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.

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.

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.

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