Ua makaʻu anei ʻoe i ka ʻeha koke ma kou umauma hema? He nui nā manawa i makaʻu ai ʻoe e hanu, a ua manaʻo ʻoe, 'Auē kuʻu Akua, he hōʻeha puʻuwai anei kēia?' Ke lohe mākou i ka huaʻōlelo "ʻeha umauma" ma ka ʻaoʻao hema o ko mākou umauma, lele koke ko mākou manaʻo i kahi pilikia puʻuwai. He ʻoiaʻiʻo, i kekahi manawa he hōʻailona ia o ka maʻi puʻuwai. Eia naʻe, ʻaʻole nā ʻeha umauma āpau he hōʻeha puʻuwai. ʻAʻole wale ka puʻuwai, akā, ʻo nā pilikia me ko mākou māmā, ka ʻōnaehana hoʻoheheʻe, a i ʻole nā ʻiʻo a me nā iwi ke kumu o kēia ʻano ʻeha. No laila, he mea nui loa ka makaʻala i kēia me ka makaʻu ʻole.
Hiki i ka ʻeha ma ka ʻaoʻao hema o ka umauma ke lilo i hōʻailona o ka hāʻule puʻuwai?
ʻAe, hiki nō. ʻO ka ʻeha ma ka ʻaoʻao hema o ka umauma kekahi o nā hōʻailona nui o ka hōʻeha puʻuwai. Akā, ʻaʻole ia wale nō. ʻO ka maʻamau, hele mai ka hōʻeha puʻuwai me nā hōʻailona ʻē aʻe e like me kēia:
- Paʻakikī ka hanu ʻana (manaʻo e like me ʻoe e ʻūlū ana)
- He manaʻo o ke kaomi a ʻeha paha ma waenakonu o ka umauma, me he mea lā e kaomi ana a ʻūlū ana paha kekahi mea
- Hohola kēia ʻeha i ka lima hema, ʻāʻī, ʻāwae, poʻohiwi, a i ʻole ke kua.
- Ka hou nui ʻana
- Manaʻo poniuniu, poʻo māmā
- Ka luaʻi a i ʻole ka luaʻi
Inā ʻeha kou umauma a i ʻole kekahi āu i ʻike ai me kekahi a ʻoi aku paha o kēia mau hōʻailona, he nui ka hiki ke loaʻa he hōʻeha puʻuwai. Mai hoʻonele i ka manawa a hele koke i ka Emergency Department (ETU) o ka haukapila a kāhea aku paha i kahi ambulance.
No laila, ma waho aʻe o nā pilikia o ka puʻuwai, he aha nā kumu ʻē aʻe?
E like me kā mākou i ʻōlelo ai ma mua, nui paha nā kumu. I mea e maopopo ai kēia, e māhele kākou i kēia mau kumu i mau ʻāpana.
| ʻŌnaehana i hoʻopilikia ʻia | Kūlana/Kumu | I ka ʻōlelo maʻalahi... |
|---|---|---|
| Nā kumu e pili ana i ka puʻuwai a me nā kīʻaha koko | ||
| Puʻuwai | Maʻi hohola | ʻO ka pani koke ʻana o ke aʻa coronary e hoʻolako ana i ke koko i ka puʻuwai e make ai ka ʻiʻo o ka puʻuwai. Hoʻoulu ia i ka ʻeha nui o ka umauma. |
| Puʻuwai | ʻO ka maʻi ʻeha Angina / Coronary Artery | Hoʻopili ʻia nā aʻa koko e lawe ana i ke koko i ka puʻuwai ma muli o nā waihona cholesterol. Hoʻonui ʻia ka ʻeha i ka wā e hoʻoikaika kino ai a piʻi paha i nā alapiʻi, a emi iho i ka wā e hoʻomaha ai. |
| Puʻuwai | ʻO ka pericarditis | Pehu ka membrane lahilahi a puni ka puʻuwai ma muli o kahi maʻi. Aia kahi ʻeha ʻoi a hou. ʻOi aku ka ʻeha ke moe ʻoe i lalo a i ʻole e hanu hohonu. |
| ʻAorta | Ka ʻoki ʻana o ke aorta | ʻO ka haki ʻana o ka aorta, ke kīʻaha koko nui e alakaʻi ana mai ka puʻuwai mai. Hiki i kēia ke hana i ka ʻeha nui a hiki ʻole ke noʻonoʻo ʻia ma ka umauma a me ke kua. He pilikia kēia. |
| Nā kumu e pili ana i ka ʻōnaehana digestive | ||
| ʻōpū | ʻO ka maʻi ʻōpū / GERD | ʻO ka ʻā ʻana o ka puʻuwai he ʻano wela i loko o ka umauma i hoʻokumu ʻia e ka piʻi ʻana o ka waikawa o ka ʻōpū (i luna i loko o ka puʻu). Kāhea pū mākou i kēia he "kinoea". Hoʻopunipuni pinepine ʻia kēia no ka hōʻeha puʻuwai. |
| ʻO ka pancreas | ʻO ka maʻi pancreatitis | Pancreatitis. ʻEha nui ma ka ʻōpū o luna e hiki ke pālahalaha a hiki i ka umauma. |
| Nā kumu e pili ana i ka māmā | ||
| Nā māmā | Pneumonia | He maʻi (phlegm) i loko o nā māmā. Me ka ʻeha o ka umauma, aia nā hōʻailona e like me ke kuni, ke kuʻi, a me ka phlegm. |
| Nā māmā | ʻO ka Embolism Pulmonary | ʻO kahi ʻūpā koko i hana ʻia ma kahi ʻē aʻe o ke kino (pinepine ma ka wāwae) e haki a paʻa i loko o kahi aa koko i loko o nā māmā. ʻO nā hōʻailona nui ka ʻeha koke a ʻoi o ka umauma a me ka paʻakikī nui o ka hanu ʻana. He pilikia kūikawā nō hoʻi kēia. |
| Nā māmā | ʻO ka Pleurisy | Pehu ka membrane a puni nā māmā. Manaʻo ʻoe i kahi ʻeha ʻoi e hoʻonui aʻe i ka wā e hanu ai ʻoe a i ʻole ke kuʻi ʻana. |
| Nā kumu e pili ana i nā ʻiʻo a me nā iwi | ||
| Nā iwi ʻaoʻao/ʻiʻo | ʻO ke kaumaha o ke kino / ke kaumaha o nā ʻiʻo | ʻO ka pehu ʻana o ke cartilage e hoʻopili ana i nā iwi ʻaoʻao o ka umauma a i ʻole ka huki ʻia ʻana o nā ʻiʻo o ka umauma. Hiki iā ʻoe ke ʻeha inā ʻoe e hoʻopā a kaomi paha i ka wahi. Hiki ke hoʻonui ʻia ka ʻeha ke hoʻohuli ʻoe i kou kino a hāpai paha i kahi kaumaha. |
| Nā iwi ʻaoʻao | Iwi ʻaoʻao haʻihaʻi | Ka haki ʻana o ka iwi ʻaoʻao mai kahi ulia e like me ka hāʻule ʻana. ʻEha nui i ka wā e hanu hohonu ai a i ʻole ke kuʻi ʻana. |
Aia kekahi mau kumu ʻē aʻe?
ʻAe. No ka laʻana, e noʻonoʻo i kahi maʻi i kapa ʻia ʻo shingles . He hoʻāla hou ʻana kēia o ka maʻi chickenpox e kū mai ana i ka wā kamaliʻi. Hoʻoulu ia i nā pehu ʻeha ma kekahi ʻaoʻao o ka umauma me ka mumū o ka ʻili. Eia kekahi, ʻoiai he mea kakaikahi, hiki ke loaʻa ka ʻeha o ka umauma i nā kūlana e like me ke kanesa o ka māmā .
Pehea e mālama ai i kēia ʻeha?
Aia wale nō ka lāʻau lapaʻau ma ke kumu o kou ʻeha. Ke ʻike ʻoe i ke kauka, e nānā ʻo ia iā ʻoe a hana paha i kahi ECG, X-ray, a i ʻole nā hoʻokolohua koko e hoʻoholo ai i ke kumu pololei.
- Inā he mea e like me ka gastritis ke kumu, hiki ke ho'ōla ʻia me nā lāʻau lapaʻau e kaohi ana i ka waikawa o ka ʻōpū.
- Inā he ʻeha nā ʻiʻo ke kumu, ua lawa paha nā lāʻau ʻeha a me ka hoʻomaha.
- Inā he maʻi e like me ka maʻi pneumonia ke kumu, pono e hāʻawi ʻia nā antibiotics.
- Inā he maʻi koʻikoʻi ke kumu e like me ke aʻa i paʻa i loko o ka puʻuwai , pono paha ʻoe e hoʻokipa ʻia i ka haukapila a lawe i nā lāʻau lapaʻau kūikawā a i ʻole e hana i ke ʻoki kino e like me ka angioplasty.
No laila, mai ho'āʻo e mālama iā ʻoe iho ma ka home. ʻO ka lawe ʻana i ka lāʻau lapaʻau me ka ʻike ʻole i ke kumu o ka ʻeha e hoʻonui wale i ke kūlana. ʻO ka mea kūpono e hana ai, ʻo ia ke ʻimi i ke kōkua lapaʻau.
ʻAʻole hiki ke pale ʻia nā kūlana e like me kēia?
I ka hapa nui o ka manawa, hiki iā kākou! Hiki iā kākou ke kāohi i nā kumu o ka maʻi puʻuwai a me nā pilikia ʻōpū, ʻoi aku hoʻi. E hoʻāʻo e hoʻokomo i kēia mau ʻano maʻamau i kou ola.
- ʻAi olakino: E hōʻemi i nā meaʻai kiʻekiʻe i ka ʻaila, ka paʻakai, a me ke kō i ka hiki. E ʻai i nā mea kanu, nā huaʻai, a me nā greens.
- Hoʻoikaika kino mau: E hoʻoikaika kino, e like me ka hele wāwae a holo paha, ma ka liʻiliʻi he mau lā o ka pule.
- Ka mālama ʻana i ke kaumaha olakino: ʻO ka mālama ʻana i ke kaumaha kūpono i kou kiʻekiʻe e pale iā ʻoe mai nā maʻi he nui.
- E pale loa i ka puhipaka: He mea ʻino loa ka puhipaka i ka puʻuwai a me nā māmā.
- E kaupalena i ka inu ʻana i ka waiʻona.
- Inā loaʻa iā ʻoe ka maʻi diabetes, ke koko kiʻekiʻe, a i ʻole ka cholesterol kiʻekiʻe , e hahai pololei i nā ʻōlelo a kāu kauka a me nā lāʻau lapaʻau.
Leka Lawe-Home
- Hiki i ka ʻeha ma ka ʻaoʻao hema o ka umauma ke loaʻa i nā kumu ʻē aʻe he nui, ʻaʻole wale nā maʻi puʻuwai, e like me ke kinoea, nā maʻi māmā, a me nā ʻūlū ʻiʻo.
- ʻOiai ke ʻeha, mai hoʻowahāwahā. E ʻike pono i ke kauka e ʻike pono i ke kumu.
- Inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha nui o ka umauma, ka paʻakikī o ka hanu ʻana, a i ʻole ka ʻeha e pālahalaha ana i kou lima, he hōʻeha puʻuwai paha ia. E hele koke i ka ʻOihana Pilikia o ka haukapila (ETU).
- Hiki iā ʻoe ke pale aku i nā ʻano he nui e hiki ai ke hoʻoulu i kēia mau ʻeha ma ka lawe ʻana i kahi nohona olakino.
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