I kekahi manawa, e ʻū ana kākou i ka mucus mānoanoa, ʻeā? He mea paʻakikī loa ke hoʻomaʻemaʻe iā ia mai ko kākou umauma. Me he ʻāpana gum lā i paʻa i loko o ko kākou umauma. He mea maʻamau kēia a hoʻonāukiuki loa i ka poʻe me nā maʻi māmā mau e like me ka hānō a me ka COPD. I kēia lā, e kamaʻilio kākou e pili ana i kahi ʻano lāʻau lapaʻau kūikawā e kōkua ana i ka hoʻokuʻu ʻana i kēlā mucus mānoanoa a pipili a maʻalahi hoʻi ke ʻū ʻana. Kāhea mākou i kēia mau mea he Mucolytics.
I ka ʻōlelo maʻalahi, he aha kēia Mucolytic?
He ʻano lāʻau lapaʻau ka mucolytic e kōkua ana i ka wāwahi, hoʻokuʻu, a hoʻomāmā i ka mucus mānoanoa i loko o kou mau māmā i hiki ke hoʻokuʻu maʻalahi ʻia. E noʻonoʻo e like me ka hoʻohui ʻana i kahi wai liʻiliʻi i kahi jelly mānoanoa a hoʻoheheʻe iā ia.
ʻOiai ma ke ʻano maʻamau, ua like kēia mau mea me nā expectorants, ʻokoʻa iki kā lākou hana ma mua o nā expectorants a mākou e lawe ai no ke anu maʻamau. E kamaʻilio mākou e pili ana i kēlā ma hope. I kēia manawa, e hoʻomanaʻo he ʻano lāʻau lapaʻau nā mucolytics i hāʻawi ʻia e hoʻomaʻemaʻe i ka mucus mānoanoa, ʻoi aku hoʻi mai nā maʻi māmā lōʻihi.
He aha nā maʻi e hoʻohana ʻia ai kēia lāʻau lapaʻau?
Hoʻomaopopo pinepine nā kauka i kēia ʻano lāʻau mucolytic no nā hihia o ka mucus mānoanoa i hoʻokumu ʻia e nā maʻi māmā lōʻihi (mau). E nānā kākou i nā ʻano maʻi o kēia mau mea.
| Kūlana olakino | He wehewehe maʻalahi |
|---|---|
| ʻO ka Fibrosis Cystic | He maʻi hoʻoilina kēia. ʻO nā mea huna i hana ʻia i loko o ke kino, ʻoi aku hoʻi i loko o nā māmā, lilo i mānoanoa loa a pipili. |
| Ka maʻi bronchial | Ma muli o ka hoʻonui mau ʻia a me ka hōʻino ʻia ʻana o nā ala ea i loko o nā māmā, hiki i ka mucus ke hōʻiliʻili maʻalahi a hoʻoulu i nā maʻi. |
| COPD (Maʻi Puʻuwai Pale Mau) | He maʻi maʻamau a lōʻihi hoʻi e hoʻopilikia pinepine ai i ka poʻe puhi paka. Hoʻopilikia ia i ka hanu ʻana a me ka huʻa mānoanoa. |
| Asthma | Hiki i kekahi poʻe maʻi hānō ke loaʻa ka mucus mānoanoa. Akā, akahele loa nā kauka i ke kuhikuhi ʻana i kēia lāʻau. |
Pehea e hana ai kēia lāʻau lapaʻau i loko o ke kino?
He mea maʻalahi loa ia. ʻO ka hana nui o ka mucus i loko o nā māmā o ke kanaka olakino, ʻo ia ke pale aku iā lākou ma ka hoʻopaʻa ʻana i ka lepo a me nā germs i ka ea a mākou e hanu ai. A laila, hoʻokuʻi ʻia kēia mucus i lalo o ka puʻu e nā ʻano lauoho liʻiliʻi (cilia) i loko o nā māmā, a i ka wā e ʻū ai mākou, puka mai ia i waho.
Akā, ʻo ka mucus e hana ʻia ana i loko o nā māmā o kekahi me nā maʻi a mākou i kūkākūkā ai ma mua, he mānoanoa loa a pipili. No laila, ʻaʻole hiki ke hoʻokuke maʻalahi ʻia. Hiki i nā germs ke paʻa maʻalahi i loko o kēia mucus mānoanoa, a kiʻekiʻe nō hoʻi ka manawa e loaʻa ai nā maʻi.
ʻO ia ka manawa e kōkua mai ai nā lāʻau mucolytic. Hoʻopau kēia mau lāʻau i nā pilina kemika (nā molekala) e hoʻomānoanoa ai i ka mucus. Hoʻolilo kēia i ka mucus i mea lahilahi a wai, e maʻalahi ai ke kuʻi ʻana.
Nā ʻano o nā lāʻau lapaʻau Mucolytic a pehea e lawe ai iā lākou
Aia ʻelua mau ʻano nui o nā lāʻau mucolytic:
1. Acetylcysteine (NAC) : ʻO kēia ke ʻano i hoʻohana pinepine ʻia. Ma waho aʻe o ka wehe ʻana i ka mucus, loaʻa iā ia nā waiwai anti-inflammatory a me antioxidant. Ua lohe paha ʻoe ua hoʻohana ʻia hoʻi ia ma ke ʻano he lāʻau lapaʻau no ka overdose paracetamol.
2. Dornase alfa : He lāʻau lapaʻau kēia i hāʻawi kūikawā ʻia i nā poʻe maʻi cystic fibrosis.
ʻEkolu mau ala nui e lawe ai i kēia lāʻau lapaʻau:
- Nebulizer: He mīkini liʻiliʻi kēia. Ke hoʻokomo ʻoe i ka lāʻau lapaʻau wai i loko, hoʻolilo ia i noe liʻiliʻi. A laila hiki iā ʻoe ke hanu i ka noe ma o kahi pale maka. He ʻano hana kūpono loa kēia no ka mea hele pololei ka lāʻau lapaʻau i loko o kou mau māmā.
- Intravenously (IV): I kekahi mau hihia, hāʻawi ʻia ka lāʻau lapaʻau ma ke ʻano he injection i loko o kahi aa.
- Nā pila: Hiki ke ale ʻia ma ke ʻano he mau pila.
Aia kekahi mau hopena ʻaoʻao a i ʻole nā pilikia?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao liʻiliʻi, akā ʻaʻole i loaʻa i nā mea āpau.
He mea nui loa: Inā loaʻa iā ʻoe ka hānō , pono ʻoe e makaʻala loa i ka wā e lawe ai i ka Acetylcysteine.No ka mea, i kekahi manawa hiki i nā ala ea ke lilo i mea ʻoi aku ka paʻa (bronchospasm). No laila, he mea nui e haʻi i kāu kauka he maʻi hānō kou. E kuhikuhi ʻo ia i ka lāʻau kūpono nāu.
ʻO nā hopena ʻaoʻao maʻamau:
- Ka luaʻi a i ʻole ka luaʻi
- ʻEha ʻōpū (Diarrhea)
- ʻŌhū ʻili
- ʻeha ka ʻāʻī
- Ka loli a i ʻole ka nalowale o ka leo
- Ka paʻakikī o ka hanu ʻana (Dyspnea)
- ʻEha umauma
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona , e kamaʻilio koke me kāu kauka. Eia kekahi, nui ka poʻe e ʻōlelo nei he ʻala ʻawaʻawa iki ko Acetylcysteine. ʻAʻole ia he mea nui, akā he mea maikaʻi ke ʻike.
ʻO ka Mucolytic a me ka Expectorant: He aha ka ʻokoʻa?
ʻO kēia kahi e huikau ai ka poʻe he nui. ʻO nā syrups hoʻokahe phlegm (e.g., nā mea i loaʻa ka Guaifenesin) a mākou e kūʻai ai mai ka hale kūʻai lāʻau no ke anu maʻamau a me ke kuni ua kapa ʻia ʻo Expectorants. Akā, ʻokoʻa nā Mucolytics.
| Māhele | Mucolytic | Lāʻau hoʻoheheʻe wai |
|---|---|---|
| Hana | Hoʻopau ia i nā molekula o ka mucus mānoanoa a hoʻokuʻu iā ia. | ʻO ka hoʻohui ʻana i ka wai i ka mucus e hoʻomāmā ai iā ia a e maʻalahi ai ke puka i waho. |
| Nā hihia hoʻohana | No nā maʻi maʻi mau o ka māmā e like me Cystic Fibrosis a me COPD. | No nā maʻi pōkole e like me ke anu maʻamau a me ka maʻi palū. |
| Ke loaʻa nei | Pono pinepine ʻia kahi palapala lapaʻau. | Hiki ke kūʻai ʻia ma ka hale kūʻai lāʻau lapaʻau me ke kauoha ʻole a ke kauka (ma luna o ke kūʻai). |
No laila, inā he ʻū maʻamau kou me ka phlegm, kūpono paha ka expectorant. Akā inā he phlegm mānoanoa kou ma muli o kahi maʻi hanu lōʻihi, na kāu kauka e hoʻoholo inā pono ʻoe i kahi mucolytic.
Leka Lawe-Home
- ʻO ka Mucolytic kahi ʻano lāʻau lapaʻau kūikawā i hāʻawi ʻia e wehe i ka mucus mānoanoa a pipili i hoʻokumu ʻia e nā maʻi māmā lōʻihi.
- He ʻokoʻa kēia mai nā expectorants a mākou e lawe ai no ke anu maʻamau.
- ʻO ka maʻamau, pono e lawe ʻia kēia lāʻau lapaʻau ma ke ʻōlelo aʻoaʻo a ke kauka .
- Inā loaʻa iā ʻoe nā maʻi ʻē aʻe, e like me ka hānō, e haʻi pono i kāu kauka e pili ana i ia mea ma mua o ka hoʻomaka ʻana i kēia lāʻau.
- Inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao ʻē aʻe i ka wā e lawe ana i ka lāʻau lapaʻau a i ʻole he mau nīnau kāu e pili ana i ka lāʻau lapaʻau, e kamaʻilio koke me kāu kauka.
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