Ngamanye amaxesha siziva ngathi isifuba sethu sixinene kwaye sinzima xa sikhwehlela, akunjalo? Le yinto edla ngokufunyanwa ngabantu abaneengxaki zemiphunga, ingakumbi abo baneengxaki ezinxulumene nemiphunga. Ngoko ke namhlanje sithetha ngendlela ekhethekileyo yonyango lwe-physiotherapy enceda ukukhulula i-mucus engqindilili ebambeke emiphungeni nakwimibhobho yomoya kwaye ibancede bayikhohlele ngokulula.
Ngamafutshane, yintoni i-Chest Physiotherapy?
I-Chest Physiotherapy (i-Chest PT) lunyango olukhethekileyo olunceda ukukhulula i-mucus esifubeni sakho kwaye kube lula ukuphefumla. Oku kubandakanya umsebenzi wezempilo oqeqeshiweyo - odla ngokuba yingcali yokuphefumla okanye ingcali yokunyanga umzimba - ukuqhwaba okanye ukubethela isifuba nomqolo wakho ngesingqi. Cinga ngayo njengokubetheka okuqinileyo emqolo, kodwa kungebuhlungu kangako. Ukothuka okuvela ekubetheni kukhulula i-mucus ebambeke emiphungeni yakho. Emva koko ungayikhohlela ngokulula.
Kwezinye iimeko, ilungu losapho okanye umhlobo unokuqeqeshwa kwindlela yokwenza olu nyango aze akuncede ekhaya.
Zeziphi iimeko olu nyango lusetyenziselwa zona?
Kwezinye iimeko zonyango, imiphunga yethu ivelisa i-mucus etyebileyo nenamathelayo kunesiqhelo. Kunzima kakhulu ukuyikhwehlela le mucus uze uyikhuphe. I-Chest Physiotherapy iluncedo kakhulu kwiimeko ezinjalo. Nazi ezinye zeemeko eziphambili zonyango oogqirha abacebisa ngazo olu nyango:
- I-Cystic Fibrosis: Esi sisifo semfuza esibangela ukuba umzimba uvelise i-mucus etyebileyo nenamathelayo, ingakumbi emiphungeni nakwinkqubo yokugaya ukutya.
- I-COPD (Isifo Esingapheliyo Sokuthintelwa Kwemiphunga): Esi sisifo semiphunga esihlala ixesha elide. Sixhaphake kakhulu kubantu abatshayayo. Sikwabangela ukwakheka kwe-mucus kunye nobunzima bokuphefumla.
- I-Bronchiectasis: Le yimeko apho iindlela zomoya ezikwimiphunga zikhula ngokusisigxina kwaye zonakale, nto leyo evumela ukuba i-mucus iqokeleleke lula kwaye ibangele usulelo.
- I-Pneumonia: Usulelo olubangelwa yintsholongwane engena emiphungeni. Oku kukwabangela ukuqokelelana kwe-mucus.
- Iingxaki ze-Neuromuscular: Izifo ezenza buthathaka imithambo-luvo kunye nemisipha zinokubangela ukuphelelwa ngamandla afunekayo okukhwehlela, nto leyo eyenza kube nzima ukususa i-mucus emiphungeni.
- I-Atelectasis: Ukuwa ngokupheleleyo okanye inxalenye yomphunga.
Amaxesha amaninzi, olu nyango lwe-Chest PT lwenziwa njengenxalenye yesicwangciso sokuvuselela imiphunga esicetyiswa ngugqirha wakho.
Isebenza njani le Physiotherapy yesifuba?
Kukho iindlela ezimbini eziphambili zolu nyango. Ziyi-percussion kunye ne-vibration. Ugqirha oqeqeshiweyo okanye ingcali yezonyango angasebenzisa izandla zakhe koku, okanye angasebenzisa izixhobo ezithile ezishukumisa isifuba nomqolo. Zombini ezi ndlela zihlala zidityaniswe neendawo ezikhethekileyo zomzimba (i-postural drainage) ezinceda i-mucus ukuba ihambe ngokulula xa ixhuzula.
| Indlela yonyango | Ingcaciso elula yendlela yokwenza oku |
|---|---|
| I-Percussion | Kule meko, umntu onyangayo udibanisa izandla zakhe. Emva koko, babetha isifuba sakho okanye umqolo wakho ngesingqisho ngezandla zabo, ngokungathi babetha idrama. Basenokusebenzisa isixhobo esincinci, esiphathwa ngesandla esimile okwekomityi. |
| Ukungcangcazela | Kule meko, ingcali yezonyango ibeka izandla zayo esifubeni okanye emqolo. Emva koko, bafaka umothuko emzimbeni wakho ngezo zandla. Oku kubangela ukuba iindlela zomoya ezingaphakathi emiphungeni zishukunyiswe, nto leyo ekhulula ulwelo olunamathele kuzo. |
Ndingazilungiselela njani ngaphambi kolu nyango?
Ngaphambi kokuba uqale olu nyango, ugqirha wakho okanye ingcali yezonyango iya kukunika iingcebiso ezifunekayo. Basenokucebisa izinto ezifana nezi:
- Ukuba ugqirha wakho ukunike i-inhaler, ingakumbi i-bronchodilator, ungacelwa ukuba uyisebenzise imizuzu eli-15-30 ngaphambi konyango lwakho . Oku kuya kunceda iindlela zakho zomoya zivuleke kancinci kwaye kube lula ukuba i-mucus iphume.
- Linda ubuncinane iyure enesiqingatha emva kokutya ngaphambi kokuba wenze olu nyango. Ukwenza oku uzele sisisu kwandisa umngcipheko wokuhlanza.
Eyona nto ibalulekileyo kukwazisa ugqirha wakho ngazo naziphi na ezinye iimeko zempilo onazo, umzekelo, iingxaki zokujiya kwegazi okanye uxinzelelo lwegazi oluphezulu, ngaphambi kokuba uqale unyango.
Kwenzeka ntoni ngexesha lonyango?
Ngexesha lonyango, ingcali yonyango ekuncedayo iza kulandela la manyathelo:
1. Fumana indawo ekhululekileyo: Okokuqala, fumana indawo ekhululekileyo kuwe kwaye ikuncede ukhuphe ulwelo. Oku kungaba kukulala ngecala, ukulala ngesisu, okanye ukuhlala phantsi. Ungasebenzisa nento efana nomqamelo ukuze ukhululeke.
2. Ukucofa okanye ukungcangcazela: Emva koko, njengoko bekutshiwo ngaphambili, isifuba okanye umqolo wakho uza kucofa (ukubetha) okanye ungcangcazele (ukungcangcazela). Ngeli xesha, uza kufundiswa nendlela yokuphefumla ngaphakathi nangaphandle.
3. Ukususa i-mucus: Okokugqibela, i-mucus ekhululekileyo kuthiwa ikhohliwe kakuhle.
Ungaphinda la manyathelo ngokutshintshela kwiindawo ezahlukeneyo zomzimba ukuze ususe i-mucus kwiindawo ezahlukeneyo zemiphunga yakho.
Zithini izibonelelo zeChest Physiotherapy?
Ngokwenza olu nyango ngokuchanekileyo, unokufumana iingenelo ezininzi, ezinje ngezi:
- Ukuphefumla kuba lula kakhulu .
- Ukunciphisa inani lamaxesha ekufuneka ulaliswe esibhedlele rhoqo.
- Ukuncipha kwezifo zemiphunga kunye nokwanda kwazo.
- Ukuphucula umgangatho wobomi.
- Ukwanda kwamandla okuhamba, ukwenza umthambo, nokwenza imisebenzi yemihla ngemihla.
Ngaba kukho naziphi na iingozi koku?
Njengakwezinye iindlela zonyango, kukho iingozi ezingaqhelekanga ezibandakanyekayo kwi-Chest Physiotherapy. Nangona kunjalo, ezi azinakwenzeka xa zenziwe ngokufanelekileyo kwaye ziphantsi kweliso lengcali eqeqeshiweyo.
- Ukulimala kwiimbambo, umqolo, okanye izihlunu.
- Ubunzima bokuphefumla.
- Ukuhlanza.
- Ukufuthwa kwe-mucus kubuyele kwindlela yomoya.
- Ukuncipha kokunikezelwa kweoksijini kwizicubu zomzimba (i-hypoxia).
- Uxinzelelo lwegazi oluphantsi (uxinzelelo lwegazi oluphantsi).
- Ukopha okuvela emiphungeni (i-pulmonary hemorrhage).
- Uxinzelelo olunyukileyo ngaphakathi kwekhakayi (uxinzelelo olunyukileyo lwangaphakathi kwentloko).
- Ukuqina ngequbuliso kwendlela yomoya (i-bronchospasm).
- Ukuphazamiseka kwesantya sentliziyo (dysrhythmia).
Eyona nto ingcono kukuba unganciphisa uninzi lwale mingcipheko ngokulala intloko yakho iphezulu endaweni yokulala phantsi. Ugqirha wakho okanye ingcali yezonyango iza kukubonisa ukuba zeziphi iindlela ezifanelekileyo nezikhuselekileyo kuwe.
Kunini apho ungafanele uyenze khona i-Chest Physiotherapy?
Abantu abaneengxaki ezithile zempilo banokuba semngciphekweni omkhulu wokufumana olu nyango. Ngoko ke, ukuba unenye yezi meko, ngokuqinisekileyo kufuneka uthethe nogqirha wakho ngaphambi kokuba ufumane unyango.
- Ukulimala okusandul’ ukwenzeka esifubeni, emqolo, okanye emiphungeni (kuquka nenxeba lolusu).
- Ukuba usandul’ ukufumana i-spine anesthesia okanye i-epidural.
- Ukuba une-osteoporosis.
- Ukuba unengxaki yokopha (umzekelo, ukuba ukhohlela igazi) okanye usemngciphekweni omkhulu wokopha.
- Iimeko ezinxulumene noxinzelelo lwegazi.
- Ukuba unentlungu esifubeni.
| Ingxamiseko! Ukuba ezi mpawu ziyavela, yeka unyango ngoko nangoko uze uye kwi-ETU! | |
|---|---|
| Ukuba ngequbuliso ufumana ubunzima bokuphefumla | Ukuba unentlungu eqatha esifubeni |
| Ukuba ukhwehlela igazi | Ukuba unentloko ebuhlungu kakhulu |
| Ukuba uziva utyhafile okanye unesizungu | Ukuba imilebe yakho, ulusu, okanye iinzipho zijika zibe luhlaza okwesibhakabhaka (i-cyanosis) |
Olu nyango lungenziwa njani lube lula kwaye lukhululeke ngakumbi?
Olu nyango alufanele lubangele ntlungu, kodwa ngamanye amaxesha lunokuba buhlungu kancinci. Ngoko ke khumbula ezi zinto.
- Veza uluvo lwakho: Ukuba uvakalelwa kukuba umntu okuncedayo ucofa kakhulu, okanye akanamandla ngokwaneleyo ukukhulula ulwelo, ungoyiki ukumxelela.
- Iindawo ezikhuselekileyo: Ungaze ucofe okanye uthuthumele ngaphantsi kweembambo, njengesisu okanye umqolo ongezantsi. Oku kungonakalisa amalungu angaphakathi afana nezintso.
- Yenza kube lula: Fumana indlela ekulungeleyo. Mhlawumbi kukunxiba into oyithandayo, ukubopha iinwele zakho, okanye ukusebenzisa umqamelo wakho.
- Xela utshintsho: Xelela ugqirha wakho rhoqo ukuba kukho naluphi na utshintsho kwimpilo yakho ngaphambi kokuba uqale unyango.
Kwabaninzi abantu abanesifo semiphunga, iChest Physiotherapy yinxalenye yempilo yabo yemihla ngemihla, njengokuxubha amazinyo. Ukubukela inkqubo yeTV, ukufunda incwadi, okanye ukumamela ingoma kunokunceda ekwenzeni unyango lube lula ngakumbi. Uyazi kakuhle umzimba wakho. Ngoko ke, ukuba uvakalelwa kukuba kukho into ekukhathazayo, ungathandabuzi ukusixelela.
Umyalezo Wokuya Ekhaya
- I-Chest Physiotherapy lunyango lomzimba olukhulula ulwelo oluxineneyo olubambeke emiphungeni kwaye lwenze ukuphefumla kube lula.
- Oku kusetyenziswa kakhulu kwiimeko ezifana neCOPD, iCystic Fibrosis, kunye neBronchiectasis.
- Olu nyango lungenziwa ekhaya, kodwa kuphela xa ugqirha okanye ingcali yezonyango eqeqeshiweyo ikunike imiyalelo efanelekileyo wena kunye nomntu okuncedayo ngalo mba.
- Akufanele uzive ntlungu ngexesha lonyango. Ukuba uziva ungakhululekanga, nceda usazise ngoko nangoko.
- Ukuba ufumana iintlungu eziqatha esifubeni, ukukhohlela igazi, okanye ubunzima obukhulu bokuphefumla ngexesha lonyango, funa ingcebiso kagqirha ngokukhawuleza.
- Soloko uthetha nogqirha wakho ngaphambi kokuba uqale olu nyango okanye ukuba unezinye iingxaki zempilo.
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