He mea weliweli anei ke hanu ʻana i ka uahi mai ke ahi mai? (Hanu ʻana i ka uahi) E makaʻala kākou i kēia!

Ua kokoke anei ʻoe i ke ahi a ua manaʻo ʻoe ua ʻoluʻolu ʻole ʻoe ma muli o ka uahi e puka mai ana mai ia mea? Malia paha he ahi i loko o ka lumi kuke ma ka home, he ahi i loko o ke kaʻa ma ke alanui, he ahi i loko o ka ululāʻau, a i ʻole i ka wā i puhi ai kekahi i kahi ʻōpala. I ia mau hihia, hiki i ka uahi a mākou e hanu ai ke hōʻeha nui i ko mākou ala hanu a me nā māmā. ʻAʻole wale ia, akā ʻo kekahi o nā kemika ʻawahia i loko o kēia uahi, e like me `(Carbon Monoxide)` (Carbon Monoxide) a me `(Cyanide)` (Cyanide), hiki ke hoʻoweliweli i ke ola inā hanu ʻia i ka nui. No laila, he mea nui loa ka makaʻala i kēia.

He aha ka hanu ʻana i ka uahi? I ka pōkole...

I ka ʻōlelo maʻalahi, ʻo ka hanu ʻana i ka uahi ke hanu mākou i ka nui o ka uahi. Hana pinepine ʻia kēia ma nā wahi i loaʻa ai ke ahi. Loaʻa i kēia uahi nā ʻāpana liʻiliʻi i ʻike ʻole ʻia e ka maka, a me nā kinoea ʻawahia he nui. Komo kēia mau mea i loko o ko mākou ihu a me ka waha a hōʻino i ko mākou ʻōnaehana hanu.

E noʻonoʻo, inā he ahi i loko o kahi hale, hoʻopiha ka uahi i ka lumi. A laila pono kekahi i loko e hanu i kēlā uahi. I kekahi manawa, hiki i ka uahi mai kahi ahi ululāʻau mamao ke hōʻeha i ko mākou mau maka, ihu, a me ka puʻu. ʻOi loa aku inā loaʻa iā ʻoe kahi maʻi hanu lōʻihi e like me `(COPD)` (Chronic Obstructive Pulmonary Disease) a i ʻole `(Asthma)` (Asthma), hiki i kahi uahi liʻiliʻi ke paʻakikī iā ʻoe.

Inā ʻoe i loko o ke ahi a manaʻo ʻoe ua hanu ʻoe i ka uahi, a inā he mau hōʻailona kou o ka hanu ʻana i ka uahi, he mea nui e hele i ka haukapila a ʻimi koke i ka lāʻau lapaʻau ulia pōpilikia.

He aha ka mea e hana ʻia ke hanu ʻoe i ka uahi? E makaʻala i kēia mau hōʻailona!

Hiki i ka hanu ʻana i ka uahi ke hana i nā ʻano hōʻailona like ʻole. Me he mea lā he mau pilikia liʻiliʻi kekahi, akā hiki i kekahi ke weliweli loa. E nānā inā kamaʻāina kēia mau hōʻailona iā ʻoe:

• Paʻakikī ka hanu ʻana: Manaʻo ia e like me ka ʻūmiʻi ʻana o kou umauma, a paʻakikī hoʻi ke hanu.
• Lio ka leo i ka walaʻau: Ke ʻōlelo ʻana, loli ka leo a lilo i walaʻau.
• ʻEha a ʻeha paha ka umauma: Manaʻo paha ʻoe e ʻeha ana kou umauma i loko, a i ʻole e kaomi ana kekahi mea ma luna.
• ʻĀʻī ʻeha: Manaʻo e like me ka ʻāʻī e ʻūlū ana, ʻeha i ka moni ʻana.
• Kuke: Loaʻa paha iā ʻoe ka kuke mau. Hiki paha iā ʻoe ke kuke i ka huʻa ʻeleʻele.
• ʻUmiʻumi: Ke hanu ʻoe, hana ʻoe i kahi leo nui a haʻalulu mai loko mai o kou umauma, i kapa ʻia ʻo "Umiʻumi." I kekahi manawa, puka mai kahi leo nui mai kou puʻu, e like me "Stridor," he hōʻailona weliweli nō hoʻi ia.
• Pōʻino, ʻeha poʻo: Hiki iā ʻoe ke loaʻa i kahi ʻeha poʻo nui a hiki paha ke manaʻo i ka pōʻino.
• Huikau: ʻAʻole paha ʻoe e hiki ke hoʻomaopopo i ka mea e hana nei, a lilo paha ʻoe i mea ʻike ʻole.
• Nāwaliwali: E nalowale koke paha kou ʻike a hāʻule.
• Nā hopu ʻana: Hiki i kekahi poʻe ke loaʻa i nā kūlana e like me ka hopu ʻana.

E noʻonoʻo wale, i kekahi manawa ke hoʻā mākou i kekahi mau pūpū niu, komo ka uahi mai ia mau mea i loko o ko mākou kino, akā e wela ko mākou mau maka a manaʻo ko mākou ihu e like me ke ālai ʻana i ko mākou puʻu, ʻeā? Hiki i kekahi me ka hānō ke loaʻa i ka "Asthma Attack". No laila e makaʻala i kēia mau hōʻailona.

He aha ka mea e hana ai inā hanu ʻoe i ka nui o ka uahi?

ʻEkolu mau ala nui e hiki ai i ka hanu ʻana i ka uahi nui ke hōʻeha i ko kākou kino.

1. Ka wela o ka uahi: He wela loa ka uahi mai ke ahi. Hiki i kēia wela ke puhi i ko kākou ʻōpū hanu luna, ʻo ia hoʻi ko kākou ihu, waha, a me ka puʻu. Hiki i kēia ke hoʻoulu i ka pehu a hoʻolilo i ka paʻakikī o ka hanu ʻana.

2. Ka pōʻino kemika: ʻO nā kinoea ʻawahia, nā kemika like ʻole, a me nā ʻāpana uahi i loko o ka uahi e hele i lalo i loko o ko kākou ala hanu haʻahaʻa a me nā māmā, e hōʻino ana i nā pūnaewele ma laila. A laila hiki iā lākou ke pehu a pehu. E like me ka ʻeha.

3. Ka nele o ka oxygen: ʻO nā kemika weliweli e like me ka `(Carbon Monoxide)` i loko o ka uahi e komo i loko o ko kākou koko. A laila, e pau ka `(Oxygen)` i loko o ke koko i ka lawe ʻia ʻana i nā ʻāpana ʻē aʻe o ke kino, ʻoiai ka lolo a me ka puʻuwai. Me ka ʻole o `(Oxygen)` ʻaʻole hiki i kā kākou mau ʻōkana ke hana. ʻO ia ke kumu he mea weliweli loa kēia. ʻO ka mea make `(Cyanide)` ke kumu o kahi kūlana i hiki ʻole ai i nā cell ke hoʻohana i `(Oxygen)`.

He aha nā pilikia weliweli e hiki ai i kēia ke hana?

Inā ʻaʻole mālama pono ʻia ka hanu ʻana i ka uahi, hiki iā ia ke alakaʻi i nā pilikia koʻikoʻi e hoʻoweliweli ana i ke ola. Eia kekahi o lākou:

• ʻO ka Acute Respiratory Distress Syndrome (ARDS): He ʻano koke a koʻikoʻi kēia o ka hāʻule ʻana o ka māmā. ʻO ke kikoʻī, piha nā ʻeke ea i loko o nā māmā i ka wai, e pale ana i ka oxygen mai ke komo ʻana, a hiki ʻole ke hanu.
• (ʻŌpū): I ka ʻōlelo maʻalahi, ʻo ka nele o ka `(Oxygen)` i loko o ke kino ʻo ia hoʻi ka hanu ʻana.
• (Koma): Ke ʻike ʻole ʻana no ka manawa lōʻihi.
• (Hoʻouka Puʻuwai): Hiki ke loaʻa ka hōʻeha puʻuwai ma muli o ka emi ʻana o ke kahe koko i ka puʻuwai.
• Methemoglobinemia: He maʻi pili koko kēia. Ma kēia, ʻaʻole hiki i ka hemoglobin i loko o ko kākou koko ke hoʻopaʻa pono i ka "(Oxygen)", e pale ana iā ia mai ka hiki ʻana i nā ʻiʻo.
• Pneumonitis: Ka mumū o nā māmā, ʻo ia hoʻi kahi kūlana i hana ʻole ʻia e ka pehu ʻana a i ʻole ka maʻi.
• ʻEdema Pulmonary: Hōʻiliʻili ka wai i loko o nā ʻeke ea o nā māmā, e paʻakikī ai ka oxygen e hiki i ke koko.
• Hahau: Hiki ke hana ʻia kahi ʻano like me ka maʻi lolo ma muli o ka emi ʻana o ke kahe o ke koko i ka lolo.

He mea weliweli ke lohe i kēia mau mea, ʻeā? ʻO ia ke kumu e ʻōlelo ʻia ai e ʻimi koke i ka lāʻau lapaʻau inā ʻoe e hanu i ka uahi.

ʻO wai ka mea i pilikia nui?

ʻO ka ʻoiaʻiʻo, ʻaʻole maikaʻi ka hanu ʻana i ka uahi no kekahi. Akā, ʻoi aku ka nui o ka pilikia o kekahi poʻe i ke olakino koʻikoʻi mai kahi uahi liʻiliʻi. Eia kēia mau mea:

• ʻO nā kānaka me nā maʻi hanu e like me ka hānō.
• Nā kānaka me ka maʻi puʻupaʻa mau loa (CKD).
• ʻO nā kānaka me nā maʻi māmā lōʻihi e like me COPD.
• Nā kānaka me ka maʻi diabetes.
• Nā kānaka me ka maʻi puʻuwai.

Eia kekahi, ʻoi aku ka nui o ka pilikia o nā makuahine hāpai a me nā keiki ʻōpio . Hiki i nā hopena i nā makuahine hāpai ke hoʻopilikia i ka pēpē. ʻOi aku ka maʻalahi o nā keiki ʻōpio no ka mea ke ulu nei ko lākou mau ʻōnaehana hanu.

He aha kā mākou e hana ai e hōʻemi i kēia pilikia?

Pehea mākou e hōʻemi ai i ka pilikia o ka hanu ʻana i kēia uahi? ʻAe, e nānā kākou.

• E makaʻala i ka maikaʻi o ka ea: Hiki iā ʻoe ke ʻike inā he nui ka uahi a me ka lepo i ka lewa ma kou wahi mai nā hōʻike aniau, a i ʻole mai kekahi mau `(Pūnaewele)` a me `(Nā Polokalamu)`.
• E noho i loko o ka hale i nā lā ea ʻino: Inā ʻike ʻoe he uahi loa ka ea, e noho i loko o ka hale i ka hiki a pani i nā puka makani a me nā puka. Inā he "Ea Conditioner" kou i loko o kou hale, e hoʻohana. E "kānana" kēia i ka ea e komo mai ana i loko o ka hale i kekahi ʻano.
• E hoʻohana i kahi `(HEPA filter)`: No ka mālama ʻana i ka ea i loko o kou home i ka maʻemaʻe, he manaʻo maikaʻi e hoʻohana i kahi `(Air Purifier)` nona ka `(HEPA - High-Efficiency Particulate Air)` (High
• E ʻaʻahu i kahi `(Mask)` maikaʻi (Mask): Inā pono ʻoe e hele i waho no nā kumu koʻikoʻi, e ʻaʻahu i kahi `(Respirator Mask)` (Breathing Mask) e kūpono i kou maka, e like me ka `(N95)`. ʻAʻole hiki i ka lole maʻamau `(Mask)` ke pale pono i kēia mau ʻāpana uahi liʻiliʻi.

Pehea e ʻike ai nā kauka i kēia?

Ke hele ʻoe i ka haukapila, inā paha ua loaʻa ʻoe i ke ahi a ua hanu paha i ka uahi, e nīnau nā kauka e pili ana i kāu mau hōʻailona a nānā iā ʻoe. Hiki iā lākou ke hana i kekahi mau hoʻokolohua, e like me:

• ʻO ka Pulse Oximetry: Hoʻokomo ʻia kahi mea liʻiliʻi e like me ke ʻano o kahi clip ma kou manamana lima a ana i ka pae o ka "Oxygen" i loko o kou koko. Hiki i kēia ke haʻi koke inā he haʻahaʻa kou "Oxygen".
• Nā hoʻāʻo koko: E nānā i nā mea e like me nā pae kalapona monoxide a me nā pae oxygen i loko o ke koko.
• ʻO kahi X-ray umauma a i ʻole CT scan: No ka ʻike ʻana inā he hōʻino ʻia nā māmā.
• Nā Hoʻāʻo Hana o ka Puʻuwai: E ʻike i ka hana maikaʻi o kou mau māmā.
• (Arterial Blood Gas - ABG): He hoʻāʻo koko nō hoʻi kēia. Lawe ʻia ke koko mai kahi aʻa koko ma ka lima a nānā ʻia ke kaulike o ke koko ʻo `(Oxygen)`, `(Carbon Dioxide)` a me ka waikawa-kumu.
• (Bronchoscope):I kekahi manawa, hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela liʻiliʻi (he bronchoscope) ma o ka ihu a i ʻole ka waha e nānā i loko o nā alaloa. ʻAe kēia i ka ʻike pololei ʻana i nā mea e like me ka mumū, ka pehu ʻana, a me nā ālai ʻana i nā alaloa.

He aha ka lāʻau lapaʻau no kēia?

Inā ʻoe i loko o kahi pilikia kokoke i ke ahi a inā ʻoe e hanu nui i ka uahi, ʻo ka mea mua e hana ai, ʻo ia ke hele koke i ka ea hou. A laila pono ʻoe e ʻimi koke i ke kōkua lapaʻau. Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau ma ka haukapila:

• ʻOkikene Hoʻohui: Hāʻawi ʻia ka ʻokikene ma o ka cannula ihu a i ʻole kahi pale maka. I kekahi mau hihia koʻikoʻi, hoʻohana ʻia kahi lāʻau kūikawā i kapa ʻia ʻo Hyperbaric Oxygen Therapy. Ma kēia, hoʻokomo ʻia ka mea maʻi i loko o kahi keʻena e hāʻawi ana i ka 100% okikene ma lalo o ke kaomi kiʻekiʻe. ʻAe kēia i nā ʻiʻo o ke kino e loaʻa koke ka ʻokikene, ʻoiai i nā hihia o ka lāʻau make kalapona monoxide.
• Nā Bronchodilators: He mau lāʻau lapaʻau kēia e hoʻonui ai i nā alaloa. Hiki ke hāʻawi ʻia iā lākou ma ke ʻano he inhaler a i ʻole ma o kahi nebulizer. ʻOi aku ka maʻalahi o ka hanu ʻana.
• Mucolytics: Nā lāʻau lapaʻau e kōkua ai i ka hoʻomāmā ʻana i ka mucus i loko o nā māmā a maʻalahi hoʻi e hoʻokuke aku.
• Nā Anticoagulants: Nā lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko. Pono paha kēia i kekahi mau hihia o ka hanu ʻana i ka uahi.
• (Hydroxocobalamin): He ʻano kēia o ka `(Vitamin B12)`. Hāʻawi ʻia ia ma ke ʻano he lāʻau lapaʻau no ka lāʻau make `(Cyanide)`.
• (Methylene Blue): He lāʻau lapaʻau kūikawā i hāʻawi ʻia no kahi maʻi i kapa ʻia ʻo "Methemoglobinemia".
• (Intubation)` a me `(Mechanical Ventilation)`: Inā koʻikoʻi loa kou kūlana a hiki ʻole iā ʻoe ke hanu iā ʻoe iho, e hoʻokomo nā kauka i kahi ʻōmole i loko o kou ʻōpū hanu (`(Intubation)`) a hoʻomaka e hanu me kahi mīkini (`(Ventilator)`) (`(Mechanical Ventilation)`).

He aha kaʻu e hana ai inā hanu au i ka uahi?

ʻO kēia ka mea nui loa. Inā ʻoe i loko o ke ahi, a inā manaʻo ʻoe ua hanu nui ʻoe i ka uahi, mai noʻonoʻo hou, mai hoʻokaʻulua no kekona, a e ʻimi koke i ke kōkua lapaʻau ulia pōpilikia. ʻOiai inā maikaʻi kou manaʻo i kēlā manawa, e ʻike ʻia kekahi pōʻino ma hope. No laila, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka a hana i nā hoʻokolohua e pono ai. Hiki i ka lāʻau lapaʻau mua ke hoʻopakele i ke ola, mai poina i kēlā.

ʻEhia ka lōʻihi e ho'ōla ai?

ʻO ka manawa e hoʻōla ai mai kēia mea e pili ana i ka nui o ka pōʻino āu i loaʻa ai. Hiki ke hoʻoponopono ʻia kahi hopena liʻiliʻi i loko o kekahi mau lā. Eia nō naʻe, inā ua hōʻino nui ʻia kou mau māmā, hiki ke hala i nā hebedoma, a i ʻole nā ​​​​mahina, e hoʻōla piha ai. E mālama nā kauka iā ʻoe i ka haukapila a hiki i kou hiki ke hoʻi palekana i ka home a hoʻōla. I kou wā e hoʻōla ai, pono ʻoe e lawe i kāu mau lāʻau lapaʻau e like me ke kauoha a kāu kauka. Pono ʻoe e hoʻomaha i kou mau māmā. Pono ʻoe e pale loa i nā wahi uahi.

ʻO ka mea hope loa, nā mea nui e pono ai ʻoe e hoʻomanaʻo

ʻAe, no laila, mai nā mea a mākou i kamaʻilio ai, hiki iā ʻoe ke hoʻomanaʻo i kekahi mau mea nui.

ʻAʻole pono e lawe māmā ʻia ka hanu ʻana i ka uahi. Mai manaʻo, 'Auē, he mea nui ka ʻike ʻana i ke kauka, no ka ʻū iki wale nō.' No ka mea, hiki i nā hopena o kēia ke make i kekahi manawa.

• He mea weliweli loa ka hanu ʻana i ka uahi mai ke ahi. Hiki iā ia ke hōʻino i kou ʻōnaehana hanu a me kou kino holoʻokoʻa.
• Mai hoʻowahāwahā i nā hōʻailona e like me ka paʻakikī o ka hanu ʻana, ka ʻū ʻana, ka ʻeha o ka umauma, ka ʻeha o ka puʻu, a me ka poniuniu. He mau hōʻailona makaʻala paha kēia.
• Inā he kānalua kou ua pili ʻoe i ka uahi, e ʻimi koke i ke kōkua lapaʻau. ʻAʻole hiki i ka lāʻau lapaʻau koke ke hoʻopakele i kou ola wale nō, akā, pale aku hoʻi i nā pilikia lōʻihi.
• E makaʻala i ka maikaʻi o ka ea. Inā ʻoe e hele i waho i nā lā me ka nui o ka uahi a i ʻole ka lepo, e ʻaʻahu i kahi pale maka pale.
• E hana i nā hana e pale aku ai i nā ulia ahi ma kou home. E hoʻokomo i nā mea ʻike uahi.

ʻO kou palekana a me ka palekana o kou ʻohana ka mea nui loa. Lana ko mākou manaʻo e ʻike ʻoe he pono kēia ʻike iā ʻoe. E noho olakino!

Hanu ʻana i ka uahi, Ahi, Uahi, Maʻi hanu, Māmā, Lapaʻau pilikia