He aha ke ʻano o ka maʻi pulmonary obstructive maʻi (COPD)?
He aha ka COPD?
ʻO ka maʻi pulmonary obstructive maʻi (COPD) he maʻi hanu e pili ana i nā māmā a paʻakikī i nā kānaka ke hanu maʻamau. ʻO ka COPD e pili ana i kahi hui o nā maʻi māmā, ʻo nā maʻi nui ka emphysema a me ka bronchitis mau. He kūlana lōʻihi ia e hoʻopilikia maikaʻi i ke olakino o ka mea maʻi a me ke ola o kēlā me kēia lā.
Loaʻa kēia maʻi ma muli o ka ʻike ʻana i ka uahi paka a me nā kinoea a me nā mea ʻino ʻē aʻe. ʻOiai no ka manawa lōʻihi, ua manaʻo ʻia ʻo nā kāne, ʻoi aku ka nui o nā kāne ma luna o 40, ʻoi aku ka maʻalahi i ka COPD, ʻoi aku ka nui o nā wahine i ka maʻi. ʻOiai ʻo ka maʻi pulmonary obstructive maʻi he maʻi maʻamau i waena o ka heluna kanaka o ka honua, nui ka poʻe i ʻike ʻole i ka paʻakikī o ke kūlana. Ma kēia ʻatikala, e wehewehe mākou i nā mea e pili ana i ka COPD a pehea e mālama ʻia ai.
Pehea e pili ai i kou mau māmā?
ʻO ka maʻi pulmonary obstructive Chronic obstructive pulmonary maʻi (COPD) e hōʻemi i nā alaloa a hōʻino mau i ka māmā. Ke hanu mākou, neʻe ka ea ma nā ala ea lālā e liʻiliʻi liʻiliʻi a hiki i ka hopena i loko o nā ʻeke ea liʻiliʻi. ʻO kēia mau ʻeke ea (alveoli) e ʻae i ke kalapona kalapona e puka i waho a me ka oxygen e komo i ke kahe. I loko o COPD, hoʻopōʻino mau ʻia nā alaloa a me nā ʻeke ea o ke akemāmā. ʻO nā ala ea e wela, pehu, a hoʻopiha i ka mucus, kahi e kaohi ai i ka ea. Nalo ka ʻeke ea i ko lākou ʻano a me ka sponginess, no laila ʻaʻole hiki iā lākou ke hoʻopiha a hoʻokaʻawale e like me ka maʻalahi, e paʻakikī ai ka hoʻololi ʻana o ka carbon dioxide a me ka oxygen. ʻO kēia ka hopena i nā hōʻailona e like me ka hanu ʻana, ka ʻūhū, ka ʻū, a me ka phlegm.
He aha nā hōʻailona o COPD?
I ka wā mua o COPD, ua like paha nā hōʻailona o ke ʻano me ke anu maʻamau. Hiki paha i ke kanaka ke hoʻopōkole i ka hanu ma hope o ka hoʻomaʻamaʻa māmā, ʻaʻa i ka lā a pau, a pono e hoʻomaʻemaʻe pinepine i kona ʻāʻī.
Ke hele nei ka maʻi, ʻike ʻia nā hōʻailona. Aia ma lalo ka papa inoa o nā hōʻailona maʻamau o COPD:
- Ka pilikia loa
- ʻO ka ʻaʻa lōʻihi me ka phlegm a i ʻole ka mucus
- ʻO ke kani mau ʻana, ka hanu ʻana
- ʻO ka maʻi hanu pinepine
- ʻO ke anu a me ka maʻi maʻi pinepine
- ʻO ke kīkoʻo
- ʻO ka pehu ma nā kuʻekuʻe wāwae, nā wāwae, a i ʻole nā wāwae
- Hoʻomālia
Ke ʻike ʻia ka maʻi me nā hōʻailona maʻalahi i ka hoʻomaka ʻana, nui ka poʻe e hoʻokuʻu iā ia i ka wā mua. Inā ʻaʻole loaʻa ka lāʻau lapaʻau i ka mea maʻi i ka manawa kūpono, e ulu aʻe nā hōʻailona a pili i ka maikaʻi o ke ola o ke kanaka. Inā ʻike ʻoe i kekahi o nā hōʻailona i ʻōlelo ʻia, puhi mau, a ʻoi aku ma mua o 35 mau makahiki, hiki paha iā ʻoe ke noʻonoʻo i ka loaʻa ʻana o COPD.
He aha ke kumu o COPD? ʻO wai ka pilikia?
ʻOiai i kekahi manawa ua hoʻopilikia ʻia ka poʻe i puhi ʻole ʻia e ia, ʻo ke kumu maʻamau ma hope o COPD ka moolelo o ka puhi paka. Ua ʻike ʻia ka poʻe puhi paka me ka COPD ma kahi o 20% ʻoi aku ma mua o ka poʻe ʻaʻole puhi. ʻOiai e hoʻopōʻino mālie ka puhi puhi i ka māmā, ʻoi aku ka lōʻihi o ka mōʻaukala o ka puhi ʻana i ka nui o ka pilikia o ka hoʻomohala ʻana i kēia maʻi. ʻAʻohe huahana paka paka palekana e pili ana i nā paka, nā paipu, a me nā e-cigarettes. Hiki i ka puhi puhi lua ke kumu i COPD.
ʻino ka maikaʻi o ka ea hiki ke alakaʻi i ka hoʻomohala ʻana o COPD. ʻO ka loaʻa ʻana i nā kinoea ʻino, nā uahi, a me nā ʻāpana i nā wahi ʻino ʻole e hiki ke alakaʻi i ka piʻi ʻana o ka COPD.
I loko o kahi hapa liʻiliʻi o nā maʻi COPD, pili ka maʻi i a maʻi kino e alakaʻi ana i kahi hemahema i loko o kahi pūmua i kapa ʻia ʻo alpha-1-antitrypsin (AAt).
Pehea e ʻike ʻia ai ka COPD?
No ka mea, ua like ka maʻi i nā maʻi ʻē aʻe e like me ke anu i kona hoʻomaka ʻana, ua kuhi hewa ʻia ka maʻi a ʻaʻole ʻike ka poʻe he COPD a hiki i ka paʻakikī o ko lākou mau hōʻailona. Inā ʻoe e noʻonoʻo ana i ka loaʻa ʻana o COPD, hiki iā ʻoe ke kipa i kāu kauka e loaʻa i kahi hōʻailona. Nui nā ala e ʻike ai i ka COPD. ʻO nā ho'āʻo diagnostics, kahi hoʻokolokolo kino, a me nā hōʻailona e kōkua i ka maʻi.
No ka ʻike ʻana i kou maʻi, e nīnau ʻia ʻoe e pili ana i kāu mau hōʻailona, i kou moʻolelo olakino pilikino a me ka ʻohana, a inā paha ua ʻike ʻia ʻoe i ka pōʻino o ka māmā e like me ka puhi ʻana a i ʻole ka loaʻa ʻana o nā kinoea ʻino.
A laila, hiki i kāu kauka ke kauoha i kekahi mau ho'āʻo e ʻike i kou ʻano. Me kēia mau ho'āʻo ʻana, hiki ke ʻike pololei inā loaʻa iā ʻoe ka COPD a i ʻole kekahi maʻi ʻē aʻe. Aia paha kēia mau mea:
- Nā ho'āʻo hana o ka māmā (pulmonary).
- He umauma ʻāpana X
- C scan
- Ka nānā ʻana i ke kinoea koko aʻa
- Nā hoʻāʻo Laboratory
ʻO kekahi o nā ho'āʻo hana māmā maʻamau i kapa ʻia he hōʻike maʻalahi i kapa ʻia ʻālohilohi. I loko o kēia hoʻokolohua, noi ʻia ka mea maʻi e hanu i loko o kahi mīkini i kapa ʻia ʻo ka spirometer. Hoʻopili kēia kaʻina hana i ka hana a me ka hiki ke hanu o kou mau māmā.
He aha nā pae o COPD?
ʻO nā hōʻailona COPD e hele mālie i ka manawa. Wahi a ka Global Initiative for Chronic Obstructive Lung Disease (GOLD) papahana e National Heart, Lung, and Blood Institute a me ka World Health Organization, aia ʻehā mau pae o COPD.
Ka Papa Mua (Ka Papa 1):
ʻO nā hōʻailona o ka wā mua COPD ua like loa me ka maʻi maʻi a hiki ke kuhi hewa ʻia. ʻO ka pōkole o ka hanu a me ka maʻi ʻaʻa mau, hiki ke hele pū me ka mucus nā hōʻailona nui i ʻike ʻia i kēia pae.
Māmā (ʻanuʻu 2):
Ke ulu nei ka maʻi i nā hōʻailona i ʻike ʻia i ka wā mua e hoʻoikaika a ʻike ʻia i ke ola o kēlā me kēia lā o ka mea maʻi. Piʻi ka pilikia o ka hanu ʻana a hoʻomaka paha ka mea maʻi e loaʻa nā pilikia hanu ma hope o ka hoʻoikaika kino kino. Hoʻomaka nā hōʻailona ʻē aʻe e like me ka wheezing, lethargy, a me ka pilikia hiamoe.
Ka Papa Koʻikoʻi (Pau 3):
He mea nui ka poino o ke akemāmā a ʻaʻole hiki iā lākou ke hana maʻamau. Ke hoʻomau nei ka nāwaliwali o nā paia o nā ʻeke ea i loko o ka māmā. ʻOi aku ka paʻakikī o ka lawe ʻana i ka oxygen a wehe i ka carbon dioxide i ka wā e hoʻopuka ana. E paʻakikī loa ka hanu ʻana i ka oxygen a hoʻopuka i ke kalapona kalapona. ʻO nā hōʻailona ʻē aʻe a pau e hoʻomau i ka ʻino a me ka pinepine. Hiki ke ʻike ʻia nā hōʻailona hou e like me ka paʻa o ka umauma, ka luhi nui, a me nā maʻi umauma pinepine. Ma ka Papa 3, hiki iā ʻoe ke loaʻa i nā wā ʻāwīwī hikiwawe ke piʻi koke nā hōʻailona.
Koʻikoʻi loa (Pau 4):
ʻO ka pae 4 COPD i manaʻo ʻia he koʻikoʻi loa. ʻO nā hōʻailona mua a pau ke hoʻomau i ka ʻino a ʻoi aku ka pinepine o nā ʻāʻī. ʻAʻole hiki ke hana pono nā māmā a ʻo ka nui o ka māmā ma kahi o 30% ka liʻiliʻi ma mua o ka maʻamau. Paʻakikī ka poʻe maʻi me ka hanu ʻoiai ke hana nei lākou i nā hana o kēlā me kēia lā. I ka wā 4 COPD, hoʻokipa pinepine ʻia nā hale maʻi no ka pilikia o ka hanu ʻana, ka maʻi ʻāmāmā, a i ʻole ka hāʻule ʻana o ka hanu, a hiki i ka ʻāʻā ʻana o ke ahi ke make.
Hiki ke mālama ʻia ka COPD?
E loaʻa iā ʻoe nā nīnau he nui ma hope o ka loaʻa ʻana o kahi hōʻailona o ka maʻi pulmonary obstructive chronic (COPD). ʻAʻole ʻike ka poʻe me COPD i nā hōʻailona like, a makemake paha kēlā me kēia kanaka i kahi ʻano lapaʻau ʻokoʻa. He mea koʻikoʻi ke kūkākūkā i kāu mau koho lapaʻau me kāu kauka a nīnau i nā nīnau āu e loaʻa ai.
- Hooki i ka puhi paka
- Nā Inhalers
- Nā Laʻau COPD
- Hoʻoulu Pulmonary
- Pākuʻi Oxygen
- Lapaʻau Endobronchial Valve (EBV).
- ʻO ka ʻoki ʻana (Bullectomy, Lapaʻau hoʻemi ʻana i ka leo o ka ʻāʻī, a i ʻole ka hoʻololi ʻana i ka ʻāʻī)
- Lapaʻau Ballon COPD
Ke ʻike ʻia ʻoe me COPD, e alakaʻi kāu kauka iā ʻoe i kahi lapaʻau kūpono e like me kāu mau hōʻailona a me ke kūlana o kou kūlana.
Lapaʻau Ballon COPD
Lapaʻau Ballon COPD he ʻano hoʻololi no ka mālama ʻana i ka maʻi obstructive pulmonary maʻi. Aia ka hana i ka hoʻomaʻemaʻe mechanical o kēlā me kēia bronchi paʻa me ke kōkua o kahi mea hana kūikawā. Ma hope o ka hoʻomaʻemaʻe ʻana o ka bronchi a hoʻi hou i kā lākou hana olakino, hiki i ka mea maʻi ke hanu me ka maʻalahi. Loaʻa kēia hana ma nā halemai kūikawā a me nā keʻena hauʻoli. As CureBooking, ke hana nei mākou me kekahi o kēia mau ʻoihana holomua.
No ka ʻike hou aku e pili ana i ka COPD Ballon Treatment, hiki iā ʻoe ke kelepona mai iā mākou no ke kūkākūkā manuahi.