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He aha kēia paʻakikī hanu ʻana, ʻo ia hoʻi, ka Hyperventilation Syndrome?
I ka ʻōlelo maʻalahi, ʻo ka (Hyperventilation Syndrome) kahi maʻi kahi e hanu wikiwiki ai ʻoe a pinepine, me ka ʻole o kekahi kūlana olakino. Kapa pū kekahi poʻe iā ia he "overbreathing." Hiki ke mau mai kekahi mau minuke a i hoʻokahi hola , a laila e hoʻomaikaʻi pinepine ia ma kāna iho. E noʻonoʻo e pili ana i ia mea, hanu mākou e lawe i ka nui o (Oxygen) e pono ai ko mākou kino a e hoʻokuke aku i (Carbon Dioxide). Akā i ka wā (Hyperventilation), hoʻomaka ʻoe e hanu wikiwiki a hohonu . ʻAʻole paha ʻoe e ʻike. Akā i ka wā e hanu wikiwiki ai ʻoe, emi koke ka pae o (Carbon Dioxide) i loko o kou koko. I ka lāʻau lapaʻau, kapa mākou i kēia (Respiratory Alkalosis) . I kēia manawa ke noʻonoʻo nei paha ʻoe inā he mea maikaʻi ke loaʻa ka (Carbon Dioxide) haʻahaʻa. ʻOiaʻiʻo, pono nā mea āpau i loko o ko mākou kino e kaulike. Ke emi ka (Carbon Dioxide), hoʻomaka ko mākou mau kīʻaha koko, ʻoiai nā kīʻaha e hoʻolako koko i ka lolo, e ʻūlū . Ua like ia me ke kaomi ʻana i kahi paipu wai. A laila emi ka nui o ke koko e hele ana i ka lolo. ʻO ia ke kumu e hoʻomaka ai ʻoe e loaʻa i nā hōʻailona e like me ka poniuniu, ka paʻakikī o ka hanu ʻana, a me ka ʻūlū o ka umauma. ʻO ka hapa nui o ka manawa, ʻaʻole ʻike ka poʻe me kēia (Hyperventilation Syndrome) he hanu ʻē lākou. Manaʻo wale lākou i nā hōʻailona ʻē aʻe i hoʻokumu ʻia e kēia loli o ka hanu ʻana.He aha nā hōʻailona o kēia? A i ʻole, pehea kou manaʻo no ia mea?
Hiki ke loaʻa kēia ʻano "(Hyperventilation)" ke loaʻa iā ʻoe kahi manaʻo ikaika, e like me ke kaumaha, ka makaʻu, a i ʻole ka huhū. I kekahi manawa hiki ke hoʻomaka koke me ke kumu ʻole. Hiki ke mau mai kekahi mau minuke a i hoʻokahi hola a emi iho me ka ʻole o kekahi lāʻau lapaʻau kūikawā. ʻOiai inā ʻaʻole ʻoe i ʻike e hanu wikiwiki ana ʻoe a hohonu, hiki iā ʻoe ke ʻike i kēia mau hōʻailona:- Ke poʻo māmā, ka puni, a me ke ola ʻole. Me he mea lā ua milo ʻia a hoʻolei ʻia a puni.
- Paʻakikī ka hanu ʻana (ua kapa pū nā kauka i kēia "Dyspnea"). Hiki ke manaʻo ʻia e like me ʻoe e hanu ana a i ʻole e ʻūlū ana kou umauma.
- Ke ʻeha a i ʻole ke kūpikipikiʻia ʻana o ka umauma .
- Ke manaʻo nei e kuʻi wikiwiki ana kou puʻuwai a ke kuʻi nei kou umauma.
- Manuʻa ma nā lima a puni ka waha, me he mea lā e holo ana nā ʻanuʻu.
- Ke ʻūlū nei a ke ʻūlū nei nā ʻiʻo ma nā lima a me nā wāwae .
- Paʻakikī ke kau ʻana i ka manaʻo, hiki ʻole ke mālama i kou manaʻo ma kahi hoʻokahi.
- Ke komo mau nei i loko o ka puʻu, me ka manaʻo ua piha ka ʻōpū.
- Waha maloʻo.
- ʻEha poʻo.
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ʻOiaʻiʻo, ʻaʻole i ʻike pono nā kānaka noiʻi i ke kumu o kēia (Hyperventilation Syndrome). I kekahi mau hihia, hiki ke hana ʻia kēia ʻano e nā mea e like me ke kaumaha, ka makaʻu, a me ka hopohopo . E noʻonoʻo e pili ana i ia mea, i ka wā e hoʻokokoke mai ana kahi hoʻokolohua, i ka wā e loaʻa ai kahi pilikia ma ka hana, a i ʻole ke manaʻo ʻoe i ka nui o ke kaomi ma muli o kekahi pilikia ʻohana. Eia naʻe, no kekahi poʻe, no ke kumu ʻole, hoʻomaka koke lākou e hanu wikiwiki e like me kēia. ʻAʻole hiki iā lākou ke ʻōlelo, "ʻO kēia ke kumu i hiki mai ai kēia iaʻu." ʻAʻole maopopo loa pehea e hoʻonui ai kēia kaumaha i ka hanu ʻana. Akā manaʻo nā kānaka noiʻi e pili ana ia i ka "pane hakakā a lele paha" o ko mākou kino. I ka ʻōlelo maʻalahi, loaʻa i ko mākou kino kahi ʻōnaehana i kapa ʻia ʻo (Sympathetic Nervous System) . ʻO kēia ka mea e hoʻomākaukau ai i ko mākou kino no ka wā e pilikia ai mākou, i kahi pilikia, a i ʻole ma lalo o ke kaomi nui. I nā manawa e like me kēia, pono ko mākou mau ʻiʻo i ka (Oxygen) hou aku. ʻO ia ke kumu e hanu wikiwiki ai mākou. Eia naʻe, inā ʻaʻole pono mākou e holo a hakakā paha i kēlā manawa, hiki i kēia hanu wikiwiki ke lilo i (Hyperventilation). No ka laʻana, e noʻonoʻo e hele ana ʻoe ma ke alanui a hiki koke mai kahi ʻīlio e alualu ana iā ʻoe. Kuʻi wikiwiki kou puʻuwai, wikiwiki kou hanu ʻana, a hou ʻoe. Hana ʻia kēia mau mea a pau no ka mea e hoʻomākaukau ana kou kino e hoʻopakele iā ʻoe mai kēlā pōʻino. Eia naʻe, inā ʻoe ma ka home wale nō, a loaʻa iā ʻoe kahi hopena like ma muli o kahi pilikia i loko o kou manaʻo, ʻaʻohe "palekana" ma laila. ʻO ia ka manawa e hoʻopilikia ʻia ai kēia ʻano hanu.He ʻelua mau mea ʻokoʻa anei (Hyperventilation Syndrome) a me (Panic Attacks)?
I kēia manawa, ke noʻonoʻo nei paha ʻoe inā like kēia (Hyperventilation Syndrome) me nā (Panic Attacks) a mākou i lohe ai. ʻOiai ua like nā hōʻailona o kēia mau mea ʻelua i kekahi manawa, he mau kūlana ʻokoʻa kēia ʻelua . ʻO ka (Panic Attack) he makaʻu koke a ikaika a me kahi hui o nā hopena kino e kū nei i kahi kūlana maʻamau, me ka ʻole o ka hoʻoweliweli. Inā loaʻa pinepine a me ka manaʻo ʻole ʻia nā (Panic Attacks), kapa mākou ia he (Panic Disorder) . He maʻi hopohopo kēia. ʻO kahi ʻano koʻikoʻi o (Panic Disorder) ʻo ia ka hiki ʻana mai o kēia mau (Attacks) me ka ʻole o ka ʻōlelo aʻo, a ʻaʻole i hoʻokumu ʻia e kekahi maʻi noʻonoʻo a kino paha. (Hyperventilation Syndrome)I kekahi, hiki ke hana ʻia ka hanu wikiwiki e nā manaʻo ikaika e like me ka makaʻu, ka huhū, ka hopohopo. I kekahi manawa hiki ke hana me ke kumu ʻole. Eia kekahi, i kekahi manawa hiki i kēia (Hyperventilation) ke hoʻoulu hou i ka makaʻu a me ka hopohopo. Ua like ia me kahi pōʻaiapuni. Ua ʻike ʻia e ka noiʻi ma kahi o ka hapalua o ka poʻe me (Panic Disorder) loaʻa pū kekahi (Hyperventilation Syndrome) . Eia kekahi, ma kahi o 25% o ka poʻe me (Hyperventilation Syndrome) loaʻa pū kekahi (Panic Disorder) . No laila aia paha kahi pilina ma waena o nā mea ʻelua, akā ʻaʻole like lākou.Pehea ʻoe e ʻike pono ai i kēia? He aha ka hoʻāʻo e hana ʻia?
ʻAʻohe hoʻāʻo diagnostic kikoʻī e hiki ke ʻike pololei i ka hyperventilation syndrome. Hoʻopau nā kauka i nā kumu kino ʻē aʻe o ka hanu wikiwiki ma mua o ka hoʻoholo ʻana he hyperventilation syndrome ia. Ke ʻike ʻoe i ke kauka, e nīnau mua lākou iā ʻoe e pili ana i kāu mau hōʻailona a me kou mōʻaukala olakino . A laila e hana lākou i kahi hoʻokolokolo kino. I ka hapanui o nā hihia, hiki iā lākou ke kauoha i nā hoʻokolohua aʻe e kāpae i nā kūlana maʻamau e hiki ai ke hoʻoulu i ka hanu wikiwiki:- Pulse Oximetry: Ke ana kēia i ka pae o ka oxygen i loko o kou koko. ʻO ka maʻamau, ʻo ka pae oxygen o ke kanaka me ka hyperventilation syndrome he 100% a kokoke paha. ʻO ka heluhelu ʻana ma lalo o 95% he hōʻailona paha ia o kekahi maʻi ʻē aʻe.
- ʻO ke kiʻi X -ray o ka umauma : Hiki i kēia ke nānā i nā pilikia me nā māmā .
- He ECG (Electrocardiogram - EKG): Hiki i kēia ke nānā i nā pilikia me ka puʻuwai.
He aha nā lāʻau lapaʻau no kēia?
ʻAe, i kēia manawa ua ʻike mākou i ke ʻano o ia mea, no ke aha e hana ai, a pehea e ʻike ai. No laila he aha nā lāʻau lapaʻau no ia mea? E hauʻoli paha ʻoe i ka lohe ʻana i kēia. No ka mea, ʻo nā lāʻau lapaʻau nui no ia mea, ʻo ia ka hōʻoluʻolu a me ka hoʻomaʻamaʻa hou ʻana i ka hanu. Ma hope o ka hoʻopau ʻana o kāu kauka i nā kumu ʻē aʻe a pau, e haʻi aku ʻo ia iā ʻoe ʻaʻole kou hanu pōkole a me nā hōʻailona ʻē aʻe he hōʻailona o kahi maʻi koʻikoʻi. ʻO ka ʻike ʻana i kēlā e kōkua i ka hōʻoluʻolu i kou hopohopo. A laila, hiki iā ʻoe ke hana i nā hana e pale aku ai i ka hana hou ʻana.E aʻo aku ʻo ia iā ʻoe i kekahi mau hoʻomaʻamaʻa hanu.ʻO ka mea nui loa, ʻo ia ka hoʻomaopopo ʻana ʻaʻole kēia kūlana he mea weliweli. Ke ʻike ʻoe i kēlā, e ʻike ʻoe i kahi manaʻo nui o ka hōʻoluʻolu.ʻO kekahi ala e hoʻomaʻamaʻa hou ai i kēia ʻano hanu ʻana ma o ka (Diaphragmatic Breathing) (Diaphragmatic Breathing) a i ʻole ka hanu ʻōpū . Pili kēia i ka hanu ʻana mai kou ʻōpū ) ma kahi o kou umauma. Me ka hoʻohana ʻana i kēia ʻano hana, hiki iā ʻoe ke hoʻolohi i kou wikiwiki hanu a hoʻōki a pale paha i ka (Hyperventilation) mai ka hana ʻana. No ka hoʻomaʻamaʻa ʻana i kēia, e hana i kēia: 1. E moe i lalo ma ka papahele. 2. E kau i kekahi lima ma kou umauma a ʻo kekahi lima ma kou ʻōpū (ma lalo pono o kou iwi ʻaoʻao). 3. I kēia manawa e hanu mālie ma kou ihu. 4. I kou hanu ʻana, e nānā i ke ala a me ka hāʻule ʻana o kou mau lima. 5. ʻO ka pahuhopu ka piʻi ʻana o ka lima ma kou ʻōpū ma mua o ka lima ma kou umauma. Ma hope o kekahi manawa, e ʻoluʻolu ʻoe me kēia ʻano hanu. Inā loaʻa iā ʻoe kahi maʻi olakino noʻonoʻo, e like me ke kaumaha a i ʻole ka hopohopo, hiki nō hoʻi ke kōkua i kāu hyperventilation syndrome. Inā pēlā, hiki i kāu kauka ke ʻōlelo i ka psychotherapy (talk therapy) a, inā pono, ka lāʻau lapaʻau e mālama i kēlā mau kūlana.
Hiki ke pale ʻia kēia mai ka hana hou ʻana?
E like me kā mākou i ʻōlelo ai ma mua, he paʻakikī ke ʻōlelo inā hiki ke pale loa ʻia no ka mea ʻaʻole mākou i ʻike i ke kumu pololei. Eia nō naʻe, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i ka manawa e hana hou ai . ʻOiai inā ua hoʻokumu ʻia kou hyperventilation e ke kaumaha a me ka hopohopo, hiki i kēia mau ʻano hana hoʻokele kaumaha a me ka hoʻomaha ke kōkua iā ʻoe:- Nā hoʻomaʻamaʻa hanu: E like me ka ( Diaphragmatic Breathing ) a mākou i kamaʻilio ai ma mua.
- Hoʻoikaika kino mau : ʻO kahi mea āu e hauʻoli ai, e like me ka hele wāwae, ka holo ʻana, a i ʻole ka ʻauʻau ʻana.
- Hoʻomaha ʻIʻo Holomua: Pili kēia i ka hoʻopaʻa ʻana a laila hoʻomaha i nā ʻiʻo ma kēlā me kēia ʻāpana o ke kino.
- Hoʻomanaʻo ((Hoʻomanaʻo)).
- Nā hoʻomaʻamaʻa yoga (( Yoga )).
- Ke Hoʻomaʻamaʻa ʻana i ka Noʻonoʻo: ʻO ia hoʻi ke nānā wale ʻana i kēia manawa.
Āhea mākou e ʻike ai i ke kauka e pili ana i kēia?
ʻOiai ke kani nei kēia (Hyperventilation Syndrome) he mea weliweli iki, ʻaʻole ia he mea ʻino ke kino (Hyperventilation). Eia nō naʻe, i kekahi manawa hiki ke hana ʻia ka hanu wikiwiki e nā kumu koʻikoʻi ʻē aʻe . No laila, pono ʻoe e ʻike i ke kauka i nā hihia e like me kēia:- Inā loaʻa iā ʻoe ka ʻeha, kahi ʻeha poʻo, ke kuni, a i ʻole ke kahe ʻana o ke koko.
- Inā lilo kou hyperventilation i mea koʻikoʻi a i ʻole e hana pinepine ʻia, ʻoiai ma hope o nā lāʻau lapaʻau āu e hana nei ma ka home.
- Inā ʻoe e hoʻomohala i nā hōʻailona hou ʻē aʻe.
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