Loaʻa iā ʻoe kekahi pilikia hanu a me ka ʻū mau? Hiki paha iā ia ke COPD (Chronic Obstructive Pulmonary Disease)!

Ke manaʻo pinepine nei ʻoe i ka hanu pōkole, ka paʻa o ka umauma? A i ʻole he ʻūlū kou e hele mai me ka phlegm no ka manawa lōʻihi? Manaʻo paha ʻoe he anu maʻamau wale nō kēia, a i ʻole he maʻi e like me ka hānō. Akā inā hoʻomau kēia mau hōʻailona, ​​​​hiki ke lilo i COPD (Chronic Obstructive Pulmonary Disease) , kahi maʻi māmā e pono ai kākou a pau e makaʻala. Mai hopohopo, e kamaʻilio mākou e pili ana i kēia i kēia lā, me he mea lā e kamaʻilio ana mākou me kahi hoaaloha.

He aha ka COPD (Maʻi Puʻuwai Obstructive Mau)?

I ka ʻōlelo maʻalahi, ʻo COPD kahi maʻi hiki ʻole ke hoʻihoʻi ʻia e hōʻino ana i ko mākou mau māmā a me nā ala hanu (nā ala hanu), e hōʻemi mālie ana i kā lākou hana a e paʻakikī ai ka hanu ʻana. E like me ka paipu laholio kahiko, nalowale nā ​​ʻeke ea liʻiliʻi (alveoli) i loko o ko mākou mau māmā a me nā ala hanu i ko lākou elasticity. Lilo pū lākou i pehu a piha i ka mucus, e ālai ana i ko mākou mau ala hanu. E noʻonoʻo e like me ka paipu wai e paʻa ana i ka lepo, e paʻakikī ai ke kahe ʻana o ka wai.

Me ka COPD, hiki i kou mau māmā a me nā alaloa ke ʻike i nā loli e like me kēia:

• Ka nalowale ʻana o ka elasticity i loko o nā ʻeke ea (alveoli) a me nā ala ea o nā māmā.
• Ka mumū, ka ʻeha (fibrosis), a me ka haiki ʻana o nā alaea.
• Hōʻiliʻili ʻana o ka mucus mānoanoa i loko o ke ala hanu.
• Ua luku ʻia nā paia ma waena o nā ʻeke ea (alveoli), ua hoʻonui ʻia lākou, a ua paʻa ka ea i hanu ʻia i loko.

Loaʻa pinepine i ka poʻe me COPD nā manawa e ʻoi aku ka ʻino o ko lākou mau hōʻailona. Kāhea mākou i kēia mau "exacerbations." I loko o kēia mau manawa, lilo ka hanu ʻana i mea paʻakikī, hōʻiliʻili ka mucus, loaʻa ka wheezing, a piʻi ka ʻū. I kekahi manawa, inā lilo kēia ʻano i mea koʻikoʻi, pono paha ʻoe e lawe ʻia i ka haukapila .

He maʻi holomua ka COPD e lilo i mea ʻino i ka hala ʻana o ka manawa. Akā, ʻokoʻa kēia mai kēlā kanaka a kēia kanaka. ʻAʻole paha e ʻike kekahi poʻe i nā loli koʻikoʻi no nā makahiki, aʻo kekahi poʻe e ʻike paha i ka holomua wikiwiki o ka maʻi.

He aha nā ʻano nui o COPD?

ʻElua mau maʻi nui e hāʻule ana ma lalo o ka huaʻōlelo COPD. ʻO ka pinepine, hiki i kahi kanaka me COPD ke loaʻa nā hōʻailona o nā mea ʻelua.

ʻEmphysema

ʻO kēia ka manawa e hōʻino ʻia ai a hoʻonui ʻia nā ʻeke ea liʻiliʻi (alveoli) i loko o kou mau māmā. ʻO kēia ka mea e paʻakikī ai ka hanu ʻana. ʻO ka hōʻailona nui ka pōkole o ka hanu (dyspnea) , ʻo ia hoʻi ka pōkole o ka hanu ʻoiai me ka hoʻoikaika iki.

ʻO ka bronchitis mau loa

ʻO kēia ka manawa e pehu ai nā ala ea nui (nā ʻōmole bronchial) i loko o kou mau māmā. Hoʻopilikia kēia i nā ala ea ea a hoʻonui i ka nui o ka mucus. ʻO ka hōʻailona nui ka ʻū mau, ʻoiai ka ʻū me ka mucus .

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He aha nā hōʻailona o ka COPD?

I kēia manawa, e nānā kākou i nā hōʻailona e hōʻike ai kekahi kanaka me COPD. E noʻonoʻo inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:

• He ʻūhū lōʻihi me ka huʻa (he ʻūhū e mau ana no ʻekolu mahina ma ka liʻiliʻi i ka manawa hoʻokahi, no ʻelua makahiki ma ka liʻiliʻi).
• Paʻakikī i ka hanu hohonu.
• Ka pōkole o ka hanu , ʻoiai i ka wā e hana ai i nā hana o kēlā me kēia lā a i ʻole ka luhi iki.
• ʻŌhūhū a i ʻole nā ​​​​leo ʻē aʻe o ka māmā.
• ʻO ka umauma ʻano barela (i ka wā e koʻikoʻi ai ka maʻi).
• I kekahi manawa aia kahi ʻili polū ʻole (cyanosis) , ʻoiai nā lehelehe a me nā kui (ke lawa ʻole ka oxygen i loko o ke koko).

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​he mea nui loa e ʻimi i ke aʻo lapaʻau.

He aha nā kumu o ka COPD?

ʻO ke kumu nui a maʻamau o ka COPD ʻo ia ka puhipaka . Hele pololei ka uahi mai nā cigarettes, nā cigars, a me nā beedis i loko o ko kākou mau māmā a hōʻino iā lākou. Inā he mea puhipaka ʻoe, pono ʻoe e noʻonoʻo e pili ana i kēia.

Akā hiki i ka poʻe puhi ʻole ke loaʻa i ka COPD. ʻO nā kumu ʻē aʻe:

• Ka hemahema o ka Alpha-1 antitrypsin: He maʻi hoʻoilina kēia. Ke haʻahaʻa kēia protein, hiki iā ia ke hōʻino i nā māmā.
• Uahi lua: ʻOiai inā ʻaʻole ʻoe e puhipaka, inā ʻoe e hele pinepine ana ma nā wahi e puhipaka ai ka poʻe, hiki iā ia ke hoʻopilikia iā ʻoe.
• Haumia o ka ea: Nā mea e like me ka uahi mai nā hale hana a me nā kaʻa.
• ʻO ka ʻike ʻia ʻana i ka lepo a me ka uahi mai ka hana a i ʻole nā ​​​​​​mea leʻaleʻa: ʻO ka lepo a me ka uahi mai kekahi mau ʻoihana (ka ʻeli ʻana i ka lua, ka eli ʻana, nā ʻoihana lole) a me kekahi mau hana leʻaleʻa (hana lāʻau, kuʻihao) he mea ʻino nō hoʻi.

ʻO wai ka mea i ʻoi aku ka pilikia o ka loaʻa ʻana o kēia maʻi?

ʻOiai ʻo ka puhipaka ka mea nui loa o ka pilikia, ʻaʻole nā ​​mea a pau e puhipaka ana e loaʻa iā lākou ka COPD. Eia nō naʻe, hiki iā ʻoe ke piʻi aʻe ka pilikia o ka loaʻa ʻana o ka COPD inā ʻoe:

• Inā he wahine ʻoe (ua hōʻike nā haʻawina hou ua pilikia nui nā wahine).
• Inā ʻoe ma luna o 65 mau makahiki .
• Inā pilikia pinepine ʻoe i ka haumia o ka ea .
• Inā hōʻike kāu hana iā ʻoe i nā kemika, ka lepo, a i ʻole ka uahi .
• Inā loaʻa iā ʻoe ka hemahema o ka alpha-1 antitrypsin .
• Inā ua loaʻa pinepine iā ʻoe nā maʻi hanu i kou wā kamaliʻi .

He aha nā pilikia e hiki ke kū mai ma muli o ka COPD?

Hiki i ka COPD ke hoʻoulu i ka bacteria e hōʻiliʻili i loko o nā māmā, e hoʻoulu ai i nā maʻi. Hiki iā ia ke pale i ke kino mai ka loaʻa ʻana o ka oxygen lawa a me ka wehe ʻana i ke kalapona ʻokikene mai ke kino. Hiki i kēia ke alakaʻi i nā pilikia koʻikoʻi. ʻO kekahi o lākou:

• Pneumonia: He maʻi o nā māmā.
• I loko o ke kokoHoʻonui ʻia nā pae kalapona dioxide (hypercapnia).
• Ka haʻahaʻa o ka oxygen i loko o ke koko (hypoxemia).
• Ka holo ʻole o ka hanu: ʻO ia ke ʻano i hiki ʻole ai i nā māmā ke hana ma o lākou iho.
• Ke koko kiʻekiʻe o ka pulmonary: Hoʻonui ʻia ke kaomi i loko o nā kīʻaha koko o nā māmā.
• ʻO ka hāʻule ʻana o ka puʻuwai ʻākau (cor pulmonale): Hoʻopilikia nā pilikia i loko o nā māmā i ka ʻaoʻao ʻākau o ka puʻuwai.
• Pneumothorax: Puka ka ea mai loko mai o nā māmā a hōʻiliʻili i loko o ka lua o ka umauma.
• Polycythemia: Hoʻopuka ke kino i nā hunaola koko ʻulaʻula he nui loa (ke lawa ʻole ka oxygen).

ʻO ia ke kumu he mea nui e ʻimi i ka lāʻau lapaʻau kūpono a hahai i ka ʻōlelo aʻoaʻo lapaʻau inā loaʻa iā ʻoe ka COPD.

Pehea e ʻike ʻia ai ka COPD (Maʻi Pulmonary Obstructive Chronic)?

Inā manaʻo ʻoe he mau hōʻailona kou o COPD, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka no ka nānā ʻana. E nānā ke kauka iā ʻoe, e nīnau iā ʻoe i nā nīnau e pili ana i kou mōʻaukala olakino, a e hana paha i kekahi mau hoʻokolohua e ʻike ai i ka hana maikaʻi o kou mau māmā.

Hiki i ke kauka ke nīnau iā ʻoe i nā nīnau e like me:

• Ua puhipaka ʻoe? Ua puhipaka anei ʻoe?
• Ua lōʻihi anei kou pilikia i ka lepo a me ka haumia o ka ea?
• Aia kekahi o kou ʻohana i loaʻa i ka COPD, nā maʻi māmā ʻē aʻe, a i ʻole nā ​​maʻi akepaʻa?
• Ke pōkole nei kou hanu i kou hoʻoikaika kino ʻana? Ke hana nei paha ia ʻoiai ʻoe e kū mālie wale ana?
• Loaʻa iā ʻoe ka ʻūhū no ka manawa lōʻihi a me ke kani ʻana o ka hanu mai kou umauma mai?
• Puka mai ka phlegm i waho ke ʻū ʻoe?

He aha nā hoʻokolohua e hoʻohana ʻia e hōʻoia i ka COPD?

Hiki i kāu kauka ke hoʻohana i nā hoʻokolohua ma lalo nei e hōʻoia i ka COPD:

• Nā hoʻāʻo hana pulmonary: ʻO ka hoʻāʻo nui ma ʻaneʻi ua kapa ʻia ʻo spirometry . Hoʻāʻo kēia i ka paʻakikī a me ka nui o ka ea hiki iā ʻoe ke hoʻokuʻu i loko o hoʻokahi hanu. Hiki i kēia ke haʻi iā ʻoe i ka nui o ke ālai ʻia o kou mau ala ea.
• ʻO ka pulse oximetry: He hoʻāʻo maʻalahi e ana i ka pae oxygen i loko o ke koko ma ke kau ʻana i kahi mea e like me ke clip ma kou manamana lima.
• ʻO ke kiʻi X-ray a i ʻole CT scan: Hiki i kēia mau kiʻi ke hōʻike i nā loli i loko o nā māmā i hoʻokumu ʻia e COPD.
• Hoʻāʻo kinoea koko arterial: He hoʻāʻo kēia e lawe i kahi hāpana koko a hiki ke hoʻoholo pololei i nā pae o ka oxygen a me ke kalapona ʻokikene i loko o ke koko.
• Hoʻāʻo hoʻoikaika kino: Hana ʻia kēia e ʻike inā e emi ana kou pae oxygen koko ke hoʻoikaika kino ʻoe.
• Electrocardiogram (ECG a i ʻole EKG): Kōkua kēia i ka hoʻoholo ʻana inā he maʻi puʻuwai ka pilikia o ka hanu ʻana a e nānā i ka hana o ka puʻuwai.
• Nā hoʻāʻo koko:Hiki iā ʻoe ke hoʻāʻo i kāu mau pae protein AAT e ʻike ai inā loaʻa iā ʻoe ka 'Alpha-1 antitrypsin deficiency'.
• Ka hoʻāʻo ʻana i ka genetics: Hiki ke hana ʻia kēia hoʻāʻo inā manaʻo ke kauka ua hoʻopilikia ʻia nā māmā e kahi kūlana genetic.

He aha nā pae o ka COPD?

Hiki i kāu kauka ke hoʻoholo i ke kahua o COPD ma muli o nā hopena o kāu hoʻāʻo spirometry, ʻo ia hoʻi kāu waiwai FEV1 (Forced Expiratory Volume in one second) . Hōʻike kēia iā ʻoe i ka nui o ke ālai ʻia ʻana o kou mau ala ea.

ʻO nā pae o COPD, ma muli o ke koʻikoʻi o ka maʻi, penei:

• Pae 1: ʻO ka waiwai FEV1 he 80% a ʻoi aku paha. (Hihia akahai)
• Pae 2: ʻO ka waiwai FEV1 ma waena o 50% a me 79% (pae waena)
• Pae 3: Ka waiwai FEV1 ma waena o 30% a me 49% (koʻikoʻi)
• Pae 4: ʻO ka waiwai FEV1 ma lalo o 30%. (Hihia koʻikoʻi loa)

Eia kekahi, hiki i kāu kauka ke hoʻokaʻawale iā ʻoe i nā papa A, B, a i ʻole E e pili ana i kāu mau hōʻailona a me ka pilikia o ka exacerbation:

• A: ʻOi aku ka liʻiliʻi o nā hōʻailona, ​​​​haʻahaʻa ka pilikia o ka hoʻonui ʻana.
• B: ʻOi aku ka nui o nā hōʻailona, ​​​​emi ka pilikia o ka hoʻonui ʻana.
• E: Kiʻekiʻe ka pilikia o ka hoʻonui ʻia ʻana.

ʻAʻole hele pū mau kou pae o ka maʻi a me kou mau hōʻailona. No ka laʻana, hiki ke emi iho kou mau hōʻailona ʻoiai inā ʻoe ma ke kahua 3 a i ʻole 4. E noʻonoʻo kāu kauka i kēia mau mea a pau e hoʻoholo ai i ka lāʻau lapaʻau maikaʻi loa nāu.

Pehea e mālama ʻia ai ka COPD?

ʻO ka mea pōʻino, ʻaʻole hiki ke ho'ōla loa ʻia ka COPD. ʻAʻole hiki ke hoʻihoʻi ʻia ka hōʻino ʻana i nā māmā. Eia nō naʻe, he nui nā lāʻau lapaʻau e hiki ke kōkua i ka kaohi ʻana i nā hōʻailona, ​​​​hoʻomaikaʻi i ke ʻano o ke ola, a hōʻemi i nā exacerbations .

Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e like me kēia:

• Nā papahana hoʻōki puhipaka: Inā he mea puhipaka ʻoe, ʻo kēia ka mea nui loa a me ka mea mua āu e hana ai . Hiki i ka hoʻōki ʻana i ka puhipaka ke hōʻemi nui i ka pilikia o ka COPD e ʻoi aʻe ana.
• Nā lāʻau lapaʻau hanu ʻia: Hiki ke lawe ʻia nā lāʻau lapaʻau e like me nā bronchodilators a me nā steroids ma o kahi inhaler a i ʻole ma ke ʻano he wai ma o kahi nebulizer. Hoʻemi kēia i ka pehu ʻana i loko o nā alaea, e wehe ana iā lākou a e maʻalahi ai ka hanu ʻana.
• Oxygen therapy: Inā haʻahaʻa kou mau pae oxygen koko, pono paha ʻoe e loaʻa i ka oxygen keu.
• Hoʻoponopono hou ʻana i ka pulmonary: He papahana hoʻoikaika kino a hoʻonaʻauao kēia e kōkua ai i ka hoʻoikaika ʻana i nā māmā a kōkua iā ʻoe e hoʻololi i ka noho ʻana me COPD.
• Nā Corticosteroids:I ka wā o ka exacerbation, hiki ke hāʻawi ʻia nā pila steroid a i ʻole nā ​​​​inikini no kahi manawa pōkole e hōʻemi i ka pehu.
• Lapaʻau kaomi ea maikaʻi: Hiki i kāu kauka ke ʻōlelo aku e hoʻohana i ka mīkini 'BiPAP' e kōkua iā ʻoe e hanu, ʻoiai i nā wā o ka exacerbation.
• Nā lāʻau antibiotic: Inā loaʻa pinepine iā ʻoe nā maʻi bacteria i loko o nā māmā, hiki ke hāʻawi ʻia nā lāʻau antibiotic e pale aku iā lākou a hoʻemi i ke koʻikoʻi o ka maʻi.
• ʻO ke ʻoki kino a i ʻole ke kaʻina hana hoʻēmi i ka nui o ka māmā (LVR): No ka poʻe i kūpono a loaʻa i ka maʻi koʻikoʻi, hiki ke hana ʻoki kino a i ʻole ke kaʻina hana hoʻokomo valve e hōʻemi i ka nui o ka ea i paʻa i loko o nā māmā.
• Nā hoʻokolohua lapaʻau: Nā haʻawina e hoʻāʻo ai i ka palekana a me ka maikaʻi o nā lāʻau lapaʻau hou. Inā he lāʻau lapaʻau hou e kūpono paha iā ʻoe, hiki i kāu kauka ke kuhikuhi iā ʻoe i ia mea.

Hiki i kekahi me COPD ke ho'ōla?

He mau loa ka pōʻino i kou mau māmā mai ka COPD a ʻaʻole hiki ke hoʻihoʻi ʻia. Eia nō naʻe, aia nā ala e hoʻokele ai i kāu mau hōʻailona, ​​a i kekahi manawa hoʻomaikaʻi iā lākou, a ola lōʻihi. Ma ka hahai pono ʻana i nā ʻōlelo a kāu kauka a me ke komo ʻana i kahi papahana hoʻoponopono pulmonary, hiki iā ʻoe ke hōʻemi i kāu mau hōʻailona a hoʻomaikaʻi i kou ʻano ola.

Hiki paha ke ola i ka manawa lōʻihi me ka COPD?

ʻO ka lōʻihi o kou ola ʻana me COPD e pili ana i ke koʻikoʻi o ka maʻi a me ka wikiwiki o kona ʻino ʻana. He nui ka poʻe e ola ana no nā makahiki he ʻumi ma hope o ka ʻike ʻia ʻana , ʻoiai inā hoʻomaka mua ʻia ka lāʻau lapaʻau. Ua manaʻo ʻia hiki i ka poʻe me ke kahua 3 a i ʻole 4 o ka maʻi ke ola i ʻeono a ʻeiwa mau makahiki ma mua o ke kanaka maʻamau. Akā, ʻokoʻa kēia mai kēlā kanaka a i kēia kanaka.

He maʻi make anei ka COPD?

ʻOiai he maʻi COPD e lilo i mea ʻino i ka hala ʻana o ka manawa, ʻaʻole ia he mea make mau . ʻOkoʻa ka wikiwiki o kona lilo ʻana i mea ʻino mai kēlā kanaka a i kēia kanaka. I ka hala ʻana o ka manawa (ʻo ka maʻamau he mau makahiki, i kekahi manawa he mau makahiki), nui ka poʻe me COPD e hiki ʻole ke hanu iā lākou iho. Akā, ola kekahi poʻe no ka manawa lōʻihi me ka ʻole o nā hōʻailona koʻikoʻi.

Hiki ke pale ʻia ka COPD?

ʻO ke ala maikaʻi loa e pale aku ai i ka COPD, ʻo ia ka pale ʻana i ka puhipaka a me ka pale ʻana iā ʻoe iho mai ka uahi lua a me nā mea haumia ʻē aʻe e hiki ke hōʻeha i kou mau māmā.

ʻOi aku ka nui o ka poʻe me COPD e loaʻa i nā maʻi hanu. Hiki i kēia mau maʻi ke alakaʻi i ka niumonia a i ʻole e hoʻonui i nā hōʻailona. Hiki iā ʻoe ke hana i kēia mau mea e kōkua ai i ka pale ʻana iā ʻoe iho mai nā maʻi:

• E kiʻi i nā lāʻau pale āpau a kāu kauka e ʻōlelo ai. ʻO nā laʻana e komo pū me ka lāʻau pale maʻi influenza (flu), ka lāʻau pale pneumococcal pneumonia (pneumococcal pneumonia), a me ka lāʻau pale COVID-19.
• E holoi pinepine i kou mau lima.
• E hoʻomaʻemaʻe i nā ʻili ma nā wahi āu e hele pinepine ai.
• Inā ʻōlelo aku kāu kauka, e ʻaʻahu i ka pale maka ke kokoke ʻoe i nā poʻe ʻē aʻe.
• E pale i nā wahi i piha ai nā kānaka , ʻoiai i ka wā o nā maʻi ahulau anu a me ka maʻi palū a me ka wā o nā maʻi ahulau COVID.

Inā loaʻa iaʻu ka COPD, pehea e hiki ai iaʻu ke mālama iaʻu iho?

Inā loaʻa iā ʻoe ka COPD, e hahai i kēia mau ʻōlelo aʻoaʻo e mālama pono iā ʻoe iho:

• E noho mamao aku mai nā mea e hōʻino ai i nā māmā a e hoʻonui ai i nā hōʻailona. ʻO kēia mau mea e komo pū me ka puhi paka, ka uahi lua, ka lepo, ka haumia o ka ea, a me nā mea ʻala ikaika.
• E komo i nā hālāwai hoʻoponopono pulmonary. ʻO kēia ka hoʻoikaika kino, ka hana lapaʻau, a me nā papahana hoʻonaʻauao. E hoʻomau i ka hoʻolālā ma hope o ka pau ʻana o nā hālāwai.
• E kamaʻilio me kahi meaʻai meaʻai i kākau inoa ʻia. Hiki iā ia ke kōkua iā ʻoe e hoʻomaopopo i nā meaʻai maikaʻi no kou olakino, nā mea āu e ʻai ai, a me nā mea āu e pale aku ai.
• E lawe i kāu mau lāʻau lapaʻau a pau e like me ke kauoha, i nā manawa i kauoha ʻia. E lawe mai i kāu lāʻau lapaʻau o kēlā me kēia lā ma mua o ka pau ʻana.
• E hana i kahi hoʻolālā no nā ʻōhūhū. E kamaʻilio me kāu kauka a hana i kahi hoʻolālā e pili ana i ka mea e hana ai inā ʻōhūhū kāu mau hōʻailona, ​​​​nā lāʻau lapaʻau e lawe ai, a me ka wā e hele ai i ka haukapila.
• E aʻo pehea e hoʻohana pono ai i kāu mau lako lapaʻau. ʻO kēia nā mea e like me nā inhalers, nebulizers, a me nā mīkini CPAP. E noi i kāu kauka e hōʻike pehea e hoʻohana pono ai i kēia mau mea.
• E mālama i kou olakino noʻonoʻo. Hiki i ka noho ʻana me kahi maʻi mau ke lilo i mea hopohopo. E ʻike i kahi kauka noʻonoʻo, psychologist, a i ʻole kākāʻōlelo e kamaʻilio e pili ana i kēia.

Āhea wau e ʻike ai i ke kauka?

Inā manaʻo ʻoe he COPD kou, mai hoʻokaʻulua e ʻike i ke kauka . Hiki i ka ʻike mua a me ka mālama ʻana ke kōkua i ka hōʻemi ʻana i ka pilikia o ka ʻoi aku ka ʻino o kāu mau hōʻailona.

Inā loaʻa iā ʻoe ka COPD, e ʻike koke i kāu kauka inā ʻike ʻoe i kekahi o kēia mau hōʻailona o ka maʻi a i ʻole nā ​​​​loli i kāu mau hōʻailona:

• Hoʻonui ʻia ka paʻakikī o ka hanu ʻana: Inā manaʻo ʻoe ʻaʻole hiki iā ʻoe ke hele i ka mamao āu i hiki ai, inā ʻoi aku ka paʻakikī o ka hanu ʻana i ka pō, a inā pono ʻoe e hoʻohana i kāu mau lāʻau lapaʻau hanu (nā lāʻau lapaʻau, nā mea hoʻoheheʻe) i nā manawa he nui ma mua o ka maʻamau.
• Nā loli i ka mucus: Loli i ke kala o ka mucus, mucus i ʻōniʻoniʻo ʻia i ke koko, ʻala pilau, ʻoi aku ka nui o ka mucus ma mua o ka maʻamau, a i ʻole ka mucus i ʻoi aku ka mānoanoa.
• Hoʻonui ʻia ke kuʻi ʻana a i ʻole ka paʻa ʻana o ka umauma.
• He pehu hou a ʻoi aku paha ka ʻino ma kou mau kuʻekuʻe wāwae, nā wāwae, a i ʻole nā ​​​​wāwae. E haʻi i kāu kauka inā ʻaʻole e emi ka pehu ʻana ma hope o ka hiamoe ʻana me kou mau wāwae i hoʻokiʻekiʻe ʻia i ka pō.
• Ka pohō a piʻi ʻana paha o ke kaumaha me ke kumu ʻole.
• ʻEha pinepine a poʻo hina paha i ke kakahiaka.
• Me ke kumu ʻoleManaʻo luhi loa a nāwaliwali paha. E haʻi i kāu kauka inā ʻoi aku kēia ma mua o hoʻokahi lā.
• Kuni a i ʻole ke anu.
• Nā hōʻailona ʻē aʻe o ka maʻi: ʻEha ka ʻāʻī, ka ihu wai ʻē, ka ihu paʻa, ka ʻeha poʻo, a i ʻole ka ʻeha ma ka ʻaoʻao o luna o ka papālina.

Āhea wau e hele ai i kahi lumi pilikia?

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e hele koke i ka lumi pilikia kokoke loa:

• Kuni nui (ma luna o 103 Fahrenheit/40 Celsius).
• Paʻakikī koke a paʻakikī paha ka hanu ʻana.
• Ka hoʻomaha ʻole, ka huikau, ka poina ʻana, a i ʻole ka huhū.
• ʻŌlelo ʻūlū.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

He mea kōkua paha ke nīnau i nā nīnau e like me kēia ke ʻike ʻoe i kāu kauka:

• He aha nā ala maikaʻi loa e mālama pono ai iaʻu iho?
• Hiki iaʻu ke hoʻomaikaʻi i kaʻu mau hōʻailona?
• Pehea e pono ai iaʻu ke hoʻohana i kēia mau lāʻau lapaʻau?
• Pehea e hoʻohana ai i kaʻu inhaler, nebulizer, a i ʻole nā ​​​​​​mea lapaʻau ʻē aʻe?
• Āhea wau e ʻike hou ai iā ʻoe?
• Āhea wau e hele ai i ka lumi pilikia?

ʻO ka noho ʻana me kahi maʻi māmā mau e like me COPD hiki ke manaʻo nui, weliweli, hoʻonāukiuki, a mehameha i kekahi manawa. Akā aia nā ala e hoʻomau ai i ka ikaika o kou mau ʻiʻo māmā no ka lōʻihi e hiki ai a hoʻokele i kāu mau hōʻailona. ʻO ka hana pū ʻana me kāu hui mālama ola e hana i kahi hoʻolālā e mālama iā ʻoe i ke olakino a hōʻemi i nā flare-up hiki ke kōkua iā ʻoe e hoʻokele i kou kūlana. E kamaʻilio me kāu poʻe aloha e pili ana i ke ʻano e hiki ai iā ʻoe ke kākoʻo iā lākou a me ka mea e hana ai inā e ʻoi aʻe kou kūlana.

E hoʻomanaʻo, inā pilikia mau ʻoe i ka hanu ʻana, loaʻa iā ʻoe ka ʻū mau, a luhi koke paha, mai hoʻokaʻulua i ka ʻike ʻana i ke kauka. Hiki i ka ʻike mua ʻana ke hoʻomaikaʻi i kou ola a kōkua iā ʻoe e noho olakino no nā makahiki e hiki mai ana.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

No laila, ʻaʻole ia he mea e makaʻu ai i ka COPD, akā ʻaʻole hoʻi ia he mea e lawe māmā ʻia . ʻO ka mea nui loa, ʻo ia ke ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe nā hōʻailona, ​​a inā ʻoe e puhipaka, e hoʻohiki ikaika e haʻalele i kēia lā.

• E ho'ōki i ka puhipaka - ʻO kēia ka hana nui a maikaʻi loa hiki iā ʻoe ke hana e kūʻē i ka COPD.
• E hoʻohana pono i ka lāʻau lapaʻau a kāu kauka i kuhikuhi ai . E aʻo pehea e hoʻohana pono ai i kāu inhaler.
• He mea waiwai nui inā hiki iā ʻoe ke komo i nā papahana hoʻoponopono hou ʻana o ka pulmonary .
• E mālama i ka papaʻai olakino a me nā hana hoʻoikaika kino (e like me ke kuhikuhi a kāu kauka).
• E kiʻi i ka lāʻau pale a hoʻomaʻamaʻa i nā hana olakino maikaʻi e pale aku iā ʻoe iho mai nā maʻi .

ʻAʻole ʻoe hoʻokahi. Aia nā kauka, nā kahu maʻi, a me nā ʻohana e hiki ke kōkua iā ʻoe. No laila e noho ikaika, e hahai i kēia mau ʻōlelo aʻoaʻo, a e hoʻāʻo e ola i kahi ola maikaʻi me COPD.

ʻO COPD, maʻi māmā, pilikia hanu, bronchitis mau, emphysema, puhi paka, maʻi hanu