Ua hoʻopilikia anei ʻo COVID-19 i kou mau māmā? (COVID-19 Lung Damage) E kamaʻilio kākou e pili ana i kēia me nā kikoʻī!

Ke hoʻomanaʻo nei ʻoe i ka wā i lawe ai ʻo COVID-19 i ke ao nei? I kēlā manawa, ua kāohi mākou a pau i ko mākou hanu me ka makaʻu. No laila, ke komo kēia maʻi COVID-19 i loko o ko mākou kino, hiki iā ia ke hōʻino i ko mākou mau māmā. No kekahi poʻe, hiki iā ia ke hoʻoulu i ka maʻi pneumonia koʻikoʻi a i ʻole ka pilikia hanu . No kekahi poʻe, ʻoiai ma hope o ko lākou hoʻōla ʻana, pilikia paha lākou i ka hanu ʻana a luhi no kekahi manawa.

He aha ka pōʻino i nā māmā i hoʻokumu ʻia e COVID-19?

I ka ʻōlelo maʻalahi, he maʻi ʻo COVID-19 e hoʻopilikia ana i ka ʻōnaehana hanu. Ke komo kēia maʻi i loko o ko kākou mau māmā, hoʻomaka ka ʻōnaehana pale o ko kākou kino e kaua aku iā ia. I loko o kēia hakakā, loaʻa ka mumū i loko o nā māmā. Inā ʻaʻole i kāohi ʻia kēia mumū, hiki iā ia ke hōʻino i ko kākou mau hunaola māmā olakino. Ua like ia me ke kaua, i ka wā e hakakā ai me ka ʻenemi, i kekahi manawa ua ʻeha pū ko kākou ʻaoʻao.

ʻO ka maʻamau, hiki i nā maʻi hanu e like me ka maʻi palū a me ke anu maʻamau ke hoʻopilikia i nā māmā i kekahi ʻano. Akā i ka wā i hoʻomaka mua ai ka laha ʻana o COVID-19, ua ʻike nā kauka hiki ke lilo i mea ʻino loa a hōʻeha hou i nā māmā. Hōʻike kekahi ʻikepili e ʻoi aku ka nui o ka hopena o ke ʻano o kēia manawa, ʻo Omicron, i ka ʻōpū hanu o luna (ihu a me ka puʻu) ma mua o ke ʻano ma mua. Eia nō naʻe, hiki nō iā ia ke hōʻino i nā māmā a hoʻoulu i nā pilikia koʻikoʻi.

He aha nā hōʻailona o ka hōʻino ʻia ʻana o ka māmā e ka COVID-19?

Inā loaʻa iā ʻoe ʻo COVID-19, hiki i nā hōʻailona o nā kūlana i hoʻokumu ʻia e ka hōʻino ʻana o ka māmā ke komo pū me:

• Paʻakikī ka hanu ʻana a i ʻole ka pōkole o ka hanu ʻana .
• Ka luhi hiki ʻole ke hoʻomanawanui .
• Kuni .
• ʻO ke kala ʻana o ka ʻili, nā lehelehe, a i ʻole nā ​​​​​​manamana lima (cyanosis) . Hana ʻia kēia ke loaʻa ʻole ka oxygen lawa i ke koko.
• Ka hanu wikiwiki a me ka hana nui.
• Ke ʻeha a i ʻole ke kūpikipikiʻia ʻana o ka umauma .

Eia nō naʻe, inā loaʻa iā ʻoe ka hōʻino ʻana o ka māmā no ka manawa lōʻihi ma hope o kou hoʻōla ʻana mai COVID-19 , ʻaʻole paha ʻoe e ʻike i kekahi mau hōʻailona. A i ʻole e manaʻo paha ʻoe he pōkole ka hanu a luhi paha, ʻoiai me ka hana māmā. I kekahi manawa e ʻoi aku ka maikaʻi o kēia mau hōʻailona i ka hala ʻana o ka manawa.

No ke aha e hōʻino ai ʻo COVID-19 i nā māmā?

ʻO ke kumu nui o kēia, ʻo ia ka pane nui ʻana o kā mākou ʻōnaehana pale . E noʻonoʻo, hele kā mākou mau hunaola pale i kahi i hōʻea mai ai ka maʻi a kaua aku iā ia. He mea maikaʻi kēlā. Akā, inā lilo kēia hakakā i mea ʻole e kaohi ʻia, ʻo ia hoʻi, inā lilo ka ʻōnaehana pale i mea hana nui, hiki iā ia ke hōʻino i nā ʻiʻo olakino.

Ke hōʻino ʻia a nāwaliwali nā paia o nā ʻeke ea liʻiliʻi i loko o ko kākou mau māmā (ka mea a kākou e kapa nei he alveoli ), hoʻomaka lākou e piha i ka wai. A laila, ʻaʻole hiki i ka ea ke komo, a ʻaʻole hiki i ka oxygen ke komo i loko o ke koko a i ke koena o ke kino.

Hiki i kēia mumū ke hana i nā nodules pulmonary a i ʻole nā ​​​​​​hakahaka i loko o nā māmā. Hiki i kēia ke lōʻihi ka manawa e ho'ōla ai a i kekahi manawa hiki ke mau loa.

Hiki i kēia ʻano hōʻino ke hana maoli i nā maʻi hanu ʻē aʻe, akā ʻoi aku ka nui o ka koʻikoʻi ma COVID-19. Hiki paha kēia no ka mea ke pane nui nei ka maʻi i kā mākou ʻōnaehana pale, e hana ana i nā ʻino cytokine , no ka laʻana. A i ʻole hiki paha no ka mea hoʻohana ka maʻi i kā mākou mau hunaola pale ponoʻī e hoʻouka i nā māmā.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hōʻino ʻia ʻana o ka māmā mai COVID-19?

Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, ʻoi aku ka nui o kou loaʻa ʻana i ka COVID-19 koʻikoʻi a hōʻino i kou mau māmā:

• Inā ʻoe ma luna o 65 mau makahiki.
• Inā hāpai .
• Inā he mea puhi paka ʻoe, a i ʻole ua puhi paka ma mua.
• Inā ua loaʻa iā ʻoe kahi hoʻoili kino a i ʻole kahi hoʻoili cell kumu .
• Inā ʻaʻole ʻoe i lawe i ka lāʻau pale COVID-19.
• Inā he nāwaliwali kou ʻōnaehana pale maʻi - hiki ke hana ʻia kēia e nā kūlana e like me ke kanesa, kekahi mau lāʻau lapaʻau, ka maʻi HIV, a i ʻole ka immunodeficiency mua .

Eia kekahi, inā loaʻa iā ʻoe kekahi o nā kūlana olakino ma lalo nei, hiki ke hoʻonui ʻia kou pilikia:

• Ka maʻi ʻaʻai.
• Nā maʻi a me nā kūlana e hoʻopilikia ai i nā māmā i ka wā lōʻihi, no ka laʻana, ka hānō, COPD (Maʻi Puʻuwai Obstructive Chronic) , a me ka cystic fibrosis .
• Nā kūlana e hoʻopilikia ana i ka puʻuwai, nā puʻupaʻa, ke akepaʻa, ke koko, a i ʻole ka lolo.
• ʻO nā kūlana hānau ʻole, no ka laʻana , cerebral palsy a i ʻole Down syndrome .
• ʻO ka maʻi diabetes (Diabetes Mellitus).
• Nā pilikia olakino noʻonoʻo.
• Ka momona.
• Ka hoʻohana ʻana i nā lāʻau lapaʻau.

He aha nā pilikia o ka hōʻino ʻana o ka māmā ma muli o ka COVID-19?

ʻO ka mumū i hoʻokumu ʻia e COVID-19 a me nā maʻi ʻē aʻe e alakaʻi i nā pilikia e like me:

• Pneumonia: He maʻi kēia o nā māmā. I loko o kēia, piha nā ʻeke ea i ka wai.
• ʻO ka maʻi hoʻopilikia hanu koʻikoʻi (ARDS):He kūlana koʻikoʻi loa kēia. I kēia, piha ka nui o nā ʻeke ea i loko o kou mau māmā i ka wai, e pale ana i ka oxygen mai ke komo ʻana i loko o kou koko.
• Nā nodules māmā: Hiki ke noho nā nodules i loko o nā māmā ma muli o ka pōʻino i hana ʻia e ka mumū.
• ʻO ka fibrosis pulmonary: Hiki i nā wahi i hōʻino ʻia o nā māmā ke lilo i ʻōpala. I kekahi manawa, hiki i kēia ʻōpala ke hoʻomau i ka ulu ʻana ma hope o kou hoʻōla ʻana mai ka maʻi.
• COVID Lōʻihi: Hiki i kekahi poʻe ke hoʻomau i ka loaʻa ʻana o nā hōʻailona no nā mahina a i ʻole nā ​​​​makahiki ma hope o ka loaʻa ʻana o ka COVID-19.

Pehea e ʻike ai i ka hōʻino ʻia ʻana o ka māmā ma muli o ka COVID-19?

E nānā ke kauka i ka hōʻino ʻana o ka māmā me ka hoʻohana ʻana i nā hoʻokolohua kiʻi (e laʻa, X-ray, CT scan) a i ʻole bronchoscopy (kahi ʻōmole lahilahi me kahi kāmela i hoʻokomo ʻia i loko o nā māmā e nānā i loko). E hoʻohana pū lākou i nā hoʻokolohua ʻē aʻe e ʻike ai i nā maʻi, e like me ka pneumonia.

He aha nā hoʻokolohua e hana ʻia nei?

Hiki i nā kauka ke hana i nā hoʻokolohua e like me kēia e nānā i ke kūlana o nā māmā a ʻike i nā maʻi:

• ʻUlu ihu: Lawe ʻia kahi hāpana mai loko mai o kou ihu a i ʻole ka puʻu me ka hoʻohana ʻana i ka pulupulu e hoʻāʻo ai no COVID-19 a me nā maʻi ʻē aʻe.
• ʻO ka pulse oximetry: Ke ana nei kahi mea liʻiliʻi i kau ʻia ma kou manamana lima i ka nui o ka oxygen i loko o kou koko. Hiki i kēia ke hāʻawi iā ʻoe i kahi manaʻo o ka hana maikaʻi o kou mau māmā.
• Kiʻi: Hana ʻia kahi X-ray umauma a i ʻole CT scan e kiʻi i nā kiʻi o nā māmā e ʻike ai inā he pōʻino.
• Nā hoʻāʻo koko: Kōkua nā hoʻāʻo koko i ka nānā ʻana i nā maʻi a nānā i kou olakino holoʻokoʻa.
• Hoʻāʻo sputum: Pili kēia i ka lawe ʻana i kahi hāpana o ka mucus e puka mai ana i waho ke ʻū ʻoe a nānā i ka maʻi.
• Moʻomeheu wai Pleural: Ma kēia hoʻokolohua, hoʻohana ke kauka i kahi nila lahilahi e lawe i kahi liʻiliʻi o ka wai a puni kou mau māmā e nānā ai no ka maʻi.
• Hoʻāʻo kinoea koko arterial: Hiki i kēia hoʻāʻo i nā kauka ke ʻike i ka hana maikaʻi o kou mau māmā.
• Bronchoscopy: Hiki ke hoʻohana ʻia kahi bronchoscope e nānā i nā māmā a lawe i nā ʻāpana ʻiʻo a wai paha e hoʻouna i kahi hale hana no ka hoʻāʻo ʻana.

Pehea e mālama ʻia ai ka hōʻino ʻia ʻana o ka māmā e ka COVID-19?

ʻAʻole nui nā mea hiki iā ʻoe ke hana e hoʻoponopono piha i kou mau māmā ma hope o ko lākou hōʻino ʻia ʻana. Akā, hiki i nā kauka ke kōkua iā ʻoe e loaʻa ka oxygen āu e pono ai. Inā loaʻa iā ʻoe ka maʻi pneumonia a i ʻole ARDS mai COVID-19, hiki i kāu kauka ke ʻōlelo i kēia mau lāʻau lapaʻau:

• ʻOkikene hoʻohui:Ke hana nei kou mau māmā, akā inā ʻaʻole lawa ka oxygen iā ʻoe, e hāʻawi ʻia ʻoe i ka oxygen keu ma o kahi ʻōmole i kau ʻia i loko o kou ihu a i ʻole kahi pale maka i kau ʻia ma kou alo.
• Nā wai intravenous (nā wai IV): Hāʻawi ʻia nā wai keu ma o kahi IV e pale ai i ke kino mai ka maloʻo ʻana.
• Hoʻoulu ea mīkini: Inā ʻaʻole hiki iā ʻoe ke hanu iā ʻoe iho, e hoʻopili ʻia ʻoe i kahi ventilator.
• Proning: I mea e kōkua ai i kou mau māmā e hana maikaʻi, ua hoʻohuli ʻia ʻoe i kou ʻōpū no kekahi mau hola i ka lā.
• ʻO ka Oxygenation Membrane Extracorporeal (ECMO): Inā ʻaʻole hana pono kāu mau ʻōkana, hiki ke hoʻopili ʻia ʻoe i kahi mīkini hoʻōla ola e hana ana i ka hana o kou puʻuwai a me kou mau māmā.
• Ka hoʻokahe ʻana o ka wai: No ka hoʻemi ʻana i ka wai i loko o kou mau māmā, hiki i ke kauka ke hoʻohana i kahi catheter a i ʻole ke ʻoki ʻana e wehe ai i ka wai.

Hiki i nā kauka ke kuhikuhi i nā lāʻau lapaʻau e like me kēia e kōkua i ke kaua ʻana i ka maʻi:

• Nā lāʻau lapaʻau antiviral: Hiki i nā lāʻau lapaʻau e like me Remdesivir a i ʻole Paxlovid™ ke kōkua i ke kaua ʻana i ka maʻi COVID-19.
• Corticosteroids: Hiki i nā kauka ke hoʻohana i nā steroids a i ʻole nā ​​​​lāʻau anti-inflammatory ʻē aʻe e hōʻemi i ka pehu ʻana.
• Nā antibodies Monoclonal: Hiki i nā lāʻau lapaʻau antibody monoclonal, e like me tocilizumab, ke hōʻemi a pale paha i ka mumū.
• Nā lāʻau antibiotic: Inā loaʻa iā ʻoe kahi maʻi bacteria ma waho aʻe o COVID-19, hiki i kāu kauka ke kuhikuhi i nā lāʻau antibiotic.

ʻAʻole i hana pinepine ʻia nā hoʻoili māmā i nā poʻe me ka hōʻino lōʻihi o ka māmā mai COVID-19. Eia kekahi, inā e hoʻomau ka ʻino o ka ʻeha o ka māmā (pulmonary fibrosis), aia kekahi mau lāʻau lapaʻau e hiki ke hoʻolohi iā ia.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka hōʻino ʻana o ka māmā i ka COVID-19?

Inā loaʻa iā ʻoe ka maʻi niumonia a i ʻole ARDS mai COVID-19, pono ʻoe e noho i ka haukapila i hiki i nā kauka ke kōkua iā ʻoe e hanu a hiki i ka hoʻōla ʻana o kou kino mai ka maʻi.

Hiki i ka ʻōpala o nā māmā ke lōʻihi a mau loa paha. I kekahi mau hihia, hiki i ka ʻōpala i hoʻokumu ʻia e ka maʻi ke hoʻomau i ka ʻino aʻe i ka hala ʻana o ka manawa, ʻoiai ma hope o ka nalo ʻana o kāu mau hōʻailona ʻē aʻe.

Āhea wau e ʻike ai i kaʻu kauka?

Inā loaʻa iā ʻoe ka maʻi COVID-19, e nīnau koke i kāu kauka e pili ana i ka lawe ʻana i ka lāʻau antiviral. ʻOi aku ka maikaʻi inā lawe ʻia i loko o nā lā ʻelima mua o ka hoʻomaka ʻana o nā hōʻailona.

Inā loaʻa iā ʻoe ka pōkole o ka hanu, ka luhi, a i ʻole nā ​​​​hōʻailona ʻē aʻe, e kamaʻilio me kāu kauka. Hiki i ka COVID lōʻihi ke kōkua iā ʻoe e ʻoluʻolu.Aia kekahi mau keʻena lapaʻau.

Āhea wau e hele ai i ka ʻOihana Pōpilikia (ETU) ?

Inā loaʻa iā ʻoe ke COVID-19 a loaʻa iā ʻoe kēia mau hōʻailona koʻikoʻi, e hele koke i ka lumi pilikia, a i ʻole e kelepona iā 1990 (a i ʻole kāu helu pilikia kūloko):

• Ka pōkole nui o ka hanu ʻana a i ʻole ka paʻakikī o ka hanu ʻana.
• Ka huikau.
• ʻAʻole hiki ke noho ala.
• Ka loli ʻana o ke ʻano polū o ka ʻili, nā lehelehe, a i ʻole nā ​​​​kui lima.

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

He mea kōkua paha ka nīnau ʻana i kāu kauka i nā nīnau e like me kēia:

• Aia kekahi mau koho lapaʻau i loaʻa iaʻu?
• Hiki i kēia ke ho'ōla iā ia iho?
• Pehea lā wau e mālama ai iaʻu iho?

Hiki ke pale ʻia ka hōʻino ʻana o ka māmā o COVID-19?

ʻO ke ala maikaʻi loa e pale aku ai i ka hōʻino ʻana o ka māmā, ʻo ia ke pale ʻana i ka loaʻa ʻana o kahi maʻi. Hiki iā ʻoe ke hana i kēia mau mea e hōʻemi ai i kou pilikia o ka loaʻa ʻana o ka COVID-19 koʻikoʻi:

• E kiʻi i ka lāʻau pale: ʻO ka loaʻa ʻana o ka lāʻau pale kūʻē i ka COVID-19 a me nā maʻi ʻē aʻe e like me ka maʻi palū hiki ke hōʻemi i kou pilikia o ka maʻi ʻana a i ʻole ka maʻi nui ʻana.
• Ke haʻalele ʻana i ka puhipaka a me ka pale ʻana i ka uahi lua: Hoʻopōʻino ka puhipaka i kou mau māmā, ʻo ia hoʻi, ʻoi aku ka nui o kou loaʻa ʻana i nā maʻi e hiki ai ke alakaʻi i nā kūlana e like me ka maʻi pneumonia.
• E holoi pono i kou mau lima me ke kopa a me ka wai ma mua o ka ʻai ʻana, ka lawelawe ʻana i ka meaʻai, a ma hope o ka hoʻohana ʻana i ka lua. Inā ʻaʻohe kopa, e hoʻohana i kahi mea hoʻomaʻemaʻe lima i loaʻa ka waiʻona.
• Mai hoʻokaʻaʻike kokoke aku i nā poʻe ʻē aʻe a mai ka kaʻana like ʻana i nā mea .
• E mālama i nā pilikia olakino ʻē aʻe āu i loaʻa ai, no ka mea, hiki iā lākou ke hoʻonui i kou pilikia o ka maʻi ʻana o ka COVID-19.

Inā maʻi ʻoe, ʻo ka lawe ʻana i ka lāʻau antiviral i loko o nā lā ʻelima mua o nā hōʻailona hiki ke kōkua i ka pale ʻana i ka maʻi mai ka ʻino ʻana.

E hoʻomanaʻo, ʻo ka mumū kahi ala e hoʻohana ai kāu ʻōnaehana pale e pale aku iā ʻoe. Akā inā lilo ia i mea ʻole, hiki iā ia ke hōʻino, e like me ka hōʻino ʻana o ka māmā i hoʻokumu ʻia e COVID-19. ʻAʻohe mea hiki ke ʻōlelo maopopo i ka mea e maʻi nui a ʻo wai ka mea e loaʻa nā hopena lōʻihi.

ʻO ka mea hope loa, leka lawe i ka home:

ʻAʻole he pāʻani ka COVID-19, e nā hoaaloha. Hiki iā ia ke hoʻopilikia i ko kākou mau māmā ma nā ʻano i manaʻo ʻole ʻia. No laila, e noho palekana e like me ka hiki. E kiʻi i ka lāʻau pale, e hahai i nā alakaʻi olakino. Inā loaʻa iā ʻoe kekahi mau hōʻailona, ​​​​mai hoʻowahāwahā iā lākou. E ʻimi koke i ke kōkua lapaʻau. ʻOi loa aku inā pilikia ʻoe i ka hanu ʻana a i ʻole ka ʻeha o ka umauma, e ʻike pono i ke kauka.

Inā he mau nīnau a hopohopo paha kāu e pili ana i ka hōʻino ʻana o ka māmā o COVID-19, e kamaʻilio me ke kauka. Hiki iā lākou ke wehewehe pehea e hōʻemi ai i kou pilikia a mālama i kāu mau hōʻailona. E noho olakino kākou a pau!

COVID -19, Pōʻino o ka māmā, Pilikia o ka hanu, Pneumonia, ARDS, COVID lōʻihi, lāʻau lapaʻau COVID