Ngaba usenakho ukukhwehlela emva kokuba uphole kumkhuhlane? Ngaba ngamanye amaxesha uvuka ebusuku ukhwehlela okuba mandundu xa ulele? Le ayisiyongxaki yakho kuphela, yingxaki yabantu abaninzi. Ezinye ukukhwehlela kuyaphela kwiintsuku ezimbalwa, ngelixa ezinye zihlala iiveki okanye iinyanga. Ngoko ke namhlanje, masithethe ngesizathu sokuba olu khohlela luqhubeke, yintoni ebangela oko, kunye nento esinokuyenza ngako.
Yintoni i-Chronic Cough?
Ngamafutshane, ukuba ukhwehlela ixesha elide kuneeveki ezisi-8 , ngokwezonyango sikubiza ngokuba “kukukhwehlela okungapheliyo.” Oku kuthetha ukuba unobangela wokukhwehlela kwakho asinto ilula njengomkhuhlane oqhelekileyo. Ngoko ke ayingombono ulungileyo ukuwutyeshela uthi, “Kulungile.”
Khumbula oku, ukukhwehlela okungapheliyo akuyongxaki nje kuphela, yimeko yezonyango efuna ingqalelo kagqirha. Kungoko ke, kungcono ukubona ugqirha ukuze ufumane unobangela kwaye ufumane unyango.
Yintoni enokubangela olu khohlela?
Zininzi izizathu ezibangela oku kukhwehlela okungapheliyo . Ezinye zizinto ezilula ezinokunyangwa, kodwa ezinye zinokuba nzulu ngakumbi. Unyango olufumanayo luya kuxhomekeka kwisizathu esiyintloko.
Ukuthontsiza emva kwempumlo
Le yeyona nto ibangela ukukhohlela okungapheliyo. Ngamafutshane, ulwelo lwempumlo yethu luyavuvukala ngenxa ye -allergies , iintsholongwane, kunye nothuli, kwaye luvelisa i-mucus engaphezulu. Le mucus iphuma empumlweni yethu iye ezantsi emqaleni. Oku kuqhelekile ngakumbi xa silala ebusuku. Le mucus yiyo ebangela ukukhohlela. Ugqirha wakho unokukunika i-decongestant, i-antihistamine , okanye i-nasal spray koku.
Isifuba
Ukuba une-asthma, izihlunu ezijikeleze iindlela zakho zomoya ziyaqina, iindonga zeendlela zakho zomoya ziyadumba, kwaye kuvela i-mucus etyebileyo. Ukukhwehlela okubangelwa yi-asthma kumzamo womzimba wakho wokungenisa umoya kwezi ndlela zomoya zincinci. I-asthma inokwenziwa mandundu kukutshintsha kwemozulu, ii-allergies, usulelo, umsi, amayeza athile, umthambo, kwanoxinzelelo. Ngenxa yoku, ugqirha wakho uhlala ekunika i-inhaler, ngakumbi i-glucocorticoid ephefumlayo enciphisa ukudumba kwindlela yakho yomoya. Ukuba uphefumla kancinci, unganikwa i-inhaler ye-bronchodilator evula iindlela zakho zomoya.
Iintsholongwane
Ukukhwehlela kunokuhlala ixesha elide nokuba sele uphilile kumkhuhlane, umkhuhlane, usulelo lwe-COVID-19, okanye i-pneumonia. I-Pertussis ikwayimbangela eqhelekileyo yokukhwehlela okungapheliyo. Nangona iyigonyo elinikwa abantwana, abantu abadala bayacetyiswa ukuba bafumane i-booster shot. Ugqirha wakho unokuvavanya amasosha omzimba wakho ngovavanyo lwegazi. Uninzi lwexesha, ezi ntsholongwane zifuna ixesha ukuze ziphiliswe. Kuthatha ixesha ukuba imiphunga yethu iphile. Kodwa ngamanye amaxesha, ugqirha wakho unokukunika amayeza okubulala iintsholongwane.
I-Gastritis kunye ne-acid reflux (GERD)
Abantu abaninzi bayazi oku njenge-gastritis. Ukuchaneka, yi-`(Gastroesophageal Reflux Disease – GERD)`. Okwenzekayo apha kukuba i-muscular ring esezantsi kwe-esophagus yethu (umlomo) iba buthathaka, kwaye i-asidi esesiswini ibuyela phezulu, oko kukuthi, kwi-esophagus. Lo mphunga we-asidi uya emiphungeni yethu kwaye uyicaphukise , nto leyo ebangela ukukhwehlela. Nangona iintlungu zesifuba kunye nentlungu ziyimpawu eziphambili zoku, abanye abantu banokuba nokukhwehlela njengumqondiso.
Oku kufuna utshintsho oluthile kwindlela yokuphila. Kuya kufuneka uyeke ukutya ukutya okunamafutha, itshokolethi, iziselo ze-cola, iziselo ezine-asidi, kunye notywala. Ugqirha ukwakuxelela ukuba unciphise umzimba kwaye uyeke ukutshaya. Unganikwa amayeza anciphisa ukuveliswa kwe-asidi yesisu (`(Proton Pump Inhibitor)`). Nangona kunjalo, olu nyango lunokuthatha iiveki ezininzi ukubonisa iziphumo.
Amayeza oxinzelelo lwegazi oluphezulu
Amanye amayeza oxinzelelo lwegazi oluphezulu, ingakumbi lawo akudidi lwamayeza abizwa ngokuba yi-angiotensin-converting enzyme (ACE) inhibitors, anokubangela ukukhwehlela okomileyo njengesiphumo esibi kubantu abamalunga nama-20%. Oku akuyongxaki inkulu, kwaye emva kokuthetha nogqirha wakho nokutshintsha amayeza akho kancinci, olu khohlela luya kuphela.
Ukutshaya
Akunakuphikiswa ukuba ukutshaya akulunganga kwimiphunga yakho (nakumzimba wakho wonke). Imiphunga yakho ivelisa i-mucus eninzi ukuzama ukukhupha iikhemikhali ezikuyo umsi. Oku kubizwa ngokuba "kukukhwehlela komsi." Kusenokuba luphawu lokuqala lwesifo esinzima njenge-Chronic Obstructive Pulmonary Disease (COPD).
Isifo seCOPD
I-COPD liqela lezifo ezenza kube nzima ukuba imiphunga iphefumle ngaphakathi nangaphandle. Umzimba uvelisa i-mucus eninzi kakhulu, ehlala ikhohlela ukuze isuswe ngumzimba. Ubunzima bokuphefumla lolunye uphawu. Uninzi lwezigulane ze-COPD ngabatshayi okanye ababekade betshaya. Nangona kunjalo, inokukhula nakubantu abangatshayiyo. Kukho unyango loku, olufana nee-inhaler kunye neepilisi ze-steroid.
Umhlaza wemiphunga
Musa ukukhathazeka ngale nto. Amathuba okuba oku kwenzeke mancinci. Kodwa le yenye yezizathu zokuba ufanele uhlolwe ngugqirha ukuze ufumane ukukhwehlela okungapheliyo. Ukuba awutshayi kwaye awunayo imbali yomhlaza kusapho lwakho, akukho nto inokubangela ukukhathazeka ngayo.
Ugqirha ufumana njani unobangela?
Xa usiya kugqirha wakho, uza kukubuza ngembali yakho yezonyango aze akuhlole ngokwasemzimbeni. Angabuza imibuzo efana nale:
- Uqale nini ukukhohlela?
- Ngaba kukho ixesha elithile, ukutya, okanye into ethile eyenza ukukhwehlela kwakho kube mandundu?
- Ingaba kukho i-mucus ephumayo? Inombala onjani i-mucus? Ingaba kukho igazi?
- Ngaba kukho umntu okufutshane nawe onayo le mpawu?
- Ngaba uyatshaya ? Okanye ukhe watshaya ngaphambili?
- Ngaba uneentlungu esifubeni okanye isifo se-gastritis?
- Ngaba unayo nayiphi na i-allergies?
- Ngaba kukho amayeza amatsha owaqalileyo kutshanje?
Ngokuxhomekeke kwiimpendulo zale mibuzo, ugqirha unokuqala ngonyango oluthile kuqala. Ukuba ezi zinto zinceda ekunciphiseni ukukhwehlela, akukho mfuneko yovavanyo olongezelelweyo. Nangona kunjalo, ukuba ukukhwehlela kuyaqhubeka kwaye unobangela awucaci, kunokufuneka uvavanyo olongezelelweyo.
| Uvavanyo | Wenza ntoni ngayo? |
|---|---|
| Iswabhu yoMqala | Jonga ukuba kukho usulelo emqaleni. |
| Uvavanyo lweGazi | Fumanisa ukuba umzimba wakho ulwa nosulelo na. |
| I-X-ray yesifuba okanye i-CT scan | Jonga imeko yemiphunga yakho. Oku kubaluleke kakhulu ukuba ungumntu otshayayo. |
| Uvavanyo lweMisebenzi yeMiphunga | Uvavanyo olufana ne -spirometry lusetyenziselwa ukulinganisa ukuba imiphunga yakho inokuphefumla njani ngaphakathi nangaphandle. |
| Uvavanyo lwe-Acid Reflux | Ukulinganisa inqanaba le-asidi kwi-esophagus okanye ukuhlola ingaphakathi le-esophagus nge- endoscopy . |
Ufanele uye nini ngokuqinisekileyo kugqirha?
Ukuba ukukhwehlela kwakho kuqhubeke kangangeeveki ezingaphezu kwe-8 , qiniseka ukuba ubonana nogqirha. Ngamanye amaxesha, nokukhwehlela okubangelwa yi-allergies kunokuhlala iinyanga, kodwa ungakutyesheli.
Kwakhona, ukuba unezi mpawu kunye nokukhwehlela kwakho, funa ingcebiso kagqirha ngoko nangoko:
- Ubunzima bokuphefumla
- Ifiva
- Ukukhwehlela igazi (Le yimeko engxamisekileyo. Yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko.)
Umyalezo Wokuya Ekhaya
- Zikhathaze ngayo nayiphi na ikhwehlela ehlala iiveki ezingaphezu kwe-8 (Ukukhwehlela Okungapheliyo). Musa ukuyityeshela njengesiqhelo.
- Oku kunokubangelwa yinto elula nje ngomqala obuhlungu, i-asthma , okanye i-gastritis, okanye ngamanye amaxesha kunokuba luphawu lwesifo esibi ngakumbi.
- Ukuba ukukhohlela kwakho akuphelanga emva kokuthatha amayeza kwikhemesti, yeka ukusebenzisa amayeza uze ubone ugqirha.
- Ukuba uneempawu ezinje ngobunzima bokuphefumla, umkhuhlane, okanye ukukhohlela igazi kunye nokukhohlela, funa ingcebiso kagqirha ngokukhawuleza ngaphandle kokulibazisa.
- Ukuxelela ugqirha wakho ngokucacileyo ngeempawu zakho kuya kumnceda afumane unobangela ngokukhawuleza.
Ukukhwehlela okungapheliyo, ukukhwehlela okungapheliyo, izizathu zokukhwehlela, amayeza okukhwehlela, i-GERD, i-asthma, i-COPD, ukukhwehlela komtshayi, isifo semiphunga, ukukhwehlela
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