So wo home yɛ wo yaw bere a woteɛteɛ w’apɔw mu no? Eyi betumi ayɛ Asthma a Apɔw-mu-teɛteɛ De Ba!

Mpɛn pii no, yehu sɛ nnipa binom, titiriw mmofra nkumaa, teɛteɛm mpofirim bere a wɔretu mmirika akɔ akyirikyiri na wɔredi agoru no, na wɔka sɛ, "Mintumi nhome." Awofo binom hu eyi a, ehu ka wɔn kakra na wɔhaw wɔn ho. Nokwarem no, eyi nyɛ biribi a ɛsɛ sɛ yesuro, nanso akyinnye biara nni ho sɛ ɛyɛ tebea a ɛsɛ sɛ yɛhaw yɛn ho na yɛhwehwɛ aduruyɛ mu afotu. Ɛnnɛ, momma yɛnka nea ɛde eyi ba, nea wobetumi ayɛ wɔ ho, ne nea eyi yɛ ankasa (Apɔw-mu-teɛteɛ-Induced Asthma) ho asɛm.

Dɛn ne eyi (Apɔw-mu-teɛteɛ-Induced Asthma)?

Sɛ yɛbɛka no tiawa a, Apɔw-mu-teɛteɛ a Ɛma Apɔw-mu-teɛteɛ yɛ tebea a bere a woteɛteɛ w’apɔw mu nkutoo na sɛnkyerɛnne ahorow a ɛte sɛ ayamtu ba, te sɛ bere a wutu mmirika, wuhuruw, di agoru, anaa wode wo ho hyɛ apɔw-mu-teɛteɛ biara mu. Sɛ nhwɛso no, nnipa binom nhuruhuruw anaasɛ ɛnyɛ den sɛ wɔbɛhome wɔ wɔn da biara da asetra mu, nanso saa sɛnkyerɛnne ahorow yi da adi bere a wɔteɛteɛ wɔn apɔw mu nkutoo. Afei nnipa binom nya ayamtu , a ɛkyerɛ sɛ wɔwɔ ayamtu mmere afoforo nso. Wɔ nnipa a wɔte saa fam no, apɔw-mu-teɛteɛ betumi ama wɔn ayamtu no ayɛ kɛse. Ɔkwan foforo so no, apɔw-mu-teɛteɛ betumi ayɛ ade a ɛkanyan wɔn , anaa ade a ɛkanyan wɔn, a ɛma wɔn ayamtu no mu yɛ den.

Mma wo ho nnyɛ wo hu ntɛm ara bere a wote eyi no, ɛyɛ? Efisɛ tebea yi (Apɔw-mu-teɛteɛ-Induced Asthma) yɛ biribi a wobetumi adi so yiye . Nea ɛsɛ sɛ woyɛ ara ne sɛ wubegye aduruyɛ mu afotu a ɛfata na woayɛ w’ade sɛnea ɛfata.

Dɛn ne eyi ho sɛnkyerɛnne? Yɛyɛ dɛn hu no?

Fa no sɛ wo ba no redi agoru denneennen na afei mpofirim ara wagyae, anaasɛ ofi ase fefe. Anaasɛ sɛ wɔrehome a, abɛn anaa abɛn nnyigyei ketewaa bi fi koko no mu. Wubetumi aka mpo sɛ koko no reyɛ den. Eyinom ne (Apɔw-mu-teɛteɛ-Induced Asthma) ho sɛnkyerɛnne atitiriw. Ma yɛnhwɛ nea wɔyɛ:

• Ɔfe: Ɔfe a ɛyɛ dry a ɛba titiriw bere a wɔreyɛ apɔw-mu-teɛteɛ anaa bere a wɔateɛteɛ apɔw akyi.
• Ahome tiaa: Sɛ wote nka sɛ ɛyɛ den sɛ wobɛhome, wobɛte nka sɛ wo ho atɔ wo.
• Wheezing: Nnyigyei a wɔbɔ wɔ koko mu, te sɛ torobɛnto ketewa, bere a wɔrehome no.
• Koko a ɛyɛ den: Nkate a ɛma obi te nka sɛ ne koko mu yɛ den anaasɛ ne mu yɛ duru anaasɛ ɛyɛ mmerɛw.
• Ɔbrɛ a wɔbrɛ ntɛmntɛm bere a wɔreyɛ apɔw-mu-teɛteɛ: Sɛ wode toto afoforo ho a, ɛkyerɛ sɛ wɔbrɛ na wɔbrɛ ntɛmntɛm sen mmofra afoforo a wɔne wɔn di agoru.
• Apɔw-mu-teɛteɛ a ɛso tew: Sɛ ontumi ntu mmirika anaa onhuruw yiye sɛnea na ɛte kan no.
• Sɛ wote nka sɛ biribi akɔhyɛ wo menewam.

Mpɛn pii no, saa sɛnkyerɛnne ahorow yi fi ase bɛyɛ simma 5 kosi 10 bere a wɔafi apɔw-mu-teɛteɛ ase akyi. Ɛtɔ da bi a, saa sɛnkyerɛnne yi betumi ada adi ntɛm ara wɔ simma 10-15 akyi bere a woateɛteɛ w’apɔw mu awie no. Nanso, mpɛn pii no, saa sɛnkyerɛnne ahorow yi ntra hɔ ntra dɔnhwerew biako anaa abien.

Dɛn nti na eyi rekɔ so? Dɛn ne nea enti a ɛte saa?

Afei ebia worebisa wo ho sɛ, "Dɛn nti na eyi ba bere a yɛteɛteɛ yɛn apɔw mu nkutoo?" Sɛ yɛbɛka no tiawa a, sɛ yɛteɛteɛ yɛn apɔw mu a, yɛn nipadua hia mframa pa pii. Ɛno na yefi ase home ntɛmntɛm. Mpɛn pii no, yɛn anom na yɛhome mmom sen sɛ yɛbɛfa yɛn hwene mu. Afei, hwɛ, sɛ yɛhome fa yɛn hwene mu a, mframa a ɛba mu no yɛ hyew kakra, ɛyɛ nwini, na ɛkɔ yɛn hwene mu. Nanso ɛno nsi bere a yɛhome fa yɛn ano no.

Enti, sɛ mframa a ɛyɛ nwini na ɛyɛ nwunu yi kɔ mframa kwan nketewa (mframa kwan anaa ahurututu) a ɛwɔ yɛn ahurututu mu no mu tẽẽ a, nkwammoaa a ɛwɔ saa mframa kwan no afasu mu no ma nnuru bi (nnuru ntamgyinafo) fi adi. Saa nnuru yi ma ntini a atwa mframa kwan no ho ahyia no mu yɛ den, na ɛma mframa kwan no mu yɛ den anaasɛ ɛyɛ teateaa . Ɛno ne bere a mframa kwan no yɛ teateaa, na ɛma ɛyɛ den sɛ ɔbɛhome, na saa sɛnkyerɛnne afoforo no ba.

Ebia eyi fi nneɛma afoforo nti:

• Wim tebea a awɔw wom na ɛyɛ kusuu: Saa tebea yi betumi ayɛ kɛse bere a woreteɛteɛ w’apɔw mu wɔ abɔnten nna a ɛte sɛ eyinom mu no.
• Pollen anaa mfutuma nketenkete a ɛwɔ mframa mu, wusiw: Eyinom betumi ayɛ ɔhaw ama nnipa a wɔn ho yɛ wɔn hyew.
• Mframa a wɔsɛe no: Nneɛma te sɛ kar mu mframa, wusiw a efi adwumayɛbea ahorow mu.
• Nnipa binom tan chlorine hua a ɛwɔ asuguarebea ahorow mu.
• Apɔw-mu-teɛteɛ bere a wowɔ ɔhome mu yare te sɛ atiridii anaa atiridiinini.
• Nnuru bi a wɔde wɔn ho hyɛ mu: Sɛ nhwɛso no, mframa te sɛ nitrogen dioxide a efi mfiri a wɔde tew nsukyenee ho wɔ mmeae a wɔbɔ hockey wɔ nsukyenee so no.

Ɔkwan bɛn so na oduruyɛfo bi si eyi so dua?

Sɛ woka saa sɛnkyerɛnne ahorow yi kyerɛ wo duruyɛfo a, obedi kan abisa wo nsɛm pii. Dɛn ne wo sɛnkyerɛnne ahorow, bere tenten a wode anya bi, bere bɛn na ɛtaa ba, ne sɛ ebia obi wɔ w’abusua mu a ɔwɔ ayamtu anaasɛ ne ho yɛ no hyew. Wɔfrɛ eyi aduruyɛ ho abakɔsɛm a wɔbɛfa . Afei oduruyɛfo no bɛhwɛ wo, titiriw denam afiri a wɔde tie asɛm a ɔde besi wo moma so na watie nnyigyei a ɛyɛ hu bere a worehome no so.

Nea ɛka ho no, sɔhwɛ titiriw bi wɔ hɔ a wɔde si saa (Exercise-Induced Asthma) tebea yi so dua. Wɔfrɛ no spirometry . Wɔ eyi mu no, wɔka kyerɛ wo sɛ bɔ ntɛmntɛm nkɔ afiri ketewaa bi mu. Etumi susuw mframa dodow a wubetumi ayi afi w’ahurututu mu, ne sɛnea wobɛhome ntɛmntɛm.

Afei, wo duruyɛfo bɛma woatu mmirika wɔ treadmill so anaasɛ wobɛtra sakre a egyina hɔ so bɛyɛ simma 6-8 na afei waka akyerɛ wo sɛ home nkɔ spirometry afiri no mu bio. Eyi betumi asusuw sɛnea wo mframa kwan no ayɛ teateaa ne dodow a wubetumi ahome bere a woateɛteɛ w’apɔw mu awie no. Wɔsan frɛ eyi sɛ apɔw-mu-teɛteɛ sɔhwɛ .

Ɛtɔ mmere bi a, sɛ́ anka wɔbɛteɛteɛ wɔn apɔw mu no, wobetumi ayɛ sɔhwɛ yi denam nnuru bi te sɛ methacholine a wɔbɛhome so. Eyi nso kyerɛ sɛnea mframa kwan no te nka.

So aduru bi wɔ hɔ a wɔde sa eyi? Ɔkwan bɛn so na wobetumi adi so?

Ayaresa no fa nnuru ne asetra mu nsakrae nketenkete ho titiriw.

1. Nnuru a ɛma obi ho tɔ no ntɛmntɛm

Mpɛn pii no, wo duruyɛfo bɛka akyerɛ wo sɛ fa afiri a wɔde home di dwuma . Aduru bi wɔ eyi mu a ɛma wo mframa kwan no yɛ kɛse kakra, anaasɛ ɛtrɛw. Wɔfrɛ eyinom beta-agonists a ɛyɛ adwuma bere tiaa bi (SABA) , sɛ nhwɛso no, Salbutamol inhaler. Sɛ yɛbɛka no tiawa a, saa nnuru yi trɛw wo mframa kwan mu na ɛma ɛyɛ mmerɛw sɛ wobɛhome.

Mpɛn pii no, ɛsɛ sɛ wɔde saa afiri a wɔde home yi di dwuma simma 10-15 ansa na wɔateɛteɛ wɔn apɔw mu. Eyi betumi aboa ma wɔasiw mframa kwan a ɛyɛ teateaa bere a wɔreyɛ apɔw-mu-teɛteɛ no ano anaasɛ ɛbɛtew so. Nkɛntɛnso no di bɛyɛ nnɔnhwerew 4-6.

2. Nnuru a wɔde siw ano bere tenten

Wɔ nnipa binom fam, titiriw wɔn a wɔtaa nya ayamtu anaa wɔn a wɔtaa nya ayamtu a apɔw-mu-teɛteɛ de ba no, ebia wo duruyɛfo bɛkyerɛw aduru foforo a wɔde home a wɔmfa nni dwuma da biara da. Wɔfrɛ eyinom controller inhalers . Nnuru te sɛ corticosteroids a wɔhome wɔ mu. Eyi yɛ adwuma denam ɔfe a enni sabea a ɛba mframa kwan no mu a ɛtew so. Eyi ma mframa kwan no nte nka kɛse wɔ nneɛma a ɛkanyan te sɛ apɔw-mu-teɛteɛ ho.

Nnuru afoforo wɔ hɔ, te sɛ leukotriene modifiers, a wobetumi anom sɛ nnuru. Ebia eyinom nso bɛboa nnipa binom.

3. Asetra mu nsakrae ne akwan foforo a wɔfa so yɛ adwuma

Wɔ nnuru akyi no, ɛho hia yiye nso sɛ wohwɛ nneɛma yi so:

• Ɔhyew: Ɛho hia yiye sɛ wobɛma wo ho ayɛ hyew bɛyɛ simma 10 kosi 15 ansa na woafi w’apɔw-mu-teɛteɛ ase. Yɛ nneɛma te sɛ nantew brɛoo ne apɔw-mu-teɛteɛ nketenkete a ɛkanyan wo nkwaa. Eyi bɛboa wo home nhyehyɛe no ma wode nkakrankakra ayɛ apɔw-mu-teɛteɛ no su.
• Cool-down: Afei nso, sɛ wuwie w’apɔw-mu-teɛteɛ a, ɛnsɛ sɛ wugyae ntɛm ara, na mmom ɛsɛ sɛ woma wo ho dwo bɛyɛ simma 5-10.
• Bɔ mmɔden sɛ wobɛfa wo hwene mu home: Sɛ woreteɛteɛ w’apɔw mu a, bɔ mmɔden sɛ wobɛhome afa wo hwene mu sɛnea wubetumi biara. Saa kwan yi so no, mframa a ɛhyɛn w’ahurututu mu no yɛ hyew na ɛyɛ nwini.
• Bɔ wo ho ban wɔ nna a awɔw wom: Sɛ woredi agoru wɔ abɔnten nna a awɔw wom na ɛhɔ yɛ hyew a, hyɛ akataso anaa akataso soronko (mframa a ɛyɛ nwini anim akataso) a ɛkata w’ano ne wo hwene so. Eyi bɛma mframa a ɛyɛ nwini a ɛba mu tẽẽ no so atew.
• Kwati nneɛma a ɛkanyan adwene: Nna a pollen dɔɔso wom no, ɛbɛyɛ papa sɛ wobɛto abɔnten so apɔw-mu-teɛteɛ ano hye. Anaasɛ, bɔ mmɔden sɛ wobɛteɛteɛ w’apɔw mu anɔpatutuutu anaa anwummere bere a mframa a wɔsɛe no no sua no.
• Nom nsu pii: Nom nsu pii ansa na woateɛteɛ w’apɔw mu, bere a woreteɛteɛ w’apɔw mu, ne bere a woawie no. Ɛho hia sɛ wobɛkɔ so akura nsu pa mu.

So nnipa a wɔwɔ apɔw-mu-teɛteɛ a ɛma wonya ayamtu no ntumi nni agoru?

Eyi ne asɛmmisa titiriw a awofo pii, ne wɔn a wɔwɔ saa tebea yi nso bisa. "Sɛ me anaa me ba anya (Exercise-Induced Asthma) a, wobetumi adi agoru na wɔateɛteɛ wɔn apɔw mu?" Mmuae no ne sɛ, "Akyinnye biara nni ho! Ɔhaw biara nni ho!"

Nokwarem no, ɛnyɛ papa sɛ wubegyae apɔw-mu-teɛteɛ anaa agodie esiane sɛ wowɔ saa tebea yi ara kwa nti. Efisɛ apɔw-mu-teɛteɛ ho hia paa ma yɛn nipadua ne yɛn adwene mu akwahosan. Susuw ho hwɛ, sika kɔkɔɔ nkonimbofo a wɔadi nkonim wɔ Olimpik akansi mu mpo wɔ hɔ a wɔadi tebea no so yiye (Apɔw-mu-teɛteɛ-Induced Asthma) na wɔadi nkonim wɔ wiase nyinaa!

Ade a ɛho hia sen biara ne sɛ wo ne oduruyɛfo bɛkasa na woasua sɛnea wobedi tebea yi ho dwuma yiye. Sɛ wudi wo duruyɛfo akwankyerɛ akyi, de wo nnuru (titiriw wo inhaler) di dwuma yiye, na wudi ahwɛyiye a yɛaka ho asɛm wɔ atifi hɔ no akyi (wɔma wo ho yɛ hyew, wo ho dwo wo ho, na wobɔ wo ho ban fi awɔw ho) a, nnipa dodow no ara betumi adi agumadi biara a wɔpɛ a ɔhaw biara nni ho.

Wɔkyerɛ sɛ agumadi ahorow bi yɛ nea ɛfata kɛse ma tebea yi. Sɛ nhwɛso no, asuguare . Efisɛ mframa a atwa asuguarebea ho ahyia no taa yɛ hyew na ɛyɛ nwini. Afei nso, agumadi a ɛde ahoɔden pii di dwuma wɔ bere tiaa bi mu, a wɔtaa gye ahome (sɛ nhwɛso no, volleyball, baseball, mmirikatu) betumi afata nnipa binom sen agumadi a ɛhwehwɛ sɛ wotu mmirika bere tenten (sɛ nhwɛso no, mmirikatu a ɛyɛ den, bɔɔlbɔ, basketball). Nanso, eyi nkyerɛ sɛ wontumi nni agumadi afoforo. Sɛ wɔhwɛ so yiye a, biribiara betumi aba.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

• Sɛ wo anaa wo ba no nya sɛnkyerɛnne ahorow a yɛaka ho asɛm wɔ atifi hɔ no bi (ɔfe, ɔhome a ɛyɛ tiaa, ne koko a ɛyɛ den, ahurututu) bere a woreyɛ apɔw-mu-teɛteɛ anaa bere a woateɛteɛ w’apɔw mu awie no a, hwɛ hu sɛ wobɛkɔ oduruyɛfo a ɔbɛn wo nkyɛn nkyɛn. Mma w’ani ngu so.
• Sɛ wɔahu sɛ wowɔ Exercise-Induced Asthma (EIAs) na worenom nnuru, nanso nnuru no ntumi nni wo sɛnkyerɛnne ahorow no so yiye, te sɛ sɛ ɛda so ara yɛ den ma wo sɛ wobɛteɛteɛ w’apɔw mu a, kɔ wo duruyɛfo nkyɛn bio. Ebia ɛho behia sɛ wɔyɛ nsakrae wɔ wo nnuru dodow mu anaasɛ wɔbɛkamfo ayaresa foforo akyerɛ.
• Sɛ ɛho hia sɛ wode wo reliever inhaler no di dwuma bɛboro nna abien dapɛn biara a, ɛkyerɛ sɛ wontumi nni wo ayamtu no so yiye. Sɛ ɛba saa a, kɔ oduruyɛfo nkyɛn.

Eyi ho hia yiye:Sɛ mpofirim ara ɛyɛ den ma wo sɛ wobɛhome, wo ho yɛ wo yaw araa ma wuntumi nkasa, ɛte sɛ nea w’ano ne wo nsateaa nnadewa reyɛ bruu, na wo home afiri no mma ahotɔ biara a, ɛyɛ aduruyɛ mu asɛm a egye ntɛmpɛ . Sɛ ɛba saa a, ɛsɛ sɛ wokɔ ayaresabea a ɛbɛn wo ntɛm ara.

Nneɛma a ɛsɛ sɛ yɛkae wɔ tiawa mu

Okay, enti awiei koraa no momma yɛnkae wo nneɛma bi a yesusuwii sɛ ɛho hia wɔ Exercise-Induced Asthma ho:

• Wobetumi afrɛ ahurututu, ɔfe, ne ahome a ɛyɛ den sɛ ɔbɛhome a ɛba bere a wɔreyɛ apɔw-mu-teɛteɛ nkutoo no sɛ Apɔw-mu-teɛteɛ a Ɛma Ayaresa .
• Eyi nyɛ biribiara a ɛsɛ sɛ wosuro , ɛyɛ tebea a wotumi di ho dwuma yiye.
• Ɛho nhia sɛ wugyae apɔw-mu-teɛteɛ, agodie, anaa agumadi esiane sɛ wowɔ eyi nti. Nokwarem no, apɔw-mu-teɛteɛ betumi aboa ma wɔadi tebea yi so.
• Sɛ wo anaa wo ba no wɔ saa sɛnkyerɛnne yi bi a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn ama wahu yare no pɛpɛɛpɛ na wama no afotu ne ayaresa a ɛho hia.
• Fa nnuru a wo duruyɛfo akyerɛw ama wo (titiriw nea wɔde home) di dwuma yiye, wɔ bere a ɛfata mu, ne ɔkwan a ɛfata so. Mma wo werɛ mmfi sɛ wobɛma wo ho ayɛ hyew ansa na woateɛteɛ w’apɔw mu na wo ho adwo wo wɔ akyi.
• Sɛ wohu yare no yiye, wɔsa no yare yiye, na wodi ho dwuma a, obiara a ɔwɔ Akisikuru a Ɛma Apɔw-mu-teɛteɛ no betumi atra ase a ɔyɛ nnam, ɔwɔ apɔwmuden, na ɔwɔ anigye.

Enti, sɛ wowɔ ɔhaw bi te sɛ eyi a, ntwentwɛn wo nan ase na kɔ oduruyɛfo nkyɛn. Afei wo nso wubetumi adi agumadi a w’ani gye ho a akwanside biara nni ho na woanya apɔwmuden!

` ayamtu a apɔw-mu-teɛteɛ de ba, apɔw-mu-teɛteɛ, ayamtu, ahome a ɛyɛ den, inhaler, agumadi, akwahosan, Sinhala aduruyɛ mu asɛm