Ukukhwehlela rhoqo kuthetha ntoni?
Ukuba ujamelana nokukhwehlela rhoqo unokukhathazeka kakhulu, ngaphezu kokukhathazeka malunga nokukhwehlela kwakho. Ziziphi izizathu ezibangelwa le mpawu, yiyiphi imibuzo enokuthi ugqirha wakho abuze, kwaye le ndlela yokukhwehlela iphathwa njani?
Sibanzi
Kukho impela inkcazo ecacileyo yokukhwehlela rhoqo, kodwa ukuba uhlala nomnye mhlawumbi awudingi inkcazelo.
Ukukhwehlela rhoqo kukuphazamisa indlela yakho yemihla ngemihla okanye kukugcina ekuphumleni okulungileyo kobusuku. Kungaba nzima ukubamba umoya wakho. Kungakhokelela ekuhlanza. Oku kunokushiya uzive uphelile ngokupheleleyo. Kodwa ingaba kufuneka ukuthetha ngomsebenzi, ukuya esikolweni, ukunyamekela abantwana bakho, okanye ukuzama ukulala, ukukhwehlela rhoqo kunokufikelela ngokucacileyo endleleni kwaye kunciphise umgangatho wobomi.
Amagxa aqhelekileyo achazwa njengento eqatha okanye engapheliyo. Ukukhwehlela okuqhelekileyo kuhlala iiveki ezintathu okanye ngaphantsi, kanti ukukhwehlela okungapheli kuchazwa njengengqumbo ehlala ixesha elide kuneentsuku ezisibhozo. (Iingxowa ezihlala phakathi kweeveki ezintathu kunye nesibhozo zihlelwe njengento yokuxhatshazwa.) Ukukhwehlela kwakho kungabomile (kungabonakaliyo) okanye unokukhwehlela i-phlegm (ukukhwehlela komkhiqizo). Ukuba unayo i-phlegm, inokucaca, iluhlaza, iluhlaza, okanye igalelwe igazi.
Ukukhwehlela kwakho kungenziwa yedwa, okanye usenokuba wazi ezinye iimpawu. Ngamanye amaxesha kunokuba nzima ukufumanisa ukuba unayo impawu ezimbini, okanye ukuba omnye unxulumene nomnye.
Umzekelo, ukuba unomdla wokuphefumula kungenzima ukufumanisa ukuba ufumanisa kunzima ukufumanisa impumulo phakathi kokukhwehlela, okanye ukuba unobungozi bokuphefumla unxulumene nokukhwehlela kwakho.
Izizathu ezinokwenzeka
Iimbangela zoqhopholo oluhlala zihlala zivela kwizinto ezinzulu kwizinto eziyingozi.
Nangona ezinye iimbangela ziqhelekileyo kunabanye xa ungeze zonke izizathu eziqhelekileyo zokubamba ukukhwehlela rhoqo ziqhelekile. Kwakhona kubalulekile ukuqaphela ukuba ukukhwehlela kungenziwa ngenxa yokudibana kwezizathu.
Izizathu eziqhelekileyo
Ngezantsi uluhlu lwezinye zezizathu eziqhelekileyo zesibhobho esingapheliyo.
- Ukuqhuma kwe-Postnasal - mhlawumbi isizathu esona siqhelo soqhoqho oluhlala sisigxina, sisifo se- postnasal ngenxa ye-sinusitis okanye i-rhinosinusitis (ukuvuvukala kweendinyana zangasese.) Ukukhwehlela kudla ngokuvelisa ngokucacileyo kumhlophe kwaye kuhambisane nomsamo wokucima.
- Izifo ezibangelwa yi-Virus - Izifo ezinjengeqanda eliqhelekileyo kunye ne-influenza yimbangela eqhelekileyo yokukhwehlela. Ingqungquthela inokuhamba kunye nezinye iimpawu ezibandayo ezifana neempumlo ze-runny, okanye iimpawu zentsholongwane, njengemivumba yomzimba.
- I-brronchitis - I-bronchitis enobuhlungu kunye ne-bronchitis engapheliyo kunokubangela ukuba umntu akhonkceze rhoqo. Nge-bronchitis engapheliyo, ukukhwehlela kudla ngokuvelisa i-phlegm.
- Ubuthakathaka - Ukunyamezela kokusingqongileyo okunjengobunzima bokungabikho komzimba , kunye nokutya kokutya, kunokubangela ukukhwehlela.
- I-bronchospasm - Ukunyanzeliswa kwe-airways (i- bronchospasm ) ngenxa yokumelana ne-astroma okanye i-asthma ingabangela ukukhwehlela. Ukukhwehlela kudla ngokuhamba kunye nokuphelelwa yisikhathi (ukuphefumula). Ukuba kukho ukuvuvukala entanyeni okanye ngolwimi okanye ukuphefumula okufutshane, oku kungabakho kwimeko yengxamiseko yezokwelapha ( ukutshatyalaliswa kwe-anaphylactic ).
- I-Asthma - I- asthma inokuba yimbangela yokukhwehlela. Ngokuqhelekileyo kuhamba kunye nokuxinwa kwesifuba, kodwa kwabanye abantu, ukukhwehlela kukuphela kwembonakaliso, kwaye kunokuthiwa "ukukhwehlela kwesifo se-asthma".
- I-acid reflux - I-reflux ye- Gastroesophageal reflux (GERD) inokubangela ukukhwehlela rhoqo ngenxa yokunyuka kwe-asidi kwisisu. Isizathu esiqhelekileyo sokukhwehlela, i-GERD ibangele ibangele izikhongozo zokukhwehlela ebusuku emva kokulala, kwaye zivame ukuphazamisa ukusa. I-GERD inokuhamba kunye neempawu zokukhawuleza okanye ukunyanzelisa, okanye ukukhwehlela kungaboniswa kuphela.
- Ukubhema - Ukukhwehlela ukutshaya kungabikho ukuyeka ngamanye amaxesha. Ngokuqhelekileyo kunzima kakhulu kusasa kwaye kudla ngokuvelisa i-phlegm. Kubalulekile ukuqaphela ukuba ukutshaya yimbangela eqhelekileyo yezifo zokuphefumula ezinjenge-bronchitis engapheliyo nangomdlavuza wamaphaphu. Ukuba utshaya, zibuze ukuba ukukhwehlela kwakho kutshintshile nangayiphi na indlela.
- Imithi - i- ACE inhibitors , imithi esetyenziselwa ukunyanga uxinzelelo lwegazi kunye nokungaphumeleli kwintliziyo, kunokubangela ukuba umntu akhwehle ubusuku nemini. Imizekelo ye-ACE inhibitors iquka iVasotec (i-enalapril), iCapoten (i-captopril), i-Prinivil okanye i-Zestril (lisinopril), i-Lotensin (ibenazepril) kunye ne-Altace (ramipril).
- Ukubonakaliswa kweengcingo - Ukuboniswa komsi wesithandwa , umsi womsi , ukupheka umsi, uthuli, kunye neekhemikhali ezinobuthi kunokubangela ukuba umntu akhonkce ngokuphindaphindiweyo.
- I-Croup - Kubantwana, i-croup inokubangela ukukhwehlela okungapheliyo.
- I-Pneumonia - I-pneumonia yentsholongwane kunye ne-bacteria ingenza ukuba uqhube, rhoqo uhamba kunye nomkhuhlane.
- I-COPD - Isifo sokuphefumula esingapheliyo sesifo se-pulmary disease ( COPD ) esibalulekileyo esibangela ukukhwehlela okuqhubekayo, rhoqo kuhamba kunye nokuphefumula okufutshane.
- Isifo sokukhwehlela - Ngamaxesha okukhwehlela (pertussis) amaxesha okukhwehlela okungapheliyo kaninzi aphulwa ngumphefumlo ojulile-umqubu wokukhwehlela. Kubalulekile ukuba uqaphele ukuba abantu bangakhula ukukhwehlela ukukhwehlela, nokuba ngaba babe ne-diptria / pertussis / tetanus vaccine (DPT).
Izizathu ezingekho phantsi kodwa ezibalulekileyo
Kukho izimbalwa eziqhelekileyo eziqhelekileyo zokuqhuma rhoqo, kuquka:
- Umhlaza we-Lung - Umhlaza wesibeleko ayiyona nto ibangela ukukhwehlela rhoqo kodwa kubalulekile ukugcina engqondweni. Umdlavuza womlenze uphephe kakhulu kwiinqanaba zokuqala. Phantse ama-50 ekhulwini labantu abanomdlavuza wamaphaphu banomkhuhlane ngexesha lokuxilongwa.
- Ukuphefumlelwa komzimba wangaphandle - Ukukhethwa kwizinto ezinjengezilwanyana, iipilisi, iimali, iidiya, okanye ezinye izinto kunokubangela ukukhwehlela okungapheliyo njengoko umzimba wakho uzama ukususa izinto ezingaphandle. Ukukhwehlela okuhlobene nomnqweno uvame ukuqala ngokukhawuleza. Umntu ongeyodwa unokuba neengcipheko ezincinci ezibangelwa izinto ezincinci ezifaka enye ye-bronchi encinci. Ingqungquthela enjengale nto ingacingelwa okokuqala ngenxa yentsholongwane yentsholongwane, kodwa iqhubeka ixesha elide ngaphezu kokusuleleka kwintsholongwane. Ngamanye amaxesha i-bronchoscopy iyadingeka ukuze ibhengeze la mabutho amancinci angaphandle.
- Isifo sofuba - Nangona isifo sofuba singavamile eUnited States, kuya kwenzeka, ingakumbi kubantu abavela kwamanye amazwe kunye nabantu abaye bachitha ixesha elide kumazwe angaphandle. Ukongeza kweso sikhohlela, abantu banokufumana ukulahlekelwa kwesisindo kunye nobusuku obusuku phakathi kwezinye iimpawu. Qinisekisa ukuvumela ugqirha wakho ukuba wazi ukuba uye wahamba, ngenxa yesi sizathu kunye nezinye izizathu ezinokwenzeka.
- I-Bronchiectasis - i- Bronchiectasis , imeko apho izifo ezithintekayo kunye nokuvuvukala kubangele ukwanda kwe-airways, kunokuvelisa ukukhwehlela okuqhubekayo okusoloko kunzima ngokulala.
- Amacwecwe egazi kwimipuphu - Amacwecwe egazi emilenzeni ( i-thrombosis ene-venous deep (DVT) ) inokuphuma kwaye ihambe kwimiphunga (i- pulmonary emboli ) eyenza ukukhwehlela okukrakra kunye nokuphefumula. Iimpawu zamacwecwe egazi kwimilenze zingabandakanya ubomvu, ububele kunye nokuvuvukala.
- Ukungaphumeleli kwentliziyo ye-Congress - Ukungaphumeleli kwentliziyo kunokubangela ukukhwehlela okungapheliyo. Le ngqungquthela inokuvelisa i-phlegm ene-pink foamy kwaye idla ngokugqithisa ngokulala. Ngokuqhelekileyo ihamba kunye nokuphefumula okufutshane.
- Iphunga le-pulp - I- pneumothorax (i-lung ephahla) ingabangela ukukhwehlela okungapheliyo okuqala ngokukhawuleza. Ukongezelela kwisikhwehlo, abantu banokuthi baphawule ukuphefumula okufutshane kunye "ne-creptitus," ukuvakalelwa kwebhola ekugqibeleni phantsi kwesikhumba esifubeni nasentanyeni.
- Ukusuleleka kwe-Fungal - Iimeko ezifana ne-coccidiomycosis, i-histoplasmosis, kunye ne-cryptococcosis, phakathi kwezinye, zingabangela ukukhwehlela rhoqo.
- Ezinye izifo zemiphunga - Izifo ezifana ne- sarcoidosis nezinye izifo zamaphaphu zivame ukukhohlela.
Ukuxilongwa
Xa ubona ugqirha wakho, into yokuqala oya kuyenza yimbali ecwangcisekileyo kunye nomzimba. Ngokuxhomekeke kwimbali yakho kunye novavanyo lwakho, ezinye iimvavanyo zingabandakanya:
- I-x-ray yesifuba - I-x-ray isifuba sinokwenziwa ukukhangela inyumoniya kunye nezinye izizathu ezibangelwa ukukhwehlela. Qaphela ukuba i-x-ray yesifuba ayaneleyo ukulawula umdlavuza wamaphaphu, kwaye ungaphuthelwa izicathulo ezincinci.
- Iimvavanyo zegazi - I-white white cell count (WBC) ingenziwa ukuba ikhangele iimpawu zentsholongwane ye-virus okanye ibhaktheriya.
- I-Spirometry - i- Spirometry , uvavanyo apho ubona ukuba umoya ongaphila emiphakeni yakho kwesibini , unokucetyiswa ukuba ugqirha wakho uxhalabele ngeemeko ezinjenge-asthma okanye emphysema.
- I-CT scan - Ukuba ukukhwehlela kwakho kuqhubeka, okanye ukuba ugqirha wakho unomdla ukuba unokuba neyona nto ebangela ukukhwehlela kwakho, unokuyalela isifuba se-CT ukufumana ukujonga ngokubanzi kwimiphunga yakho kunye nezicubu ezijikelezayo.
- I-bronchoscopy - i- bronchoscopy yinto yokuhlola apho ityhubhu encinane ene-ukukhanya ifakwe emlonyeni wakho nasendleleni yakho enkulu yokuhamba. Oku kunokukwenzelwa ukuba ugqirha wakho uxhalabele ngomzimba wasemzini kwi-airways yakho (ukusuka kwi-choking) okanye ukuba ufuna into engavumelekanga njengengxaki.
- I-Laryngoscopy - I-laryngoscopy yinkqubo apho ityhubhu efakwe emlonyeni ukujonga ngeso lengingqi indawo ejikelezayo.
- Ukuhlola i-esophageal pH - I-reflux ye-Acid iyona nto ibangela ukukhwehlela, kwaye abanye abantu abanakufumana iimpawu eziqhelekileyo zokutshiza. Ngovavanyo lwe-pH lwe-pH , oogqirha banokuzihlola iimpawu ze-acid reflux.
Imibuzo Igqirha Wakho Unokubuza
- Ukukhwehlela kwakho kwaqala nini?
- Ngaba ukukhwehlela kwakho kumile okanye kumanzi (umzekelo, ngaba ukhwehlela i-phlegm?)
- Ngaba uhlanza emva kokukhwehlela?
- Liliphi ixesha lomhla wakho ukukhwehlela kukubi kakhulu?
- Ngaba unomkhuhlane?
- Ngaba uye wabonakala kuyo na umntu ogula?
- Kude kube nini ukhohlela?
- Ngaba utshaya okanye uke wavutha?
- Ngaba ufumene umsi wesithandwa ?
- Ziziphi ezinye iimpawu oye wazifumana? Ngokomzekelo, ngaba unqabile igazi , ngaba uzive uphefumlelwe , uye waziva utyhafile okanye ujikeleza?
- Ngaba uvalelwa ?
- Ngaba unayo impawu eziqhelekileyo ezifana nokulahleka kwesisindo okanye ukukhathala?
- Ngaba unayo nayiphi na isifo?
- Ngaba utyhileke kwi-mold okanye uhlala kwikhaya eliye lafumana umonakalo wamanzi?
- Ngaba unayo iipasiti zokukhahla?
Unyango
Ukunyangwa kwengqungquthela rhoqo kuya kuxhomekeka kwimbangela ebangela. Iimpawu zokukhupha zomzimba , ezifana ne-teaspoon yobusi, ubuncitshisi (njenge-vaporizer), kunye nokuphumla kunokuba luncedo kungakhathaliseki isizathu. Ukusela amanzi okwaneleyo kunokwenza umcinci omncinci kwaye uhlala uncedo.
Ukuba ucinga ukuba unentsholongwane, thintela ukusebenzisa i-antibiotiki enokuthi ubenayo kwixesha elidlulileyo. Ukusebenzisa amayeza omdala akuyi kunceda ukuba unentsholongwane yentsholongwane, kwaye kunokuthi ukwandise amathuba okuphucula ukulwa ne-antibiotic okanye ukulibaziseka ukuxilongwa kokukhwehlela kwakho. Ihla lehla okanye ezinye iicandi ezinzima zingathuthuzela, kodwa ungalokothi unike abantwana. Ngaphezulu kwe-syrups yokukhwehlela ikhonkco akufanele isetyenziswe kubantwana ngaphandle kokuba kuphakanyiswe ngonyango lwabantwana.
Nini ukubiza uDokotela wakho
Ngamanye amaxesha ukukhwehlela rhoqo kungabonakalisa into ebalulekileyo. Ukuba ufumana ukuphefumula okufutshane, intlungu yesifuba , iimpawu zegazi (ezifana nokubomvu, ukuvuvukala, okanye ukunyamezela emilenzeni yakho), okanye ukuba iimpawu zakho zikoyikisayo, biza ugqirha wakho (okanye 911) ngokukhawuleza.
Kwakhona kubalulekile ukubiza 911 ngokukhawuleza ukuba unayo igridi (isandi esiphezulu se-wheezy ngokuphefumula), ukukhwehlela kwakho kuvele ngokukhawuleza, okanye ukuba ukuvuvuka kolwimi lwakho, ubuso okanye umqala, njengoko ezi zimpawu zingabonisa ngxamisekileyo lwezonyango. Ukuhlamba igazi, kunye nexabiso elincinci, kufuneka lihlolwe ngugqirha wakho.
Ukuba ukukhwehlela kwakho rhoqo kuye kwagqitha ngaphezu kweentsuku ezimbalwa kubalulekile ukubona ugqirha-nokuba ucinga ukuba kukho isizathu esicacileyo sokukhwehlela kwakho.
> Imithombo:
> Burki, T. iChorus Cough of Constant. I-Lancet yeMicrosoft Respiratory Medicine . 2015. 3 (6): 434.
> AmaZiko eNational Health. Medline Plus. Isiqhamo. Ukuhlaziywa nge- 02/07/18. https://medlineplus.gov/ency/article/003072.htm
> Satia, I., Badri, H., Al-Sheklly, B., Smith, J., no A. Woodcock. Ukuqondisisa nokuLawula isikhala esingapheliyo. Unyango lwezonyango . 2016. 16 (iSiza 6): s92-297.
> Soni, R., Ebersole, B., noN. Jamal. Unyango lweCough Chronic. I-Otolaryngology - iNtloko kunye nokuChengwa kweNeck . 2017. 156 (1): 103-108.