Yɛn nyinaa anya osuahu a ɛfa biribi a yedi anaa yɛnom "ɛkɔ ɔkwan a ɛnteɛ so" na ɛkɔ yɛn menewam. Sɛ ɛba saa a, ɛsɛ sɛ yɛfefe, na yɛn aniwa so nusu. Mpɛn pii no, ɛnyɛ ɔhaw bere a epue no. Nanso susuw ho hwɛ, sɛ biribi a ɛkyere yɛn menewam, sɛ́ ɛyɛ aduan asinasin, nsu ketewaa bi, anaa nnompe ketewaa bi, ankɔ yɛn yafunu mu nyinaa, na mmom ɛkɔ yɛn ahurututu mu nyinaa fa mframa kwan no mu a, dɛn na ɛba? Saa na biribi a ɛnsɛ sɛ ɛkɔ ahurututu mu no kɔ ahurututu mu na ɛde ɔyare mmoawa ba, a ɛno ne nea yɛfrɛ no kɛkɛ `(Aspiration Pneumonia)`.
Sɛ yɛbɛka no tiawa a, dɛn ne Aspiration Pneumonia?
Aspiration pneumonia yɛ ɔyare mmoawa a ɛba yɛn ahurututu mu. Ɛba bere a biribi foforo a ɛnyɛ mframa a yɛhome - te sɛ aduan, anonne, nnompe, yafunu mu acid, ɔfe, anaa mpo ahɔho ade ketewaa bi mpo - hyɛn yɛn mframa kwan mu.
Fa no sɛ nkyekyem abien na ɛwɔ yɛn menewam. Biako ne "esophagus" a ɛde aduan ne anonne kɔ yafunu mu. Ɔfoforo no ne "mframa afiri" a ɛde mframa a yɛhome no kɔ ahurututu mu. Mpɛn pii no, sɛ yɛmene biribi a, mframa afiri yi de afiri ketewaa bi to mu. Enti aduan ne anonne no kɔ yafunu mu tẽẽ. Nanso ɛtɔ da bi a, sɛ saa adeyɛ yi ntumi nyɛ adwuma yiye a, "ɔkwan a ɛnteɛ" adeɛ no si.
Adeɛ a ɛyɛ hu ne sɛ, nnipa binom mpo nhunu sɛ biribi rekɔ wɔn ahurututu mu te sɛ yei. Yɛfrɛ eyi ``silent aspiration.'' Ɛno kyerɛ sɛ ɛba a ɛnyɛ ɔfe anaasɛ ɛyɛ menewa biara. Afei ɛyɛ nna, ebia adapɛn pii, ansa na ahurututu mu yare ho sɛnkyerɛnne no ada adi.
Dɛn ne tebea yi ho sɛnkyerɛnne?
Ebia aspiration pneumonia remma obi nnya yare no ho sɛnkyerɛnne ntɛm ara, nanso ebia wubehu saa sɛnkyerɛnne ahorow yi wɔ nna kakraa bi mu.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛmu |
|---|---|
| Huraeɛ | Nsɛnkyerɛnne a edi kan a ɛkyerɛ sɛ ɔyare mmoawa bi wɔ nipadua no mu. Ntini a ɛyɛ yaw nso betumi aka ho. |
| Ɔhome a ɛyɛ den (Dyspnea) . | Sɛ obi home a, ɛte sɛ nea ɛyɛ adwumaden na ne menewa. Ebia "whooshing" nnyigyei bi befi koko no mu bere a wɔrehome no. |
| Ɛwa | Ɔfe a ɛde nsu a ɛyɛ nwini ba. Ɛtɔ mmere bi a mogya anaa akisikuru betumi ayɛ saa nsu a ɛyɛ fĩ yi . Nsu no betumi ayɛ ahabammono, kɔkɔɔ, anaa bruu. |
| Koko mu yaw | Ebia wobɛte ɛyaw a ano yɛ den wɔ wo moma so bere a wohome denneennen anaa wofefe no. |
| Ahome bɔne | Ahome bɔne betumi afi mmoawa a enyin wɔ ahurututu mu no mu aba. |
| Ɔbrɛ a ɛboro so | Ebia wobɛte nka sɛ woabrɛ kɛse na woada bere a wo nipadua ko tia ɔyare mmoawa no. |
Dɛn nti na eyi rekɔ so? Henanom na wɔwɔ asiane kɛse mu?
Sɛ yɛbɛka no tiawa a, biribiara a ɛnyɛ ahurututu no de betumi de tebea yi aba. Efisɛ mmoawa tumi de saa nneɛma no hyɛn ahurututu mu. Nnipa binom taa yɛ eyi titiriw.
| Asiane kuw | Dɛn nti na wɔwɔ asiane kɛse mu? |
|---|---|
| Nnipa a ɛyɛ den sɛ wɔbɛmene ade (Dysphagia) . | Nnipa a wɔwɔ ntini mu nyarewa te sɛ akisikuru, amemene mu opira, ne Parkinson yare no ntumi nmene, na ɛnyɛ den sɛ ɛbɛma aduan ne anonne akɔ mframa kwan no mu. |
| Nnipa a wɔn mfe akɔ anim (wɔadi boro mfe 65) . | Bere a yɛrenyin no, ntini a ɛma yɛmene na yɛfefe mu no yɛ mmerɛw. Nkwammoaa a ɛko tia nyarewa no nso yɛ mmerɛw, na ɛma ɛyɛ mmerɛw sɛ yebenya ɔyare mmoawa. |
| Wɔn a wɔayɛ wɔn aduru a wɔde kum nipadua no anaasɛ wɔayɛ wɔn sẽ oprehyɛn no | Sɛ wɔde aduru a ɛma obi dwensɔ gu wo mu a, ahoɔden a ɛbɔ wo ho ban a ɛwɔ wo menewam no nyɛ adwuma, na ɛma nnompe anaa yafunu mu acid kɔ w’ahurututu mu. |
| Nnipa a wɔnom nsa anaa nnubɔne | Eyinom brɛ nhumu ase na ɛmma nipadua no mene ne ɔfe ho nkate nyɛ adwuma. |
| Mmofra nkumaa (wɔn a wonnii mfe 5) . | Asiane yi yɛ kɛse titiriw ma mmofra a wɔde agode nketewa gu wɔn anom na wodi agoru bere a wɔredidi no. |
| Nnipa a wɔn nipadua mu ahoɔden a ɛko tia nyarewa no sua | Wɔ nnipa a wɔwɔ nyarewa anaa wɔnom nnuru a ɛma nipadua no tumi a ɛko tia nyarewa no yɛ mmerɛw fam no, mmoawa kakraa bi mpo a wɔhyɛn ahurututu mu no betumi ama wɔanya ɔyare mmoawa a emu yɛ den. |
Wobɛyɛ dɛn ahu eyi, Oduruyɛfo?
Sɛ wowɔ ahurututu mu yareɛ ho sɛnkyerɛnne a, wo duruyɛfoɔ bɛdi kan abisa wo wo yareɛ no ho nsɛnkyerɛnneɛ, aduruyɛ mu tebea foforɔ biara a wowɔ, titire no ɛyɛ den sɛ wobɛmene. Afei wɔde afiri a wɔde tie asɛm betie wo moma so de ahwɛ sɛ nnyigyei biara a ɛnteɛ wɔ w’ahurututu mu anaa. Wobetumi ayɛ nhwehwɛmu ahorow yi de akyerɛ sɛ wɔahu yare no.
- Chest X-ray: Eyi betumi akyerɛ mmeae a ɔyare mmoawa no wɔ wɔ ahurututu no mu pefee.
- CT Scan: Ebetumi ayɛ mfonini a emu da hɔ na ɛkɔ akyiri sen X-ray.
- Mogya mu nhwehwɛmu: Eyinom betumi akyerɛ sɛ ɔyare mmoawa bi wɔ nipadua no mu anaa.
- Ahurututu mu nhwehwɛmu: Wobetumi afa nsu a ɛyɛ fĩ a efi w’ahurututu mu de ahu mmoawa ko a ɛwɔ mu.
- Bronchoscopy: Wɔ eyi mu no, wɔde afiri teateaa bi a mfoninitwa afiri abata ho fa ahurututu no mu kɔ ahurututu no mu de hwɛ emu.
- Mene ho nhwehwɛmu: Sɔhwɛ a ɔkasa mu ɔyare ho ɔbenfo yɛ de hwɛ nea ɛba bere a womene no ankasa de hwɛ sɛ ebia ɔhaw bi wɔ ɔkwan a wɔfa so mene no mu anaa.
Ɔkwan bɛn so na wɔsa? Bere tenten ahe na ebegye ansa na ne ho atɔ no?
Esiane sɛ eyi yɛ ɔyare mmoawa nti, ayaresa titiriw ne nnuru a ekum ɔyare mmoawa . Ɛho hia yiye sɛ wobɛnom nnuru a ekum ɔyare mmoawa a wo duruyɛfo akyerɛw ama wo no bere nyinaa.
Ɛdenam sɛnea yare no mu yɛ den so no, ebia ebehia sɛ wotra ayaresabea hɔ kɔsa wo yare.
- Sɛ ɛyɛ den sɛ ɔbɛhome a , ebia ɛho behia sɛ wɔde oxygen sa yare .
- Sɛ tebea no mu yɛ den yiye a, wobetumi de wo abɔ mframa a wɔde ma (mfiri a wɔde ma mframa) ho de aboa ma woahome.
Nea ɛka ho no, ɛho hia sɛ wɔsa nea ɛde aspiration no ba no.
- Ɔkasa mu ayaresa a wɔde sa ɔmene a ɛyɛ den.
- Tube feeding yɛ aduan a wɔde fa tube mu ma wɔn a wontumi nmene.
- Wɔ tebea horow bi mu no, wɔde nnuru te sɛ ACE inhibitors nso di dwuma.
Wobefi ase ate nka sɛ wo ho atɔ wo bɛyɛ dapɛn biako bere a woafi nnuru a ekum ɔyare mmoawa ase akyi. Nanso, ebia ebegye bɛyɛ ɔsram biako ansa na ɔbrɛ a ɔyare mmoawa no de aba no afi hɔ na wo ho atɔ wo koraa.
Dɛn na ɛsɛ sɛ woyɛ wɔ tebea a egye ntɛmpɛ mu?
Eyi yɛ biribi a ɛsɛ sɛ woma ɛtra w’adwenem. Ɛho nhia sɛ wobɔ hu wɔ biribiara ho, nanso ɛho hia sɛ wuhu bere a ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ne bere a ɛsɛ sɛ wokɔ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu.
Bere a ɛsɛ sɛ wokɔ wo duruyɛfo nkyɛn
Sɛ wotaa te nka sɛ aduan anaa anonne akɔhyɛ wo menewam, anaasɛ ɛyɛ den ma wo sɛ wobɛmene a, mmu w’ani ngu so. Wo ne w’abusua oduruyɛfo nka eyi ho asɛm. Obetumi de wo akɔ oduruyɛfo titiriw nkyɛn sɛ ɛho hia a.
Tebea horow a ɛsɛ sɛ wokɔ ayaresabea ntɛm ara
Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ wo koko mu yaw kɛse, atiridiinini kɛse, ne ɛda adi sɛ ɛyɛ den sɛ wobɛhome a , ɛyɛ ntɛmpɛ. Ahurututu mu yare yɛ yare a ebetumi ayɛ nea emu yɛ den ntɛmntɛm. Enti kɔ ayaresabea dan a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ (ETU) mu a ntwentwɛn wo nan ase.
So wobetumi asiw tebea yi ano?
Yiw, nneɛma pii wɔ hɔ a yebetumi ayɛ de atew asiane a ɛwɔ hɔ sɛ yebenya ahurututu mu yare a wɔfrɛ no aspiration pneumonia no so. Ɛho hia yiye sɛ wuhu eyinom, titiriw sɛ woka kuw bi a asiane wom ho a.
- Nyarewa a ɛhyɛ ase a wobedi so:Sɛ wowɔ tebea horow te sɛ ɛyɛ den sɛ wobɛmene anaasɛ gastroesophageal reflux disease (GERD) a, wo ne wo duruyɛfo nkasa na nya ayaresa a ɛfata.
- Sɛnea wudidi: Tena ase tẽẽ bere a woredidi na worenom nsa no. Anyɛ yiye koraa no, nna fam simma 30 bere a woadi awie no.
- Di brɛoo na di yiye: We w’aduan yiye, di brɛoo fa ano nketenkete di. Tew ɔkasa ne serew a wobɛserew bere a woredidi no so.
- To nsa ano hye: Kwati nsa a wobɛnom boro so.
- Kwati sigaretnom: Sigaretnom ne tawanom sɛe akwan a ɛbɔ ahurututu no ho ban no.
- Anom akwahosan: Bruw wo sẽ yiye na ma wo sẽ ho oduruyɛfo nhwɛ w’ano daa. Dodow a mmoawa kakraa bi na ɛwɔ w’anom no, dodow no ara na ɛnyɛ den sɛ wɔbɛkɔ w’ahurututu mu na ama woanya ɔyare mmoawa.
Nimdeɛ kakra a ɛboro so: Nsonsonoe a ɛda `Pneumonia` ne `Pneumonitis` ntam
Ɛtɔ mmere bi a, nsɛmfua abien yi yɛ basaa. `Aspiration Pneumonia` yɛ ɔyare mmoawa a efi biribi a akɔ ahurututu mu na ɛde ba. `Aspiration Pneumonitis` yɛ ahurututu mu ntini a ɛyɛ hyew kɛkɛ a biribi te sɛ yafunu mu acid a ɛhyɛn ahurututu mu, a ɔyare mmoawa biara nni mu. Ɛwom sɛ abien no nyinaa ho sɛnkyerɛnne yɛ pɛ de, nanso ebia ɛsono ayaresa a wɔde ma.
Nkrasɛm a Wɔde Kɔ Fie
- Ɛwom sɛ ɛtaa ba sɛ aduan ne anonne "kɔ ɔkwan a ɛnteɛ so" de, nanso ɛtɔ mmere bi a ebetumi ama obi anya ahurututu mu yare a emu yɛ den te sɛ `Aspiration Pneumonia`.
- Atiridiinini, ɔfe a nsõ wom, ahome a ɛyɛ den, ne koko mu yaw ne sɛnkyerɛnne atitiriw.
- Sɛ ɛyɛ den ma wo bere nyinaa sɛ wobɛmene a, hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa afa ho. Mma w’ani ngu so.
- Sɛ wunya sɛnkyerɛnne ahorow a emu yɛ den te sɛ wo koko mu yaw a emu yɛ den, atiridiinini a ano yɛ den, ne sɛnea ɛyɛ den sɛ wobɛhome a, kɔ ayaresabea Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) ntɛm ara.
- Sɛ wosɔre tena hɔ tẽẽ, di brɛoo, wobɛma n’ano ho tew yiye, na woanya tebea horow a ɛhyɛ ase no ho ayaresa a ɛfata a, ebetumi aboa ma wɔasiw tebea yi ano.
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