Ua loaʻa anei kēia iā ʻoe? Ua hala ʻoe i ke anu a ua hoʻomaikaʻi ʻia, akā ʻaʻole e pau kou ʻū. Ua ʻū ʻoe no nā pule. I kekahi manawa, ala ʻoe i waenakonu o kahi hālāwai koʻikoʻi a i ʻole i ka pō mālie a hoʻomaka e ʻū. He mea hoʻonāukiuki a ʻoluʻolu ʻole kēia. ʻOiai ʻo ka ʻū he ʻano pale i loko o ko mākou kino, ʻaʻole maʻamau ke hoʻomau ʻia penei. I kēia lā, e kamaʻilio mākou e pili ana i kēia ʻū mau, a i ʻole ka mea a mākou e kapa nei he 'Cough Mau'.
He aha kēia ʻūhū mau loa?
I ka ʻōlelo maʻalahi, ʻo ka ʻū mau loa he ʻū e mau ana ma mua o 8 mau pule i kahi pākeke a ʻoi aku ma mua o 4 mau pule i kahi keiki . He mea maikaʻi maoli ka ʻū. Kōkua ia i ka hoʻomaʻemaʻe ʻana i ka lepo a me nā germs e komo i loko o ko kākou ala hanu. ʻŪ nā kānaka a pau i kēlā me kēia manawa. Akā, ʻo ka ʻū lōʻihi e like me kēia he hōʻailona pinepine ia o kahi pilikia olakino ʻē aʻe. ʻO kēia ke kumu nui e kipa aku ai ka poʻe i ke kauka.
No laila, ʻaʻole maikaʻi ke hoʻowahāwahā i kēia. He mea luhi loa ke kino i ka ʻū pinepine ʻana. Eia kekahi, he mea paʻakikī ke hele wāwae i ka lehulehu, a ke noʻonoʻo nei kekahi, "Āhea lā e hoʻi hou mai ai kēia ʻū?" No laila, he mea nui loa ka ʻimi ʻana i ke kumu o kēia a me ka mālama pono ʻana iā ia.
ʻO nā hōʻailona maʻamau ʻē aʻe e hele pū me ka ʻū
Ma muli o ke kumu o kou ʻū mau, hiki ke ʻike ʻia nā hōʻailona ʻē aʻe me ka ʻū. E nānā i ka papa ma lalo nei e ʻike inā loaʻa iā ʻoe kekahi o kēia mau mea.
| Hōʻailona | Wehewehena |
|---|---|
| kuni | Hoʻonui ʻia ka mahana o ke kino. |
| ʻĀʻī puʻuwai | ʻO ka mumū i hoʻokumu ʻia e ka waikawa o ka ʻōpū e komo ana i loko o ka puʻu. |
| ʻEha umauma | ʻEha i ka wā e ʻū ai a i ka wā o nā hana maʻamau. |
| Ka leo haʻalulu | Ka loli ʻana o ka leo, ka hāhā ʻana o ka leo. |
| Paʻakikī ka hanu ʻana | Ka pōkole o ka hanu a i ʻole ka paʻakikī o ka hanu ʻana. |
| Ihu wai a i ʻole ka ihu paʻa | ʻO ka ʻeha o ka ihu, e like me ke anu. |
| Hoʻomaʻemaʻe pinepine i ka ʻāʻī | Hoʻomaʻemaʻe pinepine ʻana i ka ʻāʻī no ka mea ua manaʻo ʻia ua paʻa kekahi mea i loko o ka ʻāʻī. |
He aha nā kumu nui o kēia ʻū mau?
Aia kekahi mau "kumu hewa" nui e hiki ai ke hoʻoulu i ka ʻū mau. 90% o ka manawa, hiki i ke kumu ke lilo i hoʻokahi a ʻoi aku paha o kēia mau mea ʻekolu.
| Kumu nui | He wehewehe maʻalahi |
|---|---|
| Asthma | ʻO ke kumu maʻamau o ka ʻū mau. I kekahi manawa, ʻo ka pili ʻana i ka ea anu/maloʻo, ka lepo, ka uahi, a me nā mea ʻē aʻe e hiki ai ke hoʻonui i ka ʻū. |
| Ka kulu ʻana ma hope o ka ihu | Ua kapa ʻia kēia ʻo 'Upper Airway Cough Syndrome (UACS). I ka ʻōlelo maʻalahi, ʻo kēia ka hōʻiliʻili ʻana o ka mucus mai ka ihu a i ka puʻu . Hoʻoulu nā maʻi ʻaleka i ka mucus keu e hōʻiliʻili i loko o ka ihu, a laila hele i lalo i ka puʻu a hoʻonāukiuki i nā ala ea a me nā māmā, e hana ana i ka ʻū. |
| GERD (Maʻi Reflux Gastroesophageal) | ʻO kēia ka manawa e holo hou ai ka waikawa o ka ʻōpū i loko o ka esophagus. Hoʻopau kēia mau waikawa i nā ʻiʻo palupalu o ka puʻu, hiki ke hoʻoulu i ka ʻū. |
| Nā maʻi māmā ʻē aʻe | ʻO nā maʻi ʻē aʻe o ka māmā e like me ka bronchitis, COPD, a me ka pneumonia hiki ke hana i ka ʻū lōʻihi. |
Nā kumu ʻē aʻe
Ma waho aʻe o nā kumu nui i luna aʻe nei, hiki i kekahi mau kumu ʻē aʻe ke hana i ka maʻi ʻōpū mau.
- Kekahi mau lāʻau lapaʻau koko: Hiki i kekahi poʻe e lawe ana i kekahi mau lāʻau lapaʻau, ʻoiai nā mea i kapa ʻia ʻo ACE inhibitors, ke loaʻa i ka ʻū maloʻo. Akā e hoʻomanaʻo, mai hoʻōki i ka lawe ʻana i kēia mau lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- Nā Allergies: Nā maʻi allergies i nā mea e like me ka lepo, ka pollen, a me nā mea ʻē aʻe.
- Ka Holo ʻole o ka Puʻuwai: Hiki ke hana ʻia ke kaʻi ʻana ma muli o ka hana palupalu o ka puʻuwai.
- Puhipaka: ʻAʻole ia he mea kupanaha i ka poʻe puhipaka e loaʻa i ka ʻū mau i kapa ʻia ʻo "smoker's cough."
- Nā maʻi hanu: ʻO nā maʻi e like me ka ʻū whooping hiki ke hoʻomau i ka ʻū no nā pule ma hope o ka hoʻōla ʻana.
I kekahi manawa, ʻoiai nā hoʻokolohua āpau, ʻaʻole hiki ke loaʻa ke kumu no ka ʻū. I ia mau hihia, kapa nā kauka i kēia maʻi ʻo "Cough Refractory Chronic."
Pehea e mālama ʻia ai kēia?
ʻO ka mea nui loa, ʻo ia ka mālama ʻana ma muli o ke kumu o ke kuni. ʻO ke ʻano kēia, ʻoi aku ka nui o ka mālama ʻana i ke kūlana kumu e hoʻoulu ai i ke kuni ma mua o ka lawe ʻana i kahi lāʻau hoʻōki kuni.
E hāʻawi kāu kauka iā ʻoe i kahi hoʻolālā lapaʻau kūpono iā ʻoe. Pili kēia i ka hui pū ʻana o nā lāʻau lapaʻau a me nā hoʻololi ʻana i ke ʻano o ka nohona.
Nā ʻano lāʻau lapaʻau
- No GERD: E kāohi i ka waikawa o ka ʻōpū me nā lāʻau lapaʻau e like me `(antacids)`, `(H2 blockers)`, a i ʻole `(PPIs)`.
- No nā maʻi bacteria: `(Antibiotics)`.
- No nā maʻi ʻaleka a me ka rhinitis: Nā antihistamines a me nā pīpī ihu.
- No ka hoʻokuke ʻana i ka mucus: Nā lāʻau lapaʻau e like me "Expectorants" e hoʻomāmā i ka mucus a kōkua iā ia e puka maʻalahi i waho.
- No ka hōʻemi ʻana i ka pehu: I nā kūlana e like me ka hānō, e hoʻēmi i ka pehu ʻana i loko o nā alaloa me nā steroids a i ʻole nā bronchodilators inhaled.
He mea nui loa:Mai hāʻawi i nā lāʻau lapaʻau no ke kuni/anu i kūʻai ʻia ma ke kūʻai aku ʻana i nā keiki ma lalo o 6 mau makahiki me ka ʻōlelo aʻoaʻo ʻole a ke kauka pediatric.
Nā loli o ke ʻano o ka nohona
ʻOiai paha he mau mea maʻalahi kēia, he kōkua nui lākou i ka kaohi ʻana i ke kuni.
- E hiamoe pono .
- E ʻai i ka meaʻai kaulike .
- E inu i ka wai nui.
- Inā manaʻo ʻoe he GERD kou, e hiamoe me ke poʻo o ka moena i hoʻokiʻekiʻe iki ʻia .
- E kamaʻilio me kāu kauka e pili ana i nā mea hoʻoulu i kou ʻū (e like me ka uahi, nā ʻala ikaika, kekahi mau meaʻai), a laila e hana i kahi hoʻolālā e pale aku ai iā lākou.
He aha ka mea e hana ʻia inā ʻaʻole mālama ʻia?
Hiki i ka ʻū mau ke hoʻoulu i ka hiamoe ʻole. ʻO ka luhi a me ke kaumaha e hoʻoulu ai hiki ke hoʻopilikia i kou lā holoʻokoʻa. Hiki paha iā ʻoe ke noho mamao aku ma muli o ka hilahila o ka ʻū mau ʻana.
I kekahi mau hihia koʻikoʻi, hiki i ka ʻū ke hana i:
- Ke kahe ʻana o ke koko ma nā maka
- Nā haki o ka iwi ʻaoʻao
- Pōʻino a me ke poʻo ʻeha
- ʻUluʻulu
- Ka nalowale ʻana o ke kaohi ʻana o ka ʻōpū mimi (e kahe ana kahi liʻiliʻi o ka mimi i ka wā e ʻū ana)
- ʻEha ʻeha o ka umauma a me ka ʻōpū
Āhea ʻoe e ʻike ai i ke kauka?
ʻO ke kānāwai maʻalahi loa, inā he ʻū kou no nā lā he 10 a ʻoi, a ʻaʻole ʻoe i ʻike i ke kumu pololei, pono ʻoe e ʻike i kāu kauka.
Eia kekahi, inā loaʻa iā ʻoe kekahi o nā hōʻailona hōʻike ma lalo nei, e ʻimi koke i ke kōkua lapaʻau. Inā pono, e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
| Nā hōʻailona hōʻike e pono ai ke kōkua lapaʻau koke | |
|---|---|
| Ke ʻū ʻana i ke koko | Ke koko koko ʻulaʻula a ʻeleʻele paha i hui pū ʻia me ka huʻa. |
| Ka hou nui ʻana i ka pō | Ke hou nui nei a pulu nā pepa moe. |
| Ka leo haʻalulu ʻaʻole i hoʻomaikaʻi | ʻAʻole i emi iho ka palahalaha o ka leo no kekahi mau pule. |
| Paʻakikī ka hanu ʻana | Ka hanu pōkole a i ʻole ka hanu wikiwiki. |
| Paʻakikī ke ale ʻana | Ke ʻeha nei a i ʻole ka ʻū ʻana i ka wā e moni ai i ka meaʻai a mea inu paha. |
| Ka pohō kaumaha i wehewehe ʻole ʻia | Ka hoʻemi kaumaha me ka ʻole o kou hoʻāʻo ʻana. |
| Hanu ʻana | He leo hūʻū mai ka umauma mai i ka wā e hanu ana. |
ʻAʻole pono ʻoe e ʻeha i ka ʻū mau. Aia nā lāʻau lapaʻau e hiki ke kōkua. ʻO ka loaʻa ʻana o kahi hōʻailona pololei ka hana mua ma kēia huakaʻi. No laila, mai hoʻokaʻulua a ʻike i kāu kauka.
Leka Lawe-Home
- ʻO ka ʻū ʻana e mau ana ma mua o 8 mau pule i loko o kahi pākeke a i ʻole 4 mau pule i loko o kahi keiki ua kapa ʻia ʻo 'Cough Chronic'. Mai hoʻowahāwahā i kēia.
- ʻO nā kumu maʻamau o kēia, ʻo ia nā kūlana e like me ka hānō, ka postnasal drip, a me ka maʻi reflux gastroesophageal (GERD).
- Aia ka lāʻau lapaʻau ma ke kumu o ke kuni, no laila he mea nui loa ka loaʻa ʻana o kahi hōʻailona pololei.
- Inā ʻike ʻoe i nā hōʻailona e like me ke kunu ʻana i ke koko, ka paʻakikī o ka hanu ʻana, a i ʻole ka pohō kaumaha, e ʻimi koke i ke kōkua lapaʻau.
- E kamaʻilio me kāu kauka a e kiʻi i ka hoʻolālā lapaʻau maikaʻi loa a me nā ʻōlelo aʻoaʻo nāu.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka maʻi e hoʻohana ʻia ai nā papa Timolol (Timolol Systemic / Blocadren)?
ʻOiai ʻo ia ka mea i ʻike nui ʻia no kāna mau kulu maka no ka glaucoma/kaomi maka, ʻo kēia 'pila' ke ʻano lāʻau ikaika loa (Non-selective Beta-blocker) ma ka honua! Hoʻohana nā kauka iā ia e pale aku i ke 'High Blood Pressure', nā migraines koʻikoʻi, a e hōʻemi i ka pilikia o ka make ʻana i ka lua o ka manawa ma hope o ke ola ʻana i kahi 'Heart Attack' ma 100%.
💬 Pehea ʻoe e pale ai iā ʻoe iho mai ka loaʻa hou ʻana o ka hōʻeha puʻuwai/migraine ma hope o ka lawe ʻana i kēia pila ʻino (Timolol)?
Hoʻololi ke ʻano o kou puʻuwai a me nā kīʻaha koko i loko o kou poʻo ma muli o ka leka 'Adrenaline (Epinephrine). I ka wā e komo ai kēia pila i loko o ke kino, ua ālai ʻia/pani ʻia nā puka āpau i loko o ka puʻuwai (Beta-1) a me nā kīʻaha koko/māmā (Beta-2) 100% a ua laka ʻia me ka ikaika (Non-selective). No ka mea, ʻaʻohe ala e hele ai ka leka, lohi wale ka puʻuwai, a ua pau ka hoʻonui ʻana o nā kīʻaha koko i loko o ka lolo me ke kumu ʻole, e hoʻopau ana i ka pilikia o ka migraine/hōʻeha puʻuwai.
💬 No ke aha i ʻōlelo ʻia ai ʻaʻole e hoʻōki koke i ka lawe ʻana i kēia lāʻau lapaʻau (Timolol)? He aha nā ʻŌlelo Aʻo Pahu ʻEleʻele?
Inā ʻoe e lawe i kēia pila no nā mahina a poina iā ia a i ʻole 'e hoʻōki koke', e wehe koke ʻia kēlā mau mea loaʻa adrenaline āpau i ālai ʻia me ka ʻole o ka mana! A laila, i loko o nā minuke, e loaʻa iā ʻoe kahi hōʻeha puʻuwai koʻikoʻi a e pau kou puʻuwai (Myocardial Infarction / Sudden Death) he mea make loa ia a hiki iā ʻoe ke make! Eia kekahi, ʻoiai ke ālai nei kēia i nā māmā, inā ʻoe e hāʻawi i kēia i ka poʻe me ka 'Asthma', hiki iā lākou ke hanu a make (ua pāpā ʻia ka inu ʻana!).
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