Maʻi maʻi

ʻO ka maʻi lung kekahi pilikia i loko o nā akemāmā e pale ai i nā akemāmā mai ka hana kūpono. ʻEkolu ʻano nui o ka maʻi māmā:

1. Nā maʻi Airway - Hoʻopili kēia mau maʻi i nā paipu (airway) e halihali i ka oxygen a me nā kinoea ʻē aʻe i loko a i waho o nā māmā. Hoʻokumu pinepine lākou i kahi kahiki a blockage paha o nā alaloa. ʻO nā maʻi Airway me ka hānō, COPD a me ka bronchiectasis. 'Oftenlelo pinepine ka poʻe me nā maʻi ākea e manaʻo lākou me he mea lā e "hoʻāʻo nei e hanu i loko o kahi mauʻu."
2. Nā maʻi maʻi puʻupuʻu - Hoʻopili kēia mau maʻi i ke ʻano o kaʻiʻo māmā. ʻO ka scarring a i ʻole ka mumū o nā mea i hiki ʻole i nā māmā ke hoʻonui piha (kaohi ʻana i ka maʻi o ka maʻi). Hana paʻakikī kēia i nā māmā e lawe i ka oxygen a hoʻokuʻu i ka carbon dioxide. 'Lelo pinepine ka poʻe me kēiaʻano o ka maʻi lung e manaʻo lākou me he mea lā "e komo ana i kahi kapa komo paʻa loa a i ʻole ke kapa komo." ʻO ka hopena, ʻaʻole hiki iā lākou ke hanu nui. Pulmonary fibrosis a me sarcoidosis he mau laʻana o ka maʻiʻaʻa maʻi.
3. Nā maʻi lele o ka lepa - Hoʻopili kēia mau maʻi i nā kīʻaha koko i nā akemāmā. Hana ʻia ia mau mea e ke kāpili ʻana, ka ʻili ʻana, a i ʻole ke kuni ʻana o nā kīʻaha koko. Hoʻopili lākou i ka hiki o nā māmā e lawe i ka oxygen a hoʻokuʻu i ka carbon dioxide. Hoʻopili paha kēia mau maʻi i ka hana puʻuwai. ʻO kahi laʻana o kahi maʻi lele o ka pulmonary hypertension. ʻO ka poʻe me kēia ʻano manaʻo he pōkole loa ka hanu ke hoʻoikaika lākou iā lākou iho.

Pili nā maʻi maʻi he nui i kahi hui pū o kēia mau ʻano ʻekolu.

ʻO nā maʻi maʻi ʻoi loa e like me:

• Asthma
• Uha o ka ʻāpana a i ʻole o ka akemāmā (pneumothorax a i ʻole atelectasis)
• ʻO ka pehu a me ka mumū i nā ala nui (nā paipu bronchial) e halihali i ka ea i nā akemāmā (bronchitis)
• COPD (maʻi pulmonary ākea ākea)
• Kanesa maʻi ʻaʻai
• Maʻi maʻi maʻi (pneumonia)
• Kūkulu kūpono ʻole o ka wai i loko o nā akemā (edema pulmonary)
• ʻO ke aʻa o ke kahamaha (embolus pulmonary)

• ʻO ka maʻi pulmonary obstructive maʻi - nā mākua - hoʻokuʻu
• COPD - kaohi lāʻau
• COPD - nā lāʻau hōʻalo wikiwiki

• Pulmonary mass - ʻaoʻao ʻike umauma x-ray
• Lū nui, māmā akau - CT scan
• Lā palaoa, akau luna māmā - umauma x-ray
• Lū me ka maʻi ʻaʻai squamous cell - CT scan
• ʻO ka uahi lua a me ke kanesa maʻi ʻaʻai
• Pā kui kui melemele
• ʻŌnaehana hanu

ʻO Kraft M. Ke hoʻokokoke aku i ka mea maʻi me ka maʻi hanu. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 77.

Reid PT, Innes JA. Lapaʻau hoʻāhu. I: Ralston SH, Penman ID, Strachan MWJ, Hobson RP, eds. Nā Kumuhana a Davidson a me ka hana o ka lāʻau. 23rd Ed. Piladelapia, PA: Elsevier; 2018: chap 17.