Ke paʻa nei ka meaʻai i loko o ka puʻu? ʻO ia anei ka (Aspiration)? E makaʻala kākou i kēia!

Ua loaʻa anei iā ʻoe kahi ʻū koke a i ʻole ka ʻāʻī ʻeha i ka wā e ʻai ana a inu ana paha? A i ʻole ua ʻike anei ʻoe i kahi ʻelemakule a i ʻole kahi keiki liʻiliʻi i loko o kou hale e hana ana i kēia? Kāhea pinepine mākou i kēia he "hele ʻana i ke ala hewa" a i ʻole "ʻūʻū." I ka hapa nui o ka manawa, he mea ʻoluʻolu ʻole ia, akā hiki iā ʻoe ke lanakila ma luna o ia mea ma hope o kekahi manawa. Akā i kekahi manawa hiki ke lilo i mea weliweli iki, ʻoiai inā pinepine ia. I kēia lā, e kamaʻilio mākou e pili ana i kahi kūlana i kapa ʻia ʻo "Aspiration." I ka pololei, ʻo ia ka inoa lapaʻau no ia mea.

He aha kēia `(Paipai)`?

I ka ʻōlelo maʻalahi, ʻo "(Aspiration)" ke komo kahi mea ʻē aʻe ma mua o ka ea i loko o ko kākou mau ala ea , ke ala a kākou e hanu ai. ʻO ka hapa pinepine, hana ʻia kēia ke hele hewa kahi mea a kākou e hoʻāʻo ai e ale, a i ʻole kekahi mea mai kā kākou ʻōnaehana hoʻoheheʻe. E noʻonoʻo, hiki ke hana ʻia nā mea e like me kēia:

• Meaʻai
• Wai a i ʻole nā ​​​​wai ʻē aʻe
• ʻAkika ʻōpū
• Ka luaʻi ʻana
• ʻO ka huʻa a i ʻole ka saliva i loko o ka waha a i ʻole ka puʻu
• ʻO kahi mea e puka mai ana mai waho mai, e laʻa me kahi mea pāʻani liʻiliʻi `(He mea haole)`

Ua lohe mākou a pau i ka ʻōlelo "ua iho i loko o ka paipu hewa." ʻO ka hapa nui o ka manawa, i ka wā e hana ʻia ai kēlā, hiki iā ʻoe ke hoʻokuke wale i ka meaʻai a i ʻole ka wai i waho a e like wale nō me kahi poloka liʻiliʻi. Eia nō naʻe, i kekahi mau hihia, hiki i kēia ke kumu i ka pōkole o ka hanu, ka paʻakikī o ka hanu ʻana, a i ʻole ka maʻi ʻaʻai.

He aha nā hōʻailona o ka "(Aspiration)"?

I kēia manawa, e nānā kākou i nā hōʻailona o ka `(Aspiration)`. E nānā inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau mea:

• ʻŪhā pinepine, ʻoi aku hoʻi ma hope o ka ʻai ʻana a i ʻole ka inu ʻana.
• Ka manaʻo e like me he mea lā ua paʻa i ka puʻu.
• He leo ʻē i ka wā e hanu ana. Hiki ke lilo i leo ʻūlū (stridor) a i ʻole he leo hū (wheezing).
• Paʻakikī ka hanu ʻana (dyspnea) a i ʻole ka pōkole o ka hanu.
• ʻO ka cyanosis kahi waihoʻoluʻu polū o ka ʻili, nā lehelehe, a me nā manamana lima. Hana ʻia kēia ke loaʻa ʻole i ke kino ka oxygen lawa.
• Paʻakikī ke ale ʻana (dysphagia). Paʻakikī ke ale ʻana i ka meaʻai a me ka mea inu.
• ʻO ka paʻa pinepine ʻana o ka umauma a i ʻole ka niumonia.
• ʻO ka pohō kaumaha i wehewehe ʻole ʻia (hiki paha ma muli o ka paʻakikī o ka ale ʻana)
• Kuni.

No ke aha lā e hana ʻia ai kēia `(Paipai)`?

ʻAe, e nānā kākou i ke kumu o kēia. ʻIke ʻoe, ʻelua mau paipu e pili pono ana kekahi i kekahi i loko o ko kākou puʻu. ʻO kekahi ka paipu meaʻai, i kapa ʻia ʻo ka esophagus . ʻO kekahi ka paipu hanu, i kapa ʻia ʻo ka trachea/windpipe . Aia kēia mau mea ʻelua ma ka piko o ka puʻu, i kapa ʻia ʻo ka pharynx.Hoʻopili lākou i kahi i ʻōlelo ʻia ai lākou.

ʻO ka hapa nui o ka manawa, ʻo ka ea a mākou e lawe ai ma ko mākou ihu a i ʻole ka waha e hele pololei i lalo o kēia ʻōpū hanu i nā māmā. Akā i ka wā e moni ai mākou, aia kahi ʻāpana cartilage i kapa ʻia ʻo ka epiglottis . Hana ia e like me ke poʻi. Ke moni mākou, pani kēia poʻi i ka ʻōpū hanu. A laila hele hewa ka meaʻai, ʻaʻole i loko o ka ʻōpū hanu, akā pololei i loko o ka esophagus. Maopopo iā ʻoe?

No laila, i kekahi manawa inā ʻaʻole hana pono kēia epiglottis, a inā pani ʻia ma hope loa, hiki i nā mea a mākou e moni ai ke komo i loko o ka ʻōpū hanu. ʻO ia ka manawa e hana ai ka `(Aspiration)`. Eia kekahi, ʻelua mau ʻano pale o ko mākou kino i kapa ʻia ʻo ka reflex cough a me ka gag reflex. Hoʻohana ʻia kēia mau mea e hoʻopau i nā mea i hewa. Inā hoʻonāwaliwali ʻia kēia mau pane ma kekahi ʻano, a laila ʻoi aku ka nui o ka hiki ʻana o ka `(Aspiration)`. No ka mea, a laila lilo ia i mea paʻakikī i ke kino ke hoʻopau i nā mea i hewa.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hanu ʻana?

Ua loaʻa iā kākou a pau kahi meaʻai a mea inu paha i paʻa i loko o ko kākou puʻu i kekahi manawa. Malia paha i ka wā e kamaʻilio koke mai ai kekahi iā kākou i ko kākou inu ʻana i ka wai, a i ʻole i ka wā e hāʻule hewa ai kākou i kahi meaʻai ma kahi kūpono ʻole. Akā, hiki i kekahi mau kūlana olakino a me nā lāʻau lapaʻau ke hoʻonui i ka pilikia o ka hanu ʻana. E nānā kākou i ko lākou ʻano:

• Nā lāʻau hoʻomaha. Ma waho aʻe o nā lāʻau lapaʻau i kauoha ʻia, hiki i kekahi mau lāʻau lapaʻau ma luna o ke kauka, a me ka waiʻona a me nā lāʻau lapaʻau, ke hoʻoulu i ka hiamoe a me ka emi ʻana o ka makaʻala. He papa lāʻau lapaʻau kaulana nā opioids nona kēia ʻano hopena hoʻomaha. ʻO ka lawe ʻana i kēia mau mea hiki ke hoʻonāwaliwali i nā reflexes pale a mākou i kamaʻilio ai ma mua.
• Nā maʻi o ka ʻōnaehana nerve waena. Hiki i kēia mau maʻi ke hōʻemi i nā reflexes kūlohelohe o ke kino e pale ai iā mākou mai ka makemake ʻana. ʻO nā hiʻohiʻona e komo pū me ka hahau ʻana , nā puʻupuʻu lolo , a me ka maʻi o Parkinson . Hiki i kēia mau hiki ke hoʻonāwaliwali i ko mākou ʻelemakule ʻana.
• Nā maʻi neuromuscular. ʻO kēia nā maʻi e hoʻopilikia i nā aʻalolo a i ʻole nā ​​​​ʻiʻo. No ka laʻana, hiki iā ʻoe ke loaʻa i ka myasthenia gravis a i ʻole Guillain-Barré syndrome. Hiki i kēia mau maʻi ke hana pono ʻole nā ​​​​ʻiʻo e pale aku i ka hanu ʻana.
• ʻO GERD (maʻi reflux Gastroesophageal) a me nā maʻi neʻe gastrointestinal. ʻO GERD ka reflux o ka waikawa o ka ʻōpū. I nā kūlana e like me ka achalasia, hiki i ka nui o ka waikawa o ka ʻōpū ke kahe hou i loko o ka esophagus. A laila hiki i kēia waikawa ke kahe i loko o ka windpipe.
• Nā ʻokoʻa anatomical. Loaʻa paha i kekahi poʻe nā ʻokoʻa hānau ma ke ʻano o ko lākou mau ala ea a i ʻole ka esophagus. Eia kekahi laʻana:Inā loaʻa iā ʻoe kahi maʻi e like me ka fistula tracheoesophageal, ʻoi aku ka nui o ka manawa e hele hewa ai ka meaʻai a me ka mea inu.
• Nā mea lapaʻau. I kekahi manawa, hiki i nā mea e like me nā paipu nasogastric (NG) ke hana pono ʻole i ka epiglottis a mākou i kamaʻilio ai ma mua.

Eia kekahi, aia nā pēpē hānau hou i ka pilikia o ka loaʻa ʻana o kahi maʻi i kapa ʻia ʻo "Meconium aspiration syndrome." ʻO ke ʻano kēia, ʻo ka ʻōpala mua o ka pēpē (meconium), he mea mānoanoa a pipili, e komo i loko o ke ala ea, ma mua a i ka wā hānau paha.

He aha nā pilikia e hiki mai ana o ka `(Aspiration)`?

I kēia manawa ke noʻonoʻo nei paha ʻoe, 'Auē, he aha kēlā, inā paʻa iki, hiki iā ʻoe ke hoʻopuka wale i waho.' ʻAe, ʻo ka hapa nui o ka manawa hana ia. Akā i kekahi manawa, ʻoiai inā ʻaʻole hiki iā ʻoe ke hoʻopau i kahi mea i hele hewa, hiki iā ia ke hana i nā pilikia koʻikoʻi. Eia lākou:

• ʻO ka niumonia aspiration. ʻO kēia ka pilikia maʻamau a weliweli hoʻi. He maʻi ia i loko o nā māmā i hoʻokumu ʻia e nā mea i komo i loko o ke ala hanu.
• ʻŌpū o ka māmā. He hōʻiliʻili ʻana o ka pus i loko o ka māmā, e hana ana i kahi ʻōpū.
• ʻO ka maʻi pilikia hanu koʻikoʻi (ARDS). He kūlana kēia e paʻakikī ai ka hanu ʻana a hiki ke hoʻoweliweli i ke ola.
• Pūmāmā hiolo / pneumothorax.
• Ka hoʻopiha ʻana o ka ea ma waena o ka māmā a me ka paia o ka umauma (pneumomediastinum).
• Ka mumū o nā māmā (pneumonitis). ʻAʻole paha kēia ma muli o kahi maʻi, akā hiki nō hoʻi ke kumu o ka hōʻino kemika mai kahi mea e like me ka waikawa o ka ʻōpū.
• ʻO ka asphyxiation ka make ma muli o ka hanu ʻole ʻana. Hiki ke hana ʻia kēia ʻano inā ua paʻa loa ke ala ea a i ʻole inā he nui ka wai e komo i loko o ke kino, e hoʻonele ai i ke kino i ka oxygen.

ʻOi aku ka paʻakikī o kēia ʻano pilikia koʻikoʻi inā ʻoe e hanu me ka ʻike ʻole (ua kapa ʻia kēia he hanu mālie), a inā ʻoe e luaʻi ʻoiai ua haʻahaʻa kou pae ʻike (no ka laʻana, inā ʻoe e hoʻohana ana i ka waiʻona, nā lāʻau hiamoe, a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe).

Pehea ʻoe e ʻike ai i kahi kūlana ``(Aspiration)``?

Ma muli o kāu mau hōʻailona a inā ʻoe e hoʻomanaʻo i ka loaʻa ʻana o kahi makemake, hiki i ke kauka ke hana i nā hoʻokolohua e hiki mai ana e ʻike ai i ke kūlana a i ʻole kona mau pilikia:

• ʻO kahi X-ray umauma a i ʻole CT scan.
• Bronchoscopy: ʻO kēia ke komo ʻana i kahi ʻōmole me kahi kāmela liʻiliʻi i loko o ke alaloa e ʻike ai inā ua ālai ʻia a hōʻino ʻia paha kekahi mea.
• Moʻomeheu sputum. No ka ʻike ʻana inā he maʻi a he aha ke kumu.
• Nā haʻawina ale ʻana.I kekahi manawa, hana ʻia nā hoʻokolohua kūikawā e ʻike ai inā he pilikia me ka moni ʻana.

Inā manaʻo ʻoe ua loaʻa iā ʻoe kahi moeʻuhane, a inā he kūlana olakino kou e manaʻo nei e hiki ke alakaʻi i kahi moeʻuhane me ka ʻike ʻole, pono ʻoe e hoʻomaopopo i kāu kauka.

Pehea ʻoe e mālama ai i kahi ``(Aspiration)``?

Hoʻōla nā kauka i kahi "Aspiration" ma ka wehe ʻana i ka meaʻai a i ʻole kekahi mea ʻē aʻe i komo i loko o ke alaea, inā hiki. I kekahi manawa hiki ke wehe ʻia i ka manawa like me ka "Bronchoscopy" i ʻōlelo ʻia ma mua. Inā paʻa kekahi mea i loko o kou puʻu a pono ʻoe i ka lāʻau lapaʻau ulia pōpilikia, e hoʻohana lākou i nā ʻano hana e like me ka "Heimlich maneuver" e hoʻāʻo e wehe iā ia.

Eia kekahi, hiki iā ʻoe ke hana i kēia mau mea e wehe ai kou ala ea a mālama i nā pilikia:

• ʻOkikene hoʻohui.
• Nā Bronchodilators: Hana kēia ma ka hoʻonui iki ʻana i nā alaea.
• Nā lāʻau antibiotic. Inā he maʻi.

Inā loaʻa iā ʻoe kahi maʻi olakino e hoʻonui ai i ka pilikia o ka hanu ʻana, pono paha ʻoe e hoʻomau i ka loaʻa ʻana o ka lāʻau no kēlā ʻano. Eia nō naʻe, inā ua loaʻa iā ʻoe ka hanu ʻana a hiki iā ʻoe ke kipaku aku, a ʻaʻohe ou maʻi olakino ʻē aʻe, ʻaʻole paha ʻoe e pono i kekahi lāʻau kūikawā.

E ʻoi aku ka maikaʻi ke lilo ia i `(Aspiration)`?

Hiki i kou kino ke wehe i nā wai liʻiliʻi a me nā ʻāpana liʻiliʻi mai kou mau māmā a me nā ala ea. Hana ia i kēia ma ka hoʻopaʻa ʻana iā lākou i loko o ka mucus a me ka hoʻokuke ʻana iā lākou i luna me nā ʻano lauoho liʻiliʻi i kapa ʻia ʻo "cilia" e hoʻokuke iā lākou i waho. Hiki i ke kino ke hoʻoheheʻe a omo iā lākou.

Eia nō naʻe, inā komo ka nui o ka meaʻai, nā wai, a i ʻole nā ​​mea ʻē aʻe i loko o ke alaea, hiki i ka bacteria ke ulu a hoʻoulu i ka maʻi. He ʻoiaʻiʻo kēia inā nāwaliwali kou ʻōnaehana pale. Eia kekahi, inā komo ka waikawa o ka ʻōpū i loko o ke alaea, hiki iā ia ke hōʻino i ke alaea i ka hala ʻana o ka manawa.

Hiki ke pale ʻia ka makemake?

ʻAe, aia kekahi mau mea hiki iā mākou ke hana e hōʻemi i ka pilikia o ka makemake ʻana i kekahi ʻano. He mea nui e kāohi i kekahi mau kūlana olakino ma lalo, ʻoiai inā loaʻa iā ʻoe, a e hahai i kekahi mau ʻanuʻu i ka wā e ʻai ai a inu ai e kōkua i kāu meaʻai e hele pono.

Hiki i kahi mea lapaʻau ʻōlelo ke aʻo iā ʻoe i nā ʻano hana kikoʻī e hōʻemi ai i kou pilikia o ka hanu ʻana. Eia kekahi mau ʻōlelo aʻoaʻo maʻamau:

• E noho pololei i ka wā e ʻai ai a inu ai. Mai ʻai a inu paha i ka wā e hilinaʻi ana a moe paha.
• E hoʻopaʻa i kou kino i luna (ma ka liʻiliʻi ma kahi kihi 45-degere) no hoʻokahi hola ma hope o ka ʻai ʻana. Mai moe i lalo i ka wā e ʻai ana.
• E ʻokiʻoki i ka meaʻai i mau ʻāpana liʻiliʻi, e nau maikaʻi, a moni. Mai ʻai wikiwiki.
• E hoʻohana i nā ʻano hana ale ikaika. Pili kēia i ka hoʻohana ʻana i nā ʻiʻo i loko o kou puʻu e kaomi ikaika i ka meaʻai i lalo a ale. E nīnau i kāu kauka a mea lapaʻau ʻōlelo paha e pili ana i kēia.
• E hōʻemi i ke kamaʻilio ʻana a me ka ʻakaʻaka ʻana i ka wā e ʻai ana.

Āhea wau e ʻike ai i ke kauka e pili ana i ka `(Aspiration)`?

Inā loaʻa iā ʻoe kahi maʻi e hoʻonui ai i kou makemake e loaʻa i ka aspiration, e kamaʻilio me kāu kauka e pili ana i ke ʻano o ka pale ʻana. E haʻi aku ʻo ia iā ʻoe i nā hōʻailona e makaʻala ai a me ka wā e ʻimi ai i ke aʻo lapaʻau. Inā loaʻa iā ʻoe ka ʻeha pinepine o ka puʻu a i ʻole ka ʻūlū, mai hoʻowahāwahā iā ia e like me ka mea maʻamau.

Āhea wau e hele ai i ka lumi pilikia?

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona , ​​​​pono ʻoe e kāhea koke i ka 1990 a i ʻole e hele i ka lumi pilikia haukapila kokoke loa:

• Inā ʻaʻole hiki iā ʻoe ke ale maʻamau.
• Inā pilikia ʻoe i ka hanu ʻana, inā manaʻo ʻoe e like me ʻoe e ʻūlū ana.
• Inā polū a poni paha kou ʻili, lehelehe, a i ʻole kou mau kui.
• Inā loaʻa iā ʻoe ka ʻeha nui o ka umauma.
• Inā manaʻo nui ʻoe ua paʻa ka meaʻai a i ʻole kahi mea i loko o kou puʻu a i ʻole ke ala ea, a ʻaʻole hiki iā ʻoe ke lawe i waho, ʻoiai me kahi ʻō.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

ʻO ka nīnau ʻana i nā nīnau e like me kēia ke ʻike ʻoe i kāu kauka hiki ke kōkua iā ʻoe e hoʻomaopopo a mālama i kēia kūlana:

• He aha ke kumu e kū pinepine ai kēia kūlana "(Aspiration)" i loko oʻu?
• Pehea e hiki ai iaʻu ke hōʻemi i kēia pilikia o ka "(Aspiration)" i koʻu ola o kēlā me kēia lā?
• He aha nā hōʻailona e pono iaʻu e makaʻala nui ai?
• He aha nā lāʻau lapaʻau no kēia? He aha ka mea maikaʻi loa iaʻu?

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

Ua ʻike ka hapa nui o mākou i ka "hele hewa ʻana o ka meaʻai" a me ka paʻa ʻana i loko o ko mākou puʻu. ʻO ka hapa nui o ka manawa, hoʻokuke aku a omo paha ko mākou kino i nā ʻāpana liʻiliʻi a i ʻole nā ​​​​wai. Eia nō naʻe, i kekahi mau hihia, ʻoiai me nā kūlana olakino ma lalo, hiki i kēia "makemake" ke lilo i mea weliweli. No laila, e kamaʻilio me kāu kauka e pili ana i nā ala e hiki ai iā ʻoe ke hōʻemi i kou pilikia o ka "makemake." Inā loaʻa iā ʻoe nā hōʻailona āu e manaʻo nei he ma muli paha o ka "makemake," mai kānalua e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau. ʻO ka mālama ʻana i kou olakino ka mea nui loa.

ʻO ke kūpikipikiʻō o ka puʻu, ka hanu ʻana, ke ala ea, ka paʻa ʻana o ka meaʻai, ka maʻi niu, ka paʻakikī o ka hanu ʻana, ka paʻakikī o ke ale ʻana