Ua pōkole anei kou hanu? Ke paʻa nei kou umauma? E kamaʻilio kākou e pili ana i kēia (Bronchoconstriction)!

Ke paʻakikī koke nei ʻoe i ka hanu ʻana i kekahi manawa? Me he mea lā e ʻūlū ana kekahi i kou umauma, me he mea lā e kokoke ana ʻoe e hanu? Hiki paha iā ʻoe ke lohe i kahi wheezing a i ʻole kahi leo gurgling e puka mai ana mai loko mai o kou umauma. I nā manawa e like me kēia, hiki paha iā ʻoe ke manaʻo ua paʻa kekahi mea i loko o kou puʻu me ka ʻū iki. ʻO kēia kūlana ka mea a mākou e kamaʻilio ai i kēia lā, i kapa ʻia ʻo bronchoconstriction . ʻOiai paha he mea ʻē iki ka inoa, he mea kēia e hiki ke hana i kekahi poʻe, ʻoiai ka poʻe me nā maʻi e like me ka hānō. Mai hopohopo, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī, maʻalahi loa, ʻae?

He aha ka bronchoconstriction? I ka ʻōlelo maʻalahi...

I ka ʻōlelo maʻalahi, ʻo ka bronchoconstriction ka hāiki koke ʻana o nā alaloa nui ( bronchi ) e alakaʻi ana i ko kākou mau māmā. E noʻonoʻo e like me ka paipu wai e ālai koke ʻia ana, e paʻakikī ai ke kahe ʻana o ka wai. Aia kahi papa lahilahi loa o nā ʻiʻo a puni ko kākou mau alaloa. Ke paʻa koke kēia mau ʻiʻo, hāiki ke alaloa. ʻO ia ka manawa e paʻakikī ai kākou i ka hanu ʻana a manaʻo e like me ke ʻū ʻia nei ko kākou umauma.

Hiki ke hana ʻia kēia e kekahi mau mea. Eia kekahi laʻana, ke loaʻa ʻoe i kahi maʻi ʻaleʻale i kahi mea, ʻo ia hoʻi, ke hanu ʻoe i kahi mea hoʻonāukiuki , no ka laʻana, ke loaʻa iā ʻoe ka nui o ka lepo, a i ʻole ke loaʻa koke ʻoe i ka ea anuanu, i kekahi manawa ʻoiai ʻoe e hoʻoikaika kino ana. Hiki ke hana ʻia kēia ma nā poʻe me ka hānō a i ʻole nā ​​maʻi hanu lōʻihi e like me COPD (Chronic Obstructive Pulmonary Disease), ka poʻe i ʻoi aku ka nui o ka ʻike ʻana i ka bronchoconstriction.

No ke aha lā kēia e hana nei iā kākou? He aha nā kumu o kēia?

E like me kā mākou i kamaʻilio ai ma mua, ʻo ke kumu nui o kēia, ʻo ia ka paʻa ʻana o nā ʻiʻo palupalu i loko o ko mākou ala ea (kapa mākou i kēia mau ʻiʻo laumania, kahi hiki ʻole iā mākou ke kaohi e like me kā mākou makemake, ʻo ia hoʻi, ʻaʻole hiki iā mākou ke hoʻohana iā lākou e hana ma ka makemake). Hiki koke kēia.

I kekahi manawa, i loko o kahi hopena alerika koʻikoʻi e like me ka anaphylaxis, hiki i nā alaea ke pani koke i kēia ʻano. He kūlana weliweli loa kēlā. Ma waho aʻe o kēlā, hiki i nā ʻiʻo i loko o kēia mau alaea ke pane pinepine i kekahi mau mea. E nānā kākou i ke ʻano o kēlā mau mea.

He aha nā kumu nui no kēia?

Eia kekahi mau mea e hiki ai ke hoʻopaʻa i kou ala ea:

• Nā mea hoʻonāukiuki: Hiki i kekahi poʻe ke maʻi i ka pollen , ka dander holoholona , ​​​​ka lepo, a me kekahi mau meaʻai. E noʻonoʻo wale, no kekahi poʻe, ke hoʻomaʻemaʻe lākou i nā puke kahiko, hoʻomaka koke ka lepo e noho, ʻeā? Pēlā nō ia.
• Hoʻoikaika kino a hoʻoikaika kino paha: Hiki i kekahi poʻe ke lilo koke i ka hanu pōkole i ka wā e holo ana, piʻi ana i nā alapiʻi, a hāpai paha i nā mea kaumaha. Kāhea mākou i kēiaUa kapa ʻia ʻo ia he bronchoconstriction i hoʻoulu ʻia e ka hoʻoikaika kino.
• Nā Kemika: No ka laʻana, hiki ke hoʻopilikia ʻia ka mahu chlorine i loko o nā loko ʻauʻau, nā mea ʻala ikaika, a me kekahi mau kemika hoʻomaʻemaʻe hale.
• Nā loli o ka mahana: E like me kou neʻe koke ʻana mai kahi wela loa i kahi lumi anu me ka ea hoʻoluʻu (AC), a i ʻole kou hele ʻana i waho i kahi lā anu.
• Ea anu a maloʻo: ʻO kēia kekahi kumu o ka paʻa ʻana o nā alaea.
• Ka puhipaka a me ka uahi lua: ʻAʻole kēia he mea kupanaha. He mea ʻino loa ka puhipaka i ka ʻōnaehana hanu.
• Nā maʻi hanu kiʻekiʻe: Hiki ke hana ʻia kēia ʻano ke loaʻa ka maʻi i ka ʻōpū hanu me nā mea e like me ke anu, ka maʻi palū, a i ʻole ka maʻi palū.
• ʻO kekahi mau lāʻau lapaʻau: No ka laʻana, hiki i kekahi mau beta-blockers no ke koko kiʻekiʻe, a me nā mea ʻeha e like me ka aspirin, ke hoʻopilikia i kekahi poʻe ma kēia ʻano.

Eia kekahi, hiki i nā maʻi hanu lōʻihi ke hoʻoulu i ka mumū i loko o nā alaloa a i ʻole nā ​​​​loli mau loa i nā paia o nā alaloa (remodeling airway), hiki ke hoʻolilo i nā alaloa ea i mea haiki i ka hala ʻana o ka manawa. Hiki i kēia ke alakaʻi i ka hanu koke ʻana mai nā mea liʻiliʻi loa.

He aha nā hōʻailona o kēia? Pehea ʻoe e ʻike pono ai?

Inā loaʻa iā ʻoe ka bronchoconstriction, hiki iā ʻoe ke ʻike i hoʻokahi a ʻoi aku paha o kēia mau hōʻailona i ka manawa hoʻokahi. I kekahi manawa e piʻi mālie kēia mau hōʻailona.

• ʻUmiʻumi: He leo hū a gurgling paha i ka wā e hanu ana . He leo ia e like me ka puhi ʻia ʻana o ka ea ma o kahi ʻōmole lahilahi. Hiki iā ʻoe ke lohe i kēia iā ʻoe iho, a i ʻole e lohe paha ke kauka me kahi stethoscope.
• Pōkole o ka hanu: He paʻakikī ke hanu, me he mea lā e hanu ana ʻoe. Me he mea lā ʻaʻole lawa ka nui o kou hanu ʻana. Hiki paha iā ʻoe ke manaʻo e hāʻule nui ana ʻoe ke piʻi ʻoe i kekahi mau alapiʻi a holo iki paha.
• ʻUmiʻumi: Loaʻa paha iā ʻoe ka ʻumi maloʻo. Hiki nō hoʻi iā ʻoe ke ʻumi me he mea lā ua paʻa kekahi mea i loko o kou puʻu, a i ʻole me he mea lā e hanu ana ʻoe. I kekahi manawa ʻoi aku ka ʻino o ka ʻumi i ka pō.
• Paʻa ka umauma: Hiki ke kaumaha ka umauma, me he mea lā e ʻomi ana kekahi iā ia me ke kāʻei, a i ʻole e ʻomi ana mai loko mai.

Hiki ke hōʻike koke ʻia kekahi a ʻoi aku paha o kēia mau hōʻailona. No kekahi poʻe, e emi ana ia i loko o nā minuke, a no kekahi poʻe, hiki ke mau no nā hola.

ʻO wai ka mea i pilikia nui no kēia?

Hiki i ka poʻe me kekahi mau maʻi ke ʻike pinepine i ka bronchoconstriction. ʻO ke ʻano kēia, ʻoi aku ka nui o ko lākou pilikia o ka loaʻa ʻana.

• Asthma:ʻO nā poʻe maʻi hānō nā mea nui i hōʻeha ʻia e kēia. ʻO ka hānō maoli kahi mumū mau a me ka hypersensitivity o nā alaloa hanu.
• COPD (Maʻi Puʻuwai Pale Mau): Hoʻokomo pū kēia i nā kūlana e like me ka emphysema a me ka bronchitis mau. He mau maʻi lōʻihi hoʻi kēia e hoʻopilikia ai i nā māmā.
• Nā maʻi ʻaleka koʻikoʻi: No ka laʻana, hiki ke ulu koke kēia ʻano i nā poʻe i loaʻa i nā maʻi ʻaleka koʻikoʻi i nā mea e like me nā meaʻai a i ʻole nā ​​​​​​ʻā pepeke.

He mea weliweli paha kēia? Pono anei kākou e makaʻu?

ʻAe, hiki i kēia ke lilo i mea weliweli loa i kekahi manawa. ʻO ia ke kumu ʻaʻole ia he mea e lawe māmā ʻia. Inā haiki loa nā ala ea, ʻaʻole loaʻa i ke kino ka oxygen e pono ai. Hiki i kēia ke alakaʻi i nā kūlana koʻikoʻi e like me ka hypoxia (kahi pae haʻahaʻa loa o ka oxygen i loko o ke koko) a me ka hāʻule ʻana o ka hanu . Hiki i kēia ke hoʻoweliweli i ke ola.

No laila, inā pilikia ʻoe i ka hanu ʻana, ua paʻa loa kou umauma, ua pio loa ʻoe a ʻaʻole hiki iā ʻoe ke ʻōlelo, ua uliuli kou mau lehelehe, a ua hoʻonui nui ʻia paha kou hānō, e hele koke i ka haukapila kokoke loa a i ʻole e kelepona i ka lawelawe ambulance ulia pōpilikia 1990. Inā loaʻa iā ʻoe ka lāʻau i ka manawa kūpono, hiki iā ʻoe ke pale aku i kēia kūlana weliweli.

Pehea e ʻike ai ke kauka i kēia? He aha nā hoʻokolohua a lākou e hana ai?

I loko o kahi pilikia, e ʻike nā kauka i ka bronchoconstriction ma muli o kāu mau hōʻailona (e like me ka paʻakikī o ka hanu ʻana, ka wheezing). Eia nō naʻe, hiki iā lākou ke hana i nā hoʻokolohua hou aʻe e ʻike pono i ke kumu kumu a pehea kona koʻikoʻi.

• Nā hoʻāʻo hana pulmonary (PFTs): Nānā kēia i ka maikaʻi o ka hana ʻana o kou mau māmā, ka nui o ka ea hiki iā ʻoe ke hanu a hoʻokuʻu i waho i hoʻokahi hanu, a inā he mea keʻakeʻa i loko o kou mau ala ea. ʻO ka hoʻāʻo maʻamau no kēia ua kapa ʻia ʻo spirometry.
• Nā hoʻāʻo kiʻi: Hiki ke hana ʻia nā kiʻi X -ray umauma a i ʻole nā ​​​​scan CT . Hiki i kēia ke nānā i nā maʻi a i ʻole nā ​​​​pilikia ʻē aʻe o ka māmā.

He aha nā lāʻau lapaʻau no kēia? ʻAʻole hiki ke ho'ōla ʻia?

Mai hopohopo, aia nā lāʻau lapaʻau maikaʻi no kēia. ʻO ka lāʻau lapaʻau āu e loaʻa ai e pili ana i ke kumu o kou kūlana a me kona koʻikoʻi. Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e like me:

• Nā lāʻau lapaʻau e hōʻemi i ka pehu a wehe i nā ala ea:
• Nā Bronchodilators: Hana kēia mau lāʻau lapaʻau ma ka hoʻomaha ʻana i nā ʻiʻo i loko o kou mau ala ea, e hoʻonui ana iā lākou. ʻOi aku ka maʻalahi o ka hanu ʻana. Hāʻawi ʻia kēia mau mea ma o kahi inhaler (ʻike ʻia hoʻi he puffer).Hiki iā ʻoe ke loaʻa mai kahi nebulizer ( kahi mīkini e hana i ka noe). Loaʻa kēia i ʻelua ʻano: hana pōkole a me ka hana lōʻihi.
• Corticosteroids: Hana kēia ma ka hōʻemi ʻana i ka pehu ʻana i loko o nā alaea. Hiki ke hāʻawi ʻia kēia mau mea ma ke ʻano he inhaler, a i kekahi manawa he pila. Hoʻohana pinepine ʻia kēia mau mea no ka manawa lōʻihi e ka poʻe me ka hānō.
• Nā lāʻau lapaʻau e ālai ana i nā kemika i loko o ke kino e hoʻoulu ai i ka pehu ʻana: Nā lāʻau lapaʻau e like me nā antihistamines (nā lāʻau lapaʻau i hāʻawi ʻia no nā maʻi allergies) a me nā mea hoʻololi leukotriene (he ʻano pila hoʻi e hōʻemi ana i ka pehu ʻana i loko o nā alaea).
• Lāʻau lapaʻau e pane ai i ka hoʻouka ʻana o ka hānō: Hiki i kāu kauka ke haʻi aku iā ʻoe e mālama i kahi inhaler hoʻopakele (kahi bronchodilator hana pōkole) me ʻoe e hoʻohana koke inā loaʻa koke iā ʻoe kahi hoʻouka hānō, ʻo ia hoʻi he paʻakikī iā ʻoe ke hanu. Ua like kēia me kahi "mea hoʻopau ahi."
• Lapaʻau ulia pōpilikia: Inā ʻoe i pilikia i kahi hopena maʻi ʻaleka koʻikoʻi (anaphylaxis) , e mālama i kahi epinephrine auto-injector , e like me EpiPen® a i ʻole Auvi-Q® , kokoke a e aʻo kāu kauka iā ʻoe pehea e hoʻohana ai.

He aha kāu e hana ai ma ka haukapila i ka wā pilikia?

Inā ua ālai loa ʻia kou ala ea a ʻaʻole hiki iā ʻoe ke hanu iā ʻoe iho, pono paha i nā kauka ma ka haukapila ke wehe i kou ala ea ma kēia ʻano:

• Intubation: Pili kēia i ke kau ʻana i kahi ʻōmole i loko o kou windpipe (trachea) a e ʻae iā ʻoe e hanu hana, ma o ka ventilator (i kapa ʻia hoʻi he mechanical ventilation ).
• Tracheostomy: ʻO kēia ke hana ʻana i kahi lua liʻiliʻi ma ke alo o ka ʻāʻī i loko o ka ʻōpū hanu e ʻae ai i ka hanu pololei. Hiki ke hana ʻia kēia no kekahi manawa pōkole a i ʻole, i nā hihia kakaikahi, mau loa.

He aha kāu e manaʻo ai i ka wā e noho ai me kēia maʻi?

Inā loaʻa iā ʻoe kahi maʻi hanu mau e like me ka hānō e hoʻoulu ai i ka bronchoconstriction, he mea nui e hoʻokele pono iā ia. He mea nui e lawe i kāu mau lāʻau lapaʻau e like me ke kauoha a kāu kauka a e noho mamao aku mai nā mea hoʻonāukiuki i ka hiki. A i ʻole, e hoʻāla pinepine paha kou maʻi.

ʻAʻole like ka ʻike o kēlā me kēia kanaka. No kekahi poʻe, he mea pinepine ʻole paha a maʻalahi paha ke mālama ʻia. No kekahi poʻe, he mea pinepine paha, i kekahi manawa he koʻikoʻi. No laila, e kamaʻilio me kāu kauka e pili ana i kou kūlana a pehea ʻoe e makemake ai e mālama iā ia, a e hana i kahi hoʻolālā lapaʻau e kūpono iā ʻoe.

Āhea wau e ʻike ai i ke kauka?

Pono ʻoe e ʻike i ke kauka i kēia mau hihia:

• Inā ʻike pinepine ʻoe i ka bronchoconstriction, ʻo ia hoʻi, ka pōkole o ka hanu a me ka paʻa o ka umauma.
• Inā ʻaʻole like kāu lāʻau lapaʻau o kēia manawa me ke kāohi maikaʻi ʻana iā ia. Eia kekahi laʻana, inā pono ʻoe e hoʻohana pinepine i kāu inhaler hoʻopakele.
• Inā ʻoi aku ka ʻino o nā hōʻailona ma mua o ka wā ma mua.
• Inā paʻakikī kēia kūlana iā ʻoe e hana i kāu mau hana o kēlā me kēia lā.

A laila hiki i ke kauka ke loiloi hou i kou kūlana, hoʻoponopono i kāu hoʻolālā lapaʻau e like me ka mea e pono ai, a kōkua i ka pale ʻana i ke kūlana mai ka hoʻonui ʻia ʻana.

Āhea mākou e hopohopo ai a hele koke i ka haukapila (ETU) ?

Inā loaʻa iā ʻoe a i ʻole kekahi āu i ʻike ai kēia mau hōʻailona, ​​e kāhea koke aku i ka 911, a i ʻole e hele koke i ka lumi pilikia o ka haukapila kokoke loa. Hiki i kēia ke lilo i kūlana ola a make paha!

• Inā pilikia nui ʻoe i ka hanu ʻana (ʻaʻole hiki iā ʻoe ke kamaʻilio a hele paha).
• Inā koʻikoʻi kou hānō a ke hoʻohana mau nei ʻoe i kāu inhaler hoʻopakele,
• Inā pehu koke kou puʻu, maka, waha, lehelehe, a i ʻole ke alelo (he hōʻailona paha kēia o kahi maʻi allergy koʻikoʻi).
• Inā manaʻo koke ʻoe i ke koko haʻahaʻa, ka poniuniu, a i ʻole ke anu.
• Inā polū ka ʻili, nā lehelehe, a i ʻole nā ​​​​kui (kapa mākou i kēia he cyanosis , ʻo ia hoʻi, ʻaʻole lawa ka oxygen i loko o ke koko).
• Inā nalowale kou ʻike, a inā paha e hōʻino ʻia kou ʻike.

He aha nā nīnau koʻikoʻi e nīnau aku ai i ke kauka?

Hiki ke kōkua nui ka nīnau ʻana i kēia ʻano nīnau ke hele ʻoe e ʻike i kāu kauka, no ka mea, he mea nui e hoʻomaopopo piha ʻia e pili ana i kou kūlana.

• He aha kou manaʻo no nā kumu nui o kēia bronchoconstriction?
• Pehea e hiki ai iaʻu ke pale aku i kēlā mau kumu i ka hiki loa?
• He aha kaʻu e hana mua ai ma ka home inā loaʻa iaʻu kahi ʻeha a i ʻole ka hānō? Pehea e hoʻohana pono ai i kaʻu mea hoʻōla inhaler?
• He aha nā lāʻau lapaʻau e pono ai iaʻu e lawe i kēlā me kēia lā? Pehea pololei kaʻu e lawe ai iā lākou?
• He aha hou aʻe kaʻu e hana ai e pale aku i kēia maʻi mai ka ʻino ʻana a i ʻole ka loaʻa ʻana o ka hānō? (e.g., ka ʻai, ka hoʻoikaika kino, a pēlā aku)
• He aha nā hōʻailona e pono ai iaʻu e hopohopo nui? Āhea wau e ʻike hou ai i ke kauka?

Aia kekahi mea hiki iā kākou ke hana e pale aku ai i kēia?

ʻOiai ʻaʻole hiki ke pale loa ʻia, nui nā mea hiki iā mākou ke hana e hōʻemi i ka pilikia o ka hoʻomohala ʻana i kēia kūlana bronchoconstriction a me kona hoʻonui pinepine ʻana.

• Ke mālama ʻana i ke kumu: Inā loaʻa iā ʻoe kahi maʻi e like me ka hānō a i ʻole COPD, he mea nui e lawe i ka lāʻau lapaʻau e like me ke kauoha a kāu kauka.
• Ke pale ʻana i nā mea hoʻonāukiuki: E hoʻokaʻawale i kekahi manawa e ʻike ai i nā mea hoʻonāukiuki āu e loaʻa nei. Pono paha ʻoe e mālama i kahi puke moʻolelo o kāu mau hōʻailona, ​​​​nā mea āu e ʻai ai, a me kahi āu e hele ai. E kōkua kēia iā ʻoe e hoʻomaopopo i nā mea e hoʻonāukiuki ai i kāu mau hōʻailona. A laila, e pale i kēlā mau mea i ka hiki. No ka laʻana, e pale i ka lepo, e pale i nā wahi e puhipaka ai ka poʻe, a pale i ka hoʻohana ʻana i nā mea ʻala maikaʻi ʻole iā ʻoe.
• E hahai i nā ʻōlelo aʻo lapaʻau e like me ke kauoha: E hele i ke kauka i nā lā i hoʻonohonoho ʻia a lawe i kāu lāʻau lapaʻau e like me ke kauoha.

Kekahi mau mea aʻu e manaʻo nei he mea nui iā ʻoe (Leka Lawe-Home)

Paʻa ka umauma. Manaʻo ia ʻaʻole hiki iā ʻoe ke hanu. Aia ke kani ʻana o ka wheezing. Inā loaʻa iā ʻoe kahi maʻi hanu e like me ka hānō a i ʻole COPD, ʻike ʻoe i ka weliweli a me ka ʻoluʻolu ʻole o kēia bronchoconstriction.

Akā, mai hopohopo. He kūlana hiki ke mālama ʻia kēia. ʻO ka mea nui loa, ʻo ia ka hoʻomaopopo pono ʻana i kou kūlana a me ka hana pū ʻana me kāu kauka e hoʻomohala i kahi hoʻolālā lapaʻau maikaʻi. A laila, e ʻike mua ʻoe i ka mea e hana ai inā e ʻoi aʻe ka ʻino o kēia kūlana. Mai poina e mālama mau i kāu inhaler hoʻopakele me ʻoe.

He mea nui hoʻi e haʻi aku i kou ʻohana, nā hoaaloha pili, a me nā hoa hana e pili ana i nā hōʻailona o ka bronchoconstriction a pehea e kōkua ai iā ʻoe inā hana ia (e laʻa, hāʻawi i kāu inhaler, kāhea ʻana i kahi ambulance i kahi pilikia). E kōkua kēia iā lākou e loaʻa koke ke kōkua a lākou e pono ai i kahi pilikia.

E hoʻomanaʻo, me ka mālama wikiwiki a kūpono hoʻi, ka ʻike, a me ke olakino maikaʻi, hiki iā ʻoe ke kaohi i kēia kūlana a ola i kahi ola maʻamau!

ʻO ka Bronchoconstriction, ka pōkole o ka hanu, ka hānō, COPD, ka paʻa o ka umauma, ke kuʻi, ka maʻi hanu