Ke manaʻo nei anei kou mau māmā ua piha i ka wai? (Pulmonary Edema) - E kamaʻilio kākou e pili ana i kēia!

Ke manaʻo nei ʻoe i kekahi manawa ua pilikia ʻoe i ka hanu ʻana? A i ʻole ke manaʻo nei ʻoe ua paʻa kou umauma, a ke ʻū nei paha ʻoe i ka phlegm a me ka huʻa? ʻAʻole kēia he mau hōʻailona e hoʻowahāwahā wale ʻia. Hiki i kēia ke lilo i kūlana kahi i piha ai kou mau māmā i ka wai, a mākou e kapa nei ma ke ʻano lapaʻau he Pulmonary Edema . Hiki ke koʻikoʻi loa kēia, no laila pono koke ke kōkua lapaʻau. E kamaʻilio kākou e pili ana i kēia i kēia lā.

He aha ka Edema Pulmonary?

I ka ʻōlelo maʻalahi, ʻo ka Pulmonary Edema ka hōʻiliʻili ʻana o ka wai keu, e like me ka wai, i loko o kou mau māmā. E noʻonoʻo e like me ka huʻahuʻa. ʻO nā ʻeke ea liʻiliʻi i loko o lākou e omo i ka oxygen i loko o ke koko ke hanu mākou. Akā inā piha kēia mau ʻeke ea i ka wai, e like me ka huʻahuʻa i hoʻoluʻu ʻia i ka wai, e emi ana ka nui o ka oxygen e hiki ke komo i loko o ke koko. ʻO ia ka manawa e pilikia ai ʻoe i ka hanu ʻana, ka ʻū ʻana, a me ka paʻa o ka umauma. Hiki i kēia ke hoʻoweliweli i ke ola, no laila he mea nui e ʻimi koke i ke kōkua lapaʻau.

He aha ka High Altitude Pulmonary Edema (HAPE)?

Ua piʻi anei ʻoe i kahi mauna? A i ʻole ua piʻi koke i kahi kiʻekiʻe loa? Ke hana ʻoe, hiki i kekahi poʻe ke loaʻa i kahi maʻi i kapa ʻia ʻo High Altitude Pulmonary Edema (HAPE) . He ʻano maʻi kiʻekiʻe/maʻi mauna kēia. ʻO ke kumu nui o kēia, ʻo ia ka emi ʻana o ka pae oxygen i ka lewa i kou piʻi ʻana i ke kiʻekiʻe.

Ke loaʻa iā ʻoe ka HAPE, hiki iā ʻoe ke luhi, nāwaliwali, ʻeha ke kino, a paʻakikī ka hanu ʻana. Hiki iā ʻoe ke ʻike i ka ʻūhū a me ka ʻū ʻana o ka umauma. E hoʻomanaʻo, he pilikia olakino ka HAPE . Inā ʻike ʻoe i kēia mau hōʻailona, ​​​​pono ʻoe e hele koke i kahi haʻahaʻa a ʻimi i ke kōkua lapaʻau.

He aha ka ʻokoʻa ma waena o ka Pulmonary Edema a me ka Pneumonia?

ʻO nā kūlana ʻelua ke kumu o ka hōʻiliʻili ʻana o ka wai i loko o nā māmā. Akā ʻokoʻa ke kumu. Hoʻokumu ʻia ka niumonia e kahi maʻi. Hiki ke hoʻokumu ʻia kēia maʻi e nā virus, bacteria, a i ʻole fungi. Hoʻopiha kēia mau meaola i ka wai i kāu mau ʻeke ea. ʻAʻole i hoʻokumu ʻia ka edema pulmonary e kahi maʻi, a ʻo ka wai e hōʻiliʻili ana he emi ka mānoanoa ma mua o ka niumonia, akā ʻoi aku ka wai.

He aha ka ʻokoʻa ma waena o ka Pulmonary Edema a me ka Pleural Effusion?

Hiki ke huikau iki kēia. ʻO ka pleural effusion ka hōʻiliʻili ʻana o ka wai i loko o ka pleura, ka membrane lahilahi e hoʻopuni ana i nā māmā . ʻO ka pleura ka uhi ma waena o nā māmā a me ka paia o loko o ka umauma. ʻO ka maʻamau, he papa lahilahi wale nō o ka wai ma laila. Hiki ke hana ʻia ka pleural effusion e nā kūlana e like me ka pneumonia, ka congestive heart failure, a i ʻole ke kanesa.Hiki ke hana. ʻAʻole e like me ka Pulmonary Edema , kahi i waho o nā māmā ke wai, hiki i kēlā wai ke hoʻoulu i ke kaomi ma luna o nā māmā.

He aha ka Edema Pulmonary i hoʻoulu ʻia e ka ʻauʻau?

Hiki i kēia ʻano ke loaʻa i kekahi manawa i nā mea ʻauʻau hoʻokūkū a me nā mea luʻu. Ua kapa ʻia hoʻi ʻo ia ʻo (Immersion Pulmonary Edema) . I ka luʻu ʻana, hoʻohuli ʻia ke koko mai nā wāwae a me ka ʻōpū i nā māmā. Hoʻonui kēia nui koko keu i ke kaomi i loko o nā kīʻaha koko i loko o nā māmā. A laila, kahe ka wai mai kēlā mau kahawai a hōʻiliʻili i loko o nā ʻeke ea. Hiki i kēia ke hōʻino i nā māmā.

He aha nā kumu o ka edema pulmonary?

Hiki ke hoʻokaʻawale ʻia nā kumu o ke kahe ʻana o ke koko i loko o nā māmā i ʻelua mau ʻāpana nui.

1. Nā kumu cardiogenic

2. Nā kumu ʻē aʻe ma waho aʻe o ka maʻi puʻuwai (Noncardiogenic)

1. Nā kumu e pili ana i ka maʻi puʻuwai (Cardiogenic Pulmonary Edema)

ʻO ka Cardiogenic Pulmonary Edema kahi kūlana e hōʻiliʻili ai ka wai i loko o nā māmā ma muli o kahi pilikia me ka puʻuwai. E noʻonoʻo e like me ka pamu wai. Inā ʻaʻole e pamu pono ka ʻaoʻao hema o ka puʻuwai i ke koko, e paʻa ke koko i loko o nā kīʻaha koko i loko o nā māmā, e like me ke kaʻa. Hoʻonui ke kaomi i loko o kēlā mau kīʻaha koko, e hoʻokuke ana i ka wai i loko o nā ʻeke ea.

ʻO ke kūlana puʻuwai nui e hiki ai ke hoʻopiha i ka wai i nā māmā ma kēia ʻano, ʻo ia ka congestive heart failure . Eia kekahi, hiki ke hana ʻia e nā kūlana e like me:

• Maʻi hohola.
• Nāwaliwali o ka ʻiʻo puʻuwai (Cardiomyopathy).
• Ka liki ʻana a i ʻole ka hāiki ʻana o nā kiwikā o ka puʻuwai (maʻi puʻuwai valvular).
• Ke koko kiʻekiʻe (Hypertension).
• Puʻuwai kūpono ʻole (Arrhythmia).
• ʻO Myocarditis (ka mumū o ka ʻiʻo puʻuwai).
• ʻO ka hoʻokahe ʻana o ka wai i loko o ka pericardium, ka membrane e hoʻopuni ana i ka puʻuwai (ka hoʻoili ʻana o ka wai i loko o ka puʻuwai).

2. ʻEdema Pulmonary Noncardiogenic (ʻEdema Pulmonary Noncardiogenic)

ʻO ka edema pulmonary noncardogenic kahi kūlana e hōʻiliʻili ai ka wai i loko o nā māmā, ʻaʻole ma muli o ka pilikia o ka puʻuwai. Hana ʻia kēia i ka wā e pehu ai a hōʻino ʻia paha nā kīʻaha koko i loko o nā māmā. A laila kahe ka wai mai loko mai o kēlā mau kīʻaha koko a hōʻiliʻili i loko o nā ʻeke ea.

ʻO ka Adult Respiratory Distress Syndrome (ARDS) kekahi inoa ʻē aʻe no kēia maʻi (Noncardiogenic Pulmonary Edema) . ʻO ka pilikia nui i loko o (ARDS) ka mumū. Hiki ke hana ʻia kēia e:

• Pneumonia.
• Ka maʻi koʻikoʻi (Sepsis).
• Nā ʻeha kino (Trauma).
• ʻO ka maʻi pankreatitis.
• Maʻi akepaʻa.
• Kekahi mau lāʻau lapaʻau.
• Ke kahe ʻana o ke koko a i ʻole ka pehu ʻana i loko o ka lolo(ʻEdema pulmonary neurogenic).

Eia kekahi, hiki ke loaʻa kahi kūlana i kapa ʻia ʻo ka edema pulmonary kaomi maikaʻi ʻole ma hope o kahi ālai ʻana o ke alaloa o luna. Ke hoʻāʻo ʻoe e hanu i ka wā e ālai ʻia ai kēia, ua hōʻino ʻia nā kīʻaha koko i loko o nā māmā a kahe ka wai i waho. ʻO kēia nō hoʻi ka mea e hana ʻia ma High Altitude Pulmonary Edema (HAPE) , a mākou i kūkākūkā ai ma mua.

He aha nā hōʻailona o ka Pulmonary Edema?

Hiki ke hiki koke mai kēia ʻano (ʻoi) a i ʻole e ulu mālie i ka hala ʻana o ka manawa (mau).

ʻEdema pulmonary koʻikoʻi

ʻIke koke ʻia nā hōʻailona o kēia.

• Ka paʻakikī o ka hanu ʻana (dyspnea) , ʻoiai i ka wā e neʻe ai a kūlou paha.
• Ka hoʻokahe ʻana o ka huʻa koko a huʻa paha.
• He leo hūʻū ka wheezing i ka wā e hanu ana.
• He manaʻo o ka hakakā ʻana e hanu.
• Manaʻo e like me ʻoe e hanu ana.
• Ka ʻūmiʻi a i ʻole ka ʻeha o ka umauma.

ʻO ka mumū mau o ka māmā

Ua like nā hōʻailona me nā hōʻailona o ke kūlana hoʻomaka koke, akā ʻaʻole paha e ʻoi aku ka koʻikoʻi. ʻO nā hōʻailona ʻē aʻe:

• Ke ala ʻana mai ka hiamoe ma muli o ka manaʻo o ka hanu ʻole.
• Hoʻonui ka paʻakikī o ka hanu ʻana i ka wā e moe ana.
• Ka pehu ʻana o nā wāwae.
• Manaʻo luhi loa a me ka paupauaho.

Pehea e ʻike ʻia ai ka edema pulmonary?

Ke ʻike ʻoe i ke kauka, e hana mua ʻo ia i kahi hoʻokolokolo kino e nānā i ka wai i loko o kou mau māmā. E hoʻolohe ʻo ia i kou puʻuwai a me kou mau māmā me kahi stethoscope. E nānā pono ʻo ia no:

• Ka piʻi ʻana a i ʻole ka emi ʻana o ka helu o ka puʻuwai a i ʻole ke koko.
• Hoʻonui ʻia ka nui o ka hanu ʻana.
• Nā leo puʻuwai ʻē.
• Nā leo pahū a i ʻole ka hanu ʻana i loko o nā māmā.
• Ka pehu ʻana i ke kino.
• Ka hoʻololi ʻana o ka ʻili me ke hina a polū paha.

He aha nā hoʻokolohua diagnostics?

Inā kānalua kāu kauka he wai kou i loko o kou mau māmā, e kauoha lākou i kekahi mau hoʻokolohua hou aʻe. ʻO kēia mau mea:

• Helu Koko Piha (CBC).
• Nā kemika koko.
• Hoʻāʻo pulse oximetry e nānā i nā pae oxygen koko.
• He kiʻi X-ray o ka umauma e ʻike ai inā he wai i loko o nā māmā.
• Hana ʻia kahi echocardiogram, kahi ultrasound o ka puʻuwai, e nānā i kekahi hana puʻuwai kūpono ʻole.
• ʻO kahi Electrocardiogram (EKG) e nānā i nā pilikia o ka puʻuwai a i ʻole ka hōʻeha puʻuwai.
• He hoʻokolohua i kapa ʻia ʻo cardiac catheterization e nānā ai no nā ālai ʻia i loko o nā aʻa coronary o ka puʻuwai.

Pehea e mālama ʻia ai ka Pulmonary Edema?

He maʻi koʻikoʻi ka Pulmonary Edema . Inā loaʻa koke kēia maʻi iā ʻoe (ʻoi loa),Pono ka lāʻau lapaʻau koke. Pono paha ʻoe e mālama ʻia ma ka Emergency Treatment Unit (ETU) a i ʻole ka Intensive Care Unit (ICU) .

Eia kekahi mau koho lapaʻau:

• Ke hāʻawi ʻana i ka oxygen ma o nā ʻōmole liʻiliʻi (prongs) i kau ʻia i loko o ka ihu.
• ʻO ka hoʻohana ʻana i nā mīkini e puhi i ka ea i loko o nā māmā ma o kahi pale maka i kau ʻia ma ka maka.
• ʻO ka hoʻohana ʻana i nā ventilators a i ʻole nā ​​​​respirators e puhi i ka ea ma o kahi ʻōmole i hoʻokomo ʻia i loko o ka trachea.
• Nā lāʻau lapaʻau e hoʻonui ai i ka mimi e wehe i ka wai a i ʻole nā ​​​​lāʻau lapaʻau e hoʻoikaika ai i ka puʻuwai.
• Inā ʻaʻole i hana ʻia ka edema pulmonary e ka hemahema o ka puʻuwai congestive, hiki ke kuhikuhi ʻia nā lāʻau lapaʻau ʻē aʻe e like me nā antibiotics a me nā steroids.

Pehea e hiki ai iaʻu ke pale aku i ka edema pulmonary?

Inā ʻoe i ka nui o ka pilikia no ka edema pulmonary, hiki iā ʻoe ke hana i kekahi mau hana e mālama iā ʻoe iho.

• Inā he maʻi puʻuwai kou, e lawe i kāu mau lāʻau lapaʻau e like me ke kauoha a kāu kauka.
• E kiʻi i nā lāʻau pale maʻamau.
• E ʻike pinepine i kāu kauka, ʻoiai inā pilikia ʻoe i ka hanu ʻana.
• E ʻai i ka meaʻai olakino a haʻahaʻa ka paʻakai.
• Mai puhi paka.
• E mālama i ke kaumaha olakino.
• Inā ʻoe e hoʻolālā ana i nā hana e hiki ai ke hoʻoulu i ka pehu ʻana o ka māmā, e like me ka hele wāwae, e kamaʻilio me kāu kauka e pili ana i ia mea.

Āhea wau e hele ai i ka ʻOihana Pōpilikia (ETU) ?

Hiki i ka ʻeha ʻana o ka māmā ke hoʻoweliweli i ke ola. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​​​e kāhea i ka 911 a i ʻole e hele koke i ka lumi pilikia kokoke loa:

• Paʻakikī nui ka hanu ʻana.
• Manaʻo e like me ʻoe e hanu ana.
• Pōkole o ka hanu.
• Ke ʻū ʻana i ke koko a i ʻole ka huʻa huʻa i hoʻohuihui ʻia i ke koko.
• He leo hū a i ʻole he manaʻo e pilikia ana ka hanu ʻana.
• Ka wikiwiki o ka puʻuwai.
• Manaʻo hoʻomaha ʻole a pīhoihoi paha.
• Ka loli ʻana o ka ʻili me ka polū a hina paha.
• Ka hou nui ʻana.
• Ka poniuniu a nāwaliwali paha.

He mea nui: He maʻi koʻikoʻi ka Pulmonary Edema. Inā loaʻa koke kēia maʻi iā ʻoe, pono ʻoe e ʻimi koke i ka lāʻau lapaʻau. ʻO ka manawa kūpono e hoʻōla ai mai kēia maʻi e pili ana i ke kumu o ke ʻano, ke koʻikoʻi o ke ʻano, a me ka wikiwiki o kou ʻimi ʻana i ka lāʻau lapaʻau. ʻO ka wikiwiki o kou loaʻa ʻana o ka lāʻau lapaʻau, ʻoi aku ka maikaʻi o kou manawa e hoʻōla ai.

Pehea ka lōʻihi o kēia kūlana e mau ai? A i ʻole hiki ke alakaʻi i ka make koke?

ʻO ka lōʻihi o kou ola ʻana me kēia maʻi e pili ana i ke kumu o ke ʻano a me ka wikiwiki o kou loaʻa ʻana o ka lāʻau. Inā loaʻa iā ʻoe ka maʻi pneumonia koʻikoʻi, pono ʻoe e mālama koke. I nā hihia koʻikoʻi, hiki ke hoʻoweliweli i ke ola inā ʻaʻole mālama koke ʻia. No laila, pono pinepine ka mālama ʻia ʻana i ka haukapila, ʻoiai i nā kūlana pilikia.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

No laila, nā mea a mākou i kamaʻilio ai i kēia lā (Pulmonary Edema)A i ʻole ke lana nei koʻu manaʻo ua ʻoi aku kou maopopo i ke ʻano i kapa ʻia ʻo ke wai e hoʻopiha ana i nā māmā.

• He kūlana koʻikoʻi kēia: mai hoʻowahāwahā wale. E ʻimi i ke kōkua lapaʻau i ka wā e ʻike ai ʻoe i nā hōʻailona.
• Nui nā kumu: hiki ke hana ʻia kēia no nā kumu ʻē aʻe, ʻaʻole wale no ka maʻi puʻuwai.
• He mea nui loa ka mālama mua ʻana: ʻO ka wikiwiki o ka loaʻa ʻana o ka lāʻau lapaʻau, ʻoi aku ka nui o kou manawa e hoʻōla ai.
• E makaʻala i nā hōʻailona: E makaʻala i nā mea e like me ka paʻakikī o ka hanu ʻana, ka ʻeha o ka umauma, a me ke kuʻi ʻana i ka huʻa.
• E ho'āʻo e pale aku: He mea nui loa ka hahai ʻana i kahi nohona olakino.

Inā he mau nīnau hou aku kāu e pili ana i kēia, mai kānalua e kamaʻilio me kāu kauka. E noho olakino!

ʻEdema Pulmonary , Paʻakikī ka hanu ʻana, Maʻi puʻuwai, Maʻi māmā, ARDS, Mālama pilikia