5 Nā koho koho no ka hoʻonui COPD
Anter
Nānā COPD
ʻO COPD, a i ʻole nā maʻi pulmonary obstructive maʻi mau, he ʻano maʻamau ia o ka maʻi o ka akemāmā. Hoʻopuka ʻo COPD i ka mumū i kou mau māmā, kahi e hoʻopili ai i kāu mau kahawai. Hiki i nā ʻōuli ke hoʻopili i ka hanu, ka hū ʻana, ka luhi, a me nā maʻi o ke akau pinepine e like me ka bronchitis.
Hiki iā ʻoe ke hoʻokele i ka COPD me nā lāʻau a me nā loli nohona, akā i kekahi manawa e ʻoi aku ka maikaʻi o nā ʻōuli. Kāhea ʻia kēia hoʻonui ʻia ʻana o nā hōʻailona he exacerbation a i ʻole flare-up. Hiki i nā kuʻuna aʻe ke kōkua i ka hoʻihoʻi hou ʻana i kou hanu maʻamau i ka wā o kahi flp COPD.
ʻO Bronchodilators
Inā he COPD kāu, pono ʻoe e hana i kahi hoʻolālā hana mai kāu kauka. ʻO kahi hoʻolālā hana kahi ʻōlelo i kākau ʻia o nā ʻanuʻu e lawe ai i ka hanana o kahi uila.
E kuhikuhi pinepine kāu papa hana iā ʻoe i kāu inhaler hana wikiwiki. Hoʻopiha ka mea hoʻopili i ka lāʻau i kapa ʻia he bronchodilator wikiwiki. Kōkua kēia lāʻau i ka wehe i kāu mau kahawai i ālai ʻia. Hiki iā ʻoe ke hanu maʻalahi i loko o kekahi mau minuke. ʻO nā bronchodilator hana wikiwiki e like me:
- albuterol
- ipratropium (Atrovent)
- levalbuterol (Xopenex)
Kauoha paha kāu kauka i kahi bronchodilator hana lōʻihi e hoʻohana ai no ka mālama mālama. Lawe paha kēia mau lāʻau i mau hola e hana ai, akā hiki iā lākou ke kōkua iā ʻoe e hanu kūʻokoʻa i waena o nā lapalapa ahi.
Corticosteroids
ʻO Corticosteroids nā lāʻau anti-inflammatory e hōʻemi koke i ka lī i kāu mau kahawai. I ka wā o ka lapalapa ʻana, lawe paha ʻoe i kahi corticosteroid i ka palapala pila. ʻO Prednisone kahi corticosteroid i kuhikuhi ākea ʻia no ka COPD flare-ups.
Loaʻa nā hopena ʻino i nā Corticosteroids. Hoʻopili kēia i ka loaʻa ʻana o ke kaupaona, bloating, a me nā loli i ke kō kō a me ke kahe o ke koko. No kēia kumu, hoʻohana ʻia nā corticosteroids waha wale nō ma ke ʻano he hopena wā pōkole no nā ʻāpana COPD.
Hoʻohui ʻia nā lāʻau Corticosteroid i kekahi manawa me nā lāʻau bronchodilator i hoʻokahi inhaler. Hiki paha i kāu kauka ke hoʻohana i kēia lāʻau hoʻohui i ka wā o kahi uila. ʻO nā laʻana me:
- budesonide / formoterol (Symbicort)
- fluticasone / salmeterol (Advair)
- fluticasone / vilanterol (Breo Ellipta)
- mometasone / formoterol (Dulera)
Nā Antibiotics
Inā loaʻa iā ʻoe ka COPD, hana ka nui o kou mau māmā i nā mumus ma mua o nā ake māmā o kahi kanaka maʻamau. Hāpai ka mucus nui i kou makaʻi i ka maʻi bacteria, a hiki i ka lapalapa ahi ke hōʻailona o ka maʻi bacteria. I ka ʻoiaʻiʻo, ua hōʻike ʻia nā noiʻi e pili ana i ka 50 pākēneka o nā laulau mucus i lawe ʻia i ka wā o ka COPD flare-up e hoʻāʻo maikaʻi no nā bacteria.
Hiki i nā Antibiotics ke hoʻomaʻemaʻe i kahi maʻi ʻino, a ʻo ia ka mea e hōʻemi ai i ka mumū o ke ea. Hāʻawi paha kāu kauka iā ʻoe i kahi lāʻau lapaʻau no nā lāʻau antibiotic e hoʻopiha ai i ka hōʻailona mua o kahi lapalapa.
ʻOkoʻa oxygen
Me COPD, ʻaʻole paha lawa ʻoe i ka oxygen ma muli o ka pilikia o ka hanu ʻana. Ma ke ʻāpana o kāu hoʻomau mau ʻana, hiki i kāu kauka ke kuhikuhi i ka lāʻau oxygen.
Kōkua ka Oxygen therapy i ka hoʻopōkole ʻana i ka hanu e hana ʻia i ka wā o kahi uila. Inā loaʻa ʻoe i ka maʻi ʻoi loa, pono ʻoe i ka oxygen therapy i nā manawa āpau. Inā ʻaʻole, pono ʻoe i ke kōkua keu i ka wā o kahi uila. Hiki ke hana ʻia kāu oxygen therapy ma ka home a i ʻole ka haukapila e pili ana i ka nui o ka lapalapa ʻana.
Halemai
Inā ua noho ʻoe me COPD no kekahi manawa, hoʻohana paha ʻoe i ka lawelawe ʻana i nā kukuna ahi i kekahi manawa ma ka home. Akā i kekahi manawa, hiki i kahi flare-up ke lilo i mea koʻikoʻi a hoʻoweliweli paha i ke ola. I kēia mau hihia, pono ʻoe i ka lāʻau lapaʻau i ka haukapila.
Inā loaʻa iā ʻoe kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka:
- ʻeha ka umauma
- lehelehe polū
- pane ʻole
- hoohaunaele
- huikau
Inā koʻikoʻi kou mau ʻōuli a manaʻo paha ʻoe e loaʻa ana ʻoe i kahi ulia pōpilikia, kāhea iā 911 a i ʻole e hele i kahi lumi pilikia kokoke.
Kāohi i ka exacerbations
ʻOiai hiki ke kōkua i kēia mau hoʻomaʻamaʻa āpau, ʻoi aku ka maikaʻi o ka loaʻa ʻole o ka lapalapa i ka mua. I pale i kahi lapalapa ahi, ʻike a pale i kāu mau mea hoʻonāukiuki. ʻO kahi mea hoʻonāuki kahi hanana a i ʻole kahi hanana i kumu pinepine i ka hoʻā ʻana o kāu mau hōʻailona COPD.
ʻO kēlā me kēia kanaka me COPD he mau mea like ʻole, no laila ʻokoʻa ka papa pale pale o kēlā me kēia. Eia kekahi ʻōlelo aʻoaʻo no ka hōʻalo ʻana i nā mea hoʻouluulu maʻamau.
- E haʻalele a hōʻole paha i ka puhipaka, a hoʻokele i ka uahi lua.
- E noi i nā hoa hana ʻaʻole e hoʻokomo i nā ʻala ikaika a puni ʻoe.
- E hoʻohana i nā huahana hoʻomaʻemaʻe ʻaʻala ʻole i kou home.
- Uhi i kou ihu a me kou waha i ka wā anuanu.
Ma waho aʻe o ka hōʻalo ʻana i kāu mau mea hoʻonāukiuki, e mālama i kahi nohona olakino e kōkua i ka pale ʻana i nā uila. E hāhai i kahi papaʻa momona, nā papa like ʻole, e hoʻomaha nui, a hoʻāʻo i ka hoʻoikaika kino akahai ke hiki ʻoe. He kūlana hoʻomau ʻo COPD, akā hiki i ka mālama kūpono a me ka hoʻokele ke mālama iā ʻoe i kahi maikaʻi e like me ka hiki.