Ua ʻike anei ʻoe e pili ana i kēia mau ʻōmole koʻikoʻi i loko o kou ala ea? (Bronchi) E ʻike kākou!

Ua noʻonoʻo paha ʻoe pehea e komo ai ka ea i loko o nā māmā i ka wā e hanu ai kākou? He ʻano hana kupaianaha ia. ʻO kekahi o nā mea nui i kēia huakaʻi koʻikoʻi i loko o kā kākou ʻōnaehana hanu ʻo ia ka bronchi . I kēia lā e kamaʻilio mākou e pili ana i kēia mau bronchi a me ko lākou koʻikoʻi i ko mākou olakino.

He aha kēia mau bronchi?

I ka ʻōlelo maʻalahi, ʻelua mau ʻōmole nui kou bronchi e lawe ana i ka ea i kou mau māmā. Ke hanu ʻoe, hele ka ea e komo ana ma kou ihu a waha paha ma kou puʻu a iho i lalo i kou trachea , ʻo ia hoʻi kou ʻōpū hanu . Māhele kēia ʻōpū hanu i ʻelua, e like me ka leka Y. Ua kapa ʻia kēia mau ʻōmole nui ʻelua he bronchi - hele kekahi i ka māmā hema, ʻo kekahi i ka māmā ʻākau. A laila, māhele kēia mau ʻōmole nui ʻelua, e like me nā lālā o kahi lāʻau, i loko o nā ʻōmole liʻiliʻi i loko o kou mau māmā. He ʻāpana koʻikoʻi loa kēia o kā mākou ʻōnaehana hanu . E noʻonoʻo iā lākou he mau alanui, e kōkua ana i ka ea e hiki i nā ʻeke ea liʻiliʻi (alveoli) i loko o kou mau māmā.

He aha ka mea e hana ʻia i ka bronchi?

Eia ka mea nui. ʻO ka hana nui o nā ala ea, ʻo ia ke lawe i ka ea i loko o nā māmā a lawe i ka ea i waho o nā māmā. Ua like ia me ke alanui e hiki ai i nā kaʻa ke neʻe i mua a i hope.

E noʻonoʻo ʻoe e hanu ana...

1. Komo ka ea ma ka waha a i ʻole ka ihu a hele i lalo i ka bronchi .

2. A laila, komo ka ea i loko o nā ala ea nui ʻelua, ʻo ka ʻākau a me ka hema, i hana ʻia e ka māhele ʻana o kēia trachea.

3. Māhele kēia mau bronchi i nā ʻōmole liʻiliʻi, a ʻo ka hope loa, ma o nā ʻōmole liʻiliʻi loa i kapa ʻia ʻo bronchioles, hele ka ea i loko o nā alveoli i loko o nā māmā. Ma laila e hoʻohui ʻia ai ka oxygen i kou koko.

Eia kekahi, i ka hoʻohui ʻia ʻana o ka oxygen i ke koko, ua hoʻopili hou ʻia ke kinoea kalapona dioxide i makemake ʻole ʻia i loko o ke koko i loko o nā ʻeke ea. Ke hanu ʻoe i waho, hoʻi kēia kinoea kalapona dioxide ma o ka trachea, bronchi, a me nā bronchioles a hoʻokuʻu ʻia ma kou waha a i ʻole kou ihu.

He mea nui: Ua uhi ʻia ka ʻaoʻao o loko o nā ala ea me kahi mea i kapa ʻia ʻo mucus . Hoʻomaʻū kēia mucus i ka ea e komo mai ana a hoʻopaʻa i nā mea ʻino e like me nā germs a me ka lepo i ka lewa. Eia kekahi, aia nā ʻano lauoho liʻiliʻi i kapa ʻia ʻo cilia i loko o nā ala ea. Hana kēia mau mea e like me nā brooms a hoʻokuke i nā germs a me ka lepo i hoʻopaʻa ʻia i ke kua o ka puʻu. ʻO ia ka manawa e ʻū ai a i ʻole e kihe a puka mai lākou i waho. ʻAʻole anei he ʻōnaehana pale kupaianaha?

Aia i hea nā bronchi?

Aia kou trachea i loko o kou umauma, i loko o kou mau māmā, i pale ʻia e kou iwi ʻaoʻao. E like me ka mea i ʻōlelo ʻia ma mua, ʻo ia nā ʻōmole i loko o kou trachea (Hoʻopili ʻia nā bronchi i ka ʻaoʻao haʻahaʻa o nā māmā. Hoʻomaka lākou ma ke ʻano he mau paipu nui, e māhele mālie ana i nā lālā liʻiliʻi, a ma ka hope e lālā i nā bronchioles liʻiliʻi loa.

He aha nā ʻāpana o ka bronchi?

ʻAʻole hoʻokahi pūnaewele o nā paipu ka ʻōpū hanu. Hiki iā lākou ke māhele ʻia i ʻekolu ʻāpana nui, e like me ke alanui e māhele ʻia ana i nā alanui nui a me nā alanui ʻaoʻao.

• ʻO Bronchi Mua/Nui: ʻO kēia nā bronchi mua ʻelua nui loa - ʻo ka bronchi ʻākau a me ka hema. ʻO kēia nā mea e pili pololei ana i ka trachea (bronchi ). ʻO kēia ka ʻāpana ākea loa o ka bronchi.
• ʻO ka Bronchi Lua/Lobular: ʻO kēia nā ʻōmole e lālā ana mai ka bronchi nui a komo i loko o nā lobes like ʻole o nā māmā. Ua ʻike anei ʻoe he ʻekolu lobes o ka māmā ʻākau a he ʻelua lobes o ka māmā hema? Hele kēia mau bronchi lua i loko o kēlā me kēia o kēlā mau lobes.
• ʻO nā Bronchi Tertiary/Segmental: He mau ʻōmole liʻiliʻi kēia e lālā ana i nā ʻāpana liʻiliʻi i loko o nā lobes māmā. Ma hope o kēia, hoʻomaka nā bronchioles liʻiliʻi.

E noʻonoʻo e like me ke alanui. Ua like ia me ka huli ʻana mai ke alanui nui (Muamua) a i ke alanui lua (Lua), a laila e hele i kekahi alanui liʻiliʻi ʻē aʻe (ʻEkolu).

He aha ke ʻano o ka bronchi?

Hana ʻia nā ala ea me nā ʻiʻo laumania a me kahi ʻiʻo paʻakikī i kapa ʻia ʻo cartilage e hoʻopuni ana iā lākou. Hāʻawi kēia cartilage i nā ala ea i ka ikaika maikaʻi a pale iā lākou mai ka hiolo ʻana i ka wā e hele ai ka ea. Loaʻa i nā ala ea nui nā apo cartilage . Eia nō naʻe, ʻoiai he liʻiliʻi nā ala ea lua a me ke kolu, he mau ʻāpana cartilage wale nō ko lākou. E like me ka mea i ʻōlelo ʻia ma mua, aia i loko o kēia mau mea nā membrane mucus a me nā cilia .

ʻO kēia ʻōnaehana holoʻokoʻa o ka trachea, bronchi, a me nā bronchioles ua kapa ʻia ʻo ia ka lāʻau tracheobronchial , ʻo ia hoʻi "lāʻau tracheobronchial." No ka mea, ua like ia me kahi lāʻau i luna. Ua like ke trachea me ke kumu o ka lāʻau, a ua like nā bronchi me nā lālā.

He aha nā maʻi e hoʻopilikia ai i ka bronchi?

ʻO ka mea pōʻino, hiki i ko kākou ala hanu ke loaʻa i nā maʻi like ʻole. Ua lohe paha ʻoe i kekahi o kēia mau mea.

• Asthma: He ʻano kēia e pehu mau ai nā alaea, e paʻakikī ai ka hanu ʻana.
• Bronchiectasis: Ma kēia ʻano, ua hoʻonui ʻia nā alaloa, hōʻino ʻia, a hana i nā ʻeke e hōʻiliʻili i ka mucus.
• Bronchitis: Ka mumū o nā alaea hanu. Hiki i kēia ke lilo i ka wā pōkole (ʻoi) a i ʻole ka wā lōʻihi (mau).
• ʻO Bronchopulmonary Dysplasia: He pilikia hanu kēia e hiki ke loaʻa i nā pēpē hānau hou. Hana ʻia ia ke ulu pono ʻole nā ​​māmā.
• ʻO ka maʻi ʻōpū hanu mau loa (COPD): He hui kēia o nā maʻi mumū e hoʻopilikia ai i nā māmā, e ālai ana i nā ala ea a e paʻakikī ai ka hanu ʻana.
• ʻO Cystic Fibrosis (CF): He maʻi hoʻoilina kēia e hoʻoulu ai i ka mucus mānoanoa a pipili hoʻi e hōʻiliʻili i loko o nā alaea.

He aha nā hōʻailona maʻamau o nā pilikia hanu?

Inā he pilikia me kou alaloa alaloa, hiki iā ʻoe ke ʻike i nā hōʻailona e like me kēia:

• ʻŪhū (hiki paha ke ʻūhū mau)
• Ka pilikia o ka hanu ʻana (e like me ka pōkole o ka hanu)
• Hanu ʻana
• Ke kahe koko me ka mucus
• Paʻa ka umauma, ka manaʻo o ka ʻūmiʻi
• Luhi pinepine
• nā maʻi hanu pinepine (e.g. pneumonia, bronchitis)

He aha nā hoʻokolohua e nānā ai i ke olakino o ka bronchi?

Ma muli o kāu mau hōʻailona, ​​​​hiki i ke kauka ke kauoha i nā hoʻokolohua like ʻole e nānā i ke olakino o kou mau ala ea a me nā māmā.

• Spirometry: ʻO kēia ka hoʻāʻo hana māmā maʻamau. Ana ia i ka nui o ka ea hiki iā ʻoe ke paʻa i loko o kou mau māmā a me ka wikiwiki o kou hanu ʻana i waho.
• Bronchoscopy: Ma kēia kaʻina hana, hoʻokomo ke kauka i kahi ʻōmole liʻiliʻi a palupalu (me kahi kāmela i hoʻopili ʻia) ma o ka waha a i ʻole ka ihu e nānā i loko o nā alaloa.
• CT Scan: He hoʻāʻo kēia e hoʻohana ana i nā kamepiula kūikawā a me nā kukuna X e hana i nā kiʻi kikoʻī o nā māmā.
• ʻO Endobronchial Ultrasound (EBUS): Ua like kēia me ka bronchoscopy , akā hoʻohana ia i ka ʻenehana ultrasound e kōkua i ka ʻike ʻana i ka mumū a i ʻole ke kanesa i loko o nā alaloa.
• Hoʻāʻo Nitric Oxide i hoʻokuʻu ʻia: Ke ana kēia i ka nui o ka nitric oxide āu e hoʻokuʻu ai. Hiki i kēia ke haʻi i nā kauka inā he mumū kou i loko o kou mau ala ea.

He aha nā lāʻau lapaʻau maʻamau no nā maʻi e hoʻopilikia ana i ka bronchi?

Aia nā koho lapaʻau i ke kūlana e hoʻopilikia ana i kou alaea. Eia kekahi o nā lāʻau lapaʻau i hoʻohana pinepine ʻia:

• Nā Lāʻau Lapaʻau Hanu ʻia: Hoʻemi nā lāʻau lapaʻau e like me nā bronchodilators a me nā steroids i ka mumū i loko o nā alaloa ea, e hoʻonui ana iā lākou a e maʻalahi ai ka hanu ʻana. Hiki ke hāʻawi ʻia kēia mau mea ma o kahi inhaler a i ʻole nebulizer.Hiki iā ʻoe ke hoʻokomo i loko o kahi wai a hoʻokuʻu iā ia e mahu.
• Oxygen Therapy: Inā ʻaʻole lawa ka oxygen iā ʻoe, pono paha e hāʻawi ʻia ʻoe i ka oxygen mai waho.
• Hoʻōla Hou ʻana i ka Mama: He papahana hoʻoikaika kino a hoʻonaʻauao kēia e kōkua ai i ka hoʻoikaika ʻana i nā māmā a me ka mālama ʻana i nā maʻi māmā.
• Nā Lāʻau Waha: Hiki ke kuhikuhi ʻia nā lāʻau lapaʻau e like me nā steroids a i ʻole nā ​​​​​​antibiotics e lawe ʻia i kēlā me kēia lā a i ka wā e ulu ai kahi maʻi a i ʻole e ʻoi aʻe ka maʻi.
• Lapaʻau Kaomi Alanui Maikaʻi: Hiki i kāu kauka ke ʻōlelo aku iā ʻoe e hoʻohana i kahi mīkini CPAP a i ʻole BiPAP® . Kōkua kēia i ka wehe ʻana o kou mau ala ea.

Pehea e mālama ai i ke olakino o koʻu bronchi?

Eia kekahi mau mea hiki iā ʻoe ke hana e mālama i kou ʻōnaehana hanu holoʻokoʻa, ʻaʻole wale kou mau ala ea:

• E pale i ka puhipaka a me ka vaping. ʻO kēia ka mea nui loa.
• E pale i ka hanu ʻana i ka uahi lua.
• E mālama i kou home i ka maʻemaʻe a hoʻololi pinepine i nā kānana ea.
• E hoʻoikaika kino mau e hoʻoikaika i kou puʻuwai a me kou mau māmā.
• E hōʻemi i ka pili ʻana i ka haumia o ka ea i ka hiki.
• Inā pinepine ʻoe i ka lepo, nā allergens, a i ʻole nā ​​uahi kemika, e hoʻohana i nā mea pale e like me ka pale maka.
• I mea e pale ai iā ʻoe iho mai nā maʻi hanu, e holoi pinepine i kou mau lima, e pale i nā wahi i piha ai ka poʻe i ka wā maʻi, a e kiʻi i nā lāʻau pale i ʻōlelo ʻia.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe ka ʻū mau a manaʻo ʻoe e pilikia ana i ka hanu ʻana, e ʻike pono i ke kauka.

Eia kekahi, inā ʻike ʻoe i kekahi o kēia mau hōʻailona o ka pilikia hanu , pono ʻoe e kāhea koke i ka 1990 a i ʻole e hele i ka keʻena pilikia haukapila kokoke loa:

• Polū, hina, a ʻulaʻula paha ke kala o nā lehelehe, ka ʻili, a i ʻole nā ​​​​kui (Cyanosis)
• Ka huki hou ʻana o ka umauma (manaʻo e like me ka piholo ʻana o kou umauma i kou hanu ʻana)
• Ka hanu wikiwiki ʻana no ke kumu ʻole
• Ka pehu ʻana o nā ihu (ma muli o ka paʻakikī o ka hanu ʻana)
• Ka hou ʻana me ka ʻole o ka piʻi ʻana o ka mahana o ke kino
• Hanu ʻana

E hoʻomanaʻo: He kuleana nui ko kou mau ala ea no ka lawe ʻana i ka ea i kou mau māmā. Hoʻohana kou kino i kēia ea e loaʻa ai ka oxygen e pono ai e ola. I ka manawa like, hoʻomaʻū kou mau ala ea i ka ea, e pale ana iā ʻoe mai nā germs a me nā mea ʻē aʻe e hiki ke hōʻeha iā ʻoe.

ʻO ka mea hope loa, e hoʻomanaʻo i kēia.

No laila, i kēia manawa ua maopopo iā ʻoe ke koʻikoʻi o nā bronchi i loko o ko kākou kino. Inā ua hōʻino ʻia a pehu paha, hiki ke ulu nā maʻi e like me ka bronchitis a me ka COPD. No laila, no ka mālama ʻana i ke olakino o kou bronchi, e pale i ka puhipaka loa a mai hanu i kekahi mea e hōʻino ai i kou mau māmā. E mālama i kou hanu! No ka mea, ʻo ka hanu olakino ke kī i ke ola olakino.

ʻO Trachea, nā māmā, ka hanu ʻana, ka ʻōnaehana hanu, ka hānō, ka bronchitis, nā māmā olakino