Hahau - hoʻokuʻu

Ma ka haukapila ʻoe ma hope o ka hahau ʻana. Hana ka hahau ke kahe ke koko i kahi ʻāpana o ka lolo.

Ma ka home e hāhai i nā ʻōlelo aʻoaʻo a kāu kahu mālama ola e pili ana iā ʻoe iho. E hoʻohana i ka ʻike ma lalo i mea hoʻomanaʻo.

ʻO ka mea mua, ua loaʻa iā ʻoe ka lāʻau e pale ai i ka hōʻino hou ʻana i ka lolo, a kōkua i ka puʻuwai, nā mumū, a me nā mea koʻikoʻi ʻē aʻe e hoʻōla.

Ma hope o kou kūpaʻa, ua hoʻāʻo nā kauka a hoʻomaka i ka lāʻau e kōkua iā ʻoe e hoʻi mai ka hahau a pale i kahi hahau o ka wā e hiki mai ana. Ua noho paha ʻoe i loko o kahi anakuhi kūikawā e kōkua i ka poʻe e ola hou ma hope o ka maʻi ʻōiwi.

Ma muli o ka hōʻeha ʻia i ka lolo mai ka hahau ʻana, ʻike paha ʻoe i nā pilikia me:

• Hoʻololi i ka hana
• Ke hana nei i nā hana maʻalahi
• Hoʻomanaʻo
• Ke neʻe nei i kekahi ʻaoʻao o ke kino
• ʻAskeke mākala
• Ke nānā nei
• Kaha a ʻike paha i kekahi ʻāpana o ke kino
• E ale ana
• Ke kamaʻilio a hoʻomaopopo ʻana paha i nā poʻe ʻē aʻe
• Ke noʻonoʻo nei
• Ke ʻike nei i kekahi ʻaoʻao (hemianopia)

Pono ʻoe i ke kōkua me nā hana o kēlā me kēia lā āu e hana ai ma kahi hoʻokahi ma mua o ka hahau.

ʻO ke kaumaha ma hope o ka hahau ʻana he mea maʻamau ia e aʻo ai ʻoe e noho me nā loli. Hiki ke hoʻomohala ma hope koke iho o ka hahau a i ʻole 2 mau makahiki ma hope o ka maʻi ahulau.

Mai hoʻokele i kāu kaʻa me ka ʻae ʻole o kāu kauka.

He paʻakikī paha ka neʻe ʻana a hana ʻana i nā hana maʻamau ma hope o ka maʻi ʻōiwi.

E mālama pono i kou home. E noi i kāu kauka, mea hoʻoponopono, a kahu maʻi paha e pili ana i ka hoʻololi ʻana i kou home e maʻalahi ai e hana i nā hana o kēlā me kēia lā.

E ʻike e pili ana i nā mea e hiki ai iā ʻoe ke pale aku i ka hāʻule a mālama i kou lumipaku e palekana e hoʻohana.

Pono paha ka ʻohana a me nā mea mālama e kōkua me:

• Nā hoʻoikaika e mālama i kou kuʻekuʻe, poʻohiwi, a me nā hono ʻē aʻe i wehe
• Ke kiaʻi nei i ka hoʻopaʻa paʻa ʻana (nā ʻaelike)
• Hoʻomaopopo e hoʻohana i nā splints i ke ala pololei
• Ke hōʻoia nei i nā lima a me nā wāwae i kahi kūlana maikaʻi ke noho a moe paha

Inā ʻoe a i kāu mea aloha paha e hoʻohana ana i kahi noho huila, nā kipa ʻana mai e ʻike pono ke kūpono pono i mea e pale aku ai i nā maʻi maʻi o ka ʻili.

• E hōʻoia i kēlā me kēia lā no ka ʻeha kaomi ma nā kuʻekuʻe wāwae, nā kuʻekuʻe wāwae, nā kuli, nā pūhaka, ka huelo, a me nā kuʻe lima.
• Hoʻololi i nā kūlana ma ka noho huila i nā manawa he nui i kēlā me kēia hola i ka lā e pale aku ai i nā ulia puʻe.
• Inā loaʻa iā ʻoe nā pilikia me ka spasticity, e aʻo i ka mea e ʻoi ai ka maikaʻi. Hiki iā ʻoe a i kāu mea mālama paha ke aʻo i nā hoʻoikaika kino e nalowale i kou mau mākala.
• E aʻo pehea e pale ai i ka ulcer pressure.

ʻO nā ʻōlelo aʻoaʻo no ka hoʻomaʻalahi ʻana i ka lole e komo ai a hemo.

• ʻOi aku ka maʻalahi o Velcro ma mua o nā pihi a me nā ziper. ʻO nā pihi āpau a me nā ziper ma ke alo o kahi ʻāpana o ka lole.
• E hoʻohana i nā lole pullover a me nā kāmaʻa pahee.

ʻO nā poʻe i loaʻa i ka maʻi kīkēkē e loaʻa paha i nā pilikia ʻōlelo a ʻōlelo paha. Nā ʻōlelo aʻoaʻo no ka ʻohana a me nā mea mālama e hoʻomaikaʻi i ke kamaʻilio pū me:

• E mālama i nā mea hoʻohuli a me ka walaʻau i lalo. E hoʻohaʻahaʻa i kou leo. E neʻe i kahi lumi mālie. Mai walaʻau.
• E hāʻawi i ka manawa nui no ke kanaka e pane i nā nīnau a hoʻomaopopo i nā ʻōkuhi. Ma hope o ka hahau ʻana, ʻoi aku ka lōʻihi o ka hana ʻana i ka mea i ʻōlelo ʻia.
• E hoʻohana i nā huaʻōlelo a me nā ʻōlelo maʻalahi, e ʻōlelo lohi. E nīnau i nā nīnau i kahi ala i hiki ke pane ʻia me ka ʻae a me ka ʻole. Ke hiki, hāʻawi i nā koho maopopo. Mai hāʻawi i nā koho he nui loa.
• E wāwahi i nā ʻōkuhi i nā ala liʻiliʻi a maʻalahi.
• E hana hou inā pono. E hoʻohana i nā inoa a me nā wahi kamaʻāina. Hoʻolaha ke hoʻololi ʻoe i ke kumuhana.
• E nānā i ka maka ma mua o ka hoʻopā ʻana a i ʻole ke kamaʻilio ʻana inā hiki.
• E hoʻohana i nā mea kākoʻo a i ʻole nā ​​kiʻi ʻike ke hiki. Mai hāʻawi i nā koho he nui loa. Hiki paha iā ʻoe ke hoʻohana i nā kuhi lima a i ʻole nā ​​kiʻi lima a i ʻole nā ​​kiʻi. E hoʻohana i kahi pono uila, e like me ke kamepiula papa a kelepona paʻa lima paha, e hōʻike i nā kiʻi e kōkua ai i ke kamaʻilio.

ʻO nā aʻalolo e kōkua i ka ʻōpū e hana maʻalahi hiki ke hōʻino ʻia ma hope o ka hahau ʻana. Loaʻa i kahi papa hana. Ke ʻike ʻoe i kahi hana ʻōpū e holo pono, pili iā ia:

• E koho i kahi manawa maʻamau, e like me ma hope o ka papa ʻaina a i ʻole ka ʻauʻau mahana, e hoʻāʻo e loaʻa kahi ʻōpū.
• E hoʻomanawanui. 15 a 45 paha minuke ka lōʻihi o ka neʻe ʻana o kou ʻōpū.
• E hoʻāʻo e ʻānai mālie i kou ʻōpū e kōkua i ka neʻe e neʻe ma waena o kou kolone.

Hōʻalo i ka paʻa paʻa:

• E inu hou i nā wai.
• E noho hana a e lilo i mea ʻeleu i ka hiki.
• ʻAi i nā meaʻai me nā puluniu he nui.

E noi i kāu mea hoʻolako e pili ana i nā lāʻau āu e lawe nei i hiki ke kumu i ka constipation (e like me nā lāʻau no ke kaumaha, ʻeha, ka mālama ʻana i ka maʻi ʻaʻa, a me nā spasms muscle).

E hoʻopiha i kāu mau kauka holoʻokoʻa ma mua o kou hoʻi ʻana i ka home. He mea nui ia e lawe i kāu lāʻau i ke ala a kāu mea hāʻawi. Mai lawe i nā lāʻau ʻē aʻe, nā mea hoʻopili, nā wikamina, a me nā mea kanu me ka nīnau ʻole ʻana i kāu mea e hoʻolako ana e pili ana iā lākou.

Hāʻawi ʻia iā ʻoe i hoʻokahi a ʻoi paha o nā lāʻau aʻe. ʻO kēia ka mea e kaohi i kou kaomi koko a i ʻole ka kolesterol, a mālama i kou koko mai ka hoʻopili ʻana. Hiki iā lākou ke pale i kahi hahau hou:

• ʻO nā lāʻau Antiplatelet (aspirin a i ʻole clopidogrel) kōkua i ka mālama ʻana i kou koko mai ka hoʻopili ʻana.
• ʻO nā beta blockers, diuretics (paila wai), a me nā lāʻau lapaʻau ACE mea kāohi i kou kaomi koko a pale i kou puʻuwai.
• Hoʻohaʻahaʻa ʻo Statins i kāu kolesterol.
• Inā loaʻa ʻoe i ka maʻi diabetes, kāohi i kāu kō kō i ke kiʻekiʻe a ka mea hāʻawi e ʻōlelo ai.

Mai hōʻoki i ka lawe ʻana i kekahi o kēia mau lāʻau.

Inā ʻoe e lawe i ka lahilahi o ke koko, e like me warfarin (Coumadin), pono paha ʻoe e hana i nā hoʻokolohua koko keu.

Inā loaʻa iā ʻoe nā pilikia me ka ale ʻana, pono ʻoe e aʻo e hāhai i kahi papaʻai kūikawā e palekana ai ka ʻai ʻana. ʻO nā ʻōuli o ka hoʻopau ʻana i nā pilikia ke ʻūlū a ʻū paha i ka wā e ʻai ana. E aʻo i nā ʻōlelo aʻoaʻo e hoʻomāmā ai i ka ʻai a me ka ale ʻana.

Hōʻalo i nā meaʻai paʻakai a momona a noho mamao aku i nā hale ʻainaʻai wikiwiki e hoʻōla i kou puʻuwai a me nā kīʻaha koko.

E kaupalena i ka nui o ka waiʻona āu e inu ai i ka nui o 1 inu i ka lā inā he wahine ʻoe a ʻelua inu i ka lā inā he kāne ʻoe. E noi i kāu mea hāʻawi inā maikaʻi iā ʻoe e inu ʻona.

E hoʻomau i kēia lā me kāu lāʻau āpau. E kiʻi i ka maʻi flu i kēlā me kēia makahiki. E noi i kāu kauka inā pono ʻoe i kahi kīponia.

Mai puhi. E noi i kāu mea nāna e hāʻawi i ke kōkua no ka haʻalele inā pono ʻoe. Mai ʻae i kekahi e puhi i kou home.

E hoʻāʻo e noho kaʻawale i nā kūlana pilikia. Inā kaumaha ʻoe i nā manawa āpau a kaumaha kaumaha loa paha, e kamaʻilio me kāu mea hāʻawi.

Inā kaumaha a kaumaha paha ʻoe i kekahi manawa, e kamaʻilio i ka ʻohana a i ʻole nā ​​hoaaloha e pili ana i kēia. E nīnau i kāu mea hāʻawi e pili ana i ka ʻimi ʻana i ke kōkua ʻoihana.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe:

• Nā pilikia i ka lawe ʻana i nā lāʻau no ka spasms muscle
• Nā pilikia e neʻe ana i kou mau ami (hoʻohui kuʻina)
• ʻO nā pilikia e neʻe a puni ana paha i kou wahi moe a noho paha
• ʻEha ʻula a ʻulaʻula paha
• ʻEha e ʻinoʻino ana
• Heleleʻi hou
• ʻO ke kuke a ʻū paha i ka wā e ʻai ana
• Nā ʻōuli o ka maʻi o ka maʻi ʻaʻai (fever, Burning when you urination, or pinepine urination)

Kāhea iā 911 a i ʻole ka helu kūloko kūloko inā ulu a hōʻano paha nā mea hou aʻe:

• Numbness a nāwaliwali paha o ka maka, ka lima, a me ka wāwae
• Blurry a hoʻoliʻiliʻi paha ka hihiʻo
• ʻAʻole hiki ke ʻōlelo a hoʻomaopopo paha
• Puʻupuʻu, nalo o ke kaulike, a hāʻule paha
• ʻEha poʻo poʻo

Maʻi Cerebrovascular - hoʻokuʻu; CVA - hoʻokuʻu; Infarction cerebral - hoʻokuʻu; Cerebral hemorrhage - hoʻokuʻu; Paʻi Ischemic - hoʻokuʻu; Pā - ischemic - hoʻokuʻu; Pākuʻi i ke kula kiʻekiʻe a i ka atrial fibrillation - hoʻokuʻu; Pāʻi Cardioembolic - hoʻokuʻu; Kahe ʻana o ka lolo - hoʻokuʻu; Hemorrhage lolo - hoʻokuʻu; Pā - hemorrhagic - hoʻokuʻu; Maʻi maʻi hemorrhagic cerebrovascular - hoʻokuʻu; ʻO ka ulia Cerebrovascular - hoʻokuʻu

• Hemorrhage intracerebral

ʻO Dobkin BH. ʻO ka hoʻoponopono hou ʻana a me ka hoʻōla hou ʻana o ka mea maʻi me ka maʻi hahau. I: Grotta JC, Albers GW, Broderick JP, et al, eds. ʻOhana: Pathophysiology, Diagnosis, a me Management. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2016: chap 58.

Kernan WN, Ovbiagele B, Black HR, et al. Nā ʻōkuhi no ka pale ʻana i ka hahau i nā mea maʻi me ka hahau a me ka hoʻouka ischemic kuikawa: he alakaʻi no nā ʻoihana mālama ola mai ka American Heart Association / American Stroke Association. Hahau. 2014; 45 (7): 2160-2236. PMID: 24788967 pubmed.ncbi.nlm.nih.gov/24788967/.

Nā Kula Nui o ke Aupuni. National Institute of Neurological Disorder a me ka pūnaewele Stroke. Pepa ʻoiaʻiʻo rehabilitation post-stroke. www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Post-Stroke-Rehabilitation-Fact-Sheet. Hoʻohou ʻia Mei 13, 2020. Loaʻa iā Nowemapa 5, 2020.

Winstein CJ, Stein J, Arena R, et al. Nā ʻōkuhi no ka hoʻoponopono hou ʻana o ka ʻōpuna makua a me kahi ola hou: kahi alakaʻi no nā ʻoihana ola kino mai ka American Heart Association / American Stroke Association. Hahau. 2016; 47 (6): e98-e169. PMID: 27145936 pubmed.ncbi.nlm.nih.gov/27145936/.

• Hoʻoponopono ka lolo aneurysm
• ʻOki kino o ka lolo
• ʻOki kino o Carotid artery - hāmama
• Nā pae kolesterol kiʻekiʻe
• Loaʻa hou ma hope o ka hahau
• Hahau
• Nā ʻōlelo aʻoaʻo pehea e haʻalele ai i ka puhipaka
• Hoʻouka ischemic kuikawa

• Nā mea kāohi ACE
• Nā lāʻau Antiplatelet - nā mea kūpaka P2Y12
• ʻO ka aspirin a me ka maʻi puʻuwai
• Ka palekana i ka lumipaku no nā mākua
• ʻOki kino o ka lolo - hoʻokuʻu
• ʻO ka pata, ka margarine, a me nā aila kuke
• Ke mālama nei i ka spasticity muscle a i ʻole nā ​​spasms
• ʻO Cholesterol a me ka nohona
• Cholesterol - lāʻau lapaʻau
• Ke kamaʻilio nei me kekahi me ka aphasia
• Ke kamaʻilio nei me kekahi me ka maʻi disarthria
• Constipation - mālama pono iā ʻoe iho
• Constipation - he aha e nīnau aku ai i kāu kauka
• Ke kaohi nei i kou kiʻekiʻe o ke koko
• Polokalamu mālama ʻōpū i kēlā me kēia lā
• Dementia a me ka hoʻokele
• Dementia - nā pilikia a me nā pilikia hiamoe
• Dementia - mālama i kēlā me kēia lā
• Dementia - mālama palekana i ka home
• Dementia - he aha e nīnau aku ai i kāu kauka
• Ua wehewehe ʻia nā momona momona
• ʻLelo aʻoaʻo ʻai wikiwiki
• Tube hānai Gastrostomy - bolus
• Paipu hānai Jejunostomy
• Hoʻomaʻamaʻa Kegel - mālama pono iā ʻoe iho
• Papaʻai paʻakai haʻahaʻa
• Papaʻai Mediterranean
• ʻO ka ulcer pressure - ka mea e nīnau ai i kāu kauka
• Pāleʻa ka pale ʻana
• Ke pale nei i ka hāʻule - he aha e nīnau aku ai i kāu kauka
• Kāohi ʻana i nā ulia puʻe
• ʻO ka catheterization ponoʻī - wahine
• ʻO ka catheterization ponoʻī - kāne
• Mālama pōpoki Suprapubic
• Pilikia i nā pilikia
• Nā ʻeke hoʻokahe mimi
• Ke loaʻa ʻoe i ka incontinence urinary

• ʻO ka hahau hemorrhagic
• ʻO Stroke Ischemic
• Hahau