Kungani Nginenkinga Yokuphefumula Ebusuku?

-Delile

• Lapho ufuna ukunakekelwa ngokushesha kwezokwelapha
• Yini ebangela ukuphefumula okuncane?
• Izimo zamaphaphu
• Isifuba Somoya
• Embolism yamaphaphu
• Isifo esingapheliyo se-pulmonary disease (COPD)
• Inyumoniya
• Izimo zenhliziyo
• Ukwehluleka kwenhliziyo nezimo ezihlobene
• Ukungezwani komzimba
• I-apnea yokulala
• Ukukhathazeka nokuhlaselwa uvalo
• Kutholakala kanjani ukuphelelwa umoya ebusuku?
• Yini ukwelashwa?
• Okubalulekile

Kunezizathu eziningana zokuthi kungani ungazithola uphefumula kanzima ebusuku. Ukuphefumula okuncane, okubizwa nge-dyspnea, kungaba uphawu lwezimo eziningi. Ezinye zithinta inhliziyo yakho namaphaphu, kodwa hhayi konke.

Ungaba nezimo ezifana ne-apnea yokulala, ukungezwani komzimba noma ukukhathazeka. Udinga ukuqonda imbangela yokuphelelwa umoya kwakho ukuze uyelaphe.

Lapho ufuna ukunakekelwa ngokushesha kwezokwelapha

Ukuphefumula okungazelelwe futhi okunzima ebusuku kungaba uphawu lwesimo esibi. Funa ukunakekelwa ngokushesha uma:

• awukwazi ukubamba umoya wakho lapho ulele phansi
• ukuzwa ukuphefumula okuya kusiba kubi noma isikhathi eside okungapheli noma kuya ngokuya kuba kubi

Kufanele futhi ufune usizo lwezokwelapha ngokushesha uma ukuphefumula okuncane kwenzeka nge:

• izindebe noma iminwe eluhlaza okwesibhakabhaka
• ukuvuvukala eduze kwezinyawo zakho
• izimpawu ezinjengomkhuhlane
• isifuba
• umsindo ophakeme lapho uphefumula

Yini ebangela ukuphefumula okuncane?

Izimo eziningi zidala ukuphefumula kanzima ebusuku. Ukuphefumula okungapheli kwenzeka lapho uhlangabezana nalesi sifo isikhathi esingaphezu kwenyanga. Ngokwesihloko esikwiAmerican Family Physician, amaphesenti angama-85 ezimweni ezibangela ukuphefumula okungapheli ahlobene namaphaphu akho, inhliziyo, noma impilo yengqondo.

Ukuphefumula kungenzeka uma umzimba wakho ungakwazi ukupompa ngokwanele umoya-mpilo egazini lakho. Amaphaphu akho kungenzeka angakwazi ukucubungula ukungena kwe-oxygen noma inhliziyo yakho ingahle ingakwazi ukumpompa igazi ngempumelelo.

Ukuphefumula kancane lapho ulele kubizwa ngokuthi i-orthopnea. Lapho lesi sifo sivela ngemuva kwamahora ambalwa okulala, sibizwa ngokuthi i-paroxysmal nocturnal dyspnea.

Izimo zamaphaphu

Izimo ezahlukahlukene zamaphaphu zingadala ukuphefumula okuncane. Ezinye zihlala zingelapheki noma zisongela impilo kanti ezinye zingelashwa.

Isifuba Somoya

Isifuba somoya sivela ngenxa yokuvuvukala emaphashini akho. Lokhu kuholela ezinkingeni zokuphefumula. Ungathola ukuphefumula okufushane ebusuku okuhlobene nesifuba sakho somoya ngoba:

• isikhundla sakho sokulala sibeka ingcindezi kusixhumi sakho
• amafinyila akhela emphinjeni wakho okwenza ukuthi ukhwehlele futhi ulwele ukuphefumula
• ama-hormone akho ayashintsha ebusuku
• imvelo yakho yokulala ibangela i-asthma yakho

I-asthma nayo ingadalwa yizimo ezifana nesifo se-reflux se-gastroesophageal (GERD).

Embolism yamaphaphu

I-pulmonary embolism yenzeka uma i-clot yegazi yakha emaphashini akho. Ungase futhi ube nobuhlungu besifuba, ukukhwehlela nokuvuvukala. Ungaba nalesi simo uma uke walala embhedeni isikhathi esithile. Lokhu kungakhawulela ukugeleza kwegazi lakho.

Uma ucabanga ukuthi une-pulmonary embolism, funa ukunakekelwa kwezokwelapha okuphuthumayo.

Isifo esingapheliyo se-pulmonary disease (COPD)

I-COPD ibangela ukuvinjelwa noma ukunciphisa imigwaqo yomoya eyenza ukuphefumula kube nzima kakhulu. Ungaba nezimpawu ezifana nokuphefumula, ukukhwehlela, ukukhiqizwa kwe-mucus, nokuqina esifubeni. Ukubhema noma ukuvezwa kwamakhemikhali ayingozi kungadala i-COPD.

Inyumoniya

I-pneumonia ingakhula ngenxa yegciwane, ibhaktheriya noma isikhunta. Isimo sivutha amaphaphu akho. Ungase futhi ube nezimpawu ezinjengomkhuhlane, ubuhlungu besifuba, ukukhwehlela nokukhathala.

Kufanele ufune ukwelashwa kwe-pneumonia uma unomkhuhlane omkhulu kanye nokuphefumula okuncane nokukhwehlela.

Izimo zenhliziyo

Izimo ezithinta inhliziyo yakho zingaphazamisa ikhono layo lokumpompa igazi. Lokhu kungaholela ekuphefumuleni okuncane lapho ulala phansi noma ngemuva kokulala amahora ambalwa.

Ukwehluleka kwenhliziyo nezimo ezihlobene

Ungahle uthole ukuphefumula okuncane ngoba inhliziyo yakho ayikwazi ukumpompa igazi ngezinga elizinzile. Lokhu kwaziwa njengokuhluleka kwenhliziyo. Ungahlakulela lesi simo ngezizathu eziningi. Izinto ezinobungozi zibandakanya ukungondleki kahle, isifo sikashukela, imithi ethile, ukubhema nokukhuluphala.

Isimo esisodwa esingaholela ekuhlaselweni yinhliziyo yisifo semithambo yenhliziyo. Ungahle uthole ukuphefumula okuncane kusuka ekuhlaselweni yinhliziyo kanye nobuhlungu besifuba nokuqina, ukujuluka, isicanucanu nokukhathala. Kufanele ufune ukunakekelwa kwezokwelapha ngokushesha uma usola ukuthi uhlaselwa yisifo senhliziyo.

Ezinye izimo ezihambisana nokuhluleka kwenhliziyo zifaka umfutho wegazi ophakeme noma uma inhliziyo yakho ihlangabezana nokuhlukumezeka, ukuvuvukala, noma isilinganiso esingajwayelekile senhliziyo.

Ukungezwani komzimba

Ukungezwani komzimba kungaba kubi ebusuku futhi kuholele ekuphefumuleni okuncane. Indawo yakho yokulala ingaqukatha izifo ezifana nothuli, isikhunta, kanye nedander yesilwane esidala izimpawu zakho zokungezwani komzimba. Amawindi avulekile angadala ukuthi nezifo ezifana nempova zingene egumbini lakho.

I-apnea yokulala

I-apnea yokulala yisimo esenzeka ngesikhathi sokulala futhi sidala ukuncipha kwemimoya kanye nezinga le-oxygen ephansi. Uvuka ubusuku bonke uthathe ukuphefumula okujulile, okukuvimbela ekutholeni ubuthongo obanele.

Ungazizwa sengathi uhefuzela umoya ebusuku noma uvuke ekuseni uzizwa ukhathele. Ungase futhi uphathwe yikhanda noma uzizwe uthukuthele.

Ukukhathazeka nokuhlaselwa uvalo

Inhlalakahle yakho yengqondo ingahambisana nokuphefumula okuncane ebusuku. Ukuzizwa ukhathazekile kungadala impendulo yokulwa noma yezindiza emzimbeni wakho futhi kudale ukuhlaselwa ukwethuka. Ungakuthwala kanzima ukuphefumula, uzizwe uphela amandla, futhi ube nesicanucanu ngesikhathi sokuhlaselwa uvalo.

Kutholakala kanjani ukuphelelwa umoya ebusuku?

Udokotela wakho uzokwenza isivivinyo somzimba futhi akubuze ngomlando wakho wezempilo nowomndeni lapho unquma imbangela yokuphefumula okuncane. Imvamisa, udokotela wakho uzokwazi ukuxilonga isimo ngokususelwa kuloluhlolo lokuqala. I-American Family Physician ithi odokotela bangakwazi ukuxilonga amaphesenti angama-66 wamacala okuphefumula okuncane ekwethulweni kokwelapha.

Ungahle udinge ukuhlolwa okuningi ukuthola imbangela. Udokotela wakho angalawula lezi zivivinyo ezilandelayo:

• ishayela oximetry
• i-radiography yesifuba
• elethukhadi
• spirometry
• ukuhlolwa kwengcindezi
• isifundo sokulala

Yini ukwelashwa?

Ukwelashwa kokuphefumula kancane ebusuku kuzohluka ngokuya ngesimo esisibangelayo:

• Isifuba Somoya. Namathela ohlelweni lokwelashwa, gwema izinto ezibangela ukuba ulale, futhi ubuthongo buphakanyiswa yimicamelo ukugcina imigwaqo yomoya ivulekile ngokwengeziwe.
• I-COPD. Yeka ukubhema futhi ugweme ukuvezwa kwamanye amakhemikhali ayingozi. Izinhlelo zokwelashwa zingafaka i-inhaler, eminye imithi, kanye nokwelashwa komoya-mpilo.
• Inyumoniya. Lapha ngemithi elwa namagciwane, imithi yokukhwehlela, ukudambisa izinhlungu, ukunciphisa imfiva nokuphumula.
• Ukwehluleka kwenhliziyo. Landela uhlelo lokwelashwa kukadokotela wakho, olungahluka ngokuya ngesimo sakho. Udokotela wakho angancoma imishanguzo ethile, ukulungiswa kwendlela ophila ngayo, amadivayisi neminye imishini yokugcina inhliziyo yakho isebenza kahle.
• I-apnea yokulala. Ukuguqula indlela ophila ngayo ngokunciphisa umzimba nokuyeka ukubhema kungasiza. Ungadinga okokusiza lapho ulele ukuqinisekisa ukuthi izindlela zakho zomoya zihlala zivulekile.
• Ukungezwani komzimba. Gcina ikamelo lakho lokulala lingenawo amagciwane futhi lihlanze njalo. Ukuphathwa kukakhaphethi, ukwelashwa kwamafasitela, okombhede kanye nophahla bangaqoqa uthuli futhi kubangele izimpawu zokungezwani komzimba. Ungahle uthande ukuzama ukulala kwe-hypoallergenic noma i-air purifier egumbini lakho lokulala.
• Ukukhathazeka nokuhlaselwa uvalo. Ukuzivocavoca ukuphefumula, ukugwema izimbangela, nokukhuluma nochwepheshe wezempilo yengqondo kungakusiza ukuthi unciphise imizwa yokukhathazeka futhi ugweme ukwethuka.

Okubalulekile

Ukuthola ukuphefumula okuphefumulayo ebusuku kungenzeka ngezizathu eziningi. Kufanele ukhulume nodokotela wakho ngesibonakaliso sokuthola imbangela eyimbangela.

Thola ukwelashwa okuphuthumayo ngokushesha uma usola ukuthi ukuphefumula okuncane kuyisibonakaliso sesimo esisongela impilo.