Ingabe usenakho ukukhwehlela ngemva kokululama emkhuhlaneni? Ingabe ngezinye izikhathi uvuka ebusuku ukhwehlela okuba kubi kakhulu uma ulala? Lena akuyona inkinga yakho kuphela, kodwa inkinga yabantu abaningi. Okunye ukukhwehlela kuyaphela ezinsukwini ezimbalwa, kanti okunye kuhlala amasonto noma izinyanga. Ngakho-ke namuhla, ake sixoxe ngokuthi kungani lokhu kukhwehlela kuqhubeka, ukuthi kubangelwa yini, nokuthi yini esingayenza ngakho.
Kuyini Ukukhwehlela Okungapheli?
Kalula nje, uma ukhwehlela isikhathi esingaphezu kwamasonto ayisishiyagalombili , ngokwezokwelapha sikubiza ngokuthi “Ukukhwehlela Okungapheli.” Lokhu kusho ukuthi imbangela yokukhwehlela kwakho akuyona into elula njengomkhuhlane ovamile. Ngakho-ke akuwona umqondo omuhle ukungakunaki bese uthi, “Kulungile.”
Khumbula lokhu, ukukhwehlela okuqhubekayo akuyona nje into ephazamisayo, kuyisimo sezokwelapha esidinga ukunakwa udokotela. Ngakho-ke, kungcono ukubona udokotela ukuze uthole imbangela bese uthola ukwelashwa.
Yini engabangela lokhu kukhwehlela?
Kungaba nezimbangela eziningana zalokhu kukhwehlela okungapheli . Ezinye izinto ezilula ezingelashwa, kodwa ezinye zingaba zimbi kakhulu. Ukwelashwa okutholayo kuzoncika embangela eyinhloko.
Ukuconsa kwangemva kwempumulo
Lena yimbangela eyinhloko yokukhwehlela okuqhubekayo. Kalula nje, ulwelwesi lwekhala lethu luyavuvukala ngenxa yokungezwani komzimba , amagciwane, nothuli, futhi lukhiqize i-mucus eyengeziwe. Le mucus iphuma ekhaleni lethu iye emphinjeni wethu. Lokhu kuvame kakhulu uma silala phansi ebusuku. Le mucus yiyo ebangela ukukhwehlela. Udokotela wakho angase akunike umuthi wokukhulula ukuminyana, i-antihistamine , noma i-nasal spray yalokhu.
Isifuba somoya
Uma une-asthma, imisipha ezungeze imigudu yakho yomoya iyaqina, izindonga zemigudu yakho yomoya ziyavuvukala, bese kukhiqizwa ulwelwesi olujiyile. Ukukhwehlela okubangelwa yi-asthma kuwumzamo womzimba wakho wokufaka umoya kulezi zindlela zomoya ezincishisiwe. I-asthma ingabhebhethekiswa ukushintsha kwesimo sezulu, ukungezwani komzimba, izifo, intuthu, imithi ethile, ukuvivinya umzimba, ngisho nokucindezeleka. Ngenxa yalokhu, udokotela wakho uvame ukukunikeza i-inhaler, ikakhulukazi i-glucocorticoid ephefumulayo enciphisa ukuvuvukala kwemigudu yakho yomoya. Uma uphefumula kanzima, ungase futhi unikezwe i-inhaler ye-bronchodilator evula imigudu yakho yomoya.
Izifo
Ukukhwehlela kungaqhubeka ngisho nangemva kokuba usululame emkhuhlaneni, emkhunjini, ekuthelelekeni nge-COVID-19, noma e-pneumonia. I-Pertussis nayo iyimbangela evamile yokukhwehlela okuqhubekayo. Nakuba kuyimithi yokugomela enikezwa izingane, abantu abadala nabo bayanconywa ukuthi bathole umjovo wokuqinisa. Udokotela wakho angahlola amasosha omzimba wakho ngokuhlolwa kwegazi. Esikhathini esiningi, lokhu kutheleleka kudinga isikhathi nje sokuphulukiswa. Kuthatha isikhathi ukuthi amaphaphu ethu alulame. Kodwa ngezinye izikhathi, udokotela wakho angase akunike ama-antibiotic.
I-Gastritis kanye ne-acid reflux (GERD)
Abantu abaningi bazi lokhu ngokuthi i-gastritis. Uma sikhuluma iqiniso, `(Gastroesophageal Reflux Disease – GERD)`. Okwenzekayo lapha ukuthi indandatho yemisipha engezansi kwe-esophagus yethu iba buthakathaka, bese i-asidi esiswini ibuya phezulu, okungukuthi, ingene e-esophagus. Lo mphunga we-asidi uya emaphashini ethu bese uwacasula , okubangela ukukhwehlela. Nakuba ubuhlungu besifuba nobuhlungu kuyizimpawu eziyinhloko zalokhu, abanye abantu bangase babe nokukhwehlela njengophawu kuphela .
Lokhu kudinga izinguquko ezithile endleleni yokuphila. Kufanele uyeke ukudla ukudla okunamafutha, ushokoledi, iziphuzo ze-cola, iziphuzo ezine-asidi, kanye notshwala. Udokotela uphinde akutshele ukuthi wehlise isisindo futhi uyeke ukubhema. Unganikwa nemithi enciphisa ukukhiqizwa kwe-asidi yesisu (`(Proton Pump Inhibitor)`). Kodwa-ke, lokhu kwelashwa kungathatha amasonto ambalwa ukukhombisa imiphumela.
Imithi yomfutho wegazi ophezulu
Eminye imithi yomfutho wegazi ophakeme, ikakhulukazi leyo esesigabeni semithi ebizwa ngokuthi i-angiotensin-converting enzyme (ACE) inhibitors, ingabangela ukukhwehlela okomile njengomphumela oseceleni kubantu abangaba ngu-20%. Lokhu akuyona inkinga enkulu, futhi ngemva kokukhuluma nodokotela wakho nokushintsha imithi yakho kancane, lokhu kukhwehlela kuzophela.
Ukubhema
Kusobala ukuthi ukubhema kubi emaphashini akho (nasemzimbeni wakho wonke). Amaphaphu akho akhiqiza ama-mucus amaningi emzamweni wokususa amakhemikhali asemsini. Lokhu kubizwa ngokuthi “ukukhwehlela komuntu obhemayo.” Kungaba futhi uphawu lokuqala lwesimo esibucayi njenge-Chronic Obstructive Pulmonary Disease (COPD).
Isifo se-COPD
I-COPD iyiqembu lezifo ezenza kube nzima ngamaphaphu ukuphefumula ngaphakathi nangaphandle. Umzimba ukhiqiza umucu omningi kakhulu, umzimba ohlala ukhwehlela ukuze uqede. Ubunzima bokuphefumula bungenye impawu. Iningi leziguli ze-COPD libhema noma libhema ngaphambili. Kodwa-ke, lingakhula nakubantu abangabhemi. Kukhona izindlela zokwelapha lokhu, njenge-inhaler namaphilisi e-steroid.
Umdlavuza Wamaphaphu
Ungakhathazeki ngalokhu. Amathuba okuthi lokhu kwenzeke mancane. Kodwa lesi ngesinye sezizathu ezenza kufanele nakanjani uthole ukuhlolwa kwezokwelapha ukuze uthole ukukhwehlela okuqhubekayo. Uma ungabhemi futhi ungenawo umlando womndeni womdlavuza, akukho okufanele ukhathazeke ngakho.
Udokotela uthola kanjani imbangela?
Uma uya kudokotela wakho, uzobuza ngomlando wakho wezokwelapha futhi ahlole umzimba. Angase akubuze imibuzo efana nalokhu:
- Ukukhwehlela kwaqala nini?
- Ingabe kukhona isikhathi esithile, ukudla, noma into ethile eyenza ukukhwehlela kwakho kube kubi nakakhulu?
- Ingabe kukhona ulwelwesi oluphumayo? Umbala walo ulwelwesi unjani? Ingabe kukhona igazi?
- Ingabe ukhona oseduze nawe onalezi zimpawu?
- Uyabhema ? Noma wake wabhema esikhathini esidlule?
- Ingabe unezinhlungu esifubeni noma i-gastritis?
- Ingabe unesifo sokungezwani komzimba?
- Ingabe ikhona imithi emisha oyiqalile muva nje?
Kuye ngezimpendulo zale mibuzo, udokotela angaqala ngokwelashwa okuthile kuqala. Uma lokhu kusiza ekunciphiseni ukukhwehlela, akudingeki ukuhlolwa okwengeziwe. Kodwa-ke, uma ukukhwehlela kuqhubeka futhi imbangela ingacaci, kungase kudingeke ukuhlolwa okwengeziwe.
| Ukuhlolwa | Wenzani ngayo? |
|---|---|
| I-Throat Swab | Hlola ukuthi unesifo somphimbo. |
| Ukuhlolwa Kwegazi | Thola ukuthi umzimba wakho ulwa yini nokutheleleka. |
| I-X-ray yesifuba noma i-CT scan | Hlola isimo samaphaphu akho. Lokhu kubaluleke kakhulu uma ubhema. |
| Ukuhlolwa Komsebenzi Wamaphaphu | Ukuhlolwa okufana ne-spirometry kusetshenziselwa ukukala ukuthi amaphaphu akho angaphefumula kahle kangakanani. |
| Ukuhlolwa kwe-Acid Reflux | Ukulinganisa izinga le-asidi ku-esophagus noma ukuhlola ingaphakathi le-esophagus nge- endoscopy . |
Kufanele uye nini kudokotela?
Uma ukukhwehlela kwakho sekuqhubeke isikhathi esingaphezu kwamasonto ayisishiyagalombili , qiniseka ukuthi ubona udokotela. Ngezinye izikhathi, ngisho nokukhwehlela okubangelwa ukungezwani komzimba kungahlala izinyanga, kodwa ungakushayi indiva.
Futhi, uma unalezi zimpawu kanye nokukhwehlela kwakho, funa iseluleko sezokwelapha ngokushesha:
- Ubunzima bokuphefumula
- Imfiva
- Ukukhwehlela igazi (Lesi yisimo esiphuthumayo. Yiya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.)
Umlayezo Wokuya Nawe Ekhaya
- Khathazeka nganoma yikuphi ukukhwehlela okuhlala isikhathi esingaphezu kwamasonto ayi-8 (Ukukhwehlela Okungapheli). Ungakushayi indiva njengokujwayelekile.
- Lokhu kungabangelwa yinto elula njengomphimbo obuhlungu, i-asthma , noma i-gastritis, noma ngezinye izikhathi kungaba uphawu lwesimo esibucayi kakhulu.
- Uma ukukhwehlela kwakho kunganciphi ngemva kokuthatha umuthi ekhemisi, yeka ukuwusebenzisa bese ubona udokotela.
- Uma unezimpawu ezifana nobunzima bokuphefumula, umkhuhlane, noma ukukhwehlela igazi kanye nokukhwehlela kwakho, funa iseluleko sezokwelapha ngokushesha ngaphandle kokulibala.
- Ukutshela udokotela wakho ngokucacile ngezimpawu zakho kuzobasiza ukuthi bathole imbangela ngokushesha.
Ukukhwehlela okuqhubekayo, ukukhwehlela okungapheli, izimbangela zokukhwehlela, umuthi wokukhwehlela, i-GERD, i-asthma, i-COPD, ukukhwehlela komuntu obhemayo, isifo samaphaphu, ukukhwehlela
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