Akukho mfihlo yokuba ukutshaya kukubi kuwe. Sonke sazazi ngenxa yokuba izilumkiso zezempilo zaqala ukuvela kwiipakethi zepakethi ngo-1965. Kuthatha ixesha elide ukuba sibone ukuba ukuphefumula ngomsi wesandla kungasempilo, kodwa ngoku siyazi inyaniso malunga naloo nto. Nabani na ohlala ebonakaliswe ngumsi wesandla wesibini usemngciphekweni wokuphuhlisa iintlobo ezifanayo zezifo njengoko kubashushu, kodwa abantu abane- cystic fibrosis (CF) banomngcipheko omkhulu kakhulu weengxaki ezibangelwa ukutshaya komsi.
Kutheni Okwesibini-Isandla Sokuhamba Umsi?
Umsi wesigaretha uqulethe iikhemikhali ezinobuthi ezinokuthi zikwazi ukudala umdlavuza kunye nezinye izifo kubantu abatshunayo. Ababhemayo bafumana ukuxinwa kweekhemikhali kuninzi, kodwa umsi wesandla wesibini uqulethe ngokwaneleyo i-toxins ekubangela izifo kubantu abaphefumula rhoqo.
Umsi wesigaretti uqulethe izibilini ezibangelwa ukuvuvukala kwe-airways, kwaye inonakalisa i-cilia edibanisa i-airways ebangela ukuba i-mucus ibanjwe. Ukuvuvukala kunye nokwakhiwa kwe-mucus ziingxaki ezikhoyo kakade kubantu abane-cystic fibrosis. Ukuphefumula ngomsi wesandla kusenza izi ngxaki zibi nakakhulu.
Yiyiphi Intsimo-Isandla Sesibili Kuyabantu Abantu abaneCF
Ucwaningo luye lwabonisa ukuba ukutshatyalaliswa komsi wesandla kungabangela iingxaki kubantu abane-cystic fibrosis ngaphezulu naphaya kweengxaki ezibangele abanye abantu.
Ukulahlekelwa kwesisindo okanye ukufumana ubunzima obunzima: Ukufundwa kokuqala malunga ne-CF kunye nomsi wesandla wesibini kwaqhutyelwa kwikampu yasehlobo ngo-1990.
Uphando lwafumanisa ukuba abantwana abaneCF abahlala bekhangela umsi wesibini ekhaya basebenze ubunzima obuninzi phakathi kweeveki ezimbini ezingabikho zintambo zenkampu kunabantwana ababengabonakaliyo ngokubhema umsi wesandla ekhaya.
Ukwanda kwezifo zokuphefumula: Kususela ngo-1990 uphando olwenziwe, kuye kwafunyanwa ezininzi izifundo ezifumene abantu abane-cystic fibrosis abachasene nomsi wesandla wesibini baxhamla kwizifo ezithintekayo nangakumbi ezikhungeni kunokuba abo bangabonakali.
Umsebenzi ophuculwayo wamaphaphu: Uphando oluqhutywe kwiYunivesithi yaseYohns Hopkins ngo-2008 lwavelisa iziphumo eziphazamisayo. Ucwaningo lweHopkins lubonise ukuba abantu abane-cystic fibrosis abanokukhangela umsi wesibhakabhaka ekhaya banemisebenzi yemiphunga e- 10% ngaphantsi kunokuba abo babantu abane-CF abangabonakali.
Ubungakanani Ubumnyama Ubonakaliso Okulungile?
Akukho ngokwenene akukho mkhuseli okhuselekile womsi; nokuba ukutshatyalaliswa okuncane kunokubangela iingxaki kubantu abane-cystic fibrosis. Ngokufanelekileyo, akufanele uphefumle kuyo nayiphi na umsi, kodwa kunzima ukuyenza kwihlabathi elipheleleyo lababhemayo. Ngoko, ufanele uhlangane njani kuluntu ngaphandle kokukhathazeka ngemiphumo yokuphefumula ngomsi wesandla? Impendulo engcono kukuba ufanele ufumane ukulinganisela phakathi kwezinto onokuzilawula kunye nezo onako.
Ezinye izinto onokuzenza:
- Nxininisa ukugcina ikhaya lakho kunye nemoto ingabikho umsi.
- Ukuba unabangane okanye amalungu omndeni abasaqhumayo, bacele ukuba bangabhasi ngakuye okanye umntwana wakho ngeCF.
- Cacisa ubungakanani beengxaki ezitshintshwa ngumtshini wesibini zingabangela, kwaye ubuze bakho abahlobo kunye nosapho ngokubambisana kwabo.
- Ukuba intsapho yakho kunye nabahlobo bakho bangaboni okanye banenkani, bacele uncedo lweqela lakho leCC Care Centre kwaye ubacele ukuba babhale ileta malunga neengozi zomsi wesandla wesibini.
- Hlala kude kwiivenkile nakwezinye iindawo zoluntu ezivumela ukutshaya ngaphakathi. Nangona uhlala kwiindawo ezingabonakali, uya kusasazwa ngumsi wesandla wesibini.
> Imithombo:
> Collaco, JM, et al. "Intsebenziswano phakathi kobushushu obumnyama kunye neGenesis echaphazela i-Cystic Fibrosis Lung Disease". JAMA. 2008; 299 (4): 417-424.
> I-Schecter, MS "I-CF Lung Health Anthology Ingxenye 1: Umsizi wesibini kunye neCF". 2008. I-Cystic Fibrosis Foundation.
> I-Schechter, i-MS "Imvelaphi engapheliyo kwi-cystic fibrosis isifo sesifo sengqondo: Inendima yeempawu zentlalo, ukuchithwa kwendalo, kunye nokungenelela kwezempilo". Iimviwo kwiMpilo yeMpilo yokuHluma nokuHlola . 2003; 24 (6): 639-652.