Oonobangela Bokukhohlela ngokuDlame kwaye ndingabanqanda njani?

Umxholo

• Unobangela ukhohlokhohlo paroxysmal
• Ukufumanisa isifo kunye nonyango lokukhohlela
• Unyango lwasekhaya lokukhohlela luyangena
• Ukuthintela ukukhwehlela kweparoxysmal
• Nini ukubona ugqirha
• Yise kude

Ushwankathelo

Ukukhwehlela kwe-Paroxysmal kubandakanya ukukhwehlela rhoqo kunye nobundlobongela okunokwenza ukuba kube nzima ukuba umntu aphefumle.

Ukukhwehlela kukuzenzekelayo okunceda umzimba wakho ukuba ulahle i-mucus eyongezelelweyo, ibhaktiriya kunye nezinye izinto zangaphandle. Ngosulelo olunjenge-pertussis, ukukhwehlela kwakho kunokuqhubeka ixesha elide, kusenza kube nzima ukufumana ioksijini eyaneleyo okanye ukubamba umphefumlo wakho. Oku kunokubangela ukuba uphefumle kabukhali kwaye uphefumlele phezulu umoya, yiyo loo nto i-pertussis ikwabizwa ngokuba sisikhohlela.

Ngo-2012, unyaka ophezulu wokukhwehlela, amaZiko okuLawula nokuLawulwa kwezifo abika phantse. Uninzi lwezi meko, ngakumbi kubantwana abancinci, zibandakanya ukukhwehlela kwe-paroxysmal.

Funda ukuze ufunde ukuba yintoni ebangela ukukhwehlela kwe-paroxysmal, indlela ephathwa ngayo, iindlela zokuthintela, kwaye xa kufuneka ubonane nogqirha.

Unobangela ukhohlokhohlo paroxysmal

Ukukhwehlela kwe-Paroxysmal kuhlala kubangelwa IBordetella pertussis ibhaktiriya. Le bhakteriya ichaphazela indlela yakho yokuphefumla (impumlo, umqala, umbhobho womoya, kunye nemiphunga) kwaye ibangela ukukhwehlela. Olu sulelo luyosulela kakhulu.

Ukukhwehlela kwe-Paroxysmal sisigaba sesibini sokukhohlela. Eli nqanaba liza malunga nosulelo. Ityala eliqhelekileyo lokukhwehlela kwe-paroxysmal lihlala ngaphambi kokuba liyeke. Kwiimeko ezinzima, ukukhwehlela kwe-paroxysmal kunokuba namandla kangangokuba ugabhe, kwaye imilebe yakho okanye ulusu lunokujika luhlaza okwesibhakabhaka kukuswela ioksijini egazini. Funa ukhathalelo lonyango olungxamisekileyo ukuba ufumana ezi mpawu.

Ezinye izinto ezinokubangela ukukhwehlela kweparoxysmal zibandakanya:

• I-asthma, imeko yokuphefumla apho i-airways yakho idumbile kwaye igcwalise i-mucus egqithisileyo
• i-bronchiectasis, imeko apho iityhubhu emiphungeni yakho zandiswe ngokusisigxina ngaphakathi ngaphakathi kunye neendonga ezixineneyo ngenxa yokuvuvukala, kubangele ukuba kwakhiwe ibacteria okanye i-mucus
• i-bronchitis, ukudumba kwi-bronchi yemiphunga
• isifo se-reflux se-gastroesophageal (GERD), imeko apho i-asidi esiswini sakho ibuya umva umqala wakho nasemqaleni kwaye ngamanye amaxesha ungene kumoya womoya.
• ukwenzakala kwemiphunga kukonzakala, ukutshaya, okanye ukusetyenziswa kweziyobisi
• inyumoniya, uhlobo losulelo lwemiphunga
• isifo sephepha (i-TB), usulelo lwebhaktiriya lwemiphunga olunokusasazeka kwamanye amalungu ukuba alunyangwa

Ukufumanisa isifo kunye nonyango lokukhohlela

Ukuba ubona ugqirha wakho malunga nokukhwehlela, banokuyalela enye okanye ezingaphezulu kwezi mvavanyo zilandelayo ukufumanisa unobangela:

• impumlo okanye umqala swab ukuvavanya ubukho bentsholongwane eyosulelayo
• uvavanyo lwegazi ukukhangela ubalo oluphezulu lweeseli ezimhlophe, ezinokubonisa usulelo
• I-X-ray okanye i-CT scan yesifuba okanye iisono ukujonga iimpawu zosulelo lokuphefumla, ukonakala, okanye ukungaqheleki
• i-spirometry okanye olunye uvavanyo lomsebenzi wamaphaphu ukuvavanya ukuba umzimba wakho ungena njani kwaye ukhupha umoya, ukufumanisa isifo sombefu
• i-bronchoscopy enetyhubhu encinci, ekhanyisiweyo kunye nekhamera enokubonisa imifanekiso yexesha lokwenyani ngaphakathi kwemiphunga yakho
• i-rhinoscopy ukubona imifanekiso yexesha lokwenyani ngaphakathi kwempumlo yakho kunye neempumlo zempumlo
• i-endoscopy ephezulu yesisu sendlela yokugaya ukutya ukukhangela i-GERD

Nje ukuba ugqirha wakho afumanise unobangela, banokumisela iindlela ezahlukeneyo zonyango kuxhomekeke kwisizathu. Oku kunokubandakanya:

• Iintsholongwane, kubandakanya i-azithromycin (Z-Pack), ukunceda amajoni akho omzimba alwe neentsholongwane ezosulelayo
• i-decongestants, njenge-pseudoephedrine (i-Sudafed), okanye i-expectorant guaifenesin (Mucinex), ukunciphisa i-mucus buildup, ukukhwehlela kunye nezinye iimpawu
• i-antihistamines, efana ne-cetirizine (Zyrtec), ukunciphisa iimpawu zokungabikho komzimba ezinokubangela ukukhwehlela, ezifana nokudibanisa, ukuthimla kunye nokubamba
• i-inhaler okanye i-nebulized bronchodilator yonyango yokunceda ukuvula i-airways ngexesha lokukhohlela ukulungela okanye ukuhlaselwa sisifuba
• I-antacids yeempawu zeGERD
• Iiproton pump inhibitors ezinje nge-omeprazole (Prilosec), ecutha ukuveliswa kwesisu esiswini, ukunceda umqala wakho uphilise kwi-GERD
• umthambo wokuphefumla ngesikhokelo sonyango sokuphefumla kwiimeko ezinjenge-bronchitis

Unyango lwasekhaya lokukhohlela luyangena

Zama oku kulandelayo ekhaya ukunciphisa ukukhwehlela:

• Phuza ubuncinci ii-ounces ezingama-64 zamanzi ngosuku ukuze uzigcine uhlaziyekile.
• Hlamba rhoqo ukugcina umzimba wakho ucocekile kunye nokunciphisa ukusasazeka kwebhakteria.
• Hlamba izandla zakho rhoqo ukugcina ibhaktiriya ingakhi kwaye isasazeke.
• Sebenzisa i-humidifier ukugcina iindlela zakho zomoya zifumile, ezinokukunceda ukhulule i-mucus kwaye wenze kube lula ukukhwehlela. Ungayisebenzisi kakubi i-humidifier yakho, njengoko oku kungenza kube lula kwiibhaktheriya ukuba zivelise.
• Ukuba uyagabha, yitya izahlulo ezincinci ngexesha lokutya ukunciphisa umthamo wokugabha.
• Ukunciphisa okanye ukuphelisa ukubekeka kwakho emsi kwimveliso yecuba okanye kumsi ophuma ekuphekeni nakwiindawo zomlilo.
• Hlala wedwa kwabanye kangangoko ukugcina usulelo lwebacteria lusasazeka. Oku kubandakanya iintsuku ezintlanu zokuzahlula ngelixa uthatha amayeza okubulala iintsholongwane. Nxiba imaski ukuba ucwangcisa ukuba phakathi kwabanye.
• Sukusebenzisa iimveliso ezinuka kamnandi njengokufafaza umoya, ikhandlela, i-cologne, okanye isiqholo esinokucaphukisa umoya wakho.

Ukuthintela ukukhwehlela kweparoxysmal

Ukukhwehlela kwe-Paroxysmal ukusuka kukhwehlela kuqhelekile kubantwana abancinci. Yenza umntwana wakho agonywe i-diphtheria-tetanus-pertussis (DTaP) okanye isitofu sokugonya se-tetanus-diphtheria-pertussis (Tdap) ukubathintela ekubeni bosulelwe zizintsholongwane ze-pertussis.

Ukuba umntu osondeleyo kuwe unesikhohlela, kuphephe ukubamba okanye ukusondela kubo de bathathe i-antibiotics ubuncinci iintsuku ezintlanu.

Nazi ezinye iindlela zokunceda ukuthintela ukukhwehlela kweparoxysmal:

• Gwema ukutshaya iimveliso zecuba okanye ezinye iziyobisi.
• Ukulala nentloko yakho iphakanyisiwe ukugcina i-mucus okanye isisu esiswini ekunyuseni umoya wakho okanye umqala.
• Ukuzivocavoca rhoqo ukwenza kube lula ukuphefumla kunye nokuthintela ukutyeba okunokuthi kube negalelo kwi-acid reflux kunye ne-GERD.
• Yitya ngesantya esisezantsi kwaye uhlafune ubuncinci amaxesha angama-20 ngokuluma ukuze kube lula ukwetyisa.
• Sebenzisa isisasazi seoyile esifanelekileyo ukukunceda uvule iindlela zakho zomoya. Ezinye ioyile zinokuba namandla ngakumbi kunabanye, ke lumka ukuba uzama oku ukukhululeka. Ukuba oku kuyenza ibe mbi kakhulu indlela okhohlela ngayo, kunqande ukusebenzisa.
• Zama iindlela zokuphumla, ezinje ngeyoga okanye ukucamngca, ukufumana ulawulo lokuphefumla kwakho, ukomeleza amajoni akho omzimba, kunye nokuthintela i-asidi reflux.

Nini ukubona ugqirha

Jonga ugqirha wakho ngokukhawuleza ukuba ukukhwehlela kwe-paroxysmal kuhlala ixesha elide kuneveki kwaye kuya kusiba rhoqo okanye kubundlobongela.

Ezinye zeempawu ezinokuthi zithethe ukuba unesifo esibi okanye imeko ephantsi ibangela ukukhwehlela kwakho. Funa uncedo lwezonyango olungxamisekileyo ukuba ufumana oku kulandelayo:

• ukhohlela igazi
• ukugabha
• ukungakwazi ukuphefumla okanye ukuphefumla ngokukhawuleza
• imilebe, ulwimi, ubuso, okanye olunye ulusu olujika luhlaza okwesibhakabhaka
• ukulahlekelwa yingqondo
• ifiva
• Ukugodola

Yise kude

Ukukhwehlela kwe-Paroxysmal kunokuba nezizathu ezahlukeneyo, kodwa kuyinto eqhelekileyo kusulelo lwe-pertussis. Kwezinye iimeko kwaye kuxhomekeke kwisizathu, iyakuhamba yodwa, kodwa ezinye izizathu, ezinjengesifuba, i-pertussis, kunye ne-TB, zifuna unyango olukhawulezileyo okanye ulawulo lwexesha elide.

Jonga ugqirha wakho ukuba unesikhohlela esingapheliyo esiphazamisa ubomi bakho okanye esenza kube nzima kuwe ukuba uphefumle. Uninzi lwezinto ezinokunyangwa ngaphandle komngcipheko weengxaki ukuba zichongiwe kwangethuba.