Ua ʻōlelo anei kāu kauka iā ʻoe e hana i kahi hoʻāʻo hanu? Ua haʻi anei ʻo ia iā ʻoe e hoʻohana ana ʻo ia i kahi lāʻau i kapa ʻia ʻo methacholine? Hiki iā ʻoe ke hoihoi iki, a makaʻu iki paha, ke lohe ʻoe i ka inoa. He mea maʻamau kēlā. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o ka methacholine, no ke aha e hana ʻia ai kēia hoʻāʻo, a he aha nā mea nui āu e pono ai e ʻike e pili ana i ia mea.
He aha ka Methacholine?
I ka ʻōlelo maʻalahi, ʻo ka methacholine kahi lāʻau lapaʻau e hoʻoulu ai i nā ala ea ( bronchi ) i loko o kou mau māmā e ʻūlū (haiki) no kekahi manawa. I ka lāʻau lapaʻau, kapa mākou i kēia he bronchoconstrictor .
"ʻĀ, e hoʻohaiki ana lākou i ka bronchi ? ʻAʻole anei e paʻakikī ka hanu ʻana?" e noʻonoʻo paha ʻoe. Mai hopohopo. Hana ʻia kēia me ke akahele loa, ma lalo o ka nānā pololei ʻana o nā kauka a me nā kahu maʻi.
E noʻonoʻo e pili ana i ia mea, ʻo kekahi poʻe, ʻoi aku ka poʻe me nā maʻi e like me ka hānō, he mau māmā koʻikoʻi loa ko lākou. ʻOiai kekahi mea liʻiliʻi e like me ka uahi, ka lepo, a i ʻole ke ʻala hiki ke hoʻohaiki koke i ko lākou bronchi a hoʻopilikia i ka hanu ʻana. No laila, ua hana ʻia kēia hoʻāʻo (Methacholine Challenge Test) e ʻike ai i ke ʻano o ka maʻalahi o kou mau māmā. Ma muli o nā hopena o kēia, hiki i ke kauka ke loaʻa kahi ʻike maikaʻi loa i ka hana o kou mau māmā.
ʻO ka mea nui loa, ʻaʻole kēia he lāʻau lapaʻau no kahi maʻi. He hoʻāʻo wale nō kēia e kōkua i ka ʻike ʻana i ka maʻi.
Nā mea e haʻi aku i ke kauka ma mua o ka hoʻokolohua
Ma mua o ka hana ʻana i kēia hoʻāʻo, no kou palekana ponoʻī, he mea nui loa ia e hoʻomaopopo i kāu kauka e pili ana i kou mōʻaukala olakino piha. Mai hūnā i kekahi mea no ka mea he mea liʻiliʻi ia. Inā pili kekahi o kēia mau mea iā ʻoe, e hōʻoia e haʻi iā lākou e pili ana.
| Kūlana / Maʻamau | No ke aha he mea nui kēlā? |
|---|---|
| Inā ʻoe e hāpai ana a i ʻole e hoʻāʻo ana e hāpai. | He mea nui loa ia e pale aku i ka lawe ʻana i nā pilikia pono ʻole i ka wā hāpai. |
| Inā he makuahine hānai waiū ʻoe. | He mea nui e noʻonoʻo inā hiki i kekahi ʻāpana o ka lāʻau ke hele i ka pēpē ma o ka waiū umauma. |
| Inā ua loaʻa iā ʻoe ka maʻi puʻuwai, ke koko kiʻekiʻe, a i ʻole ka hahau ʻana. | Hiki ke piʻi aʻe ka pilikia o ka hoʻāʻo ʻana ma lalo o ia mau kūlana. |
| Inā ua ʻike mua ʻia ʻoe me kekahi maʻi māmā ʻē aʻe, e like me ka hānō. | Pono paha e hoʻololi ʻia ke ʻano hoʻāʻo ma muli o ke kūlana olakino mua. |
| Inā loaʻa iā ʻoe kahi maʻi e hoʻoulu ai i nā hopu ʻana, e like me ka epilepsy. | He mea nui e hoʻomaopopo he hiki i kēia lāʻau lapaʻau ke hoʻonui i nā kūlana olakino i kekahi manawa. |
| Inā loaʻa iā ʻoe ka maʻi thyroid, nā pilikia ʻōpū, a i ʻole ka paʻakikī o ka mimi ʻana. | Hiki i kēia mau kūlana ke hoʻopilikia i ka pono o ka lāʻau lapaʻau. |
| Inā he mea puhi paka ʻoe. | Hoʻopilikia pololei ka puhipaka i ka hana o ka māmā a me nā hopena o nā hoʻokolohua. |
| Inā ua loaʻa iā ʻoe kahi lāʻau pale i hala koke nei. | He mea nui kēia e makaʻala no ka mea hiki i kekahi mau lāʻau pale ke hoʻopilikia i ka pane a ke kino. |
| Inā loaʻa iā ʻoe kahi hopena maʻi i ka methacholine a i ʻole nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea hoʻoluʻu. | ʻO kēia ke ala maikaʻi loa e pale aku ai i nā maʻi allergies. |
Pehea ʻoe e lawe ai i kēia lāʻau lapaʻau?
ʻAʻole hiki iā ʻoe ke lawe i kēia lāʻau lapaʻau i ka home.Hāʻawi ʻia ia iā ʻoe e kekahi loea lapaʻau i aʻo ʻia, ma ka haukapila a i ʻole ke keʻena lapaʻau.
Hoʻohana ʻia kahi mīkini i kapa ʻia he nebulizer no kēia. Ua ʻike paha ʻoe, he mīkini e hopu i ka mahu ke anu nā keiki liʻiliʻi. ʻO ia kekahi o ia mau mea. ʻO ka hana a kēia mīkini, ʻo ia ke hoʻololi i ka methacholine wai i loko o ka noe maikaʻi (aerosol). A laila ua noi ʻia ʻoe e hanu i kēlā noe ma kou waha a i ʻole ma kou waha a me kou ihu. A laila hele pololei ka lāʻau lapaʻau i loko o kou mau māmā.
Ma loko o ka hoʻāʻo ʻana, e noho ke kauka a kahu maʻi paha ma kou ʻaoʻao a nānā mau i kou helu hanu a me ka helu puʻuwai, no laila ʻaʻohe kumu e makaʻu ai.
Ke hana nei ʻoe i kēia hoʻokolohua no nā keiki?
ʻAe. Hiki ke ʻōlelo ʻia kēia hoʻāʻo no nā keiki ma luna o 5 mau makahiki, a inā pono. Eia nō naʻe, na ke kauka pediatric ka hoʻoholo. Aia kekahi mau mea e makaʻala nui ai.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Hoʻokele ʻia kēia ma lalo o nā kūlana i kāohi ʻia ma kahi haukapila, no laila ua haʻahaʻa loa ka manawa e hiki ai kēia. Eia nō naʻe, inā manaʻo ʻoe ua loaʻa kahi overdose, pono ʻoe e hoʻomaopopo koke i nā limahana lapaʻau. Ma ke ʻano laulā, i ka wā e ʻai ʻia ai kekahi lāʻau lapaʻau a lāʻau make paha, hiki iā ʻoe ke kelepona i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo. I kahi pilikia, pono ʻoe e hele koke i ka Emergency Treatment Unit (ETU) .
Nā lāʻau ʻē aʻe e launa pū me kēia lāʻau (Nā Hana Lāʻau)
Hiki i kekahi mau lāʻau lapaʻau āu e lawe nei ke hoʻopilikia i ka pololei o kēia hoʻāʻo. No laila, pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (nā lāʻau lapaʻau i kauoha ʻia, nā lāʻau lapaʻau ma luna o ke kauka kūʻai, nā lāʻau lapaʻau kuʻuna, nā huaora, nā huahana lāʻau). E hōʻoia e haʻi i kāu kauka inā ʻoe e lawe ana i kekahi o nā lāʻau lapaʻau i helu ʻia ma lalo nei.
- Nā mea hoʻoheheʻe i hoʻohana ʻia no ka hānō a me nā pilikia hanu (e.g. albuterol, ipratropium, salmeterol, tiotropium)
- Nā lāʻau lapaʻau e like me ka theophylline
- Nā ʻano steroid (e.g. prednisone, cortisone)
- ʻO kekahi mau lāʻau lapaʻau no ke koko kiʻekiʻe, ka maʻi puʻuwai, a i ʻole ka puʻuwai naʻau kūpono ʻole
ʻAʻole i piha kēia papa inoa, no laila ʻoi aku ka maikaʻi o ka haʻi ʻana i kāu kauka e pili ana i nā mea āpau āu e lawe ai.
He aha nā hopena ʻaoʻao i manaʻo ʻia?
E like me nā lāʻau lapaʻau āpau, hiki i ka methacholine ke hana i kekahi mau hopena ʻaoʻao. He liʻiliʻi ka hapa nui o kēia mau mea a nalo koke ma hope o ka hoʻāʻo ʻana.
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka a i ʻole ke kahu maʻi | |
|---|---|
| Nā hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Paʻakikī ka hanu ʻana | Ke manaʻo nei i ka pōkole o ka hanu a i ʻole ka ʻūmiʻi o ka umauma ma mua o ka mea i manaʻo ʻia. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Kuke | ʻO ka ʻaneʻane ma ka puʻu a i ʻole ke kuʻi iki. |
| He manaʻo o ka poniuniu | Manaʻo e like me ka nalo. |
| ʻEha poʻo | ʻEha iki ka ʻeha. |
| ʻeha ka ʻāʻī | Manaʻo e like me ka ʻeha o kou puʻu. |
Inā loaʻa iā ʻoe kekahi ʻeha i ka wā o ka hoʻāʻo ʻana, e haʻi koke aku i ke kauka a i ʻole ke kahu maʻi. Ua mākaukau mau lākou e kōkua iā ʻoe.
Leka Lawe-Home
- ʻAʻole he lāʻau lapaʻau ka Methacholine, akā he hoʻāʻo diagnostic e ana i ke koʻikoʻi o kou mau māmā.
- Hana ʻia kēia hoʻāʻo ma kahi haukapila a i ʻole ke keʻena lapaʻau wale nō, ma lalo o ka nānā ʻana a ke kauka. No laila, mai makaʻu.
- E hōʻoia e haʻi i kāu kauka e pili ana i kāu mau maʻi ʻē aʻe, nā maʻi allergies, a me nā lāʻau lapaʻau āu e lawe ai ma mua o ka hoʻāʻo ʻana.
- Hiki ke loaʻa nā hōʻailona liʻiliʻi e like me ke kuni a me ke poʻo ʻeha i ka wā o ka hoʻāʻo. Eia nō naʻe, inā loaʻa iā ʻoe nā pilikia hanu koʻikoʻi a i ʻole nā hōʻailona o kahi maʻi allergy, e ʻoluʻolu e hoʻomaopopo koke mai iā mākou.
- Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me kekahi. (ʻOiai ua hāʻawi ʻia kēia ma ka haukapila, ʻaʻole ia pilikia e kū mai).
- Inā he mau nīnau hou aku kāu e pili ana i kēia, mai kānalua e nīnau i kāu kauka .
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