Ukuphefumula kuyinto esiyenza sonke ngaso sonke isikhathi, kodwa asicabangi kakhulu ngakho. Le nqubo yenzeka kusukela osukwini esizalwa ngalo kuze kube usuku esifa ngalo. Kodwa wake wazibuza ukuthi ubani iqhawe langempela, noma unjiniyela oyinhloko, ophethe le nqubo yokuphefumula? Yilowo esizokhuluma ngaye namuhla. Yilowo i-diaphragm , noma lokho esikubiza ngokuthi isiNgisi. Lokhu akuyona nje imisipha, kodwa umuntu obaluleke kakhulu futhi omangalisayo emzimbeni wethu.
Kalula nje, iyini le diaphragm enhle?
Cabanga ngomsipha omncane noqinile phakathi kwesifuba sakho nesisu sakho, ome njengesambulela. Leso yi-diaphragm. Utholakala ngaphansi kwamaphaphu nenhliziyo yethu.
Lo msipha awugcini nje ngokulenga. Uxhumene nalokhu:
- Ithambo eliphakathi kwesifuba sakho (sternum)
- Kuze kube phansi kwekheji lakho lezimbambo
- Uma umhlane wakho uphukile, umgogodla wakho uzophuka.
Omunye wemisebenzi yayo eyinhloko ukusebenza njengodonga phakathi kwesifuba sakho (lapho kukhona khona amaphaphu akho nenhliziyo) kanye nesisu sakho (lapho kukhona khona izitho zakho ezifana nesisu sakho, amathumbu, nesibindi).
Uyini umsebenzi we-diaphragm enkulu? Ingabe ukuphefumula nje?
Cha, ukuphefumula kuyinto eyinhloko eyenzayo futhi yilokho sonke esikwaziyo. Kunezinye izinto eziningi ezibalulekile ngaphezu kwalokho. Ake sibheke ngayinye ngayinye yazo.
1. Ingcweti yenqubo yokuphefumula
Lona umsebenzi oyinhloko woDonga Olukhulu. Lokhu kwenzeka ngendlela emangalisayo kakhulu.
- Uma uphefumula: I-diaphragm yakho iyaqina, yehlela phansi esiswini sakho njenge-lifti. Lokhu kwandisa isikhala esingaphakathi kwesifuba sakho. Lokhu kwandisa isikhala amaphaphu akho anaso sokufutha, okuvumela umoya ukuthi ungene emaphashini akho.
- Uma ukhipha umoya: I-diaphragm iyayeka ukufinyela bese iphumula. Bese ikhuphukela phezulu ibheke esifubeni, yakhe isimo esifana nesambulela. Kuleli qophelo, umoya emaphashini uyaphuma.
Kalula nje, ngokuphefumula kwakho konke, le diaphragm enhle iya phezulu naphansi. Ifana nephampu yomoya yemvelo emizimbeni yethu.
2. Ezinye izinto ezibalulekile okufanele uzenze ngaphandle kokuphefumula
I-diaphragm ayigcini nje enkambisweni yokuphefumula. Yenza eminye imisebenzi eminingana ebaluleke kakhulu.
- Ukwanda komfutho wangaphakathi kwesisu: Lapho i-diaphragm ifinyela, idala umfutho ngaphakathi kwesisu. Lokhu kucindezela kusisiza senze izinto eziningi. Isibonelo, lokhu kucindezela kubalulekile ezintweni ezifana nokuchama kanye nokuphuma kwendle.
- Ukuvimbela i-acid reflux:Inkinga abantu abaningi abanayo yi-gastritis, ukuvuvukala kwesisu. Esinye sezizathu zalokhu ukuthi i-asidi yesisu ikhuphukela emphinjeni. Ipayipi okudlula kulo ukudla kwethu (i-Esophagus) liya esiswini nge-diaphragm. I-diaphragm isebenza njengesibambo esizungeze leli payipi lokudla, ivimbela i-asidi yesisu ukuthi ikhuphuke.
- Ukuvula indlela yezinzwa ezibalulekile nemithambo yegazi: Eziningana zezinzwa ezibaluleke kakhulu, imithambo yegazi, nezinye izakhiwo emzimbeni wethu zidlula ku-septum.
| Isakhiwo esiwela iGreat Barrier Reef | Umsebenzi wayo ulula. |
|---|---|
| I-Aorta | Umthambo wegazi oyinhloko othwala igazi elinomoya-mpilo lisuka enhliziyweni liye emzimbeni wonke. |
| Umphimbo | Ipayipi elithwala ukudla esikudlayo nesikuphuzayo kusukela emphinjeni kuya esiswini. |
| UVena Cava ophansi | Umthambo wegazi oyinhloko oletha igazi elingcolile lisuka ezingxenyeni ezingezansi zomzimba libuyele enhliziyweni. |
| I-Phrenic Nerve | Inzwa elawula ukunyakaza kwe-diaphragm, okungukuthi, ukunyakaza kwayo phezulu naphansi. Lokhu kufana nesilawuli kude. |
| Umsele Wesifuba | Umsele ophethe uketshezi olubizwa ngokuthi i-lymph, oluyingxenye yesistimu ye-lymphatic yomzimba. |
| I-Vagus Nerve | Inzwa eyenza imisebenzi eminingi ebalulekile, okuhlanganisa nokulawula uhlelo lwethu lokugaya ukudla. |
Yiziphi izifo ezithinta i-great diaphragm?
Njengoba nje ezinye izingxenye zomzimba wethu zingaba nezifo, i-diaphragm nayo ingonakaliswa yizinkinga ezahlukahlukene, izifo, kanye nezingozi. Ake sibheke ezibaluleke kakhulu.
- Ama-Hernia:
- I-Hiatal Hernia: Lolu uhlobo oluvame kakhulu. Lokhu kwenzeka lapho ingxenye engenhla yesisu sakho isunduza idlule embobeni e-diaphragm, iye esifubeni sakho. Cabanga ngakho njengebhaluni elincane elikhuphukayo. Lesi simo sivame ukwenzeka njengoba ukhula futhi ukhuluphala.
- I-Hernia ye-Diaphragmatic: Lokhu kwenzeka lapho esinye isitho esiswini (njengamathumbu) sisunduza ngembobo e-diaphragm siye esifubeni. Lokhu kungaba khona ngezinye izikhathi lapho kuzalwa noma kungenzeka ngemva kwengozi enkulu.
- Ukulimala Kwezinzwa Ezibuhlungu: Njengoba sixoxile ngaphambili, le nzwa ilawula i-diaphragm. Uma le nzwa yonakele, i-diaphragm ngeke ikwazi ukusebenza kahle. Le nzwa ingalimala ngenxa yomdlavuza, ukuhlinzwa (ikakhulukazi ukuhlinzwa kwenhliziyo), izingozi, kanye nokutheleleka okuthile.
- Ukuqaqamba Kwemisipha: Njengoba i-diaphragm nayo iyimisipha, ngezinye izikhathi ingaqaqamba. Lesi yisimo esenzeka lapho sizivocavoca kakhulu noma sigijima, futhi ubuhlungu obuvela ohlangothini lwesisu, obubizwa ngokuthi "ukuthunga eceleni," buvame ukudanjiswa ukuphumula.
- Ubuthakathaka noma Ukukhubazeka: Ezinye izifo zezinzwa, njenge-Multiple Sclerosis (MS) kanye ne-Amyotrophic Lateral Sclerosis (ALS), zingabangela ukuba i-diaphragm ibe buthaka noma ikhubazeke ngokuphelele. I-neuropathy yesifo sikashukela, ukulimala komgogodla, kanye nezifo zamaphaphu ezifana ne-COPD nazo zingabangela ukuba i-diaphragm ibe buthaka.
Yiziphi izimpawu zenkinga nge-diaphragm enkulu?
Uma kunenkinga nge-diaphragm enkulu, ungase ube nezimpawu ezahlukahlukene. Lezi zingase zifike ziphele isikhashana, noma zingase zibe ezihlala njalo.
- Ubuhlungu besisu, ubuhlungu besifuba, kanye nokunambitheka okumuncu emphinjeni (i-acid reflux, isilungulela).
- Ukukhwehlela njalo kanye nobunzima bokugwinya ukudla.
- Ukushintsha kombala wesikhumba (ngezinye izikhathi isikhumba singase sibe luhlaza okwesibhakabhaka).
- Ukushaya kwenhliziyo okusheshayo, ubuhlungu besifuba noma ukuqina.
- Ukuzizwa uphelelwa umoya, ikakhulukazi uma ulele phansi.
- Ikhanda elibuhlungu.
- Ama-hiccups afika aphinde adlule njalo noma aqhubeke ngaphandle kokuhamba.
- Ubuhlungu noma ingcindezi esifubeni, emhlane, ezinhlangothini, emahlombe, noma esiswini (ikakhulukazi ngaphansi kwesikhala sezimbambo). Lobuhlungu bungase bube bubi kakhulu ngemva kokudla.
- Ukuzwa sengathi isisu sibuhlungu ngaphansi kwezimbambo.
Kubaluleke kakhulu: Izimpawu ezifana nobuhlungu besifuba, ukuqina kwesifuba, kanye nokuphelelwa umoya zingafana kakhulu nezokuhlaselwa yinhliziyo. Ngakho-ke, uma unezinye zalezi zimpawu, ungazinaki futhi uhlale ekhaya. Iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Lokhu kungaba yisimo sokuphila noma ukufa.
Zivame kangakanani lezi zimo?
Imbangela eyinhloko yezinkinga ze-phrenic ukulimala kwe-phrenic nerve, kungaba ngokuhlinzwa noma ngengozi. Cishe ama-20% eziguli angase abe nomonakalo othile kule nerve ngemva kokuhlinzwa kwe-heart bypass.
Lesi simo esikhulume ngaso esibizwa ngokuthi `(Hiatal Hernia)` sivame kakhulu. Sivame kakhulu kubantu abangaphezu kweminyaka engu-50 kanye nalabo abakhuluphele ngokweqile. Ngokusho kocwaningo, cishe abantu abangu-55% abangaphezu kweminyaka engu-50, okungukuthi, oyedwa kubantu ababili, bangase babe nezinga elithile `(Hiatal Hernia)`.
Siyigcina kanjani iGreat Barrier Reef iphilile?
I-diaphragm nayo iyimisipha. Ngakho-ke, njengeminye imisipha emzimbeni wethu, singayiqinisa ngokuyivivinya. Kunezivivinyo ezithile zokuphefumula. Lokhu kubizwa ngokuthi `(ukuzivocavoca kokuphefumula kwe-Diaphragmatic)`. Lokhu kusiza i-diaphragm ukuthi isebenze kahle kakhulu. Lezi zivivinyo zinganciphisa nokucindezeleka kwengqondo.
Ngaphezu kwalokho, landela lezi zinyathelo ukuze ugcine i-diaphragm yakho iphilile:
- Gwema ukudla ukudla okukhulu ngesikhathi esisodwa. Yidla ukudla okuncane kaningana ngosuku. Gwema ukudla okunamafutha, okubabayo, nokumuncu okungabangela ukucasuka kwesisu.
- Gcina isisindo somzimba siphilile. Isisindo esiningi sibeka ingcindezi engadingekile ku-diaphragm.
- Fudumala kahle ngaphambi kokuzivocavoca. Lokhu kunikeza i-diaphragm yakho kanye neminye imisipha isikhathi sokulungiselela ukujima.
- Uma uzivocavoca, ungazikhandleli ngokweqile ngesikhathi esisodwa. Khulisa kancane kancane ukuqina kokuzivocavoca kwakho.
- Uma unesifo (isib. isifo sikashukela, isifo samaphaphu) esanda ingozi yokuba nezinkinga nge-diaphragm yakho, thola ukuhlolwa njalo kwezokwelapha.
Kufanele ngimbone nini udokotela?
Uma unezinye zezimpawu esixoxe ngazo ekuqaleni, kungcono ukubona udokotela ukuze azihlole. Ezinye izimpawu zingaba izimpawu zezinye izimo, ngakho-ke kubalulekile ukuthola ukuxilongwa okufanele.
Ngiyakukhumbuza futhi,Uma unesifo esifubeni, ukucindezeleka kwesifuba, noma ubunzima bokuphefumula, kuyisimo esiphuthumayo. Yiya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
Ingozi yakho yokuba nenkinga nge-diaphragm yakho inganda uma unezinye zezimo ezilandelayo:
- Izinkinga zokuzivikela komzimba, isibonelo i-Lupus
- Izifo zamaphaphu ezifana ne-COPD kanye nomdlavuza wamaphaphu
- Isifo senhliziyo esidinga ukuhlinzwa
- Isifo seLyme
- Izinkinga ze-neuromuscular, isib. i-MS
- Ukukhuluphala ngokweqile
- Ukutheleleka ngegciwane njenge-HIV
Umlayezo Wokuya Nawe Ekhaya
- I-diaphragm iyisicubu esibalulekile esihlukanisa isifuba nesisu, esibalulekile ekuphefumuleni.
- Ngaphezu kokuphefumula, futhi kwenza imisebenzi efana nokusiza ekugayeni ukudla nokuvimbela ama-asidi esiswini ukuthi angangeni emphinjeni.
- Ama-hernia, ukulimala kwemizwa, kanye nezinye izimo zezokwelapha kungathinta ukusebenza kwe-diaphragm.
- Uma uhlangabezana nezimpawu ezifana nobuhlungu besisu, ubunzima bokuphefumula, kanye nobuhlungu besifuba, ungakushayi indiva lokho.
- Ubuhlungu besifuba kanye nobunzima bokuphefumula yizimo eziphuthumayo ezidinga ukwelashwa ngokushesha. Yiya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- I-diaphragm ingagcinwa iqinile ngokuzivocavoca okuthile kokuphefumula kanye nendlela yokuphila enempilo.
- Uma unezimpawu, qiniseka ukuthi ubona udokotela wakho ukuze uthole iseluleko esifanele kanye nokwelashwa.
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