Malia paha ua kuhikuhi aku kāu kauka ʻohana iā ʻoe i kahi loea māmā, a i ʻole 'Pulmonologist' e like me kā mākou e kapa nei iā lākou ma ka ʻōlelo Pelekania. A i ʻole ke ʻimi nei ʻoe i hoʻokahi no ka mea ua loaʻa iā ʻoe ka ʻū a i ʻole ka pōkole o ka hanu no kekahi manawa. ʻO wai maoli ka pulmonologist? He aha ke ʻano o nā maʻi āna e mālama ai? E kamaʻilio kākou e pili ana i kēia me ka maʻalahi a me ke akahai.
ʻO wai kēia kauka lapaʻau pulmonologist?
I ka ʻōlelo maʻalahi, he kauka lapaʻau pulmonologist kahi kauka loea i nā maʻi o ko kākou ʻōnaehana hanu, ʻo ia hoʻi, nā māmā, nā ala ea, a me nā ʻōnaehana kino āpau e pili ana i ka hanu ʻana. E like me ka nānā ʻana o ka cardiologist i ka puʻuwai, nānā pono kēia mau kauka i ko kākou ʻōnaehana hanu.
Hoʻōla lākou i nā ʻano maʻi like ʻole, mai nā maʻi maʻamau e like me ka hānō a hiki i nā maʻi koʻikoʻi e like me ke kanesa o ka māmā. He kuleana koʻikoʻi nō hoʻi kā lākou i ka mālama ʻana i nā maʻi me nā pilikia hanu ma nā keʻena mālama koʻikoʻi (ICU) o nā haukapila.
Ma hea lākou e hana ai?
Hana pinepine nā kauka pulmonologists i nā haukapila, ʻoi aku hoʻi i nā keʻena mālama koʻikoʻi (ICUs) a me nā keʻena. Eia kekahi, hoʻokele pū lākou i nā keʻena lapaʻau ma nā haukapila pilikino a me nā kikowaena lapaʻau kūikawā. Hana kekahi mau kauka i nā keʻena hiamoe, e mālama ana i nā kūlana e like me ka apnea hiamoe.
E noʻonoʻo i ko kākou puʻuwai a me nā māmā e like me nā hoaaloha maikaʻi loa ʻelua. Ke pilikia kekahi, pilikia kekahi. ʻO ia ke kumu e hana pinepine ai nā kauka pulmonologists me nā kauka cardiologists.
Aia kekahi kahua e ulu nei i kapa ʻia ʻo 'Interventional Pulmonology'. Pili kēia i ke komo ʻana i kahi ʻōmole liʻiliʻi i lako me ke kāmela (e like me ka 'Endoscopy') i loko o nā māmā e hana i nā lāʻau lapaʻau kūikawā e like me ka wehe ʻana i nā puʻupuʻu liʻiliʻi i loko o nā māmā a me ka wehe ʻana i ke wai e hōʻiliʻili ana a puni nā māmā.
He aha nā maʻi nui a ka pulmonologist e mālama ai?
ʻO ka maʻamau, mālama ʻia nā maʻi maʻamau e like me ke kuni a me ke anu e kāu kauka ʻohana. Eia nō naʻe, ʻo nā kūlana paʻakikī a mau hoʻi e like me kēia e pono ai ke kōkua o kahi kauka pulmonologist.
| Kūlana | He wehewehe maʻalahi |
|---|---|
| Asthma | ʻO kēia ka manawa e pehu ai nā alaea, e haiki ana, a piha paha i ka mucus. Hiki i kāu kauka ʻohana ke mālama i ka hānō maʻamau. Eia nō naʻe, i nā hihia o ka hānō i paʻakikī ke kāohi a ʻaʻole hiki ke loaʻa ke kumu, pono ke kōkua kūikawā. |
| COPD (Maʻi Puʻuwai Pale Mau) | He maʻi lōʻihi kēia. Hoʻokomo pū ia i ka bronchitis mau a me ka emphysema. ʻO ke kumu nui, ʻo ia ka lōʻihi o ka hoʻopili ʻana i nā mea hoʻonāukiuki i ka māmā, e like me ka puhipaka. |
| Maʻi puʻuwai interstitial | ʻO kēia ka manawa e mānoanoa ai ka ʻiʻo palupalu loa (interstitium) i loko o nā māmā, e lilo i mea paʻakikī, a e paʻakikī ai ka hanu ʻana. Hiki ke hana koke ʻia kēia a i ʻole i ka hala ʻana o ka manawa. |
| Ka maʻi ʻaʻai māmā | He maʻi koʻikoʻi e hiki ke hoʻomaka i loko o nā māmā a laha i nā ʻāpana ʻē aʻe o ke kino. He mea nui loa ke kuleana o kahi kauka pulmonologist i ka ʻike ʻana i kēia mau mea a me ka hoʻolālā ʻana i ka mālama ʻana. |
| ʻAneʻane hiamoe | He kūlana kahi e pau ai ka hanu ʻana i kekahi manawa i ka wā hiamoe. Hoʻemi kēia i ka nui o ka oxygen i loaʻa i ke kino a hiki ke alakaʻi i nā pilikia olakino koʻikoʻi ʻē aʻe. |
I ka manawa hea e pono ai ʻoe e ʻike i kahi pulmonologist?
E hoʻomanaʻo, ʻaʻole pono ʻoe e hele koke e ʻike i kahi loea no ke anu maʻamau a i ʻole ke kuni. ʻO ka mea mua, e ʻike i kāu Kauka Lapaʻau (GP) a i ʻole ke kauka ʻohana.E nānā ʻo ia i kāu mau hōʻailona a kuhikuhi iā ʻoe i kahi pulmonologist inā pono.
Eia kekahi mau kūlana e hiki ai i kāu kauka lapaʻau ke kuhikuhi iā ʻoe i kahi pulmonologist:
- Inā loaʻa iā ʻoe ka hānō e paʻakikī ana ke kaohi a i ʻole e hoʻonui pinepine ʻia.
- Inā loaʻa iā ʻoe ka bronchitis e hoʻi hou ana .
- Inā loaʻa iā ʻoe kahi ʻū e mau ana no ka manawa lōʻihi, ʻoi aku ma mua o 3-4 mau pule .
- Inā ʻoe e hana i kahi leo 'whistling' i ka wā e hanu ana a i ʻole inā ʻoe e manaʻo mau nei i ka pōkole o ka hanu.
- Inā ʻoe e manaʻo ana i ka ʻūmiʻi o ka umauma a i ʻole ka ʻeha (he mea nui e ʻimi i ke aʻo lapaʻau no ka mea hiki ke hana ʻia kēia e ka maʻi puʻuwai).
- Nā pilikia hiamoe, ʻoiai inā loaʻa iā ʻoe nā hōʻailona e like me ka snoring a me ka sleep apnea .
- Inā ʻike ʻia kahi mea ʻē i loko o nā māmā i ka wā o kahi X-ray a i ʻole CT scan.
ʻEhia ka nui o nā mea e pono ai e lilo i loea?
He huakaʻi lōʻihi a hoʻolaʻa ʻia ka lilo ʻana i kauka lapaʻau pulmonologist. ʻAʻole ia he kūlana e hana wale ʻia.
ʻO ka maʻamau, ma hope o ka hoʻopau ʻana i kahi kekelē 5 makahiki ma ke kula lapaʻau a me ke kūpono ʻana ma ke ʻano he kauka, pono lākou e hele i kekahi mau makahiki o ke aʻo ʻana ma hope o ka puka ma ke kula lapaʻau laulā (ʻOihana Lapaʻau Kūloko). Ma hope o kēlā, pono lākou e aʻo kūikawā ma ka ʻOihana Lapaʻau Pulmonary no kekahi mau makahiki hou aku, e hala i nā hoʻokolohua pili, a e hele i ke aʻo ikaika ma mua o ko lākou kūpono e hana ma ke ʻano he ʻOihana Pulmonologist. No laila hiki iā ʻoe ke ʻike i ka nui o ka hoʻolaʻa a me ka ʻike e pono ai kēia e loaʻa.
Leka Lawe-Home
- He kauka lapaʻau ka pulmonologist i loaʻa ka hoʻomaʻamaʻa kūikawā i ka mālama ʻana i nā pilikia e pili ana i kou mau māmā, nā ala ea, a me ka hanu ʻana.
- Hoʻōla lākou i nā maʻi e like me ka hānō, COPD, ka maʻi ʻaʻai māmā, a me ka apnea hiamoe.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona e pili ana i kou ʻōnaehana hanu, e ʻike mua i kāu kauka ʻohana. Inā pono, e kuhikuhi ʻo ia iā ʻoe i kahi loea.
- Mai hoʻowahāwahā i nā hōʻailona e like me ke kuʻi mau, ka hanu ʻana, a i ʻole ka ʻeha o ka umauma. E kamaʻilio me kāu kauka e pili ana i ia mea.
- Ua hoʻomaʻamaʻa nui ʻia kēia poʻe loea a ua hoʻolaʻa ʻia hoʻi e kōkua iā ʻoe, no laila he mea nui loa ka hahai ʻana i kā lākou ʻōlelo aʻo no kou olakino maikaʻi.











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