Ngaba Ndifanele Ndixhalabe Ngomkhuhlane Wam Owomileyo?

Umxholo

• Ngaphezulu kokukhohlela okungapheliyo
• Nini ukubona ugqirha
• Ukuvavanywa nokuvavanywa
• Izinketho zonyango
• Umngcipheko wexesha elide wokukhohlela owomileyo

Kuqhelekile ukukhohlela xa into ikunyumbaza emqaleni okanye iqhekeza lokutya "lihla ngombhobho ongalunganga." Emva kwakho konke, ukukhwehlela yindlela yomzimba wakho yokucoca umqala wakho kunye ne-airways ye-mucus, i-fluids, i-irritants, okanye i-microbes. Ukukhwehlela okomileyo, ukukhohlela okungancediyo ukukhupha nayiphi na kwezi, akuqhelekanga.

Umkhuhlane owomileyo, okhohlisayo unokucaphukisa. Kodwa isenokuba ngumqondiso wento ebaluleke ngakumbi, njengesifo esinganyangekiyo semiphunga. Ukuba unesikhohlela esomileyo esiqhubekayo, nazi izizathu ezimbalwa zokuba kutheni kufuneka ukuba uhlolwe ngugqirha.

Ngaphezulu kokukhohlela okungapheliyo

Isikhohlela singabonisa inani lezinto ezenzekayo emzimbeni wakho, ngakumbi ukuba awupheli. Ngapha koko, ukukhwehlela sesona sizathu siqhelekileyo sokuba abantu batyelele ogqirha babo abaphambili, ngokweCleveland Clinic. Ukukhohlela okungapheliyo, ukukhohlela okuhlala ngaphezulu kweeveki ezisibhozo, kunokubonakala kukukhathaza. Kodwa inokuba yinto eqhelekileyo kwaye inokubangelwa ngu:

• Ukungabikho komzimba
• umbefu
• inyumoniya
• isifo se-reflux sesifo se-gastroesophageal (GERD)
• Idriphu yasemva kwexesha
• Unyango nge-angiotensin-yokuguqula-i-enzyme inhibitors

Ukungatshayi, ezi zizizathu zokukhohlela okungapheliyo kwizigulana ezisithoba kwezilishumi, ngokweHarvard Health. Kodwa ukudityaniswa nezinye iimpawu, ukukhwehlela okungapheliyo kungangumphumo wengxaki enkulu, enzima ngakumbi kubandakanya:

• usulelo lwemiphunga
• umhlaza wemiphunga
• sinusitis etsolo
• sinusitis engapheliyo
• bronchiolitis
• icystic fibrosis
• emphysema
• Ingqula
• i-pertussis (ukukhwehlela)
• ICOPD
• ukumelwa yintliziyo
• croup
• isifo sephepha
• idiopathic pulmonary fibrosis (IPF)

Ukuba ngoku utshaya iisigarethi okanye ubukade utshaya, unengozi enkulu yokuba nesikhohlela esomileyo esinganyangekiyo, ngokwe-American Lung Association. Ngokunikwa uluhlu olude lwezizathu ezinokubangela ukhohlokhohlo olomileyo, kukhuselekile ukuthi iyodwa ayonelanga ukufumanisa ingxaki enkulu. Ugqirha wakho kuya kufuneka enze olunye uvavanyo kunye novavanyo ukuze aqonde oyena nobangela ngaphambi kokucebisa ngonyango.

Nini ukubona ugqirha

Ukukhohlela okomileyo okungapheliyo kunokuba luphawu lwento ebaluleke ngakumbi xa uqala ukufumana ezinye iimpawu. Izifo ezingapheliyo zemiphunga ezifana ne-IPF, umhlaza wemiphunga, kunye nokusilela kwentliziyo kunokuba mandundu ngokukhawuleza ukuba ziyekwe zinganyangwa. Kuya kufuneka ubonane nogqirha kwangoko ukuba ukukhohlela kwakho owomileyo kuhamba kunye nezi mpawu zilandelayo:

• ukuqhawukelwa ngumphefumlo
• ifiva ephezulu okanye ende
• ukukrwitshwa
• ukukhohlela igazi okanye i-phlegm enegazi
• ubuthathaka, ukudinwa
• ukungabi namdla wokutya
• ukuvutha
• iintlungu esifubeni xa ungakhohlele
• ukubila ebusuku
• ukuwohloka komlenze kuyanda

Rhoqo, kukudityaniswa kwesinye okanye nangaphezulu kwezi mpawu kunye nokukhohlela okomileyo okunokubothusa, zitsho iingcali, kodwa kubalulekile ukuba ungagxumi kwizigqibo de kwenziwe umsebenzi opheleleyo.

“Ukukhohlela okungapheliyo yenye yeempawu eziqhelekileyo ze-IPF. Kukho ezinye iimpawu ze-IPF ngokunjalo, njengokuphefumla kancinci kunye nokuqhekeka okufana neVelcro emiphungeni ugqirha angamva ngestethoscope, utshilo uGqirha Steven Nathan, umlawuli kwezonyango kwi-Advanced Lung Disease and Transplant Programme Isibhedlele saseIvava Fairfax.

“Nangona kunjalo, oogqirha ngokubanzi bazama ukuthintela iimeko eziqhelekileyo ezibangela ukukhohlela, njenge-postnasal drip, i-GERD, okanye indlela yomoya engasebenzi kakuhle. Nje ukuba ugqirha amisele imeko eqhelekileyo ayisiyiyo ingxaki kwaye abaguli abaphenduli kunyango, ugqirha ugxila kugonyo olungaqhelekanga, njenge-IPF. "

Ukuvavanywa nokuvavanywa

Kuxhomekeka ekubeni zeziphi ezinye iimpawu onazo, ugqirha unokuyalela inani leemvavanyo ukunceda ukufumanisa unobangela wokukhohlela owomileyo. Emva kokwenza uvavanyo lomzimba, ugqirha wakho uya kukubuza imibuzo malunga nokukhohlela okomileyo njengaxa yayiqala, ukuba ubona naziphi na izinto ezibangela, okanye ukuba unezigulo zonyango. Olunye uvavanyo ugqirha anokuyalela lubandakanya:

• X-reyi yesifuba
• isampuli yegazi
• Ukuxilongwa kwe-CT kwesifuba sakho
• swab yomqala
• isampuli ye-phlegm
• spirometry
• Uvavanyo lomngeni we-methacholine

Ezinye zezi ziya kukunceda ugqirha wakho ukuba ajonge ngakumbi esifubeni sakho kwaye avavanye ulwelo lomzimba wakho ukukhangela usulelo okanye eminye imicimbi yezempilo. Abanye baya kuvavanya indlela ophefumla ngayo. Ukuba ezi azikonelanga ukukhomba umba, ungathunyelwa kugqirha wemiphunga, ugqirha ogxile kwizifo zemiphunga kunye nokuphefumla, onokuthi a-odole uvavanyo ngakumbi.

Izinketho zonyango

Inani lamayeza kunye neyeza zendalo ziyafumaneka ukuze uzame ukufumana isiqabu sexeshana kwisikhohlela esomileyo. Kodwa kuba ukukhwehlela phantse kuhlala kungumqondiso wengxaki enkulu, kubalulekile ukuba ukhumbule ukuba ezi zisombululo azinakwenza ukuba ukukhwehlela kuhambe. Ngokusekwe kulo naluphi na uxilongo olwenziwa ngugqirha emva kotyelelo lwakho, baya kukucebisa ngeendlela zokonyango ngokufanelekileyo.

Okwangoku, unokuzama oku kulandelayo, kucetyiswa nguMbutho waseMelika wemiphunga, ukunceda ukunciphisa ukukhwehlela okungapheliyo:

• ukuhlahlela kwesikhohlela okanye iilekese ezinzima
• busi
• umphunga
• ishawa yomphunga

Umngcipheko wexesha elide wokukhohlela owomileyo

Isikhohlela esomileyo esinganyangekiyo sisenokuba sisongelo kwimpilo yakho xa singanyangwa. Ingenza nayiphi na imeko yangoku njenge-IPF ibe mbi ngakumbi ngokunika amanxeba emiphunga ngakumbi. Inokwenza ubomi bakho bemihla ngemihla bube nzima ngakumbi kwaye ibangele ukungonwabi kunye nokonakala.

“Akukho bungqina bukhoyo obukhoyo obuchaza ukuba ukhohlokhohlo olomileyo luyonakalisa. Nangona kunjalo, abanye oogqirha bacinga ukuba inokuba yingozi ngenxa yamandla amakhulu kunye noxinzelelo kwindlela yomoya eveliswa kukukhohlela, utshilo uGqirha Nathan.

Umbutho waseMelika wemiphunga uchaza umngcipheko onokujamelana nawo ukhohlokhohlo olungapheliyo:

• ukudinwa nokuncipha kwamandla
• intloko ebuhlungu, isicaphucaphu, ukugabha
• iintlungu zesifuba nezihlunu
• umqala obuhlungu nokudinwa
• iimbambo ezaphukileyo
• ukungakwazi ukuzibamba

Ukuba ingxaki inzima, unokuzifumana uphepha iimeko zentlalo, ezinokukhokelela kuxinzelelo, uxinzelelo kunye noxinzelelo. Ukukhohlela okungapheliyo kunokungasoloko kungumqondiso wento esongela ubomi, kodwa kunokuba yingozi. Kananjalo, kubalulekile ukuba uyilungise ngokukhawuleza.