Ke moe ʻoe i lalo ma kahi moe, a i ʻole e moe ana ma luna o ka sofa e nānā ana i ke TV, ke paʻakikī koke nei ʻoe i ka hanu ʻana? Manaʻo ʻoe ua ʻūmiʻi kou umauma a ua pōkole kou hanu? Akā ke kū ʻoe a noho i luna, emi iho ia. Ua ʻike anei ʻoe i kēia? Manaʻo ka poʻe he nui he mea maʻamau kēia, akā ʻaʻole ia he mea e hoʻowahāwahā ʻia. ʻO kēia ka mea a mākou e kapa nei ʻo Orthopnea ma ka ʻōlelo lapaʻau.
I ka ʻōlelo maʻalahi, he aha ka Orthopnea?
ʻO ka Orthopnea kahi kūlana e paʻakikī ai ʻoe i ka hanu ʻana i kou wā e moe ana i lalo, ʻoiai inā like ka pae o kou ʻāʻī a me kou umauma. Eia kekahi laʻana, inā ʻoe e moe i lalo ma kahi moe me ka ʻole o ka uluna, manaʻo ʻoe ua pōkole kou hanu, akā nalo ka paʻakikī ke noho ʻoe i luna a i ʻole ke hiamoe ʻoe me kou poʻo i hoʻokiʻekiʻe ʻia ma luna o ʻelua a ʻekolu mau uluna. ʻO kēia ka hōʻailona nui o ka orthopnea.
Eia kekahi mea ʻē aʻe. Ala koke kekahi poʻe i ka pō me ka pōkole o ka hanu. Kāhea mākou i kēia Paroxysmal Nocturnal Dyspnea (PND). He ʻokoʻa iki ka Orthopnea. Hana wale ka PND i ka wā hiamoe. Akā hiki ke hana ʻia ka orthopnea ʻoiai ʻoe e ala ana, ʻoiai inā ʻoe e moe ana. No ka laʻana, hiki iā ʻoe ke manaʻo iā ia i kou wā e moe ana e nānā i ke TV, a i ʻole ke kau ʻia ʻoe e ke kauka ma kahi moe no ka hoʻokolokolo ʻana.
ʻO ka mea nui, ʻaʻole he maʻi ka Orthopnea, akā he hōʻailona ia o kahi maʻi ʻē aʻe . No laila, inā loaʻa iā ʻoe kēia ʻano ʻoluʻolu ʻole, he mea nui e ʻimi i ke kumu.
He aha nā hōʻailona ʻē aʻe e hele mai me ka orthopnea?
Ma waho aʻe o ka paʻakikī o ka hanu ʻana, hiki iā ʻoe ke ʻike i kekahi mau hōʻailona ʻē aʻe. Moe kekahi poʻe me ka nui o nā uluna ma luna o lākou, aʻo kekahi poʻe e hiamoe ana e noho ana i luna ma kahi noho. ʻO kēia no ka mea ʻoi aku ka maʻalahi o ka hanu ʻana i ka wā e noho ana ma mua o ka moe ʻana.
| Hōʻailona | Wehewehena |
|---|---|
| ʻO ka paʻa o ka umauma a i ʻole ka ʻeha | Ke manaʻo nei ua ʻūmiʻi a kaumaha kou umauma i kou hanu ʻana. |
| ʻŌhūhū a ʻūhū paha | He leo 'cheese-cheese' mai ka umauma mai i ka wā e hanu ana a i ʻole he ʻū mau. |
| Nā Palpitations | Ke manaʻo nei e kuʻi wikiwiki ana kou puʻuwai, e like me ka puʻuwai o ka naʻau. |
No ke aha e hana ai kēia? He aha nā kumu o ka orthopnea?
ʻO ke kumu nui o kēia, ʻo ia ka hōʻiliʻili ʻana o ka wai i loko o nā māmā ma muli o kekahi kūlana olakino i loko o ke kino, a i ʻole ʻaʻole hiki i nā māmā ke hoʻonui pono a lawe i ka ea.
E noʻonoʻo i kēia ʻano. Ke kūlou kākou, kahe hou ke koko i loko o ko kākou mau wāwae i ko kākou umauma. Hiki i ka puʻuwai olakino ke pamu i kēia koko keu i ke kino me ka ʻole o nā pilikia. Akā inā nāwaliwali kou puʻuwai, ʻaʻole hiki iā ia ke pamu i kēia koko keu. A laila hōʻiliʻili kēlā koko i loko o kou mau māmā, e hana ana i ke kaomi, e paʻakikī ai ka hanu ʻana. Ke kū ʻoe a noho i luna, hoʻoneʻe ka umekaumaha i kēlā koko i kou mau wāwae, e hōʻemi ana i ke kaomi i loko o kou mau māmā a e maʻalahi ai ka hanu ʻana.
Aia ma lalo kekahi o nā kūlana olakino nui e pili ana i ka orthopnea.
| Kūlana | He wehewehe maʻalahi |
|---|---|
| Ka hāʻule ʻana o ka puʻuwai paʻa | ʻO kēia kekahi kumu nui o ka orthopnea. I ka nāwaliwali ʻana o ka puʻuwai, hōʻiliʻili ka wai a puni nā māmā, e paʻakikī ai ka hanu ʻana. |
| Ke koko kiʻekiʻe o ka puʻuwai (PH) | Hoʻonui ʻia ke kaomi i loko o nā kīʻaha koko e lawe ana i ke koko i nā māmā. |
| COPD (Maʻi Puʻuwai Pale Mau) | He hui o nā maʻi e hoʻoulu ai i ka mumū mau loa o nā māmā, kahi e pilikia ai ka hanu ʻana. |
| Momona | Hiki i ka momona nui ke hoʻopilikia i ka hanu ʻana no ka mea ʻaʻole hiki i ka diaphragm ke hoʻonui piha. |
| ʻEdema Pulmonary | Ka hōʻiliʻili ʻana o ka wai i loko o nā māmā. |
| Ka maʻi niumonia koʻikoʻi | He maʻi ʻino e hoʻopilikia ana i nā māmā. |
| Ka maʻi lolo o ka diaphragm | ʻO ka diaphragm i nāwaliwali ma muli o kahi ʻeha, puʻupuʻu, a i ʻole kekahi maʻi ʻē aʻe, e paʻakikī ai ka hanu ʻana. |
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Ke haʻi aku ʻoe i kāu kauka he pilikia kou, e nīnau mua ʻo ia iā ʻoe i kekahi mau nīnau. ʻO ka nīnau "Ehia mau uluna āu e pono ai e hiamoe?" he mea nui loa ia. ʻO ka helu o nā uluna āu e pono ai, inā hoʻokahi, ʻelua, a ʻekolu paha, hiki ke hāʻawi iā ʻoe i kahi manaʻo o ke koʻikoʻi o ke ʻano.
A laila, e kauoha lākou i kekahi mau hoʻokolohua e ʻike i ke kumu kumu.
- X-ray umauma
- ʻO kahi scan e nānā i ka hana o ka puʻuwai (Echocardiogram)
- Hoʻāʻo ECG (Electrocardiogram)
- Nā hoʻāʻo hana pulmonary
He aha nā lāʻau lapaʻau no kēia?
E hoʻomanaʻo, ʻaʻole he hōʻailona ka orthopnea, akā ʻo ke kūlana kumu e hoʻokumu ai . E paipai pū kāu kauka i nā ala e hōʻemi ai i kou hanu pōkole i ka wā e mālama ai i ke kūlana.
ʻO ka maʻamau, hiki ke kāohi ʻia nā hōʻailona ma ka hiamoe ʻana me kou poʻo i hoʻokiʻekiʻe ʻia, ka hāʻawi ʻana i ka oxygen inā pono, a me ka hoʻemi ʻana i ke kaumaha. Aia kekahi mau lāʻau lapaʻau kikoʻī ma muli o ke kumu.
- Ka Holo ʻole o ka Puʻuwai: Hiki ke kuhikuhi ʻia nā loli o ke ʻano o ka noho ʻana, nā diuretics, a me nā lāʻau lapaʻau e like me nā ACE inhibitors a me nā beta-blockers e kōkua i ka hana o ka puʻuwai. I kekahi manawa pono paha ke ʻoki kino a i ʻole ka pacemaker.
- COPD: Hoʻohana ʻia nā lāʻau lapaʻau e hoʻonui i nā ala ea (Bronchodilators) a hōʻemi i ka mumū i loko o nā māmā (Corticosteroids).
- Momona: He mea nui ka kaohi ʻana i ke kaumaha ma o ka ʻai olakino a me ka hoʻoikaika kino.
- Pneumonia: Hāʻawi ʻia nā lāʻau antibiotic a me ka oxygen inā pono.
Hiki ke pale ʻia ka orthopnea?
ʻO ke ala maikaʻi loa e pale aku ai i ka orthopnea, ʻo ia ka hōʻemi ʻana i ka pilikia o ka loaʻa ʻana o nā maʻi e hoʻoulu ai. ʻO ia hoʻi ke ola ʻana i kahi nohona olakino.
- E kāohi pono i nā kūlana e hoʻonui ai i ka pilikia o ka maʻi puʻuwai, e like me ka maʻi diabetes, ka cholesterol kiʻekiʻe, a me ke koko kiʻekiʻe .
- E hoʻoikaika kino mau. He mea maikaʻi ke hoʻoikaika kino no 30 mau minuke i ka lā, i ka hapa nui o nā lā o ka pule.
- E pale loa i ka puhipaka. Inā ʻoe e puhipaka, e noi i kāu kauka no ke kōkua e hoʻōki.
- E kaupalena a hoʻōki loa paha i ka hoʻohana ʻana i ka waiʻona .
- E hoʻohui i nā huaʻai, nā mea kanu, a me nā meaʻai momona i kāu papaʻai.
- E hana i kahi hoʻokolohua lapaʻau ma ka liʻiliʻi i hoʻokahi manawa i ka makahiki a e makaʻala i kou kūlana olakino.
ʻAʻole manaʻo ka loaʻa ʻana o ka orthopnea he hōʻeha puʻuwai kou. Eia nō naʻe, hiki iā ia ke lilo i hōʻailona nui o ka hōʻeha puʻuwai. No laila, e ʻike pono i ke kauka no ka ʻike kūpono.
Leka Lawe-Home
- ʻO ka Orthopnea kahi kūlana e paʻakikī ai ka hanu ʻana ke kūlou ʻoe, akā e hoʻomaikaʻi ʻia ke noho ʻoe i luna.
- ʻAʻole kēia he maʻi, akā, he hōʻailona ia o kahi maʻi olakino, e pili pinepine ana i ka puʻuwai a i ʻole nā māmā.
- ʻO kahi hōʻailona maʻamau o kēia ka hoʻohana ʻana i nā uluna he nui e hiamoe ai.
- Mai hoʻowahāwahā i kēia hōʻailona. E ʻike koke i kāu kauka e ʻike i ke kumu.
- Ma ka mālama pono ʻana i ke kūlana kumu, hiki iā ʻoe ke kaohi i kou mau pilikia hanu a ola i kahi ola maikaʻi.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka ʻehaʻeha o nā ʻiʻo / Myalgia?
He mea maʻamau ka manaʻo ʻeha/ʻeha o nā ʻiʻo ma hope o ka hoʻoikaika kino ʻana ma ka hale hoʻoikaika kino a i ʻole ma hope o ka holo nui ʻana a me ka hele wāwae ʻana. Akā, ʻo kēia ʻano i kapa ʻia ʻo 'Muscle Ache (Myalgia)' he hōʻailona koʻikoʻi ia e manaʻo ai ʻoe ua like me ka ʻūlū koke ʻia a me ka ʻūlū ʻia o nā ʻiʻo a pau (a me ke kuamoʻo) i loko o kou kino, e hiki ʻole ai ke ala aʻe mai kahi moe, me ka hana ʻole ʻana i kekahi hana kaumaha.
💬 He aha nā kumu nui o ka ʻeha/ʻehaʻeha o nā ʻiʻo e hiki ʻole ai ke ala aʻe mai kahi moe?
Aia kekahi mau kumu nui no kēia: 1) 'Nā maʻi viral koʻikoʻi' - Ke loaʻa iā ʻoe ka dengue, COVID-19, a i ʻole ka maʻi flu maʻamau, hele kāu ʻōnaehana pale i ke kaua a ʻeha kou mau ʻiʻo ma kou kino holoʻokoʻa. 2) 'Muscle Spasm/Cramps' - Ke maloʻo kou kino, lilo koke nā wahi e like me kou lauoho i ʻoʻoleʻa. 3) 'Statins/Rhabdomyolysis', kahi hopena ʻaoʻao o nā lāʻau hoʻohaʻahaʻa cholesterol, hiki ke hana i nā ʻehaʻeha a me nā ʻehaʻeha o nā ʻiʻo. 4) Fibromyalgia.
💬 Ke loaʻa iā ʻoe nā ʻūpā ʻiʻo, pono ʻoe e hele koke i ka haukapila, ʻaʻole e noho wale ma ka home a lawe iā Panadol. He aha nā 'kūlana make/pilikia (Rhabdomyolysis)'?
I ka hapanui o nā hihia, e emi ana kēia i loko o 3-4 mau lā me ka maʻi kuni viral/luhi (hoʻomaha/inu wai). Akā ʻo ka pōʻino nui loa! Me ka ʻeha o nā ʻiʻo, inā 1) lilo kou mimi i kofe ʻeleʻele a i ʻole ke kala koko (mimi ʻeleʻele kī), ʻo ia hoʻi ke heheʻe nei kou mau ʻiʻo a ke hoʻomaka nei kou mau puʻupaʻa e pala (ʻeha Kidney ʻAcute)! 2) Inā paʻa nā ʻiʻo o kou ʻāʻī a loaʻa iā ʻoe ke kuni (Meningitis), 3) Inā pilikia ʻoe i ka hanu ʻana, pono ʻoe e lawe koke ʻia i ka haukapila!
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