Ke hana nei ʻoe i kahi leo ʻē i kou hanu ʻana? He stridor paha ia!

Ua lohe paha ʻoe i kahi leo hū kiʻekiʻe e puka mai ana mai kou puʻu a i ʻole kou ʻāʻī, i kekahi manawa ke hanu ʻoe i loko a i waho paha? A i ʻole ua lohe paha ʻoe i kāu keiki liʻiliʻi e hana ana i kahi leo hū? ʻO kēia ka mea a mākou e kapa nei he stridor ma nā ʻōlelo lapaʻau. Hiki ke hopohopo iki ke lohe, akā mai hopohopo. E hoʻomaopopo kākou i nā mea āpau e pili ana i kēia maʻi i kapa ʻia ʻo stridor.

He aha maoli ʻo Stridor?

I ka ʻōlelo maʻalahi, ʻo ka stridor he hōʻailona ia aia kahi mea e ālai ʻia ai a i ʻole kahi mea e ālai ʻia ai ma kahi o kou puʻu, a i ʻole pharynx, a i ʻole larynx, a i ʻole trachea. Ua like ia me kahi paipu wai e hana ana i kahi walaʻau ke kahe ka wai. Ke ālai ʻia kēia ala ea, hana ʻia kahi leo kiʻekiʻe a ʻano ʻē i ka neʻe ʻana o ka ea i mua a i hope.

E noʻonoʻo, inā mākou e lawe i kahi ʻōpala a kaomi iki i kekahi wēlau a puhi, e kani ana ia e like me kēia. ʻO ia ke kani ʻana o ka stridor.

Aia kekahi mau ʻano stridor?

ʻAe, ʻekolu mau ʻano nui o ka stridor. Ua hoʻokaʻawale ʻia kēia mau mea ma muli o kahi o ke ala ea e kū ai ke ālai ʻia.

1. Stridor hoʻoulu: Hana ʻia kēia ke loaʻa kahi mea e ālai ana i kou pharynx a i ʻole larynx (ʻo ia hoʻi, ka ʻāpana extrathoracic). Lohe ʻia ke kani ke hanu ʻoe.

2. ʻO ka stridor expiratory: Maanei ke ālai ʻia ma luna pono o kou mau māmā, ma ka trachea (ka ʻāpana intrathoracic). No laila ke kani nei ke hanu ʻoe i waho.

3. Biphasic stridor: ʻO kahi laʻana maikaʻi o kēia he kūlana i kapa ʻia ʻo Laryngomalacia. ʻO kēia ka wā e nāwaliwali ai ke cartilage ma lalo o nā kaula leo, e hoʻohāiki ana i ke ala ea a hana i kahi leo i ka wā e hanu ana i loko a i waho . Hiki ke loaʻa kēia i kekahi mau pēpē mai ka hānau ʻana.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o ka stridor?

Hiki i ka Stridor ke hoʻopilikia i kekahi o kēlā me kēia makahiki. Eia nō naʻe, ʻoi aku ka maʻamau i nā keiki ʻōpio ma mua o nā pākeke . ʻO kēia no ka mea ʻaʻole ākea nā ala ea o nā keiki ʻōpio e like me ko nā pākeke, ʻoi aku ka haiki. No laila, hiki i kahi mea liʻiliʻi a i ʻole kahi pehu liʻiliʻi ke ālai maʻalahi iā lākou. I kekahi manawa, hiki ke loaʻa ka stridor i ka wā hānau (congenital).

ʻOkoʻa ke ʻano o kona maʻamau ma muli o ke kumu. No ka laʻana, ʻo ka stridor ka mea i hoʻokumu pinepine ʻia e ka viral croup, kahi maʻi hanu o luna e hoʻopilikia ai i nā keiki ʻōpio. Ua manaʻo ʻia e hoʻopilikia kēia ʻano ma kahi o 5 a 6 o 100 mau keiki ma lalo o 3 mau makahiki. Hiki ke hoʻokumu ʻia ʻo Stridor e ka hanu ʻana o ke kino haole, kahi e kū mai ana i ka wā e paʻa ai kekahi mea i loko o ka puʻu a i ʻole ke ala ea. Ma ʻAmelika Hui Pū ʻIa wale nō, ma kahi o 17,000 mau hihia o ia ʻano i hōʻike ʻia i nā keʻena pilikia i kēlā me kēia makahiki.

Pehea ka hopena o ka stridor i koʻu kino?

ʻO Stridor kahi maʻi i hoʻokumu ʻia e kahi poloka i loko o ke alaloa. ʻO ia hoʻi, ʻaʻole hiki i ka ea ke komo a haʻalele paha i nā māmā ma ke ʻano maʻamau. Hiki i kēia ke paʻakikī i ka hanu ʻana . Pono kēlā me kēia ʻōkana i loko o ko mākou kino i ka oxygen e hana pono ai, a pono e hoʻokuʻu ʻia ke kalapona ʻokikene. No laila, inā ʻaʻole e mālama koke ʻia kēia maʻi o Stridor, ʻaʻole paha e loaʻa i ke kino ka nui o ka oxygen e pono ai, hiki ke alakaʻi i nā pilikia ʻē aʻe e hiki ke hoʻoweliweli i ke ola .

He aha ka hōʻailona nui o ka stridor?

ʻO ka hōʻailona nui o ka stridor he leo hū kiʻekiʻe i lohe ʻia i ka wā e hanu ana i loko a i waho paha . I kekahi manawa hiki ke kani e like me ka ʻūhū haʻahaʻa.

Ma muli o ke kumu, hiki iā ʻoe ke ʻike i nā hōʻailona ʻē aʻe:

• Kuke
• Ke kuha ʻana (ʻoi aku hoʻi no nā kamaliʻi liʻiliʻi)
• Ka leo haʻalulu, ka loli o ka leo
• ʻEha ka ʻāʻī a me/a i ʻole ka ʻāʻī
• kuni
• Ka pehu ʻana i ka puʻu a me/a i ʻole ka ʻāʻī
• Ka paʻakikī a me ka ʻeha i ka wā e moni ai

Nā hōʻailona koʻikoʻi e pono ai ke kōkua koke ʻana o ke kauka:

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​pono ʻoe e hele koke i ka haukapila , a i ʻole e kelepona iā 1990:

• Paʻakikī nui ka hanu ʻana
• ʻO nā lehelehe, nā manamana lima, a i ʻole ka ʻili e polū a poni paha (ʻo ia hoʻi, ʻaʻole lawa ka oxygen i ke kino)
• ʻAʻole hiki ke ʻai a inu paha i kekahi mea
• Ke ʻū ʻana i ke koko

Inā loaʻa iā ʻoe kēia mau hōʻailona koʻikoʻi, mai noho i ka home . He mea nui e ʻimi i ke kōkua lapaʻau i ka wā hikiwawe loa.

He aha nā kumu o ka stridor?

Aia kekahi mau kumu o ka stridor. ʻO nā kumu maʻamau:

• ʻO kahi maʻi ʻōpū hanu luna (e.g., viral croup) : ʻO kēia ke kumu maʻamau o ka stridor i nā keiki ʻōpio, e helu ana ma kahi o 90% o nā hihia āpau o ka stridor.
• Ka hanu ʻana o ke kino ʻē : Hiki i nā keiki liʻiliʻi ke ʻūʻū i nā mea e like me nā mea pāʻani a me ka meaʻai.
• ʻO kēlā me kēia ulia a ʻeha paha i ke ala hanu.
• Ka pehu ʻana (e.g. tonsillitis, epiglottitis). He maʻi koʻikoʻi loa ka epiglottitis.

Aia paha he mau kumu ʻē aʻe:

• He hopena aleri (aleri koʻikoʻi)
• He puʻupuʻu (e like me ke kanesa laryngeal)
• ʻŌpū
• Ka hana ʻino ʻana o ke kaula leo a i ʻole ka maʻi lolo
• Ka hanu ʻana i ka uahi a i ʻole nā ​​​​​​kemika
• Ma hope o ke ʻoki ʻana i ka ʻāʻī

He aha ka mea e hana ʻia i koʻu kino ke loaʻa iaʻu ka stridor?

ʻO ke ala hanu o ko kākou ʻōnaehana hanu, aia ka puʻu (Pharynx), ka larynx (Larynx), ka trachea (Trachea), a me ka bronchi (Bronchi). Kōkua ka waha a me ka ihu i ka lawe ʻana i ka oxygen i nā māmā ma o kēia mau ala ea, a e hoʻokuke aku i ke kalapona ʻokikene. He mea nui ka oxygen no ko kākou kino e ola ai.

E noʻonoʻo i kahi mea kani e like me ka pū. Hoʻopuka ia i ke kani mai nā haʻalulu o ka lewa i kona hele ʻana ma loko. Ke kaomi mākou i nā kī o ka pū, hoʻololi ke kani āna e hana ai. No ka mea, ke ālai nei ke kī a mākou e kaomi ai i ke ala ea, e hoʻololi ana i nā haʻalulu. Ma ke ʻano like, inā he ālai ʻia i loko o kou ala ea, e loli ke kani āu e hana ai i kou hanu ʻana a me kou hanu ʻana i waho, e like me kou kaomi ʻana i kahi kī ma ka pū, hoʻololi ke kani.

Pehea e ʻike ai nā kauka i ka stridor?

E hoʻoholo kāu kauka i ke kumu kikoʻī o kou stridor ma ka lawe ʻana i kāu mau hōʻailona, ​​​​mōʻaukala olakino, a me ka nānā ʻana iā ʻoe. A laila, hiki iā lākou ke hana i kekahi mau hoʻokolohua ʻē aʻe e hōʻoia i ka hōʻailona. ʻO kekahi o kēia mau mea:

• Nā hoʻokolohua kiʻi: He X-ray o ka ʻāʻī a i ʻole ka umauma.
• Hoʻāʻo kinoea koko: Nānā kēia i nā pae o ka oxygen a me ke kalapona ʻokikene i loko o kou koko.
• ʻO ka oximeter pulse: Hoʻopili ʻia kēia mea liʻiliʻi i ka manamana lima a ana i ka pae oxygen i loko o ke koko.
• Laryngoscopy a i ʻole Bronchoscopy: Pili kēia i ke komo ʻana i kahi ʻōmole liʻiliʻi (endoscope) i lako me ke kāmela ma kou waha a i ʻole ihu e nānā i loko o kou mau ala ea a me nā māmā. Hiki i kēia ke kōkua iā ʻoe e ʻike pono i kahi o ka mea i paʻa ai a me kona ʻano.

Pehea e mālama ʻia ai ʻo Stridor?

ʻO ke kumu nui o ka mālama ʻana no ka stridor, ʻo ia ka wehe ʻana i ke ala ea a/a i ʻole ka hoʻomaha ʻana i ke ālai ʻia . Aia ka mālama ʻana i ke kumu o kou stridor. Eia nō naʻe, hiki i kekahi o nā lāʻau lapaʻau ke komo pū me:

• ʻO ke ʻoki kino: E wehe i kahi mea i pale ʻia a i ʻole kahi mea ʻē i paʻa, a i ʻole e hoʻonui i ke ala ea.
• Lāʻau lapaʻau: E hōʻemi i ka pehu (ka mumū), e mālama i ka maʻi inā loaʻa, a hoʻēmi i ka ʻeha.
• Heimlich maneuver: Hoʻohana ʻia kēia ʻano hana e wehe i kahi mea i paʻa i ka puʻu.
• Oxygen pākuʻi: Hāʻawi ʻia ka oxygen ma o kahi mask a i ʻole kahi ʻōmole liʻiliʻi i kau ʻia i loko o ka ihu.
• Ke hoʻokomo ʻana i kahi paipu i loko o ke ala ea: Hoʻokomo ʻia kahi paipu i loko o ka ʻōpū hanu (trachea) ma o ka waha, ka ihu, a i ʻole ka puʻu, e hana ana i kahi ala no ka ea e hele a hiki i ka wā e wehe ai ke kauka i ka mea paʻa.

Ma hope o ka lāʻau lapaʻau, e hoʻomau kāu kauka i ka nānā ʻana i kāu mau hōʻailona e ʻike ai inā ua holomua ka lāʻau lapaʻau a inā palekana kou hoʻōla ʻana.

Pehea ka wikiwiki o koʻu ho'ōla ʻana ma hope o ka lāʻau lapaʻau?

ʻO ka manawa e hoʻōla ai ʻoe ma muli o ke kumu o kou stridor a me ke ʻano o ka lāʻau a kāu kauka i hoʻohana ai e hōʻoluʻolu i ke ālai ʻana o ke alaloa. Me ka lāʻau lapaʻau, pono ʻoe e ʻoluʻolu i loko o ʻelua a ʻekolu mau lā. Me ke ʻoki ʻana, hiki ke lōʻihi iki, a hiki ke hala i kekahi mau pule no kou hoʻi ʻana i ka maʻamau. Eia nō naʻe, ʻaʻohe mea he aha ka lāʻau āu e koho ai, pono ʻoe e ʻoluʻolu koke ke hoʻomaha ʻia ke ālai ʻia .

Pehea e hiki ai iā ʻoe ke hōʻemi i ka pilikia o ka stridor?

Nui nā kumu o ka stridor, no laila ʻaʻole hiki ke pale aku iā lākou āpau. Eia nō naʻe, hiki iā ʻoe ke hana i kēia mau mea e hōʻemi ai i kou pilikia:

• E makaʻala pono i kāu keiki liʻiliʻi i ko lākou pāʻani ʻana a me ka ʻai ʻana. E mālama i nā mea liʻiliʻi ma kahi ʻē aʻe a lākou e hoʻokomo ai i loko o ko lākou waha.
• I ka wā e ʻai ai, e ʻokiʻoki i ka meaʻai i mau ʻāpana liʻiliʻi, e nau maikaʻi, a ale iā ia. Ma kēlā ʻano, e emi iki ana kou ʻū ʻana.
• Mai waiho i nā mea pāʻani liʻiliʻi a i ʻole nā ​​​​kālā i kahi e hiki ai i nā keiki liʻiliʻi ke hopu iā lākou.
• E hōʻemi i kou pili ʻana i nā wahi uahi.
• E hoʻomaʻemaʻe a hoʻomaʻemaʻe i nā mea pāʻani a me nā mea i hoʻohana pinepine ʻia.
• E holoi pinepine i kou mau lima me ke kopa.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka stridor?

ʻO ka wikiwiki o kou ʻimi ʻana i ka lāʻau lapaʻau e hoʻomaʻemaʻe i ke alaloa ea, ʻoi aku ka maikaʻi o ka hopena. Hiki i kāu kauka ke ʻike i ke kumu o kou stridor a mālama koke iā ʻoe ma mua o ka hiki ʻana mai o nā pilikia.

Akā e hoʻomanaʻo, inā ʻaʻole mālama koke ʻia ka stridor, hiki ke hoʻoweliweli i ke ola . Hiki iā ia ke alakaʻi i nā kūlana e like me ka hāʻule ʻana o ka hanu. ʻO ka hāʻule ʻana o ka hanu ke loaʻa ʻole i kou koko ka oxygen lawa e mālama i nā ʻōkana o kou kino.

Āhea wau e ʻike ai i kaʻu kauka?

Inā loaʻa iā ʻoe nā hōʻailona o ka stridor, e ʻike pono i ke kauka . ʻO ka Stridor kahi hōʻailona e hana nei kekahi mea i loko o kou kino e hoʻoweliweli paha i ke ola. Mai hoʻopaneʻe i ka ʻike ʻana i ke kauka, no ka mea hiki ke alakaʻi i nā pilikia weliweli inā ʻaʻole mālama ʻia.

Āhea wau e hele ai i ka Emergency Treatment Unit (ETU) ?

Inā loaʻa iā ʻoe ka stridor hou, a inā pilikia paha ʻoe i ka hanu ʻana, e hele koke i ka lumi pilikia, a i ʻole e kelepona i 911 .

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

• Inā hana ʻia ke ʻoki kino e wehe ai i kahi mea e ālai ai i koʻu alaea, he aha kaʻu e ʻai ai a inu ai ma hope?
• Aia kekahi hopena ʻaoʻao i nā lāʻau lapaʻau āu e ʻōlelo nei?
• Pono anei au e hoʻi hou mai no kahi hālāwai hoʻokolokolo e nānā i koʻu mau hōʻailona?
• Pehea e hiki ai iaʻu ke pale aku i kaʻu keiki liʻiliʻi mai ke kau ʻana i nā mea liʻiliʻi i loko o kona waha?

He mea like anei ka stridor a me ka wheezing?

ʻOiai ke hoʻohana nei kekahi poʻe i ka huaʻōlelo "wheezing" me ka "stridor," aia nā ʻokoʻa ma waena o nā hōʻailona ʻelua. Ua like ke kani ʻana o "stridor" a me "wheezing" me kahi hū kiʻekiʻe.

• Hana ʻia ka stridor ke loaʻa kahi ālai i kou ala ea waena (nui) (ʻāʻī, larynx, trachea - ʻoi aku ma ka 'extrathoracic region').
• Hiki mai ka wheezing ke ālai ʻia a i ʻole e haiki ʻia nā ala ea liʻiliʻi i loko o kou mau māmā (nā ala ea intrathoracic). He mea maʻamau kēia i nā poʻe me ka hānō a me nā maʻi allergies.

ʻIke pinepine ʻia ʻo Stridor i nā keiki ʻōpio, nā pākeke i paʻa kekahi mea i ko lākou ala hanu, a i ʻole ka poʻe i loaʻa i ka maʻi.

He aha ka ʻokoʻa ma waena o Stridor lāua ʻo Stertor?

• He leo ʻē nō hoʻi ʻo Stertor āu e hana ai i kou hanu ʻana. Akā, hana ʻia ia i ka wā e paʻa ai kahi ala ma luna o kou larynx, ʻo ia ka ʻaoʻao o luna o kou ihu a me kou puʻu. Lohe pinepine ʻia kēia leo me ka leo haʻahaʻa iki. Ua like ia me ka hānō ʻana.
• He leo kiʻekiʻe ʻo Stridor i hoʻokumu ʻia e ke ālai ʻia ʻana o ka larynx a me ka trachea ma lalo iho.

I ka ʻōlelo maʻalahi, ʻo ka stridor he leo ʻē aʻe āu e hana ai i ka wā e hanu ai ʻoe (a i ʻole e hoʻokuʻu aku i waho), he hōʻailona mai kou kino e hōʻike ana he hewa kekahi mea me kou ala ea a pono e hoʻoponopono ʻia a mālama ʻia paha. Inā ʻike ʻoe i kēia leo, mai hoʻowahāwahā iā ia. No ka mea, he mea nui ka oxygen no ko mākou kino e ola ai. Aia nā lāʻau lapaʻau no kēia, a me kēlā mau lāʻau lapaʻau, hiki iā ʻoe ke hoʻopau i kēia leo hanu ʻē aʻe a ola.

## Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

• He leo hū kiʻekiʻe ʻo Stridor i lohe ʻia i ka wā e hanu ana i loko a i waho paha. He hōʻailona ia o ke ālai ʻia ʻana o ke alaea.
• He mea maʻamau kēia i nā keiki ʻōpio, no ka mea, he haiki ko lākou mau ala ea.
• ʻO nā maʻi e like me ka croup a me kahi mea i paʻa i ka puʻu ke kumu nui.
• Inā loaʻa iā ʻoe nā hōʻailona e like me ka paʻakikī nui o ka hanu ʻana a me ka ʻili polū, he pilikia ia! E hele koke i ka haukapila.
• Hiki ke ho'ōla loa ʻia ʻo Stridor ma ka ʻimi ʻana a me ka mālama ʻana i ke kumu.
• Mai hoʻowahāwahā i kahi hōʻailona e like me kēia. He mea naʻauao ke ʻimi i ke aʻo lapaʻau.

He mea nui loa iā ʻoe a me kou ʻohana e makaʻala i kēia mau hōʻailona. E noho olakino!

ʻO Stridor, Paʻakikī ka hanu ʻana, Nā maʻi hanu, Paʻa ka ʻāʻī, Croup, Ola kino o ke keiki, Mālama pilikia