Incopho yokuPhuma kweMilinganiselo yokuHamba

Umxholo

• Ugqirha ulucebisa nini uvavanyo lokuhamba okuphezulu kokuphuma kwexesha?
• Ndililungiselela njani uvavanyo lokuhamba okuphezulu kokuphefumla?
• Unikwa njani uvavanyo lokuhamba okuphezulu kokuphefumla?
• Ndidinga kangaphi ukwenza uvavanyo?
• Yeyiphi imingcipheko edibene novavanyo oluphezulu lokuphuma kwinqanaba lokuphuma?
• Ndazi njani ukuba inqanaba lokuphuma kwam okuphezulu liqhelekile?
• Ithetha ukuthini into yokuba ndifumana iziphumo ezingaqhelekanga?

Luthini uvavanyo lokuhamba kwenqanaba lokuphuma okuphezulu?

Uvavanyo lokuphakama kwenqanaba lokuphuma (PEFR) lokulinganisa ukuba umntu angangxama kangakanani na. Uvavanyo lwe-PEFR lukwabizwa ngokuba kukuhamba okuphezulu. Olu vavanyo luqhele ukwenziwa ekhaya ngesixhobo esiphathwayo esibizwa ngokuba sisilinganiselo sokuhamba okuphezulu.

Ukuze uvavanyo lwe-PEFR lube luncedo, kuya kufuneka ugcine iirekhodi eziqhubekayo zenqanaba lokuhamba kwakho. Ngaphandle koko awuyi kuqaphela iipateni ezenzekayo xa inqanaba lokuhamba kwakho liphantsi okanye lincipha.

Ezi patheni zinokukunceda uthintele iimpawu zakho ekubeni mandundu ngakumbi ngaphambi kokuhlaselwa sisifuba. Uvavanyo lwe-PEFR lunokukunceda ufumanise xa ufuna uhlengahlengiso kunyango lwakho. Okanye inokunceda ekuchazeni ukuba imeko yezendalo okanye izinto ezingcolisayo zichaphazela ukuphefumla kwakho.

Ugqirha ulucebisa nini uvavanyo lokuhamba okuphezulu kokuphuma kwexesha?

Uvavanyo lwe-PEFR luvavanyo oluqhelekileyo olunceda ukufumanisa nokujonga iingxaki zemiphunga, ezinje:

• umbefu
• isifo esinganyangekiyo semiphunga (COPD)
• Umphunga ofakelweyo ongasebenzi kakuhle

Unokwenza olu vavanyo ekhaya. Kuya kunceda ukufumanisa ukuba unyango lonyango lwemiphunga luyasebenza ukukhusela iimpawu ekubeni mandundu.

Ndililungiselela njani uvavanyo lokuhamba okuphezulu kokuphefumla?

Uvavanyo lwe-PEFR aludingi kulungiselelwa kakhulu. Unokufuna ukukhulula nayiphi na impahla yokunxiba enokukuthintela ekuphefumleni ngokunzulu. Qiniseka ukuba ume okanye uhlale nkqo ngelixa usenza uvavanyo.

Unikwa njani uvavanyo lokuhamba okuphezulu kokuphefumla?

Uya kusebenzisa isuphavayiza yokuhamba okuphezulu okuphelelweyo ukwenza uvavanyo lwe-PEFR. Esi sisixhobo esiphathwa ngesandla esinomlomo kwelinye icala kunye nenqanaba kwelinye. Xa uvuthela umoya emlonyeni, utolo oluncinci lweplastiki luhamba. Oku kulinganisa isantya somoya.

Ukwenza uvavanyo, uya:

• Phefumla ngokunzulu kangangoko unako.
• Vuthela emlonyeni ngokukhawuleza kwaye unzima njengoko unako. Musa ukubeka ulwimi lwakho phambi komlomo.
• Yenza uvavanyo kathathu.
• Qaphela esona santya siphezulu santathu.

Ukuba ukhohlela okanye uthimle ngelixa uphefumlela ngaphandle, kuyakufuneka uqale kwakhona.

Ndidinga kangaphi ukwenza uvavanyo?

Ukuchonga "okona kulungileyo kuwe," kuya kufuneka ulinganise inqanaba lokuhamba okuphezulu:

• ubuncinci kabini ngemini iiveki ezimbini ukuya kwezintathu
• kusasa, xa uvuka, kwaye emva kwemini okanye ngorhatya
• Imizuzu eyi-15 ukuya kwengama-20 emva kokusebenzisa i-beta2-agonist ekhawulezayo

Iyeza eliqhelekileyo le-beta2-agonist yi-albuterol (Proventil kunye neVentolin). Eli yeza liphungula izihlunu ezijikeleze iindlela zomoya ezibanceda ukuba bandise.

Yeyiphi imingcipheko edibene novavanyo oluphezulu lokuphuma kwinqanaba lokuphuma?

Uvavanyo lwe-PEFR lukhuselekile ukuba lwenziwe kwaye alunabungozi.Kwiimeko ezinqabileyo, unokuziva ukhaphukhaphu emva kokuphefumla kumatshini amatyeli aliqela.

Ndazi njani ukuba inqanaba lokuphuma kwam okuphezulu liqhelekile?

Iziphumo zovavanyo eziqhelekileyo ziyahluka kumntu ngamnye kuxhomekeke kubudala bakho, isini, kunye nokuphakama. Iziphumo zovavanyo zihlelwa njengendawo eluhlaza, emthubi kunye nemimandla ebomvu. Unokumisela ukuba loluphi udidi ongena kulo ngokuthelekisa iziphumo zakho zangaphambili.

Ithetha ukuthini into yokuba ndifumana iziphumo ezingaqhelekanga?

Izinga lokuhamba liyancipha xa iindlela zomoya zivaliwe. Ukuba uqaphela ukuwa okukhulu kwisantya sokuhamba okuphezulu, kunokubangelwa kukuqaqanjelwa sisifo semiphunga. Abantu abane-asthma banokuba namava okuphuma kwinqanaba eliphantsi ngaphambi kokuba bahlakulele iimpawu zokuphefumla.

Ukuba kukho naziphi na kwezi mpawu zilandelayo, yiya kwigumbi lexakeka ngokukhawuleza. Ezi ziimpawu zongxamiseko kwezonyango:

• ukunciphisa ukulumka- oku kubandakanya ukozela okanye ukudideka
• ukuphefumla ngokukhawuleza kunye nokuhluza izihlunu zesifuba ukuphefumla
• Umbala oluhlaza okwesibhakabhaka ebusweni okanye kwimilebe
• unxunguphalo okanye ukothuka okubangelwa kukungakwazi ukuphefumla
• ukubila
• ukubetha ngokukhawuleza
• ukukhohlela okuya kusiba mandundu
• ukuqhawukelwa ngumphefumlo
• ukuvutha okanye ukuphefumla
• Andikwazi ukuthetha ngaphezu kwamabinzana amafutshane

Unokuba unqwenela ukutyelela ugqirha uze ufumane ukufunda ngokuchanekileyo nge-spirometer ukuba iziphumo zakho zovavanyo zibhekiselele. I-spirometer sisixhobo sokujonga ukuhamba okuphezulu. Kolu vavanyo, uya kuphefumla ngomlomo odityaniswe kumatshini we-spirometer olinganisa amazinga okuphefumla.