Ke manaʻo nei ʻoe i kekahi manawa he pōkole iki ka hanu? A i ʻole he ʻūlū kou e nalowale ʻole ana? Malia paha he ʻūpā kou umauma, he hanu ʻūlū, a i ʻole kekahi mea like. Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, he hōʻailona paha ia o kahi pilikia me kou mau māmā. ʻO ia ka manawa e pono ai mākou e ʻike i ke kauka loea i nā maʻi māmā, ʻo ia hoʻi he "Pulmonologist".
ʻO wai kēia kauka lapaʻau pulmonologist?
I ka ʻōlelo maʻalahi, he kauka lapaʻau ʻo "Pulmonologist" i loea i nā maʻi e pili ana i nā māmā. I mea e pololei ai, ua maopopo iā ia nā maʻi e kū mai ana i loko o kā mākou "ʻŌnaehana Hanu" - ʻo ia hoʻi, nā ala ea (trachea, bronchi), nā ʻeke ea liʻiliʻi i loko o nā māmā "Alveoli", a me nā kīʻaha koko e pili ana me lākou.
Ua lohe paha ʻoe i kekahi poʻe e kapa ana i kēia mau kauka he "mau kauka māmā," "nā loea hanu," a i ʻole "nā kauka umauma." Eia naʻe, pili kēia mau inoa a pau i ka loea hoʻokahi.
He aha ka hana a ke kauka pulmonologist?
ʻO ka hana nui a kahi kauka pulmonologist ka ʻike pololei a me ka mālama ʻana i nā maʻi o ka ʻōnaehana hanu. Eia nō naʻe, ua ākea loa kēia kahua. No laila, loea kekahi mau kauka pulmonologists i nā ʻāpana ʻē aʻe.
ʻo kahi laʻana:
- Mālama Koʻikoʻi: Loaʻa i kekahi mau kauka ke aʻo kūikawā e mālama i nā maʻi me nā pilikia hanu koʻikoʻi loa.
- Asthma: Aia kekahi poʻe i aʻo hou e pili ana i nā ʻano lapaʻau kikoʻī no nā poʻe maʻi hānō.
- Lāʻau Lapaʻau Hiamoe: Ua lohe paha ʻoe i nā kānaka e hānō ana a me ka hanu ʻana i ka wā hiamoe . Aia nā kauka i loea i ka mālama ʻana i nā maʻi e like me ka "Sleep Apnea".
- Nā Pulmonologists Pediatric: ʻO ke kauka kūikawā, nā kauka i loea i nā maʻi māmā i nā keiki ma lalo o 18 makahiki.
- Nā Pulmonologist Geriatric: Nā kauka e nānā pono ana i nā maʻi māmā i ka poʻe ʻelemakule, ma luna o 65 mau makahiki.
He aha nā kūlana e mālama ai nā pulmonologists?
Hoʻōla nā kauka pulmonology i nā ʻano maʻi a me nā kūlana hanu like ʻole. E nānā kākou i kekahi o nā mea nui:
- ʻAsbestosis
- ʻO ka Aspergillosis
- Asthma
- Ka maʻi bronchial
- ʻO ka Bronchitis - He maʻi lōʻihi kēia e pono ai ke kuhikuhi ʻana i kahi loea.
- Ka Maʻi Beryllium Mau Loa (Berylliosis)
- ʻO ka maʻi ʻaʻai hanu mau loa (COPD): ʻO kēia ka mea maʻamau i waena o ka poʻe puhi paka nui.
- ʻO ka Pneumoconiosis o nā limahana lanahu - ka maʻi ʻeleʻele o ka māmā
- ʻO ka Fibrosis Cystic
- ʻEmphysema - He ʻāpana kēia o ka COPD.
- Maʻi puʻuwai interstitial
- Ka pilikia hanu ma muli o ke COVID lōʻihi
- Ka maʻi ʻaʻai māmā
- Ke koko kiʻekiʻe o ka puʻuwai
- ʻO ka Sarcoidosis
- ʻO ke silicosis
- ʻAneʻane hiamoe
- ʻO ka maʻi puʻupuʻu
ʻAʻole i piha kēia papa inoa, akā eia kekahi o nā kūlana maʻamau.
No ke aha ʻoe e pono ai e ʻike i kahi pulmonologist?
ʻO ka maʻamau, e kuhikuhi aku kāu mea mālama mua iā ʻoe i kahi kauka pulmonologist inā manaʻo lākou he maʻi hanu kou e pono ai ka hoʻāʻo kūikawā. Hiki i kāu kauka ke ʻōlelo aku iā ʻoe e ʻike i kahi kauka pulmonologist inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:
- ʻO ke kuni mau loa: ʻO ka ʻū e mau ana no nā pule he nui a ʻoi aku paha, he kumu ia e hopohopo ai.
- Dyspnea: ʻOiai he mea maʻamau ka manaʻo ʻana he pōkole ka hanu me ka hoʻoikaika iki ʻana, hiki ke lilo i mea koʻikoʻi inā pilikia ʻoe i ka hanu ʻana ʻoiai ʻoe e kū mālie ana.
- Nā hoʻonui ʻana o ka hānō (Asthma Attacks): Inā lilo kou hānō i mea hiki ʻole ke kaohi a lilo i mea pinepine.
- ʻEha a ʻeha paha ka umauma: Hiki i kēia ke lilo i hōʻailona o ka maʻi puʻuwai, akā hiki nō hoʻi ke kumu o ka pilikia o ka māmā.
- ʻO ka wheezing he leo hūʻū e puka mai ana mai ka umauma mai.
- Nā hōʻailona o ka apnea hiamoe: No ka laʻana, ka hiamoe nui i ke ao a me ka hū ʻana me ka leo nui.
E noʻonoʻo, ua loaʻa i kahi hoaaloha ou ka ʻū no nā mahina, a ʻoiai ua lawe ʻo ia i ka lāʻau lapaʻau, ʻaʻole ia e hoʻomaikaʻi hou ʻia. Ua kuhikuhi aku kāna kauka ʻohana iā ia i kahi kauka pulmonologist. ʻO ia ka manawa e pono ai mākou i kēia kōkua loea.
He aha ka mea e hana ai ke ʻike ʻoe i kahi pulmonologist no ka manawa mua?
Inā ʻo kou manawa mua kēia e ʻike ai i kahi kauka lapaʻau pulmonologist, e nīnau mua ʻo ia iā ʻoe e pili ana i kou mōʻaukala olakino a laila e hana i kahi hoʻokolokolo kino. I kēia manawa, hiki iā ʻoe ke kūkākūkā i kāu mau kumu no ke kipa ʻana a me kāu mau hōʻailona me ke kauka.
E noʻonoʻo, pehea ka maikaʻi inā hiki iā ʻoe ke hoʻomākaukau iki ma mua o kou hele ʻana i ke kauka, e like me kāu e aʻo nei no kahi hoʻokolohua. Eia kekahi mau mea hiki iā ʻoe ke kākau i lalo:
Nā mea hiki iā ʻoe ke hoʻomākaukau ma mua o ka hālāwai:
- ʻEhia ka lōʻihi o kou loaʻa ʻana o nā hōʻailona?
- Ua ʻike anei ʻoe i kekahi mau mea hoʻonāukiuki e hoʻonui ai i kou mau hōʻailona ? (e laʻa me kekahi mau maʻi hanu,ke kaumaha, kekahi mau loli o ke aniau).
- Aia kekahi mau mea e hoʻonui ai i kou mau hōʻailona a i ʻole e hoʻonui ai paha ?
- Ke puhi paka nei ʻoe? Ke vape nei ʻoe? A i ʻole ua hana mua ʻoe pēlā?
- Ke hōʻike ʻia nei ʻoe i nā mea hoʻonāukiuki allergens a i ʻole nā mea hoʻonāukiuki i ka māmā ma o kāu hana, nā leʻaleʻa, a i ʻole ke ʻano noho ? (e laʻa me ka uahi lua, nā kemika, nā palaoa, nā mahi holoholona, nā manu).
- Aia kekahi o kou ʻohana i loaʻa i nā maʻi hanu?
- He mau nīnau kāu e makemake ai e nīnau i ke kauka ? (He manaʻo maikaʻi e kākau i kēia mau mea ma mua, a i ʻole e poina paha iā ʻoe i kekahi manawa.)
He aha paha ka mea e hiki mai ana ma ka hopena o ka hālāwai?
Ma hope o ka nānā ʻana i kāu mau hōʻailona a me ka nānā ʻana iā ʻoe, hiki i kāu kauka ke:
- Ua kauoha ʻia kekahi mau hoʻokolohua hou aʻe.
- Hoʻonohonoho i kahi kipa ʻana ma hope.
- Paipai i nā lāʻau lapaʻau a kuhikuhi paha i nā lāʻau lapaʻau.
- E kuhikuhi i kekahi loea ʻē aʻe (no ka laʻana, inā manaʻo ʻia kou pilikia e pili ana i ka maʻi puʻuwai).
He aha nā hoʻokolohua e hana ai ka pulmonologist?
Hiki i kahi kauka pulmonologist ke kauoha i nā hoʻokolohua like ʻole e kōkua i ka ʻike ʻana i kou kūlana a koho i ka lāʻau kūpono loa. ʻO kekahi o kēia mau mea:
- Nā hoʻāʻo koko: Hiki i kēia ke ʻike i nā mea e like me nā maʻi i loko o ke kino a me nā hōʻailona o kekahi mau maʻi māmā.
- Nā hoʻāʻo kiʻi e like me nā X-ray umauma a i ʻole nā scan CT (Computed Tomography Scans): Hiki i kēia ke nānā i ke kūlana o nā māmā, a inā he puʻupuʻu a i ʻole nā mea ʻē aʻe.
- Nā Hoʻāʻo Hana Pulmonary (PFTs): ʻO kēia nā hoʻāʻo e ana i ka maikaʻi o ka hana ʻana o kou mau māmā a me ka nui o ka ea hiki iā ʻoe ke lawe i loko a i waho.
- Spirometry: He PFT nō hoʻi kēia. Ana ia i ka wikiwiki a me ka nui o ka ea āu e hanu ai i loko a i waho. He mea nui loa kēia no ka ʻike ʻana i nā maʻi e like me ka hānō a me ka COPD.
- Bronchoscopy: He hoʻāʻo kahi e hoʻokomo ʻia ai kahi ʻōmole liʻiliʻi i lako me ke kāmela i lalo o ka ʻōpū hanu e nānā i loko o nā māmā. Inā pono, hiki ke lawe ʻia nā laʻana ʻiʻo (biopsies) me kēia kaʻina hana.
- Nā Haʻawina Hiamoe: Hana ʻia kēia hoʻāʻo e hoʻoholo pono inā loaʻa nā kūlana e like me ka Sleep Apnea.
I kekahi manawa pono e hana hou ʻia kēia mau hoʻokolohua a i ʻole e pono e hana ʻia nā hoʻokolohua hou aʻe e hōʻoia i nā hopena. Mai hopohopo no kēlā, ʻo ka mea nui ka hāʻawi ʻana iā ʻoe i ka lāʻau lapaʻau maikaʻi loa.
He aha ka ʻokoʻa ma waena o ke Kauka Hana Hanu a me ke Kauka Hana Puʻuwai?
Ma ke ʻano laulā, ʻo kēia mau mea ʻelua ke loea like. ʻO ia hoʻi, he 'Pulmonologist'. Eia naʻe, i kekahi manawa ke ʻōlelo mākou he 'Kauka Hanu', hiki ke manaʻo ʻia kekahi e like me ka 'Respiratory Therapist', 'Allergist', a i ʻole 'Thoracic Surgeon'. He poʻe kēia a pau e kōkua ana i ka mālama ʻana i nā ʻano like ʻole o nā maʻi māmā a me ka hanu.
He aha ka ʻokoʻa ma waena o ka cardiologist a me ka pulmonologist?
Aia ka ʻokoʻa ma ke kahua o ka loea. He loea ka Cardiologist i nā maʻi o ka puʻuwai a me ka ʻōnaehana cardiovascular. Ma ka ʻaoʻao ʻē aʻe, he loea ka Pulmonologist i nā maʻi o nā māmā a me ka ʻōnaehana hanu.
Akā e noʻonoʻo e pili ana i ia mea, ʻo ko kākou puʻuwai a me nā māmā he mau ʻōkana ʻelua e hana pū ana. No laila, inā loaʻa iā ʻoe kahi maʻi e like me `(Pulmonary Hypertension)` (pulmonary hypertension), pono paha ʻoe e ʻike i kahi cardiologist a me kahi pulmonologist. No ka mea, ma ia ʻano, ua hoʻopilikia ʻia ka puʻuwai a me nā māmā.
Pehea ʻoe e lilo ai i mea loea pulmonology?
ʻAʻole he hana maʻalahi ka lilo ʻana i pulmonologist. Pono ia i nā makahiki he nui o ka hoʻonaʻauao a me ke aʻo ʻana . Ma hope o ka hoʻopau ʻana i kāu MBBS, pono ʻoe e hana i ke aʻo postgraduate ma Internal Medicine. Ma hope o kēlā, pono ʻoe e hana i kahi fellowship ma Pulmonology. Hoʻomaʻamaʻa pū kekahi poʻe i nā ʻoihana kūikawā ʻē aʻe, e like me ka lāʻau lapaʻau ulia pōpilikia. He huakaʻi lōʻihi kēia a koi nui i ka hoʻolaʻa.
ʻO ka hope, ʻo ka mea nui loa!
ʻAʻole pinepine mākou e noʻonoʻo e pili ana i ka hanu ʻana, ʻeā? Akā, i ka wā e loaʻa ai iā mākou kahi pilikia liʻiliʻi, ʻike mākou i kona waiwai. Inā loaʻa iā ʻoe kahi ʻū mau, a inā paha ʻoe e manaʻo nei e pilikia ana ʻoe i ka hanu ʻana e like me ka wā ma mua, hiki i nā maʻi hanu ke loaʻa ka hopena nui i ko mākou ola. I kekahi manawa hiki i kēia mau kūlana ke koʻikoʻi a mau loa i ke ola holoʻokoʻa. Eia nō naʻe, hiki ke mālama maikaʻi ʻia kekahi mau kūlana inā ʻike pono ʻia a mālama ʻia.
ʻO ia kahi e komo mai ai kahi kauka pulmonologist. Loaʻa iā lākou ke aʻo kūikawā e hoʻomaopopo i ke ʻano o ka hana ʻana o kāu ʻōnaehana hanu a me nā mea e hoʻoulu ai i nā hōʻailona e like me ke kuni a me ka pōkole o ka hanu. Hiki iā lākou ke kōkua iā ʻoe e hoʻokele i kou mau kūlana lōʻihi a hoʻomaʻalahi i kou ola.
Inā ʻaʻole ʻoe maopopo inā pono ʻoe e ʻike i kahi kauka pulmonologist, e noi i kāu kauka ʻohana a i ʻole kekahi mea mālama ola kino āu e hilinaʻi nei no ka ʻōlelo aʻo. E hiki iā lākou ke haʻi pololei iā ʻoe i ka mea e hana ai. E hoʻomanaʻo, he mea nui nā māmā olakino no ke ola olakino!
`Kauka lapaʻau pulmonology, loea māmā, maʻi hanu, ʻūlū, pōkole o ka hanu, hānō, COPD











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