Ua loaʻa iā kākou a pau ka ʻike o kahi mea a kākou e ʻai ai a inu paha "e hele hewa ana" a paʻa i loko o ko kākou puʻu. Ke hana ʻia kēlā, pono kākou e ʻūlū, me nā waimaka e kahe ana ma ko kākou mau maka. ʻO ka hapa nui o ka manawa, ʻaʻole ia he pilikia ke puka mai. Akā e noʻonoʻo e pili ana i ia mea, he aha ka mea e hana ʻia inā paʻa kahi mea i loko o ko kākou puʻu, inā paha he ʻāpana meaʻai, he wai liʻiliʻi, a he kulu paha o ka lawai, ʻaʻole ia e hele a hiki i ko kākou ʻōpū, akā e hele a hiki i ko kākou mau māmā ma o nā ala ea? Pēlā ke komo ʻana o kahi mea pono ʻole e komo i loko o nā māmā i loko o nā māmā a hoʻoulu i kahi maʻi bacteria, ʻo ia ka mea a kākou e kapa wale nei he `(Aspiration Pneumonia)`.
I ka ʻōlelo maʻalahi, he aha ka Aspiration Pneumonia?
ʻO ka niumonia aspiration kahi maʻi bacteria i ko kākou mau māmā. Hana ia i ka wā e komo ai kekahi mea ʻē aʻe ma mua o ka ea a kākou e hanu ai - e like me ka meaʻai, ka mea inu, ka lawai, ka waikawa o ka ʻōpū, ka luaʻi, a i ʻole kahi mea liʻiliʻi loa - i loko o ko kākou mau ala ea.
E noʻonoʻo ʻoe he ʻelua mau ala i loko o ko kākou puʻu. ʻO kekahi ka "esophagus" e lawe i ka meaʻai a me ka mea inu i ka ʻōpū. ʻO kekahi ka "windpipe" e lawe i ka ea a kākou e hanu ai i loko o nā māmā. ʻO ka maʻamau, ke ale kākou i kahi mea, pani ʻia kēia windpipe me kahi ʻūpā liʻiliʻi. No laila, hele pololei ka meaʻai a me ka mea inu i ka ʻōpū. Akā i kekahi manawa, ke hana pono ʻole kēia kaʻina hana, hana ʻia ka mea "hewa".
ʻO ka mea weliweli, ʻaʻole ʻike kekahi poʻe e komo ana kekahi mea i loko o ko lākou mau māmā e like me kēia. Kāhea mākou i kēia he "makemake mālie." ʻO ia hoʻi, hana ia me ka ʻole o ka ʻū ʻana a i ʻole ka ʻū ʻana. A laila he mau lā, malia paha he mau pule, ma mua o ka ʻike ʻia ʻana o nā hōʻailona o ka maʻi niumonia.
He aha nā hōʻailona o kēia maʻi?
ʻAʻole paha e hōʻike koke ka maʻi pneumonia aspiration i nā hōʻailona, akā hiki iā ʻoe ke ʻike i kēia mau hōʻailona i loko o kekahi mau lā.
| Hōʻailona | Wehewehena |
|---|---|
| kuni | ʻO ka hōʻailona mua o kahi maʻi i loko o ke kino. Hiki ke hele pū me nā ʻiʻo ʻeha. |
| Ka paʻakikī o ka hanu ʻana (Dyspnea) | Ua paʻakikī a ua hoʻopaʻa ʻia ka hanu ʻana. Aia paha he leo "whooshing" e puka mai ana mai ka umauma i ka wā e hanu ana. |
| Kuke | He ʻū e hoʻopuka mai ana i ka huʻa. I kekahi manawa hiki ke hoʻoluʻu ʻia kēia huʻa me ke koko a i ʻole ka pus . Hiki i ka huʻa ke ʻōmaʻomaʻo, melemele, a ʻeleʻele paha. |
| ʻEha umauma | E manaʻo paha ʻoe i ka ʻeha nui ma kou umauma i ka wā e hanu hohonu ai ʻoe a i ʻole e ʻū. |
| Hanu ʻino | Hiki ke hana ʻia ka hanu ʻino e ka ulu ʻana o ka bacteria i loko o nā māmā. |
| Luhi nui | E luhi loa paha ʻoe a hiamoe hoʻi i ka wā e hakakā ai kou kino i ka maʻi. |
No ke aha kēia e hana nei? ʻO wai ka mea i ʻoi aku ka nui o ka pilikia?
I ka ʻōlelo maʻalahi, hiki ke hana ʻia kēia kūlana e nā mea ʻaʻole pono i loko o nā māmā. No ka mea, hiki i nā bacteria ke komo i loko o nā māmā me kēlā mau mea. Loaʻa i kekahi poʻe kēia maʻalahi.
| Māhele pilikia | No ke aha lākou i pilikia nui ai? |
|---|---|
| ʻO nā kānaka me nā pilikia ale (Dysphagia) | ʻO ka poʻe me nā maʻi neurological e like me ka hahau ʻana, ka ʻeha o ka lolo, a me ka maʻi Parkinson, ua pilikia lākou i ka moni ʻana, a hiki ke hoʻokomo maʻalahi i ka meaʻai a me ka mea inu i loko o ke alaloa. |
| Poʻe ʻelemakule (ʻoi aku ma mua o 65 mau makahiki) | I ko kākou ʻelemakule ʻana, nāwaliwali nā ʻiʻo e pili ana i ka moni ʻana a me ke kuni ʻana. Hoʻonāwaliwali pū ka ʻōnaehana pale maʻi, e hoʻolilo ana iā kākou i mea maʻalahi i nā maʻi. |
| ʻO ka poʻe i loaʻa i ka anesthesia a i ʻole ke ʻoki niho | Ke noho ʻoe ma lalo o ka anesthesia, ʻaʻole i hoʻāla ʻia nā reflexes pale i loko o kou puʻu, e ʻae ana i ka lawai a i ʻole ka waikawa o ka ʻōpū e komo i loko o kou mau māmā. |
| ʻO ka poʻe e hoʻohana ana i ka waiʻona a i ʻole nā lāʻau lapaʻau | Hoʻemi kēia i ka ʻike a hoʻopilikia i nā reflexes ale a me ke kuʻi ʻana. |
| Nā keiki liʻiliʻi (ma lalo o 5 mau makahiki) | He kiʻekiʻe loa kēia pilikia no nā keiki e hoʻokomo i nā mea pāʻani liʻiliʻi i loko o ko lākou waha a pāʻani i ka wā e ʻai ana. |
| Nā kānaka me ka pale ʻole haʻahaʻa | No ka poʻe me nā maʻi a i ʻole e lawe ana i nā lāʻau lapaʻau e hoʻonāwaliwali i ka ʻōnaehana pale kino, ʻoiai kahi liʻiliʻi o ka bacteria e komo ana i loko o nā māmā hiki ke hana i kahi maʻi koʻikoʻi. |
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi niumonia, e nīnau mua kāu kauka iā ʻoe e pili ana i kāu mau hōʻailona, nā kūlana olakino ʻē aʻe āu e loaʻa ai, ʻoiai ka paʻakikī o ka moni ʻana. A laila e hoʻolohe lākou i kou umauma me kahi stethoscope e nānā i nā leo ʻē aʻe i loko o kou mau māmā. Hiki ke hana ʻia kēia mau hoʻokolohua e hōʻoia i ka hōʻailona.
- X-ray o ka umauma: Hiki i kēia ke hōʻike maopopo i nā wahi o ka maʻi i loko o nā māmā.
- CT Scan: Hiki ke hana i nā kiʻi ʻoi aku ka maopopo a me nā kikoʻī ma mua o nā kukuna X.
- Nā hoʻāʻo koko: Hiki i kēia ke hōʻoia inā he maʻi i loko o ke kino.
- Nā hoʻāʻo sputum: Hiki ke lawe ʻia kahi hāpana o ka phlegm mai kou mau māmā e ʻike ai i ke ʻano o ka bacteria i loko.
- Bronchoscopy: Ma kēia, ua hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela i hoʻopili ʻia ma o ka trachea i loko o nā māmā e nānā i loko.
- Nā haʻawina ale ʻana: He hoʻāʻo i hana ʻia e kahi loea ʻōlelo e nānā pono i ka mea e hana ʻia ke ale ʻoe e ʻike inā he pilikia me ke kaʻina ale ʻana.
Pehea e mālama ʻia ai? Pehea ka lōʻihi e hoʻōla ai?
ʻOiai he maʻi bacteria kēia, ʻo ka lāʻau lapaʻau nui he antibiotics . He mea nui loa ia e lawe i nā antibiotics i kuhikuhi ʻia e kāu kauka no ka manawa piha.
Ma muli o ke koʻikoʻi o ka maʻi, pono paha ʻoe e noho i ka haukapila no ka mālama ʻana.
- Inā pilikia ka hanu ʻana , pono paha ka lāʻau oxygen .
- Inā koʻikoʻi loa ke kūlana, hiki ke hoʻopili ʻia ʻoe i kahi mīkini ventilator (mechanical ventilation) e kōkua i ka hanu ʻana.
Eia kekahi, he mea nui e hoʻomaopopo i ke kumu o ka ʻūlū ʻana.
- Hoʻōla ʻōlelo no nā pilikia ale ʻana.
- ʻO ka hānai ʻana i ka meaʻai ma o kahi paipu ka hānai ʻana i ka meaʻai ma o kahi paipu i ka poʻe hiki ʻole ke ale.
- I kekahi mau hihia, hoʻohana ʻia nā lāʻau lapaʻau e like me nā ACE inhibitors .
E hoʻomaka ʻoe e ʻoluʻolu ma kahi o hoʻokahi pule ma hope o ka hoʻomaka ʻana i nā lāʻau antibiotic. Eia nō naʻe, hiki ke hala ma kahi o hoʻokahi mahina no ka nalo ʻana o ka luhi i hoʻokumu ʻia e ka maʻi a no ʻoe e hoʻōla piha ai.
He aha ka mea e hana ai i ka wā pilikia?
He mea kēia e pono ai ʻoe e hoʻomanaʻo. ʻAʻole pono ʻoe e hopohopo e pili ana i nā mea āpau, akā he mea nui e ʻike i ka wā e ʻike ai i ke kauka a me ka wā e hele ai i ka lumi pilikia.
I ka manawa hea e ʻike ai i kāu kauka
Inā manaʻo pinepine ʻoe ua paʻa ka meaʻai a mea inu paha i kou puʻu, a i ʻole he paʻakikī iā ʻoe ke ale, mai hoʻowahāwahā. E kamaʻilio me kāu kauka ʻohana e pili ana i kēia. Hiki iā ia ke kuhikuhi iā ʻoe i kahi loea inā pono.
Nā kūlana i ka wā e pono ai ʻoe e hele koke i ka haukapila
Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha nui o ka umauma, ke kuni nui, a me ka paʻakikī o ka hanu ʻana , he pilikia ia. He maʻi ka niumonia hiki ke lilo i mea koʻikoʻi koke. No laila e hele koke i ka lumi pilikia o ka haukapila (ETU) .
Hiki ke pale ʻia kēia kūlana?
ʻAe, aia kekahi mau mea hiki iā mākou ke hana e hōʻemi i ka pilikia o ka maʻi pneumonia aspiration. He mea nui loa ia e makaʻala i kēia mau mea, ʻoiai inā ʻoe no kahi hui pilikia.
- Ka hoʻomalu ʻana i nā maʻi kumu:Inā loaʻa iā ʻoe nā kūlana e like me ka paʻakikī i ka ale ʻana a i ʻole ka maʻi reflux gastroesophageal (GERD), e kamaʻilio me kāu kauka a loaʻa i ka lāʻau kūpono.
- Kūlana ʻai: E noho pololei i luna i ka wā e ʻai ana a inu ana. Mai moe i lalo no 30 mau minuke ma hope o ka ʻai ʻana.
- E ʻai mālie a maikaʻi: E nau pono i kāu meaʻai, e ʻai mālie me nā waha liʻiliʻi. E hōʻemi i ke kamaʻilio ʻana a me ka minoʻaka ʻana i ka wā e ʻai ana.
- E hōʻemi i ka waiʻona: E pale i ka inu nui ʻana i ka waiʻona.
- E pale i ka puhipaka: ʻO ka puhipaka a me nā huahana paka e hōʻino i nā ʻano palekana o nā māmā.
- Ola kino waha: E palaki maikaʻi i kou mau niho a e nānā pinepine ʻia kou waha e ke kauka niho. ʻO ka emi ʻana o ka bacteria i loko o kou waha, ʻo ka emi ʻana o ko lākou komo ʻana i loko o kou mau māmā a hoʻoulu i kahi maʻi.
He ʻike hou iki: Ka ʻokoʻa ma waena o ka 'Pneumonia' a me ka 'Pneumonitis'
I kekahi manawa ua huikau kēia mau huaʻōlelo ʻelua. ʻO ka 'Aspiration Pneumonia' kahi maʻi bacteria i hoʻokumu ʻia e kahi mea i komo i loko o nā māmā. ʻO ka 'Aspiration Pneumonitis' he mumū wale nō ia o ka ʻiʻo māmā i hoʻokumu ʻia e kahi mea e like me ka waikawa ʻōpū e komo ana i loko o nā māmā, me ka ʻole o kahi maʻi. ʻOiai ua like nā hōʻailona o nā mea ʻelua, ʻokoʻa paha nā lāʻau lapaʻau.
Leka Lawe-Home
- ʻOiai he mea maʻamau ka "hele hewa ʻana o ka meaʻai a me ka mea inu," i kekahi manawa hiki iā ia ke alakaʻi i kahi maʻi ʻeha nui e like me ka 'Aspiration Pneumonia'.
- ʻO ke kuni, ka ʻūhū me ka huʻa, ka paʻakikī o ka hanu ʻana, a me ka ʻeha o ka umauma nā hōʻailona nui.
- Inā pilikia mau ʻoe i ka moni ʻana, e kamaʻilio me kāu kauka e pili ana i ia mea. Mai hoʻowahāwahā iā ia.
- Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi e like me ka ʻeha nui o ka umauma, ke kuni nui, a me ka paʻakikī o ka hanu ʻana, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila.
- ʻO ka noho pololei ʻana, ka ʻai mālie ʻana, ka mālama ʻana i ka maʻemaʻe o ka waha, a me ka loaʻa ʻana o ka lāʻau kūpono no nā maʻi kumu e kōkua i ka pale ʻana i kēia maʻi.
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