He aha kēia diaphragm nui? E aʻo kākou e pili ana i kēia ʻāpana koʻikoʻi o ko kākou kino!

He mea a kākou a pau e hana mau ai i ka hanu ʻana, akā, ʻaʻole kākou e noʻonoʻo nui i ia mea. Hana ʻia kēia kaʻina hana mai ka lā i hānau ʻia ai kākou a hiki i ka lā e make ai kākou. Akā, ua noʻonoʻo paha ʻoe i ka mea nāna ke koa maoli, a i ʻole ka ʻenekinia akamai, ma hope o kēia kaʻina hana hanu ʻana? ʻO ia ka mea a kākou e kamaʻilio ai i kēia lā. ʻO ia ka diaphragm , a i ʻole ka mea a kākou e kapa ai ma ka ʻōlelo Pelekania. ʻAʻole kēia he ʻiʻo wale nō, akā, he kanaka koʻikoʻi a kupaianaha hoʻi i loko o ko kākou kino.

I ka ʻōlelo maʻalahi, he aha kēia diaphragm nui?

E noʻonoʻo i kahi ʻiʻo lahilahi a ikaika ma waena o kou umauma a me kou ʻōpū, i ke ʻano o kahi umbrella. ʻO ia ka diaphragm. Aia ia ma lalo o ko kākou mau māmā a me ka puʻuwai.

ʻAʻole kēia ʻiʻo e kau wale ana a puni. Pili ia i:

• ʻO ka iwi ma waenakonu o kou umauma (sternum)
• I ka lalo o kou ʻaoʻao iwi
• Inā haki kou kua, e haki nō hoʻi kou iwi kuamoʻo.

ʻO kekahi o kāna mau hana nui, ʻo ia ke hana ma ke ʻano he paia ma waena o kou lua umauma (kahi o kou mau māmā a me kou puʻuwai) a me kou lua ʻōpū (kahi o kou mau kino e like me kou ʻōpū, nā naʻau, a me ke akepaʻa).

He aha ka hana a ka diaphragm nui? He hanu wale nō anei ia?

ʻAʻole, ʻo ka hanu ʻana wale nō ka mea nui e hana ai a ʻo ia ka mea a kākou e ʻike ai. Nui nā mea nui ʻē aʻe ma waho aʻe o kēlā. E nānā kākou i kēlā me kēia o lākou pākahi.

1. Luna o ke kaʻina hana hanu

ʻO kēia ka hana nui o ka Pā Nui. Hana ʻia kēia ma ke ʻano kupaianaha loa.

• Ke hanu ʻoe: Hoʻopaʻa kou diaphragm, e neʻe ana i lalo i kou ʻōpū e like me ka elevator. Hoʻonui kēia i ka hakahaka i loko o kou umauma. Hoʻonui kēia i ka hakahaka o kou mau māmā e hoʻopū ai, kahi e ʻae ai i ka ea e komo i loko o kou mau māmā.
• Ke hanu ʻoe i waho: Hoʻōki ka diaphragm i ka ʻūmiʻi ʻana a hoʻomaha. A laila neʻe ia i luna a i ka umauma, e hana ana i kahi ʻano e like me ka umbrella. I kēia manawa, ua hoʻokuke ʻia ka ea i loko o nā māmā i waho.

I ka ʻōlelo maʻalahi, me kēlā me kēia hanu āu e lawe ai, neʻe kēia diaphragm nui i luna a i lalo. Ua like ia me ka pamu ea kūlohelohe i loko o ko mākou kino.

2. Nā mea nui ʻē aʻe e hana ai ma waho aʻe o ka hanu ʻana

ʻAʻole i kaupalena ʻia ka diaphragm i ke kaʻina hana hanu wale nō. Hana ia i kekahi mau hana koʻikoʻi ʻē aʻe.

• Hoʻonui ʻia ke kaomi intra-abdominal: Ke ʻūlū ka diaphragm, hana ia i ke kaomi i loko o ka ʻōpū. Kōkua kēia kaomi iā mākou e hana i nā mea he nui. No ka laʻana, he mea nui kēia kaomi no nā mea e like me ka mimi ʻana a me ka defecating.
• Ke pale ʻana i ka reflux acid:ʻO kahi pilikia i loaʻa i nā kānaka he nui, ʻo ia ka gastritis, kahi mumū o ka ʻōpū. ʻO kekahi kumu o kēia, ʻo ia ka piʻi ʻana o ka waikawa o ka ʻōpū i loko o ka puʻu. ʻO ka paipu e hele ai kā mākou meaʻai (Esophagus) e hele i ka ʻōpū ma o ka diaphragm. Hana ka diaphragm e like me kahi clamp a puni kēia paipu meaʻai, e pale ana i ka piʻi ʻana o ka waikawa o ka ʻōpū.
• Ke hana nei i ke ala no nā aʻalolo koʻikoʻi a me nā kīʻaha koko: ʻO kekahi o nā aʻalolo koʻikoʻi, nā kīʻaha koko, a me nā ʻano hana ʻē aʻe i loko o ko mākou kino e hele ma o ka septum.

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He aha nā maʻi e hoʻopilikia ai i ka diaphragm nui?

E like me nā ʻāpana ʻē aʻe o ko kākou kino e hiki ai ke loaʻa i nā maʻi, hiki ke hōʻino ʻia ka diaphragm e nā pilikia like ʻole, nā maʻi, a me nā ulia pōpilikia. E nānā kākou i nā mea nui loa.

• Nā Hernias:
• Hiatal Hernia: ʻO kēia ke ʻano maʻamau. ʻO kēia ka wā e piʻi ai ka ʻaoʻao o luna o kou ʻōpū ma o kahi lua i loko o ka diaphragm, i loko o kou umauma. E noʻonoʻo e like me kahi pōpō liʻiliʻi e piʻi mai ana. Hoʻomaka pinepine kēia ʻano i kou wā e ʻelemakule ai a piʻi ke kaumaha.
• Diaphragmatic Hernia: ʻO kēia ka wā e paʻi ai kekahi ʻano ʻē aʻe i loko o ka ʻōpū (e like me ka ʻōpū) ma o kahi lua i loko o ka diaphragm i loko o ka umauma. Hiki i kēia mau mea ke loaʻa i ka wā hānau a i ʻole hiki ke hana ma hope o kahi ulia nui.
• Ka Pōʻino o ke Aʻalolo Phrenic: E like me kā mākou i kūkākūkā ai ma mua, ke kāohi nei kēia aʻalolo i ka diaphragm. Inā hōʻino ʻia kēia aʻalolo, ʻaʻole hiki i ka diaphragm ke hana pono. Hiki ke hōʻino ʻia kēia aʻalolo e ka maʻi kanesa, ke ʻoki kino (ʻoi aku ka ʻoki kino bypass puʻuwai), nā ulia pōpilikia, a me kekahi mau maʻi.
• Nā Spasms ʻIʻo: ʻOiai he ʻiʻo nō hoʻi ka diaphragm, hiki iā ia ke spasm i kekahi manawa. He ʻano kēia e kū mai ana i ka wā e hoʻoikaika kino ai mākou a holo paha, a ʻo ka ʻeha e puka mai ana mai ka ʻaoʻao o ka ʻōpū, i kapa ʻia ʻo "side stitch," e hoʻomaha pinepine ʻia ma ka hoʻomaha ʻana no kekahi manawa.
• Ka Nawaliwali a i ʻole ka Paralysis: ʻO kekahi mau maʻi neurological, e like me ka Multiple Sclerosis (MS) a me Amyotrophic Lateral Sclerosis (ALS), hiki ke hoʻonāwaliwali i ka diaphragm a lilo paha i paralysis loa. ʻO ka neuropathy diabetic, nā ʻeha o ke kaula spinal, a me nā maʻi māmā e like me COPD hiki ke hoʻonāwaliwali i ka diaphragm.

He aha nā hōʻailona o kahi pilikia me ka diaphragm nui?

Inā he pilikia me ka diaphragm nui, hiki iā ʻoe ke ʻike i nā ʻano hōʻailona like ʻole. Hiki ke hele mai kēia mau mea a hele aku no kekahi manawa, a i ʻole he mau loa paha.

• ʻEha ka ʻōpū, ʻeha ka umauma, a me ka ʻono ʻawaʻawa i ka puʻu (Acid reflux, heartburn).
• ʻŪ pinepine a me ka paʻakikī i ke ale ʻana i ka meaʻai.
• Ka loli ʻana o ka ʻili (i kekahi manawa e polū paha ka ʻili).
• Ka wikiwiki o ka puʻuwai, ka ʻeha o ka umauma a i ʻole ka ʻūmiʻi.
• Ka hanu pōkole, ʻoiai i ka wā e moe ana.
• ʻEha poʻo.
• ʻO nā hiccups e hele pinepine mai a hele a hoʻomau me ka nalo ʻole.
• ʻEha a kaomi paha ma ka umauma, ke kua, nā ʻaoʻao, nā poʻohiwi, a i ʻole ka ʻōpū (ʻoi aku hoʻi ma lalo o ka iwi ʻaoʻao). Hiki ke ʻoi aku ka ʻino o kēia ʻeha ma hope o ka ʻai ʻana.
• Manaʻo e like me ka ʻeha o ka ʻōpū ma lalo o nā iwi ʻaoʻao.

He mea nui loa: ʻO nā hōʻailona e like me ka ʻeha o ka umauma, ka paʻa o ka umauma, a me ka pōkole o ka hanu hiki ke like loa me nā hōʻailona o ka hōʻeha puʻuwai. No laila, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​​​mai hoʻowahāwahā iā lākou a noho i ka home. E hele koke i ka ʻOihana Pōpilikia (ETU) o ka haukapila kokoke loa. Hiki i kēia ke lilo i kūlana ola a make paha.

Pehea ka maʻamau o kēia mau kūlana?

ʻO ke kumu nui o nā pilikia phrenic ka hōʻino ʻia ʻana o ke aʻalolo phrenic, ma o ke ʻoki kino a i ʻole kahi ulia paha. Ma kahi o 20% o nā maʻi e loaʻa paha kekahi hōʻino i kēia aʻalolo ma hope o ke ʻoki puʻuwai bypass.

ʻO ke kūlana a mākou i kamaʻilio ai i kapa ʻia ʻo (Hiatal Hernia) he mea maʻamau loa nō hoʻi. He mea maʻamau ia i waena o ka poʻe ma luna o 50 mau makahiki a me ka poʻe momona. Wahi a nā noiʻi, ma kahi o 55% o ka poʻe ma luna o 50 mau makahiki, ʻo ia hoʻi, ma kahi o hoʻokahi i kēlā me kēia ʻelua kānaka, hiki ke loaʻa i kekahi kekelē o (Hiatal Hernia).

Pehea mākou e mālama ai i ke olakino o ka Great Barrier Reef?

He ʻiʻo nō hoʻi ka diaphragm. No laila, e like me nā ʻiʻo ʻē aʻe i loko o ko kākou kino, hiki iā kākou ke hoʻoikaika iā ia ma ka hoʻomaʻamaʻa ʻana. Aia nā hoʻomaʻamaʻa hanu kūikawā no ia. Ua kapa ʻia kēia mau mea he (Diaphragmatic breathing exercises). Kōkua kēia i ka diaphragm e hana me ka ʻoi aku ka maikaʻi. Hiki i kēia mau hoʻomaʻamaʻa ke hōʻemi i ke kaumaha o ka noʻonoʻo.

Eia kekahi, e hahai i kēia mau hana e mālama i ke olakino o kou diaphragm:

• E pale i ka ʻai ʻana i nā meaʻai nui i ka manawa hoʻokahi. E ʻai i kekahi mau meaʻai liʻiliʻi i ka lā. E noho mamao mai nā meaʻai ʻaila, mea ʻala, a me nā mea ʻawaʻawa e hiki ai ke hoʻonāukiuki i ka ʻōpū.
• E mālama i ke kaumaha o ke kino olakino. Hoʻokomo ke kaumaha nui i ke kaomi pono ʻole ma ka diaphragm.
• E hoʻomehana ma mua o ka hoʻoikaika kino. Hāʻawi kēia i kou diaphragm a me nā ʻiʻo ʻē aʻe i ka manawa e hoʻomākaukau ai no ka hoʻoikaika kino.
• I ka wā e hoʻoikaika kino ai, mai hoʻoikaika nui iā ʻoe iho i ka manawa hoʻokahi. E hoʻonui mālie i ka ikaika o kāu hoʻoikaika kino.
• Inā loaʻa iā ʻoe kahi maʻi (e laʻa me ka maʻi diabetes, ka maʻi māmā) e hoʻonui ai i kou pilikia o ka hoʻomohala ʻana i nā pilikia me kou diaphragm, e kiʻi i nā hoʻokolohua lapaʻau maʻamau.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kekahi o nā hōʻailona a mākou i kūkākūkā ai ma mua, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka e nānā iā ia. Hiki i kekahi mau hōʻailona ke lilo i mau hōʻailona o nā kūlana ʻē aʻe, no laila he mea nui e loaʻa kahi hōʻailona kūpono.

Ke hoʻomanaʻo hou aku nei au iā ʻoe,Inā loaʻa iā ʻoe ka ʻeha o ka umauma, ke kaomi o ka umauma, a i ʻole ka paʻakikī o ka hanu ʻana, he pilikia ia. E hele koke i ka ʻOihana Pilikia o ka haukapila (ETU).

Hiki ke hoʻonui ʻia kou pilikia o ka hoʻomohala ʻana i kahi pilikia me kāu diaphragm inā loaʻa iā ʻoe kekahi o kēia mau kūlana:

• Nā maʻi autoimmune, e.g. Lupus
• Nā maʻi māmā e like me ka COPD a me ke kanesa o ka māmā
• Maʻi puʻuwai e pono ai ke ʻoki kino
• Maʻi Lyme
• Nā maʻi neuromuscular, e.g. MS
• Momona
• Nā maʻi viral e like me ka HIV