Loaʻa iā ʻoe kekahi maʻi māmā mau loa, ʻo ia ka mea a mākou e kapa nei ma ke ʻano lapaʻau he COPD (Chronic Obstructive Pulmonary Disease)? Inā pēlā, ua hāʻawi paha kāu kauka iā ʻoe i kahi inhaler e like me kēia. He hui pū ʻana kēia o ʻekolu mau lāʻau lapaʻau. ʻOiai paha he mea paʻakikī iki ia i ka nānā mua ʻana, ʻo ke ʻano o ka hoʻohana ʻia ʻana a me nā mea āu e pono ai e ʻike e pili ana i ia mea he maʻalahi loa. No laila e kamaʻilio maopopo kākou e pili ana i kēia i kēia lā, me he mea lā e kamaʻilio ana kākou me kahi hoaaloha maikaʻi.
He aha ka mea e hana maoli me kēia inhaler?
I ka ʻōlelo maʻalahi, kōkua kēia mea hoʻoheheʻe i kou mau māmā e hanu maʻalahi. Loaʻa iā ia ʻekolu mau lāʻau lapaʻau nui: Budesonide , Glycopyrrolate , a me Formoterol . E nānā kākou i ka hana a kēlā me kēia.
- Budesonide: He steroid hanu ʻia kēia. Hana ia ma ka hōʻemi ʻana i ka pehu a me ka mumū i loko o kou mau alaloa. Ke emi iho kēia pehu, e ākea iki kou mau alaloa.
- ʻO Glycopyrrolate lāua ʻo Formoterol: Ua kapa ʻia kēia mau lāʻau ʻelua he bronchodilators. ʻO ke ʻano kēia e hana lākou ma ka hoʻomaha ʻana i nā ʻiʻo a puni nā ala ea i haiki a paʻa, e hoʻonui ana iā lākou. Ua like ia me ka hoʻonui ʻana i kahi paipu haiki.
Ma muli o ka hana pū ʻana o kēia mau lāʻau lapaʻau ʻekolu, hiki i kēia inhaler ke kōkua iā ʻoe e hanu maʻalahi i ka lā a pau. ʻO ia ke kumu a mākou e kapa ai he "controller inhaler." ʻO ia hoʻi, hoʻohana ʻia ia e kāohi i nā hōʻailona, e mālama iā lākou i ka lā a pau, ʻaʻole no kahi pilikia koke.
He mea nui loa: ʻAʻole pono e hoʻohana ʻia kēia inhaler no ka puka koke ʻana o ka COPD. Ua hāʻawi paha kāu kauka iā ʻoe i kahi "inhaler hoʻopakele" ʻokoʻa e hoʻohana ai i ia mau hihia.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
He mea nui loa e ʻike pono kāu kauka i kou kūlana olakino ma mua o ka hāʻawi ʻana iā ʻoe i kēia lāʻau lapaʻau. Inā loaʻa iā ʻoe kekahi o nā kūlana ma lalo nei, e hōʻoia e haʻi i kāu kauka e pili ana i ia mea.
| Kou mau kūlana olakino |
|---|
| Nā pilikia o ka ʻōpū mimi a i ʻole ka paʻakikī o ka mimi ʻana |
| Nā pilikia iwi (e.g. osteoporosis) |
| Maʻi diabetes |
| Nā maʻi maka (e like me ka glaucoma, cataracts) a i ʻole nā pilikia ʻike |
| Maʻi puʻuwai a i ʻole ke koko kiʻekiʻe |
| He moʻolelo o nā hewa ʻole o ka puʻuwai |
| Nā nāwaliwali o ka ʻōnaehana pale a i ʻole nā maʻi |
| Maʻi puʻupaʻa |
| Nā maʻi prostate |
| Maʻi thyroid |
| Inā ua loaʻa iā ʻoe kahi hopena maʻamau ʻole a i ʻole ka maʻi ʻaleka i kēia mau lāʻau lapaʻau (budesonide, formoterol, glycopyrrolate), nā lāʻau lapaʻau ʻē aʻe, nā meaʻai a i ʻole nā mea mālama |
| Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana |
Pehea e hoʻohana pono ai i kēia inhaler?
I mea e loaʻa ai ka hopena maikaʻi loa mai kēia mea, he mea nui e ʻike pehea e hoʻohana pono ai.
- E lawe i ka manawa kūpono: E lawe i ka manawa like i kēlā me kēia lā , e like me ke kauoha a kāu kauka. ʻO ka maʻamau, ua kauoha ʻia e lawe ʻelua i ka lā (kakahiaka a me ke ahiahi).
- E lulu maikaʻi: E lulu maikaʻi i ka mea hoʻoheheʻe ma mua o ka hoʻohana ʻana.
- E holoi i kou waha (ʻo ka mea nui loa): Ma hope o kou pau ʻana i ka lawe ʻana i ka lāʻau lapaʻau, e lawe i kahi wai i loko o kou waha, e holoi pono i kou waha, a kuha i waho me ka ʻole o ka moni ʻana.He mea nui loa kēia no ka mea inā paʻa ka lāʻau steroid i loko o kēia lāʻau i loko o kou waha, hiki iā ia ke hana i kahi maʻi fungal (thrush) e hana ai i nā ʻāpana keʻokeʻo i loko o kou waha. ʻO ka holoi ʻana i kou waha ke ala e pale aku ai i kēlā.
- Mai lawe ʻoi aku ma mua o ka nui i kauoha ʻia: Mai lawe ʻoi aku ma mua o ka nui i kauoha ʻia e kāu kauka (e.g., inā ʻelua puffs i ka lā, ʻelua wale nō).
- Mai hoʻōki: E hoʻomau i ka hoʻohana ʻana a hiki i ka wā e ʻōlelo ai kāu kauka iā ʻoe e hoʻōki. Mai hoʻōki koke, ʻoiai inā ʻoe e manaʻo nei ua maikaʻi.
Inā he kānalua kou e pili ana i ke ʻano o ka hoʻohana ʻana i kāu inhaler, mai hilahila a nīnau hou i kāu kauka e hōʻoia.
He aha inā hoʻohana hewa wau i ka nui o ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe ʻoe i ka mea ʻoi aku ma mua o kou manaʻo, e kāhea koke aku i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo . A i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
ʻAʻole kūpono nā lāʻau lapaʻau āpau āu e lawe ai me kēia inhaler. Hiki i kekahi mau lāʻau lapaʻau ke hoʻonui i nā hopena ʻaoʻao a hoʻololi paha i ka hana maikaʻi o kēia lāʻau lapaʻau ke lawe ʻia me kēia inhaler.
| Nā lāʻau lapaʻau ʻaʻole pono e lawe pū me kēia inhaler |
|---|
| Nā lāʻau lapaʻau e like me Cisapride, Dronedarone, Pimozide, Thioridazine |
| ʻO nā MAOI nā lāʻau lapaʻau i hoʻohana ʻia e mālama i nā maʻi noʻonoʻo. |
| ʻO kēia a me nā mea inhaler ʻē aʻe e loaʻa ana nā bronchodilators hana lōʻihi (LABAs) |
Eia kekahi, hiki i nā lāʻau lapaʻau ʻē aʻe ke launa pū me kēia. Eia kekahi laʻana:
- ʻO kekahi mau lāʻau lapaʻau no ka maʻi puʻuwai a me ke koko kiʻekiʻe (e like me nā beta-blockers e like me Atenolol a me Metoprolol)
- ʻO kekahi mau lāʻau lapaʻau no nā kūlana e like me ke kaumaha
- ʻO nā lāʻau lapaʻau e like me Ketoconazole a me Itraconazole, i hoʻohana ʻia e mālama i nā maʻi fungal
- ʻO kekahi mau lāʻau antiviral no ka maʻi HIV a i ʻole Hepatitis
- ʻO nā lāʻau lapaʻau e like me Oxybutynin lāua ʻo Tolterodine, i hoʻohana ʻia no nā pilikia o ka ʻōpū mimi
- Nā lāʻau diuretic (nā lāʻau e wehe ai i ka wai mai ke kino)
- Nā steroid ʻē aʻeNā pila (e.g. Prednisolone)
ʻAʻole i piha kēia papa inoa. No laila, e hāʻawi i kāu kauka i kahi papa inoa piha o nā lāʻau lapaʻau āpau, nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui āu e lawe ai. E hōʻoia e haʻi i kāu kauka inā ʻoe e puhipaka a inu waiʻona paha.
He aha nā hopena ʻaoʻao i manaʻo ʻia?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i nā hopena ʻaoʻao i kekahi poʻe. He koʻikoʻi kekahi, he mea maʻamau kekahi. He mea nui e makaʻala i kēia mau mea.
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i kāu kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo, paʻakikī i ka hanu ʻana a i ʻole ke ale ʻana. |
| ʻUha koke ma hope o ka hoʻohana ʻana i ka inhaler | Inā piʻi koke ka paʻakikī o ka hanu ma hope o ka lawe ʻana i ka lāʻau. |
| Nā loli i ka helu o ka puʻuwai | Nā palpitations o ka puʻuwai, ka puʻuwai kūpono ʻole, ka ʻeha o ka umauma, ka poniuniu. |
| Nā pilikia maka | ʻEha koke nā maka, ka ʻike pōwehiwehi, a me nā halo a puni nā kukui. |
| Nā maʻi fungal o ka waha (Thrush) | Nā kiko keʻokeʻo i loko o ka waha a i ʻole ma ke alelo. |
| Paʻakikī ke mimi | Ke manaʻo nei i ka pilikia a i ʻole ka ʻeha i ka wā e mimi ai. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| ʻEha ka ʻāʻī, kani ka leo | Ka leo nui, ʻeha ka puʻu |
| ʻEha poʻo, ʻū, waha maloʻo | ʻEha poʻo, Kuke, Waha maloʻo |
| ʻAʻohe hiamoe, haʻalulu kino | Pilikia i ka hiamoe, haʻalulu |
Pehea ʻoe e mālama ai a hoʻolei aku i ka lāʻau lapaʻau?
- Ka Mālama ʻana: E mālama i kēia mea hoʻoheheʻe ma ka mahana o ka lumi (ma waena o 15-30 Celsius), ma kahi maloʻo. E mālama ʻia mai ka hiki ʻana aku o nā keiki a me nā holoholona. Mai mālama kokoke i ka wela nui a i ʻole ke ahi. Hiki ke pahū ka pahu. Mai hoʻokomo i loko o ka pahu hau.
- Pau: Pono ʻoe e hoʻohana i ka inhaler i loko o 3 mau mahina (no ka pahu puff 120) a i ʻole 3 mau pule (no ka pahu puff 28) mai ka lā āu e wehe ai i ka ʻeke alumini. A i ʻole, e hoʻolei i ka inhaler ke hōʻike ka hōʻailona mahele lāʻau i ka zero (0) .
- Ke hoʻolei ʻana: E kūkākūkā me kāu kauka pehea e hoʻolei palekana ai i kāu inhaler i hoʻohana ʻia a i pau paha ka manawa.
Leka Lawe-Home
- He "mea hoʻomalu" kēia mea hoʻoheheʻe āu e lawe ai i kēlā me kēia lā e kāohi i kou hānō. Mai hoʻohana no ka pōkole koke o ka hanu. E hoʻohana i kāu "mea hoʻopakele" no kēlā.
- Ma hope o kēlā me kēia hoʻohana ʻana, e holoi pono i kou waha me ka wai a kuha i waho me ka ʻole o ka moni ʻana. He mea nui kēia e pale aku ai i nā maʻi fungal i loko o ka waha.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a me nā lāʻau lapaʻau kuʻuna āu e lawe nei.
- Inā ʻoi aku ka ʻino o kou mau hōʻailona a i ʻole ʻoe e hoʻohana pinepine i kāu "reliever inhaler", e kāhea koke i kāu kauka.
- E mālama pono i ka inhaler a hoʻolei aku me ka maluhia ke pau kona lā palena.
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