Manava - lemu pe taofi

O le manava e taofi mai soʻo se mafuaʻaga e taʻua o le apnea. O le manava lemu e taʻua ole bradypnea. O le galue malosi pe faigata le manava e taʻua ole dyspnea.

Apnea e mafai ona sau ma alu ma le tumau. Lenei mafai ona tupu i obstructive moe apnea, mo se faʻataʻitaʻiga.

Ole umi ole faʻamaoniga o lona uiga ua taofi le manava o le tagata. Afai o loʻo galue pea le fatu, o le aiaiga e taʻua o le respiratory capture. Ose mea mataʻutia lea ole ola e manaʻomia vave ona faʻafomaʻi ma fesoasoani muamua.

Ole umi ole faʻamalosi tino e aunoa ma se fatu gaioiga i se tagata e le tali mai e taʻua ole cardiac (poʻo le cardiopulmonary) puʻeina. I tamaiti laiti ma tamaiti, o le mafuaʻaga sili ona taatele o le puʻeina o le fatu o le manava puʻeina. I tagata matutua, o le faʻafeagai e masani ona tupu, o le puʻeina o le fatu e masani lava ona mafua ai le puʻeina o le manava.

Manava faigata mafai ona tupu mo le tele o mafuaaga. I le tele o tulaga, o mafuaʻaga masani o le apnea i pepe ma tamaiti laiti e ese mai mafuaʻaga masani a tagata matutua.

Mafuaʻaga masani o manava faigata i pepe ma tamaiti laiti aofia ai:

• Asthma
• Bronchiolitis (pupuga ma le faʻaititia o laʻititi manava manava i le māmā)
• Taoa
• Encephalitis (faiʻai mumu ma faʻamaʻi e afaina ai taua faiʻai)
• Gastroesophageal reflux (fatuga)
• Taofi le manava o le tasi
• Meningitis (fulafula ma le faʻamaʻi o le sela liningina le faiʻai ma tuaula)
• Niumonia
• Fanau mai i le amataga
• Faoa faamalosi

Mafuaʻaga masani o faʻalavelave manava (dyspnea) i tagata matutua aofia ai:

• Tali ole kanesa e mafua ai le laulaufaiva, faʻaʻi, poʻo isi auala o le ea e fulafula
• Asthma poʻo isi faʻamaʻi mama
• Taofia le fatu
• Taoa
• Ova vailaʻau, aemaise lava ona o le 'ava malosi, vailaʻau oona, barbiturates, vailaʻau faʻamalosi, ma isi depressants
• Suāvai i māmā
• Faʻalavelave moe moe

O isi mafuaʻaga o le apnea aofia ai:

• Ulu manuʻa poʻo manuʻa i le ua, gutu, ma larynx (leo pusa)
• Maʻi fatu
• Paʻu fatu e le masani ai
• Metabolic (tino vailaʻau, minerale, ma acid-faavae) faʻafitauli
• Latalata i le malelemo
• Pa ma isi faiʻai ma neura (neura) faʻafitauli
• Manua i le fatafata pa, fatu, poʻo mama
  

Saili vave faʻafomaʻi pe valaʻau lau numera faʻafuaseʻi i le lotoifale (pei o le 911) pe a fai o se tagata e iai se ituaiga manava manava:

• Ua piʻo
• E oso lona maʻi
• E le mataala (leiloa le malamalama)
• Tumau ai i le fia moe
• Faila lanumoana

Afai ua le manava se tagata, valaʻau mo se fesoasoani faʻafuaseʻi ma faatino le CPR (pe a e iloa faʻafefea). A e i se nofoaga faitele, vaʻai mo se otometi fafo defibrillator (AED) ma mulimuli i faʻatonuga.

CPR poʻo isi faʻalavelave faʻafuaseʻi o le a faia i totonu o se potu faʻafuaseʻi potu poʻo se fomaʻi faʻataʻavale faʻafuaseʻi (EMT) poʻo le fomaʻi.

A mautu le tagata, o le a faia e le tausi soifua maloloina se suʻega faʻaletino, lea e aofia ai le faʻalogo i fatu fatu ma manava leo.

Fesili o le a fesiligia e uiga i le tagata talaʻaga faʻasolopito ma faʻailoga, aofia ai:

TAIMI TAIMI

• Na tupu muamua lenei mea?
• O le a le umi na tupu ai le mea na tupu?
• Ua toe fai e le tagata, vaega pupuʻu o le apnea?
• Na faʻaiʻuina le mea na tupu i se faʻafuaseʻi o le loloto, malu manava?
• Na tupu le mea na ala pe o moe?

TALAFAIFAI ONA OLA LELEI

• Na maua e lea tagata se faalavelave talu ai nei poʻo se manuʻa?
• Ua maʻi talu ai nei le tagata?
• Sa i ai se faigata manava aʻo leʻi tu le manava?
• O a isi faʻailoga ua e maitauina?
• O a vailaʻau e inu e le tagata?
• E faʻaaoga e le tagata fualaʻau i auala pe faʻafiafia?

O faʻataʻitaʻiga ma togafitiga e ono faia e aofia ai:

• Lagolago vaalele, aofia ai le okesene, manava manava e ala i le gutu (intubation), ma manava masini (ea)
• Toto ma miaga suʻega
• Paipa fatafata
• Fatafata x-ray
• CT faʻasolosolo
• Defibrillation (eletise eletise i le fatu)
  
• ECG (electrocardiogram, poʻo le fatu sailia)
• Fluids ala atu i se alatoto (totonu poʻo le IV)
• Vailaau e togafitia ai faʻailoga, e aofia ai vailaʻau e fesuiaʻi ai aʻafiaga o se vailaʻau oona poʻo le soʻona inu tele

Na tuai pe taofi le manava; Le manava; Puʻeina le manava; Apnea

Kelly A-M. Faalavelave tutupu faafuaseʻi. I totonu: Cameron P, Jelinek G, Kelly A-M, Brown A, Little M, eds. Tusitusiga o Tagata Matutua Faʻafuaseʻi Faʻafomaʻi. 4th ed. Philadelphia, PA: Elsevier Churchill Livingstone; 2015: mata 6.

Kurz MC, Neumar RW. Faʻamaloloina o tagata matutua. I: Puipui RM, Hockberger RS, Gausche-Hill M, eds. Togafitiga Faʻafuaseʻi a Rosen: Faʻataʻitaʻiga ma Togafitiga Faʻafomaʻi. 9th ed. Filatelefia, PA: Elsevier; 2018: mata 8.

Roosevelt GE. Tamaititi faʻalavelave manava manava: faʻamaʻi o le mama. I: Puipui RM, Hockberger RS, Gausche-Hill M, eds. Togafitiga Faʻafuaseʻi a Rosen: Faʻataʻitaʻiga ma Togafitiga Faʻafomaʻi. 9th ed. Filatelefia, PA: Elsevier; 2018: mata 169