Ke manaʻo nei ʻoe i kekahi manawa he pōkole iki ka hanu me ke kumu ʻole, me he mea lā e hanu ana ʻoe? Malia paha he paʻakikī iā ʻoe ke hanu i ka piʻi ʻana i kahi alapiʻi liʻiliʻi a i ʻole e hele wāwae ana i kahi mamao pōkole. Nui nā kumu no kēia. Akā, ʻaʻole wale nō ka pilikia i ko kākou mau māmā. Aia kekahi ʻiʻo nui a ikaika loa e kōkua iā kākou e hanu, ʻo ia ka diaphragm. No laila, i kēia lā e kamaʻilio mākou e pili ana i kahi hoʻāʻo kūikawā a maʻalahi e ʻike ai inā e hana pono ana kēia diaphragm. Ua kapa ʻia kēia ʻo 'Sniff Test'.
I ka ʻōlelo maʻalahi, he aha kēia 'Sniff Test'?
ʻAe, e wehewehe maʻalahi kākou i kēia. ʻO ka 'sniff test' he ʻano kūikawā ia o ka hoʻāʻo X-ray. Nānā maoli ia i ka hana maikaʻi o kāu diaphragm.
I kēia manawa, ke noʻonoʻo nei paha ʻoe i ke ʻano o kēia diaphragm. ʻO ia ka ʻiʻo nui a pālahalaha e noho ana ma waena o ko kākou umauma a me ka ʻōpū. Ua like ia me kahi umbrella. Hana kēia ʻiʻo i ka hana nui i kēlā me kēia manawa a kākou e hanu ai. No laila, ma kēia hoʻāʻo, lawe ke kauka a loea paha i kahi moʻo o nā kiʻi X-ray, e like me ke wikiō, i kou hanu ʻana i loko a i waho. Ma ka nānā ʻana i kēlā mau kiʻi, hiki iā lākou ke haʻi inā he nāwaliwali i loko o kou diaphragm, a inā he paralysis .
Aia ʻelua mau inoa ʻē aʻe i hoʻohana ʻia no kēia hoʻāʻo. ʻO lāua ʻo ka Chest Fluoroscopy a me ka Diaphragm Fluoroscopy . Inā lohe ʻoe i kēia mau inoa ʻelua, ʻo ia hoʻi, ʻo ia ka hoʻāʻo hoʻokahi.
Āhea e pono ai ke hana ʻia kahi 'sniff test'?
Inā kānalua kāu kauka ua hoʻopilikia ʻia paha nā aʻalolo e kāohi ana i kou hanu ʻana, e paipai paha lākou i kēia hoʻokolohua. He mea nui loa kēia no kekahi mau kūlana neurological.
E noʻonoʻo, aia kekahi kanaka i kapa ʻia ʻo Nimal. Ua pilikia ʻo ia i ka hanu ʻana no kekahi manawa. Ua hana nā kauka i nā hoʻokolohua he nui, akā ʻaʻole i loaʻa iā lākou ke kumu nui. ʻO ka hope loa, manaʻo ke kauka aia kekahi nāwaliwali i nā aʻalolo e kaohi ana i kona diaphragm. ʻO ia ka manawa e lilo ai kēia 'hoʻāʻo honi' i mea pono loa.
Hōʻike ka papa ma lalo nei i kekahi o nā kūlana olakino e pono pinepine ai kēia hoʻokolohua.
| Kūlana | He wehewehe maʻalahi |
|---|---|
| ʻO ka sclerosis ʻaoʻao Amyotrophic (ALS) | He maʻi e hoʻonāwaliwali mālie ai i nā hunaola aʻalolo i loko o ka lolo a me ke kaula kuamoʻo. |
| ʻO ka polyneuropathy demyelinating mumū mau loa (CIDP) | He maʻi lōʻihi e hōʻino ana i nā ʻūpā aʻalolo o ke kino. |
| ʻO ka maʻi ʻili | He kūlana e hoʻonāwaliwali ai nā ʻiʻo a me nā maʻi ʻili. |
| ʻO ka maʻi Guillain-Barré | He kūlana kahi e hoʻouka ai ka ʻōnaehana pale maʻi i nā aʻalolo. |
| ʻO ka maʻi Lambert-Eaton | He kūlana e hoʻopilikia ai i ka hoʻoili ʻana o nā hōʻailona ma waena o nā aʻalolo a me nā ʻiʻo. |
| ʻO ka sclerosis lehulehu (MS) | He maʻi e hoʻopilikia ai i ka lolo a me ke kaula kuamoʻo, e hōʻino ana i nā ʻūpā aʻalolo. |
| ʻO ka dystrophy muscular | He hui o nā maʻi kahi e nāwaliwali mālie ai nā ʻiʻo a me ka atrophy. |
| ʻO ka maʻi ʻaʻai | He maʻi e hoʻopilikia ai i ke kamaʻilio ʻana ma waena o nā aʻalolo a me nā ʻiʻo. |
| Maʻi Pompe | He ʻano hoʻoilina kahi e nāwaliwali ai nā ʻiʻo ma muli o ka hōʻiliʻili ʻana o ke kō i loko o nā hunaola o ke kino. |
| ʻO ka maʻi ma hope o ka polio | Hiki i ke kanaka i loaʻa mua i ka polio ke loaʻa i ka nāwaliwali o nā ʻiʻo i nā makahiki he nui ma hope. |
| ʻEha o ke kaula iwi kuamoʻo | Ka hoʻopilikia ʻia ʻana o ka hana a nā aʻalolo ma muli o nā ʻeha i ke kaula kuamoʻo. |
Ma waho aʻe o kēia mau kūlana olakino, hiki ke hana ʻia kēia hoʻāʻo ma nā kūlana ʻelua ʻē aʻe:
1. Inā he pilikia hanu ʻole kou i wehewehe ʻole ʻia (dyspnea).
2. E nānā i ka hana o ka diaphragm ma mua a ma hope paha o kekahi ʻoki kino .
Pehea lā ka hana o kēia 'hoʻāʻo honi'?
He hana hoihoi loa kēia. E noʻonoʻo ʻoe e kū ana i mua o kahi mīkini X-ray. E kuhikuhi ke kauka a loea paha iā ʻoe e hanu ma nā ʻano like ʻole. I kēlā manawa, hiki i ke kāmela X-ray ke ʻike i loko o kou umauma, ʻoiai ka diaphragm, e neʻe ola ana.
Eia nā mea i ʻōlelo ʻia iā ʻoe e hana:
- E hanu mālie a maʻamau .
- E hanu hohonu i loko e like me ka hiki.
- E hanu i waho me ka hiki loa .
- E hanu wikiwiki ma kou ihu . Me he mea lā e hanu ana ʻoe i loko a paʻakikī ke honi i kahi mea. ʻO ia ka mea āu e kapa ai ʻo "sniffing." Ua kapa ʻia kēia hoʻāʻo ʻo "sniff test" ma muli o kēia hana.
No laila he aha kāu e ʻike ai ma kēia?
ʻO ka maʻamau, ke hanu ke kanaka olakino, neʻe ka diaphragm i lalo (i ka ʻōpū) a pālahalaha. ʻAe kēia i nā māmā e piha i ka ea. I ka hanu ʻana i waho, neʻe hou ka diaphragm i luna (i ka umauma) a lilo i ʻano dome (arch).
Eia nō naʻe, inā ʻaʻole i iho ka diaphragm i ka wā e hanu ai kekahi, akā, piʻi aʻe (kiʻekiʻe) , ʻo ia hoʻi, aia paha he pilikia me ka diaphragm a i ʻole ke aʻalolo phrenic e kāohi ana iā ia. ʻO kēlā neʻe ʻano ʻē ka mea nui e nānā ʻia e kēia hoʻokolohua.
Pehea e hoʻomākaukau ai au no kēia hoʻokolohua?
ʻO kēia ka mea maikaʻi loa. ʻAʻole pono kēia hoʻāʻo i kekahi hoʻomākaukau kūikawā . ʻAʻole pono ʻoe e hoʻokē ʻai a lawe paha i kekahi lāʻau lapaʻau kūikawā. Hiki iā ʻoe ke hele i kāu hana maʻamau a hele i ka haukapila i ka manawa i hoʻonohonoho ʻia no ka hoʻāʻo.
He aha ka mea e hana ʻia i ka wā o ka hoʻāʻo?
Ke hele ʻoe i ka lumi hoʻāʻo, hana pinepine ʻia kēia mau hana:
1. Ke hoʻoponopono nei i ke kūlana:E noi aku ke loea iā ʻoe e kū i mua o ke kāmela X-ray. Inā pilikia ʻoe i ke kū ʻana, e noi ʻia ʻoe e noho ma kahi noho a moe paha ma kahi papa i hoʻokiʻekiʻe ʻia. Hiki ke hoʻohana ʻia nā kaula e mālama pono iā ʻoe a pale iā ʻoe mai ka paheʻe ʻana. Mai hopohopo no kēlā.
2. Nā ʻōlelo aʻo hanu: A laila, e aʻo lākou iā ʻoe e hanu ma nā ʻano like ʻole (no ka laʻana, maʻamau, hohonu, hoʻokuʻu i waho, honi wikiwiki). He mea nui loa e hahai pono i kā lākou mau ʻōlelo aʻo .
3. Ke kiʻi ʻana i nā kiʻi X-ray: ʻOiai ʻoe e hanu nei penei, hoʻomau lākou i ke kiʻi ʻana i nā kiʻi X-ray.
He manawa pōkole loa kēia kaʻina hana holoʻokoʻa, ma kahi o 15 mau minuke , no laila ʻaʻohe pono e hopohopo e pili ana i ka manawa.
Aia kekahi mau pilikia a i ʻole nā hopena ʻaoʻao i kēia?
ʻAʻohe hopena ʻaoʻao o kēia hoʻāʻo a ʻaʻohe ʻeha loa.
Hoʻokomo kahi hoʻāʻo X-ray i kou kino i kahi liʻiliʻi loa o ka radiation . Akā he mea liʻiliʻi loa ia, kokoke i ka liʻiliʻi. Paipai kāu kauka i kēia hoʻāʻo no ka mea ʻoi aku ka waiwai a me nā pono o ka ʻike i loaʻa mai kēia hoʻāʻo ma mua o ka pilikia liʻiliʻi. No laila, ʻaʻohe pono e hopohopo nui e pili ana i ka radiation.
Pehea e hoʻomaopopo ai i ka hōʻike 'sniff test'?
He maʻalahi loa ka hopena o kahi 'hoʻāʻo honi'. He maikaʻi a maikaʻi ʻole paha.
| Hopena | Manaʻo maʻalahi |
|---|---|
| Maikaʻi (+ ) | ʻO ke ʻano kēia, neʻe i luna kou diaphragm i ke ʻano ʻē ke hanu ʻoe. Hiki i kēia ke hōʻike ua paralyzed kekahi hapa a i ʻole kou diaphragm āpau. |
| Maikaʻi ʻole (-) / Maʻamau | ʻO ke ʻano kēia e neʻe pono ana kou diaphragm, e like me ka mea e pono ai. ʻO ia hoʻi, ʻaʻohe pilikia me kāna hana. |
Hiki paha i kāu kauka ke haʻi koke iā ʻoe i nā hopena. A i ʻole, hiki ke hala kekahi mau lā no kahi radiologist e nānā i nā kiʻi, hoʻomākaukau i kahi hōʻike, a hoʻouna aku i kāu kauka.
E hoʻomanaʻo i kahi mea nui.
I kekahi manawa aia kahi manawa liʻiliʻi o ka 'maikaʻi wahaheʻe' (i ka wā ʻaʻohe pilikia, akā me he mea lā aia) a me ka 'maikaʻi wahaheʻe' (i ka wā he pilikia, akā ʻaʻole hōʻike ka hoʻāʻo). No laila, ʻaʻole e hoʻoholo ke kauka ma muli o kēia hōʻike wale nō. E noʻonoʻo ʻo ia i nā mea āpau, me kāu mau hōʻailona a me nā hopena hoʻāʻo ʻē aʻe, e hiki ai i kahi hopena hope loa.
Inā he ʻano ʻē nā hopena, he aha ka mea e hiki mai ana?
Inā maikaʻi kāu hoʻāʻo honi, ʻo ia hoʻi he hopena maʻamau ʻole, mai hopohopo. E kamaʻilio kāu kauka me ʻoe a wehewehe i ke ʻano o ka hopena e pili ana i kou kūlana.
ʻAʻole kēia he ʻōlelo hoʻoholo i hoʻokumu ʻia ma kahi noiʻi hoʻokahi. He ʻāpana wale nō kēia o kahi kiʻi nui aʻe.
E hoʻohālikelike kāu kauka i kēia hōʻike me kāu mau hōʻailona a me nā hoʻokolohua ʻē aʻe e hoʻoholo ai i nā ʻanuʻu e hana ai. Hiki iā ia ke kauoha i nā hoʻokolohua hou aʻe a hoʻomaka paha i kahi hoʻolālā lapaʻau. ʻO ka mea nui loa, ʻo ke kamaʻilio ʻana me kāu kauka e pili ana i kēia a nīnau i nā nīnau āu e loaʻa ai.
He ala wikiwiki a ʻeha ʻole ka hoʻāʻo ʻana i ka ʻūlū no kāu kauka e ʻike ai pehea e hana ai nā aʻalolo a me nā ʻiʻo e kōkua iā ʻoe e hanu. Hiki i kēia ke kōkua i ka ʻike ʻana i ke kumu o kou mau pilikia hanu i ka wā mua, i hiki ke mālama ʻia a i ʻole hiki ke kāohi ʻia ka holomua o ka maʻi.
Leka Lawe-Home
- ʻO ka 'Sniff Test' kahi hoʻāʻo X-ray maʻalahi a ʻeha ʻole e nānā ana i ka hana o kou diaphragm, ka ʻiʻo nui e kōkua iā ʻoe e hanu.
- He 15 mau minuke kēia, ʻaʻole pono kahi hoʻomākaukau kūikawā ma mua o ka hoʻāʻo.
- He mea nui loa kēia hoʻāʻo no ka ʻike ʻana i nā pilikia hanu i wehewehe ʻole ʻia a me kekahi mau kūlana neurological.
- Mai lele koke i nā hopena e pili ana i ka hopena hoʻāʻo (maikaʻi a maikaʻi ʻole paha) ma kāu iho. E noi i kāu kauka no ka wehewehe piha a me ka mea e hana ai ma hope.
- He haʻahaʻa loa ka hōʻike ʻana o ka radiation mai kēia hoʻāʻo. ʻOi aku ka nui o nā pono o ka hoʻāʻo ma mua o ka pilikia liʻiliʻi.
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