Ke hopohopo nei ʻoe e pili ana i ka lawe ʻana i ka lāʻau lapaʻau i kēlā me kēia lā inā loaʻa iā ʻoe ka hānō? E kamaʻilio kākou e pili ana i kēia mau lāʻau lapaʻau kaohi lōʻihi!

Ua ʻike paha ʻoe he pono i kekahi mau keiki a me nā mākua me ka hānō ke lawe i kā lākou lāʻau lapaʻau i kēlā me kēia lā. E noʻonoʻo paha ʻoe no ke aha lākou e haʻi aku ai iā ʻoe e lawe i kāu lāʻau lapaʻau i kēlā me kēia lā, ʻoiai i nā lā ʻaʻohe ou hōʻailona. Aia kekahi kumu maikaʻi no kēlā. Hoʻohana ʻia kēia mau lāʻau hoʻomalu lōʻihi, a i ʻole nā ​​​​lāʻau lapaʻau hoʻomalu a i ʻole nā ​​​​lāʻau mālama, e mālama i kou mau ala ea e wehe a maʻemaʻe, e maʻalahi ai ka hanu ʻana.

He aha maoli ka hānō?

I ka ʻōlelo maʻalahi, ʻo ka hānō kahi maʻi e hoʻopilikia ai i nā ala ea, a i ʻole nā ​​ala ea. ʻO ka mea e hana ʻia ma kēia hihia, ʻoi aku ka maʻalahi o kou mau ala ea. Ua like ia me kekahi kanaka e huhū maʻalahi i nā mea liʻiliʻi loa. Ma muli o kēia, i kekahi manawa pehu kēia mau ala ea mai loko mai, a ʻo nā ʻiʻo a puni lākou e paʻa a paʻa. E noʻonoʻo i kahi paipu wai i hoʻopiha ʻia mai loko mai a ke ʻomi ʻia nei e kekahi. A laila paʻakikī ke hanu i loko a i waho, ʻeā? ʻO ia ke kumu e kū mai ai nā hōʻailona e like me ka wheezing, ka paʻa o ka umauma, a me ke kuni ʻana i ka wā e ulu ai ka hānō. Hiki ke ʻokoʻa kēia maʻi no kēlā me kēia kanaka. Loaʻa i kekahi poʻe i nā manawa a pau, aʻo kekahi poʻe kakaikahi ka loaʻa.

No laila he aha kēia mau lāʻau hoʻomalu lōʻihi?

Inā loaʻa iā ʻoe ka hānō, e hāʻawi paha kāu kauka iā ʻoe i ʻelua ʻano lāʻau lapaʻau. ʻO kekahi ua kapa ʻia he lāʻau hoʻomaha . Hoʻohana ʻia kēia mau mea e hāʻawi i ka hoʻomaha wikiwiki i ka wā e ʻoi aku ka ʻino o kou hānō, ʻo ia hoʻi ke loaʻa iā ʻoe ka wheezing a i ʻole ka paʻakikī o ka hanu ʻana. Ua like ia me ke kau ʻana i ka wai ma ke ahi.

Akā, ʻokoʻa nā lāʻau lapaʻau hoʻomalu lōʻihi a mākou e kamaʻilio nei i kēia lā. ʻAʻole kēia he mau lāʻau lapaʻau e hāʻawi koke i ka hōʻoluʻolu. Ua like lākou me ke kahua o kahi hale. He ikaika ke kahua, a he ikaika ka hale. Ma ke ʻano like, kōkua kēia mau lāʻau lapaʻau i ka hoʻēmi mālie ʻana i ka pehu a me ka ʻike i loko o kou mau ala ea, a mālama i kou hānō ma lalo o ke kaohi. ʻO ia ke kumu i kapa ʻia ai lākou he mau lāʻau lapaʻau "mea hoʻomalu" a i ʻole "mālama".

Pehea e hana ai kēia lāʻau lapaʻau? Mālie? Wikiwiki?

ʻO kēia ka mea nui loa. Hana lohi loa kēia mau lāʻau hoʻomalu lōʻihi. E like me nā lāʻau hoʻomaha wikiwiki, ʻaʻole ʻoe e ʻike nui i ka ʻokoʻa ma hope o ka hoʻohana ʻana iā lākou. Hiki i kēia mau lāʻau ke hala i kekahi mau lā, a i ʻole he mau pule paha, e hana pono ai i kā lākou hana. E noʻonoʻo e pili ana iā ia, inā ʻoe e kanu i kahi mea kanu i loko o kahi māla, e lōʻihi ka manawa e ulu ai, e pua, a e hua mai i ka hua, ʻeā? Ulu maikaʻi wale nō ia inā ʻoe e hoʻoinu i kēlā me kēia lā a mālama iā ia. Pēlā kēia mau lāʻau.

ʻO ka hana nui o kēia mau mea, ʻo ia ka hoʻēmi ʻana i ka pehu mau loa (inflammation) i loko o kou mau alaloa hanu a kōkua iā lākou e wehe a kaʻawale mai nā alaloa hanu i pani hou ʻia.

No laila, pono anei iaʻu e lawe i kēia lāʻau lapaʻau i kēlā me kēia lā, ʻoiai ke maikaʻi nei koʻu manaʻo?

ʻAe, ʻoiaʻiʻo nō! ʻO kēia kahi e hana hewa ai ka poʻe he nui. Manaʻo paha ʻoe, "ʻAʻohe oʻu anu hou," "ʻAʻohe oʻu kuni," "No laila no ke aha wau e lawe ai i kēia lāʻau i kēlā me kēia lā?" Akā, ʻo ke kumu e holomua maikaʻi nei ʻoe, no ka mea paha ke lawe pololei nei ʻoe i kāu lāʻau.

E noʻonoʻo, hoʻohana kekahi kanaka me ka maʻi diabetes mellitus i ka insulin. ʻOiai inā maikaʻi kona manaʻo, pono nō ʻo ia e lawe i ka lāʻau lapaʻau e like me ke kauoha a ke kauka. A i ʻole, e ʻoi aku ka maʻi. Pēlā nō hoʻi no nā lole.

Inā ʻoe e lawe i kēia mau lāʻau lapaʻau i kēlā me kēia lā, e like me ke kuhikuhi a kāu kauka, e loaʻa iā lākou ka manawa e hana ai i loko o kou kino. A laila wale nō e pau ai ka pehu ʻana o kou mau ala ea a me ka paʻa ʻana, e ʻae ana iā ʻoe e hoʻomau i ka hanu maikaʻi. Inā ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau, e hoʻomaka hou paha nā pilikia i loko o kekahi mau lā.

He aha nā ʻano nui o nā lāʻau lapaʻau kaohi lōʻihi?

Aia kekahi mau ʻano lāʻau lapaʻau e hāʻule ana i loko o kēia māhele. ʻO ka lāʻau lapaʻau a kāu kauka i kuhikuhi ai nou paha kekahi o lākou.

• ʻO nā Corticosteroids Inhaled (ICS): ʻO kēia nā ʻano lāʻau lapaʻau hoʻomalu i hoʻohana nui ʻia a koʻikoʻi loa. Mai hopohopo i ka inoa "steroid," akā ʻaʻole like kēia me nā steroids āu e lawe mau ai i ke ʻano pila. Hoʻouna pololei ʻia lākou i nā māmā ma o kahi inhaler, no laila he liʻiliʻi ko lākou hopena ma nā ʻāpana ʻē aʻe o ke kino. Hana lākou ma ka hōʻemi ʻana i ka mumū ma nā alaloa hanu. Ua like ia me ke kau ʻana i ka lāʻau lapaʻau ma luna o kahi kuni e kōkua iā ia e ho'ōla.

• Nā Beta-Agonists Hana Lōʻihi (LABA): Kōkua kēia mau lāʻau lapaʻau i ka mālama ʻana i nā ala ea e wehe ai ma ka hoʻomaha ʻana i nā ʻiʻo a puni lākou. ʻAʻole hoʻohana pinepine ʻia lākou. Hoʻohui pinepine ʻia lākou me nā corticosteroids inhaled i loko o hoʻokahi inhaler. Ke hui pū ʻia kēia mau mea ʻelua, he mea maikaʻi loa lākou i ka kaohi ʻana i ka hānō.

• Nā lāʻau lapaʻau ʻē aʻe: Eia kekahi, aia nā lāʻau lapaʻau i lawe ʻia ma ke ʻano pila, e like me nā mea hoʻololi leukotriene. I kekahi manawa, paipai paha kāu kauka e hoʻohana i kēia mau mea me nā lāʻau lapaʻau ʻē aʻe.

Loaʻa ka hapa nui o kēia mau lāʻau lapaʻau ma ke ʻano he inhaler . He mea hana kēia e hiki ai iā ʻoe ke hāʻawi i ka lāʻau lapaʻau i loko o kou mau māmā i kou hanu ʻana. Hiki ke hāʻawi ʻia i kēia lāʻau lapaʻau i kekahi mau keiki ʻōpio ma o kahi nebulizer.

He aha ka mea e hana ai inā ʻaʻole ʻoe e hoʻohana pono i kēia lāʻau lapaʻau, i kēlā me kēia lā?

He mea kēia e noʻonoʻo pono ai. E noʻonoʻo ua haʻi aku kāu kauka iā ʻoe e hoʻohana i kāu inhaler i ʻelua manawa i ka lā. Akā he aha ka mea e hana ai inā ʻōlelo ʻoe, "Ua maikaʻi loa koʻu manaʻo i kēia lā," a hoʻohana hoʻokahi wale nō, a i ʻole inā ʻaʻole ʻoe e hoʻohana no ʻelua a ʻekolu paha lā?

• Hiki ke ʻike hou ʻia nā hōʻailona o ka hānō: ʻo nā mea e like me ke kuʻi ʻana, ka hanu ʻana, a me ka paʻa o ka umauma e hoʻomaka mālie e piʻi.
• Hiki ke ʻoi aku ka ʻino o nā hōʻailona i ka pō:E ala aʻe paha ʻoe mai ka hiamoe me ka ʻū a me ka pilikia o ka hanu ʻana.
• Piʻi ka pilikia o nā hōʻeha hānō koke: ʻO kēia ka mea weliweli loa. Inā ʻaʻole ʻoe e lawe pono i kāu lāʻau lapaʻau, emi iho ka pale o kou mau ala ea. A laila hiki i kahi mea liʻiliʻi (e like me ka lepo, ka uahi, ke anu) ke hoʻoulu i kahi hōʻeha hānō nui. A laila pono paha ʻoe e hele i ka haukapila.
• Hiki ke hōʻeha lōʻihi i nā māmā: Ke pālahalaha pinepine ka hānō, ʻaʻole maikaʻi ia no nā māmā.

No laila, he mea nui loa ka lawe ʻana i kēia mau lāʻau hoʻomalu e like me ke kauoha a ke kauka, ma ka nui i kauoha ʻia, a i ka manawa i kauoha ʻia.

Pono anei mākou e makaʻu i nā hopena ʻaoʻao?

Makaʻu ka poʻe he nui ke lohe lākou i ka huaʻōlelo "steroids." He ʻoiaʻiʻo hiki i kekahi mau steroid ke hana i nā hopena ʻaoʻao inā lawe mau ʻia. Eia nō naʻe, hāʻawi ʻia nā corticosteroids inhaled, i hoʻohana ʻia no ka hānō, ma nā dosis haʻahaʻa loa. Eia kekahi, no ka mea e hele pololei lākou i nā māmā, liʻiliʻi loa ka mea i omo ʻia e ke kino.

Eia nō naʻe, hiki ke loaʻa kekahi mau hopena ʻaoʻao liʻiliʻi. Eia kekahi laʻana:

• Nā maʻi liʻiliʻi o ka waha a me nā lehelehe (e.g., oral thrush).
• Ka leo palahalaha.

Aia nā ala maʻalahi loa e pale aku ai i nā mea e like me kēia.

1. E holoi pono i kou waha me ka wai ma hope o ka hoʻohana ʻana i ka mea hoʻoheheʻe.

2. Ke hoʻohana nei i ka inhaler me kahi mea spacer (hiki iā ʻoe ke nīnau i kāu kauka e pili ana i kēia).

ʻOiai paha e loaʻa pinepine ʻole nā ​​hopena ʻaoʻao ʻē aʻe, paipai ke kauka i kēia mau lāʻau lapaʻau no ka mea ʻoi aku ka maikaʻi o nā pono ma mua o nā hopena ʻaoʻao liʻiliʻi. Inā loaʻa iā ʻoe kekahi ʻeha, mai makaʻu e kamaʻilio me ke kauka e pili ana i ia mea.

ʻO ke koʻikoʻi o ke kamaʻilio ʻana me kāu kauka e pili ana i kēia

E hoʻoholo pū ʻoe a me kāu kauka i ke ʻano maikaʻi loa e kaohi ai i kou hānō.

• Kou mau hōʻailona.
• Kou ʻano nohona.
• ʻO ka maʻalahi o ka hoʻohana ʻana i ka lāʻau lapaʻau.

E noʻonoʻo kāu kauka i kēia mau mea āpau e hoʻoholo ai i ka lāʻau lapaʻau hoʻomalu kūpono loa a me ka nui o nā lāʻau nou. No laila, e kūkākūkā i nā nīnau a hopohopo paha āu e loaʻa ai (e laʻa, pehea e hoʻohana ai i ka lāʻau lapaʻau, nā hopohopo e pili ana i nā hopena ʻaoʻao) me kāu kauka. Ma kēlā ʻano, hiki iā ʻoe ke hōʻoiaʻiʻo e lawe pololei ana ʻoe i kāu lāʻau lapaʻau a ua kāohi maikaʻi ʻia kou hānō.

Leka Lawe-Home

ʻAe, no laila, mai nā mea a mākou i kamaʻilio ai, eia nā mea nui e hoʻomanaʻo:

• ʻO nā lāʻau lapaʻau kaohi lōʻihi he mau lāʻau lapaʻau e pono e lawe ʻia i kēlā me kēia lā, ʻoiai inā ʻaʻohe hōʻailona.
• Hana lohi kēia mau mea, akā he mea nui ia no ka hōʻemi ʻana i ka pehu ʻana i loko o nā alaea a me ka pale ʻana i nā hōʻeha hānō.
• Hoʻohana ʻia nā lāʻau lapaʻau hōʻoluʻolu ke hoʻomaka ka hānō. Akā, pono e lawe ʻia nā lāʻau lapaʻau hoʻomalu i kēlā me kēia lā.
• Inā ʻaʻole ʻoe e lawe pono i kāu lāʻau lapaʻau, hiki i kou hānō ke hoʻonui aʻe a alakaʻi i nā hoʻouka kaua koʻikoʻi.
• Mai hopohopo nui e pili ana i nā hopena ʻaoʻao. Inā hoʻohana pololei ʻoe i kāu inhaler a holoi i kou waha, hiki iā ʻoe ke pale aku i nā hopena ʻaoʻao he nui.
• E kamaʻilio pinepine me kāu kauka a hana i kahi hoʻolālā no ka mālama ʻana i kou hānō.

E hoʻomanaʻo, he maʻi ka hānō, inā e kāohi pono ʻia, ʻaʻole ia e pale iā ʻoe mai ke ola maʻamau a hana. ʻO ka hoʻohana pono ʻana i kēia mau lāʻau hoʻomalu lōʻihi he kōkua nui ia!

ʻAsthma , Nā Lāʻau Hoʻomalu Lōʻihi, Nā Lāʻau Hoʻomalu, Nā Lāʻau Mālama, Nā Corticosteroids Hanu ʻia, Asthma Sinhala