E aʻo kākou e pili ana i nā māmā hyperinflated.

Ke manaʻo nei ʻoe i kekahi manawa he pōkole iki ka hanu, he ʻūmiʻi i loko o kou umauma, a i ʻole he manaʻo luhi mau? Hiki i kēia ke kumu o nā kumu like ʻole. Eia nō naʻe, ʻo kekahi o nā kumu nui no kēia, ʻo ia ka nui o ka pehu ʻana o kou mau māmā , kahi a nā kauka e kapa nei (Hyperinflated Lungs) . E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku a maʻalahi i kēia lā.

He aha nā māmā hyperinflated?

I ka ʻōlelo maʻalahi, hana kēia i ka wā e ālai ʻia ai nā ʻōmole liʻiliʻi (nā ala ea) i loko o kou mau māmā e hoʻokuʻu ana i ka ea i waho. A laila, i kou hanu ʻana, ʻaʻole hiki i kēlā ea āpau ke puka i waho. Me kēlā ea, ua paʻa pū ka mucus i loko o kou mau māmā. E noʻonoʻo e like me ka puhi ʻana i ka ea i loko o kahi pōpō a pehu ia, akā inā paʻa kahi ea liʻiliʻi i loko, ua pehu nui ʻia, ʻeā? ʻO ia ka mea e hana ʻia i kou mau māmā.

Ke paʻa ka ea a me ka mucus i loko o nā māmā ma kēia ʻano, lilo ia i mea paʻakikī ke hanu, a lilo nā māmā i mea nui ma mua o ka mea e pono ai. I ka hala ʻana o ka manawa, hiki i kēia ke hōʻino i nā māmā, hoʻopilikia i ka puʻuwai, a pale i ke kino mai ka loaʻa ʻana o ka oxygen lawa . No laila, he ʻano kēia e pono ai ke mālama pono.

Hiki i ke kauka ke nānā iā ʻoe a hana i nā hoʻokolohua e like me nā X-ray e hoʻoholo ai inā loaʻa iā ʻoe kēia maʻi. ʻO ka mālama ʻana no kēia e komo pū me nā inhalers, nebulizers , nā hoʻomaʻamaʻa hanu kūikawā, a i kekahi manawa ʻo ke ʻoki kino.

No ke aha e pehu ai nā māmā penei? He aha nā kumu?

ʻO ke kumu nui o kēia pehu nui ʻana o nā māmā he maʻi i kapa ʻia ʻo COPD , a i ʻole Chronic Obstructive Pulmonary Disease . ʻAʻole kēia he maʻi hoʻokahi, akā he hui pū ʻana o kekahi mau maʻi e pili ana i ka māmā. ʻO nā mea nui ʻelua:

1.ʻO ka Bronchitis Mau Loa: ʻO kēia ka wā e pehu ai ka bronchi , a i ʻole nā ​​ala ea, i loko o kou mau māmā i ka hala ʻana o ka manawa. Hoʻemi kēia i ka hakahaka i loko o nā ʻōmole, e paʻakikī ai ka hanu ʻana. Hoʻonui pū ia i ka mucus e hōʻiliʻili.

2. Emphysema : ʻO kēia ka manawa e hōʻino ʻia ai nā ʻeke ea palupalu loa i loko o nā māmā a hōʻino mau loa ʻia. ʻO kēia mau ʻeke ka mea e kōkua iā mākou e lawe i ka oxygen a hoʻopau i ke kalapona ʻokikene. Ke hōʻino ʻia kēia mau mea, ʻaʻole hiki i ka ea ke komo a puka pono, a paʻa ia i loko.

Ma waho aʻe o ka COPD, ʻo nā maʻi māmā ʻē aʻe e hoʻopilikia i ke ʻano o kou hanu ʻana i waho (exhale) hiki ke hoʻoulu i kou mau māmā e pehu i kēia ʻano. Eia kekahi mau laʻana:

• Asthma : Ua ʻike ʻoe i ka wā e loaʻa ai iā ʻoe ka hānō, he paʻakikī ke hanu. Hiki ke hana ʻia kēia ʻano ma muli o ka paʻa ʻana o nā alaea.
• ʻO Cystic Fibrosis: He maʻi hoʻoilina kēia. I kēia kūlana, lilo ka mucus i loko o nā māmā i mānoanoa loa, e paʻakikī ai ka hanu ʻana.
• Bronchiectasis: Ma kēia ʻano, hoʻonui mau ʻia nā alaea , e hōʻiliʻili ana i ka mucus a alakaʻi i nā maʻi.
• Bronchiolitis: He maʻi kēia e ʻike pinepine ʻia i nā kamaliʻi ʻōpio a pili i ka mumū o nā ala ea liʻiliʻi loa i loko o nā māmā.

Pehea ka maʻamau o kēia kūlana?

ʻIke pinepine ʻia ka mumū o ka māmā i nā poʻe me COPD. Ua manaʻo ʻia he 15-20 miliona mau kānaka ma ʻAmelika Hui Pū ʻIa e noho ana me COPD. Eia nō naʻe, ʻaʻohe helu kikoʻī e pili ana i ka nui o ka poʻe i loaʻa i kēia mumū o ka māmā. Eia nō naʻe, he mea maʻamau ia i waena o nā poʻe maʻi COPD.

He aha nā hōʻailona o kēia?

Ua like nā hōʻailona o ka hyperinflation o ka māmā me nā mea i ʻike ʻia e ka poʻe me ka maʻi māmā maʻamau. ʻO kēia mau mea:

• Pōkole o ka hanu : Loaʻa ka pōkole o ka hanu ma hope o ka hele wāwae iki ʻana a i ʻole ke piʻi ʻana i kahi alapiʻi. I kekahi manawa, ʻoiai ke kū mālie wale nō hiki ke hoʻopōkole i ka hanu.
• Ka hanu papau:He mea paʻakikī ke hanu hohonu a hoʻokuʻu aku i waho, hanu mālie wale nō ʻoe i waho.
• Manaʻo luhi i nā manawa a pau, nele i ka ikaika: Manaʻo ʻaʻohe ou ikaika e hana i kekahi mea, manaʻo luhi mau.
• Paʻa ka umauma: Manaʻo ka umauma me he mea lā ua paʻa kekahi mea i loko, me he mea lā ua piha i ka mucus.

Hiki paha iā ʻoe ke ʻike i kēia mau hōʻailona me ka ʻole o ka hoʻoikaika nui ʻana. ʻO ke ʻano kēia, hiki paha iā ʻoe ke manaʻo i ka pōkole loa o ka hanu a me ka luhi ʻoiai ke hana nei i nā hana maʻamau o kēlā me kēia lā. E noʻonoʻo i ka paʻakikī o ka hana ʻana i kahi hana liʻiliʻi o ka hale a i ʻole e hele i ka hale kūʻai.

ʻO wai ka mea i pilikia nui no kēia?

ʻOi aku ka nui o ka pilikia o ka poʻe me kekahi mau maʻi hanu a me nā maʻi māmā i ka loaʻa ʻana o kēia maʻi, no ka mea, ua ʻike ʻia kēia mau maʻi e hoʻoulu ai i kēia maʻi. No ka laʻana, ʻoi aku ka nui o ka pilikia o ka poʻe me nā maʻi e like me ka COPD, ka hānō, a me ka emphysema .

ʻO ka puhipaka ke kumu pilikia nui loa no kēia. Hoʻopōʻino pololei ka puhipaka i nā māmā, hiki ke alakaʻi i nā maʻi e like me COPD, hiki ke alakaʻi i ka mumū o ka māmā.

Eia kekahi, aia kekahi mau kumu pilikia genetic. ʻO kahi laʻana ʻo ka hemahema o Alpha-1 antitrypsin . He kūlana genetic kēia e hiki ai ke hana i ka emphysema a me ka maʻi ʻaʻai māmā.

He aha nā pilikia e hiki ai i kēia ke hana?

ʻO kekahi o nā pilikia koʻikoʻi loa e hiki mai ana mai ka hoʻonui nui ʻana i nā māmā, ʻo ia ke kaomi ma luna o ka puʻuwai . E hoʻomanaʻo, aia ka puʻuwai ma waena o nā māmā. Inā hoʻonui nui ʻia nā māmā, hiki iā ia ke kau i ke kaomi ma luna o ka puʻuwai. I ka hala ʻana o ka manawa, hiki i kēia kaomi ke hoʻololi i ke ʻano o ka pamu ʻana o kou puʻuwai i ke koko i nā māmā. Hiki i kēia ke hoʻonui i ka pilikia o ka hāʻule ʻana o ka puʻuwai a hoʻemi i ka pae oxygen i loko o kou koko .

Eia kekahi, hiki i ka pehu ʻana o ka māmā ke lilo i mea hoʻopilikia nui i kou ola o kēlā me kēia lā. ʻO ka paʻakikī o ka hanu ʻana hiki ke hoʻolilo iā ia i mea paʻakikī ke hana i nā hana maʻamau loa, e hōʻemi ana i kou ʻano ola.

Pehea ʻoe e ʻike ai i kēia?

E nīnau ke kauka e pili ana i kou mōʻaukala olakino a me nā hōʻailona, ​​a e nānā iā ʻoe. E hoʻolohe ʻo ia i kou mau māmā a me kou puʻuwai me kahi stethoscope a noi iā ʻoe e lawe i kekahi mau hanu hohonu. I ka wā o ka hoʻokolokolo kino, e ʻike paha ʻoe e piʻi a iho ana kou umauma i kou hanu ʻana.

Ma hope o kēlā, e kauoha paha kāu kauka i nā hoʻokolohua hou aʻe e ʻike ai pehea e hana ai kou mau māmā. Hiki i kēia mau mea ke komo pū me:

• X-ray umauma: Hiki i kēia ke kiʻi i nā kiʻi o kou mau māmā, puʻuwai, a me nā ʻōpū ʻē aʻe i loko o kou umauma. Hiki iā ia ke hāʻawi iā ʻoe i kahi manaʻo inā ua pehu loa kou mau māmā.
• CT scan (Computerized tomography (CT) scan): Hiki i kēia ke hana i kahi kiʻi maopopo a kikoʻī hoʻi o nā māmā a me ka puʻuwai ma mua o kahi X-ray.
• Nā hoʻāʻo hana pulmonary (PFTs): Nānā kēia mau hoʻokolohua i ka nui o ka ea i loaʻa i kou mau māmā a me ka maikaʻi o ka hana ʻana o kou mau māmā.

Hiki i kāu kauka lapaʻau ke kuhikuhi iā ʻoe i kahi kauka loea i nā maʻi hanu, he pulmonologist .

He maʻi koʻikoʻi anei kēia pehu ʻana o ka māmā?

ʻAe, hiki i ka hyperinflation ke lilo i maʻi koʻikoʻi . ʻAʻole wale ia e hōʻino i nā māmā a hoʻopilikia i ke ʻano o ke ola, hiki iā ia ke kau i ke kaomi ma ka puʻuwai a alakaʻi i nā maʻi e like me ka hāʻule ʻana o ka puʻuwai. No laila he mea nui loa ka makaʻala i kēia.

He aha ka lāʻau lapaʻau no kēia?

ʻO ka mālama ʻana no ka hyperinflation e pili ana i ke koʻikoʻi o kou mau hōʻailona a me kou olakino holoʻokoʻa. ʻO kekahi mau lāʻau lapaʻau e hiki ai ke komo pū me:

• Nā mea hoʻonui i ka bronchi:He mau lāʻau lapaʻau kēia e hoʻomaha ai i nā ʻiʻo a puni kou mau ala ea a hoʻonui iā lākou, e maʻalahi ai ka puka ʻana o ka ea mai kou mau māmā. Loaʻa pinepine lākou ma ke ʻano he mau mea hoʻoheheʻe a i ʻole he wai āu e hoʻokomo ai i loko o kahi nebulizer a hanu.
• Nā ʻano hanu: Hiki i kāu kauka ke aʻo iā ʻoe i nā hoʻomaʻamaʻa hanu kūikawā, e like me ka hanu ʻana i ka lehelehe pursed, e kōkua i ka hoʻonui ʻana i kou mau ala ea. ʻO ka hoʻoponopono hou ʻana o ka pulmonary kahi papahana kūikawā e komo pū ana me ka hoʻomaʻamaʻa hoʻoikaika kino he mea kōkua nui ia no ka poʻe me nā maʻi māmā e like me COPD.
• Lapaʻau oxygen: Pono kekahi poʻe e hāʻawi ʻia i ka oxygen hou, ma o ka cannula ihu a i ʻole ka pale maka. Kōkua kēia i ke kino e loaʻa ka oxygen e pono ai.
• Nā mea kōkua hanu: Hiki i nā mea hana e like me ka nebulizer a me ka mīkini CPAP ke kōkua i ka maʻalahi o ka puka ʻana o ka ea mai nā māmā.
• ʻO ke ʻoki ʻana i ka nui o ka māmā: Hana pinepine ʻia kēia ma ke ʻano he koho hope loa ke holo ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe. Pili ia i ka wehe ʻana i nā ʻāpana i hōʻino ʻia o nā māmā, e ʻae ana i nā ʻāpana olakino i koe e hana pono.

E hoʻi hou anei ke kahe ʻana o ka puʻu o ka māmā i ke kūlana maʻamau?

ʻO ka mea pōʻino, ʻo ka hōʻino ʻana i nā māmā he mau loa ia . ʻO ia hoʻi, ʻaʻole ia e hoʻōla piha. Eia nō naʻe, hiki i ka mālama kūpono ke hōʻemi i nā hōʻailona, ​​​​hōʻemi i ka pono no ka noho pinepine ʻana i ka haukapila, a hōʻemi i ka pono no nā kipa ʻana i nā lumi pilikia (ETU) . ʻOiai hiki i ka mālama ʻana ke maʻalahi iā ʻoe ke hanu, ʻaʻole ia e hoʻihoʻi piha i kou mau ala ea a me nā ʻiʻo māmā i ka maʻamau.

He aha ka manaʻolana no ka wā e hiki mai ana me kēia kūlana?

Me ka mālama kūpono, hiki i kekahi me ka emphysema koʻikoʻi ke ola i kahi ola maʻamau.ʻOiai ʻaʻole hiki ke ho'ōla piha ʻia kou mau māmā, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e pale aku i ka hōʻino hou aʻe a pale aku i ka hōʻino hou ʻana o ka māmā.

Akā inā ʻaʻole mālama ʻia, hiki i ka edema pulmonary ke hōʻino i ka puʻuwai, e alakaʻi ana i nā maʻi koʻikoʻi e like me ka hāʻule ʻana o ka puʻuwai. No laila, he mea nui ka mālama ʻana.

Pehea e hiki ai ke pale ʻia kēia?

ʻO ke ala maikaʻi loa e pale aku ai i ka COPD, ʻo ia ke hana i nā hana e pale aku ai. ʻO ka puhipaka ke kumu o 90% o nā hihia COPD. No laila, ʻo ka haʻalele ʻana i ka puhipaka a me ka pale ʻana i ka uahi lua nā ala maikaʻi loa e pale aku ai i ka COPD a me ka COPD. He mea nui hoʻi e hōʻemi i ka ʻike ʻana i ka haumia o ka ea.

Āhea wau e ʻike ai i ke kauka?

Inā pilikia ʻoe i ka hanu ʻana, ʻoiai inā he maʻi māmā kou e like me ka COPD a i ʻole ka hānō, e ʻike koke i ke kauka . Eia kekahi mau hōʻailona āu e makaʻala ai:

• Paʻakikī ka hanu ʻana.
• Ka paʻakikī o ka hanu ʻana i loko (inhale).
• Ke manaʻo nei i ka luhi loa a me ka nele i ka ikaika ʻoiai me ka hoʻoikaika nui ʻole.

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

Inā ʻaʻole e hoʻomaikaʻi kou hanu ʻana me kāu mau hoʻoikaika maikaʻi loa, e hele koke i ka lumi pilikia o ka haukapila kokoke loa . Hiki i ka hapa nui o ka poʻe me ka emphysema ke hanu maʻalahi me ka mālama kūpono. Eia nō naʻe, inā pau loa kou hanu ʻana, he pilikia olakino ia.

` ## Leka Hoʻihoʻi Hope Loa
ʻO ka noho ʻana me kahi maʻi māmā e paʻakikī ai ka hanu ʻana hiki ke hoʻopilikia i kou ola o kēlā me kēia lā a hoʻolilo iā ia i mea paʻakikī ke hana i nā hana maʻamau. ʻO ka mumū o ka māmā kahi maʻi maʻamau e hiki ke hoʻopilikia i ka poʻe me nā maʻi māmā e like me COPD a me ka hānō. Hiki i kāu kauka a i ʻole he pulmonologist ke kōkua iā ʻoe e loaʻa kahi lāʻau e hiki ke kōkua i ka hōʻemi ʻana i nā hōʻailona e like me ka pōkole o ka hanu.

> He mea nui loa ka lawe ʻana i nā lāʻau lapaʻau a pau e like me ke kuhikuhi ʻana a kāu kauka. ʻOiai ʻaʻole hiki iā mākou ke kāohi i kekahi mau maʻi māmā, hiki iā ʻoe ke hana i nā hana e pale aku ai iā lākou ma ka haʻalele ʻana i ka puhipaka, ka pale ʻana i ka uahi lua, a me ka hoʻēmi ʻana i kou ʻike ʻana i nā mea haumia o ka ea. E mālama i kou olakino.

—
Paʻa ʻana o ka māmā, pōkole o ka hanu, COPD, hānō, maʻi māmā, maʻi hanu, puhi paka