Kaha Hānau Mau Loa

ʻO kahi ʻōhū lōʻihi kahi ʻōhū e mau ana i nā hebedoma ʻewalu a ʻoi aku paha i nā mākua, a i ʻole ʻehā mau hebedoma i nā keiki. ʻAʻole wale ka mea hoʻonāukiuki ka ʻōhū lōʻihi. Hiki iā ia ke hoʻopilikia i kou hiamoe a waiho iā ʻoe i ka luhi nui. Hiki i nā hihia koʻikoʻi o ka ʻōhū lōʻihi ke hoʻokū i ka luaʻi a me ka māmā ʻole, a hiki i ka haki ʻana o ka iwi ʻaoʻao.

ʻO nā kumu maʻamau loa ka hoʻohana ʻana i ka paka a me ka maʻi hanu. ʻO nā kumu maʻamau ʻē aʻe e komo pū ana ka wai e ninini ana mai ka ihu i lalo o ke kua o ka ʻāʻī, i kapa ʻia ʻo ka postnasal drip, a me ka kahe ʻana o ka waikawa ʻōpū i loko o ka paipu e hoʻohui ana i ka ʻāʻī i ka ʻōpū, i kapa ʻia ʻo ka acid reflux. Maikaʻi, maʻamau ka hala ʻana o ka ʻōhū lōʻihi ke mālama ʻia ka pilikia kumu.

Hiki i kahi ʻōhū mau loa ke hele mai me nā hōʻailona ʻē aʻe, e komo pū ana: Ka ihuheʻe a i ʻole ka ihu ʻāʻī. ʻO ka manaʻo o ka wai e kahe ana i lalo o kou ʻāʻī, i ʻike ʻia hoʻi ʻo ka postnasal drip. Ka hoʻomaʻemaʻe pinepine ʻana i kou ʻāʻī. ʻĀʻī ʻeha. Leo ʻāwīwī. ʻŌhū a me ka hanu pōkole. ʻAʻā ʻōpū a i ʻole ka ʻono ʻawaʻawa i kou waha. I nā hihia kakaikahi, ke kuha ʻana i ke koko. E ʻike i kāu kauka lapaʻau inā loaʻa iā ʻoe kahi ʻōhū e mau ana no nā hebedoma, ʻoi aku hoʻi ka mea e lawe mai ana i ka sputum a i ʻole ke koko, hoʻopilikia i kou hiamoe, a i ʻole e hoʻopilikia i ke kula a i ʻole ka hana.

E ʻike i kāu kauka lapaʻau inā loaʻa iā ʻoe kahi ʻōhū e mau ana no nā wiki, ʻoi aku hoʻi kahi mea e lawe mai ana i ka phlegm a i ʻole ke koko, e hoʻopilikia i kou hiamoe, a i ʻole e hoʻopilikia i ke kula a i ka hana.

ʻO kahi ʻōhū e hele mai ana i kekahi manawa he mea maʻamau ia. Kūleʻa ia i ka hoʻomaʻemaʻe ʻana i nā mea hoʻonāukiuki a me ka mucus mai kou mau māmā a pale aku i ka maʻi. Akā, ʻo kahi ʻōhū e mau ana no nā wiki he mea maʻamau ia ma muli o kahi pilikia olakino. I nā manawa he nui, ʻoi aku ma mua o hoʻokahi pilikia olakino ke kumu o ka ʻōhū. ʻO ka hapa nui o nā hihia o ka ʻōhū lōʻihi he mau kumu kēia, hiki ke hana hoʻokahi a hui pū: Kahe ʻana o ka mucus ma hope o ka ihu. Ke hana hou nei kou ihu a i ʻole nā ​​sinuses i ka mucus, hiki ke kahe i lalo o ka hope o kou ʻāʻī a hoʻoulu iā ʻoe e ʻōhū. Ke kapa ʻia nei kēia kūlana ʻo ka upper airway cough syndrome.Asthma. Hiki i kahi ʻōhū pili i ka maʻi ʻea e hele mai a hele me nā kau. Hiki ke ʻike ʻia ma hope o ka maʻi ʻea o ka ʻōnaehana hanu kiʻekiʻe. A i ʻole hiki ke ʻoi aku ka maikaʻi ke hōʻike ʻia ʻoe i ka ea anu a i ʻole nā ​​kemika a i ʻole nā ​​ʻala. I loko o kekahi ʻano o ka maʻi ʻea i ʻike ʻia ʻo ka cough-variant asthma, ʻo ka ʻōhū ke hōʻailona nui.Gastroesophageal reflux disease. I kēia kūlana maʻamau, i kapa ʻia hoʻi ʻo GERD, kahe hou ka waikawa o ka ʻōpū i loko o ka paipa e hoʻohui ana i kou ʻōpū a me kou ʻāʻī. Ke kapa ʻia nei kēia paipa ʻo kou esophagus. Hiki i ka huhū mau ke alakaʻi i ka ʻōhū lōʻihi. A laila hiki i ka ʻōhū ke hoʻopilikia i ka GERD, e hana ana i kahi pōʻai ʻino.Infections. Hiki i kahi ʻōhū ke mau loa ma hope o nā hōʻailona ʻē aʻe o ka pneumonia, ka maʻi flu, ka anu a i ʻole ka maʻi ʻē aʻe o ka ʻōnaehana hanu kiʻekiʻe i hala aku. ʻO ke kumu maʻamau o ka ʻōhū lōʻihi i nā mākua - akā ʻo ka mea pinepine ʻaʻole i ʻike ʻia - ʻo ia ka whooping cough, i kapa ʻia hoʻi ʻo pertussis. Hiki nō hoʻi ke hana ka ʻōhū lōʻihi me nā maʻi fungal o ka māmā, a me ka maʻi tuberculosis, i kapa ʻia hoʻi ʻo TB, a i ʻole ka maʻi māmā me nā mycobacteria nontuberculous, i kapa ʻia hoʻi ʻo NTM. Loaʻa ka NTM i ka lepo, ka wai a me ka lepo.Chronic obstructive pulmonary disease (COPD). I kapa ʻia hoʻi ʻo COPD, he maʻi māmā inflammatory ola lōʻihi kēia e kaupalena ana i ka kahe ʻana o ka ea mai nā māmā. Loaʻa i ka COPD ka chronic bronchitis a me ka emphysema. Hiki i ka chronic bronchitis ke hoʻoulu i kahi ʻōhū e lawe mai i ka sputum kala. Hoʻopilikia ka emphysema i ka hanu pōkole a hōʻino i nā ʻeke ea i nā māmā, i kapa ʻia hoʻi ʻo alveoli. ʻO ka hapa nui o nā kānaka me ka COPD he poʻe puhipaka a i ʻole nā ​​poʻe puhipaka mua.Nā lāʻau lapaʻau koko. ʻO nā mea hoʻopili Angiotensin-converting enzyme, i kapa ʻia hoʻi ʻo ACE inhibitors, ka mea i kuhikuhi pinepine ʻia no ke koko kiʻekiʻe a me ka hāʻule o ka naʻau, ua ʻike ʻia e hoʻoulu i ka ʻōhū lōʻihi i kekahi poʻe. ʻAʻole pinepine, hiki i ka ʻōhū lōʻihi ke hoʻoulu ʻia e: Aspiration - ke ʻai ʻia a i ʻole komo ʻia nā meaʻai a i ʻole nā ​​mea ʻē aʻe a komo i nā māmā.Bronchiectasis - nā ala hanu ākea a hōʻino ʻia e lilo mālie i ka hiki ke hoʻomaʻemaʻe i ka mucus.Bronchiolitis - kahi maʻi e hoʻoulu ai i ka pehu, ka huhū a me ka hōʻiliʻili ʻana o ka mucus i nā ala hanu liʻiliʻi o ka māmā.Cystic fibrosis - kahi maʻi genetic e hoʻopilikia ana i nā māmā, ka ʻōnaehana digestive a me nā ʻōnaehana ʻē aʻe.Idiopathic pulmonary fibrosis - ka hōʻino mālie a me ka ʻili o nā māmā ma muli o ke kumu ʻike ʻole ʻia.Lung cancer - ka maʻi kanesa e hoʻomaka ana i nā māmā, me ka non-small cell lung cancer a me ka small cell lung cancer.Nonasthmatic eosinophilic bronchitis - ke pehu nā ala hanu akā ʻaʻole ʻo ka maʻi ʻea ke kumu.Sarcoidosis - nā hui o nā sela pehu e hana ana i nā ʻāpana a i ʻole nā ​​nodules i nā ʻāpana like ʻole o ke kino akā pinepine loa i nā māmā.

ʻO ka hoʻomau a i ʻole ka hoʻomau ʻana i ka puhipaka he mea nui ia o nā kumu pilikia o ka maʻi ʻōhū mau loa. Hiki nō hoʻi i ka nui o ka puhipaka lua ke alakaʻi i ka ʻōhū a me ka pōʻino o nā māmā.

ʻO ka ʻōhū ʻaʻole pau ka luhi loa. Hiki i ka ʻōhū ke hoʻoulu i nā pilikia like ʻole, e like me:

• Ke kīloi ʻana i ka hiamoe.
• Ke poʻo ʻeha.
• Ke poʻo wili.
• Ka luaʻi.
• Ke kahe nui o ka hou.
• Ka nalowale ʻole o ka mimi, i ʻike ʻia hoʻi ʻo ka urinary incontinence.
• ʻO nā iwi ʻaoʻao haki.
• Ke hāʻule ʻana, i ʻike ʻia hoʻi ʻo ka syncope.

Ke noi aku kāu limahana mālama ola e pili ana i kāu mōʻaukala lapaʻau a hana i kahi hōʻoia kino. Hiki i kahi mōʻaukala lapaʻau a me ka hōʻoia kino hohonu ke hāʻawi i nā ʻōlelo aʻoaʻo nui e pili ana i kahi kaʻina maʻi. Hiki nō hoʻi i kāu limahana ola ke kauoha i nā hoʻokolohua e ʻimi i ke kumu o kāu kaʻina maʻi.

Akā, nui nā limahana ola e hoʻomaka i ka mālama ʻana no kekahi o nā kumu maʻamau o ka kaʻina maʻi ma mua o ke kauoha ʻana i nā hoʻokolohua pipiʻi. Inā ʻaʻole hana ka mālama ʻana, hiki ke hoʻokolohua ʻia ʻoe no nā kumu ʻaʻole maʻamau.

• Nā kiʻi X-ray. ʻOiai ʻaʻole e hōʻike kahi kiʻi X-ray umauma maʻamau i nā kumu maʻamau loa o ka ʻōhū - ka waiho ʻana ma hope o ka ihu, ka hoʻi ʻana o ka waikawa, ka hoʻohana ʻana i ka paka a i ʻole ka hanu ʻana - hiki ke hoʻohana ʻia e nānā i ka maʻi kanesa o nā māmā, ka pneumonia a me nā maʻi māmā ʻē aʻe. Hiki i kahi kiʻi X-ray o kou mau sinuses ke hōʻike i ka hōʻoia o ka maʻi sinus.
• Nā scan tomography kamepiula. Ke kapa ʻia nei kēia mau scan he CT scan. Hiki ke hoʻohana ʻia e nānā i kou mau māmā no nā kūlana e hiki ke hana i ka kaʻina maʻi a i ʻole kou mau lua sinus no nā ʻeke o ka maʻi.

He mea hana hoʻoholo ka spirometer e ana i ka nui o ka ea e hiki iā ʻoe ke hanu i loko a i waho a me ka manawa e lawe ai iā ʻoe e hanu loa ma hope o kou hanu hohonu.

Hoʻohana ʻia kēia mau hoʻokolohua maʻalahi, ʻaʻole hoʻopilikia, e like me ka spirometry, e hoʻoholo i ka hanu ʻana a me ka COPD. Ana lākou i ka nui o ka ea e hiki i kou mau māmā ke paʻa a me ka wikiwiki o kou hiki ke exhale.

Hiki i kāu limahana mālama ola ke noi i kahi hoʻokolohua hoʻokūkū hanu. Ke nānā nei kēia hoʻokolohua i ka maikaʻi o kou hiki ke hanu ma mua a ma hope o ka inhaling i ka lāʻau methacholine (Provocholine).

Inā he kala ke kolo e ʻōhū ʻoe, makemake paha kāu limahana mālama ola e hoʻokolohua i kahi laʻana no nā bacteria.

Inā ʻaʻole hiki i kāu limahana mālama ola ke loaʻa ke kumu o kou ʻōhū, hiki ke hoʻohana ʻia nā hoʻokolohua scope kūikawā e ʻimi i nā kumu hiki. Hiki i kēia mau hoʻokolohua ke komo:

• Bronchoscopy. He tube lahilahi, palupalu ka bronchoscope me kahi kukui a me ka kamera i hoʻopili ʻia iā ia. Hiki i kāu limahana ola ke nānā i kou mau māmā a me nā ala ea. Hiki ke lawe ʻia kahi biopsy mai loko mai o ka laina o kou airway, i ʻike ʻia hoʻi ʻo ka mucosa, e ʻimi i nā mea maʻamau ʻole. He kaʻina hana ka biopsy e wehe i kahi laʻana o ka pūnaewele no ka hoʻokolohua ʻana i kahi lumi hoʻokolohua.
• Rhinoscopy. Me ka hoʻohana ʻana i kahi scope fiberoptic, i ʻike ʻia hoʻi ʻo ka rhinoscope, hiki i kāu limahana ola ke nānā i kou mau ala nasal, sinuses a me ka airway kiʻekiʻe.

ʻO kahi kiʻi X-ray umauma a me ka spirometry, ma ka liʻiliʻi loa, ua kauoha pinepine ʻia e ʻike i ke kumu o kahi kaʻina maʻi maʻi i nā keiki.

"He mea nui loa ka ʻike ʻana i ke kumu o ka ʻōhū mau loa no ka mālama pono. I nā hihia he nui, ʻoi aku ka nui o hoʻokahi kūlana kumu e hiki ke hoʻoulu i kou ʻōhū mau loa. Inā ua puhi ʻoe i ka paka, e kamaʻilio paha kāu kauka me ʻoe e pili ana i kou mākaukau e haʻalele a hāʻawi iā ʻoe i nā ʻōlelo aʻo pehea e hoʻokō ai i kēia pahuhopu. Inā ke lawe nei ʻoe i ka lāʻau ACE inhibitor, hiki i kāu kauka ke hoʻololi iā ʻoe i kahi lāʻau ʻē aʻe ʻaʻole he hopena ʻaoʻao ka ʻōhū. ʻO nā lāʻau lapaʻau i hoʻohana ʻia no ka mālama ʻana i ka ʻōhū mau loa e komo pū me: Antihistamines, corticosteroids a me nā decongestants. ʻO kēia mau lāʻau lapaʻau ka mālama maʻamau no nā allergies a me ka postnasal drip. Nā lāʻau lapaʻau asthma i komo ʻia. ʻO nā mālama maikaʻi loa no ka ʻōhū pili i ka asthma ʻo ia nā corticosteroids a me nā bronchodilators. Hoʻemi lākou i ka mumū a wehe i kou mau ala hanu. Antibiotics. Inā he maʻi bacteria, fungal a i ʻole mycobacterial ke kumu o kou ʻōhū mau loa, hiki i kāu kauka ke kuhikuhi i nā lāʻau antibiotic no ka maʻi. Nā mea pale ʻaila. Ke hoʻomaʻemaʻe ʻole nā \u200b\u200bhoʻololi i ke ola i ka acid reflux, hiki ke mālama ʻia ʻoe me nā lāʻau e pale ai i ka hana ʻana o ka acid. Pono kekahi poʻe i ka ʻoki kino e hoʻoponopono i ka pilikia. Lāʻau lapaʻau e hoʻemi ai i ka ʻōhū E hana kāu kauka e ʻike i ke kumu o kou ʻōhū a me ka mālama maikaʻi loa no ʻoe. I kēlā manawa, hiki i kāu kauka ke kuhikuhi i kahi lāʻau e hoʻemi ai i ka ʻōhū, i kapa ʻia ʻo ka mea hoʻemi ʻōhū. ʻAʻole ʻōlelo ʻia nā mea hoʻemi ʻōhū no nā keiki. Hoʻoponopono nā lāʻau ʻōhū a me ke anu i loaʻa me ka ʻole o ka kuhikuhi i nā hōʻailona o nā ʻōhū a me nā anu - ʻaʻole ka maʻi kumu. Hōʻike ka noiʻi ʻaʻole hana maikaʻi kēia mau lāʻau ma mua o ka ʻole o ka lāʻau. ʻAʻole ʻōlelo ʻia kēia mau lāʻau no nā keiki ma muli o nā hopena ʻaoʻao koʻikoʻi, me nā overdose make i nā keiki ma lalo o 2 mau makahiki. Mai hoʻohana i nā lāʻau ʻōhū a me ke anu ma luna o ka counter, koe wale nō no nā mea hoʻemi wela a me nā mea hoʻoemi ʻeha, e mālama i nā ʻōhū a me nā anu i nā keiki ma lalo o 6 mau makahiki. Eia kekahi, e pale i ka hoʻohana ʻana i kēia mau lāʻau no nā keiki ma lalo o 12 mau makahiki. E nīnau i kāu kauka no ke alakaʻi. Noi i kahi kūkā He pilikia me ka ʻike i hōʻike ʻia ma lalo nei a hoʻouna hou i ke palapala. Mai Mayo Clinic i kāu pahu leka E kau inoa no ka manuahi a noho hou i nā holomua noiʻi, nā ʻōlelo aʻo olakino, nā kumuhana olakino o kēia manawa, a me ka ʻike ma ka mālama ʻana i ke olakino. Kaomi ma aneʻi no kahi manaʻo mua o ka leka uila. Helu Leka Uila 1 He hewa Pono ka kahua leka uila He hewa E hoʻokomo i kahi leka uila kūpono E aʻo hou e pili ana i ka hoʻohana ʻana o Mayo Clinic i ka ʻikepili. No ka hāʻawi ʻana iā ʻoe i ka ʻike pili loa a kōkua loa, a hoʻomaopopo i ka ʻike pono, hiki iā mākou ke hoʻohui i kāu leka uila a me ka ʻike hoʻohana pūnaewele me nā ʻike ʻē aʻe a mākou e loaʻa ai e pili ana iā ʻoe. Inā ʻoe he mea maʻi Mayo Clinic, hiki ke komo pū me ka ʻike olakino palekana. Inā hoʻohui mākou i kēia ʻike me kāu ʻike olakino palekana, e mālama mākou i kēlā ʻike a pau ma ke ʻano he ʻike olakino palekana a e hoʻohana a hōʻike wale i kēlā ʻike e like me ka mea i kau ʻia i loko o kā mākou leka hoʻomaopopo o nā hana pilikino. Hiki iā ʻoe ke koho ʻole i nā kamaʻilio leka uila i kēlā me kēia manawa ma ke kaomi ʻana i ka loulou unsubscribe i loko o ka leka uila. Kau inoa! Mahalo no ke kau inoa ʻana! E hoʻomaka koke ʻoe e loaʻa i ka ʻike olakino Mayo Clinic hou loa āu i noi ai i loko o kāu pahu leka. E kala mai, ua hewa kekahi mea me kāu kau inoa E ʻoluʻolu, e ho'āʻo hou ma hope o kekahi mau minuke E ho'āʻo hou"