ʻO ke kuni kekahi mea a kākou a pau e ʻike mau ai. I kekahi manawa, e emi ana ka kuni e hele mai me ke anu iki i loko o ʻelua a ʻekolu paha lā. Akā, mau kekahi mau kuni no nā mahina, ʻaʻole hoʻi e hiamoe i ka pō, a he mea hoʻonāwaliwali loa ia. No laila, he aha kēia kuni? No ke aha kākou e kuni ai? Ua like anei nā kuni a pau? E kamaʻilio kākou e pili ana i kēia mau mea a pau me ka kikoʻī a me ka maʻalahi i kēia lā.
He aha ka ʻū? No ke aha mākou e ʻū ai?
I ka ʻōlelo maʻalahi, ʻo ke kō ʻana he ʻano pale i loko o ko kākou kino. I ka pololei, he pane koke ia (reflex) . Inā he mea makemake ʻole ʻia a hoʻonāukiuki paha i paʻa i loko o kou puʻu a i ʻole nā ala ea o ka umauma (`(Airways)`), e kō ke kino e hoʻopuka i waho. E noʻonoʻo e pili ana i ia mea, inā ʻū koke ʻoe i ka meaʻai i ka wā e ʻai ana, e kō ʻoe, pēlā nō ia.
He aha kēia mau mea hoʻonāukiuki?
- Lepo a me ka uahi: ʻO nā ʻāpana lepo i ke kaiapuni, ka ʻōpala o ke kaʻa, a me ka uahi o ka cigarette hiki ke hoʻoulu i ka ʻū ʻana ke komo lākou i loko o ke ala hanu.
- Huhu: Ke loaʻa iā kākou kahi maʻi e like me ke anu, hoʻopuka ko kākou mau ala ea i ka huhu hou aku. Kūkū ke kino e hoʻopau i kēia huhu.
- Nā maʻi : Ke loaʻa kahi maʻi bacteria, hoʻonāukiuki hoʻi ia i nā alaea.
No laila, ʻo ka ʻū ʻana kekahi mea a ko mākou kino e hana ai e pale iā mākou. Eia nō naʻe, hiki i ka ʻū mau ke lilo i mea hoʻonāukiuki loa.
He aha nā kumu nui o ke kunu ʻana?
Nui nā kumu no ke kuni ʻana. He mea liʻiliʻi loa kekahi, aʻo kekahi e pono ai ka nānā iki ʻana. E nānā kākou i nā kumu nui.
- Anuanu maʻamau a me ka maʻi palū (`(Influenza)`): ʻO kēia nā kumu maʻamau o ke kuni. Hoʻokumu ʻia kēia mau maʻi e nā maʻi viral. ʻO ka maʻamau, e emi ana kēia mau kuni i loko o kekahi mau lā a i hoʻokahi a ʻelua paha pule.
- ʻAsthma: ʻO ka hānō kekahi kumu nui o ke kuni i nā kānaka he nui, ʻoi aku hoʻi nā kamaliʻi ʻōpio. Ke loaʻa iā ʻoe ka hānō, pehu kou mau ala ea, ʻūlū, a piha i ka mucus. ʻO kēia ka mea e paʻakikī ai ka hanu ʻana a hoʻoulu ai i ke kuni. No kekahi mau keiki, ʻo ka ʻū mau paha ke hōʻailona wale nō e loaʻa iā lākou ka hānō. Hiki ke ʻoi aku ka ʻino o kēia ʻū, ʻoi aku hoʻi i ka pō a i ka wā hoʻoikaika kino.
- Nā maʻi ʻaleka a me nā mea hoʻonāukiuki: Loaʻa i kekahi poʻe ka maʻi ʻaleka i nā mea e like me ka lepo, ka pollen, a me ka dandruff holoholona, hiki ke hoʻoulu i ka ʻūhā. Pēlā nō, hiki i nā mea e like me ka uahi cigarette, nā ʻala ikaika, a me ka haumia o ka ea ke hoʻonāukiuki i nā ala ea a hoʻoulu i ka ʻūhā.
- ʻO ka maʻi puʻupuʻu (Bronchitis):ʻO kēia ka manawa e loaʻa ai ka maʻi a me ka pehu o nā alaea nui (bronchi) e alakaʻi ana i nā māmā. ʻO ka maʻamau, hoʻokumu ʻia ka bronchitis koʻikoʻi e kahi maʻi a hiki ke hele mai ma hope o ke anu. ʻO ka bronchitis mau loa kahi maʻi koʻikoʻi a loaʻa pinepine i nā mea puhi paka.
- Pneumonia: He maʻi kēia e hoʻopilikia ai i nā māmā. Hiki i nā hōʻailona ke komo pū me ka ʻū, ke kuni, ka paʻakikī o ka hanu ʻana , a me ka ʻeha o ka umauma. ʻO ka niumonia kahi maʻi e pono e ʻike ʻia e ke kauka.
- Sinusitis a me ka Postnasal Drip: ʻO nā sinuses nā lua i loko o ko kākou maka. Hana ʻia ka sinusitis ke loaʻa kēia mau maʻi. A laila hoʻomaka ka mucus e kahe i loko o ke kua o ka puʻu (Postnasal Drip). Hiki i kēia ke kumu i ka ʻū ʻana, ʻoi aku hoʻi i ka pō.
- ʻO ka maʻi Reflux Gastroesophageal (GERD): I kekahi poʻe, hiki i ka waikawa o ka ʻōpū ke piʻi i luna i ka esophagus a hoʻonāukiuki i ka puʻu. Hiki i kēia ke hana i ka ʻū maloʻo, ʻoiai ma hope koke iho o ka ʻai ʻana a i ʻole ke moe ʻana.
- Kekahi mau lāʻau lapaʻau: Hiki i kekahi mau lāʻau lapaʻau no ke koko kiʻekiʻe (e like me nā ACE inhibitors) ke hana i ka ʻū maloʻo ma ke ʻano he hopena ʻaoʻao. Inā ʻoe e lawe ana i kekahi mau lāʻau lapaʻau, e haʻi i kāu kauka inā loaʻa iā ʻoe kahi ʻū hou.
- Nā kumu ʻē aʻe: Ma waho aʻe o kēia, i nā hihia kakaikahi, hiki ke hana ʻia ka ʻū mau e nā maʻi koʻikoʻi e like me ka maʻi puʻupuʻu (TB) a me ke kanesa māmā . Eia nō naʻe, he mea kakaikahi loa kēia, no laila mai hopohopo e pili ana i kēia mau mea no ka mea he ʻū mau kou. Eia nō naʻe, inā he ʻū mau kou ʻaʻole e nalo, pono ʻoe e ʻike i ke kauka. E like me kou ʻike, ʻo ka ʻū kekahi hōʻailona nui o COVID-19.
Aia kekahi mau ʻano ʻūlū like ʻole?
ʻAe, hiki ke hoʻokaʻawale ʻia nā ʻū ma nā ʻano like ʻole. Kōkua pū kēia hoʻokaʻawale ʻana i nā kauka e ʻike i ke kumu.
Kuke Maloʻo vs. Kuke Huahana/Pū
- ʻŪhū maloʻo : ʻAʻole hana kēia ʻano ʻūhū i ka mucus. Manaʻo ia e like me ka ʻūlū ma ka puʻu. Hiki ke loaʻa pinepine kēia ʻano ʻūhū i nā wā mua o kahi maʻi viral, ka hānō, GERD, a me kekahi mau lāʻau lapaʻau.
- ʻUha ʻūhū: Ma kēia, hana ʻia ka ʻūhū i ka wā e ʻūhū ai. Hiki i ke kala (keʻokeʻo, melemele, ʻōmaʻomaʻo) a me ka mānoanoa o ka ʻūhū ke hāʻawi i kekahi manaʻo o ke ʻano o ka maʻi. ʻIke ʻia ka ʻūhū ʻūhū i nā kūlana e like me `(Bronchitis)` a me `(Pneumonia)`.
Kuke ʻAkika vs Kuke Mau
- ʻŪhū koke (`(ʻŪhū ʻAkika)`):He ʻū kēia e mau ana ma lalo o 3 mau pule. Hoʻokumu pinepine ʻia e nā mea e like me ke anu, ka maʻi palū, a me ka `(Acute Bronchitis)`.
- ʻŪhū mau (`(Cough Chronic)`): ʻO kēia ka inoa a mākou e hāʻawi ai i ka ʻūhū e mau ana no nā pule he 8 a ʻoi. Nui nā kumu no kēia. ʻO ka Asthma , `(GERD)`, `(Chronic Bronchitis)`, `(Postnasal Drip)` nā mea nui. I kekahi manawa, hiki i ka ʻūhū ke hoʻomau ʻoiai inā hui pū kekahi mau kumu.
Kuke Pō
ʻOi aku ka hoʻonāukiuki o kekahi mau ʻū i ka pō ma mua o ke ao. ʻO ka poʻe me ka hānō, GERD, a me ka postnasal drip e loaʻa paha i ka ʻū ʻoi aku ka ʻino i ka pō.
ʻŪhū i hoʻoulu ʻia e ka hoʻoikaika kino
Hiki i kekahi poʻe, ʻoiai ka poʻe me ka hānō, ke loaʻa i ka ʻū i ka wā a ma hope paha o ka hoʻoikaika kino. Hiki paha kēia ma muli o ke ʻano i kapa ʻia ʻo "Exercise-induced bronchoconstriction".
E akahele iki kākou e pili ana i ke kuni ʻana i nā keiki ʻōpio.
He mea maʻamau loa i nā kamaliʻi ke loaʻa i ka ʻū. Ke ulu nei ko lākou ʻōnaehana pale maʻi , no laila loaʻa pinepine iā lākou ke anu, ke kuni, a me ke ʻū.
He mea maʻamau i nā mākua ke hopohopo i ka wā e ʻū ai ke keiki liʻiliʻi. Akā, ʻaʻole pono e makaʻu ʻia nā ʻū a pau.
Eia nō naʻe, aia kekahi mau manawa e pono ai mākou e makaʻala iki e pili ana i ka ʻū ʻana i nā keiki ʻōpio:
- Asthma: E like me ka mea i ʻōlelo ʻia ma mua, hiki i ka hānō ke lilo i kumu nui o ka ʻū mau i nā keiki. E makaʻala i ka ʻū e ʻoi aku ka ʻino i ka pō a me ka ʻū e kū mai ana i ka wā pāʻani.
- ʻO ka ʻūhū ʻana (Pertussis): He maʻi bacteria weliweli kēia. Hoʻoulu ia i ka ʻūhū wikiwiki loa a hiki ʻole iā ʻoe ke hanu, a ʻo ka hope loa ʻoe e hanu me ke kani "whoop". Aia kekahi lāʻau pale no kēia, e hōʻoia e lawe pono ʻoe.
- Croup: He ʻano kēia e pehu ai nā alaloa o luna, e hana ana i kahi ʻū ʻaoa maʻamau. Aia paha he leo hū (stridor) i ka wā e hanu ana.
- ʻUmiʻumi: I kekahi manawa hiki i nā keiki liʻiliʻi ke loaʻa kahi mea i loko o ko lākou mau ala ea ma muli o nā mea a lākou e hoʻokomo ai i loko o ko lākou waha. Pono e noʻonoʻo ʻia kēia inā loaʻa iā lākou kahi ʻū koke a koʻikoʻi a i ʻole ka paʻakikī o ka hanu ʻana.
Inā ʻaʻole e emi ke kuni o kāu keiki i loko o kekahi mau lā, inā pilikia lākou i ka hanu ʻana, inā loaʻa iā lākou ke kuni, inā ʻaʻole lākou e ʻai pono, inā palaualelo lākou a ʻaʻole pāʻani, a laila e lawe pono iā lākou i ke kauka.
He aha nā lāʻau lapaʻau home no ka ʻū?
ʻAʻole pono ʻoe e holo i ke kauka no kēlā me kēia ʻū. No ka ʻū maʻalahi, aia kekahi mau mea hiki iā ʻoe ke hana ma ka home.
- E inu i ka wai nui: ʻO ka inu ʻana i nā wai he nui, e like me ka wai wela a me ka sopa, e hoʻomaʻū i kou puʻu a kōkua i ka hoʻoheheʻe ʻana i ka mucus, e maʻalahi ai ka puka ʻana i waho.
- Meli:Hiki ke hāʻawi ʻia i kahi teaspoon meli i nā keiki ma luna o hoʻokahi makahiki a me nā pākeke. Hoʻēmi ka meli i ka ʻeha o ka puʻu a hōʻoluʻolu i ka ʻū. Eia naʻe, mai hāʻawi i ka meli i nā pēpē ma lalo o hoʻokahi makahiki.
- Ka hanu ʻana i ka mahu: ʻO ka hanu ʻana i ka mahu mai kahi ʻōmole wai wela e hiki ke kōkua i ka hoʻomaʻū ʻana i nā ala ea a hoʻokuʻu i ka mucus. Eia nō naʻe, pono ʻoe e makaʻala loa i ka hanu ʻana i ka mahu no nā keiki ʻōpio, no ka mea hiki iā ia ke puhi iā lākou. He manaʻo maikaʻi nō hoʻi e hoʻā i ka piula wai wela i loko o ka lumi ʻauʻau a noho i loko o ka mahu no kekahi manawa.
- E noho mamao aku mai ka uahi a me nā mea hoʻonāukiuki: E pale i nā wahi me ka uahi o ka cigarette. E hoʻomaʻemaʻe pono i kou home. E hōʻemi i ka hoʻohana ʻana i nā "air fresheners" ʻala ikaika a me nā ʻala.
- Hoʻomaha: He mea maikaʻi ka hoʻomaha ʻana i ke kino no kekahi maʻi.
- E holoi i ka ʻōpū me ka wai paʻakai: Inā ʻeha kou ʻāʻī, hiki i ka holoi ʻana me ka wai paʻakai mehana ke hāʻawi i ka hōʻoluʻolu.
- Nā syrups kuni kūʻai ʻia ma luna o ke kauka (OTC cough syrups): ʻOiai hiki i kēia ke hāʻawi i ka hōʻoluʻolu manawa pōkole no kekahi mau kuni, ʻaʻole lākou e hana no nā kuni āpau. ʻAʻole kūpono kekahi mau syrups kuni no nā keiki ʻōpio. ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke ʻimi i ke kumu o ke kuni a mālama iā ia. No laila e nīnau mau i ke kauka ma mua o ka lawe ʻana i ka lāʻau lapaʻau.
Āhea ʻoe e hopohopo ai e pili ana i ka ʻū? Āhea e ʻike ai i ke kauka!
ʻOiai ka hapa nui o ke kuni e emi ana i loko o kekahi mau lā, i kekahi manawa pono mākou e ʻimi i ke kōkua lapaʻau. E makaʻala i kēia mau "hōʻailona hae ʻulaʻula":
- Ka paʻakikī o ka hanu ʻana a i ʻole ka pōkole o ka hanu ʻana.
- Inā ʻoe e hana i kahi leo wheezing i ka wā e hanu ana.
- Inā loaʻa iā ʻoe ka ʻeha nui o ka umauma .
- Inā ʻoe e ʻū i ke koko me ka mucus .
- He kuni nui (e.g., ma luna o 102°F / 38.9°C) e mau ana no kekahi mau lā, a i ʻole ke kuni ʻaʻole e emi.
- Ke kuni hou.
- Inā e emi koke kou kaumaha ma ke ʻano hiki ʻole ke noʻonoʻo ʻia.
- Inā ua hala ka ʻū no nā pule he 3-4 a ke lilo nei i mea ʻino i kēlā me kēia lā.
- Inā he keiki ʻuʻuku, inā hōʻole lākou e ʻai a inu paha, inā ʻaʻole lākou e pāʻani a huhū, inā hiamoe nui lākou .
- Inā ʻike ʻia nā lehelehe a i ʻole ka maka e polū ana (`(Cyanosis)`).
- He mea maikaʻi ke ʻike koke i ke kauka inā he ʻelemakule ʻoe a i ʻole kekahi me nā maʻi mau ʻē aʻe (e laʻa me ka maʻi diabetes mellitus, maʻi puʻuwai) e ulu ana i ka ʻū.
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, mai hoʻonele i ka manawa a e ʻike i ke kauka.
Pehea e ʻike ai ke kauka i ke kumu o ka ʻū?
Ke hele ʻoe i ke kauka, e nīnau mua ʻo ia iā ʻoe i kekahi mau nīnau.
- I ka manawa hea i hoʻomaka ai ke kuni?
- He ʻū maloʻo paha a he ʻū me ka phlegm paha? He aha ke kala o ka phlegm?
- Ke ʻū nui nei ʻoe i ka pō a i ʻole i ke ao?
- Aia kekahi mau hōʻailona ʻē aʻe (kuni, anuanu, ʻeha umauma)?
- Puhipaka ʻoe?
- Ke lawe nei ʻoe i ka lāʻau lapaʻau no nā maʻi ʻē aʻe?
- Aia kekahi poʻe ʻē aʻe ma ka home i ka ʻū?
A laila e nānā ke kauka iā ʻoe, e hoʻolohe pono i kou umauma me ka stethoscope (`(Auscultation)`).
I ka hapa nui o ka manawa, hiki i kēia ʻike a me nā hoʻokolohua ke kōkua i ka hoʻoholo ʻana i ke kumu o kou ʻū. Eia nō naʻe, i kekahi manawa pono paha ka hoʻāʻo hou ʻana. Eia kekahi laʻana:
- X-ray o ka umauma: No ka ʻike ʻana i nā maʻi e like me ka niumonia a me ka maʻi puʻupuʻu.
- Nā hoʻāʻo hana hanu (Spirometry): No ka ʻike ʻana i nā maʻi e like me ka hānō.
- Malia paha he mau hoʻāʻo koko, he mau hoʻāʻo sputum.
Ma hope wale nō o kēia mau hoʻokolohua e kuhikuhi ai ke kauka i ka lāʻau kūpono loa no kou ʻū.
Leka Lawe-Home
Ua kamaʻilio nui mākou e pili ana i ke kuni i kēia lā. ʻO ka mea hope loa, e hoʻomanaʻo i kēia mau mea:
- ʻAʻole he maʻi ka ʻū, akā he hōʻailona ia. He hōʻailona ia e hewa ana kekahi mea i loko o ke kino.
- ʻO ka hapa pinepine, hoʻokumu ʻia ka ʻū ʻana e nā kumu maʻalahi (e like me ke anu) a hoʻopau ʻia i loko o kekahi mau lā.
- Mai hoʻowahāwahā i ka ʻū mau, a i ʻole ka ʻū me nā hōʻailona "hae ʻulaʻula" i ʻōlelo ʻia ma luna. E ʻike pono i ke kauka.
- ʻO ka pale ʻana i ka puhipaka a me ka noho mamao ʻana mai nā mea hoʻonāukiuki e like me ka lepo a me ka uahi e hiki ke kōkua i ka hōʻemi ʻana i ke kuni ʻana.
- He mea naʻauao ke ʻimi i ka ʻōlelo aʻo mai ke kauka a ʻimi i ka lāʻau lapaʻau ma mua o ke kūʻai wale ʻana i ka syrup cough mai ka hale kūʻai lāʻau lapaʻau.
Inā loaʻa iā ʻoe kahi ʻūhū hoʻonāukiuki, mai makaʻu e ʻike i ke kauka e ʻike i ke kumu a loaʻa ka lāʻau kūpono. A laila hiki iā ʻoe ke ho'ōla koke!
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 No ke aha e kū mai ai ka ʻū?
ʻAʻole he maʻi ka ʻūhū ʻana, he hana palekana ia no ko kākou kino. Hōʻailona ia i ke kino e ʻūhū e hoʻokuke aku i ka mucus, ka lepo, a me nā germs mai ka puʻu a me nā māmā.
💬 Pono anei au e hopohopo inā loaʻa iaʻu ka ʻū no nā pule ʻekolu a ʻoi (ʻū mau)?
ʻAe, e hoʻomaikaʻi ka ʻūhū anu maʻamau i loko o ʻelua pule. Akā inā he ʻūhū mau kou no nā pule ʻekolu a ʻoi, inā ʻūhū ʻoe i ke koko, a inā he hou kou i ka pō, pono ʻoe e nānā no kekahi maʻi ʻē aʻe, e like me ka maʻi puʻupuʻu (TB).
💬 He aha kāu e hana ai ma ka home no ka ʻū maloʻo?
ʻO ka inu ʻana i hoʻokahi punetune meli ma hope o ka ʻai ʻana, ka mahu ʻana me ka wai wela, a me ka holoi ʻana me ka wai paʻakai hiki ke hoʻomaha koke i kēia pilikia.
ʻŪhū , ʻūhū, hānō, anu, bronchitis, niumonia, GERD











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