Ke manaʻo nei ʻoe i kekahi manawa he pehu iki a kaumaha ke ala ʻoe i ke kakahiaka? A i ʻole ke manaʻo nei ʻoe ua noho ʻoe ma kahi noho keʻena i ka lā a pau, a i ʻole e noho ana ma luna o ke kaʻa no ka manawa lōʻihi, a laila e iho ana mai ke kaʻa, ua pehu loa kou mau wāwae a me nā kuʻekuʻe wāwae, a ua paʻa kou mau kāmaʻa? He mea maoli kēia e hana ʻia i nā poʻe he nui. I ka lāʻau lapaʻau, kapa mākou i kēia ʻano he pehu a i ʻole 'edema'. ʻO ka hapa nui o ka manawa, ʻaʻohe mea e hopohopo ai kēia, akā i kekahi manawa hiki ke lilo i hōʻailona o kahi maʻi koʻikoʻi ʻē aʻe i loko o ko mākou kino. No laila, he mea nui loa ka ʻike ʻana i nā mea āpau e pili ana i kēia me ka hopohopo ʻole. E kamaʻilio wale kākou e pili ana i kēia i kēia lā.
No laila, he aha ka edema?
I ka ʻōlelo maʻalahi, ʻo ka edema ka hōʻiliʻili ʻana o nā wai, ʻoiai ka wai, i loko o nā ʻiʻo o ko kākou kino, e hoʻoulu ai iā lākou e pehu. E noʻonoʻo ua piha ko kākou kino i kahi pūnaewele o nā ʻōmole liʻiliʻi i kapa ʻia he mau kīʻaha koko a me nā kīʻaha lymphatic. ʻO kēia nā wai e lawe i nā pono o ke kino a hoʻopau i nā huahana ʻōpala. I kekahi manawa, ke hewa kekahi mea me kēia ʻōnaehana, e kahe ana kekahi o kēia wai i loko o nā ʻiʻo a hōʻiliʻili ma laila. ʻO ia ka manawa e pehu ai kēlā wahi.
Hiki ke loaʻa kēia pehu ma nā wahi a pau o ke kino, akā ʻike pinepine ʻia ma:
- Ma nā wāwae ʻelua
- Maikaʻi nā kuʻekuʻe wāwae.
- Ma nā wāwae
- Ma nā lima ʻelua
- Ma ka maka
ʻOiai hiki ke hana ʻia kēia i kekahi o kēlā me kēia makahiki, ʻoi aku ka maʻamau i nā wahine hāpai a me nā poʻe ma luna o 65 mau makahiki. ʻO ka hapa nui o ka manawa, inā he pehu liʻiliʻi ia, e nalo wale ia i loko o hoʻokahi a ʻelua paha lā. No laila he paʻakikī ke ʻōlelo pololei i ka maʻamau o kēia.
He aha nā hōʻailona o ka pehu ʻana? Pehea ʻoe e ʻike ai?
ʻAʻole paʻakikī ke ʻike he pehu kou. ʻO ka hōʻailona nui, ʻo ia ka manaʻo o kahi wahi o kou kino he nui a ʻoi aku ka pehu ma mua o ka maʻamau. Hiki iā ʻoe ke hoʻolohe i kēia mau mea.
| Hōʻailona | Pehea kou manaʻo/ʻano |
|---|---|
| ʻAno pehu/hoʻonui ʻia | ʻIke ʻia kekahi ʻāpana o ke kino (e.g., wāwae, lima) he nui a pehu hoʻi ma mua o ka maʻamau. |
| Hoʻololi ʻili | Ua kīkoʻo loa ka ʻili ma kahi i pehu a he ʻālohilohi ke nānā aku. |
| Kaumaha a me ka ʻoʻoleʻa | Ua paʻa a kaumaha hoʻi ka ʻāpana pehu, me he mea lā ua piha i kahi mea i loko. |
| Paʻakikī ka hele wāwae | Ke pehu kou mau wāwae, kuʻekuʻe wāwae, a i ʻole nā wāwae, hiki ke paʻakikī ke hele a me ka manaʻo he maneʻo. |
| He ʻeha iki | I kekahi manawa e manaʻo paha ʻoe i kahi ʻeha iki a ʻeha paha ma ka wahi i pehu ʻia. |
| ʻŪhū a paʻakikī paha ka hanu ʻana | He hōʻailona koʻikoʻi kēia. Hiki ke hana ʻia kēia inā hōʻiliʻili ka wai i loko o nā māmā (pulmonary edema). |
No ke aha e pehu ai koʻu kino penei? He aha nā kumu?
ʻAʻohe kumu hoʻokahi o ka pehu ʻana, hiki ke nui. Ke hele ʻoe e ʻike i ke kauka, ʻo ka mea mua āna e hana ai, ʻo ia ke ʻike i ke kumu o kou pehu ʻana.
| Kumu | He wehewehe maʻalahi |
|---|---|
| Ka umekaumaha | Ke kū ʻoe a noho paha ma ke kūlana like no ka manawa lōʻihi, hōʻiliʻili maoli ka wai i loko o kou kino i kou mau wāwae a me nā wāwae ma muli o ke koʻikoʻi. Ua kapa ʻia hoʻi kēia he "dependent edema". |
| Ka lawa ʻole o ke kino | He mau kiwikā liʻiliʻi ko loko o nā aʻa koko i loko o ko kākou mau wāwae. Hoʻōki kēia mau mea i ke koko mai ke kahe ʻana i lalo a hoʻokuke iā ia i luna, i ka puʻuwai. Ke nāwaliwali kēia mau kiwikā, ʻaʻole e kahe pono ke koko i luna a hōʻiliʻili i loko o nā wāwae. Pili pū kēia i ka hanana o nā aʻa koko varicose. |
| Nā maʻi kumu ʻē aʻe | Hiki i ka pehu ke lilo i hōʻailona o nā maʻi ʻē aʻe, e like me ka puʻuwai puʻuwai, ka māmā, ke akepaʻa, nā puʻupaʻa, a i ʻole ka maʻi thyroid . He mea nui loa kēia. |
| Nā hopena ʻaoʻao o nā lāʻau lapaʻau | ʻO kekahi mau lāʻau lapaʻau, no ka laʻana, kekahi mau lāʻau lapaʻau no ke koko kiʻekiʻe a me nā mea ʻeha, hiki ke hana i ka pehu ʻana ma ke ʻano he hopena ʻaoʻao. |
| ʻAi kūpono ʻole | Inā ʻaʻole ʻoe e ʻai i ka meaʻai kaulike, ʻoiai inā hoʻohui ʻoe i ka nui o ka paʻakai (sodium) i kāu meaʻai, hiki i kou kino ke hoʻopaʻa i ka wai a pehu. ʻO ka ʻiʻo/iʻa maloʻo, nā sausage, nā mea ʻono, a me nā meaʻai i hoʻopili ʻia a mākou e ʻai ai he kiʻekiʻe i ka paʻakai. |
| Hāpai keiki | I ka wā hāpai, i ka ulu ʻana o ka ʻōpū, ua ʻomi ʻia nā kīʻaha koko nui ma ka ʻōpū lalo. No laila, he mea maʻamau ka pehu ʻana o nā wāwae, e ālai ana i ke kahe ʻana o ke koko mai nā wāwae a luna. |
| Nā pilikia o ka ʻōnaehana pale | Hiki ke hana ʻia ka pehu e kahi hopena alerika, ka maʻi, ke kuni, ka ʻeha, a i ʻole ke koko ʻūlū. |
Pehea e ʻike ai ke kauka i kēia? Aia kekahi mau pae o ka pehu?
Ke hele ʻoe e ʻike i ke kauka, e nānā mua ʻo ia i kou kino. E nānā ʻo ia i nā mea e like me ka pehu ʻana, ke kala o ka ʻili, a me ka ʻālohilohi.
A laila aia kahi hoʻāʻo kūikawā āna e hana ai. Ua kapa ʻia ʻo ia ʻo ka 'pitting test'.ʻO kāu hana ma ʻaneʻi, ʻo ke kaomi pono ʻana i kou manamana lima ma kahi i pehu ʻia no kahi o 5 a 15 kekona. Inā puka kahi lua liʻiliʻi ke wehe ʻoe i kou manamana lima, hōʻoia ia ua hōʻiliʻili ʻia ka wai i loko o ke kino.
Ua māhele ʻia ke koʻikoʻi o ka pehu ʻana i kekahi mau pae ma muli o ka wikiwiki o ka hoʻi ʻana o kēia mau ʻeha i ka maʻamau.
| Papa | Ka Hohonu o ka Lua | Ka Manawa Hoʻihoʻi |
|---|---|---|
| Papa 1 | He puka liʻiliʻi ma kahi o 2 milimita ka nui | Hoʻi hou ia i ka maʻamau ke kaomi ʻia. |
| Papa 2 | He puka ma kahi o 3-4 millimeters | Hoʻōla hou i loko o ka emi ma mua o 15 kekona. |
| Papa 3 | He puka ma kahi o 5-6 millimeters | E ho'ōla ʻia ia i loko o 15 a 60 kekona. |
| Papa 4 | He ʻauwaha ma kahi o 8 milimita ka hohonu | He 2-3 mau minuke e hoʻi ai i ka maʻamau. |
Pehea ʻoe e mālama ai i ka pehu?
ʻO ke ʻano o ka mālama ʻana i ka pehu ʻana ma muli o ke kumu. Ma kahi o ka hāʻawi wale ʻana i ka lāʻau lapaʻau e hōʻemi i ka pehu ʻana, hoʻāʻo nā kauka e mālama i ke kumu kumu.
- Inā ma muli o ka maʻi māmā:Eia kekahi laʻana, inā he mea puhi paka ʻoe ma muli o kahi maʻi e like me ka "Emphysema" a i ʻole "Chronic Bronchitis", e aʻo aku kāu kauka iā ʻoe e hoʻōki loa i ka puhi paka.
- Inā loaʻa iā ʻoe kahi maʻi e like me ka hāʻule ʻana o ka puʻuwai mau loa , e ʻōlelo ʻia paha ʻoe e kāohi i kou kaumaha, e kaupalena i kāu inu wai i kēlā me kēia lā, a kāohi i ka nui o ka paʻakai i kāu meaʻai. Inā ʻoe e inu i ka waiʻona, e ʻōlelo ʻia paha ʻoe e hōʻemi iā ia.
- ʻO ka hopena ʻaoʻao o ka lāʻau lapaʻau: Inā ʻike ʻia ua hoʻokumu ʻia ka pehu e ka lāʻau lapaʻau āu e lawe nei, hiki i kāu kauka ke hoʻōki i ka lāʻau lapaʻau, hoʻemi i ka nui, a hoʻololi paha iā ʻoe i kahi lāʻau lapaʻau ʻē aʻe.
E hoʻomanaʻo i hoʻokahi mea nui loa: Mai ho'ōki i ka lawe ʻana i kekahi lāʻau lapaʻau a hoʻololi paha i ka nui o ka lāʻau lapaʻau iā ʻoe iho me ka ʻole o ke kūkākūkā ʻana me kāu kauka. ʻO ka hana ʻana pēlā e hoʻonui paha i kou mau maʻi ʻē aʻe.
He aha kāu e hana ai ma ka home e hōʻemi ai i ka pehu?
ʻOiai e mālama ana i ke kumu, aia kekahi mau mea maʻalahi hiki iā ʻoe ke hana iā ʻoe iho e hōʻemi i ka ʻeha i hoʻokumu ʻia e ka pehu.
- E hoʻokiʻekiʻe i kou mau wāwae: Ke noho ʻoe a moe paha ma kahi moe, e kau i ʻelua a ʻekolu paha mau uluna ma lalo o kou mau wāwae, e mālama iā lākou ma luna o ka pae o kou puʻuwai. Kōkua kēia i ke kahe ʻana o ke wai i loko o kou kino e kūʻē i ka umekaumaha.
- Mai noho ma ke kūlana hoʻokahi: Mai noho a kū paha ma kahi hoʻokahi no ka lōʻihi loa. E ala a hele a puni iki, e hoʻoneʻe ana i kou mau wāwae, ma ka liʻiliʻi hoʻokahi manawa i ka hola.
- E hoʻohana i nā kāmaʻa kūikawā: Loaʻa nā kāmaʻa kākoʻo a i ʻole nā kāmaʻa hoʻopaʻa ma nā hale kūʻai lāʻau lapaʻau. Hāʻawi kēia i ke kaomi mālie i ka wahi pehu a kōkua i ka pale ʻana i ka hōʻiliʻili ʻana o ka wai.
- E hōʻemi i ka paʻakai: He mea nui loa kēia. E hōʻemi i ka nui o ka paʻakai āu e ʻai ai. E hōʻemi i ka nui o ka paʻakai i loko o nā meaʻai i loko o ka pahu, nā mea ʻono, nā sausage, nā pickles, a me nā iʻa maloʻo i ka hiki.
- E hahai i ka ʻōlelo aʻo a kāu kauka: Hiki ke hāʻawi ʻia iā ʻoe kahi diuretic (i kapa pinepine ʻia he 'pill wai') e kōkua i kou kino e hoʻopau i ka wai keu i loko o ka mimi. E lawe i ka lāʻau i ka manawa kūpono.
I nā kūlana hea e pono ai ʻoe e ʻike koke i ke kauka?
ʻOiai inā he pehu maʻamau wale nō, inā he mau hōʻailona, hiki ke lilo i pilikia. Inā pēlā, pono ʻoe e ʻike koke i ke kauka.
| Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻimi koke i ke kōkua lapaʻau. |
|---|
| Inā he ʻeha nui, ʻulaʻula, a i ʻole ke ʻano ʻili i ka wahi pehu. |
| Inā ua haki ka ʻili a ua hana ʻia kahi ʻeha hāmama ma kahi i pehu ʻia. |
| Inā pilikia ʻoe i ka hanu ʻana a i ʻole ka ʻeha o ka umauma . He pilikia kēia, e hele koke i ka haukapila kokoke loa i ka Emergency Department (ETU). |
| Inā hoʻokahi wale nō wāwae a lima paha e pehu koke (he hōʻailona paha kēia o kahi ʻūpā koko). |
| Inā ʻino loa ka pehu ʻana a hiki ʻole iā ʻoe ke hele a hoʻoneʻe paha i kou kino. |
ʻAʻole he mea e hoʻowahāwahā wale ʻia ka pehu ʻana. I kekahi manawa hiki iā ia ke lilo i hōʻailona mua o kahi maʻi koʻikoʻi. No laila, inā he pehu ʻē kou, he mea naʻauao mau ke ʻike i ke kauka e ʻike i ke kumu.
Leka Lawe-Home
- ʻO ka edema ka hōʻiliʻili ʻana o ka wai i loko o nā ʻiʻo o ke kino. Hiki ke maʻamau a i ʻole he hōʻailona o kahi maʻi koʻikoʻi.
- ʻO ke kū ʻana no ka manawa lōʻihi, ka ʻai ʻana i ka paʻakai nui, ka hāpai ʻana, a me nā maʻi o ka puʻuwai, nā puʻupaʻa, a me ke akepaʻa hiki ke hana i kēia.
- Inā pilikia ʻoe i ka hanu ʻana me ka pehu ʻana, ka pehu ʻana ma kekahi wāwae wale nō, a i ʻole ka ʻeha o ka umauma, e ʻike koke i ke kauka. He pilikia paha kēia.
- Ma ka home, e hoʻokiʻekiʻe i kou mau wāwae, e hōʻemi i ka ʻai ʻana i ka paʻakai, a me ka hele wāwae iki e hiki ke kōkua i ka hōʻemi ʻana i ka pehu.
- Mai lawe i ka lāʻau lapaʻau e like me kou makemake a i ʻole e hoʻōki i ka lawe ʻana me ka ʻole o ke kūkākūkā ʻana me kāu kauka.
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