PAET KEKAHI

ʻīlio ihu pōkole

Lohe pinepine au i nā hoaaloha e ʻōlelo ana he ʻīlio ke ʻano like me nā ʻīlio a me nā ʻīlio ʻaʻole like me ka ʻīlio e kamaʻilio e like me ka wili alelo. Pehea kou manaʻo? ʻO 90% o nā ʻīlio a mākou e ʻike nei he ihu lōʻihi, ʻo ia ka hopena o ka hoʻololi kūlohelohe. Ua hoʻomohala nā ʻīlio i nā ihu lōʻihi i mea e loaʻa ai ka ʻono maikaʻi aʻe a hoʻokipa i nā cell olfactory. Eia kekahi, ʻoi aku ka maikaʻi o ka ihu lōʻihi no ka holo, alualu a me ka hahai holoholona. ʻO ka lōʻihi a me ka nui o ka lua ihu, ʻoi aku ka nui o ka ea e hiki ke hoʻoulu ʻia a ʻoi aku ka nui o ka wela.

ʻOiai ʻo nā ʻīlio ihu lōʻihi ka hopena o ka evolution, ʻo wai nā ʻīlio ihu pōkole? ʻO nā ʻīlio ihu pōkole a pau ka hopena o ka hānau ʻana. ʻO ke kumu wale nō ke nānā aku i ka maikaʻi a me ka nani. He ʻāina nui ko mākou ʻāina no ka mahi ʻana i nā ʻīlio ihu pōkole. ʻO ia paha ka waiwai a me ka ikaika o ka lāhui kahiko, no laila ʻo mākou ka ʻāina mua e mahi ai i nā ʻīlio pipi. ʻO ka ʻīlio kaulana loa ʻo Beijing (Jingba), Bago a me Xishi he mau ʻīlio pāʻani kaulana loa. Hoʻohālikelike ʻia lākou e nā wāwae pōkole ʻehā, ka ihu pōkole, ka maka poepoe a me nā maka nui, a me kahi hiʻohiʻona nani o kahi pēpē. No ka laʻana, ʻo nā ʻīlio Beijing he mau ʻīlio i hele pū me nā wahine aliʻi a me nā haiā wahine ma ka hale kauwela. ʻO nā koi no ka mahiʻai ʻana, ʻaʻole pono lākou e hana nui, holo wikiwiki loa, maʻalahi e hopu, a nani a pumehana Maluhia, a i ʻole ke ʻano o kahi hui wahine e alualu ana i ka ʻīlio e hilahila loa.

PAET ELUA

ʻO ka maʻi puʻuwai

Ua hānai ʻia kēia mau ʻīlio ihu pōkole ma ko mākou ʻāina no ka manawa lōʻihi. ʻOiaʻiʻo, ʻoi aku ka liʻiliʻi o nā maʻi ma mua o nā ʻīlio ʻē aʻe, akā ʻoi aku ka nui o kekahi mau maʻi. ʻO ko lākou mau maʻi he maʻi maʻi cardiovascular a me nā maʻi hanu, a ʻo ke kumu kumu he ihu pōkole.

Ua ʻike nā hoaaloha nāna i hānai i nā ʻīlio Peking a me nā pugs ʻaʻole hiki ke kāpae ʻia ka maʻi puʻuwai. Ma lalo o nā kūlana maʻamau, ola lōʻihi lākou. He mea maʻamau ka hānai ʻana iā lākou ma ka ʻepekema a mālama pono iā lākou. He mea maʻamau ke ola ʻana i nā makahiki he 16-18, a he maʻi maʻi puʻuwai ka mea maʻamau i kēlā me kēia ʻīlio o kēia ʻano. ʻO ka hapa nui o lākou mai ka heredity, a laila hōʻike mālie i nā hōʻailona like ʻole me ka ulu ʻana i ke ola. ʻO ka makahiki hoʻomaka maʻamau ma kahi o 8-13 mau makahiki. Hōʻike ʻia ʻo ia ma ke ʻano he hana ʻole, hāmama ka waha o ka hanu ʻana, maʻalahi ka luhi, hoʻemi ʻia ka ʻai, ka ʻū a me ka ʻuhū, ʻoi aku ka nui o ke kauwela.

Malia paha no ka makemake ʻole o kēia mau ʻīlio pāʻani i nā hana i nā manawa maʻamau, no laila ua maʻalahi kēia mau hōʻailona ke uhi ʻia. No laila, i ka ʻike ʻana o ka poʻe mālama holoholona, ​​loaʻa pinepine lākou i nā maʻi koʻikoʻi a pilikia ka hanu ma mua o ko lākou hele ʻana i ka haukapila no ka nānā ʻana. ʻO ka mea maʻamau, ʻo nā mea nānā i ka X-ray e hoʻoholo ai i ka nui a me ka hapa o ka puʻuwai, nā halemai me nā lako ultrasound cardiac a me ka ʻenehana kauka maikaʻi hiki ke hoʻoholo i ka hana cardiac, mitral a me ka tricuspid valve pani a me ka reflux, puʻuwai mānoanoa, etc. aia kekahi mau halemai i ka ECG, hiki ke hoʻoholo pololei i ke kūlana koʻikoʻi. Eia naʻe, pono e loaʻa i nā mea ʻai holoholona ka ʻikepili kumu a me ka palapala hōʻoia i paʻi ʻia, e hoʻokuʻu aku i ke kiʻi X-ray kumu a mālama i loko o ke kelepona paʻa. Paʻi ʻo Xinchao i ka hōʻike ʻo Xinchao a mālama ʻia ma ka home. Hiki ke mālama ʻia ka ʻikepili o nā haukapila he 1-2 mahina wale nō. ʻAʻole paha e loaʻa iā ʻoe ma hope inā makemake ʻoe e hoʻohālikelike i ka hoʻihoʻi ʻana.

ʻO ka hōʻailona omaʻi puʻuwaino na ilioʻo ia ka mea nui loa. Hiki i ka hoʻoholo hewa ke alakaʻi i ka make o ka ʻīlio. No ka laʻana, hoʻomaka mua ʻia ka puʻuwai puʻuwai. ʻO ka hopena, ʻo ka hoʻohana ʻana i nā lāʻau lapaʻau e hoʻolōʻihi i ka puʻuwai naʻau i alakaʻi i ka hōʻeha puʻuwai koʻikoʻi. No laila, ʻaʻole mākou e paipai wale i nā lāʻau lapaʻau no nā maʻi puʻuwai, akā ma ke ʻano maʻamau, ma kahi o nā lāʻau lapaʻau i manaʻo ʻia, e hoʻohana pū mākou i kekahi mau lāʻau antihypertensive a me nā lāʻau lapaʻau e hoʻonui i ka trachea a me ka bronchus e kōkua i ka hanu.

PAET EKOLU

Nā maʻi hanu

Ma waho aʻe o ka maʻi puʻuwai maʻamau, ʻo nā maʻi hanu he pilikia hikiʻole ke pale ʻia no nā ʻīlio ihu pōkole. Hoʻokahi okana o ka ihu, ka ʻāʻī, ka ʻūhā, ka ʻāʻī a me nā māmā he maʻi pinepine, a ʻo ke koena e maʻi ʻia kekahi ma hope o kekahi. Hoʻohui pinepine ʻia ka naʻau a me ka māmā. Ke loaʻa ka pilikia o ka naʻau, alakaʻi pinepine ia i ka edema pulmonary, pleural effusion a me nā hōʻike maʻi ʻē aʻe, e hoʻopilikia nui i ka hanu. ʻO ka mea ʻē aʻe, hānau ʻia ka hapa nui o nā ʻīlio ihu pōkole me ka puʻuwai ʻino, akā ʻaʻole lākou e maʻi, akā inā loaʻa nā maʻi i loko o ka māmā a me ka ʻōpū hanu, hoʻoulu pinepine lākou i nā maʻi puʻuwai.

ʻO nā maʻi maʻamau ʻelua o ka ʻōnaehana hanu i nā ʻīlio ihu pōkole he "long soft palate" maoli a me ka tracheobronchia. Inā lōʻihi ka palale palupalu, e hoʻokaumaha ia i ka cartilage epiglottic, e paʻakikī ke komo i loko a i waho o ka lewa, e like me ka puka e hāmama mau ana a ʻaʻole hiki ke wehe piha. Ma kēia ala, i ka wā e pono ai ka nui o ka ea i ka wā o ka hoʻomaʻamaʻa a i ʻole ka wela, e hoʻopilikia nui ʻia, e hoʻemi ana i ke kahe, ʻo ka dyspnea a me ka dizziness. ʻO ka ʻoiaʻiʻo, ʻike pinepine ʻia i ka ʻoiaʻiʻo o nā ʻīlio ihu pōkole e maʻalahi i ka wela ma hope o nā hana a ke kiʻekiʻe ka mahana i ke kauwela. I ka manawa pōkole o ka hanu, ma muli o ka hypoxia, e wikiwiki loa ka puʻuwai a hoʻoulu i ka loaʻa ʻana o ka maʻi puʻuwai.

Wahi a kekahi poʻe ʻoi aku ka lōʻihi o ka lua ihu, ʻoi aku ka haʻahaʻa o ka hiki ke loaʻa i ka maʻi hanu, ʻo ia ke kūpono. Ua piha ka ihu i ka lauoho a me nā kīʻaha koko, nona ke kuleana no ka mālama ʻana i ka mahana o ka ea. Ke anu ka ea, e wela i ke ea anu a e hooluolu i ka ea i ka wa e wela ai ka lewa, i pale aku ai i ka hooulu pono ana o ka ea i ka puu a me ka trachea. Pēlā nō, hoʻokani ka lauoho ihu i ka kānana ʻana i ka lepo a me ka bacteria. ʻAʻole ia wale ka pale mua no ke kū'ē kanaka, akā he mask maoli nō hoʻi. He wahi ihu pōkole kā mākou mau ʻīlio ihu pōkole nani. He nāwaliwali maoli kēia mau hana. Hoʻoulu pinepine lākou i ka maʻi hanu ma muli o ka hoʻololi ʻana o ka ʻāina a i ʻole ka launa pū ʻana me kekahi mea ma waho. ʻO ka tracheitis a me ka bronchitis ko lākou mau maʻi maʻamau. A laila loaʻa iā lākou ka tracheal stenosis, dyspnea, hypoxia… A hele a puni ka puʻuwai.

Ma ka holoʻokoʻa, ʻo ka hapa nui o nā ʻīlio ihu pōkole he mau ʻīlio lōʻihi loa. Ma waho aʻe o nā ʻīlio nui e like me yingdou, hiki i ka hapa nui o lākou ke hiki i ka makahiki 16. No laila, pono mākou e hana i kahi mahana paʻa no lākou i nā manawa wela a me ke anu a puni ka makahiki, e hoʻemi i nā hana ʻino a me ka hauʻoli, a hoʻemi i ka lepo a me nā wahi lepo. . Manaʻo wau e hele pū lākou me ʻoe ma ke ola hauʻoli.