Ke hiolo nei kou mau māmā? E kamaʻilio kākou e pili ana i ka atelectasis!

Ua manaʻo paha ʻoe i kahi manaʻo kaumaha a ʻano ʻē i loko o kou umauma i kou hanu ʻana? A i ʻole ke manaʻo koke nei ʻoe e like me ka pilikia o ka hanu ʻana? Malia paha ua loaʻa iā ʻoe kahi ʻoki kino nui i hala koke aku nei a i ʻole ke ʻeha nei ʻoe i kahi maʻi hanu ʻē aʻe, he mea nui loa paha kēia iā ʻoe. I kēia lā e kamaʻilio mākou e pili ana i ka atelectasis, kahi ʻano e hiolo ai kahi ʻāpana o ka māmā, a i kekahi manawa ka māmā holoʻokoʻa . Mai hopohopo, he mea kēia e hiki ke mālama ʻia inā maopopo iā ʻoe.

I ka ʻōlelo maʻalahi, he aha ka atelectasis?

ʻAe, e nānā mua kākou i ke ʻano o ka atelectasis. I ka ʻōlelo maʻalahi, ʻo ia ka wā e hoʻopau pono ʻole ai kekahi a ʻoi aku paha o nā ʻeke ea liʻiliʻi (alveoli) i loko o ko kākou mau māmā i ka pehu pono ʻana a hiolo.

ʻIke ʻoe i ka mea e hana ʻia ke hanu mākou. ʻO ka ea a mākou e hanu ai e komo i loko o nā māmā a i loko o kēia mau ʻeke ea i kapa ʻia ʻo alveoli. ʻO ia kahi e hui pū ʻia ai ka oxygen i ka lewa me ko mākou koko. A laila hele kēlā koko i piha i ka oxygen ma ke kino holoʻokoʻa, e hoʻolako ana i ko mākou mau ʻōkana a me nā ʻiʻo a pau me ka oxygen e pono ai lākou e ola.

I kēia manawa, e noʻonoʻo, he aha ka mea e hana ai inā ʻaʻole lawa ka ea o kēia mau ʻeke ea (alveoli) e pehu pono ai, a inā paha e ʻomi ʻia lākou e kahi mea ma waho? ʻO ia ka manawa e hiolo ai lākou. ʻO kēia ka mea a mākou e kapa nei he atelectasis. Hiki ke hana ʻia kēia ma kahi ʻāpana liʻiliʻi o ka māmā, a i ʻole hiki ke hoʻopilikia i ka māmā holoʻokoʻa. ʻO ka mea nui, inā hiolo ka nui o ka māmā ma kēia ʻano, ʻaʻole paha e loaʻa i ko mākou koko ka oxygen lawa. A laila hiki ke kū mai nā pilikia olakino like ʻole.

He aha ka ʻokoʻa ma waena o ka Atelectasis a me ka Pneumothorax?

E huikau paha kēia mau inoa ʻelua iā ʻoe, no laila e wehewehe kākou i ka ʻokoʻa ma waena o nā mea ʻelua.

• ʻO ka atelectasis , e like me kaʻu i ʻōlelo ai ma mua, ʻo ia ka hiolo ʻana o nā ʻeke ea (alveoli) i loko o nā māmā a i ʻole kekahi ʻāpana o ka māmā ponoʻī. I kēia hihia, aia ka pilikia i loko o ka māmā ponoʻī.
• ʻO ka Pneumothorax ka wā e komo ai ka ea i loko o ka hakahaka a puni ka māmā, e paʻi ana i ka māmā i loko a e hiolo ana. I kēia hihia, hele mai ke kaomi mai waho o ka māmā.

Ua ʻike anei ʻoe i ka ʻokoʻa? Hoʻokahi mai loko mai, ʻo kekahi mai waho mai.

He aha ka mea e hōʻike ai ka atelectasis?

Inā ʻaʻole ʻoe i hana ʻia i ke ʻoki umauma a i ʻole ka ʻōpū i hala koke aku nei, inā ua ʻike ʻia ʻoe he atelectasis, hiki ke hōʻike ʻia he ʻano ālai ʻia i loko o kou ala ea . ʻO kēia ālai ʻia ke kumu e hiolo ai kekahi hapa a i ʻole kou māmā holoʻokoʻa.

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

Aia kekahi poʻe i ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o ka atelectasis. E nānā kākou iā lākou:

• ʻO ka poʻe i hana ʻia i ke ʻoki umauma a i ʻole ka ʻōpū:ʻOiai i ka wā o ke ʻoki kino, ʻaʻole paha ʻoe e hiki ke hanu hohonu ma muli o ka anesthesia i hoʻohana ʻia e hoʻohiamoe iā ʻoe. ʻO ke ʻano kēia, ʻaʻole e pehu pono kou mau māmā.
• ʻO nā kānaka me nā maʻi e ālai ana i nā ala ea liʻiliʻi (e like me ka bronchi) i loko o nā māmā: Hoʻemi kēia i ka hiki o nā māmā ke hoʻonui maʻamau.
• ʻO nā kānaka me nā ʻeha o ka umauma a i ʻole nā ​​​​iwi ʻaoʻao haki: ʻO ka ʻeha nui i nā manawa e like me kēia e paʻakikī ai ka hanu hohonu.
• Nā kānaka i hōʻike ʻia i ka uahi paka.

He aha nā ʻano o ka atelectasis?

ʻEkolu ʻano nui o ka atelectasis: Compressive, Resorptive/Obstructive, a me Contraction. He paʻakikī iki paha ke kani? E mālama kākou i ka maʻalahi.

1. ʻO ka atelectasis compressive

ʻO kēia ka wā e kau ai kekahi mea a puni ka māmā - e like me ke wai, ka ea, ke koko, a i ʻole kahi puʻupuʻu - i ke kaomi ma luna o ka māmā, e hiolo ai. Ua like ia me ke ʻomi ʻana i waho o kahi pōpō a hiolo ai.

2. Atelectasis resorptive/obstructive

Eia ka mea e hana ʻia: Hoʻopili nā ʻeke ea i loko o kou mau māmā (alveoli) i ka oxygen a me ke kalapona dioxide i loko o kou koko, akā ʻaʻohe ala e komo ai ka ea hou. A laila e hakahaka kēlā mau ʻeke ea a lilo i mea paʻa. ʻO nā ʻoki kino e pono ai ka anesthesia kekahi kumu nui o kēia.

Eia kekahi, inā paʻa kekahi mea i loko o ka māmā (no ka laʻana, he puʻupuʻu, he puʻupuʻu, a i ʻole kahi mea liʻiliʻi āu i ale hewa ai) a pale i ka ea mai ke komo ʻana, hiki i kēia ke hana i ka "Resorptive atelectasis". Ua kapa ʻia hoʻi kēia he "Obstructive atelectasis" .

3. ʻO ka atelectasis ʻūlū

Hoʻokumu ʻia kēia e ka ʻōpala (fibrosis) i loko o nā māmā. Pale kēia ʻōpala i nā ʻeke ea (alveoli) mai ka wehe pono ʻana.

Nā ʻano ʻē aʻe

Hiki i nā pēpē hānau hou, ʻoiai nā pēpē hānau mua ʻole a i ʻole ka poʻe me ka acute respiratory distress syndrome (ARDS), ke loaʻa i kahi ʻano laha ʻole o ka atelectasis patchy. Hana ʻia kēia ke lawa ʻole ka protein (i kapa ʻia ʻo surfactant) e pale ai i ka hiolo ʻana o nā māmā.

Eia kekahi, ʻo nā inoa e like me ka bibasilar atelectasis, rounded atelectasis, gravity-dependent atelectasis, a me ka subsegmental atelectasis e pili ana i ka wahi, ke ʻano, a i ʻole ke koʻikoʻi o ka hiolo ʻana.

He aha nā hōʻailona?

ʻO ka hapa nui o ka manawa, ʻaʻole hōʻike ka atelectasis i kekahi mau hōʻailona kikoʻī.Eia nō naʻe, inā he maʻi olakino ma lalo (e like me COPD) e hoʻoulu ai i ka atelectasis, hiki ke hōʻike i nā hōʻailona.

Eia nō naʻe, inā pili ka atelectasis i kahi ʻāpana nui o kou mau māmā, e hāʻule paha kou pae oxygen i ke koko. Ua kapa ʻia kēia he hypoxemia. Hiki ke ʻike ʻia nā hōʻailona e like me kēia:

• Paʻakikī ka hanu ʻana / pōkole o ka hanu (dyspnea)
• Kuke
• ʻEha umauma
• Ka hanu wikiwiki (tachypnea)
• ʻIli polū a me nā lehelehe

He aha ke kumu maʻamau?

ʻO ke kumu maʻamau o ka atelectasis ʻo ia ke ʻoki kino . Ke hoʻohana ʻia ka anesthesia e hoʻohiamoe iā ʻoe i ka wā o ke ʻoki kino, ʻaʻole ʻoe e hanu hohonu. ʻAʻole hoʻi ʻoe e ʻū pono e hoʻomaʻemaʻe i ka mucus i loko o kou mau māmā. Hiki i kēia ke hana i kou mau ala ea e ālai ʻia a pale i ka ea mai ka hiki ʻana i nā alveoli. ʻO kēia ka manawa e hana ai ka resorptive atelectasis.

He aha nā kumu ʻē aʻe?

Aia kekahi mau kumu ʻē aʻe ma waho aʻe o ke ʻoki kino.

• ʻO ka Mucus plug: He mea maʻamau kēia ma hope o ke ʻoki ʻana, i nā kamaliʻi ʻōpio, i nā poʻe me ka cystic fibrosis, a i ka wā o nā hoʻouka kaua hānō koʻikoʻi.
• Mea hanu ʻia: Hiki ke ale ʻia nā mea liʻiliʻi , ʻoiai nā keiki liʻiliʻi, e like me nā ʻāpana liʻiliʻi o nā mea pāʻani a i ʻole ka meaʻai. Hiki i kēia mau mea ke paʻa i loko o nā ala ea a ālai i nā māmā.
• Ka hōʻiliʻili ʻana o ka wai a puni nā māmā (pleural effusion): Hoʻokumu pinepine ʻia kēia e kahi maʻi olakino ma lalo, e like me ka maʻi puʻuwai.
• Ka hōʻiliʻili ʻana o ka ea a puni nā māmā (pneumothorax).
• ʻO nā puʻupuʻu ʻaʻole maʻi kanesa (benign).
• Nā puʻupuʻu kanesa.
• Ka ʻeha o nā māmā.
• Nā maʻi kumu: Hiki ke hana ʻia ka atelectasis e nā kūlana e like me ka maʻi pulmonary obstructive chronic (COPD) a i ʻole ka acute respiratory distress syndrome (ARDS), a me nā maʻi hanu e like me COVID-19 a i ʻole ka pneumonia.

Pehea ʻoe e ʻike ai i kēia?

ʻO ka hana mua i ka ʻike ʻana i ka atelectasis, ʻo ia ke kiʻi ʻana i kahi X-ray umauma . Lawe kēia i ke kiʻi o kou mau māmā. Inā pono, hiki i kāu kauka ke kauoha i kahi CT scan (Computed Tomography scan) e kiʻi i nā kiʻi kikoʻī hou aku.

I kekahi manawa, pono paha i kāu kauka ke nānā i loko o kou mau māmā. Hana ʻia kēia ma ka hoʻokomo ʻana i kahi ʻōmole liʻiliʻi i lako me ke kāmela i lalo o kou puʻu. Ua kapa ʻia kēia he bronchoscopy . I loko o kēia hoʻāʻo, hiki ke wehe ʻia nā mea i ālai ʻia i loko o kou mau ala ea.

He aha nā lāʻau lapaʻau?

Loaʻa pinepine ka atelectasis.E ola ia me ka ʻole o kekahi lāʻau kūikawā, ma lalo o ka nānā pono ʻana a ke kauka.

Aia nā lāʻau lapaʻau ʻē aʻe i ke kumu o ka pehu a me kona koʻikoʻi. Hiki iā lākou ke komo pū me:

• Nā hoʻomaʻamaʻa hanu hohonu (`incentive spirometry`): Pili kēia i ka hoʻomaʻamaʻa ʻana i ka hanu hohonu me ka hoʻohana ʻana i kahi mea liʻiliʻi.
• Ke wehe ʻana i nā mea ālai i loko o nā māmā: Hana pinepine ʻia kēia ma o ka hoʻāʻo bronchoscopy.
• Hoʻōla kino: Pili kēia i nā hoʻomaʻamaʻa e kōkua ai i ka hoʻonui ʻana i nā māmā.
• Nā lāʻau lapaʻau hanu e wehe ai i nā ala ea (bronchodilators).
• Ka mālama ʻana i nā maʻi puʻupuʻu a i ʻole nā ​​​​maʻi māmā mau loa.

E hoʻomanaʻo, na kāu kauka e hoʻoholo i kāu hoʻolālā lapaʻau, no laila he mea nui loa e hahai i nā ʻōlelo a kāu kauka.

Pehea e hōʻemi ai i ka pilikia?

Aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia o ka atelectasis:

• Ma hope o ke ʻoki ʻana: E kū aʻe a hele i ka wā e ʻōlelo ai kāu kauka iā ʻoe, e hana i nā hoʻomaʻamaʻa hanu, a e hoʻohana i ka spirometer hoʻoikaika.
• Inā loaʻa iā ʻoe kekahi mau maʻi olakino: E mālama pono i ke ʻano. E hahai i nā ʻōlelo a kāu kauka.
• Inā ʻoe e puhipaka, e hoʻōki, a i ʻole mai hoʻomaka. He mea ʻino loa ka puhipaka no kou mau māmā.
• Inā he mau keiki liʻiliʻi kāu: Mai waiho i nā mea pāʻani liʻiliʻi a i ʻole nā ​​meaʻai i kahi e hiki ai iā lākou ke ʻāʻī.

He kūlana koʻikoʻi anei kēia?

ʻAʻole maʻamau ka maʻi atelectasis he maʻi koʻikoʻi . Eia nō naʻe, i kekahi mau hihia, hiki ke loaʻa nā pilikia koʻikoʻi:

• Nā pae oxygen koko haʻahaʻa (hypoxemia): Ke hiki ʻole i ka ea ke hiki i ka alveoli ma muli o ke kūpikipikiʻana o ka māmā, ʻaʻole loaʻa i ke koko ka oxygen, a ʻaʻole loaʻa i nā ʻiʻo a me nā ʻōkana ka oxygen.
• Pneumonia: Inā hōʻiliʻili ka mucus i loko o nā alaea i paʻa, hiki iā ia ke lilo i ka maʻi.
• Ka hāʻule ʻana o ka hanu: I nā hihia koʻikoʻi (no ka laʻana, inā pilikia kahi māmā holoʻokoʻa), hiki ke loaʻa ka hāʻule ʻana o ka hanu. Hiki i kēia ke hoʻoweliweli i ke ola.

Pehea ke ʻano o ka nānā ʻana?

ʻO ka nūhou maikaʻi, ʻo ka hapa nui o ka manawa, e hoʻihoʻi hou ʻia ka atelectasis ke mālama ʻia ke kumu kumu. Hoʻōla koke ka hapa nui o ka poʻe a ʻaʻohe hopena koʻikoʻi lōʻihi. Eia nō naʻe, pono paha i kahi mea me kahi maʻi lōʻihi (mau) ka lāʻau hou e mālama ai i ke kumu kumu o ka atelectasis.

Pehea wau e mālama ai iaʻu iho?

ʻO ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke hahai pono i nā ʻōlelo a kāu kauka ma hope pono o ke ʻoki ʻana.Eia kekahi, inā he mau kūlana olakino kou e hoʻonui ai i kou pilikia o ka atelectasis, e mālama pono iā lākou.

Āhea ʻoe e ʻike ai i ke kauka?

Inā ua hana ʻia ʻoe i ke ʻoki kino i hala koke aku nei, aia kahi maʻi olakino ma lalo, loaʻa i kekahi mau hōʻailona hou, a i ʻole hopohopo e pili ana i kekahi mau hōʻailona, ​​e ʻike koke i kāu kauka.

He paʻakikī loa ko kākou mau māmā a he mau ʻōkana koʻikoʻi loa. Na lākou ke kuleana no ka mālama ʻana i ka ea i loko, ka hoʻolako ʻana i ke koko me ka oxygen, a me ka mālama ʻana i nā ʻiʻo a me nā ʻōkana āpau o ke kino e hana pono ana. ʻO ka atelectasis ka wā e hana ʻole ai kekahi ʻāpana o kēia ʻōnaehana e like me ka mea e pono ai. ʻO ka ʻōlelo ʻana "he māmā i hiolo" - ʻoiai he ʻāpana liʻiliʻi - hiki ke hopohopo iki. Akā, ʻo ka mea pōmaikaʻi, ʻo ka hapa nui o ka manawa, ʻaʻole lawa ka maʻi koʻikoʻi o ka atelectasis e hoʻoweliweli ai i ke ola.

No kou nānā ʻana: kekahi mau mea nui

ʻAe, no laila, mai nā mea a mākou i kamaʻilio ai, eia nā mea nui loa e pono ai ʻoe e hoʻomanaʻo:

• ʻO ka atelectasis ka hiolo ʻana o nā ʻeke ea (alveoli) i loko o nā māmā.
• ʻO ke ʻoki kino ke kumu maʻamau, akā aia kekahi mau kumu ʻē aʻe, e like me ke ālai ʻana o ka mucus, ka moni ʻana i kekahi mea, nā puʻupuʻu, a me nā maʻi māmā.
• ʻO ka hapa nui o ka manawa, ʻaʻohe hōʻailona, ​​​​akā hiki ke loaʻa nā mea e like me ka paʻakikī o ka hanu ʻana, ka ʻū ʻana, a me ka ʻeha o ka umauma.
• ʻO ka hoʻomaʻamaʻa ʻana i nā hoʻomaʻamaʻa hanu hohonu a me ka pale ʻana i ka puhipaka ma hope o ke ʻoki ʻana hiki ke kōkua i ka hōʻemi ʻana i ka pilikia.
• Hiki ke ho'ōla pinepine ʻia kēia maʻi.
• Inā he kānalua a ʻoluʻolu ʻole paha kou, e ʻimi koke i ke kōkua lapaʻau.

Manaʻolana wau he mea pono kēia ʻike nou. E ola kino!

ʻAtelectasis , hiolo ʻana o ka māmā, pilikia hanu, maʻi māmā, pilikia hanu, ʻoki ʻana i ka māmā, pneumonia