze nendawo engaphezulu, okwenza kube lula ukuthi ithukuthele noma ilimale. Uma le mithambo ebuthaka iqhekeka, igazi ligeleza liphume ngamakhala akho. Ngenkathi ukuphuma kwegazi ekhala kungase kuzwakale kukhathaza, ikakhulukazi uma kwenzeka kungazelelwe, ngokuvamile akukho okumele ukhathazeke ngakho.
Ukuphuma kwegazi ekhala kumane nje kuphuma igazi ezicutshini ezingaphakathi ekhaleni lakho. Ochwepheshe bezokwelapha bakubiza ngokuthi “i-epistaxis,” kodwa kumane nje kuyigazi eliphuma emakhaleni akho.
Kunezinhlobo ezimbili eziyinhloko zokuphuma kwegazi ekhala. Ukuphuma kwegazi ekhala kwangaphambili kuqala engxenyeni engaphambili yekhala lakho futhi kwenza cishe u-90% wazo zonke izimo zokuphuma kwegazi ekhala. Lokhu kuvame ukuba mnene futhi kulula ukukwelapha ekhaya.
Ukuphuma kwegazi ekhala kwangemuva kuqala ngaphakathi ekhaleni futhi kuvame ukuba kubi kakhulu. Akuvamile kodwa kungase kudingeke ukunakekelwa kwezokwelapha ngoba ukuphuma kwegazi kungaba kukhulu futhi kunzima ukukulawula.
Ngokuvamile uzoqaphela igazi ligcwala noma ligeleza ngelinye noma womabili amakhala. Ukuphuma kwegazi kungase kuqale kungazelelwe ngaphandle kwesixwayiso, noma ungase uzwe ukuzwa okuncane kokuqala.
Abanye abantu bazwa umuzwa ofudumele, omanzi ekhaleni labo ngaphambi nje kokuba ukuphuma kwegazi kuqale. Ungase futhi uzwe ukunambitheka kwegazi emuva komphimbo wakho uma elinye ligeleza emuva.
Inani legazi lingahluka kakhulu. Ngezinye izikhathi kungamaconsi ambalwa nje, kanti ngezinye izikhathi kungase kubonakale sengathi kungaphezulu kakhulu. Khumbula ukuthi igazi elincane lingabukeka njengokuningi kunalokho eliyikho ngempela, ngakho zama ukungabi nokwethuka.
Ukopha kwempumulo okuningi kwenzeka lapho imithambo yegazi ethambile emakhaleni akho ithukutheliswa noma ilimala. Lokhu kungenzeka ngezizathu eziningi ezihlukene, futhi ukuqonda lezi zimbangela kungakusiza ukuthi uvimbele izigameko zesikhathi esizayo.
Nazi izimbangela ezivame kakhulu ezingaholela ekopheni kwempumulo:
Izici zemvelo nazo zidlala indima enkulu. Ukushisa ebusika kanye ne-air conditioning ehlobo kungomisa amakhala akho, okwenza imithambo yegazi ithambekele ekuqhekekeni nasekuphumeni igazi.
Ukopha kwempumulo okuningi kuyizigameko ezihlukene ezingabonisi noma yiziphi izinkinga ezinkulu zempilo ezingaphansi. Kodwa-ke, ukuphindaphinda noma ukopha kwempumulo okukhulu ngezinye izikhathi kungakhomba kwezinye izimo.
Izimo ezivamile ezingase zibangele ukuphindaphinda kokopha kwempumulo zihlanganisa:
Ngokungavamile, ukuphindaphinda kokopha kwempumulo kungase kubonise izifo zegazi, isifo sesibindi, noma iminye iminyango yomdlavuza. Uma uhlangabezana nokopha kwempumulo izikhathi eziningi ngesonto, kufanelekile ukuxoxa nodokotela wakho.
Ukuncoma imithi yokunciphisa igazi efana ne-warfarin, i-aspirin, noma ezinye izithasiselo kungenza nokuthi ukopha kwempumulo kube nokwenzeka futhi kuhlale isikhathi eside.
Yebo, iningi lezinkinga zokopha ngamakhala ziyazima ngokwazo phakathi nemizuzu engu-10 kuya kwengu-15. Umzimba wakho unezindlela zemvelo zokuvimbela ukopha ezisebenza ukuvala imithambo yegazi eyaphukile futhi zivimbele ukopha.
Okubalulekile ukuhlala uzolile futhi uvumele umzimba wakho ukuba wenze umsebenzi wawo. Ukuthambisa ikhanda lakho emuva noma ukulala phansi kungenza ukopha kube kubi ngokuvumela igazi ukuba ligeleze phansi emqaleni wakho.
Uma ukopha ngamakhala kuqhubeka imizuzu engaphezu kwengama-20 naphezu kokwelashwa ekhaya, noma uma ukopha kunzima kakhulu, kufanele ufune usizo lwezokwelapha.
Ungakwazi ukwelapha ngempumelelo iningi lezinkinga zokopha ngamakhala ekhaya usebenzisa izindlela zosizo lokuqala ezilula. Umgomo uwukusebenzisa ingcindezi ethambile futhi usize igazi lakho ukuba ligqame ngokwemvelo.
Nakhu okufanele ukwenze lapho kuqala ukopha ngamakhala:
Ngemva kokuthi ukopha kuyeka, gwema ukufutha ikhala lakho amahora ambalwa ukuvimbela ukuqala kabusha ukopha. I-clot idinga isikhathi sokuba iqine futhi iphole kahle.
Ungasebenzisa futhi inani elincane le-petroleum jelly noma i-saline nasal spray ukuze ugcine indawo inomswakama futhi uvimbele ukucasuka okuqhubekayo.
Uma ukwelashwa ekhaya kungasebenzi, abahlinzeki bezempilo banokukhetha okuningana ukuvimbela ukopha okuqhubekayo. Ukwelashwa okuqondile kuncike endaweni nobukhulu bokopha kwakho ngamakhala.
Udokotela wakho angasebenzisa ukupakisha ngamakhala, okubandakanya ukubeka i-gauze ekhethekile noma iziponji ekhaleni lakho ukuze usebenzise ingcindezi eqondile endaweni yokopha. Lokhu kungase kungakhululeki kodwa kusebenza kahle kakhulu ekopheni okuqinile.
Ngemva kokopha kwamakhala okuphindaphindayo, i-cauterization ingase inconywe. Le nqubo isebenzisa ukushisa, abandayo, noma amakhemikhali ukuvala umthambo wegazi ophelayo. Ngokuvamile kwenziwa ehhovisi likadokotela ngaphansi kwe-anesthesia yendawo.
Ezimweni ezingavamile zokopha kwamakhala okungemuva okukhulu, ungase udinge ukwelashwa emnyangweni wezimo eziphuthumayo esibhedlela. Lezi zimo ngezinye izikhathi zidinga izinqubo ezikhethekile noma ngisho nokuhlinzwa ukuze kulawulwe ukopha.
Ngenkathi ukopha kwamakhala okuningi kungalimazi, izimo ezithile zidinga ukunakekelwa kwezokwelapha. Kufanele uthinte umhlinzeki wakho wezempilo uma uhlangabezana nokuphuma kwegazi emakhaleni njalo noma uma kuphazamisa impilo yakho yansuku zonke.
Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana:
Kufanele futhi uthintane nodokotela wakho uma uphuma igazi emakhaleni ngaphezu kwesikhathi esisodwa ngesonto, noma uma ziba njalo noma ziba zimbi ngokuhamba kwesikhathi.
Uma usebenzisa imithi yokunciphisa igazi futhi uhlangabezana nokuphuma kwegazi emakhaleni, thintana nomhlinzeki wakho wezempilo ukuze uthole isiqondiso sokuthi ngabe kudingeka yini izinguquko.
Izici eziningana zingakwenza uthambekele ekuhlangabezaneni nokuphuma kwegazi emakhaleni. Ukuqonda lezi zici eziyingozi kungakusiza ukuthi uthathe izinyathelo zokuzivikela.
Ubudala budlala indima ebalulekile, nezingane kanye nabantu abadala abaneminyaka engaphezu kwengama-65 bethambekele kakhulu. Izicubu zamakhala ezinganeni zithambile kakhulu, kanti abadala bavame ukuba nezindonga zemithambo yegazi eziwugqinsi.
Izici zemvelo nendlela yokuphila ezikhuphula ingozi yakho zihlanganisa:
Ezinye izimo zezokwelapha nazo zikhuphula ingozi yakho, okuhlanganisa umfutho wegazi ophezulu, isifo sesibindi, nezifo zokopha ezizuzwe ngofuzo. Uma unesinye salezi zimo, udokotela wakho angakusiza ukuthi ulawule ingozi yakho yokopha ekhaleni.
Ukopha okuningi ekhaleni kululama ngokuphelele ngaphandle kwezinkinga ezingapheli. Kodwa-ke, ukopha ekhaleni okuvame kakhulu noma okukhulu ngezinye izikhathi kungaholela ezinkingeni ezidinga ukunakekelwa kwezokwelapha.
Inkinga evame kakhulu yi-anemia, engathuthuka uma ulahlekelwa inani elikhulu legazi ngokuhamba kwesikhathi. Lokhu kungenzeka kakhulu uma unokopha ekhaleni njalo okungakunaki noma ongenakukwazi ukukulawula ngempumelelo.
Ezinye izinkinga ezingaba khona zihlanganisa:
Lezi zinkinga azivamile futhi zivame ukuvikeleka ngokunakekelwa nokwelashwa okufanele. Abantu abaningi abahlangabezana nokopha ekhaleni ngezikhathi ezithile abalokothi bathuthukise noma yiziphi izinkinga zesikhathi eside.
Ngezinye izikhathi lokho okubonakala sengathi ukopha ekhaleni kungase kube ukuphuma kwegazi komunye umthombo. Lokhu kungadida, ikakhulukazi uma uhlangabezana nezinye izimpawu ngesikhathi esifanayo.
Igazi emlonyeni wakho elivela ezinkingeni zamazinyo, isifo sezinsini, noma ukucasuka komphimbo ngezinye izikhathi kungabonakala sengathi livela ekhaleni lakho. Ngokufanayo, izifo ze-sinus zingabangela ukukhishwa kwegazi okungase kuthathwe njengokopha ekhaleni.
Ngokuvamile, ukuphuma igazi emaphashini (i-hemoptysis) noma esiswini (i-hematemesis) kungavela emakhaleni akho noma emlonyeni. Lezi zimo ngokuvamile zihilela ukukhwehlela igazi kunokuthi kube ukuphuma igazi okumane nje emakhaleni.
Uma ungaqiniseki ngomsuka wokuphuma igazi, noma uma uqaphela igazi kanye nezinye izimpawu ezikhathazayo njengobunzima bokuphefumula noma ubuhlungu obukhulu, kungcono ukufuna ukuhlolwa kwezokwelapha.
Cha, akufanele uthambekise ikhanda lakho emuva ngesikhathi uphuma igazi emakhaleni. Lokhu kuqonda okungafanele okuvamile kungenza izinto zibe zimbi ngokuvumela igazi ukuthi gelezelele emqaleni wakho, okungabangela isicanucanu noma ukuhlanza.
Esikhundleni salokho, hlala uqonde futhi uthambekele phambili kancane. Lesi sikhundla sisiza ekuvikeleni igazi ukuthi lingagelezi emuva futhi senza kube lula ukusebenzisa ingcindezi esebenzayo ukuze kumiswe ukuphuma igazi.
Ukuphuma igazi okuningi emakhaleni kufanele kumiswe phakathi nemizuzu engu-10-15 ngokwelashwa okufanele ekhaya. Uma ukuphuma igazi kuqhubeka imizuzu engaphezu kwama-20 ngaphandle kokusebenzisa ingcindezi eqhubekayo, kufanele ufune ukunakekelwa kwezokwelapha.
Ukuphuma igazi okukhulu kakhulu okukwenza uzizwe unesiyezi noma ubuthakathaka kudinga ukunakekelwa kwezokwelapha ngokushesha, kungakhathaliseki ukuthi sekunesikhathi esingakanani kuqhubeka.
Ukucindezeleka akuqondile ukubangela ukuphuma igazi emakhaleni, kodwa kungaba negalelo ezimweni ezenza kube maningi amathuba okuthi kwenzeke. Ukucindezeleka kungakhuphula umfutho wegazi lakho okwesikhashana futhi kungaholela ekuziphatheni okufana nokukha amakhala noma ukufutha amakhala ngamandla.
Ngaphezu kwalokho, ukucindezeleka kunganciphisa amasosha akho omzimba, okukwenza ube sengozini enkulu yokuthola imikhuhlane nokungezwani komzimba okungabangela ukuphuma igazi emakhaleni.
Ukuphuma igazi emakhaleni empeleni kuvamile ngesikhathi sokukhulelwa ngenxa yokwanda kwevolumu yegazi kanye nezinguquko zamahomoni ezithinta izindima zakho zamakhala. Ngokuvamile akuyona ingozi kuwe noma kumntwana wakho.
Kodwa-ke, uma uhlangabezana nokuphuma kwegazi emakhaleni okuvame kakhulu noma okukhulu ngesikhathi sokukhulelwa, xoxa ngakho nomhlinzeki wakho wezempilo ukuze ukhiphe noma yiziphi izimo ezingaphansi.
Yebo, ungathatha izinyathelo eziningana zokunciphisa ingozi yakho yokuphuma kwegazi emakhaleni. Gcina izindima zakho zamakhala zimanzi ngokusebenzisa i-humidifier, usebenzisa i-petroleum jelly ngaphakathi emakhaleni akho, noma usebenzisa ama-saline nasal sprays.
Gwema ukukhetha ikhala lakho, vuthela kancane uma kudingeka, futhi unqume izinzipho zakho zibe mfushane. Uma unezifo zokungezwani komzimba, ukuzilawula ngempumelelo kungasiza futhi ekuvikeleni ukuphuma kwegazi emakhaleni.
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