Ndinaso Isikhohlela Esinganyangekiyo? Iimpawu, unyango kunye nokunye

Umxholo

• Iimbangela zokukhohlela okungapheliyo
• Ezinye iimpawu ezinokubakho
• Izinto zomngcipheko wokukhohlela okungapheliyo
• Nini ukubona ugqirha
• Unyango lokukhohlela okungapheliyo
• Reflux yeasidi
• Isifo sombefu
• I-bronchitis engapheliyo
• Usulelo
• Idriphu yasemva kwexesha
• Iindlela ezongezelelweyo zokulawula iimpawu zakho
• Imbonakalo yokukhwehlela okungapheliyo

Sibandakanya iimveliso esicinga ukuba ziluncedo kubafundi bethu. Ukuba uthenga amakhonkco kweli phepha, sinokufumana ikhomishini encinci. Nantsi inkqubo yethu.

Ushwankathelo

Ukukhohlela ngamanye amaxesha kungangonwabisi, kodwa okunene kusebenza injongo eluncedo. Xa ukhohlela, uza nemicu kunye nezinto zangaphandle ezivela kumoya wakho ezinokucaphukisa imiphunga yakho. Ukukhwehlela nako kungaphendula kukudumba okanye ukugula.

Uninzi lwekhohlela luhlala ixesha elifutshane. Unokubamba umkhuhlane okanye umkhuhlane, ukhohlele iintsuku ezimbalwa okanye iiveki, emva koko uza kuqala uzive ungcono.

Ngaphantsi kakhulu, ukukhwehlela kuhlala iiveki, iinyanga, okanye iminyaka. Xa uqhubeka ukhohlela ngaphandle kwesizathu esicacileyo, unokuba nento enzulu.

Ukukhwehlela okuhlala iiveki ezisibhozo okanye nangaphezulu kuthiwa kukukhohlela okungapheliyo. Nokuba ukhohlokhohlo olunganyangekiyo lunesizathu esinyangekayo. Banokubangela iimeko ezinjenge-postnasal drip okanye i-aleji. Kunqabile kuphela ukuba ngaba luphawu lomhlaza okanye ezinye iimeko ezinokubusongela ubomi.

Ukukhwehlela okungapheliyo kunokuba nefuthe elikhulu kubomi bakho, nangona kunjalo. Inokukugcina uphapheme ebusuku kwaye ikuphazamise emsebenzini nakwimpilo yakho yentlalo. Kungenxa yoko le nto kufuneka ugqirha wakho akhangele nakuphi na ukukhohlela okuhlala ngaphezulu kweeveki ezintathu.

Iimbangela zokukhohlela okungapheliyo

Izizathu eziqhelekileyo zokukhwehlela okungapheliyo zi:

• Idriphu yasemva kwexesha
• isifuba, ingakumbi isifuba, esibangela ukukhohlela njengophawu oluphambili
• i-acid reflux okanye isifo se-reflux se-gastroesophageal (GERD)
• i-bronchitis engapheliyo okanye ezinye iintlobo zesifo esinganyangekiyo se-pulmonary disease (COPD)
• usulelo, olunje nge-pneumonia okanye i-bronchitis ebukhali
• I-ACE inhibitors, ngamayeza asetyenziselwa ukunyanga uxinzelelo lwegazi oluphezulu
• ukutshaya

Izizathu eziqhelekileyo zokukhwehlela okungapheliyo zibandakanya:

• i-bronchiectasis, eyonakalisayo kwindlela yomoya ebangela ukuba iindonga ze-bronchial emiphungeni zivuthe kwaye ziqine
• i-bronchiolitis, esisifo kunye nokudumba kwe-bronchioles, iivenkile zomoya ezincinci emiphungeni
• i-cystic fibrosis, imeko ezuzwe njengelifa eyonakalisa imiphunga kunye namanye amalungu ngokwenza ukhuseleko olungqingqwa
• isifo semiphunga sangaphakathi, imeko ebandakanya ukonakala kwethishu yemiphunga
• ukumelwa yintliziyo
• umhlaza wemiphunga
• I-pertussis, usulelo lwebhakteria olwaziwa ngokuba kukukhohlela
• I-sarcoidosis, enamaqela eeseli ezivuthayo, ezaziwa ngokuba zii-granulomas, ezenza imiphunga kunye namanye amalungu omzimba.

Ezinye iimpawu ezinokubakho

Kunye nokukhohlela, unokuba nezinye iimpawu, kuxhomekeka kwisizathu. Iimpawu eziqhelekileyo ezihlala zihamba kunye nokukhwehlela okungapheliyo kubandakanya:

• imvakalelo yolwelo evuza ezantsi emva komqala wakho
• isilungulela
• ilizwi elirhawuzelelayo
• impumlo enemifinya
• umqala obuhkungu
• impumlo efakiweyo
• ukuvutha
• ukuqhawukelwa ngumphefumlo

Ukukhwehlela okungapheliyo kunokubangela le micimbi:

• isiyezi okanye isiqaqa
• Ubuhlungu besifuba kunye nokungahambi kakuhle
• intloko ebuhlungu
• ukukhathazeka kunye noxinzelelo, ngakumbi ukuba awazi unobangela
• ukulahleka kokulala
• Ukuvuza komchamo

Iimpawu ezinzulu kakhulu zinqabile, kodwa tsalela ugqirha ukuba:

• khohlela igazi
• ndibile ebusuku
• baqhuba umkhuhlane omkhulu
• baphefumla kancinci
• ukunciphisa umzimba ngaphandle kokuzama
• Unentlungu engapheliyo yesifuba

Izinto zomngcipheko wokukhohlela okungapheliyo

Usengozini yokufumana ukhohlokhohlo olungapheliyo ukuba uyatshaya. Umsi wecuba wonakalisa imiphunga kwaye unokukhokelela kwiimeko ezinje ngeCOPD. Abantu abanamajoni omzimba abuthathaka kusenokwenzeka ukuba babe nosulelo olunokubangela ukukhohlela okungapheliyo.

Nini ukubona ugqirha

Jonga ugqirha wakho ukuba ukhohlokhohlo luhlala ngaphezulu kweeveki ezintathu. Kwakhona, tsalela umnxeba ukuba unempawu ezifana nokwehla kobunzima obungacwangciswanga, umkhuhlane, ukukhwehlela igazi, okanye unengxaki yokulala.

Ngexesha lokuqeshwa kukagqirha, ugqirha wakho uya kubuza malunga nokukhohlela kwakho kunye nezinye iimpawu. Kuya kufuneka ube nolunye lolu vavanyo ukuze ufumane unobangela wokukhohlela kwakho:

• Uvavanyo lwe-Acid reflux lilinganisa inani le-asidi kulwelo ngaphakathi ngaphakathi komqala wakho.
• I-Endoscopy isebenzisa isixhobo esiguqukayo nesikhanyisiweyo ukujonga umqala, isisu kunye namathumbu amancinci.
• Iinkcubeko zesikhohlela zijonga i-mucus okhohlela intsholongwane kunye nezinye izifo.
• Uvavanyo lomsebenzi wePulmonary lubona ukuba ungakanani umoya onokuwuphefumla, kunye nezinye iintshukumo zemiphunga yakho. Ugqirha wakho usebenzisa olu vavanyo ukufumanisa i-COPD kunye nezinye iimeko zemiphunga.
• IX-reyi kunye neCT scan zinokufumana iimpawu zomhlaza okanye usulelo olufana nenyumoniya. Unokufuna kwakhona i-X-ray yezono zakho ukujonga iimpawu zosulelo.

Ukuba ezi mvavanyo azincedi ugqirha wakho ekuchongeni unobangela wokukhohlela kwakho, banokufaka ityhubhu ebhityileyo emqaleni wakho okanye kwinqanaba lempumlo ukuze ubone ngaphakathi kwiindlela zakho zomoya ezingaphezulu.

I-Bronchoscopy isebenzisa ububanzi ukujonga umgca wendlela yakho yomoya kunye nemiphunga. Ugqirha wakho unokusebenzisa i-bronchoscopy ukususa isiqwenga sezicubu ukuvavanya. Oku kubizwa ngokuba yi-biopsy.

I-Rhinoscopy isebenzisa isithuba ukujonga ngaphakathi kwiindinyana zakho zempumlo.

Unyango lokukhohlela okungapheliyo

Unyango luya kuxhomekeka kwisizathu sokukhohlela kwakho:

Reflux yeasidi

Uya kuthatha iyeza ukuze unciphise, ukunciphisa, okanye ukuvimba imveliso yeasidi. Amayeza e-Reflux abandakanya:

• Izichasi
• I-H2 block blockers
• Iiproton pump inhibitors

Unokufumana amanye ala machiza phezu kwekhawuntari. Abanye baya kufuna amayeza kugqirha wakho.

Isifo sombefu

Iziyobisi ezisetyenziselwa ukunyanga i-asthma zinokubandakanya i-inhaled steroids kunye ne-bronchodilators, efuna amayeza. La mayeza ehlisa ukudumba kwindlela yomoya kwaye andise imicu yomoya emxinwa ukukunceda uphefumle ngokulula. Kuya kufuneka ubathathe yonke imihla, ixesha elide, ukunqanda uhlaselo lwesifuba okanye njengoko kufuneka ukumisa uhlaselo xa lusenzeka.

I-bronchitis engapheliyo

Iibronchodilators kunye ne-inhaled steroids zisetyenziselwa ukunyanga i-bronchitis engapheliyo kunye nezinye iindlela zeCOPD.

Usulelo

Amayeza okubulala iintsholongwane anokunceda ukunyanga inyumoniya okanye olunye usulelo lwebacteria.

Idriphu yasemva kwexesha

I-Decongestants inokumisa iimfihlo. Ii-antihistamines kunye ne-steroid nasal sprays zinokuthintela impendulo ebangelwa kukwenza imveliso ye-mucus kunye nokunceda ukuzisa ukudumba kwiindlela zakho zempumlo.

Iindlela ezongezelelweyo zokulawula iimpawu zakho

Uphando luye lwabonisa ukuba unyango lwentetho lunokusebenza ekunciphiseni ubunzima bokukhwehlela okungapheliyo. Ugqirha wakho unokukunika ukuthunyelwa kule ntetho yonyango.

Ukulawula ukukhwehlela kwakho, unokuzama ukucinezela ukukhwehlela. Amayeza okwehlela okwe-ekhawuntareni aqukethe i-dextromethorphan (Mucinex, iRobitussin) ayekelele kwi-reflex yokukhwehlela.

Ugqirha wakho unokukunika amayeza afana ne-benzonatate (Tessalon Perles) ukuba amayeza e-counter awancedi.Oku kuyenza ingonwabi imeko yokukhohlela. Iyeza lokumisela i-gabapentin (Neurontin), iyeza lokuthintela ukosuleleka, lifunyenwe liluncedo kwabanye abantu abanesikhohlela esinganyangekiyo.

Amanye amayeza emveli okukhohlela ahlala ene-narcotic codeine okanye i-hydrocodone. Nangona la mayeza anokunceda ukuthomalalisa ukukhwehlela kwakho, kukwabangela ukozela kwaye kunokuba ngumkhwa wokwenza.

Imbonakalo yokukhwehlela okungapheliyo

Umbono wakho uya kuxhomekeka kwinto ebangele ukukhwehlela kwakho okungapheliyo, kunye nendlela ekufuneka iphathwe ngayo. Rhoqo ukukhwehlela kuya kuhamba kunye nonyango olululo.

Ukuba ujongene nokukhohlela ngaphezulu kweeveki ezintathu, bona ugqirha wakho. Nje ukuba wazi ukuba yintoni ebangela ukukhwehlela, ungathatha amanyathelo okuyinyanga.

Kuze kube kukhwehlela, zama ezi ngcebiso ukuze ulawule:

• Sela amanzi amaninzi okanye ijusi. Ulwelo olongezelelekileyo luya kukhulula kunye ne-mucus encinci. Iziselo ezifudumeleyo ezinje ngeti kunye nomhluzi zinokuthomalalisa umqala wakho.
• Suck kwikhohlo lokukhohlela.
• Ukuba unayo i-asidi ye-asidi, kunqande ukutya kakhulu kwaye utye ngaphakathi kweeyure ezimbini ukuya kwezintathu ngaphambi kokuba ulale. Ukunciphisa umzimba kunokunceda ngokunjalo.
• Vula i-humidifier epholileyo ukongeza ukufuma emoyeni, okanye uthathe ishawa eshushu kwaye uphefumle umphunga.
• Sebenzisa i-saline impumlo yokutshiza okanye ukunkcenkceshela ngeempumlo (imbiza ye-neti). Amanzi etyuwa aya kukhululeka kwaye ancede ukukhupha i-mucus ekwenza ukuba ukhohlele.
• Ukuba uyatshaya, cela ingcebiso kugqirha wakho ukuba ungayeka njani. Hlala kude nabani na otshayayo.