Izigulane ezininzi ezine-COPD okanye ezinye iingxaki zemiphunga, ezifana ne-asthma, zilwa nomkhuhlane we-pesky ongenakubonakala ngathi uhamba. Oku kubonakala kuqhelekile kwiinyanga zasebusika, xa iintsholongwane zixhaphakile kwaye ziyeke izigulane ezinomkhuhlane ohlala njalo. Nangona kungekho rhoqo, kuqhelekileyo kwizigulane, ingakumbi abo abaneCOPD okanye i-asthma ukuba banomkhuhlane ongapheli ukuya kwiiveki eziyi-8 (apho ibizwa ngokuthi "ukukhwehlela" okungapheliyo).
Ngethuba leenyanga zasebusika, ukukhwehlela kwintsholongwane yinto eqhelekileyo kwizigulane ezine-COPD kunye / okanye i-asthma, kwaye kunokubangela ukuqina kwesifuba okanye i-acry aches ngaphezu kokukhwehlela rhoqo kwiinyanga ezi-2! Oku kubonakala ngathi lixesha elide lokwenza umkhwehlo kwaye lunokukhathaza izigulane. Olu hlobo lokukhwehlela luvame ukuba "olungelona luveliso", oku kuthetha ukuba i-mucus ngokuqhelekileyo ayigqithwanga. Kuzwakala ngathi i-raspy, eyomile, ekhukhulayo.
Ukuba ukukhwehlela kukhathaza ngokukodwa, ngamanye amaxesha oogqirha baya kunika inhalers njenge-albuterol okanye balahlekelwe i-dose corticosteroid inhalers ezingabonelela ngenye indlela. Ngaphezulu kwemithi yokukhwehlela i-counter ingasebenza kwakhona, ngeziphumo ezichaseneyo. I-Codeine ngokuqhelekileyo igwenywa, nangona ixhaphake ngokuqhelekileyo xa ukukhwehlela kuvimbela izigulane ukuba zingalali.
Ukuba ukukhwehlela kuphendulela ukuvelisa, oku kuthetha ukuba ukhwehlela uphuphu oluhlaza okanye oluphuzi, oku kungaba ngumqondiso wesifo se-bacteria yesibini kwaye kufuneka uxelele umniki-nkonzo wakho wezempilo unqulo lohlobo lokukhwehlela.
Ukuba ukukhwehlela kungabonakali kuhambelana nokusuleleka kwintsholongwane yintsholongwane, ngokuqinisekileyo kukho ezinye izizathu zokuba izigulane zihlala zizikhuhlane ezingapheliyo. Iindaba ezilungileyo kukuba, ngoxa ukukhwehlela kungumqondiso ophazamisayo, akunqabile ukubonakalisa izifo ezisongela ubomi. Enyanisweni, ezi zimbini izizathu eziphezulu zokukhwehlela okungapheliyo zi:
1. I-syndrome ephezulu ye-airway (egama eliqhayisayo le-post-nasal drip)
2. I- asthma (ngezinye izihlandlo ebonisa kuphela ukukhwehlela!)
3. I- reflux isifo se-reflux (GERD) , ngokubhekiselele kuthiwa 'ukutshaya'.
Ezinye izizathu zokukhwehlela zibandakanya i- COPD (ngokuqhelekileyo uhlobo lwe-bronchitis olungapheliyo lweCOPD ) nezinye izifo ezithathelwanayo (njenge- pneumonia , isifo sofuba), izifo zamaphaphu emzimbeni, okanye umhlaza.
Umxholo:
Iyona nto ibangela ukuba iindleko zenze i-post-nasal drip, i-asthma, iGERD (reflux okanye i-heartburn) kunye nokukhwehlela okuqhubekayo emva kokusuleleka kwintsholongwane. Xa ukukhwehlela kukuhlala kungapheli (iiveki ezingaphezu kwei-8), oogqirha beemiphunga baya kuqalisa ukunyangwa ukuba kukho naziphi na izizathu ezibangela ukuba kukho imeko yakho. Nangona ukukhwehlela yedwa kungabonakali uphawu lwesifo esibi, ngokuqinisekileyo kufuneka ukuba ingxoxo kunye nomboneleli wakho wezempilo, kwaye ukuba kuyimfuneko, uhanjiswe kumgqirha wamaphaphu.
Funda kabanzi malunga nokukhwehlela apha.
UKUFUNEKA KWEMISEBENZI
Nantsi inqaku elincomekayo kwi-ACCP Clinical Guidelines malunga ne-Upper airway cough syndrome kwaye ubuyekeze ezinye izizathu zokukhwehlela.