I kekahi manawa ke hanu ʻoe, ʻoiai ke hanu ʻoe i waho, e lohe paha ʻoe i kahi leo 'whooshing' a i ʻole ke kani kiʻekiʻe e puka mai ana mai kou umauma. Ua kapa pū kekahi poʻe i kēia 'ka paʻa ʻana o ka umauma'. I ka lāʻau lapaʻau, kapa mākou i kēia ʻano 'wheezing'. Hana ʻia kēia no ka mea ua haiki nā ala ea e alakaʻi ana i kou mau māmā. Ua like ia me ke kani hū ʻana ke ʻomi ʻoe i kahi ʻōmole piha i ka ea. I kekahi manawa ʻaʻohe mea e hopohopo ai kēia, akā i kekahi manawa hiki ke lilo i hōʻailona o kahi maʻi koʻikoʻi. No laila, e makaʻala kākou i kēia i kēia lā.
No ke aha i puka mai ai kēia leo mai ka umauma mai? (Nā kumu o ka wheezing)
ʻO nā kumu nui ʻelua o ka wheezing ʻo ia ka hānō a me ka COPD (Chronic Obstructive Pulmonary Disease). Akā, ʻaʻole i kaupalena ʻia i kēia mau mea ʻelua. Hiki ke hana ʻia ka wheezing e nā pilikia like ʻole e pili ana i kou mau māmā, puʻuwai, nā kaula leo, a me ke ala ʻai.
Nā maʻi ʻaleka
Inā loaʻa iā ʻoe nā maʻi alerika i nā mea e like me ka lepo, nā ʻila puke kahiko, ka hulu holoholona, ka pollen, a i ʻole kekahi mau meaʻai, ke komo kēlā mau mea i kou kino, hiki i kou mau ala ea ke pehu a haiki, e hana ai i ka wheezing.
He mea nui: I kekahi manawa aia kahi hopena alerika koʻikoʻi e kū mai ana ke nahu kahi pepeke a ʻai paha i kahi meaʻai. Kapa mākou ia he Anaphylaxis. He pilikia weliweli kēia e ola ai. I kēia hihia, aia ka paʻakikī nui o ka hanu ʻana me ka wheezing.
Nā pilikia e pili ana i ka māmā
He kumu maʻamau ka hānō o ka hanu ʻana. Hiki ke hana ʻia e kekahi mau maʻi māmā ʻē aʻe. E nānā pono kākou iā lākou.
| Ke kūlana maʻi | He wehewehe maʻalahi |
|---|---|
| Asthma | Pehu a ololi nā ʻōmole bronchial i loko o nā māmā, e lōʻihi ai ka manawa e hanu ai i waho a e hoʻoulu ai i ka hanu ʻana me ka hanu ʻūlū. |
| ʻO ka bronchitis | Lilo ka uhi o nā ala ea nui i loko o nā māmā i ka maʻi a pehu. |
| ʻO ka bronchiolitis | He maʻi ia o nā ala ea liʻiliʻi loa (bronchioles) i loko o nā māmā. He mea maʻamau loa kēia i waena o nā keiki ʻōpio. |
| COPD | ʻO ka pehu mau (lōʻihi) o nā alaloa hanu, ka mea e hōʻino ai iā lākou. ʻO ka puhipaka kekahi kumu nui . |
| ʻO ka Fibrosis Cystic | He maʻi hoʻoilina i loaʻa i ka wā hānau. Hoʻomānoanoa nā mea huna o ke kino (ʻoi aku ka mucus) a ālai i nā alaea. |
| Pneumonia | Ka mumū ʻana o nā māmā i hoʻokumu ʻia e kahi maʻi a bacteria paha. |
| RSV (Maʻi Hoʻohuihui Hanu) | He maʻi hoʻopilikia i ka ʻōnaehana hanu. |
| Ka hanu ʻana o ka puʻuwai | ʻO ka meaʻai, ka mea inu, a i ʻole kekahi mea liʻiliʻi ʻē aʻe i paʻa i loko o ke alaea. |
Nā kumu ʻē aʻe
- Puʻuwai: I kekahi mau hihia o ka maʻi puʻuwai (Congestive Heart Failure), hiki i nā māmā ke piha i ka wai. Ua kapa ʻia kēia he hānō puʻuwai. Loaʻa pū ka wheezing ma ʻaneʻi.
- Nā Kaula Leo: ʻO kahi pilikia me ka neʻe ʻana o nā kaula leo e hana ai i kou leo ( Vocal Cord Dysfunction ) hiki ke hana i kahi kani wheezing.
- ʻŌpū Gastrointestinal: Ma muli o ka reflux ʻana o ka waikawa o ka ʻōpū i loko o ka puʻu (GERD - Gastroesophageal Reflux Disease), hiki i kekahi o kēlā waikawa ke hele i loko o nā alaloa hanu, e hoʻoulu ai iā lākou e pehu a hoʻoulu ai i ka wheezing.
He aha nā lāʻau lapaʻau no kēia? (Lāʻau lapaʻau no ka hanu ʻana)
Hoʻōla ʻia ka wheezing ma hope o ka ʻike pono ʻana i ke kumu. No laila,He mea nui e ʻike i ke kauka ma mua o ka mālama ʻana iā ʻoe iho. Inā koʻikoʻi ka hanu ʻana a paʻakikī ke hanu ʻana, pono paha ʻoe e lawe ʻia i ka haukapila no ka mālama ʻana.
Inā ma muli o ka hānō:
Ke hoʻāʻo nei nā kauka e kaohi i ke kūlana hānō.
- E aʻo ʻia ʻoe e ʻike a pale i nā mea hoʻonāukiuki e hoʻonui ai i kou hānō.
- E nānā lākou i kou hanu ʻana e hōʻoia i ka hana pono ʻana o ka lāʻau i hāʻawi ʻia iā ʻoe e kāohi i kāu mau hōʻailona.
- E hāʻawi ʻia iā ʻoe kahi inhaler hoʻomaha wikiwiki e hoʻohana ai inā e ʻoi koke aʻe kou hānō.
- Hiki ke kuhikuhi ʻia nā mea inhaler ʻē aʻe a i ʻole nā lāʻau lapaʻau waha e kaohi i ka maʻi i ka wā lōʻihi.
- Inā loaʻa kou hānō i kahi maʻi allergy, e hāʻawi ʻia ʻoe i ka lāʻau lapaʻau no ia mea.
- He mea nui loa e hana pū me kāu kauka e hana i kahi hoʻolālā hana no ka hānō .
Inā ma muli o kahi maʻi:
Inā ma muli o kahi maʻi kou hanu ʻana, e like me ka bronchitis a i ʻole ka pneumonia, hiki i kāu kauka ke hāʻawi iā ʻoe i kahi inhaler. Inā loaʻa ka maʻi i ka bacteria, e hāʻawi ʻia ʻoe i nā antibiotics . Ke ho'ōla ʻia ka maʻi, e nalo aku ka hanu ʻana.
Nā lāʻau lapaʻau home
Ma waho aʻe o ke aʻo lapaʻau, hiki iā ʻoe ke loaʻa kahi hōʻoluʻolu ma ka hana ʻana i kēia mau mea ma ka home.
- E pale i ka puhipaka: Inā he mea puhipaka ʻoe, pono ʻoe e haʻalele . Eia kekahi, e pale i ka noho ʻana a puni ka poʻe puhipaka (uahi lua). Hiki i ka uahi ke hoʻonāukiuki hou aku i kou mau ala ea.
- Nā hoʻomaʻamaʻa hanu hohonu: Hiki i ka hanu lohi a hohonu ke kōkua i ka hoʻomaha ʻana i kou mau ala ea. ʻOi aku ka maikaʻi o kēia i kahi kaiapuni haumū a mehana.
- E inu i ke kī wela: ʻO ka mahu mehana mai ke kīʻaha kī a me ka mehana o ke kī e hiki ke kōkua i ka hoʻomaha ʻana i nā ala ea.
- E hoʻohana i kahi humidifier: ʻO ka hoʻonui ʻana i ka haʻahaʻa i ke kaiapuni e hiki ke kōkua i ka pale a me ka hōʻoluʻolu ʻana i nā alaea maloʻo.
- E hoʻomaʻemaʻe i ka ea: Hiki i kahi mea hoʻomaʻemaʻe ea me kahi kānana HEPA ke wehe i nā allergens mai ka lewa i loko o kou home.
Āhea e ʻike ai i ke kauka? (Āhea e ʻimi ai i ke kōkua)
ʻAʻole pono mau ka mālama ʻana i ka hanu ʻūlū iki e hele mai me kahi maʻi liʻiliʻi, e like me ke anu. Eia nō naʻe, pono ʻoe e ʻike i kāu kauka i nā hihia aʻe:
| I ka manawa hea e ʻimi ai i ke aʻo lapaʻau | |
|---|---|
| E ʻike i kāu kauka... | |
| - Inā hana pinepine ʻia ka hanu ʻana. | |
| - Inā ʻike ʻoe i ka hanu ʻana me ke kumu ʻike ʻole ʻia. | |
| - Inā ʻike ʻoe i kekahi pilikia hanu. | |
| - Inā ua piʻi aʻe kou hanu ʻana. | |
| - Inā polū ka ʻili a nalowale koke. | |
| E hele koke i ka Emergency Treatment Unit (ETU) kokoke loa... | |
| - Inā polū kou ʻili, lehelehe, a i ʻole kou mau kui. | |
| - Inā hoʻomaka koke ʻoe e hanu ʻū ma hope o ka nahu ʻana o kahi pepeke, ma hope o ka ʻai ʻana i kahi meaʻai hou, a i ʻole ma hope o ka lawe ʻana i kahi lāʻau lapaʻau hou. | |
| - Inā hoʻomaka ʻoe e hanu ʻū ma hope o ka paʻa ʻana o kahi mea i loko o kou puʻu. |
Leka Lawe-Home
- ʻO ka hanu ʻana he hōʻailona ia e hāiki ana kou mau ala ea. Hiki ke maʻalahi a koʻikoʻi paha.
- ʻO ka hānō a me nā maʻi ʻaleka nā kumu maʻamau o ka wheezing.
- Mai hoʻowahāwahā i ka hanu ʻūlū e hoʻi hou mai ana a i ʻole ke kumu ʻole. E ʻike pono i ke kauka.
- Inā pilikia ʻoe i ka hanu ʻana, polū kou ʻili, a i ʻole hoʻomaka koke ʻoe e hanu ma hope o ka nahu ʻana o kahi pepeke a meaʻai paha, he pilikia ia. E hele koke i ka ʻOihana Pilikia kokoke loa (ETU).
- He mea nui ka hahai pono ʻana i ka papa hana a kāu kauka e hāʻawi ai no ka hoʻōla koke ʻana.
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