Ke pilikia nei hoʻi ʻoe i ka hanu ʻana ma muli o ka paʻa ʻana o ka mucus? E aʻo hou kākou e pili ana i nā mucolytics!

I kekahi manawa, loaʻa iā kākou ka ʻū a me ka mucus i paʻa i loko o ko kākou puʻu a me ka umauma, ʻaʻole anei he mea paʻakikī loa? Ke paʻa ka mucus i loko o ko kākou umauma me ka puka ʻole ʻana i waho, manaʻo ia ʻaʻole hiki iā kākou ke hanu. He ʻike hoʻonāukiuki a hoʻonāukiuki loa kēia no ka poʻe me nā maʻi māmā lōʻihi e like me ka hānō a me ka COPD. I ia mau manawa, ke kamaʻilio nei mākou e pili ana i kahi ʻano lāʻau lapaʻau kūikawā e kōkua ana i ka hoʻoheheʻe ʻana i kēlā mucus mānoanoa a pipili a hoʻokuke maʻalahi iā ia. ʻO kēia ka mea i kapa ʻia ʻo ka lāʻau Mucolytic i ka lāʻau lapaʻau.

He aha ka mucolytic? E hoʻomaopopo maʻalahi kākou.

ʻAe, e hoʻomaopopo kākou i kēia me kahi laʻana maʻalahi loa. E noʻonoʻo ʻoe ua like ka mucus i loko o kou mau māmā me kahi gum mānoanoa a pipili. Hoʻopaʻa kēia gum i nā ala ea liʻiliʻi i loko o kou mau māmā, e paʻakikī ai ka hanu. ʻAʻole wale ia, akā ʻo kēia mucus mānoanoa e ʻae i nā germs e hoʻopaʻa i loko, e ʻoi aku ka maʻalahi o ka maʻi ʻana.

Kōkua nā Mucolytics i ka hoʻomānoanoa ʻana i kēlā mucus mānoanoa, e like me ka ʻāʻī, e like me ka wai. I ka pololei, wāwahi lākou i nā pilina kemika e hoʻomānoanoa ai i ka mucus. Ke lahilahi ka mucus, hiki iā ʻoe ke ʻū maʻalahi. Hoʻomaʻalahi ia i ka hanu ʻana, a ʻoi aku ka maikaʻi o kou umauma.

ʻO kēia Mucolytic kekahi ʻāpana o kahi papa nui o nā lāʻau lapaʻau. Kāhea mākou i kēlā papa he mau mea hana mucoactive . ʻO ia hoʻi, ʻo kēlā me kēia lāʻau lapaʻau e hoʻopilikia i ka mucus ma nā ʻano like ʻole a kōkua iā ia e hoʻomaʻemaʻe ʻia mai nā māmā, no kēia papa ia. No ka laʻana, ʻo kekahi o nā expectorants a mākou e lawe ai no ka ʻū maʻamau e hoʻonui i ka nui o ka mucus, hoʻoheheʻe iā ia, a kōkua iā ia e hoʻokuke ʻia. Akā, he ʻokoʻa iki nā Mucolytics. Hoʻopilikia pololei lākou i nā molekole mucus mānoanoa ponoʻī.

Pehea e hana ai kēia lāʻau mucolytic i loko o ke kino?

No ka hoʻomaopopo ʻana i kēia, pono mua kākou e ʻike iki e pili ana i ke ʻano o ka hoʻomaʻemaʻe kūlohelohe ʻana o ko kākou mau māmā iā lākou iho.

ʻO ka maʻamau, hoʻopuka mau nā māmā o ke kanaka olakino i kahi nui o ka mucus. ʻAʻohe hewa o ia mea. He mea nui loa kēia membrane mucus. No ka mea, i ka wā e hanu ai kākou, ʻo kēia membrane mucus ka mea e hoʻopaʻa i nā mea makemake ʻole ʻia e like me ka lepo, ka pollen, a me nā germs e komo i ka lewa a pale i nā māmā ma ka pale ʻana iā lākou mai ke komo ʻana.

A laila, i loko o ko kākou mau ala ea, aia he miliona o nā ʻano lahilahi loa, e like me ka lauoho. E like me nā huluhulu o kahi pulumi liʻiliʻi. Kāhea mākou i kēia mau cilia . Ke neʻe mau nei kēia mau cilia i ka ʻaoʻao hoʻokahi, ʻo ia hoʻi i ka puʻu. E like me nā nalu i ke kai. Hoʻokuke kēia neʻe ʻana i ka mucus i hopu i nā germs liʻiliʻi i ka puʻu. A laila, me ka ʻike ʻole, moni mākou i kēlā mucus, a i ʻole e ʻūlū mākou, kuha i waho. He hana kūlohelohe kupaianaha kēia a ko mākou kino e mālama ai i ko mākou mau māmā i maʻemaʻe.

Akā i kekahi mau maʻi māmā lōʻihi, e hoʻopilikia ʻia kēia kaʻina hana.

• Hoʻonui nui ʻia ka nui o ka mucus i hana ʻia.
• Lilo ka mucus e hana ʻia i mānoanoa loa a pipili.
• Hoʻonāwaliwali kekahi mau maʻi i ka hana o kēlā mau cilia.

Ma muli o kēia mau kumu, ʻaʻole hiki ke hoʻokuke ʻia ka mucus a paʻa i loko o nā māmā. ʻO kēia ka mea e paʻakikī ai ka hanu ʻana a hoʻoulu ai i nā maʻi.

He aha nā maʻi e hoʻohana ʻia ai nā lāʻau mucolytic?

ʻAʻole kēia mau lāʻau lapaʻau no ke anu maʻamau a i ʻole ke kuni. ʻO ka maʻamau, ua kuhikuhi ʻia lākou e ke kauka no ka poʻe me nā maʻi māmā mau e hana ana i ka mucus mānoanoa.

• ʻO Cystic Fibrosis: He maʻi hoʻoilina kēia. He mānoanoa loa ka mucus i loko o ke kino o ka poʻe me kēia maʻi, ʻoi aku hoʻi i loko o nā māmā a me ka pancreas. ʻO kēia ke kumu o nā maʻi māmā pinepine.
• Bronchiectasis: Hana ʻia kēia ʻano ke hōʻino mau ʻia nā ala ea (bronchi) i loko o nā māmā, ākea, a piha i ka mucus. Hoʻoulu kēia i ka ʻū mau a me nā maʻi.
• ʻO ka maʻi ʻōpū hanu mau loa (COPD): He maʻi ʻōpū hanu lōʻihi kēia e loaʻa pinepine ana i nā mea puhi paka. ʻO nā kūlana ʻelua i kapa ʻia ʻo emphysema a me ka bronchitis mau loa e hāʻule ana ma lalo o kēia māhele. ʻO nā hōʻailona nui o kēia, ʻo ia hoʻi ka hana ʻana o ka mucus mānoanoa a me ka paʻakikī o ka hanu ʻana.
• Asthma: Hoʻomohala pū kekahi mau maʻi hānō i ka mucus mānoanoa. I ia mau hihia, hiki ke kuhikuhi ʻia kēia lāʻau lapaʻau ma ka manaʻo o ke kauka.

He aha nā ʻano Mucolytics i hoʻohana nui ʻia?

ʻElua ʻano Mucolytics i hoʻohana nui ʻia ma Sri Lanka a me ke ao holoʻokoʻa.

1. Acetylcysteine: ʻIke ʻia hoʻi ʻo N-acetyl cysteine, N-acetyl-L-cysteine, a i ʻole NAC no ka pōkole. He inoa kaulana ʻo Mucomyst® no kēia lāʻau lapaʻau. He mea hoʻokahe phlegm maikaʻi ia, a he mau waiwai anti-inflammatory a me antioxidant nō hoʻi .

He pōmaikaʻi hoʻōla ola ko kēia lāʻau Acetylcysteine ​​​​ʻē aʻe. Hāʻawi ʻia kēia lāʻau lapaʻau ma nā haukapila ma o ke ala IV (intravenous) e pale aku i ka hōʻino ʻana o ke akepaʻa inā lawe mākou i ka nui o ka lāʻau a mākou e lawe mau ai no ke kuni a me nā ʻeha kino, i kapa ʻia ʻo Paracetamol (ʻike ʻia hoʻi ʻo Tylenol®), he overdose ia.

2. Dornase Alfa (஡ோனேஸ அல஫஫ா): ʻO Pulmozyme® ka inoa inoa no kēia. He lāʻau hoʻomāmā phlegm nō hoʻi kēia. Eia nō naʻe, ʻoi aku ka nui o ka ʻōlelo aʻo ʻia ʻana o kēia no nā poʻe maʻi me Cystic Fibrosis. ʻAʻole ia e ʻōlelo ʻia no nā poʻe maʻi me Bronchiectasis me ka ʻole o Cystic Fibrosis.

Pehea e lawe ai i kēia lāʻau lapaʻau? (Nā ʻano hana hoʻohana)

Aia kekahi mau ala e hāʻawi ai i kēia lāʻau mucolytic i ke kino. Na kāu kauka e hoʻoholo i ke ʻano kūpono loa ma muli o kou kūlana olakino.

• Ma o ka nebulizer: ʻO kēia ke ʻano hana i hoʻohana pinepine ʻia. Ua ʻike paha ʻoe i nā keiki a me nā pākeke e kau ana i kahi pale maka liʻiliʻi ma ko lākou maka a hanu i ka uahi. Ua kapa ʻia kēlā mīkini he nebulizer . Hoʻokomo ʻia kēia lāʻau lapaʻau i loko o ke ʻano wai i loko o kēia mīkini a hanu ke kanaka i ka mahu e like me ka noe liʻiliʻi i hana ʻia mai ia mea no kekahi mau minuke. A laila hele pololei ka lāʻau lapaʻau i loko o nā māmā.
• Ma o IV (intravenous): I kekahi mau pilikia, ʻoiai hoʻi i nā hihia e like me ka Paracetamol overdose, hāʻawi pololei ʻia kēia lāʻau lapaʻau i loko o ke kino ma o kahi cannula i hoʻokomo ʻia i loko o kahi aa.
• Waha: Ma kekahi mau ʻāina, loaʻa kēia lāʻau lapaʻau ma ke ʻano o nā papa a i ʻole nā ​​ʻeke i hoʻoheheʻe ʻia i ka wai a lawe ʻia ma ka waha.

Mucolytic a me Expectorant: He aha ka ʻokoʻa ma waena o nā mea ʻelua?

He mea huikau kēia no nā kānaka he nui. Manaʻo paha ʻoe, "ʻAʻole anei like nā syrups cough a pau?" Akā, ʻaʻole pēlā. ʻO nā Mucolytics a me nā expectorants ʻelua ʻano lāʻau lapaʻau e kōkua i ka hoʻomaʻemaʻe ʻana i ka mucus, akā hana lākou ma nā ʻano ʻelua like ʻole.

Aia kekahi mau hopena ʻaoʻao? Nā mea e pono ai mākou e makaʻala

E like me nā lāʻau lapaʻau a pau, hiki i nā mucolytics ke hana i kekahi mau hopena ʻaoʻao, ʻoiai ʻaʻole i loaʻa i nā kānaka a pau.

Pono ka poʻe me ka hānō e makaʻala loa i ka wā e lawe ai i ka Acetylcysteine. ʻO kēia no ka mea i kekahi manawa hiki i kēia lāʻau lapaʻau ke hoʻonui i ka paʻa ʻana o nā bronchioles. Ua kapa ʻia kēia he bronchospasm . No laila, inā loaʻa iā ʻoe ka hānō, pono ʻoe e haʻi aku i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau. Inā pono, hiki iā ia ke kuhikuhi i kahi lāʻau ʻē aʻe (bronchodilator) e wehe i nā alaloa ea me kēia lāʻau lapaʻau.

Nā hopena ʻaoʻao i ʻike pinepine ʻia:

• Ka luaʻi a i ʻole ka luaʻi
• ʻAʻai ʻole a pehu paha
• ʻŌhūhū ʻili a i ʻole ka maneʻo
• ʻeha ka ʻāʻī
• Ka loli ʻana o ka leo a i ʻole ka nalowale ʻana o ka leo
• Ka paʻakikī o ka hanu ʻana (dyspnea)
• ʻEha umauma

ʻO kekahi mea ʻē aʻe, he ʻala ʻino iki kēia lāʻau Acetylcysteine. Wahi a ka poʻe he ʻala hua pala kona. ʻAʻole ia he maʻi, ʻo ia wale nō ke ʻano kemika maoli o ka lāʻau. No laila, mai hopohopo no ia mea.

I ka manawa hea e pono ai iaʻu ke ʻike i ke kauka?

I ka wā e hoʻohana ai i kēia lāʻau lapaʻau, e kamaʻilio me kāu kauka ma nā kūlana aʻe:

• Inā he mau nīnau a kānalua paha kāu e pili ana i ka lāʻau i kuhikuhi ʻia nou.
• Inā loaʻa iā ʻoe kekahi mau hopena ʻoluʻolu ʻole, manaʻo ʻole ʻia, a i ʻole nā ​​​​hopena ʻino ma hope o ka lawe ʻana i ka lāʻau lapaʻau.
• Inā manaʻo ʻoe ʻaʻole e hoʻomaikaʻi ana kāu mau ʻōuli me ka hoʻohana ʻana i ka lāʻau lapaʻau.
• Inā loaʻa iā ʻoe ka hānō a ʻike ʻoe i ka paʻakikī o ka hanu ʻana ma hope o ka lawe ʻana i kēia lāʻau lapaʻau, e ʻimi koke i ka lāʻau lapaʻau .