Ingabe ngezinye izikhathi uzizwa sengathi isifuba sakho sigcwele ulwelwesi, futhi kungakhathaliseki ukuthi ukhwehlela kangakanani, ngeke luphume? Lokhu kwenza kube nzima ukuphefumula futhi kungakhululeki emzimbeni wakho, akunjalo? Lokhu kuyinto eyenzeka ngaso sonke isikhathi, ikakhulukazi kubantu abanezifo ezithile. Ngakho-ke, ngezikhathi ezinjengalezi, kukhona ukwelashwa okukhethekile okusiza ukukhulula ulwelwesi olujiyile olunamathele esifubeni futhi kube lula ukulukhipha. Sikhuluma ngalokho namuhla. Lokho yi-Chest Physiotherapy.
Kuyini i-Chest Physiotherapy?
Kalula nje, i-Chest Physiotherapy iyindlela ekhethekile yokwelapha ngokomzimba esiza ukukhulula ulwelwesi oluqinile, olunamathelayo esifubeni nasemaphashini akho futhi ikusize ulukhiphe. Uma sikhuluma iqiniso, uchwepheshe wezempilo oqeqeshiwe, ngokuvamile uchwepheshe wokuphefumula, uthinta isifuba sakho kancane bese ubuyela emuva ngendlela enesigqi. Cabanga ngakho njengomuntu odlala isigubhu se-bongo, kodwa ngobumnene kakhulu. Ukudlidliza kwalokhu kuthinta kukhulula ulwelwesi olunamathele emigudwini yomoya ngaphakathi kwamaphaphu akho. Ungabe usukhwehlela lowo mulwesi uphume. Lokhu kuhlanza imigudwini yakho yomoya futhi kwenza kube lula kakhulu ukuphefumula.
Lokhu akuyona indlela yokwelapha ebuhlungu. Kodwa-ke, kucindezela ngokwanele ukukhulula amafinyila. Ngezinye izikhathi ungafundisa ilungu lomndeni noma umngane ukuthi ungakwenza kanjani lokhu bese ukwenza ekhaya.
Yiziphi izimo ezisetshenziswayo lokhu kwelashwa?
Ukwelashwa nge-physiotherapy esifubeni akuwona wonke umuntu. Odokotela batusa lokhu ikakhulukazi kubantu abanezimo ezibangela ukukhiqizwa ngokweqile kwe-mucus ejiyile emaphashini futhi kwenze kube nzima ukuyisusa. Kungenziwa futhi njengengxenye yohlelo oluphelele lokuvuselela amaphaphu.
| Isimo sesifo | Isingeniso esifushane |
|---|---|
| I-Cystic Fibrosis | Isimo sofuzo lapho uketshezi lomzimba, ikakhulukazi i-mucus, luba lujiyile futhi lunamathele. |
| I-COPD (Isifo Esingapheli Sokuvimbela Amaphaphu) | Iqembu lezifo zamaphaphu zesikhathi eside ezenza ukuphefumula kube nzima. |
| I-Bronchiectasis | Isimo lapho izindlela zomoya emaphashini zivuleka unomphela, okubangela ukuthi amafinyila aqongelelane futhi kwandise ingozi yokutheleleka. |
| Inyumoniya | Ukuvuvukala kwamaphaphu okubangelwa ukutheleleka. Lokhu kubangela nokuthi amafinyila aqongelelane. |
| Izinkinga Zezinzwa Nemisipha | Izifo ezenza imisipha ibe buthaka ezilawula ukukhwehlela, okwenza kube nzima ukususa amafinyila. |
| I-Atelectasis | Ingxenye noma wonke amaphaphu ayawa futhi angabi nomoya. |
Lokhu kwelashwa kusebenza kanjani?
Kunezindlela ezimbili eziyinhloko ze-Chest Physiotherapy. Lezi yi -Percussion kanye ne-Vibration . Zombili lezi zindlela zingenziwa ngesandla, noma kungasetshenziswa umshini oklanyelwe ngokukhethekile. Lokhu kwelashwa kuvame ukuhlanganiswa nokukhipha amanzi emzimbeni, okusiza ukuthi uketshezi luphume kalula ngaphansi kwamandla adonsela phansi.
- Ukushaya: Kulokhu, umelaphi ubamba isandla sakhe. Bese, iminwe yakhe ikhomba phansi, eshaya umhlane noma esifubeni sakho ngendlela enesigqi. Bangase basebenzise nethuluzi eliphathwa ngesandla elibunjwe njengendebe.
- Ukudlidliza: Kulokhu, umelaphi ubeka izandla zakhe esifubeni sakho noma emhlane bese enyakazisa umzimba wakho kancane. Lokhu kudlidliza kuzwakala yimigudu yomoya esifubeni sakho, ekhulula amafinyila.
Ukulungiselela ngaphambi kokwelashwa
Udokotela wakho noma umelaphi uzokutshela ukuthi uzilungiselele kanjani ngaphambi kwalokhu kwelashwa. Ngokuvamile,
- Ungase ucelwe ukuthi usebenzise i-bronchodilator ephefumulayo imizuzu eyi-15-30 ngaphambi kokwelashwa ukuze kube lula ukuphefumula.
- Kungcono ukuqala ukwelashwa okungenani ihora nesigamu (imizuzu engama-90) ngemva kokudla, ngoba ukuthinta isifuba ngokushesha ngemva kokudla kungabangela ukuhlanza.
- Qiniseka ukuthi wazisa udokotela wakho nganoma yiziphi ezinye izimo zezokwelapha onazo, ikakhulukazi izinkinga zokopha kanye nomfutho wegazi ophakeme, ngaphambi kokuqala ukwelashwa.
Yiziphi izinzuzo nezingozi ze-Chest Physiotherapy?
Njenganoma iyiphi inqubo yezokwelapha, kunezinzuzo kanye nezingozi ezincane. Kodwa-ke, uma kwenziwa kahle futhi nguchwepheshe oqeqeshiwe, izingozi zincane kakhulu.
| Izinzuzo | Izingozi |
|---|---|
| Ukuphefumula kuba lula. | Izimbambo, umgogodla, noma imisipha kungase kulimale (akuvamile kakhulu). |
| Inani lezikhathi okudingeka ulaliswe esibhedlela ngazo liyancipha. | Kungase kube nobunzima bokuphefumula. |
| Ukutheleleka noma ukwanda kwezifo kuyancipha. | Kungase kube nokuhlanza. |
| Izinga lempilo liyathuthuka. | I-mucus ingabhajwa endleleni yokuphefumula (i-aspiration). |
| Imisebenzi yansuku zonke efana nokuhamba nokuzivocavoca iba lula. | Ukwehla kwamazinga omoya-mpilo egazini (i-hypoxia). |
| Umfutho wegazi ophansi (hypotension). |
Okubaluleke kakhulu, izikhundla zekhanda phansi zingaba yingozi kwabanye abantu, ngakho-ke buza udokotela wakho njalo ukuthi yiziphi izikhundla eziphephile kuwe.
Isikhathi sokuthola iseluleko sezokwelapha ngokushesha
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngesikhathi noma ngemva kokwelashwa, yeka ukwelashwa ngokushesha bese wazisa udokotela wakho. Uma isimo sibi kakhulu, iya e-Emergency Treatment Unit (ETU) ngokushesha.
- Uma ngokuzumayo uba nobunzima bokuphefumula
- Uma ukhwehlela futhi uphuma igazi
- Uma unezinhlungu zesifuba ezinzima
- Uma unekhanda elibuhlungu kakhulu
- Uma uzizwa unesiyezi noma unekhanda elibuhlungu
- Uma izindebe zakho, isikhumba, noma izinzipho zakho ziphenduka zibe luhlaza okwesibhakabhaka (i-cyanosis)
Amathiphu ambalwa okwenza ukwelashwa kube lula
Ukwelashwa kwe-PT yesifuba akufanele kube buhlungu. Kodwa ngezinye izikhathi kungazwakala kungakhululekile. Ngakho khumbula lezi zinto.
- Ungesabi ukunikeza impendulo: Uma uzizwa sengathi ukuthepha kunzima kakhulu, noma akunamandla ngokwanele ukukhulula ulwelwesi, tshela umuntu okwenzayo. Uwazi kahle umzimba wakho.
- Ungashayi izindawo ezingafanele: Ungalokothi ushaye noma ufake i-shock emhlane ongezansi, lapho izimbambo ziphelela khona. Le ndawo iqukethe izitho ezibalulekile njengezinso. Ukushayisana kulezi zindawo kungazilimaza.
- Zenze ukhululeke: Gqoka izingubo ezikhululekile ngesikhathi sokwelashwa. Bopha izinwele zakho emuva uma zikuphazamisa. Sebenzisa umcamelo owuthandayo. Abanye abantu benza lokhu belalele ingoma abayithandayo noma befunda incwadi.
- Tshela udokotela wakho nganoma yiziphi izinguquko empilweni yakho: Uma kukhona izinguquko empilweni yakho, isibonelo, uma ukhwehlela okusha bese uqala ukukhwehlela igazi, qiniseka ukuthi utshela udokotela wakho ngakho ngaphambi kokuqala ukwelashwa.
Abanye abantu badinga ukwenza lokhu kwelashwa izikhathi eziningana ngosuku. Abanye abantu badinga ukukwenza nsuku zonke. Kufana nokuxubha amazinyo akho, okuyingxenye yenqubo yansuku zonke ukuze ugcine impilo enhle. Uma udokotela wakho ekuncomele lokhu kwelashwa, kwenze ngendlela efanele futhi njalo . Impumuzo ozoyithola kukho yokuphefumula ngokukhululeka iyakufanelekela.
Umlayezo Wokuya Nawe Ekhaya
- I-Chest Physiotherapy iyindlela yokwelapha ngokomzimba ekhulula ulwelwesi olujiyile olubanjwe emaphashini futhi lwenze ukuphefumula kube lula.
- Uma wenza lokhu kwelashwa ekhaya, qiniseka ukuthi ufunda indlela efanele nephephile yokukwenza kudokotela noma kuchwepheshe wezokwelapha oqeqeshiwe.
- Lokhu kwelashwa akufanele kube buhlungu. Uma uzizwa ungakhululekile noma ubuhlungu, tshela umuntu owenza ukwelashwa ngokushesha.
- Qaphela izimpawu eziyisixwayiso ezifana nobunzima obukhulu bokuphefumula, ukukhwehlela igazi, kanye nobuhlungu besifuba. Uma kwenzeka noma yikuphi kwalokhu, funa iseluleko sezokwelapha ngokushesha.
- Uma kukhona ushintsho esimweni sakho sempilo, xoxa ngalo njalo nodokotela wakho ngaphambi kokuqala ukwelashwa.
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