E aʻo kākou e pili ana i ka hypoxemia - ka emi ʻana o ka oxygen i loko o ke koko!

Ke manaʻo nei ʻoe i kekahi manawa ua pōkole kou hanu? A i ʻole ua paʻa iki kou umauma? ʻO kekahi kumu o kēia paha ka emi ʻana o ka pae oxygen i loko o kou koko. ʻO kēia ka mea a mākou e kapa nei i ka lāʻau lapaʻau he hypoxemia. ʻOiai he maʻi koʻikoʻi kēia, hiki ke mālama maikaʻi ʻia inā ʻoe e hoʻomaopopo pono iā ia a hana i nā mea e pono ai. No laila, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā, ʻeā?

He aha ka Hypoxemia?

I ka ʻōlelo maʻalahi, ʻo ka hypoxemia ka wā e emi ai ka oxygen o ko kākou koko ma mua o ka mea e pono ai. E noʻonoʻo i kēia ʻano: ua like ko kākou kino me ke kaʻa. E like me ka pono o ke kaʻa i ka ʻaila e holo ai, pono nā ʻōkana a me nā cell i loko o ko kākou kino i ka oxygen e hana pono ai.

Komo kēia oxygen i loko o ko kākou koko ma o nā māmā ke hanu kākou. Ke hanu kākou, komo ka oxygen i ka lewa i loko o ko kākou māmā. Aia i loko o nā māmā nā ʻeke ea liʻiliʻi, e like me nā hua waina liʻiliʻi ma ke kumu waina. Kāhea mākou i kēia mau mea he '(Alveoli)' . A puni kēia mau '(Alveoli)' ua hohola ʻia nā kahawai koko maikaʻi he nui '(Capillaries) . Ke hanu kākou, komo ka oxygen i ka lewa e komo mai ana i loko o kēia mau '(Alveoli)' ma o kēlā mau kahawai koko maikaʻi. A laila hele kēia oxygen me ke koko ma ke kino holoʻokoʻa a hiki i ko kākou mau ʻiʻo.

No laila, inā he pilikia ma kekahi wahi o kēia kaʻina hana, ʻo ia hoʻi, inā ʻaʻole lawa ka oxygen i loko o ka hanu a mākou e lawe ai, a inā ʻaʻole hiki i nā māmā ke omo pono i ka oxygen i loko o ke koko, a laila e emi ana ka pae oxygen i loko o ke koko, ʻo ia hoʻi, loaʻa ka hypoxemia.

Hiki i ka Hypoxemia ke loaʻa nā hopena like ʻole, ma muli o kona koʻikoʻi a me ka lōʻihi . I kekahi manawa hiki iā ia ke hana i nā hōʻailona liʻiliʻi e like me ke poʻo ʻeha a me ka pōkole o ka hanu. Akā i nā hihia koʻikoʻi, hiki iā ia ke hoʻopilikia i ka hana o ka puʻuwai a me ka lolo, e hana i kahi kūlana i kapa ʻia ʻo "Hypoxia", kahi e nele ai nā ʻōkana a me nā ʻiʻo o ke kino i ka oxygen, a hiki ke alakaʻi i ka make.

Ke hana ʻia kēia i ka wā pōkole, kapa mākou ia he "acute respiratory failure," a inā he pilikia ia e hoʻomau ana no nā mahina a i ʻole nā ​​​​makahiki, kapa mākou ia he "chronic respiratory failure."

He aha ka ʻokoʻa ma waena o ka Hypoxia a me ka Hypoxia?

Ua lohe paha ʻoe i nā huaʻōlelo hypoxemia a me hypoxia. ʻOiai ke kani like nei lāua, aia kahi ʻokoʻa iki.

• ʻO ka hypoxemia ka emi ʻana o ka oxygen i loko o ke koko.
• ʻO ka Hypoxia ka emi ʻana o ka nui o ka oxygen e hiki ana i nā ʻiʻo o ko mākou kino.

Hoʻokumu pinepine ʻia ka Hypoxia e kahi kūlana i kapa ʻia ʻo hypoxemia. ʻO ia hoʻi, i ka wā e haʻahaʻa ai ka pae oxygen o ke koko, haʻahaʻa pū kekahi ka pae oxygen o nā ʻiʻo. Akā, ʻaʻole ia ka hihia mau. I kekahi manawa, hiki i nā ʻiʻo ke haʻahaʻa i ka oxygen ʻoiai he maʻamau ka pae oxygen o ke koko, a i ʻole hiki i nā ʻiʻo ke haʻahaʻa i ka oxygen ʻoiai he haʻahaʻa ka pae oxygen o ke koko. He mea paʻakikī iki ia, akā ʻo ke kī, pili nā mea ʻelua i nā pae oxygen haʻahaʻa.

ʻO wai ka mea i ʻoi aku ka nui o ka loaʻa ʻana o ka hypoxemia?

ʻOiai hiki i kekahi ke loaʻa i kēia ʻano i kapa ʻia ʻo hypoxemia, ʻoi aku ka nui o ka pilikia o kekahi poʻe i ka loaʻa ʻana.

• He kiʻekiʻe loa kēia pilikia no ka poʻe me nā maʻi māmā, no ka laʻana, ka hānō, COPD (Maʻi Pulmonary Obstructive Chronic), a me ka niumonia.
• Hiki i kēia ke hoʻopilikia i ka poʻe me ka maʻi puʻuwai . No ka mea, ʻo ka puʻuwai ka mea e pamu i ke koko waiwai i ka oxygen ma ke kino holoʻokoʻa. No laila, inā he pilikia me ka hana o ka puʻuwai, e hoʻopilikia pū ia i nā pae oxygen i loko o ke koko.
• Eia kekahi, hiki i kekahi mau maʻi lele e like me ka maʻi influenza, ka pneumonia, a me COVID-19 ke hoʻonui i ka pilikia o ka hypoxemia.

He aha nā hōʻailona o kēia?

ʻAe, i kēia manawa e nānā kākou i nā hōʻailona a mākou e ʻike ai i kēia kūlana o ka hypoxemia. Hiki ke ʻokoʻa kēia mau hōʻailona ma muli o ke koʻikoʻi o ka maʻi, ʻo ia hoʻi, pehea ka haʻahaʻa o ka oxygen, a me ke kumu.

• ʻEha poʻo: ʻEha poʻo pinepine.
• Dyspnea: He manaʻo o ka paʻakikī o ka hanu ʻana, ka paʻa o ka umauma, a me ka pōkole o ka hanu.
• Tachycardia: Ka piʻi ʻana o ka wikiwiki o ka puʻuwai.
• ʻŪhū: He ʻūhū mau.
• Wheezing: He leo hūhū e puka mai ana mai ka umauma i ka wā e hanu ana.
• Huikau: Manaʻo poniuniu a ʻike ʻole i ka mea e hana ai.
• ʻIli polū, kui, a me nā lehelehe (Cyanosis): He hōʻailona koʻikoʻi kēia. Ke loaʻa ʻole i ke kino ka lawa o ka oxygen, i kekahi manawa hiki i ka ʻili, nā kui, a me nā lehelehe ke polū.

He aha nā kumu nui o ka hypoxia?

Hiki i ka hypoxemia ke loaʻa i nā kumu he nui. Akā ʻo ka hapa nui, ʻo ke kumu nui he maʻi olakino ma lalo. ʻO ke ʻano kēia, ʻo ka maʻi puʻuwai a i ʻole ka maʻi māmā e hoʻopilikia ai i ka hanu ʻana a i ʻole ke kahe koko ke kumu pinepine. Hiki i kekahi mau lāʻau lapaʻau ke hana i ka hypoxemia ma ka hoʻolohi ʻana i ka hanu ʻana.

Ua lohe paha ʻoe i kahi maʻi i kapa ʻia ʻo `(Sleep Apnea)`. He ʻano ia e pau ai ka hanu ʻana i ka wā hiamoe. I loko o ia mau kūlana, a i ʻole i ka poʻe me nā maʻi māmā iki, hiki ke emi ka pae oxygen i loko o ke koko i ka pō. Ua kapa ʻia kēia ʻo `(Nocturnal Hypoxemia)`.

ʻO kekahi mea ʻē aʻe, hiki ke loaʻa ka hypoxemia i ka wā e hele ai i nā wahi kiʻekiʻe . E noʻonoʻo i ka wā e hele ai ʻoe i kahi mauna kiʻekiʻe e like me Nuwara Eliya, ʻo ia ke kumu e manaʻo ai kekahi poʻe he paʻakikī ko lākou hanu ʻana. ʻO kēia no ka mea e emi ana ka nui o ka oxygen i ka lewa i ka piʻi ʻana o ke kiʻekiʻe.

ʻEia kekahi mau kumu hou aʻe...

ʻO kekahi mau kumu ʻē aʻe e hiki ke hana i ka hypoxemia:

• ʻO ka maʻi hoʻopilikia hanu koʻikoʻi (ARDS)
• Anemia - ʻo ia hoʻi ka nele o ke koko
• Asthma
• ʻO ka bronchitis
• Ka Maʻi Puʻuwai Pale Mau Loa (COPD)
• Nā kīnā puʻuwai hānau - nā maʻi puʻuwai i loaʻa i ka wā hānau
• Ka hāʻule ʻana o ka puʻuwai paʻa
• Emphysema - ka hōʻino ʻana i nā ʻeke ea i loko o nā māmā
• Pneumonia
• ʻO ka ea a puni nā māmā a i ʻole ka hiolo ʻana o ka māmā (Pneumothorax)
• ʻEdema puʻuwai
• ʻO ka embolism pulmonary
• Ka ʻeha o nā māmā (Pulmonary fibrosis)
• Ke koko kiʻekiʻe o ka puʻuwai

5 mau ʻano nui o nā kumu e kōkua ai i ka hypoxemia

I kēia manawa, e nānā kākou i nā ʻano hana nui 5 e kōkua ai i ka hanana o ka hypoxemia. He ʻano lapaʻau iki kēia, akā e hoʻāʻo kākou e hoʻomaopopo maʻalahi iā lākou.

1. Ka kūlike ʻole o ka ea a me ka perfusion (V/Q): E noʻonoʻo e pili ana i ia mea, i mea e loaʻa ai i ke koko ka oxygen, pono i nā māmā ke loaʻa ka ea lawa (ua kapa ʻia kēia he ventilation), a no ka lawe ʻana i kēlā oxygen, pono i nā māmā ke loaʻa ke koko lawa (ua kapa ʻia kēia he perfusion). Inā he pilikia me kekahi o kēia mau mea ʻelua, no ka laʻana, inā loaʻa i nā māmā ka ea lawa akā ʻaʻole lawa ke koko, a inā loaʻa i ke koko ka ea lawa akā ʻaʻole lawa ka ea, a laila ʻaʻole komo pono ka oxygen i loko o ke koko. Ua kapa ʻia kēia he `(V/Q) mismatch`. ʻO kēia pinepine ma muli o ka maʻi puʻuwai a i ʻole ka maʻi māmā.

2. Ka hemahema o ka hoʻolaha ʻana: I kekahi manawa loaʻa i nā māmā ka ea a me ke koko e lawa ai, akā lilo ia i mea paʻakikī no ka oxygen i loko o nā māmā ke komo (hoʻolaha ʻia) i loko o nā kīʻaha koko. E like me ka wā e paʻa ai nā pores o kahi kānana, ʻaʻole hiki i ka wai ke hele ma waena. Hiki ke hana ʻia kēia ma muli o nā kūlana e like me ka emphysema a i ʻole ka ʻeha o nā māmā.

3. Hypoventilation: ʻO kēia ka manawa a mākou e hanu hohonu loa ai a lohi paha. ʻO ke ʻano kēia ʻaʻole lawa ka oxygen e hiki ana i nā māmā. Hiki ke hana ʻia kēia e nā maʻi māmā he nui a me kekahi mau maʻi lolo.

4.ʻOkikene kaiapuni haʻahaʻa: Inā haʻahaʻa ka oxygen i ka ea i loko o ko kākou wahi noho, ʻaʻohe mea pehea ka nui o ko kākou hanu ʻana, ʻaʻole e loaʻa i ko kākou kino ka oxygen e pono ai. E like me kaʻu i ʻōlelo ai ma mua, haʻahaʻa ka oxygen i ka ea ma nā wahi mauna kiʻekiʻe.

5. Ka hoʻokaʻawale ʻana mai ka ʻākau a i ka hema: ʻO ka maʻamau, hele ke koko nele i ka oxygen (ʻilihune) i loko o ko kākou kino i ka ʻaoʻao ʻākau o ka puʻuwai, mai laila aku e hele ai i nā māmā e lawe i ka oxygen (hoʻomaʻemaʻe), a laila hoʻi i ka ʻaoʻao hema o ka puʻuwai a hoʻopuka ʻia ma ke kino holoʻokoʻa. Eia nō naʻe, i kekahi poʻe, hiki i kēia koko nele i ka oxygen ke hele pololei mai ka ʻaoʻao ʻākau o ka puʻuwai a i ka ʻaoʻao hema o ke kino ma kahi o ka hele ʻana i nā māmā. A laila, hele ke koko nele i ka oxygen ma ke kino holoʻokoʻa. Ua kapa ʻia kēia he hoʻokaʻawale ʻana mai ka ʻākau a i ka hema. ʻO ka hapa nui o ka manawa, hana ʻia kēia ma muli o kekahi ʻano ʻē i loko o ka puʻuwai.

Pehea ʻoe e ʻike ai i kēia?

ʻAe, e nānā kākou pehea e ʻike ai ke kauka i kēia maʻi o ka hypoxemia. Ke hele ʻoe e ʻike i ke kauka, e hoʻolohe mua ʻo ia i kou puʻuwai a me kou māmā. No ka mea, ʻo nā mea ʻē aʻe i loko o kēia mau ʻōpū he hōʻailona ia o ka haʻahaʻa o ka oxygen i loko o ke koko. E nānā pū ʻo ia inā he uliuli kou ʻili, lehelehe, a me kou mau kui.

Eia kekahi, hiki iā ʻoe ke hana i nā hoʻokolohua aʻe e nānā i kāu pae oxygen:

• ʻO ka pulse oximetry: Ua ʻike paha ʻoe i kēia. He mea liʻiliʻi ia e kau ana ma kou manamana lima a ana i ka pae oxygen i loko o kou koko. ʻAʻohe ʻeha a ʻaʻole pono ke koko. Hoʻohana ka nui o nā kauka iā ia i ka wā o nā nānā maʻamau.
• Hoʻāʻo kinoea koko arterial: He hoʻāʻo kēia e ana pololei i ka pae oxygen i loko o ke koko ma ka lawe ʻana i kahi hāpana koko liʻiliʻi mai kahi e like me ka pulima lima, ke kūlou o ka lima, a i ʻole ka ʻūhā.
• Hoʻāʻo hele wāwae ʻeono minuke (6MWT): Pili kēia i ka hele wāwae ʻana ma kahi pālahalaha no ʻeono mau minuke, e ana ana i ke ʻano o ka loli ʻana o kou pae oxygen a me ka mamao e hiki ai iā ʻoe ke hele. Hiki i kēia ke hāʻawi iā ʻoe i kahi manaʻo no ka maikaʻi o ka hana ʻana o kou mau māmā a me kou puʻuwai.

He aha nā lāʻau lapaʻau?

I ka mālama ʻana i ka hypoxemia, pili ka lāʻau i ke kumu. Hiki i kāu kauka ke hāʻawi iā ʻoe i ka oxygen hou e hoʻonui i nā pae oxygen i loko o kou koko. Hiki ke hāʻawi ʻia kēia ma o nā pahu oxygen a i ʻole nā ​​​​mīkini i kapa ʻia he oxygen concentrators. Pono paha kekahi poʻe iā ia e pono mau, aʻo kekahi poʻe e pono wale nō ke luhi lākou. Aia ia i ke koʻikoʻi o ke kūlana.

I nā kūlana hypoxemia koʻikoʻi, e like me ka acute respiratory distress syndrome (ARDS), hiki ke hoʻohana ʻia kahi mīkini i kapa ʻia he ventilator e kōkua iā ʻoe e hanu.

ʻO ke kī, ʻo ia ka mālama ʻana i ke kumu kumu. Eia kekahi laʻana:

• Nā mea hoʻoheheʻe no ka poʻe me nā maʻi māmā e like me COPD, ʻo ia hoʻi, hiki ke hāʻawi ʻia nā mea inhaler e loaʻa ana nā `(Bronchodilators)` (bronchodilators) a i ʻole nā ​​`(Steroids)`.
• Hiki ke hāʻawi ʻia nā diuretics e wehe i ka wai keu mai nā māmā.
• Hiki ke noi ʻia ʻoe e hoʻohana i kahi pale maka CPAP (Continuous Positive Airways Pressure) e mālama ai i ka apnea hiamoe.
• Inā aia kahi pilikia o ka hypoxemia hoʻomau, hiki ke hāʻawi ʻia ka oxygen hoʻohui. Aia nā ʻano mea lawe oxygen like ʻole. Hiki ke hāʻawi ʻia ka oxygen ma o kahi pale hanu, kahi ʻōmole liʻiliʻi i kau ʻia i loko o ka ihu (cannula). Hiki ke hāʻawi ʻia kēia ma ka home, i loko o kahi mīkini liʻiliʻi hiki iā ʻoe ke lawe pū me ʻoe i kou huakaʻi ʻana, a i ʻole ma ka haukapila.

Pehea e mālama ai i nā hōʻailona?

Inā manaʻo koke ʻoe i ka huikau, paʻakikī ka hanu ʻana, wikiwiki ka puʻuwai, a ʻike paha ʻoe e polū ana kou mau kui, lehelehe, a i ʻole ka ʻili, pono ʻoe e ʻimi koke i ke kōkua lapaʻau. Inā loaʻa iā ʻoe kahi pulse oximeter ma ka home, hiki iā ʻoe ke hoʻohana iā ia e nānā i kāu pae oxygen. Pono e mālama koke ʻia ka hypoxemia e pale aku i ka hōʻino ʻana o nā kino i nā hihia koʻikoʻi.

ʻO ka poʻe me kekahi mau maʻi, e like me COPD a me Sleep Apnea, hiki ke loaʻa i ka hypoxemia ma ke ʻano maʻamau a i ʻole intermittent, akā ʻaʻole paha lākou e ʻike i kekahi mau hōʻailona nui. No laila, e kamaʻilio me kāu kauka e pili ana i ke ʻano o ka mālama ʻana i kou maʻi, e hōʻemi i nā hōʻailona, ​​a e hōʻemi i ka pilikia o nā pae oxygen haʻahaʻa.

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

Ke emi ka pae oxygen i loko o ke koko, ʻaʻole loaʻa i ko kākou mau kino a me nā ʻiʻo ka nui o ka oxygen e pono ai lākou e hana. E like me kā mākou i kūkākūkā ai, ua kapa ʻia kēia ʻo `(Hypoxia).` Inā hoʻomau kēia ʻano, no ka laʻana, `(Sleep Apnea)` e hōʻemi ana i ka oxygen i ka pō (`Nocturnal hypoxemia`), hiki ke hōʻino ʻia ko kākou puʻuwai a me ka lolo. Hiki i ka hypoxemia koke a koʻikoʻi ke hoʻoweliweli i ke ola.

Pehea e hōʻemi ai i ka pilikia?

ʻO ke ala maikaʻi loa e hōʻemi ai i kou pilikia o ka hypoxemia, ʻo ia ka mālama pono ʻana i kou mau kūlana olakino. Inā loaʻa iā ʻoe ka maʻi māmā a i ʻole ka maʻi puʻuwai, e kamaʻilio me kāu kauka e pili ana i nā ala kikoʻī e hōʻemi ai i kou pilikia.

ʻOiai no ka poʻe me ka maʻi puʻuwai a i ʻole ka māmā, hiki ke piʻi aʻe ka pilikia o ka hypoxemia ma muli o kekahi mau lāʻau lapaʻau a i ʻole ke hele ʻana i nā wahi kiʻekiʻe. No laila, e nīnau i kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe nei a me nā hana palekana kūikawā āu e lawe ai i ka wā e hele ai. Ke hele nei i nā wahi kiʻekiʻe, e hāʻawi i kou kino i ka manawa kūpono e hoʻomaʻamaʻa ai.

He aha kāu e hiki ai ke hana e hoʻonui i ka pae o ka oxygen?

ʻO ke ala maikaʻi loa e mālama pono ai i kou pae oxygen koko a hōʻemi i ka pilikia o ka hypoxemia, ʻo ia ka mālama pono ʻana i kou mau kūlana olakino.

• Mai poina e pili ana i nā hōʻailona hou.Inā manaʻo ʻoe i kekahi mea ʻē, e hoʻolohe pono. E ʻike i ke kauka a i ʻole e hele i ka lumi pilikia.
• Inā ua kuhikuhi kāu kauka i ka oxygen nou, e hoʻohana pono.
• E mālama i ke olakino o kou māmā ('Pulmonary hygiene'). Inā loaʻa iā ʻoe ka "COPD" a i ʻole ka hānō, e ʻike i nā mea hoʻonāukiuki iā ʻoe. E mālama mau i kāu "rescue inhaler" me ʻoe. E hoʻohana i kahi "incentive spirometer", e hana i nā hoʻomaʻamaʻa hanu, a e hahai i nā ʻōlelo aʻoaʻo olakino māmā ʻē aʻe a kāu kauka e hāʻawi ai iā ʻoe.
• Inā ʻoe e puhipaka, e hoʻōki. Hoʻomaikaʻi ka haʻalele ʻana i ka puhipaka i ka hana o ka māmā, e ʻae ana i kou mau māmā e lawe i ka oxygen hou aku. Pale pū ia i ka hōʻino hou ʻana i kou mau māmā.
• E lawe i ka lāʻau lapaʻau e like me ke kauoha a ke kauka.
• E hana i kahi hoʻolālā i ka wā e hele ai i nā wahi kiʻekiʻe. ʻOiai no ka poʻe me ka ʻole o nā maʻi puʻuwai a me nā māmā, hiki ke paʻakikī ke hanu ma nā wahi kiʻekiʻe. E noʻonoʻo mua pehea e pili ai iā ʻoe a pehea ʻoe e hoʻomaʻamaʻa ai i ka loli. E hoʻolālā mua hoʻi no ka mea e hana ai inā pono ʻoe i ke kōkua lapaʻau ulia pōpilikia. E hoʻokaʻawale i ka manawa kūpono e hoʻomaʻamaʻa ai inā pono, a lawe mai i nā lako a i ʻole nā ​​​​lāʻau lapaʻau hou āu e pono ai.

I ka manawa hea e pono ai ʻoe e hele i ka haukapila me ka wikiwiki?

He kūlana hoʻoweliweli ola ka Hypoxemia. I kēlā mau hihia , pono ʻoe e hele koke i ka Emergency Department (ETU) :

• Inā loaʻa iā ʻoe nā hōʻailona o ka hypoxemia, a inā ʻike kekahi poʻe i kahi loli koke i kāu ʻano a i ʻole ka ʻike (hoʻomaha ʻole, huikau, ʻike i hoʻololi ʻia).
• Inā loaʻa iā ʻoe kahi maʻi e hoʻomau nei, a e ʻoi koke ka ʻino o kāu mau hōʻailona maʻamau, a inā paha e hoʻomohala ʻoe i nā hōʻailona hou āu e manaʻo nei he kumu ia o ka hypoxemia.

He aha nā nīnau āu e nīnau ai i ke kauka?

Inā haʻi aku kāu kauka iā ʻoe a i ʻole kahi mea aloha iā ʻoe he hypoxemia kou, hiki iā ʻoe ke nīnau iā lākou i nā nīnau e like me kēia:

• Ke kumu ʻia nei kēia hypoxemia e kekahi maʻi olakino ʻē aʻe?
• Pehea e mālama ai i koʻu kūlana e hōʻemi i ka pilikia o ka hypoxemia?
• Ua hōʻino anei kēia i kekahi kino a i ʻole nā ​​pilikia ʻē aʻe?
• He aha nā hoʻololi o ke ʻano o ka nohona e hiki ai ke hōʻemi i ka pilikia o ka hypoxemia?
• Hiki i ka hoʻololi ʻana i kaʻu mau hoʻolālā huakaʻi a i ʻole ka hoʻololi ʻana i kaʻu mau lāʻau lapaʻau ke hoʻonui i koʻu pilikia o ka hypoxemia?

I ka hōʻuluʻulu manaʻo (Leka Lawe-Home)

No laila, i ka hōʻuluʻulu manaʻo, ʻo ka hypoxemia kahi kūlana kahi i haʻahaʻa ai ka pae o ka oxygen i loko o ke koko. Hiki i kēia ke hoʻoweliweli i ke ola i kekahi manawa. Eia nō naʻe, hiki ke mālama pono ʻia inā ʻoe e ʻimi koke i ke kōkua lapaʻau.I kekahi manawa, no ka laʻana, inā loaʻa iā ʻoe ka "Sleep Apnea", hiki i kāu pae oxygen ke hāʻule i ka pō me ka ʻole o nā hōʻailona nui. Inā hoʻomau kēia, hiki iā ia ke hōʻino i kou puʻuwai.

No laila, he mea nui loa ka makaʻala i kou pilikia a me nā mea hiki iā ʻoe ke hana e pale aku ai. Inā he kānalua kou, mai makaʻu e kamaʻilio me ke kauka. E noho olakino!

ʻO ka hypoxemia, nele i ka oxygen, paʻakikī ka hanu ʻana, maʻi māmā, maʻi puʻuwai, pae oxygen, cyanosis