Yini Ebangela Ukulingana Kokukhwehlela Okunodlame futhi Ngingakuyeka Kanjani?

-Delile

• Izimbangela ukukhwehlela paroxysmal
• Ukuxilongwa nokwelashwa kokukhwehlela kufanelana
• Amakhambi asekhaya okukhwehlela ayalingana
• Ukuvimbela ukukhwehlela kwe-paroxysmal
• Ukubonana nodokotela nini
• Ukudla okudlela endlini

Ukubuka konke

Ukukhwehlela nge-paroxysmal kubandakanya ukukhwehlela njalo futhi okunodlame okungenza kube nzima ukuthi umuntu aphefumule.

Ukukhwehlela ukucabanga okuzenzakalelayo okusiza umzimba wakho ukuthi ulahle amafinyila, amabhaktheriya nezinye izinto zangaphandle. Ngokutheleleka okufana ne-pertussis, ukukhwehlela kwakho kungaqhubeka isikhathi eside, okwenza kube nzima ukuthola i-oxygen eyanele noma ukubamba umoya wakho. Lokhu kungadala ukuthi uhogele ngokucijile futhi ukhefuzele kakhulu umoya, yingakho i-pertussis yaziwa nangokuthi ukukhwehlela.

Ngo-2012, unyaka omkhulu wokukhwehlela, i-Centers for Disease Control and Prevention yabika cishe. Eziningi zalezi zimo, ikakhulukazi ezinganeni ezincane, zibandakanya ukukhwehlela kwe-paroxysmal.

Funda ukuze ufunde ukuthi yini ebangela ukukhwehlela kwe-paroxysmal, ukuthi ilashwa kanjani, izindlela ongakuvimbela ngayo, nokuthi kufanele ubone nini udokotela wakho.

Izimbangela ukukhwehlela paroxysmal

Ukukhwehlela kwe-paroxysmal kuvame ukubangelwa I-Bordetella pertussis ibhaktheriya. Leli bhaktheriya lithelela umgudu wokuphefumula (ikhala, umphimbo, i-windpipe, namaphaphu) futhi kubangele ukukhwehlela. Lesi sifo sithathelwana kakhulu.

Ukukhwehlela kwe-paroxysmal kuyisigaba sesibili sokukhwehlela. Lesi sigaba singena ekutheleleni. Icala elijwayelekile lokukhwehlela nge-paroxysmal lihlala ngaphambi kokuthi livuleke. Ezimweni ezinzima, ukukhwehlela kwe-paroxysmal kungakhula kakhulu uze uhlanze, futhi izindebe zakho noma isikhumba sakho singashintsha sibe luhlaza okwesibhakabhaka ngokushoda komoya-mpilo egazini. Funa ukunakekelwa kwezimo eziphuthumayo uma uhlangabezana nalezi zimpawu.

Ezinye izimbangela zokukhwehlela kwe-paroxysmal zifaka:

• isifuba somoya, isimo sokuphefumula lapho imigwaqo yakho yomoya ivuvukala futhi igcwale amafinyila amaningi
• i-bronchiectasis, isimo lapho amashubhu emaphashini akho enwetshwa unomphela ngaphakathi ububanzi nezindonga ezijiyile ngenxa yokuvuvukala, okubangela ukwakheka kwamagciwane noma amafinyila
• i-bronchitis, ukuvuvukala ku-bronchi yamaphaphu
• isifo se-reflux se-gastroesophageal (GERD), isimo lapho i-asidi esiswini sakho ibuyisa khona umphimbo wakho nasemphinjeni wakho futhi kwesinye isikhathi ungene ezindleleni zakho zomoya
• ukulimala kwamaphaphu ekuhlukumezeni, ekuphefumuleni intuthu, noma ekusebenziseni izidakamizwa
• inyumoniya, uhlobo lokutheleleka kwamaphaphu
• isifo sofuba (TB), ukutheleleka kwamaphaphu okungasakazeka kwezinye izitho uma kuyekwa kungalashwa

Ukuxilongwa nokwelashwa kokukhwehlela kufanelana

Uma ubona udokotela wakho mayelana nokulingana kokukhwehlela, bangahle bahlele ukuhlolwa okukodwa noma okungaphezulu kokuthola imbangela:

• ikhala noma umphimbo swab ukuhlola ukutholakala kwamagciwane athelelanayo
• ukuhlolwa kwegazi ukuhlola ukubalwa kwamaseli egazi amhlophe aphezulu, okungakhombisa ukutheleleka
• I-X-ray noma i-CT scan esifubeni noma ezonweni ukubheka izimpawu zezifo zokuphefumula, ukulimala, noma ukungajwayelekile
• i-spirometry noma olunye uvivinyo lomsebenzi wamaphaphu ukuhlola ukuthi umzimba wakho ungena kanjani futhi uxosha umoya, ukuxilonga isifo somoya
• i-bronchoscopy eneshubhu encane nekhanyisiwe ekhombisa izithombe zesikhathi sangempela sangaphakathi samaphaphu akho
• i-rhinoscopy ukubona izithombe zesikhathi sangempela ngaphakathi kwempumulo yakho namaphaseji ekhala
• i-endoscopy ephezulu yamathumbu yomgudu wakho wokugaya ukudla ukuhlola i-GERD

Lapho udokotela wakho ethola imbangela, bangahle bakunikeze izindlela zokwelashwa ezahlukahlukene ngokuya ngesizathu. Lokhu kungafaka:

• ama-antibiotic, kufaka phakathi i-azithromycin (Z-Pack), ukusiza amasosha akho omzimba alwe namagciwane athelelekayo
• ama-decongestants, njenge-pseudoephedrine (Sudafed), noma i-expectorant guaifenesin (Mucinex), ukunciphisa ukwakheka kwe-mucus, ukukhwehlela nezinye izimpawu
• ama-antihistamine, njenge-cetirizine (i-Zyrtec), ukunciphisa izimpawu zokungezwani komzimba ezingase zenze kube nzima ukukhwehlela, njengokucinana, ukuthimula, nokulunywa
• i-inhaler noma i-nebulized bronchodilator treatment yokusiza ukuvula imigwaqo yomoya ngesikhathi sokukhwehlela kufanelana noma ukuhlaselwa yisifuba somoya
• ama-antacids ezimpawu ze-GERD
• ama-proton pump inhibitors afana ne-omeprazole (Prilosec), anciphisa ukukhiqizwa kwe-asidi esiswini, ukusiza umphimbo wakho uphole ku-GERD
• izivivinyo zokuphefumula ngokuqondiswa kokwelapha okuphefumulayo kwezimo ezinjenge-bronchitis

Amakhambi asekhaya okukhwehlela ayalingana

Zama lokhu okulandelayo ekhaya ukuze unciphise ukukhwehlela:

• Phuza okungenani ama-ounces angu-64 wamanzi ngosuku ukuze uzigcine unamanzi amaningi.
• Geza njalo ukuze ugcine umzimba wakho uhlanzekile futhi unciphise ukusabalala kwamagciwane.
• Geza izandla zakho kaningi ukugcina amabhaktheriya ekwakheni nasekusakazekeni.
• Sebenzisa i-humidifier ukugcina izindlela zakho zomoya zimanzi, ezingasiza ukukhulula amafinyila futhi kube lula ukukhwehlela. Ungasebenzisi ngokweqile i-humidifier yakho, ngoba lokhu kungenza kube lula ngama-bacteria ukukhiqiza kabusha.
• Uma uhlanza, yidla izingxenye ezincane ngesikhathi sokudla ukunciphisa ivolumu yokuhlanza.
• Yehlisa noma uqede ukuvezwa kwakho yintuthu emikhiqizweni kagwayi noma intuthu yokupheka nezindawo zomlilo.
• Hlala uhlukanisiwe nabanye ngangokunokwenzeka ukugcina ukutheleleka kwebhaktheriya kungasakazeki. Lokhu kufaka izinsuku ezinhlanu zokuhlukaniswa ngenkathi uthatha ama-antibiotics. Gqoka imaski uma uhlela ukuba seduze nabanye.
• Ungasebenzisi imikhiqizo enephunga elimnandi njengezifutho zomoya oqabulayo, amakhandlela, i-cologne, noma amakha angacasula izindiza zakho.

Ukuvimbela ukukhwehlela kwe-paroxysmal

Ukukhwehlela kwe-paroxysmal kusuka kukhwehlela kuvamile ezinganeni ezincane. Thola ingane yakho igonywe umuthi wokugomela i-diphtheria-tetanus-pertussis (DTaP) noma umuthi wokugomela i-tetanus-diphtheria-pertussis (Tdap) ukuze uvikeleke ekuthelelekeni ngamagciwane e-pertussis.

Uma umuntu osondelene nawe ekhwehlela, gwema ukuthinta noma ukuba seduze kwakhe kuze kube yilapho ethathe ama-antibiotic okungenani izinsuku ezinhlanu.

Nazi ezinye izindlela zokusiza ukuvimbela ukukhwehlela kwe-paroxysmal:

• Gwema ukubhema imikhiqizo kagwayi noma ezinye izidakamizwa ezihogelwayo.
• Lala nekhanda lakho liphakanyisiwe ukugcina i-mucus noma i-acid esiswini ekunyuseni umoya wakho noma umphimbo.
• Ukuzivocavoca umzimba kaningi ukwenza kube lula ukuphefumula nokuvimbela ukuzuza kwesisindo okungaba nomthelela ku-acid reflux nase-GERD.
• Yidla ngesivinini esincane futhi uhlafune okungenani ama-20 ngokulunywa okuthile ukuze kugayeke kalula.
• Sebenzisa i-diffuser ebalulekile kawoyela ukusiza ukuvula imigwaqo yakho yomoya. Amafutha athile angaba namandla kakhulu kunamanye, ngakho-ke qaphela uma uzama lokhu ukuthola usizo. Uma lokhu kwenza ukukhwehlela kwakho kube kubi kakhulu, gwema ukusebenzisa.
• Zama amasu okuphumula, njenge-yoga noma ukuzindla, ukuze uthole ukulawula ukuphefumula kwakho, uqinise amasosha omzimba wakho, futhi uvimbele i-acid reflux.

Ukubonana nodokotela nini

Bona udokotela wakho ngokushesha okukhulu uma ukukhwehlela kwe-paroxysmal kuhlangana isikhathi esingaphezu kwesonto futhi kukhula njalo noma kube nodlame.

Ezinye izimpawu ezihambisana nazo zingasho ukuthi unesifo esibi noma isimo esiyisisekelo senza ukukhwehlela kwakho kuhambisane. Funa usizo lwezokwelapha oluphuthumayo uma uhlangabezana nokulandelayo:

• ekhwehlela igazi
• ukuhlanza
• ukungakwazi ukuphefumula noma ukuphefumula ngokushesha
• izindebe, ulimi, ubuso, noma esinye isikhumba esiba luhlaza okwesibhakabhaka
• ukulahlekelwa ukwazi
• imfiva
• Ukugodola

Ukudla okudlela endlini

Ukukhwehlela kwe-paroxysmal kungaba nezimbangela ezahlukahlukene, kepha imvamisa kungumphumela wokutheleleka nge-pertussis. Kwezinye izimo futhi kuya ngesizathu, iyozihambela yodwa, kodwa ezinye izimbangela, ezifana nesifuba somoya, i-pertussis, ne-TB, zidinga ukwelashwa ngokushesha noma ukuphathwa kwesikhathi eside.

Bona udokotela wakho uma unokukhwehlela okungapheli okuphazamisa impilo yakho noma okwenza kube nzima ngawe ukuphefumula. Izimbangela eziningi zingelashwa ngaphandle kwengozi yezinkinga uma zisheshe zatholakala.