Ke paʻakikī nei ʻoe i ka hanu ʻana i kou hele wikiwiki ʻana a i ʻole ke piʻi ʻana i nā alapiʻi? Manaʻo ʻoe ua piha kou umauma i ka ea a ʻaʻole hiki iā ʻoe ke hanu hou? He pilikia maʻamau kēia i ʻike ʻia e ka poʻe he nui me ka emphysema , kahi ʻano koʻikoʻi o COPD (Chronic Obstructive Pulmonary Disease). Akā, mai hopohopo, aia nā lāʻau lapaʻau hou e hiki ke kōkua iā ʻoe e hoʻokele i kēia kūlana. I kēia lā, e kamaʻilio mākou e pili ana i kekahi o ia ʻano lāʻau lapaʻau kūikawā.
He aha ka BLVR? E hoʻomaopopo maʻalahi kākou.
ʻO BLVR, ʻo ia hoʻi ka Bronchoscopic Lung Volume Reduction , he lāʻau lapaʻau ia, i ka ʻōlelo maʻalahi, e ʻae i ka ea i hoʻopaʻa pono ʻole ʻia i loko o kou mau māmā e pakele.
E noʻonoʻo i kou mau māmā e like me ʻelua mau pōpō. I ka emphysema, hiki i ka ea ke komo i kekahi mau ʻāpana o kou mau māmā akā ʻaʻole hiki ke puka piha. A laila e hoʻopiha ʻia nā ʻāpana i hōʻino ʻia, e hōʻemi ana i ka hakahaka i loaʻa no nā ʻāpana olakino o kou mau māmā e hana. ʻO kēia ka mea e paʻakikī ai ka hanu ʻana, a manaʻo ʻoe ua luhi a pōkole ka hanu.
No laila, ma kēia lāʻau BLVR, hoʻokomo nā kauka i kahi bronchoscope , kahi ʻōmole lahilahi me kahi kāmela i hoʻopili ʻia, i lalo o kou puʻu a i loko o kou mau māmā. A laila, hoʻokomo lākou i kahi moʻo o nā kiwikā liʻiliʻi hoʻokahi ala i loko o nā wahi māmā i hoʻonui ʻia.
ʻAe kēia mau kiwikā i ka ea i paʻa e pakele i ka wā e hanu ai ʻoe, akā i kou hanu hou ʻana, pale lākou i ka ea mai ke komo ʻana i nā wahi i hōʻino ʻia.
I ka hala ʻana o ka manawa, hoʻemi kēia i ka nui o ka ea i paʻa i loko o kou mau māmā, e hoʻemi iki i kou mau māmā, a hoʻomaka e hana me ka ʻoi aku ka maikaʻi. E hōʻemi nui kēia i kou hanu pōkole a me ka luhi.
ʻO ka mea nui, ʻaʻole ʻo BLVR he lāʻau lapaʻau no ka emphysema a i ʻole he lāʻau hoʻolōʻihi ola. ʻO ka pahuhopu nui ka kaohi ʻana i nā hōʻailona a hoʻomaikaʻi i kou ʻano ola.
No wai maoli kēia lāʻau lapaʻau?
ʻAʻole no nā kānaka āpau ka lāʻau BLVR. Aia kekahi mau hōʻoia kūikawā no kēia. E nānā pono kāu kauka iā ʻoe e ʻike inā ua hoʻokō ʻoe i kēia mau hōʻoia.
| Manaʻo | Wehewehena |
|---|---|
| Makahiki | Ma keʻano laulā, pono ʻoe ma lalo o 75 mau makahiki. |
| Ka nui o nā hōʻailona | Ke hoʻomau nei ka dyspnea nui a me ka luhi me ka lāʻau kūpono a me ka hoʻoponopono hou ʻana i ka pulmonary. |
| Ke kūlana o ka māmā | Pono e hoʻopiha nui ʻia nā māmā a paʻa ka ea. Eia kekahi, ʻaʻole pono e neʻe ka ea ma nā ala ʻē i loko o nā māmā (ʻaʻohe pono e loaʻa ka ea hoʻohui). |
| Puhipaka | ʻAʻole pono ʻoe e puhipaka i kēia manawa, a pono ʻoe e hōʻole i ka puhipaka no 4 mau mahina ma ka liʻiliʻi. |
| Nā papahana hoʻōla hou | Pono e hiki ke komo i nā papahana hoʻoponopono hou ʻana o ka pulmonary ma mua a ma hope o ka mālama ʻana. |
He aha nā hoʻokolohua e hana ʻia ma mua o ka mālama ʻana?
No ka hoʻoholo ʻana inā he moho kūpono ʻoe no kēia lāʻau lapaʻau, e hana kāu kauka i kahi hoʻokolokolo kino piha a kauoha i kekahi mau hoʻokolohua. ʻO kekahi o lākou:
- Nā hoʻāʻo koko
- X-ray umauma
- ʻO ke kiʻi CT hoʻonā kiʻekiʻe
- Nā hoʻāʻo hana pulmonary
- Hoʻāʻo kinoea koko arterial
- ʻO kahi hoʻokolohua Echocardiogram e nānā i ka hana o ka puʻuwai
- Hoʻāʻo hele wāwae ʻeono minuke - Ke ana kēia i ka hana o kou puʻuwai a me kou mau māmā.
Pehea ʻoe e hoʻomākaukau ai no ka mālama ʻana?
E hāʻawi kāu kauka iā ʻoe i nā kuhikuhi no ka hoʻomākaukau ʻana no kāu lāʻau lapaʻau. He mea nui loa ia e hahai pololei i kēia mau kuhikuhi e hōʻemi i nā pilikia.
- Mai ʻai a inu paha i kekahi mea no 8 mau hola ma mua o ka mālama ʻana (hoʻokē ʻai).
- Pono paha ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau a hoʻololi paha i ka manawa. E kamaʻilio me kāu kauka e pili ana i kēia.
- No ka mea e noho ana ʻoe i ka haukapila no kekahi mau lā ma hope o ka mālama ʻana, e hoʻonohonoho mua i kahi e lawe ai kekahi iā ʻoe i ka home.
Pehea e hana ʻia ai ka lāʻau lapaʻau a me kona mau pono a me nā pōʻino
ʻAʻole kēia he hana nui. ʻAʻohe ʻoki i hana ʻia. Hoʻomoe ʻia ʻoe (anesthetized). Hoʻokomo ke kauka i ka bronchoscope i lalo o kou puʻu, hoʻokomo i kahi 4 mau valves i loko o ka māmā i hōʻino ʻia, a laila wehe i ka bronchoscope. ʻO ke kaʻina hana holoʻokoʻa he 30 a 60 mau minuke wale nō.
| Nā Pōmaikaʻi | Nā Pōʻino |
|---|---|
| ʻAʻohe ʻoki ma ke kino. | Nā hopena kūpono i ka anesthesia. |
| Ka manawa ho'ōla pōkole. | Pneumothorax . |
| Ka hiki ke wehe a hoʻololi paha i nā valves inā pono. | Nā maʻi e like me ka maʻi niumonia . |
| ʻOi aku ka liʻiliʻi o nā pilikia ma mua o nā ʻoki kino kuʻuna. | Ka piʻi ʻana o ka COPD. |
| Ua hoʻomaikaʻi nui ʻia ke ʻano o ke ola. | Nā pilikia koʻikoʻi e like me ke kahe ʻana o ke koko, ka hahau ʻana , a me ka myocardial infarction (pinepine ʻole). |
He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau?
Ma hope o ka lāʻau lapaʻau, pono ʻoe e noho ma ka haukapila no 3 mau lā ma ka liʻiliʻi. E nānā pono ke kime lapaʻau iā ʻoe. Ma hope o kou hoʻi ʻana i ka home, e noi ʻia ʻoe e hoʻomaka i kahi papahana hoʻoponopono pulmonary i loko o 4-6 mau pule. He mea kōkua nui kēia i ka mālama ʻana i kou olakino.
Āhea wau e ʻike ai i ke kauka?
Inā he mau nīnau a hopohopo paha kāu ma mua a ma hope paha o kāu mālama ʻana, mai hoʻokaʻulua i ke kamaʻilio ʻana me kāu kauka. Eia kekahi, inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, e hele koke i ka Emergency Department (ETU) o ka haukapila kokoke loa.
- Kuni me ke kumu ʻole.
- ʻEha nui o ka umauma.
- Paʻakikī nui ka hanu ʻana.
- ʻO ke kala polū o ka ʻili, nā lehelehe, a i ʻole nā kui lima (Cyanosis) .
ʻAʻohe lāʻau lapaʻau no ka emphysema, akā hiki i nā lāʻau lapaʻau e like me BLVR ke kōkua iā ʻoe e hanu maʻalahi a ola me ka ʻoluʻolu iki. E kamaʻilio me kāu kauka e hoʻoholo inā ʻo kēia ka lāʻau lapaʻau kūpono nāu.
Leka Lawe-Home
- He lāʻau lapaʻau hou ʻo BLVR, ʻaʻole invasive no ka emphysema koʻikoʻi.
- ʻOiai ʻaʻole kēia e ho'ōla i ka maʻi, hoʻomaikaʻi nui ia i ka maikaʻi o ke ola ma ka maʻalahi ʻana o ka hanu ʻana.
- ʻAʻole kūpono kēia lāʻau lapaʻau no nā kānaka a pau a koi aku i nā hōʻoia kūikawā.
- E like me nā lāʻau lapaʻau a pau, aia kekahi mau pilikia, akā ua haʻahaʻa lākou ma mua o ke ʻoki kino kuʻuna.
- E kūkākūkā me kāu loea hanu inā kūpono kēia lāʻau lapaʻau iā ʻoe a he aha kona mau pono a me nā hemahema.
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