Ngaba uhlala uziva ngathi umphimbo wakho nesifuba sakho zigcwele i-mucus? Nokuba ukhohlela kangakanani na, kubonakala kunzima ukususa loo mucus? Ngamanye amaxesha xa ukhohlela kakhulu, isifuba sakho sibuhlungu kwaye uyadinwa, akunjalo? Kwabo bantu, namhlanje sithetha ngendlela esebenza ngakumbi, engebuhlungu kangako, kwaye elula kunendlela esihlala sikhwehlela ngayo. Oku kubizwa ngokuba yi-'Huff' cough . Le yindlela ekhethekileyo enceda ukususa i-mucus nzulu emiphungeni.
Yintoni le 'Huff' ukukhwehlela?
Ngamafutshane, oku kukukhwehlela okulawulwayo okusebenzisa umoya wethu ukukhupha i-mucus. Sikwabiza oku ngokuba yi-Forced Expiratory Technique (FET).
Khawuzithelekelele usiya phambi kwesipili uze usifiphaze ngenkungu, uphefumla u-"ha...". Yiloo nto eyenzekayo apha.
Ngoku, khangela, kwenzeka ntoni xa siqhele ukukhohlela? Sikhupha umoya omninzi ngamandla. Emva koko iindlela zomoya ezincinci ezisemiphungeni yethu zinokuncipha ngequbuliso zize zivaleke. Xa oko kusenzeka, i-mucus esizama ukuyisusa iyanamathela ngaphakathi. Yiyo loo nto ngamanye amaxesha, nokuba sikhwehlela kangakanani na, i-mucus ayiphumi.
Kodwa ngenxa yokuba silawula ukuphefumla kwethu xa sikhwehlela 'ngokufutha', iindlela zomoya azixinene, nto leyo evumela ukuba i-mucus idlule phantsi kwendlela yomoya, iyikhuphe eludongeni, ize iphinde iyinyuse. Emva koko singayikhupha ngokulula. Oku konga amandla kwaye kunciphisa iintlungu zesifuba.
Ngubani oyena uluncedo kakhulu kule ndlela?
Nabani na ofumana ukukhohlela rhoqo kubuhlungu kwaye kudinisa angazuza kule ndlela. Iluncedo kakhulu kwabo banezifo zokuphefumla ezingapheliyo ezivelisa i-mucus rhoqo.
| Imeko/Isiganeko | Iluncedo njani? |
|---|---|
| Izifo zokuphefumla zexesha elide Umzekelo, i-COPD, i-Emphysema, i-Bronchitis engapheliyo, i-Bronchiectasis, i-Cystic Fibrosis | Ezi meko zihlala zivelisa i-mucus. Ukukhohlela 'okungaqhelekanga' kunokonga amandla kwaye kuncede ukususa i-mucus emiphungeni ngaphandle kwentlungu. |
| Usulelo lwenkqubo yokuphefumla Umzekelo: Inyumoniya, usulelo oluphezulu lokuphefumla | Ukususa ngokulula i-mucus eqokeleleneyo ngexesha leemeko zosulelo kunceda ekuphilisweni ngokukhawuleza. |
| Abantu abaphola emva kotyando | Ukukhohlela rhoqo xa unenxeba lotyando kubuhlungu kakhulu. Le ndlela inokunceda ukususa i-mucus ngaphandle kwentlungu ingako. |
| Abantu abonzakele emgogodleni | Kwabo banezihlunu ezibuthathaka ezifunekayo xa kukhohlela, le ndlela inceda ekususeni i-mucus. |
Kulungile, ngoko ke ukwenza njani kanye kanye oku kukhwehlela 'okukhwaza'?
Ukuze wenze oku ngokuchanekileyo, landela la manyathelo. Kusenokuvakala kungaqhelekanga ekuqaleni, kodwa kuya kuba lula kakhulu xa sele ukuqhelile.
1. Okokuqala, hlala kamnandi. Hlala esitulweni okanye ecaleni kwebhedi, iinyawo zombini zibekwe phantsi.
2. Gcina intloko yakho ithe tye. Thambisa isilevu sakho kancinci uze uvule umlomo wakho kancinci.
3. Phefumla nzulu. Phefumla nzulu. Kodwa ungazalisi imiphunga yakho ngokupheleleyo. Khawuthelekelele ukuba uzele malunga nesithathu kwisine (75%).
4. Bamba umoya wakho okwethutyana. Bamba umoya wakho imizuzwana emibini ukuya kwemithathu. Oku kuya kubangela ukuba umoya uvaleleke phantsi komaleko we-mucus. Oku kuya kunceda ukukhulula i-mucus.
5. 'Huff'. Ngoku ke, mnumzana, khupha umoya ngokukhawuleza kakhulu (ngokunamandla). Yenza isandi 'sokukhwaza', njengesipili esitsho ngenkungu. Le yi 'huff'. Ufanele uzive izihlunu zesisu sakho ziqina njengoko usenza oku.
6. Phinda oku. Yenza oku kube kanye okanye kabini. Uza kuziva umhluzi usuka kwimibhobho emincinci emiphungeni uye kwimibhobho emikhulu engentla.
7. Okokugqibela, susa i-mucus. Ukuze usule i-mucus esele ihleli kwiindlela ezinkulu zomoya, sebenzisa ukukhwehlela okubukhali nokulawulwayo. I-mucus iya kuphuma ngokulula.
8. Phinda ukuba kuyimfuneko. Phinda la manyathelo kabini okanye kathathu, kuxhomekeke kubungakanani be-mucus onayo.
Ezinye izinto ekufuneka uzikhumbule
- Emva kokukhohlela 'uphefumla ngokufutha', musa ukuphefumla nzulu nangokukhawuleza ngomlomo wakho. Ukwenza njalo kunokuphazamisana nokunyuka kwencindi, nto leyo enokukhokelela ekukhwehleleni okungalawulekiyo.
- Sela amanzi amaninzi imini yonke. Ulwelo luyanciphisa ulwelo. Xa ulwelo lunciphile, kulula kakhulu ukukhohlela.
- Ukuba usebenzisa iyeza elifana ne-bronchodilator evula indlela yomoya emiphungeni, zama oku kukhwehlela 'okuthuthumela' emva kokusela elo yeza. Oku kuya kunceda ukuba iyeza lisebenze kwaye kube lula ukucoca i-mucus.
Khumbula, ukuqokelelana kwe-mucus emiphungeni akulunganga. Yindawo elungileyo yokukhula kweebhaktheriya. Iyandisa umngcipheko wezifo ezinzulu ezifana ne-pneumonia. Ke ngoko, kubaluleke kakhulu ukususa i-mucus ngokufanelekileyo.
Ndifanele ndimbone nini ugqirha?
Ukuba unesifo semiphunga esihlala ixesha elide njenge-COPD, okanye ukuba uhlala ukhwehlela kwaye uveza i-phlegm, qiniseka ukuba uthetha nogqirha wakho ngeyona ndlela ingcono yokugcina imiphunga yakho icocekile.
Mbuze ukuba le ndlela yokukhohlela ethi 'Huff' ikulungele na kwaye ungayenza njani ngokuchanekileyo. Ngamanye amaxesha angakuthumela kwingcali ye-physiotherapist enokuqeqesha indlela yokuyenza ngokuchanekileyo.
Ukufunda ukukhwehlela kakuhle kunokukongela amandla, kunciphise iintlungu, kwaye kukukhusele nakwizifo ezinzulu. Ngoko ke ungoyiki ukuthetha nogqirha wakho ngale nto.
Umyalezo Wokuya Ekhaya
- Ukukhohlela okubizwa ngokuba yi-'Huff' yindlela ekhethekileyo yokukhohlela ekhulula kwaye ikhuphe i-mucus enzulu ngendlela elawulekayo.
- Oku kubangela umonakalo omncinci emaphaphu, ukudinwa, kunye neentlungu kunokuba kunjalo ngokukhwehlela rhoqo.
- Le ndlela ifanele yenziwe njengokuphefumlela esipilini ngelixa usithi 'ha...'.
- Oku kuluncedo kakhulu kubantu abanezifo zemiphunga ezingapheliyo ezifana neCOPD kunye ne-bronchiectasis.
- Thetha nogqirha wakho ukuze ufunde okungakumbi ngale ndlela kunye nokuba ikulungele na. Ungaqeqeshwa yingcali yezonyango zomzimba.
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