He aha kāu e ʻike ai e pili ana i ka Bibasilar Crackles
Anter
- He aha nā haʻihaʻi bibasilar?
- He aha nā hōʻailona e hiki ke hana me nā māwae bibasilar?
- He aha nā kumu o nā māwae bibasilar?
- Pulumonia
- ʻO Bronchitis
- Edema pulmonary
- Maʻi maʻi Interstitial
- Nā kumu hou aʻe
- Ke hōʻike nei i ke kumu o nā māwae bibasilar
- Ke mālama nei i ke kumu o nā māwae bibasilar
- Nā hoʻoponopono ʻē aʻe
- He aha nā mea weliweli?
- He aha ka kuanaʻike?
- Kāohi ʻana i nā māwae bibasilar
Hoʻopili mākou i nā huahana a mākou e manaʻo nei he pono no kā mākou poʻe heluhelu. Inā kūʻai ʻoe ma o nā loulou i kēia ʻaoʻao, loaʻa iā mākou kahi kōmike liʻiliʻi. Eia kā mākou hana.
He aha nā haʻihaʻi bibasilar?
Ua noʻonoʻo paha ʻoe i ka mea a kāu kauka e hoʻolohe nei ke kau ʻo ia i kahi stethoscope i kou kua a ʻōlelo iā ʻoe e hanu? Ke hoʻolohe nei lākou i nā kani lung maʻamau e like me ka crackles bibasilar, a i ʻole nā rales. Kuhi kēia mau kani i kekahi mea koʻikoʻi e hana nei i kou mau ake māmā.
ʻO nā crackle Bibasilar kahi kani e kani ana a i ʻole nā anu e kū ana mai ke kumu o nā māmā. Kūleʻa paha lākou i ka wā e hoʻonui ai nā māmā a i ʻole deflate. Pōkole pinepine lākou, a wehewehe ʻia paha e like me ke kani pulu a maloʻo paha. ʻO ke kahe o ka wai i nā alaloa ke kumu o kēia mau kani.
He aha nā hōʻailona e hiki ke hana me nā māwae bibasilar?
Ke kaukaʻi ʻia nei ke kumu, hiki i nā crackle bibasilar ke hana me nā ʻōuli ʻē aʻe. Hiki i kēia mau ʻōuli ke komo pū me:
- pokole o ka hanu
- luhi
- ʻeha ka umauma
- ka haha o ka hanu
- he puʻe
- he kuni
- ʻūhā
- pehu o nā wāwae a me nā wāwae paha
He aha nā kumu o nā māwae bibasilar?
ʻO nā kumu he nui ke kumu o ka nui o ka wai i loko o nā akemā a hiki ke alakaʻi i nā māwae bibasilar.
Pulumonia
ʻO ka maʻi Ponia he maʻi ia i loko o kou mau māmā. Aia paha i hoʻokahi a i ʻole nā māmā ʻelua. Hoʻokumu ka maʻi i nā ʻeke ea i loko o kou mau māmā e lilo i pus-piha a hoʻā ʻia. ʻO kēia ke kumu o ka uha, paʻakikī ka hanu ʻana, a me nā māwae. Māmā paha a weliweli paha ke ola o ka pulumonia.
ʻO Bronchitis
Hana ʻia ʻo Bronchitis i ka wā e wela ai kāu mau paipu bronchial. Hāpai kēia mau paipu i ka ea i kou mau ake māmā. Hiki i nā ʻōuli ke komo pū me nā māwae bibasilar, kahi batukū koʻikoʻi e hāpai i ka mucus, a me ka ʻūhū ʻana.
ʻO nā virus, e like me ke anuanu a me ka maʻi flu, a i ʻole nā mea hoʻohuhū māmā e hana maʻamau i ka bronchitis huehue. Hana ʻia ka bronchitis maʻi ke hele ʻole ka bronchitis. ʻO ka puhi paka ke kumu nui o ka bronchitis maʻi mau.
Edema pulmonary
Hoʻokumu paha ka edema pulmonary i nā kani kani i kou mau māmā. ʻO ka poʻe me ka puʻuwai puʻuwai congestive (CHF) loaʻa pinepine i ka edema pulmonary. Hana ʻia ʻo CHF ke hiki ʻole i ka puʻuwai ke pauma pono i ke koko. ʻO kēia ka hopena i kahi kākoʻo o ke koko, kahi e hoʻonui ai i ke kahe o ke koko a kumu i ka wai e ʻohiʻohi i nā ʻeke ea i nā akemāmā.
ʻO kekahi mau kumu non-cardiac o edema pulmonary:
- ʻeha pūhaka
- kiʻekiʻe kiʻekiʻe
- nā maʻi viral
- hoʻoulu uahi
- kokoke make wai
Maʻi maʻi Interstitial
ʻO ka interstitium kaʻiʻo a me kahi e hoʻopuni i nā ʻeke ea o ka akemāmā. ʻO kēlā me kēia maʻi lolo e hoʻopili i kēia wahi i ʻike ʻia ma ke ʻano he maʻi interstitial lung. E kumu ʻia e:
- ka hana a i ʻole ka hōʻike kaiapuni, e like me asbestos, ulaula, a i ʻole lepo lehu
- chemotherapy
- pāhawewe
- kekahi mau kūlana olakino
- kekahi mau antibiotic
Hoʻokumu pinepine ka maʻi lung Interstitial i nā māwae bibasilar.
Nā kumu hou aʻe
ʻOiai ʻaʻole maʻa mau, ʻike pū kekahi nā crack bibasilar inā loaʻa iā ʻoe kahi maʻi pulmonary obstructive maʻi (COPD) a i ʻole hānō.
Ua hōʻike ʻia e pili ana paha nā māwae i ka makahiki i kekahi mau maʻi maʻi maʻi asymptomat. ʻOiai ʻoi aku ka nui o ka noiʻi e pono ai, ua ʻike ʻia ka noiʻi ma hope o ka makahiki 45, piʻi pākolu ka hanana o nā māwae i kēlā me kēia 10 mau makahiki.
Ke hōʻike nei i ke kumu o nā māwae bibasilar
Hoʻohana kāu kauka i kahi stethoscope e hoʻolohe iā ʻoe e hanu a hoʻolohe i nā māwae bibasilar. Hana like nā māwae i ka ʻānai ʻana i kou lauoho ma waena o kou manamana lima, kokoke i kou pepeiao. I nā hihia koʻikoʻi, lohe ʻia paha nā crackles me ka ʻole o kahi stethoscope.
Inā loaʻa iā ʻoe nā māwae bibasilar, e lawe kāu kauka i kāu mōʻaukala olakino a kauoha paha i nā hoʻokolohua diagnostics e nānā no ke kumu. Hiki i kēia mau hoʻāʻo ke hoʻopili:
- kahi pahu X-ray a i ʻole CT scan o ka pahu e nānā i kāu mau māmā
- nā hoʻāʻo ʻana i ke koko e nānā no ka maʻi
- nā hoʻāʻo sputum e kōkua ai e ʻike i ke kumu o ka maʻi
- lāʻau ikiʻai oximetry e ana i kou koko oxygen pae
- kahi electrocardiogram a i ʻole echocardiogram e nānā ai i nā kūleʻa o ka puʻuwai
Ke mālama nei i ke kumu o nā māwae bibasilar
ʻO ka hemo ʻana o nā māwae, pono ʻoe e mālama i kā lākou kumu. Mālama mau nā kauka i ka maʻi koʻohune bacteria a me ka bronchitis me nā lāʻau antibiotic. Holo pinepine kahi maʻi maʻi viral i kāna papa, akā hiki i kāu kauka ke mālama iā ia me nā lāʻau antiviral. Me nā maʻi puʻupuʻu, pono ʻoe i ka maha nui, hoʻomaha maikaʻi, a pale i nā ukiuki o ka hū.
Inā kūpikipiki i kahi maʻi māmā mau loa, pono ʻoe e hoʻololi i ke ʻano o ka nohona e kōkua i ka mālama ʻana i kāu mau ʻōuli. Inā puhi ʻoe, haʻalele. Inā puhi kekahi o kou home, noi iā lākou e haʻalele a koi mai paha e puhi lākou i waho. E hoʻāʻo nō hoʻi ʻoe e hōʻalo i nā ukiuki o ka hū e like me ka lepo a me nā popopo.
ʻO nā ʻano lāʻau ʻē aʻe no ka maʻi maʻi mau e komo pū paha:
- inhaled steroid e hoʻoliʻiliʻi i ke ala uila
- bronchodilators e hoʻomaha a wehe i kāu ala kaʻa
- oxygen therapy e kōkua iā ʻoe e hanu maikaʻi
- pulmonary rehabilitation e kōkua iā ʻoe e noho ʻeleu
Inā loaʻa ʻoe i kahi maʻi lolo, hoʻopau i ka lawe ʻana i kāu lāʻau, ʻoiai inā ʻoe e ʻoi aku ka maikaʻi. Inā ʻaʻole ʻoe e hana, hoʻonui ʻia kou makaʻu o ka loaʻa ʻana i kahi maʻi ʻē aʻe.
ʻO ke ʻoki kino kahi koho no nā poʻe me ka maʻi ʻoi loa o ka maʻi i kū ʻole ʻia e ka lāʻau a i ʻole nā mālama ʻē aʻe. Hiki ke hoʻohana i ke ʻoki e wehe i ka maʻi a i ʻole ke kūkulu ʻia ʻana o ka wai, a i ʻole e hemo loa i kahi māmā. A transplant lung is a last resort for some people.
Nā hoʻoponopono ʻē aʻe
Ma muli o ke kumu o ke kūlana koʻikoʻi, ʻaʻole pono ʻoe e mālama i nā māwae bibasilar a i ʻole nā hōʻailona lung ma ou iho. Pono ʻoe e hoʻokaʻaʻike i kāu kauka no kahi hōʻoia kūpono a me ka ʻōlelo lapaʻau.
Inā kuhi kāu kauka iā ʻoe me ka maʻi maʻi ma muli o ke anuanu a me ka flu, hiki i kēia mau hoʻoponopono home ke kōkua iā ʻoe e hōʻoluʻolu.
- kahi humuhū e hoʻokū i ka wai i ka lewa a hoʻomāmā i kahi pehu
- kī wela me ka lemona, ka meli, a me kahi ʻāpana o ke kinamona e kōkua ai e hōʻoluʻolu i ka puʻu a hakakā i ka maʻi
- mahu mai kahi ʻauʻau wela a i ʻole he hale peʻa e kōkua ai e hoʻokuʻu i ka phlegm
- kahi papaʻai olakino e hoʻonui i kāu ʻōnaehana pale
Hiki i nā lāʻau lapaʻau over-the-counter ke kōkua i ke kōkua ʻana i nā ʻōuli e like me ke kao a me ke kuni. Hoʻopili kēia i ka ibuprofen (Advil) a me ka acetaminophen (Tylenol). Hiki iā ʻoe ke hoʻohana i kahi mea hōʻoki kahe inā ʻaʻole ʻoe e huehue ana i ka mucus.
He aha nā mea weliweli?
ʻO nā kumu pilikia no nā māwae bibasilar kaukaʻi i kā lākou kumu. Ma ka laulaha, nui nā mea e hoʻokau iā ʻoe i ka pilikia no nā pilikia pākū.
- puhipaka
- he moʻolelo ʻohana o ka maʻi maʻi
- ka loaʻa ʻana o kahi hana e hōʻike ai iā ʻoe i nā mea hoʻohuhū māmā
- hōʻike mau ʻia i nā bacteria a i nā mea hoʻomaʻi paha
Hoʻonui ka nui o kāu maʻi o ka maʻi mau loa i kou mau makahiki. Hiki ke piʻi aʻe kou makaʻu o ka maʻi o ka interstitial lung inā ʻoe i hōʻike ʻia i ka radiation radiation a i ʻole nā lāʻau chemotherapy.
He aha ka kuanaʻike?
Ke hiki i ka niumonia a i ʻole ka bronchitis ke kumu o kou mauʻalā bibasilar a ʻike ʻoe i ke kauka i ka wā mua, maikaʻi kou nānā ʻana a maʻalahi ke ʻano o ke ʻano. ʻO ka lōʻihi o kou kali ʻana no ka mālama ʻana, ʻoi aku ka nui o ke koʻikoʻi a koʻikoʻi hoʻi i kou maʻi. Hiki ke hoʻoweliweli i ke ola ka maʻi ponia.
ʻO nā kumu ʻē aʻe o nā māwae, e like me ka edema pulmonary a me ka maʻi ākea interstitial, pono paha e mālama i ka wā lōʻihi a me ka haukapila ma kekahi manawa. Hiki ke kāohi pinepine ʻia kēia mau ʻano a hoʻolōʻihi ʻia me nā lāʻau a me nā loli nohona.
He mea nui nō hoʻi e hoʻoponopono i nā kumu o ka maʻi. ʻO ka mua o kou hoʻomaka ʻana i ka lāʻau, ʻo ka ʻoi aku ka maikaʻi o kou kuana. Kāhea aku i kāu kauka i nā hōʻailona mua o ka maʻi maʻi a i ʻole ka maʻi māmā.
Kāohi ʻana i nā māwae bibasilar
E hāhai i kēia mau ʻōlelo aʻoaʻo e hoʻolaulaha i ke olakino māmā a kōkua i ka pale ʻana i nā māwae bibasilar:
- Mai puhi.
- E kaupalena i kou hōʻike ʻana i nā toxins kaiapuni a me ka hana.
- Inā pono ʻoe e hana i kahi wahi ʻona, uhi i kou waha a me ka ihu me ka pale maka.
- Kāohi i ka maʻi maʻi ma ka holoi pinepine ʻana i kou mau lima.
- Hōʻalo i ka lehulehu i ke kau anuanu a me ka maʻi palū.
- Loaʻa i kahi lāʻau ākea pneumonia.
- E kiʻi i kahi lāʻau lapaʻau maʻi flu.
- Hoʻomaʻamaʻa pinepine.