Ngaba wakha wahlangabezana nale meko? Uphulukene nomkhuhlane waza wachacha, kodwa ukukhohlela kwakho akupheli. Ube ukhohlela iiveki ezininzi. Ngamanye amaxesha, uvuka phakathi kwentlanganiso ebalulekileyo okanye ngobusuku obuzolileyo uze uqale ukukhohlela. Oku kuyacaphukisa kwaye akukhululeki. Nangona ukukhohlela kuyindlela yokuzikhusela emzimbeni wethu, akuqhelekanga ukuba kuqhubeke ngolu hlobo. Namhlanje, siza kuthetha ngale ngxaki yokukhohlela engapheliyo, okanye into esiyibiza ngokuba yi-'Chronic Cough' ngokwezonyango.
Yintoni le ngxaki yokukhohlela okungapheliyo?
Ngamafutshane, ukukhwehlela okungapheliyo kukukhwehlela okuhlala iiveki ezingaphezu kwezi-8 kumntu omdala kunye neeveki ezingaphezu kwezi-4 kumntwana . Ukukhwehlela yinto elungileyo. Kunceda ukususa uthuli kunye neentsholongwane ezingena kwindlela yethu yokuphefumla. Wonke umntu uyakhwehlela ngamanye amaxesha. Kodwa ukukhwehlela okuhlala ixesha elide ngolu hlobo kudla ngokuba luphawu lwenye ingxaki yempilo engaphantsi. Le yeyona nto iphambili eyenza abantu baye kugqirha.
Ngoko ke, akulunganga ukungayinaki le nto. Ukukhohlela rhoqo kuyadinisa umzimba. Kwakhona, kwenza kube nzima ukuhamba esidlangalaleni, kwaye umntu uyazibuza, "Luza kubuya nini olu khohlela?" Ngoko ke, kubaluleke kakhulu ukufumana unobangela woku kwaye ulawule ngendlela efanelekileyo.
Ezinye iimpawu eziqhelekileyo ezihamba nokukhwehlela
Ngokuxhomekeke kwisizathu sokukhohlela kwakho okungapheliyo, ezinye iimpawu zinokuhamba nokukhohlela. Jonga itheyibhile engezantsi ukuze ubone ukuba unayo na enye yezi.
| Uphawu | Inkcazo |
|---|---|
| Ifiva | Ubushushu bomzimba obunyukileyo. |
| Isitshiso sentliziyo | Ukudumba okubangelwa yi-asidi yesisu efika emqaleni. |
| Iintlungu zesifuba | Intlungu xa ukhohlela okanye xa usenza imisebenzi eqhelekileyo. |
| Ukurhawuzela kwelizwi | Utshintsho kwilizwi, ukurhawuzelela. |
| Ubunzima bokuphefumla | Ukuziva uphelelwa ngumphefumlo okanye ubunzima bokuphefumla. |
| Impumlo egobhozayo okanye exineneyo | Ukungakhululeki empumlweni, njengomkhuhlane. |
| Ukucoca umphimbo rhoqo | Ukuphuma komphimbo rhoqo kuba kuvakala ngathi kukho into ebambeke emqaleni. |
Zithini izizathu eziphambili zokukhohlela okungapheliyo?
Kukho "izinto" ezimbalwa eziphambili ezinokubangela ukukhwehlela okungapheliyo. I-90% yexesha, unobangela unokuba yenye okanye ngaphezulu kwezi zintathu.
| Isizathu esiphambili | Ingcaciso elula |
|---|---|
| Isifuba | Eyona nto ixhaphakileyo yokukhohlela okungapheliyo. Ngamanye amaxesha, ukuchatshazelwa ngumoya obandayo/owomileyo, uthuli, umsi, njl.njl. kunokwenza ukukhohlela kube kubi ngakumbi. |
| Ukuthontsiza emva kwempumlo | Oku kukwabizwa ngokuba yi-'Upper Airway Cough Syndrome (UACS). Ngamafutshane, oku kukuqokelelana kwe-mucus ukusuka empumlweni ukuya emqaleni . Ii-allergies zibangela ukuba i-mucus egqithisileyo iqokelele empumlweni, ethi emva koko ihambe emqaleni ize iphazamise iindlela zomoya nemiphunga, nto leyo ebangela ukukhohlela. |
| I-GERD (Isifo se-Gastroesophageal Reflux) | Kulapho ke i-asidi yesisu ibuyela phezulu iye kwi-esophagus. Ezi asidi zitshisa izicubu ezithambileyo zomqala, nto leyo enokubangela ukukhwehlela. |
| Ezinye izifo zemiphunga | Ezinye izifo zemiphunga ezifana ne-bronchitis, i-COPD, kunye ne-pneumonia nazo zinokubangela ukukhwehlela ixesha elide. |
Ezinye izizathu
Ukongeza kwizizathu eziphambili ezingentla, kukho nezinye izinto ezininzi ezinokubangela ukukhwehlela okungapheliyo.
- Amanye amayeza oxinzelelo lwegazi: Abanye abantu abasebenzisa amayeza athile, ingakumbi lawo abizwa ngokuba yi-ACE inhibitors, banokuba nokukhwehlela okomileyo. Kodwa khumbula, ungaze uyeke ukuwasebenzisa la mayeza ngaphandle kwengcebiso kagqirha wakho.
- Ii-Allergies: Ii-Allergies kwizinto ezifana nothuli, i-pollen, njl.
- Ukusilela kwentliziyo: Ukukhwehlela kungenzeka ngenxa yokusebenza kwentliziyo okubuthathaka.
- Ukutshaya: Akumangalisi ukuba abantu ababhemayo babe nesifo sokukhohlela esingapheliyo esibizwa ngokuba yi-"smoker's cough".
- Izifo zokuphefumla: Izifo ezifana nokukhohlela okungapheliyo zinokubangela ukuba ukukhohlela kuqhubeke kangangeeveki emva kokuba uphilile.
Ngamanye amaxesha, nangona kwenziwe zonke ezi vavanyo, akukho sizathu sifumanekayo sokukhwehlela. Kwiimeko ezinjalo, oogqirha bayibiza le meko ngokuthi "Ukukhwehlela Okungapheliyo Okungalawulekiyo."
Iphathwa njani le nto?
Eyona nto ibalulekileyo kukuba unyango luxhomekeke kwisizathu sokukhohlela. Oku kuthetha ukuba kubaluleke kakhulu ukunyanga imeko ebangela ukukhohlela kunokuthatha iyeza lokuthomalalisa ukukhohlela.
Ugqirha wakho uza kukunika isicwangciso sonyango esifanelekileyo kuwe. Oku kuquka indibaniselwano yamayeza kunye notshintsho kwindlela ophila ngayo.
Iintlobo zamachiza
- Kwi-GERD: Lawula i-asidi yesisu ngamayeza anjenge-`(antacids)`, `(H2 blockers)`, okanye `(PPIs)`.
- Kwizifo ezibangelwa ziintsholongwane: `(Amayeza okubulala iintsholongwane)`.
- Kwi-allergies kunye ne-rhinitis: Ii-antihistamines kunye ne-nasal sprays.
- Ukukhupha i-mucus: Amayeza anjenge-"Expectorants" anciphisa i-mucus aze ayincede iphume lula.
- Ukunciphisa ukudumba: Kwiimeko ezifana ne-asthma, nciphisa ukudumba kwindlela yomoya usebenzisa ii-steroids okanye ii-bronchodilators eziphefumlayo.
Ibaluleke kakhulu:Musa ukunika abantwana abangaphantsi kweminyaka emi-6 ubudala amayeza okukhwehlela/omkhuhlane ngaphandle kwemvume kagqirha wabantwana.
Utshintsho kwindlela yokuphila
Nangona ezi zinto zibonakala ngathi zilula kakhulu, ziluncedo kakhulu ekulawuleni ukukhwehlela.
- Lala ngokwaneleyo .
- Yitya ukutya okunesondlo .
- Sela amanzi amaninzi.
- Ukuba ucinga ukuba une-GERD, lala intloko yebhedi iphakanyisiwe kancinci .
- Thetha nogqirha wakho ngezinto ezikubangela ukuba ukhohlele (umz., umsi, ivumba elibi, ukutya okuthile), uze wenze isicwangciso sokuziphepha.
Kuza kwenzeka ntoni ukuba ayinyangwa?
Ukukhohlela okungapheliyo kunokubangela ukungalali. Ukudinwa kunye noxinzelelo olubangelwa kuko kunokuchaphazela usuku lwakho lonke. Usenokuzinxwema ebantwini ngenxa yeentloni zokukhohlela rhoqo.
Kwezinye iimeko ezinzima, ukukhwehlela kunokubangela:
- Ukopha kwamehlo
- Ukuqhekeka kwembambo
- Isiyezi kunye nentloko ebuhlungu
- I-Hernia
- Ukulahlekelwa kulawulo lwesinyi (ukuvuza kancinci komchamo xa ukhohlela)
- Intlungu yesifuba nesisu
Ufanele uye nini kugqirha?
Umthetho olula ngowokuba, ukuba ukhwehlela iintsuku ezingaphezu kwe-10, kwaye ungayazi imbangela echanekileyo, ngokuqinisekileyo kuya kufuneka ubone ugqirha wakho.
Ngaphezu koko, ukuba unenye yezi mpawu zilandelayo, funa ingcebiso yezonyango ngoko nangoko. Ukuba kuyimfuneko, yiya kwiSebe leNgxamiseko (i-ETU) lesibhedlele esikufutshane.
| Iimpawu ezilumkisayo ezifuna unyango olukhawulezileyo | |
|---|---|
| Ukukhohlela igazi | Igazi elibomvu okanye elimdaka elixutywe nencindi. |
| Ukubila kakhulu ebusuku | Ukubila kakhulu kangangokuba amashiti ebhedi ayamanzi. |
| Ilizwi elirhabaxa elingaphucukiyo | Ukurhawuzelela kwelizwi akuzange kunciphe kangangeeveki eziliqela. |
| Ubunzima bokuphefumla | Ukuphefumla kancinci okanye ukuphefumla ngokukhawuleza. |
| Ubunzima bokuginya | Ukuva iintlungu okanye ukukrwitshwa xa uginya ukutya okanye isiselo. |
| Ukunciphisa umzimba ngendlela engachazekiyo | Ukunciphisa umzimba ngaphandle kokuzama. |
| Ukuphefumla | Isandi somlozi esiphuma esifubeni xa uphefumla. |
Ukukhohlela okungapheliyo akuyonto ekufuneka uyinyamezele. Kukho unyango olunokukunceda. Ukufumana uxilongo oluchanekileyo linyathelo lokuqala kolu hambo. Ngoko ke musa ukulibazisa uye kubona ugqirha wakho.
Umyalezo Wokuya Ekhaya
- Ukukhohlela okuhlala iiveki ezingaphezu kwezi-8 kumntu omdala okanye iiveki ezi-4 kumntwana kubizwa ngokuba yi-'Chronic Cough'. Ungaze uyityeshele le nto.
- Ezona zinto zixhaphakileyo zoku zizifo ezifana ne-asthma, i-postnasal drip, kunye nesifo se-gastroesophageal reflux disease (GERD).
- Unyango luxhomekeke kwisizathu sokukhwehlela, ngoko ke kubaluleke kakhulu ukufumana uxilongo oluchanekileyo.
- Ukuba ufumana iimpawu ezilumkisayo ezifana nokukhohlela igazi, ubunzima bokuphefumla, okanye ukwehla kobunzima bomzimba, funa ingcebiso kagqirha ngokukhawuleza.
- Thetha nogqirha wakho uze ufumane isicwangciso sonyango esifanelekileyo kunye neengcebiso kuwe.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Zisetyenziselwa ntoni iipilisi zeTimolol (Timolol Systemic / Blocadren)?
Nangona yaziwa kakhulu ngamathontsi ayo amehlo e-glaucoma/uxinzelelo lwamehlo, le 'pilisi' yeyona inamandla kakhulu (engakhethiyo i-Beta-blocker) yeyeza emhlabeni! Oogqirha bayisebenzisa ukuthintela 'uxinzelelo lwegazi oluphezulu', iintloko ezibuhlungu, kunye nokunciphisa umngcipheko wokufa okwesibini emva kokusinda 'kwisifo sentliziyo' nge-100%.
💬 Uzithintela njani ekubeni uphinde ube nentliziyo/ukuhlaselwa yimigraine emva kokusela le pilisi imbi kakhulu (iTimolol)?
Isingqi sentliziyo yakho kunye nemithambo yegazi entlokweni yakho siyatshintsha ngenxa yomyalezo othi 'Adrenaline (Epinephrine). Kwangoko nje le pilisi ingena emzimbeni, onke amasango entliziyo (iBeta-1) kunye nemithambo yegazi/imiphunga (iBeta-2) ayavalwa/avalwa nge-100% kwaye avalwe ngenkani (Ayikhethi). Ekubeni kungekho ndlela yokuba umyalezo udlule, intliziyo iyehla nje, kwaye imithambo yegazi ebuchotsheni iyeke ukwanda ngokungeyomfuneko, isusa umngcipheko we-migraine/ukuhlaselwa yintliziyo.
💬 Kutheni kusithiwa ungayeki ukuthatha eli yeza (iTimolol) ngequbuliso? Zithini izilumkiso zeBlack Box?
Ukuba uthatha le pilisi kangangeenyanga uze uyilibale okanye 'uyeke ngequbuliso', zonke ezo receptor ze-adrenaline ezivaliweyo ziya kuvula ngequbuliso ngokungalawulekiyo! Emva koko, kwimizuzu embalwa, uya kuba nohlaselo olukhulu lwentliziyo kwaye intliziyo yakho iya kuma (Myocardial Infarction / Sudden Death) ebulalayo kangangokuba ungafa! Kwakhona, ekubeni oku kuvala nemiphunga, ukuba unika abantu abane-'Asthma' oku, banokufuthanisela baze bafe (ukusela akuvumelekanga!).
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