Ukukhwehlela Okuphumelelayo Kuyindlela Eyisipesheli Yokususa I-Airway

Indlela Yokusebenzisa Amasu Asebenzayo Nama Huff

Ukususwa kwezindiza yingxenye ebalulekile yokuphila kwansuku zonke kubantu abane-cystic fibrosis. Akuwona wonke umuntu osebenzisa inqubo efanayo yokuhambisa umoya (ACT) noma inhlanganisela yamasu, kodwa ukukhwehlela kuvame ukufakwa esimisweni.

Ngokwakho, ukukhwehlela akuyona indlela ephumelelayo kakhulu yokuhamba kwemimoya kulabo abane-CF - kodwa kuyisinyathelo esibalulekile ekususeni i-mucus ekhululiwe ngamanye ama-ACT.

Ngenxa yalesi sizathu, ukukhwehlela okulawulwayo kungabhekwa njengomthetho obaluleke kunazo zonke ukuthi abantu abane-cystic fibrosis (CF) bangasebenzisa.

Ukukhwehlela okuphumelelayo

Ukukhukhuma kuyinto engqondweni yokuthi bonke abantu abanezinhlelo ze-neuromuscular enempilo banalo. Amakhoba aphethwe ngumzimba uma kudingeka ukususa ama-irritants nama-mucus avela emoyeni. Abantu abanekhwehlela ye-CF bayakhumbula njengoba wonke umuntu enza, kepha ukukhwehlela okunengqondo kuhlukile kunomhlobo wokukhwehlela okwenziwa njengo-ACT.

Ngokungafani nokukhwehlela okunengqondo, okungenzeka ngezinye izikhathi kube ne-spasmodic futhi engajulile, ukukhwehlela kwe-ACT kunenhloso, inzulu, futhi ilawulwa. Ngemuva kwamanye amasu akhulule ukukhwehlela, ukukhwehlela okuphumelelayo kuzosiza ukukhipha. Umgomo ukuthola umoya omningi ngemuva kwe-mucus ngangokunokwenzeka, ngakho amandla okukhwehlela azokhipha ngaphandle. Ukuze uhlanganyele ekukhwehleleni okuphumelelayo, izinyathelo ezine ezilandelayo zinconywa:

1. Thatha umoya ojulile, umgomo wakho wokugcwalisa amaphaphu ngokugcwele ngangokunokwenzeka.

1. Inkontileka ngokucophelela (cindezela) imisipha yangasese yomzimba.
2. Susa (phuma) wonke umoya usebenzisa ukukhwehlela okunamandla.
3. Phinda inqubo yokukhwehlela esisodwa noma kabili kuze kube yilapho ukukhwabanisa okukhululiwe kususwe emoyeni.

Zama ukukhwehlela zibe izicubu ukuze ugweme ukusabalalisa amagciwane, bese uphonsa izicubu bese ugeza izandla zakho (noma usebenzise i-gel esandleni esiphuzo).

Ukushaya ngokumelene ne-Huffing

Kwamanye abantu abane- cystic fibrosis , amandla okukhwehlela angabangela ngempela ukuthi izindiza zenzeke. Kulesi simo, ungasebenzisa Amasu Okuphefumula Okuphoqelelwe (FET) eyaziwa ngokuthi ukukhukhumeza esikhundleni sokukhwehlela. Kulabo abangakwazi ukubekezelela ukukhwehlela, ukuxubha nakho kungasetshenziswa njengesinyathelo sokuqala sokuletha u-mucus emoyeni ongenhla, kulandelwa ukukhwehlela okunamandla ukuletha ukukhwehlela konke ukuphuma. Ukuthukuthela kufana nokukhwehlela kepha akusikho okunamandla. Ukwenza inqubo yokukhwehlela ekhukhumele zama lezi zinyathelo:

1. Hlala uphakamise, vula umlomo wakho uphinde ugxilise ingane yakho phambili kancane.
2. Thatha umoya omkhulu, owephuzile futhi ojulile, ogcwalisa amaphaphu cishe cishe ngamaphesenti angama-75 emandla abo.
3. Bamba umoya wakho imizuzwana emibili noma emithathu.
4. Phonsa umoya ngokuphuma emlonyeni ovulekile ngenkathi ethi "hu," njengokungathi ushaya isisindo esibukweni.
5. Phinda izinyathelo 1-4 ngezikhathi ezimbalwa ngaphambi kokulandela ukukhwehlela okuqinile ukuze ususe i-mucus emoyeni ohamba phambili.
6. Njengengxenye yemizimba yakho yokuzivocavoca kwemisakazo yansuku zonke, yenza umjikelezo wokukhwehlela kwama-huff awu-4.

Nakuba ukugcoba akukona okunamandla njengokukhwehlela, kusasebenza futhi kungahle kube nzima kakhulu. Ukuphefumula nokuphefumula kwakho kuvumela umoya ukuba uphume ngemuva kwe- mucus emaphashini bese uhlukanisa nodonga lwamaphaphu ukuze ukwazi ukuwukhipha ohlelweni lwakho lwe-airway bese ulahla i-mucus.

_Umthombo:

_{McCool, FD MD, FCCP, no Rosen, MJ MD, FCCP. "Izifo zokwelashwa ezingenayo i-Nonpharmacologic Airway Clearance: I-ACCP Imikhombandlela Yokwenziwa Kokutholwa Kwamakhambi". Isifuba. 2006; 129: 250S-259S.}

_{I-Cystic Fibrosis Foundation. Ukukhukhumeza nokukhukhumeza.}