ʻApu ʻana i ke koko

ʻO ka ʻānai ʻana i ke koko ka kuha ʻana o ke koko a i ʻole ka mucus koko mai nā akemāmā a me ka puʻu (respiratory tract).

ʻO Hemoptysis ka manawa olakino no ka huʻi ʻana i ke koko mai ka hanu hanu.

ʻAʻole like ka ʻoki ʻana i ke koko me ke kahe ʻana o ka waha mai ka waha, ka ʻāʻī, a i ʻole ka gastrointestinal tract.

ʻO ke kōkō e piʻi mai me ka puʻu ke nānā pinepine ʻo ia no ka mea ua hui ʻia me ka ea a me nā mākala. ʻOʻulaʻula ʻulaʻula pinepine ia, ʻoiai he ʻino ke kala. I kekahi manawa loaʻa nā kōkō i ke koko i ka mucus.

Aia ka nānā i ka mea e pilikia ai. Hana maikaʻi ka hapanui o ka poʻe me ka mālama ʻana e mālama i nā ʻōuli a me nā maʻi kumu. Make paha nā kānaka me ka hemoptysis koʻikoʻi.

ʻO nā ʻano o nā kūlana, nā maʻi, a me nā hoʻokolohua olakino e hoʻohoka iā ʻoe i ke koko. Pākuʻi ʻia kēia mau mea:

• Koko koko i ka hāhā
• Ka hanu ʻana i ka meaʻai a i ʻole nā ​​mea ʻē aʻe i loko o nā māmā (aspiration pulmonary)
• ʻO Bronchoscopy me ka biopsy
• ʻO Bronchiectasis
• ʻO Bronchitis
• Kanesa maʻi ʻaʻai
• ʻO Cystic fibrosis
• ʻO ka hoʻohaunaele o nā kīʻaha koko i ka hāhā (vasculitis)
• Hoʻopilikia i nā aʻa o nā akemāmā
• ʻO ka huhū o ka ʻāʻī mai ka uha ikaika (nā liʻiliʻi o ke koko)
• Poniaonia a i ʻole nā ​​maʻi maʻi ʻē aʻe
• Edema pulmonary
• ʻO ka lupus erythematosus ʻōnaehana
• Maʻi puʻu
• ʻO ke koko lahilahi loa (mai ke koko e hoʻomā lahilahi ana i nā lāʻau, ʻo ka mea pinepine pinepine ʻia ma mua o nā pae i ʻōlelo ʻia)

Hiki ke kōkua i nā lāʻau e hoōki i ka hikohō (nā mea hoʻowalewale kahe) inā hele mai ka pilikia mai ka uha kaumaha. Hiki i kēia mau lāʻau ke alakaʻi i nā poloka ala, no laila e nānā me kāu mea mālama ola ma mua o ka hoʻohana ʻana iā lākou.

E mālama i ka lōʻihi o kou uha ʻana i ke koko, a me ka nui o ke koko i hui ʻia me ka mucus. Kāhea i kāu mea hoʻolako i kēlā me kēia manawa ke kūkae ʻoe i ke koko, ʻoiai inā ʻaʻohe ou mau hōʻailona ʻē aʻe.

E kiʻi koke i ke kōkua lapaʻau inā ʻeha ʻoe i ke koko a loaʻa iā:

• ʻO kahi puʻu e hua mai i kahi mau teaspoon o ke koko
• ʻO ke koko i loko o kāu mimi a i ʻole nā ​​noho
• ʻEha ʻeha
• Puʻupuʻu
• Fiva
• ʻĀlohilohi
• Ka nui o ka hanu

I kahi ulia pōpilikia, e hāʻawi kāu mea lawelawe iā ʻoe i nā mālama e mālama ai i kou ʻano. E nīnau nā mea hāʻawi iā ʻoe e pili ana i kou puʻu, e like me:

• Ehia ke koko āu e ʻeha nei? Ke kuʻi nei ʻoe i ke koko he nui i ka manawa?
• Loaʻa iā ʻoe kahi mucus kolo koko (phlegm)?
• Ehia mau manawa āu i ʻoki ai i ke koko a ʻehia ka manawa?
• Pehea ka lōʻihi o ka hana ʻana? ʻOi aku ka maikaʻi ma kekahi mau manawa e like me ka pō?
• He aha nā hōʻailona ʻē aʻe āu?

E hana ka mea hāʻawi i kahi hoʻokolohua kino piha a nānā i kou umauma a me kou mau māmā. ʻO nā hoʻāʻo e hana ʻia ana paha:

• ʻO Bronchoscopy, kahi hoʻāʻo e ʻike i nā alaloa
• Scanner CT pahu
• Pākuʻi x-ray
• Helu piha koko
• ʻO Biopsy Lung
• Mānā paru
• Pulmonary arteriography
• ʻO ka moʻomeheu Sputum a me ka hamo
• Hōʻike e ʻike inā pili ke koko i ka maʻamau, e like me PT a PTT paha

Hemoptysis; Kuha ana i ke koko; Kaha koko

ʻO Brown CA. Hemoptysis. 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 21.

Swartz MH. Ka umauma. I: Swartz MH, ed. Puke aʻo o ʻike kino. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2014: chap 10.