Yintoni Ofanele Uyazi Ngokufutshane Kokuphefumla Ekuzilolongeni

Umxholo

• Iimbangela zokuphefumla okuncinci ekusebenzeni
• Ukuchonga oyena nobangela wokuphefumla okufutshane
• Ukunyanga ukuphefumla okufutshane
• Uyazi njani imeko kaxakeka kwezonyango

Yintoni ukuphefumla okufutshane xa uzama?

"Ukuphefumla ngokuzimisela" ligama elisetyenziselwa ukuchaza ubunzima bokuphefumla xa usenza into elula njengokunyuka izinyuko okanye ukuya kwibhokisi yeposi.

Kukwaziwa nangokuthi:

• SOBOE
• ukuphefumla ngokuzama
• idyspnea yokusebenza
• I-dyspnea kwimizamo
• ukuphefumla ngamandla
• ukuphefumla okufutshane kunye nomsebenzi
• I-dyspnea ekusebenzeni (DOE)

Ngelixa umntu ngamnye efumana olu phawu ngokwahlukileyo, luhlala luphawulwa kukuziva ngathi awukwazi ukubamba umphefumlo wakho.

Ukuphefumla okuqhelekileyo kuyacotha kwaye kwenzeka ngaphandle kokucinga kakhulu.

Xa uqala ukuphefumla ngokukhawuleza kwaye uzive ukuba umphefumlo awuninzanga, yiyo loo nto ukuphefumla okufutshane kufana noku. Ungatshintsha ngokuphefumla ngeempumlo uye emlonyeni wakho ukuzama ukufumana umoya ongaphezulu. Xa oku kusenzeka ngaphandle kwemidlalo, kukukhathazeka.

Abantu abaninzi baziva bephefumla kancinci ngexesha lomsebenzi onzima ukuba abaqhelananga nokwenza umthambo.

Kodwa ukuba ngesiquphe ukuqala kobunzima bokuphefumla ngokwenza imisebenzi yesiqhelo yemihla ngemihla, inokuba yimeko engxamisekileyo yezonyango.

Ukuphefumla kancinci ekusebenzeni ngumqondiso wokuba imiphunga yakho ayifumani oksijini yaneleyo okanye ayifumani carbon dioxide eyaneleyo. Ingaba ngumqondiso wesilumkiso wento enzulu.

Iimbangela zokuphefumla okuncinci ekusebenzeni

Ukuphefumla kancinci kubangelwa kukudibana kwezinto ezininzi ezibonakalayo nezingokwengqondo. Uhlaselo lunkwantyo, umzekelo, yinto ebangelwa yingqondo kodwa enokwenyani, iimpawu zomzimba. Isenokuba sisiphumo seemeko zokusingqongileyo ukuba umgangatho womoya uphantsi kwindawo yakho.

Zonke ezi zinto zilandelayo zinokudityaniswa kunye nokuphefumla okufutshane xa usebenza:

• isifo esinganyangekiyo semiphunga (COPD)
• ukusilela kwentliziyo
• umbefu
• imeko yomzimba engalunganga
• Ukukhulelwa emva kwexesha
• ianemia
• ukukrala kwemiphunga
• Ukunyanzelwa kwemiphunga
• isifo semiphunga (i-fibrosis yangaphakathi)
• Umhlaza umhlaza
• ukutyeba kakhulu
• isifo sezintso
• isifo sesibindi

Ukuchonga oyena nobangela wokuphefumla okufutshane

Xa unomphefumlo omfutshane ekusebenzeni, kufuneka wenze idinga lokubonana nogqirha wakho. Baza kubuza malunga nembali yakho yezonyango kwaye benze uviwo.

Uvavanyo luya kunceda ekuchongeni unobangela wokungaphefumli. Olu vavanyo lunokubandakanya:

• X-reyi yesifuba
• Isifuba seCT scan
• ukuvavanya
• Izifundo zomsebenzi wepulmonary (spirometry)
• iimvavanyo zelebhu, kubandakanya uvavanyo lwegazi

Ukunyanga ukuphefumla okufutshane

Unyango lwale meko luya kuxhomekeka kwiziphumo zovavanyo lonyango. Ulawulo luya kugxila ekunyangeni unobangela wokuphefumla okufutshane.

Ngokomzekelo, ukuba kubangelwa yi-asthma, ugqirha wakho unokuncoma ukuba usebenzise i-inhaler. Ukuba luphawu lwempilo enkenenkene yomzimba, ugqirha wakho uya kuphakamisa inkqubo yokomelela komzimba.

Kuya kufuneka ujongane nolu phawu de kube isisombululo sisonjululwe. Ekukhulelweni, umzekelo, ukungaphefumli kufanele kuphuculwe emva kokuba umntwana ezelwe.

Uyazi njani imeko kaxakeka kwezonyango

Ukuqala ngesiquphe kokuphefumla kancinci kunokuba yimeko engxamisekileyo kwezonyango. Tsalela umnxeba ku-911 kwangoko ukuba wena okanye umntu omaziyo uhlangabezana nale nto, ngakumbi ukuba ihamba kunye noku kulandelayo:

• indlala yomoya (imvakalelo yokuba nokuba uphefumla nzulu kangakanani, awukafumani moya ngokwaneleyo)
• ukhefuzela umphefumlo
• ukukrwitshwa
• iintlungu zesifuba
• ukudideka
• ukudlula okanye ukuphelelwa ngamandla
• ukubila kakhulu
• ipallor (ulusu olumhlophe)
• i-cyanosis (ulusu olunombala oluhlaza okwesibhakabhaka)
• isiyezi
• ukukhohlela igazi okanye ukubhobhoza, umchamo omfusa