He aha ke kumu o ke kūpikipikiʻi ʻana me ka huhū a pehea e hiki ai iaʻu ke hōʻoki iā lākou?
Anter
- Nā kumu o ka huhū paroxysmal
- ʻIke a me ka mālama ʻana i ka huehue
- Nā lāʻau lapaʻau no ka batana kūpono
- Kāohi ʻana i ka huehue paroxysmal
- Ka wā e ʻike ai i ke kauka
- Lawe aku
Hōʻike Overview
Pili ka batukū Paroxysmal i ka huehue pinepine a me ka ikaika i hiki ke paʻakikī i ka hanu ʻana o kekahi kanaka.
ʻO Coughing kahi reflex automate e kōkua i kou kino e kāpae i nā mucus keu, bacteria, a me nā mea haole ʻē aʻe. Me kahi maʻi e like me ka pertussis, hoʻomau paha kou puʻe no nā wā lōʻihi, e paʻakikī ana e loaʻa ka oxygen a hopu i kou hanu. Kēia hiki iā ʻoe e inhale nui a gasp me ka leo nui no ka ea, ʻo ia ke kumu i ʻike ʻia ai ka pertussis ʻoiai ka kohō.
I ka makahiki 2012, kahi makahiki kiʻekiʻe loa no ka kohā hanu, ua hōʻike ʻo nā Kikowaena no ka Muli Hoʻōla a me Kāohi. ʻO ka hapa nui o kēia mau hihia, keu hoʻi i nā keiki ʻōpio, pili i nā batuna paroxysmal.
E heluhelu e aʻo i ke kumu o ka paroxysmal batukū, pehea e mālama ʻia ai, nā ala e hiki ai iā ʻoe ke pale aku, a ke ʻike ʻoe i kāu kauka.
Nā kumu o ka huhū paroxysmal
Hoʻokumu pinepine ʻia ka batana Paroxysmal e ʻO Bordetella pertussis koʻohune. Hoʻopili kēia bacterium i kāu wahi hanu (kou ihu, ʻāʻī, paipu makani, a me nā akemāmā) a kumu i ka maʻi kō. He maʻi lele loa kēia maʻi.
ʻO ka uha Paroxysmal ka pae ʻelua o ka maʻi kaohā. Hele mai kēia pae i loko o ka maʻi. ʻO kahi hihia maʻamau o ka uha paroxysmal ʻoi aku ma mua o ka hoʻokuʻu ʻana. I nā hihia koʻikoʻi, hiki i ka paroxysmal batukū ke lilo i mea ikaika e luaʻi ai ʻoe, a hiki i kou mau lehelehe a i ʻole ʻili ke huli polū mai ka nele o ka oxygen i loko o ke koko. E ʻimi i ka mālama olakino inā loaʻa ʻoe i kēia mau ʻōuli.
ʻO nā kumu kūpono ʻē aʻe o ka puʻu paroxysmal pū kekahi:
- hānō, kahi ʻano hanu kahi e pehu ai kou mau ala ea a hoʻopiha ʻia me ka nui o ka mucus
- ʻo bronchiectasis, kahi ʻano i hoʻonui ākea ʻia nā paipu i kou mau māmā i loko o ke anawaena me nā paia mānoanoa ma muli o ka mumū, e hoʻoulu ana i nā bacteria a i ʻole nā mucus.
- Bronchitis, he ʻōpala i loko o ka bronchi o nā ake māmā
- ʻO ka maʻi reflux gastroesophageal (GERD), kahi ʻano e hoʻi ai ka waikawa mai kou ʻōpū i kou esophagus a i loko o kou puʻu a i kekahi manawa i kāu mau alaloa
- ʻeha māmā mai ka hōʻeha, inhalation uahi, a hoʻohana lāʻau lāʻau paha
- pneumonia, he ʻano maʻi maʻi paru
- tuberculosis (TB), he maʻi koʻohune o nā akemāmā i hiki ke pālahalaha aku i nā kino ʻē aʻe inā haʻalele ʻole ʻia
ʻIke a me ka mālama ʻana i ka huehue
Inā ʻoe e ʻike i kāu kauka e pili ana i ke kaukana, hiki iā lākou ke kauoha i hoʻokahi a ʻoi paha o nā hōʻike aʻe e hōʻike i ke kumu.
- nasal a i ʻole ka ʻāʻī puʻupuʻu e hoʻāʻo no ka loaʻa ʻana o nā maʻi bacteria
- hōʻoia koko e nānā i kahi helu o ke koko kiʻekiʻe keʻokeʻo, kahi e hōʻike ai i kahi maʻi
- X-ray a i ʻole CT scan o ka umauma a i ʻole nā sinus e nānā i nā ʻōuli o nā maʻi hanu, nā ʻino, a me nā mea kūpono ʻole
- spirometry a i ʻole nā hana ʻaha ʻē aʻe e nānā ai pehea e lawe ai i kou kino a kipaku aku ai i ka ea, e ʻike pono ai i ka hānō
- bronchoscopy me kahi ʻōmole lahilahi, uila a me ka pahu paʻi kiʻi i hiki ke hōʻike i nā kiʻi manawa maoli o loko o kou mau māmā
- rhinoscopy e ʻike i nā kiʻi manawa maoli o loko o kou ihu a me nā ihu ihu
- ʻo ka endoscopy gastrointestinal luna o kāu digestive tract e nānā iā GERD
Ke kuhi ke kauka i kahi kumu, hiki iā lākou ke kuhikuhi i nā ʻano hana like ʻole e like me ke kumu. Hoʻopili paha kēia:
- antibiotics, me azithromycin (Z-Pack), e kōkua i kāu ʻōnaehana pale pale kaua i nā maʻi bacteria
- decongestants, e like me pseudoephedrine (Sudafed), a i ʻole ke kūpaka expectorant guaifenesin (Mucinex), e hoʻēmi i ka buildup o ka mucus, ka ʻū, a me nā ʻōuli ʻē aʻe
- antihistamines, e like me cetirizine (Zyrtec), e hoʻēmi i nā ʻōuli o nā maʻi āpau e hoʻomāhuahua ai i ka puʻu ʻana, e like me ka ʻūlū ʻana, ka ʻū ʻana, a me ka aniani
- kahi inhaler a i ʻole nebulized bronchodilator lapaʻau e kōkua i ka wehe ʻana i ke ala ea i ka wā o ka ʻeha a i ʻole nā hōʻeha hānō
- antacids no nā ʻōuli o GERD
- proton pump inhibitors like omeprazole (Prilosec), kahi e hoʻēmi ai i ka hana ʻana o ka ʻōpū o ka ʻōpū, i mea e kōkua ai i kāu esophagus e hoʻōla mai iā GERD
- nā hana hanu no kēlā me kēia alakaʻi o ka respiratory therapy no nā kūlana e like me ka bronchitis
Nā lāʻau lapaʻau no ka batana kūpono
E hoʻāʻo i ka mea aʻe ma ka home e hoʻēmi i nā kaʻe huehue:
- Inu ma ka liʻiliʻi he 64 auneke o ka wai i ka lā e mālama pono iā ʻoe iho i ka wai.
- E ʻauʻau maʻamau e mālama i ka hoʻomaʻemaʻe o kou kino a palena i ka pāhola ʻana o nā maʻi.
- E holoi pinepine i kou mau lima e mālama i ka bacteria mai ke kūkulu a pālahalaha ʻana.
- E hoʻohana i kahi mea hoʻohaʻahaʻa e mālama i ke kahawai o kou mau kahawai, i hiki ke kōkua i ka hoʻokuʻu ʻana i ka mucus a maʻalahi hoʻi i ke kuʻu ʻana. Mai hoʻohana nui i kāu humuhū, no ka mea he mea maʻalahi kēia no ka hoʻohua bacteria.
- Inā luaʻi, ʻai i nā ʻāpana liʻiliʻi i nā pāʻina e hoʻoliʻiliʻi i ka nui o ka luaʻi.
- E hōʻemi a hoʻopau paha i kāu ʻike ʻana i ka uahi mai nā huahana paka a i ʻole nā uahi mai ka kuke ʻana a me nā kapuahi.
- Noho kaʻawale mai nā poʻe ʻē aʻe e like me ka hiki ke mālama i ka maʻi bacteria mai ka hoʻolaha ʻana. Hoʻopili kēia i nā lā he ʻelima o ka noho kaʻawale ʻana ke lawe ʻoe i nā antibiotic. E ʻaahu mask inā ʻoe e hoʻolālā e pili me nā poʻe ʻē aʻe.
- Mai hoʻohana i nā huahana ʻaʻala nui e like me nā ea freshener sprays, ihoiho, cologne, a me nā mea ʻala e hiki ai ke hoʻonāukiuki i kāu mau ala kaʻa.
Kāohi ʻana i ka huehue paroxysmal
Paroxysmal batukū mai ka maʻi puʻu he maʻamau i nā keiki ʻōpio. E hōʻona i kāu keiki me ka lāʻau lapaʻau diphtheria-tetanus-pertussis (DTaP) a i ʻole tetanus-diphtheria-pertussis (Tdap) i mea e pale aku ai iā lākou mai ka maʻi maʻi e nā pertussis bacteria.
Inā loaʻa kahi mea kokoke iā ʻoe i ka maʻi heʻe, e hōʻalo i ka hoʻopā ʻana a kokoke paha iā lākou a hiki i ka wā i lawe ai lākou i nā lāʻau ʻalopika no ʻelima mau lā.
Eia kekahi mau ala ʻē aʻe e kōkua ai i ka pale ʻana i ka puʻu paroxysmal:
- Hōʻalo i ka puhī ʻana i nā huahana paka a i ʻole nā lāʻau ʻino ʻē aʻe.
- E hiamoe me kou poʻo e hoʻokiʻekiʻe e mālama i ka mucus a i ʻole ka waikawa ʻōpū mai ka neʻe ʻana i kāu mau kahawai a i ʻole ka puʻu.
- Hoʻomaʻamaʻa pinepine i mea e maʻalahi ai ka hanu a pale i ka loaʻa ʻana o ke kaumaha i hiki ke kōkua i ka reflux acid a me GERD.
- E ʻai me ka lohi a e nau ma 20 mau manawa no ka nahu no ka maʻalahi o ka digestion.
- E hoʻohana i ka diffuser aila pono e kōkua i ka wehe ʻana i kāu ala kaʻa. Hiki ke ʻoi aku ka ikaika o kekahi mau aila ma mua o nā mea ʻē aʻe, no laila e akahele inā hoʻāʻo ʻoe i kēia no ka hoʻomaha. Inā hoʻonāukiuki kēia i kou puʻe ʻana, hōʻole i ka hoʻohana ʻana.
- E hoʻāʻo i nā ʻenehana hoʻomaha, e like me yoga a i ʻole ka noʻonoʻo ʻana, e loaʻa ai ka kaohi o kou hanu ʻana, hoʻoikaika i kou ʻōnaehana pale, a pale i ka reflux acid.
Ka wā e ʻike ai i ke kauka
E ʻike i kāu kauka i ka wā e hiki ai inā pili ka batana paroxysmal ma mua o hoʻokahi pule a lilo i pinepine pinepine a i ʻole kolohe.
ʻO kekahi o nā ʻōuli e hele pū ana paha he maʻi maʻi nui paha ia a i ʻole ke ʻano kumu e hoʻopiʻi ai kāu huehue. E ʻimi i ke kōkua olakino pilikia inā ʻike ʻoe i kekahi o kēia mau mea:
- e kahe ana ke koko
- ka luaʻi
- hiki ʻole ke hanu a me ka hanu wikiwiki ʻana
- nā lehelehe, nā alelo, ke alo, a i ʻole nā ʻili ʻē aʻe e uliuli ana
- nalowale ʻana o ka ʻike
- fiva
- haʻalulu
Lawe aku
Hiki i nā kūmaha Paroxysmal ke loaʻa i nā kumu like ʻole, akā he hopena maʻamau ia no ka maʻi pertussis. I kekahi mau hihia a pili i ke kumu, e hele ia ma kāna iho, akā ʻo kekahi mau kumu, e like me ka hānō, pertussis, a me TB, e koi koke i ka mālama ʻana a i ʻole ka hoʻokele wā lōʻihi.
E ʻike i kāu kauka inā loaʻa ʻoe i ka mau kahe mau e hoʻonāukiuki ana i kou ola a i ʻole e paʻakikī iā ʻoe e hanu. Hiki ke mālama ʻia nā kumu he nui me ka ʻole o ka pilikia o nā pilikia inā ʻike mua ʻia lākou.