Ukukhwehlela okungapheli kungachazwa njengokukhwehlela okude isikhathi eside, okuqhubekayo futhi kubonakala sengathi akudluli naphezu kokwelashwa. Kuyindlela yokuzivikela eyakhiwa ngumzimba ngomzamo wokugcina umoya okhululekile ungena emanzini noma ezinye izidumbu.
Ukukhwehlela okungapheli kungenye yezizathu ezivame ukuvakashela ehhovisi likadokotela. Kungadambisa, njengoba kuphazamisa ukulala, kubangela ubuhlungu besifuba futhi kushiya uzizwe uthukuthele futhi ucasuke.
Kunezimbangela eziningi ezingabangela ukukhwehlela okungapheli. Kungabangelwa ukutheleleka emaphashini noma emangcwabeni angaphandle njengentuthu kagwayi noma ukungcola komoya.
Ukukhwehlela okungapheli kungenzeka, noma kungenjalo, kube uphawu lwe-lung yangempela, engaphansi kwesifo samaphaphu njengesifo esingavamile se-pulmonary disease noma umdlavuza wamaphaphu . Lesi yisizathu esikhulu sokuthi kungani kudingeke uphenyo oluqhubekayo kusuka kumhlinzeki wakho wezempilo.
Yini Ngempela 'Isikhukhula Esingapheli'?
Odokotela abaningi babheka ukukhwehlela "okungapheli" uma sekuqhubeka amasonto ayisishiyagalombili noma ngaphezulu. Kuyinto engavamile - eqinisweni, kungase kwenzeke kubantu abangaba ngu-40%.
Nakuba ungakwazi ukukhwehlela ngentando, ukukhwehlela okuningi kungukuzibandakanya. Ukukhwehlela okungenasidingo kwenzeka uma kukhona okucasula noma okuvuselela umoya wakho, okubangela isenzo esicabangelayo emaphashini nasemqaleni ukuze uphefumule ngokujulile bese ngokuzumayo uchithe umoya emaphashini akho.
Ukukhwehlela okungapheli kungaba nokukhiqiza, noma "kumanzi" - ngamanye amazwi, bakhiqiza i-mucus ukuze uxoshe ngomlomo - noma ukukhwehlela kwakho kungabonakali, noma "kuyomile." Izimo ezehlukene zizokhiqiza izinhlobo ezahlukene zokukhwehlela.
Isibonelo, uma une- chronic obstructive isifo se-pulmonary, cishe kungenzeka ube nokukhwehlela okukhiqizayo, ngoba umzimba wakho udinga ukuqeda umcucu ovala amaphaphu akho. Kodwa uma utholakale othulini, imfucumfucu noma amakhemikhali emsebenzini, okungenzeka ukuthi uholele ekukhwehleleni okungenakukhiqiza.
Izimbangela Ezenzekayo Zesikhuhlane Esingapheli
Izimbangela ezintathu eziphezulu zokukhwehlela okungapheli zihlanganisa:
- I-post-nasal syprome syndrome. Kule nkinga, i-mucus eningi ekhanda lakho ilokhu iqhuma ngemuva komphimbo wakho, icasula izicubu lapho futhi iholele ekukhwehleleni okungapheli. Kunemibandela eminingi eyaholela ekutheni i- post-nasal syprome syndrome, kuhlanganise nezifo, ukungahleleki kwesakhiwo ekhaleni ngokwayo, ukukhulelwa, nemithi ethile.
- I-asthma. Nakuba abantu abaningi bacabanga ukuthi ukushisa nokuphefumula kunzima yizibonakaliso eziyinhloko ze-asthma, ngezinye izikhathi uphawu lwe-asthma kuphela oluthile, okungenani okokuqala, lukhwehlela olungapheliyo. Kubalulekile ukuthola lolu hlobo lwe-asthma, owaziwa ngokuthi ukukhwehlela okungafani ne-asthma, ukutholwa kahle nokuphathwa kahle, ngoba uma ungenalo ithuba elihle lizoqhubeka libe "izimpawu zakudala" ze-asthma .
- Isifo se-reflux ye-gastroesophageal (GERD). Yebo, i- GERD ngokuvamile ihilela izimpawu zokugaya izifo ezinjenge-heartburn kanye ne-reflux. Kodwa ezimweni eziningi, i-GERD nayo ibangela ukukhwehlela okungapheli. Eqinisweni, amacala angama-25% wezinkinga zokukhwehlela okungapheli angase abe ngenxa ye-GERD. Abanye abantu abanekhwehlela elingapheli ngenxa ye-GERD nabo banezimpawu "zakudala" ze-reflux, kanti abanye abakwenzi.
Ezinye izimbangela zokukhwehlela okungapheli (kodwa ezingaphansi) zingabandakanya:
- Ukubhema
- Amagciwane
- I-bronchitis engapheli
- I-pneumonia eqhubekayo
- I-apnea yokulala yokuvimbela
- Imithi ebizwa ngokuthi i- ACE inhibitors
- Isifo sofuba
- I-COPD
- Umdlavuza we-Lung
Abantu abaningi banezizathu ezingaphezu kweyodwa zokukhwehlela okungapheli.
Njengoba kunezimbangela eziningi ezingabangela ukukhwehlela okungapheli - ezinye zazo ezingenakwenzeka kepha ezingathí sina - kubalulekile ukuba uvakashele udokotela wakho futhi uthole ukuxilongwa okufaneleko nokwelapha ukukhwehlela kwakho okungapheli.
Imithombo:
I-American Academy ye-Otolaryngology-Inhloko Nokuhlinzwa Kwezinyosi. Ishidi lokufaka i-Post-Nasal Drip. Ifinyelele ngo-Feb. 9, 2016.
UBenich JJ et al. Ukuhlolwa kwesiguli esine-Cough Chronic. I-American Family Physician. 2011 Oct 15; 84 (8): 887-892.
D'Urzo A et al. Ukukhwehlela okungapheliyo. Izimbangela ezintathu ezivame kakhulu. I-Canadian Family Physician. 2002 Aug; 48: 1311-1316.
Madanick RD. Ukuphathwa kwe-CED Chronic-Cough ehlobene ne-GERD. I-Gastroenterology & Hepatology. May Meyi 2013; 9 (5): 311-313.
I-Niimi A. I-Cough ne-Asthma. Ukubuyekezwa Kwamanje Kwemithi Yokuphefumula. 2011 Feb; 7 (1): 47-54.
Pratter MR. Sibutsetelo sezimbangela ezivamile zokukhwehlela okungapheli: Imihlahlandlela yokusebenza emtholampilo ye-ACCP. Isifuba. 2006 Jan; 129 (1 Suppl): 59S-62S.
I-Sundar KM et al. Cough Chronic and OSA: Inhlangano Entsha? I-Journal ye-Clinical Sleep Medicine. 2011 Dec 15; 7 (6): 669-677.