ʻO ke ʻoki kino , a i ʻole ke ʻoki ʻana, he mea ia a mākou e makaʻu iki ai. Akā i kekahi manawa, no ka ho'ōla ʻana i kahi maʻi a i ʻole ka hoʻoponopono ʻana i kahi pilikia nui, pono ke ʻoki kino. I ka pololei, ʻoiai inā hana ʻia me nā manaʻo maikaʻi a me ka hoʻolālā ʻana, manaʻo ko mākou kino e like me kahi ʻeha liʻiliʻi. Ke ʻoki kekahi i ko mākou ʻili a hana i kekahi mea i loko o ko mākou kino, he mea maʻamau i ke kino ke pane iā ia. E like me ka wā e ʻoki hewa ai mākou iā mākou iho a i ʻole e pā ʻia i kekahi wahi, ʻeha ia.
I ka hapa nui o ka manawa, e wehewehe kāu kauka iā ʻoe i ka mea e manaʻo ai ma hope o kāu ʻoki kino. Akā i kekahi manawa, hiki ke loaʻa nā pilikia , a i ʻole nā pilikia hou aʻe ʻaʻole ia he ʻāpana maʻamau o ke kaʻina hana ho'ōla. ʻAʻole koʻikoʻi ka hapa nui o kēia mau mea, akā hiki i kekahi, e like me nā ʻōpū koko, ke hoʻoweliweli. A, hiki i kēia mau pilikia ke hoʻopaneʻe i kou manawa hoʻōla.
No laila, e makaʻala loa i nā mea e hana ʻia ana i kou kino a me kou manaʻo i nā lā a me nā pule ma hope o kāu ʻoki ʻana. Inā ʻaʻole ʻoe maopopo i kekahi mea, a inā paha ʻoe e manaʻo nei "ua hewa kekahi mea," e kamaʻilio me kāu kauka.
ʻEha ma hope o ke ʻoki ʻana
Loaʻa i ka aneane kēlā me kēia kanaka kekahi pae o ka ʻeha ma hope o ke ʻoki ʻana. Aia ka nui o ka ʻeha i ke ʻano o ke ʻoki ʻana āu i hana ai a me kou olakino ma mua o ke ʻoki ʻana.
Akā no ka mea, ʻoi aku ka liʻiliʻi o ka hoʻopilikia ʻana o nā ʻoki kino he nui i kēia manawa, ʻo ia hoʻi ka emi ʻana o ka hōʻino i ke kino, ua emi ka ʻeha a me ka manawa hoʻōla. Eia kekahi, he nui nā koho maikaʻi aʻe no ka mālama ʻana i kou ʻeha. Mai hoʻomanawanui i ka ʻeha. Ma mua o kou ʻoki kino, e kamaʻilio me kāu kauka e pili ana i ka mālama ʻana i ka ʻeha a me ke ʻano hana maikaʻi loa iā ʻoe.
Ke kāohi maikaʻi ʻia ka ʻeha, e manaʻo ʻoe e ala aʻe, e hele wāwae, a e hana i kāu hana i ka wā koke. E kōkua ia iā ʻoe e hoʻi koke i kou ola o kēlā me kēia lā. ʻAʻole wale ia, e kōkua pū ia i ka hōʻemi ʻana i ka pilikia o nā pilikia weliweli e like me ke koko ʻana a i ʻole ka maʻi pneumonia .
Ka pane a ke kino i ka anesthesia
Ke ala ʻoe ma hope o kahi ʻoki ma lalo o ka anesthesia , ʻo ia hoʻi ke hiamoe nei ʻoe, ʻaʻole paha ʻoe e maikaʻi loa. Eia nā hōʻailona maʻamau āu e ʻike ai:
- Manaʻo luaʻi
- He wahi huikau iki
- Manaʻo e like me ʻoe e anu ana
- ʻO ka ʻūlū ma ke kino holoʻokoʻa
- Ke ʻeha nei ka puʻu
Akā, ʻaʻole lōʻihi kēia mau hōʻailona a e ola maikaʻi ma hope o kekahi manawa.
He mea kākaʻikahi loa nā hopena koʻikoʻi i ka anesthesia, akā ʻaʻole ia he mea i lohe ʻole ʻia. Hiki i kekahi poʻe ke ʻike i nā hōʻailona e like me ka huikau a me ka nalowale o ka hoʻomanaʻo a hiki i hoʻokahi pule. He kiʻekiʻe loa kēia pilikia i ka poʻe me kekahi mau maʻi. E kamaʻilio me kāu kauka e pili ana i kēia mau pilikia inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
- Maʻi puʻuwai
- ka maʻi o Alzheimer
- ka maʻi o Parkinson
- Nā maʻi e pili ana i ka māmā
- Inā ua loaʻa iā ʻoe kahi hahau ma mua
Hiki iā ʻoe ke pilikia i ka hanu ʻana?
Hiki i ka anesthesia ke hoʻopilikia i kou ʻano hanu maʻamau a kāohi i kou makemake e ʻū. ʻOi loa ma hope o ke ʻoki ʻana i ka umauma a i ʻole ka ʻōpū, hiki ke ʻeha ka hanu hohonu a i ʻole ka hanu ʻana me ka ikaika. Hiki i kēia ke hana i nā wai, e like me ka mucus, e hōʻiliʻili i loko o kou mau māmā.
ʻAʻole paha ʻoe e loaʻa i kekahi mau hōʻailona. Akā inā hiolo kahi ʻāpana nui o kou māmā, ʻo ia hoʻi, ʻaʻole ia e hana pono ana, hiki iā ʻoe ke ʻike i nā hōʻailona e like me:
- Paʻakikī ka hanu ʻana
- Hoʻonui ʻia ka hanu ʻana a me ka puʻuwai
- ʻO ke kala ʻulaʻula o nā lehelehe a i ʻole ka ʻili
I mea e pale aku ai i ka paʻa ʻana o ka māmā, e noi paha kāu kauka iā ʻoe e hoʻohana i kahi mea liʻiliʻi i kapa ʻia he incentive spirometer . Ana ia i kou hanu ʻana a kōkua iā ʻoe e hoʻomaʻamaʻa i nā hoʻomaʻamaʻa hanu lohi a hohonu.
ʻOi aku ka maikaʻi o ke ala ʻana a hele wāwae i ka wā hikiwawe loa ma hope o ke ʻoki ʻana. Eia kekahi, e hoʻāʻo e ʻū e hoʻomaʻemaʻe i ka mucus mai kou mau māmā a hoʻihoʻi i kou mau māmā i ka hana pono.
E pala anei ka ʻeha? Pono anei au e hopohopo e pili ana i ka maʻi?
He liʻiliʻi ka hapa nui o nā maʻi ma hope o ke ʻoki ʻana. Hoʻopilikia wale lākou i ka ʻili a puni ka ʻoki. Hiki iā lākou ke hoʻopaneʻe iki i ke kaʻina hana ho'ōla. Akā i kekahi manawa hiki i kahi maʻi ke lilo i mea koʻikoʻi a hoʻoweliweli i ke ola.
E makaʻala no kēia mau hōʻailona:
| Nā hōʻailona o kahi maʻi | Wehewehena |
|---|---|
| ʻUlaʻula a me ka pehu | Inā ʻulaʻula a pehu ka ʻili a puni ka ʻoki ʻoki. |
| Ka hoʻokuʻu ʻana o ka wai a i ʻole ka pus | Inā e kahe ana ka pehu melemele/ʻōmaʻomaʻo a i ʻole kekahi wai ʻē aʻe mai ka ʻeha. |
| kuni | Inā piʻi ka mahana o ke kino, ʻo ia hoʻi he kuni kou. |
ʻO ka maʻamau, ʻoi aku ka liʻiliʻi ma mua o 3 i loko o 100 mau kānaka i hana ʻia ke ʻoki ʻana i ka maʻi. Akā ʻoi aku ka nui o ka pilikia inā ʻoi aku kou ʻelemakule, puhi paka, momona, loaʻa iā ʻoe ka maʻi diabetes a i ʻole nā maʻi ʻē aʻe. ʻOi aku ka nui o ka pilikia inā loaʻa iā ʻoe ke ʻoki ulia pōpilikia a i ʻole ke ʻoki ʻana e lōʻihi ana ma mua o kekahi mau hola.
Pono kāu mau kauka, nā kahu maʻi, a me nā limahana mālama ola kino ʻē aʻe e mālama i ko lākou mau lima a me nā lako a pau a lākou e hoʻohana ai i ka maʻemaʻe. ʻOiai ʻoe e hoʻōla ana, e hahai i nā ʻōlelo a kāu kauka e pili ana i ke ʻano o ka mālama pono ʻana i kou ʻeha . E holoi pono i kou mau lima me ke kopa a me ka wai ma mua o ka mālama ʻana i kou ʻeha. E noi i nā hoaaloha a me ka ʻohana e kipa aku iā ʻoe e holoi i ko lākou mau lima me ke kopa a i ʻole ka mea hoʻomaʻemaʻe lima.
He mea maʻamau anei ka pilikia o ka hele ʻana i ka lumi holoi?
Hiki i kekahi mau ʻano anesthesia ke hoʻolilo iā ʻoe i mea paʻakikī ke mimi. Inā manaʻo ʻoe e pono ʻoe e mimi akā ʻaʻole hiki, pono paha kāu kauka e hoʻokomo i kahi catheter , kahi paipu liʻiliʻi, e hoʻokahe i kou ʻōpū mimi. He pilikia pōkole kēia. Eia nō naʻe, inā waiho ʻole ʻia, hiki iā ia ke alakaʻi i ka maʻi a i ʻole ka hōʻino ʻana o ka ʻōpū mimi.
Pēlā nō, he mea maʻamau ka paʻa ʻana o ka ʻōpū ma hope o ke ʻoki ʻana. Hiki ke hana ʻia e nā mea e like me ka anesthesia, kekahi mau lāʻau ʻeha, nā loli i ka ʻai, a i ʻole ka hoʻomaha lōʻihi ma kahi moe.
Hiki i kāu kauka ke kuhikuhi i nā laxatives a i ʻole nā mea palupalu ʻōpala e maʻalahi ai ke kahe ʻana o ka ʻōpala. E inu i ka wai he nui. Ke ʻae kāu kauka, e ala a hele a puni.
Nā ʻūpā koko - He mea e hopohopo ai!
ʻO ka Deep Vein Thrombosis (DVT), ʻoiai ma hope o ke ʻoki ʻana o ka ʻūhā a i ʻole ka wāwaeHiki i kēia kūlana ke lilo i pilikia weliweli. I ka ʻōlelo maʻalahi, ʻo ia ka wā e hana ai kahi ʻūpā koko i loko o kahi aa koko hohonu i loko o ka ʻūhā a i ʻole ka ʻōpū. Hiki i kēia ke hana i ka pehu, ka ʻulaʻula, a me ka ʻeha ma ka wāwae. Eia nō naʻe, i kekahi manawa hiki ke hana ʻia kēia me ka ʻole o nā hōʻailona.
He mea weliweli kēia DVT no ka mea hiki i ke koko ke haki a hele i nā māmā, e ālai ana i ke kahe koko ma laila. Ua kapa ʻia kēia he pulmonary embolism . He kūlana weliweli loa kēia e pono ai ka mālama olakino ulia pōpilikia.
| Kūlana | Nā hiʻohiʻona e makaʻala ai |
|---|---|
| DVT (ʻūpū koko i ka wāwae) | Pehu wāwae, ʻulaʻula, ʻeha (ʻaʻole paha e hōʻike i nā hōʻailona) |
| ʻO ka Pulmonary Embolism (ʻAʻa Koko i loko o ka Māmā) - He Pilikia! |
|
| Inā ʻike ʻia kēia mau hōʻailona o ka Pulmonary Embolism, e hele koke i ka Emergency Department (ETU) o ka haukapila! | |
ʻOi aku ka nui o ka pilikia o ka loaʻa ʻana o kahi ʻūpā koko i nā lā mua ma hope o ke ʻoki ʻana. ʻO ke ala maikaʻi loa e pale aku ai i kēia, ʻo ke ala aʻe a hele wāwae i ka hikiwawe loa . ʻOiai nā hoʻomaʻamaʻa maʻalahi e like me ka hāpai ʻana a me ka hoʻohaʻahaʻa ʻana i kou mau wāwae i kou wā ma kahi moe e hiki ke hoʻomaikaʻi i kou kahe koko a hoʻemi i kou pilikia o DVT.
E hoʻonāwaliwali anei kou mau ʻiʻo ma ka noho ʻana ma kahi moe?
ʻAʻole paha ʻoe e manaʻo e hoʻonāwaliwali kou mau ʻiʻo i kekahi mau lā o ka hoʻomaha ʻana ma kahi moe, akā hiki maoli nō ia. Hiki i kahi ʻōpio olakino ke nalowale ma kahi o 1% o ko lākou nui o nā ʻiʻo i hoʻokahi lā o ka hoʻomaha piha ʻana ma kahi moe. No ke kanaka ʻelemakule, hiki i kēlā nui ke hiki i ka 5% i kēlā me kēia lā.
Hiki i kou kino ke nāwaliwali, a e lōʻihi ka manawa e hoʻōla piha ai. No laila, e ala a noho i luna, e hele wāwae a puni i nā manawa he nui. E ala aʻe mai kahi moe i ka wā e ʻae ʻia ai ʻoe e ke kauka . E ʻai i nā meaʻai momona e hoʻōla koke ai a hāʻawi i kou kino i ka ikehu e pono ai.
Leka Lawe-Home
- He mea maʻamau ka ʻeha ma hope o ke ʻoki ʻana. Mai ʻae iā ia, e kamaʻilio me kāu kauka a e hoʻomalu iā ia.
- He mea nui loa ke ala ʻana, ka hele wāwae ʻana, a me ka hana ʻana i nā hoʻoikaika kino maʻalahi i ka wā e ʻae ai kāu kauka iā ʻoe e pale aku i nā ʻūpā koko a me nā pilikia e pili ana i ka māmā.
- Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi ma kahi i ʻoki ʻia, e like me ka ʻulaʻula, ka pehu, ka pus, a i ʻole ke kuni, e hoʻomaopopo koke i kāu kauka.
- ʻO ka pōkole koke o ka hanu, ka ʻeha o ka umauma, a i ʻole ke kuni ʻana he mau hōʻailona paha ia o kahi ʻōpū koko weliweli (Pulmonary Embolism). I kēlā hihia, e hele koke i ka Emergency Department (ETU) o ka haukapila.
- Inā ʻike ʻoe i kekahi mea ʻē a "kūpono ʻole" paha i loko o kou kino, mai hoʻowahāwahā iā ia a e nīnau mau i kāu kauka.
ʻOki kino, ʻoki kino, nā pilikia, ma hope o ke ʻoki kino, ʻeha, maʻi, nā ʻūpā koko
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