Dr. Nuttaphong Wongwiwat, Deputy Director-General of the Department of Medical Services, said that the patient “COVID” Many people tend to have wheezing. or feel that there is phlegm in the respiratory tract or cough with a lot of sputum all the time, resulting in inadequate breathing for oxygen into the body Therefore, it is imperative that patients get rid of these phlegm. out of the respiratory tract This can be done in several ways:
Method 1 coughing to drain phlegm performed in patients with no underlying disease in the following way
1.) Sit on a chair. Lean forward slightly and take 3-5 normal breaths in and out.
2.) Take a deep breath to the fullest. by focusing on the rib cage
3.) Hold your breath for 3 seconds while contracting your abdomen.
4.) Open your mouth and press your chin down. make a circle mouth with a strong cough and as long as the last breath exhales
5.) Take a break by breathing in and out, usually 3-5 times.
Method 2 sputum discharge by exhaling Do it in case of chronic obstructive pulmonary disease, asthma, can be done as follows
1.) Sit on a chair. Lean forward slightly and inhale and exhale normally 3 times.
2.) Breathe in normally. Then exhale from the throat through the mouth vigorously. (Open your mouth, press your chin down. Make a circle with your mouth) and contract your abdominal muscles. Until the last breath, repeat 3 times.
3.) Inhale and exhale normally 3 times until the tiredness is gone.
4.) May repeat 3-4 times.
Method 3 Sputum drainage through active cycle of breathing technique (ACBT). Suitable for patients with respiratory problems that cannot exert a lot of energy. until too tired can be done by
1.) Sit in a chair in a comfortable and relaxed position.
2.) Breathe in and out normally for 5-10 seconds.
3.) Take a deep breath. Emphasize the opening of the ribs and exhaling.
4.) Breathe in and out normally. Then exhale through your mouth. (Open your mouth, press your chin down to make your mouth form a circle) along with contracting the abdominal muscles. Until the last exhale, repeat 3 times and return to the normal inhale and exhale 3 times.
5.) Breathe in and out, usually 5 – 10 seconds until tiredness is gone, etc.
Dr. Jinda Rojanamethin, Director of Rajavithi Hospital, Department of Medical Services, added that To reduce the spread of infection during sputum drainage, you must put Face mask Always keep your face snug when coughing or sighing to drain the mucus. During the practice, you should sit at least 2 meters away from others and if coughing and mucus comes out, spit the sputum on toilet paper, then discard it in a plastic bag with the mouth of the bag tied. Including important precautions during sputum drainage training If the symptoms are very tired, faint, dizzy like fainting. very short or frequent breathing You should rest with normal breathing until the symptoms are gone and then start practicing. The number of times to practice per day also depends on the amount of sputum of the individual.
Source: Rajavithi Hospital, Department of Medical Services
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