Ua lohe paha ʻoe i kahi leo hū i kou hanu ʻana, ʻoiai ke hanu ʻoe i waho? Ua ʻike paha ʻoe i kēia i kou wā e anu ai. ʻO kēia ka mea a mākou e kapa nei i ka ʻōlelo lapaʻau he wheezing . ʻAʻole paha kēia he mea nui no kekahi poʻe, akā i kekahi manawa hiki ke lilo i hōʻailona o kahi maʻi koʻikoʻi. No laila, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī a me ka maʻalahi.
He aha maoli kēia hanu ʻū?
I ka ʻōlelo maʻalahi, ʻo ka wheezing he leo kiʻekiʻe a hūʻū paha āu e lohe ai i kou hanu ʻana. Hana ʻia kēia i ka wā e ālai ʻia ai nā ala ea (nā ala hanu) i loko o ko kākou mau māmā no kekahi kumu. E noʻonoʻo e like me ke kani āu e hana ai i kou paʻa ʻana i ka waha o kahi pōpō piha i ka ea a puhi i ka ea i loko. Ke ālai ʻia ko kākou mau ala ea, hana ʻia kēia leo i ka wā e puka ai ka ea ma o kēlā wahi haiki.
ʻO nā kumu nui o ka wheezing nā maʻi e like me ka hānō a me ka COPD (Chronic Obstructive Pulmonary Disease) . Hiki ke hana ʻia e nā maʻi hanu e like me ka bronchitis a me nā ʻano maʻi like ʻole. I kekahi manawa hiki ke hele pū ʻia kēia kani wheezing me ka ʻū. ʻO kēia no ka mea ke hoʻāʻo nei ke kino e hoʻopau i nā mea e like me ka mucus i ālai ʻia i loko o nā ala ea.
He aha ka ʻokoʻa ma waena o ka wheezing a me nā leo like ʻē aʻe?
ʻAʻole nā leo hanu a pau he wheezing. I kekahi manawa ʻaʻole paha ʻoe e lohe i kēia leo iā ʻoe iho, akā ke kau ke kauka i kahi stethoscope i kou umauma, hiki iā ʻoe ke lohe maopopo i kēia leo.
E hoʻomaopopo kākou i ka ʻokoʻa ma waena o kēia mau leo mai ka papa ma lalo nei.
| ʻAno kani | ʻAno lohe | Ka manawa hoʻolohe |
|---|---|---|
| Hanu ʻana | He leo kiʻekiʻe, mele, a haʻahaʻa, e like me ka hūlili. | ʻO ka hapa pinepine i ka wā e hanu ana i waho. I kekahi manawa hiki ke lohe ʻia i ka wā e hanu ana. |
| ʻO Ronchi | He kani ʻūhū, he kani ʻūhū, he leo haʻahaʻa iki. | Hiki ke lohe ʻia i ka wā e hanu ana i loko a i ka wā e hanu ana i waho. |
| ʻO Stridor | He leo uē kiʻekiʻe loa. ʻAʻole like me ke mele e like me ka hanu ʻana. | I ka manawa pinepine i ka hanu ʻana i loko. Hana ʻia kēia e kahi ālai ʻia i ka puʻu a i ʻole nā kaula leo. |
ʻO ka mea nui loa, inā lohe ʻoe i ke kani ʻana o ka wheezing i kou hanu ʻana i loko a i waho, ʻo ia hoʻi ua haiki loa ke ala ea.
He aha nā kumu o ka hanu ʻana?
Hiki ke hana ʻia ka hanu ʻūlū e nā maʻi a me nā kūlana he nui. Eia kekahi o nā kumu nui:
- Asthma: Pehu a ololi nā alaea ma muli o ka nui o ka hana ʻana o ka mucus.
- COPD: Ka pehu a me ka paʻa i hana ʻia e ka hōʻino ʻana i nā māmā.
- Nā Allergies : Nā hopena i ka pollen, ka lepo, ka hulu holoholona, i kekahi mau meaʻai, a i ʻole nā nahu pepeke.
- Nā maʻi hanu: Nā maʻi e like me ke anu, ka bronchitis, a me ka pneumonia.
- Kekahi mea i paʻa i loko o ke alaea: ʻOi aku hoʻi i nā keiki ʻōpio, ma muli o ke ale ʻana i kahi mea e like me kahi ʻāpana meaʻai a mea pāʻani paha.
- GERD (Gastroesophageal reflux disease ): ʻO ka maʻi o ke ala hanu i hoʻokumu ʻia e ka waikawa o ka ʻōpū e piʻi ana i loko o ka puʻu.
- Ka Hāʻule ʻana o ka Puʻuwai Paʻa: Ka hōʻiliʻili ʻana o ka wai i loko o nā māmā ma muli o ka hana pono ʻole o ka puʻuwai.
- Puhipaka: Puhipaka a i ʻole ke komo ʻana i ka uahi o kahi cigarette.
- Bronchiolitis: He maʻi o nā ala ea liʻiliʻi i loko o nā māmā, ʻoi aku ka maʻamau i waena o nā keiki ʻōpio.
E aʻo hou aʻe e pili ana i ka hanu ʻana i nā pēpē ʻōpio.
He mea maʻamau ka hanu ʻana i waena o nā keiki ʻōpio a me nā pēpē. ʻO kēia no ka mea he liʻiliʻi loa ko lākou mau ala ea. ʻOiai me kahi anu iki, hiki i kēlā mau ʻōmole liʻiliʻi ke pehu, piha i ka mucus, a maʻalahi ke ālai ʻia.
Eia nō naʻe, ʻoiai ke hanu nei kāu pēpē, ʻaʻole ia he manaʻo he loaʻa iā ia ka hānō.Hoʻopau ka hapa nui o nā keiki i kēia maʻi i ko lākou wā ʻelemakule, no laila ʻaʻole ʻike pinepine nā kauka i ka hānō a hiki i ka piha ʻana o ke keiki i 4-5 mau makahiki.
He mea nui e hoʻomaopopo: Inā hoʻomaka koke ke keiki e hanu me ke kumu ʻole, hiki paha no ka mea ua paʻa kekahi mea i loko o ko lākou puʻu. He pilikia olakino kēia.
Pehea e ʻike ai i ke kumu o ka wheezing a pehea e mālama ai?
Ke ʻike ʻoe i ke kauka, e holo ʻo ia i kekahi mau hoʻokolohua e ʻike ai i ke kumu.
- Nīnau lākou iā ʻoe (e like me ka lōʻihi o ka hana ʻana? ʻOi aku ka nui i ke ao a i ʻole i ka pō? Loaʻa anei ia i ka wā e hoʻoikaika kino ai ʻoe?).
- Ke hoʻolohe nei i ka umauma me ka stethoscope.
- X-ray umauma.
- Nā hoʻāʻo hana hanu (Nā hoʻāʻo hanu/Spirometry).
- Ke nānā nei i ka pae oxygen i loko o ke koko.
Aia ka lāʻau lapaʻau i ke kumu o ka hanu ʻana.
- Lapaʻau ulia pōpilikia: I nā hihia o ka pilikia o ka hanu ʻana, hiki i nā lāʻau lapaʻau e like me Albuterol , i hāʻawi ʻia ma o kahi inhaler a i ʻole nebulizer, ke wehe koke i nā alaea i paʻa. Hiki ke hāʻawi ʻia ka oxygen a i ʻole nā steroids.
- Lāʻau lapaʻau lōʻihi:
- No ka hānō a i ʻole COPD: Ua kuhikuhi ʻia nā inhalers i kēlā me kēia lā (nā steroids inhaled) a me nā inhalers reliever (bronchodilators).
- Inā he maʻi bacteria (bronchitis): E hāʻawi ʻia nā lāʻau antibiotic.
Nā ala a me nā hana e hoʻomaha ai ma ka home
Inā ʻaʻole koʻikoʻi kou hanu ʻana, ʻo ia hoʻi, ʻaʻole ʻoe pilikia i ka hanu ʻana, hiki iā ʻoe ke hoʻomaha mai kēia mau mea.
- E hoʻonui i ka haʻahaʻa: E hoʻohana i kahi humidifier. A i ʻole e ʻauʻau wela, a pani paha i ka puka o ka lumi ʻauʻau a holo i kahi ʻauʻau wela a hanu i ka mahu.
- Inu i kahi mea mehana: ʻO ka inu ʻana i kahi mea mehana e like me ke kī a i ʻole ka sopa hiki ke kōkua i ka wehe ʻana i kou mau ala ea a wehe i ka mucus sticky.
- E pale i ka puhipaka: E noho mamao aku mai ka poʻe puhipaka.
- Nā hoʻomaʻamaʻa hanu: Hiki i kēia ke hoʻomaha i nā ala ea a hoʻomaikaʻi i ka hana o ka māmā.
- ʻO ka hanu ʻana me ka lehelehe i hoʻopaʻa ʻia: E hanu i loko ma kou ihu, e ʻōwili i kou mau lehelehe me he mea lā e hana ana i kahi ʻūlū, a hanu i waho no ka manawa ʻelua o ka manawa e hanu ai.
- Ka hanu ʻana o ka ʻōpū: E hanu i loko ma kou ihu. E kau i kou mau lima ma kou ʻōpū a e ʻike i ka hoʻonui ʻana o kou ʻōpū. Ke hanu ʻoe i waho ma kou waha, e lawe i ʻelua a ʻekolu manawa lōʻihi ma mua o kou hanu ʻana. E hōʻemi kēia i ka paʻa o ka umauma.
Āhea ʻoe e ʻike ai i ke kauka?
Inā he ʻū iki wale nō ia e hele mai me ke anu, e nalo ia ke hoʻomaikaʻi ka maʻi. Eia nō naʻe, inā loaʻa iā ʻoe kekahi o kēia mau kūlana, pono ʻoe e ʻike i ke kauka.
| I ka manawa hea e ʻimi ai i ke aʻo lapaʻau | |
|---|---|
| Nā kūlana maʻamau i ka wā e pono ai ʻoe e ʻike i ke kauka: | |
| |
| I ka manawa hea e hele koke ai i ka Emergency Treatment Unit (ETU): | |
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Leka Lawe-Home
- He leo ka wheezing i hoʻokumu ʻia e ka haiki ʻana o nā ala ea i loko o nā māmā. Nui nā kumu no kēia .
- Inā pilikia ʻoe a i ʻole kāu keiki i ka hanu ʻana me ka wheezing, ka hanu wikiwiki, a i ʻole ka ʻili polū, e ʻimi koke i ke kōkua lapaʻau.
- Hiki ke hoʻomalu maikaʻi ʻia kēia kūlana ma ka ʻike pololei ʻana i ke kumu o ka wheezing a me ka loaʻa ʻana o ka lāʻau kūpono.
- Mai kali a hiki i ka hopena o kou ola maikaʻi, e kamaʻilio me kāu kauka e pili ana i kēia. Aia nā lāʻau lapaʻau i loaʻa i kēia lā e hiki ke kōkua iā ʻoe e hanu maikaʻi.











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