Ukuqhayisa kuyinkcazo yendalo ebalulekileyo ekugcineni imiphunga yakho kunye ne-airways icace kwaye isebenze ngokufanelekileyo. Nangona ukukhwehlela kudla kungakhathazeki, ukukhwehlela okuqhubekayo okungabonakali ukuhamba kubini kuphazamisayo kwaye kunokunxulumene nesifo.
Kukho iintlobo ezahlukeneyo zokukhwehlela ezi-3: i-acute, i-subacute kwaye ingapheliyo.
Iimpawu eziqhekezayo kunye nezizathu zazo
Ukukhwehlela okuqhelekileyo kudla kuphela ukufikelela kwiiveki ezi-3 kwaye zidla ngokubangelwa yi-virus.
Olu khohlela lunokuba luvelisa (luvelisa i-mucus) okanye aluvelisi (olomileyo, akukho masi). Ukukhwehlela okuqhelekileyo kubangelwa zizifo ezilandelayo:
- Cold
- Flu
- Pneumonia
- Usulelo lweSinus
- Croup
- Umkhuhlane ohambayo
- Bronchitis
- Ukugqithiswa kwepulmonary
Ngelishwa, uphando alufumananga unyango olukhoyo ukuba lube lusebenza kakuhle. Enyanisweni, kukho intshukumo kude nokusebenzisa ukukhuseleka kokukhwehlela ukuphucula iimpawu zakho ngaphandle kokuba ukukhwehlela kubangela ezinye iingxaki.
Ukuba imbangela yentsholongwane ephathekayo njengentsholongwane, i-antibiotics iya kuba yonyango olufanelekileyo lokunceda ukulwa nombangela wokukhwehlela. Kwiimeko ezininzi zokukhwehlela okukhulu, nangona kunjalo, imbangela yintsholongwane kunye nomzimba wakho kufuneka ulwe nentsholongwane. Thetha ugqirha wakho malunga nesimo esithile kwaye ukuba nayiphi na indlela yokonyango iya kukunceda.
Iimeko Ezibangela Ukuxhatshazwa Kwemvelo
Ukukhwehlela ngokugqithiseleyo kudla ngokugqibela phakathi kweeveki ezi-3 ukuya kwezi-8.
Ukukhwehlela okudityanisayo kungadinga ukuba kuhlolwe ngugqirha kuxhomekeke kubuqhetseba beempawu, njengoko i-60% yokukhwehlela ingxaki ixazulula ngokukhawuleza. Ngamanye amazwi, kunethuba elihle lokukhwehlela ngokuxhamla.
Iimbangela eziqhelekileyo zokuqhoqhozela ziquka:
- Ukukhwehlela emva kokusuleleka (okuqhelekileyo)
- Ukuhamba kwe-post-nasal
- I-asthma ye-Cough-variant
- Bronchitis eosinophilic
Ukuba ugqirha wakho ugxeka ukuba imbangela yokukhwehlela kwakho isifo sokutshatyalaliswa emva kokusasazeka okanye emva kokusila, angakwazi ukumisela i-antihistamines kunye ne-decongestant (njenge-chlorpheniramine kunye ne- pseudoephedrine ) malunga neveki ezi-3 ukujonga ukuba ukukhwehlela kuya kucima.
Iimeko zibangelwa iCroven Chronic
Ukukhwehlela okungapheliyo kudlulileyo kwiiveki eziyi-8. Izibangela zokukhwehlela okungapheli ngamanye amaxesha kunzima kunzima ukuzityhawula. Ukukunceda ukuhlukanisa imbangela yengqumbo yakho engapheliyo, ugqirha wakho unokufumana ukuba kuyimfuneko ukuqhuba iimvavanyo eziliqela okanye ukhuthaze ukuba ubone enye ingcali.
Isizathu esiqhelekileyo somkhuhlane ongapheliyo ukutshaya , nangona ezinye izizathu eziqhelekileyo zibandakanya:
- Isifuba
- Utywala
- Ukuhamba kwe-post-nasal
- Isifo se-reflux se-Gastroesophageal (GERD)
- COPD
- Amachiza, ngokukodwa i-ACE inhibitors
- Ukumelwa yintliziyo
- Umdlavuza womlenze (ongaqhelekanga)
Ukuba ubhemayo, kubalulekile ukuba uqale inkqubo yokuyeka ukutshaya. Ukubhema kungeyiyo kuphela imbangela yokukhwehlela kwakho okungapheliyo kodwa kuya kukubeka emngciphekweni wokuphuhlisa ezinye izifo ezinxulumene nempilo. Qalisa namhlanje.
Unyango lujoliswe kwisizathu esithile sokukhwehlela. Ugqirha wakho uya kuthatha imbali epheleleyo ukuba abone iimeko ezibangela ukukhwehlela.
Ukuba ukhona kwi-ACE inhibitors kwixinzelelo legazi, ugqirha wakho unokuba uzame enye imithi ukuze ubone ukuba ukukhwehlela kwakho kusombulula.
Ugqirha wakho unokufuna i-x-ray yesifuba kunye nolunye uvavanyo oluthiwa yi-spirometry ukuze uncede ukuqonda isizathu sokukhwehlela kwakho. Ukuba i-x-ray yesifuba ayinqabile, ukuhlolwa kwe-CT yesimo semiphunga kunye / okanye i-bronchoscopy iyimfuneko.
Ngelishwa, a baninzi oogqirha abazimisele ukuzakhela ingqungquthela engapheliyo. Ekuqaleni, unokufumanisa ukuba uthunyelwa kwi-pulmonologist ukuba "usebenze" okanye uhlolisise ukukhwehlela okungapheliyo, kodwa ezininzi zeepulmologist ezona zilungileyo zingenakukwazi ukubona izigulane zibe ngumkhuhlane ongapheliyo kwaye zibhekiselele kwi-gastroenterologist okanye ubuyele ogqirha wakho oyintloko ugqirha (PCP).
Ukufumana ugqirha oyithandayo okulungele ukuba nesigulane mhlawumbi sisisitshixo ekuphumeleleni ekuphatheni umkhuhlane wakho ongapheliyo.
Xa Isiqhamo Siyingozi
Ngenxa yokuba ukukhwehlela kwe-reflex kuyimvelo kwaye kuyakhusela, ngamanye amaxesha imizimba yethu indlela yokusixelela malunga nexesha eliphuthumayo. Ukuba unokukhwehlela ngokukhawuleza kwaye unokukwazi ukufumana ingxaki elandelayo, kufuneka ufune unyango ngokukhawuleza.
- Ukusabela okuthe tye (anaphylaxis)
- I-asthma okanye i-COPD yokukhubeka, xa amayeza angakwazi ukulawula iimpawu
- Inhalation yento yangaphandle
- Pertussis
- Pneumonia
Ukongeza kokukhwehlela, unokufumana ukuphefumula ubunzima, okanye ezinye iimpawu ezinzima ezifana nokuvuvukala kolwimi.
Ukuba unengxaki yokuphefumula, ingakumbi ukuba usengozini yeyiphi na imeko ephuthumayo kufuneka ungalibali ukufumana unyango, njengoko ezi ziimeko zokusongela ubomi.
Imithombo:
Qhagamshelana kuqala. (2013). Ukuvavanya nokulawulwa komkhuhlane kubantu abadala. https://www.clinicalkey.com (Ubhaliso olufunekayo)
Irwin, RS, iBaumann, MH, iBolser, DC, iBoulet, L., kunye. al. Ukuxilongwa kunye noLawulo lweSigqeba soLawulo lweCough Summary: I-ACCP Izikhokelo zoLwazi oluSebenzayo lweeNkcazo. Ngomhla ka-2006; 129; 1S-23S.
Kwon, N., Oh, M., Min, T., Lee, B., kunye no-Choi, D. Iingxaki kunye neMpawu zeCliniki ze-Subacute Cough. I-Chest 2006; 129; 1142-1147.
I-Heart Heart Lung ne-Blood Institute. Isiqhamo.