Ke ale malū nei ʻoe i ka meaʻai a me ka mea inu? E kamaʻilio kākou e pili ana i ka Silent Aspiration!

He mea maʻamau ka ʻūʻū iki ʻana i ka wā e ʻai ai a inu paha. Akā, ua ʻike anei ʻoe i kekahi manawa hiki i nā mea e like me ka meaʻai a me ka mea inu ke komo malū i loko o ko kākou mau ala ea me ka ʻike ʻole ʻana i kekahi ʻū ʻana a i ʻole ka ʻeha ʻoluʻolu ʻole? ʻO ia ka mea a mākou e kapa nei he "sillent aspiration." He mea kēia e makaʻala ai, ʻoiai no nā mākua o nā keiki liʻiliʻi.

He aha ka Makemake Mālie?

I ka ʻōlelo maʻalahi, ʻo ka "Silent Aspiration" ʻo ia ka manawa e hanu ai ʻoe i ka meaʻai, ka mea inu, ka lawai, a i ʻole ka waikawa o ka ʻōpū i loko o kou ʻōpū makani (trachea). ʻO ka maʻamau, ke ale mākou, hana pū nā aʻalolo a me nā ʻiʻo i loko o ko mākou waha a me ka puʻu e hoʻokuke pololei i ka meaʻai i loko o ka ʻōpū, ma mua o loko o ka ʻōpū makani. Aia kahi ʻāpana liʻiliʻi ma luna o ko mākou puʻu i kapa ʻia ʻo "Epiglottis". Ke ale mākou, pani ʻia kēia ʻāpana, e uhi ana i ka ʻōpū makani. No laila, i ka wā e hana pono ai kēia mau aʻalolo, nā ʻiʻo, a me ka "Epiglottis", hele ka meaʻai i loko o ka ʻōpū a me ka ea i loko o nā māmā.

Akā, ʻo ke kanaka me ka "Silent Aspiration" ʻaʻole ia e ʻū a manaʻo paha ua komo kēia mau mea i loko o ka ʻōpū. ʻO ia ke kumu i hoʻohui ʻia ai ka huaʻōlelo "silent". Ma kēia ʻano, ʻaʻole wale ka meaʻai, ka mea inu, a me ka lawai, akā no kekahi poʻe, hiki i ka waikawa o ka ʻōpū (ka waikawa e piʻi aʻe i loko o ka puʻu i nā kūlana e like me ka gastritis - "Acid Reflux") ke komo malū i loko o ka ʻōpū.

He aha ka hana o kēia i ke kino?

ʻAʻole paha he pilikia nui ka mea liʻiliʻi e paʻa ana i loko o ke ala ea. I ka hapa nui o ka manawa, hoʻopuka ko mākou kino i waho.

Akā inā loaʻa iā ʻoe ka "Silent Aspiration", ʻaʻole paha ʻoe e ʻike e hana ana ia a i ʻole ka pinepine o kona hana ʻana. Inā hoʻomau ʻoe i ka loaʻa ʻana o nā wai i loko o kou mau ala ea e like me kēia, hiki iā ʻoe ke loaʻa i kahi maʻi i kapa ʻia ʻo "Aspiration Pneumonia", he maʻi ia i loko o kou mau māmā. Inā ʻaʻole i mālama pono ʻia, hiki i ka "Aspiration Pneumonia" ke lilo i mea weliweli loa.

He aha nā hōʻailona o ka makemake mālie?

ʻAʻole paha e hōʻike ʻia kekahi mau hōʻailona e ka poʻe me ka "Silent Aspiration". Eia nō naʻe, inā he mau hōʻailona, ​​​​hiki ke ʻokoʻa lākou ma muli o kou makahiki - a i ʻole kāu keiki. Hiki i nā pēpē ʻōpio me ka "Silent Aspiration" ke hōʻike i nā hōʻailona e like me:

• Piʻi aʻe kou hanu ʻana a i ʻole ʻoe e hopu i kou hanu i ka wā e hānai waiū ana.
• Loaʻa pinepine iā ʻoe kahi kuni iki me ke kumu ʻole, a i ʻole e loaʻa iā ʻoe nā maʻi i loko o ka ʻōnaehana hanu, ʻoiai hoʻi nā māmā.
• ʻAʻole lākou makemake e inu waiū, e hoʻohuli ana i ko lākou maka mai ka ʻōmole a i ʻole ka waiū umauma.
• Ma hope o ka inu ʻana i ka waiū, aia kekahi leo "pulu" i ka leo, me he mea lā he mucus i loko, a i ʻole he leo e like me ia i ka wā e uē ana.

Hiki i nā ʻōpio a me nā mākua ke ʻike i nā hōʻailona ma lalo nei inā loaʻa iā lākou ka "Silent Aspiration":

• Hoʻonui ʻia ka wikiwiki o ka hanu ʻana i ka wā e ʻai ai.
• Ua like au me he mea lā ua paʻa i loko o kuʻu puʻu.
• Wahi a nā kamaliʻi ʻaʻole hiki iā lākou ke ʻai a hōʻole.
• Paʻa koʻu ihu ma hope o ka pau ʻana o kaʻu ʻai ʻana, akā nalo aku ia ma hope o kekahi manawa.
• Aia kekahi leo haʻalulu me ke kumu ʻole, a me kahi walaʻau i ka wā e hanu ana.
• Ma hope o ka ʻai ʻana, loli ka leo me he mea lā he mucus i loko o ka puʻu.
• Hoʻopilikia pinepine ʻia nā maʻi ʻeha e like me ka bronchitis.

He aha ke kumu o kēia?

Nui nā kumu e hiki ai ke "Mālie ka makemake". I kekahi manawa hiki ke hana ʻia me ke kumu ʻike ʻole ʻia a hiki ke hana ʻia ma ke ʻano ulia. Akā ʻo ka hapa nui o ka ʻike ʻia ʻana i nā poʻe i loaʻa i kahi maʻi e hoʻopilikia ai i ke kaʻina hana ale. Eia kekahi laʻana:

• Lehelehe māwae a i ʻole ka lehelehe māwae.
• Ka paʻakikī i ke ale ʻana (Dysphagia) a i ʻole ka maʻi lolo o ke kaula leo.
• ʻO ka maʻi Reflux Gastroesophageal (GERD). Hiki i ka poʻe me kēia maʻi ke ʻae i ka waikawa o ka ʻōpū e kahe i luna i loko o ka ʻōpū.
• He kūlana i kapa ʻia ʻo "Laryngomalacia." Hoʻopilikia kēia i ka larynx (pahu leo) o ka pēpē, a hiki ke pilikia i ka ale ʻana a hoʻonui i ka pilikia o ka "GERD."
• Nā pilikia e pili ana i ka lolo a me ka ʻōnaehana nerve. No ka laʻana, nā kūlana e like me Cerebral Palsy, Multiple Sclerosis (MS), nā hopu ʻana, a i ʻole kahi ʻeha o ka lolo a i ʻole ka hahau ʻana ma mua.
• Nā paipu i kau ʻia i lalo o ka ʻāʻī ma muli o nā kūlana olakino ʻē aʻe. No ka laʻana, he paipu nasogastric a i ʻole he paipu tracheostomy.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i kēia?

Hiki i kēia kūlana i kapa ʻia ʻo "Silent Aspiration" ke hoʻopilikia i kekahi mai nā pēpē liʻiliʻi a hiki i ka poʻe ʻelemakule. Akā e nānā kākou i ka mea i pilikia nui ʻia:

• Nā pēpē ʻōpio: ʻAʻole hiki i nā pēpē ke haʻi iā ʻoe he ʻeha ko lākou puʻu a he paʻakikī paha ka ʻai ʻana. No laila he paʻakikī ke ʻike inā he "Silent Aspiration" ko lākou. Eia kekahi, ʻoiai lākou e ʻai pinepine ana i nā meaʻai wai, ʻoi aku ka maʻalahi o ke komo ʻana o nā wai i loko o ke ala ea ma mua o nā meaʻai paʻa.
• ʻO ka poʻe me nā maʻi mau a i ʻole ke kīnā: Nui nā maʻi, e like me ka sclerosis maha (MS) a i ʻole ka maʻi epilepsy, hiki ke hoʻopilikia i kou hiki ke ale. ʻO kēia mau kūlana olakino e hoʻopilikia i ka ale ʻana e hoʻonui i ka pilikia o ka hanu mālie.
• Poʻe ʻelemakule: ʻO nā maʻi e like me ka dementia a me ka hahau ʻana he mea maʻamau i ka poʻe ʻelemakule. Hiki i kēia ke hoʻololi i nā ʻano ale ʻana a hiki iā ʻoe ke ʻike ʻole ua paʻa kekahi mea i loko o kou puʻu.

Pehea ʻoe e ʻike ai i kēia?

I ka wā e ʻike ai i ka hanu leo ​​ʻole, ʻo ka mea mua a kāu kauka e hana ai, ʻo ia ke nānā i kou ihu, waha, a me nā māmā a kūkākūkā i kāu mōʻaukala olakino. Inā loaʻa i kāu pēpē kēia mau hōʻailona, ​​e hoʻomaka paha kāu kauka me nā hoʻokolohua like.

Inā pono, e kauoha paha ke kauka i kekahi mau hoʻokolohua e nānā i loko o kou puʻu a nānā i ke ʻano o kāu moni ʻana. Pono paha ʻoe a i ʻole kāu pēpē e hana i nā hoʻokolohua e like me kēia:

• X-ray umauma:He hoʻāʻo ʻeha ʻole kēia. Lawe ia i nā kiʻi o kou mau māmā a me ka umauma. Hiki iā ia ke nānā i ka niumonia i loko o kou mau māmā a nānā i nā mea i loko o kou puʻu a me ka ʻōnaehana hanu.
• ʻO ka Fiber-optic Endoscopic Evaluation of Swallowing (FEES): Ma kēia hoʻāʻo, hoʻokomo ke kauka i kahi ʻōmole lahilahi me kahi kāmela i hoʻopili ʻia ma kou ihu. Hiki i kēia ke ʻike i loko o kou puʻu i kou ale ʻana. I kekahi manawa, hāʻawi ʻia paha ʻoe i kahi wai kūikawā e inu ai e kōkua i ka ʻike maopopo ʻana i kāu mea e ale nei.
• Laryngoscopy: Ma kēia kaʻina hana, nānā ke kauka i kou puʻu me kahi ʻōmole lahilahi i lako me kahi kāmela.
• ʻO ka moʻo GI kiʻekiʻe: Ma mua o kēia X-ray, e hāʻawi ʻia ʻoe i kahi wai (barium) e inu, kahi e ʻike ʻia ma ka X-ray. Hiki i kēia ke kōkua i ka loaʻa ʻana o nā pilikia i loko o ka ʻōnaehana hoʻoheheʻe e hiki ai ke hoʻoulu i nā maʻi e like me GERD.

Pehea e mālama ʻia ai kēia?

I ka mālama ʻana i ka "Silent Aspiration", ʻo ka mea mua e hana ai, ʻo ia ke mālama ʻana i ke kūlana kumu i hoʻokumu ai. Eia kekahi laʻana:

• Inā loaʻa iā ʻoe ʻo GERD, hiki i kāu kauka ke kuhikuhi i ka lāʻau lapaʻau e pale aku i ka waikawa o ka ʻōpū mai ke kahe ʻana i luna i kou puʻu.
• Inā loaʻa i kāu pēpē ka hanu ʻana i ka wā e hānai ana i ka waiū, e ʻōlelo paha kāu kauka e hoʻopaʻa ʻoe i kāu pēpē i kahi kūlana pololei i ka wā e hānai ana. Hiki i kēia kūlana pololei ke kōkua i kāu pēpē e ale maʻalahi i ka waiū umauma a i ʻole ka waiū waiū.
• ʻO nā pēpē e ʻū pinepine ana i ka waiū umauma a i ʻole ka waiū waiū, pono paha lākou i kahi papaʻai i hoʻololi ʻia me nā hānai mānoanoa. Inā koʻikoʻi ke kūlana, pono paha lākou e hoʻokomo ʻia kahi paipu hānai manawa pōkole ma ka ihu a i ʻole ka ʻōpū. ʻO ka maʻamau, wehe nā kauka i ka paipu ke hiki i ka pēpē ke ale maikaʻi.
• Hiki i ke kanaka me ka lehelehe māwae a i ʻole ka palale ke ale maʻamau ke hoʻoponopono ʻia ma ke ʻoki ʻana.

Ma hope o ka mālama ʻana i ke kumu kumu, hiki i kāu kauka ke hana i nā hoʻokolohua hou aʻe e ʻike ai inā ua hoʻomaikaʻi kou hiki ke ale.

Hiki ke pale ʻia ka makemake mālie?

ʻAʻohe ala maopopo e pale aku ai i ka "Silent Aspiration". Akā hiki iā ʻoe ke mālama iā ʻoe iho a me kāu pēpē i ke olakino ma ka ʻike pinepine ʻana i kāu kauka a me ka nānā ʻana. Inā he kānalua kou e pili ana i kou olakino a i ʻole ke olakino o kāu pēpē, e kamaʻilio me kāu kauka. Aia kāu kauka ma laila e pale aku i nā pilikia olakino a hāʻawi i ka lāʻau lapaʻau i ka wā e pono ai.

ʻO ka mea nui loa, ʻo ia ke kamaʻilio me ke kauka inā he kānalua kou, ʻoiai ka mea liʻiliʻi loa.

He aha ka mea e hana inā loaʻa iaʻu (Silent Aspiration)?

I loko o nā pēpē, hiki i ka "Silent Aspiration" ke nalo wale aku i ko lākou wā e ulu ana. Eia nō naʻe, inā ua hoʻokumu ʻia kāu a i ʻole kāu pēpē e kahi maʻi kūikawā, ʻo ka hana mua e ʻike i ke kumu.

Inā mālama pono ʻia ke kumu, hiki ke ho'ōla pinepine ʻia ka "Silent Aspiration", a hiki iā ʻoe ke ola i kahi ola olakino. E nīnau i kāu kauka inā pono ʻoe e ʻike iā ia i nā manawa a pau e nānā i kou kūlana.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa i kāu pēpē nā hōʻailona o ka ʻū ʻana, a inā manaʻo ʻoe he "Silent Aspiration" paha kāu pēpē, e ʻike koke i ke kauka o kāu pēpē. Eia kekahi, e nānā i ke kaumaha o kāu pēpē a hele no nā nānā olakino e like me ka ʻōlelo a kāu kauka. Hiki i kēia ke kōkua i ka hōʻoia ʻana ua loaʻa i kāu pēpē ka meaʻai e pono ai.

Inā loaʻa iā ʻoe nā hōʻailona o GERD a i ʻole ka paʻakikī i ka moni ʻana, e hoʻonohonoho i kahi manawa e ʻike ai i ke kauka. Ma ka loaʻa ʻana o nā hoʻokolohua kūpono a me ka mālama ʻana i kou mau kūlana olakino, hiki iā ʻoe ke pale i ka hanu mālie a me nā pilikia ʻē aʻe.

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

E ʻimi koke i ke kōkua lapaʻau inā loaʻa i kāu pēpē kekahi o kēia mau mea:

• Inā polū ka ʻili.
• Inā pilikia ʻoe i ka hanu ʻana.
• He kuni ma luna o 100.4 degere F (38 degere C) inā ʻaʻole i emi iho ka pēpē ma mua o 3 mahina, a i ʻole he kuni ma luna o 102.2 degere F (39 degere C) inā aia ka pēpē ma waena o 3 mahina a me 3 makahiki.
• Inā paʻakikī ke ala aʻe mai ka hiamoe.

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e ʻimi koke i ka mālama ulia pōpilikia:

• Inā ʻaʻole hiki iā ʻoe ke ale maʻamau.
• Inā manaʻo ʻoe e pilikia ana ʻoe i ka hanu ʻana a i ʻole e ʻūlū ana.
• Inā loaʻa iā ʻoe ka ʻeha o ka umauma.
• Inā manaʻo ʻoe ua paʻa ka meaʻai a i ʻole kekahi mea i loko o kou puʻu a i ʻole ka ʻōpū hanu.

Hiki i ka makemake mālie ke lilo i mea weliweli, ʻoiai inā pili ia i kāu pēpē. Akā ʻo ka nūhou maikaʻi, hiki ke kāohi ʻia a hoʻōla ʻia paha ka makemake mālie ma ka mālama ʻana i ke kumu kumu. I ka ulu ʻana o nā aʻalolo a me nā ʻiʻo o kāu pēpē a aʻo e hana pū, i kekahi manawa e maikaʻi ia ma kāna iho. ʻOiai ke kumu, aia kāu kauka ma laila e kōkua iā ʻoe e loaʻa nā hoʻokolohua a me ka lāʻau lapaʻau āu e pono ai. E kamaʻilio me ia e pili ana i kou mau hopohopo. A laila, hiki iā ʻoe ke hana i kahi hoʻolālā e kōkua iā ʻoe a me kāu pēpē e ola i ke ola olakino.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

ʻAe, i kēia manawa ua ʻoi aku kou maopopo i ka mea a mākou i kamaʻilio ai, ʻo "Silent Aspiration". ʻO ka mea nui loa, ʻo ia ke ʻike koke i ke kauka inā manaʻo ʻoe he loaʻa iā ʻoe a i ʻole kāu pēpē kēia mau hōʻailona. I kekahi manawa ʻaʻole paha he mea koʻikoʻi, akā he mea naʻauao ke nānā ʻia e ke kauka ma mua o ka manaʻo ʻana he.

• I ka wā e hānai waiū ai i kāu pēpē, e hoʻolohe i ko lākou hanu ʻana a me ka leo.
• Inā loaʻa iā ʻoe ke kuni pinepine a i ʻole nā ​​​​maʻi hanu, e makaʻala hoʻi i kēlā.
• Inā he kanaka makua ʻoe, e makaʻala i ka paʻakikī o ke ale ʻana a me nā loli ma hope o ka ʻai ʻana.
• ʻOiai ke kumu, aia nā lāʻau lapaʻau. No laila, mai hopohopo.

ʻO kou olakino a me ke olakino o kou ʻohana ka mea nui, no laila he mea nui loa ka makaʻala i nā mea e like me kēia.

ʻO ka hanu mālie, ka paʻakikī i ke ale ʻana, ka niumonia hanu, ke olakino o ke keiki, nā pilikia hanu, ka hanu ʻana i ka meaʻai