So woanya eyi ato wo pɛn? Wodii atiridii so na wo ho tɔɔ wo, nanso wo ɔfe no rennyae kɛkɛ. Woafe adapɛn pii ni. Ɛtɔ da bi a, wosɔre wɔ nhyiam a ɛho hia bi mfinimfini anaa anadwo a ɛhɔ yɛ dinn na wufi ase fe. Eyi yɛ ahometew na ɛnyɛ dɛ ankasa. Ɛwom sɛ ɔfe yɛ ade a ɛbɔ yɛn ho ban wɔ yɛn nipadua mu de, nanso ɛnyɛ ade a ɛfata sɛ ɛbɛkɔ so saa. Ɛnnɛ, yɛbɛka saa ɔfe a ɛkɔ so daa yi ho asɛm, anaa nea yɛfrɛ no wɔ aduruyɛ mu sɛ ‘Ɔfe a Enni sabea’.
Dɛn ne ɔfe a enni sabea yi?
Sɛ yɛbɛka no tiawa a, ɔfe a enni sabea yɛ ɔfe a ɛtra hɔ bɛboro adapɛn 8 wɔ ɔpanyin mu ne bɛboro adapɛn 4 wɔ abofra mu . Ɔfe yɛ ade pa ankasa. Ɛboa ma mfutuma ne mmoawa a wɔhyɛn yɛn home kwan mu no fi hɔ. Obiara ɔfe bere ne bere mu. Nanso ɔfe a ɛtra hɔ kyɛ te sɛ eyi taa yɛ akwahosan ho haw foforo a ɛda adi ho sɛnkyerɛnne. Eyi ne ade titiriw nti a nkurɔfo kɔ oduruyɛfo nkyɛn.
Enti, ɛnyɛ papa sɛ yebebu yɛn ani agu eyi so. Ɔfe a wɔtaa kɔ no yɛ ɔbrɛ kɛse ma nipadua no. Afei nso, ɛma ɛyɛ den sɛ ɔbɛnantew wɔ baguam, na obi bisa sɛ, "Bere bɛn na ɔfe yi bɛsan aba?" Enti, ɛho hia paa sɛ wobɛhwehwɛ nea ɛde eyi ba na wodi ho dwuma yiye.
Nsɛnkyerɛnne afoforo a ɛtaa ba a ɛka ɔfe ho
Ɛdenam nea ɛde wo ɔfe a enni sabea ba so no, sɛnkyerɛnne afoforo betumi aba aka ɔfe no ho. Hwɛ pon a ɛwɔ ase hɔ no mu hwɛ sɛ wowɔ eyinom mu bi anaa.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛmu |
|---|---|
| Huraeɛ | Nipadua mu hyew a ɛkɔ soro. |
| Koma a ɛyɛ yaw | Ɔfe a efi yafunu mu acid a ɛba menewam mu ba. |
| Koko mu yaw | Ɛyaw bere a ɔrefefe anaasɛ bere a ɔreyɛ nneɛma a ɛfata. |
| Ɛnne a ɛyɛ den | Nne mu nsakrae, nnyigyei a ɛyɛ dede. |
| Ɔhome a ɛyɛ den | Sɛ wote nka sɛ wo home yɛ den anaasɛ ɛyɛ den sɛ wobɛhome. |
| Hwene a ɛretu anaasɛ ɛyɛ mmerɛw | Anom a ɛnyɛ dɛ, te sɛ atiridii. |
| Menewa a wɔtaa tew | Menewa a wɔtaa tew efisɛ ɛte sɛ nea biribi akɔhyɛ menewam. |
Dɛn ne nneɛma atitiriw a ɛde ɔfe a ɛkɔ so daa yi ba?
"Mfomdifo" atitiriw kakraa bi wɔ hɔ a wobetumi de ɔfe a enni sabea aba. 90% no, nea ɛde ba no betumi ayɛ abiɛsa yi mu biako anaa nea ɛboro saa.
| Ade titiriw nti a ɛte saa | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Akisikuru | Nea ɛtaa de ɔfe a enni sabea ba. Ɛtɔ da bi a, mframa a ɛyɛ nwini/a ɛyɛ nwini, mfutuma, wusiw, ne nea ɛkeka ho a obi de ne ho hyɛ mu no betumi ama ɔfe no ayɛ kɛse. |
| Postnosal nsuo a ɛtɔ | Wɔsan frɛ eyi sɛ ‘Upper Airway Cough Syndrome (UACS). Sɛ yɛbɛka no tiawa a, eyi ne nsu a ɛboaboa ano fi hwene mu kɔ menewa mu . Allergy ma nsu a ɛboro so boaboa ano wɔ hwene no mu, na afei ɛkɔ menewa no mu na ɛhyɛ mframa kwan ne ahurututu no abufuw, na ɛma ɔfe. |
| GERD (Yare a Ɛsan Fa Yafunu Mu) . | Eyi ne bere a yafunu mu acid san kɔ soro kɔ aduan no mu. Saa acid yi hyew menewa mu ntini a ɛyɛ mmerɛw no, na ebetumi ama obi afe. |
| Ahurututu mu nyarewa afoforo | Ahurututu mu nyarewa afoforo te sɛ ahurututu mu yare, COPD, ne ahurututu mu yare nso betumi ama obi afe bere tenten. |
Nneɛma afoforo nti
Wɔ nneɛma atitiriw a ɛde ba a yɛaka ho asɛm wɔ atifi hɔ no akyi no, nneɛma afoforo pii nso betumi de ɔfe a enni sabea aba.
- Mogya mmoroso nnuru bi: Nnipa binom a wɔnom nnuru bi, titiriw nea wɔfrɛ no ACE inhibitors no betumi anya ɔfe a ɛyɛ kusuu. Nanso kae sɛ, nnyae nnuru yi nom da a wunnya wo duruyɛfo afotu.
- Allergies: Nneɛma te sɛ mfutuma, pollen, ne nea ɛkeka ho ho akisikuru.
- Koma a Ɛnyɛ Den: Ɔfe nso betumi aba esiane koma no dwumadi a ɛnyɛ den nti.
- Sigaretnom: Ɛnyɛ nwonwa sɛ sigaretnomfo nya ɔfe a enni sabea a wɔfrɛ no "sigaretnomfo ɔfe."
- Ɔhome mu nyarewa: Nyarewa te sɛ ɔfe a ɛyɛ hu betumi ama ɔfe akɔ so adapɛn pii bere a ne ho atɔ no akyi.
Ɛtɔ mmere bi a, wɔ sɔhwɛ ahorow no nyinaa akyi no, wontumi nhu nea ɛde ɔfe biara ba. Wɔ tebea horow a ɛtete saa mu no, nnuruyɛfo frɛ tebea yi "Chronic Refractory Cough."
Ɔkwan bɛn so na wɔsa eyi?
Nea ɛho hia paa ne sɛ ayaresa gyina nea ɛde ɔfe no ba so. Eyi kyerɛ sɛ ɛho hia kɛse sɛ wɔsa tebea a ɛda adi a ɛde ɔfe no ba no sen sɛ wɔbɛnom aduru a wɔde siw ɔfe ano.
Wo duruyɛfo bɛma wo ayaresa nhyehyɛe a ɛfata wo. Eyi hwehwɛ sɛ wɔde nnuru ne asetra mu nsakrae a wɔaka abom.
Nnuru ahorow a wɔde di dwuma
- Wɔ GERD ho: Fa nnuru te sɛ `(antacids)`, `(H2 blockers)`, anaa `(PPIs)` di yafunu mu acid so.
- Wɔ mmoawa a wɔde nyarewa ba ho no: `(Antibiotics)`.
- Sɛ wopɛ akisikuru ne anom yare a: Nnuru a wɔde kum akisikuru ne nnuru a wɔde petepete hwene mu.
- Sɛ wobɛpam nsuo: Nnuru te sɛ ``Expectorants`` a ɛma nsuo no yɛ teateaa na ɛboa ma ɛfiri adi ntɛmntɛm.
- Sɛnea ɛbɛyɛ a ɛbɛtew ɔfe so: Wɔ tebea horow te sɛ ayamtu mu no, fa steroid anaa nnuru a ɛma ahurututu mu trɛw a wɔhome no so tew ɔfe a ɛwɔ mframa kwan no mu no so.
Nea ɛho hia paa:Mfa ɔfe/atiridii nnuru a wɔtɔn a wɔmfa nnuru nhyɛ mu mma mmofra a wonnii mfe 6 a mmofra oduruyɛfo nkamfo kyerɛ.
Asetra kwan mu nsakrae
Ɛwom sɛ eyinom betumi ayɛ te sɛ nneɛma a ɛnyɛ den koraa de, nanso ɛboa kɛse ma wɔhyɛ ɔfe so.
- Da sɛnea ɛsɛ .
- Di aduan a ɛkari pɛ .
- Nom nsu pii.
- Sɛ wususuw sɛ wowɔ GERD a, da a woama mpa no ti so kakra .
- Wo ne wo duruyɛfo nkasa fa nneɛma a ɛkanyan wo ɔfe ho (sɛ nhwɛso no, wusiw, hua a ano yɛ den, nnuan bi), na afei yɛ nhyehyɛe sɛ wobɛkwati.
Sɛ wɔansa wɔn yare a, dɛn na ɛba?
Ɔfe a enni sabea betumi ama obi nna a ontumi nna. Ɔbrɛ ne adwennwen a ɛde ba no betumi aka wo da mũ nyinaa. Ebia wobɛtwe wo ho afi nnipa ho nso esiane aniwu a ɛne sɛ wobɛfefe bere nyinaa nti.
Wɔ tebea horow bi a emu yɛ den mu no, ɔfe nso betumi ama:
- Aniwa a mogya tu
- Rib a ɛpaapae
- Adwene a ɛyɛ basaa ne tiyɛ
- Hernia a ɛyɛ mmerɛw
- Akisikuru a ɛyera (nsu kakraa bi a ɛtwetwe bere a ɔrefefe) .
- Koko ne yafunu mu ntini mu yaw
Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?
Mmara a ɛyɛ mmerɛw sen biara ne sɛ, sɛ wofe bɛboro nnafua 10, na wunnim nea ɛde ba ankasa a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ wo duruyɛfo nkyɛn.
Bio nso, sɛ wowɔ kɔkɔbɔ nsɛnkyerɛnne a edidi so yi mu biara a , hwehwɛ aduruyɛfo afotu ntɛm ara. Sɛ ɛho hia a, kɔ Emergency Department (ETU) a ɛwɔ ayaresabea a ɛbɛn wo no.
| Kɔkɔbɔ nsɛnkyerɛnne a ɛhwehwɛ sɛ wonya ayaresa ntɛm ara | |
|---|---|
| Mogya a wɔfefe | Mogya a mogya anaa kɔkɔɔ tuntum afra mu. |
| Fifiri a ɛboro so anadwo | Fifiri a ɛba araa ma mpa so ntama no yɛ nsu. |
| Ɛnne a ɛyɛ dede a ɛntu mpɔn | Ɛnne a ɛyɛ dede no so antew adapɛn pii. |
| Ɔhome a ɛyɛ den | Ahome a ɛyɛ tiaa anaa ahome a wɔhome ntɛmntɛm. |
| Ɛyɛ den sɛ wobɛmene | Ɛyaw anaa amene a wobɛte nka bere a woremene aduan anaa anonne no. |
| Mu duru a ɛso tew a wontumi nkyerɛkyerɛ mu | Wo mu duru a wobɛtew a wommɔ mmɔden. |
| Ahomegye a ɛyɛ hu | Nnyigyei a ɛyɛ abɛn a efi koko mu bere a wɔrehome no. |
Ɔfe a enni sabea nyɛ biribi a ɛsɛ sɛ wuhu amane wɔ mu. Ayaresa ahorow bi wɔ hɔ a ebetumi aboa. Nhwehwɛmu a edi mu a wobenya ne ade a edi kan wɔ akwantu yi mu. Enti ntwentwɛn wo nan ase na kɔ wo duruyɛfo nkyɛn.
Nkrasɛm a Wɔde Kɔ Fie
- Ɔfe a ɛtra hɔ bɛboro adapɛn 8 wɔ ɔpanyin mu anaa adapɛn 4 wɔ abofra mu no, wɔfrɛ no ‘Ɔfe a Enni sabea’. Mmu w’ani ngu eyi so da.
- Nea ɛtaa de eyi ba ne tebea horow te sɛ ayamtu, anom akyi nsu a ɛtɔ, ne yafunu mu nsu a ɛsan kɔ nipadua no mu (GERD).
- Ayaresa no gyina nea ɛde ɔfe no ba so, enti ɛho hia yiye sɛ wubehu yare no pɛpɛɛpɛ.
- Sɛ wuhu kɔkɔbɔ nsɛnkyerɛnne te sɛ mogya a wobɛfefe, ɛyɛ den sɛ wobɛhome, anaasɛ wo mu duru so tew a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Wo ne wo duruyɛfo nkasa na nya ayaresa nhyehyɛe ne afotu a eye sen biara ma wo.
👩🏽 ⚕️ Nsɛmmisa foforo (FAQs)
💬 Yareɛ bɛn na wɔde Timolol (Timolol Systemic / Blocadren) aduru no di dwuma?
Ɛwom sɛ wonim no yiye sɛ ɛyɛ n’ani so aduru a wɔde sa glaucoma/ani nhyɛso de, nanso saa ‘pill’ yi ne (Non-selective Beta-blocker) aduru a tumi wom sen biara wɔ wiase! Nnuruyɛfo de siw ‘Mogya Mmoa a Ɛkɔ soro’, atiridiinini a emu yɛ den ano, na ɛtew asiane a ɛwɔ hɔ sɛ obewu ne mprenu so bere a wɔanya nkwa wɔ ‘Koma Yare’ mu akyi 100%.
💬 Wobɛyɛ dɛn asiw wo ho kwan sɛ wobɛsan anya komayare/migraine bio bere a woanom saa aduru a ɛyɛ hu yi (Timolol) awie no?
Wo koma ne mogya ntini a ɛwɔ wo tirim no nnyigyei sesa esiane nkrasɛm a ɛne ‘Adrenaline (Epinephrine) nti. Sɛ saa aduru yi hyɛn nipadua no mu ara pɛ a, apon a ɛwɔ koma no mu (Beta-1) ne mogya ntini/ahurututu (Beta-2) nyinaa siw/toto mu 100% na wɔto mu denneennen (Non-selective). Esiane sɛ ɔkwan biara nni hɔ a nkrasɛm no bɛfa so nti, koma no brɛ ase kɛkɛ, na mogya ntini a ɛwɔ amemene no mu no gyae trɛw a ɛho nhia, na ɛma asiane a ɛwɔ hɔ sɛ obi benya atiridiinini/komayare no fi hɔ.
💬 Adɛn nti na wɔka sɛ ɛnsɛ sɛ wogyae saa aduru (Timolol) yi nom mpofirim? Dɛn ne Black Box Kɔkɔbɔ ahorow no?
Sɛ wonom saa aduru yi asram pii na wo werɛ fi anaasɛ ‘wugyae mpofirim’ a, saa adrenaline agyefo a wɔasiw ano no nyinaa bebue mpofirim a wuntumi nni so! Afei, wɔ simma kakraa bi mu no, wubenya komayare a emu yɛ den na wo koma agyae (Myocardial Infarction / Sudden Death) a edi awu araa ma wubetumi awu! Afei nso, esiane sɛ eyi nso siw ahurututu no kwan nti, sɛ wode eyi ma nnipa a wɔwɔ ‘Asthma’ a, wobetumi ahome na wɔawuwu (wɔbara sɛ wɔbɛnom!).
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