Pulmonary hypertension - ma ka home

ʻO ke kiʻekiʻe o ka pulmonary hypertension (PAH) he kiʻekiʻe ke koko kiʻekiʻe ma nā aʻa o nā akemāmā. Me PAH, ka ʻaoʻao ʻākau o ka puʻuwai e hana ʻoi aku ka paʻakikī ma mua o ka maʻamau.

Ke hele a māhuahua ka maʻi, pono ʻoe e hana hou e mālama iā ʻoe iho. Pono ʻoe e hoʻololi i kou home a loaʻa i ke kōkua hou a puni ka hale.

E hoʻāʻo e hele wāwae e kūkulu i ka ikaika:

• E nīnau i ke kauka a mea hoʻoponopono paha i ka lōʻihi o ka hele wāwae.
• E hoʻonui mālie i kou hele wāwae.
• E hoʻāʻo e ʻaʻole e kamaʻilio ke hele ʻoe i ʻole ʻoe e hanu.
• Kū inā loaʻa ʻoe i ka ʻeha o ka umauma a poni paha.

E holo i ke keke kaʻa. E noi i kāu kauka a mea hoʻoponopono paha pehea ka lōʻihi a me ka paʻakikī e holo.

E hele a ikaika i kou wā e noho ana:

• E hoʻohana i nā kaupaona liʻiliʻi a i ʻole ka paipu kāpili e hoʻonui ai i kou mau lima a me nā poʻohiwi.
• Kū a noho i lalo i nā manawa he nui.
• E hāpai pololei i kou mau wāwae i mua ou. Paʻa no kekona kekona, a laila hoʻihoʻi iā lākou i lalo i lalo.

ʻO nā ʻōlelo aʻoaʻo ʻē aʻe no ka mālama ponoʻī ʻana:

• E hoʻāʻo e ʻai i 6 mau meaʻai liʻiliʻi i ka lā. ʻOi aku ka maʻalahi o ka hanu ʻana inā ʻaʻole piha kou ʻōpū.
• Mai inu i ka wai he nui ma mua a i ka wā e ʻai ana i kāu pāʻina.
• E noi i kāu kauka i nā meaʻai e ʻai ai i loaʻa ka ikaika.
• Inā puhi ʻoe, ʻo kēia ka manawa e haʻalele ai. E noho mamao aku i nā poʻe puhipaka ke hele ʻoe i waho. Mai ʻae i ka puhipaka i kou home.
• E haʻalele i nā pilau ikaika a me nā uahi.
• E noi i kāu kauka a mea hoʻoponopono paha he aha nā hana hanu e pono ai nāu.
• E lawe i nā lāʻau āpau a kāu kauka i kauoha ai nāu.
• E kamaʻilio me kāu kauka inā kaumaha ʻoe a hopohopo paha.
• E haʻi aku i kāu kauka inā lilo ʻoe i ka puʻupuʻu a i ʻole he nui ka ʻōhū ʻana i kou mau wāwae.

Pono 'oe:

• E kiʻi i ka maʻi flu i kēlā me kēia makahiki. E noi i kāu kauka inā pono ʻoe e loaʻa kahi lāʻau ākea pneumonia.
• E holoi pinepine i kou mau lima. Holoi mau iā lākou ma hope o kou hele ʻana i ka lua a i kahi e pili ana i ka poʻe maʻi.
• E haʻalele i nā lehulehu.
• E noi i nā malihini kipa me ke anu e komo i nā pale, a i ʻole e kipa iā ʻoe ma hope o ka pau ʻana o kā lākou anu.

E maʻalahi iā ʻoe iho ma ka home.

• E hoʻokomo i nā mea āu e hoʻohana pinepine ai i nā wahi kahi āu e pono ai e ʻōlou a kūlou paha e kiʻi iā lākou.
• E hoʻohana i ke kaʻa me nā huila e hoʻoneʻe i nā mea a puni ka hale.
• E hoʻohana i ka mea hiki ke hoʻouka, mea holoi ipu, a me nā mea ʻē aʻe e maʻalahi ai i kāu mau hana.
• E hoʻohana i nā mea hana kuke (nā pahi, nā peel, a me nā ipu hao) ʻaʻole kaumaha.

E mālama i kou ikehu:

• E hoʻohana i nā neʻe mālie a paʻa i ka wā e hana ana ʻoe i nā mea.
• Noho i lalo inā hiki iā ʻoe ke kuke, ʻai, ʻaʻahu, a me ka ʻauʻau.
• E kiʻi i ke kōkua no nā hana ʻoi aku ka paʻakikī.
• Mai hoʻāʻo e hana nui i ka lā hoʻokahi.
• E mālama i ke kelepona me ʻoe a kokoke iā ʻoe.
• E hoʻopili iā ʻoe iho i kahi kāwele ma mua o ka maloʻo.
• E hoʻāʻo e hōʻemi i ke koʻikoʻi i kou ola.

I ka haukapila, ua loaʻa iā ʻoe ka lāʻau o oxygen. Pono paha ʻoe e hoʻohana i ka oxygen ma ka home. Mai hoʻololi i ka kahe o ka oxygen e kahe ana me ka noi ʻole ʻana i kāu kauka.

Loaʻa i kahi lako kope o ka oxygen ma ka home a i ʻole me ʻoe ke hele ʻoe i waho. E mālama i ka helu kelepona o kāu mea hoʻolako oxygen me ʻoe i nā manawa āpau. E aʻo pehea e hoʻohana palekana ai i ka oxygen ma ka home.

Inā hōʻoia ʻoe i kāu oxygen me kahi oximeter ma ka home a hāʻule pinepine kāu helu ma lalo o 90%, e kāhea i kāu kauka.

E noi paha kāu kauka olakino iā ʻoe e kipa hou aku me:

• ʻO kāu kauka mālama mua
• Kou kauka kauka (pulmonologist) a i ʻole kou kauka puʻuwai (cardiologist)
• ʻO kekahi e hiki ke kōkua iā ʻoe e hōʻoki i ka puhi ʻana, ke puhi ʻoe

Kāhea i kāu kauka inā kou hanu ʻana:

• Ke paʻakikī nei
• ʻOi aku ka wikiwiki ma mua o ka wā ma mua
• Pāpaʻu, a i ʻole hiki ʻole iā ʻoe ke hanu hohonu

Kāhea pū i kāu kauka inā:

• Pono ʻoe e hilinaʻi i mua ke noho, e hanu hou aku
• Hiamoe a huikau paha ʻoe
• He kuni kou
• Polū kou manamana lima, a i ʻole ka ʻili a puni kou mau manamana lima
• Pīhoihoi ʻoe, hele i waho (syncope), a i ʻole ʻeha ka umauma
• Ua hoʻonui ʻoe i ka pehu ʻana o ka wāwae

Pulmonary hypertension - mālama pilikino; Hana - hypertension pulmonary; Kāohiʻana i nā maʻi - hypertension pulmonary; Oxygen - hypertension pulmonary

• ʻO ke kiʻekiʻe o ka pulmonary hypertension

ʻO Chin K, Channick RN. Hypertension pulmonary. 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 58.

McLaughlin VV, Humbert M. Pulmonary hypertension. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 85.