So wo duruyɛfo ka kyerɛɛ wo sɛ yɛ ɔhome mu nhwehwɛmu? So ɔka kyerɛɛ wo sɛ ɔde aduru bi a wɔfrɛ no methacholine di dwuma? Ebia wobɛpɛ sɛ wuhu biribi kakra, anaasɛ wosuro kakra mpo bere a wote din no. Ɛno yɛ ade a ɛfata. Enti ɛnnɛ, momma yɛnka nea methacholine yɛ, nea enti a wɔyɛ sɔhwɛ yi, ne nneɛma a ɛho hia sen biara a ɛsɛ sɛ wuhu fa ho.
Dɛn ne Methacholine?
Sɛ yɛbɛka no tiawa a, methacholine yɛ aduru a ɛma mframa kwan ( bronchi ) a ɛwɔ w’ahurututu mu no twetwe (teateaa) bere tiaa bi. Wɔ nnuruyɛ mu no, yɛfrɛ eyi ahurututu mu ntini a ɛma ahurututu mu ntini .
"Oh, wɔbɛtew bronchi no so ? So ɛno remma ɛnyɛ den sɛ wobɛhome?" ebia woredwen ho. Nha wo ho. Wɔde ahwɛyiye kɛse na ɛyɛ eyi, wɔ nnuruyɛfo ne ayarehwɛfo hwɛ ase tẽẽ.
Susuw ho hwɛ, nnipa binom, titiriw wɔn a wɔwɔ nyarewa te sɛ ayamtu, wɔ ahurututu a ɛyɛ mmerɛw yiye. Biribi ketewaa te sɛ wusiw, mfutuma, anaa hua mpo betumi atew wɔn ahurututu mu ntɛmntɛm na ama ayɛ den sɛ wɔbɛhome. Enti, wɔyɛ sɔhwɛ yi (Methacholine Challenge Test) de hu sɛnea w’ahurututu yɛ mmerɛw. Oduruyɛfo no betumi agyina nea ebefi eyi mu aba so anya sɛnea w’ahurututu yɛ adwuma no ho ntease pa ara.
Nea ɛho hia paa ne sɛ eyi nyɛ yare bi ayaresa. Eyi yɛ sɔhwɛ a wɔde boa ma wohu yare no ara kwa .
Nneɛma a ɛsɛ sɛ woka kyerɛ oduruyɛfo no ansa na wɔayɛ nhwehwɛmu
Ansa na wobɛyɛ nhwehwɛmu yi, sɛnea ɛbɛyɛ a w’ankasa ahobammɔ bɛba no, ɛho hia yiye sɛ wobɛbɔ wo duruyɛfo amanneɛ wɔ w’akwahosan ho abakɔsɛm a edi mũ ho. Mfa biribiara nsie efisɛ ɛyɛ asɛm ketewaa bi. Sɛ nea edidi so yi mu biara fa wo ho a, hwɛ hu sɛ wobɛka ho asɛm akyerɛ wɔn.
| Tebea / Suban | Dɛn nti na ɛno ho hia? |
|---|---|
| Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a. | Ɛho hia yiye sɛ wobɛkwati sɛ wode wo ho bɛto asiane ahorow a ɛho nhia mu bere a wonyinsɛn no. |
| Sɛ woyɛ ɛna a ɔma nufu a. | Ɛho hia sɛ wususuw ho sɛ ebia aduru no fã bi betumi afa nufusu mu akɔ akokoaa no nkyɛn anaa. |
| Sɛ woanya komayare, mogya mmoroso, anaa akisikuru a. | Asiane a ɛwɔ sɔhwɛ mu no betumi ayɛ kɛse wɔ tebea horow a ɛtete saa mu. |
| Sɛ wɔahu sɛ wowɔ ahurututu mu yare foforo te sɛ ayamtu dedaw a. | Ebia ɛho behia sɛ wɔyɛ nsakrae wɔ ɔkwan a wɔfa so yɛ sɔhwɛ no mu a egyina aduruyɛ tebea a na ɛwɔ hɔ dedaw no so. |
| Sɛ wowɔ aduruyɛ mu tebea bi a ɛma wo ho yɛ wo hyew te sɛ akisikuru a. | Ɛho hia sɛ wuhu sɛ ɛtɔ mmere bi a saa aduru yi betumi ama aduruyɛ mu tebea horow no ayɛ kɛse. |
| Sɛ wowɔ thyroid yare, wo dwensɔtwaa mu haw, anaasɛ ɛyɛ den sɛ wobɛtow nsu a. | Saa tebea horow yi betumi aka sɛnea aduru no yɛ adwuma yiye. |
| Sɛ woyɛ obi a ɔnom sigaret a. | Sigaretnom ka ahurututu mu dwumadi ne nea efi sɔhwɛ mu ba no so nkɛntɛnso tẽẽ. |
| Sɛ woanya vaccination nnansa yi ara a. | Eyi ho hia sɛ wohu efisɛ nnuru bi a wɔde bɔ nkurɔfo ho ban betumi aka sɛnea nipadua no yɛ n’ade. |
| Sɛ wo ho yɛ wo hyew wɔ methacholine anaa nnuru afoforo, nnuan, anaa nnuru a wɔde yɛ nneɛma ho a. | Eyi ne ɔkwan a eye sen biara a wobɛfa so akwati akisikuru. |
Ɔkwan bɛn so na wofa saa aduru yi?
Saa aduru yi nyɛ biribi a wubetumi de akɔ fie. WeiOduruyɛfo a wɔatete no na ɔde ma wo, wɔ ayaresabea anaa ayaresabea.
Wɔde afiri bi a wɔfrɛ no nebulizer na ɛyɛ eyi. Ebia woahu, afiri a ɛkyere nsuonwini bere a mmofra nkumaa anya atiridiinini no. Ɛno yɛ saa nneɛma no mu biako. Nea saa afiri yi yɛ ne sɛ ɛdan nsu a ɛyɛ methacholine no ma ɛbɛyɛ nsuyiri (aerosol) fɛfɛ. Afei wɔka kyerɛ wo sɛ fa w’ano anaa w’ano ne wo hwene mu home saa nsuyiri no. Afei aduru no kɔ w’ahurututu mu tẽẽ.
Wɔ sɔhwɛ no nyinaa mu no, oduruyɛfo anaa ɔyarehwɛfo bɛtra wo nkyɛn na wahwɛ sɛnea wohome ne wo koma bɔ bere nyinaa, enti biribiara nni hɔ a enti ɛsɛ sɛ wusuro.
So woyɛ sɔhwɛ yi ma mmofra?
Aane. Wobetumi akamfo nhwehwɛmu yi akyerɛ mmofra a wɔadi boro mfe 5, ne bere a ɛho hia. Nanso, mmofra oduruyɛfo na osi gyinae. Nneɛma bi nso wɔ hɔ a ɛsɛ sɛ yɛhwɛ yiye wɔ ho titiriw.
Na sɛ menom nnuru pii nso ɛ?
Wɔde eyi ma wɔ tebea horow a wɔahyɛ so wɔ ayaresabea, enti hokwan a ɛwɔ hɔ sɛ eyi bɛba no sua koraa. Nanso, sɛ wususuw sɛ nnuru a wɔde di dwuma boro so aba a, ɛsɛ sɛ wobɔ nnuruyɛfo amanneɛ ntɛm ara. Mpɛn pii no, sɛ ɛba sɛ wonom nnubɔne anaa awuduru biara a, wubetumi afrɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no akɔhwehwɛ afotu. Sɛ biribi si ntɛm a, ɛsɛ sɛ wokɔ Emergency Treatment Unit (ETU) ntɛm ara .
Nnuru afoforo a ebetumi ne saa aduru yi adi nkitaho (Drug Interactions) .
Nnuru bi a worenom betumi aka sɛnea sɔhwɛ yi yɛ pɛpɛɛpɛ. Enti, ɛsɛ sɛ woka nnuru a worenom nyinaa (wɔakyerɛw ama wo, a wɔmfa nnuru nhyɛ mu, nnuru a wɔde di dwuma wɔ amanne kwan so, vitamin, nhabannuru) kyerɛ wo duruyɛfo. Hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ worenom nnuru a wɔabobɔ din wɔ ase ha no bi a.
- Nnuru a wɔde home a wɔde di dwuma ma ayamtu ne ahome a ɛyɛ den (e.g. albuterol, ipratropium, salmeterol, tiotropium) .
- Nnuru te sɛ theophylline
- Steroid ahorow (sɛ nhwɛso no, prednisone, cortisone) .
- Nnuru bi a wɔde sa mogya mmoroso, komayare, anaa koma a ɛbɔ a ɛnkɔ so daa
Saa nsɛm a wɔahyehyɛ yi nwie pɛyɛ, enti ɛbɛyɛ papa sɛ wobɛka biribiara a wobɛnom ho asɛm akyerɛ wo duruyɛfo.
Dɛn ne nneɛma bɔne a wɔhwɛ kwan sɛ ebefi mu aba?
Te sɛ aduru biara no, methacholine betumi de ɔhaw ahorow bi aba. Eyinom mu dodow no ara yɛ nketewa na ɛkɔ ntɛmntɛm wɔ sɔhwɛ no akyi.
| Nneɛma bɔne a anibere wom a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo anaa ɔyarehwɛfo ntɛm ara | |
|---|---|
| Nneɛma a ɛma obi ho yɛ no yaw | Wora mu akisikuru, ɛyaw, anim, ano anaa tɛkrɛma a ɛho ahonhon. |
| Ɔhome a ɛyɛ den | Ɔhome a ɛyɛ den anaasɛ wo koko a ɛyɛ den sen sɛnea na wɔhwɛ kwan. |
| Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo | |
| Ɛwa | Menewa mu a ɛyɛ mmerɛw anaasɛ ɔfe kakra. |
| Nkate a ɛma obi ho dwiriw no | Sɛ wote nka sɛ ɔyɛ ɔkraman. |
| Tipaeɛ | Ti a ɛyɛ yaw kakra. |
| Menemkuro | Sɛ wote nka sɛ wo menewa mu yɛ wo yaw. |
Sɛ wunya ɔhaw biara wɔ sɔhwɛ no mu a, ka kyerɛ oduruyɛfo anaa ɔyarehwɛfo no ntɛm ara. Wɔyɛ krado bere nyinaa sɛ wɔbɛboa wo.
Nkrasɛm a Wɔde Kɔ Fie
- Methacholine nyɛ ayaresa, na mmom ɛyɛ nhwehwɛmu a wɔde hu yare a ɛkyerɛ sɛnea w’ahurututu no te nka.
- Wɔyɛ sɔhwɛ yi wɔ ayaresabea anaa ayaresabea nkutoo , wɔ aduruyɛfo hwɛ ase. Enti mma nsuro.
- Hwɛ hu sɛ wobɛka wo nyarewa afoforo, akisikuru, ne nnuru biara a wobɛnom ansa na woayɛ nhwehwɛmu no ho asɛm akyerɛ wo duruyɛfo.
- Nsɛnkyerɛnne nketenkete te sɛ ɔfe ne tiyɛ betumi aba bere a wɔreyɛ nhwehwɛmu no. Nanso, sɛ wo home mu yɛ den kɛse anaasɛ wuhu sɛ wo ho yɛ wo hyew a, yɛsrɛ sɛ bɔ yɛn amanneɛ ntɛm ara .
- Saa aduru yi yɛ wo nkutoo dea. Mfa nnkyɛ obi foforo biara. (Esiane sɛ wɔde eyi ma wɔ ayaresabea nti, saa ɔhaw no mma).
- Sɛ wowɔ nsɛmmisa foforo bi fa eyi ho a, ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo .
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