Ua noʻonoʻo paha ʻoe pehea e komo ai ka ea i loko o kou mau māmā ke hanu ʻoe? Hanu mākou i loko a i waho me ka hoʻoikaika ʻole. Akā ma hope o kēia kaʻina hana, aia kahi ʻōnaehana kupaianaha i loko o ko mākou kino. ʻO kahi ʻāpana koʻikoʻi loa o kēia ʻōnaehana, akā ʻo kahi mea a mākou e kamaʻilio nui ʻole ai, ʻo ia ka bronchi. E like me nā alanui i loko o ke kaʻa, ʻo ia nā ala nui e lawe ai i ka ea i kou mau māmā. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia mau bronchi, he aha lākou, he aha kā lākou hana, a pehea e mālama ai iā lākou i ke olakino.
No laila he aha kēia mau bronchi?
I ka ʻōlelo maʻalahi, ʻo ka bronchi kahi ʻōnaehana o nā paipu nui e lawe ana i ka ea i ko mākou mau māmā . Ke hoʻomanaʻo nei ʻoe aia iā mākou ka paipu hanu nui i loko o ko mākou ʻāʻī, kahi a mākou e kapa nei ʻo trachea. Ua like ia me ke kumu o kahi lāʻau. Komo kēia trachea i ka umauma a māhele ʻia i ʻelua mau lālā nui. Hele kekahi i ka māmā ʻākau a ʻo kekahi i ka māmā hema. ʻO kēlā mau lālā nui ʻelua ka mea a mākou e kapa nei ʻo ka bronchi nui .
A laila, ua māhele ʻia kēia mau bronchi nui, e like me nā lālā o kahi lāʻau, i loko o nā ʻōmole liʻiliʻi a liʻiliʻi i loko o nā māmā. He ʻāpana koʻikoʻi loa kēia ʻōnaehana holoʻokoʻa o kā mākou ʻōnaehana hanu. Me ka ʻole o kēia ʻōnaehana, ʻaʻohe ala o ka ea a mākou e hanu ai e hiki ai i nā ʻeke ea (alveoli) i loko o nā māmā.
He aha ka hana maoli o ka bronchi?
ʻO ka hana nui a koʻikoʻi loa o ka bronchi, ʻo ia ka lawe ʻana mai i ka ea i loko o nā māmā a lawe aku i ka ea i waho o nā māmā. Akā, ʻaʻole ia wale nō, aia kekahi mau mea koʻikoʻi ʻē aʻe e hana ʻia ana i kēia manawa.
1. Alahele Ea: Ke hanu kākou, komo ka ea ma ka ihu a i ʻole ka waha, hele i lalo i ka trachea, ma o ka bronchi, a laila ma o nā ʻōmole liʻiliʻi (bronchioles) a ma hope loa i loko o nā alveoli. ʻO kēia kahi e komo ai ka oxygen i ka lewa i loko o ke koko.
2. Ka hoʻomaʻemaʻe ʻana a me ka hoʻomaʻū ʻana i ka ea: Ua uhi ʻia ka ʻaoʻao o loko o kā mākou mau ʻōmole bronchial me kahi papa o ka mucus . Hāʻawi kēia i ka makū e pono ai i ka ea a mākou e hanu ai. Eia kekahi, ʻo nā germs e like me nā ʻāpana lepo, nā virus, a me nā bacteria e hele mai me ka ea e pipili i kēia papa o ka mucus.
3. Ka Mea Pale: Pehea e puka ai kēia mau huakini a me ka lepo i piha i ka mucus? Aia kekahi ala kupaianaha e hana ai i kēlā. I loko o nā ʻōmole bronchial he miliona mau ʻano lauoho liʻiliʻi i kapa ʻia ʻo cilia . E like me nā pulumi e kahili ana i nā alanui, neʻe mau kēia mau cilia i luna, e hoʻokuke ana i ka lepo i paʻa i loko o ka mucus i ka puʻu. A laila , i ka wā e ʻū ai a ʻū paha mākou, e kiola ʻia kēia mau mea makemake ʻole mai ke kino. E noʻonoʻo inā ʻaʻole kēia ʻōnaehana ma laila, e komo nā lepo a me nā huakini a pau i kēlā me kēia hanu a mākou e lawe ai i loko o nā māmā a hoʻoulu i nā ʻano maʻi like ʻole!
Hoʻohana ʻia kēia ala like i ka wā e hanu ai mākou i waho. Komo ke kinoea kalapona ʻokikene i makemake ʻole ʻia i loko o ke koko i loko o nā ʻeke ea, mai laila aku e piʻi ai i luna ma o ka bronchi, a laila e hanu ʻia.
He aha nā maʻi maʻamau e hoʻopilikia ai i ka bronchi?
Hiki ke hoʻopilikia ʻia ko kākou ʻōnaehana hanu e nā maʻi like ʻole. ʻO kēia ka manawa e loaʻa ai iā kākou nā pilikia hanu a me ke kuni ʻana. E nānā iki kākou i kekahi o nā maʻi nui ma ka papa ma lalo nei.
| Kūlana | I ka ʻōlelo maʻalahi... |
|---|---|
| Asthma | ʻO ka mumū lōʻihi o nā ʻōmole bronchial e hoʻoulu ai iā lākou e pehu a ololi, e paʻakikī ai ka hanu ʻana. |
| ʻO ka bronchitis | Ka pehu ʻana o nā ʻōmole bronchial ma muli o kahi maʻi. Hiki i kēia ke lilo i mea pōkole (hiki mai me ke anu a i ʻole ka maʻi flū) a i ʻole ka lōʻihi (mea maʻamau i waena o ka poʻe puhi paka). |
| Ka maʻi bronchial | He kūlana kahi i hōʻino ʻia ai nā ʻōmole bronchial, e hoʻonui mau ana a hana ana i nā ʻeke e hōʻiliʻili ai i ka mucus. |
| COPD (Maʻi Puʻuwai Pale Mau) | He hui o nā maʻi e hoʻopilikia ai i ka neʻe ʻana o ka ea i loko o nā māmā. ʻO ka bronchitis mau kekahi ʻāpana o kēia hui. |
| ʻO ka Fibrosis Cystic | He maʻi hoʻoilina i loaʻa i ka wā hānau. ʻO nā mea huna o ke kino, ʻoiai ka mucus, e lilo i mānoanoa loa a pipili, e hoʻopilikia ana i nā ʻōmole bronchial. |
Pehea e ʻike ai i kahi pilikia me ka bronchi?
Inā he pilikia me kou bronchi, e hāʻawi kou kino iā ʻoe i nā hōʻailona like ʻole e pili ana i ia mea. Inā hoʻomau kekahi a ʻoi aku paha o kēia mau mea, he mea nui loa ia e ʻike i ke kauka.
- ʻŪhū: He ʻūhū mau, i kekahi manawa me ka huʻa.
- Pōkole o ka hanu (dyspnea): Pōkole o ka hanu ʻoiai me nā hana liʻiliʻi, me ka manaʻo e like me ka paʻa o kou umauma.
- Wheezing: He leo hū mālie e puka mai ana mai ka umauma i ka wā e hanu ana i loko a i waho paha.
- Ke ʻū ʻana i ke koko: Ke ʻū ʻana i kahi koko liʻiliʻi me ka huʻa.
- Paʻa ka umauma: Manaʻo e like me ke kāʻei e hoʻopaʻa ʻia ana a puni ka umauma.
- Nā maʻi hanu pinepine: Inā loaʻa pinepine iā ʻoe ke anu a me nā maʻi māmā.
- Luhi: Manaʻo nui ka luhi ma mua o ka maʻamau.
He aha nā hoʻokolohua e nānā ai i ke olakino o ka bronchi?
Inā loaʻa iā ʻoe nā hōʻailona i luna, hiki i kāu kauka ke kuhikuhi iā ʻoe no nā hoʻokolohua like ʻole e hōʻoia i kou kūlana pololei.
| Hoʻāʻo | He aha kāu e hana ai me kēia? |
|---|---|
| Spirometry | He hoʻāʻo nui kēia e ana i ka hana o ka māmā. Ana ia i ka nui o ka ea hiki iā ʻoe ke hoʻokuʻu ikaika i waho. |
| Bronchoscope | Hoʻokomo ʻia kahi ʻōmole lahilahi a palupalu me kahi kāmela i hoʻopili ʻia ma ka ihu a i ʻole ka waha a nānā pololei ʻia i loko o nā ʻōmole bronchial. |
| Nānā CT | Lawe kekahi ʻano X-ray kūikawā i nā kiʻi ʻokiʻoki o nā māmā a me nā bronchi a hana i kahi kiʻi kikoʻī ma kahi kamepiula. |
| ʻO ka Ultrasound Endobronchial (EBUS) | Hana ʻia kēia me ka hui pū ʻana me ka bronchoscopy. Hoʻohana ʻia kahi mea ultrasound ma ka hopena o ka ʻōmole e nānā i nā paia bronchial a me nā ʻiʻo a puni. |
Pehea lā e hiki ai iā kākou ke mālama i ke olakino o ko kākou mau ala ea?
Aia kekahi mau mea maʻalahi akā he mea nui loa e hiki ai iā kākou ke hana e mālama i ko kākou bronchi a me ka ʻōnaehana hanu holoʻokoʻa.
- E pale loa i ka puhipaka: E pale i nā cigarettes, beedis, a i ʻole vaping. ʻO kēia ka lawelawe nui loa hiki iā ʻoe ke hana no kou mau māmā. He mea ʻino loa hoʻi ka hanu ʻana i ka uahi lua.
- E pale iā ʻoe iho mai ka lepo a me ka haumia o ka ea: E ʻaʻahu i ka pale maka inā ʻoe ma nā wahi me ka nui o ka lepo a i ʻole nā kemika. E mālama i kou home i ka maʻemaʻe.
- E hoʻoikaika kino mau: Hoʻoikaika ka hoʻoikaika kino i kou puʻuwai a me kou mau māmā.
- E pale iā ʻoe iho mai nā maʻi: E holoi pinepine i kou mau lima. E pale i nā wahi i piha i ka poʻe i ka wā o ka maʻi ahulau a me ke anu. E kiʻi i nā lāʻau pale e pono ai e like me ke kuhikuhi a kāu kauka.
- E ʻai i ka meaʻai kaulike: ʻO ka ʻai ʻana i nā meaʻai momona e hoʻoikaika i ka pale ʻana o ke kino.
E hoʻomanaʻo, hoʻopau loa ka puhi paka i ka ʻōnaehana pale palupalu (cilia) o kou bronchi, e wehe ana i ka puka i nā maʻi koʻikoʻi.
I ka manawa e ʻimi koke ai i ke aʻo lapaʻau
Inā loaʻa iā ʻoe kahi ʻū maʻamau a i ʻole ka pōkole o ka hanu, e ʻike i kāu kauka ʻohana. Eia nō naʻe, inā loaʻa iā ʻoe kekahi o nā hōʻailona ulia pōpilikia ma lalo nei, e hele koke i ka ʻOihana ulia pōpilikia (ETU) o ka haukapila kokoke loa.
| Pilikia! Inā loaʻa iā ʻoe kēia mau hōʻailona, e hele koke i ka ETU! | |
|---|---|
| Polū/hina/pale o nā lehelehe, ʻili, a i ʻole nā kui (Cyanosis) | He hōʻailona ikaika kēia ʻaʻole i loaʻa i ke koko ka nui o ka oxygen e pono ai. |
| Nā huki ʻana o ka umauma | Me he mea lā e piholo ana ka ʻili ma ka umauma ma waena o nā iwi ʻaoʻao i ka wā e hanu ana. |
| Hoʻonui ʻia ka hanu ʻana | Ka hanu wikiwiki loa ʻana, ʻoiai i ka wā e hoʻomaha ana, me ke kumu ʻole. |
| Ka ihu e pālahalaha ana | Ke pālahalaha ʻana o nā puka ihu i ka wā e hoʻāʻo ai e hanu. |
| Hanu ʻana | He leo kiʻekiʻe i lohe ʻia i ka wā e hanu ana i loko a i waho paha. |
He ʻōkana waiwai nui ko kākou mau bronchi e pale mālie ana i ko kākou ola. ʻO ko kākou kuleana ke mālama iā lākou a ʻaʻole e ʻae iā lākou e hōʻino ʻia.
Leka Lawe-Home
- ʻO nā Bronchi ka ʻōnaehana nui o nā paipu e lawe ai i ka ea i ko mākou mau māmā.
- Ma waho aʻe o ka ea e neʻe ana, hoʻomaʻemaʻe a hoʻomaʻū pū kēia i ka ea.
- ʻO nā maʻi e like me ka hānō a me ka bronchitis e hoʻopilikia pinepine i ka bronchi.
- Mai hoʻowahāwahā i nā hōʻailona e like me ke kuʻi mau, ka hanu ʻana, a i ʻole ka hanu ʻana o ka umauma. E ʻike koke i kāu kauka.
- ʻO ka mea maikaʻi loa āu e hiki ai ke hana e mālama i ke olakino o kou mau māmā , ʻo ia ke pale loa i ka puhipaka.
- Inā loaʻa iā ʻoe nā hōʻailona ulia pōpilikia e like me ka paʻakikī nui o ka hanu ʻana a i ʻole nā lehelehe polū, e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila.











💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo