Iziguli eziningi ezine-COPD noma ezinye izinkinga zamaphaphu, njenge-asthma, zilwa nokukhwehlela okunamandla okungeke kubonakale sengathi zihamba. Lokhu kubonakala kuvame kakhulu phakathi nezinyanga zasebusika, lapho ama-virus egijima futhi eshiya iziguli ezinomkhuhlane ohlala njalo. Nakuba kungenjalo ngaso sonke isikhathi, kuvamile iziguli, ikakhulukazi labo abaneCOPD noma i-asthma ukuba babe nomkhwehlela ongapheli amasonto angu-8 (lapho ubizwa khona ngokuthi ukukhwehlela okungapheli).
Phakathi nezinyanga zasebusika, ukukhwehlela kwamagciwane kuyinkinga evamile ezigulini ezine-COPD kanye / noma i-asthma, futhi zingabangela ukuqina kwesifuba noma ama-muscle aches ngaphezu kokukhwehlela okuqhubekayo izinyanga ezingu-2! Lokhu kubonakala sengathi yisikhathi eside kakhulu sokuba nomkhuhlane futhi kungase kube nzima kakhulu iziguli. Lolu hlobo lokukhwehlela ngokuvamile "alukhiqi", okusho ukuthi umcibisholo awuvumi ukukhukhulwa. Kuzwakala sengathi ukukhwehlela okunama-raspy, owomile, okwe-wheezy.
Uma ukukhwehlela kuphazamisa ikakhulukazi, ngezinye izikhathi odokotela bazohlinzeka ngezidakamizwa ezifana ne-albuterol noma balahlekelwe umthamo we-corticosteroid inhalers ezingase zinikeze ukukhululeka okuyisimangaliso. Ngaphezu kwemithi yokukhwehlela kwamakhompiyutha ingase isebenze futhi, ngemiphumela eguquguqukayo. I-codeine ivame ukugwema, nakuba ivame ukushiwo lapho ukukhwehlela kuvimbela iziguli ukuba zingalali.
Uma ukukhwehlela kuphendukela ekukhiqizeni, okusho ukuthi ukhwehlela u-mucus obomvu noma ophuzi, lokhu kungase kube uphawu lwe-bacterial infection yangempela futhi kufanele wazise umhlinzeki wakho wezempilo wezokuguqula uhlobo lokukhwehlela.
Uma ukukhwehlela kungabonakali kuhlobene nokutheleleka kwegciwane lesandulela ngculaza, ngokuqinisekile kunezinye izizathu ezenza iziguli zivame ukukhwehlela okungapheli. Izindaba ezinhle ukuthi, ngenkathi ukukhwehlela kuyisimo esibuhlungu kakhulu, ngokuvamile asibonakali isifo esisongela ukuphila. Eqinisweni, izimbangela ezintathu eziphezulu zokukhwehlela okungapheli yizi:
1. I-Upper airway syndrome ye-airway (igama eliyinkimbinkimbi ye-post-nasal drip)
2. I- asthma (okuyinto ngezinye izikhathi inesifo kuphela sokukhwehlela!)
3. Isifo se-reflux esinesifo sokudla esiswini (GERD) , ngezinye izikhathi kuthiwa 'ukushaya inhliziyo'.
Ezinye izimbangela zokukhwehlela zifaka i- COPD (ngokuvamile uhlobo lwe-bronchitis olungapheliyo lwe-COPD ) nezinye izifo ezithathelwanayo (njenge- pneumonia , isifo sofuba), izifo zamaphaphu ezingaphakathi , noma umdlavuza.
Okubalulekile:
Isizathu esivamile kakhulu sezindleko ukuxosha ngemuva, kwesifuba, i-GERD (reflux noma i-heartburn) nokukhwehlela okuphikelela ngemva kokutheleleka ngegciwane. Uma ukukhwehlela kuba okungapheli (isikhathi esingaphezu kwamasonto ayisishiyagalombili), odokotela bamaphaphu bavame ukuqala ukwelashwa nganoma iyiphi yalezi zimbangela ezintathu kubonakala sengathi kungenzeka kakhulu esimeni sakho. Nakuba ukukhwehlela yedwa kungavamile ukubonakalisa isifo esibi, ngokuqinisekile kuqinisekisa ingxoxo nomhlinzeki wakho wezempilo, futhi uma kunesidingo, udluliselwe kudokotela wamaphaphu.
Funda kabanzi mayelana nokukhwehlela lapha.
IZIMPENDULO ZESAYENSI
Nasi isihloko esihle kusukela ku-ACCP Clinical Guidelines mayelana ne-Upper airway syndrome futhi uhlola nezinye izimbangela zokukhwehlela.