Ukugaya kungumqondo ongokwemvelo okubalulekile ukugcina amaphaphu akho kanye ne-airways ecacile futhi isebenza kahle. Ngenkathi ukukhwehlela kuvame ukungakhathazeki, ukukhwehlela okuqhubekayo okubonakala kungabikho kokubili kuyinkimbinkimbi futhi kungase kuhlobene nokugula.
Kunezinhlobo ezahlukene zokukhwehlela ezi-3: ezilukhuni, ezizimele futhi ezingapheliyo.
Izikhukhula Ezimnandi Nezimbangela Zabo
Ukukhwehlela okuvame ukuphela kuphela kuze kube amasonto angaba ngu-3 futhi ngokuvamile kubangelwa igciwane.
Lokhu kukhwehlela kungase kube okukhiqizayo (kuveza umcucu) noma okungenayo ikhiqiza (eyomile, ayikho i-mucus). Ukukhwehlela okukhulu kuvame ukubangelwa izifo ezilandelayo:
- Cold
- Umkhuhlane
- I-pneumonia
- Ukutheleleka kweSinus
- Croup
- Ukukhohlela okubi
- I-brronchitis
- Ukubumbana kwamapulmonary
Ngeshwa, ukuhlolwa akutholakali ukwelashwa okukhona okwenziwe ukukhwehlela okukhulu ukuze kusebenze. Eqinisweni, kukhona ukunyakaza okungekho ngisho nokusebenzisa ukukhwehlela ukukhwehlela ukuze unciphise izimpawu zakho ngaphandle kokuba ukukhwehlela kubangela ezinye izinkinga.
Uma imbangela ingukutheleleka kwebhaktheriya ephathekayo njenge-pneumonia, imishanguzo ye-antibiotics iyoba yindlela efanele yokwelashwa ukusiza ukulwa nombangela oyinhloko wokukhwehlela. Ezimweni eziningi zokukhwehlela okukhulu, noma kunjalo, imbangela igciwane futhi umzimba wakho kufanele ulwa nesifo sobodwa. Xoxa nodokotela wakho mayelana nesimo sakho esithile futhi uma kukhona izinketho zokwelapha ezizokuzuzisa wena.
Izimo Ezibangelwa Isikhukhula Sase-Subacute
Ukukhwehlela okunomsoco kuvame ukuhlala phakathi kwamasonto amathathu kuya kwangu-8.
Ukukhwehlela okunomsoco kungahle kudingeke ukuthi kuhlolwe udokotela kuye ngokuthi ubukhulu bezimpawu, njengoba u-60% wekhwehlela wokuzikhwehlela uxazulula ngokuzenzekelayo. Ngamanye amazwi, kunethuba elihle kakhulu lokukhwehlela kwesifo sofuba esisodwa.
Izimbangela ezivamile zokukhwehlela okuhlukumeza zihlanganisa:
- Ukukhwehlela okulandelako (okuvame kakhulu)
- Ukudonsa kwe-Post-nasal
- I-asthma ye-Cough-variant
- I-bronchitis ye-Eosinophilic
Uma udokotela wakho esola ukuthi imbangela yokukhwehlela kwakho ngokushukela kuyisifo sokukhwehlela ngemuva kokusakazeka noma ukudonsa ngemuva, angase anikeze ama-antihistamines kanye nomzimba wokuhlambalaza (njenge-chlorpheniramine ne- pseudoephedrine ) cishe amasonto amathathu ukuze ubone ukuthi ukukhwehlela kuzomisa yini.
Izimo Ezibangelwa Isikhukhula Esingunaphakade
Ukukhwehlela okungapheli kudlule isikhathi eside kunamaviki angu-8. Izimbangela zokukhwehlela okungapheli ngezinye izikhathi kungase kube nzima ukuzincipha. Ukuze usize ukuhlukanisa imbangela yokukhwehlela kwakho okungapheli, udokotela wakho angathola ukuthi kudingekile ukuba asebenze izivivinyo eziningana noma aze ancoma ukuthi ubone esinye isazi.
Isizathu esivame kakhulu sokukhwehlela okungapheli ukubhema , kodwa ezinye izimbangela ezivamile zihlanganisa:
- I-asthma
- Amagciwane
- Ukudonsa kwe-Post-nasal
- Isifo se-reflux se-gastroesophageal (GERD)
- I-COPD
- Imithi, ikakhulukazi i-ACE inhibitors
- Ukuhluleka kwenhliziyo
- Umdlavuza we-Lung (ongavamile)
Uma uphethile, kubalulekile ukuthi uqale uhlelo lokuyeka ukubhema. Ukubhema kungeke kube yimbangela yesikhohlela sakho esingapheli kodwa kuyokubeka engozini yokuthuthukisa ezinye izifo ezihlobene nempilo. Qalisa namhlanje.
Ukwelashwa kuhloswe ngenxa yezizathu ezithile zokukhwehlela. Udokotela wakho uzothatha umlando ophelele ukubona izimbangela zokukhwehlela.
Uma use-ACE inhibitors ngenxa yegazi, udokotela wakho kungenzeka ukuthi uzame enye imithi ukuze ubone ukuthi ukukhwehlela kwakho kuxazulula.
Udokotela wakho angase futhi afune i-x-ray yesifuba kanye nokuhlolwa okubizwa nge-spirometry ukusiza ukuthola imbangela yokukhwehlela kwakho. Uma i-x-ray yesifuba ingavamile, ukuhlolwa kwe-CT okuphezulu kwamaphaphu kanye / noma i-bronchoscopy kungadingeka.
Ngeshwa, azikho odokotela abaningi abazimisele ukwenza ngokukhethekile ukukhwehlela okungapheli. Ekuqaleni, ungathola ukuthi udluliselwa ku-pulmonologist ukuze "usebenze" noma uhlolele ukukhwehlela okungapheli, kodwa eziningi ze-pulmonologists ezinhle kakhulu zingase zingathandi ukubuka iziguli ngenxa yokukhwehlela okungapheli futhi zikudlulisele kunoma isifo se-gastroenterologist noma emuva udokotela wakho oyinhloko wokunakekelwa (PCP).
Ukuthola udokotela oyithandayo ozimisele ukubekezela mhlawumbe kuyisihluthulelo sempumelelo ekuphatheni umkhuhlane wakho ongapheli.
Lapho Isikhumba Siyisimo Esiphuthumayo
Ngenxa yokuthi ukukhwehlela kwethu ukukhwehlela kuyimvelo futhi kuyisivikelo, ngezinye izikhathi imizimba yethu indlela yokusitshela ngokuphuthumayo okuzayo. Uma ukukhwehlela ngokuphazima kweso futhi ube nekhono lezinkinga ezilandelayo, kufanele ufune usizo lwezokwelapha ngokushesha.
- Ukusabela okwenziwe nge-allergen (anaphylaxis)
- I-asthma noma i-COPD exaceration, lapho imithi ingakwazi ukulawula izimpawu
- Inhalation yento yangaphandle
- I-Pertussis
- I-pneumonia
Ngaphandle kokukhwehlela, ungase ubhekane nokuphefumula kanzima, noma ezinye izimpawu ezibuhlungu ezifana nokuvuvukala kolimi.
Uma unenkinga yokuphefumula, ikakhulukazi uma usemngciphekweni wezinye zezimo eziphuthumayo akufanele ulibale ukufuna ukwelashwa, njengoba lokhu kungase kube izimo ezisongela ukuphila.
Imithombo:
Qala ukubonisana. (2013). Ukuhlolwa nokuphathwa kokukhwehlela kubantu abadala. https://www.clinicalkey.com (Okubhaliselwe Kudingeka)
Irwin, RS, Baumann, MH, Bolser, DC, Boulet, L., et. al. Ukuxilongwa Nokuphathwa KweSikhulu Sokuphathwa Kwe-Cough: I-ACCP Imikhombandlela Yokusebenzisa Iziqondiso Zomtholampilo ye-ACCP. I-Chest 2006; 129; 1S-23S.
Kwon, N., Oh, M., Min, T., Lee, B., no-Choi, D. Izimbangela kanye Nezici Zemitholampilo Ye-Subacute Cough. I-Chest 2006; 129; 1142-1147.
I-National Heart Lung ne-Blood Institute. Isikhukhula.