So w’ahurututu asɛe kɛse ma enti wontumi mfa nnuru anaa ayaresa foforo nni so bio? Ebia wo duruyɛfo no aka "ahurututu a wɔde si ananmu" ho asɛm. Ɛyɛ ade a ɛfata sɛ wobɛte ehu ne ehu nka bere a wote oprehyɛn kɛse a ɛte saa ho asɛm no. Nanso mma ɛnhaw wo. Momma yɛnkɔ n’asɛm no ase. Dɛn ne ahurututu a wɔde ma obi foforo? Dɛn na ɛka ho? Ɛnnɛ, yɛbɛka ho asɛm wɔ nsɛm a ɛnyɛ den mu.
Sɛ yɛbɛka no tiawa a, dɛn ne ahurututu a wɔde ma obi foforo?
Ahurututu a wɔde si ananmu yɛ oprehyɛn a woyi w’ahurututu a ɛyare anaa asɛe no biako anaa abien no nyinaa na wɔde ahurututu anaa ahurututu a ɛte apɔw a efi obi a ɔde mae hɔ si ananmu. Mpɛn pii no, saa ahurututu a wɔde ma yi fi obi a wawu hɔ.
Wɔyɛ oprehyɛn yi wɔ obi a ɔwɔ ahurututu mu yare a emu yɛ den a wontumi mfa nnuru anaa ayaresa foforo biara nsa no nkutoo so. Ɛne sɛ, nnuruyɛfo kamfo oprehyɛn yi kyerɛ sɛ ɔkwan a etwa to.
Dɛn ne ahurututu mu a wɔde si ananmu titiriw?
Ahurututu a wɔde si nipadua foforo mu no ahorow atitiriw abiɛsa na ɛwɔ hɔ. Momma yɛnhwɛ nea wɔyɛ.
| Ɔkwan a wɔfa so de nipadua foforo ma | Dɛn na ɛrekɔ so? |
|---|---|
| Ahurututu a wɔde ma obiako pɛ | Wobeyi w’ahurututu abien a yare no biako na wɔde ahurututu a wɔde ama a ɛyɛ papa asi ananmu. |
| Ahurututu a wɔde si ananmu mmɔho abien | Wobeyi w’ahurututu abien a yare no nyinaa na wɔde ahurututu abien a ɛte apɔw a wɔde ama asi ananmu. |
| Koma ne ahurututu a wɔde si ananmu | Wɔ eyi mu no, woyi wo koma ne w’ahurututu nyinaa na wɔde koma ne ahurututu a ɛwɔ apɔwmuden a wɔde ama no si ananmu. Wɔyɛ eyi wɔ tebea horow a emu yɛ den a ɛka koma ne ahurututu nyinaa mu. |
Hena na ɔfata ma oprehyɛn yi?
Esiane sɛ eyi yɛ oprehyɛn a anibere wom yiye nti, ɛnyɛ obiara na obetumi ayɛ. Nnuruyɛfo susuw nneɛma pii ho bere a wɔrepaw obi ama eyi no. Mpɛn pii no, sɛ wobɛfata ama oprehyɛn yi a, ɛsɛ sɛ wudu nneɛma a edidi so yi ho:
- Ɛsɛ sɛ wunya ayaresa tebea bi a emu yɛ den a ɛma w’ahurututu ntumi nyɛ adwuma yiye.
- Ɛsɛ sɛ wɔde nnuru anaa ayaresa afoforo sa wo tebea no.
- Sɛ wɔnyɛ wo oprehyɛn yi a, ɛbɛyɛ sɛ nnuruyɛfo no asi gyinae sɛ wonnu afe biako anaa abiɛsa a wode bɛtra ase.
- Worentumi nnya ahurututu mu kokoram.
- Ɛsɛ sɛ woyɛ obi a ɔmfa tawa nneɛma (sigaret, beedis, ne nea ɛkeka ho) nni dwuma .
- Ɛsɛ sɛ wutumi nom nnuru a ɛma nipadua no tumi ko tia nyarewa a ebehia sɛ wonom wo nkwa nna nyinaa wɔ oprehyɛn akyi.
Dɛn nti na ɛho hia sɛ wɔde ahurututu ma obi foforo? Ayaresa mu tebea horow bɛn na ebetumi asa?
Wɔkamfo kyerɛ sɛ wɔmfa ahurututu mu nyarewa a emu yɛ den a wontumi mfa ayaresa foforo biara nsa no. Tebea horow a ebetumi de eyi aba no bi ni.
| Tebea | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Ahurututu mu yare | Mframa kwan a ɛtrɛw daa na asɛe wɔ ahurututu no mu. |
| Ahurututu mu Yare a Ɛmma Nnipa Ntumi Siw Nneɛma Mu (COPD) . | Ahurututu mu nyarewa a enni sabea kuw bi a ɛma ɛyɛ den sɛ ɔbɛhome. |
| Ɔsɛeɛ kɛseɛ a COVID-19 de aba | COVID-19 yareɛ no tumi sɛe ahurututu a ɛrentumi nsakra. |
| Cystic Fibrosis (CF) a Ɛyɛ Fɛ (CF) . | Awosu mu yare a ɛma nipadua no mu nsu (phlegm) yɛ den na ɛyɛ nnam. Eyi betumi aka ahurututu no kɛse. |
| Ahurututu mu Yare a Ɛma Nnipa Ntam (ILD) . | Yare a ɛma ahurututu mu ntini yɛ akuru na ahurututu no yɛ den. |
| Ahurututu mu Ntini a Ɛkɔ So | Mogya mmoroso wɔ ntini a ɛde mogya kɔ ahurututu mu no mu. |
Dɛn na ɛba ansa na wɔayɛ oprehyɛn no? (Nhwehwɛmu a Wɔyɛ ansa na wɔde nipadua no foforo ama obi foforo) .
Ansa na wobesi gyinae sɛ ebia wobɛyɛ obi a ɔpɛ sɛ wɔde w’ahurututu ma obi foforo no, wɔbɛyɛ wo nhwehwɛmu ahorow a edi mũ yiye toatoa so . Wɔfrɛ eyi `pre-transplant screening.` Eyi ne anammɔn a edi kan. Obi a wɔatete no titiriw a ɔhwɛ nipadua foforo a wɔde bɛma obi foforo so bɛboaboa w’aduruyɛ ho nsɛm nyinaa ano.
Dɛn na sɔhwɛ ahorow yi hwehwɛ?
Sɔhwɛ ahorow yi pii wɔ hɔ. Wɔn mu biara hwɛ sɛ ebia wo nipadua no betumi agyina oprehyɛn kɛse a ɛte saa ano ne sɛ ebia wubetumi anya nkwa wɔ oprehyɛn no mu anaa.
| Sɔhwɛ atitiriw a wɔyɛ ansa na wɔreyɛ oprehyɛn | |
|---|---|
| Nipadua akwahosan | W’akwahosan nyinaa, abusua aduruyɛ ho abakɔsɛm. |
| Mogya mu nhwehwɛmu | Mogya su, akwaa afoforo dwumadi, ne ɔyare mmoawa tebea a wɔbɛhwɛ. |
| Ntini a Wɔde Kyerɛw Nsɛm | Hwɛ sɛ wo nipadua no ntini ne nea ɔde mae no ntini hyia anaa. Eyi ho hia yiye , sɛnea ɛbɛyɛ a asiane a ɛwɔ hɔ sɛ nipadua no bɛpow ahurututu foforo no so atew. |
| Ahurututu mu nhwehwɛmu | Nneɛma te sɛ koko mu X-ray, CT scan, ahurututu mu dwumadi ho nhwehwɛmu. |
| Komayare ho nhwehwɛmu | Nhwehwɛmu te sɛ ECG, Echocardiogram, ne Cardiac Catheterization hwɛ sɛnea koma no te. |
| Sɔhwɛ afoforo | Wɔsan nso yɛ nneɛma te sɛ nnompe mu density testing (DEXA scan), colonoscopy, Pap smear ne mammogram nhwehwɛmu ma mmea, ne prostate nhwehwɛmu ma mmarima. |
Wɔ nhwehwɛmu ahorow yi nyinaa akyi no, nnuruyɛfo kuw a wɔde nipadua foforo ma no bɛbom, ahwehwɛ wo kyerɛwtohɔ ahorow nyinaa mu, na wɔasi gyinae a etwa to wɔ sɛ ebia oprehyɛn yi fata wo anaasɛ ɛnfata no ho.
Sɛ woasi gyinae sɛ wobɛfata a, wɔde wo din bɛhyɛ ɔman no mu wɔn a wɔretwɛn sɛ wɔde wɔn ahurututu foforo bɛma no mu . Afei ɛsɛ sɛ wotwɛn ma ahurututu a ɛne no hyia no aba.
Kae sɛ bere a wode bɛtra saa nnipa a wɔretwɛn yi mu no betumi afi asram kosi mfe pii, a egyina sɛ ebia wubenya obi a ɔde mogya bɛma a ne mogya su ne n’ahurututu mu kɛse hyia anaa.
Dɛn na ɛsɛ sɛ woyɛ bere a wowɔ wɔn a wɔretwɛn no mu no?
Saa bere yi ho hia paa. Ɛsɛ sɛ wowɔ akwahosan a eye sen biara mu ma oprehyɛn no. Wo nnuruyɛfo kuw no bɛyɛ nhyehyɛe titiriw bi ama wo.
- Asetra mu nsakrae: Ɛsɛ sɛ wugyae nsanom koraa. Ɛsɛ sɛ wokura mu duru a ɛfata mu. Sɛ woyɛ kɛse mmoroso a, ɛsɛ sɛ wo mu duru so tew.
- Nnuru: Nom nnuru a wo duruyɛfo akyerɛw ama wo nyinaa wɔ bere ano. Sɛ oduruyɛfo foforo ma wo aduru foforo a, ɛsɛ sɛ woka ho asɛm kyerɛ nea ɔhwɛ nipadua no a wɔde bɛma obi foforo so no. Ɛsɛ sɛ woka vitamin anaa nhabannuru biara a worenom nso kyerɛ wɔn.
- Apɔw-mu-teɛteɛ: Apɔw-mu-teɛteɛ ho ɔyaresafo bɛyɛ apɔw-mu-teɛteɛ ahorow a ɛfata wo. Ɛsɛ sɛ wo ne ɔhome ho ɔyaresafo nso yɛ adwuma yɛ ahomegye apɔw-mu-teɛteɛ na ama w’ahurututu ayɛ yiye.
- Nhwehwɛmu a wɔyɛ no daa: Oduruyɛfo no bɛba abɛhwɛ wo asram abien kosi abiɛsa biara.
- Ahoboa:Ebia ahurututu a ɛne no hyia bɛba bere biara. Enti yɛ kar ho nhyehyɛe a wode bɛkɔ ayaresabea. Ɛyɛ adwene pa sɛ wubenya ntade ne nneɛma a ɛho hia kotoku bi a woasiesie.
Dɛn na ɛba bere a wɔreyɛ oprehyɛn no?
Sɛ wɔde wo kɔ oprehyɛn dan mu wie a, oduruyɛfo a ɔde aduru a ɛma obi dwensɔ no bɛma wo aduru a ɛma wo ho dwo wo sɛnea ɛbɛyɛ a worente ɛyaw biara. Wɔbɛhwɛ wo koma bɔ ne wo mogya mmoroso bere nyinaa.
Afei wɔde wo bɛka afiri bi a wɔfrɛ no mfiri a ɛma mframa bɔ ho . Eyi ne nea ɛhome ma wo bere a wɔreyɛ oprehyɛn no. Ɛtɔ da bi a, wobetumi de afiri bi a wɔfrɛ no `ECMO (extracorporeal membrane oxygenation)` nso adi dwuma. Eyi ma mogya no ntumi nkɔ wo koma ne w’ahurututu mu bere tiaa bi, na afei afiri bi tew mogya no ho na ɛsan de kɔ wo nipadua mu.
Oduruyɛfo a ɔyɛ oprehyɛn no twa wo moma so na ɔde ahwɛyiye yi ahurututu anaa ahurututu abien no nyinaa a yare no fi hɔ. Afei, wɔde ahurututu foforo a ɛte apɔw si n’ananmu, na ɛsan ka mogya ntini ne mframa kwan no nyinaa bom.
Sɛ wɔde biribiara bom yiye a, wɔhwɛ sɛ mogya ne mframa rekɔ ahurututu foforo no mu anaa. Awiei koraa no, wɔpam baabi a wɔatwa no na wɔkata kuru no so.
Ahurututu a wɔde ma pɛnkoro no betumi agye bɛyɛ nnɔnhwerew 4-8, na ahurututu a wɔde ma mprenu no betumi agye bɛyɛ nnɔnhwerew 6-12.
Dɛn na ɛba wɔ oprehyɛn no akyi?
Sɛ wɔyɛ oprehyɛn no wie a, wɔde wo bɛkɔ baabi a wɔhwɛ wɔn a wɔyare denneennen (ICU). Nnuruyɛfo ne ayarehwɛfo bɛhwɛ wo yiye kosi sɛ w’adwene bɛsan aba na wo tebea no agyina. Mfiase no, wɔde wo bɛto afiri a wɔde ma mframa mu na aboa wo ma woahome.
Sɛ wo tebea no tu mpɔn wie a, wɔde wo bɛkɔ ayaresabea a wɔhwɛ wo daa. Ɛha na ɔfã a ɛho hia sen biara no fi ase. Wɔbɛma wo nnuru a ɛma nipadua no tumi ko tia nyarewa na amma wo nipadua no ampow ahurututu foforo no. Wɔbɛhwɛ wo nipadua no yiye ahwɛ sɛnea ɛyɛ n’ade wɔ nnuru yi ho.
Bere a wo ho retɔ wo nkakrankakra no, apɔw-mu-teɛteɛ ho animdefo ne ɔhome ho ayaresa befi ase ayɛ apɔw-mu-teɛteɛ de ahyɛ w’ahoɔden. Mpɛn pii no wɔbɛma wo kwan ma woakɔ fie wɔ nnafua 12-14 akyi, anaasɛ sɛ ɛho hia a, ɛbɛkyɛ a.
Asiane ne nsɛnnennen bɛn na ɛwɔ mu? (Asiane ne Nsɛnnennen) .
Sɛnea ɛte wɔ oprehyɛn kɛse biara ho no, asiane ahorow wɔ mu. Ɛho hia sɛ wohu eyinom.
- Asiane a ɛwɔ oprehyɛn mu: Nneɛma te sɛ ɔhaw ahorow a ɛfa aduru a wɔde kum nipadua no ho, mogya a ɛtɔ dodo, mogya a ɛtɔ, ne ɔyare mmoawa.
- Ahurututu a Wɔde Si Ahurututu Mu a Wɔpow: Eyi ne asɛnnennen kɛse. Yɛn nipadua mu tumi a ɛko tia nyarewa no ye yiye wɔ nneɛma a ɛyɛ ahɔho a wohu no mu. Enti, ebia ebehu ahurututu a wɔde ahyɛ mu foforo no sɛ "ahɔho ade" na afi ase atow ahyɛ so. Wɔfrɛ eyi `pow`.
- Pow a Wɔpow no Ntɛmntɛm:Eyi betumi asi wɔ afe a edi kan wɔ oprehyɛn akyi, nanso wobetumi de nnuru adi ho dwuma kɛse.
- Pow a Ɛkɔ Anim: Eyi betumi aba wɔ mfe pii akyi. Ɛyɛ den sɛ wɔbɛsa saa tebea yi.
- Nyarewa: Nnuru a ɛma nipadua no tumi ko tia nyarewa, a wɔde ma sɛnea ɛbɛyɛ a nipadua no rentumi mpow ahurututu foforo no, brɛ nipadua no mu tumi a ɛko tia nyarewa no dwumadi ase. Eyi ma ɛyɛ mmerɛw sɛ wubenya nyarewa ahorow (yare mmoawa, mmoawa, fungal).
Nsɛnkyerɛnne a ɛkyerɛ sɛ nipadua no pow ahurututu no
Ɛsɛ sɛ wohwɛ yiye paa wɔ saa sɛnkyerɛnne ahorow yi ho. Sɛ wowɔ bi a, wo ne wo duruyɛfo nkasa ntɛm ara.
| Pow ho kɔkɔbɔ nneɛma | |
|---|---|
| - Huraeɛ | - nipadua mu duru a ɛkɔ soro |
| - a ɛyɛ akisikuru ne akisikuru | - a ewo ho dodo |
| - nipadua mu yaw | - Ayamtuo |
| - yaw anaase ewo a ewo ahurututu a wode asi ananmu no ho | - nipadua mu ahohoro |
Bere tenten ahe na egye na obi ho atɔ no? (Bere a Wɔde Yɛ Adwuma) .
Eyi yɛ akwantu tenten. Ɛrensa anadwo biako pɛ.
- Asram 3 a edi kan: Ɛho behia sɛ woba ayaresabea daa. Ɛho behia sɛ woyɛ mogya mu nhwehwɛmu, X-ray, ne nipadua mu ayaresa.
- Adapɛn 6-8: Wubetumi afi ase apɔw-mu-teɛteɛ a emu nyɛ den na woaka kar.
- Asram 3-6: Asiane a ɛwɔ hɔ sɛ nipadua no bɛpow ahurututu no so tew. Ahurututu no dwumadi ma ɛyɛ den.
- Asram 4-6: Nnipa dodow no ara tumi san kɔ adwuma anaa sukuu.
Nea ɛho hia sen biara ne sɛ wo nipadua yɛ soronko. Ebia bere a wo ho bɛtɔ wo no bɛyɛ soronko wɔ obi foforo de ho. Enti, ɛho hia paa sɛ wudi wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ.
Nkrasɛm a Wɔde Kɔ Fie
- Ahurututu a wɔde ma obi foforo no yɛ oprehyɛn a egye nkwa, nanso ɛyɛ aniberesɛm yiye. Wɔyɛ no ma nnipa a wɔwɔ ahurututu mu yare a emu yɛ den a wontumi mfa ayaresa foforo biara nsa.
- Ansa na wɔbɛyɛ wo oprehyɛn no, wɔbɛyɛ wo nhwehwɛmu a emu dɔ toatoa so de ahu sɛ wofata anaa.
- Asiane kɛse ne sɛ wo nipadua no bɛpow ahurututu foforo no na anya nyarewa, a ɛkyerɛ sɛ ebehia sɛ wonom nnuru a ɛma nipadua no tumi ko tia nyarewa wo nkwa nna nyinaa .
- Adeyɛ a ɛma obi ho tɔ no kyɛ, na boasetɔ ne adwuma a emu yɛ den a wɔne nnuruyɛfo kuw no bɛyɛ no ho hia.
- Sɛ wuhu sɛnkyerɛnne biara a ɛyɛ soronko (atiridiinini, ɛyɛ den sɛ wobɛhome) a, ntwentwɛn wo nan ase sɛ wobɛbɔ wo duruyɛfo amanneɛ ntɛm ara .
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