Ingabe nawe uhlushwa ukuphelelwa umoya? Ake sifunde ngokuvuselelwa kwe-Pulmonary

Ingabe ukuthola kunzima ukuphefumula uma uhamba ngezitebhisi, uhamba ngokushesha, noma wenza umsebenzi omncane wasekhaya? Ingabe uzizwa sengathi isifuba sakho sinciphile futhi uphelelwa umoya? Ungase ucabange ukuthi lezi zinto zivamile uma uphila nesifo samaphaphu sesikhathi eside njenge-asthma noma i-COPD. Ungase ukwazi ukunciphisa imisebenzi yakho futhi uhlale ekhaya. Kodwa empeleni kukhona uhlelo olukhethekile olungakusiza wenze impilo yakho ibe lula, uphefumule kalula, futhi ube matasa kakhulu. Namuhla sikhuluma ngokwelashwa abantu abaningi abangakwazi, kodwa okuwusizo kakhulu, futhi lokho kuwukuvuselelwa kwamaphaphu.

Kuyini Ukuvuselelwa Kwe-Pulmonary?

Kalula nje, lolu uhlelo olukhethekile lwezempilo olwenzelwe ukuthuthukisa ikhwalithi yokuphila kwabantu abanesifo samaphaphu esingamahlalakhona ngokulawula izimpawu zabo. Lokhu akukhona nje ukuzivocavoca umzimba. Kungaphezu kwalokho. Ithimba lochwepheshe bezempilo, okuhlanganisa odokotela, ochwepheshe be-physiotherapists, kanye nabelaphi bokuphefumula, bayahlangana ukuze bakufundise ukuthi ungalawula kanjani ukuphefumula kwakho ekuzivocavoceni, emfundweni, nasemisebenzini yansuku zonke, elungiselelwe isimo sakho futhi ezingeni ongalibekezelela.

Cabanga ngalokhu. Awuhambi kakhulu ngoba uphelelwa umoya. Khona-ke imilenze yakho, izingalo, ngisho nemisipha ekusiza ukuphefumula iyancipha kancane kancane. Lapho imisipha yakho incipha, uzizwa ukhathele ngisho nalapho wenza imisebenzi emincane, futhi kuba nzima ukuphefumula. Kufana nomjikelezo. Into eyodwa iholela kwenye. Ukuvuselelwa kwamaphaphu kuyaphula lo mjikelezo omubi futhi kukusize ukuthi ubuyele ezinyaweni zakho ngokuphepha nangokuhamba kancane. Nakuba kungase kungelaphe ngokuphelele isifo samaphaphu akho, uzothola ukuthi ubunzima bakho bokuphefumula buyancipha, umzimba wakho unamandla engeziwe, futhi impilo iba lula kakhulu.

Yiziphi izinhlobo zezimo lokhu kwelashwa okusiza kuzo?

Ukuvuselelwa kwamaphaphu kuyazuzisa ezimweni eziningana ezithinta ukusebenza kwamaphaphu isikhathi eside. Uma unezinye zezimo kulolu hlu, kufanelekile ukuxoxa ngalokhu nodokotela wakho.

Kwenzekani ngempela ohlelweni lokuvuselela?

Lolu hlelo alulona olwawo wonke umuntu. Lwenzelwe wena ngqo, ngokusekelwe esimweni sakho, amandla akho omzimba, kanye nemigomo yakho (isibonelo, "Ngifuna ukudlala nomzukulu wami" noma "Ngifuna ukukwazi ukuya esitolo ngedwa"). Uzohlolwa ngaphambi nangemva kohlelo. Lokhu kuzofaka phakathi ukulinganisa izimpawu zakho, amazinga omoya-mpilo, kanye nobungako bokuzivocavoca ongabukwenza.

Kunezingxenye eziningana eziyinhloko zohlelo:

1. Ukuzivocavoca

Lena yingxenye eyinhloko nebaluleke kakhulu yohlelo. Kodwa ungakhathazeki, lokhu akuyona into ongeke ukwazi ukuyisingatha. Konke lokhu kwenziwa ngaphansi kokuqondisa okugcwele kochwepheshe.

• Ngokuvamile kuba nezikhathi ezimbili noma ezintathu zokuzivocavoca ngesonto.
• Qala ngokuzilolonga okuncane kakhulu, okufushane, bese wandisa kancane kancane isikhathi nenani lokuzivocavoca njengoba amandla akho ekhula.
• Bazohlala behlola ukuphefumula kwakho nokukhathala kwakho ngenkathi uzivocavoca.

Izinhlobo zokuzivocavoca:

• Ukuzifudumeza Nokupholisa: Ukulungiselela nokululama komzimba ngaphambi nangemva kokuzivocavoca.
• Ukuqeqeshwa kokuguquguquka: Ukuzivocavoca okwelula okwandisa ukuguquguquka kwemisipha.
• Ukuqeqeshwa kwemisipha yokuphefumula: Ukuzivocavoca okuqinisa imisipha ekusiza ukuphefumula. Lokhu kungase kuhilele ukuphefumula ngokushesha usebenzisa idivayisi encane ephathwa ngesandla.
• Ukuqeqeshwa kokukhuthazela: Ukuzivocavoca okwandisa amandla enhliziyo namaphaphu. Isibonelo, izinto ezifana nokugibela ibhayisikili noma ukuhamba nge-treadmill.
• Ukuqeqeshwa kokumelana: Ukuzivocavoca okuqinisa imisipha kusetshenziswa izisindo. Kusetshenziswa izisindo ezilula kanye namabhande okumelana.
• I-NMES (i-Transcutaneous neuromuscular electrical stimulation): Kwezinye izimo, indlela yokuqinisa imisipha ngokuyenza ifinyele kusetshenziswa ugesi omncane.

2. Imfundo kanye nokuqwashisa (Imfundo)

Njengokuzivocavoca umzimba, kubalulekile futhi ukwazi ukuthi ungaphila kanjani nesimo sakho. Kulesi sigaba, sizokufundisa ngalokhu:

• Ungaphatha kanjani ukuphelelwa umoya nezinye izimpawu?
• Bazochaza ukuthi yimiphi imithi oyinikezwe, ukuthi uyisebenzisa kanjani ngqo, nokuthi yimiphi imiphumela yayo emibi.
• Uma usebenzisa i-oxygen, uzofundiswa ukuthi ungahlola kanjani izinga layo nokuthi i-oxygen iyadingeka nini.
• Ungakuvimbela kanjani ukuqubuka/ukubhebhetheka kanye nokutheleleka? Yini okufanele uyenze uma kwenzeka.
• Indlela yokusebenzisa kahle imishini yezokwelapha yasekhaya (isb. i-nebulizer).

3. Ukuqeqeshwa kabusha kokuphefumula

Lesi sigaba siwusizo kakhulu. Amasu okuphefumula akhethekile afundiswa lapha ukusiza ekulawuleni ukuphelelwa umoya ngenkathi kwenziwa imisebenzi yansuku zonke, njengokukhwela izitebhisi.

• Amasu okuphefumula alawulwayo: Njengokuphefumula okujulile usebenzisa i-diaphragm) kanye nokuphefumula okunezindebe ezicindezelwe (ukuphefumula kancane, njengokucima ikhandlela, umlomo wakho uvaliwe). Lokhu kungasiza kakhulu ekunciphiseni ukuphelelwa umoya.
• Amasu okuphumula: Izindlela zokunciphisa ukucindezeleka nokuphumula umzimba.
• Uma kwenzeka ukuphelelwa umoya, kunezindlela zokuma ezingasiza ekunciphiseni (isib., "isikhundla se-tripod" - ukugoba phambili ubeke izandla zakho etafuleni).

4. Ukwelashwa kwesifuba kanye nokususwa komoya ongcolile

Uma isimo sakho sezempilo sibangela ukuthi i-mucus ejiyile iqoqeke emaphashini akho nasendleleni yokuphefumula, lesi sigaba sizoba sibaluleke kakhulu kuwe. Nazi ezinye izindlela ezilula zokususa i-mucus.

• Amasu okukhwehlela nokuphefumula: Ukuhlanza amafinyila ngokusebenzisa amasu akhethekile okukhwehlela njengokuthi `(Huff cough)`.
• Amadivayisi e-PEP (Positive air pressure): Lawa amadivayisi amancane adala ukumelana okuncane lapho uphefumula, avula imigudu yakho yokuphefumula futhi enze kube lula ukususa amafinyila.
• Amavesti okuvula umoya: Idivayisi efana nevesti egqokwa emzimbeni. Lokhu kudlidliza futhi kukhulule ulwelwesi esifubeni.
• Ukukhipha amanzi emzimbeni kanye nokushaya: Indlela yokususa i-phlegm ngokuhlala ezindaweni ezithile bese omunye umuntu ethinta isifuba nomhlane kancane.

5. Ukusekelwa kwempilo yengqondo

Ukuphila nesifo sesikhathi eside kungaba yinto ekhathazayo engqondweni. Lolu hlelo luphinde lusize ekuphatheni izinkinga ezifana nokukhathazeka, ukucindezeleka, nokucindezeleka. Lokhu kungafaka ukwelulekwa, amaqembu okusekela, ngisho nemithi uma kudingeka.

6. Ukudla Okunomsoco

Ukudla okunempilo kubalulekile ukuze ugcine amandla omzimba wakho futhi wakhe imisipha. Uchwepheshe wezokudla uzokunikeza iseluleko ngokuthi yikuphi ukudla okufanele isimo sakho, ukuthi kufanele yini udle amaprotheni amaningi, nokuthi kufanele yini udle ukudla okuncane izikhathi eziningana ngosuku esikhundleni sokudla okuningi ngesikhathi esisodwa.

Yiziphi izinzuzo zalolu hlelo?

Izinzuzo eziyinhloko ezibonakala kulabo abaqeda ukuvuselelwa kwamaphaphu yilezi:

• Ukwehla okukhulu kwezimpawu ezifana nokuphelelwa umoya nokukhwehlela.
• Isidingo esinciphile sokulaliswa esibhedlela okuphindaphindiwe.
• Ukunciphisa inani lezinkinga ezibangwa yizo.
• Izinga lempilo lihle kakhulu. Izinto ezifana nemisebenzi yasekhaya, ukuphuma uye engadini uyokha imbali, noma ukuya ohambweni olufushane akuyona inselele enkulu, kodwa zingenziwa kalula .
• Ikhono elanele lokuzivocavoca nokuhamba.
• Impilo yengqondo ethuthukisiwe. Imizwa yokukhathazeka nokwesaba encishisiwe.
• Ukuzizwa ungakhathele kakhulu futhi unamandla kakhulu.

Ungazuza kanjani ngokugcwele ohlelweni?

Lawa macebiso azokusiza ukuthi uthole okuningi kulolu hlelo:

• Khuluma ngokwethembeka nodokotela wakho kanye nabelaphi.Uma ukuzivocavoca kunzima, uma ukhathele, kusho. Khuluma nabo ngamathemba akho nemigomo yakho.
• Yiba khona kuzo zonke izikhathi. Uma ungaqedi uhlelo, imiphumela yakho ingase inciphe.
• Cabanga ngezindlela zokwenza ukuzivocavoca kube lula. Mhlawumbe ukuzivocavoca ngenkathi ulalele umculo, ugqoke ifeni, noma ubuze ukuthi ungakwazi yini ukuzivocavoca ngaphandle.
• Ngisho noma uhlelo seluphelile, qhubeka nokwenza lokho owakufundiswa ekhaya. Lena yinto ebaluleke kakhulu. Uma ufuna ukugcina imiphumela oyitholile, udinga ukwenza lokhu kube yingxenye yempilo yakho.
• Yazisa umndeni wakho nabangani bakho ngalokhu. Ukusekela kwabo kuzoba umthombo omkhulu wamandla kuwe.

Okokugcina, kunzima ngisho nokucabanga ngokuzivocavoca uma unenkinga yokuphefumula. Kodwa lolu hlelo lwenzelwe ukukusiza ukuthi uqine ngokuphepha nangejubane lakho. Akuyona nje ukuzivocavoca, kuyindlela enhle yokulawula impilo yakho futhi, ukuze wenze into yakho ngaphandle kokuthembela komunye umuntu. Uma unesifo samaphaphu esingamahlalakhona, buza udokotela wakho ngalolu hlelo lokuvuselela amaphaphu namuhla.