Ngezinye izikhathi sizizwa sengathi isifuba sethu sinciphile futhi siyasinda uma sikhwehlela, akunjalo? Lokhu kuyinto evame ukwenzeka kubantu abanezinkinga zamaphaphu, ikakhulukazi labo abanezinkinga ezihlobene namaphaphu. Ngakho-ke namuhla sikhuluma ngendlela ekhethekile yokwelapha nge-physiotherapy esiza ukukhulula ulwelwesi olujiyile olunamathele emaphashini nasemigudwini yomoya futhi lubasize balukhwehlele kalula.
Kalula nje, kuyini i-Chest Physiotherapy?
I-Chest Physiotherapy (i-Chest PT) iyindlela ekhethekile yokwelapha esiza ukukhulula ulwelwesi esifubeni sakho futhi kwenze kube lula ukuphefumula. Lokhu kuhilela isisebenzi sezempilo esiqeqeshiwe - ngokuvamile uchwepheshe wokuphefumula noma uchwepheshe we-physiotherapist - ukushaya izandla noma ukushaya isifuba sakho nomhlane wakho ngesigqi. Cabanga ngakho njengokushaya okuqinile emhlane, kodwa hhayi ubuhlungu kangako. Ukushaqeka okuvela ekuthinteni kukhulula ulwelwesi olunamathele emaphashini akho. Ungabe usukhwehlela kalula.
Kwezinye izimo, ilungu lomndeni noma umngane angaqeqeshwa ukuthi angakwenza kanjani lokhu kwelashwa futhi akusize ekhaya.
Yiziphi izimo ezisetshenziswayo lokhu kwelashwa?
Kwezinye izimo zezokwelapha, amaphaphu ethu akhiqiza umucu ojiyile nonamathelayo kunokujwayelekile. Kunzima kakhulu ukukhwehlela lo mucu bese uwukhipha. Ukwelashwa nge-Chest Physiotherapy kuyasiza kakhulu ezimweni ezinjalo. Nazi ezinye zezimo zezokwelapha eziyinhloko odokotela abancoma ngazo lokhu kwelashwa:
- I-Cystic Fibrosis: Lesi yisifo esibangelwa izakhi zofuzo esibangela ukuthi umzimba ukhiqize ulwelwesi olujiyile nolunamathelayo, ikakhulukazi emaphashini nasesimisweni sokugaya ukudla.
- I-COPD (Isifo Esingapheli Sokuvimbela Amaphaphu): Lesi yisifo samaphaphu esihlala isikhathi eside. Sivame kakhulu kubantu ababhemayo. Siphinde sibangele ukunqwabelana kwamafinyila kanye nobunzima bokuphefumula.
- I-Bronchiectasis: Lesi yisimo lapho imigudu yomoya emaphashini ivuleka unomphela futhi yonakale, okuvumela ukuthi amafinyila aqoqeke kalula futhi abangele izifo.
- I-pneumonia: Ukutheleleka okubangelwa yigciwane elingena emaphashini. Lokhu kubangela nokunqwabelana kwamafinyila.
- Izinkinga Zezinzwa Nemisipha: Izifo ezenza buthaka izinzwa nemisipha zingaholela ekulahlekelweni kwamandla adingekayo okukhwehlela, okwenza kube nzima ukususa amafinyila emaphashini.
- I-Atelectasis: Ukuwa okuphelele noma okuyingxenye kwengxenye yamaphaphu.
Ngokuvamile, lokhu kwelashwa kwe-Chest PT kwenziwa njengengxenye yohlelo lokuvuselela amaphaphu olunconywe udokotela wakho.
Isebenza kanjani le Physiotherapy Yesifuba?
Kunezindlela ezimbili eziyinhloko zalokhu kwelashwa. Ziyi-percussion kanye ne-vibration. Udokotela oqeqeshiwe noma umelaphi angasebenzisa izandla zakhe kulokhu, noma angasebenzisa amadivayisi athile adlidliza isifuba kanye nomhlane. Zombili lezi zindlela zivame ukuhlanganiswa nezikhundla ezikhethekile zomzimba (i-postural drainage) ezisiza i-mucus ukuthi igeleze kalula ngamandla adonsela phansi.
| Indlela yokwelapha | Incazelo elula yokuthi ungakwenza kanjani |
|---|---|
| I-Percussion | Kulokhu, umelaphi uhlanganisa izandla zakhe ndawonye. Bese, bashaya isifuba sakho noma umhlane wakho ngesigqi ngezandla zabo, njengokungathi bashaya isigubhu. Bangase basebenzise nethuluzi elincane, elibanjwe ngesandla elibunjwe njengendebe. |
| Ukudlidliza | Kulokhu, umelaphi ubeka izintende zakhe esifubeni noma emhlane. Bese, bafaka ukwethuka emzimbeni wakho ngalezo zandla. Lokhu kubangela ukuthi imigudu yomoya engaphakathi kwamaphaphu inyakaze, kukhululeke ulwelwesi olunamathele kuwo. |
Ngingalungiselela kanjani ngaphambi kwalokhu kwelashwa?
Ngaphambi kokuqala lokhu kwelashwa, udokotela wakho noma uchwepheshe wezokwelapha uzokunikeza iseluleko esidingekayo. Ngokuvamile bangase batuse izinto ezifana nalezi:
- Uma udokotela wakho ekunike umuthi wokufutha, ikakhulukazi i-bronchodilator, ungase ucelwe ukuthi uwusebenzise imizuzu eyi-15-30 ngaphambi kokwelashwa kwakho . Lokhu kuzosiza izindlela zakho zokuphefumula ukuthi zivuleke kancane futhi kube lula ukuthi amafinyila aphume.
- Linda okungenani ihora nesigamu ngemva kokudla ngaphambi kokwenza lokhu kwelashwa. Ukwenza lokhu ugcwele isisu kwandisa ingozi yokuhlanza.
Into ebaluleke kakhulu ukwazisa udokotela wakho nganoma yiziphi ezinye izimo zezokwelapha onazo, isibonelo, izinkinga zokujiya kwegazi noma umfutho wegazi ophakeme, ngaphambi kokuqala ukwelashwa.
Kwenzekani ngesikhathi sokwelashwa?
Ngesikhathi sokwelashwa, umelaphi ozokusiza uzolandela lezi zinyathelo:
1. Thola indawo ekhululekile: Okokuqala, thola indawo ekhululekile kuwe futhi ekusize ukukhipha amafinyila. Lokhu kungaba ukulala ngohlangothi, ukulala ngesisu, noma ukuhlala phansi. Ungasebenzisa futhi into efana nomcamelo ukuze ukhululeke.
2. Ukuthepha noma ukudlidliza: Ngemuva kwalokho, njengoba kushiwo ngaphambili, isifuba sakho noma umhlane wakho uzothintwa (ukushaya) noma udlidlize (ukudlidliza). Ngalesi sikhathi, uzofundiswa nokuthi ungaphefumula kanjani futhi uphume.
3. Ukususa i-mucus: Ekugcineni, i-mucus ekhululiwe kuthiwa ikhishwe ngokuphelele.
Ungaphinda futhi lezi zinyathelo ngokushintshela ezikhundleni zomzimba ezahlukene ukuze ususe amafinyila ezingxenyeni ezahlukene zamaphaphu akho.
Yiziphi izinzuzo ze-Chest Physiotherapy?
Ngokwenza lokhu kwelashwa ngendlela efanele, ungathola izinzuzo eziningi, njenge:
- Ukuphefumula kuba lula kakhulu .
- Ukunciphisa inani lezikhathi okudingeka ulaliswe esibhedlela njalo.
- Ukwehla kwezifo zamaphaphu kanye nokubhebhetheka kwazo.
- Ukuthuthukisa ikhwalithi yokuphila.
- Ikhono elikhulayo lokuhamba, ukuzivocavoca, kanye nokwenza imisebenzi yansuku zonke.
Ingabe kukhona izingozi kulokhu?
Njenganoma yikuphi ukwelashwa, kunezingozi ezingavamile kakhulu ezihilelekile ku-Chest Physiotherapy. Kodwa-ke, lokhu akunakwenzeka uma kwenziwa kahle futhi ngaphansi kokuqondisa kochwepheshe oqeqeshiwe.
- Ukulimala ezimbanjeni, emgogodleni, noma emisipheni.
- Ubunzima bokuphefumula.
- Ukuhlanza.
- Ukuhogela kwe-mucus kubuyele endaweni yokuphefumula.
- Ukuncipha kokunikezwa komoya-mpilo ezicutshini zomzimba (i-hypoxia).
- Umfutho wegazi ophansi (hypotension).
- Ukopha okuvela emaphashini (ukuphuma kwegazi emaphashini).
- Ukwanda kwengcindezi ngaphakathi kwekhanda (ukwanda kwengcindezi yangaphakathi kwekhanda).
- Ukuqina okungazelelwe kwemigudu yomoya (i-bronchospasm).
- Ukuphazamiseka kwesilinganiso senhliziyo (i-dysrhythmia).
Into engcono kakhulu ukuthi unganciphisa eziningi zalezi zingozi ngokulala ikhanda lakho libheke phezulu esikhundleni sokulala phansi. Udokotela wakho noma uchwepheshe wezokwelapha uzokukhombisa ukuthi yiziphi izikhundla ezingcono kakhulu neziphephile kuwe.
Kunini lapho kungafanele wenze khona i-Chest Physiotherapy?
Abantu abanezimo ezithile zezokwelapha bangase babe sengozini enkulu yokwelashwa ngale ndlela. Ngakho-ke, uma unesinye salezi zimo, kufanele nakanjani ukhulume nodokotela wakho ngaphambi kokuthola ukwelashwa.
- Ukulimala kwamuva esifubeni, emhlane, noma emaphashini (kufaka phakathi isilonda sesikhumba).
- Uma usanda kuthola i-spinal anesthesia noma i-epidural.
- Uma une-osteoporosis.
- Uma unesifo sokopha (isibonelo, uma ukhwehlela igazi) noma usengozini enkulu yokopha.
- Izimo ezihlobene nomfutho wegazi.
- Uma unezinhlungu esifubeni.
| Isimo Esiphuthumayo! Uma lezi zimpawu zivela, yeka ukwelashwa ngokushesha bese uya ku-ETU! | |
|---|---|
| Uma ngokuzumayo uba nobunzima bokuphefumula | Uma unezinhlungu zesifuba ezinzima |
| Uma ukhwehlela igazi | Uma unekhanda elibuhlungu kakhulu |
| Uma uzizwa ubuthakathaka noma unesizungu | Uma izindebe zakho, isikhumba, noma izinzipho zakho ziphenduka zibe luhlaza okwesibhakabhaka (i-cyanosis) |
Lokhu kwelashwa kungenziwa kanjani kube lula futhi kube mnandi kakhudlwana?
Lokhu kwelashwa akufanele kubange ubuhlungu, kodwa ngezinye izikhathi kungaba yinto engakhululekile. Ngakho khumbula lezi zinto.
- Veza umbono wakho: Uma unomuzwa wokuthi umuntu okusizayo ushaya kakhulu, noma akanamandla ngokwanele ukukhulula uketshezi, ungesabi ukumtshela.
- Izindawo eziphephile: Ungalokothi uthinte noma uthuthumele ngaphansi kwezimbambo, njengesisu noma umhlane ongezansi. Lokhu kungalimaza izitho zangaphakathi njengezinso.
- Yenza kube mnandi: Thola indlela ekhululekile kakhulu kuwe. Mhlawumbe ukugqoka into oyithandayo, ukubopha izinwele zakho, noma ukusebenzisa umcamelo wakho.
- Bika izinguquko: Njalo tshela udokotela wakho uma kukhona izinguquko empilweni yakho ngaphambi kokuqala ukwelashwa.
Kubantu abaningi abanesifo samaphaphu, i-Chest Physiotherapy iyingxenye yenqubo yabo yansuku zonke yezempilo, njengokuxubha amazinyo. Ukubuka uhlelo lwe-TV, ukufunda incwadi, noma ukulalela ingoma kungasiza ekwenzeni ukwelashwa kube lula kakhulu. Uyazi kahle umzimba wakho. Ngakho-ke, uma uzizwa sengathi kukhona okukukhathazayo, ungangabazi ukusitshela.
Umlayezo Wokuya Nawe Ekhaya
- I-Chest Physiotherapy iyindlela yokwelapha ngokomzimba ekhulula ulwelwesi olujiyile olubanjwe emaphashini futhi lwenze ukuphefumula kube lula.
- Lokhu kuvame ukusetshenziswa ezimweni ezifana ne-COPD, i-Cystic Fibrosis, kanye ne-Bronchiectasis.
- Lokhu kwelashwa kungenziwa ekhaya, kodwa kuphela uma udokotela noma uchwepheshe wezokwelapha ekuyalile kahle wena nomuntu okusizayo ngakho.
- Akufanele uzwe ubuhlungu phakathi nalokhu kwelashwa. Uma uzizwa ungakhululekile, sicela usazise ngokushesha.
- Uma uzwa ubuhlungu obukhulu esifubeni, ukhwehlela igazi, noma ubunzima obukhulu bokuphefumula ngesikhathi sokwelashwa, funa iseluleko sezokwelapha ngokushesha.
- Khuluma nodokotela wakho njalo ngaphambi kokuqala lokhu kwelashwa noma uma unezinye izimo zezokwelapha.
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