Pehea ʻoe? I kēia lā, e kamaʻilio ana mākou e pili ana i kahi kumuhana koʻikoʻi e pono ai nā mea a pau e ʻike. ʻO ia hoʻi, ke ālai ʻana o ke ala ea, a i ʻole e like me ka kapa ʻana a kekahi mau kauka, "Airway Obstruction". Ua lohe paha ʻoe i kēia huaʻōlelo, akā, ʻaʻole ia he mea nui, e kamaʻilio wale kākou e pili ana i kēia lā. I ka ʻōlelo maʻalahi, ʻo ia hoʻi, aia kahi ālai i ke ala a mākou e hanu ai i loko a i waho, ʻo ia hoʻi, i loko o ko mākou mau ala ea. Ua like kēia me kahi kūlana kahi i paʻa ai kahi ʻāpana lepo i waenakonu o kahi paipu wai a ua pau ke kahe ʻana o ka wai.
He aha ke ala ea? He aha ke ālai ʻana?
ʻAe, e nānā mua kākou i ke ʻano o kēia ala ea . Ke hanu ʻoe, komo kēlā ea i loko o kou kino, e hoʻomaka ana mai kou ihu a waha paha, e hele ana ma kou puʻu, a laila i lalo i kou trachea, e lālā ana i waho a hele i loko o kou mau māmā, ʻeā? ʻO ia ka mea a mākou e kapa nei ʻo ke ala ea holoʻokoʻa. Hiki ke hoʻokaʻawale ʻia i ʻelua ʻāpana:
- ʻAla hanu o luna: ʻO ia hoʻi ka ihu, ka waha, ka ʻāʻī, a me ka larynx (kahi i puka mai ai ko kākou leo).
- ʻAla hanu haʻahaʻa: Hoʻokomo pū kēia me ka trachea (e like me ka ʻōmole), nā lālā e lālā ana mai ia mea (bronchi), a me nā ala ea liʻiliʻi i loko o nā māmā.
I kēia manawa, he aha ka mea e ālai ai ? ʻO ke ʻano kēia, aia ma kahi o ke ala ea aʻu i ʻōlelo ai ma mua, ua paʻa kekahi mea i loko o ke ala ea, e pale ana i ka neʻe ʻana o ka ea. Hiki i kēia ālai ke piha a hapa paha. Ma nā ʻano ʻelua, ke hoʻopilikia nei ia i ka hanu ʻana.
E noʻonoʻo wale, inā e holo ana ke kaʻa ma ke alanui a aia kahi pōhaku nui ma waenakonu o ke alanui, ʻaʻole hiki i ke kaʻa ke holo. Pēlā i ʻōlelo ʻia ai ua ālai ʻia ke ala ea.
No ke aha i paʻa ai ke ala ea penei? He aha nā kumu?
Nui nā kumu e ālai ʻia ai kou ala ea. He koke kekahi, aʻo kekahi e ulu mālie ana. E nānā kākou i nā kumu nui.
He mea maʻamau e hana ʻia i nā kamaliʻi liʻiliʻi: Kekahi mea i paʻa i ka puʻu
Ua lohe paha ʻoe i kēia. ʻOiai i ka wā e pāʻani ai nā keiki liʻiliʻi , hiki i nā mea pāʻani liʻiliʻi, nā kālā, a me nā ʻāpana meaʻai (ʻoi aku hoʻi nā pīni a me nā hua waina) a lākou e hoʻokomo ai i loko o ko lākou waha ke paʻa i ka puʻu. Ke hana ʻia kēlā, hiki iā lākou ke hiki ʻole ke hanu, he pilikia nui ia. Hiki i nā pākeke ke ʻāʻī i ka meaʻai, ʻoiai i ka wā e ʻai wikiwiki ai a i ʻole ke kamaʻilio ʻana. Kāhea pū mākou i kēia ʻo `(Foreign body aspiration)`.
Nā maʻi allergies a me nā kūlana hānō
Hiki iā ʻoe ke noʻonoʻo, ʻo kahi hopena aleri koʻikoʻi (anaphylaxis) i kekahi mau meaʻai, nā lāʻau lapaʻau, a i ʻole nā ʻā ʻana o nā pepeke e hiki ai ke pehu i ka puʻu a me ke alelo a paʻa koke nā ala ea? He pilikia kēia.
Hiki nō hoʻi kēia pilikia ke loaʻa i nā poʻe me ka hānō . Ke loaʻa ka hānō, pehu nā alaloa, ololi, a piha i kahi wai mānoanoa e like me ka mucus. Hoʻemi kēia i ka nui o ka ea e hiki ke hele ma waena. Ua kapa ʻia hoʻi kēia he "Airway Obstruction".
Nā maʻi like ʻole
ʻO kekahi mau maʻi, ʻo ia hoʻi nā maʻi ʻaʻai, hiki ke hana i ke ālai ʻia ʻana o ke alaea.
- ʻO Croup: He maʻi e hoʻopilikia ana i nā keiki ʻōpio a hele pū me ka ʻū ʻana. Hoʻoulu ia i ka pehu ʻana o ka ʻaoʻao o luna o ka puʻu.
- ʻEpiglottitis: He maʻi koʻikoʻi kēia. Pehu ka epiglottis, kahi ʻāpana liʻiliʻi i loko o ka puʻu. Hiki i kēia ke ālai loa i ke ala ea. (ʻO ka mea pōmaikaʻi, ʻaʻole i maʻamau kēia i kēia manawa aia kahi lāʻau pale no ia mea).
- Ke ʻino aʻe ke anu, a i ʻole i nā kūlana e like me ka bronchitis, hiki i ka mucus ke hōʻiliʻili a ālai i nā alaea.
Nā kumu ʻē aʻe
Ma waho aʻe o kēia,
- Ka hōʻeha pololei i ke alaea (e like me ke ʻano, mai kahi ulia kaʻa).
- ʻO ke kūkulu ʻia ʻana o nā puʻupuʻu a i ʻole nā pūpū i loko o nā alaea (ulu mālie kēia mau mea).
- ʻO nā kūlana e like me ka maʻi pulmonary obstructive chronic (COPD) hiki ke hana i nā alaea e ālai mālie ʻia.
- ʻO kekahi mau ʻano maʻi hānau ʻole .
He aha nā hōʻailona o ke ālai ʻia ʻana o ke alaea?
Hiki ke ʻokoʻa nā hōʻailona ma muli o ka nui a me kahi i ālai ʻia ai ke alaea. Eia nō naʻe, aia kekahi mau hōʻailona maʻamau e ʻike ʻia:
- Kuke: He kuke mau, i kekahi manawa ʻūʻū.
- Paʻakikī ka hanu ʻana: Ua manaʻo ʻia he luhi a he ʻūmiʻi ka hanu ʻana.
- Wheezing: He leo hū e puka mai ana mai ka umauma i ka wā e hanu ana. Wahi a kekahi poʻe he leo 'whooshing'. He hōʻailona maʻamau kēia i ka poʻe me ka hānō.
- Stridor: He hōʻailona hopohopo iki kēia. He leo kiʻekiʻe a ʻano ʻē ia e puka mai ana mai ka puʻu ke hanu ʻoe. Lohe pinepine ʻia kēia i ka wā e ālai ʻia ai ke ala ea o luna.
- Paʻakikī i ka ʻōlelo ʻana: ʻO ka paʻakikī i ka hanu ʻana e hiki ai iā ʻoe ke ʻōlelo haʻalulu.
- Polū o ka lae a me nā lehelehe (`Cyanosis`): He hōʻailona weliweli loa kēia. Hana ʻia kēia ke loaʻa ʻole i ke kino ka oxygen lawa. Inā ʻike ʻoe i kahi mea e like me kēia, pono ʻoe e hele koke i ka haukapila .
- Hopohopo, makaʻu: Makaʻu nā kānaka a pau ke hiki ʻole iā lākou ke hanu, ʻeā?
- Ke huki ʻana i nā ʻiʻo o ka ʻāʻī a me ka umauma i ka wā e hanu ana: Hōʻike kēia e hana nui ana ʻoe e hanu.
He aha kā kākou e hana ai inā hana ʻia kekahi mea e like me kēia?
ʻAʻole ia he mea e lawe māmā ʻia ai ka pale ʻana o ke alaea. ʻOiai inā paʻakikī koke ʻoe i ka hanu ʻana, ke uliuli nei kou mau lehelehe, a i ʻole ke nalowale nei kou ʻike, pono ʻoe e kāhea koke i ka 911 a lawe koke i ke kanaka i ka haukapila kokoke loa.
- Inā paʻa kekahi mea i loko o kou puʻu:
- Inā hiki i ke kanaka ke kunu, e haʻi iā ia e kunu maikaʻi.Hiki i ke ʻū ʻana ke kōkua i ka hoʻomaʻemaʻe ʻana i nā mea i paʻa.
- Inā ʻaʻole hiki iā ʻoe ke ʻū, ʻaʻole hiki ke kamaʻilio, a i ʻole e polū ana kou helehelena, aia kekahi ʻano hana i kapa ʻia ʻo Heimlich maneuver hiki iā ʻoe ke hana. ʻOi aku ka maikaʻi o ka loaʻa ʻana o kekahi i aʻo pono ʻia e hana ia mea. (He mea kēia āu e makaʻala ai ma kahi ʻokoʻa.)
- No kahi pēpē liʻiliʻi: E hoʻohuli i ke alo o ke pēpē i luna, e hoʻohaʻahaʻa iki i ke poʻo, a e pā mālie i ke kua (he mea kēia e pono e hana pono ʻia).
- E ho'āʻo e hoʻomālielie i ke kanaka . Hiki i ka hopohopo ke hoʻolilo i ka hanu ʻana i mea paʻakikī.
- Inā loaʻa i kekahi ka hānō, e kōkua iā lākou e hoʻohana i kā lākou inhaler inā loaʻa iā lākou.
ʻO ka mea nui loa, inā manaʻo ʻoe he koʻikoʻi ke kūlana, e ʻimi koke i ke kōkua lapaʻau, me ka hoʻonele ʻole i ka manawa e hana i nā mea ma kāu iho.
Pehea e ʻike ai ke kauka i kēia? He aha ka lāʻau lapaʻau?
Ke hele ʻoe i ka haukapila, ʻo ka mea mua a nā kauka e hana ai, ʻo ia ke nīnau iā ʻoe a me ka poʻe i hele pū me ʻoe i nā nīnau a ʻike e pili ana i kāu mau hōʻailona. A laila nānā lākou iā ʻoe.
- Ke kau ʻoe i ka stethoscope ma kou umauma a hoʻolohe, e lohe ʻoe i nā leo e like me "(Wheezing)" a i ʻole "(Stridor)".
- Nānā ʻia nā pae oxygen (me kahi mea liʻiliʻi i kapa ʻia ʻo `pulse oximeter`).
- I kekahi manawa e kauoha lākou i kahi X-ray umauma e nānā i kahi poloka i ka puʻu a i ʻole kahi maʻi i loko o nā māmā.
- Inā pono ka hoʻokolokolo hou ʻana, hiki ke hana ʻia kahi CT scan a i ʻole bronchoscopy (kahi ʻōmole me kahi kāmela i hoʻokomo ʻia i loko o nā alaea).
Hoʻoholo ʻia ka lāʻau lapaʻau ma ke kumu o ke ālai ʻia ʻana o ke alaea.
- Inā paʻa kekahi mea i loko o ka puʻu, e wehe ʻia.
- Inā ma muli o ka hānō, hāʻawi ʻia ka lāʻau lapaʻau ma o nā inhalers a me nā nebulizers.
- Inā ma muli o kahi maʻi allergy, e hāʻawi ʻia nā lāʻau lapaʻau (antihistamine, steroids, a me kahi inikini epinephrine paha).
- Inā he maʻi bacteria, hāʻawi ʻia nā antibiotics.
- Inā paʻakikī loa ka hanu ʻana, hāʻawi ʻia ka oxygen. I kekahi manawa pono paha ka hanu hana.
Hiki ke pale ʻia ke ālai ʻia ʻana o ke alaea?
I kekahi mau hihia, hiki iā mākou ke hoʻāʻo e pale i kēia mau kūlana.
- Ma nā hale me nā keiki liʻiliʻi: E mālama i nā mea pāʻani liʻiliʻi, nā ʻāpana kālā, a me nā pihi ma kahi hiki ʻole ke kiʻi aku. E kiaʻi i nā keiki i kā lākou ʻai ʻana. Mai hāʻawi i nā ʻāpana nui o ka meaʻai i ka manawa hoʻokahi.
- I ka wā e ʻai ai: Nau maikaʻi i kāu meaʻai a ʻai mālie. ʻO ke kamaʻilio ʻana a me ka ʻakaʻaka ʻana i ka wā e ʻai ana e hoʻonui i ka manawa e iho ai ka meaʻai i lalo o kou puʻu.
- Inā loaʻa iā ʻoe ka hānō a i ʻole nā maʻi ʻaleka i ʻike ʻia: E lawe i kāu mau lāʻau lapaʻau e like me ke kauoha a kāu kauka. E noho mamao aku mai nā mea hoʻomaʻi ʻaleka i ka hiki. E makaʻala i kāu hoʻolālā hana hānō.
- E pale i ka puhipaka:Hiki i ka puhipaka ke hoʻoulu i nā pilikia hanu he nui.
- E kiʻi i nā lāʻau pale kūpono: Kōkua nā lāʻau pale i ka pale ʻana i kekahi mau maʻi (e laʻa me ka maʻi palū, ka ʻūhū).
Leka Lawe-Home
ʻAe, ke lana nei koʻu manaʻo ua ʻike maikaʻi ʻoe i ka mea a mākou i kamaʻilio ai i kēia lā, ʻo ia hoʻi ka "Airway Obstruction". Eia kekahi o nā mea nui e hoʻomanaʻo ai:
- ʻO ke ālai ʻana o ke ala ea, ʻo ia hoʻi, aia kahi ālai ʻana i ke ala ea .
- Nui nā kumu no kēia - kekahi mea i paʻa i ka ʻāʻī, ka hānō, nā allergies, nā maʻi, a me nā mea ʻē aʻe.
- Inā ʻike ʻia nā hōʻailona e like me ka paʻakikī o ka hanu ʻana, ka ʻū nui, nā leo ʻē e puka mai ana mai ka umauma (wheezing, stridor), a me nā lehelehe polū , hiki iā ia ke lilo i mea koʻikoʻi.
- ʻOi loa aku inā polū nā lehelehe, inā emi iho ka ʻike, a inā ʻaʻole hiki i ke kanaka ke ʻōlelo, pono e lawe koke ʻia lākou i ka haukapila.
- Hoʻoholo ʻia ka lāʻau lapaʻau e like me ke kumu.
- I kekahi mau hihia, ʻoiai hoʻi me nā keiki ʻōpio, hiki i ka makaʻala ke kōkua i ka pale ʻana i kēia mau kūlana.
Manaʻolana wau he mea pono kēia ʻike iā ʻoe. E ola kino!
ʻAʻa ʻia ke Alanui Ea , Pōkole o ka Hanu, Asthma, Allergy, ʻOʻoleʻa o ka Puʻu, ʻAʻa ʻia ke Alanui Ea, Lapaʻau Pōpilikia, Wheezing, Stridor, Cyanosis, Heimlich Maneuver











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