Hiki i ka hānō ke hoʻoulu koke i ka hanu ʻana. Akā ua ʻike anei ʻoe aia kahi mea liʻiliʻi hiki iā ʻoe ke hoʻohana ma ka home e hiki ke hāʻawi iā ʻoe i kahi leka hoʻomaopopo ma mua o ka lilo ʻana i mea ʻino? ʻO ia ka mea a mākou e kapa nei he Peak Flow Meter. Ua like ia me kahi hoaaloha liʻiliʻi e hiki ke nānā i ke olakino o kou māmā. No laila e kamaʻilio kākou e pili ana i nā mea āpau i kēia lā.
I ka ʻōlelo maʻalahi, he aha kēia Peak Flow Meter?
He mea liʻiliʻi ka Meter Kahe Kiʻekiʻe hiki iā ʻoe ke paʻa i kou lima. Ana ia i ka nui o ka ea e hiki ke hoʻokuke ʻia mai kou mau māmā ke hanu hohonu ʻoe me ka ikaika a me ka wikiwiki e like me kou hiki. Kāhea mākou i kēia ana ʻo 'Peak Flow'.
E noʻonoʻo, inā hoʻomaka ka bronchi (nā ala ea) i loko o kou mau māmā (kapa mākou iā lākou he "bronchi" ma nā huaʻōlelo lapaʻau) e hoʻomaka e haiki iki ma muli o ka hānō, e paʻakikī iā ʻoe ke puhi ikaika, ʻeā? A laila e emi pū ka wikiwiki o ka ea e puka mai ana. ʻO ia ka ʻokoʻa a kēia mika e hopu ai. Hiki ke emi ka waiwai o kēia mika ma mua o kou ʻike ʻana i nā hōʻailona hānō (e like me ka wheezing, ka paʻa o ka umauma) . ʻO ia ka pōmaikaʻi nui o kēia.
Loaʻa kēia i ʻelua ʻano: manual a me digital. Loaʻa i nā mea manual kahi māka liʻiliʻi e hōʻike i ka waiwai. Hōʻike pololei nā mea digital i ka waiwai ma ka pale.
Pehea maoli ʻoe e hoʻohana ai i kēia?
He maʻalahi loa ka hoʻohana ʻana. Akā, pono ʻoe e hana pololei. E hahai i kēia mau ʻanuʻu.
1. Kū a noho pololei paha: He mea maʻalahi iki ka hana ʻana i kēia me ke kū ʻana. E hanu hohonu. ʻAʻohe mea pehea ʻoe e hana ai, e hana like i kēlā me kēia lā.
2. E hoʻomākaukau i ka mika: E lawe mai i ka māka ma ka mika i ka ʻole. ʻO ia hoʻi, pono e lawe ʻia i ka hoʻomaka.
3. E hanu hohonu: E hanu hohonu e like me kou hiki. E hanu hohonu i loko, ʻaʻole wale i kou umauma, akā, i kou ʻōpū pū kekahi. E paʻa i kou hanu no kekahi manawa.
4. Hoʻokomo i loko o ka waha: E kau i ka waha o ka mika i loko o kou waha a sila pono me kou mau lehelehe. ʻAʻohe ea e puka i waho.
5. E puhi ikaika: I kēia manawa, e puhi i ka ea a pau i loko o kou mau māmā i ka manawa hoʻokahi, me ka ikaika a me ka wikiwiki e like me kou hiki . ʻAʻole like me ke puhi ʻana i ke kukui, akā ʻoi aku ka ikaika.
6. E hoʻopaʻa i ka waiwai: I kēia manawa e nānā i kahi e pau ai ke kuhikuhi. E kākau i kēlā waiwai i loko o kahi puke.
ʻO ka mea nui, ʻaʻole lawa ka hana ʻana i kēia i hoʻokahi manawa. Pono ʻoe e hana i kēia i ʻekolu manawa. ʻO ke kumukūʻai kiʻekiʻe loa āu e loaʻa ai mai kēlā mau manawa ʻekolu, ʻo ia kou kumukūʻai Peak Flow no kēlā lā.
E kākau i kēia helu i loko o kāu puke moʻolelo hānō, kalena, a i ʻole kelepona. He manaʻo maikaʻi nō hoʻi e kākau i lalo i kēia mau mea:
- Nā hōʻailona i loaʻa iā ʻoe i kēlā manawa (e.g., luhi, ʻūmiʻi o ka umauma, ʻū).
- Inā paha ʻoe i lawe i kāu inhaler hoʻopakele (e like me ka inhaler polū) a i ʻole kekahi lāʻau lapaʻau ulia pōpilikia ʻē aʻe i kēlā manawa.
Pehea e loaʻa ai iaʻu kaʻu helu 'Personal Best'?
ʻO ka 'Personal Best' ka heluhelu kiʻekiʻe loa hiki iā ʻoe ke loaʻa me ka hoʻohana ʻana i kēia mika no ʻelua pule, ke kāohi maikaʻi ʻia kou hānō a olakino ʻoe me ka ʻole o nā hōʻailona. ʻO kēia kāu heluhelu kumu. Hoʻohālikelike mākou i nā heluhelu ʻē aʻe a pau me kēia heluhelu 'Personal Best'.
No ka ʻike ʻana i kēia, e hana i kēia:
- E ana i kou Peak Flow ʻelua i ka lā (i ka manawa like i ke kakahiaka a me ke ahiahi) no ʻelua pule.
- E hana i kēia ma mua o ka hoʻohana ʻana i kāu inhaler (akā inā wale nō i kuhikuhi ʻia ʻoe e kāu kauka).
- ʻO ka helu kiʻekiʻe loa āu e loaʻa ai i ka hopena o nā pule ʻelua ʻo ia kāu 'Personal Best'.
Ke loaʻa iā ʻoe kēia waiwai, e hoʻohana i ka mika i kēlā me kēia lā e like me ke kuhikuhi a kāu kauka. Ma kēia ʻano, hiki iā ʻoe ke ʻike koke i nā loli liʻiliʻi i kou ʻano hanu.
Ke ʻAno o ke Kukui Kaʻaahi: Pehea e maopopo ai iaʻu koʻu mau waiwai?
I mea e maʻalahi ai ka hoʻomaopopo ʻana i kāu mau waiwai Peak Flow, hoʻohana nā kauka i kahi ʻōnaehana 'kuhikuhi kaʻa'. He ʻekolu ona ʻāpana: ʻōmaʻomaʻo, melemele, a me ka ʻulaʻula.
Pili kēia mau ʻāpana i kāu waiwai 'Personal Best'. E ʻōlelo kākou he 400 L/min (mika ʻāpana) kāu Personal Best. A laila penei kāu mau ʻāpana:
| ʻĀpana | % o ka Maikaʻi Loa Pilikino | Manaʻo |
|---|---|---|
| ʻĀpana ʻŌmaʻomaʻo | 80% - 100% | Maikaʻi loa! Ua kāohi maikaʻi ʻia kou hānō. E hoʻohana i ka lāʻau lapaʻau e like me ke kauoha a kāu kauka. (Laʻana: 320-400 L/min) |
| ʻĀpana Melemele | 50% - 80% | E makaʻala! Ke emi nei kou ala ea. Hiki i kou hānō ke lilo i mea ʻole e kaohi. E hoʻohana i kāu mea hoʻōla hanu e like me ke kuhikuhi ʻana ma ka 'Asthma Action Plan' a kāu kauka. (e.g. 200-320 L/min) |
| ʻĀpana ʻUlaʻula | Ma lalo o 50% | Pono koke ke kōkua lapaʻau! He kūlana koʻikoʻi kēia. E hoʻohana koke i kāu inhaler hoʻopakele, e kelepona i kāu kauka a i ʻole e hele i ka haukapila kokoke loa i ka Emergency Department (ETU). (e.g. emi ma mua o 200 L/min) |
Aia kekahi waiwai Peak Flow maʻamau?
ʻAʻohe kūlana "hoʻokahi nui e kūpono i nā mea āpau". Aia kou kūlana i kou makahiki, ke kiʻekiʻe, a inā he kāne a he wahine paha ʻoe . ʻOi aku ka nui o nā waiwai o nā kāne, nā poʻe lōʻihi, a me nā poʻe ʻōpio. No laila he mea nui e loaʻa i kāu 'Personal Best' a hoʻonohonoho i nā pae e pili ana i kēlā. E wehewehe kāu kauka i kēia iā ʻoe me nā kikoʻī hou aku.
Aia kekahi pilikia i ka hoʻohana ʻana i kēia?
He mea palekana loa ka Meter Kahe Kiʻekiʻe. Akā i kekahi manawa hiki ke hana ʻia nā mea liʻiliʻi. ʻAʻohe mea e hopohopo ai, akā he mea maikaʻi ke makaʻala.
- ʻO ka hanu hohonu ʻana e hiki ai iā ʻoe ke manaʻo i ka poniuniu (presyncope).
- Malia paha e hiki mai ana ka ʻū.
- Inā ʻaʻole ʻoe e hanu hohonu a i ʻole e hoʻokuʻu ikaika i waho, hewa paha ka heluhelu ʻana.
Mea nui: E hoʻohana mau i ka lama like o ka Peak Flow Meter, no ka mea, ʻokoʻa iki paha nā ana ma waena o nā lama like ʻole.
Āhea wau e ʻike ai i ke kauka?
- Inā aia kou waiwai ma ka Yellow Zone , e lawe koke i kāu lāʻau lapaʻau e like me kāu 'Action Plan' a kamaʻilio me kāu kauka.
- Inā aia kāu heluhelu ma ka ʻĀpana ʻUlaʻula , he pilikia ia. E hoʻohana koke i ka lāʻau hoʻopakele a kāhea aku i kāu kauka. Inā ʻaʻole hoʻomaikaʻi nā hōʻailona, e hele koke i ka ʻOihana Pilikia kokoke loa (ETU).
He mea kōkua nui ka mika kahe kiʻekiʻe no ka poʻe e noho ana me ka hānō. Hiki iā ʻoe ke loaʻa kahi ʻike maikaʻi aʻe o kou kino a hana i kahi hana ma mua o ka lilo ʻana i pilikia nui.
Leka Lawe-Home
- He mea maʻalahi ka Meter Flow Peak e ana i ka wikiwiki o ka hoʻokuʻu ʻia ʻana o ka ea mai kou mau māmā. Hiki i kēia ke kōkua i ka ʻike ʻana i ka hānō ma mua o ka puka ʻana o nā hōʻailona.
- He mea nui loa ka loaʻa ʻana o kāu 'ʻOi Loa Pono' ponoʻī. Pili nā ana ʻē aʻe a pau iā ia.
- E hoʻomaopopo i ka ʻōnaehana 'kukui kaʻa' (nā ʻāpana ʻōmaʻomaʻo, melemele, ʻulaʻula). E kamaʻilio me kāu kauka e pili ana i ka mea e hana ai inā ʻoe e komo i ka ʻāpana melemele a ʻulaʻula paha a hoʻomohala i kahi 'Palapala Hana Asthma'.
- Inā aia kou waiwai i loko o ka ʻāpana ʻulaʻula, he pilikia ia. E lawe koke i ka lāʻau lapaʻau, e ʻike i ke kauka, a i ʻole e hele i ka ETU.
- ʻO ka hoʻohana ʻana i ka mika like i ka manawa like, ma ke ʻano like, a i kēlā me kēia lā e hōʻoiaʻiʻo i nā hopena pololei.
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