Ke pilikia nei kāu keiki liʻiliʻi i ka hanu ʻana? E kamaʻilio kākou e pili ana i ka Reactive Airway Disease (RAD)!

Aia kekahi ma kou home, ʻo kāu keiki liʻiliʻi paha, a ʻo ʻoe iho paha, i loaʻa koke i kahi ʻū mau e paʻakikī ai ka hanu ʻana, manaʻo e like me ka ʻū ʻana o kou umauma, a ʻo ia ke kumu o ka wheezing? I kekahi manawa e ʻōlelo paha ke kauka, "He maʻi Reactive Airway Disease paha kēia a i ʻole RAD" ke ʻike lākou i kēia mau hōʻailona. No laila ke noʻonoʻo nei paha ʻoe, "Auē, he aha kēia maʻi hou?" Mai hopohopo, i kēia lā e kamaʻilio mākou e pili ana i ke ʻano o RAD, pehea e ulu ai, he aha nā hōʻailona, ​​a he aha nā lāʻau lapaʻau, ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.

He aha maoli ka Reactive Airway Disease (RAD)?

I ka ʻōlelo maʻalahi, ʻaʻole ʻo Reactive Airway Disease (RAD) he maʻi i hōʻoia ʻia he maʻi, ʻaʻole hoʻi i hāʻawi ʻia i kahi inoa kikoʻī. He inoa manawa pōkole ia. Hoʻohana nā kauka i kēia huaʻōlelo ke loaʻa iā ʻoe a i ʻole kāu keiki nā pilikia hanu e like me ka hānō, akā ʻaʻole hiki ke loaʻa ke kumu pololei.

E noʻonoʻo e pili ana i ia mea, he mau ʻano paipu liʻiliʻi ko ko kākou mau māmā e lawe ana i ka ea i loko a i waho (kapa mākou i kēia mau paipu bronchial), a i ka wā e pehu ai a ololi kēlā mau paipu, lilo ia i mea paʻakikī ke hanu. ʻO kēia ka mea e hana ʻia ma RAD.

He mea nui e hoʻomaopopo he ʻelua mau maʻi like ʻole ka 'Reactive Airway Disease (RAD)' a me ka 'Reactive Airways Dysfunction Syndrome (RADS)'. ʻOiai ua like iki nā inoa, ʻaʻole pono e huikau kēia mau maʻi ʻelua. ʻO ka 'RADS' kahi maʻi e kū pinepine ma hope o ka ʻike koke ʻia ʻana o ke kinoea ʻawahia.

No laila, ke ʻōlelo ke kauka he RAD, ʻo ia hoʻi, "ʻAe, aia kekahi mea hewa me kou ʻōnaehana hanu, a pono mākou e hana i nā hoʻokolohua hou aʻe e ʻike pono ai i ke ʻano o ia mea." I kekahi manawa lohe ʻoe i nā kauka e hoʻohana ana i nā huaʻōlelo RAD a me Asthma me ke ʻano like ʻole, akā ʻaʻole like ko lākou manaʻo. He inoa manawa pōkole wale nō ʻo RAD i hoʻohana ʻia a hiki i ka wā e hana ʻia ai kahi hōʻailona paʻa.

He aha nā hōʻailona o RAD? Pehea kou manaʻo?

Hiki i kekahi kanaka me RAD ke ʻike i nā hōʻailona e like me:

• ʻŪhū mau: Hiki ke hele pū ʻia kēia ʻūhū me ka phlegm.
• Pōkole o ka hanu a i ʻole ka paʻakikī o ka hanu ʻana (dyspnea): ʻO ka manaʻo o ka hiki ʻole ke hanu a me ka hana nui e hanu ai.
• Wheezing: He leo "whooshing" a "whooshing" paha e puka mai ana mai ka umauma i ka wā e hanu ana.
• ʻŪmiʻi umauma: He manaʻo kaumaha, me he mea lā e kaomi ana kekahi ma kou umauma.

Hiki i kēia mau hōʻailona ke hoʻoluhi loa iā ʻoe. ʻO nā hōʻailona nui ka paʻa o ka umauma a me ka paʻakikī o ka hanu ʻana.

He aha nā mea hoʻonāukiuki no ka RAD?

Aia kekahi mau kumu e pilikia ai ka hanu ʻana o nā kauka, kahi i kapa ʻia no kekahi manawa ʻo 'RAD.' ʻO kekahi o lākou:

• Nā maʻi ʻaleka:He maʻi ʻaleka i nā mea e like me ka lepo, ka pollen, kekahi mau meaʻai, a me ka huluhulu holoholona. E noʻonoʻo wale, loaʻa i kekahi mau keiki liʻiliʻi ka maneʻo koke ke honi lākou i ka lepo a hele kokoke paha i kahi pōpoki, ʻeā? Pēlā nō ia.
• Nā maʻi bacteria a viral paha: ʻO nā maʻi e like me ka maʻi flu, ke anu, a me ka pneumonia hiki ke hoʻoulu i nā alaloa ea.
• ʻUahi kemika, nā mea ʻala, a i ʻole nā ​​uahi: Nā mea e like me kekahi mau mea ʻala ikaika, nā uahi pepeke pepeke, a me nā mahu mai nā wai hoʻomaʻemaʻe.
• Uahi: ʻO kēlā me kēia ʻano uahi, e like me ka uahi cigarette, ka uahi kapuahi wahie, a me ka uahi o ke kaʻa.
• Hoʻoikaika Kino: Hiki i kekahi poʻe ke loaʻa ka hanu pōkole i ka wā o ka hoʻoikaika kino.
• Nā loli o ke aniau: Ka ʻike koke ʻia ʻana e nā makani anu, ka wela loa, ke noho ʻana i kahi ʻāina pulu, nā loli koke o ke aniau.

ʻO kēia nā mea e kōkua nui ai i nā hōʻailona o RAD.

Pehea ka lōʻihi o ka RAD? E ho'ōla loa ʻia anei?

He mea paʻakikī ke ʻōlelo maopopo i kēia. ʻO ke kumu, he inoa manawa pōkole ʻo 'RAD', a ʻo ka manawa hoʻōla e pili ana i ka maʻi kumu. Ke loaʻa i ke kauka ke kumu pololei o kāu mau hōʻailona a kuhikuhi i ka lāʻau lapaʻau kūpono, e haʻi lākou iā ʻoe i ka lōʻihi o ka manawa e pono ai ʻoe e ʻoluʻolu.

ʻO wai ka mea i hoʻopilikia nui ʻia e kēia kūlana RAD?

ʻO kaʻoiaʻiʻo, hiki i ke kauka ke kāhea aku i kekahi mea paʻakikī i ka hanu ʻana, akā ʻaʻole maopopo ke kumu. Eia nō naʻe, hoʻohana pinepine ʻia kēia huaʻōlelo no nā pēpē a me nā kamaliʻi ʻōpio i ʻōpiopio loa e loaʻa i kahi hoʻāʻo hana māmā. ʻO kēia no ka mea pono i ke keiki kahi pae o ka hoʻomaopopo a me ke kākoʻo e hana i kēia mau hoʻāʻo. No ka mea he paʻakikī i nā pēpē ʻōpio ke hana i kēia, kapa nā kauka iā ia he 'RAD' ma muli o nā hōʻailona.

Pehea e ʻike ʻia ai ka RAD?

Inā pilikia ʻoe a i ʻole kāu keiki i ka hanu ʻana, a inā he ʻū mau kou, e ʻike pono i ke kauka. E nīnau ke kauka iā ʻoe e pili ana i kāu mau hōʻailona a me kou mōʻaukala olakino, e like me ka loaʻa ʻana o kekahi o kou ʻohana i ka mōʻaukala o ka hānō.

A laila, e nānā ke kauka iā ʻoe. ʻO ke kikoʻī, e hoʻolohe ʻo ia i kou mau māmā me ka hoʻohana ʻana i ka stethoscope (auscultation). E ʻae kēia i ke kauka e loaʻa kahi manaʻo o nā leo i lohe ʻia i loko o nā māmā a inā he mea keakea i ka wā e hoʻokuʻu ʻia ai ka ea. Ma hope o kēia hoʻokolokolo mua ʻana, e paipai ke kauka i kekahi mau hoʻokolohua hou aʻe e hōʻoia i ka hōʻailona.

He aha nā hoʻokolohua no kēia?

No ka ʻike ʻana i ke kumu kūpono o ka pōkole o ka hanu, hiki i ke kauka ke hana i kekahi mau hoʻokolohua, e like me:

• Spirometry: ʻO kēia ka hoʻāʻo hana māmā maʻamau. Ana ia i ka nui o ka ea hiki iā ʻoe ke hanu i loko a i waho me ka wikiwiki. Hiki iā ia ke kōkua i ka hoʻoholo ʻana inā he poloka i loko o kou mau ala ea.
• Nā hoʻāʻo kiʻi:He mau hoʻāʻo ʻeha ʻole kēia. Kōkua lākou i ka nānā ʻana i loko o kou mau māmā, puʻuwai, a me nā iwi.
• X-ray o ka umauma: No ka nānā ʻana i nā maʻi maʻi māmā a me nā pilikia ʻē aʻe.
• Echocardiogram (echo): Nānā i ka hana o ka puʻuwai. Hiki ke hana ʻia kekahi pōkole o ka hanu e ka maʻi puʻuwai.
• CT scan (CT scan - Computed Tomography scan): E kiʻi i nā kiʻi maopopo a kikoʻī hoʻi o nā māmā a me ka umauma.
• Nā hoʻāʻo koko: Lawe ʻia kahi koko liʻiliʻi mai kahi nila liʻiliʻi a hoʻāʻo ʻia e ʻike inā he mau maʻi, nā maʻi ʻaleka, a i ʻole nā ​​​​hōʻailona o ka mumū i loko o ke kino.
• Hoʻāʻo ʻili kuʻi: Hana ʻia kēia hoʻāʻo e ʻike ai inā he maʻi ʻoe i kekahi mea. Hoʻopili ʻia kahi liʻiliʻi o nā ʻano allergens like ʻole i kahi ʻāpana liʻiliʻi o ka ʻili a hoʻāʻo ʻia ka ʻili no kahi hopena.
• ECG a i ʻole EKG - Electrocardiogram): Hoʻāʻo kēia i ka hana uila o kou puʻuwai. Hiki i kēia ke kōkua i ka kāpae ʻana i ka maʻi puʻuwai ma ke ʻano he kumu o kou hanu pōkole.
• ʻO ka pulse oximetry: He mea hana liʻiliʻi e like me ke clip āu e kau ai ma kou manamana lima. Ana ia i ka pae o ka oxygen i loko o kou koko.
• Hoʻāʻo hoʻoikaika kino: Nānā kēia e ʻike inā e emi ana kou pae oxygen koko ke hoʻoikaika kino ʻoe.

Hana ʻia kēia mau hoʻokolohua a pau e ʻike ai i ke kumu pololei o kāu mau hōʻailona.

Pehea e mālama ʻia ai ʻo RAD?

No ka mea, he lepili manawa pōkole ka RAD, ua mālama ʻia ia ma muli o ka hōʻailona kumu. ʻO ke ʻano kēia, pono mua ke kauka e hoʻoholo inā paha ua hoʻokumu ʻia kou mau pilikia hanu e ka hānō, kahi maʻi, a i ʻole kekahi maʻi ʻē aʻe.

Eia nō naʻe, i loko o kahi pilikia, ʻo ia hoʻi inā paʻakikī loa ka hanu ʻana, hiki i nā kauka ke hoʻohana i nā lāʻau lapaʻau e like me kēia:

• Nā Bronchodilators: ʻO kēia nā mea a mākou e kapa nei he inhalers. Hana kēia mau lāʻau lapaʻau ma ka hoʻonui ʻana i nā ala ea i haiki ʻia, e maʻalahi ai ka hanu ʻana. Hoʻohana pinepine ʻia lākou no nā maʻi e like me ka hānō a me ka COPD (Chronic Obstructive Pulmonary Disease).
• ʻO ka lāʻau lapaʻau oxygen: Kōkua kēia i ka hāʻawi ʻana i ke kino me ka nui o ka oxygen e pono ai ke paʻakikī ka hanu ʻana.
• ʻInu ʻEpinephrine: Hāʻawi ʻia kēia i ka wā e loaʻa ai kahi hopena maʻi koʻikoʻi (anaphylaxis) a i ʻole kahi hōʻeha hānō koʻikoʻi.
• Corticosteroids: Hoʻemi kēia mau lāʻau lapaʻau i ka mumū i loko o nā māmā. Hoʻohana ʻia lākou e mālama i ka hānō, COPD, a me nā maʻi ʻaleka koʻikoʻi.

Kōkua anei ʻo Albuterol i ka RAD?

He ʻano bronchodilator nō hoʻi ʻo Albuterol. He lāʻau lapaʻau ia e hoʻonui ai i nā alaloa. Hoʻohana ʻia ia e mālama i ka hānō, COPD, a me ka bronchospasm i hoʻoulu ʻia e ka hoʻoikaika kino. Eia nō naʻe, inā he mea ʻē aʻe ke kumu o RAD, ʻaʻole kēia wale nō e ho'ōla iā ia. He mea nui e ʻimi i ke kumu pololei a mālama iā ia.

Hiki ke pale ʻia ka RAD?

Hiki iā ʻoe ke hana i kēia mau mea e hōʻemi i kou pilikia o ka hoʻomohala ʻana i nā hōʻailona RAD:

• E noho mamao aku mai nā mea hoʻonāukiuki a me nā mea hoʻonāukiuki i ʻike ʻia he mea ʻino iā ʻoe. Eia kekahi laʻana, inā he maʻi ʻoe i ka lepo, e noho i nā wahi me ka lepo ʻole a e hoʻomaʻemaʻe pono i kou home.
• E hoʻohana pono i nā lāʻau lapaʻau e pale ai i ka pehu ʻana o ke alaloa (inā i kauoha ʻia e ke kauka).
• Inā ʻoe e puhipaka ana, e hoʻōki loa a pale i ka hoʻolilo ʻana i ka manawa ma nā wahi e puhipaka ai kekahi poʻe.
• Inā hana me nā kemika, e ʻaʻahu i ka pale maka a i ʻole nā ​​​​mea pale hanu ʻē aʻe.

Inā loaʻa iā ʻoe ka RAD, he aha kāu e manaʻo ai? He aha ka mea e hiki mai ana i ka wā e hiki mai ana?

Inā haʻi aku ke kauka iā ʻoe he RAD kou, ʻo ia hoʻi ke paʻakikī nei ʻoe i ka hanu ʻana, akā ʻaʻole i ʻike ʻia ke kumu pololei . Mai hopohopo. E nānā ke kauka iā ʻoe, e hana i nā hoʻokolohua e pono ai, a e hoʻāʻo e ʻimi i ke kumu. A laila wale nō e hoʻomaka ai ka lāʻau kūpono.

I kekahi manawa, e kuhikuhi paha kāu kauka ʻohana iā ʻoe i kahi loea māmā (pulmonologist) .

ʻO kou ho'ōla ʻana a me ka mālama ʻana i nā maʻi e hilinaʻi ʻia ana ma kahi hōʻailona pololei. Hiki ke ho'ōla loa ʻia kekahi mau maʻi. ʻO kekahi (e like me COPD) hiki ke maʻi mau a holomua.

Āhea ʻoe e ʻike ai i ke kauka? Āhea ʻoe e hele ai i kahi Keʻena Pilikia (ETU) ?

Inā loaʻa iā ʻoe nā hōʻailona o RAD (ke kuʻi, ka hanu ʻana, ka paʻa o ka umauma), a inā ʻaʻole i hoʻomaikaʻi kāu mau hōʻailona me ka nānā ʻole i ka lāʻau lapaʻau, e ʻike pono i ke kauka.

Eia nō naʻe, i kēlā kūlana, e hele koke i ka Emergency Treatment Unit (ETU) kokoke loa, a i ʻole e kelepona iā 1990:

• Inā paʻakikī iā ʻoe ke hanu (ʻoiai ke nānā aku ʻoe, hiki iā ʻoe ke ʻike he paʻakikī loa ka hanu ʻana).
• Inā ʻaʻohe hōʻoluʻolu ma muli o ka hoʻohana ʻana i ka lāʻau lapaʻau no nā pilikia hanu (e like me ka inhaler).
• Inā ʻike ʻia ka pae oxygen i loko o ke koko he haʻahaʻa (e like me nā lehelehe a me nā kui e polū ana).
• Inā ʻoe e hōʻike ana i nā hōʻailona o kahi hopena alerika koʻikoʻi (anaphylaxis), ʻo ia hoʻi kēia:
• Paʻakikī nui ka hanu ʻana.
• Ka hāʻule koke ʻana o ke koko.
• Pehu lehelehe.
• Ka nāwaliwali koke.
• Ka nalowale o ka ʻike (syncope) a i ʻole ka nawaliwali.
• Huikau (ʻaʻole maopopo i kāu mea e hana nei a i kou wahi paha).

I nā manawa e like me kēia, mai hoʻokaʻulua iki. E ʻimi koke i ke kōkua lapaʻau.

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?

Ke hele ʻoe e ʻike i ke kauka, hiki iā ʻoe ke nīnau i nā nīnau e like me kēia i hiki iā ʻoe ke hoʻomaopopo maikaʻi i kou kūlana.

• He aha ke kumu o koʻu maʻi ʻeha alaloa (Reactive Airway Disease)?
• Aia kekahi lāʻau lapaʻau piha no kēia maʻi?
• He aha kaʻu e hana ai e maʻalahi ai koʻu hanu ʻana?
• He aha nā lāʻau lapaʻau āu e paipai nei?
• Pehea e hoʻohana pono ai i kēia lāʻau lapaʻau? (e.g., inā he inhaler, pehea e hoʻohana pono ai).
• Pono anei iaʻu e ʻike i kahi kauka pulmonologist?

He aha ka ʻokoʻa ma waena o RAD, hānō, a me COPD?

He mea huikau iki kēia mau inoa. E hoʻomanaʻo hou kākou iā kākou iho:

• ʻO ka maʻi ea hou (RAD): He inoa manawa pōkole kēia. ʻO ia hoʻi, aia kekahi mea hewa me ka ʻōnaehana hanu, akā ʻaʻole i ʻike ʻia ke kumu pololei.
• Asthma: He maʻi kūikawā kēia. He maʻi lōʻihi ia. Hoʻoulu ia i ka pehu a me ka haiki ʻana o nā ala ea. I kekahi manawa, aia paha ka nui o ka mucus.
• COPD (Maʻi Puʻuwai Pale Mau): He inoa nō hoʻi kēia no kahi hui kikoʻī o nā maʻi. Hoʻokomo pū ia i kekahi mau maʻi lōʻihi e hoʻopilikia ana i nā māmā, e paʻakikī ai ka hanu ʻana, a e ʻoi aku ka ʻino i ka hala ʻana o ka manawa (e.g. bronchitis mau, emphysema).

No laila, hiki i ke kauka ke kapa mua i nā hōʻailona 'COPD' ʻRAD', a hiki i ka wā e hana ʻia ai kahi hōʻailona kūpono.

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

Ua maopopo paha iā ʻoe i kēia manawa ʻaʻole he hōʻailona kikoʻī ka 'Reactive Airway Disease (RAD)'. Eia nō naʻe, ʻaʻole hewa ke hoʻohana ʻana o ke kauka i kēia huaʻōlelo. ʻO ia hoʻi , ʻaʻole i ʻike ʻia ke kumu o kou pilikia hanu ʻana, a ʻaʻole hiki ke hāʻawi ʻia kahi hōʻailona paʻa a hiki i ka wā e hana palekana ʻia ai nā hoʻokolohua e pono ai .

Inā loaʻa iā ʻoe a i ʻole kāu keiki kekahi o kēia mau hōʻailona, ​​mai hopohopo a e ʻike i ke kauka. E hāʻawi ʻo ia iā ʻoe i ke alakaʻi āu e pono ai. Inā ʻaʻole hiki i kāu kauka ʻohana ke ʻike i ke kūlana, e noi no kahi kuhikuhi i kahi loea māmā (Pulmonologist).

ʻO ka mea nui loa, ʻo ia ka loaʻa ʻana o ka hōʻailona kūpono a hoʻomaka i ka lāʻau kūpono. A laila hiki iā ʻoe ke ho'ōla koke.

ʻO ka maʻi ea hou, RAD, paʻakikī ka hanu ʻana, maʻi hanu, hānō, māmā, olakino o nā keiki, ʻū, wheezing