So ɛyɛ den ma wo nso sɛ wobɛhome? Momma yɛnka tebea a wɔfrɛ no Dyspnea yi ho asɛm wɔ nsɛm a ɛnyɛ den mu!

So woate nka pɛn sɛ wo home ayɛ wo yaw, wo moma so ayɛ wo den, anaasɛ worepere sɛ wobɛhome? Eyi ne nea yɛfrɛ no ahome a ɛyɛ tiaa, anaasɛ ahome a ɛyɛ den, wɔ aduruyɛ mu. Nnipa binom nso frɛ no "ahome tiaa" anaa "ahome tiaa." Ɛyɛ ade a ɛfata sɛ wobɛte nka sɛ wo home yɛ wo yaw bere a woreteɛteɛ w’apɔw mu denneennen, woreforo antweri, anaa bere a wowɔ atiridii no. Nanso, sɛ tebea yi taa ba anaasɛ ɛba bere a woagye w’ahome mpo a, ebetumi ayɛ akwahosan ho haw bi ho sɛnkyerɛnne.

Dɛn ne Dyspnea? Momma yɛnte ase tiawa.

Sɛ yɛbɛka no tiawa a, Dyspnea ne asɛmfua a nnuruyɛfo de di dwuma de kyerɛ sɛ ɛyɛ den sɛ wɔbɛhome. Ɛnyɛ yareɛ, na mmom ɛyɛ sɛnkyerɛnne. Te sɛ atiridiinini ara pɛ. Atiridii nyɛ yare, na mmom ɛyɛ ɔyare mmoawa anaa yare foforo ho sɛnkyerɛnne. Saa na tebea a wɔfrɛ no Dyspnea yi te.

Ebia wobɛte eyi nka wɔ akwan horow so:

• Ɔhome a ɛyɛ den a wɔte nka (mframa ho kɔm).
• Te a wote nka sɛ wo koko mu ayɛ den na ayɛ mmerɛw.
• Ɛsɛ sɛ wɔyɛ adwumaden sen sɛnea wɔtaa yɛ na ama wɔahome.
• Sɛ́ wontumi nhome denneennen.

Nsɛmfua abien foforo a ɛfa ahome a ɛyɛ tiaa ho

Ebia wo duruyɛfo de nsɛm yi bedi dwuma, enti momma yensua eyi nso ho ade kakra.

• Paroxysmal Nocturnal Dyspnea (PND): Eyi yɛ tebea soronko bi. Wɔ saa tebea yi mu no, wosɔre mpofirim a ɛyɛ den sɛ wobɛhome bere a woada dɔnhwerew biako anaa abien akyi.
• Sighing Dyspnea: Eyi ne bere a wohome denneennen (sighs) mpɛn pii na ama ahome a ɛyɛ tiaa no afi hɔ.

Akwan atitiriw abien a ɛma ɛyɛ den sɛ ɔbɛhome

Wobetumi akyekyɛ Dyspnea tebea yi mu ayɛ no ahorow atitiriw abien a egyina ahoɔhare a efi ase ne bere tenten a ɛkyɛ so. Nea ɛde abien yi ba nso betumi ayɛ soronko. Momma yɛnhwɛ no saa kwan yi so na ama yɛate ase ntɛm.

Dɛn nti na ɛyɛ den ma yɛn sɛ yɛbɛhome? Dɛn na ɛde ba?

Fa wo koma ne w’ahurututu sɛ nnamfo paa baanu a wɔbom yɛ adwuma. Ahurututu no de mframa pa ka mogya no ho, koma no pɔmpɛ a ɛma mogya mu mframa pa kɔ nipadua no nyinaa mu, na ahurututu no nso de mframa bɔne san kɔ nipadua no mu na ɛhome.

Enti, sɛ ɔhaw bi wɔ koma anaa ahurututu no dwumadi mu a, ebetumi aba sɛ mframa pa nni mogya no mu anaasɛ mframa bɔne a ɛwɔ nipadua no mu no bɛkɔ soro. Afei amemene no nya sɛnkyerɛnne bi a ɛka sɛ, "Ahome nnɔɔso, home denneennen." Ɛno ne bere a yɛte nka sɛ ɛyɛ den sɛ yɛbɛhome.

Nea ɛde ba titiriw ne ahurututu ne komayare. Momma yɛnhwɛ wɔn wɔ ɔkwan soronko so.

Nneɛma a ɛde ba a ɛfa ahurututu ne ɔhome nhyehyɛe ho

• Akisikuru
• Nneɛma a ɛma obi ho yɛ no hyew
• COPD (a ɛtaa ba wɔ wɔn a wɔnom sigaret mu) .
• Ɔhome mu yareɛ (s.e., ahurututu mu yareɛ, COVID-19, ahurututu mu yareɛ) .
• Pleural effusion anaa ɔfe (pleurisy) .
• Nsu a ɛboaboa ano wɔ ahurututu mu (Pulmonary Edema) anaasɛ akuru (Fibrosis) .
• Ahurututu mu kokoram
• Ahurututu mu Ntini a Ɛkɔ So
• Nsanyare a ɛma obi nya nsamanwaw
• Ahurututu a Abubu / Pneumothorax
• Ahurututu mu Nkwammoaa a Ɛyɛ Fɛ
• Menewa a wɔde menewa

Koma ne mogya a ɛde ba

• Anemia - Wei kyerε sε mogya mu nkwammoaa kɔkɔɔ a εwכ mogya mu no so tew.
• Koma a Ɛnyɛ Den
• Koma ntini mu nyarewa (Cardiomyopathy) .
• Koma a ɛbɔ a ɛnteɛ (Arrhythmia) .
• Koma no mu ɔfe (e.g. Endocarditis, Pericarditis) .

Nneɛma afoforo nti

• Dadwen: Eyi yɛ ade a ɛtaa de ba paa.
• Kɛse mmoroso: Nipadua mu duru (BMI) a ɛboro 30.
• Apɔw-mu-teɛteɛ a wonnya: Sɛ woanteɛteɛ w’apɔw mu a, wo ntini yɛ mmerɛw na wo home yɛ tiaa bere a woreyɛ nnwuma nketenkete mpo no.
• Nnuru bi: Eyi nso betumi afi nnuru bi a ɛtew mogya mu srade so (statins) ne mogya mmoroso nnuru bi (beta-blockers) mu.
• Biribi te sɛ mpampam a wobubu.
• Sleep Apnea: Tebea a ɛma ɔhome gyae bere a wada.

Ɔkwan bɛn so na oduruyɛfo no betumi ahu nea ɛde eyi ba?

Sɛ wunwiinwii sɛ wo home yɛ wo yaw a, oduruyɛfo no bedi kan ahwɛ wo. Ɔde afiri a wɔde tie asɛm betie w’ahurututu, asusuw wo mogya mmoroso, na ɔde ade ketewaa bi a wɔde kyekyere wo nsateaa (pulse oximeter) asusuw oxygen dodow a ɛwɔ wo mogya mu.

Nea ɛka ho no, wobetumi ayɛ sɔhwɛ ahorow te sɛ eyinom de ahu nea ɛde ba ankasa:

• Chest X-ray anaa CT scan: Sɛnea ɛbɛyɛ a wobɛhwɛ sɛ ɔhaw biara wɔ ahurututu no ho.
• Mogya mu nhwehwɛmu: Hwɛ sɛ mogya a ɛtɔ kɔ nipadua mu anaa nyarewa afoforo bi wɔ hɔ anaa.
• Ahurututu mu Dwumadi Ho Sɔhwɛ: Susuw sɛnea wohome yiye na wufi mu.
• Koma ne ahurututu mu Apɔw-mu-teɛteɛ Sɔhwɛ: Sɔhwɛ a ɛkyerɛ sɛnea wo koma ne w’ahurututu yɛ adwuma bere a wonam afiri a wɔde tu mmirika so na woteɛteɛ w’apɔw mu no.

Bere a ɛsɛ sɛ wohwehwɛ aduruyɛ mu afotu ntɛm ara

Ɛtɔ mmere bi a, ahome a ɛyɛ den betumi ayɛ aduruyɛ mu tebea a emu yɛ den ho sɛnkyerɛnne. Sɛ wowɔ sɛnkyerɛnne ahorow a edidi so yi mu biako anaa nea ɛboro saa a, kɔ ayaresabea dwumadibea a ɛbɛn wo a wɔhwɛ ntɛmpɛ so (ETU) a wonntwentwɛn wo nan ase.

Ɔkwan bɛn so na wobetumi adi tebea yi ho dwuma na wɔasiw ano?

Ayaresa no gyina nea ɛde wo home tiaa ba no so. Wo duruyɛfo bɛkyerɛ nea ɛde ba na wakyerɛw aduru a ɛfata ama wo. Mpɛn pii no, saa nneɛma yi betumi aboa wo ma wo ho atɔ wo.

• Apɔw-mu-teɛteɛ: Apɔw-mu-teɛteɛ a woyɛ no daa hyɛ wo koma ne w’ahurututu mu den, enti enhia sɛ wɔyɛ adwumaden saa.
• Ahomegye ho apɔw-mu-teɛteɛ: Wo duruyɛfo betumi akyerɛ wo ahomegye ho apɔw-mu-teɛteɛ ne akwan a ɛfata a ɛbɛma w’adwene adwo.
• Nnuru: Wobetumi akyerɛw nnuru a wɔde home (bronchodilators) ama tebea horow te sɛ ayamtu ne COPD.
• Oxygen Ayaresa: Sɛ oxygen dodow a ɛwɔ wo mogya mu no sua koraa a, ebia wo duruyɛfo bɛkyerɛw wo mframa a ɛwɔ akyi no ama wo.
• Kwati sigaretnom: Akyinnye biara nni ho sɛ eyi yɛ biribi a ɛsɛ sɛ woyɛ.
• Mu duru a ɛfata a wobɛkɔ so akura mu.
• Kwati sɛ wobɛhome nneɛma a ɛhyɛ ahurututu no abufuw te sɛ mfutuma ne wusiw.

Ahome tiaa nyɛ biribi a ɛsɛ sɛ wobu ani gu so. Sɛ wotaa hyia ɔhaw a ɛte sɛɛ a, nsuro sɛ wo ne w’abusua oduruyɛfo bɛkasa. Ɛtɔ da bi a, nsakrae ketewaa bi mpo betumi ama nsakrae kɛse aba w’asetra mu.