Ngezinye izikhathi ukhwehlela futhi okubangela i-phlegm, akunjalo? Okunye ukukhwehlela akukusizi ukukhwehlela i-phlegm kungakhathaliseki ukuthi uzama kangakanani. Ngezinye izikhathi, isifuba sakho siyaminyana futhi ukuthola kunzima ukuphefumula. Namuhla, sizokhuluma ngokukhwehlela okukhethekile okusiza abantu abanjalo futhi okungasusa i-phlegm kalula. Lokhu kubizwa ngokuthi 'i-Huff Cough'. Lokhu kuhlukile kancane ekukhwehleleni okuvamile, futhi kuyinto eyenziwa ngaphansi kokulawula.
Kuyini ukukhwehlela 'okubuhlungu'?
Kalula nje, ukukhwehlela 'okuhudulayo' kuyindlela elawulwayo yokukhipha amafinyila emaphashini sisebenzisa ukuphefumula kwethu. Lokhu kwaziwa nangokuthi i-Forced Expiratory Technique (FET) . Lokhu kusho ukuthi akufani nokuthi sikhwehlela nje.
Zicabange uya esibukweni bese uzama ukusivala ngenkungu. Okwenzayo akusikho ukukhwehlela kanzima ngesikhathi esisodwa. Uvula umlomo wakho kancane, uphefumulele phezulu, bese ukhipha umoya omncane ngokushesha, uthi "ha...". Yilokho okwenzekayo kulokhu kukhwehlela 'okuthuthumelayo'.
Uma sikhwehlela kakhulu, imigudu yomoya emincane emaphashini ethu iyavaleka ngokuzumayo. Okwenzekayo ukuthi i-mucus esizama ukuyikhipha inamathele kuleyo migudu yomoya. Ngenxa yalokho, kungakhathaliseki ukuthi sikhwehlela kanzima kangakanani, i-mucus ayiphumi, futhi isifuba sethu sizizwa siqine nakakhulu.
Kodwa kulokhu kukhwehlela 'okukhulu', ngoba silawula ukuphefumula kwethu, imigudu yomoya ayinciphi ngokuzumayo. Uma sibamba umoya wethu imizuzwana embalwa bese sikhipha umoya ngendlela elawulwayo, leyo migudu yomoya ibuyela emuva ngemuva kwe-mucus, ikhulule i-mucus ezindongeni zamaphaphu bese iyisunduzela phezulu emigudwini emikhulu yomoya. Ngemuva kwalokho singakhwehlela kalula leyo mucus ngokukhwehlela okuncane kakhulu. Lokhu konga amandla futhi akuchithi umoya-mpilo.
Ngubani ozuza kakhulu kule ndlela?
Le ndlela yokukhwehlela 'eshaya umoya' ingaba usizo kakhulu kubantu abaningi. Iwusizo kakhulu kulabo abakhathele futhi abazwa ubuhlungu bokukhwehlela ngaso sonke isikhathi. Isibonelo, umuntu oselulama ngemva kokuhlinzwa noma umuntu obuhlungu esifubeni ngenxa yengozi angase akuthole kunzima ukukhwehlela ngendlela evamile. Le ndlela ilula kakhulu kubo.
Ngaphezu kwalokho, lokhu kubaluleke kakhulu kulabo abanezifo zokuphefumula zesikhathi eside abakhiqiza amafinyila njalo.
| Isimo sezokwelapha | Kalula nje... |
|---|---|
| I-COPD (Isifo Esingapheli Sokuvimbela Amaphaphu), i-Emphysema kanye ne-Bronchitis Engapheli | Lezi yizifo zamaphaphu zesikhathi eside ezibangela ukukhiqizwa kwamafinyila njalo kanye nobunzima bokuphefumula. |
| I-Cystic Fibrosis | Lesi yisimo sofuzo esibangela ukuthi umzimba ukhiqize ulwelwesi olujiyile nolunamathelayo. |
| I-Bronchiectasis | Isimo lapho izindlela zomoya emaphashini zivuleka unomphela, okubangela ukuthi amafinyila aqoqeke futhi kubangele ukutheleleka. |
| I-pneumonia kanye nezifo zokuphefumula eziphezulu | I-mucus ikhiqizwa kakhulu ngesikhathi sokutheleleka okubangelwa yigciwane elingena emaphashini noma ohlelweni lokuphefumula. |
| Ukulimala komgogodla | Lezi zinhlobo zezingozi zingenza buthaka imisipha elawula ukukhwehlela, okwenza kube nzima ukususa amafinyila. |
Ukhwehlela kanjani ngempela 'i-Huff'?
Kulula kakhulu ukukwenza lokhu. Kodwa kubalulekile ukulandela izinyathelo ngqo. Ake sibone ukuthi singakwenza kanjani.
| Izinyathelo | Okufanele ngikwenze |
|---|---|
| 1. Thola indawo ekhululekile. | Hlala esihlalweni noma embhedeni. Beka izinyawo zombili phansi. Gcina umhlane wakho uqondile. |
| 2. Lungela ukuphefumula. | Thunga ikhanda lakho kancane, gcina isilevu sakho sibheke phambili, bese uvula umlomo wakho kancane. |
| 3. Phefumula kakhulu. | Phefumula kancane, ujule. Phefumula kuze kube yilapho amaphaphu akho esegcwele cishe ngo-75%, ngaphandle kokuwagcwalisa ngokuphelele. |
| 4. Bamba umoya wakho. | Bamba umoya wakho imizuzwana emibili noma emithathu. Lokhu kuzosiza umoya ukuthi ubuyele emaphashini futhi kusize ekuhlanzeni amafinyila. |
| 5. 'Hawu' (phefumula ngaphandle) | Manje, khipha umoya kancane kodwa ngokushesha . Yenza umsindo othi "ha...", njengokufiphaza isibuko. Lokhu kusunduza umucu emigwaqweni emincane yomoya ungene emigwaqweni emikhulu yomoya. |
| 6. Phinda | Phinda lokhu 'kuhudula' kanye noma kabili. Lokhu kuzosiza ukuthi umucu uphume kalula. |
| 7. Ekugcineni, ukukhwehlela. | Manje khwehlela kanzima kanye ukuze ususe ulwelwesi oluqongeleleke emphinjeni wakho. Khona-ke ulwelwesi luzophuma kalula. |
Khumbula lezi zinto futhi.
- Ungaphefumuli kakhulu ngomlomo wakho ngokushesha ngemva kokukhwehlela. Ukwenza kanjalo kungenza kube nzima ukulawula ukukhwehlela futhi.
- Phuza amanzi amaningi usuku lonke. Uma uphuza amanzi, i-mucus iba ncane futhi ibe uketshezi. Lokhu kwenza kube lula ukuyikhipha.
- Uma usebenzisa i-bronchodilator (isb., i-inhaler), zama lokhu kukhwehlela 'okuthuthumela' imizuzu embalwa ngemva kokukuthatha . Ungakwenza futhi lokhu noma nini lapho uzizwa sengathi isifuba sakho sivalekile nge-mucus.
Yiziphi izinzuzo zokukhwehlela 'okuthuthumela'?
Inzuzo enkulu yale ndlela ukuthi isusa amafinyila bese iwaletha phezulu, kunokuba iwavale emigudwini yomoya.
Ngenxa yokuthi imigudu yomoya ayivami ngokuzumayo njengokukhwehlela okuvamile, le ndlela isiza ekukhipheni kalula amafinyila ngaphandle kokubanjwa ngaphakathi.
Ezinye izinzuzo yilezi:
- Akukhathazi kakhulu emzimbeni njengokuzivocavoca okuvamile okunamandla.
- Umuntu onesihlungu esifubeni noma ngemva kokuhlinzwa uba nobuhlungu obuncane.
- Lokhu konga amandla, ukuze abantu abanenkinga yokuphefumula bangazizwa bekhathele.
Akukuhle ukuthi amafinyila aqoqeke emaphashini. Uma kwenzeka, kungaholela ezifweni . Ngakho-ke, kubaluleke kakhulu ukufunda ukuthi ungawasusa kanjani amafinyila emaphashini ngendlela efanele.
Kufanele ngimbone nini udokotela?
Uma unesifo sokuphefumula esingamahlalakhona njenge-COPD, noma ukhwehlela njalo nge-phlegm, qiniseka ukuthi ukhuluma nodokotela wakho ngaphambi kokuzama le ndlela.
Nakuba le ndlela iwusizo kakhulu, ingase ingafaneleki kuwo wonke umuntu. Udokotela wakho uzokweluleka ngokuthi le ndlela ikufanele yini kuye ngesimo sakho sezokwelapha nokuthi ungayenza kanjani ngqo. Ngezinye izikhathi ungathola nodokotela we-physiotherapist ukuze akuqeqeshe kule ndlela. Ngakho-ke, kuwukuhlakanipha ukufuna iseluleko sezokwelapha kuqala, kunokwenza izinqumo ngokwakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukukhwehlela 'okubuhlungu' akusikho nje ukukhwehlela okuvamile. Kuyindlela ekhethekile esetshenziswa ukususa amafinyila emaphashini kalula nangokulawulwayo.
- Le ndlela ilula emzimbeni, ayibuhlungu kakhulu, futhi yonga amandla kunokukhwehlela ngamandla.
- Lokhu kuwusizo kakhulu kubantu abanezifo zamaphaphu zesikhathi eside njenge-COPD.
- Akukuhle ukuvumela amafinyila aqoqeke emaphashini, ngoba angabangela izifo.
- Ngaphambi kokuzama le ndlela, qiniseka ukuthi uthintana nodokotela wakho. Uzokutshela ukuthi ikufanele yini nokuthi ungayenza kanjani kahle.
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