He maʻi hoʻonāukiuki loa ka hānō a ke hoʻopilikia nei i ke ola o kēlā me kēia lā, ʻo ka poʻe wale nō i loaʻa iā ia ka ʻike. ʻO ka hanu mau ʻana, ka manaʻo e like me ka ʻūlū ʻana o ko lākou umauma, ʻaʻole hiki ke hele i kahi me ka ʻole o kā lākou inhaler ... ʻO nā mea e like me kēia e hiki ʻole ai ke hana pono i kā lākou mau hana o kēlā me kēia lā, ʻeā? He mea kaumaha loa kēia no ka poʻe hiki ʻole ke kāohi i ko lākou hānō ma hope o ka hoʻohana pono ʻana i ka lāʻau lapaʻau i kuhikuhi ʻia e ke kauka a me kā lākou inhaler. No laila, i kēia lā e kamaʻilio mākou e pili ana i kahi ʻano lapaʻau kūikawā a hou e hiki ke kōkua i ka poʻe me ka hānō koʻikoʻi. ʻO ia ka Bronchial Thermoplasty .
I ka ʻōlelo maʻalahi, he aha ka Bronchial Thermoplasty?
ʻAe, e hoʻomaʻalahi kākou i kēia. E noʻonoʻo he papa liʻiliʻi o nā ʻiʻo a puni ka ʻōpū hanu (kapa mākou iā ia he trachea) i loko o kou mau māmā. I loko o ke kanaka me ka hānō, ʻūlū kēia ʻiʻo me ke kumu ʻole, ʻo ia hoʻi, paʻa ia. A laila lilo kēlā ʻōpū hanu i ololi. E like me ke kaomi ʻana i kahi paipu wai, lilo ia i mea paʻakikī ke kahe, i ka wā e ololi ai ka bronchi , lilo ia i mea paʻakikī ke hanu. Ke loaʻa iā mākou ka hānō, ʻo ia ka mea e hoʻopūʻiwa ai iā mākou a paʻa ko mākou umauma.
ʻO ka Bronchial Thermoplasty kahi lāʻau lapaʻau e hoʻopili ana i ka wela i kāohi ʻia i kēia mau ʻiʻo paʻakikī a mānoanoa, e kōkua ana i ka hoʻomaha ʻana iā lākou. I ka pololei, hana pinepine ʻia kēia e kahi pulmonologist. Hoʻohana ʻo ia i kahi ʻōmole lahilahi e komo i loko o kou mau ala ea a hoʻopili i ka wela i nā ʻiʻo. Ke hoʻomaha ʻia kēia mau ʻiʻo, ʻaʻole hiki iā lākou ke ʻaelike paʻa e like me ka wā ma mua. Wehe kēia i nā ala ea, e maʻalahi ai ka hanu ʻana.
ʻO ka mea nui, ʻaʻole kēia he lāʻau lapaʻau no ka hānō. Eia nō naʻe, hiki iā ia ke hōʻemi nui i ka koʻikoʻi o nā hōʻailona hānō a me ke alapine o nā hoʻouka ʻana o ka hānō.
No wai kēia lāʻau lapaʻau kūpono?
ʻAʻole kēia he lāʻau lapaʻau no nā poʻe maʻi hānō āpau. ʻO ka maʻamau, paipai ʻia ka Bronchial Thermoplasty no ka poʻe me ka hānō koʻikoʻi i hiki ʻole ke kāohi iā ia me nā lāʻau lapaʻau maʻamau.
E nānā kākou i ke ʻano o ka "asma nui" ma kēia ʻano.
| Kūlana | He wehewehe maʻalahi |
|---|---|
| ʻAʻole i kāohi ʻia e nā lāʻau lapaʻau maʻamau | Inā hoʻomau kāu mau hōʻailona hānō (wheezing, cough, paʻa o ka umauma) ʻoiai ke hoʻohana nei i kāu mau inhalers kiʻekiʻe i kuhikuhi ʻia, nā lāʻau lapaʻau waha, a i ʻole nā inikini kūikawā (biologics). |
| Ka hopena i ka maikaʻi o ke ola | Inā ke hoʻopilikia mau nei kou hānō i kāu mau hana o kēlā me kēia lā, hiamoe, hana, a me ka hoʻoikaika kino. |
| Nā hoʻouka pinepine ʻana o ka hānō | Inā loaʻa iā ʻoe nā hoʻouka hānō pinepine a me ka paʻakikī o ka hanu ʻana ma mua o ka maʻamau. |
| Pono e hoʻokomo ʻia i ka haukapila | Inā lilo kou hānō i mea koʻikoʻi, ʻo ia hoʻi he pilikia kou hanu ʻana a pono ʻoe e mālama ʻia i ka haukapila no ka mālama ʻana. |
Inā loaʻa iā ʻoe kekahi ʻano like, hiki iā ʻoe ke kūkākūkā i ka mālama ʻana o ka Bronchial Thermoplasty me kāu kauka a hoʻoholo inā kūpono ia iā ʻoe.
Pehea ʻoe e hoʻomākaukau ai ma mua o ka mālama ʻana?
Ke hoʻoholo ʻoe a me kāu kauka e loaʻa kēia lāʻau lapaʻau, aia kekahi mau hoʻomākaukau e pili ana. E hāʻawi pinepine ke kauka iā ʻoe i nā ʻōlelo aʻoaʻo penei:
- E noi ʻia ʻoe ʻaʻole e ʻai a inu paha i kekahi mea no ka liʻiliʻi o ʻewalu hola ma mua o ka lāʻau lapaʻau.
- E noi ʻia ʻoe e lawe i kahi pila steroid (e laʻa me ka prednisolone) no ʻelua a ʻekolu mau lā ma mua o ka lāʻau lapaʻau. ʻO kēia ke kāohi i ka pehu a me nā hōʻailona e kū mai ana ma hope o ka lāʻau lapaʻau.
- Ma muli o ka hana ʻia ʻana o ka lāʻau lapaʻau ma lalo o ka anesthesia, ʻaʻole hiki iā ʻoe ke hoʻokele ma hope o ka lāʻau lapaʻau. No laila, e noi ʻia ʻoe e hoʻonohonoho i kahi mea e lawe iā ʻoe i ka home ma mua .
He aha ka mea e hana ʻia i ka wā o ka mālama ʻana?
He ʻōnaehana maʻamau loa ka mea e hana ʻia ana i ka lā o kēia lāʻau lapaʻau.
1. ʻO ka mea mua, e hāʻawi ʻia ʻoe i ka anesthesia ma o kahi aa koko i ʻole ʻoe e ʻike i kekahi ʻeha a ʻoluʻolu ʻole paha. No laila, e hiamoe ʻoe i ka wā o ka mālama ʻana.
2. A laila, hoʻohana ke kauka i kahi bronchoscope.ʻO kekahi, he ʻōmole lahilahi a palupalu me kahi kāmela i hoʻopili ʻia, ua hoʻokomo ʻia ma kou waha i loko o nā alaloa o kou mau māmā.
3. Hoʻokomo ʻia kekahi mea kūikawā ʻē aʻe ma o kēia ʻōmole a hāʻawi i ka wela i kāohi ʻia ('radiofrequency energy`) i nā wahi i loaʻa ai nā ʻiʻo mānoanoa. ʻO kēia wela ke kumu e lahilahi ai nā ʻiʻo.
4. Ma hope o ka mālama ʻana i nā wahi āpau e pono ai, wehe pono ke kauka i ka bronchoscope.
ʻO ka maʻamau, ʻo kēia kaʻina hana holoʻokoʻa ma waena o 45 mau minuke a me hoʻokahi hola .
Ma hope o ka mālama ʻana a me ke kaʻina hana lapaʻau holoʻokoʻa
Ma hope o ka pau ʻana o ka lāʻau lapaʻau, e nānā ʻia ʻoe e nā kauka a me nā kahu maʻi no kekahi mau hola a hiki i kou ala ʻana mai ka anesthesia. Inā ʻoi aku ka ʻino o kou mau hōʻailona hānō a i ʻole ʻoe e ʻike i nā hopena ʻē aʻe, pono paha ʻoe e noho i ka haukapila i kēlā pō.
ʻO ka mea nui loa, ʻaʻole hana ʻia kēia lāʻau i hoʻokahi manawa. No ka mālama ʻana i nā wahi āpau o nā māmā, pono ʻoe e hele i ʻekolu mau kau lāʻau .
- Hoʻōla ʻia ka ʻaoʻao haʻahaʻa o ka māmā ʻākau i hoʻokahi kau.
- Ma kekahi kau ʻē aʻe, e mālama ʻia ka ʻaoʻao haʻahaʻa o ka māmā hema.
- I ke kolu o ka hālāwai, mālama ʻia nā ʻāpana o luna o nā māmā ʻelua.
Aia kahi kaawale o ʻekolu pule ma waena o kēia mau kau.
He aha nā pōmaikaʻi, nā pilikia, a me nā hopena ʻaoʻao o kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau a pau, loaʻa i ka Bronchial Thermoplasty kona mau pono a me kekahi mau pilikia a me nā hopena ʻaoʻao. He mea nui e loaʻa kahi ʻike maopopo o kēia mau mea.
| Nā Pōmaikaʻi | Nā Pōʻino a me nā Hopena ʻAoʻao |
|---|---|
| Ka hōʻemi ʻana i ke koʻikoʻi a me ke alapine (pinepine) o nā hōʻailona hānō. | Ka hoʻonui iki ʻana o nā hōʻailona (ke kuʻi, ka hanu ʻana, ka ʻeha o ka umauma) no kekahi mau lā ma hope o ka lāʻau lapaʻau (e nalowale pinepine kēia mau mea i loko o hoʻokahi pule). |
| Ua hoʻemi ʻia ka nui o nā hōʻeha hānō. | Ka liʻiliʻi o ka pilikia o ka hoʻokipa ʻia ʻana ma muli o nā ʻōuli koʻikoʻi. |
| Ka hoʻomaikaʻi ʻana i ke ʻano o ke ola. | Ka pilikia o ka maʻi māmā. |
| Ua hōʻike ʻia nā noiʻi e mau ana nā hopena maikaʻi no ka liʻiliʻi he 10 mau makahiki. | He mea kākaʻikahi loa, aia kahi pilikia o nā kūlana e like me ka hiolo ʻana o kahi ʻāpana o ka māmā ('atelectasis') a i ʻole ka hoʻonui ʻia ʻana o nā ala ea ('bronchiectasis'). |
I ka manawa hea e ʻike ai i ke kauka a hele koke i ka haukapila
Ma hope o ka lāʻau lapaʻau, he mea nui e ʻike i ka ʻokoʻa ma waena o ka ʻeha maʻamau, i manaʻo ʻia a me nā kūlana koʻikoʻi e pono ai ka nānā koke.
| Nā kūlana e makaʻala ai | |
|---|---|
| E kamaʻilio me kāu kauka: | |
| E kamaʻilio e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai ma mua a ma hope paha o ka mālama ʻana. Eia kekahi laʻana, "E ke kauka, he ʻū iki koʻu, he mea maʻamau anei kēlā?" | |
| E hele koke i ka ʻOihana Pilikia kokoke loa (ETU): | |
|
Hiki i ka hānō ke lilo i mea hoʻoweliweli i ke ola. ʻOiai inā pinepine ka huhū o kou hānō, e nalo paha ʻoe i kekahi o nā mea leʻaleʻa loa o ke ola. ʻAʻole ʻo ka Bronchial Thermoplasty kahi hopena hoʻokahi no nā mea āpau. Eia nō naʻe, inā manaʻo ʻoe e hoʻopilikia nui ana kou hānō i kou ola, ʻoiai ma hope o ka lawe ʻana i kāu mau lāʻau lapaʻau i kuhikuhi ʻia, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e kūkākūkā inā kūpono kēia lāʻau lapaʻau a i ʻole nā lāʻau lapaʻau ʻē aʻe iā ʻoe.
Leka Lawe-Home
- He lāʻau lapaʻau kūikawā ka Bronchial Thermoplasty no ka hānō koʻikoʻi i hiki ʻole ke kāohi ʻia me nā lāʻau lapaʻau maʻamau.
- Hoʻomehana kēia i nā ʻiʻo mānoanoa a puni nā alaea a hoʻomānoanoa iā lākou, e maʻalahi ai ka hanu ʻana.
- ʻAʻole i hoʻopau ʻia kēia i hoʻokahi kau, akā aia i ʻekolu mau kau lapaʻau i hoʻokaʻawale ʻia ma kahi o ʻekolu pule.
- ʻOiai ʻaʻole kēia he lāʻau lapaʻau no ka hānō, hiki iā ia ke hōʻemi nui i nā hōʻailona a me ka hanana ʻana o nā hōʻeha hānō.
- E like me nā hana lapaʻau āpau, aia kekahi mau pilikia a me nā hopena ʻaoʻao no ka manawa pōkole.
- Pono ʻoe e kūkākūkā i kēia lāʻau lapaʻau me kāu pulmonologist a kauka paha e hoʻoholo ai inā kūpono ia iā ʻoe.
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