Ke pilikia nei ʻoe i ka hanu ʻana ma muli o ka paʻa ʻana o ka umauma? E kamaʻilio kākou e pili ana i ka Chest Physiotherapy!

I kekahi manawa, manaʻo mākou ua ʻūmiʻi a kaumaha ko mākou umauma i ka wā e ʻū ai mākou, ʻeā? He mea kēia i ʻike pinepine ʻia e ka poʻe me nā maʻi māmā, ʻoiai ka poʻe me nā maʻi e pili ana i ka māmā. No laila, i kēia lā, ke kamaʻilio nei mākou e pili ana i kahi ʻano lapaʻau physiotherapy kūikawā e kōkua ai i ka wehe ʻana i ka mucus mānoanoa i paʻa i loko o nā māmā a me nā ala ea a kōkua iā lākou e ʻū maʻalahi.

I ka ʻōlelo maʻalahi, he aha ka Chest Physiotherapy?

ʻO ka Chest Physiotherapy (Chest PT) kahi lāʻau lapaʻau kūikawā e kōkua i ka hoʻokuʻu ʻana i ka mucus i loko o kou umauma a e maʻalahi ai ka hanu ʻana. Pili kēia i kahi limahana olakino i aʻo ʻia - pinepine he therapist hanu a physiotherapist paha - e paʻipaʻi mele ana a i ʻole e kuʻi ana i kou umauma a me kou kua. E noʻonoʻo iā ia he pā paʻa ma ke kua, akā ʻaʻole ʻeha loa. ʻO ka haʻalulu mai ke kī ʻana e hoʻokuʻu i ka mucus i paʻa i loko o kou mau māmā. A laila hiki iā ʻoe ke ʻū maʻalahi.

I kekahi mau hihia, hiki ke aʻo ʻia kahi lālā o ka ʻohana a i ʻole he hoaaloha i ka hana ʻana i kēia lāʻau a kōkua iā ʻoe ma ka home.

He aha nā kūlana e hoʻohana ʻia ai kēia lāʻau lapaʻau?

I kekahi mau kūlana olakino, hoʻopuka ko kākou mau māmā i ka mucus mānoanoa a ʻoi aku ka pipili ma mua o ka maʻamau. He mea paʻakikī loa ke hoʻokuʻu i kēia mucus a hoʻokuke aku iā ia. He mea pono loa ka Chest Physiotherapy i ia mau hihia. Eia kekahi o nā kūlana olakino nui a nā kauka e ʻōlelo nei i kēia lāʻau lapaʻau:

• ʻO Cystic Fibrosis: He maʻi hoʻoilina kēia e hoʻoulu ai i ke kino e hana i ka mucus mānoanoa a pipili hoʻi, ʻoi aku hoʻi i loko o nā māmā a me ka ʻōnaehana hoʻoheheʻe.
• COPD (Maʻi Puʻuwai Pale Mau): He maʻi māmā lōʻihi kēia. He mea maʻamau ia i waena o ka poʻe puhi paka. Hoʻoulu pū ia i ka hōʻiliʻili ʻana o ka mucus a me ka paʻakikī o ka hanu ʻana.
• Bronchiectasis: He ʻano kēia e hoʻonui mau ʻia ai a hōʻino ʻia ai nā ala ea i loko o nā māmā, e ʻae ana i ka mucus e hōʻiliʻili maʻalahi a hoʻoulu i nā maʻi.
• Pneumonia: He maʻi i hoʻokumu ʻia e kahi germ e komo ana i loko o nā māmā. Hoʻoulu kēia i ka hōʻiliʻili ʻana o ka mucus.
• Nā maʻi Neuromuscular: ʻO nā maʻi e hoʻonāwaliwali ai i nā aʻalolo a me nā ʻiʻo e hiki ke alakaʻi i ka nalowale o ka ikaika e pono ai ke kuʻi, e paʻakikī ai ke hoʻomaʻemaʻe i ka mucus mai nā māmā.
• Atelectasis: Ka hiolo piha a hapa paha o kahi ʻāpana o ka māmā.

ʻO ka hapa pinepine, hana ʻia kēia mālama ʻana o ka Chest PT ma ke ʻano he ʻāpana o ka hoʻolālā hoʻoponopono pulmonary i ʻōlelo ʻia e kāu kauka.

Pehea e hana ai kēia Chest Physiotherapy?

ʻElua mau ʻano nui o kēia lāʻau lapaʻau. ʻO ia ka percussion a me ka vibration. Hiki i ke kauka a i ʻole ka mea lapaʻau i aʻo ʻia ke hoʻohana i ko lākou mau lima no kēia, a i ʻole e hoʻohana paha lākou i kekahi mau mea hana e hoʻoluliluli ai i ka umauma a me ke kua. Hoʻohui pinepine ʻia kēia mau ʻano ʻelua me nā kūlana kino kūikawā (postural drainage) e kōkua ai i ka mucus e kahe maʻalahi me ka umekaumaha.

Pehea e hoʻomākaukau ai ma mua o kēia lāʻau lapaʻau?

Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, e hāʻawi kāu kauka a mea hoʻoponopono paha iā ʻoe i nā ʻōlelo aʻoaʻo e pono ai. Hiki iā lākou ke ʻōlelo pinepine i nā mea e like me:

• Inā ua kuhikuhi kāu kauka iā ʻoe i kahi inhaler, ʻoiai he bronchodilator, e noi ʻia paha ʻoe e hoʻohana iā ia he 15-30 mau minuke ma mua o kāu mālama ʻana . E kōkua kēia i kou mau ala ea e wehe iki a e maʻalahi ai ka puka ʻana o ka mucus.
• E kali ma ka liʻiliʻi he hola a me ka hapa ma hope o ka ʻai ʻana ma mua o ka hana ʻana i kēia lāʻau lapaʻau. ʻO ka hana ʻana i kēia me ka ʻōpū piha e hoʻonui i ka pilikia o ka luaʻi ʻana.

He aha ka mea e hana ʻia i ka wā o ka mālama ʻana?

I ka wā o ka mālama ʻana, e hahai ke kauka lapaʻau e kōkua ana iā ʻoe i kēia mau hana:

1. E hoʻonoho i kahi kūlana ʻoluʻolu: ʻO ka mea mua, e ʻimi i kahi kūlana e ʻoluʻolu ai iā ʻoe a kōkua iā ʻoe e hoʻokahe i ka mucus. Hiki i kēia ke moe ma kou ʻaoʻao, moe ma kou ʻōpū, a noho paha i luna. Hiki iā ʻoe ke hoʻohana i kahi mea e like me ka uluna no ka ʻoluʻolu.

2. Ke kīkēkē ʻana a i ʻole ka haʻalulu: A laila, e like me ka mea i ʻōlelo ʻia ma mua, e kīkēkē ʻia kou umauma a i ʻole kou kua (percussion) a i ʻole e haʻalulu ʻia (vibration). I kēia manawa, e aʻo ʻia nō hoʻi ʻoe i ke ʻano o ka hanu ʻana i loko a i waho.

3. Ka wehe ʻana i ka huʻa: ʻO ka mea hope loa, ua ʻōlelo ʻia ua hoʻokuʻu maikaʻi ʻia ka huʻa i hoʻokuʻu ʻia.

Hiki iā ʻoe ke hana hou i kēia mau ʻanuʻu ma ka neʻe ʻana i nā kūlana kino like ʻole e hoʻomaʻemaʻe i ka mucus mai nā ʻāpana like ʻole o kou mau māmā.

He aha nā pono o ka Chest Physiotherapy?

Ma ka hana pono ʻana i kēia lāʻau lapaʻau, hiki iā ʻoe ke loaʻa nā pono he nui, e like me:

• E maʻalahi nui ka hanu ʻana.
• Hoʻemi i ka nui o nā manawa e pono ai ʻoe e hoʻokomo pinepine ʻia i ka haukapila.
• Hoʻemi ʻia nā maʻi a me nā exacerbations o ka māmā.
• Ka hoʻomaikaʻi ʻana i ke ʻano o ke ola.
• Hoʻonui ʻia ka hiki ke hele, hoʻoikaika kino, a hana i nā hana o kēlā me kēia lā.

Aia kekahi mau pilikia i loko o kēia?

E like me nā lāʻau lapaʻau a pau, aia kekahi mau pilikia kakaikahi loa e pili ana i ka Chest Physiotherapy. Eia nō naʻe, ʻaʻole paha e hiki mai kēia mau mea ke hana pono ʻia a ma lalo o ka nānā ʻana a kahi loea i aʻo ʻia.

• Ka ʻeha ʻana i nā iwi ʻaoʻao, ka iwi kuamoʻo, a i ʻole nā ​​ʻiʻo.
• Paʻakikī ka hanu ʻana.
• Ka luaʻi ʻana.
• Ka hanu ʻana o ka mucus i loko o ke alaea.
• Hoʻemi ʻia ka oxygen i nā ʻiʻo o ke kino (hypoxia).
• Ke koko haʻahaʻa (hypotension).
• Ke kahe ʻana o ke koko mai nā māmā (pulmonary hemorrhage).
• Hoʻonui ʻia ke kaomi i loko o ke poʻo (hoʻonui ʻia ke kaomi intracranial).
• Ka paʻa koke ʻana o nā alaea hanu (bronchospasm).
• Nā ʻano ʻino o ka helu o ka puʻuwai (dysrhythmia).

I ka manawa hea ʻoe e pono ʻole ai e hana i ka Chest Physiotherapy?

Hiki i ka poʻe me kekahi mau kūlana olakino ke piʻi aʻe ka pilikia mai kēia lāʻau lapaʻau. No laila, inā loaʻa iā ʻoe kekahi o kēia mau kūlana, pono ʻoe e kamaʻilio me kāu kauka ma mua o ka hana ʻana i ka lāʻau lapaʻau.

• ʻO kahi ʻeha hou i ka umauma, ke kua, a i ʻole nā ​​māmā (me kahi ʻeha ʻili).
• Inā ua loaʻa iā ʻoe kahi anesthesia spinal a i ʻole epidural i hala koke nei.
• Inā he osteoporosis kou.
• Inā he maʻi kahe koko kou (no ka laʻana, inā ʻoe e ʻū ana i ke koko) a i ʻole he kiʻekiʻe ka pilikia o ke kahe koko.
• Nā kūlana e pili ana i ke koko.
• Inā loaʻa iā ʻoe ka ʻeha o ka umauma.

Pehea e maʻalahi ai a ʻoi aku ka ʻoluʻolu o kēia lāʻau lapaʻau?

ʻAʻole pono kēia lāʻau lapaʻau e hōʻeha i kekahi ʻeha, akā hiki ke lilo i mea ʻoluʻolu ʻole i kekahi manawa. No laila e hoʻomanaʻo i kēia mau mea.

• E hōʻike i kou manaʻo: Inā manaʻo ʻoe e kīkēkē ana ka mea e kōkua ana iā ʻoe me ka ikaika loa, a i ʻole ʻaʻole lawa ka ikaika e wehe ai i ka mucus, mai makaʻu e haʻi iā lākou.
• Nā wahi palekana: Mai pā a hoʻoluliluli paha ma lalo o nā iwi ʻaoʻao, e like me ka ʻōpū a i ʻole ke kua i lalo. Hiki i kēia ke hōʻino i nā ʻōpū o loko e like me nā puʻupaʻa.
• E hoʻoluʻolu: E ʻimi i ke ala e ʻoluʻolu loa ai iā ʻoe. Malia paha ʻo ia ke komo ʻana i kahi mea āu e makemake ai, ke kāʻei ʻana i kou lauoho, a i ʻole ka hoʻohana ʻana i kou uluna ponoʻī.
• Hōʻike i nā loli: E haʻi mau i kāu kauka inā he mau loli i kou olakino ma mua o ka hoʻomaka ʻana i ka lāʻau.

No nā poʻe he nui me ka maʻi māmā, ʻo ka Chest Physiotherapy kekahi ʻāpana o kā lākou hana olakino o kēlā me kēia lā, e like me ka palaki ʻana i ko lākou mau niho. ʻO ka nānā ʻana i kahi hōʻike TV, ka heluhelu ʻana i kahi puke, a i ʻole ka hoʻolohe ʻana i kahi mele e hiki ke kōkua i ka ʻoluʻolu o ka lāʻau. ʻIke maikaʻi ʻoe i kou kino. No laila, inā manaʻo ʻoe he mea e hoʻopilikia nei iā ʻoe, mai kānalua e haʻi mai iā mākou.