Nā Hoʻokolohua Hana Lung

Anter

• He aha nā hoʻokolohua hana māmā?
• No ke aha lākou e hoʻohana ai?
• No ke aha wau e pono ai i kahi hoʻokolohua hana māmā?
• He aha ka hana ma ka hoʻāʻo ʻana o ka hana māmā?
• Pono wau e hana i kekahi mea e hoʻomākaukau ai no nā hoʻokolohua?
• Aia kekahi mau pilikia i nā hoʻāʻo?
• He aha ke ʻano o nā hopena?
• Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i nā hoʻokolohua hana māmā?
• Nā kūmole

He aha nā hoʻokolohua hana māmā?

ʻO nā hoʻāʻo ʻana i ka hana Lung, i ʻike ʻia ʻo nā hoʻokolohua hana pulmonary, a i ʻole nā ​​PFT, kahi hui o nā hoʻokolohua e nānā inā e holo pono ana kāu mau māmā. Nānā nā hoʻāʻo:

• Ehia mau ea e hiki i kāu mau māmā ke paʻa
• Pehea kou neʻe ʻana i ka ea i waho a me kou mau māmā
• Pehea ka maikaʻi o ka hoʻoneʻe ʻana o ka māmā i kou oxygen. Pono kou mau hunaola i ka oxygen e ulu a ola i ke olakino.

Aia kekahi mau ʻano o nā hoʻokolohua māmā. Pākuʻi ʻia lākou:

• ʻO Spirometry. ke ʻano maʻamau o ka hoʻāʻo ʻana o ka hana māmā. Ana ʻia ka nui a me ka wikiwiki e hiki ai iā ʻoe ke neʻe i ka ea i loko a i waho o kou mau māmā.
• Hōʻike leo leo. ʻike ʻia ʻo kino plethysmography. Ana kēia hōʻike i ka nui o ka ea hiki iā ʻoe ke hoʻopaʻa i kou mau māmā a me ka nui o ka ea i koe ma hope o kou hanu ʻana (hanu i waho) i hiki iā ʻoe.
• Hōʻike diffusion Gas. Ana kēia ho'āʻo pehea e neʻe ai ka oxygen a me nā kinoea ʻē aʻe mai nā akemāmā i ke kahe o ke koko.
• Hōʻike hoʻohaʻahaʻa hoʻoikaika kino. Nānā kēia hōʻike i ka hopena o ka hoʻoikaika i ka hana o ka māmā.

Hiki ke hoʻohana pū ʻia kēia mau hoʻāʻo a i ʻole iā lākou iho, e pili ana i kāu mau kikoʻī kikoʻī a i ʻole ke ʻano.

Nā inoa ʻē aʻe: nā hoʻāʻo hana pulmonary, PFTs

No ke aha lākou e hoʻohana ai?

Hoʻohana pinepine ʻia nā hoʻokolohua hana lung i:

• E ʻike i ke kumu o nā pilikia hanu
• Nānā a nānā i nā maʻi o ka maʻi mau loa, e like me ka hānō, nā maʻi pulmonary obstructive maʻi (COPD), a me ka empysema
• E ʻike inā e holo nei nā mālama maʻi maʻi
• E nānā i ka hana māmā ma mua o ke kahakaha ʻana
• E hōʻoia inā paha i loaʻa i nā kemikula a i ʻole nā ​​mea ʻē aʻe i ka home a i ʻole nā ​​wahi hana i hōʻino ai i ka māmā

No ke aha wau e pono ai i kahi hoʻokolohua hana māmā?

Pono ʻoe i kēia hōʻoia inā ʻoe:

• Loaʻa nā ʻōuli o kahi pilikia hanu e like me ka pōkole o ka hanu, ka hū ʻana, a me / a i ʻole ka puʻu
• Loaʻa i ka maʻi maʻi maʻi mau
• Ua hōʻike ʻia i ka asbestos a i ʻole nā ​​mea ʻē aʻe i ʻike ʻia e hōʻino ai i ka māmā
• Loaʻa i ka scleroderma, kahi maʻi e hōʻino ai i nā mea pili
• Loaʻa iā sarcoidosis, kahi maʻi e hōʻino ai i nā hunaola a puni nā akemāmā, ate, a me nā mea ʻē aʻe
• Loaʻa i kahi maʻi hanu
• Loaʻa i kahi pale uila x
• Hoʻonohonoho ʻia no kahi hana e like me ka ʻoki ʻana o ka ʻōpū a me ka māmā

He aha ka hana ma ka hoʻāʻo ʻana o ka hana māmā?

Ma lalo nā ʻanuʻu no nā ʻano maʻamau o nā hoʻokolohua hana māmā.

No kahi hoʻāʻo spirometry:

• E noho ʻoe ma kahi noho a kau ʻia kahi kīwī palupalu ma kou ihu. Hana ʻia kēia no laila e hanu ʻoe ma kou waha, ma mua o kou ihu.
• Hāʻawi ʻia ʻoe i kahi waha e pili ana i kahi mīkini i kapa ʻia he spirometer.
• E kau paʻa ʻoe i kou mau lehelehe a puni ka waha, a hanu i loko a i waho e like me ke kuhikuhi a kāu mea hāʻawi.
• E ana ana ka mea uila i ka nui a me ka helu o ke kahe o ka ea ma kahi o kahi manawa.

No kahi hōʻoia māmā (plethysmography o ke kino) e hoʻāʻo:

• Noho ʻoe i loko o kahi keʻena mālamalama, ea e like me ke keʻena kelepona.
• E like me kahi hoʻāʻo spirometry, e hoʻokomo ʻoe i kahi ihu ihu a kau i kou mau lehelehe a puni kahi waha i pili i kahi mīkini.
• E hanu ʻoe a hanu e like me ke kuhikuhi a kāu mea hāʻawi.
• Hoʻololi nā kaomi i loko o ka lumi i ke ana i ka nui o ka māmā.

No kahi hoʻāʻo diffusion gas:

• E hoʻokomo ʻoe i kahi waha waha i pili i ka mīkini.
• E noi ʻia ʻoe e hanu (i ka hanu) i kahi liʻiliʻi loa, nui ʻole o ka carbon monoxide a i ʻole kekahi ʻano ʻea gas.
• E lawe ʻia nā ana i kou hanu ʻana a i ʻole me ka hanu ʻana.
• Hiki i ka hoʻāʻo ke hōʻike i ka maikaʻi o kāu mau māmā i ka neʻe ʻana i nā kinoea i kou kahawai.

No kahi hōʻike hoʻoikaika kino, e:

• E holoholo i kahi keke kū a i ʻole hele wāwae ma kahi wīwī.
• E hoʻopili ʻoe i nā mea nānā a me nā mīkini e ana i ka oxygen o ke koko, ke koko, a me ka puʻuwai puʻuwai.
• Hōʻike kēia i ka maikaʻi o ka hana a kou mau māmā i ka wā o ka hoʻoikaika kino.

Pono wau e hana i kekahi mea e hoʻomākaukau ai no nā hoʻokolohua?

E hoʻomākaukau ai no kahi hoʻokolohua hana māmā, pono ʻoe e hana i kekahi mau kaʻina e hōʻoia i ka maʻamau o kou hanu ʻana a me ka palena ʻole. Pākuʻi ʻia kēia mau mea:

• Mai ʻai i ka ʻai nui ma mua o ka hoʻāʻo.
• Pale i ka meaʻai a me nā mea inu me ka caffeine.
• Mai puhi a hana hana hoʻoikaika kino paha no ʻeono mau hola ma mua o ka hoʻāʻo.
• E komo i nā lole leʻaleʻa a ʻoluʻolu.
• Inā komo ʻoe i nā niho niho, pono ʻoe e kau iā lākou i ka wā o ka hoʻāʻo. Hiki iā lākou ke kōkua iā ʻoe e hana i kahi sila paʻa a puni ka waha waha.

Aia kekahi mau pilikia i nā hoʻāʻo?

ʻAʻohe liʻiliʻi loa i ka loaʻa ʻana o kahi hoʻokolohua hana lung. Hiki paha i kekahi poʻe ke ʻalalā i ke poʻo a i ʻole ʻoliʻoli i ka wā o ke kaʻina hana. Eia kekahi, manaʻo paha kekahi poʻe i ka claustrophobic i ka wā o ka hoʻāʻo volume volume. Inā he nīnau a hopohopo paha kāu e pili ana i nā hoʻāʻo, e kamaʻilio me kāu kauka olakino.

He aha ke ʻano o nā hopena?

Inā ʻaʻole maʻamau nā hopena o ka hopena o ka hana lung, pono paha ia he maʻi maʻi kou. Aia he ʻano nui ʻelua o nā maʻi lolo i hiki ke ʻike ʻia me kahi hoʻāʻo o ka hana lung:

• Nā maʻi kūpale. Hoʻololi kēia mau maʻi i nā ea o ke ākea a paʻakikī i ke kahe o ke ea mai nā akemāmā. ʻO nā maʻi pulupulu ākea e pili ana i ka hānō, ka bronchitis, a me ka emphysema.
• Nā maʻi hōʻemi. n kēia mau maʻi, ʻaʻole hiki i nā akemāmā a i ʻole nā ​​mākala o ka umauma ke hoʻonui ākea. Hoʻoemi kēia i ke kahe o ka ea a me ka hiki ke hoʻouna i ka oxygen i loko o ke kahe o ke koko. ʻO nā maʻi pūpū palena e pili ana i ka scleroderma, sarcoidosis, a me ka pulmonary fibrosis.

Inā he mau nīnau kāu e pili ana i kāu hopena, e kamaʻilio me kāu kauka olakino.

E aʻo hou aʻe e pili ana i nā hoʻokolohua hoʻokolohua, nā pae kuhikuhi, a me ka hoʻomaopopo ʻana i nā hopena.

Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i nā hoʻokolohua hana māmā?

E kauoha paha kāu mea mālama ola i kahi hōʻike hou, i kapa ʻia nā kinoea arterial (ABGs), a me kāu mau hoʻokolohua ʻana o ka hana o ka māmā. Ana nā ABG i ka nui o ka oxygen a me carbon dioxide i loko o ke koko.

Nā kūmole

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ʻAʻole pono e hoʻohana i ka ʻike ma kēia pūnaewele i pani no ka mālama olakino ʻoihana a ʻōlelo aʻoaʻo paha. Kāhea aku i ka mea mālama ola inā he nīnau kāu e pili ana i kou olakino.