Ingabe uzizwa uphelelwa umoya ngokuzumayo, uphefumula ngokushesha? (Uma sikhuluma nge-Hyperventilation Syndrome)

Ingabe ngezinye izikhathi uthola kunzima ukuphefumula ngokuzumayo? Ingabe uzizwa sengathi uphelelwa umoya ngenxa yokwesaba nokukhathazeka, futhi ukuphefumula kwakho kwehla ngokushesha okukhulu? Ingabe isifuba sakho siyashaya futhi ikhanda lakho lizizwa lididekile ngaleso sikhathi? Lokhu kuyinto abantu abaningi ababhekana nayo. Namuhla, ake sixoxe ngalesi simo esibizwa ngokuthi `(Hyperventilation Syndrome)` . Ake siqonde ukuthi kuyini lokhu, kungani kwenzeka, nokuthi singakulawula kanjani.

Iyini le nkinga yokuphefumula, okungukuthi, i-Hyperventilation Syndrome?

Kalula nje, `(Hyperventilation Syndrome)` yisimo lapho uphefumula khona ngokushesha futhi njalo, ngaphandle kwesimo sezokwelapha esiyisisekelo. Abanye abantu bakubiza nangokuthi "ukuphefumula ngokweqile." Kungathatha imizuzu embalwa kuya ehoreni , bese kuvame ukuba ngcono ngokwakho. Cabanga ngakho, sivame ukuphefumula ukuze sithathe inani `(Oxygen)` umzimba wethu olidingayo futhi sikhiphe `(Carbon Dioxide)`. Kodwa uma `(Hyperventilation)`, uqala ukuphefumula ngokushesha nangokujulile . Ungase ungakuboni nokukubona. Kodwa uma uphefumula lokhu ngokushesha, izinga `(Carbon Dioxide)` egazini lakho liyancipha ngokuzumayo. Kwezokwelapha, lokhu sikubiza ngokuthi `(Respiratory Alkalosis)` . Manje ungase uzibuze ukuthi kuhle yini ukuba ne `(Carbon Dioxide)` ephansi. Empeleni, konke emzimbeni wethu kudinga ukulinganisela. Lapho `(Carbon Dioxide)` incipha, imithambo yethu yegazi, ikakhulukazi imithambo enikeza igazi ebuchosheni, iqala ukuminyana . Kufana nokucindezela ipayipi lamanzi. Bese inani legazi eliya ebuchosheni liyancipha. Yingakho uqala ukuthola izimpawu ezifana nesiyezi, ubunzima bokuphefumula, kanye nokuqina kwesifuba. Esikhathini esiningi, abantu abanalesi `(Hyperventilation Syndrome)` abazi ukuthi baphefumula ngendlela engavamile. Bamane bezwa ezinye izimpawu ezibangelwa yilolu shintsho ekuphefumuleni.

Ziyini izimpawu zalokhu? Noma, uzizwa kanjani ngakho?

Lesi simo "(Hyperventilation)" singavela uma unemizwa enamandla, njengokudabuka, ukwesaba, noma intukuthelo. Ngezinye izikhathi singaqala ngokuzumayo ngaphandle kwesizathu. Singahlala kusukela emizuzwini embalwa kuya ehoreni bese siphela ngaphandle kwemithi ekhethekile. Ngisho noma ungaqapheli ukuthi uphefumula ngokushesha nangokujulile, ungase ube nalezi zimpawu:

• Ukuzizwa unekhanda elithambile, unesiyezi, futhi ungenampilo. Njengokungathi ujikelezisiwe futhi uphonswe.
• Ubunzima bokuphefumula (odokotela babiza lokhu ngokuthi "i-Dyspnea"). Kungase kuzwakale sengathi uyacinana noma isifuba sakho siyacinana.
• Ukuzwa ubuhlungu noma ukuqina esifubeni .
• Ukuzizwa sengathi inhliziyo yakho ishaya ngokushesha futhi isifuba sakho siyashaya.
• Ukuba ndikindiki ezandleni nasemlonyeni, uzizwa sengathi izintuthwane ziyagijima.
• Ukuqina kwemisipha kuyanyakaza futhi kuyanyakaza ezingalweni nasemilenzeni .
• Ubunzima bokugxilisa ingqondo, ukungakwazi ukugcina ingqondo yakho isendaweni eyodwa.
• Ukungena njalo emphinjeni, uzizwa sengathi isisu sigcwele.
• Umlomo owomile.
• Ikhanda elibuhlungu.

Uma uhlangabezana nesinye noma ngaphezulu salezi zimpawu ngesikhathi esisodwa, kungenzeka ukuthi kungenxa ye-`(Hyperventilation)`.

Kungani lokhu kwenzeka kithi? Yiziphi izizathu?

Eqinisweni, abacwaningi abakakatholi ukuthi yini ngempela ebangela lesi `(Hyperventilation Syndrome)`. Kwezinye izimo, lesi simo singabangelwa izinto ezifana nokucindezeleka, ukwesaba, nokukhathazeka . Cabanga ngakho, lapho ukuhlolwa kusondela, lapho kunenkinga emsebenzini, noma lapho uzizwa ucindezelekile kakhulu ngenxa yenkinga ethile yomndeni. Kodwa-ke, kwabanye abantu, ngaphandle kwesizathu esithile, ngokuzumayo baqala ukuphefumula ngokushesha kanje. Abakwazi ukusho ukuthi, "Yingakho lokhu kwenzeka kimi." Akucaci kahle ukuthi lokhu kucindezeleka kubangela kanjani ukwanda kokuphefumula. Kodwa abacwaningi bacabanga ukuthi kuhlobene "nempendulo yokulwa noma yokubaleka" yomzimba wethu. Kalula nje, umzimba wethu unesistimu ebizwa ngokuthi `(Sympathetic Nervous System)` . Yilokhu okulungiselela imizimba yethu lapho sisengozini, esimweni esiphuthumayo, noma ngaphansi kwengcindezi enkulu. Ngezikhathi ezinjengalezi, imisipha yethu idinga `(Oksijini)` eningi. Yingakho siphefumula ngokushesha. Kodwa-ke, uma singadingi ngempela ukugijima noma ukulwa ngaleso sikhathi, lokhu kuphefumula okusheshayo kungaphenduka kube yi-`(Hyperventilation). Isibonelo, cabanga ukuthi uhamba emgwaqweni bese kuthi kungazelelwe kufike inja ikuxosha. Inhliziyo yakho ishaya ngokushesha, ukuphefumula kwakho kuyashesha, bese ujuluka. Konke lokhu kwenzeka ngoba umzimba wakho ulungiselela ukukusindisa kuleyo ngozi. Kodwa-ke, uma usekhaya nje, futhi unesimo esifanayo ngenxa yenkinga engqondweni yakho, akukho "ndlela yokuphunyuka" lapho. Yilapho-ke le ndlela yokuphefumula iphazamiseka khona.

Ingabe (i-Hyperventilation Syndrome) kanye (i-Panic Attacks) ziyizinto ezimbili ezihlukene?

Manje ungase uzibuze ukuthi ngabe lesi `(Hyperventilation Syndrome)` sifana yini ne-`(Panic Attacks)` esike sazizwa. Nakuba izimpawu zalezi ezimbili ngezinye izikhathi zifana, lezi yizimo ezimbili ezihlukene . I- (Panic Attack) ukwesaba okungazelelwe, okukhulu kanye nesethi yokusabela ngokomzimba okwenzeka esimweni esivamile, ngaphandle kwanoma yiluphi usongo. Uma `(Panic Attacks)` kwenzeka njalo futhi kungalindelekile, sikubiza ngokuthi `(Panic Disorder)` . Lesi isifo sokukhathazeka. Isici esiyinhloko se-`(Panic Disorder)` ukuthi lezi `(Attacks)` ziza ngaphandle kwesixwayiso, futhi azibangelwa esinye isifo sengqondo noma somzimba. (Hyperventilation Syndrome)Kokunye, ukuphefumula okusheshayo kungabangelwa imizwa enamandla njengokwesaba, intukuthelo, ukukhathazeka. Ngezinye izikhathi kungenzeka ngaphandle kwesizathu nhlobo. Futhi, ngezinye izikhathi lokhu `(Hyperventilation)` kungabangela ukwesaba nokukhathazeka futhi. Kufana nomjikelezo. Ucwaningo luthole ukuthi cishe ingxenye yabantu abane-`(Panic Disorder)` nabo bane-`(Hyperventilation Syndrome)` . Futhi, cishe abantu abangu-25% abane-`(Hyperventilation Syndrome)` nabo bane-`(Panic Disorder)` . Ngakho-ke kungaba nokuxhumana phakathi kwalokhu okubili, kodwa akufani.

Ukubona kanjani lokhu ngqo? Yiluphi uvivinyo olwenziwayo?

Akukho ukuhlolwa okuqondile kokuxilonga okungaxilonga ngokunembile i-hyperventilation syndrome. Odokotela bayawasusa amanye amagciwane abangela ukuphefumula ngokushesha ngaphambi kokuphetha ngokuthi yi-hyperventilation syndrome. Uma ubona udokotela, bazoqala bakubuze ngezimpawu zakho kanye nomlando wakho wezokwelapha . Bese benza ukuhlolwa ngokomzimba. Ezimweni eziningi, bangase bacele ukuhlolwa okulandelayo ukuze basuse izimo ezivamile ezingabangela ukuphefumula ngokushesha:

• I-Pulse Oximetry: Lokhu kulinganisa izinga lomoya-mpilo egazini lakho. Umuntu one- hyperventilation syndrome ngokuvamile unezinga lomoya-mpilo elingu-100% noma eduze kwalo. Ukufundwa okungaphansi kuka-95% kungaba uphawu lwesinye isimo esiyisisekelo.
• I-X -ray yesifuba : Lokhu kungahlola noma yiziphi izinkinga ngamaphaphu .
• I-ECG (i-Electrocardiogram - EKG): Lokhu kungahlola noma yiziphi izinkinga ngenhliziyo.

Ngaphezu kwalokhu, kunezinye izimbangela eziningi zomzimba zokuphefumula ngokushesha, ngakho udokotela angase futhi acele ukuhlolwa kwegazi okwengeziwe kanye nokunye ukuhlolwa kwezithombe uma kudingeka. Konke lokhu kwenziwa ukuqinisekisa ukuthi asikho esinye isifo esibi.

Yiziphi izindlela zokwelapha lokhu?

Kulungile, manje sesiyazi ukuthi kuyini, kungani kwenzeka, nokuthi singakubona kanjani. Ngakho-ke yiziphi izindlela zokwelapha ngakho? Ungase ukhululeke ukuzwa lokhu. Ngoba izindlela zokwelapha eziyinhloko zalokhu ukuqinisekiswa nokuqeqeshwa kabusha kokuphefumula. Ngemva kokuba udokotela wakho esekhiphe zonke ezinye izimbangela, uzokutshela ukuthi ukuphelelwa umoya kwakho nezinye izimpawu akuzona izimpawu zesimo esibucayi esiyisisekelo. Ukwazi lokho kuzosiza ekunciphiseni ukukhathazeka kwakho. Ngemuva kwalokho, ungathatha izinyathelo zokuvimbela ukuthi kungenzeki futhi.Uzokufundisa ezinye izivivinyo zokuphefumula.

Into ebaluleke kakhulu ukuqonda ukuthi lesi simo asiyona ingozi. Uma usukwazi lokho, uzozizwa ukhululekile kakhulu.

Enye indlela yokuqeqesha kabusha le ndlela yokuphefumula ngokusebenzisa `(Diaphragmatic Breathing)` (Diaphragmatic Breathing) noma ukuphefumula esiswini . Lokhu kuhilela ukuphefumula esiswini sakho (isisu) esikhundleni sesifuba sakho. Usebenzisa le ndlela, unganciphisa izinga lokuphefumula kwakho futhi uyeke noma uvimbele `(Hyperventilation)` ukuthi ingenzeki. Ukuze uzijwayeze lokhu, yenza okulandelayo: 1. Lala phansi. 2. Beka isandla esisodwa esifubeni sakho kanti esinye isandla esiswini sakho (ngaphansi nje kwekheji lakho lezimbambo). 3. Manje phefumula kancane ngekhala lakho. 4. Njengoba uphefumula, qaphela ukuthi izingalo zakho ziphakama futhi ziwe kanjani. 5. Umgomo kufanele kube ukuthi ingalo esesiswini sakho iphakame ngaphezu kwengalo esesifubeni sakho. Ngemva kwesikhashana, uzokhululeka kakhulu ngale ndlela yokuphefumula. Uma unesifo sengqondo esingaphansi, njengokucindezeleka noma ukukhathazeka, kungase kube nomthelela ku-hyperventilation syndrome yakho. Uma kunjalo, udokotela wakho angase akuncome ukwelashwa kwengqondo (ukwelashwa kokukhuluma) kanye, uma kudingeka, imithi yokwelapha lezo zimo.

Ingabe lokhu kungavinjelwa ukuthi kungenzeki futhi?

Njengoba sishilo ngaphambili, kunzima ukusho ukuthi kungavinjelwa ngokuphelele yini ngoba asazi imbangela eqondile. Kodwa-ke, kunezinto ongazenza ukuze unciphise amathuba okuthi kwenzeke futhi . Ikakhulukazi uma ukuphefumula kwakho ngokweqile kubangelwa ukucindezeleka nokukhathazeka, lawa masu okulawula ukucindezeleka kanye nokuphumula angakusiza:

• Ukuzivocavoca kokuphefumula: Njengokuphefumulela kwe-`( Diaphragmatic Breathing )` esikhulume ngakho ngaphambili.
• Ukuvivinya umzimba njalo : Into oyithandayo, njengokuhamba, ukugijima, noma ukubhukuda.
• Ukuphumula Kwemisipha Okuqhubekayo: Lokhu kuhilela ukuqinisa bese kukhulula imisipha engxenyeni ngayinye yomzimba.
• Ukuzindla (`(Ukuzindla)`).
• Ukuzivocavoca kwe-yoga (`( Yoga )`).
• Ukuzijwayeza Ukuqaphela: Lokhu kusho ukunaka umzuzu wamanje kuphela.

Ngokufaka lezi zinto empilweni yakho, unganciphisa ukucindezeleka futhi ugcine ingqondo yakho ikhululekile. Lokhu kunganciphisa nokuvela "kokuphefumula ngokweqile".

Kufanele simbone nini udokotela ngalokhu?

Nakuba lokhu `(Hyperventilation Syndrome)` kuzwakala kusabeka kancane, `(Hyperventilation)` ngokwako akulona ingozi ngokomzimba. Kodwa-ke, ngezinye izikhathi ukuphefumula okusheshayo kungabangelwa ezinye izizathu ezingathi sína . Ngakho-ke, kufanele nakanjani ubone udokotela ezimweni ezinjengalezi:

• Uma unesihlungu, ukulimala ekhanda, umkhuhlane, noma ukopha.
• Uma ukuphefumula kwakho ngokweqile kuba kubi kakhulu noma kwenzeka njalo, ngisho nangemva kokwelashwa okwenzayo ekhaya.
• Uma uthola ezinye izimpawu ezintsha.

Ngezikhathi ezinjengalezi, kungcono ukubona udokotela ngokushesha okukhulu bese ucela iseluleko.

Ngakho-ke, okudingeka sikukhumbule kukho konke lokhu ukuthi...

Lokhu kwanda okungazelelwe kokuphefumula, noma `(Hyperventilation)`, kungaba yinto eyesabekayo kakhulu uma ubhekana nakho. Kungathinta nempilo yakho yengqondo. Kodwa izindaba ezinhle ukuthi lesi simo esibizwa ngokuthi `(Hyperventilation Syndrome)` asiyona ingozi empilweni yakho yomzimba. Futhi, ukuqeqesha kabusha iphethini yakho yokuphefumula, ikakhulukazi indlela `(Diaphragmatic Breathing)` esikhulume ngayo, ingasiza ekuvimbeleni izimo ezinjalo ukuthi zingaphinde zenzeke. Uma ungatholi impumuzo ekuzilolongeni kokuphefumula kuphela, ungesabi ukubona udokotela wakho. Ngesiqondiso esifanele nokusekelwa, ungasiphatha kahle lesi simo.

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