Ukucoca ngokuphumelelayo kuyindlela ecacileyo yokuCima kwe-Airway

Indlela yokwenza iComment and Efficiency Coughing Techniques

Ukukhutshwa kwe-Airway ibalulekileyo ebomini bemihla ngemihla kubantu abane-cystic fibrosis. Akuyena wonke umntu usebenzisa isicatshulwa esisodwa se-airway (ACT) okanye udibaniso lwezakhono, kodwa ukukhwehlela kufuthi kubandakanywa kwindlela yokusebenza.

Ngokwakhe, ukukhwehlela akuyona indlela ekhethekileyo yokusebenza kwendlela yokuhamba kwamanzi kubantu abaneCF - kodwa kuyimfuneko ebalulekileyo ekususeni i-mucus ekhutshwe yile miThetho.

Ngenxa yesi sizathu, ukukhwehlela okulawulwayo kunokuthathwa ngokungathandabuzeki ukuba ngumthetho obaluleke kakhulu ukuba abantu abane-cystic fibrosis (CF) bangasebenzisa.

UkuCoca

Ukuqhwaba kukuxubusha ukuba bonke abantu abaneenkqubo ze- neuromuscular zempilo. Amagqabi aphethwe ngumzimba xa kufuneka ukuba isuse amaxhala kunye ne-mucus ephuma emoyeni. Abantu abane-CF ukukhwehlela baxubusha njengokuba wonke umntu akwenzayo, kodwa ukukhwehlela okungafaniyo kuhlukile kunehlobo lokukhwehlela olwenziwa njengOMTHETHO.

Ngokungafani nokukhwehlela okuxilisayo, ngamanye amaxesha kunokuthi kube ne-spasmodic kunye ne-shallow, ACT ukukhwehlela inenjongo, inzulu, kwaye ilawulwa. Emva kokuba ezinye iindlela zithukulule i-mucus, ukukhwehlela okusebenzayo kuya kunceda ukuyikhupha. Injongo kukufumana umoya ophezulu emva kwe-mucus ngokunokwenzeka, ngoko amandla okukhwehlela azakukhupha ngaphandle. Ukuthatha ukubandakanya ukukhwehlela okusebenzayo, kuphakanyiswa amanyathelo amane alandelayo:

1. Thatha intuthuko enkulu, injongo yakho ukuzalisa imiphunga ngokugqibeleleyo.

1. Inkontileka ngokuqaphelayo (cwenga) iisisu zomzimba ezisentla.
2. Susa (phunyeza) yonke umoya usebenzisa ukukhwehlela okuqinileyo.
3. Phinda inkqubo yokukhwehlela enye okanye kabini kwada kwaze kwaba yilapho ukukhwabanisa okukhululiwe kususwe kwi-airway.

Zama ukukhwehlela kwiisishu ukuze ugweme ukusasaza iintsholongwane, uze uphonsa izicubu kwaye uhlambe izandla zakho (okanye usebenzise i-gel ngesandla eseluselwa kwi-alcohol) emva koko.

Ukuqhaqhaqhayisa ngokuchasene noHuffing

Kwamanye abantu abane- cystic fibrosis , amandla okukhwehlela angabangela ukuba i-airways iwele. Kule meko, ungasebenzisa I-Techced Expiratory Technique (FET) eyaziwa ngokuba yi-huffing endaweni yokukhwehlela. Kuzo ezinokunyamezela ukukhwehlela, ukuxubusha kungasetyenziselwa njengenyathelo lokuqala lokuzisa i-mucus kwi-airways engenhla, elandelwa ukukhwehlela ngamandla ukuzisa i-muscus yonke indlela. Ukuqhaqhazela kufana nokukhwehlela kodwa kungabi namandla. Ukwenza ubugcisa bokukhwehlela u-huff zama ezi nyathelo:

1. Hlala uphendule, vula umlomo wakho kwaye uqhube umlenze wakho phambili.
2. Thatha intuthuko enkulu, epholileyo kunye nefuthe, uzalise imiphunga malunga malunga ne-75% yabo yamandla.
3. Gcina ukuphefumula kwakho imizuzwana emibini okanye emithathu.
4. Vuthela emoyeni ngokukhawuleza, ukuqhaqhaqhaqhaqa ngomlomo ovulekileyo ngelixa uthi "hu," njengokungathi uqhuma umphunga kwisibuko.
5. Phinda amanyathelo 1-4 amaxesha ambalwa ngaphambi kokuba ulandele umkhuhlane oqinileyo ukucima i-muscus kwi-airways enkulu.
6. Njengengxenye yesicelo sakho sokungena kwindlela yokuhamba ngomoya rhoqo imihla ngemihla, yenza umjikelezo weesibhozo ezine.

Nangona i-huffing ingenamandla njengengqungquthela, isebenza kwaye ingaba nzima kakhulu. Ukuphefumula kunye nokuphefumula kwakho kuvumela umoya ukuba uphume emva kwe- mucus emiphakeni uze uyihlukanise ukusuka eludongeni lwamaphaphu ukuze ukwazi ukuwukhupha ngaphandle kwenkqubo yakho yokuhamba nomoya kwaye ukhuphe i-mucus.

_Umthombo:

_{McCool, FD MD, FCCP, kunye noRosen, MJ MD, FCCP. "I-Nonpharmacologic Treatment Clearance Therapies: I-ACCP Iinkqubo zoBungqina beeNkcazo zokuSebenza ngeeNkcazo". Esifubeni. 2006; 129: 250S-259S.}

_{Foundation Cystic Fibrosis. Ukuqhaqhafaza nokukhupha.}