Hyperventilation

ʻO ka hanu wikiwiki a me ka hanu hohonu. Kāhea ʻia ia ʻo overbreathing, a haʻalele paha ia iā ʻoe me ka hanu ʻole.

Hanu ʻoe i ka oxygen a hanu i ke kalapona kalapona. Hoʻokumu ka hanu nui i kahi pae haʻahaʻa o carbon dioxide i loko o kou koko. ʻO kēia ke kumu o nā ʻōuli he nui o ka hyperventilation.

Hiki iā ʻoe ke hyperventilate mai kahi kumu noʻonoʻo e like me ka wā o ka weliweli weliweli. A i ʻole, hiki ma muli o kahi pilikia olakino, e like me ke kahe ʻana o ke kahe a i ʻole ka maʻi.

E hoʻoholo kāu mea mālama ola i ke kumu o kāu hyperventilation. ʻO ka hanu wikiwiki paha he pilikia olakino a pono ʻoe e mālama, ke ʻole ʻoe i loaʻa i kēia ma mua a ua haʻi aku kāu mea lawelawe iā ʻoe hiki iā ʻoe ke mālama iā ʻoe iho.

Inā pinepine ʻoe i ka hanu, loaʻa paha iā ʻoe kahi pilikia olakino i kapa ʻia ʻo hyperventilation syndrome.

Ke keu nui nei ʻoe, ʻaʻole paha ʻoe e noʻonoʻo ke hanu nei ʻoe a me ka hohonu. Akā e ʻike paha ʻoe i nā ʻōuli ʻē aʻe, e like me:

• Mālamalama ka manaʻo, ʻōpua, nāwaliwali, a i ʻole hiki ʻole ke noʻonoʻo pololei
• Ke manaʻo nei inā ʻaʻole hiki iā ʻoe ke hopu i kou hanu
• ʻO ka ʻeha o ka umauma a i ʻole ka wikiwiki a me ke kuʻi ʻana o ka puʻuwai
• Belching a bloating paha
• Waha maloo
• Pā kaʻiʻo i nā lima a me nā wāwae
• Numbness a me ke kani i nā lima a i ʻole ka waha
• Pilikia hiamoe

Nā kumu pili i ka naʻau:

• Ka pīhoihoi a me ka makaʻu
• Hoʻouka weliweli
• Nā kūlana kahi i loaʻa kahi pono psychological i ka loaʻa koke ʻana o kahi maʻi hōʻeha (ʻo kahi laʻana, maʻi somatization)
• Kaumaha

Nā kumu olakino e:

• Kahena
• Pilikia puʻuwai e like me ka puʻuwai puʻuwai a i ʻole ka puʻuwai puʻuwai
• Nā lāʻau (e like me ka aspirin overdose)
• ʻO ka maʻi e like me ka niumonia a sepsis paha
• Ketoacidosis a me nā ʻano olakino like
• ʻO ka maʻi leha e like me ka hānō, COPD, a i ʻole embolism pulmonary
• Hapai keiki
• ʻEha nui
• Nā lāʻau hoʻōla

E nānā ana kāu mea hāʻawi iā ʻoe no nā kumu ʻē aʻe o kou hoʻonui nui ʻana.

Inā ua haʻi kāu mea lawelawe i kāu hyperventilation ma muli o ka hopohopo, stress, a panic paha, aia kekahi mau ʻanuʻu hiki iā ʻoe ke lawe ma ka home. Hiki iā ʻoe, kou mau hoaaloha, a me kou ʻohana ke aʻo i nā hana e hōʻoki iā ia mai ka hana ʻana a pale i nā hoʻouka kaua e hiki mai ana.

Inā ʻoe e hoʻomaka i ka hyperventilating, ʻo ka pahuhopu ke hāpai i ke kiʻekiʻe o ke kalapona i loko o kou koko. E pau kēia i kāu mau hōʻailona. ʻO nā ala e hana ai i kēia:

1. E kiʻi i ka hōʻoluʻolu mai kahi hoaaloha a ʻohana paha e kōkua i ka hoʻomaha ʻana i kou hanu ʻana. ʻO nā huaʻōlelo e like me "ke hana maikaʻi nei ʻoe," "ʻaʻole ʻoe puʻuwai puʻuwai," a "ʻaʻole ʻoe e make" he mea kōkua nui ia. He mea nui ia e noho mālie ke kanaka a hoʻohana i kahi leo palupalu, hoʻomaha.
2. I mea e pakele ai i ke kalapona, aʻo e hana i ka hanu lip. Hana ʻia kēia e ka ʻūlū ʻana i kou mau lehelehe me he mea lā e puhi ana ʻoe i kahi ihoiho, a laila e hanu mālie ana i kou mau lehelehe.

Ma kahi o ka wā lōʻihi, nā hana e kōkua iā ʻoe e hōʻoki i ka hoʻoulu nui ʻana:

1. Inā ua hōʻoia ʻia ʻoe me ka hopohopo a hopohopo paha, e ʻike i kahi loea olakino noʻonoʻo e kōkua iā ʻoe e hoʻomaopopo a mālama i kāu ʻano.
2. E aʻo i nā hana hanu e kōkua iā ʻoe e hoʻomaha a hanu mai kāu diaphragm a me kou ʻōpū, ma mua o kou paia umauma.
3. Hoʻomaʻamaʻa i nā hana hōʻoluʻolu, e like me ka hoʻomaha ʻana i nā mākala holomua a i ʻole ka noʻonoʻo ʻana.
4. Hoʻomaʻamaʻa pinepine.

Inā ʻaʻole pale kēia mau hana i ka overbreathing, hiki i kāu mea hāʻawi ke paipai i ka lāʻau.

Kāhea i kāu mea hāʻawi inā:

• Ke hanu wikiwiki nei ʻoe no ka manawa mua. He pilikia olakino kēia a pono ʻoe e lawe koke ʻia i ka lumi pilikia.
• Ke ʻeha nei ʻoe, he kuni, a ke kahe nei ke kahe.
• Ke hoʻomau a mahuahua paha kou hyperventilation, ʻoiai me ka mālama ʻana i ka home.
• He mau hōʻailona ʻē aʻe kāu.

E hana ana kāu mea hāʻawi i kahi hoʻokolohua kino a nīnau e pili ana i kāu mau hōʻailona.

E nānā pū ʻia kou hanu. Inā ʻaʻole ʻoe hanu wikiwiki i kēlā manawa, hoʻāʻo ka mea hāʻawi e hana i ka hyperventilation ma ka haʻi ʻana iā ʻoe e hanu i kekahi ala. E nānā ka mea hāʻawi i kou hanu ʻana a nānā i nā mākala āu e hoʻohana nei i ka hanu.

ʻO nā hoʻokolohua i kauoha ʻia e komo pū:

• Nā hoʻokolohua koko no nā pae oxygen a me carbon dioxide i loko o kou koko
• Scanner CT pahu
• ECG e nānā i kou puʻuwai
• Ventilation / perfusion scan o kou mau māmā e ana i ka hanu a me ka hāpuni holo
• X-kukuna o ka umauma

Hanu hohonu wikiwiki; Ka hanuʻana - wikiwiki a hohonu; Hoʻoikaika nui; Hanu hohonu wikiwiki; Ka helu hanu - wikiwiki a hohonu; Maʻi maʻi Hyperventilation; Hoʻoweliweli weliweli - hyperventilation; Ka pīhoihoi - hyperventilation

Braithwaite SA, Perina D. Dyspnea. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 22.

Schwartzstein RM, Adams L. Dyspnea. 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 29.