Ke paʻakikī nei ʻoe i kekahi manawa ke hanu, manaʻo i ka ʻūlū i loko o kou umauma, a i ʻole ka pōkole o ka hanu ʻoiai ma hope o ka hana kino māmā? Manaʻo pinepine ʻoe i ka luhi ʻole? Hiki i kēia mau hōʻailona ke kumu mai nā kumu like ʻole, akā ʻo kekahi kumu koʻikoʻi nui paha, ʻo ia ka nui o ka ea o kou mau māmā , kahi maʻi i kapa ʻia e nā kauka ʻo Hyperinflated Lungs . I kēia lā, e kamaʻilio kākou e pili ana i kēia ma ke ʻano kikoʻī akā maʻalahi, ma Nirogi Lanka.
He aha maoli nā māmā Hyperinflated?
I ka ʻōlelo maʻalahi, hana ʻia kēia i ka wā e ālai ʻia ai nā ala ea liʻiliʻi i loko o kou mau māmā, e paʻakikī ai ka ea e puka ma hope o kou hanu ʻana. No ka mea, ʻaʻole hiki ke hoʻokuʻu piha ʻia ka ea, ua paʻa pū ia me ka mucus. E noʻonoʻo e like me ka pōpō pehu: inā ʻoe e hoʻopiha akā ʻaʻole hiki i ka ea ke puka i waho, ua paʻa loa ia a ua paʻa. ʻO kēia ka mea e hana ʻia i loko o kou mau māmā.
Ke paʻa ka ea a me ka mucus, lilo ka hanu ʻana i mea paʻakikī, a ʻoi aku ka nui o kou mau māmā ma mua o ko lākou hiki maʻamau. I ka hala ʻana o ka manawa, hiki i kēia ke alakaʻi i ka hōʻino mau ʻana o ka māmā, ka ʻeha o ka puʻuwai, a me ka lawa ʻole o ka oxygen i kou kino . No laila, pono kēia maʻi i ka mālama lapaʻau.
Hiki i ke kauka ke ʻike i kēia ma o ka hoʻokolokolo kino a me nā hoʻokolohua kiʻi e like me ka X-ray. ʻO nā koho lapaʻau ma nā haukapila e komo pinepine i nā inhalers, nebulizers , nā hoʻomaʻamaʻa hanu kūikawā, a i nā hihia koʻikoʻi, ke komo ʻana o ke ʻoki kino.
No ke aha e hoʻonui nui ʻia ai nā māmā? He aha nā kumu?
ʻO ke kumu nui o ka hyperinflation o ka māmā, ʻo ia ka COPD , a i ʻole ka maʻi Chronic Obstructive Pulmonary . ʻAʻole kēia he maʻi hoʻokahi, akā he hui o nā maʻi māmā, ʻo ka mea i ʻike nui ʻia:
1. Bronchitis Mau Loa: Pili kēia i ka mumū mau loa a me ka pehu ʻana o kou bronchi (nā ala ea). Hoʻohaiki kēia i ke ala, e paʻakikī ai ka hanu ʻana a alakaʻi i ka hana mucus nui.
2. Emphysema: Pili kēia i ka hōʻino ʻana i nā ʻeke ea palupalu (alveoli) i loko o kou mau māmā, kahi e nalowale ai ko lākou elasticity a hiolo. He mea nui kēia mau ʻeke no ka hoʻoili ʻana i ka oxygen i loko o kou koko a me ka wehe ʻana i ke kalapona dioxide. Ke hōʻino ʻia lākou, paʻa ka ea i loko.
Ma waho aʻe o ka COPD, ʻo nā maʻi māmā ʻē aʻe e hōʻino ai i ka exhalation hiki ke alakaʻi i ka hyperinflation, e like me:
- Asthma : E like me kou ʻike, hoʻohaiki ka hānō i nā alaloa, hiki ke alakaʻi i kēia ʻano.
- ʻO Cystic Fibrosis: He ʻano hoʻoilina kahi e hōʻiliʻili ai ka mucus mānoanoa a pipili i loko o nā māmā, e paʻakikī ai ka hanu ʻana.
- Bronchiectasis: ʻO kahi kūlana kahi e hoʻonui mau ʻia ai nā alaea , e alakaʻi ana i ka hōʻiliʻili ʻana o ka mucus a me nā maʻi pinepine.
- Bronchiolitis: ʻO ka mumū o nā ala ea liʻiliʻi loa i loko o nā māmā, he mea maʻamau ia i nā keiki ʻōpio.
Pehea ka maʻamau o kēia ʻano?
ʻIke pinepine ʻia ka hyperinflation o ka māmā i nā poʻe maʻi me COPD. Ma nā ʻāina e like me ʻAmelika Hui Pū ʻIa, 15-20 miliona mau kānaka e noho ana me COPD. ʻOiai ʻaʻole i hoʻokaʻawale mau ʻia nā helu helu honua kikoʻī e pili ana i ka hyperinflation, he ʻike lapaʻau maʻamau ia i waena o nā poʻe maʻi COPD.
He aha nā hōʻailona?
Ua like nā hōʻailona o ka hyperinflation o ka māmā me nā hōʻailona o nā maʻi māmā ʻē aʻe:
- Pōkole o ka hanu : Manaʻo e pau ka hanu ma hope o ka hele wāwae māmā a i ʻole ke piʻi ʻana i nā alapiʻi. I kekahi manawa, hiki ke paʻakikī ke hanu ʻoiai ke hoʻomaha.
- Hanu papau: ʻO ka hiki ʻole ke hanu hohonu a piha.
- Ka luhi mau a me ka nele i ka ikehu: Manaʻo mau ka luhi a nele paha i ka ikaika e hana i nā hana o kēlā me kēia lā.
- Paʻa o ka umauma: He manaʻo o ka paʻa a i ʻole ke kaumaha i loko o ka umauma, e pili pinepine ana me ka hōʻiliʻili ʻana o ka mucus.
Hiki ke kū mai kēia mau hōʻailona me ka ʻole o ka hoʻoikaika nui. Inā ʻike ʻoe he mea luhi a luhi hoʻi nā hana o kēlā me kēia lā—e like me ka hana ʻana i nā hana o ka hale a i ʻole kahi huakaʻi wikiwiki i ka hale kūʻai—ua hiki i ka manawa e nīnau aku ai i ke kauka.
ʻO wai ka mea i pilikia nui?
ʻO ka poʻe i loaʻa nā maʻi hanu mua e like me ka COPD, ka hānō, a me ka emphysema ua ʻoi aku ka nui o ka pilikia.
ʻO ka puhipaka ke kumu hoʻokahi nui loa o ka pilikia. Hoʻopilikia pololei ka puhipaka i nā māmā, e lilo ai ʻoe i mea maʻalahi loa i ka hoʻomohala ʻana i ka COPD a me ka hyperinflation o ka māmā ma hope.
Eia kekahi, aia nā kumu hoʻoilina, e like me ka hemahema o ka Alpha-1 antitrypsin , kahi kūlana i hoʻoili ʻia ma o nā ʻohana e hiki ke hoʻonui nui i ka pilikia o ka emphysema a me ka hyperinflation o ka māmā. Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi, e ʻoluʻolu e kelepona koke i kāu mau lawelawe ulia pōpilikia kūloko.
He aha nā pilikia e hiki ke kū mai mai kēia maʻi?
ʻO kekahi o nā pilikia koʻikoʻi o ka hyperinflation māmā ʻo ia ke kaumaha e kau ai ma kou puʻuwaiʻOiai aia kou puʻuwai ma waena pono o kou mau māmā, hiki i nā māmā i hoʻonui nui ʻia ke hoʻopaʻa iā ia. I ka hala ʻana o ka manawa, hiki i kēia kaomi ke hoʻopilikia i ka hiki o kou puʻuwai ke pamu i ke koko me ka maikaʻi i kou mau māmā, ʻaʻole wale ia e hoʻonui i ka pilikia o ka hāʻule ʻana o ka puʻuwai akā hiki nō hoʻi ke alakaʻi i nā pae oxygen haʻahaʻa i loko o kou koko .
Eia kekahi, hiki i ka hyperinflation o ka māmā ke hoʻopilikia nui i kou ola o kēlā me kēia lā. Ma muli o ka paʻakikī o ka hanu ʻana, hiki iā ʻoe ke ʻike he paʻakikī nā hana maʻalahi, hiki ke hoʻopilikia maikaʻi ʻole i kou ʻano ola holoʻokoʻa.
Pehea e ʻike ʻia ai kēia?
E nānā hou kāu kauka i kāu mōʻaukala olakino, loiloi i kāu mau hōʻailona, a hana i kahi hoʻokolokolo kino. Me ka hoʻohana ʻana i ka stethoscope, e hoʻolohe lākou i kou puʻuwai a me kou māmā me ke noi ʻana iā ʻoe e hanu hohonu i kekahi mau hanu. I loko o kēia hoʻokolokolo, e ʻike paha lākou ʻaʻole e hoʻonui pono a ʻaelike kou umauma i kou hanu ʻana.
Ma hope o kēia, hiki i kāu kauka ke kauoha i nā hoʻokolohua diagnostic hou aʻe e loiloi i kāu hana māmā, e like me:
- X-ray o ka umauma: Hāʻawi kēia i kahi kiʻi o kou mau māmā, puʻuwai, a me ka lua o ka umauma, e kōkua ana i ka ʻike ʻana i nā hōʻailona o ka hyperinflation o ka māmā.
- ʻO ke kiʻi tomography kamepiula (CT): Hāʻawi kēia i kahi kiʻi kikoʻī a maopopo loa o kou mau māmā a me ka puʻuwai ma mua o kahi X-ray maʻamau.
- Nā hoʻāʻo hana pulmonary (PFTs): Ke ana kēia mau hoʻāʻo i ka nui o ka ea e hiki i kou mau māmā ke paʻa a pehea ka maikaʻi o kā lākou hana.
Hiki i kāu kauka lapaʻau mua ke kuhikuhi iā ʻoe i kahi Pulmonologist (he loea i nā maʻi hanu).
He maʻi koʻikoʻi anei ka hyperinflation o ka māmā?
ʻAe, he maʻi koʻikoʻi ka hyperinflation o ka māmā. Ma waho aʻe o ka hōʻino ʻana i nā ʻiʻo māmā a me ka hōʻemi ʻana i kou ʻano ola, hiki iā ia ke kau i ke kaumaha nui ma kou puʻuwai, e alakaʻi ana paha i nā pilikia e like me ka hāʻule ʻana o ka puʻuwai. No laila, he mea nui ka hoʻokele proactive e kā mākou poʻe loea Nirogi Lanka.
He aha nā lāʻau lapaʻau i loaʻa?
Aia nā hoʻolālā lapaʻau i ke koʻikoʻi o kou mau hōʻailona a me kou olakino holoʻokoʻa. ʻO nā lāʻau lapaʻau maʻamau:
- Nā Bronchodilators: Hoʻomaha kēia mau lāʻau lapaʻau i nā ʻiʻo a puni kou mau ala ea, e mālama ana iā lākou i wehe ʻia i hiki ke hoʻokuʻu maʻalahi ʻia ka ea i paʻa. Hoʻohana pinepine ʻia lākou ma o nā inhalers a i ʻole nebulizers.
- Nā ʻano hanu: Hiki i kāu kauka ke aʻo iā ʻoe i nā hoʻomaʻamaʻa kikoʻī, e like me ka hanu ʻana me ka lehelehe pursed, e kōkua i ka wehe ʻana i nā ala ea. He mea maikaʻi loa hoʻi nā papahana hoʻoponopono pulmonary no ka mālama ʻana i nā kūlana e like me COPD.
- Lapaʻau oxygen: Pono kekahi mau maʻi i ka oxygen hoʻohui i hāʻawi ʻia ma o ka cannula nasal a i ʻole kahi pale maka e hōʻoia i ka loaʻa ʻana o ka oxygen i ko lākou kino.
- Nā mea kākoʻo hanu: Hiki i nā lako e like me nā nebulizers a me nā mīkini CPAP ke kōkua i ka maʻalahi o ka hoʻokuʻu ʻana i ka hanu.
- ʻO ke ʻoki kino e hōʻemi ai i ka nui o ka māmā:ʻO ka maʻamau, manaʻo ʻia kēia he koho hope loa inā ʻaʻole i holomua nā lāʻau ʻē aʻe; pili ia i ka wehe ʻana i ka ʻiʻo māmā i hōʻino ʻia e ʻae i ke kino olakino i koe e hana maikaʻi.
Hiki ke hoʻohuli ʻia ke kūlana?
ʻO ka mea pōʻino, ʻo ka pōʻino i hana ʻia i nā māmā he mau loa ia , ʻo ia hoʻi, ʻaʻole paha lākou e hoʻi i ko lākou kūlana mua. Eia nō naʻe, hiki i ka mālama kūpono ke hoʻokele pono i nā hōʻailona a hōʻemi nui i ka pono no ke komo ʻana i ka haukapila a i ʻole nā kikowaena pilikia (ED) . ʻOiai ʻo ka mālama ʻana e hoʻomaikaʻi i kou hiki ke hanu, ʻaʻole e hana hou ʻia ka ʻiʻo māmā ponoʻī.
He aha ka nānā ʻana no kēia kūlana?
Me ka mālama pono a me ke alakaʻi ʻana mai ka hui Nirogi Lanka, hiki nō iā ʻoe ke alakaʻi i kahi ola huahua a hoʻokō . ʻOiai ʻaʻole hiki iā mākou ke hoʻohuli piha i ka pōʻino, hiki iā mākou ke hoʻokō i nā hoʻolālā e pale aku ai i ka hoʻonui hou ʻana o ke kumukūʻai a pale aku i ka hōʻino hou ʻana o ka māmā.
He mea nui e hoʻomaopopo ʻia me ka ʻole o ke komo ʻana o ke kauka, hiki i ka hyperinflation o ka māmā ke alakaʻi i ka ʻeha nui o ka puʻuwai a me ka hāʻule ʻana o ka puʻuwai. He mea nui ka noho kūpaʻa ʻana i kāu hoʻolālā lapaʻau.
Pehea e hiki ai ke pale ʻia kēia?
ʻO ke ala maikaʻi loa e pale aku ai i ka hyperinflation o ka māmā, ʻo ia ke hana i nā hana e pale aku ai a mālama paha i ka COPD. Ma kahi o 90% o nā hihia COPD e pili ana i ka puhi paka. No laila, ʻo ka haʻalele ʻana i ka puhi paka a me ka pale ʻana i ka uahi lua nā ala kūpono loa e pale aku ai i ka COPD a me nā hōʻino pili i ka māmā. Eia kekahi, ʻo ka hōʻemi ʻana i ka ʻike ʻana i ka haumia o ka ea he mea nui ia no kou olakino māmā no ka wā lōʻihi.
Āhea ʻoe e ʻike ai i ke kauka?
Inā ʻoe e pilikia ana i ka hanu ʻana—ʻoiai inā he maʻi māmā kou e like me ka COPD a i ʻole ka hānō—he mea nui e nīnau koke aku i ke kauka . E ʻoluʻolu e ʻimi i ke kōkua lapaʻau inā ʻike ʻoe i kēia mau hōʻailona:
- Ka pōkole mau o ka hanu.
- Paʻakikī ke hanu ʻana a i ʻole ka manaʻo e like me ʻaʻole hiki iā ʻoe ke loaʻa ka ea lawa.
- Ka luhi a me ka paupauaho ʻole paha ma ke ʻano maʻamau, ʻoiai ma hope o ka hoʻoikaika kino liʻiliʻi.
Āhea ʻoe e hele ai i ka Lumi Hoʻōla (ER)?
Inā ʻaʻole e hoʻomaikaʻi kou mau pilikia hanu ʻoiai kāu mau hana maʻamau e mālama ai, e ʻoluʻolu e hele koke i ka keʻena pilikia o ka haukapila kokoke loa . ʻOiai ʻo ka hapa nui o ka poʻe me ka hyperinflation māmā e loaʻa ana ka hōʻoluʻolu ma o ka mālama lapaʻau kūpono, ʻo ka pilikia hanu koʻikoʻi he pilikia olakino e pono ai ke komo koke. Inā ʻoe e hakakā nei e hanu, e kāhea koke i nā lawelawe pilikia (e laʻa, 911).
` ## He Moolelo Hope mai Nirogi Lanka mai
Hiki ke paʻakikī ka noho ʻana me kahi maʻi māmā mau loa a hiki ke hoʻopilikia nui i kāu mau hana o kēlā me kēia lā. ʻO ka hyperinflation o ka māmā kahi pilikia i ʻike ʻia e pili ana i nā kūlana e like me COPD a me ka hānō. Hiki i kāu kauka a i ʻole he pulmonologist ke hana pū me ʻoe e hana i kahi hoʻolālā lapaʻau pilikino e kōkua i ka hoʻokele pono ʻana i kēia mau hōʻailona.
> **He mea nui e hahai pono i kāu papa kuhikuhi lāʻau lapaʻau i kuhikuhi ʻia e like me ke kuhikuhi ʻana.** ʻOiai ke holomua nei kekahi mau maʻi māmā, hiki iā ʻoe ke kāohi ma ka haʻalele ʻana i ka puhipaka, ka pale ʻana i ka uahi lua, a me ka hoʻēmi ʻana i ka ʻike ʻana i nā mea haumia o ka ea. ʻO kou olakino kā mākou mea nui.
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ʻO ka nui o ka hoʻonui ʻana o ka māmā, ka pōkole o ka hanu, COPD, ka hānō, ka maʻi māmā, ke olakino hanu, ka hoʻōki ʻana i ka puhipaka
