Hanu mākou a pau i loko a i waho. Hana ʻia ia me ka ʻike ʻole. Akā, ua noʻonoʻo paha ʻoe pehea e komo ai ka oxygen a mākou e hanu ai i loko o ke koko e kaapuni ana ma o ko mākou kino? He aha ka pilina ma waena o ka puʻuwai a me nā māmā? I kēia lā, e kamaʻilio mākou e pili ana i kahi ʻano kīʻaha koko koʻikoʻi loa i loko o ko mākou kino e hana pololei ana i kēlā pilina. ʻO ia ke aʻa pulmonary , a i ʻole e like me kā mākou e kapa nei i ka lāʻau lapaʻau (Pulmonary Arteries) .
He aha kēia mau aʻa pulmonary?
I ka ʻōlelo maʻalahi, ʻo ke aʻa pulmonary ke kīʻaha koko e lawe ana i ke koko i nele i ka oxygen mai ka ʻaoʻao ʻākau o kou puʻuwai i kou mau māmā . I ka lāʻau lapaʻau, hoʻohana ʻia ka huaʻōlelo "pulmonary" e pili ana i nā mea e pili ana i nā māmā.
Hoʻokahi kou aʻa pulmonary nui. Kāhea mākou iā ia ʻo ke kumu pulmonary . Hoʻopili pololei ʻia ia i ka puʻuwai e kahi valve i kapa ʻia ʻo ka valve pulmonary . Ua like kēia valve me ka puka. Hoʻomalu ia i ke kahe ʻana o ke koko mai loko mai o ka ventricle ʻākau o ka puʻuwai. Ma hope o ka haʻalele ʻana i ka puʻuwai, māhele ʻia kēia aʻa nui i ʻelua, ʻo nā aʻa pulmonary ʻākau a me ka hema. E like me ka inoa e hōʻike nei, hele ke aʻa ʻākau i ka māmā ʻākau, a hele ke aʻa hema i ka māmā hema.
Ua lohe paha ʻoe i kāu kauka e kapa ana i ke aʻa pulmonary he "aʻa koko nui." ʻO ia no ka mea ʻo ia kekahi o nā aʻa koko nui i loko o ka puʻuwai. Hoʻopili kēlā me kēia o kēia mau aʻa koko nui i kekahi o nā keʻena ʻehā o ka puʻuwai a lawe i ke koko i ka puʻuwai a mai laila mai.
E hoʻomanaʻo, ʻo ke aʻa pulmonary wale nō ke ʻano o ke aʻa i loko o kou kino e lawe ana i ke koko deoxygenated. Lawe nā aʻa ʻē aʻe a pau i ke koko oxygenated.
Pehea e hana ai kēia mau mea i loko o ka ʻōnaehana hoʻopuni koko? - E nānā kākou iā lākou i kēlā me kēia ʻanuʻu
He kuleana koʻikoʻi ko nā aʻa pulmonary i loko o kā mākou ʻōnaehana kaapuni. ʻO ke kikoʻī, pili lākou i kahi ʻāpana i kapa ʻia ʻo ke kaapuni pulmonary . Lawe kēia kaapuni i ke koko i mua a i hope ma waena o ka puʻuwai a me nā māmā. Ua like ia me kahi haʻuki hui. E nānā kākou pehea e hana ai kēia hui.
Hiki ke hoʻomaopopo maopopo ʻia kēia kaʻina hana mai ka papa ma lalo nei.
| Nā ʻanuʻu | Ke kaʻina hana e hana ʻia |
|---|---|
| 1. ʻEnekele ʻākau | Hoʻopuka kēia keʻena ʻākau o lalo o ka puʻuwai i ke koko nele i ka oxygen mai ke kino holoʻokoʻa ma o ka valve pulmonary i loko o ke aʻa pulmonary nui. |
| 2. ʻO ke aʻa nui o ka puʻuwai | Puka mai kēia mai ka puʻuwai a māhele ʻia i loko o nā aʻa pulmonary ʻākau a me hema. |
| 3. Nā aʻa pulmonary ʻākau a me hema | Lawe kēia mau aʻa koko ʻelua i ke koko i ko lākou mau māmā. I loko o nā māmā, māhele kēia mau mea i nā kīʻaha koko liʻiliʻi. I ka hopena, hiki kēia mau mea i nā capillaries e hoʻopuni ana i nā ʻeke ea (alveoli). |
| 4. Nā māmā | ʻO kēia kahi e hana ʻia ai ka mea nui loa. Hoʻokuʻu ʻia ke kalapona ʻokikene, kahi huahana ʻōpala i loko o ke koko, a hoʻohui ʻia ka oxygen hou, a mākou e loaʻa ai i ka wā e hanu ai mākou, i ke koko. Ua kapa ʻia kēia he hoʻololi kinoea . |
| 5. Nā aʻa lolo | Hana kēia i ka mea kū'ē i ka hana a nā aʻa pulmonary. ʻO ia hoʻi, hōʻiliʻili lākou i ke koko i hoʻopiha ʻia me ka oxygen i loko o nā māmā a hoʻihoʻi iā ia i ka puʻuwai. Hiki mai kēia koko i ka atrium hema o ka puʻuwai. |
| 6. ʻAtrium Hema a me Ventricle Hema | ʻO kēia koko waiwai i ka oxygen, e komo ana i ka atrium hema, a laila hoʻouna ʻia i ka ventricle hema. ʻO ka ventricle hema, ke keʻena ikaika loa o ka puʻuwai, e pamu i kēia koko maʻemaʻe i loko o ka aorta. |
| 7. ʻO ka aorta a me ke kino | Lawe nā aʻa nui i kēia koko mai ke kiʻekiʻe loa o ke kino i kēlā me kēia ʻōkana a me nā ʻiʻo. Kāhea mākou i kēiaUa kapa ʻia kēia ʻo ke kaapuni ʻōnaehana. A laila hoʻi ke koko i hoʻopiha ʻia me ka oxygen i ka atrium ʻākau o ka puʻuwai, a hoʻomaka hou ke kaʻina hana. |
Aia ma hea ke aʻa pulmonary? Pehea kona nui?
Aia kēia mau mea i loko o kou lua umauma. Hoʻopili ʻia ke kumu pulmonary nui i ka ventricle ʻākau, ma ke alo o ka puʻuwai. Mai laila mai, piʻi ia i luna o ka aorta i ka hema. A laila māhele ʻia i loko o nā aʻa pulmonary ʻākau a me ka hema a hele i nā māmā.
ʻO ka maʻamau, ʻo ke aʻa nui o ka pulmonary ma kahi o 5 kenimika ka lōʻihi. ʻO kona anawaena ma kahi o 2.7 kenimika i nā wahine a ma kahi o 2.9 kenimika i nā kāne.
E like me nā aʻa ʻē aʻe, ua hana ʻia nā paia o kēia mau aʻa pulmonary i ʻekolu papa:
- (Tunica intima): Papa laumania o loko.
- (Tunica media): ʻO ka papa ʻiʻo waena e hoʻokuke ana i ke koko.
- (Tunica adventitia): ʻO ka papa pale ma waho loa.
He aha nā maʻi e hoʻopilikia ai i kēia mau kīʻaha koko?
ʻO nā pilikia nui e hoʻopilikia ai i nā aʻa pulmonary, ʻo ia nā kīnā puʻuwai hānau . ʻO ia nā mea i loaʻa i ka wā hānau. ʻO kekahi o kēia mau kūlana e komo pū ana me ka `(Double outlet right ventricle)`, `(Patent ductus arteriosus)`, `(Pulmonary atresia)`, `(Tetralogy of Fallot)` a me `(Transposition of the great arteries)`.
Eia kekahi, aia kekahi mau kūlana olakino e hiki ke ulu ma hope o ka wā makua. ʻO nā mea nui:
- ʻO ka embolism pulmonary: He ʻūpē koko e hana a noho i loko o kahi aʻa i loko o nā māmā. He pilikia kēia.
- Ke koko kiʻekiʻe o ka pulmonary: Ke piʻi nui ʻana o ke koko i loko o nā aʻa o nā māmā.
- Nā hopena o nā maʻi ʻē aʻe: Hiki i nā maʻi e like me ka hāʻule ʻana o ka puʻuwai, ka cirrhosis, ka maʻi pulmonary obstructive mau loa (COPD), a me ka obstructive sleep apnea ke hoʻopilikia i kēia mau aʻa.
Pehea e hiki ai iaʻu ke mālama i koʻu puʻuwai a me kēia mau aʻa koko i ke olakino?
ʻOiai ʻaʻole hiki iā kākou ke pale aku i nā maʻi hānau ʻia, nui nā mea hiki iā kākou ke hana e pale aku iā kākou iho mai nā maʻi e ulu ana ma hope o ke ola. He mea nui loa ka mālama pono ʻana i nā maʻi e kōkua ai i nā kūlana e like me ke koko kiʻekiʻe o ka pulmonary.
- Maʻi māmā mau loa (COPD)
- ʻO ka apnea hiamoe obstructive
- Ka hāʻule ʻana o ka puʻuwai
Inā loaʻa iā ʻoe kēia mau maʻi, e hahai pono i nā ʻōlelo a kāu kauka. Eia kekahi, e hana i kēia mau mea e mālama ai i ke olakino holoʻokoʻa o kou puʻuwai a me nā kīʻaha koko:
- E pale loa i ka puhipaka.E ho'ōki i ka puhi paka, ka vaping, a i ʻole kekahi huahana paka ʻē aʻe. E noi i kāu kauka no ke kōkua.
- E ʻai i ka meaʻai olakino no ka puʻuwai. E ʻai i ka nui o nā huaʻai a me nā mea kanu.
- E hoʻoikaika kino no ka liʻiliʻi he 150 mau minuke i ka pule. E hana i kekahi mea e like me ka hele wāwae, ka holo ʻana, a i ʻole ke kaʻa paikikala.
- E mālama i ke kaumaha o ke kino olakino.
- Inā loaʻa iā ʻoe nā maʻi e like me ka maʻi diabetes, ke koko kiʻekiʻe, a me ka cholesterol kiʻekiʻe, e kaohi pono iā lākou.
He aha nā hōʻailona e pono ai ʻoe e ʻike i ke kauka?
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o nā hōʻailona ma lalo nei, e ʻike pono i kāu kauka. He mau hōʻailona paha kēia o kahi maʻi koʻikoʻi.
| Hōʻailona | Wehewehena |
|---|---|
| Paʻakikī ka hanu ʻana | Ke manaʻo nei i ka hanu pōkole ʻoiai i ka wā e hoʻomaha ai a i ʻole e hana ana i nā hana liʻiliʻi. |
| ʻEha a ʻeha paha ka umauma | Ke ʻano o ka paʻa a me ka ʻūmiʻi ma ka umauma. |
| Pōʻino a i ʻole ka nawaliwali | Manaʻo koke ua puni ka poʻo a ua maule paha. |
| Puʻuwai puʻuwai kūpono ʻole (Arrhythmia) | Hoʻopaʻa wikiwiki ka puʻuwai a manaʻo e like me ka lele ʻana o kahi kuʻi. |
| Nā lehelehe polū a ʻili paha | He hōʻailona paha ia o ka lawa ʻole o ka oxygen i loko o ke koko. |
| Ka pehu ʻana o nā wāwae, nā kuʻekuʻe wāwae, a i ʻole ka ʻōpū (edema) | ʻO kahi hōʻailona o ka hōʻiliʻili ʻana o ka wai i loko o ke kino. |
| Ke ʻū ʻana i ke koko | ʻUmiʻumi ke koko me ka phlegm. He pilikia koʻikoʻi loa kēia. E hele koke i ka ETU (Emergency Treatment Unit). |
He ʻāpana koʻikoʻi loa ko kākou mau aʻa pulmonary i ko kākou ola, ʻoiai ʻaʻole lākou e ʻike maka ʻia e ka maka, a hana mālie lākou no ko kākou ola i kēlā me kēia kekona. ʻO ke aʻo ʻana e pili ana i kā lākou hana a me nā maʻi e hoʻopilikia nei iā lākou e hoʻonui i ko kākou ʻike i ko kākou kino ponoʻī. ʻO kou kuleana nō hoʻi ke lawe i kahi nohona olakino a pale i kēia mau aʻa koko makamae.
Leka Lawe-Home
- ʻO nā aʻa pulmonary he mau kīʻaha koko kūikawā e lawe ana i ke koko ʻilihune oxygen mai kou puʻuwai a i kou mau māmā.
- ʻO kēia wale nō ke ʻano o ke aʻa e lawe ana i ke koko deoxygenated i loko o kou kino.
- ʻO ka hapa nui o nā maʻi e hoʻopilikia nei i kēia mau aʻa koko he hānau ʻia mai ka wā kamaliʻi, akā aia kekahi mau maʻi e ulu ana i ka wā makua, e like me ke koko kiʻekiʻe o ka pulmonary.
- Hiki iā ʻoe ke mālama i kou puʻuwai a me nā kīʻaha koko i ke olakino ma ka pale ʻana i ka puhipaka, ka ʻai ʻana i ka meaʻai olakino, ka hoʻoikaika kino ʻana, a me ka kaohi ʻana i nā maʻi e like me ka maʻi diabetes a me ke koko kiʻekiʻe.
- Inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, a i ʻole ka nāwaliwali, e ʻike koke aku i ke kauka me ka hoʻokaʻulua ʻole.
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