Ua manaʻo anei ʻoe i kēia ʻano? Ke hanu hohonu ʻoe, ʻakaʻaka nui, a ʻū paha, e ʻike koke ʻoe i kahi ʻeha ʻoi a hou i loko o kou umauma. ʻAʻole kēia he mea maʻamau, a makaʻu ʻoe. ʻO kēlā ʻano ʻeha ka hōʻailona nui o ke kūlana a mākou e kamaʻilio nei, i kapa ʻia ʻo Pleurisy.
He aha ka Pleurisy?
I ka ʻōlelo maʻalahi, ʻo ka Pleurisy kahi mumū o ka membrane lahilahi e hoʻopuni ana i ko mākou mau māmā a me kekahi membrane ʻē aʻe e uhi ana i loko o ko mākou lua umauma. Ua kapa ʻia kēia mau membrane ʻelua ʻo ka pleura.
E noʻonoʻo, aia kahi hakahaka liʻiliʻi ma waena o kēia mau uhi ʻelua, ʻo ia hoʻi ka hakahaka pleural. Loaʻa pinepine ia i kahi wai liʻiliʻi. E like me ka ʻaila i loko o ka mīkini kaʻa, ʻae kēia wai i nā uhi ʻelua e paheʻe mālie me ka ʻole o ka friction i ka neʻe ʻana o nā māmā i ka wā e hanu ai mākou.
Akā, he aha ka mea e hana ai inā e pehu kekahi a i ʻole nā mea ʻelua o kēia mau uhi no kekahi kumu? Ma kahi o ka paheʻe mālie ʻana, hoʻomaka kēia mau uhi ʻelua e hamo pū. ʻO ia ka manawa e hiki mai ai kēlā ʻeha ʻoi, ʻoi, a hou.
He aha nā hōʻailona o ka pleurisy?
Hiki i ka Pleurisy ke loaʻa kekahi mau hōʻailona. Akā ʻo ka hōʻailona nui a maopopo loa, ʻo ia ka ʻeha o ka umauma. E nānā kākou i kēia mau hōʻailona.
| Hōʻailona | Wehewehena |
|---|---|
| ʻO ka hōʻailona nui: ʻEha o ka umauma |
|
| Nā hiʻohiʻona ʻē aʻe |
|
He mea nui: Hiki ke hana ʻia ka ʻeha o ka umauma e nā maʻi koʻikoʻi ʻē aʻe (e like me ka maʻi puʻuwai) ma waho aʻe o ka pleurisy. No laila, inā ʻike ʻoe i ka ʻeha o ka umauma i wehewehe ʻole ʻia, mai hoʻowahāwahā iā ia.
He aha ke kumu o ka pleurisy?
Hiki ke loaʻa ka pleurisy no nā kumu like ʻole, ʻaʻole hoʻokahi wale nō. ʻO ka hapa pinepine, loaʻa ia i kahi kanaka olakino ma muli o kahi maʻi i loko o nā māmā.
- Maʻi: ʻO ke kumu maʻamau ka maʻi viral (e.g., virus influenza) a i ʻole ka maʻi bacteria. Hiki mai kēia pehu ke laha ka maʻi mai nā māmā a i ka uhi o ka pleura.
- Nā maʻi Autoimmune: Hiki ke hana ʻia kēia pehu e nā maʻi e hoʻouka i nā hunaola ponoʻī o ke kino, e like me ka lupus a i ʻole ka rheumatoid arthritis.
- Nā maʻi ʻē aʻe e pili ana i ka māmā: Nā kūlana e like me ke kanesa o ka māmā, ka maʻi puʻupuʻu, a me ka embolism pulmonary.
- Nā ʻeha o ka umauma: Hiki ke hana ʻia ka Pleurisy ma hope o ke ʻoki ʻana o ka umauma a i ʻole ma muli o kahi ulia.
- Kekahi mau lāʻau lapaʻau: ʻO kekahi mau lāʻau lapaʻau e like me Hydralazine lāua ʻo Isoniazid paha ke kumu o kēia.
He maʻi lele anei ka pleurisy?
ʻAʻole. ʻAʻole laha ka Pleurisy. Eia nō naʻe, hiki ke laha kekahi mau maʻi viral a bacteria paha (e like me ka influenza, pneumonia) e hoʻoulu ai i ka pleurisy.
E ke kauka, pehea ʻoe e ʻike ai i kēia he pleurisy?
Ke hele ʻoe e ʻike i ke kauka me ka ʻeha umauma, e nīnau mua ʻo ia iā ʻoe e pili ana i ka ʻeha. Ma hea ka ʻeha, he aha ke ʻano o ka ʻeha, a he aha ka mea e hoʻonui ai i kona ʻeha. A laila, e hoʻolohe lākou i kou mau māmā me ka stethoscope. I kekahi manawa e lohe ke kanaka me ka pleurisy i kahi leo ʻino a nahā e puka mai ana mai ko lākou mau māmā.
Eia kekahi, hiki ke hana ʻia nā hoʻokolohua ma lalo nei e hōʻoia pololei i ka maʻi a ʻike i kona kumu.
| Hoʻāʻo | He aha kāu e ʻike ai i loko o ia mea? |
|---|---|
| Nā hoʻāʻo koko | E nānā inā he maʻi a maʻi autoimmune paha i loko o ke kino. |
| Hoʻāʻo ECG (EKG) | E hōʻoia ʻaʻole ʻo ka maʻi puʻuwai ke kumu o ka ʻeha o ka umauma. |
| Nā hoʻokolohua kiʻi (X-ray, CT, Ultrasound) | E kiʻi i nā kiʻi o nā māmā e ʻike ai i ke kumu o ka pilikia. Hiki iā ʻoe ke nānā i nā mea e like me ke kahe a puni nā māmā (pleural effusion) a i ʻole kahi maʻi (pneumonia). |
| Ka hoʻāʻo ʻana i ka wai (Thoracentesis) | Me ka hoʻohana ʻana i kahi nila liʻiliʻi loa, lawe ʻia kahi wai liʻiliʻi mai nā wahi a puni o nā māmā e nānā ai no ka maʻi a i ʻole nā kumu ʻē aʻe. |
| ʻO ke kaʻina hana o ka ʻōpū | Hoʻokomo ʻia kahi kāmela liʻiliʻi i loko o ka umauma a nānā pololei i ka pilikia. |
He aha nā lāʻau lapaʻau no ka pleurisy?
ʻO ka mea nui loa i ka mālama ʻana i ka pleurisy, ʻo ia ke ʻimi i ke kumu a mālama iā ia. I kēia manawa, e hāʻawi pū kāu kauka iā ʻoe i ka lāʻau lapaʻau e kāohi i ka ʻeha āu e manaʻo nei.
- Ke mālama ʻana i ke kumu: Inā he maʻi bacteria ke kumu, e hāʻawi ʻia nā antibiotics. Inā he maʻi fungal ke kumu, e hāʻawi ʻia nā lāʻau antifungal.
- Ka mālama ʻeha: Hiki ke hāʻawi ʻia nā lāʻau lapaʻau e like me NSAID (Nonsteroidal anti-inflammatory drugs) a i ʻole corticosteroids e hōʻemi i ka ʻeha a me ka pehu.
- Ka wehe ʻana i ka wai: Inā he nui ka wai a puni nā māmā (pleural effusion), hiki ke wehe ʻia ka wai (thoracentesis) e hōʻemi i ka ʻeha a maʻalahi ka hanu ʻana.
Ke nalo wale nei ka pleurisy?
ʻAe, i kekahi manawa. Inā he maʻi viral ke kumu o ka pleurisy, hiki i ka pleurisy ke nalo iā ia iho i ka wā e hakakā ai kou kino i ka maʻi. Eia nō naʻe, inā he kumu koʻikoʻi ma lalo, e like me ke kanesa a i ʻole kahi maʻi autoimmune, ʻaʻole e nalo ka pleurisy a hiki i ka mālama pono ʻia.
He aha kaʻu e hana ai e hōʻemi i ka pilikia?
ʻOiai ʻaʻole hiki ke pale ʻia ka pleurisy 100%, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia.
- E pale loa i ka puhipaka.
- Inā loaʻa iā ʻoe kekahi maʻi olakino ʻē aʻe, e like me ka maʻi autoimmune, e kiʻi i ka lāʻau kūpono no ia.
- E holoi pinepine i kou mau lima me ke kopa a me ka wai e pale aku iā ʻoe iho mai nā maʻi viral a me bacteria.
ʻO ka mea nui loa kēia. Inā ʻeha kou umauma, mai hoʻowahāwahā. ʻO ka ʻeha umauma kekahi hōʻailona o nā maʻi koʻikoʻi e like me kekahi mau maʻi puʻuwai. No laila, inā ʻeha kou umauma me ke kumu ʻole, e hele koke i ka Emergency Department (ETU) o ka haukapila kokoke loa.
Leka Lawe-Home
- ʻO ka Pleurisy kahi maʻi i hoʻoulu ʻia e ka pehu ʻana o ka membrane e hoʻopuni ana i nā māmā.
- ʻO ka hōʻailona nui, he ʻeha ʻoi a ʻoi o ka umauma e hoʻonui ai i ka wā e hanu hohonu ai ʻoe a i ʻole e ʻū.
- ʻO nā maʻi ʻeha, nā maʻi ʻōnaehana pale, a me nā maʻi ʻē aʻe e pili ana i ka māmā ke kumu o kēia.
- Aia ka lāʻau lapaʻau i ke kumu o ka pleurisy. He ʻāpana koʻikoʻi nō hoʻi ka kaohi ʻana i ka ʻeha o ka lāʻau lapaʻau.
- Mai hoʻowahāwahā i ka ʻeha o ka umauma. Inā loaʻa iā ʻoe ka ʻeha umauma i wehewehe ʻole ʻia, he mea nui e ʻimi koke i ke kōkua lapaʻau ma ka Emergency Department (ETU) o ka haukapila.
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