Pehea e ʻike ai a mālama ai i ka maʻi pulmonary maʻi mau
Anter
ʻO COPD, i ʻike ʻia ʻo ka maʻi pulmonary obstructive maʻi mau, he maʻi hanu holomua ia e ola ʻole ai, a kumu ʻia nā ʻōuli e like me ka pōkole o ka hanu, ka ʻeha a me nā pilikia hanu.
ʻO ia ka hopena o ka mumū a me ka hōʻino ʻana i nā akemāmā, ʻo ka hapanui o ka puhipaka ʻana, ʻoiai ka uahi a me nā mea ʻē aʻe i loaʻa i nā kūpaka ke kumu o ka luku ʻia o nā mea i hana i nā alaloa.
Hoʻohui ʻia i ka paka, nā mea ʻino ʻē aʻe no ka hoʻomohala ʻana i ka COPD i ka uahi mai ka umu wahie, hana i nā mines lanahu, nā hoʻololi kūpili o nā akemāmā, a me ke kū ʻana i ka uahi paka a kekahi poʻe, ʻo ia ka uahi paka ʻole.
Nā hōʻailona nui
ʻO ke kuni i hana ʻia i loko o nā akemāmā ke kumu e hana ʻole ai i kāna mau hunaola a me nā ʻaʻa, me ka dilation o ke alaloa a me ka paʻa ʻana o ka ea, ʻo ia hoʻi ka emysema, a ʻoi aku ka maikaʻi ʻole o nā glands e hana ai i ka mucus, e hoʻoulu ana i ka uha a me ka hana ʻana i nā huna hanu, ʻo ia ka bronchitis.
No laila, nā hōʻailona nui:
- Mū paʻa mau;
- Iecaianoaaiiuo o ka nui phlegm, ʻano nui i ke kakahiaka;
- Ka hanu ʻana o ka hanu, hoʻomaka māmā ia, i ka wā e hoʻoikaika ai, akā e hele a ʻino a hiki i ka wā e ʻoi aku ai ke koʻikoʻi a hiki i kahi i kū ai a paʻa paha.
Eia hou, hiki i nā poʻe me kēia maʻi ke loaʻa pinepine i nā maʻi hanu, i hiki ke hoʻonui i nā hōʻailona, me ka liʻiliʻi o ka hanu a me ka huna ʻana, kahi ʻano i kapa ʻia ʻo COPD i hoʻonui ʻia.
Pehea e kuhikuhi ai
ʻO ke kuhi o COPD i hana ʻia e ka mea hana maʻamau a i ʻole pulmonologist, e pili ana i ka mōʻaukala pilikino o ke kanaka a me ka hoʻokolokolo kino ʻana, me ka hoʻohui ʻana i nā hoʻokolohua e like me nā kukuna X, nā tomography i hoʻopili ʻia i ka umauma, a me nā hoʻokolohua koko, e like me nā kinoea arterial, e hōʻike ana hoʻololi i ke kinona a me ka hana o nā ake māmā.
Eia nō naʻe, hana ʻia ka hōʻoia me kahi hoʻokolohua i kapa ʻia ʻo spirometry, e hōʻike ana i ke kēkelē o ke alaloa ākea a me ka nui o ka ea e hiki ai i ke kanaka ke hanu, no laila hoʻokaʻawale ʻia ka maʻi me he akahai, akahai a koʻikoʻi hoʻi. E ʻike pehea e hana ʻia ai ka spirometry.
Pehea e mālama ai iā COPD
No ka mālama ʻana iā COPD he mea nui ka haʻalele ʻana i ka puhipaka, no ka mea a i ʻole, e mau ana ka momona a me nā ʻōuli, ʻoiai me ka hoʻohana ʻana i nā lāʻau.
ʻO ka lāʻau i hoʻohana nui ʻia ka pump inhalation, i kuhikuhi ʻia e ka pulmonologist, nona nā mea hana e wehe i nā ala kaʻa e ʻae i ka ea e hele a hoʻēmi i nā ʻōuli, e like me:
- ʻO Bronchodilators, e like me Fenoterol a i ʻole Acebrofilina;
- Nā Anticholinergics, e like me Ipratropium Bromide;
- Nā beta-agonists, e like me Salbutamol, Fenoterol a i Terbutaline paha;
- Corticosteroids, e like me Beclomethasone, Budesonide a me Fluticasone.
ʻO kekahi mea lapaʻau e hoʻohana ai e hoʻoliʻiliʻi i ka huna phlegm ʻo N-acetylcysteine, hiki ke lawe ʻia ma ke ʻano he papa a i ʻole sachet i hoʻoheheʻe ʻia i ka wai. ʻO Corticosteroids i loko o nā papa a i ʻole ka aa, e like me prednisone a i ʻole hydrocortisone, no ka laʻana, hoʻohana wale ʻia i nā manawa o ka exacerbation a i ʻole ke kaumaha loa o nā ʻōuli.
Pono ka hoʻohana ʻana o ka oxygen i nā hihia koʻikoʻi, me ka hōʻailona olakino, a pono e hana ʻia i ka catheter oxygen nasal, no kekahi mau hola a i ʻole e hoʻomau mau ana, kaukaʻi ʻia i kēlā me kēia hihia.
I ka hihia hope loa, hiki ke hana ʻoki kino, kahi e hemo ai kahi ʻāpana o ka akemāmā, a loaʻa iā ia ke kumu o ka hoʻēmi ʻana i ka nui a me ka paʻa ʻana o ka ea i nā akemāmā. Eia nō naʻe, hana ʻia kēia ʻoki kino i kekahi mau hihia koʻikoʻi loa a hiki i ke kanaka ke hoʻomanawanui i kēia kaʻina hana.
Hiki nō hoʻi ke mālama i kekahi ʻano akahele, e like me ka noho ʻana i kahi kūlana hōʻoluʻolu ke moe ana i lalo, i mea e kōkua ai i ka hanu ʻana, e makemake ana e waiho i ka moena a i kahi noho iki paha, inā paʻakikī e hanu. Eia hou, he mea nui e hana i nā hana i loko o nā palena, no laila ʻaʻole ikaika loa ka pōkole o ka hanu, a pono e hana ʻia ka papaʻai me ke kōkua o ka mea hānai no laila e hoʻololi ʻia nā mea pono e pono ai ka ikehu.
Physiotherapy no COPD
Ma waho aʻe o ka lāʻau lapaʻau, ua paipai ʻia ka respiratory therapy e kōkua ia i ka hoʻomaikaʻi ʻana i ka hanu a me ka maikaʻi o ke ola o nā poʻe me COPD. ʻO ke kumu o kēia lapaʻau e kōkua i ka hoʻoponopono hou ʻana o ka hanu ʻana, no laila e hōʻemi ana i nā ʻōuli, nā lāʻau lapaʻau a me ka pono no ka haukapila. E ʻike he aha ia a pehea e hana ʻia ai ka physiotherapy respiratory.