Kuyini Ukukhwehlela? Izimpawu, Izimbangela, & Ukuphathwa Ekhaya

Ukukhwehlela umsindo ophakeme wokushaya kwempempe okwenzeka lapho umoya udlula emgudwini wokuphefumula ovinjelwe emaphashini akho. Ungase ukuzwe lapho uphefumula, uphefumula, noma kokubili. Lo msindo wenzeka ngoba kukhona okuthile okuvimba noma okuqinisa imigudu yakho yomoya, okwenza kube nzima ukuthi umoya uhambe ngokukhululeka ohlelweni lwakho lokuphefumula.

Kuyini Ukukhwehlela?

Ukukhwehlela yindlela yomzimba wakho yokukutshela ukuthi imigudu yakho yomoya isinciphe kunokujwayelekile. Cabanga ngakho njengokuzama ukushaya umoya ngotshani oluncishisiwe kancane - umoya kufanele usebenze kanzima ukuze udlule, udale lowo msindo wokushaya impempe ohlukile.

Lo msindo wokuphefumula ungenzeka emqaleni wakho, ebhokisini lezwi, noma ngaphakathi emaphashini akho. Indawo nesikhathi sokukhwehlela kwakho kungabanika odokotela imikhondo ebalulekile mayelana nokuthi yini ekubangela. Ngezinye izikhathi ungezwa ukukhwehlela ngaphandle kwe-stethoscope, kanti ngezinye izikhathi kuqashelwa kuphela ngesikhathi sokuhlolwa kwezokwelapha.

Kuzwakala Kanjani Ukukhwehlela?

Abantu abaningi bachaza ukukhwehlela njengomsindo womculo noma wokushaya impempe ovela esifubeni sabo. Ungase uqaphele ukuthi kuzwakala kakhulu lapho uphefumula, nakuba kungenzeka ngesikhathi sokuphefumula futhi. Umsindo uvame ukuzwakala sengathi uvela ngaphakathi esifubeni sakho.

Ngokuhambisana nomsindo, ungase uzwe umuzwa oqinile esifubeni sakho, njengokungathi othile uyasicindezela ngobumnene. Abantu abaningi baphinda baqaphele ukuthi kufanele basebenze kanzima kancane ukuze baphefumule, ikakhulukazi lapho bezama ukukhipha umoya emaphashini abo. Abanye bachaza ukuzwa sengathi abakwazi ukuthola umoya owanele, ngisho noma bephefumula.

Umsindo wokukhwehlela ungahluka kusuka ekungaqashelweni kalula kuya ekuzwakaleni kakhulu. Ngezinye izikhathi kwenzeka kuphela ngesikhathi somsebenzi womzimba, kanti ngezinye izikhathi ukhona ngisho nalapho uphumule buthule.

Yini Ebanga Ukukhwehlela?

Ukukhwehlela kwenzeka uma kukhona okunciphisa imigudu yakho yokuphefumula, futhi kunezizathu eziningana ezingase zenzeke lokhu. Imbangela evame kakhulu ukuvuvukala okwenza izindonga zemigudu yakho yokuphefumula zivuvuke, zinciphise indawo yomoya ukuthi udlule.

Nazi izizathu eziyinhloko zokuthi kungani imigudu yakho yokuphefumula ingase inciphe, kusukela kwelivame kakhulu:

• Isifuba somoya - imigudu yakho yokuphefumula iyavuvuka futhi iqine ngokuqeda izinto ezibangela
• Izifo zokuphefumula ezinjenge-bronchitis noma i-pneumonia
• Ukuphendula komzimba ezintweni ezinjenge-pollen, uthuli, noma izinwele zezilwane ezifuywayo
• Isifo esingapheli sokuvimbela amaphaphu (COPD)
• Ukwakheka kwe-mucus okuvimba imigudu yakho yokuphefumula
• Ukubhema noma ukuchayeka emaphungwini acasulayo
• Isifo se-Gastroesophageal reflux (GERD) - i-asidi yesisu ebuyela emuva emqaleni wakho

Ngokuvamile, ukukhwehlela kungase kubangelwe yinto yangaphandle ebambeke emoyeni wakho, imithi ethile, noma izinkinga zenhliziyo ezibangela ukwakheka kwamanzi emaphashini akho.

Iyini i-Wheezing Isign noma Isimpawu Sani?

Ukukhwehlela kuvame ukukhomba ezimweni ezithinta uhlelo lwakho lokuphefumula. Okuvame kakhulu isifuba somoya, lapho imigudu yakho yokuphefumula iba sensitive futhi isabele ngokuqinile ezintweni ezithile ezibangela ukuvuvukala nokukhiqiza i-mucus eyengeziwe.

Nazi izimo ezivame ukubangela ukukhwehlela:

• Isifuba somoya - sithinta cishe abantu baseMelika abayizigidi ezingama-25 futhi sibangela izigameko eziphindaphindayo zokukhwehlela
• I-bronchitis eyingozi - ukuvuvukala kwesikhashana kwamatube akho e-bronchial, ngokuvamile okuvela emakhazeni noma emfuleni
• Isifo esingapheli sokuvimbela amaphaphu (COPD) - ukulimala kwamaphaphu isikhathi eside, ngokuvamile okuvela ekubhemeni
• I-Pneumonia - ukutheleleka okuvuvukala amasaka omoya emaphashini akho
• Ukuphendula komzimba - uhlelo lwakho lomzimba oluzivikelayo olusabela ngokweqile ezintweni ezingenangozi
• I-Respiratory syncytial virus (RSV) - ikakhulukazi evame ezinganeni ezincane

Ezinye izimo ezingavamile kodwa ezinzima nazo zingabangela ukukhwehlela. Lokhu kuhlanganisa ukuhluleka kwenhliziyo, lapho inhliziyo yakho ingakwazi ukumpompa igazi ngempumelelo, okuholela ekwakhekeni kwamanzi emaphashini akho. I-pulmonary embolism, okuyigazi eligqamukile emaphashini akho, nayo ingabangela ukukhwehlela okungazelelwe kanye nobuhlungu besifuba nokuphefumula okuncane.

Ngokuvamile kakhulu, ukukhwehlela kungase kubonise umdlavuza noma ukukhula okuvimba umoya wakho, noma isimo esibizwa ngokuthi ukungasebenzi kahle kwentambo yezwi lapho izintambo zakho zezwi zingavuleki kahle uma uphefumula.

Ingabe Ukukhwehlela Kunganyamalala Ngokwako?

Ngezinye izikhathi ukukhwehlela kungase kulungiswe ngokwako, ikakhulu uma kubangelwa ukucasuka kwesikhashana noma ukutheleleka ngomoya okuncane. Uma uke wavezwa intuthu, amakha aqinile, noma umoya obandayo, ukukhwehlela kungase kuphele uma usususiwe ekucasuleni futhi imigudu yakho yomoya inesikhathi sokuzola.

Ezimweni ezithambile ezihlobene nomkhuhlane noma ukutheleleka okuphezulu komoya, ukukhwehlela kuvame ukuthuthuka njengoba umzimba wakho ulwa nokutheleleka nokuvuvukala kuyancipha. Lokhu kuvame ukuthatha izinsuku ezimbalwa kuya evikini.

Nokho, ukukhwehlela okuqhubekayo, okuba kubi kakhulu, noma okuhambisana nezinye izimpawu ezikhathazayo akufanele kunganakwa. Izimo ezinjenge-asthma noma i-COPD ngokuvamile zidinga ukuphathwa okuqhubekayo, futhi ukukhwehlela cishe kuzobuya ngaphandle kokwelashwa okufanele.

Ukukhwehlela Kungelashwa Kanjani Ekhaya?

Uma ukukhwehlela kwakho kuthambile futhi ungenayo inkinga yokuphefumula, kunezindlela eziningana ezinobumnene ongazama ekhaya. Lezi zindlela zigxila ekunciphiseni ukucasuka komoya futhi zikusize uphefumule ngokunethezeka okwengeziwe.

Nawa amanye amakhambi asekhaya aphephile angasiza ukunciphisa ukukhwehlela okuncane:

• Hlala umanzi ngokuphuza amanzi afudumele, itiye le-herbal, noma ama-broths acacile ukusiza ukunciphisa amafinyila
• Sebenzisa i-humidifier noma uphefumule umusi ovela eshaweni elishisayo ukwengeza umswakama emoyeni owomile
• Gwema izinto ezaziwayo ezibangela ukucasuka njengentuthu, amakha aqinile, noma ama-allergen
• Zijwayeze ukuzivocavoca ukuphefumula kancane, okujulile ukusiza ukuphumuza imigudu yakho yomoya
• Hlala uqonde kunokuba ulale phansi ukuze wenze ukuphefumula kube lula
• Zama ukuphuza uketshezi olufudumele njengetiye loju, olungase lusize ukuthoba imigudu yomoya ecasulwe

Lezi zindlela zokwelapha zasekhaya zisebenza kahle kakhulu ekukhwehleleni okuncane okubangelwa ukucasuka kwesikhashana. Azithathi indawo yokwelashwa kwezokwelapha, ikakhulukazi uma unesimo esitholakele njenge-asthma.

Yini Ukwelashwa Kwezokwelapha Kokukhwehlela?

Ukwelashwa kwezokwelapha kokukhwehlela kuncike kulokho okukubangelayo. Udokotela wakho uzodinga kuqala ukuthola isimo esiyisisekelo ngaphambi kokuncoma indlela yokwelapha esebenza kahle kakhulu.

Ngokukhwehlela okuhlobene ne-asthma, odokotela bavame ukunquma ama-bronchodilators, okuyimithi ephumuza futhi evule imigudu yakho yomoya. Lokhu kuza kuma-inhalers okusiza ngokushesha ezimpawini ezisheshayo kanye nemithi yokulawula isikhathi eside ukuvimbela izigameko zokukhwehlela.

Nansi imithi ejwayelekile yokwelapha esekelwe ezimbangela ezahlukene:

• Ama-inhalers e-Bronchodilator (njenge-albuterol) ukuze kukhululwe ngokushesha ukuqina komoya
• Imithi ye-Corticosteroid ukunciphisa ukuvuvukala emoyeni wakho
• Ama-Antibiotics uma ukutheleleka ngamagciwane kubangela ukukhwehlela
• Ama-Antihistamines ngenxa yokungezwani komzimba
• I-Oxygen therapy ezimweni ezinzima lapho amazinga e-oxygen egazini ephansi
• Ukwelashwa nge-Nebulizer okuletha imithi ngqo emaphashini akho

Ezimweni ezingapheli njenge-COPD, ukwelashwa kungase kufake imithi yesikhathi eside, ukuvuselelwa kwamaphaphu, kanye nezinguquko zokuphila. Udokotela wakho angase futhi ancome ukuhlolwa kokungezwani komzimba uma izimbangela zingacacile.

Kufanele ngibone nini udokotela ngokukhwehlela?

Kufanele ufune usizo lwezokwelapha uma ukukhwehlela kwakho kusha, kuqhubeka, noma kuhambisana nezinye izimpawu ezikukhathazayo. Ngenkathi ukukhwehlela okuncane okuvela emakhazeni kungase kungadingi ukunakekelwa ngokushesha, izimo ezithile zidinga ukuhlolwa kwezokwelapha ngokushesha.

Nazi izimpawu ezidinga ukuvakashelwa ngudokotela:

• Ukukhwehlela okuphazamisa imisebenzi yakho yansuku zonke noma ukulala
• Ukuphefumula kanzima noma ukuzwa sengathi awukwazi ukubamba umoya wakho
• Ukukhwehlela okuhambisana nobuhlungu besifuba noma ukuqina
• Umkhuhlane kanye nokukhwehlela, okungase kubonise ukutheleleka
• Ukukhwehlela okungathuthuki ngemva kwezinsuku ezimbalwa
• Ukukhwehlela okokuqala ngaphandle kwembangela ecacile

Funani ukunakekelwa kwezimo eziphuthumayo ngokushesha uma uhlangabezana nobunzima obukhulu bokuphefumula, izindebe eziluhlaza noma izinzipho, noma uzizwa sengathi uyazithukuthela. Lezi zimpawu zikhomba ukuthi amazinga akho omoya-mpilo angase abe phansi ngendlela eyingozi.

Futhi shayela ku-911 uma ukukhwehlela kuqala kungazelelwe futhi ngokuqinile, ikakhulukazi uma kuhambisana nokuvuvukala kobuso bakho, ulimi, noma umphimbo, ngoba lokhu kungase kubonise ukusabela okukhulu komzimba.

Yiziphi Izici Eziyingozi Zokuthuthukisa Ukukhwehlela?

Izici eziningana zingakhuphula amathuba akho okuhlangabezana nokukhwehlela. Ezinye zalezi ungazilawula, kanti ezinye zihlobene nezakhi zofuzo zakho noma umlando wezokwelapha.

Ukuqonda lezi zici eziyingozi kungakusiza ukuthi uthathe izinyathelo zokuvimbela izigameko zokukhwehlela:

• Ukuba nesifuba somoya noma umlando womndeni wesifuba somoya
• Ukubhema noma ukuchayeka njalo entuthwini yesibili
• Ukungezwani komzimba nemvelo ku-pollen, uthuli, noma izinwele zezilwane
• Ukutheleleka ngamathambo okuphefumula njalo, ikakhulukazi ebuntwaneni
• Ukwembulwa ekungcolisweni komoya noma okucasulayo emsebenzini
• Isifo se-Gastroesophageal reflux (GERD)
• Ukukhuluphala ngokweqile, okungase kubeke ingcindezi eyengeziwe emaphashini akho

Izingane zivame kakhulu ukukhwehlela kunabantu abadala ngoba imigudu yabo yomoya mncane futhi ivaleleka kalula. Izinsana ezingakazalwa kanye nalezo ezinomlando wokutheleleka okukhulu emaphashini nazo zibhekene nezingozi eziphakeme.

Ziyini Izinkinga Ezingase Zibe Khona Zokukhwehlela?

Izikhathi eziningi zokukhwehlela ziyanyamalala ngaphandle kokubangela izinkinga zesikhathi eside, ikakhulukazi uma ziphathwa kahle. Kodwa-ke, ukukhwehlela okuqhubekayo noma okukhulu ngezinye izikhathi kungaholela ezinkingeni uma isimo esibangela ukukhwehlela singalawulwa kahle.

Nazi izinkinga ezingaba khona okufanele uziqaphele:

• Ukukhathala okungapheli ngenxa yokusebenza kanzima ukuze uphefumule
• Ukuphazamiseka kokulala okuholela ekukhathaleni emini
• Ukuncipha kwamandla okuzivocavoca noma ukuba nomsebenzi ngokomzimba
• Ukutheleleka emaphashini okunzima ukukulwa
• Ukukhathazeka ngezinkinga zokuphefumula
• Ezimweni ezinzima, amazinga e-oxygen aphansi ngokuyingozi egazini lakho

Kubantu abanesifuba, ukukhwehlela okungalawulwa kahle kungaholela ekushintsheni unomphela ekusebenzeni kwamaphaphu ngokuhamba kwesikhathi. Yingakho kubalulekile ukusebenza nodokotela wakho ukuthuthukisa uhlelo lokwelapha olusebenzayo.

Ngokuvamile, izikhathi zokukhwehlela ezinzima zingaholela ekuhlulekeni kokuphefumula, lapho amaphaphu akho engakwazi ukuhlinzeka nge-oxygen eyanele emzimbeni wakho. Lokhu kuyisimo esiphuthumayo sezokwelapha esidinga ukwelashwa ngokushesha esibhedlela.

Yini Ukukhwehlela Okungase Kudidaniswe Ngayo?

Ukukhwehlela ngezinye izikhathi kungadidaniswa neminye imisindo yokuphefumula noma izimo. Umsindo wokushaya umoya ophezulu uhlukile, kodwa ezinye izimpawu zokuphefumula zingabonakala zifana, ikakhulukazi ezindlebeni ezingaqeqeshwanga.

Nazi izimo ezingase zididaniswe nokukhwehlela:

• I-Stridor - umsindo onzima, ophezulu ovela ekuvinjelweni komoya ongaphezulu
• I-Rhonchi - imisindo ephansi evela emukusini emoyeni omkhulu
• I-Rales (crackles) - imisindo emihle evela emanzini emashisheni amancane omoya
• Ukukhwehlela - ukudlidliza okuvela ezicutshini zomphimbo eziphumule ngesikhathi sokulala
• Ukungasebenzi kahle kwentambo yezwi - ukuvaleka okungajwayelekile kwentambo yezwi ngesikhathi sokuphefumula

Ngezinye izikhathi abantu badideka nomuzwa wokuqina kwesifuba nokuphefumula, ngisho nalapho kungekho msindo okhona. Abanye bangase badide imisindo yokuphefumula ejwayelekile eba ngaphezulu ngesikhathi sokugula nokuphefumula kweqiniso.

Abahlinzeki bezempilo basebenzisa ama-stethoscopes futhi ngezinye izikhathi izivivinyo ezengeziwe ukuhlukanisa phakathi kwale misindo ehlukene futhi babone imbangela eqondile yobunzima bakho bokuphefumula.

Imibuzo Evame Ukubuzwa Mayelana Nokuphefumula

Ingabe ukukhwehlela ngaso sonke isikhathi kuyisibonakaliso se-asthma?

Cha, ukukhwehlela akubangelwa njalo yi-asthma, nakuba i-asthma ingenye yezimbangela ezivame kakhulu. Ukutheleleka ngamathambo, ukungezwani komzimba, i-COPD, ngisho nezinkinga zenhliziyo kungabangela ukukhwehlela. Udokotela wakho uzodinga ukuhlola izimpawu zakho nomlando wezokwelapha ukuze anqume imbangela eqondile.

Ingabe ukucindezeleka kungabangela ukukhwehlela?

Ukucindezeleka ngokwako akuqondile ukubangela ukukhwehlela, kodwa kungabangela izimpawu ze-asthma kubantu abanesimo. Ukucindezeleka kungaholela ekuphefumuleni okusheshayo, okungajulile okungase kwenze izinkinga zokuphefumula ezikhona zizizwe zibi kakhulu. Ukufunda amasu okulawula ukucindezeleka kungasiza uma uqaphela ukuthi izinkinga zakho zokuphefumula ziyashuba ngezikhathi ezicindezelayo.

Ingabe ukukhwehlela kuyathelelana?

Ukukhwehlela ngokwako akuyona into ethelelanayo, kodwa imbangela engaphansi ingase ibe njalo. Uma ukukhwehlela kwakho kubangelwa ukutheleleka ngamathambo ngegciwane noma amagciwane, ungasabalalisa lokho kutheleleka kwabanye. Kodwa-ke, izimo ezinjenge-asthma noma i-COPD ezibangela ukukhwehlela azithelelani.

Ingabe izingane zingakukhula ukukhwehlela?

Iningi lezingane eziphefumula ngokuqina ngenxa yokutheleleka ngamathambo okuhogela ziyayeka le mkhuba njengoba imigudu yazo yomoya iba mikhulu futhi amasistimu azo omzimba avuthwa. Kodwa-ke, izingane ezinomkhuhlane we-asthma weqiniso zingase ziqhubeke nokuba nezimpawu zize zikhule, nakuba lezi zivame ukulawulwa kahle ngemithi efanele.

Ingabe ukukhwehlela ngaso sonke isikhathi kusho ukuthi ngidinga i-inhaler?

Akudingekile. Ngenkathi ama-inhaler engamakhambi avamile okwelapha ukukhwehlela okubangelwa yi-asthma noma i-COPD, ezinye izimbangela zingase zidinge ukwelashwa okuhlukile. Isibonelo, ukukhwehlela okuvela ekuthelelekeni kwamagciwane kungase kudingeke ama-antibiotics, kuyilapho ukukhwehlela okubangelwa ukungezwani komzimba kungase kuphendule kangcono kuma-antihistamines. Udokotela wakho uzoqoka ukwelashwa okungcono kakhulu ngokusekelwe kulokho okubangela izimpawu zakho.