I-bronchitis enempilo futhi engapheli iphathwa ngezindlela ezihlukile ngokuyinhloko, nakuba kunezokwelapha ezimbalwa ezingasetshenziswa kuzo zombili izimo. Igumbi lesisekelo lezokwelapha kuzo zombili izimo lisekelwe ekwenzeni ngcono induduzo, ukugqugquzela ukuphefumula okuhle nokunciphisa ukukhwehlela.
Imithi ejwayelekile kakhulu ye -bronchitis enzima ihlanganisa ukuphumula kanye nokwelashwa kwesifo lapho ukuvuvukala kungumphumela wokutheleleka ngegciwane.
Uma ukutheleleka kwebhaktheriya kuyimbangela ye-bronchitis enamandla, ama-antibiotic angase asetshenziswe futhi. Ngakolunye uhlangothi, i-bronchitis engapheli ilawulwa ngemithi eyancipha ukuvuvukala kwe-bronchi, njenge-steroid enganyanyisiwe noma yomlomo, kanye nokuguqulwa kokuphila, njengokuqeda ukubhema.
Amakhambi asekhaya kanye nendlela yokuphila
Uma uthola ukuthi une-bronchitis enesifo esiphundu noma esingapheli, cishe ngeke udinga ukuhanjelwa esibhedlela. Kokubili i-bronchitis enobuhlungu futhi engapheli, ukugxila okukhulu kokwelashwa kwakho kusekelwe emakhambi asekhaya kanye nokuguqulwa kwendlela yokuphila.
- Gwema Ukushisa Nezimvuthu: Zombili i-bronchitis eyingozi futhi engapheli ingasakazwa umusi kagwayi, ama-inhalants nezimboni emvelweni, njenge-smoke evela ku-grill. Noma kunini lapho kungenzeka khona, hlala kude ne-irritants engagxiliwe, ngoba ingenza ukuphendula okwenyuka kokuvuvukala kwe-bronchi yakho.
- Ama-hudidifiers : Ukusebenzisa i-humidifier kunganciphisa ukungakhululeki uma une-bronchitis enzima, futhi ngezinye izikhathi lokhu kuyasiza nge-bronchitis engapheli. Amahloni angeza umswakama emoyeni, okwenza kube lula ukuphefumula, ukukhulula isikhukhula futhi kunganciphisa ngisho nokunye ubuhlungu obuvela ekuphefumuleni emoyeni omile.
I-brronchitis enamandla
- Ukuphumula: I-bronchitis enamandla ingenza uzizwe ukhathele kakhulu. Lokhu kubangelwa kokubili ukutheleleka kanye nokukhwehlela okuqhubekayo. Kubalulekile ukuphumula ngangokunokwenzeka uma ugula.
- Izifo: Ukuphuza uketshezi olucacile uma unesifo sokuphefumula kubalulekile ngoba udinga ukuhlala u-hydrated, okusiza ekunciphiseni i-mucus esifubeni sakho nasemphinjeni.
Imithi yokwelapha ngaphezulu
Imithi eminingi ye-over-the-counter ingasiza ekunciphiseni ezinye zezimpawu zombili i-bronchitis enesifo esibuhlungu. Ngokuvamile, le mithi iphumelela kangcono ekusetshenzisweni kwesikhathi esifushane uma une-bronchitis enzima. Esikhathini esiningi, udokotela wakho uzongcoma imithi yamandla kadokotela enomuthi onomphumela ohlala njalo we-bronchitis ongapheli.
- Ama-decongestants : Ama-decongestants, njenge-pseudoephedrine ( Sudafed) ne-oxymetazoline (Afrin), ukhulule futhi usize ukukhipha umcibisholo ongase ube ezonweni zakho, okwenze kube lula kuwe ukuba uphefumule. Kukhona ukungqubuzana mayelana nokuhlukunyezwa kwale mithi, ngakho kubalulekile ukuthi ube nomthwalo wemfanelo futhi uwasebenzise ngokuzenzekelayo. Sebenzisa ama-decongestants kuphela uma ekhulula izimpawu zakho, futhi engasenakudlula izinsuku ezimbalwa ngesikhathi.
- Ukunciphisa ubuhlungu : Ukunciphisa ubuhlungu kanye nokunciphisa umkhuhlane njenge-acetaminophen kanye ne-ibuprofen kungasiza ekunciphiseni ubuhlungu besifuba kanye nokukhathazeka ongase uhlangabezane nokukhwehlela uma une-bronchitis.
- Ukunciphisa ama-fever : Imithi eminingi enganciphisa umkhuhlane wakho nayo ilulaze ubuhlungu obunzima, ngakho-ke imishanguzo engaphezu kweyodwa ingenza umsebenzi ophindwe kabili. Ungawafaki emithini ephakeme kunezilinganiso eziphakanyisiwe, futhi qiniseka ukuthi utshela udokotela wakho noma udokotela wezingane zakho mayelana nemithi engaphezu kweyomuthi oyisebenzisayo.
- Imithi yokwelashwa : Ukucindezela izikhukhula noma abaxoshayo kungaba usizo uma ukukhwehlela kwakho kusomile noma kungabonakali. Uma unekhwehlela eqhubekayo ye-bronchitis engapheli, udokotela wakho angakunika ukucindezeleka kokukhwehlela komuthi.
Imigomo
Imithi yokwelapha ye-bronchitis inikezwa ngenduduzo, kanti ezinye izindlela zokwelashwa zingasiza isi sifo ngokwayo ukuba sibe ngcono.
- Ama-antibiotics: Amacala amaningi e-bronchitis ayenziwa yizifo ezibangelwa amagciwane, okusho ukuthi awakwazi ukuphathwa ngama-antibiotic. Ukutheleleka nge-viral akuphuculanga ngama-antibiotics, ngakho ukuwathatha ngeke kukusize ukuthi ube ngcono kangcono, futhi kungaholela kwezinye izinkinga, ezifana nokuphikisana kwama-antibiotic. Uma une-bronchitis eyingozi ebangelwa ukutheleleka kwama-bacterium , kungadingeka uthathe umuthi ama-antibiotics. I-antibiotic ethize inqunywe ngokusekelwe ekungeneni kwamagciwane. Uma udinga ukuthatha ama-antibiotic, qiniseka ukuthatha yonke imithi yakho njengoba kunqunywe futhi ungayeki nje ngoba uzizwa ungcono.
- I-bronchodilators: I-bronchodilators enjenge-albuterol (i-Proventil), phumula izixuku ezungeze i-bronchi, ivumela ukuba zikhudlwana. Lokhu kusiza ukususa imfihlo ye-bronchial ngenkathi kunciphisa i- bronchospasm nokunciphisa ukuvinjelwa kwamanzi. Ukuqina kwesibindi nesifuba kungathuthukisa okwesikhashana, futhi oksijini engaphezulu ingasakazwa emaphashini akho ukuze kuthuthukiswe izinga lakho lamandla. Ngokuvame ukusetshenziswa njengama-inhalers, amanye alawa mithi abizwa ngokuthi yi- rescue inhalers , ngoba asebenza masinyane futhi asetshenziselwa ukwelapha iziqephu eziphuthumayo zokuphefumula okuhlobene ne-bronchospasm.
- I-Steroids: I-steroid yomlomo ingasetshenziselwa ukwelapha i-bronchitis engapheli lapho izimpawu zikhula kakhulu. I-steroids engenayo isetshenziselwa ukuphatha izimpawu eziqinile noma lapho izimpawu zihamba kancane kancane.
- I-Phosphodiesterase-4 (PDE4) inhibitors: I-PDE4 inhibitors Daliresp (i-roflumilast ) yilasilasi lemithi ephethe ukuvuvukala okuhlobene nesifo se-lungs. Imithi yomlomo yesikhashana esisodwa, ama-PDE4 inhibitors asiza ukunciphisa ukuqhuma okukhulu kwe-bronchitis engapheli, ngokuvamile nemiphumela emibi kakhulu.
Izindlela zokuhlinza kanye nezinqubo ezihamba phambili ezikhethekile
Izinqubo eziningana zingasiza ekunciphiseni izimpawu nokucindezeleka kwe-bronchitis engapheli. Lezi zinqubo ngokuyinhloko ezingenasidingo futhi ezilula ukubekezelela, kodwa kufanele ziqondiswe ochwepheshe onolwazi.
- I-physiotherapy esifubeni: Le nqubo, engase ibizwe ngokuthi ukuxubana kwesifuba, iyindlela efaka ukushaya esikhwameni kanye / noma emuva ukusiza ukukhulula umqubu futhi kwenze kube lula ukukhwehlela. Kuvame ukusetshenziselwa ukuhambisa amanzi emzimbeni futhi kungenziwa ngokusebenzisa izandla eziphekiwe noma idivaysi yokuvula umoya.
- Umfula wamaposenti : Lena yindlela esebenzisa amandla adonsela phansi ukuze asize ngokususwa kwe-mucus evela emoyeni. Kokubili i-physiotherapy yesifuba ne-postural drainage isebenza kangcono ngemva kokwelashwa kwe-bronchodilator.
- Amadivaysi okuvula ama-airway: Lawa madivaysi asetshenziswa ngokubambisana ne-chest therapy kanye ne-postural drainage ukuze kuqinisekiswe kangcono imvume ye-mucus emaphashini. Amadivayisi aboniswe ukuthuthukisa imiphumela uma kuqhathaniswa ne-physiotherapy ne-drainage yedwa. Zingakhokhwa futhi zisebenziseka kalula, futhi udokotela wakho noma udokotela angancoma idivayisi yakho uma une-broncitis engavamile.
- Amadivaysi okucindezela okuphefumulayo (PEP) avumela ukuba uphefumule emoyeni ukucindezela emoyeni.
- Amadivaysi e-oscillating aphezulu, njenge- Flutter Mucus Clearance Device kanye ne- Acapella Vibratory PEP yedivayisi , ngobumnene vumela ukuthi izindiza ezincane nezinkulu zidlidliza.
- I-Flung Lung , idivayisi ephethwe ngesandla, ikhiqiza amagagasi omsindo aphansi e-airways.
Imithi yokwelashwa ehambisanayo (i-CAM)
Kunezinhlobo eziningi zokwelashwa okunye okusetshenziselwa i-bronchitis, futhi bambalwa baye baphenywa, abanomkhawulo, kodwa okuthembisayo, imiphumela.
- I-Eucalyptus Oil: I-Eucalyptus ingase ibe nezindawo zokuvimbela i-antiviral, futhi ukusebenzisa amafutha nge- eucalyptus steam inhalation kunganciphisa ezinye zezimpawu ze-bronchitis enzima.
- I-Pelargonium sidoides: I- P. sidodes, eyaziwa nangokuthi i-Umckaloabo, iyisisombululo se-herbal esingase siphumelele ekunciphiseni izimpawu nge-bronchitis enzima.
- Elm Slippery: I-elm yokudlala, ifomu letiyi, itiye ingasiza ekunciphiseni umkhuhlane owawukwazi ukuhambisana ne-bronchitis. I-Elm ye-Slippery iqukethe i-mucilage, into efana ne-gel enganciphisa ukuvuvukala.
> Imithombo:
> Careddu D, Pettenazzo A. Pelargonium sidoides okhiqizwa EPs 7630: ukubuyekezwa kokuphumelela komtholampilo nokuphepha kokwelapha izifo ezithinta ukuphefumula ezinganeni. I-Int J Gen Med. 2018 Mar 8; 11: 91-98. doi: 10.2147 / IJGM.S154198. eCollection 2018.
> Elaissi A, Rouis Z, Salem NA. Ukwakhiwa kwamakhemikhali amafutha angu-8 eucalyptus 'amafutha abalulekile kanye nokuhlolwa kwemisebenzi yabo yokulwa ne-antibacterial, antitifungal kanye ne-antiviral. I-BMC ihambisana ne-Altern Med. 2012 Jun 28; 12: 81. i-doi: 10.1186 / 1472-6882-12-81.
> Isikhathi sokuqala A, Günther J, Motschall E, Rücker G, Antes G, Kern WV. I-Pelargonium sidoides ikhiphe ukwelapha ukutheleleka okukhulu kokuphefumula s. Cochrane Database Syst Rev. 2013 Okthoba 22; (10): CD006323. i-doi: 10.1002 / 14651858.CD006323.pub3.