Ke luhi nei ʻoe i kekahi manawa, poniuniu, a poʻo māmā paha? Hoʻokuʻu pinepine mākou i kēia mau mea me he mea maʻamau. Akā, ua ʻike anei ʻoe hiki ke hana ʻia kekahi o kēia mau hōʻailona e ka lohi o ka hanu ʻana? I ka lāʻau lapaʻau, kapa mākou i kēia ʻano ʻo Bradypnea. Mai hopohopo, ʻaʻole kēia he maʻi, akā he hōʻailona o kahi pilikia olakino. E kamaʻilio kākou e pili ana i kēia i kēia lā me ka maʻalahi.
He aha ka Bradypnea? Pehea e ʻike ai inā maʻamau koʻu wikiwiki hanu ʻana?
I ka ʻōlelo maʻalahi, ʻo Bradypnea kahi wikiwiki hanu lohi loa i hoʻohālikelike ʻia me kou mau makahiki a me ka hana āu e hana nei i kēlā manawa. Ke kū mālie nei mākou (e hoʻomaha ana), pono kā mākou wikiwiki hanu i loko o kahi pae.
Hiki iā ʻoe ke nānā i kou wikiwiki hanu ma ka home. E hoʻokaʻawale i hoʻokahi minute a helu i ka nui o kou hanu ʻana i loko a i waho. E helu i kēlā me kēia hanu ʻana a me ka hanu ʻana i waho ma ke ʻano he hanu hoʻokahi.
Eia ka helu hanu maʻamau i ka wā e hoʻomaha ai ʻoe:
| Pūʻulu makahiki | Ka helu hanu maʻamau i kēlā me kēia minuke |
|---|---|
| Nā mākua | 12 - 20 mau manawa |
| Nā keiki (1-8 makahiki) | 15 - 30 mau manawa |
| Nā pēpē (1-12 mahina) | 25 - 50 mau manawa |
| Nā keiki hānau hou | 30 - 60 mau manawa |
Inā haʻahaʻa kou hanu ʻana ma mua o kēia mau waiwai maʻamau, loaʻa paha iā ʻoe ʻo Bradypnea. ʻO ke ʻano kēia, ʻaʻole paha e loaʻa i kou kino ka nui kūpono o ka oxygen. He mea nui ka oxygen no nā ʻāpana o ko kākou kino e hana i ka ikehu. I ka wā ʻaʻole lawa ka oxygen e hoʻomaka ai nā ʻano hōʻailona like ʻole e ʻike ʻia.
He aha nā hōʻailona o ka hanu lohi ?
Ke lohi ka hanu ʻana, hāʻule nā pae oxygen o ke kino. Hiki i kēia ke alakaʻi i nā hōʻailona e like me:
- Pōʻino a me ka nawaliwali
- Manaʻo o ka luhi hiki ʻole ke hoʻomanawanui (Fatigue)
- Ka pōkole o ka hanu (Dyspnea) ʻoiai me ka hoʻoikaika iki (e.g., piʻi i nā alapiʻi)
- Manaʻo o ka nāwaliwali
- ʻEha a ʻeha paha ka umauma
- Ka huikau o ka hoʻomanaʻo a me ka noʻonoʻo
Inā hoʻomau ʻoe i kekahi a ʻoi aku paha o kēia mau hōʻailona, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka ma mua o ka manaʻo ʻana, "He mea ʻē aʻe kēia."
No ke aha i lohi ai ka hanu ʻana? He aha nā kumu?
Aia kekahi mau mea e hiki ai ke hoʻoulu i ka bradypnea. He maʻalahi kekahi o kēia mau mea, aʻo kekahi e pono ai ke kōkua lapaʻau.
Nā pilikia thyroid (Hypothyroidism)
Ke hana ʻole kou kelepa thyroid i nā hormones lawa, hoʻolohi ia i ka metabolism a me ka hanu ʻana o kou kino.
Nā ʻeha poʻo
Hanu mākou ma muli o nā hōʻailona mai ka lolo. Inā hōʻino ʻia nā ʻāpana o ka lolo, ʻoiai ke kumu lolo, e kahi mea e like me kahi ulia, kahi puʻupuʻu, a i ʻole kahi ʻūpā koko, hiki ke hoʻopilikia ʻia nā hōʻailona i nā māmā e hanu.
ʻO kekahi mau lāʻau ʻeha (Opioids)
ʻO nā lāʻau ʻeha opioid, a nā kauka e kuhikuhi ai no ka ʻeha nui, hiki ke hōʻemi i ka hana o nā ʻāpana o ka lolo e kāohi ana i ka hanu ʻana. No laila, he mea nui loa ka hoʻohana ʻana i kēia mau mea ma ke ʻōlelo aʻoaʻo a ke kauka wale nō .
Ka hoʻohana nui ʻana i ka waiʻona (Alkohol)
ʻO ka inu ʻana i ka waiʻona no kahi manawa lōʻihi a i ʻole i hoʻokahi manawa hiki ke hoʻolohi nui i kou hanu ʻana.
Ka hanu ʻana i nā kinoea ʻawahia (Toxins)
Hiki ke hoʻopilikia ʻia ka hanu ʻana e ka hanu ʻana i nā kinoea ʻawahia e like me ke kalapona monoxide (e like me ka ʻōpala o ke kaʻa, ka uahi mai nā mīkini hana hewa), a me nā kemika e like me ka sodium azide, i hoʻohana ʻia e hoʻopiha i nā ʻeke ea i loko o nā kaʻa.
Ke kaulike ʻole o ka electrolyte
I ka ʻōlelo maʻalahi, ʻo ka hoʻonui ʻia a i ʻole ka emi ʻana o ka nui o ka wai i loko o ke kino hiki ke hana i kahi kaulike ʻole i loko o nā electrolytes koʻikoʻi o ke kino, e like me ka sodium a me ka potassium. Hiki i kēia ke hoʻopilikia i ke kaʻina hana hanu.
Ke kaumaha a me ka hopohopo
Ua ʻike ʻia nā haʻawina e hiki i ke kaumaha a me ka hopohopo lōʻihi ke hoʻololi i nā ʻano hanu o kekahi poʻe, e alakaʻi ana i nā kūlana e like me ka bradypnea.
He aha nā pilikia e hiki ke loaʻa inā hoʻowahāwahā ʻia kēia kūlana?
ʻOkoʻa nā pilikia ma muli o ke kūlana kumu e hoʻokumu ai i kēia. Inā ʻaʻole mālama ʻia, i nā hihia koʻikoʻi loa, hiki ke loaʻa kēia mau mea:
- Syncope: Hiki ke nalowale ka ʻike no ka manawa pōkole ma muli o ka emi ʻana o ka nui o ke koko a me ka oxygen e hiki ana i ka lolo.
- ʻAʻohe oxygen i nā ʻiʻo (Hypoxia): Inā nele nā ʻiʻo o ke kino i ka oxygen no ka manawa lōʻihi, hiki ke hōʻino ʻia nā ʻōpū koʻikoʻi e like me ka lolo a me ka puʻuwai.
- ʻAcidosis hanu: Ke hiki ʻole i nā māmā ke wehe pono i ke kalapona ʻokikene (CO2) i hana ʻia e ke kino, piʻi ka ʻakika o ke koko.
- Ka Holo ʻole o ka Hanu: ʻO ka hiki ʻole ke hanu me ke kōkua ʻole o ka oxygen o waho a i ʻole ka ea mechanical.
- Make: I nā hihia koʻikoʻi loa, hiki ke make.
Pehea e ʻike ai ke kauka i kēia a he aha nā lāʻau lapaʻau?
Inā manaʻo ʻoe ua pōkole kou hanu, e ʻike koke i ke kauka. E nīnau ke kauka e pili ana i kou mōʻaukala olakino, nā lāʻau lapaʻau āu e lawe nei, a me nā hōʻailona ʻē aʻe, a e hana i kahi hoʻokolokolo kino.
Eia kekahi, hiki ke hoʻohana ʻia nā hoʻokolohua e like me kēia e ʻike ai i ke kumu:
- Hoʻāʻo Hana Pulmonary: E ana i kou wikiwiki hanu a me ka nui o ka ea e neʻe ana i loko a i waho o kou mau māmā.
- Nā hoʻāʻo koko: E nānā i nā pae oxygen i loko o ke koko, nā pae paʻakai, a me nā pae hormone thyroid e hōʻoia i ka maʻi.
Aia ka lāʻau lapaʻau i ke kumu nui o kou hanu lohi . No ka laʻana, inā he hypothyroidism, e mālama ʻia kēlā. A hiki i ka loaʻa ʻana o ke kumu, hiki ke hāʻawi ʻia ka lāʻau oxygen e hāʻawi i ke kino i ka oxygen e pono ai.
Āhea ʻoe e ʻike ai i ke kauka? Āhea ʻoe e hele ai i ka ETU?
He mea nui loa kēia. E hoʻomaopopo i ka ʻokoʻa ma waena o kēia mau kūlana.
| I ka manawa hea e ʻimi ai i ke aʻo lapaʻau | |
|---|---|
| E ʻike i kāu kauka... | |
| Inā manaʻo ʻoe ua haʻahaʻa kou hanu ʻana ma mua o ka maʻamau a loaʻa iā ʻoe nā hōʻailona e like me ka poniuniu, ka luhi nui, a pēlā aku. | |
| E hele koke i ka Emergency Treatment Unit (ETU)... | |
|
Leka Lawe-Home
- ʻAʻole maʻi ka Bradypnea, akā he hōʻailona ia o kahi pilikia olakino.
- Inā ʻoi aku ka haʻahaʻa o kou hanu ʻana ma mua o ka maʻamau i ka wā hoʻomaha (ʻoi aku ma mua o 12 hanu i kēlā me kēia minuke no ke kanaka makua), mai hoʻowahāwahā iā ia.
- Inā ʻike ʻoe i nā hōʻailona e like me ka poniuniu, ka luhi nui, a me ka hanu pōkole, he mea nui loa e ʻike i ke kauka e ʻike i ke kumu.
- Hiki ke pale ʻia kekahi mau kumu ma ka hoʻēmi ʻana i ka inu ʻana i ka waiʻona, ka hoʻohana ʻole ʻana i nā lāʻau ʻeha me ke aʻo ʻole ʻia e ke kauka, a me ka pale ʻana i kou poʻo.
- Inā pilikia nui kou hanu ʻana a i ʻole ka ʻili polū, e hele koke i ka Emergency Department (ETU) .
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka Bradypnea / ka hanu lohi ʻana ma ke ʻano ʻē?
ʻAʻole kēia he mea maʻamau! Hanu ka hapa nui o ka poʻe i 12-20 mau manawa i kēlā me kēia minuke. Akā, ʻo 'Bradypnea' kahi pilikia olakino make loa kahi e lohi ai kou hanu ʻana ma mua o 12 i kēlā me kēia minuke (ʻano lohi ka hanu ʻana), hiki ke alakaʻi i ka emi ʻana o ka nui o ka oxygen e pono ai ka lolo a me ke kino a hiki i ka make (Respiratory failure)!
💬 He aha nā kumu nui e lohi ai ko kākou hanu ʻana (Bradypnea)?
ʻO ke kumu nui a maʻamau o kēia, ʻo ia ka 'Opioids/Benzodiazepines Overdose'! Ke lawe ʻoe i nā mea e like me ka heroin, morphine, a me nā mea ʻē aʻe, hoʻopau pololei ia i ke kikowaena hanu o ka lolo 100%. ʻO nā kumu ʻē aʻe: ʻO ka puʻupuʻu lolo/Stroke / Brain hemorrhage, Hypothermia, a me ka Hypothyroidism koʻikoʻi.
💬 He aha nā hōʻailona weliweli o ka hanu lohi (Bradypnea)? He aha ka mea e hana ʻia e pili ana i kēia?
Ke nalowale ka oxygen, huikau mua ka mea maʻi, nalowale ka ʻike, a ʻo ka mea weliweli loa, e uliuli nā lehelehe, nā manamana lima, a me ke alo o ka mea maʻi (cyanosis)! ʻO ke ʻano kēia, i loko o kekahi mau minuke, e hāʻule lākou i loko o ka coma a e kū ko lākou puʻuwai. I kēlā manawa, pono ʻoe e kāhea koke i kahi ambulance (Ambulance/Emergency) a hoʻokomo i ka mea maʻi i ka haukapila me ka ʻole o ka hoʻonele ʻana i hoʻokahi kekona i nā lāʻau lapaʻau home!
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