So wuhu sɛ wo ho yɛ wo hyew bere a wonam akyirikyiri anaa woreforo antweri no? So wobrɛ ntɛmntɛm sen sɛnea na woyɛ kan no? Ebia wobɛka akyerɛ wo ho sɛ, "Merenyin ara kwa," anaasɛ "Minteɛteɛ m'apɔw mu sɛnea ɛsɛ nnansa yi." Bere a saa nneɛma no di dwuma no, ɛtɔ mmere bi a saa sɛnkyerɛnne ahorow yi kyerɛ biribi a ɛho hia kɛse. Ɛnnɛ, yɛpɛ sɛ yɛne wo kasa fa tebea bi a wonim no sɛ Apɔw-mu-teɛteɛ a Wontumi Nnya Apɔw-mu-teɛteɛ ho .
Dɛn ankasa ne Apɔw-mu-teɛteɛ a Wonnya Abodwokyɛre?
Sɛ yɛbɛka no tiawa a, Apɔw-mu-teɛteɛ a Wontumi Nnya Apɔw-mu-teɛteɛ ne bere a wo nipadua ntumi nni apɔw-mu-teɛteɛ ho dwuma ntɛmntɛm sɛnea na ɛte bere bi no. Sɛ wobɔ mmɔden kakra mpo a, ɛma wote nka sɛ woabrɛ anaasɛ wopere sɛ wobɛhome. Fa wo nipadua no sɛ afiri a ɛyɛ den a ɛhwehwɛ sɛ wo koma, w’ahurututu, ne wo ntini yɛ adwuma pɛpɛɛpɛ bere biara a wobɛtu, wobɛtu mmirika, anaa wobɛma biribi so. Sɛ nhyehyɛe yi fã biara hyia mmerɛwyɛ anaasɛ ɔhaw bi a, "afiri" no di apere sɛ ɛbɛyɛ adwuma. Ɛno ne bere a wunya Apɔw-mu-teɛteɛ a Wonni Abodwokyɛre.
Mpɛn pii no, saa sɛnkyerɛnne ahorow yi mma wuntumi nnu wo koma a wobɛbɔ a wopɛ sɛ wo mfe a woadi no ho. Bere a woreyɛ apɔw-mu-teɛteɛ no, ebia wo nipadua no betumi de mframa pa a obi a onni saa tebea yi bɛtwe no bɛyɛ 60% kosi 70% pɛ adi dwuma. Eyi taa ba titiriw sɛ wo koma no ntumi nkɔ yiye, te sɛ nsɛm a ɛfa Koma a Ɛnyɛ Yiye ho .
Kae sɛ wo koma ne engine a ɛde mogya a oxygen pii wom kɔ ntini ne nkwammoaa a ɛwɔ wo nipadua nyinaa mu no mu. Sɛ koma no ntumi nkɔ nsu mu yiye a, saa mframa pa a ɛho hia a ɛkɔ wo ntini mu no yɛ nea ɛnteɛ.
Bio nso, sɛ wowɔ ahurututu mu tebea horow a ɛhyɛ wo ase a, ebia wo nipadua no bɛpere sɛ ɛde mframa pa a ɛdɔɔso bɛba bere a worehome denneennen a ɛho hia ma apɔw-mu-teɛteɛ no, efisɛ wo ntini hia oxygen pii kɛse bere a woreyɛ nnam bere a wode toto bere a woregye w’ahome no ho no.
Sɛ wohome mframa pa a ɛdɔɔso na wo koma de ma yiye mpo a, ɛho da so ara hia sɛ wo nkwammoaa no dan no ahoɔden. Sɛ wo nnompe ntini no ntumi nyɛ adwuma yiye a, wontumi mfa saa mframa pa no nni dwuma yiye.
Sɛ anammɔn biara a ɛwɔ saa nkɔnsɔnkɔnsɔn yi mu —oxygen a wɔfa, ne kyekyɛ, anaa nkwammoaa a wɔde di dwuma —bubu a, wunya Apɔw-mu-teɛteɛ a Wontumi Nnya Apɔw-mu-teɛteɛ. Saa tebea yi betumi ama w’ani annye dwumadi ne da biara da nnwuma a w’ani gye ho, na wɔ tebea horow bi mu no, ebetumi mpo ama woakɔ ayaresabea mpɛn pii.
Eyi abu so dɛn?
Apɔw-mu-teɛteɛ Abodwokyɛre a wonni abu so koraa sen sɛnea ebia wubesusuw na ɛka nnipa ɔpepem pii wɔ wiase nyinaa. Nea ɛde ba no sõ na egu ahorow. Sɛ nhwɛso no, wɔ United States no, nnipa bɛboro ɔpepem 6 na wɔwɔ Koma a Ɛyɛ Den , na wɔn mu bɛyɛ 50% di apere wɔ apɔw-mu-teɛteɛ a wontumi nnyina ano ho. Yɛtaa hu tebea yi wɔ ayarefo a wɔwɔ koma ne ɔhome mu nyarewa ahorow mu wɔ Sri Lanka ha yi ara.
Dɛn ne apɔw-mu-teɛteɛ a wontumi nnye ntom ho sɛnkyerɛnne ahorow?
Sɛ wususuw sɛ ebia worehyia Apɔw-mu-teɛteɛ a Wontumi Nnya Apɔw-mu-teɛteɛ a, hwehwɛ kɔkɔbɔ nsɛnkyerɛnne a ɛtaa ba yi:
- Ɔhome a ɛyɛ tiaa (Dyspnea) : Eyi ne sɛnkyerɛnne a ɛtaa ba. Ebia wobɛte nka sɛ wuntumi nhome anaasɛ ɛsɛ sɛ wohome ntɛmntɛm bere a woayɛ adwuma a emu nyɛ den mpo akyi, te sɛ antweri a wobɛforo, a ɛte sɛ ayamtu -te sɛ ahurututu.
- Ɔbrɛ a ɛboro so anaa ntɛmntɛm (` Ɔbrɛ `): Wubetumi anya ɔbrɛ anaa mmerɛwyɛ kɛse a ntease biara nnim, anaasɛ wobɛte ɔbrɛ nka bere a woanyane akyi pɛɛ, na ɛkɔ so da mũ no nyinaa.
- Nan a ɛnyɛ dɛ anaa nsa ne anan a emu yɛ duru: Bere a woreyɛ dwumadi no, ebia wobɛte ɛyaw, wo ho ayɛ wo duru, wo nan ho ayɛ wo yaw, anaasɛ wo ho ayɛ wo yaw, na ɛtɔ mmere bi a wɔka ho asɛm sɛ ɛyɛ wo yaw a ɛyɛ mmerɛw anaasɛ wo ho ayɛ wo yaw.
- Ahome a wɔhome ntɛmntɛm(`Hyperventilation`): Ɛyɛ den sɛ wobɛhome wɔ abɔde mu, na ɛde ahome ntɛmntɛm na ɛnyɛ den, a ɛtɔ mmere bi a ebetumi de adwenemhaw anaa koma a ɛbɔ ka ho.
Dɛn na ɛde Apɔw-mu-teɛteɛ a Wonnya Abodwokyɛre ba?
Biribiara nni hɔ a ɛde ba; aduruyɛ mu nsɛm pii betumi de tebea yi aba. Momma yɛnhwɛ wɔn a wɔde mmoa titiriw mae no:
- Koma a Ɛnyɛ Den: Bere a koma ntini no ayɛ mmerɛw na entumi mfa mogya nkɔ yiye.
- Koma mu yare a wɔde awo obi : Koma nhyehyɛe mu sintɔ ahorow a ɛba fi awo mu.
- Ahurututu mu nyarewa: Tebea horow a enni sabea te sɛ ` COPD ` ( Chronic Obstructive Pulmonary Disease ) ma ɛyɛ den ma w’ahurututu mu sɛ ɛbɛsesa oxygen ne carbon dioxide.
- Pulmonary Embolism: Mogya a ɛtɔ wɔ ahurututu no mu mogya ntini mu—eyi yɛ aduruyɛ mu ntɛmpɛ a ɛhwehwɛ sɛ wɔboa no ntɛm ara 911/egye ntɛmpɛ.
- COVID a ɛkyɛ: Ɔbrɛ a ɛtra hɔ kyɛ, ahome a ɛyɛ tiaa, ne koko mu yaw a ɛkɔ so bere tenten wɔ ɔyare no a edi kan no akyi .
- Mogya a ɛtɔ kɔ nipadua mu: Mogya mu nkwammoaa kɔkɔɔ a ɛfata a wunni no ma mframa pa dodow a wo mogya betumi de akɔ so no so tew.
- Concussion: Amemene mu opira a ɛyɛ hu a ebetumi ama ayarefo ate nka wɔ nipadua mu mmɔdenbɔ ho bere a wɔn ho atɔ wɔn.
- Mpanyinyɛ: Ntini mu duru ne nipadua mu nneɛma a ɛsakra no so tew a efi awosu mu ba.
- Kɛse mmoroso: Mu duru a ɛboro so ma koma, ahurututu, ne nkwaa hwehwɛ kɛse.
- Asikreyare: Asikre a ɛwɔ mogya mu a wontumi nhyɛ so no betumi asɛe ntini ne mogya ntini bere tenten.
- Asaabo mu yare: Nwura a wɔanhoro mu yiye no betumi ama awuduru ayɛ kɛse na wabrɛ bere nyinaa.
- Nnompe mu ntini mu yare: Awosu mu tebea horow te sɛ McArdle yare , a ntini ahorow nni enzyme pɔtee bi a ɛbɛma ahoɔden aba, na ɛma ɛyaw kɛse ba bere a ɛretu no.
- Ɔhyew a ɛma obi ho hyehye no: Tebea horow te sɛ ntini mu yare betumi ama nipadua mu ayɛ basaa na watumi ankɔ baabiara.
Nea ɛho hia no, ayarefo pii hu amane wɔ tebea horow yi mu bɛboro biako bere koro mu. Sɛ nhwɛso no, ebia ɔyarefo bi benya komayare, kɛseyɛ mmoroso, ne asikreyare, na ebetumi ama Apɔw-mu-teɛteɛ a Wontumi Nnye Atom no mu ayɛ den kɛse.
Ɔkwan bɛn so na oduruyɛfo betumi ahu saa tebea yi?
Sɛ worehyia sɛnkyerɛnne ahorow te sɛ eyinom a, ɔkwan a eye sen biara a wubetumi ayɛ ne sɛ wobɛkɔ oduruyɛfo nkyɛn ma wahu nea ɛde ba no yiye. Ɛda adi sɛ wo duruyɛfo no bɛhwɛ wo yare no ho sɛnkyerɛnne no mu, asusuw w’abusua aduruyɛ ho abakɔsɛm ho, na wayɛ wo nipadua mu nhwehwɛmu. Bio nso, ebia wɔbɛkamfo akyerɛ sɛ wɔnyɛ nhwehwɛmu pɔtee bi a ɛbɛma wɔahu wo tebea no na wɔahu nneɛma a ɛde ba.
- Simma asia nantew sɔhwɛ: Eyi yɛ nhwehwɛmu a ɛnyɛ den a wɔka kyerɛ wo sɛ nantew wɔ baabi a ɛyɛ tratraa a ɛyɛ mmerɛw na ɛyɛ mmerɛw simma asia. Wo duruyɛfo bɛsusuw kwan a wofa so nyinaa, bere a ɔhwɛ wo koma bɔ ne oxygen dodow so ansa na woanantew ne bere a woakɔ akyi nyinaa.
- Apɔw-mu-teɛteɛ mu adwennwen sɔhwɛ: Wɔ sɔhwɛ yi mu no, wobɛnantew afiri a wɔde tu mmirika so anaasɛ wobɛtra sakre a egyina hɔ so bere a wɔhwɛ wo mogya mmoroso, wo koma bɔ, ne wo koma a ɛbɔ (ɛnam ECG so) no. Eyi boa wo duruyɛfo ma ɔte sɛnea wo koma yɛ n’ade wɔ nipadua mu nneɛma a apɔw-mu-teɛteɛ mu no ho.
- Koma ne ahurututu mu apɔw-mu-teɛteɛ sɔhwɛ (CPET): Wobu eyi sɛ "sika kɔkɔɔ gyinapɛn".sɛnea ɛbɛyɛ a wobehu apɔw-mu-teɛteɛ a wontumi nnyina ano. Ɛde data a ɛkɔ akyiri sen biara ma. Bere a wonam treadmill anaa sakre so no, wo duruyɛfo bɛhwɛ wo koma bɔ, wo mogya mmoroso, oxygen a ɛdɔɔso, ne wo home yiye. Wobɛhyɛ akataso titiriw bi a ɛkyerɛ sɛnea wo home mu dɔ, sɛnea wohome ntɛmntɛm, ne oxygen dodow a wonom de toto carbon dioxide dodow a wohome ho.
Dɛn ne ayaresa ahorow a wɔde sa apɔw-mu-teɛteɛ a wontumi nnyae?
Wɔ nnipa pii fam no, aduru titiriw a etu mpɔn sen biara a wɔde sa apɔw-mu-teɛteɛ a wontumi nnyina ano ne apɔw-mu-teɛteɛ nhyehyɛe a wɔahyehyɛ, anaasɛ apɔw-mu-teɛteɛ ntetee a nnuruyɛfo hwɛ so . Fa eyi te sɛ aduru a wɔakyerɛw ama obi; wo duruyɛfo no bɛsiesie nhyehyɛe bi ama w’ahiade pɔtee, na mpɛn pii no ɔde si n’ani so sɛ anyɛ yiye koraa no, ɔde simma 30–60 bɛteɛteɛ w’apɔw mu denneennen nnansa dapɛn biara.
Nanso, eyi nyɛ ɔkwan a wɔfa so yɛ ade biako pɛ. Wo duruyɛfo bɛyɛ apɔw-mu-teɛteɛ ntetee nhyehyɛe a wɔahyɛ da ayɛ a ɛne w’akwahosan tebea pɔtee ne nea ɛde wo abodwokyɛre a enni hɔ ba no hyia.
- Sɛ nhwɛso no, sɛ wowɔ "COVID Tenten" a, wo nhyehyɛe no betumi afi ase denam dwumadi ahorow a emu nyɛ den koraa te sɛ ahyɛmma a wɔde tu mmirika anaa sakre a wɔde tu mmirika brɛoo bere tiaa bi so, na nkakrankakra ama ahoɔden ne bere akɔ soro bere a worekɔ so no.
- Sɛ wowɔ ɔhome mu tebea bi te sɛ COPD , ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wobɛtete wo ho wɔ bere ntam —sɛ wobɛsesa bere tiaa a ɛpae a ɛyɛ den kakra a wode bɛka wo ho a wode bere bi ahome.
Wɔ apɔw-mu-teɛteɛ akyi no, ayaresa afoforo a wobetumi apaw bi ne:
- Mu duru a wɔde di dwuma: Sɛ kɛseyɛ mmoroso yɛ ade a ɛde ba a, ɛho hia sɛ wubenya mu duru a ɛfata.
- Aduan a ahoɔden wom: Sɛ wohu sɛ aduannuru a enni mu a, ebia wo duruyɛfo bɛkyerɛ sɛ ɔnyɛ nsakrae wɔ aduan mu, te sɛ protein a wobɛma akɔ soro anaasɛ Vitamin D a wode bɛka ho.
- Tebea horow a ɛhyɛ ase a wobedi ho dwuma: Komayare, asikreyare, anaa mogya a ɛtɔ kɔ nipadua mu a wobɛsa denam nnuru anaa oprehyɛn so, sɛnea wo duruyɛfo kamfo kyerɛ no.
- Oxygen ayaresa: Sɛ oxygen dodow a ɛwɔ wo mogya mu no sua bere nyinaa a, ebia wo duruyɛfo bɛkyerɛw oxygen foforo ama wo bere a woreyɛ apɔw-mu-teɛteɛ anaa da mũ no nyinaa.
- Ahurututu mu ayaresa: Eyi yɛ nhyehyɛe titiriw bi a wɔayɛ ama ankorankoro a wɔwɔ ahurututu mu nyarewa a enni sabea te sɛ COPD. Ɛka apɔw-mu-teɛteɛ ntetee, nyarewa ho nkyerɛkyerɛ, ne asetra kwan ho afotu bom.
Sɛ wowɔ Apɔw-mu-teɛteɛ a Wontumi Nnya Apɔw-mu-teɛteɛ a, dɛn na wubetumi ahwɛ kwan?
Ɛkame ayɛ sɛ w'asetra pa ne bere tenten a wo sɛnkyerɛnne ahorow no bɛkɔ so no gyina nea ɛde ba no so koraa .
- Sɛ wo abodwokyɛre a wuntumi nnye no fi akisikuru a ɛkɔ so wɔ agumadi mu a, ɛda adi sɛ wobɛsan ayɛ adwuma sɛnea ɛsɛ wɔ ɔsram biako anaa nea ɛte saa mu bere a woagye w’ahome yiye na wo ho atɔ wo.
- Nea ɛne eyi bɔ abira no, sɛ tebea bi a enni sabea te sɛ Koma a Ɛnyɛ Den na ɛde wo apɔw-mu-teɛteɛ a wuntumi nnyina ano no ba a, ebia ebehia sɛ wudi tebea no ho dwuma bere tenten. Eyi kyerɛ sɛ wode w’adwene besi ayaresa a etu mpɔn so, wo duruyɛfo akwankyerɛ a wobedi so, na woayɛ nsakrae wɔ w’asetra mu na ama woatumi atra ase dwoodwoo na ahotɔ wom.
So wobetumi asiw Apɔw-mu-teɛteɛ a Wonnya Abodwokyɛre no ano?
Bere a ɛnyɛ biribiara a ɛde ba no na wobetumi asiw ano—te sɛ komayare a wofi awo mu—no, wubetumi atew asiane a ɛwɔ hɔ sɛ wubenya apɔw-mu-teɛteɛ a wontumi nnyina ano no so kɛse denam akwahosan ho nsɛm a ɛtaa ba a wubedi ho dwuma no so. Tebea horow te sɛ asikreyare, mogya mmoroso, kɛseyɛ mmoroso, ne srade a ɛdɔɔso ne nneɛma atitiriw a ɛde ba. Ɛdenam asetra pa a wubekura mu ne nnuruyɛfo afotu a wubedi akyi de adi asiane ahorow yi so no so no, wubetumi de wo ho ahyɛ wo nipadua mu ahoɔden ho ban. Asetra a ahoɔden wom ne nea eye sen biara a wode bɛbɔ wo ho ban.
Wobɛyɛ dɛn ahwɛ wo ho?
Esiane sɛ apɔw-mu-teɛteɛ a wontumi nnye ntom fi nneɛma ahorow mu nti, ɔkwan a eye sen biara a wobɛfa so ne w’ankasa de kɛse.Nhyehyɛe a wɔayɛ ama w’ankasa ne afotu a wo duruyɛfo de ama wo no a wubedi so katee ne anammɔn a ɛho hia sen biara wɔ wo hwɛ mu.
- Di wo duruyɛfo akwankyerɛ a ɛfa mpɛn dodow a woteɛteɛ w’apɔw mu ne sɛnea emu yɛ den ho akyi.
- Hwɛ hu sɛ wubedi aduannuru anaa aduannuru ho akwankyerɛ biara a wɔde ma no akyi.
- Kɔ so yɛ nsi wɔ akwahosan tebea biara a ɛwɔ ase a wubedi ho dwuma ho (sɛ nhwɛso no, wo asikreyare anaa koma mu nnuru a wobɛnom wɔ bere ano).
Sɛ wode wo ho bɛhyɛ anammɔn yi mu a, ɛho hia ma w’akwahosan ne wo yiyedi a ɛtra hɔ kyɛ.
Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?
Sɛ wohu sɛ wowɔ yare no wie a, ɛho hia kɛse sɛ wobɛkɔ akɔhwɛ wo daa . Saa nsrahwɛ ahorow yi ma wo duruyɛfo no tumi hwɛ wo nkɔso, hwɛ sɛnea wo apɔw-mu-teɛteɛ nhyehyɛe no tu mpɔn, na ɔyɛ nsakrae a ɛho hia wɔ w’ayaresa no mu. Sɛ wuhu sɛnkyerɛnne foforo anaasɛ wo sɛnkyerɛnne a ɛwɔ hɔ dedaw no mu yɛ den a, kɔ wo duruyɛfo nkyɛn anaa hwehwɛ ɔhwɛ ntɛm ara. Sɛ wo koko yɛ wo yaw, wo home yɛ wo yaw kɛse, anaasɛ wotɔ piti a, frɛ 911 anaa kɔ adwumayɛbea a ɛbɛn wo a wɔhwɛ ntɛmpɛ so.
Nsɛm bɛn na ɛsɛ sɛ wubisa wo duruyɛfo?
Ansa na wobɛkɔ akɔyɛ nhyehyɛe no, kyerɛw nsɛmmisa biara a wowɔ na ama wo werɛ remfi biribiara na aboa wo ma woanya ahotoso kɛse. Nyansahyɛ kakraa bi ni:
- “Dɛn ne ade titiriw a ɛde apɔw-mu-teɛteɛ a mintumi nnyina ano no ba, anaa nneɛma a wɔaka abom?”
- “Asetra mu nsakrae anaa ahwɛyiye pɔtee bɛn na ɛsɛ sɛ meyɛ na ama manya ahotɔ?”
- “Mpɛn ahe na ɛsɛ sɛ mesan kɔ hɔ kɔhwɛ me tebea no?”
- “So nsɛntitiriw anaa botae pɔtee bi wɔ hɔ a ɛsɛ sɛ mede si m’ani so, te sɛ bere tenten a mede nantew no a mɛma ayɛ kɛse?”
- “Nnuru bɛn na ɛho hia ma m’ayaresa, na so ɛwɔ nkɛntɛnso bɔne a ebetumi afi mu aba?”
- “Nsakrae pɔtee bɛn na mɛyɛ wɔ aduan mu a ɛbɛboa me kɛse ama me ho atɔ me?”
Nea etwa to no, ma nsɛntitiriw yi ntra w’adwenem:
Sɛ wo nipadua no di apere sɛ ebegye mframa pa na ɛdan ahoɔden yiye a, ebia wubehu sɛ da biara da dwumadi ahorow a ɛyɛ mmerɛw mpo bɛyɛ den. Ɛyɛ nokware, nanso yɛsrɛ sɛ mma w’abam mmu anaa mma wo ho nnhyɛ wo so. Sɛ wudi wo duruyɛfo no ayaresa nhyehyɛe a w’ankasa de ma no akyi—titiriw apɔw-mu-teɛteɛ nhyehyɛe a woakyerɛw ama wo—a wode daa ne boasetɔ di akyi a, nkakrankakra wobɛsan anya tumi a wode bedi wo da biara da dwumadi ahorow te sɛ nantew a wobɛfa de krataa ato hɔ, antweri a wobɛforo wɔ fie, anaasɛ wobɛkɔ abɔnten bere tiaa bi.
Kae sɛ apɔw-mu-teɛteɛ a wontumi nnyina ano a wobɛma atu mpɔn no gye bere; ahotɔ no nsi da koro pɛ. Boasetɔ ne ahofama ho hia. Sɛ wote nka sɛ ɛnsɛ sɛ woteɛteɛ w’apɔw mu anaasɛ ɛyɛ den ma wo sɛ wo nkutoo wobɛtra kwan so a, to nsa frɛ w’abusua muni anaa w’adamfo bi a wowɔ ne mu ahotoso ma ɔmmɛka wo ho. Sɛ wowɔ obi wɔ wo nkyɛn a, ebetumi ama woanya mmoa ne nkuranhyɛ a wuhia. Nea ɛho hia sen biara no, kae bere nyinaa sɛ ɛnyɛ wo nkutoo na wo ne Nirogi Lanka retu kwan yi!
