Nā pilikia hanu - kōkua mua

Lawe ka hapa nui o ka poʻe i ka hanu ʻana. Loaʻa paha i nā poʻe me kekahi mau maʻi i nā pilikia hanu a lākou e hana ai ma kahi maʻamau.

Kūkākūkā kēia ʻatikala i ke kōkua mua no kekahi e loaʻa ana nā pilikia hanu i manaʻo ʻole ʻia.

Hiki i nā pilikia hanu ke pae mai:

• ʻO ka pōkole o ka hanu
• ʻAʻole hiki ke hāpai i ka hanu hohonu a hāhā no ka ea
• Manaʻo ʻoe ʻaʻole lawa kou ea

ʻO ka paʻakikī hanu e aneane pinepine i kahi olakino olakino. Hoʻonohonoho iki ʻia kahi ʻokoʻa mai ka hana maʻamau, e like me ka hoʻoikaika kino.

Nui nā kumu like ʻole no nā pilikia hanu. ʻO nā kumu maʻamau i loko o kekahi ʻano olakino a me nā pilikia olakino hikiwawe.

ʻO kekahi mau kūlana olakino e hiki ai i nā pilikia hanu ke:

• Anemia (helu ʻulaʻula koko ʻulaʻula haʻahaʻa)
• Asthma
• ʻO ka maʻi pulmonary maʻi kūpilikiʻi (COPD), i kekahi manawa i kapa ʻia ʻo emphysema a i ʻole bronchitis mau
• Ka maʻi puʻuwai a i ʻole hake puʻuwai
• Ka maʻi ʻaʻai o ka puʻu, a i ʻole ke kanesa i pālahalaha aʻe i nā akemāmā
• Nā maʻi hanu, e like me ka niumonia, bronchitis huehue, ka maʻi heʻe, croup, a me nā mea ʻē aʻe

ʻO kekahi mau pilikia olakino i hiki ke hoʻopilikia i ka hanu ʻana:

• Ke noho nei i kahi kiʻekiʻe
• Koko koko i ka hāhā
• ʻO ka hāhā naha (pneumothorax)
• Maʻi hohola
• Ka hōʻeha i ka ʻāʻī, ka paia o ka umauma, a i ʻole nā ​​ake māmā
• Pericardial effusion (wai e hoʻopuni ana i ka puʻuwai e hiki ke hoʻokū iā ia mai ka hoʻopihapiha ʻana me ke koko)
• Pleural effusion (wai e hoʻopuni ana i nā akemāmā e hiki ai ke kaomi iā lākou)
• ʻO ka hopena hōʻino ola
• Ma kahi kokoke e pohō, kahi e kumu ai ka wai i loko o nā akemāmā

ʻO ka poʻe i loaʻa ka hanu paʻakikī e nānā pinepine ʻole. ʻO lākou paha:

• Hanu wikiwiki
• ʻAʻole hiki ke hanu i ka moe ʻana a pono e noho i luna e hanu
• Weliweli loa a hoʻonāukiuki hoʻi
• Hiamoe a huikau paha

Loaʻa iā lākou nā ʻōuli ʻē aʻe, e like me:

• ʻO ka puʻupuʻu a i ʻole ka uila
• ʻEha
• Fiva
• Cough
• Nusea
• ʻO ka luaʻi
• Nā lehelehe Bluish, nā manamana lima, a me nā manamana lima
• Ke neʻe nei ka umauma i kahi ʻano ʻē
• ʻO Gurgling, wheezing, a i ʻole ke kani ʻana i nā leo ʻokiʻoki
• Muffled leo a paʻakikī i ka kamaʻilio ʻana
• ʻApu ʻana i ke koko
• ʻO ke kuʻi puʻuwai wikiwiki a i ʻole kaulike ʻole
• Hoʻoulu

Inā loaʻa i kahi alapiʻi ka pilikia hanu, loaʻa paha iā lākou kahi ʻōpala a puhū paha o ka maka, alelo, a puʻu paha.

Inā he ʻeha ke hoʻopilikia nei i ka hanu ʻana, ke kahe ʻana a i ʻole he ʻeha ʻike ʻia.

Inā pilikia ka hanu ʻana o kekahi, e kāhea koke iā 911 a i ʻole kāu helu pilikia kūloko, a laila:

• E hōʻoia i ke ala ea o ke kanaka, ka hanu ʻana, a me ka lāʻau. Inā pono, e hoʻomaka i ka CPR.
• E hoʻokuʻu i nā lole paʻa.
• Kōkua i ke kanaka e hoʻohana i kekahi lāʻau i kuhikuhi ʻia (e like me ka inhaler asthma a i ʻole ka oxygen home).
• E hoʻomau i ka nānā ʻana i ka hanu ʻana o ke kanaka a me ka lāʻau ikiʻai a hiki i ka hōʻea ʻana o ke kōkua lapaʻau. Mai manaʻo e hoʻomaikaʻi ana ke ʻano o ke kanaka inā ʻaʻole hiki iā ʻoe ke lohe hou i nā kani o ke aho maʻamau, e like me ke kani ʻana.
• Inā he mau ʻeha hāmama i ka ʻāʻī a i ʻole ka umauma, pono lākou e pani koke ʻia, keu hoʻi inā ʻike ʻia nā ea i ka ʻeha. Hoʻopili i kēlā mau ʻeha i ka manawa hoʻokahi.
• ʻO kahi ʻehaʻeha "umauma" e ʻae ai i ka ea e komo i ka lua o ka pahu o kēlā kanaka me kēlā me kēia hanu. Hiki i kēia ke kumu i kahi hāneʻe hāneʻe. E hoʻopaʻa i ka ʻeha me ka wahī ʻūpā, kahi ʻeke ʻeke, a i ʻole nā ​​pale lole i uhi ʻia me ka ʻaila ʻaila, e sila ana ma nā ʻaoʻao ʻekolu, a waiho i kekahi ʻaoʻao i hoʻopaʻa ʻole ʻia. Hana kēia i ka pale e pale ai i ka ea mai ke komo ʻana i ka pahu ma o ka ʻeha, ʻoiai e ʻae ana i ka ea i paʻa mai ka umauma ma o ka ʻaoʻao i hoʻopaʻa ʻole ʻia.

MAI:

• Hāʻawi i ka mea ʻai a mea inu paha.
• E hoʻoneʻe i ke kanaka inā he poʻo, ʻāʻī, umauma a ʻeha ʻeha paha, ke ʻole pono ia. Palekana a hoʻopaʻa i ka ʻāʻī inā pono e hoʻoneʻe ʻia ke kanaka.
• E kau i kahi uluna ma lalo o ke poʻo o ke kanaka. Hiki i kēia ke pani i ke ala ākea.
• E kali a ʻike inā hoʻomaikaʻi ke kūlana o ke kanaka ma mua o ka loaʻa ʻana o ke kōkua lapaʻau. E kōkua koke.

Kāhea iā 911 a i ʻole kāu helu pilikia kūloko inā loaʻa iā ʻoe a i ʻole kekahi mea ʻē aʻe o ka hanu paʻakikī ʻana, i ka Nā ʻōuli paukū ma luna.

Kāhea pū kekahi i kāu kauka a lawelawe lawelawe olakino koke inā ʻoe:

• Loaʻa i kahi anu a i ʻole nā ​​maʻi hanu ʻē aʻe a paʻakikī i ka hanu ʻana
• Loaʻa ka puʻu e hele ʻole ma hope o 2 a 3 mau pule
• Ke kuʻi nei i ke koko
• Ke lilo nei ke kaumaha me ka ʻole o ka manaʻo a i ʻole ka sweats o ka pō
• ʻAʻole hiki ke hiamoe a ala paha i ka pō no ka paʻakikī o ka hanu
• E hoʻomaopopo he paʻakikī e hanu i ka hana ʻana i nā mea āu e hana maʻamau me ka ʻole o ka hanu paʻakikī, e laʻa me ka piʻi ʻana i nā ʻanuʻu

Kāhea aku hoʻi i kāu mea hāʻawi inā loaʻa kahi maʻi puʻu o kāu keiki a ke kani nei i kahi kani a i ʻole ke kani ʻana.

ʻO kekahi mau mea hiki iā ʻoe ke hana e pale i nā pilikia hanu:

• Inā loaʻa iā ʻoe kahi mōʻaukala o nā hopena ʻino nui, lawe i kahi peni epinephrine a komo i kahi leka uila. E aʻo aku kāu mea hāʻawi iā ʻoe pehea e hoʻohana ai i ka pene epinephrine.
• Inā loaʻa ʻoe i ka hānō a i ʻole nā ​​maʻi āpau, e hoʻopau i nā pākū āpau āpau e like me nā ʻehu lepo a me nā puna.
• MAI Puhi, a pale aku i ka uahi ʻelua. Mai ʻae i ka puhipaka i kou home.
• Inā loaʻa ʻoe i ka hānō, ʻike i ka ʻatikala ma ka hānō e aʻo ai i nā ala e mālama ai.
• E ʻike pono i loaʻa i kāu keiki ka maʻi koʻohā whooping (pertussis).
• E hōʻoia i kēia lā booster tetanus.
• Ke hele nei ʻoe ma ka mokulele, e ala aʻe a holoholo a puni kēlā me kēia mau hola e pale ai i ke kala ʻana o ke koko i kou mau wāwae. Ke hana ʻia, hiki i nā ʻōpala ke haki a moe i kou mau ake māmā. ʻOiai e noho ana, hana i nā kuʻekuʻe wāwae a hoʻonui a hoʻohaʻahaʻa i kou kuʻekuʻe wāwae, manamana wāwae, a me nā kuli e hoʻonui i ke kahe o ke koko i kou mau wāwae. Inā hele ma ke kaʻa, kū a puka i waho a hele wāwae pinepine.
• Inā ʻoi aku ka momona, lilo ka paona. E ʻike paha ʻoe i ka makani inā ʻoi aku kou kaumaha. ʻOi aku ka makaʻu nui no ka maʻi puʻuwai a me ka puʻuwai puʻuwai.

E hoʻokomo i kahi leka uila inā loaʻa iā ʻoe kahi hanu ma mua, e like me ka hānō.

Hanu paʻakikī - kōkua mua; Dyspnea - kōkua mua; Hanu liʻiliʻi - kōkua mua

• Pulupā naha, pneumothorax
• ʻO Epiglottis
• Ka hanu ʻana

ʻO Rose E. Pediatric respiratory respiratory emergency: ʻo ke alalai ākea o luna a me nā maʻi. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 167.

Schwartzstein RM, Adams L. Dyspnea. I: Broaddus VC, Mason RJ, Ernst JD, et al, eds. ʻO Murray a me Nadel's Textbook of Respiratory Medicine. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2016: chap 29.

ʻO Thomas SH, Goodloe JM. Nā kino haole. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 53.