Ngamanye amaxesha siyakhwehlela i-mucus etyebileyo, akunjalo? Kunzima kakhulu ukuyisusa esifubeni sethu. Ivakala ngathi sisiqwenga sentsini esinamathele esifubeni sethu. Oku kuqhelekile kwaye kuyacaphukisa kakhulu kubantu abanezifo ezingapheliyo zemiphunga ezifana ne-asthma kunye ne-COPD. Namhlanje siza kuthetha ngohlobo oluthile lonyango olunceda ukukhulula loo mucus ityebileyo, enamathelayo kwaye yenze kube lula ukuyikhwehlela. Ezi sizibiza ngokuba yi-Mucolytics.
Kalula nje, yintoni le Mucolytic?
I-mucolytic luhlobo lonyango olunceda ekuqhekezeni, ekukhululeni, nasekunciphiseni i-mucus etyebileyo emiphungeni yakho ukuze ikwazi ukuphefumla lula. Cinga ngayo njengokongeza amanzi amancinci kwijeli etyebileyo uze uyinyibilikise.
Nangona ezi zihlala zikwiqela elifanayo ne-expectorants, zisebenza ngendlela eyahlukileyo kune-expectorants esizisebenzisayo xa sinomkhuhlane oqhelekileyo. Siza kuthetha ngaloo nto kamva. Okwangoku, khumbula ukuba i-mucolytics luhlobo lwamayeza anikwa ukususa i-mucus etyebileyo, ingakumbi kwizifo zemiphunga ezihlala ixesha elide.
Zeziphi izifo ezisetyenziselwa eli yeza?
Oogqirha badla ngokucebisa olu hlobo lonyango lwe-mucolytic kwiimeko ze-mucus etyebileyo ebangelwa zizifo zemiphunga ezihlala ixesha elide (ezingapheliyo). Makhe sijonge ukuba zeziphi iintlobo zezifo ezi.
| Imeko yezonyango | Ingcaciso elula |
|---|---|
| Icystic fibrosis | Esi sisifo esibangelwa lufuzo. Iincindi eziveliswa emzimbeni, ingakumbi emiphungeni, ziba nkulu kakhulu kwaye zinamathele. |
| I-Bronchiectasis | Ngenxa yokuba iindlela zomoya ezikwimiphunga zibanzi kwaye zonakele ngokusisigxina, i-mucus inokuqokelelana lula kwaye ibangele usulelo. |
| I-COPD (Isifo Esingapheliyo Sokuthintelwa Kwemiphunga) | Isifo semiphunga esiqhelekileyo nesihlala ixesha elide esidla ngokuchaphazela abantu abatshayayo. Sibangela ubunzima bokuphefumla kunye ne-mucus etyebileyo. |
| Isifuba | Abanye abaguli besifuba banokuba ne-mucus etyebileyo. Kodwa oogqirha balumkile kakhulu xa benika eli yeza. |
Eli yeza lisebenza njani emzimbeni?
Kulula kakhulu. Umsebenzi ophambili we-mucus emaphashini omntu ophilileyo kukuwakhusela ngokubamba uthuli kunye neentsholongwane emoyeni esiwuphefumlayo. Le mucus emva koko ityhalelwa emphinjeni ziinwele ezincinci ezifana ne-cilia emaphashini, kwaye xa sikhwehlela, iyaphuma.
Kodwa i-mucus eyenzeka emiphungeni yomntu onezifo esizixubushileyo ngaphambili ityebile kwaye inamathela. Ngenxa yoko, ayinakukhutshelwa ngaphandle ngokulula. Iintsholongwane zinokubanjwa lula kule mucus ityebileyo, kwaye amathuba okuba nezifo nawo aphezulu.
Kulapho ke amayeza okubulala iintsholongwane anceda khona. La mayeza aqhekeza iikhemikhali (iimolekyuli) ezenza i-mucus ibe nkulu. Oku kubangela ukuba i-mucus ibe ncinci kwaye ibe lulwelo ngakumbi, nto leyo eyenza kube lula ukukhohlela.
Iintlobo zamayeza eMucolytic kunye nendlela yokuwasebenzisa
Kukho iintlobo ezimbini eziphambili zamayeza e-mucolytic:
1. I-Acetylcysteine (NAC) : Olu lolona hlobo lusetyenziswa kakhulu. Ukongeza ekukhululeni i-mucus, ikwanazo neempawu zokulwa nokuvuvukala kunye ne-antioxidant. Usenokuba ukhe weva ukuba ikwasetyenziswa njengeyeza lokugqithisa i-paracetamol.
2. I-Dornase alfa : Eli liyeza elinikwa ngokukodwa izigulane ezine-cystic fibrosis.
Kukho iindlela ezintathu eziphambili zokuthatha eli yeza:
- I-Nebulizer: Lo ngumatshini omncinci. Xa ufaka iyeza elilulwelo kuwo, uliguqula libe yinkungu encinci. Emva koko ungaphefumla inkungu ngemaski. Le yindlela esebenzayo kakhulu kuba iyeza lingena ngqo emiphungeni yakho.
- Nge-intravenous (IV): Kwezinye iimeko, iyeza linikwa njengenaliti emthanjeni.
- Iipilisi: Zingaginywa njengeepilisi.
Ngaba kukho naziphi na iziphumo ebezingalindelekanga okanye iingozi?
Njengayo nayiphi na iyeza, eli linokuba nemiphumo emibi emincinci, kodwa ayinguye wonke umntu oyifumanayo.
Kubaluleke kakhulu: Ukuba une -asthma , kufuneka ulumke kakhulu xa usebenzisa i-Acetylcysteine.Kuba ngamanye amaxesha iindlela zomoya zinokuba nzima nangakumbi (i-bronchospasm). Ngoko ke, kubalulekile ukuxelela ugqirha wakho ukuba une-asthma. Uza kukunika amayeza afanelekileyo.
Iziphumo ebezingalindelekanga eziqhelekileyo ziquka:
- Isicaphucaphu okanye ukuhlanza
- Intlungu yesisu (iDiarrhea)
- Ukuqhambuka kwesikhumba
- Umqala obuhkungu
- Utshintsho okanye ukulahleka kwelizwi
- Ubunzima bokuphefumla (i-Dyspnea)
- Iintlungu zesifuba
Ukuba ufumana naziphi na kwezi mpawu , thetha nogqirha wakho ngoko nangoko. Kwakhona, abantu abaninzi bathi i-Acetylcysteine inevumba elimnandi nelingathandekiyo. Ayisiyonto inkulu leyo, kodwa kulungile ukwazi.
I-Mucolytic kunye ne-Expectorant: yintoni umahluko?
Kulapho abantu abaninzi badideka khona. Iisyrups ezinciphisa i-phlegm (umz., ezo ziqulethe iGuaifenesin) esizithenga kwikhemesti yomkhuhlane oqhelekileyo kunye nokukhwehlela zibizwa ngokuba yi-Expectorants. Kodwa iiMucolytics zahlukile.
| Icandelo | I-Mucolytic | I-Expectorant |
|---|---|---|
| Ukusebenza kakuhle | Iyaphula iimolekyuli ze-mucus etyebileyo ize iyikhulule. | Ukongeza amanzi kwi-mucus kuyayinciphisa kwaye kwenza kube lula ukuphuma. |
| Iimeko zokusetyenziswa | Kwizifo zemiphunga ezingapheliyo ezifana neCystic Fibrosis kunye neCOPD. | Kwizifo zexesha elifutshane ezifana nomkhuhlane oqhelekileyo kunye nomkhuhlane. |
| Ukufumana | Kudla ngokufuneka incwadi kagqirha. | Ingathengwa kwikhemesti ngaphandle kwemvume kagqirha (ethengiswa ngaphandle kwekhawuntara). |
Ngoko ke ukuba ukhwehlela rhoqo kunye ne-phlegm, i-expectorant ingafanelekile. Kodwa ukuba une-phlegm etyebileyo ngenxa yesifo sokuphefumla esihlala ixesha elide, ugqirha wakho uya kugqiba ukuba uyayifuna na i-mucolytic.
Umyalezo Wokuya Ekhaya
- I-Mucolytic luhlobo olukhethekileyo lwamayeza olunikwa ukukhulula i-mucus etyebileyo nenamathelayo ebangelwa zizifo zemiphunga ezihlala ixesha elide.
- Ezi zahlukile kwii-expectorants esizisebenzisayo xa sinomkhuhlane oqhelekileyo.
- Olu yeza lufanele lusetyenziswe kuphela xa kucetyiswe ngugqirha .
- Ukuba unezinye iimeko, ezifana ne-asthma, qiniseka ukuba uxelele ugqirha wakho ngayo ngaphambi kokuba uqale eli yeza.
- Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezingaqhelekanga ngelixa usebenzisa amayeza okanye unemibuzo malunga namayeza, thetha nogqirha wakho ngoko nangoko.
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