So w’ahurututu rebubu? Momma yɛnka atelectasis ho asɛm!

So woate nkate bi a ɛyɛ nwonwa na emu yɛ duru wɔ wo moma so bere a worehome no pɛn? Anaasɛ mpofirim ara wote nka sɛ worehyia ɔhaw wɔ ahomegye mu? Ebia wɔayɛ wo oprehyɛn kɛse nnansa yi anaasɛ worehu amane wɔ ɔhome mu yare foforo bi ho, ebia eyi ho hia wo yiye. Ɛnnɛ yɛbɛka atelectasis, tebea bi a ahurututu fã bi, anaa ɛtɔ mmere bi a ahurututu no nyinaa hwe ase ho asɛm . Mma ɛnhaw wo, eyi yɛ biribi a sɛ wote ase yiye a, wubetumi adi ho dwuma.

Sɛ yɛbɛka no tiawa a, dɛn ne atelectasis?

Okay, momma yenni kan nhwɛ nea atelectasis yɛ. Sɛ yɛbɛka no tiawa a, ɛyɛ bere a mframa kotoku nketenkete (alveoli) a ɛwɔ yɛn ahurututu mu no biako anaa nea ɛboro saa ntumi nkɔ mframa yiye na ebubu no.

Wunim nea ɛba bere a yɛhome no. Mframa a yɛhome no kɔ ahurututu no mu na ɛkɔ mframa kotoku a wɔfrɛ no alveoli yi mu. Ɛhɔ na mframa pa a ɛwɔ mframa mu no fra yɛn mogya. Afei saa mogya a oxygen ahyɛ mu ma no kɔ nipadua no nyinaa mu, na ɛma yɛn akwaa ne yɛn ntini nyinaa nya mframa pa a wohia na ama wɔatumi atra ase.

Afei susuw ho hwɛ, sɛ mframa kotoku (alveoli) yi nnya mframa a ɛdɔɔso mfa nhyɛ mu yiye, anaasɛ biribi a ɛwɔ abɔnten na ɛhyɛ so a, dɛn na ɛba? Ɛno na wɔhwe ase. Eyi ne nea yɛfrɛ no atelectasis. Eyi betumi asi wɔ ahurututu no fã ketewaa bi, anaasɛ ebetumi aka ahurututu no nyinaa. Nea ɛho hia ne sɛ, sɛ ahurututu no fã kɛse bi bubu wɔ saa kwan yi so a, ebia yɛn mogya no rennya mframa pa a ɛdɔɔso. Afei akwahosan ho haw ahorow betumi asɔre.

Nsonsonoe bɛn na ɛda Atelectasis ne Pneumothorax ntam?

Ebia edin abien yi bɛma w’adwene atu afra, enti momma yɛnkyerɛkyerɛ nsonsonoe a ɛda abien no ntam no mu.

• Atelectasis , sɛnea madi kan aka no, yɛ mframa kotoku (alveoli) a ɛwɔ ahurututu no mu anaa ahurututu no ankasa fã bi a ɛhwe ase. Wɔ eyi mu no, ɔhaw no da ahurututu no ankasa mu.
• Pneumothorax yɛ bere a mframa tu kɔ ahunmu a atwa ahurututu no ho ahyia no mu, na ɛpia ahurututu no kɔ mu na ɛma ɛhwe ase. Wɔ eyi mu no, nhyɛso no fi ahurututu no akyi.

So wuhuu nsonsonoe a ɛwɔ mu? Baako fi mu, ɔfoforo nso fi akyi.

Dɛn na atelectasis kyerɛ?

Sɛ wɔanyɛ wo koko anaa wo yafunu oprehyɛn nnansa yi, sɛ wohu sɛ wowɔ atelectasis a, ebetumi akyerɛ sɛ akwanside bi asi wo mframa kwan no mu . Saa akwanside yi ne nea ɛma w’ahurututu no fã bi anaa ne nyinaa bubu.

Hena na ɔwɔ asiane kɛse mu sɛ obenya eyi?

Nnipa kakraa bi wɔ hɔ a asiane kɛse wom sɛ wobenya atelectasis. Momma yɛnhwɛ nnipa ko a wɔyɛ:

• Nnipa a wɔayɛ wɔn koko anaa wɔn yafunu oprehyɛn:Titiriw bere a wɔreyɛ oprehyɛn no, ebia worentumi nhome nkɔ akyiri esiane nnuru a wɔde kum wo a wɔde ma wo da nti. Eyi kyerɛ sɛ w’ahurututu renhuru yiye.
• Nnipa a wɔwɔ tebea horow a esiw mframa kwan nketenkete (te sɛ ahurututu) a ɛwɔ ahurututu mu no: Eyi ma ahurututu no tumi a ɛtrɛw sɛnea ɛsɛ no so tew.
• Nnipa a wɔn koko apirapira anaa wɔn mpampam abubu: Ɛyaw a emu yɛ den a ɛba wɔ mmere a ɛte sɛɛ mu no ma ɛyɛ den sɛ wɔbɛhome denneennen.
• Nnipa a wɔde wɔn ho hyɛɛ tawa wusiw mu.

Atelectasis ahorow bɛn na ɛwɔ hɔ?

Atelectasis ahorow atitiriw abiɛsa na ɛwɔ hɔ: Compressive, Resorptive/Obstructive, ne Contraction. Ɛte sɛ nea ɛyɛ den kakra? Momma yɛmma ɛnyɛ mmerɛw.

1. Atelectasis a ɛhyɛ obi so

Eyi ne bere a biribi a atwa ahurututu no ho ahyia – te sɛ nsu, mframa, mogya, anaa akisikuru – de nhyɛso ba ahurututu no so, na ɛma ɛhwe ase. Ɛte sɛ nea worepiapia balloon akyi na woama abubu.

2. Atelectasis a ɛma nneɛma kɔ nipadua no mu/ɛsiw kwan

Eyi ne nea ɛba: Mframa kotoku a ɛwɔ w’ahurututu mu (alveoli) no twe oxygen ne carbon dioxide kɔ wo mogya mu, nanso ɔkwan biara nni hɔ a mframa foforo bɛfa so akɔ mu Afei saa mframa kotoku no da mpan na ɛyɛ mmerɛw. Oprehyɛn a ehia sɛ wɔde aduru a ɛma obi dwensɔ no yɛ ade titiriw a ɛde eyi ba.

Afei nso, sɛ biribi a ɛwɔ ahurututu no mu (sɛ nhwɛso no, akuru, akisikuru, anaa ade ketewaa bi a womenee wɔ akwanhyia mu) kyekyere na ɛmma mframa ntumi nkɔ mu a, eyi betumi ama ``Resorptive atelectasis`` aba. Wɔsan frɛ eyi ``Obstructive atelectasis`` .

3. Atelectasis a ɛtwetwe nipadua no

Eyi fi akuru (fibrosis) a ɛwɔ ahurututu mu. Saa akuru yi mma mframa kotoku (alveoli) no ntumi mmue yiye.

Ahorow afoforo

Nkokoaa a wɔawo wɔn foforo, titiriw nkokoaa a wɔawo wɔn ntɛm anaa wɔn a wɔwɔ acute respiratory distress syndrome (ARDS) betumi anya atelectasis a ɛntaa nsi. Eyi ba bere a protein (a wɔfrɛ no surfactant) a ɛmma ahurututu no ntumi nsɛe no nnɔɔso no.

Bio nso, edin ahorow te sɛ bibasilar atelectasis, atelectasis kurukuruwa, atelectasis a egyina tumi a ɛtwe ade ba fam so, ne subsegmental atelectasis kyerɛ beae, sɛnea ɛte, anaa sɛnea ɛhwee ase no mu yɛ den.

Dɛn ne sɛnkyerɛnne ahorow no?

Mpɛn pii no, atelectasis mfa sɛnkyerɛnne pɔtee biara mma.Nanso, sɛ aduruyɛ mu tebea bi a ɛda adi (te sɛ COPD) bi wɔ hɔ a ɛde atelectasis reba a, ebetumi ada sɛnkyerɛnne ahorow adi.

Nanso, sɛ atelectasis ka w’ahurututu no fã kɛse bi a, oxygen dodow a ɛwɔ wo mogya mu no betumi akɔ fam. Wɔfrɛ eyi hypoxemia. Nsɛnkyerɛnne a ɛte sɛɛ betumi aba:

• Ɔhome a ɛyɛ den / ahome a ɛyɛ tiaa (dyspnea) .
• Ɛwa
• Koko mu yaw
• Ɔhome a wɔhome ntɛmntɛm (tachypnea) .
• Blue skin ne anofafa

Dɛn ne ade a ɛtaa ba saa?

Nea ɛtaa de atelectasis ba ne oprehyɛn . Sɛ wɔde aduru a wɔde kum nipadua no di dwuma de ma woda bere a wɔreyɛ oprehyɛn no a, wunhome nkɔ akyiri. Wonfe nso yiye na ama nsu a ɛwɔ w’ahurututu mu no afi hɔ. Eyi betumi ama wo mframa kwan no asiw na amma mframa ankɔ ntini no mu. Eyi ne bere a resorptive atelectasis ba.

Dɛn ne ntease afoforo?

Ntease afoforo pii wɔ hɔ a oprehyɛn ka ho.

• Mucus plug: Eyi taa ba wɔ oprehyɛn akyi, wɔ mmofra nkumaa mu, wɔ nnipa a wɔwɔ cystic fibrosis mu, ne bere a ayamtu a emu yɛ den no aba no.
• Ade a wɔhome: Nneɛma nketenkete , titiriw mmofra nketewa, betumi amene wɔ akwanhyia mu, te sɛ agode nketenkete anaa aduan. Eyinom betumi akɔhyɛ mframa kwan no mu na asiw ahurututu no.
• Nsu a ɛboaboa ano wɔ ahurututu no ho (pleural effusion): Mpɛn pii no, aduruyɛ mu tebea bi a ɛda adi te sɛ komayare na ɛde eyi ba.
• Mframa a ɛboaboa ano wɔ ahurututu no ho (pneumothorax).
• Akisikuru a ɛnyɛ kokoram (a ɛnyɛ papa).
• Kokoram a ɛma obi nya akisikuru.
• Ahurututu mu akuru a ɛba.
• Nyarewa a ɛhyɛ ase: Atelectasis nso betumi afi tebea horow te sɛ ahurututu mu yare a enni sabea (COPD) anaa acute respiratory distress syndrome (ARDS), ne ɔhome mu yare te sɛ COVID-19 anaa ahurututu mu yare mu aba.

Wobɛyɛ dɛn ahu eyi?

Ade a edi kan a ɛsɛ sɛ woyɛ de hu atelectasis ne sɛ wɔbɛyɛ wo koko X-ray . Eyi twa w’ahurututu ho mfonini. Sɛ ɛho hia a, wo duruyɛfo nso betumi ahyɛ sɛ wɔnyɛ CT scan (Computed Tomography scan) na ama wanya mfonini ahorow a ɛkɔ akyiri.

Ɛtɔ da bi a, ebia ɛho behia sɛ wo duruyɛfo no hwɛ w’ahurututu mu. Wɔyɛ eyi denam afiri ketewaa bi a wɔde mfoninitwa afiri ahyɛ mu a wɔde fa wo menewam so. Wɔfrɛ eyi ahurututu mu nhwehwɛmu . Wɔ sɔhwɛ yi mu no, wobetumi ayi biribiara a asiw wo mframa kwan no afi hɔ.

Dɛn ne ayaresa ahorow no?

Atelectasis taa wɔ hɔ.Ɛbɛsa a wɔrennya ayaresa titiriw biara, wɔ oduruyɛfo a ɔhwɛ so yiye ase.

Ayaresa afoforo gyina nea ɛde ɔfe no ba ne sɛnea emu yɛ den so. Ebia nea ɛka ho ne:

• Ahomegye a emu dɔ apɔw-mu-teɛteɛ (`incentive spirometry`): Eyi hwehwɛ sɛ wɔde afiri ketewaa bi sua ahome a emu dɔ.
• Ahurututu mu nneɛma a asiw no a wobeyi afi hɔ: Wɔtaa fa ahurututu mu nhwehwɛmu so na ɛyɛ eyi.
• Apɔw-mu-teɛteɛ: Nea ɛka eyi ho ne apɔw-mu-teɛteɛ a ɛboa ma ahurututu no trɛw.
• Nnuru a wɔhome a ebue mframa kwan (bronchodilators).
• Akisikuru anaa ahurututu mu nyarewa a enni sabea a wɔsa.

Kae sɛ wo duruyɛfo besi w’ayaresa nhyehyɛe ho gyinae, enti ɛho hia paa sɛ wudi wo duruyɛfo akwankyerɛ akyi.

Ɔkwan bɛn so na wobetumi atew asiane no so?

Nneɛma pii wɔ hɔ a wubetumi ayɛ na ama asiane a ɛwɔ hɔ sɛ wubenya atelectasis no so atew:

• Sɛ woyɛ oprehyɛn wie a: Sɔre na nantew bere a wo duruyɛfo ka akyerɛ wo ara pɛ, yɛ ahomegye apɔw-mu-teɛteɛ, na fa spirometer a ɛkanyan obi di dwuma.
• Sɛ wowɔ aduruyɛ mu tebea biara a ɛhyɛ wo ase a: Ma wɔnsa yare no yiye. Di wo duruyɛfo akwankyerɛ akyi.
• Sɛ wonom sigaret a, gyae, anaasɛ nhyɛ aseɛ. Sigaretnom nye mma w’ahurututu paa.
• Sɛ wowɔ mmofra nkumaa a: Nnyaw agode nketewa anaa nnuan wɔ baabi a ebetumi amene.

So eyi yɛ tebea a anibere wom?

Mpɛn pii no atelectasis nyɛ tebea a emu yɛ den . Nanso, wɔ tebea horow bi mu no, nsɛnnennen a emu yɛ den betumi aba:

• Oxygen dodow a ɛba fam wɔ mogya mu (hypoxemia): Sɛ mframa ntumi nkɔ ntini no mu esiane ahurututu a ɛyɛ den nti a, mogya no nnya mframa pa, na ntini ne akwaa ahorow nnya mframa pa.
• Ahurututu mu yare: Sɛ nsu a ɛyɛ nwini boaboa ano wɔ mframa kwan a asiw no mu a, ebetumi anya ɔyare no.
• Ɔhome a entumi nyɛ adwuma yiye: Wɔ tebea horow a emu yɛ den mu (sɛ nhwɛso no, sɛ ahurututu mũ no nyinaa ka a), ɔhome a entumi nyɛ adwuma yiye. Eyi betumi de nkwa ato asiane mu.

Adwene no te dɛn?

Asɛmpa no ne sɛ mpɛn pii no, atelectasis bɛdan ne ho (asan ayɛ yiye) bere a wɔasa nea ɛde ba no. Nnipa dodow no ara ho tɔ wɔn ntɛmntɛm na ennya nkɛntɛnso a emu yɛ den bere tenten. Nanso, ebia obi a ɔwɔ tebea a ɛtra hɔ kyɛ (a enni sabea) behia ayaresa foforo na ama watumi adi nea ɛde atelectasis ba no ho dwuma.

Mɛyɛ dɛn ahwɛ me ho?

Ade a eye sen biara a wubetumi ayɛ ne sɛ wubedi wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ bere a woayɛ wo oprehyɛn no.Afei nso, sɛ wowɔ aduruyɛ mu tebea horow a ɛda adi a ɛma asiane a ɛwɔ hɔ sɛ wubenya atelectasis no yɛ kɛse a, di ho dwuma yiye.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Sɛ wɔayɛ wo oprehyɛn nnansa yi, wowɔ ayaresa tebea bi a ɛda adi pefee, wunya sɛnkyerɛnne foforo biara, anaasɛ wohaw wo ho wɔ sɛnkyerɛnne biara ho a, kɔ wo duruyɛfo nkyɛn ntɛm ara.

Yɛn ahurututu yɛ akwaa a ɛyɛ den yiye na ɛho hia yiye. Wɔn na wɔhwɛ ma mframa kɔ mu, ɛma mogya no mu mframa pa, na wɔma ntini ne akwaa a ɛwɔ nipadua no mu nyinaa yɛ adwuma yiye. Atelectasis yɛ bere a nhyehyɛe yi fã biako ntumi nyɛ adwuma sɛnea ɛsɛ sɛ ɛyɛ no. Sɛ wobɛka sɛ "ahurututu a abubu" - fã ketewaa bi mpo - betumi ayɛ hu kakra. Nanso, anigyesɛm ne sɛ, mpɛn pii no, atelectasis nyɛ tebea a anibere wom araa ma ɛde nkwa to asiane mu.

Sɛnea ɛbɛyɛ a w’adwene besi so: nsɛntitiriw bi

Okay, enti, sɛnea yɛaka ho asɛm no, eyinom ne nneɛma a ɛho hia sen biara a ɛsɛ sɛ wokae:

• Atelectasis yɛ mframa kotoku (alveoli) a ɛwɔ ahurututu no mu a ɛhwe ase.
• Nea ɛtaa de ba ne oprehyɛn, nanso nneɛma afoforo nso wɔ hɔ a ɛde ba, te sɛ nsu a ɛsiw, biribi a obi mene, akisikuru, ne ahurututu mu yare.
• Mpɛn pii no, yare no ho sɛnkyerɛnne biara nni hɔ, nanso nneɛma te sɛ ahome a ɛyɛ den, ɔfe, ne koko mu yaw betumi aba.
• Sɛ wɔyɛ apɔw-mu-teɛteɛ a wɔde home kɔ akyiri na wɔkwati sigaretnom bere a wɔayɛ oprehyɛn akyi a, ebetumi aboa ma asiane no so atew.
• Mpɛn pii no, wobetumi asa saa tebea yi.
• Sɛ w’adwene mu yɛ wo naa anaasɛ wo ho nyɛ wo dɛ a, hwehwɛ aduruyɛfo afotu ntɛm ara.

Mewɔ anidaso sɛ wubehu sɛ mfaso wɔ saa nsɛm yi so. Kɔ so nya apɔwmuden!

` Atelectasis, ahurututu mu a ɛhwe ase, ɔhome mu haw, ahurututu mu yare, ɔhome a ɛyɛ den, ahurututu mu oprehyɛn, ahurututu mu yare