Kuyini Ukushoda Komoya? Izimpawu, Izimbangela, & Nokwelashwa Ekhaya

Ukushoda komoya kuwumuzwa wokuthi awukwazi ukuthola umoya owanele emaphashini akho noma ukuthi ukuphefumula kudinga umzamo omkhulu kunokujwayelekile. Ungase uzizwe sengathi uyazithukuthela, uyaphefumula, noma usebenza kanzima nje ukuze uphefumule ngokujwayelekile. Lo muzwa ungaqhamuka kungazelelwe noma ukhule kancane kancane ngokuhamba kwesikhathi, futhi uthinta izigidi zabantu ngezizathu ezihlukahlukene ezisukela ekuzivoceni okulula kuya ezimweni zempilo ezingaphansi.

Kuyini Ukushoda Komoya?

Ukushoda komoya, okubizwa ngokuthi i-dyspnea ngomqondo wezokwelapha, yindlela yomzimba wakho yokubonisa ukuthi awutholi umoya-mpilo owanele noma unenkinga yokuhambisa umoya ungene futhi uphume emaphashini akho. Kwehluke ekuphefumuleni okujwayelekile okuzwayo ngemva kokukhuphuka izitebhisi noma ukuzivocavoca kanzima.

Lesi simo singahluka ekungakhulumeni kahle okuncane kuya ekucindezelekeni okukhulu. Ungase ukubone kuphela ngesikhathi sokuzivocavoca, noma kungase kukuthathe ngisho nalapho uphumule. Abanye abantu bakuchaza njengokuzizwa sengathi baphefumula ngotshani noma sengathi kunesisindo esifubeni sabo.

Ngenkathi ukushoda komoya kungesabisa, kubalulekile ukwazi ukuthi izimbangela eziningi ziyelapheka. Uhlelo lwakho lokuphefumula luyinkimbinkimbi, olubandakanya amaphaphu akho, inhliziyo, imithambo yegazi, ngisho nemisipha yakho, ngakho izinkinga eziningana ezihlukene zingabangela lesi simo.

Kuzizwa Kanjani Ukushoda Komoya?

Ukushoda komoya kuzizwa kuhluke kumuntu ngamunye, kodwa abantu abaningi bakuchaza njengokuqwashisa okungakhululekile ngokuphefumula kwabo. Ungase uzizwe sengathi awukwazi ukubamba umoya wakho noma sengathi awutholi ukuphefumula okwanelisayo kungakhathaliseki ukuthi uzama kanzima kangakanani.

Lo muzwa uvame ukuhambisana nomuzwa wokuqina esifubeni sakho, sengathi othile uyakucindezela. Ungase uzithole uphefumula ngokushesha noma uthatha ukuphefumula okujule kunokujwayelekile. Abanye abantu bazizwa sengathi bayacwila noma bayazithukuthela, ngisho nalapho bengasengozini esheshayo.

Ungase futhi uqaphele ukuthi imisebenzi ebisilula manje ikushiya uphefumuleka. Imisebenzi elula efana nokukhuphuka izitebhisi, ukuthwala izinto zokuthenga, noma ngisho nokukhuluma kungase kukwenze uzizwe uphefumuleka. Lo muzwa ungaba mncane futhi ungabonakali, noma ungaba mkhulu ngokwanele ukukwenza uyeke okwenzayo futhi ugxile ngokuphelele ekuphefumuleni.

Yini Ebanga Ukushoda Komoya?

Ukushoda komoya kwenzeka lapho umzimba wakho ungatholi umoya-mpilo owanele noma lapho okuthile kuphazamisa inqubo yakho yokuphefumula. Izimbangela zingahlukaniswa zibe lezo ezithinta amaphaphu akho, inhliziyo, igazi, noma isimo sakho esiphelele somzimba.

Nazi izizathu ezivame kakhulu zokuthi kungani ungase uhlangabezane nobunzima bokuphefumula:

• Izimo zamaphaphu: Isifuba somoya, umkhuhlane wamaphaphu, i-bronchitis, noma isifo samaphaphu esingamahlalakhona (COPD) kungenza kube nzima ukuthi umoya ungene futhi uphume emaphashini akho
• Izinkinga zenhliziyo: Ukuhluleka kwenhliziyo, ukuhlaselwa yinhliziyo, noma ukushaya kwenhliziyo okungajwayelekile kungavimbela inhliziyo yakho ukuthi ipompe igazi ngempumelelo ukuze ilethe umoya-mpilo
• Ukungahambisani komzimba: Ukungabi sesimweni esihle noma ukuhlala ungenzi lutho kungenza imisebenzi ejwayelekile izizwe idinga kakhulu ekuphefumuleni kwakho
• Ukukhathazeka nokwethuka: Imizwa enamandla ingabangela ukuphefumula okusheshayo, okungashoni okukwenza uzizwe uphefumuleka
• I-Anemia: Ukubala kwamangqamuzana egazi abomvu okuphansi kusho ukuthi umoya-mpilo omncane uyathwalwa emzimbeni wakho wonke
• Ukukhuluphala: Isisindo esengeziwe singabeka ingcindezi emaphashini akho futhi kwenze kube nzima ukuphefumula

Ngezinye izikhathi, ukushoda komoya kungabonisa izimo ezingathi sína. Amahlule egazi emaphashini, ukusabela okukhulu komzimba okungavamile, noma amaphaphu aqhekekile akuvamile kodwa adinga ukunakekelwa kwezokwelapha ngokushesha.

Yini Ukushoda Komoya Okuyisibonakaliso noma Isimpawuli Sayo?

Ukuphefumula kanzima kungaba wuphawu lwezimo eziningi ezingaphansi, kusukela ezinkingeni zesikhashana kuya ezifweni ezingamahlalakhona. Ukuqonda ukuthi kungasho ukuthini kungakusiza ukwazi ukuthi nini okufanele ufune ukunakekelwa kwezokwelapha.

Ezimweni zokuphefumula, ukuphefumula kanzima kuvame ukuvela kanye nezinye izimpawu. Nge-asthma, ungase futhi ube nokukhwehlela, ukuqina kwesifuba, noma ukukhwehlela. I-Pneumonia ngokuvamile iletha umkhuhlane, ama-chills, nobuhlungu besifuba. I-COPD, ehlanganisa i-emphysema kanye ne-chronic bronchitis, ngokuvamile ithuthuka kancane kancane futhi iba yimbi ngokuhamba kwesikhathi.

Izimbangela ezihlobene nenhliziyo zivame ukuza nezimpawu ezengeziwe. Ukuhluleka kwenhliziyo kungase kubangele ukuvuvukala emilenzeni yakho noma emaqakaleni, ukukhathala, nobunzima bokulala ngendlela eyisicaba. Ukuhlaselwa yinhliziyo kungaletha ubuhlungu besifuba, isicanucanu, nokujuluka. Ukushaya kwenhliziyo okungajwayelekile kungase kukwenze uzizwe sengathi inhliziyo yakho iyagijima noma igxuma ukushaya.

Izimo ezingavamile kodwa ezingathi sína zihlanganisa i-pulmonary embolism, lapho igazi livimba ukuhamba kwegazi emaphashini akho. Lokhu ngokuvamile kubangela ukuphefumula kanzima okungazelelwe, okukhulu kanye nobuhlungu besifuba futhi ngezinye izikhathi ukukhwehlela igazi. Ukusabela okukhulu komzimba kungabangela ubunzima bokuphefumula kanye nezilonda, ukuvuvukala, nesiyezi.

Ngezinye izikhathi, ukuphefumula kanzima kubonisa izinkinga ngekhono legazi lakho lokuthwala umoya-mpilo. I-Anemia inciphisa ukubalwa kwamaseli akho abomvu egazi, okukwenza uzizwe ukhathele futhi uphefumula kanzima ngesikhathi semisebenzi evamile. Eminye imithi, ikakhulukazi eminye imithi yegazi, nayo ingathinta ukuphefumula kwakho.

Ingabe Ukuphefumula Kanzima Kunganyamalala Ngokwako?

Noma ngabe ukuphefumula kanzima kuyazixazulula ngokwako kuncike ngokuphelele kulokho okubangela. Uma uhlangabezana nobunzima bokuphefumula ngenxa yokuzivocavoca ngokomzimba, ukukhathazeka, noma ukuba endaweni ephakeme, kuvame ukuthuthuka uma i-trigger isusiwe noma ube nesikhathi sokuphumula.

Izimbangela zesikhashana ezinjengokutheleleka okuncane kokuphefumula, ukungezwani komzimba okuthile kwesizini, noma izinkinga zokuphefumula ezihlobene nokucindezeleka zingathuthuka njengoba umzimba wakho uphola noma njengoba ubhekana nesici esibangela lezi zimpawu. Nokho, lokhu kungathatha izinsuku kuya emavikini, futhi akufanele uzishaye indiva izimpawu eziqhubekayo ngethemba lokuthi zizoncipha.

Izimo ezingamahlalakhona ezinjengomoya, i-COPD, ukuhluleka kwenhliziyo, noma i-anemia ngokuvamile azixazululeki ngaphandle kokwelashwa okufanele kwezokwelapha. Lezi zimo zivame ukudinga ukuphathwa okuqhubekayo ngemithi, izinguquko zendlela yokuphila, noma ezinye izindlela zokungenelela ukuze izimpawu zihlale zilawulwa.

Kubalulekile ukuqonda ukuthi ngisho noma ukuphefumula kanzima kubonakala kuthuthuka okwesikhashana, imbangela engaphansi ingase idinge ukunakekelwa. Ukunganaki izigameko eziphindaphindayo noma ukuthemba ukuthi zizonyamalala ngezinye izikhathi kungaholela ezinkingeni ezingathi sína ngokuhamba kwesikhathi.

Singelashwa Kanjani Ukuphefumula Kanzima Ekhaya?

Uma uhlangabezana nokuphefumula kanzima okuncane futhi awukho ebunzimeni obuqondile, amaqhinga amaningana asekhaya angakusiza uzizwe ukhululekile. Lezi zindlela zisebenza kahle kakhulu ezimpawini zesikhashana noma ezincane, hhayi ezimweni eziphuthumayo.

Nawa amanye amaqhinga amancane abantu abaningi abawathola ewusizo:

• Ukuphefumula ngomlomo ovalekile: Phefumula kancane ngamakhala akho, bese uphefumula kancane ngomlomo ovalekile sengathi uyashaya impempe
• Ukuphefumula nge-diaphragmatic: Beka isandla esisodwa esifubeni sakho nesinye esiswini sakho, bese uphefumula ukuze isandla sakho sesisu sihambe ngaphezu kwesandla sakho sesifuba
• Ukuma: Hlala uqonde noma uncike phambili kancane, okungasiza ukuvula izindlela zakho zomoya
• Hlala uzolile: Ukukhathazeka kungenza kube nzima ukuphefumula, ngakho zama ukuhlala uzolile ngangokunokwenzeka
• Susa izinto ezibangela izimpawu: Uma wazi ukuthi yini ebangela izimpawu zakho, njengama-allergen noma amakha aqinile, hambela kude nazo
• Sebenzisa ifeni: Ukujikeleza komoya omnene ngezinye izikhathi kungenza ukuphefumula kuzizwe kulula

Noma kunjalo, imithi yasekhaya inemingcele ecacile. Uma ukuphefumula kwakho kunzima, kuqala kungazelelwe, noma kuhambisana nobuhlungu besifuba, isiyezi, noma izindebe eziluhlaza noma izinzipho, udinga ukunakekelwa kwezempilo ngokushesha kunokwelashwa ekhaya.

Yini Ukwelashwa Kwezokwelapha Kokuphefumula Okunzima?

Ukwelashwa kwezokwelapha kokuphefumula okunzima kugxila ekubhekaneni nembangela eyisisekelo ngenkathi kunikezwa ukukhululeka kwezimpawu. Udokotela wakho uzodinga kuqala ukuthola ukuthi yini ebangela ubunzima bakho bokuphefumula ngokuhlolwa futhi mhlawumbe nokuhlolwa okuthile.

Ngezimbangela ezihlobene namaphaphu, ukwelashwa kungabandakanya ama-bronchodilators ukuvula imigudu yakho yomoya, ama-corticosteroids ukunciphisa ukuvuvukala, noma ama-antibiotics uma une-bacterial infection. Abantu abanesifuba somoya bavame ukuthola ama-inhalers, kanti labo abane-COPD bangase badinge i-oxygen therapy noma ukuvuselelwa kwamaphaphu.

Ukunqamuka kokuphefumula okuhlobene nenhliziyo kuvame ukudinga imithi yokuthuthukisa ukusebenza kwenhliziyo, njengama-ACE inhibitors, ama-beta-blockers, noma ama-diuretics ukunciphisa ukwakheka koketshezi. Ezimweni ezinzima, izinqubo ezinjenge-angioplasty noma ukuhlinzwa kungase kudingeke ukubuyisela ukugeleza kwegazi okufanele.

Ezinye izindlela zokwelapha zincike embangeleni ethile. I-Anemia ingase idinge izithasiselo zensimbi noma ukwelashwa kwezimo eziyisisekelo ezibangela ukulahlekelwa yigazi. Amahlule egazi ngokuvamile adinga ama-blood thinners, kuyilapho ukusabela okukhulu komzimba kudinga ukwelashwa ngokushesha nge-epinephrine neminye imithi ephuthumayo.

Udokotela wakho angase futhi ancome izinguquko zokuphila njengokuphatha isisindo, ukuyeka ukubhema, noma izinhlelo zokuzivocavoca kancane kancane ukuthuthukisa amandla akho okuphefumula jikelele futhi kunciphise izigameko zesikhathi esizayo.

Kufanele ngibone nini udokotela ngokuphefumula okunzima?

Kufanele ufune ukunakekelwa okuphuthumayo ngokushesha uma ukuphefumula kwakho kunzima, kuqala kungazelelwe, noma kwenzeka nezinye izimpawu ezinzima. Ungalindi noma uzame ukukwenza uma uhlangabezana nokuphuthuma kokuphefumula.

Shayela ku-911 noma uye egumbini eliphuthumayo ngokushesha uma:

• Ubunzima obukhulu bokuphefumula obukwenza kube nzima ukukhuluma noma ukusebenza
• Ubuhlungu besifuba kanye nokushoda komoya
• Izindebe eziluhlaza, izinzipho, noma ubuso okukhombisa ukuntuleka komoya-mpilo
• Ukuqala okungazelelwe kwezinkinga ezinkulu zokuphefumula
• Umkhuhlane omkhulu nobunzima bokuphefumula
• Ukuquleka noma isiyezi kanye nezinkinga zokuphefumula

Kufanele uhlele ukuqokwa kodokotela njalo uma uqaphela izinguquko ezinensayo ekuphefumuleni kwakho, njengokuphelelwa umoya ngesikhathi semisebenzi obekulula ukuyenza. Lokhu kuhlanganisa ukuzwa ukhathele ngenkathi ukhuphuka izitebhisi, uhamba amabanga amafushane, noma wenza imisebenzi yasekhaya elula.

Futhi bonana nodokotela wakho uma uhlangabezana neziqephu eziphindaphindayo zokushoda komoya, noma ngabe zibonakala zithambile. Amaphethini obunzima bokuphefumula angakhombisa izimo ezingaphansi ezizuzayo ekwelashweni nasekuphathweni kwasekuqaleni.

Ziyini Izici Eziyingozi Zokuthuthukisa Ukushoda Komoya?

Izici eziningana zingakhuphula amathuba akho okuhlangabezana nokushoda komoya, futhi ukuqonda lokhu kungakusiza ukuthi uthathe izinyathelo zokuvimbela. Ezinye izici eziyingozi ongazilawula, kanti ezinye ziyingxenye yokwakheka kwakho kwemvelo noma izimo zempilo.

Nazi izici eziyinhloko ezingenza izinkinga zokuphefumula zenzeke kakhulu:

• Ukubhema: Ukusebenzisa ugwayi kulimaza amaphaphu akho futhi kwandisa kakhulu ingozi yakho ye-COPD, umdlavuza wamaphaphu, nezinye izimo zokuphefumula
• Ubudala: Abantu abadala maningi amathuba okuthi bahlakulele izimo zenhliziyo namaphaphu ezingabangela ubunzima bokuphefumula
• Ukukhuluphala ngokweqile: Isisindo esengeziwe sibeka ingcindezi eyengeziwe emaphashini akho futhi senza inhliziyo yakho isebenze kanzima
• Ukuphila ngendlela yokungazivocavoci: Ukuntula umsebenzi womzimba ovamile kungaholela ekungafaneleki kwenhliziyo nemithambo yegazi nobuthakathaka bemisipha
• Ukuvezwa yizinto ezivela emvelweni: Ukuvezwa isikhathi eside ekungcolisweni komoya, uthuli, amakhemikhali, noma ezinye izinto ezicasulayo zamaphaphu
• Umlando womndeni: Ukuthambekela kofuzo ezimweni ezinjenge-asthma, isifo senhliziyo, noma izinkinga zamaphaphu

Ezinye izimo zezokwelapha nazo zikhuphula ingozi yakho, okuhlanganisa isifo sikashukela, umfutho wegazi ophezulu, nezifo ze-autoimmune. Eminye imithi ingathinta ukuphefumula, ikakhulukazi imithi ethile yomfutho wegazi noma imithi ebangela ukugcinwa kwamanzi.

Izindaba ezinhle ukuthi izici eziningi eziyingozi zingashintshwa ngokushintsha indlela yokuphila, ukunakekelwa kwezokwelapha okufanele, nezinyathelo zokuvimbela. Noma ngabe unezici eziyingozi ongeke waziqeda, njengobudala noma umlando womndeni, usengathatha izinyathelo zokuvikela impilo yakho yokuphefumula.

Ziyini Izinkinga Ezingaba Khona Zokuphefumula Kancane?

Ukuphefumula kancane okungelashwa kungaholela ezinkingeni ezingathi sína, ikakhulukazi uma kubangelwa izimo zezokwelapha ezingaphansi. Izinkinga ezithile zincike kulokho okubangela ubunzima bakho bokuphefumula nokuthi buqina kangakanani.

Lapho umzimba wakho ungatholi umoya-mpilo owanele ngokuhamba kwesikhathi, kungathinta izinhlelo eziningi zezitho. Inhliziyo yakho kungenzeka ukuthi idinga ukusebenza kanzima ukuze ipompe igazi, okungenzeka kuholele ekwehlulekeni kwenhliziyo noma ukushaya kwenhliziyo okungajwayelekile. Ubuchopho bakho nezinye izitho kungenzeka zingatholi umoya-mpilo owanele, okubangela ukukhathala, ukudideka, noma ezinye izinkinga.

Izinkinga zokuphefumula zingabandakanya ukuqhubeka kwesifo samaphaphu, ukwanda kwengozi yokutheleleka, noma ukwehluleka ukuphefumula ezimweni ezinzima. Abantu abanezinkinga zokuphefumula ezingamahlalakhona bavame ukuzwa ukwehla kwekhwalithi yempilo, ubunzima ekwenzeni imisebenzi yansuku zonke, kanye nengozi eyengeziwe yokuwa ngenxa yobuthakathaka noma isiyezi.

Izinkinga zomphakathi nezingokwengqondo nazo zibalulekile ukuzicabangela. Ukuphefumula kanzima okungamahlalakhona kungaholela ekukhathazekeni, ukucindezeleka, noma ukuzihlukanisa komphakathi njengoba abantu begwema imisebenzi ebangela izimpawu zabo. Lokhu kungadala umjikelezo lapho ukwehla komsebenzi kuholela ekulimaleni okuqhubekayo nasekuqiniseni izimpawu.

Nokho, iningi lezinkinga lingavinjelwa noma lilawulwe ngokunakekelwa kwezempilo okufanele. Ukuxilongwa kwasekuqaleni nokwelashwa kwezimo eziyisisekelo, kanye nokuguqulwa kwendlela yokuphila, kunganciphisa kakhulu ingozi yakho yezinkinga ezinzima futhi kusize ukugcina izinga lempilo yakho.

Yini Ukuphefumula Kanzima Okungadidaniswa Ngayo?

Ukuphefumula kanzima ngezinye izikhathi kungadidaniswa nezinye izimo noma imizwa, okungase kubambezele ukuxilongwa nokwelashwa okufanele. Ukuqonda lezi zinto ezifanayo kungakusiza ukuthi unikeze ulwazi olungcono kumhlinzeki wakho wezempilo.

Ukukhathazeka nokuhlaselwa yisithukuthezi kuvame ukulingisa izinkinga zokuphefumula, kubangele ukuphefumula okusheshayo, ukuqina kwesifuba, kanye nomuzwa wokungatholi umoya owanele. Umehluko omkhulu ukuthi izinkinga zokuphefumula ezihlobene nokukhathazeka ngokuvamile zithuthuka ngamasu okuphumula futhi azibandakanyi ukushoda komoya-mpilo wangempela.

Ukusha kwenhliziyo noma i-acid reflux ngezinye izikhathi kungabangela ukuqina kwesifuba nomuzwa wokuqina abantu abawudida nezinkinga zokuphefumula. Nokho, lezi zimpawu zivame ukuhlobana nokudla futhi zithuthuka ngama-antacid noma imithi enciphisa i-asidi.

Ukulimala kwemisipha yesifuba ngenxa yokuzivocavoca noma ukuma okungalungile kungadala ukuqina kwesifuba okuzizwa njengobunzima bokuphefumula. Lolu hlobo lokungakhululeki ngokuvamile luqina ngokunyakaza futhi luphendula ekuphumuleni nasekuzeluleni okumnene.

Ngesinye isikhathi, abantu badideka izimpendulo ezijwayelekile ekuzivivinyeni ngokomzimba nokuphefumula okungajwayelekile. Kuyajwayelekile ukuphefumula kanzima ngesikhathi sokuzivivinya, kodwa kuyakhathaza uma uba nokuphefumula okunzima ngesikhathi sokwenza imisebenzi obuyenza kalula.

Ukomiswa amanzi emzimbeni kungabangela ukukhathala kanye nomuzwa ojwayelekile wokungazizwa kahle abanye abantu abawuqondayo njengezinkinga zokuphefumula. Kodwa-ke, ukuphefumula okunzima kweqiniso kuhilela ubunzima bokuhambisa umoya ungene futhi uphume emaphashini akho, hhayi nje ukuzizwa ukhathele noma ubuthakathaka.

Imibuzo Evame Ukubuzwa Mayelana Nokuphefumula Okunzima

Ingabe ukuphefumula okunzima kuhlala kubucayi?

Akukona konke ukuphefumula okunzima okubucayi, kodwa kufanele kuhlale kuhlaziywa, ikakhulukazi uma kumusha, kunzima, noma kuphindaphinda. Ukuphefumula okungapheli ngenxa yokuzivivinya noma ukukhathazeka okuncane akuvami ukuba yingozi, kodwa izimpawu eziqhubekayo noma ezinzima zingabonisa izinkinga zempilo ezingaphansi ezidinga ukunakekelwa kwezokwelapha.

Ingabe ukucindezeleka kungabangela ukuphefumula okunzima?

Yebo, ukucindezeleka nokukhathazeka kungabangela ngempela ukuphefumula okunzima. Uma ukhathazekile, indlela yakho yokuphefumula iyashintsha, iba ngokushesha futhi ingajulile, okungakwenza uzizwe sengathi awutholi umoya owanele. Lokhu kudala umjikelezo lapho ukuzizwa uphefumula kanzima kwandisa ukukhathazeka, okwenza kube kubi nakakhulu ubunzima bokuphefumula.

Kufanele ukuphefumula okunzima kuhlale isikhathi esingakanani?

Ubude besikhathi buxhomeke embangweni. Ukuphefumula okunzima okuhlobene nokuzivivinya kufanele kulungiswe ngemizuzu embalwa yokuphumula, kanti izimpawu ezihlobene nokukhathazeka zingahlala imizuzu engu-10-20. Uma ukuphefumula okunzima kuqhubeka amahora, izinsuku, noma kuqhubeka kuphindaphinda, kufanele ubone udokotela ukuze ahlolwe.

Ingabe ukuphefumula okunzima kungavinjwa?

Izimbangela eziningi zokuphefumula kanzima zingavinjelwa ngokukhetha indlela yokuphila enempilo. Ukuzivocavoca njalo kuthuthukisa ukuqina kwenhliziyo nemithambo yegazi, ukugcina isisindo esinempilo kunciphisa ukucindezeleka emaphashini akho nenhliziyo, futhi ukugwema ukubhema kuvikela uhlelo lwakho lokuphefumula. Ukuphatha izimo ezingamahlalakhona njenge-asthma noma isifo senhliziyo nakho kuyasiza ekuvikeleni izinkinga zokuphefumula.

Uyini umehluko phakathi kokuphefumula kanzima nobunzima bokuphefumula?

Lawa magama avame ukusetshenziswa ngokushintshana, kodwa ukuphefumula kanzima ngokuvamile kubhekisela emuzweni wokungatholi umoya owanele, kanti ubunzima bokuphefumula bungase bufake izinkinga ngemishini yokuphefumula, njengobuhlungu ngokuphefumula noma ukungakwazi ukuthatha ukuphefumula okujulile. Zombili lezi zimpawu zidinga ukuhlolwa kwezokwelapha uma zinzima noma ziqhubeka.