So wote nka mpofirim sɛ wo home yɛ wo yaw? So wo koko mu yɛ den? Momma yensua saa (Bronchospasm) yi ho ade!

So ɛtɔ mmere bi nso a ɛyɛ den ma wo mpofirim sɛ wobɛhome? So ɛte sɛ nea wɔrepiapia wo moma so na wote nnyigyei bi a ɛyɛ hu bere a worehome no? Obiara a wahyia biribi a ɛte sɛɛ no ​​bɛte sɛnea ebetumi ayɛ nea ɛnyɛ dɛ na ɛyɛ hu no ase. Eyi nyɛ wo nkutoo de, na mmom ebetumi ato nnipa pii. Ɛnnɛ yɛrebɛka tebea bi a wɔfrɛ no `(Bronchospasm)` ho asɛm, a ebetumi ayɛ ade titiriw a ɛde ahome tiaa te sɛ eyi ba. Mma ɛnhaw wo, yɛbɛka eyi ho asɛm tiawa ne ɔkwan a wubetumi ate ase so.

Dɛn ne saa `(Bronchospasm)` yi?

Sɛ yɛbɛka no tiawa a, ahurututu mu akisikuru yɛ bere a nneɛma nketenkete a ɛte sɛ ntini a ɛwɔ yɛn mframa kwan mu a ɛde mframa kɔ yɛn ahurututu mu – a wɔfrɛ no ahurututu mu wɔ aduruyɛ mu – no mu yɛ den mpofirim, na ɛma ntini a ɛyɛ mmerɛw a atwa ho ahyia no yɛ teateaa. Fa no sɛ ɛte sɛ nea worepiapia nsu paipu wɔ n’afã abien no nyinaa, na ama nsu no ayɛ teateaa.

Saa ahurututu yi ne nhama a ɛde mframa fi w’ahurututu mu kɔ w’ahurututu mu. Enti sɛ saa nhama yi siw a, mframa pa dodow a ɛkɔ w’ahurututu mu no so tew. Ɛno nti na ɛyɛ den ma wo sɛ wobɛhome, na ɛte sɛ nea wo moma so ayɛ wo yaw.

Sɛ wowɔ `(Bronchospasm)` a, ɛte sɛn?

Nokwarem no, sɛ wowɔ `(Bronchospasm)` a, ebetumi ayɛ osuahu a ɛyɛ hu kakra. Efisɛ mpofirim ara wote nka sɛ wuntumi nhome sɛnea wopɛ. Wɔ obi a onnyaa biribi a ɛte sɛɛ da fam no, ebetumi ayɛ hu kɛse bere a edi kan no.

Fa no sɛ, sɛ worehwere biribi a, ɛyɛ den ma wo mpofirim sɛ wobɛhome, te sɛ nea obi repiapia wo moma so. Ɛyɛ den mpo sɛ wobɛhome, na ebia nnyigyei bi fi wo koko mu reba. Ɛyɛ ade a ɛfata sɛ wobɛte ehu ne ehu nka kakra saa bere no.

Sɛ wuhu saa sɛnkyerɛnne ahorow yi mpofirim a:

• Sɛ wote nka sɛ wo moma so reyɛ den a
• Sɛ wote nka sɛ ɛyɛ den yiye sɛ wobɛhome a
• Sɛ woyɛ nnyigyei a ɛyɛ hu bere a worehome a
• Sɛ wowɔ ɔfe a ɛkɔ so daa a

Sɛ wuhu saa sɛnkyerɛnne ahorow a emu yɛ den yi, titiriw wo koko mu yaw ne sɛnea ɛyɛ den sɛ wobɛhome a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ ayaresabea a ɛbɛn wo no dan a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu ntɛm ara. Sɛ wunya ayaresa wɔ bere ano a, wubetumi adi eyi so.

Hena na ɛda adi sɛ obenya `(Bronchospasm)`?

Bronchospasm betumi ato obiara ankasa. Nanso, ɛda adi sɛ nnipa binom benya bi.

• Wɔn a wɔn ho yɛ wɔn hyew ahorow no fam
• Wɔn a wɔwɔ ayamtu no fam
• Wɔn a wɔwɔ ahurututu mu nyarewa afoforo (e.g. `(COPD)` - Chronic Obstructive Pulmonary Disease) .

Wɔ saa nnipa yi akyi no, mmofra nkumaa ne mpanyimfo a wɔadi boro mfe 65 nso taa nya ahurututu mu yare.

Eyi abu so araa ma wobu ahurututu mu yare sɛ ɛyɛ sɛnkyerɛnne wɔ ahurututu mu nyarewa pii te sɛ ayamtu, ahurututu mu yare, ne COPD mu. Ebetumi nso aba wɔ ahurututu mu nyarewa ahorow ho.

Nsonsonoe bɛn na ɛwɔ `(Bronchospasm)`, `(Laryngospasm)` ne `(Asthma)` ntam?

Saa edin abiɛsa yi betumi ayɛ te sɛ nea ɛyɛ basaa kakra. Ɛwom sɛ abiɛsa no nyinaa ka sɛnea wohome de, nanso ɛsono wɔn ho wɔn ho.

• `(Ahurututu mu akisikuru)` vs `(Ahurututu mu akisikuru)`:

Bronchospasm ka ahurututu (mframa kwan) a ɛwɔ w’ahurututu mu no. Laryngospasm ka wo nne nhama (wo menewa fã a ɛwosow bere a worekasa no). Laryngospasm yɛ bere a wo nne nhama no to mu mpofirim bere a worehome no, na esiw mframa a ɛkɔ w’ahurututu mu no kwan. Eyi betumi ayɛ ade a ɛyɛ hu, a ɛba mpofirim, nanso mpɛn pii no, ɛno ankasa kɔ wɔ simma biako anaa abien ntam. Ɛnyɛ nea abu so te sɛ ahurututu mu yare.

• `(Ahurututu mu akisikuru)` vs `(Akisikuru)`: .

Ɛho hia sɛ yɛte eyi ase. Bronchospasm yɛ nyarewa te sɛ ayamtu ho sɛnkyerɛnne. Ɛne sɛ, obi a ɔwɔ ayamtu betumi anya ahurututu mu yare. Nanso, ɛnyɛ obiara a ɔwɔ ahurututu mu yare no na ɔwɔ ayamtu. Tebea abien no nyinaa fi mframa kwan no bi a ɛho ahonhon, ɔfe, anaa ɛyɛ hyew.

Dɛn ne `(Bronchospasm)` ho sɛnkyerɛnne?

`(Bronchospasm)` ho sɛnkyerɛnne no yɛ hu kakra, na ɛtɔ da bi a ebetumi aba mpofirim. Nnipa pii te nka sɛ wontumi nhome sɛnea ɛsɛ. Nsɛnkyerɛnne atitiriw afoforo ne:

• Koko a ɛyɛ den
• Ahome a ɛyɛ tiaa
• Wheezing ( nnyigyei a ɛyɛ abɛn a efi koko mu ba bere a wɔrehome ) .
• Ɔfe - Ebetumi ayɛ ɔfe a ɛyɛ dry anaasɛ ɔfe a ɛwɔ phlegm.
• Ɔbrɛ - Eyi betumi afi oxygen a enni hɔ.
• Adwene a ɛyɛ basaa

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, ɛho hia sɛ wohwɛ so yiye.

Dɛn na ɛde saa `(Bronchospasm)` yi ba?

Bronchospasm betumi aba bere biara a mframa kwan no mu yɛ hyew anaasɛ ɛho ahonhon. Sɛnea yɛaka ho asɛm no, ayamtu na ɛtaa de ahurututu mu yare ba. Nanso, nneɛma afoforo pii wɔ hɔ a ɛde ba:

• Ahurututu anaa mframa kwan mu nyarewa: Eyinom betumi ayɛ ɔyare mmoawa, mmoawa, anaa fungal yare. Sɛ nhwɛso no, tebea horow te sɛ ahurututu mu yare anaa ahurututu mu yare.
• Chronic Obstructive Pulmonary Disease (COPD): Eyi nso yɛ ahurututu mu yare a ɛtra hɔ kyɛ.
• Nneɛma a ɛma obi ho yɛ no yaw: Nneɛma te sɛ mfutuma, pollen, afieboa a wɔfrɛ no dander, ne nnuan bi.
• Apɔw-mu-teɛteɛ:Nnipa binom tumi nya saa `(Bronchospasm)` yi bere mpo a wɔteɛteɛ wɔn apɔw mu. Yɛfrɛ no `(apɔw-mu-teɛteɛ a ɛma ahurututu mu akisikuru)`. Fa no sɛ, sɛ wutu mmirika na wodi agoru denneennen wie a, ɛyɛ den ma wo sɛ wobɛhome, na wote nka sɛ worebɛfefe. Ɛno betumi ayɛ saa.
• Nnuru wusiw anaa nneɛma afoforo a ɛhyɛ abufuw: Nneɛma te sɛ nnuhuam bi, wusiw a efi nneɛma a wɔde tew nneɛma ho mu, ne wusiw a ekum nkoekoemmoa.
• Wim tebea a ɛyɛ nwini: Mframa a ɛyɛ nwini a wɔhome mpofirim nso betumi aka nnipa binom.
• Sigaretnom anaa vaping: Eyinom ma asiane a ɛwɔ hɔ sɛ obi benya ahurututu mu yare no yɛ kɛse efisɛ ɛsɛe mframa kwan no.
• General anesthesia: Nnipa binom betumi anya saa tebea yi bere a wɔayɛ wɔn oprehyɛn akyi.

Nanso adeɛ baako a ɛsɛ sɛ wokae ne sɛ, ɛnam sɛ wowɔ ayaresa tebea a yɛaka ho asɛm wɔ atifi hɔ no nti, worentumi nnya awerɛhyɛmu sɛ wobɛnya `(Bronchospasm)`. Nanso asiane bi wɔ hɔ.

Nea ɛho hia: Ɛntaa mma koraa sɛ nnuru bi a ɛtrɛw ahurututu mu a wɔde sa ahurututu mu yare no betumi ama tebea no asɛe kɛse. Wɔfrɛ eyi sɛ paradoxical bronchospasm. Sɛ eyi to wo, a ɛkyerɛ sɛ ɛyɛ den ma wo sɛ wobɛhome bere a wode wo inhaler no adi dwuma awie a, ɛsɛ sɛ wugyae aduru no di dwuma ntɛm ara na woka kyerɛ wo duruyɛfo.

Wobɛyɛ dɛn ahu sɛ wowɔ `(Bronchospasm)`?

Wo duruyɛfo betumi ahu no yiye sɛ ebia wowɔ ahurututu mu yare anaa. Ɔbɛhwehwɛ wo mu, abisa wo yareɛ no ho sɛnkyerɛnne, na wabisa w’abusua abakɔsɛm ho asɛm. Ɛtɔ da bi a, wobetumi de wo akɔ ahurututu ho oduruyɛfo (ahurututu ho oduruyɛfo) nkyɛn.

Sɔhwɛ ahorow bɛn na wɔyɛ ma eyi?

Ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ nhwehwɛmu ahorow na ama woahu sɛnea w’ahurututu reyɛ adwuma yiye. Eyinom bi ne:

• Pulse oximetry: Eyi hwehwɛ sɛ wode afiri ketewaa bi a ɛte sɛ clip bɛbata wo nsateaa ano anaa w’aso mu de asusuw oxygen dodow a ɛwɔ wo mogya mu. Eyi yɛ sɔhwɛ a ɛyɛ mmerɛw yiye na ɛnyɛ yaw.
• Spirometry: Wɔ sɔhwɛ yi mu no, wɔka kyerɛ wo sɛ fa afiri ketewaa bi mu home na fi mu. Afiri no (spirometer) susuw sɛnea wohome ntɛmntɛm ne mframa dodow a wohome na wofi mu.
• Ahurututu mu duru ho nhwehwɛmu: Eyi ma wo duruyɛfo hu mframa dodow a w’ahurututu betumi akura mu.
• Lung diffusion capacity test: Saa sɔhwɛ yi nso ka kyerɛ wo sɛ home kɔ tube mu. Ɛkyerɛ sɛnea oxygen resesa yiye wɔ w’ahurututu ne wo mogya ntam.
• Mogya mu mframa a ɛwɔ ntini mu nhwehwɛmu:Eyi kyerɛ oxygen ne carbon dioxide dodow a ɛwɔ wo mogya mu, ne wo mogya mu pH nso.
• Eucapnic voluntary hyperventilation: Wobetumi ayɛ nhwehwɛmu yi de ahwɛ sɛ ebia wowɔ ahurututu mu yare bere a woreyɛ apɔw-mu-teɛteɛ anaa. Wɔ sɔhwɛ yi mu no, wɔma wohome oxygen ne carbon dioxide a wɔadi afra. Eyi yɛ sɛnea wohome bere a woreteɛteɛ w’apɔw mu no ho mfonini. Sɛ ɛka w’ahurututu wɔ ɔkwan a enye so a, ebia woanya ahurututu mu akisikuru a apɔw-mu-teɛteɛ de ba.

Wɔ ɔhome mu nhwehwɛmu ahorow yi akyi no, wo duruyɛfo betumi akamfo nso sɛ wɔnyɛ mfonini mu nhwehwɛmu te sɛ moma so X-ray anaa CT scan mfa nhwɛ sɛ ɔyare mmoawa anaa ɔhaw afoforo bi wɔ w’ahurututu mu anaa.

Ɔkwan bɛn so na wɔsa Bronchospasm?

Ayaresa titiriw a wɔde sa ahurututu mu yare ne aduru bi a wɔfrɛ no ahurututu mu akisikuru. Saa nnuru yi yɛ adwuma denam mframa kwan a ayɛ teateaa (bronchi) a ɛtrɛw na ɛma ɛyɛ mmerɛw sɛ wɔbɛhome no so. Nnuru a ɛma ahurututu mu trɛw no wɔ ahorow ahorow, te sɛ nea wɔde home, nebulizer solutions, ne tablets.

Sɛ tebea no mu yɛ den a, oduruyɛfo no betumi akyerɛw aduru bi a wɔfrɛ no steroid a ama mframa kwan no mu ahonhon so atew.

Nnuru a ɛma ahurututu mu trɛw a ɛyɛ adwuma bere tiaa bi

Wɔde eyinom di dwuma sɛ "rescue inhalers". Wɔboa ma ahotɔ ntɛmntɛm bere a `(Bronchospasm)` ho sɛnkyerɛnne ahorow ba no. Saa nnuru yi yɛ adwuma wɔ simma kakraa bi mu ma wo mframa kwan no trɛw, na ɛma ɛyɛ mmerɛw sɛ wobɛhome. Nsunsuanso no betumi atra hɔ nnɔnhwerew 6. `(Bronchodilators)` a ɛyɛ adwuma tiawa a wɔtaa de di dwuma ne `(Albuterol)` ne `(Levalbuterol)`.

Nnuru a ɛma ahurututu mu trɛw a ɛyɛ adwuma bere tenten

Wɔde nnuru yi di dwuma de tew asiane a ɛwɔ hɔ sɛ daakye ahurututu mu yare no so. Wɔnkamfo nkyerɛ sɛ wɔyɛ "rescue inhalers" (gye Formoterol), efisɛ ɛmma ahotɔ ntɛm ara. Egye bere kakra ansa na wɔafi adwuma ase, nanso ɛtra hɔ bɛyɛ nnɔnhwerew 12. Nnuru a wɔtaa de di dwuma kɛse a ɛma ahurututu mu trɛw a ɛyɛ adwuma bere tenten ne Salmeterol, Formoterol, ne Vilanterol.

Wɔfrɛ ahurututu mu aduru foforo a ɛyɛ adwuma bere tenten sɛ anticholinergic. Eyinom nso wɔ hɔ sɛ nnuru a wɔde home a ɛyɛ adwuma bere tiaa (sɛ nhwɛso no, ipratropium) ne nea ɛyɛ adwuma bere tenten (sɛ nhwɛso no, tiotropium, umeclidinium, aclidinium).

Steroid ahorow a wɔde yɛ nnuru

Steroids yɛ adwuma denam ɔfe (a ɛho ahonhon) a ɛwɔ wo mframa kwan mu a ɛtew so no so. Wɔtaa de nnuru yi ma sɛ ade a wɔde home. Nanso sɛ wo ahurututu mu yare no mu yɛ den a, wobetumi de ama sɛ nnuru anaasɛ wɔde fa ntini mu denam IV nhama so.

Dɛn na wubetumi ayɛ wɔ fie bere a wowɔ `(Bronchospasm)`?

Nokwarem no, ofie aduru pɔtee biara nni hɔ a ebetumi asiw ahurututu mu yare ano bere a afi ase no. Akyinnye biara nni ho sɛ ɛho behia sɛ wode aduru a ɛma ahurututu mu trɛw a ɛyɛ adwuma bere tiaa bi (e.g. afiri a wɔde home) di dwuma na ama wo sɛnkyerɛnne ahorow no afi hɔ.

Sɛ oduruyɛfo bi adi kan ahu sɛ woanya `(Bronchospasm)` a, ɛsɛ sɛ wunya `(Bronchodilator)` dedaw. Nanso, sɛ eyi ne wo suahu a edi kan, na wunni `(Bronchodilator)` a, eye sɛ wobɛkɔ ayaresabea a ɛbɛn wo ntɛm ara na woakɔhwehwɛ ayaresa.

Abenfo binom ka sɛ apɔw-mu-teɛteɛ a wɔde home betumi atew asiane a ɛwɔ hɔ sɛ obi benya ahurututu mu yare no so. Nanso, wɔda so ara resua eyi ho ade, enti adanse pii ho hia. Nanso, saa apɔw-mu-teɛteɛ yi rennyae ahurututu mu yare bere a afi ase no. Sɛ wotaa yɛ ahurututu mu yare a, wo ne wo duruyɛfo nkasa mfa sɛnea wubedi ho dwuma.

So wobetumi asiw ahurututu mu yare ano?

Ɛrentumi nyɛ yiye sɛ wobesiw ahurututu mu yare ano koraa. Nanso, nneɛma bi wɔ hɔ a wubetumi ayɛ de atew asiane a ɛwɔ hɔ no so. Nhwɛsoɔ:

• Nom nsu pii. Ɛbɛma nsu a ɛwɔ wo moma so no ayɛ mmerɛw na ama ayɛ mmerɛw sɛ wobɛhome.
• Kwati sigaretnom ne vaping koraa.
• Ma wo ho yɛ hyew ansa na woateɛteɛ w’apɔw mu.
• Sɛ wowɔ allergy a, to nneɛma te sɛ pollen a wobɛfa so no ano hye.
• Tew apɔw-mu-teɛteɛ so wɔ mmeae a awɔw wom.
• Fa wo vaccines no ma wo bere ano, titiriw sɛ woadi boro mfe 65 a. (e.g. ahurututu mu yareɛ ho aduru, influensa aduru) .

Dɛn na ɛsɛ sɛ obi a ɔwɔ `(Bronchospasm)` hwɛ kwan?

Sɛ oduruyɛfo bi hu sɛ wowɔ ahurututu mu yare a, ɛda adi sɛ ɔbɛkyerɛw ahurututu mu aduru a ɛyɛ adwuma bere tiaa bi (aduru a wɔde home a wɔde gye nkwa) a wode bedi dwuma wɔ tebea a egye ntɛmpɛ mu. Ebia wɔbɛkyerɛw aduru bi a ɛtrɛw ahurututu mu a ɛyɛ adwuma bere tenten nso na aboa ma asiane a ɛwɔ hɔ sɛ ahurututu mu yare daakye no so atew.

Mpɛn pii no, ahurututu mu yare no di bɛyɛ nnafua 7 kosi 14. Saa bere yi mu no, wo duruyɛfo bɛma wo nnuru a wode besiw wo yare no ho sɛnkyerɛnne so.

So Bronchospasm betumi de nkwa ato asiane mu?

Sɛ wɔansa no yiye a, ahurututu mu yare a emu yɛ den betumi de ne nkwa ato asiane mu. Nanso, sɛ wɔsa no ntɛm a, mpɛn pii no, yare no ho sɛnkyerɛnne no fi hɔ wɔ simma kakraa bi mu. Sɛ wuhu ahurututu mu yare ho sɛnkyerɛnne a, fa wo ahurututu mu ntini a ɛtrɛw no di dwuma ntɛm ara. Sɛ wunni aduru a ɛma wotumi trɛw ahurututu mu a, frɛ 911 anaa kɔ ayaresabea a ɛbɛn wo.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Sɛ wowɔ `(Bronchospasm)` ho sɛnkyerɛnne a ɛkɔ so, anaasɛ ɛtwetwe wo da biara da dwumadi ahorow a, kɔ oduruyɛfo nkyɛn.

Titiriw no, sɛ nea edidi so yi mu biara si a, frɛ 911 (anaa wo mpɔtam hɔ nɔma a egye ntɛmpɛ) ntɛm ara, anaa kɔ ayaresabea dan a ɛbɛn hɔ a wɔhwɛ ntɛmpɛ so:

• Sɛ ɛyɛ den yiye sɛ wobɛhome a.
• Sɛ wofe mogya ne nsu a ɛyɛ fĩ a.
• Sɛ wo koko yɛ wo yaw bere a worehome a.
• Sɛ wote nka sɛ wo ho ayɛ wo hyew anaasɛ woatɔ piti a.

## Nneɛma a Ɛho Hia a Ɛsɛ sɛ Wokae (Take-Home Message)

Bronchospasm yɛ tebea a wotumi sa. Nanso, ebetumi ayɛ hu paa sɛ wubenya mu osuahu.

Kae sɛ ɛnyɛ wo nko ara. Yebetumi aboa wo ma woadi tebea yi ho dwuma.

• Sɛ wowɔ ɔhome mu yare bi te sɛ ayamtu anaa COPD a ɛde wo to asiane kɛse mu sɛ wubenya ahurututu mu yare a, wo ne wo duruyɛfo nka ho asɛm.
• Fa nnuru a wo duruyɛfo akyerɛw ama wo (titiriw nea wɔde home) di dwuma sɛnea wɔakyerɛ wo ne mmere a ɛfata mu.
• Bere nyinaa fa "rescue inhaler" ka wo ho sɛ biribi si ntɛm a. Bisa wo duruyɛfo no ɔkwan pa a wobɛfa so de adi dwuma no ho asɛm.
• Hu nneɛma a ebetumi ama obi anya ahurututu mu yare na bɔ mmɔden sɛ wobɛtwe wo ho afi ho sɛnea wubetumi biara.
• Sɛ ɛyɛ den ma wo sɛ wobɛhome, wo koko mu ayɛ wo den, anaasɛ wote nnyigyei a ɛyɛ hu a, mmu w’ani ngu so. Hwehwɛ nnuruyɛfo afotu ntɛm ara.

Hwɛ wo home akwahosan so yiye. Sɛ wowɔ biribi a ɛhaw wo a, ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo.

` ahurututu mu akisikuru, ahome a ɛyɛ den, koko a ɛyɛ den, ayamtu, ɔhome mu yare, ahurututu mu trɛw, inhaler