Wake wabhekana nalokhu? Usuphelile umkhuhlane futhi waba ngcono, kodwa ukukhwehlela kwakho akupheli. Usuhlale ukhwehlela amasonto. Ngezinye izikhathi, uvuka phakathi nomhlangano obalulekile noma phakathi nobusuku obuthule bese uqala ukukhwehlela. Lokhu kuyacasula futhi akukhululekile. Nakuba ukukhwehlela kuyindlela yokuzivikela emzimbeni wethu, akuvamile ukuthi kuqhubeke kanje. Namuhla, sizokhuluma ngalokhu kukhwehlela okuqhubekayo, noma lokho esikubiza ngokuthi 'Ukukhwehlela Okungapheli' ngokwezokwelapha.
Kuyini lokhu kukhwehlela okungapheli?
Kalula nje, ukukhwehlela okungapheli ukukhwehlela okuhlala isikhathi esingaphezu kwamasonto ayi-8 kumuntu omdala kanye namasonto angaphezu kwamane enganeni . Ukukhwehlela empeleni kuyinto enhle. Kusiza ukususa uthuli namagciwane angena emgudwini wethu wokuphefumula. Wonke umuntu uyakhwehlela ngezikhathi ezithile. Kodwa ukukhwehlela isikhathi eside njengalokhu kuvame ukuba uphawu lwenye inkinga yezempilo eyisisekelo. Lesi yisona sizathu esiyinhloko esenza abantu bavakashele udokotela.
Ngakho-ke, akukuhle ukungakunaki lokhu. Ukukhwehlela njalo kuyakhathaza umzimba. Futhi, kwenza kube nzima ukuhamba emphakathini, futhi umuntu uyazibuza, "Lokhu kukhwehlela kuzobuya nini?" Ngakho-ke, kubaluleke kakhulu ukuthola imbangela yalokhu nokukuphatha ngendlela efanele.
Ezinye izimpawu ezivamile ezihambisana nokukhwehlela
Kuye ngembangela yokukhwehlela kwakho okungapheli, ezinye izimpawu zingase zihambisane nokukhwehlela. Hlola ithebula elingezansi ukuze ubone ukuthi unanoma yikuphi kwalokhu.
| Isibonakaliso | Incazelo |
|---|---|
| Imfiva | Ukushisa komzimba okwenyukayo. |
| Isilungulela | Ukuvuvukala okubangelwa yi-asidi yesisu efika emphinjeni. |
| Ubuhlungu besifuba | Ubuhlungu uma ukhwehlela noma ngesikhathi semisebenzi evamile. |
| Ukuhosha kwezwi | Ukushintsha kwezwi, ukushoshozela. |
| Ubunzima bokuphefumula | Ukuzizwa uphelelwa umoya noma ubunzima bokuphefumula. |
| Impumulo egobhozayo noma evalekile | Ukungakhululeki kwamakhala, njengomkhuhlane. |
| Ukuhlanza umphimbo njalo | Ukuhlanza umphimbo njalo ngoba kuzwakala sengathi kukhona okubhajwe emphinjeni. |
Yiziphi izimbangela eziyinhloko zalokhu kukhwehlela okuqhubekayo?
Kunezimbangela ezimbalwa eziyinhloko ezingabangela ukukhwehlela okungapheli. 90% wesikhathi, imbangela ingaba yinye noma ngaphezulu kwalezi ezintathu.
| Isizathu esiyinhloko | Incazelo elula |
|---|---|
| Isifuba somoya | Imbangela evame kakhulu yokukhwehlela okungapheli. Ngezinye izikhathi, ukuchayeka emoyeni obandayo/owomile, uthuli, intuthu, njll. kungenza ukukhwehlela kube kubi nakakhulu. |
| Ukuconsa kwangemva kwempumulo | Lokhu kubizwa nangokuthi 'i-Upper Airway Cough Syndrome (UACS). Kalula nje, lokhu kuwukuqongelela kwe-mucus kusuka ekhaleni kuya emphinjeni . Ukungezwani komzimba kubangela ukuthi i-mucus eningi iqongeleleke ekhaleni, bese ihamba emphinjeni bese icasula imigudu yomoya namaphaphu, okubangela ukukhwehlela. |
| I-GERD (Isifo Sokuqaqanjelwa Kwesisu) | Yilapho i-asidi yesisu ibuyela phezulu emphinjeni. Lawa ma-asidi ashisa izicubu ezithambile zomphimbo, okungabangela ukukhwehlela. |
| Ezinye izifo zamaphaphu | Ezinye izifo zamaphaphu ezifana ne-bronchitis, i-COPD, kanye ne-pneumonia nazo zingabangela ukukhwehlela isikhathi eside. |
Ezinye izizathu
Ngaphezu kwezimbangela eziyinhloko ezingenhla, ezinye izici eziningana zingabangela nokukhwehlela okungapheli.
- Eminye imithi yokucindezeleka kwegazi: Abanye abantu abathatha imithi ethile, ikakhulukazi leyo ebizwa ngokuthi ama-ACE inhibitors, bangaba nokukhwehlela okomile. Kodwa khumbula, ungalokothi uyeke ukuthatha le mithi ngaphandle kweseluleko sikadokotela wakho.
- Ukungezwani komzimba: Ukungezwani komzimba nezinto ezifana nothuli, impova, njll.
- Ukwehluleka Kwenhliziyo: Ukukhwehlela kungenzeka futhi ngenxa yokusebenza kwenhliziyo okubuthakathaka.
- Ukubhema: Akumangalisi ukuthi ababhemayo bahlushwa ukukhwehlela okungapheli okubizwa ngokuthi "ukukhwehlela komuntu obhemayo."
- Izifo zokuphefumula: Izifo ezifana nokukhwehlela okungapheli zingabangela ukukhwehlela ukuthi kuqhubeke amasonto amaningi ngemva kokululama.
Ngezinye izikhathi, naphezu kwazo zonke izivivinyo, asikho isizathu esitholakalayo sokukhwehlela. Ezimweni ezinjalo, odokotela babiza lesi simo ngokuthi "Ukukhwehlela Okungapheli Okungaphenduli."
Kuphathwa kanjani lokhu?
Into ebaluleke kakhulu ukuthi ukwelashwa kuncike embangela yokukhwehlela. Lokhu kusho ukuthi kubaluleke kakhulu ukwelapha isimo esiyisisekelo esibangela ukukhwehlela kunokuthatha umuthi wokunciphisa ukukhwehlela.
Udokotela wakho uzokunikeza uhlelo lokwelashwa olukufanele. Lokhu kuhilela inhlanganisela yemithi kanye nezinguquko zendlela yokuphila.
Izinhlobo zemithi
- Nge-GERD: Lawula i-asidi yesisu ngemithi efana ne-`(antacids)`, `(H2 blockers)`, noma `(PPIs)`.
- Ngokutheleleka ngamagciwane: `(Ama-antibiotic)`.
- Kwe-allergies kanye ne-rhinitis: Ama-antihistamine kanye ne-nasal sprays.
- Ukukhipha i-mucus: Imithi efana ne-"Expectorants" enciphisa i-mucus futhi isize ukuthi iphume kalula.
- Ukunciphisa ukuvuvukala: Ezimweni ezifana ne-asthma, nciphisa ukuvuvukala emigwaqweni yomoya ngama-steroids noma ama-bronchodilator aphefumulayo.
Kubaluleke kakhulu:Unganiki izingane ezingaphansi kweminyaka engu-6 ubudala imithi yokukhwehlela/yomkhuhlane ngaphandle kwemvume kadokotela wezingane.
Izinguquko zendlela yokuphila
Nakuba lezi zingase zibonakale zilula kakhulu, ziwusizo olukhulu ekulawuleni ukukhwehlela.
- Lala ngokwanele .
- Yidla ukudla okunempilo .
- Phuza amanzi amaningi.
- Uma ucabanga ukuthi une-GERD, lala ikhanda lombhede liphakanyisiwe kancane .
- Khuluma nodokotela wakho ngezinto ezikubangela ukukhwehlela (isib. intuthu, iphunga elinamandla, ukudla okuthile), bese wenza uhlelo lokuzigwema.
Kwenzekani uma ingelashwa?
Ukukhwehlela okungapheli kungabangela ukungakwazi ukulala. Ukukhathala nokucindezeleka okukubangelayo kungathinta usuku lwakho lonke. Ungase futhi ube nolaka ngenxa yehlazo lokukhwehlela njalo.
Kwezinye izimo ezinzima, ukukhwehlela nakho kungabangela:
- Ukopha kwamehlo
- Ukuphuka kwembambo
- Isiyezi kanye nekhanda elibuhlungu
- I-Hernia
- Ukulahlekelwa ukulawula isinyi (ukuvuza umchamo omncane uma ukhwehlela)
- Ubuhlungu besifuba nemisipha yesisu
Kufanele ubonane nini nodokotela?
Umthetho olula kakhulu ukuthi, uma ukhwehlela izinsuku ezingaphezu kweziyi-10, futhi ungayazi imbangela eqondile, kufanele nakanjani ubone udokotela wakho.
Ngaphezu kwalokho, uma unezinye zezibonakaliso ezilandelayo eziyisixwayiso , funa iseluleko sezokwelapha ngokushesha. Uma kudingeka, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
| Izimpawu eziyisixwayiso ezidinga ukunakekelwa kwezokwelapha ngokushesha | |
|---|---|
| Ukukhwehlela igazi | Igazi elibomvu noma elibomvu elixubene ne-mucus. |
| Ukujuluka ngokweqile ebusuku | Ukujuluka kakhulu kangangokuthi amashidi ombhede awanamanzi. |
| Izwi elihoshozelayo elingathuthuki | Ukushoshozela kwezwi akuzange kunciphe amasonto amaningana. |
| Ubunzima bokuphefumula | Ukuphefumula kanzima noma ukuphefumula ngokushesha. |
| Ubunzima bokugwinya | Ukuzwa ubuhlungu noma ukuminyana lapho ugwinya ukudla noma isiphuzo. |
| Ukwehlisa isisindo okungachazeki | Ukwehlisa isisindo ngaphandle kokuzama. |
| Ukuphefumula | Umsindo wokukhala kwekhwela ovela esifubeni lapho uphefumula. |
Ukukhwehlela okungapheli akuyona into okufanele ubhekane nayo. Kunezindlela zokwelapha ezingasiza. Ukuthola ukuxilongwa okunembile kuyisinyathelo sokuqala kulolu hambo. Ngakho-ke ungalibali ukubona udokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukukhwehlela okuhlala isikhathi esingaphezu kwamasonto ayi-8 kumuntu omdala noma amasonto ama-4 kumntwana kubizwa ngokuthi 'Ukukhwehlela Okungapheli'. Ungalokothi ukushaye indiva lokhu.
- Izimbangela ezivame kakhulu zalokhu yizimo ezifana ne-asthma, i-postnasal drip, kanye nesifo se-gastroesophageal reflux (GERD).
- Ukwelashwa kuncike embangela yokukhwehlela, ngakho-ke kubaluleke kakhulu ukuthola ukuxilongwa okunembile.
- Uma uhlangabezana nezimpawu eziyisixwayiso njengokukhwehlela igazi, ubunzima bokuphefumula, noma ukwehla kwesisindo, funa iseluleko sezokwelapha ngokushesha.
- Khuluma nodokotela wakho bese uthola uhlelo lokwelashwa olungcono kakhulu kanye neseluleko sakho.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Yisiphi isifo esisetshenziswa amaphilisi e-Timolol (Timolol Systemic / Blocadren)?
Nakuba yaziwa kakhulu ngamaconsi ayo amehlo e-glaucoma/umfutho wamehlo, leli 'philisi' liwuhlobo lomuthi (ongakhethi i-Beta-blocker) onamandla kakhulu emhlabeni! Odokotela balisebenzisa ukuvimbela 'umfutho wegazi ophezulu', ikhanda elibuhlungu elinzima, kanye nokunciphisa ingozi yokufa okwesibili ngemva kokusinda 'ekuhlaselweni yinhliziyo' ngo-100%.
💬 Uzivimbela kanjani ekubeni nokuhlaselwa yinhliziyo/i-migraine ngemva kokuthatha leli philisi elibi kakhulu (i-Timolol)?
Isigqi senhliziyo yakho kanye nemithambo yegazi ekhanda lakho siyashintsha ngenxa yomyalezo othi 'I-Adrenaline (Epinephrine). Lapho nje leli philisi lingena emzimbeni, wonke amasango enhliziyweni (i-Beta-1) kanye nemithambo yegazi/amaphaphu (i-Beta-2) ayavalwa/avalwa ngo-100% futhi avalwe ngenkani (Akukhethi). Njengoba kungekho ndlela yokuthi umyalezo udlule, inhliziyo imane yehlise ijubane, futhi imithambo yegazi ebuchosheni iyeke ukwanda ngokungadingekile, kususwe ingozi ye-migraine/ukuhlaselwa yinhliziyo.
💬 Kungani kuthiwa ungayeki ukuthatha lo muthi (i-Timolol) ngokuzumayo? Ziyini izixwayiso ze-Black Box?
Uma uthatha leli philisi izinyanga eziningi bese ulikhohlwa noma 'uliyeke ngokuzumayo', wonke lawo ma-receptor e-adrenaline avaliwe azovuleka ngokuzumayo ngokungalawuleki! Ngemuva kwalokho, ngemizuzu embalwa, uzoba nokuhlaselwa yinhliziyo okukhulu futhi inhliziyo yakho izoma (Myocardial Infarction / Sudden Death) okubulalayo kangangokuthi ungafa! Futhi, njengoba lokhu kuvimbela namaphaphu, uma unikeza lokhu kubantu abane-'Asthma', bangacinana futhi bafe (ukuphuza akuvunyelwe!).
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