ʻO COPD lapalapa ahi

Hiki ke hōʻino koke nā maʻi maʻi pulmonary obstructive. Hiki paha iā ʻoe ke paʻakikī ke hanu. Hiki paha iā ʻoe ke kō a ʻuwī hou a hana i ka phlegm hou aʻe. Hiki paha iā ʻoe ke hopohopo a pilikia i ka hiamoe a hana ʻana paha i kāu hana i kēlā me kēia lā. Kapa ʻia kēia pilikia he maʻi pulmonary obstructive maʻi (COPD) exacerbation, a i ʻole COPD flare-up.

ʻO kekahi mau maʻi, ke anu, a me nā maʻi lolo mai nā virus a i ʻole nā ​​koʻohune hiki ke alakaʻi ʻia i ke ahi. Hiki i nā kumu ʻē aʻe ke:

• Ma kahi o ka uahi a i ʻole nā ​​mea haumia ʻē aʻe
• Hoʻololi ke anilā
• Ke hana nei i nā hana he nui loa
• Ke holo nei i lalo
• Kuhi a hopohopo paha

Hiki iā ʻoe ke hoʻokele pinepine i ka lapalapa ahi me nā lāʻau a me ka mālama pono iā ʻoe iho. E hana pū me kāu mea mālama ola ma kahi hoʻolālā hana no nā exacerbations COPD i ʻike ʻoe i ka mea e hana ai.

E ʻike i kāu mau hōʻailona COPD maʻamau, nā ʻano hiamoe, a ke loaʻa iā ʻoe kahi lā maikaʻi a maikaʻi ʻole paha. Hiki i kēia ke kōkua iā ʻoe e aʻo i ka ʻokoʻa ma waena o kāu COPD mau hōʻailona maʻamau a me nā hōʻailona o ka lapalapa ahi.

ʻO nā hōʻailona o ka lapalapa COPD i nā lā 2 i hala a ʻoi aku a ʻoi aku ka ikaika ma mua o kāu mau ʻōuli maʻamau. Hele a mānoanoa nā ʻōuli a mai hele wale aku. Inā loaʻa iā ʻoe kahi exacerbation puhi piha, pono paha ʻoe e hele i ka haukapila.

ʻO nā hōʻailona mua e pili pū me:

• Hoʻopilikia i ka hopu ʻana i kou hanu
• Hū ka walaʻau, ke kani ʻana o ka hanu
• Coughing, i kekahi manawa me ka nui o ka mucus ma mua o ka maʻamau a i ʻole ka loli o ke kala o kou mau momona

ʻO nā hōʻailona ʻē aʻe o ka lapalapa ahi e hoʻopili pū me:

• ʻAʻole hiki ke hanu hohonu
• Hilikia hiamoe
• Poʻo poʻo poʻo kakahiaka
• Abdominal eha
• Hopohopo
• ʻO ka pehu ʻana o nā kuʻekuʻe wāwae a i ʻole nā ​​wāwae
• ʻ Grayhinahina a ʻili ʻili
• Nā lehelehe polū a poni paha a i ʻole nā ​​ʻōlelo aʻoaʻo kui
• Pilikia i ka ʻōlelo ʻana i nā paukū piha

I ka hōʻailona mua o kahi lapalapa:

• MAI hopohopo. Hiki paha iā ʻoe ke mālama i nā ʻōuli mai ke hele a maikaʻi ʻole.
• E lawe i nā lāʻau e like me ke kuhikuhi ʻana i nā uila. Hoʻopili paha kēia i nā inhalers hōʻoluʻolu wikiwiki, nā steroid a antibiotics paha āu e lawe ai ma ka waha, nā lāʻau anti-hopohopo, a i ʻole nā ​​lāʻau lapaʻau ma o kahi nebulizer.
• Lawe i nā lāʻau ʻaloʻalo e like me ke kuhikuhi inā kuhikuhi ʻia kāu mea lawelawe.
• E hoʻohana i ka oxygen inā kauoha ʻia.
• E hoʻohana i ka lepe ʻana o ka lehelehe e mālama i ka ikehu, e hoʻolohi i kou hanu ʻana, a kōkua iā ʻoe e hoʻomaha
• Inā ʻaʻole maikaʻi kāu mau hōʻailona ma waena o 48 mau hola, a i ʻole hoʻomau ʻoi aku ka maikaʻi o kāu mau hōʻailona, ​​kāhea i kāu mea lawelawe a i ʻole hele i ka haukapila.

Inā he COPD kāu:

• Kāohi i ka puhi ʻana a pale i ka uahi lua. ʻO ka pale ʻana i ka uahi ke ala ʻoi loa e hōʻemi i ka hōʻino ʻana i kāu mau māmā. E noi i kāu mea hoʻolako e pili ana i nā papahana kū puhi puhi a me nā koho ʻē aʻe, e like me ka nicotine-replacement therapy.
• Lawe i kāu lāʻau e like me ke kuhikuhi.
• E noi i kāu mea hāʻawi e pili ana i ka hoʻoponopono pulmonary. Aia kēia papahana i ka hoʻoikaika kino, ka hanu ʻana, a me nā ʻōlelo aʻoaʻo pono.
• E ʻike i kāu mea hoʻolako i 1 i 2 mau manawa i kēlā me kēia makahiki no ka loiloi, a i ʻoi aku pinepine inā kuhikuhi ʻia.
• E hoʻohana i ka oxygen inā paipai kāu mea hāʻawi iā ia.

Hōʻalo i nā anu a me ka maʻi palupalu, pono ʻoe:

• Noho kaawale i ka poʻe me ke anu.
• E holoi pinepine i kou mau lima. Lawe i ka mea hoʻomaʻemaʻe lima no nā manawa ke hiki ʻole iā ʻoe ke holoi i kou mau lima.
• E kiʻi i kāu mau lāʻau āpau āpau i koi ʻia, me kahi pū kī pūlū i kēlā me kēia makahiki.
• Pale i ke ea anuanu loa.
• E mālama i nā mea haumia ea, e like me ka uahi kapuahi a me ka lepo, mai kou home.

E ola i kahi nohona olakino:

• Noho paʻa e like me ka hiki. E hoʻāʻo i nā hele wāwae pōkole a me ka hoʻomaʻamaʻa māmā. E kamaʻilio me kāu mea hoʻolako e pili ana i nā ala e loaʻa ai ka hoʻoikaika kino.
• E hoʻomaha pinepine i ka lā. E hoʻomaha ma waena o nā hana o kēlā me kēia lā e mālama i kou ikehu a hāʻawi i kou manawa māmā e ola hou.
• ʻAi i kahi papaʻai olakino momona i nā protein protein, iʻa, nā huaʻai, a me nā mea kanu. E ʻai i nā mea ʻai liʻiliʻi i ka lā.
• Mai inu i nā wai me nā meaʻai. E mālama kēia iā ʻoe mai ka piha piha. Akā, e nānā pono e inu i nā wai i nā manawa ʻē aʻe e mālama ʻole i ka maloʻo.

Ma hope o ka hahai ʻana i kāu hoʻolālā hana COPD, e kāhea i kāu mea hāʻawi inā kū mau kou hanu:

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

Kāhea pū i kāu mea hāʻawi inā:

• Pono ʻoe e hilinaʻi i mua ke noho ʻoe i mea e hanu maʻalahi ai
• Ke hoʻohana nei ʻoe i nā mākala a puni kou mau iwi ʻaoʻao e kōkua iā ʻoe e hanu
• Loaʻa pinepine ʻoe i ka ʻeha poʻo
• Hiamoe a huikau paha ʻoe
• He kuni kou
• Ke ʻeha nei ʻoe i nā mākala ʻeleʻele
• Polū kou mau lehelehe, manamana lima, a me ka ʻili a puni kou mau manamana lima
• He ʻeha kou naʻau a hōʻoluʻolu ʻole paha
• ʻAʻole hiki iā ʻoe ke ʻōlelo i nā ʻōlelo piha

Hoʻonui ka COPD; Hoʻonui i ka maʻi pulmonary obstructive; Emphysema exacerbation; Hoʻonui i ka bronchitis

ʻO Criner GJ, Bourbeau J, Diekemper RL, et al. Kāohiʻana i nā exacerbations koʻikoʻi o COPD: Ke Kulanui ʻAmelika o nā Kauka Lapaʻau ʻAmelika a me ka Kanada Thoracic Society alakaʻi. Umauma. 2015; 147 (4): 894-942. PMID: 25321320 www.ncbi.nlm.nih.gov/pubmed/25321320.

Ka Hoʻomaka Honua no ka maʻi maʻi hānai maʻi maʻi (GOLD) pūnaewele. ʻO ka hoʻolālā honua no ka hōʻoia, hoʻokele, a me ka pale ʻana o COPD: hōʻike ʻo 2019. goldcopd.org/wp-content/uploads/2018/11/GOLD-2019-v1.7-FINAL-14Nov2018-WMS.pdf. Loaʻa iā ʻOkakopa 22, 2019.

Han MK, Lazaro SC. COPD: ka hōʻailona hōʻoia a me ka hoʻokele. 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 44.

• COPD