Umkhuhlane ongapheliyo ungachazwa njengomkhuhlane ode ixesha elide, uqhubeka kwaye ungabonakali ukuba uphume nangona unyango. Yindlela yokukhusela eyenziwa ngumzimba ngenzame yokugcina i-airways ikhululekile kwi-mucus okanye kwezinye i-debris.
Umkhuhlane ongapheliyo ungenye yezizathu eziqhelekileyo ezenza ukutyelela kwiofisi yegqirha. Inokuba yingozi, njengoko iphazamisa ubuthongo, ibangela intlungu yesifuba kwaye ishiya unomsindo kwaye udidekile.
Kukho ezininzi ezinokubangela ukukhwehlela okungapheliyo. Ingabangela ukusuleleka kwimiphunga okanye ngaphandle kweemvakalelo ezinjengomsi wesigare okanye ukungcola komoya.
Umkhuhlane ongapheliyo unokuthi ube ngumqondiso wesimo esiyingozi, esingaphantsi kwesifo somphunga njengesifo esingapheliyo sesiphene okanye umhlaza wamaphaphu . Esi sizathu esona sizathu sokuba kufuneke uphando olungakumbi kumniki-nkonzo wakho wezempilo.
Yintoni Eyona Ncoko 'Isiqhamo Esisigxina'?
Uninzi ogqirha bajonga ukukhwehlela "okungapheliyo" ukuba kwenzeke iiveki ezisibhozo okanye ngaphezulu. Kuyinto engavamile - eqinisweni, inokwenzeka ukuba ifike kwi-40% yabantu.
Nangona unakho ukukhwehlela ngentando, ininzi yokukhwehlela ayikho nto. Ukukhwehlela okungafunekiyo kwenzeka xa into ecaphukisa okanye evuselela indlela ohamba ngayo, eyenza isenzo esichukumisayo kwimiphunga yakho nasemqaleni ukuba uphefumle ngokujulile kwaye ngokukhawuleza ugxotha umoya kumaphaphu akho.
Ukukhwehlela okungapheliyo kunokuvelisa, okanye "kumanzi" - ngamanye amazwi, bakhiqiza i-muscus ukuba ugxothwe ngomlomo - okanye ukukhwehlela kwakho kungabonakali, okanye "kumile." Iimeko ezahlukeneyo ziya kuvelisa iintlobo ezahlukeneyo zokukhwehlela.
Ngokomzekelo, xa unesifo esingapheliyo sesifo sepulmonary, unakho ukukhwehlela okuvelisayo, ekubeni umzimba wakho udinga ukukrazula i-mucus evala imiphunga yakho. Kodwa xa uhlaselwe eludini, iimpumu okanye iikhemikhali emsebenzini, okunokwenzeka ukuba kukhokelela ekukhwehleleni okungenakuvelisa.
Izizathu ezinokwenzeka zeCough Chronicle
Ezi zimbini eziphezulu ezibangelwa ngumkhuhlane ongapheli ziquka:
- I-post-nasal syprome syndrome. Kule meko, i-mucus emininzi yakho ekhaleni igxotha phantsi komqala wakho, icasula izicubu zilapho kwaye zikhokelela ekukhwehleleni okungapheliyo. Kukho uluhlu olubanzi lweemeko ezingakhokelela kwisifo se -post-nasal drip syndrome, kubandakanya ukunyuka, ukungaqhelekanga kwipumphu ngokwayo, ukukhulelwa kunye nemithi ethile.
- Isifuba. Nangona abantu abaninzi becinga ukuba ukuphefumula nokuphefumula ubunzima yizona zibonakaliso eziphambili ze-asthma, ngamanye amaxesha isifo se-asthma kuphela esinazo, ubuncinci ekuqaleni, sisifo somkhuhlane ongapheliyo. Kubalulekile ukufumana olu hlobo lwesifo se-asthma, esibizwa ngokuba ngumkhuhlane we-asthma, ufumene kakuhle kwaye uphathwe kakuhle, kuba ukuba awukho ithuba elihle liza kuqhubeka kwiimpawu ze-asthma .
- Isifo se-reflux ye-Gastroesophageal (GERD). Ewe, i- GERD ivame ukubandakanya iimpawu zokugaya ukutya njengentlungu kunye ne-reflux. Kodwa kwiimeko ezininzi, i-GERD ibangela ukukhwehlela okungapheliyo. Enyanisweni, i-25% yezigulane ezingapheliyo zokukhwehlela zingaba ngenxa yeGERD. Abanye abantu abanomkhuhlane ongapheliyo ngenxa yeGERD nabo baneempawu ze-reficx "zakudala", ngelixa abanye bengenalo.
Ezinye izizathu ezinokwenzeka (kodwa ezingaphantsi) ezibangelwa ngumkhuhlane ongapheli ziquka:
- Ukutshaya
- Utywala
- Bronchitis
- Pneumonia eqhubekayo
- Ukukhubazeka kokulala kokugula
- Imithi ebizwa ngokuba yiACE inhibitors
- Isifo sofuba
- COPD
- Umhlaza wemiphunga
Abantu abaninzi banesisombululo esingaphezulu kwesinye sokukhwehlela okungapheliyo.
Ekubeni kukho ezininzi ezinokubangela ukukhwehlela okungapheliyo-ezinye zazo ezingenakwenzeka kodwa zinzima kakhulu - kubalulekile ukuba u tyelele ugqirha wakho kwaye ufumane unyango olufanelekileyo kwaye unyango lwakho lukhuhlane olungapheliyo.
Imithombo:
I-American Academy ye-Otolaryngology-iNtloko kunye nokuPhepha kweNeck. Iphepha le-post-Nasal Drip. Kufumaneke ngoFebruwari 9, 2016.
UBenich JJ et al. Ukuvavanywa kweMonde kunye neCough Chronic. WaseMerika ugqirha. 2011 u-Oktobha 15; 84 (8): 887-892.
D'Urzo A et al. Ukukhwehlela okungapheliyo. Izizathu ezintathu eziqhelekileyo. Ugqirha wezeKhaya waseKhanada 2002 Aug; 48: 1311-1316.
Madanick RD. Ulawulo lweCross Cough-Related Related GERD. Gastroenterology & Hepatology. 2013 ngoMeyi; 9 (5): 311-313.
I-Niimi A. I-Cough ne-Asthma. Ukuphononongwa kweMithi yokuPhepha ngokuPhepha. 2011 Feb; 7 (1): 47-54.
Pratter MR. Ukuqwalaselwa kwezibangela eziqhelekileyo zokukhwehlela okungapheliyo: I-ACCP-based based clinical practice practice guidelines. Esifubeni. 2006 Jan; 129 (1 Suppl): 59S-62S.
Sundar KM et al. I-Cough Chronic kunye ne-OSA: Umbutho omtsha? Umbhalo we-Clinical Sleep Medicine. NgoDisemba ka-15; 7 (6): 669-677.