ʻOiai ma hope o hoʻokahi pule o ka hoʻomaikaʻi ʻana ma hope o ke anu, ʻaʻole anei e nalo wale kēia ʻū? Hele mai me ka phlegm ke ʻū ʻoe? Manaʻo anei ia he ʻūlū ma ka umauma, he leo wheezing paha? ʻO kēia ka mea a ka poʻe he nui e manaʻo ai ke loaʻa iā lākou ka bronchitis. ʻOiai he kūlana hoʻonāukiuki loa kēia, ʻaʻohe mea e makaʻu ai. E kamaʻilio kākou e pili ana i nā mea āpau ma nā ʻōlelo maʻalahi i kēia lā.
ʻAe, he aha ka bronchitis?
I ka ʻōlelo maʻalahi, ʻo ka bronchitis kahi maʻi a me ka pehu ʻana o nā alaloa nui (i kapa ʻia ʻo bronchi) e lawe ana i ka ea i ko kākou mau māmā. E like me ka paʻa ʻana o ka paipu wai i ka lepo, lilo ia i mea paʻakikī ke hoʻokahe i ka wai, ke pehu ko kākou alaloa, hoʻohaiki ia i nā alaloa.
ʻO kēia ke kumu e pehu ai a ʻulaʻula nā paia o nā alaea, a hoʻomaka lākou e hana i nā mucus hou aʻe. No laila, hoʻāʻo ke kino e hoʻopau i kēia mucus keu ma o ka ʻū ʻana. ʻO kēia ke kumu nui e hoʻoulu ai ka bronchitis i ka ʻū mau. Hiki i kēia ʻū ke mau mai kekahi mau lā a i ʻelua a ʻekolu mau pule.
ʻElua mau ʻano nui o ka bronchitis:
I ke kamaʻilio ʻana e pili ana i ka bronchitis, pono mākou e makaʻala i ʻelua ʻano nui. Aia kahi ʻokoʻa nui ma waena o nā mea ʻelua.
1. ʻO ka Bronchitis koʻikoʻi
ʻO kēia ke ʻano maʻamau. Loaʻa pinepine ia me kahi maʻi viral e like me ke anu a i ʻole ka maʻi flu. Hiki i nā hōʻailona e like me ke kuni, ka phlegm, a me ka ʻū ʻana o ka umauma ke mau mai kekahi mau lā a ʻelua a ʻekolu mau pule. Eia nō naʻe, he kūlana manawa pōkole kēia. Hoʻopau pinepine ia ma kāna iho me ka nui o ka hoʻomaha a me ka ʻole o kahi lāʻau kūikawā.
2. Ka maʻi bronchitis mau loa
He kūlana koʻikoʻi kēia a lōʻihi. Inā loaʻa i kekahi ka ʻū me ka mucus no ʻekolu mahina a ʻoi aku i ka makahiki, no ʻelua mau makahiki ma ka lālani, kapa mākou ia he bronchitis mau. ʻOi aku ka maʻamau o kēia i waena o ka poʻe puhi paka. Inā loaʻa iā ʻoe kēia kūlana, hiki ke lilo i ʻāpana o kahi maʻi māmā i kapa ʻia ʻo COPD (Chronic Obstructive Pulmonary Disease) . No laila, inā loaʻa iā ʻoe kahi ʻū lōʻihi e like me kēia, he mea nui loa ia e ʻike i kāu kauka a loaʻa ka ʻōlelo aʻo.
| ʻAno | ʻO ka Bronchitis koʻikoʻi | ʻO ka Bronchitis mau loa |
|---|---|---|
| Ka lōʻihi | Pōkole (1-3 pule) | Ka wā lōʻihi (nā mahina, nā makahiki) |
| Kumu nui | I nā maʻi viral pinepine (anu, flu) | Puhi pinepine ʻana i ka puhipaka, ka ʻike ʻia ʻana i ka haumia o ka ea |
| Ho'ōla | Ho'ōla pinepine ia iā ia iho | ʻAʻohe lāʻau lapaʻau, akā hiki ke hoʻomalu ʻia nā hōʻailona. |
E nānā inā loaʻa iā ʻoe kēia mau hōʻailona pū kekahi.
ʻO ka hōʻailona nui a hoʻopilikia loa o ka bronchitis he ʻū, akā aia kekahi mau hōʻailona ʻē aʻe e hiki ke hana ma waho aʻe o ia.
- ʻŪhū mau: ʻO kēia ka hōʻailona nui. Hiki i kēia ʻūhū ke mau no hoʻokahi a ʻekolu pule.
- Huhu: Hiki i ke kuʻi ke hoʻopuka i ka huʻu keʻokeʻo, melemele, hina, a ʻōmaʻomaʻo paha. Eia nō naʻe, hiki ke hele mai i kekahi manawa ma ke ʻano he kuʻi maloʻo.
- ʻŪhū: He leo hūhū a nakeke paha e puka mai ana mai loko mai o ka umauma.
- Paʻakikī ka hanu ʻana: Hiki i kekahi poʻe ke loaʻa i kahi pilikia hanu ʻana.
- ʻEha kino a me ka luhi: Hiki iā ʻoe ke ʻeha a luhi hoʻi, e like me ka maʻi kuni maʻamau.
- Kuni maʻamau: Hiki iā ʻoe ke manaʻo i ke kuni, me he mea lā e wela nui ana kou kino.
- ʻAʻā : Hiki ke loaʻa pū ka ʻā ʻā me kēia.
No ke aha mākou e loaʻa ai i ka bronchitis?
Aia kekahi mau kumu e hoʻomohala ai i ka bronchitis.
- Nā maʻi viral: ʻOi aku ma mua o 90% o ka bronchitis nā virus! ʻO nā mea nui e like me ke anu maʻamau (Rhinovirus), influenza (Influenza), RSV virus, a me Coronavirus (Coronavirus).
- Nā maʻi bacteria: He mea kākaʻikahi loa, hiki ke hana ʻia ka bronchitis e ka bacteria, akā he mea kākaʻikahi loa ia.
- Puhi paka:ʻO ka poʻe e hoʻohana ana i nā cigarettes a me nā cigars he kiʻekiʻe loa ka pilikia o ka loaʻa ʻana o ka bronchitis mau loa. ʻO ka poʻe e hanu ana i ka uahi o haʻi (pahū passive) he kiʻekiʻe nō hoʻi ka pilikia.
- Hiki i kēia ʻano ke hana i nā poʻe e hana ana i nā hana kahi i hōʻike pinepine ʻia ai lākou i nā mea ʻino i ka lewa: ka lepo, nā uahi ʻawahia, a me nā kemika.
ʻO ka mea nui, ʻo ka bronchitis, ke "kūlana," ʻaʻole ia he mea laha. ʻO ia hoʻi, ʻaʻole i laha ka mumū o nā alaloa mai kekahi kanaka a i kekahi. Eia nō naʻe, hiki ke laha maʻalahi ka maʻi e hoʻoulu ai. No ka laʻana, inā loaʻa iā ʻoe ka bronchitis mai ka maʻi flu, hiki iā ʻoe ke hoʻoili i ka maʻi flu i kekahi. Akā, hiki i kēlā kanaka ke loaʻa i ka bronchitis a ʻaʻole paha.
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Ke hele ʻoe e ʻike i ke kauka, e nīnau ʻo ia iā ʻoe e pili ana i kou mau hōʻailona. Pehea ka lōʻihi o kou ʻū ʻana, inā he phlegm kou, a inā he kuni kou. A laila e hoʻolohe lākou i kou umauma me kahi stethoscope e nānā i ke kūlana o kou mau māmā.
I ka hapa nui o ka manawa, hiki i kēia mau kikoʻī wale nō ke ʻike i ka bronchitis ʻoi. Eia nō naʻe, i kekahi mau hihia, inā kānalua ʻia kahi maʻi koʻikoʻi (e like me ka pneumonia), hiki i kāu kauka ke kuhikuhi iā ʻoe no nā hoʻokolohua hou aku.
- X-ray o ka umauma: Inā ua hoʻomau ka ʻū no nā pule, hiki i kēia ke kōkua i ka ʻike inā he maʻi ʻē aʻe i loko o nā māmā.
- ʻUhi Ihu: Hiki ke hana ʻia kēia hoʻāʻo e hōʻoia inā he maʻi kou e like me ka maʻi palū a i ʻole COVID-19.
- Hoʻāʻo Sputum: Lawe ʻia kahi hāpana o kāu sputum a hoʻāʻo ʻia no ka bacteria a i ʻole nā virus.
- Nā Hoʻāʻo Hana Pulmonary: Inā kānalua ʻia ka bronchitis mau, hana ʻia kēia mau hoʻāʻo e ana i ka hana o kou mau māmā.
Pehea e mālama ʻia ai? - He mea pono maoli anei nā lāʻau antibiotics?
ʻO kēia kahi e kuhihewa ai ka poʻe he nui. Ke loaʻa iā lākou ka ʻū, manaʻo ka poʻe he nui e hoʻomaikaʻi ka lawe ʻana i nā lāʻau antibiotic.
Akā ʻo ka ʻoiaʻiʻo, 90% o ka bronchitis ʻoi i hoʻokumu ʻia e nā virus, a ʻaʻohe hopena o nā antibiotics. ʻO nā antibiotics nā lāʻau lapaʻau e pepehi i nā bacteria. ʻAʻohe o lākou hopena i nā virus. ʻO ka hoʻohana ʻana i nā antibiotics me ke kumu ʻole hiki ke loaʻa nā hopena maikaʻi ʻole i ke kino.
No laila, ʻo ka lāʻau maikaʻi loa no ka bronchitis ʻoi, ʻo ia ke kaohi i nā hōʻailona me ka ʻae ʻana i ke kino e ho'ōla iā ia iho.
- E hoʻomaha nui: ʻO ka hoʻomaha ʻana i kou kino e kōkua i kāu ʻōnaehana pale e pale aku i nā maʻi.
- E inu i ka nui o nā wai:E inu i ka nui o ka wai, ka sopa, a me ka porridge. E hoʻomāmā kēia i ka mucus a kōkua iā ia e puka maʻalahi i waho.
- Hanu mahu: ʻO ka hanu mahu mai loko mai o kahi pola wai wela a i ʻole ka ʻauʻau wela e hoʻomaʻū i nā alaloa hanu, hoʻokuʻu i ka mucus, a hoʻomaʻalahi i ka hanu ʻana.
- Nā lāʻau hoʻopau ʻeha: Hiki iā ʻoe ke lawe i kahi mea e like me ka paracetamol no ka ʻeha kino a me ke kuni, e like me ka ʻōlelo a kāu kauka.
- Nā syrups kuni: Hiki i kekahi mau syrups kuni ke kōkua i ka hoʻomāmā ʻana i ka mucus. Eia nō naʻe, he mea naʻauao ke nīnau i kāu kauka ma mua o ka hoʻohana ʻana i nā lāʻau hoʻopau kuni, no ka mea, ʻo ke kuni ke ala o ke kino e hoʻopau ai i ka mucus.
E kuhikuhi wale ke kauka iā ʻoe i nā lāʻau lapaʻau i kekahi mau kūlana. No ka laʻana, inā loaʻa iā ʻoe kahi maʻi e like me ka hānō, hiki iā lākou ke hāʻawi iā ʻoe i kahi inhaler (bronchodilator) e maʻalahi ai ka hanu ʻana. A i ʻole, hiki iā lākou ke kuhikuhi wale i nā antibiotics inā hōʻoia lākou he maʻi bacteria kou.
Pehea e pale ai iā ʻoe iho mai kēia kūlana?
He mea maikaʻi loa ka hōʻemi ʻana i ka manawa kūpono o ka loaʻa ʻana o ka bronchitis ma mua o ka ʻeha ʻana me ia.
- E holoi pinepine i kou mau lima: ʻO ka holoi pono ʻana i kou mau lima me ke kopa ke ala maikaʻi loa e pale ai i ka laha ʻana o nā maʻi.
- E pale i ka puhipaka: Inā ʻoe e puhipaka, e hoʻōki. E noho mamao aku mai nā wahi e puhipaka ai kekahi poʻe.
- E mālama i ka ʻōnaehana pale kino ikaika: E hoʻomau i ka ikaika o kou ʻōnaehana pale kino ma o ka ʻai ʻana i nā meaʻai momona, ka hiamoe kūpono, a me ka hoʻoikaika kino.
- E kiʻi i ka lāʻau pale: ʻO ka loaʻa ʻana o ka lāʻau pale maʻi flu makahiki a me ka lāʻau pale COVID-19 hiki ke hōʻemi i ka pilikia o ka bronchitis i hoʻokumu ʻia e kēia mau maʻi.
- E pale iā ʻoe iho mai ka lepo a me ka uahi: E ʻaʻahu i ka pale maka inā ʻoe i kahi lepo a uahi.
Āhea ʻoe e ʻike ai i ke kauka?
ʻAʻole maʻamau ka maʻi bronchitis koʻikoʻi he maʻi koʻikoʻi. Eia nō naʻe, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, pono ʻoe e ʻike koke i kāu kauka. A i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa iā ʻoe.
| Nā hōʻailona hōʻike e makaʻala ai | |
|---|---|
| 🔴 | ʻO ke kuni e hoʻomau nei no nā pule he 3 a ʻoi . |
| 🔴 | Ke kuni nui (ma luna o 102° F) a i ʻole ke kuni e mau ana ma mua o 5 mau lā. |
| 🔴 | Ke ʻū ʻana i ke koko me ka huʻa. |
| 🔴 | Ka paʻakikī nui o ka hanu ʻana a i ʻole ka ʻeha o ka umauma. |
| 🔴 | Loaʻa iā ʻoe nā maʻi olakino lōʻihi ʻē aʻe e like me ka hānō, ka maʻi puʻuwai, a me ka COPD. |
ʻOiai he mea hoʻonāukiuki ka bronchitis, he maʻi ia e hiki ke ho'ōla koke ʻia inā maopopo pono ʻia, lawe ʻia ka hoʻomaha kūpono, a kāohi ʻia nā hōʻailona. ʻO ka mea nui loa, ʻo ia ke ʻimi i ka ʻōlelo aʻoaʻo lapaʻau inā kānalua, ma mua o ka lāʻau ponoʻī.
Leka Lawe-Home
- ʻO ka Bronchitis kahi mumū o nā ala ea e lawe ai i ka ea i nā māmā, kahi e hoʻoulu ai i ka ʻū me ka mucus.
- ʻO 90% o nā hihia maʻamau o ka bronchitis ʻoi e hoʻoulu ʻia e nā maʻi, no laila ʻaʻole pono nā antibiotics.
- Hiki ke hoʻomalu ʻia nā hōʻailona me nā mea e like me ka hoʻomaha nui ʻana, ka inu ʻana i nā wai, a me ka hanu ʻana i ka mahu.
- ʻO ka puhi paka kahi kumu nui o ka bronchitis mau loa.
- Inā hoʻomau ka ʻū no nā pule he 3 a ʻoi, a hele pū me ke kuni nui, ka paʻakikī o ka hanu ʻana, a inā he koko ka phlegm, e ʻimi koke i ke kōkua lapaʻau.











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