Wake wezwa umsindo wokukhala kwekhwela uma uphefumula, ikakhulukazi uma uphefumula? Kungenzeka ukuthi uke wakuzwa lokhu uma unomkhuhlane. Lokhu yilokho esikubiza ngokwezokwelapha ngokuthi ukuphefumula ngekhanda . Lokhu kungase kungabi yinto enkulu kwabanye abantu, kodwa ngezinye izikhathi kungaba uphawu lokugula okukhulu. Ngakho-ke, ake sixoxe ngalokhu ngokuningiliziwe nangokulula.
Kuyini ngempela lokhu kuphefumula?
Kalula nje, ukuphefumula kuwumsindo ophakeme, oshaya umlozi owuzwayo uma uphefumula. Lokhu kwenzeka lapho izindlela zokuphefumula (izindlela zokuphefumula) emaphashini ethu zivalekile ngesizathu esithile. Cabanga ngakho njengomsindo owenzayo uma ubamba umlomo webhaluni eligcwele umoya bese uvuthela umoya kuwo. Uma izindlela zethu zokuphefumula zivalekile, lo msindo wenziwa lapho umoya uphuma kuleyo ndawo encane.
Izimbangela eziyinhloko zokuphefumula yizimo ezifana ne -asthma kanye ne-COPD (Isifo Esingapheli Sokuvimbela Amaphaphu) . Kungabangelwa futhi izifo zokuphefumula ezifana ne-bronchitis kanye nokungezwani komzimba okuhlukahlukene. Ngezinye izikhathi lo msindo wokuphefumula ungahambisana nokukhwehlela. Lokhu kungenxa yokuthi umzimba uzama ukususa izinto ezifana ne-mucus ezivalekile emigudwini yomoya.
Uyini umehluko phakathi kokukhala kwezwi neminye imisindo efanayo?
Akuyona yonke imisindo yokuphefumula eshaya umoya. Ngezinye izikhathi ungase ungawuzwa lo msindo wena ngokwakho, kodwa uma udokotela ebeka i-stethoscope esifubeni sakho, ungawuzwa kahle lo msindo.
Ake siqonde umehluko phakathi kwale misindo etholakala kuthebula elingezansi.
| Uhlobo lomsindo | Imvelo yokuzwa | Isikhathi sokuzwa |
|---|---|---|
| Ukuphefumula | Umsindo ophakeme, womculo, ophansi, njengomsindo wekhwela. | Ngokuvamile uma uphefumula. Ngezinye izikhathi kungazwakala nalapho uphefumula. |
| URonchi | Umsindo wokuhona, wokuhosha, nowokuhosha kancane. | Kungazwakala kokubili lapho uphefumula futhi uphefumula ngaphandle. |
| I-Stridor | Umsindo ophakeme kakhulu, omemezayo. Akuyona into yomculo njengokuphefumula. | Ngokuvamile uma uphefumula. Lokhu kubangelwa ukuvaleka komphimbo noma izintambo zezwi. |
Into ebaluleke kakhulu ukuthi uma uzwa ukuphefumula kokubili lapho uphefumula futhi uphefumula, kusho ukuthi indlela yokuphefumula incane kakhulu.
Yiziphi izimbangela zokuphefumula kanzima?
Ukuphefumula kanzima kungabangelwa izifo eziningi nezimo. Nazi ezinye zezimbangela eziyinhloko:
- Isifuba somoya: Imigudu yomoya iyavuvukala futhi inciphe ngenxa yokukhiqizwa kwamafinyila amaningi.
- I-COPD: Ukuvuvukala nokuqina okubangelwa umonakalo emaphashini.
- Ukungezwani komzimba : Ukusabela empova, othulini, ezilwaneni ezifile, ekudleni okuthile, noma ekulunyweni yizinambuzane.
- Izifo zokuphefumula: Izifo ezifana nomkhuhlane, i-bronchitis, kanye ne-pneumonia.
- Kukhona okubambeka endleleni yokuphefumula: Ikakhulukazi ezinganeni ezincane, ngenxa yokugwinya into efana nokudla noma ithoyizi.
- I-GERD ( isifo se-gastroesophageal reflux ): Ukutheleleka kwendlela yokuphefumula okubangelwa yi-asidi yesisu ekhuphukela emphinjeni.
- Ukwehluleka Kwenhliziyo Okuhlanganisiwe: Ukuqongelela koketshezi emaphashini ngenxa yokusebenza kwenhliziyo okungasebenzi kahle.
- Ukubhema: Ukubhema noma ukuchayeka entuthwini kagwayi.
- I-Bronchiolitis: Ukutheleleka kwemigudu yomoya emincane emaphashini, ikakhulukazi ezinganeni ezincane.
Funda kabanzi mayelana nokuphefumula komoya ezinganeni ezincane.
Ukuphefumula kuvame kakhulu ezinganeni ezincane nasezinsaneni. Lokhu kungenxa yokuthi izindlela zabo zokuphefumula zincane kakhulu. Ngisho noma umkhuhlane omncane, lawo mapayipi amancane angavuvukala, agcwale ulwelwesi, futhi avaleke kalula.
Kodwa-ke, ukuthi nje ingane yakho iyaphefumula akusho ukuthi ine-asthma.Iningi lezingane liyakhula lidlule kulesi simo njengoba likhula, ngakho odokotela ngokuvamile abasixilongi isifo sofuba kuze kube yilapho ingane ineminyaka engu-4-5 ubudala.
Into ebalulekile okufanele uyiqaphele: Uma ingane iqala ukuphefumula ngokuzumayo ngaphandle kwesizathu esibonakalayo, kungenzeka ukuthi kukhona okubambeke emphinjeni wayo. Lesi yisimo esiphuthumayo sezokwelapha.
Ungayithola kanjani imbangela yokuphefumula kanzima bese uyelapha?
Uma ubona udokotela, uzokwenza izivivinyo eziningana ukuthola imbangela.
- Bakubuza imibuzo (njengokuthi sekuphele isikhathi esingakanani kwenzeka? Ingabe kwenzeka kakhulu ebusuku noma emini? Ingabe kuyavela uma uzivocavoca?).
- Ukulalela isifuba nge-stethoscope.
- I-X-ray yesifuba.
- Ukuhlolwa kokusebenza kokuphefumula (Ukuhlolwa kokuphefumula/i-Spirometry).
- Ukuhlola izinga lomoya-mpilo egazini.
Ukwelashwa kuncike embangela yokuphefumula kanzima.
- Ukwelashwa Okuphuthumayo: Ezimweni zobunzima bokuphefumula, imithi efana ne -Albuterol , enikezwa nge-inhaler noma i-nebulizer, ingavula ngokushesha imigudu yokuphefumula evalekile. I-oxygen noma ama-steroid nawo anganikezwa.
- Ukwelashwa kwesikhathi eside:
- Nge-asthma noma i-COPD: Kunikezwa ama-inhaler ansuku zonke (ama-steroid aphefumulwayo) kanye nama-inhaler aqeda ubuhlungu (ama-bronchodilator).
- Uma kuyisifo esibangelwa amagciwane (i-bronchitis): Ama-antibiotic azonikezwa.
Izindlela kanye nokuzivocavoca ukuze uthole impumuzo ekhaya
Uma ukuphefumula kwakho kungekubi kakhulu, okusho ukuthi awunankinga yokuphefumula, ungathola impumuzo kulezi zinto.
- Khulisa umswakama: Sebenzisa i-humidifier. Noma ugeze ngamanzi ashisayo, noma uvale umnyango wendlu yokugezela bese ugeza ngamanzi ashisayo bese uphefumula umusi.
- Phuza into efudumele: Ukuphuza into efudumele njengetiye noma isobho kungasiza ekukhululeni imigudu yakho yokuphefumula futhi kukhulule amafinyila anamathelayo.
- Gwema ukubhema: Hlala kude nabantu ababhemayo.
- Ukuzivocavoca kokuphefumula: Lokhu kungaphumuza imigudu yokuphefumula futhi kuthuthukise ukusebenza kwamaphaphu.
- Ukuphefumula ngezindebe ezicindezelwe: Phefumula ngekhala lakho, cindezela izindebe zakho njengokungathi ushaya ikhwela, bese ukhipha umoya isikhathi esiphindwe kabili kunesithathiwe ukuphefumula.
- Ukuphefumula ngesisu: Phefumula ngekhala lakho. Beka izandla zakho esiswini sakho bese uzwa isisu sakho sikhula. Uma ukhipha umoya ngomlomo wakho, thatha isikhathi esiphindwe kabili noma kathathu kuneso osithathile ukuze uphefumule. Lokhu kuzonciphisa ukuqina kwesifuba.
Kufanele ubonane nini nodokotela?
Uma kungukuphefumula okuncane nje okuhambisana nomkhuhlane, kuzophela uma ukugula sekungcono. Kodwa-ke, uma unezinye zezimo ezilandelayo, kufanele nakanjani ubone udokotela.
| Nini lapho kufanele uthole iseluleko sezokwelapha | |
|---|---|
| Izimo ezivamile lapho kufanele ubonane nodokotela: | |
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| Isikhathi sokuya e-Emergency Treatment Unit (ETU) ngokushesha: | |
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Umlayezo Wokuya Nawe Ekhaya
- Ukuphefumula umsindo obangelwa ukuncipha kwemigudu yomoya emaphashini. Kungaba nezimbangela eziningi zalokhu .
- Uma wena noma ingane yakho ninenkinga yokuphefumula ngenxa yokuphefumula kanzima, ukuphefumula okusheshayo, noma isikhumba esiluhlaza okwesibhakabhaka, funa iseluleko sezokwelapha ngokushesha.
- Lesi simo singalawulwa kahle ngokuhlonza kahle imbangela yokuphefumula komoya nokuthola ukwelashwa okufanele.
- Ungalindi kuze kube yilapho kuthinta izinga lempilo yakho, khuluma nodokotela wakho ngalokhu. Kunezindlela zokwelapha ezitholakalayo namuhla ezingakusiza uphefumule kangcono.
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