So wo nso wowɔ ɔfe ne ahurututu a ɛkɔ so daa? Momma yɛnka saa ‘Chronic Bronchitis’ yi ho asɛm!

So wo nso wofefe bere nyinaa na nsu a ɛyɛ fĩ repue nnansa yi? So wote nka sɛ wo home yɛ wo yaw kakra? Ebia eyi nkɔ so dapɛn biako anaa abien, nanso asram pii, mfe pii mpo. Ɛno ne tebea a yɛbɛka ho asɛm nnɛ, a wɔfrɛ no ‘ahurututu mu yare a enni sabea.’ Ma yɛnhwɛ nea ɛyɛ, nea enti a enyin, ne ɔkwan a yɛbɛfa so akwati.

Dɛn ne ahurututu mu yare a enni sabea?

Sɛ yɛbɛka no tiawa a, ahurututu mu yare a enni sabea yɛ mframa kwan a ɛwɔ w’ahurututu mu a ɛtra hɔ kyɛ , a wɔfrɛ no trachea , ahurututu, ne mframa kotoku nketewa mpo a wɔfrɛ no ahurututu mu. Eyi ma wofe na ɛyɛ den sɛ wobɛhome anyɛ yiye koraa no asram abiɛsa wɔ afe no mu, anaasɛ mfe abien anaa nea ɛboro saa, ɔsram no mu nna dodow no ara.

Nokwarem no, ɛwom sɛ yɛfrɛ no ‘ahurututu mu yare a enni sabea’ de, nanso mprempren nnuruyɛfo ka tebea yi ho asɛm sɛ nyarewa kuw bi a ɛtrɛw a wɔfrɛ no ‘ COPD - Chronic Obstructive Pulmonary Disease ’ no fã. Ɛne sɛ, ɛyɛ yare a ɛtra hɔ kyɛ a esiw mframa kwan a ɛwɔ ahurututu mu no kwan. Ɛwom sɛ wɔfrɛ no kɛkɛ sɛ ‘ahurututu mu yare a enni sabea’ de, nanso ɛtaa yɛ tebea `(COPD)’ no fã. Nnipa kakraa bi pɛ na wɔwɔ ahurututu mu yare a enni sabea a mframa kwan no nsiw, ahurututu mu yare a enni sabea ara kwa.

Nsonsonoe bɛn na ɛda Acute Bronchitis ne Chronic Bronchitis ntam?

Ebia woate ‘bronchitis’ ho asɛm pɛn. Ɛwɔ ahorow abien.

• Ahurututu mu Yare a Ɛyɛ Hu:Eyi yɛ ahurututu mu yare a ɛba mpofirim bere tiaa bi. Mpɛn pii no, mmoawa bi te sɛ atiridii anaa atiridii na ɛde ba. Mpɛn pii no, ɛsa wɔ nna kakraa bi kosi adapɛn kakraa bi mu.
• Bronchitis a Enni sabea: Eyi ne tebea a ɛtra hɔ kyɛ a yɛreka ho asɛm nnɛ no. Sɛ wotaa nya ahurututu mu yare ho sɛnkyerɛnne mfe abien anaa nea ɛboro saa a, ɛyɛ ahurututu mu yare a enni sabea. Nea ɛde eyi ba titiriw ne sigaretnom . Ebetumi nso afi nneɛma afoforo a epira ahurututu no (e.g. mfutuma, nnuru wusiw).

Nsonsonoe bɛn na ɛda ahurututu mu yare a enni sabea ne ahurututu mu yare ntam?

Ahurututu mu yare a enni sabea ne ahurututu mu yare nyinaa ka nyarewa kuw koro a wɔfrɛ no COPD ho. Ɛwom sɛ abien no nyinaa ho sɛnkyerɛnne di nsɛ koraa de, nanso ɛsono mmeae a ahurututu no aka no.

• Wɔ ahurututu mu yare a enni sabea mu no , ntini a ɛde mframa kɔ w’ahurututu mu (bronchi) mu na efi mu ba no hohoro na nsu a ɛyɛ fĩ ahyɛ mu ma.
• Emphysema yɛ tebea a mframa kotoku nketenkete (alveoli) a ɛwɔ mframa kwan no awiei no sɛe na ɛtew.

Mpɛn pii no, obi a ɔwɔ COPD betumi anya tebea abien yi nyinaa ho sɛnkyerɛnne, a ɛkyerɛ sɛ mframa kwan ne n’ahurututu no asɛe kakra.

Hena na tebea yi ka no kɛse?

Ahurututu mu yare a enni sabea, anaa COPD, taa ka:

• Wɔ wɔn a wɔnom sigaret ne wɔn a na wɔnom sigaret fam no, eyi ne asiane titiriw .
• Wɔn a wɔbɛn obi a ɔnom sigaret (Passive smoking).
• Wɔ wɔn a mframa a wɔsɛe no, mfutuma, ne nnuru wusiw hyia bere nyinaa no fam. Susuw nnipa a wɔyɛ adwuma wɔ adwumayɛbea ahorow bi mu, woprapra mmɔnten so, anaa wɔnoa aduan wɔ nnua fononoo so (titiriw wɔ adididan a wusiw no ntumi mfi mu yiye) ho hwɛ.
• Asiane yi nso yɛ kɛse ma nnipa a wɔwɔ ɔhome mu nyarewa afoforo te sɛ ayamtu .

Sɛ ahurututu mu yare a enni sabea ba a, dɛn na ɛba?

Ahurututu mu yare a enni sabea yɛ tebea a ɛma ɔfefe bere nyinaa na ɛyɛ den sɛ wobɛhome esiane sɛ w’ahurututu asɛe nti. Eyi ne nea ɛba:

Sɛ biribi a epira (e.g. sigaret wusiw , mfutuma) hyɛn wo mframa kwan mu a, yɛn nipadua no nipadua mu ahoɔden a ɛko tia nyarewa no yɛ adwuma na ɛma saa mmeae no hohoro. Afei nso, nkwammoaa a ɛma nsu a wɔfrɛ no goblet cells no dodow kɔ soro, na ɛma nsu pii boaboa ano.

Mpɛn pii no, ahurututu mu yare yɛ bere tiaa mu de. Nanso, sɛ mframa kwan yi hyɛ abufuw bere nyinaa (sɛ nhwɛso no, denam sigaret a wɔnom bere nyinaa so) a, ɛsɛe ade. Saa ɔsɛe yi ma nkwammoaa a ɛma nsu a ɛyɛ nwini (goblet cells) no nyin dodo. Nea ɛka ho no, nneɛma a ɛyɛ fɛ a ɛte sɛ nhwi (cilia) wɔ yɛn mframa kwan mu a ɛma nsu fi mu. Ɛtɔ da bi a, eyinom (cilia) ntumi nyɛ adwuma yiye. Ne saa nti, mframa kwan no hohoro na nsu a ɛyɛ fĩ ahyɛ mu ma, na ɛma wofe mpɛn pii na ɛyɛ den sɛ wobɛhome.

Sɛ wowɔ saa tebea yi a, ɛda adi sɛ wubenya ɔyare mmoawa ne ɔyare mmoawa ahorow wɔ w’ahurututu mu, na ebetumi ama wo yare no ho sɛnkyerɛnne no asɛe kɛse.

Dɛn ne sɛnkyerɛnne ahorow no?

Ahurututu mu yare a enni sabea (COPD) ho sɛnkyerɛnne titiriw ne ɔfe a ɛkɔ so yɛ hyew a anyɛ yiye koraa no ɛtra hɔ mfe abien .

Nsɛnkyerɛnne afoforo ne:

• Ahomegye yɛ nnyigyei a ɛyɛ abɛn a efi koko mu ba bere a wɔrehome no.
• Ɔhome a ɛyɛ den, ahome a ɛyɛ tiaa (Dyspnea). Eyi betumi asɛe kɛse bere a woabrɛ kakra, anaa bere a woreforo antweri no.
• Koma a ɛbɔ ntɛmntɛm (Tachycardia).
• Ɔbrɛ ne ɔbrɛ a wɔte nka bere nyinaa (Ɔbrɛ).

Dɛn ne nea enti a ɛte saa?

Sigaretnom ne ade titiriw a ɛde ahurututu mu yare a enni sabea (COPD) ba. Ɛno kyerɛ sɛ wode nneɛma te sɛ sigaret ne bidis bedi dwuma.

Bio:

• Efĩ a ɛwɔ mframa mu (kar mu mframa a wɔtwe, adwumayɛbea wusiw).
• Ahurututu mu nyarewa afoforo te sɛ ayamtu.
• Ɛtɔ mmere bi a, awosu mu nneɛma nso betumi adi dwuma.
• Wɔ tebea horow a ɛntaa nsi mu no, ebia wɔrenhu nea ɛde ba.

So ahurututu mu yare a enni sabea yɛ nea wɔde yare mmoawa ba?

Dabi, ahurututu mu yare a enni sabea / `(COPD)` nyɛ yare a ɛde ɔyare ba. Ɛno kyerɛ sɛ wontumi ntrɛw mfi onipa biako so nkɔ foforo so.

Nanso, sɛ wowɔ ahurututu mu yare a enni sabea a, yare a ɛde ɔyare mmoawa ba te sɛ atiridii anaa atiridiinini a wobɛkyere no betumi ama wo ahurututu mu yare ho sɛnkyerɛnne no ayɛ kɛse (ɛyɛ kɛse) , enti ɛho hia sɛ wohwɛ yiye.

Wobɛyɛ dɛn ahu eyi?

Wo duruyɛfo bɛkyerɛ wo pɛpɛɛpɛ sɛ ebia wowɔ ahurututu mu yare a enni sabea / (COPD) anaasɛ wunni bi. Ɔbɛhwɛ sɛnea w’ahurututu reyɛ adwuma yiye.

Dɔkotani:

• Wobebisa w’ayaresa ho abakɔsɛm (nyarewa a woadi kan anya, sɛ ebia obi wɔ w’abusua mu anya nyarewa a ɛte saa ara, sɛ ebia wonom sigaret, ne nea ɛkeka ho).
• Merebisa wo sɛnkyerɛnne ahorow no ho asɛm.
• Afiri a wɔde tie asɛm no tie wo koma ne w’ahurututu.
• Wɔhyɛ sɛ wɔnyɛ ahurututu mu dwumadi ho nhwehwɛmu.
• Ebia wɔbɛka akyerɛ wo sɛ yɛ wo koko X-ray anaa mfoninitwa nhwehwɛmu foforo.

Ahurututu mu dwumadi ho sɔhwɛ ahorow

Saa nhwehwɛmu ahorow yi betumi ama wo duruyɛfo anya sɛnea w’ahurututu reyɛ adwuma yiye no ho adwene. Spirometry yɛ sɔhwɛ a ɛte saa no mu biako. Wɔ sɔhwɛ yi mu no, wobɔ mframa gu afiri ketewaa bi mu. Ɛsusuw mframa dodow a w’ahurututu tumi fa mu, sɛnea etumi home ntɛmntɛm, ne sɛnea w’ahurututu tumi kura mframa mu yiye.

Chest X-ray anaa CT scan

Saa `(Imaging)` nhwehwɛmu yi betumi aboa wo duruyɛfo ma wahu sɛ ebia ɔhaw anaa ɔhaw bi wɔ w'ahurututu mu anaa. Wɔtwa wo koma ne w’ahurututu ho mfonini. Wɔsan nso hwehwɛ nyarewa afoforo a ebetumi de wo sɛnkyerɛnne ahorow no aba anaa.

Mogya mu nhwehwɛmu

Ebia wo duruyɛfo nso bɛyɛ mogya mu nhwehwɛmu de ahwɛ w’akwahosan nyinaa. Ɛtɔ mmere bi a, wobetumi ayɛ mogya mu nhwehwɛmu titiriw bi nso a wɔfrɛ no arterial blood gas test . Nea ɛka eyi ho ne sɛ wubegye mogya kakraa bi afi ntini (ntini) bi a ɛwɔ wo nsa mu mu na woahwɛ sɛnea oxygen ne carbon dioxide wɔ mu.

ECG anaa EKG

Ebia wo duruyɛfo nso bɛyɛ ECG (ECG/EKG) nhwehwɛmu de ahu sɛnea wo koma reyɛ adwuma yiye, efisɛ ahurututu mu nyarewa bi nso betumi aka koma no.

Dɛn ne ayaresa ahorow no?

Ade titiriw a wɔde sa ahurututu mu yare a enni sabea (COPD) ne sɛ wobedi sɛnkyerɛnne ahorow no so. Ɛdenam sɛnea wo yare no ho sɛnkyerɛnne no mu yɛ den so no, wo duruyɛfo betumi akyerɛ ayaresa ahorow.

Wɔne:

• Sigaretnom a wubegyae: Sɛ woyɛ obi a ɔnom sigaret a, ade a eye sen biara a wubetumi ayɛ ne sɛ wubegyae. Ɛbɛma ayɛ mmerɛw ama wo sɛ wobɛhome na ebetumi nso atew asiane a ɛwɔ hɔ sɛ wo tebea no mu bɛyɛ den no so.
• Bronchodilators: Eyinom yɛ nnuru a ebue wo mframa kwan na ɛma ɛyɛ mmerɛw sɛ wobɛhome. Wɔtaa fa afiri a wɔde home so fa.
• Steroids: Ebia wo duruyɛfo bɛma wo corticosteroids na ama w’ahurututu mu ahonhon so atew. Wobetumi de eyinom ama sɛ aduru a wɔde home anaasɛ sɛ nnuru a wɔde kum ɔyare mmoawa.
• Ahurututu mu ahosiesie: Eyi yɛ nhyehyɛe titiriw bi a ɛkyerɛkyerɛ wo home apɔw-mu-teɛteɛ ne akwan a ɛbɛboa wo ma woatra ase ne wo yare no. Ebetumi ama w’asetra atu mpɔn.
• Oxygen ayaresa: Sɛ wo ahurututu mu yare a enni sabea no mu yɛ den a, ebia worennya oxygen a ɛdɔɔso. Ebia wo duruyɛfo besi gyinae sɛ ɔbɛma wo oxygen foforo. Wobetumi de eyi ama denam akataso a wɔde kata w’anim anaasɛ afiri a wɔde hyɛ wo hwene mu so.
• Nnuru a ekum ɔyare mmoawa: Esiane sɛ ebia wotaa nya ɔyare mmoawa bere a wowɔ ahurututu mu yare a enni sabea nti, sɛ wo duruyɛfo susuw sɛ wowɔ ɔyare bi a, obetumi ama wo nnuru a ekum ɔyare mmoawa.

Bere tenten ahe na ahurututu mu yare a enni sabea di?

Nnuruyɛfo frɛ ahurututu mu yare “nea enni sabea” (ɛkyɛ) sɛ anyɛ yiye koraa no, wunya sɛnkyerɛnne ahorow asram abiɛsa wɔ afe no mu a. Ɛtɔ mmere bi a, wo sɛnkyerɛnne ahorow no betumi ayɛ yiye anaasɛ asɛe. Nanso, nea ɛnte sɛ ahurututu mu yare a emu yɛ den (bere tiaa mu ahurututu mu yare) no, ahurututu mu yare a enni sabea no nkɔ koraa . Ebetumi asɛe kɛse bere a bere kɔ so no.

Wobɛyɛ dɛn atumi abɔ wo ho ban afi eyi ho?

Nneɛma a eye sen biara a wubetumi ayɛ de atew asiane a ɛwɔ hɔ sɛ wubenya ahurututu mu yare a enni sabea (COPD) so ne:

• Mma nnom sigaret. Sɛ woyɛ saa a, akyinnye biara nni ho sɛ gyae. Afei nso, kwati sɛ wobɛbɔ fekuw wɔ mmeae a nnipa afoforo nom sigaret.
• Twe wo ho fi nnuru, mframa a wɔsɛe no, ne nneɛma afoforo a epira ahurututu no ho sɛnea wubetumi (e.g., mmeae a mfutuma wɔ, mmeae a kar mu mframa a emu yɛ duru fi mu, nnuru wusiw).
• Sɛ wowɔ ɔhome mu tebea horow te sɛ ayamtu a, di so. Di wo duruyɛfo akwankyerɛ akyi.

Dɛn ne ahurututu mu yare a enni sabea ho anidaso? So wobetumi asa no yare?

Ebia ahurututu mu yare a enni sabea (COPD) no nyɛ den mma nnipa binom, nanso ebetumi ayɛ kɛse ama afoforo. Ɛkyerɛ sɛ w’ahurututu asɛe, na bere kɔ so no, saa ɔsɛe no betumi ayɛ kɛse.

Wɔrentumi nsan saa ɔsɛe yi, kyerɛ sɛ, wɔsa koraa.

Nanso mma ɛnhaw wo! Wo duruyɛfo betumi aboa wo ma woadi wo yare no ho sɛnkyerɛnne ahorow ho dwuma, ama yare no akɔ so brɛoo, na ama yare no a ɛyɛ hyew no so atew. Wo duruyɛfo begyina wo tebea pɔtee so akyerɛ wo nea ɛsɛ sɛ woyɛ.

Mɛyɛ dɛn ahwɛ me ho?

Ade a eye sen biara a wubetumi ayɛ ne sɛ wo ne wo duruyɛfo bɛyɛ adwuma de ayɛ ayaresa nhyehyɛe a ɛfata wo tebea no. Sɛ wunhu nkɔso biara ɛmfa ho sɛ wudi ayaresa ne nnuru a wo duruyɛfo akyerɛw ama wo no akyi a, wo ne wo duruyɛfo nka ho asɛm.

Ɛdenam ɔhome mu nyarewa a wobɛtwe wo ho afi ho so no, wubetumi atew hokwan a ɛwɔ hɔ sɛ wo sɛnkyerɛnne ahorow no mu bɛyɛ den (a emu yɛ den) no so.

• Nnuru a wɔde bɔ nkurɔfo ho ban a wɔhwehwɛNya (e.g. atiridiinini aduru, ahurututu mu yare aduru).
• Hohoro wo nsa yiye bere nyinaa .
• Kwati mmeae a nnipa ahyɛ hɔ ma , titiriw bere a atiridii ne atiridii ɔyaredɔm reba no.

Saa nneɛma yi betumi aboa wo ma wo yare no mu ayɛ den na ama asiane a ɛwɔ hɔ sɛ wobɛyare denneennen no so atew.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Sɛ wususuw sɛ wowɔ ahurututu mu yare a enni sabea a, kɔ oduruyɛfo nkyɛn ntɛm ara. Sɛ wobɛyɛ ayaresa nhyehyɛe ntɛm ara a, ebetumi aboa ma woadi tebea no a ɛresɛe no so na ama w’asetra atu mpɔn.

Sɛ wowɔ sɛnkyerɛnne ahorow a edidi so yi a, kɔ oduruyɛfo nkyɛn:

• Sɛ wowɔ ɔfe a ɛkyɛ boro adapɛn abiɛsa anaasɛ ɛtaa ba a.
• Sɛ ɛyɛ den ma wo sɛ wobɛhome bere nyinaa anaasɛ wote nnyigyei bi a ɛyɛ hu a efi wo moma so reba a.
• Sɛ wowɔ atiridiinini kɛse (boro digrii Celsius 39.4 / digrii Fahrenheit 103) anaasɛ atiridiinini a ɛtra hɔ bɛboro nnanu a.
• Sɛ wofe mogya a.

Nsɛm bɛn na ɛsɛ sɛ wubisa oduruyɛfo no?

Ɛsɛ sɛ wunya wo ayaresa nhyehyɛe, sɛnea wode nnuru di dwuma, ne sɛnea wode nnuruyɛ mfiri te sɛ nea wɔde home di dwuma no ho ntease pa.

Nsɛm afoforo bi a wubetumi abisa oduruyɛfo no:

• So bere kɔ so no, me tebea no bɛkɔ so asɛe?
• Sɛ wɔsa me yare a, mɛhwɛ kwan sɛ me tebea no atu mpɔn akodu dɛn?
• Bere tenten ahe na ebegye ansa na me yare no ho sɛnkyerɛnne no atu mpɔn?
• Nsɛnkyerɛnne foforo anaa nea ɛreyɛ kɛse bɛn na ɛsɛ sɛ mehwɛ yiye?
• Sɛ mete nka sɛ m’ayaresa nhyehyɛe no ntumi nyɛ adwuma a, dɛn na ɛsɛ sɛ meyɛ?

Ɛyɛ ade a ɛfata sɛ wobɛte ehu ne dadwen nka bere a woahu sɛ wowɔ tebea bi a ɛtra hɔ kyɛ te sɛ ahurututu mu yare a enni sabea / (COPD). Nanso kae sɛ akontaabu ntumi nkyerɛ nea ɛbɛto wo wɔ wo tebea pɔtee no mu. Ɛdenam nokwaredi a wo ne wo duruyɛfo bɛkasa so no, wubetumi anya nea wobɛhwɛ kwan bere a woredi wo tebea no ho dwuma no ho adwene. Ayaresa ne nhomasua bi wɔ hɔ a ebetumi aboa ma nkɛntɛnso a ahurututu mu yare a enni sabea nya wɔ w’asetra so no so atew.

Nsɛm a Wɔaboaboa Ano (Nkrasɛm a Wɔde Kɔ Fie) .

Okay, enti mewɔ anidaso sɛ seesei woanya ntease pa wɔ ahurututu mu yare a enni sabea a yɛkaa ho asɛm nnɛ no ho.

Kae sɛ, nea ehia paa ne sɛ wubegyae sigaretnom koraa. Afei nso, bɔ wo ho ban sɛnea wubetumi biara fi nneɛma a epira w’ahurututu ho.

Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ ɔfe a ɛkɔ so daa anaa ahome a ɛyɛ tiaa a, mmu w’ani ngu so na hwehwɛ aduruyɛfo afotu ntɛm ara . Sɛ wuhu yare no ntɛm na wosa wo yare a, ebetumi aboa wo kɛse wɔ asetra pa mu. Mma ɛnhaw wo, nnuruyɛfo wɔ ha sɛ wɔrebɛboa.