Ingabe uhlala uzizwa sengathi umphimbo wakho nesifuba sakho kugcwele ulwelwesi? Kungakhathaliseki ukuthi ukhwehlela kangakanani, kubonakala kunzima ukususa ulwelwesi? Ngezinye izikhathi uma ukhwehlela kakhulu, isifuba sakho sibuhlungu futhi uyakhathala, akunjalo? Kulabo bantu, namuhla sikhuluma ngendlela ephumelela kakhulu, engebuhlungu kakhulu, futhi elula kunendlela esivame ukukhwehlela ngayo. Lokhu kubizwa ngokuthi ukukhwehlela 'okubuhlungu' . Lena inqubo ekhethekile esiza ukususa ulwelwesi olujulile emaphashini.
Kuyini lokhu kukhwehlela 'okubuhlungu'?
Kalula nje, lokhu ukukhwehlela okulawulwayo okusebenzisa umoya wethu ukukhipha amafinyila. Siphinde sikubize ngokuthi yi-Forced Expiratory Technique (FET).
Zicabange uhamba phambi kwesibuko bese usifiphaza ngenkungu, ukhipha umoya othi "ha...". Yilokho okwenzekayo kulokhu.
Manje, bheka, kwenzekani uma sivame ukukhwehlela? Sikhipha umoya omningi ngamandla. Khona-ke imigudu yomoya emincane emaphashini ethu ingancipha ngokuzumayo futhi ivaleke. Uma lokho kwenzeka, i-mucus esizama ukuyikhipha inamathela ngaphakathi. Yingakho ngezinye izikhathi, kungakhathaliseki ukuthi sikhwehlela kanzima kangakanani, i-mucus ayiphumi.
Kodwa ngenxa yokuthi silawula ukuphefumula kwethu ngesikhathi sokukhwehlela 'okuhudulayo', imigudu yomoya ayivalwanga, okuvumela ukuthi i-mucus idlule ngaphansi kwendlela yomoya, iyikhiphe odongeni, bese iyicindezela futhi. Singakwazi ukuyikhipha kalula. Lokhu konga amandla futhi kunciphisa ubuhlungu besifuba.
Ngubani ozuza kakhulu kule ndlela?
Noma ubani othola ukukhwehlela njalo kubuhlungu futhi kukhathaza angazuza kule ndlela. Iwusizo kakhulu kulabo abanezifo zokuphefumula ezingamahlalakhona ezikhiqiza amafinyila njalo.
| Isimo/Isenzakalo | Kuwusizo kanjani? |
|---|---|
| Izifo zokuphefumula zesikhathi eside Isibonelo, i-COPD, i-Emphysema, i-Bronchitis engapheli, i-Bronchiectasis, i-Cystic Fibrosis | Lezi zimo zivame ukukhiqiza i-mucus. Ukukhwehlela 'okukhulu' kungonga amandla futhi kusize ekususeni i-mucus emaphashini ngaphandle kobuhlungu. |
| Ukutheleleka kwesistimu yokuphefumula Isibonelo: I-pneumonia, ukutheleleka kokuphefumula okuphezulu | Ukususa kalula ulwelwesi oluqongelelekayo ngesikhathi sezimo ezithelelanayo kusiza ekwelapheni ngokushesha. |
| Abantu abalulama ekuhlinzweni | Ukukhwehlela njalo uma unesilonda sokuhlinzwa kubuhlungu kakhulu. Le ndlela ingasiza ekususeni amafinyila ngobuhlungu obuncane. |
| Abantu abalimale emgogodleni | Kulabo abanemisipha ebuthakathaka edingekayo ukuze bakhwehlele, le ndlela isiza ukususa amafinyila. |
Kulungile, pho ukwenza kanjani lokhu kukhwehlela 'okuthukuthelayo'?
Ukuze wenze lokhu ngendlela efanele, landela lezi zinyathelo. Kungase kuzwakale kungavamile ekuqaleni, kodwa kuzoba lula kakhulu uma usujwayele.
1. Okokuqala, hlala ngokunethezeka. Hlala esihlalweni noma onqenqemeni lombhede, izinyawo zombili ziphansi.
2. Gcina ikhanda lakho liqondile. Tshekisa isilevu sakho kancane bese uvula umlomo wakho kancane.
3. Phefumula kakhulu. Phefumula kakhulu. Kodwa ungagcwalisi amaphaphu akho ngokuphelele. Zicabange usugcwele cishe izingxenye ezintathu kwezine (75%).
4. Bamba umoya wakho isikhashana. Bamba umoya wakho imizuzwana emibili kuya kwemithathu. Lokhu kuzokwenza umoya ubambeke ngaphansi kwengqimba ye-mucus. Lokhu kuzosiza ukukhulula i-mucus.
5. 'Huff'. Manje, mnumzane, khipha umoya ngokushesha okukhulu (ngokunamandla). Yenza umsindo 'wokuhuff', njengesibuko esikhuphukayo. Lona 'uhuff'. Kufanele uzizwe imisipha yesisu sakho iqina njengoba wenza lokhu.
6. Phinda lokhu. Yenza lokhu kanye noma kabili. Uzozwa uketshezi lusuka emigudwini emincane yomoya emaphashini luye emigudwini emikhulu yomoya engenhla.
7. Okokugcina, susa i-mucus. Ukuze usule i-mucus esezinze emigwaqweni emikhulu yomoya, sebenzisa ukukhwehlela okubukhali nokulawulwayo. I-mucus izophuma kalula.
8. Phinda uma kudingeka. Phinda lezi zinyathelo kabili noma kathathu, kuye ngokuthi unama-mucus amaningi kangakanani.
Ezinye izinto okufanele uzikhumbule
- Ngemva kokukhwehlela 'ngokubhonga', ungaphefumuli ngokujulile nangokushesha ngomlomo wakho. Ukwenza kanjalo kungaphazamisa ukuphuma kwe-mucus, okuholela ekukhwehleleni okungalawuleki.
- Phuza amanzi amaningi usuku lonke. Uketshezi lunciphisa ulwelwesi. Uma ulwelwesi lunciphile, kulula kakhulu ukukhwehlela.
- Uma usebenzisa umuthi ofana ne-bronchodilator evula imigudu yomoya emaphashini, zama lokhu kukhwehlela 'okuthuthumela' ngemva kokuthatha lowo muthi. Lokhu kuzosiza umuthi ukuthi usebenze futhi kwenze kube lula ukuhlanza amafinyila.
Khumbula, ukunqwabelana kwama-mucus emaphashini akukuhle. Kuyindawo enhle yokukhula kwamagciwane. Kwandisa ingozi yezifo ezinkulu njenge-pneumonia. Ngakho-ke, kubaluleke kakhulu ukususa ama-mucus ngendlela efanele.
Kufanele ngimbone nini udokotela?
Uma unesifo samaphaphu sesikhathi eside njenge-COPD, noma uma uvame ukukhwehlela futhi uveza i-phlegm, qiniseka ukuthi ukhuluma nodokotela wakho ngendlela engcono kakhulu yokugcina amaphaphu akho ehlanzekile.
Mbuze ukuthi le ndlela yokukhwehlela ethi 'Huff' ikulungele yini nokuthi ungayenza kanjani ngendlela efanele. Ngezinye izikhathi angakuthumela kudokotela wezokwelapha umzimba ongakuqeqesha ukuthi ungayenza kanjani ngendlela efanele.
Ukufunda ukukhwehlela kahle kungakongela amandla, kunciphise ubuhlungu, futhi kukuvikele nasezifweni ezimbi kakhulu. Ngakho-ke ungesabi ukukhuluma nodokotela wakho ngalokhu.
Umlayezo Wokuya Nawe Ekhaya
- Ukukhwehlela okuthi 'Huff' kuyindlela ekhethekile yokukhwehlela ekhulula futhi ikhiphe amafinyila ajulile ngendlela elawulwayo.
- Lokhu kubangela umonakalo omncane emaphashini, ukukhathala, kanye nobuhlungu kunokukhwehlela okuvamile.
- Le ndlela kufanele yenziwe njengokuphefumulela esibukweni ngenkathi uthi 'ha...'.
- Lokhu kuwusizo kakhulu kubantu abanezifo zamaphaphu ezingamahlalakhona njenge-COPD kanye ne-bronchiectasis.
- Khuluma nodokotela wakho ukuze ufunde kabanzi ngale ndlela nokuthi ikulungele yini. Ungase futhi uqeqeshwe ngudokotela wezokwelapha ngokomzimba.
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