Ke ʻū pinepine nei ʻoe i ka pō? Manaʻo ʻoe e like me ka ʻio ke holo a puni a pāʻani, a i ʻole ke piʻi ʻoe i nā alapiʻi? A i ʻole ke manaʻo nei ʻoe ua ʻūmiʻi kou umauma, a kaumaha paha? Hiki i kēia mau hōʻailona maʻamau o ka hānō. No nā poʻe he nui, hui pū kēia maʻi hānō me nā ʻano maʻi like ʻole. Kāhea mākou i kēia ʻo 'Allergic Asthma'. ʻO ka ʻoiaʻiʻo, ʻo ka hānō a me nā maʻi ʻaleka he ʻelua mau maʻi pili loa. No laila i kēia lā, e kamaʻilio mākou e pili ana i nā mea āpau ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.
He aha maoli ka hānō? He aha ka mea e hana ʻia i loko o ke kino ke ulu aʻe?
I ka ʻōlelo maʻalahi, ʻo ka hānō kahi maʻi e hoʻopilikia ai i nā ʻōmole bronchial e lawe ana i ka ea i ko mākou mau māmā. Ke hanu mākou, komo ka ea ma o ko mākou ihu a hele ma o kēia mau ʻōmole bronchial i ko mākou mau māmā. I ke kanaka olakino, ua hāmama a manuahi kēia mau ʻōmole bronchial. Hiki iā mākou ke hanu maʻalahi.
Akā, i ka wā e loaʻa ai i kahi kanaka me ka hānō kahi hoʻouka hānō ma muli o kahi mea hoʻonāukiuki, ʻekolu mau loli nui e kū mai ana ma kēia mau ala ea. E noʻonoʻo e like me ka paipu wai.
1. Ka hoʻopaʻa ʻana o nā ʻiʻo a puni nā alaloa: Hoʻopaʻa koke nā ʻiʻo liʻiliʻi a puni kēia mau alaloa. Me he mea lā ua ʻomi kekahi i kahi paipu wai. I ka lāʻau lapaʻau, kapa mākou i kēia ( bronchospasm ) . Hoʻohaiki kēia i nā alaloa.
2. Ka mumū i loko o nā alaloa: Hoʻomaka nā paia o loko o kēia mau alaloa e pehu. ʻO kēia mumū ke kumu e liʻiliʻi ai nā alaloa.
3. Hoʻonui ʻia ka hana ʻana o ka mucus: Hoʻomaka nā pūnaewele i loko o nā alaloa ea e hana i ka mucus mānoanoa a pipili ma mua o ka maʻamau. Hoʻopili hou kēia mucus i nā alaloa.
Ke hui pū ʻia kēia mau mea ʻekolu, e haiki loa nā ala ea. A laila, lilo ia i mea paʻakikī no ka ea ke komo i loko o nā māmā a no ka ea e haʻalele i nā māmā. ʻO ia ke kumu e manaʻo ai ʻoe he "paʻakikī ke hanu" a "pōkole ka hanu."
He aha nā hōʻailona nui o ka hānō?
ʻAʻole like nā hōʻailona o kēlā me kēia kanaka me ka hānō i nā manawa a pau. Loaʻa pinepine ʻole nā hōʻailona i kekahi poʻe. Loaʻa paha i kekahi poʻe ka ʻeha iki i kēlā me kēia lā. E nānā kākou i nā hōʻailona nui.
| Hōʻailona | Wehewehena |
|---|---|
| ʻŪhā pinepine | Hiki ke pinepine aʻe ke ʻū ʻana, ʻoi aku hoʻi i ka pō, i ke kakahiaka nui, a i ʻole i ka wā e hoʻoikaika kino ai. |
| Ka paʻakikī o ka hanu ʻana (dyspnea) | Manaʻo ua pau ka hanu ʻana, pilikia ka hanu ʻana. |
| Hanu ʻana | Ke lohe ʻana i kahi kani mālie 'cheese-cheese' i loko o ka puʻu a i ʻole ka umauma i ka wā e hanu ai i waho. |
| ʻO ka paʻa o ka umauma a i ʻole ka ʻeha | Ka manaʻo o ka ʻūmiʻi a i ʻole ke kaumaha ma ka umauma. |
Nā hōʻailona liʻiliʻi e hele mai ma mua o ka hoʻouka ʻana o ka hānō
I kekahi manawa, ma mua o ka hiki ʻana mai o kahi hoʻouka kaua nui o ka hānō, hāʻawi mai ko mākou kino iā mākou i nā hōʻailona hōʻike mua. He mea nui loa ka ʻike ʻana i kēia mau mea.
- ʻO ka ʻū pinepine ʻana, ʻoi aku hoʻi i ka pō.
- He mea paʻakikī iki ka hanu ʻana, a e hiolo koke ana ʻoe.
- Manaʻo nui i ka luhi ma mua o ka maʻamau, ka ʻū ʻana, a i ʻole ka hanu ʻana i ka wā e hoʻoikaika kino ai.
- ʻO ka hoʻomaka ʻana o nā hōʻailona anu a i ʻole nā hōʻailona aleri ʻē aʻe (e.g., ihu paʻa, ʻūlū ).
- Ka paʻakikī o ka hiamoe ʻana.
ʻO ka hoʻohana ʻana i ka lāʻau lapaʻau i kauoha ʻia e kāu kauka i ka wā e ʻike ai ʻoe i kahi hōʻailona liʻiliʻi e like me kēia e kōkua nui i ka pale ʻana i kahi hōʻeha hānō koʻikoʻi.
He aha nā mea hoʻoulu no ka hānō?
He ʻano koʻikoʻi loa nā ala ea o ke kanaka me ka hānō. No laila, pane koke lākou i kekahi mau mea i ke kaiapuni. Kāhea mākou i kēia mau mea he "mea hoʻoulu". No ka hoʻomalu ʻana i kou hānō, he mea nui loa ia e ʻike i nā mea hoʻoulu iā ʻoe a e noho mamao aku mai iā lākou i ka hiki.
| Māhele Hoʻāla | Nā laʻana a me nā wehewehena |
|---|---|
| Nā mea hoʻonāukiuki | ʻUpena lepo, pollen, dander holoholona, ʻōpala, nā ʻiole, a me kekahi mau meaʻai. |
| Nā maʻi | Nā maʻi viral e like me ke anu a me ka maʻi flu. |
| Hoʻoikaika kino | He mea maʻamau ia i waena o nā keiki. (Akā me ka mālama kūpono, ʻaʻole pono e hoʻōki ʻia ka hoʻoikaika kino!) |
| Ke aniau | Ea anuanu, nā loli koke o ke aniau. |
| Uahi a me ka haumia o ka ea | Uahi cigarette, uahi kapuahi wahie, ka ʻōpala o ke kaʻa, ka lepo. |
| Kekahi mau lāʻau lapaʻau | Nā lāʻau ʻeha e like me ka aspirin a me ka ibuprofen, a me kekahi mau beta-blockers no ke koko kiʻekiʻe. |
| Nā manaʻo ikaika | Ke makaʻu, ka huhū, ka ʻakaʻaka a i ʻole ka uē nui ʻana. |
Pehea ʻoe e ʻike pono ai inā loaʻa iā ʻoe ka hānō?
Inā loaʻa iā ʻoe nā hōʻailona o ka hānō, ʻo ka mea mua āu e hana ai, ʻo ia ke ʻike i ke kauka kūpono. E nīnau mua ke kauka iā ʻoe e pili ana i kāu mau hōʻailona, inā he hānō kekahi o kou ʻohana, a laila e nānā iā ʻoe. A laila, hana paha lākou i kekahi mau hoʻokolohua e hōʻoia i ka hōʻailona.
- Spirometry: ʻO kēia ka hoʻāʻo nui. Ke noi ʻia nei ʻoe e hanu i loko o kahi mīkini e ana i ka nui o ka ea e hiki i kou mau māmā ke lawe a me ka wikiwiki o kou hoʻokuʻu ʻana i waho.
- Hoʻāʻo Mīkini Kahe Kiʻekiʻe: He mea liʻiliʻi kēia, he mea paʻa lima e ana i ka wikiwiki loa e hiki ai ke hoʻokuʻu ʻia ka ea mai kou mau māmā ma ka puhi ikaika ʻana.
- X-ray o ka umauma: Hana ʻia kahi X-ray o ka umauma e nānā i nā kūlana olakino ʻē aʻe.
- Nā Hoʻāʻo ʻAleʻaleʻa: Hiki ke hana ʻia nā hoʻāʻo ʻili a i ʻole nā hoʻāʻo koko e ʻike ai inā he mau maʻi ʻaleʻale kou a me ke ʻano o ia mau mea.
He aha nā lāʻau lapaʻau i loaʻa e kāohi ai i ka hānō?
ʻOiai ʻaʻole hiki ke ho'ōla piha ʻia ka hānō, me ka mālama kūpono, hiki ke hoʻomalu maikaʻi ʻia a hiki iā ʻoe ke ola i kahi ola maʻamau me ka ʻole o nā pilikia. ʻElua mau ʻāpana nui o ka mālama ʻana i ka hānō: nā lāʻau lapaʻau wikiwiki (Relievers) a me nā lāʻau lapaʻau kaohi lōʻihi (Preventers). Hāʻawi pinepine ʻia kēia mau mea ma ke ʻano he inhaler.
1. Nā lāʻau lapaʻau hoʻomaha wikiwiki (nā mea hoʻomaha)
Kāhea mākou i kēia mau mea he mau bronchodilator . Ke hanu ʻoe i kēia inhaler, hoʻomaha koke ia i nā ʻiʻo i loko o kou mau ala ea, e wehe ana i kou mau ala ea.
- Hoʻohana: E hoʻomaha koke i ka wā e hoʻomaka ai nā hōʻailona hānō (ke kuʻi, ka hanu ʻana).
- Mea nui: E hoʻohana i kēia i ka wā e pono ai . Inā pono ʻoe e hoʻohana pinepine i kēia mea hoʻoheheʻe, ʻo ia hoʻi ʻaʻole i kāohi maikaʻi ʻia kou hānō. I kēlā hihia, e ʻike pono i kāu kauka.
2. Nā lāʻau lapaʻau kaohi lōʻihi (Preventer Inhalers)
ʻO kēia nā lāʻau lapaʻau koʻikoʻi loa no ka kaohi ʻana i ka hānō. Ua kapa ʻia kēia mau mea he Anti-inflammatories (pinepine ʻia he Inhaled Corticosteroids).
- Pehea e hana ai: Hoʻemi kēia mau lāʻau lapaʻau i ka pehu a me ka hana mucus i loko o nā alaloa, e hoʻēmi ana iā lākou i ka naʻau a me ka pane ʻole ʻana i nā mea hoʻonāukiuki.
- Pehea e hoʻohana ai: Pono ʻoe e hoʻohana i kēia inhaler i kēlā me kēia lā, e like me ke kuhikuhi a kāu kauka, no ka helu i kuhikuhi ʻia. Pono ʻoe e hoʻohana iā ia i nā lā ʻaʻole ʻoe maʻi . E kōkua kēia i ka pale ʻana i kou hānō mai ka ʻoi aku ka ʻino.
3. Nā lāʻau lapaʻau ʻē aʻe
Hāʻawi ʻia kekahi poʻe i nā papa (Leukotriene Modifiers - e.g. Singulair) a i ʻole nā inikini kūikawā (Immunomodulators - e.g. Xolair) ma waho aʻe o nā mea hoʻoheheʻe. Hoʻoholo ʻia kēia mau mea a pau e ke kauka nāna ʻoe e nānā.
He mea nui loa: E aʻo i ke ʻano kūpono no ka hoʻohana ʻana i ka inhaler a kāu kauka e hāʻawi ai iā ʻoe. Inā hoʻohana hewa ʻoe, ʻaʻole e hiki pono ka lāʻau lapaʻau i kou mau māmā.
Leka Lawe-Home
- He maʻi ka hānō, inā e kāohi pono ʻia, ʻaʻole ia e hoʻopilikia i ke ola maʻamau. Mai makaʻu.
- E ʻike i kāu mau mea hoʻonāukiuki a e noho mamao aku mai iā lākou i ka hiki.
- E hoʻohana i ka mea hoʻoheheʻe "Preventer" (kaohi lōʻihi) i kuhikuhi ʻia e kāu kauka i kēlā me kēia lā, ʻoiai i nā lā ʻaʻohe ou hōʻailona.
- E mālama mau i kahi inhaler "hoʻomaha" me ʻoe.
- Inā ʻoi aku ka ʻino o kou mau hōʻailona hānō, pono ʻoe e hoʻohana pinepine i kāu mea hoʻoheheʻe Reliever, a i ʻole he mau nīnau kāu e pili ana i kāu lāʻau lapaʻau, e ʻike koke i kāu kauka.
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