So ɛtɔ mmere bi a wofefe a ɛnkɔ kɛkɛ, ɛyɛ den ma wo sɛ wobɛhome, anaasɛ wote nka sɛ wo koko reyɛ ayɛ wo yaw? Ebia wubesusuw nso sɛ ebia eyi fi
ayamtu anaa biribi foforo. Ɛtɔ da bi a
, ebetumi ayɛ den ama oduruyɛfo mpo sɛ ɔbɛka akyerɛ wo ntɛm ara. Wɔ tebea horow a ɛtete saa mu no, sɔhwɛ titiriw bi wɔ hɔ a wɔyɛ de hu sɛnea w’ahurututu te nka ankasa wɔ ayamtu ho. Ɛnnɛ, yɛrebɛka aduru "Methacholine" a wɔde dii dwuma wɔ saa sɔhwɛ no mu no ho asɛm.
Sɛ yɛbɛka no tiawa a, dɛn ne methacholine?
Ade a edi kan a ɛsɛ sɛ yɛkae ne
sɛ methacholine nyɛ aduru a wɔde sa ayamtu. Ɛyɛ aduru a wɔde di dwuma wɔ nhwehwɛmu a wɔde hu yare nkutoo mu de hu sɛ ebia wowɔ ayamtu anaa. Wɔfrɛ saa sɔhwɛ yi "Methacholine Challenge Test." Susuw ho hwɛ, yɛn mu binom yɛ nkate kakra, ɛnte saa? Yɛn ho yɛ yɛn yaw ntɛmntɛm wɔ nneɛma nketenkete mpo ho. Saa ara na mframa kwan a ɛwɔ obi a ɔwɔ ayamtu ahurututu mu no yɛ mmerɛw kakra sen obi a ɔte ase de. Enti wɔ sɔhwɛ yi mu no, wohome methacholine kakraa bi pɛ na wuhu sɛnea w’ahurututu yɛ n’ade wɔ ho. Sɛ wowɔ ayamtu a, wo mframa kwan no befi ase ayɛ teateaa kakra. Wobetumi de nnwinnade soronko asusuw saa nsakrae no ho, na ama oduruyɛfo no atumi aka wo tebea no ho asɛm pefee.
Nneɛma a ɛsɛ sɛ woka kyerɛ oduruyɛfo no ansa na wɔayɛ nhwehwɛmu yi
Eyi ho hia paa. Ansa na wobɛma methacholine no, ɛho hia sɛ wo duruyɛfo hu w’ayaresa ho abakɔsɛm nyinaa. Nea enti a ɛte saa ne sɛ aduruyɛ mu tebea horow bi betumi ama ayɛ nea asiane wom sɛ wɔde saa aduru yi bedi dwuma. Hwɛ pon a ɛwɔ ase hɔ no. Sɛ wowɔ saa tebea horow yi bi a,
hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo.
| W’ayaresa tebea anaa wo tebea | Dɛn nti na ɛho hia sɛ wobɔ oduruyɛfo no amanneɛ? |
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| Mogya mmoroso | Saa aduru yi betumi ama nsakrae aba mogya mmoroso mu. |
| Abakɔsɛm a ɛkyerɛ sɛ obi anya komayare anaa komayare | Efisɛ ebetumi aka koma no dwumadi. |
| Abakɔsɛm a ɛfa ɔyare a ɛma obi hwe ase ho | Efisɛ mogya ntini betumi aka. |
| Aneurysm (mogya ntini bi a ɛyɛ kɛse) . | Efisɛ eyi yɛ tebea a asiane wom paa. |
| Akisikuru a ɛma obi ho kyere no | Efisɛ asiane wɔ hɔ sɛ obi benya akisikuru esiane nnuru no nkɛntɛnso nti. |
| Thyroid yareɛ | Efisɛ hormone dodow betumi aka. |
| Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a | Sɛnea ɛbɛyɛ a wɔbɛkwati sɛ wɔde wɔn ho bɛto asiane ahorow a ɛho nhia mu bere a wɔyem no. |
| Sɛ wɔma akokoaa no nufu a | Hu sɛnea ebetumi aba sɛ aduru no bɛfa nufusu mu akɔ akokoaa no nkyɛn. |
| Aduru anaa aduan foforo biara ho akisikuru | Sɛnea ɛbɛyɛ a wobehu sɛ ebia ebetumi aba sɛ obi ho yɛ no hyew wɔ aduru yi ho anaa. |
Ɔkwan bɛn so na wɔde aduru yi ma nipadua no?
Wɔyɛ sɔhwɛ yi
wɔ aduruyɛfo hwɛ ase wɔ ayaresabea anaa ayaresabea nkutoo . Wɔremma wo saa aduru yi mfa nkɔ fie. Saa aduru yi ba wɔ nsu mu. Wɔde afiri titiriw bi a wɔfrɛ no
nebulizer na ɛma wo . Ebia woahu mmofra nkumaa sɛ wɔrehome mframa a ɛyɛ hyew no bere a atiridii abɔ wɔn no. Eyi te saa ara. Saa afiri yi dan aduru a ɛyɛ nsu no ma ɛbɛyɛ nsu a ɛyɛ fɛ yiye (aerosol). Afei ɛsɛ sɛ wohome saa mframa no fa w’anom, anaasɛ fa w’ano ne wo hwene mu. Mpɛn pii no, mmofra a wɔadi boro mfe 5 nso betumi ayɛ sɔhwɛ yi sɛ ɛho hia a, nanso mmere bi wɔ hɔ a wɔhwɛ yiye titiriw.
Esiane sɛ wɔde eyi ma wɔ ayaresabea nti, hokwan a ɛwɔ hɔ sɛ ‘ wɔbɛnom aduru no boro so ’, kyerɛ sɛ, wɔbɛnom aduru no pii no sua koraa. Nanso, sɛ wususuw sɛ eyi asi a, ɛsɛ sɛ wobɔ nnuruyɛfo no amanneɛ ntɛm ara. Wɔ tebea a egye ntɛmpɛ mu no, ɛsɛ sɛ wokɔ Emergency Treatment Unit (ETU) tẽẽ .
Nnuru afoforo a ebia ɛne aduru yi bedi nkitaho
Sɛ worenom nnuru a wɔde sa tebea afoforo a, ɛho hia yiye sɛ woka wo nnuru nyinaa kyerɛ wo duruyɛfo. Nnuru bi betumi aka nea efi methacholine nhwehwɛmu no mu ba no. Eyi kyerɛ sɛ ebia wowɔ ayamtu a wunni bi, anaasɛ ebia wowɔ bi sen sɛnea wowɔ ankasa.
| Nnuru su / ɔfa | Nneɛma a ɛsɛ sɛ wususuw ho |
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| Nnuru a wɔde home a wɔde di dwuma ma ayamtu (sɛ nhwɛso no, Salbutamol, Salmeterol, Fluticasone, Ipratropium, Tiotropium) . | Eyinom betumi aka sɛnea sɔhwɛ no yɛ pɛpɛɛpɛ efisɛ ɛtrɛw mframa kwan no mu. Wo duruyɛfo bɛtu wo fo sɛ ebia ɛsɛ sɛ wugyae eyinom nom ansa na woayɛ nhwehwɛmu no anaa. |
| Nnuru a esiw beta ano (sɛ nhwɛso no, Metoprolol, Propranolol) . | Saa nnuru yi a wɔtaa de ma mogya mmoroso ne komayare no betumi asakra sɛnea ahurututu no yɛ n’ade. |
| Nnuru a wɔde yɛ steroid (sɛ nhwɛso no, Prednisone, Cortisone) . | Eyinom betumi atew ahurututu no nkate so, na ebetumi aka nea efi sɔhwɛ no mu ba no. |
| Theophylline a wɔde yɛ nnuru | Saa aduru yi a wɔde sa ayamtu no nso betumi aka sɔhwɛ no. |
Hwɛ hu sɛ wobɛka nnuru, vitamin, nhabannuru, ne nnuru a wɔde ka aduan ho a worenom nyinaa ho asɛm akyerɛ wo duruyɛfo.
Nsunsuanso bɔne a ebetumi aba esiane aduru yi nti
Te sɛ aduru biara no, methacholine betumi de ɔhaw ahorow aba nnipa binom so. Nanso, biribiara nni hɔ a ɛsɛ sɛ ɛhaw adwene efisɛ wɔyɛ sɔhwɛ yi wɔ nnuruyɛfo ne ayarehwɛfo hwɛ ase koraa. Sɛ ɔhaw biara ba a, wɔayɛ krado sɛ wɔbɛsa no ntɛm ara.
Nneɛma bɔne a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara: Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ.
| Nsunsuanso bɔne | Nkyerɛmu |
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| Nneɛma a ɛma obi ho yɛ no hyew | Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon. |
| Ɔhome a ɛyɛ den kɛse | Koko a ɛyɛ den, a ɛyɛ hwirema. |
| Tipaeɛ | Ti a ɛyɛ yaw kakra. |
| Adwene a ɛyɛ basaa | Sɛ wote nka sɛ wo ho ayɛ wo hyew kakra. |
| Menemkuro | Menewa mu a ɛyɛ yaw kakra anaasɛ ɛyɛ yaw. |
| Ɛyɛ akisikuru | Wora a ɛyɛ wo yaw kakra. |
Ebia nneɛma bɔne a ebetumi afi mu aba nyinaa nka saa nsɛm a wɔahyehyɛ yi ho. Sɛ wunya ɔhaw foforo biara a, yɛsrɛ sɛ ka kyerɛ nnuruyɛfo no ntɛm ara.
Nkrasɛm a Wɔde Kɔ Fie
- Methacholine nyɛ aduru a wɔde sa ayamtu. Ɛyɛ aduru a wɔde di dwuma wɔ sɔhwɛ bi a wɔde hu ayamtu mu nkutoo.
- Wɔyɛ sɔhwɛ yi wɔ ayaresabea anaa ayaresabea bere nyinaa, wɔ aduruyɛfo hwɛ ase. Wɔmma kwan sɛ wɔmfa saa aduru yi nkɔ fie.
- Ansa na wobɛyɛ nhwehwɛmu no, hwɛ hu sɛ wobɛka w’ayaresa tebea nyinaa ne nnuru a wonom nyinaa (a nnuru a wɔde di dwuma wɔ amanne kwan so ka ho) akyerɛ wo duruyɛfo.
- Sɛ ɛyɛ den ma wo kɛse sɛ wobɛhome anaasɛ wo ho yɛ wo hyew bere a woreyɛ nhwehwɛmu no a, bɔ nnuruyɛfo amanneɛ ntɛm ara.
- Sɛ wowɔ nsɛmmisa bi fa nhwehwɛmu yi ho a, ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo.
Methacholine, Methacholine, Asthma, Ɔhome a ɛyɛ den, Ahurututu, Ɔhome mu nyarewa, Aduruyɛ mu nhwehwɛmu
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