Ingabe uke watholakala unomdlavuza webele futhi wanconywa udokotela wakho ukuthi athole ukwelashwa ngemisebe? Ungase ukhathazeke kancane futhi ube nesifiso sokwazi ukuthi inhliziyo yakho izothinteka yini, ikakhulukazi lapho welapha ibele lakho lesobunxele. Lokho kuyaqondakala. Kodwa ungakhathazeki, namuhla sizokhuluma ngendlela ephumelela kakhulu nelula engasetshenziswa ukunciphisa izingozi ezinjalo.
Kalula nje, kuyini ukubamba ukuphefumula okujulile (i-DIBH)?
Nakuba igama liyinkimbinkimbi kancane, inqubo ilula kakhulu. Zicabange uphefumula kakhulu bese uwubamba esifubeni sakho imizuzwana embalwa. Yilokho kanye le ndlela eyikho.
Ngokwezokwelapha, uma siphefumula ngokujulile, umsipha omkhulu, ofana ne-dome obizwa ngokuthi i-diaphragm, ongaphansi kwamaphaphu ethu, uyacindezelwa phansi. Njengoba le diaphragm yehla, inhliziyo yethu, etholakala ngaphezu kwayo, nayo iyacindezelwa phansi, ikude kancane nodonga lwesifuba. Le nqubo ibizwa ngokuthi ukubamba umoya wethu ngokujulile, noma i-Deep Inspiration Breath Hold (DIBH) .
I-DIBH ihlobene kanjani nokwelashwa komdlavuza webele?
Kulungile, manje ake sibone ukuthi kungani le nqubo elula ibalulekile ekwelapheni umdlavuza webele.
Ngemva kokuthola ukuthi unomdlavuza webele, udokotela wakho uzokwakha uhlelo lokwelapha olukufanele. Lokhu kuzoncika ezintweni eziningi, okuhlanganisa ubukhulu besimila, ukuthi sitholakala kuphi ebeleni, imiphumela yokuhlolwa kwamangqamuzana omdlavuza, kanye nesigaba sesifo.
Enye yezindlela eziyinhloko zokwelapha umdlavuza webele ukwelashwa ngemisebe . Lokhu kuhilela ukusebenzisa ama-X-ray anamandla amakhulu ukubhubhisa amangqamuzana omdlavuza ngenkathi kunciphisa umonakalo kumaseli anempilo. Ngokuvamile, ngemva kokususwa kwe-lumpectomy, ukwelashwa ngemisebe kunikezwa izicubu zebele ezisele isonto elilodwa kuya kwayisithupha.
Kungani kufanele kugxilwe kakhulu ohlangothini lwesobunxele kuphela?
Enye indawo lapho lokhu kungaba yinkinga khona yilapho abesifazane abanomdlavuza webele ohlangothini lwesobunxele benikezwa ukwelashwa ngemisebe. Ngenxa yokuthi inhliziyo yethu itholakala ohlangothini lwesobunxele lwesifuba, ibele lesobunxele liseduze kakhulu nenhliziyo. Ngakho-ke, lapho ukwelashwa ngemisebe kunikezwa ibele lesobunxele, kunethuba elincane lokuthi umsebe wemisebe uzodlula enhliziyweni. Lokhu sikubiza ngokuthi "ukungena ensimini yemisebe yenhliziyo."
Uma unemisebe enhliziyweni ngale ndlela, ingozi yakho yokuthola isifo senhliziyo, ikakhulukazi isifo senhliziyo, esikhathini esizayo inganda kancane. Ungase futhi uthole ukwelashwa ngamakhemikhali ngesikhathi esifanayo.Uma uphuza nemithi, noma uma usuvele usengozini yesifo senhliziyo, le ngozi inganda kancane.
Ubukhulu bomonakalo enhliziyweni buxhomeke kumthamo wemisebe nokuthi inhliziyo ingakanani evezwe emisebeni. Kodwa into ebalulekile ukuthi singayilawula kahle le ngozi sisebenzisa le ndlela ye-DIBH.
Indlela ye-DIBH iyivikela kanjani inhliziyo?
Lena yingxenye ebaluleke kakhulu. Ngesikhathi uthola ukwelashwa ngemisebe, abasebenzi bezokwelapha bazokutshela ukuthi uphefumule ngokujulile bese ubamba cishe imizuzwana engama-20. Phakathi naleyo mizuzwana engama-20, umshini wemisebe uzoqondisa umsebe wemisebe ebeleni lakho.
Kalula nje, uma ubamba umoya wakho, inhliziyo yakho iyacindezelwa phansi, isuke "endaweni eyingozi," bese iyiswa endaweni ephephile. Ngokushintsha indawo yenhliziyo ngale ndlela, inani lemisebe eshaya inhliziyo lingancishiswa cishe ngesigamu uma kuqhathaniswa nokuphefumula okuvamile.
Ungawuqonda lo mehluko ngokucacile kusukela kuthebula elingezansi.
| Indlela yokuphefumula | Kwenzekani enhliziyweni? |
|---|---|
| Ukuphefumula ngokujwayelekile | Ngenxa yokuthi inhliziyo iseduze nodonga lwesifuba, kunethuba elikhulu lokuthi imisebe izofinyelela enhliziyweni uma imisebe iqondiswa ebeleni lesobunxele. |
| Ukubamba umoya ngendlela ye-DIBH | I-diaphragm icindezelwa phansi, isusa inhliziyo odongeni lwesifuba kanye nensimu yemisebe. Lokhu kunciphisa inani lemisebe etholwa yinhliziyo. |
Ngikulungiselela kanjani lokhu?
Lokhu akuyona into okumele uyenze wedwa. Esikhungweni sokwelashwa ngemisebe, abasebenzi bezokwelapha bazokuqeqesha ukuthi ungakwenza kanjani lokhu. Kukhona namadivayisi akhethekile okuhweba angasiza ekwenzeni lo msebenzi wokubamba umoya ube lula. Lawa madivayisi angakusiza futhi ukuthi uzijwayeze ukuphefumula okujulile ngaphambi kweseshini yakho yokwelashwa.
Futhi ungakwenza lokhu ekhaya ngisho nangaphambi kokuqala ukwelashwa.
1. Lala phansi ngokunethezeka.
2. Phefumula kakhulu. Kuze kube yilapho isifuba sakho sikhula.
3. Zama ukubamba lowo moya isikhathi eside ngangokunokwenzeka, kancane kancane, cishe imizuzwana eyi-15-20.
4. Bese ukhipha umoya kancane.
Ukuzijwayeza lokhu nsuku zonke kuzokusiza ngempela ngosuku lokwelashwa kwakho. Kodwa uma unemibuzo ngalokhu, ungagodli lutho bese ubuza udokotela wakho noma abasebenzi bezokwelapha ngemisebe.
Umlayezo Wokuya Nawe Ekhaya
- I-Deep Inspiration Breath Hold (DIBH) iyindlela ephumelela kakhulu esetshenziswa ukuvikela inhliziyo ngesikhathi sokwelashwa ngemisebe yomdlavuza webele ohlangothini lwesobunxele.
- Uma uphefumula kakhulu bese uwubamba, inhliziyo yakho ivikelekile endaweni yemisebe.
- Le ndlela inganciphisa inani lemisebe engadingekile etholwa yinhliziyo cishe ngesigamu .
- Ngaphambi kokuqala ukwelashwa, abasebenzi bezokwelapha bazokuqeqesha kahle ukuthi ungakwenza kanjani lokhu, ngakho-ke asikho isizathu sokwesaba lokhu.
- Uma unemibuzo noma ukungabaza ngalokhu, xoxa ngakho ngokukhululekile nodokotela wakho.
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