Ke hanu ʻoe, ʻoiai ke hanu ʻoe i waho, lohe anei ʻoe i kahi leo haʻahaʻa a hūʻū mai kou umauma mai? I kekahi manawa, hiki ke hopohopo iki ke lohe ʻoe i kēia leo me kou ʻūhū? Ua ʻike ka poʻe he nui i kēia. Ma nā ʻōlelo lapaʻau, kapa mākou ia he 'wheezing'. He leo maoli kēia e kū mai ana i ka wā e haiki ai nā ala ea liʻiliʻi i loko o ko kākou mau māmā no kekahi kumu, e hele ai ka ea ma o lākou. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke kumu o kēia, pehea e ʻike ai ke kauka iā ia, a he aha nā lāʻau lapaʻau no ia.
Pehea e ʻike ai ke kauka i ke kumu o ka wheezing?
ʻO ka mea maikaʻi loa e hana ai ke loaʻa iā ʻoe ke kani o ka umauma e like me kēia, ʻo ia ke ʻike ʻana i ke kauka. No ka mea, he hōʻailona wale nō kēia, ʻo ka mea nui loa, ʻo ia ka ʻike ʻana i ke kumu. Eia kekahi mau mea a ke kauka e hana ai ke ʻike ʻo ia iā ʻoe.
1. Ke nīnau nei iā ʻoe:
ʻO ka mea mua, e nīnau ke kauka iā ʻoe e pili ana i kāu mau hōʻailona. E noʻonoʻo e nīnau i nā nīnau e like me kēia:
- "I ka manawa hea i hoʻomaka ai kēia walaʻau?"
- "Ke manaʻo nei ʻoe i ka ʻū, ka ʻāʻī ʻeha, a i ʻole ka ʻūlū ʻana i kou umauma me kēia?"
- "I ka manawa hea e piʻi ai kēia? Ke hōʻike ʻia i ka lepo? Ke anu? Ke hoʻoikaika kino ?"
- "Aia kekahi o kou ʻohana i loaʻa i ka hānō ?"
- "Ke hana nei kēia ma hope o ka ʻai ʻana i kekahi mau meaʻai? A i ʻole ke hana nei i ka manawa like o ka makahiki (no ka laʻana, i ka wā e pua ana nā pua)?"
Hiki i kēia mau nīnau ke hāʻawi i kāu kauka i kahi manaʻo maikaʻi inā he maʻi allergy kou, hānō , a i ʻole kekahi pilikia ʻē aʻe.
2. Hoʻokolokolo kino:
A laila, e kau ke kauka i kahi stethoscope ma kou umauma a hoʻolohe pono. E kōkua kēia iā ʻoe e hoʻoholo pono i kahi o kou mau māmā e puka mai ana ke kani a pehea kona koʻikoʻi.
3. Nā hoʻokolohua kūikawā:
Ma muli o kāu mau hōʻailona a me kou mōʻaukala, hiki i kāu kauka ke ʻōlelo i kekahi mau hoʻokolohua hou aʻe.
- Spirometry: Pili kēia iā ʻoe e hanu i loko a i waho i loko o kahi mīkini liʻiliʻi. Hiki iā ia ke ana i ka maikaʻi o ka hana ʻana o kou mau māmā a me ke ʻano o ka haiki o kou mau ala ea.
- X-ray o ka umauma : Kōkua kēia i ka ʻike inā he pilikia ʻē aʻe, e like me ka maʻi i loko o nā māmā.
- Nā Hoʻāʻo Koko: I kekahi manawa hana ʻia nā hoʻāʻo koko e nānā i nā maʻi a i ʻole nā maʻi allergies.
- Nā Hoʻāʻo ʻAleʻaleʻa: Inā manaʻo ʻoe he maʻi ʻaleʻale kou, hiki iā ʻoe ke loaʻa i kahi hoʻāʻo ʻili a i ʻole ka hoʻāʻo koko e hōʻoia iā ia.
E hoʻomanaʻo, he mea weliweli paha ka lawe ʻana i ka lāʻau lapaʻau iā ʻoe iho me ka ʻole o ka ʻike pono ʻana i ke kumu o kou hanu ʻana. E kūkākūkā mau me kāu kauka no ka ʻōlelo aʻo.
He aha nā lāʻau lapaʻau no ka wheezing?
Aia ka lāʻau lapaʻau i ke kumu o kou hanu ʻana. No laila he mea nui e ʻimi mua i ke kumu. Eia kahi nānā i nā lāʻau lapaʻau no kekahi mau kumu maʻamau.
Inā ʻoe e hanu ana ma muli o ka hānō
ʻO ka hānō kahi maʻi e pehu ai nā ala ea i loko o nā māmā, e ʻāpikipikiʻi, a e maʻalahi ke ʻūlū ʻia. Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e like me kēia e mālama ai i kēia maʻi.
| ʻAno lapaʻau | He aha ka mea e hana ʻia ai? | Nā Laʻana |
|---|---|---|
| Nā mea hoʻoheheʻe hana wikiwiki | Ke loaʻa iā ʻoe ka ʻū a i ʻole ka paʻa o ka umauma, hoʻonui ia i kou mau ala ea a hāʻawi i ka hōʻoluʻolu wikiwiki. Ua kapa ʻia hoʻi kēia he inhaler 'Reliever'. | ʻAlbuterol (Ventolin), Levalbuterol (Xopenex) |
| Nā Inhalers Mana Hoʻokele | Hoʻohana ʻia kēia mau mea i kēlā me kēia lā e hōʻemi i ka mumū i loko o nā alaea a kāohi i ka hānō. Ua kapa ʻia hoʻi kēia he 'Preventer'. | ʻO Beclomethasone (Qvar), Budesonide (Pulmicort), Fluticasone (Flovent) |
| Nā Inhalers Hui Pū ʻIa | Hoʻohui kēia i kahi lāʻau lapaʻau e kaohi ana i ka hanu ʻana a me kahi lāʻau lapaʻau hana lōʻihi e hoʻonui ai i nā alaloa. | ʻO Budesonide/formoterol (Symbicort), Fluticasone/salmeterol (Advair) |
| Nā Pila Hoʻomalu | Ma waho aʻe o nā inhalers, hiki i kāu kauka ke ʻōlelo aku i nā lāʻau e hōʻemi i ka pehu ʻana i nā alaloa. | ʻO Montelukast (Singulair), ʻo Zafirlukast (ʻAkolate) |
| Nā lāʻau lapaʻau allergy (Antihistamine) | Inā loaʻa kou hānō i nā maʻi allergies, hiki ke hāʻawi ʻia iā ʻoe nā pila kaohi allergy a i ʻole nā pī ihu. | Nā lāʻau lapaʻau: Cetirizine (Zyrtec), Loratadine (Claritin) Nā pīpī: Fluticasone (Flonase), Mometasone (Nasonex) |
Inā loaʻa ka hanu ʻana i kahi maʻi e like me ka bronchitis
I kekahi manawa, ke koʻikoʻi ke anu, hiki ke ulu kahi maʻi o nā ala ea i loko o nā māmā (Acute Bronchitis). Hiki nō hoʻi ke loaʻa ka hanu ʻūlū. Nalo wale kēia ma ke ʻano maʻamau ke pau ka maʻi.
- No ka paʻakikī o ka hanu ʻana: Hiki i kāu kauka ke hāʻawi iā ʻoe i kahi inhaler hana wikiwiki (e like me Albuterol) no kahi manawa pōkole e kōkua iā ʻoe e loaʻa ka hōʻoluʻolu.
- Nā lāʻau ʻaʻai: ʻAʻole hāʻawi pinepine ʻia nā lāʻau ʻaʻai no nā maʻi viral. Eia nō naʻe, hāʻawi wale ʻia nā lāʻau ʻaʻai inā loaʻa iā ʻoe kekahi maʻi māmā a inā manaʻo ke kauka he maʻi bacteria kēia.
He aha ka mea e hana ai i ka wā pilikia?
ʻO nā mea e like me ka paʻakikī loa o ka hanu ʻana, ka paʻakikī o ka ʻōlelo ʻana, a i ʻole nā lehelehe polū a i ʻole nā kui lima he mau pilikia. I kēlā mau hihia, e kāhea koke i kahi kaʻa kaʻa a i ʻole e hele i ka ʻOihana Pilikia o ka haukapila kokoke loa (ETU) . Ma laila, e hāʻawi ka hui lapaʻau iā ʻoe i nā lāʻau lapaʻau e hāʻawi iā ʻoe i ka hōʻoluʻolu wikiwiki.
| Lapaʻau ulia pōpilikia | Wehewehena |
|---|---|
| He inikini epinephrine | No ka wehe koke ʻana i nā ala ea i paʻa loa. |
| Ke hāʻawi nei i ka oxygen | E mālama i nā pae oxygen e pono ai no ke kino. |
| Nā inikini Corticosteroid | No ka hōʻemi koke ʻana i ka pehu nui ma nā alaloa hanu. (e.g. Methylprednisolone) |
| Lapaʻau Nebulizer | ʻO ka hoʻohuʻu ʻana i kahi wai lāʻau lapaʻau a me ka hanu hohonu ʻana iā ia e hāʻawi koke i ka hōʻoluʻolu. |
| Ke hoʻohui nei i kahi mīkini hanu (Mechanical Ventilator) | I nā hihia koʻikoʻi loa, inā ʻaʻole hiki i ka mea maʻi ke hanu iā ia iho, hāʻawi ʻia ka hanu ʻana me ke kōkua o kahi mīkini. |
Leka Lawe-Home
- He hōʻailona ka hanu ʻana, ʻaʻole he maʻi. He mea nui e ʻimi i ke kumu.
- ʻO ka hānō a me nā maʻi allergies ʻelua o nā kumu maʻamau o ka wheezing.
- Inā loaʻa iā ʻoe ka wheezing, e ʻike pono i ke kauka e loaʻa kahi hōʻoia pololei a me ka hoʻolālā lapaʻau.
- He pilikia kahi e paʻakikī loa ai ka hanu ʻana a nui loa ka leo a hiki ʻole iā ʻoe ke ʻōlelo. E hele koke i ka ʻOihana Pilikia o ka haukapila (ETU).
- E pale i ka hoʻohana ʻana i ka inhaler a kekahi a i ʻole ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a ke kauka. ʻO ke ʻano o ka lāʻau āu e loaʻa ai e pili pono i kou kūlana.
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