Ke hele ʻoe i ke kauka, kau lākou i kahi stethoscope ma kou umauma a me kou kua a ʻōlelo, "E hanu hohonu i loko... e hanu mālie i waho..." Ua noʻonoʻo paha ʻoe no ke aha lākou e hana ai pēlā? I ka ʻōlelo maʻalahi, ke hoʻolohe nei ke kauka i nā leo e puka mai ana mai loko mai o kou mau māmā. Ua like kēia mau leo me ka ʻōlelo a kou mau māmā. Hiki i kēia mau leo ke haʻi iā ʻoe i nā mea he nui e pili ana i ke olakino o kou ʻōnaehana hanu.
He aha kēia mau leo o ka māmā?
ʻO nā leo o ka māmā, a i ʻole nā leo hanu, nā leo āu e lohe ai i loko o kou mau ala ea (nā ʻōmole lahilahi e lawe ana i ka ea i loko o kou mau māmā) i kou hanu ʻana i loko a i waho.
He maʻemaʻe nā ala ea o ke kanaka me nā māmā olakino . ʻO ke ʻano kēia, ʻaʻohe mucus keu, ka pehu ʻana, a i ʻole kekahi mea keʻakeʻa i loko o lākou. A laila neʻe mālie a palupalu ka ea, no laila e hana ia i kahi leo palupalu loa. Kāhea mākou i kēia mau leo māmā maʻamau (nā leo māmā vesicular).
Eia naʻe, he aha ka mea e hana ai inā piha kēia mau ala ea i ka mucus, pehu, a ālai ʻia paha e kekahi mea ma muli o kahi maʻi? A laila ālai ʻia ke ala ea. ʻO ia ka manawa e hoʻomaka ai ʻoe e lohe i nā ʻano leo ʻē. Hiki ke like me ka 'whoosh', ka 'whoosh', a i ʻole ka 'whoosh'. Kāhea mākou i kēia mau leo māmā maʻamau/adventitious .
ʻO ka mea nui, ʻaʻole e hoʻoholo ke kauka he maʻi kou no ka mea wale nō ua lohe ʻo ia i kahi leo ʻē e like me kēia. He hōʻailona koʻikoʻi wale nō ia e kōkua ai i ka hōʻoia ʻana. Me kēia, hiki ke loaʻa ka hōʻoia pololei loa ma ka noʻonoʻo ʻana i kāu mau hōʻailona ʻē aʻe, kou mōʻaukala olakino, a, inā pono, nā hoʻokolohua ʻē aʻe.
He aha nā ʻano nui o nā leo ʻē o ka māmā?
Aia kekahi mau ʻano o kēia mau leo ʻē a ke kauka e lohe ai. Hōʻike kēlā me kēia i kahi moʻolelo ʻokoʻa. E nānā kākou i nā ʻano nui.
| ʻAno Leo | Pehea ke kani ʻana o ia mea? / He wehewehe maʻalahi |
|---|---|
| ʻO Rhonchi | He leo hohonu kēia, e like me ka ʻūhū ʻana. I ka pololei, hana ʻia kēia leo ke hele ka ea ma nā alaloa nui i ka wā e piha ai lākou i ka mucus. Hiki ke nalowale kēia leo no kekahi manawa ke wehe ʻia ka ʻū. |
| Hanu ʻana | He leo kēia i kamaʻāina i nā poʻe he nui. He leo hū kiʻekiʻe ia. Lohe pinepine ʻia i ka wā e hanu ai ʻoe i waho. Hiki mai kēia leo i ka wā e haiki ai nā ala ea. He mea kamaʻāina loa kēia leo i ka poʻe me ka hānō . |
| ʻO Stridor | He leo hū kiʻekiʻe nō hoʻi kēia. Eia nō naʻe, lohe pinepine ʻia i ka wā e hanu ana . Lohe ʻia kēia leo ke loaʻa kahi mea e ālai ana i ka puʻu a i ʻole ke ala ea o luna (e laʻa, ka pehu ʻana, kahi mea i paʻa i loko). Lohe pinepine ʻia kēia leo i nā keiki ʻōpio me ka croup. |
| Nā ʻūlū / nā ʻūlū | ʻAʻole kēia he leo hoʻomau. He leo hoʻopau ia, he leo 'kiri kiri', he leo 'chiti chiti'. Ua like ia me ke kani i hana ʻia i ka wā e kuʻi ai ʻoe i kekahi mau lau maloʻo me kou mau lima, a i ʻole i ka wā e hoʻolapalapa ai ʻoe i ka wai ma o kahi ʻōpala. Lohe ʻia kēia i ka wā e piha ai nā ala ea liʻiliʻi loa o nā māmā me ka mucus a i ʻole ka wai. |
| ʻO ka hamo ʻana o ka pleural | He leo ʻinoʻino kēia a wili. Ua like ia me ʻelua pepa one e hamo ana. Hana ʻia kēia leo i ka wā e pehu ai a hamo ai nā membrane ʻelua e hoʻopuni ana i ko kākou mau māmā, i kapa ʻia ʻo ka pleura. Hiki ke lohe ʻia i ka wā e hanu ai a i waho. |
No ke aha mai kēia mau leo ʻē mai ka umauma mai?
ʻEhā mau mea nui e hiki ai ke hoʻoulu i kēia mau leo ʻano ʻē:
1. ʻO ka huʻa e hoʻopiha ana i ke ala hanu: ʻO kēia ke kumu maʻamau.
2. Ka pehu ʻana o nā alaloa hanu: Ke pehu nā alaloa hanu ma muli o ka maʻi a i ʻole nā maʻi ʻaleka, e hāiki nā alaloa hanu.
3. Ke ālai ʻia: He puʻupuʻu a mea ʻē paha i loko o ke alaea.
4. Pleural effusion: Ka pehu ʻana o ka membrane e hoʻopuni ana i nā māmā.
Eia kekahi o nā maʻi e hoʻoulu ai i kēia mau kūlana:
- Nā maʻi hanu, no ka laʻana bronchitis a i ʻole croup i nā keiki ʻōpio.
- Pneumonia.
- ʻO ka hānō.
- ʻO ka maʻi hanu paʻa mau (COPD) kahi maʻi hanu mau loa.
- ʻO ka fibrosis cystic.
- Nā maʻi ʻaleʻale.
- He hopena maʻi ʻaleka koʻikoʻi ka anaphylaxis.
- ʻEdema puʻuwai.
- Ka hāʻule ʻana o ka puʻuwai.
- ʻO ka embolism pulmonary (PE) kahi ʻōpū koko i loko o nā māmā.
Pehea e mālama ʻia ai?
ʻO ke ʻano o ka lāʻau lapaʻau e hilinaʻi wale ʻia ma ke kumu nui o kēia kani ʻano ʻē. E ʻike mua ke kauka i ke kumu pololei a laila e kuhikuhi i ka lāʻau lapaʻau.
- No nā kūlana e like me ka hānō: Nā mea inhaler e wehe i nā alaloa a hōʻemi i ka pehu, no ka laʻana corticosteroids.
- No kahi maʻi bacteria (e like me ka niumonia): Nā lāʻau antibiotic.
- No nā maʻi ʻaleka koʻikoʻi: Nā lāʻau lapaʻau e like me ka epinephrine.
- Inā paʻa kahi mea ālai: Pono paha ʻoe e hana i ke ʻoki ʻana e wehe ai.
Āhea wau e ʻike ai i ke kauka?
ʻO kēia ka ʻāpana koʻikoʻi loa. Inā he mau hopohopo a hopohopo paha kāu e pili ana i kou hanu ʻana, ʻoiai e pili ana i ke kani e puka mai ana mai kou umauma mai, mai hoʻowahāwahā iā ia. E ʻike koke i kāu kauka ʻohana. Hiki iā ia ke nānā iā ʻoe a haʻi iā ʻoe i ka mea e hana ai.
E hoʻomanaʻo nui! Inā loaʻa iā ʻoe nā hōʻailona e like me ka paʻakikī o ka hanu ʻana, ka ʻeha o ka umauma, a i ʻole nā lehelehe polū me kēia kani ʻano ʻē, he pilikia ia. I kēlā hihia, e hele i ka ʻOihana Pilikia o ka haukapila kokoke loa (ETU) me ka hoʻokaʻulua ʻole.
Leka Lawe-Home
- Hoʻopuka nā māmā olakino i kahi leo palupalu a laumania. ʻO nā leo ʻē aʻe e like me 'whooping', 'whooping', a me 'whooping' e hōʻike ana i kahi pilikia me ke ala hanu.
- ʻO ke kumu o kēia mau leo hiki ke lilo i kekahi mea mai ke anu, ka hānō, ka niumonia, a i kahi mea ʻoi aku ka koʻikoʻi.
- Hoʻolohe ke kauka i kēia mau leo me ka stethoscope e loaʻa ai nā hōʻailona koʻikoʻi e ʻike pololei ai i ka maʻi.
- Inā lohe ʻoe i kekahi mau leo ʻē i ka wā e hanu ana, ʻoiai inā hele pū me ka paʻakikī o ka hanu ʻana, mai hoʻowahāwahā iā ia.
- Inā lohe ʻoe i kahi walaʻau ʻē me ka paʻakikī o ka hanu ʻana, he pilikia ia! E hele koke i ka ʻOihana Pilikia o ka haukapila (ETU).
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