Ungamisa kanjani ukukhwehlela ebusuku ngemithi ye-OTC namakhambi asekhaya

Imfundo Yezempilo

Uma uke waba nokugula okuphefumula, uyawazi lo muzwa: Ulala embhedeni, ulangazelela ukubamba ama-zzz's adingeka kakhulu, lapho ngokungazelelwe ugenca, uphonsa futhi ujika, futhi ubheke ithuba lakho lokuthola okuhle ukulala ebusuku kuphuma ngewindi.

Okubi nakakhulu, ukutheleleka ngegciwane akuyona ngisho i- kuphela isizathu sokukhwehlela ebusuku. Konke kusuka ekucasukeni okuphezulu komoya kanye nokudonswa kwangemva kokungena emzimbeni kuya ku-acid reflux nezinye izimo zempilo ezivamile kungakushiya ukhwehlela ebusuku esikhundleni sokuthimula.

Ngokujabulisayo, kunezindlela eziningi ezilula zokulwa nokukhwehlela ebusuku. Nge-arsenal yemithi ethengiswayo, izinguquko kwezemvelo, namakhambi wokukhwehlela ekhaya, ungaguqula ubusuku bakho obungenakuphumula bube obuzolisayo (futhi obungenakhohlela!).

Kungani ngikhwehlela ebusuku?

Isinyathelo sokuqala sokumisa ukukhwehlela ebusuku sithola ukuthi kungani unaso, kusho u-Apurvi Thekdi, MD, uchwepheshe wezindlebe, impumulo nomphimbo eHouston Methodist. Njengoba ukwelashwa kuyehluka ngezinhlobo ezahlukene zokukhwehlela, udinga ukwazi imbangela.

UDkt. Thekdi uthi kubalulekile futhi ukunaka uhlobo lokukhwehlela onalo (olumanzi noma olomile, olungajwayelekile noma olune-spastic), noma yiziphi izimpawu ezihlobene (njengokushintshwa kwezwi noma inkinga yokugwinya), nanoma yiziphi izinto ezingakudala, njengokushintsha kokudla kwakho noma imvelo.

Uma usukulungele ukudlala umseshi, nazi ezinye zezimbangela ezivamile zokukhwehlela ebusuku.

Umkhuhlane ovamile

Unomkhuhlane. Uyathimula futhi unekhala eligobayo, kodwa ngiyabonga ukuthi awukhwehleli ... uze ulale ubuthongo. Kungani ukukhwehlela kuba kubi kakhulu ebusuku lapho ugula? Ngoba ukulala phansi emhlane noma ohlangothini lwakho lokulala kuvumela amafinyila ngokweqile kusuka ekuguleni kwakho ukuthi angene ngemuva komphimbo nasesifubeni.

Isifuba Somoya

UDkt Thekdi uthi izinhlobo ezithile ze-asthma zingaholela ekukhwehleleni okungapheli, okungaba kubi kakhulu ebusuku. Kukhona nohlobo lwesifuba somoya olubizwa ngokuthi i-asthma ekhwehlela ngokukhwehlela , lapho i- kuphela uphawu ukukhwehlela (okungukuthi, akukho ukuphefumula, ukuphefumula kanzima, noma ukuphefumula okuncane). Umuthi wokukhwehlela ongaphezu kwamanani awusebenzi kulolu hlobo lwesifuba somoya. Kudingeka i-inhaler.

Ukudonswa kweposi

Noma kungenxa ye- ukungezwani komzimba ngezikhathi ezithile zonyaka , i-sinusitis, ama-polyp nasal, noma okunye ukugula okunegciwane, i-postnasal drip ingesinye sezizathu ezinkulu zokukhwehlela ebusuku. Yonke leyo phlegm kufanele iye kwenye indawo, akunjalo? I-flash yezindaba: Yehla ngemuva komphimbo wakho.

Imvelo yakho

Izilwanyane ezivamile kanye nezicasulayo — njengeziduli ezibangwa uthuli, intuthu kagwayi, izinhlamvu zesikhunta, i-pet dander, amaphela, kanye nempova — kunganele ukubangela ukukhwehlela okungapheli njalo lapho ulala ubuthongo. Lesi ngesinye sezizathu eziyinhloko zokuthi kungani ungahle uhlangane nokukhwehlela ebusuku (hhayi emini).

Ukugula okuhlobene ne-GI

Ngabe uhlelo lwakho lwesisu luhlobene kanjani nokukhwehlela? Kuningi, uma uhlushwa yisifo se-gastroesophageal reflux (GERD), esaziwa nangokuthi i-acid reflux. Uma ulala phansi ngemuva kokudla, okuqukethwe okufanayo esiswini okuvame ukudala isilungulela nesicanucanu emini ingafinyelela kude ngemuva komphimbo wakho, ukusetha i-reflex yokukhwehlela (futhi, kwesinye isikhathi, umphimbo obuhlungu).

Imithi ethile

Uma ugula futhi ugcwele amafinyila, ungathatha i-expectorant ukukhulula izinto. Kepha uma usondela eduze nesikhathi sokulala, ungachitha uhhafu wobusuku bakho ukhwehlela yonke leyo phlegm enciphile. Okwamanje, eminye imithi efana ne-beta blockers kanye Ama-ACE inhibitors , uhlu lokukhwehlela njengomphumela wecala ongaba khona.

Izimo ezithile ezibucayi

Uma ukhwehlela ebusuku, esinye sezizathu ezingenhla kungenzeka kube yimbangela. Lokho kusho ukuthi kunezimo ezithile ezibucayi ezingaba ngumthombo wokukhwehlela kwakho.

• Umkhuhlane. Ngaphezu komkhuhlane, ubuhlungu bomzimba, nokukhathala, umkhuhlane kungadala nezimpawu zokuphefumula ezinzima ezifana nomkhuhlane ovamile.
• UPertussis, owakho ukukhwehlela. Lesi sifo esithathelwana kakhulu sebhaktheriya kwesinye isikhathi sibizwa ngokuthi ukukhwehlela kwezinsuku eziyi-100 ngenxa yokuthi singapheli kanjani.
• Umdlavuza wamaphaphu noma izimila. Ukukhwehlela okusha okungapheli kungenye yezimpawu ezivame kakhulu zesifo samaphaphu njengomdlavuza nezicubu.
• I-bronchitis. Ukuvuvukala kolwelwesi lwamashubhu we-bronchial kubizwa i-bronchitis . I-bronchitis enamandla ngokuvamile ingumphumela wokutheleleka ngegciwane; i-bronchitis engapheli kungenzeka kubantu ababhemayo abasindayo noma kubantu abane isifo esingelapheki samaphaphu (COPD).
• Inyumoniya . Lapho ukutheleleka kwenzeka ezikhwameni zomoya zamaphaphu akho, zingagcwalisa uketshezi oludala ukukhwehlela okukhulu, ubuhlungu besifuba, nenkinga yokuphefumula. Kakhulu, inyumoniya ikhiqiza isikhwehlela ngokukhwehlela.
• Izinkinga zemizwa. Isizathu esisodwa esingacacile sokukhwehlela ebusuku yilokho esikubiza ngokuthi ukukhwehlela kwe-neurogenic, kusho uDkt. Thekdi, okungenye ebangelwa ukucasuka kwezinzwa ezinikeza ukuzwa komphimbo.
• Isifo senhliziyo. Ukukhwehlela kungaba wuphawu lokwehluleka kwenhliziyo, isimo lapho ukusebenza kokumpompa kwenhliziyo kuya buthaka.

Ungakuyeka kanjani ukukhwehlela ebusuku

Uma usunomqondo wokuthi ukukhwehlela kwakho kuqhamukaphi, sekuyisikhathi sokuhlola amasu athile okusidambisa, ikakhulukazi uma kukugcina uphapheme ebusuku.

Yenza izinguquko zokuphila

1. Lala endaweni ephakeme , ngekhanda nentamo yakho ithambekele, ngakho-ke amafinyila awahlanganisi kalula emphinjeni noma esifubeni.
2. Uma umoya owomile uyimbangela, sebenzisa i-humidifier ebusuku noma geza umusi ngaphambi kokulala ukuze uthambise izindlela zakho zomoya. Umoya obandayo nawo ungaholela ekukhwehleleni kaningi ngaphakathi abantu abanezimo ezithile , ngakho-ke gcina i-thermostat yakho yokulala isethwe Ama-degree angama-65 .
3. Lungisa indlela odla ngayo . Imikhiqizo ene-caffeine iyancipha emzimbeni futhi ingenza ukukhwehlela kube kubi kakhulu. I-caffeine nayo ingase ibe yimbi kakhulu ukukhwehlela okuhlobene ne-GERD, njengokudla eduze nesikhathi sokulala noma ukudla ukudla okwaziwa kakhulu ukufaka isandla ku-acid reflux (njengoshokoledi noma ukudla okubabayo).

Thatha imithi ye-OTC

Unayo izindlela ezimbili zomuthi wokukhwehlela lapha: dextromethorphan (a suppressant) noma guaifenesin (okulindelwe).

Ama-Expectorants angcono ekuqhekekeni ukukhwehlela okumanzi, okukhiqizayo, kepha ungawathathi eduze kwesikhathi sokulala. Uma ukukhwehlela okumanzi kukuhlupha, thatha isicindezeli esifaka phakathi i-decongestant, engakunikeza ukukhululeka ngaphandle kokukhulisa ukukhwehlela kwakho. Ukumisa ukukhwehlela okungakhiqizi noma okomile, namathela kwiziraphu zokukhwehlela nge-dextromethorphan noma uncele ekwehleni kokukhwehlela kwe-menthol ngaphambi kokuba ulale.

Igama lomuthi	dextromethorphan	guaifenesin
Isigaba sezidakamizwa	antitussive	okulindelekile
Umzila wokuphatha	ithebhulethi, fafaza, ilosenge, isiraphu	uketshezi noma ithebhulethi
Isikali	umkhawulo ongu-120 ml emahoreni angama-24 (abadala nezingane ezineminyaka engu-12 nangaphezulu)	ubukhulu obungama-400 mg njalo emahoreni ama-4 (abadala nezingane ezineminyaka engu-12 nangaphezulu)
Imiphumela emibi ejwayelekile	isiyezi, ukozela, isicanucanu, ukungahlaliseki, ukwethuka	uhudo, isiyezi, ikhanda elibuhlungu, isicanucanu noma ukugabha, ukuqubuka noma isifuba

Zama amakhambi asekhaya okukhwehlela

1. Usebenzisa isifutho samakhala saline inganciphisa i-postnasal drip kanye ne-mucus encane ekhwehlela ukukhwehlela.
2. Ukuhlala kunamanzi amaningi futhi kugcina amafinyila ezacile futhi egeleza, ngakho-ke phuza amanzi amaningi.
3. Ukuphuza inkomishi yetiye elishisayo elinamakhambi ingakudonsa ngamanzi futhi khipha i-phlegm ngasikhathi sinye. Zama amaqabunga e-peppermint, impande ye-marshmallow, noma amaqabunga e-thyme agayiwe afakwe emanzini ashisayo ukuze kutholakale ukukhwehlela okuphezulu.
4. Gwinya isipuni soju , ishibhululi semvelo eshibhile futhi esisebenzayo esingasetshenziswa ezinganeni ezincane (ngaphandle kwe- izingane ezingaphansi iminyaka emibili).

Izinketho zemithi kadokotela

Uma ukukhwehlela kwakho ebusuku kungakhululiwe nganoma iyiphi yalezi zindlela zokwelashwa, kungaba yisikhathi sokubiza udokotela wakho.

Ngokuvamile, ngemuva kwamasonto angaphezu kwamathathu [okukhwehlela], sekuyisikhathi sokuwuphenya, kusho uDkt Thekdi.

Uma ukukhwehlela kwakho kubangelwa yi-GERD, ukuthola i-reflux yakho ngaphansi kolawulo kungaba yisihluthulelo sokuyinqanda. Kodwa noma ngabe ulwa nokukhwehlela okubangelwa ukugula okuqhubekayo kwegciwane, udokotela wakho angakwazi ukukunikeza umuthi okhulula izimpawu zakho isikhathi eside ngokwanele ukuze ululame ngokuphelele.

Igama lomuthi	benzonatate	i-promethazine / codeine	i-hydrocodone / i-homatropine
Isigaba sezidakamizwa	antitussive	i-antihistamine / analgesic	i-antitussive yezidakamizwa
Umzila wokuphatha	ithebhulethi yomlomo	isiraphu	isiraphu noma ithebhulethi
Isikali	umkhawulo ongu-200 mg uthathwe izikhathi ezintathu ngosuku (abantu abadala kuphela)	umkhawulo ongu-5 mL njalo emahoreni angu-4-6 (abadala nezingane 12 nangaphezulu)	5 ml noma ithebhulethi eyodwa njalo emahoreni angu-4-6 (abadala kuphela)
Imiphumela emibi ejwayelekile	isiyezi, ukozela, ikhanda elibuhlungu, isisu esibuhlungu, ukuqunjelwa	isiyezi, ikhanda, ukozela, ukungahlaliseki	isiyezi, ukozela, ikhanda elikhanyayo, ukuquleka

I-FYI: Njengoba ukukhwehlela kungaba yi-bacterial noma igciwane, i-antibiotic kungenzeka ingakusizi. Udokotela wakho anganquma ukuthi ukukhwehlela kwakho kubangelwa ukugula ngegciwane noma ukutheleleka okudinga ama-antibiotic (ngezifo zokuphefumula, i-amoxicillin ne-augmentin ngokuvamile kunqunyiwe, phakathi kwabanye).