Paʻa hanu - moe i lalo

ʻO ka pilikia o ka hanu ʻana i ka wā e moe ana i lalo kahi maʻi maʻamau kahi e pilikia ai ka hanu ʻana o ke kanaka ke moe maʻamau. Pono e hāpai i ke poʻo e ka noho ʻana a i ʻole ke kū ʻana i hiki i ka hanu hohonu a ʻoluʻolu paha.

ʻO kahi ʻano o ka hanu paʻakikī ke moe nei i lalo ʻo paroxysmal nocturnal dyspnea. Kuhi kēia ʻano i ke kanaka e ala koke i ka pō me ka hanu ʻole.

He hoʻopiʻi maʻamau kēia i nā poʻe me kekahi ʻano o ka puʻuwai a i ʻole nā ​​pilikia o ka mumū. I kekahi manawa maalea ka pilikia. ʻIke paha ka poʻe iā ia ke ʻike lākou he ʻoluʻolu ka hiamoe me nā uluna he nui ma lalo o ko lākou poʻo, a i ʻole ko lākou poʻo i kahi kūlana propped-up.

Nā kumu e komo pū paha:

• ʻO ka maʻi pulmonary obstructive maʻi (COPD)
• Cor pulmonale
• Hewa puʻuwai
• ʻO Obesity (ʻaʻole ia e kumu i ka hanu paʻakikī i ka wā e moe ana i lalo akā ʻoi aku ka ʻino o nā kūlana ʻē aʻe e alakaʻi iā ia)
• Maʻi hōʻeha
• ʻAlena moe
• ʻŪhū

Hiki i kāu kauka olakino ke ʻōlelo i nā ana mālama pilikino. ʻO kahi laʻana, manaʻo ʻia paha ka pohō kaumaha inā ʻoe he momona.

Inā he paʻakikī paʻakikī ʻole kāu i ka hanu ʻana i ka wā e moe ana i lalo, e kāhea i kāu mea hāʻawi.

E hana ka mea hāʻawi i kahi hoʻokolohua kino a nīnau i nā nīnau e pili ana i ka pilikia.

Hiki i nā nīnau ke komo pū me:

• Ua ulu a lohi paha kēia pilikia?
• Ke hele nei i ka maikaʻi (holomua)?
• Pehea kona ʻino?
• Ehia mau uluna āu e pono ai e kōkua iā ʻoe e hanu ʻoluʻolu?
• Aia kekahi kuʻekuʻe wāwae, ka wāwae, a me ka pehi wāwae paha?
• He paʻakikī paha kāu e hanu i nā manawa ʻē aʻe?
• Pehea kou lōʻihi? Ehia kou mau kaupaona? Ua loli paha kou kaumaha i kēia manawa?
• He aha nā hōʻailona ʻē aʻe āu?

E hoʻopili ka hoʻāʻo kino i ka nānā nui i ka puʻuwai a me nā māmā (nā ʻōnaehana cardiovascular a me nā hanu).

Nā hoʻokolohua e hana ʻia ai paha e komo i kēia mau mea:

• Pākuʻi x-ray
• ECG
• ʻEchocardiogram
• Nā hoʻāʻo hana pulmonary

Pili ka mālama ʻana i ke kumu o ka pilikia hanu.

Pono paha ʻoe e hoʻohana i ka oxygen.

Ala i ka pō pōkole o ka hanu; Paroxysmal nocturnal dyspnea; PND; Hanu paʻakikī i ka moe ʻana i lalo; Orthopnea; Puʻuwai puʻuwai - orthopnea

• Ka hanu ʻana

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.

ʻO Davis JL, Murray JF. Mōʻaukala a me ka hoʻokolokolo kino. 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 16.

Januzzi JL, Mann DL. Hele i ka mea maʻi me ka puʻuwai puʻuwai. I: Zipes DP, Libby P, Bonow RO, Mann DL, et al. nā ʻaoʻao ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 21.

O'Connor CM, Rogers JG. Hōʻino puʻuwai: pathophysiology a me kahi hōʻailona. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 58.