Ingabe Kufanele Ngikhathazeke Ngesikhwehlela Sami Esomile?

-Delile

• Kungaphezu kokukhwehlela okungapheli
• Ukubonana nodokotela nini
• Ukuhlola nokuhlola
• Izinketho zokwelashwa
• Izingozi zesikhathi eside zokukhwehlela okomile

Kuyinto evamile ukukhwehlela lapho okuthile kukitaza umphimbo wakho noma ucezu lokudla “lwehla ngepayipi elingalungile.” Ngemuva kwakho konke, ukukhwehlela kuyindlela yomzimba wakho yokuhlanza umphimbo wakho kanye nemigwaqo yomoya yamafinyila, oketshezi, okucasulayo, noma amagciwane. Ukukhwehlela okomile, ukukhwehlela okungasizi ukuxosha noma yikuphi kwalokhu, akuvamile.

Ukukhwehlela okomile nokugenca kungacasula. Kodwa futhi kungaba uphawu lwento ebucayi kakhulu, njengesifo samaphaphu esingelapheki. Uma uthola ukukhwehlela okwomile okuqhubekayo, nazi izizathu ezimbalwa zokuthi kungani kufanele uhlolwe udokotela.

Kungaphezu kokukhwehlela okungapheli

Ukukhwehlela kungakhombisa izinto eziningi ezenzeka emzimbeni wakho, ikakhulukazi uma zingapheli. Eqinisweni, ukukhwehlela yisizathu esivame kakhulu ukuthi abantu bavakashele odokotela babo bokunakekelwa okuyisisekelo, ngokusho kweCleveland Clinic. Ukukhwehlela okungapheli, ukukhwehlela okuhlala isikhathi esingaphezu kwamasonto ayisishiyagalombili, kungabonakala kukhathaza. Kepha empeleni kungajwayelekile futhi kungabangelwa:

• komzimba
• isifuba somoya
• i-bronchitis
• isifo se-reflux se-gastroesophageal (GERD)
• i-postnasal drip
• ukwelashwa ngama-angiotensin-converting-enzyme inhibitors

Kubangabhemi, lezi yizimbangela zokukhwehlela okungapheli ezigulini eziyisishiyagalolunye kweziyishumi, ngokusho kweHarvard Health. Kepha kubhangqwe nezinye izimpawu, ukukhwehlela okungapheli okungaba umphumela wenkinga enkulu, ebaluleke kakhulu kubandakanya:

• ukutheleleka kwamaphaphu
• umdlavuza wamaphaphu
• sinusitis enamandla
• sinusitis engapheli
• i-bronchiolitis
• i-cystic fibrosis
• emphysema
• I-laryngitis
• i-pertussis (ukukhwehlela)
• I-COPD
• ukuhluleka kwenhliziyo
• croup
• isifo sofuba
• i-idiopathic pulmonary fibrosis (IPF)

Uma njengamanje ubhema osikilidi noma ujwayele ukubhema, usengcupheni yokuthola ukukhwehlela okungapheli, ngokusho kwe-American Lung Association. Njengoba kunikezwe uhlu olude lwezizathu ezingadala ukukhwehlela okomile, kuphephile ukusho ukuthi kukodwa nje akwanele ukuthola inkinga enkulu. Udokotela wakho kuzodingeka ukuthi aqhubeke nokuhlola nokuhlola ukuze aqonde imbangela ngaphambi kokuncoma izinketho zokwelashwa.

Ukubonana nodokotela nini

Ukukhwehlela okuphikelelayo okungapheli kungaba uphawu lwento ebucayi kakhulu lapho uqala ukuhlangabezana nezinye izimpawu. Izifo ezingalapheki zamaphaphu njenge-IPF, umdlavuza wamaphaphu, nokwehluleka kwenhliziyo kungadlulela ngokushesha uma kuyekwa kungalashwa. Kufanele ubone udokotela ngokushesha uma ukukhwehlela kwakho okomile kuhambisana nalezi zimpawu ezilandelayo:

• ukuphelelwa umoya
• imfiva ephezulu noma ende
• ukuminza
• ukukhwehlela igazi noma isikhohlela esinegazi
• ubuthakathaka, ukukhathala
• ukulahlekelwa isifiso sokudla
• isifuba
• ubuhlungu besifuba lapho ungakhwehleli
• ukujuluka ebusuku
• ukuvuvukala komlenze okhulayo

Imvamisa, kungukuhlanganiswa kwesinye noma eziningi zalezi zimpawu kanye nokukhwehlela owomile okungashaqisa, kusho ochwepheshe, kepha kubalulekile ukuthi ungagxumeli eziphethweni kuze kube kwenziwa umsebenzi ophelele.

“Ukukhwehlela okuphikelelayo okungapheli kuyisinye sezimpawu ezivamile ze-IPF. Ngokuvamile kunezinye izimpawu ze-IPF, njengokuphefumula okuncane nokuphuka okufana neVelcro emaphashini udokotela angakuzwa nge-stethoscope, ”kusho uDkt. Steven Nathan, umqondisi wezokwelapha we-Advanced Lung Disease and Transplant Program at Isibhedlela i-Inova Fairfax.

“Kodwa-ke, odokotela ngokuvamile bazama ukunqanda izimo ezivamile ezibangela ukukhwehlela, njenge-postnasal drip, i-GERD, noma i-airway engasebenzi kahle. Lapho udokotela esethole isimo esivame kakhulu akuyona inkinga futhi iziguli zingaphenduli ekwelashweni, khona-ke udokotela ugxila ekuhlolweni okungajwayelekile, njenge-IPF. "

Ukuhlola nokuhlola

Ngokuya ngokuthi yiziphi ezinye izimpawu onazo, udokotela wakho angalawula izivivinyo eziningi ukusiza ukuxilonga imbangela yokukhwehlela kwakho okomile. Ngemuva kokwenza ukuhlolwa komzimba, udokotela wakho uzokubuza imibuzo ethile mayelana nokukhwehlela kwakho okomile njengalapho iqala khona, uma ubona noma yiziphi izimbangela, noma uma unezinye izifo zezokwelapha. Ezinye izivivinyo udokotela wakho angazi-oda zifaka:

• X-ray esifubeni
• isampula yegazi
• Ukuhlolwa kwe-CT kwesifuba sakho
• swab umphimbo
• isampula lephlegm
• spirometry
• ukuhlolwa kwenselelo ye-methacholine

Ezinye zazo zizosiza udokotela wakho ukuthi abukisise ngaphakathi kwesifuba sakho futhi avivinye uketshezi lwakho lomzimba ukuze ahlole ukutheleleka noma ezinye izindaba zezempilo. Abanye bazohlola ukuthi ungaphefumula kanjani. Uma lokhu namanje kunganele ukukhomba inkinga, ungathunyelwa kudokotela wamaphaphu, udokotela ogxile ezifweni zamaphaphu nezokuphefumula, onga-oda ezinye izivivinyo.

Izinketho zokwelashwa

Kunemithi eminingi ethengiswayo kanye namakhambi emvelo ongawathola ukuze uzame ukuthola ukukhululeka kwesikhashana ekukhwehleleni okomile. Kodwa ngoba ukukhwehlela cishe ngaso sonke isikhathi kuwuphawu lwenkinga enkulu, kubalulekile ukukhumbula ukuthi lezi zixazululo akunakwenzeka ukuthi zenze ukukhwehlela kuphele. Ngokuya nganoma yikuphi ukuxilongwa okwenziwa udokotela wakho ngemuva kokuvakasha kwakho, bazoncoma izindlela zokwelashwa ngokufanele.

Okwamanje, ungazama okulandelayo, okunconywe yi-American Lung Association, ukusiza ukukhwehlela ukukhwehlela okungapheli:

• amathonsi wokukhwehlela noma uswidi onzima
• uju
• umusi
• ishawa elinomusi

Izingozi zesikhathi eside zokukhwehlela okomile

Ukukhwehlela okungapheli okungaba yingozi empilweni yakho yonke uma kungalashwa. Kungenza noma iziphi izimo zamanje njenge-IPF zibi ngokulimaza izicubu zakho zamaphaphu ngisho nangaphezulu. Kungenza futhi impilo yakho yansuku zonke ibe nzima kakhulu futhi kudale ukungakhululeki futhi kulimaze okungaba khona.

“Abukho ubufakazi obukhona obukhomba ukuthi ukukhwehlela okwomile kuyalimaza. Kodwa-ke, abanye odokotela bacabanga ukuthi kungalimaza ngenxa yamandla amakhulu nokucindezela kwendlela yomoya ekhishwa ukukhwehlela, ”kusho uDkt.

I-American Lung Association ibeka izingozi ezithile ongabhekana nazo nokukhwehlela okungapheli okomile:

• ukukhathala namandla anciphile
• ikhanda, isicanucanu, ukuhlanza
• ubuhlungu besifuba nobumsipha
• umphimbo obuhlungu nokushuba
• izimbambo eziphukile
• ukungazibambi

Uma inkinga inkulu, ungazithola ugwema nezimo zenhlalo, ezingaholela ekukhathazekeni, ekukhungathekeni, nasekucindezelekeni. Ukukhwehlela okuqhubekayo okungomile kungahle kungabi uphawu lwento esongela impilo, kepha kungaba yingozi. Njengalokhu, kubalulekile ukuthi uyibhekise ngokushesha.