Momma yensua ahurututu mu yare a emu yɛ den a ɛka ahurututu abien no nyinaa (Bilateral Interstitial Pneumonia) ho ade.

So woanya atiridii a ɛma wo home yɛ wo yaw kɛse, ɔfe a ɛyɛ kusuu a ɛmma nsunsu biara mma pɛn? Ɛtɔ da bi a, yesusuw sɛ ɛyɛ atiridii anaa atiridiinini ara kwa, nanso ebetumi ayɛ biribi a anibere wom kɛse. Ɛnnɛ yɛreka tebea bi a wɔfrɛ no 'Bilateral Interstitial Pneumonia ', a ɛka yɛn ahurututu mmienu prɛko pɛ, titire wɔ COVID-19 ɔyaredɔm no ho. Mma ɛnhaw wo, momma yɛnkyerɛkyerɛ mu tiawa.

Sɛ yɛbɛka no tiawa a, tebea yi ne dɛn?

Fa w’adwene bu w’ahurututu sɛ akwaa bi a mframa kotoku nketenkete ɔpepem pii a ne kɛse te sɛ bobe nketewa ahyɛ mu ma. Sɛ yɛhome a, mframa hyɛ mframa kotoku yi ma. Wɔfrɛ ntini a ɛyɛ mmerɛw a atwa mframa kotoku yi ho ahyia no ntini a ɛwɔ ntam .

Afei, sɛ saa ntini a ɛwɔ ntam yi hohoro, nya ɔyare mmoawa , na nsu a ɛte sɛ akisikuru ahyɛ mu ma esiane ɔyare mmoawa anaa ɔyare mmoawa bi nti a, yɛfrɛ no ‘Ahurututu mu Ahurututu mu Yare. ' Asɛmfua 'afã abien' kyerɛ 'afã abien no nyinaa.' Ɛno kyerɛ sɛ saa tebea yi ka w'ahurututu abien no nyinaa bere koro mu .

Nea enti a eyi yɛ aniberesɛm kakra ne sɛ, sɛ wɔkɔ so nya ɔyare mmoawa wɔ ntini no mu wɔ saa kwan yi so a, bere kɔ so no, akuru a ɛtra hɔ daa betumi aba saa ntini no mu. Te sɛ bere a kuru bi a ɛwɔ yɛn honam ani yare no, akuru bi ba. Saa akuru yi ma ahurututu no hwere sɛnea ɛyɛ mmerɛw, ɛyɛ den, na ɛma ɛyɛ den yiye sɛ wɔbɛhome yiye. Ɛtɔ mmere bi a, saa tebea yi tumi mu yɛ den ntɛm ara na ɛde ɔhome a entumi nyɛ adwuma yiye mpo.

Nkitahodi a ɛda COVID-19 ne saa yare yi ntam

COVID-19 mmoawa no nso nam nsuo a ɛtɔ kɔ mframa mu bere a obi a ɔwɔ yareɛ no kɔfe anaa ɔfefe no so trɛw. Bere a nnipa dodow no ara a wonya COVID-19 no nya sɛnkyerɛnne a emu nyɛ den te sɛ atiridiinini no, nnipa binom betumi anya ɔhaw bi a emu yɛ den kɛse, a ebetumi akum obi a wɔfrɛ no bilateral interstitial pneumonia.

Dɛn ne eyi ho sɛnkyerɛnne atitiriw?

Saa yareɛ yi ho nsɛnkyerɛnneɛ te sɛ COVID-19 yareɛ a emu yɛ den ho nsɛnkyerɛnneɛ no ara pɛ. Hwɛ sɛ wo nso wowɔ saa sɛnkyerɛnne ahorow yi anaa.

Ɔkwan bɛn so ankasa na oduruyɛfo no hu eyi?

Sɛ wokɔ oduruyɛfo nkyɛn a, ɔbɛhwɛ wo, abisa wo yare no ho sɛnkyerɛnne, na ebia ɔhyɛ sɛ wɔnyɛ nhwehwɛmu mpɛn pii na ama woahu tebea yi.

• CT Scan: Eyi yɛ X-ray a tumi wom. Etumi twa ahurututu no ho mfonini a emu da hɔ yiye. Wɔ CT scan a wɔde yɛ nnipa a wɔwɔ saa yare yi mu no, nnuruyɛfo tumi hu nsensanee fitaa wɔ ahurututu mu a wɔfrɛ no "ground glass," a ɛte sɛ ahwehwɛ a mfutuma ayɛ mu ma. Eyinom kyerɛ sɛ ahurututu mu ntini asɛe.

• Pulmonary Function Test: Eyi kyerɛ sɛnea w’ahurututu yɛ adwuma yiye ne mframa dodow a wubetumi akɔ mu na woafi mu. Ebia wɔbɛka akyerɛ wo sɛ yɛ nneɛma te sɛ mframa a wobɛbɔ akɔ afiri mu ntɛmntɛm.

• Bronchoscopy: Wɔ eyi mu no, wɔde afiri a ɛyɛ tratraa a ɛyɛ mmerɛw a mfoninitwa afiri abata ho no fa wo hwene anaa w’ano mu kɔ w’ahurututu mu, wɔde nkyene kakraa bi hohoro mframa kwan no, na afei wɔtwe nsu no na wɔhwehwɛ mu. Wɔhwɛ nsu no mu hwɛ sɛ mogya mu nkwammoaa fitaa dodow akɔ soro anaa.

• Biopsy: Eyi ho nhia mma obiara. Nanso, wɔ tebea horow bi mu no, bere a wɔreyɛ ahurututu mu nhwehwɛmu a yɛaka ho asɛm wɔ atifi hɔ no, wɔfa ahurututu mu ntini ketewaa bi na wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu de si baabi a ntini no asɛe no so dua bio.

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Ɛsono ayaresa a wobetumi apaw a egyina nea ɛde tebea no ba ne sɛnea emu yɛ den so. Wo duruyɛfo na ɔkyerɛ ayaresa ahorow yi nyinaa.

• Nnuru a ɛko tia ɔyare mmoawa: Sɛ ɔyare mmoawa bi te sɛ COVID-19 na ɛde tebea no ba a, wobetumi de nnuru a ekum ɔyare mmoawa ama de asiw yare no ano. Sɛ nhwɛso no, wɔde nnuru te sɛ ` Paxlovid` anaa `Remdesivir` a wɔde fa ntini mu di dwuma.

• Oxygen Ayaresa: Sɛ ɛyɛ den sɛ ɔbɛhome a, wɔde oxygen ma denam hwene mu afiri anaa akataso so. Sɛ tebea no mu yɛ den a, wobetumi de wo akɔ Emergency Treatment Unit (ETU) na wɔde wo abata mframa a wɔde ma ho .

• Corticosteroids: Steroid nnuru te sɛ prednisone betumi aboa ma wɔasiw ɔfe ne ɔyare mmoawa a ɛwɔ ahurututu mu no so. Nanso, ɛnyɛ adwuma mma obiara, na ebetumi de ɔhaw ahorow aba.

• Nnuru a ɛmma nipadua no tumi ko tia nyarewa: Ɛtɔ mmere bi a wɔde nnuru a esiw nipadua no mu tumi a ɛko tia nyarewa ano, te sɛ ` Azathioprine` ne `Mycophenolate mofetil` di dwuma.

• Nnuru a ɛko tia fibrotic: Wokae bere a yɛkae sɛ akuru a ɛtra hɔ daa ba ahurututu mu no? Wontumi nsan saa akuru yi. Nanso, nnuru te sɛ `nintedanib (Ofev)` ne `pirfenidone (Esbriet)` betumi abrɛ sɛnea saa akuru yi ba no ase na aboa ma wɔadi yare no nkɔso so.

• Ayaresa afoforo: Eyi akyi no, ahurututu mu a wɔbɛsan asiesie, a nea ɛka ho ne ahomegye a wɔde hyɛ ahurututu mu den, na sɛ ayaresa foforo biara antumi anyɛ yiye a, wobetumi abu ahurututu a wɔde bɛma obi foforo sɛ ɔkwan a etwa to.

Yɛbɛyɛ dɛn atumi abɔ yɛn ho ban afi tebea horow a ɛte sɛɛ ho?

Yɛn nyinaa nim sɛ "ɛye sɛ wobesiw yare bi ano sen sɛ wɔbɛsa no bere a ayɛ kɛse akyi." Enti, hwɛ hu sɛ wubedi saa nneɛma yi akyi na ama w’ahurututu ayɛ yiye.

• Kwati sigaretnom koraa. Sɛ wonom sigaret a, gyae nnɛ. Ɛyɛ ade a eye sen biara a wubetumi ayɛ ama w’ahurututu.
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• Sɛ woyare a, tena fie sɛnea wubetumi biara na bɔ afoforo ho ban, gye sɛ wobɛkɔ oduruyɛfo nkyɛn.