ʻUhihi

ʻO Wheezing kahi kani kani leo kiʻekiʻe i ka manawa e hanu ai. Hiki ia i ka wā e neʻe ai ka ea ma o nā puhi hanu liʻiliʻi i nā akemāmā.

ʻO Wheezing kahi hōʻailona e loaʻa paha i kahi kanaka nā pilikia hanu. ʻIke maopopo loa ke kani o ke kani i ka hanu ʻana (hemo. Lohe pū ʻia paha i ka hanu ʻana o (hanu).

ʻO ka wīwī pinepine mai nā paona hanu liʻiliʻi (nā paipu bronchial) hohonu i loko o nā akemāmā. Akā ma muli paha o kahi paʻa i nā alaloa nui a i ʻole i ka poʻe me kekahi mau pilikia kani leo.

Hiki i nā kumu o ke kaniʻuhū ke hoʻopili i kekahi o kēia mau mea:

• Asthma
• E hanu nei i kahi mea haole i nā ala ea i nā akemāmā
• Ka hōʻino a me ka hoʻonui ʻana o nā ala nui i nā akemāmā (bronchiectasis)
• ʻO ka huʻihuʻi a me ka muus i nā ala ea liʻiliʻi loa i nā akemāmā (bronchiolitis)
• ʻO ka huʻihuʻi a me ka momona i nā ala nui e halihali i ka ea i nā akemāmā (bronchitis)
• ʻO COPD, keu pū kekahi inā loaʻa kahi maʻi hanu
• ʻO ka maʻi reflux acid
• Puʻuwai puʻuwai (hika naʻau)
• ʻIngpala huhū e hiki ai i kahi hopena maʻi ʻaʻa
• Nā lāʻau lapaʻau (no ka aspirin)
• ʻO ka maʻi o nā māmā (pneumonia)
• Puhipaka
• ʻO ka maʻi viral, keu hoʻi i nā pēpē i ʻōpio ma mua o 2 mau makahiki

E lawe i kāu mau lāʻau āpau e like me ke kuhikuhi.

Noho ka wahi i kahi kahi pulu, wela paha ka ea i mea e kōkua ai e hoʻopakele i kekahi mau hōʻailona. Hiki ke hana i kēia ma ka holo ʻana i kahi ʻauʻau wela a hoʻohana paha i kahi vaporizer.

Kāhea i kāu kahu mālama ola inā wheezing:

• Hana ʻia no ka manawa mua
• Hana ʻia me ka pōkole nui o ka hanu, ʻili bluish, huikau, a i ʻole hoʻololi i ke ʻano noʻonoʻo
• Ke hoʻomau nei me ka wehewehe ʻole
• Hana ʻia e ka hopena maʻi ʻaʻai i kahi nahu a lāʻau paha

Inā koʻikoʻi ka wheezing a i ʻole hiki i ka hanu nui, pono ʻoe e hele pololei i kahi ʻoihana pōpilikia kokoke loa.

E hana ka mea hāʻawi i kahi hoʻokolohua kino a nīnau e pili ana i kāu mōʻaukala a me nā ʻōuli. Hiki i nā nīnau e pili ana i kāu huehue ke hoʻopili i ka wā i hoʻomaka ai, pehea ka lōʻihi o ka lōʻihi, ke ʻoi aku ka maikaʻi, a he aha ka mea i kumu ai.

Hoʻokomo pū paha ka hoʻokolohua kino i ka hoʻolohe ʻana i nā kani māmā (auscultation). Inā loaʻa kāu ʻōuli i kāu keiki, e ʻike pono ka mea hāʻawi ʻaʻole i ale kāu keiki i kahi mea haole.

ʻO nā hoʻāʻo e hana ʻia ana paha:

• Ka hana koko, malia paha me nā kinoea arterial koko
• Pākuʻi x-ray
• Nā hoʻāʻo hana lung

Pono paha kahi noho haukapila inā:

• He paʻakikī ka hanu ʻana
• Pono e hāʻawi ʻia nā lāʻau i loko o ke aa (IV)
• Koi ʻia ka oxygen hoʻonui
• Pono e nānā pono ke kanaka e nā limahana olakino

Sibilant rhonchi; Wheezing hānō; Wheezing - bronchiectasis; Wheezing - bronchiolitis; Wheezing - bronchitis; Wheezing - COPD; Wheezing - maikaʻi ʻole ka puʻuwai

• Asthma a me ke kula
• Asthma - kaohi lāʻau
• Asthma - nā lāʻau hoʻōla wikiwiki
• ʻO ka bronchoconstrict i hoʻokomo ʻia e ka hoʻoikaika kino
• Pehea e hoʻohana ai i kahi nebulizer

• Lungs

ʻO Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Wheezing, bronchiolitis, a me bronchitis. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 418.

Woodruff PG, Bhakta NR, Fahy JV. Asthma: pathogenesis a me nā phenotypes. 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 41.