Loaʻa iā ʻoe kekahi ʻūlū mau a me ka hanu ʻūlū? E kamaʻilio kākou e pili ana i kēia 'Chronic Bronchitis'!

Ke ʻū mau nei ʻoe a puka mai ka phlegm i kēia mau lā? Ke manaʻo nei ʻoe ua pōkole iki ka hanu? ʻAʻole paha kēia no hoʻokahi a ʻelua paha pule, akā no nā mahina, a hiki i nā makahiki. ʻO ia ke kūlana a mākou e kamaʻilio ai i kēia lā, i kapa ʻia ʻo 'chronic bronchitis.' E nānā kākou i ke ʻano o ia mea, no ke aha e ulu ai, a pehea e pale aku ai.

He aha ka Bronchitis Mau?

I ka ʻōlelo maʻalahi, ʻo ka bronchitis mau loa he mumū lōʻihi o nā ala ea i loko o kou mau māmā, i kapa ʻia ʻo trachea , bronchi, a me nā ʻeke ea liʻiliʻi i kapa ʻia ʻo bronchioles. ʻO kēia ke kumu o ka maʻi ʻū a me ka paʻakikī o ka hanu ʻana no ʻekolu mahina o ka makahiki, a i ʻole no ʻelua makahiki a ʻoi aku paha, i ka hapa nui o nā lā o ka mahina.

ʻOiaʻiʻo, ʻoiai ke kapa nei mākou iā ia he 'bronchitis mau', ke kapa nei nā kauka i kēia kūlana ma ke ʻano he ʻāpana o kahi hui ākea o nā maʻi i kapa ʻia ʻo ' COPD - Chronic Obstructive Pulmonary Disease ' . ʻO ia hoʻi, he maʻi lōʻihi ia e ālai ana i nā ala ea i loko o nā māmā. ʻOiai ua kapa wale ʻia ʻo 'chronic bronchitis', he ʻāpana pinepine ia o ke kūlana `(COPD)'. He kakaikahi ka poʻe i loaʻa i ka bronchitis mau me ka ʻole o ka ālai ʻia ʻana o nā ala ea, ʻo ka bronchitis mau wale nō.

He aha ka ʻokoʻa ma waena o ka Bronchitis Acute a me ka Bronchitis Kīkī?

Ua lohe paha ʻoe i ka 'bronchitis' ma mua. ʻElua ʻano o ia mea.

• ʻO ka Bronchitis koʻikoʻi:He maʻi bronchitis koke kēia, pōkole ka manawa. Hoʻokumu pinepine ʻia e kahi maʻi, e like me ke anu a i ʻole ka maʻi palū. Hoʻopau pinepine ia i loko o kekahi mau lā a i kekahi mau pule.
• ʻO ka Bronchitis Mau Loa: ʻO kēia ke kūlana lōʻihi a mākou e kamaʻilio nei i kēia lā. Inā loaʻa iā ʻoe nā hōʻailona bronchitis pinepine no ʻelua a ʻoi aku paha mau makahiki, ʻo ia ka bronchitis mau loa. ʻO ke kumu nui o kēia ka puhi paka . Hiki ke hana ʻia e nā mea ʻē aʻe e hōʻino i nā māmā (e like me ka lepo, nā uahi kemika).

He aha ka ʻokoʻa ma waena o ka bronchitis mau loa a me ka emphysema?

No ka hui like o nā maʻi i kapa ʻia ʻo COPD ka bronchitis mau a me ka emphysema. ʻOiai ua like loa nā hōʻailona o nā mea ʻelua, ʻokoʻa nā wahi o nā māmā i hoʻopilikia ʻia.

• I loko o ka bronchitis mau loa , e pehu a piha i ka mucus nā ʻōmole e lawe ana i ka ea i loko a i waho o kou mau māmā (bronchi).
• ʻO ka emphysema kahi kūlana kahi e hōʻino ʻia ai a emi iho nā ʻeke ea liʻiliʻi (alveoli) ma ka hopena o nā alaea.

I ka manawa pinepine, hiki i kahi kanaka me COPD ke loaʻa nā hōʻailona o kēia mau kūlana ʻelua, ʻo ia hoʻi kekahi hōʻino ʻana i nā ala ea a me nā māmā.

ʻO wai ka mea i hoʻopilikia nui ʻia e kēia kūlana?

ʻO ka bronchitis mau, a i ʻole COPD paha, hoʻopilikia pinepine ia:

• No nā mea puhi paka a me nā mea puhi paka mua, ʻo kēia ke kumu nui o ka pilikia .
• No ka poʻe e kokoke ana i kahi mea puhi paka (Passive smoking).
• No ka poʻe i pilikia mau i ka haumia o ka ea, ka lepo, a me nā uahi kemika. E noʻonoʻo i ka poʻe e hana ana ma kekahi mau hale hana, e pulumi ana i nā alanui, a e kuke ana paha ma luna o nā kapuahi wahie (ʻoi aku hoʻi ma nā lumi kuke kahi i puka pono ʻole ai ka uahi).
• ʻOi aku ke kiʻekiʻe o kēia pilikia no ka poʻe me nā maʻi hanu ʻē aʻe , e like me ka hānō .

He aha ka mea e hana ai ke ulu ka bronchitis mau loa?

ʻO ka bronchitis mau loa kahi maʻi e hoʻoulu ai i ka ʻū mau a me ka paʻakikī o ka hanu ʻana ma muli o ka hōʻino ʻia o kou mau māmā. Eia ka mea e hana ʻia:

Ke komo kahi mea ʻino (e like me ka uahi cigarette , ka lepo) i loko o kou mau ala ea, hoʻāla ka ʻōnaehana pale o ko mākou kino a hoʻoulu i kēlā mau wahi e pehu. Eia kekahi, hoʻonui ʻia ka nui o nā pūnaewele hana mucus i kapa ʻia ʻo nā pūnaewele goblet, e hōʻiliʻili ana i ka nui o ka mucus.

He manawa pōkole wale nō ka maʻi bronchitis. Eia nō naʻe, ke hoʻonāukiuki mau ʻia kēia mau ala ea (no ka laʻana, ma ka puhipaka mau ʻana i nā cigarette), hiki mai ka pōʻino. ʻO kēia pōʻino ke kumu o ka ulu nui ʻana o nā pūnaewele hana mucus (nā cell goblet). Eia kekahi, aia nā ʻano lauoho maikaʻi (cilia) i loko o ko mākou mau ala ea e hoʻoneʻe ai i ka mucus i waho. I kekahi manawa ʻaʻole hana pono kēia mau (cilia). ʻO ka hopena, pehu nā ala ea a piha i ka mucus, e hoʻoulu ai iā ʻoe e ʻū pinepine a paʻakikī i ka hanu ʻana.

Ke loaʻa iā ʻoe kēia ʻano maʻi, ʻoi aku ka nui o ka loaʻa ʻana o nā maʻi viral a me bacteria like ʻole i loko o kou mau māmā, hiki ke hoʻonui i kou mau hōʻailona.

He aha nā hōʻailona?

ʻO ka hōʻailona nui o ka bronchitis mau loa (COPD) he ʻū mau loa, phlegmy cough e mau ana no ka liʻiliʻi o ʻelua mau makahiki .

ʻO nā hōʻailona ʻē aʻe:

• ʻO ka wheezing he leo hūʻū e puka mai ana mai ka umauma i ka wā e hanu ana.
• Paʻakikī ka hanu ʻana, pōkole ka hanu (Dyspnea). Hiki ke ʻoi aku ka ʻino o kēia ke luhi iki ʻoe, a i ʻole ke piʻi ʻana i ke alapiʻi.
• Ka wikiwiki o ka puʻuwai (Tachycardia).
• Manaʻo luhi a luhi mau i nā manawa a pau (Fatigue).

He aha nā kumu?

ʻO ka puhipaka ke kumu nui o ka bronchitis mau loa (COPD). ʻO ia hoʻi ka hoʻohana ʻana i nā mea e like me nā cigarettes a me nā bidis.

Kahi mea hou aʻe:

• Nā mea haumia i ka lewa (ka ʻōpala o ke kaʻa, ka uahi o ka hale hana).
• Nā maʻi ʻē aʻe o ka māmā e like me ka hānō.
• I kekahi manawa, hiki i nā kumu genetic ke pāʻani i kahi kuleana.
• I nā hihia kakaikahi, ʻaʻole paha e loaʻa ke kumu.

He maʻi lele anei ka bronchitis mau loa?

ʻAʻole. ʻAʻole he maʻi lele ka bronchitis mau / `(COPD)`. ʻO ia hoʻi, ʻaʻole hiki ke laha mai kekahi kanaka a i kekahi kanaka.

Eia nō naʻe, inā loaʻa iā ʻoe ka bronchitis mau loa, ʻo ka loaʻa ʻana o kahi maʻi lele e like me ke anu a i ʻole ka maʻi palū hiki ke hoʻonui i kou mau hōʻailona bronchitis (exacerbation) , no laila he mea nui e makaʻala.

Pehea ʻoe e ʻike ai i kēia?

E haʻi pololei aku kāu kauka iā ʻoe inā loaʻa iā ʻoe ka bronchitis mau loa / (COPD) a i ʻole. E nānā ʻo ia i ka maikaʻi o ka hana ʻana o kou mau māmā.

Kauka:

• E nīnau lākou e pili ana i kou mōʻaukala olakino (nā maʻi ma mua, inā paha ua loaʻa i kekahi o kou ʻohana nā maʻi like, inā ua puhipaka ʻoe, a pēlā aku).
• Ke nīnau aku nei au e pili ana i kou mau hōʻailona.
• Hoʻolohe ka stethoscope i kou puʻuwai a me kou mau māmā.
• Ua kauoha ʻia nā hoʻāʻo hana pulmonary.
• Hiki ke noi ʻia ʻoe e lawe i kahi X-ray o ka umauma a i ʻole kekahi hoʻāʻo kiʻi ʻē aʻe.

Nā hoʻāʻo hana pulmonary

Hiki i kēia mau hoʻokolohua ke hāʻawi i kāu kauka i kahi manaʻo no ka maikaʻi o ka hana ʻana o kou mau māmā. ʻO ka Spirometry kekahi o ia mau hoʻokolohua. Ma kēia hoʻokolohua, puhi ʻoe i ka ea i loko o kahi ʻōmole liʻiliʻi. Ana ia i ka nui o ka ea e hiki i kou mau māmā ke lawe, pehea ka wikiwiki o kā lākou hanu ʻana, a pehea ka maikaʻi o ka hiki i kou mau māmā ke hoʻopaʻa i ka ea.

ʻO ke kiʻi X-ray a i ʻole CT scan

Hiki i kēia mau hoʻokolohua `(Kiʻi)` ke kōkua i kāu kauka e ʻike inā he pōʻino a pilikia paha i loko o kou mau māmā. Lawe lākou i nā kiʻi o kou puʻuwai a me kou mau māmā. Nānā pū lākou i nā maʻi ʻē aʻe e hiki ke hoʻoulu i kāu mau hōʻailona.

Nā hoʻāʻo koko

Hiki i kāu kauka ke hana i nā hoʻokolohua koko e nānā i kou olakino holoʻokoʻa. I kekahi manawa, hiki iā lākou ke hana i kahi hoʻokolohua koko kūikawā i kapa ʻia he hoʻokolohua kinoea koko arterial . Pili kēia i ka lawe ʻana i kahi koko liʻiliʻi mai kahi aʻa (artery) i kou lima a me ka nānā ʻana i kona pae oxygen a me ke kalapona dioxide.

ECG a i ʻole EKG

Hiki i kāu kauka ke hana i kahi hoʻokolohua ECG (ECG/EKG) e ʻike ai i ka maikaʻi o ka hana ʻana o kou puʻuwai, ʻoiai hiki i kekahi mau maʻi māmā ke hoʻopilikia i ka puʻuwai.

He aha nā lāʻau lapaʻau?

ʻO ke kumu nui o ka mālama ʻana no ka bronchitis mau loa (COPD) ʻo ia ke kāohi i nā hōʻailona. Ma muli o ke koʻikoʻi o kāu mau hōʻailona, ​​​​hiki i kāu kauka ke kuhikuhi i nā ʻano lapaʻau like ʻole.

ʻo lākou:

• Ke haʻalele ʻana i ka puhipaka: Inā he mea puhipaka ʻoe, ʻo ka haʻalele ʻana ka mea maikaʻi loa hiki iā ʻoe ke hana. E maʻalahi ia iā ʻoe ke hanu a hiki ke hōʻemi i ka pilikia o ka ʻoi aku ka ʻino o kou kūlana.
• Nā Bronchodilators: ʻO kēia nā lāʻau lapaʻau e wehe ai i kou mau ala ea a maʻalahi ai ka hanu ʻana. Lawe pinepine ʻia lākou ma o kahi inhaler.
• Nā Steroid: Hiki i kāu kauka ke hāʻawi iā ʻoe i nā corticosteroids e hōʻemi i ka pehu ʻana i loko o kou mau māmā. Hiki ke hāʻawi ʻia kēia mau mea ma ke ʻano he inhaler a i ʻole he mau pila.
• Hoʻoponopono hou ʻana i ka pulmonary: He papahana kūikawā kēia e aʻo iā ʻoe i nā hoʻomaʻamaʻa hanu a me nā ala e kōkua ai iā ʻoe e ola me kou maʻi. Hiki iā ia ke hoʻomaikaʻi i kou ʻano ola.
• Lapaʻau oxygen: Inā koʻikoʻi kou bronchitis mau, ʻaʻole paha ʻoe e loaʻa ana i ka oxygen lawa. Hiki i kāu kauka ke hoʻoholo e hāʻawi iā ʻoe i ka oxygen hoʻohui. Hiki ke hāʻawi ʻia kēia ma o kahi mask ma kou maka a i ʻole kahi paipu i kau ʻia i loko o kou ihu.
• Nā lāʻau lapaʻau: No ka mea, hiki iā ʻoe ke loaʻa pinepine i nā maʻi ke loaʻa iā ʻoe ka bronchitis mau loa, inā manaʻo kāu kauka he maʻi kou, hiki iā ia ke hāʻawi iā ʻoe i nā lāʻau lapaʻau.

Pehea ka lōʻihi o ke ola ʻana o ka bronchitis mau loa?

Kāhea nā kauka i ka bronchitis he "chronic" (lōʻihi) inā loaʻa iā ʻoe nā hōʻailona no ʻekolu mahina ma ka liʻiliʻi o ka makahiki. Hiki i kekahi manawa ke hoʻomaikaʻi a ʻoi aku paha ka ʻino o kāu mau hōʻailona. Akā, ʻaʻole e like me ka bronchitis acute (bronchitis pōkole), ʻaʻole e nalowale loa ka bronchitis mau . Hiki ke ʻoi aku ka ʻino i ka hala ʻana o ka manawa.

Pehea ʻoe e pale ai iā ʻoe iho mai kēia?

ʻO nā mea maikaʻi loa āu e hiki ai ke hana e hōʻemi i kou pilikia o ka hoʻomohala ʻana i ka bronchitis mau loa (COPD):

• Mai puhi paka. Inā puhi paka ʻoe, e hoʻōki loa. Eia kekahi, e pale i ka hele ʻana ma nā wahi e puhi paka ai kekahi poʻe.
• E noho mamao aku mai nā kemika, ka haumia o ka ea, a me nā mea ʻē aʻe e hōʻino ai i nā māmā i ka hiki (e like me nā wahi lepo, nā wahi me ka ʻōpala o ke kaʻa kaumaha, nā uahi kemika).
• Inā loaʻa iā ʻoe nā maʻi hanu e like me ka hānō, e mālama iā lākou. E hahai i nā ʻōlelo a kāu kauka.

He aha ka manaʻo no ka bronchitis mau loa? Hiki ke ho'ōla ʻia?

He ʻoluʻolu paha ka bronchitis mau (COPD) no kekahi poʻe, akā hiki ke koʻikoʻi loa no kekahi. ʻO ia hoʻi, ua hōʻino ʻia kou mau māmā, a hiki ke ʻoi aku ka ʻino o kēlā hōʻino i ka hala ʻana o ka manawa.

ʻAʻole hiki ke hoʻohuli ʻia kēia pōʻino, ʻo ia hoʻi, ho'ōla loa ʻia.

Akā, mai hopohopo! Hiki i kāu kauka ke kōkua iā ʻoe e hoʻokele i kāu mau hōʻailona, ​​​​e hoʻolohi i ka holomua o ka maʻi, a hoʻēmi i nā flareup. E haʻi aku kāu kauka iā ʻoe i ka mea e hana ai ma muli o kou kūlana kikoʻī.

Pehea wau e mālama ai iaʻu iho?

ʻO ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke hana pū me kāu kauka e hoʻomohala i kahi hoʻolālā lapaʻau e kūpono i kou kūlana. Inā ʻaʻole ʻoe e ʻike i kekahi hoʻomaikaʻi ʻana ma muli o ka hahai ʻana i ka lāʻau lapaʻau a me ka lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka, e kamaʻilio me kāu kauka e pili ana i ia mea.

Ma ka noho mamao ʻana mai nā maʻi hanu, hiki iā ʻoe ke hōʻemi i ka manawa kūpono o ka ʻoi aku o ka ʻino o kāu mau hōʻailona (exacerbations).

• Nā lāʻau pale i koi ʻiaE kiʻi (e.g. pana pana flū, pana pana niumonia).
• E holoi pono i kou mau lima i nā manawa a pau.
• E pale i nā wahi i piha ai ka poʻe , ʻoiai hoʻi i ka wā o nā maʻi ahulau anu a me ka maʻi flu.

Hiki i kēia mau mea ke kōkua iā ʻoe e hōʻemi i ke koʻikoʻi o kou maʻi a hoʻemi i kou pilikia o ka maʻi nui ʻana.

Āhea ʻoe e ʻike ai i ke kauka?

Inā manaʻo ʻoe he bronchitis mau kou, e ʻike koke i ke kauka. ʻO ka hoʻomaka ʻana i kahi hoʻolālā lapaʻau i ka wā hikiwawe loa e hiki ke kōkua i ka kaohi ʻana i ka ʻino o ke kūlana a hoʻomaikaʻi i kou ʻano ola.

Inā loaʻa iā ʻoe nā hōʻailona ma lalo nei, e ʻike i ke kauka:

• Inā he ʻū kou e mau ana ma mua o ʻekolu pule a i ʻole e kū pinepine ana.
• Inā pilikia mau ʻoe i ka hanu ʻana a lohe paha i ke kani ʻana o ka wheezing mai kou umauma mai.
• Inā loaʻa iā ʻoe ke kuni kiʻekiʻe (ʻoi aku ma mua o 39.4 degere Celsius / 103 degere Fahrenheit) a i ʻole ke kuni e mau ana no nā lā ʻoi aku ma mua o ʻelima.
• Inā ʻoe e ʻū ana i ke koko.

He aha nā nīnau āu e nīnau ai i ke kauka?

Pono ʻoe e hoʻomaopopo maikaʻi i kāu hoʻolālā lapaʻau, pehea e hoʻohana ai i nā lāʻau lapaʻau, a pehea e hoʻohana ai i nā mea lapaʻau e like me ka inhaler.

ʻO kekahi mau nīnau ʻē aʻe hiki iā ʻoe ke nīnau i ke kauka:

• E ʻoi aku ka ʻino o koʻu kūlana i ka hala ʻana o ka manawa?
• ʻEhia ka nui o kaʻu e manaʻo ai e hoʻomaikaʻi koʻu kūlana me ka lāʻau lapaʻau?
• Pehea ka lōʻihi e pono ai e hoʻomaikaʻi i koʻu mau hōʻailona?
• He aha nā hōʻailona hou a i ʻole e ʻoi aʻe ana ka ʻino e pono iaʻu e makaʻala?
• He aha kaʻu e hana ai inā manaʻo wau ʻaʻole holo pono kaʻu hoʻolālā lapaʻau?

He mea maʻamau ka makaʻu a me ka hopohopo ke ʻike ʻoe he maʻi lōʻihi kou e like me ka bronchitis mau / (COPD). Akā e hoʻomanaʻo, ʻaʻole hiki i nā helu helu ke wānana i ka mea e hiki mai ana iā ʻoe i kou kūlana kikoʻī. Ma ke kamaʻilio pololei ʻana me kāu kauka, hiki iā ʻoe ke loaʻa kahi manaʻo o ka mea e manaʻo ai i kou mālama ʻana i kou kūlana. Aia nā lāʻau lapaʻau a me ka hoʻonaʻauao e hiki ke kōkua i ka hoʻēmi ʻana i ka hopena o ka bronchitis mau i kou ola.

Hōʻuluʻulu Manaʻo (Leka Lawe-Home)

ʻAe, ke lana nei koʻu manaʻo ua ʻike maikaʻi ʻoe i ka bronchitis mau loa a mākou i kamaʻilio ai i kēia lā.

E hoʻomanaʻo, ʻo ka mea nui loa, ʻo ia ka hoʻōki loa i ka puhipaka. Eia kekahi, e pale iā ʻoe iho i ka hiki mai nā mea e hōʻino ai i kou mau māmā.

Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni mau a i ʻole ka hanu pōkole, mai hoʻowahāwahā iā ia a e ʻimi koke i ke aʻo lapaʻau . Hiki i ka ʻike mua a me ka mālama ʻana ke kōkua nui iā ʻoe e ola i kahi ola maikaʻi aʻe. Mai hopohopo, eia nā kauka e kōkua.