Ke manaʻo pinepine nei ʻoe he paʻakikī iki ka hanu ʻana? Ke manaʻo nei anei ʻoe e ʻūlū ana kou umauma, me he mea lā e ʻūlū ana ʻoe? He ʻike maʻamau paha kēia, ʻoiai no ka poʻe e ʻeha nei i kahi maʻi i kapa ʻia ʻo "( COPD )" a i ʻole ka maʻi hanu ʻōpū mau . No laila, i kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau e hiki ke kōkua i ka kaohi ʻana i ia mau pilikia hanu .
He aha kēia lāʻau lapaʻau? He aha kāna hana?
I ka ʻōlelo maʻalahi, aia i loko o kēia lāʻau ʻelua ʻano lāʻau i kapa ʻia ʻo Ipratropium lāua ʻo Albuterol . He "Nebulizer" kēia, ʻo ia hoʻi, hoʻohana ʻia ia me ka hoʻohana ʻana i kahi vaporizer . ʻIke ʻoe, hana kēia lāʻau lapaʻau ma ka hoʻonui ʻana i nā ala ea i loko o kou mau māmā . A laila e maʻalahi ka hanu ʻana.
Hoʻohana nui ʻia ia e mālama i kahi maʻi i kapa ʻia ʻo " Chronic Obstructive Pulmonary Disease" (COPD). Ua kapa ʻia ʻo ia he " lāʻau hoʻomalu" . ʻO ia hoʻi, kōkua ia i ka mālama ʻana i nā hōʻailona.
ʻO ka mea nui, ʻaʻole kēia no ka hoʻohana ʻana i ka wā e piʻi koke ai nā hōʻailona COPD (flare-up). Aia kekahi mau lāʻau lapaʻau wikiwiki no kēlā.
I kekahi manawa, kuhikuhi paha nā kauka i kēia lāʻau lapaʻau no nā kūlana ʻē aʻe, no laila inā he mau nīnau kāu, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka a mea kūʻai lāʻau paha.
He aha kaʻu e haʻi aku ai i ke kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau?
Ma mua o kou hoʻomaka ʻana e hoʻohana i kēia lāʻau lapaʻau, he mea nui e haʻi i kāu kauka a i ʻole ke kime e mālama nei iā ʻoe e pili ana i:
- He maʻi puʻuwai kou.Aia kekahi? (e.g. nā ʻano ʻē o ka puʻuwai, ka ʻeha o ka umauma)
- He koko kiʻekiʻe kou?
- He puʻuwai kūpono ʻole paha kou a i ʻole ka rhythm?
- Ua loaʻa anei iā ʻoe kahi hopena ʻē aʻe a i ʻole kahi maʻi ʻaleka i nā lāʻau lapaʻau e like me Ipratropium, Albuterol, Atropine, a i ʻole nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala hana, a i ʻole nā mea mālama ?
- Inā hāpai ʻoe a i ʻole e kali ana i kahi pēpē .
- Inā ʻoe e hānai waiū ana .
He mea nui loa e hāʻawi i kēia ʻike i kāu kauka, no ka mea, a laila hiki iā lākou ke hoʻoholo pololei inā kūpono kēia lāʻau lapaʻau iā ʻoe a ʻaʻole paha.
Pehea e hoʻohana pono ai i kēia lāʻau lapaʻau?
Hoʻohana ʻia kēia lāʻau lapaʻau ma ka hanu ʻana , me ka hoʻohana ʻana i ka nebulizer, ʻo ia ka mīkini e hoʻoheheʻe i ka lāʻau lapaʻau wai i loko o nā ʻāpana liʻiliʻi (aerosol). A laila hanu ʻoe i ka mahu ma kou waha, a i ʻole ma kou waha a me kou ihu, i loko o kou mau māmā.
- Pono ʻoe e hoʻohana i kēia e like me ke kauoha a kāu kauka, ma ke ʻano i kauoha ʻia a ma ka manawa i kauoha ʻia .
- Mai hoʻohana ma mua o ka mea a ke kauka e ʻōlelo ai.
Hele mai kēia lāʻau lapaʻau me kahi pepa kuhikuhi NO KA HOʻOHANA ʻANA. E heluhelu pono. Inā ʻaʻole ʻoe e maopopo i kekahi mea, e noi i kāu kauka lāʻau a kauka paha e wehewehe.
Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki, pono e mālama pono ʻia. No laila, e kamaʻilio me kāu kauka lapaʻau no ka ʻōlelo aʻo.
Mea nui: Ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō . Mai hāʻawi aku i kekahi, ʻoiai inā loaʻa iā lākou nā hōʻailona like me ʻoe.
He aha inā ʻaʻole hiki iaʻu ke kiʻi i ka manawa kūpono?
Inā ʻoe e poina i kahi lāʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i poina a lawe i kāu lāʻau aʻe e like me ka hoʻonohonoho ʻana. Mai lawe i ʻelua mau lāʻau i ka manawa hoʻokahi a i ʻole e lawe i kahi lāʻau keu.
Ke launa pū nei kēia lāʻau me nā lāʻau lapaʻau ʻē aʻe?
ʻAe, hiki i kēia lāʻau lapaʻau ke launa pū me kekahi mau lāʻau lapaʻau ʻē aʻe. ʻO ia hoʻi, i ka wā e lawe pū ʻia ai me nā lāʻau lapaʻau ʻē aʻe, hiki ke loli ka pono o kēia lāʻau lapaʻau a i ʻole e piʻi aʻe nā hopena ʻaoʻao. No laila, pono ʻoe e haʻi i kāu kauka e pili ana i nā mea āu e lawe nei:
- ʻAtropine
- Nā mea pale Beta (e.g. metoprolol, propranolol)
- ʻO kekahi mau lāʻau lapaʻau no ke anu, ke kuni, a me nā maʻi ʻaleka
- ʻO kekahi mau lāʻau lapaʻau no nā pilikia o ka ʻōpū mimi (e like me oxybutynin, tolterodine)
- ʻO kekahi mau lāʻau lapaʻau no ke kaumaha, ka hopohopo, a me nā maʻi noʻonoʻo
- ʻO kekahi mau lāʻau lapaʻau no ka ʻeha o ka ʻōpū (e like me dicyclomine, hyoscyamine)
- ʻO kekahi mau lāʻau lapaʻau no ka maʻi neʻe (e.g., scopolamine)
- ʻO kekahi mau lāʻau lapaʻau no ka maʻi o Parkinson (e like me, benztropine, trihexyphenidyl)
- Nā Diuretics (nā lāʻau lapaʻau e hoʻonui ai i ka mimi)
- Nā MAOI (e.g. Carbex, Eldepryl, Marplan, Nardil, a me Parnate)
- ʻO kekahi mau lāʻau lapaʻau no nā maʻi o ka puʻuwai
- Nā lāʻau hoʻoulu e kōkua ai i nā hemahema o ka nānā ʻana, ka pohō kaumaha, a i ʻole ke ala ʻana
ʻAʻole i piha kēia papa inoa. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (nā lāʻau lapaʻau i kauoha ʻia, nā mea kūʻai ʻole ʻia, nā huahana lāʻau lapaʻau, nā huaora, a me nā mea hoʻohui) . Eia kekahi, e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau kū ʻole i ke kānāwai. Hiki i kēia mau mea ke launa pū me kāu lāʻau lapaʻau.
He aha nā mea e makaʻala ai i ka wā e hoʻohana ai i kēia lāʻau lapaʻau?
E ʻike pinepine i kāu kauka e nānā i kou olakino i ka wā e hoʻohana ana i kēia lāʻau. E haʻi i kāu kauka inā ʻaʻole hoʻomaikaʻi kāu mau hōʻailona a i ʻole e ʻoi aku ka ʻino.
Inā e ʻoi aku ka ʻino o kou mau hōʻailona, a inā manaʻo ʻoe e pono ʻoe e hoʻohana i kēia lāʻau lapaʻau ma mua o ka maʻamau, e kāhea koke i kāu kauka.
- Waha maloʻo: Hiki i kēia lāʻau lapaʻau ke hoʻomaloʻo i kou waha. Hiki ke hoʻomalu ʻia kēia ma ka nau ʻana i ka gum kō ʻole, ka omo ʻana i nā mea ʻono kō ʻole, a me ka inu ʻana i ka wai nui i ka lā a pau. Eia nō naʻe, inā hoʻomau kēia pilikia a i ʻole he koʻikoʻi, e haʻi i kāu kauka.
- Ka manawa pane: Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i kou kaulike, ka manawa pane, a i ʻole ka hiki ke hoʻoholo. No laila , e pale i ka hoʻokele kaʻa a i ʻole ka hoʻohana ʻana i nā mīkini a hiki i kou ʻike ʻana i ke ʻano o kēia lāʻau lapaʻau iā ʻoe.
- Pōniuniu: No ka hōʻemi ʻana i ka pōniuniu a me ke poʻo māmā, e ala mālie mai ka noho ʻana a i ʻole ka moe ʻana.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao. He koʻikoʻi kekahi, ʻaʻole koʻikoʻi loa kekahi.
ʻO nā hopena ʻaoʻao āu e haʻi koke aku ai i kāu kauka:
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e haʻi koke aku i kāu kauka a mea mālama ola paha:
- Nā hopena maʻi: ʻŌhūhū ʻili, maneʻo, hives, pehu o ka maka, lehelehe, alelo, a me ka ʻāʻī.
- Nā loli o ke au o ka puʻuwai: Puʻuwai wikiwiki, puʻuwai ʻano ʻē, poniuniu, maule, ʻeha ka umauma, paʻakikī ke hanu.
- Hoʻonui ʻia ke koko.
- ʻEha a ʻoʻoleʻa paha nā ʻiʻo.
- ʻEha koke ka maka a i ʻole nā loli o ka ʻike: ʻike pōwehiwehi, ʻike ʻana i nā apo a puni nā kukui ('halos'), nalowale o ka ʻike.
- Paʻakikī i ka mimi ʻana.
- ʻUhaʻi a paʻakikī paha ka hanu ʻana ma hope o ka hoʻohana ʻana i ka lāʻau lapaʻau.
Nā hopena ʻaoʻao ʻaʻole pono ke mālama ʻia e ke kauka, akā pono e hōʻike i kāu kauka inā hoʻomau a hoʻopilikia paha lākou:
- Ka paʻa ʻana o ka ʻōpū
- Kuke
- Waha maloʻo
- ʻEha poʻo
- ʻeha ka ʻāʻī
- Nā haʻalulu a i ʻole ka haʻalulu
- ʻAʻole hiki ke hiamoe
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā ʻike ʻoe i kekahi mea ʻē aʻe i ʻike ʻole ʻia, e nīnau i kāu kauka.
Pehea ʻoe e mālama ai i kēia lāʻau lapaʻau?
He mea nui hoʻi e mālama pono i kēia lāʻau.
- E mālama i kahi hiki ʻole i nā keiki a me nā holoholona ke kiʻi aku.
- E mālama i loko o ka pahu hau a i ʻole ma ka mahana o ka lumi (ma waena o 20 a me 25 kekelē Celsius / 68 a me 77 kekelē Fahrenheit).
- E pale mai ka mālamalama.
- E mālama i nā ʻōmole i wehe ʻole ʻia i loko o kā lākou ʻeke pepa kini.
- E hoʻolei aku i nā lāʻau lapaʻau i pau ka lā.
ʻO ka mea hope loa, nā mea nui e hoʻomanaʻo
No laila, ke lana nei koʻu manaʻo ua ʻike maikaʻi ʻoe i ka hopena Ipratropium a me Albuterol nebulizer a mākou i kamaʻilio ai.
He lāʻau lapaʻau kēia i hoʻohana ʻia i loko o kahi "Nebulizer" e kāohi i nā pilikia hanu e like me "COPD". E hoʻomanaʻo, ʻaʻole kēia he lāʻau lapaʻau e hoʻohana ʻia i ka wā pilikia.
- E hoʻohana pono e like me ka ʻōlelo a kāu kauka, ma ke ʻano i kauoha ʻia a ma ka manawa i kauoha ʻia.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā pilikia olakino ʻē aʻe āu e loaʻa nei a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- E makaʻala i nā hopena ʻaoʻao. Inā ʻike ʻoe i kekahi mea koʻikoʻi, e haʻi koke i kāu kauka.
- E mālama pono i ka lāʻau lapaʻau.
Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, mai kānalua e nīnau i kāu kauka a mea kūʻai lāʻau paha. E kōkua lākou iā ʻoe. E noho olakino!











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