Ɛtɔ mmere bi a, ɛyɛ den ma wo nso sɛ wobɛhome bere a woabrɛ paa, anaa sɛ woforo antweri bi a, ɛnte saa? Anaasɛ wokae sɛnea obi a ɔwɔ ayamtu te nka bere a wanya komayare no? Mpɛn pii no, wɔkotow wɔn anim de wɔn nsa to wɔn nkotodwe so bɔ mmɔden sɛ wɔbɛhome. Saa gyinabea yi a yɛyɛ a yennim sɛ ɛwɔ aduruyɛ mu din. Ɛyɛ Tripod Gyinabea no. Eyi yɛ abɔde mu kwan a yɛn nipadua bɔ mmɔden sɛ ɛbɛma yɛn ahotɔ bere a ɛyɛ den ma yɛn sɛ yɛbɛhome no. Momma yɛnka eyi ho asɛm nnɛ ara kwa.
Dɛn ne saa tripod gyinabea yi?
Sɛ yɛbɛka no tiawa a, tripod gyinabea ne bere a wode wo ho to w’anim kakra, de wo mu duru to biribi te sɛ wo nsa, wo nsa, anaa pon so. Wɔsan frɛ saa gyinabea yi orthopneic position , nanso ɛnyɛ den sɛ wɔbɛkae edin tripod no. Ɛboa nnipa a wɔn ahome yɛ tiaa (orthopnea) titiriw bere a wɔada hɔ no.
Ɔhome ho ayaresa ho animdefo kyerɛkyerɛ saa tebea yi de boa nnipa a wɔwɔ ɔhome mu nyarewa a enni sabea te sɛ COPD ma wɔhome ntɛmntɛm. Susuw ho hwɛ, so woahu wo nana sɛ ɔte akongua bi so a ne nsa ato ne nkotodwe so na ɔde ne ho akɔto n’anim pɛn? Ɛno ne nea saa pose yi te.
Saa gyinabea yi akwan atitiriw pii wɔ hɔ.
| Ɔkwan a wɔfa so yɛ nsaanodwuma no | Sɛnea wɔyɛ no |
|---|---|
| Ɔte akongua bi so | Tena akongua so, fa wo ho to w’anim, na fa wo nsa anaa wo nsateaa to wo nkotodwe so na ama woatumi aboa wo. |
| Ɔte mpa so | Wote mpa so, wokotow w’anim a wode wo nsa si pon bi a ɛwɔ w’anim so, na wo ti gyina wo nsa anaa pillow so. |
| Gyinabea | Gyina, ɔde ne ho to n’anim, ne nsa a ɔde si nkotodwe so. (Yɛn nyinaa yɛ eyi bere a yɛabrɛ ankasa no.) |
W’ankasa wubetumi akɔ saa gyinabea yi mu, anaasɛ ɛtɔ mmere bi a nnuruyɛfo a wɔwɔ ayaresabea bi bɛboa wo ma woakɔ saa gyinabea yi mu. Nanso kae sɛ, sɛ ɛyɛ den ma wo kɛse sɛ wobɛhome a, ɛsɛ sɛ wokɔ ayaresabea Dwumadibea a Ɛho Hia Ntɛmntɛm (ETU) ntɛm ara.
Ayaresa tebea bɛn na mfaso wɔ so ma saa tebea yi?
Tripod pose no yɛ bere tiaa mu ano aduru a wɔde ma ahome a ɛyɛ tiaa. Wɔayɛ no sɛ ɛbɛma ahotɔ bere a wɔresa nea ɛde ba no. Ebia ɛbɛma wɔanya ahotɔ kakra afi ahome a ɛyɛ tiaa a ɛbata koma ne ɔhome tebea horow a edidi so yi ho:
| Yareɛ | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Akisikuru ntua | Mmere a dadwen a ɛkɔ soro wom. |
| Koma a ɛyɛ den a ɛyɛ mmerɛw | Tebea horow a koma no dwumadi a entumi nyɛ adwuma yiye de ba. |
| COPD a ɛma ɛyɛ kɛse | Ahurututu mu yare a enni sabea a emu yɛ den. |
| Epiglottitis a ɛwɔ nipadua no mu | Ntini a ɛwɔ menewa no akyi a ɛho ahonhon. |
| Ahurututu mu akisikuru | Nsu a ɛboaboa ano wɔ ahurututu mu. |
| Ɔhome mu nyarewa afoforo (Pneumonia) . | Ahurututu mu nyarewa te sɛ ahurututu mu yare. |
Wobɛyɛ dɛn akɔ saa gyinabea yi mu pɛpɛɛpɛ?
Saa tebea yi mu a wobɛkɔ no yɛ mmerɛw yiye. Ma yɛnhwɛ sɛnea yɛbɛyɛ no anammɔn biara.
Ɔkwan a wɔfa so tra akongua so
1. Tena nkongua anaa mpa bi nkyɛn.
2. Ma wo nan nsi fam pintinn.
3. Kotow wo koko no mu kɔ w’anim kakra.
4. Afei fa wo nsa anaa wo nsateaa to wo nkotodwe atifi. Wubetumi nso de wo hwene ato wo nsa so sɛ wopɛ a.
5. Ma wo kɔn ne wo mmati dwo na tra ahomegye.
Ɔkwan a wɔfa so de pon a efi mpa so di dwuma
1. Tena mpa no so na fa wo nan adi w’anim.
2. Fa pon ketewaa bi si w’asen so, bɛyɛ sɛ wo moma so.
3. Fa pillow to w’akyi na ama woanya mmoa foforo.
4. Kotow wo moma so kɔ w’anim kakra.
5. Afei fa wo nsa to pon no so, fa wo ti to wo nsa anaa apɔw-mu-teɛteɛ kakraa bi so, na gye w’ahome.
Dɛn ne nyansahu mu mfaso horow a ɛwɔ tripod pose no so?
Eyi nyɛ ahotɔ kɛkɛ, nyansahu mu ntease ahorow pii wɔ hɔ a enti ɛboa yɛn nipadua ma ɛhome.
- Koko a yɛbɛma atrɛw yiye: Sɛ yɛkotow kɔ yɛn anim a, yɛn ahurututu no kɔ fam ntɛmntɛm. Eyi ma ahurututu no nya kwan trɛw, a ɛkyerɛ sɛ ɛbɛyɛ akɛse. Eyi ma yetumi nya mframa pa pii .
- Accessory Muscle Activation: Mpɛn pii no, yɛde ntini a ɛda mpampam ne diaphragm ntam no na ɛhome. Nanso sɛ ɛyɛ den sɛ wobɛhome a, ɔhome ntini a ɛka ho a ɛwɔ kɔn ne mmati mu no boa. Tripod pose ma saa ntini ahorow yi tumi yɛ adwuma yiye.
- Mmɔdenbɔ a ɛho hia na nipadua no ahome a ɛso tew: Esiane nneɛma abien a yɛaka ho asɛm wɔ atifi hɔ nti, mmɔdenbɔ a ɛho hia na nipadua no ahome, kyerɛ sɛ, "ahome adwuma" no so tew. Eyi ma yenya ahotɔ kɛse.
Ebia nnipa binom behu sɛ sɛ wɔba saa tebea yi mu pɛ a, ɛyɛ mmerɛw sɛ wɔbɛhome. Nanso kae sɛ eyi yɛ bere tiaa mu ano aduru ara kwa. Sɛnea ɛbɛyɛ na wɔanya ahotɔ ankasa no, ɛsɛ sɛ wɔsa tebea a ɛda adi a ɛde ɔhome a ɛyɛ den ma no.
So asiane bi wɔ saa gyinabea yi mu?
Mpɛn pii no, saa tebea yi nyɛ nea asiane wom. Nanso sɛ nnipa a wɔwɔ ɔhome mu nyarewa a enni sabea te sɛ COPD de saa tebea yi di dwuma daa a, nhyɛso a ɛba wɔn nsateaa ne wɔn nkotodwe honam ani so no betumi ama honam ani a ɛwɔ saa mmeae no ayɛ tuntum na ayɛ den kakra . Nnuruyɛfo frɛ eyi "adwenkyerɛfo sɛnkyerɛnne" anaa "Dahl sɛnkyerɛnne."
Eyi nyɛ asiane. Nanso, ɛyɛ sɛnkyerɛnne pa a ɛkyerɛ sɛ woretaa ahome a ɛyɛ wo yaw. Sɛ eyi ba a, akyinnye biara nni ho sɛ ɛsɛ sɛ wo ne wo duruyɛfo kasa fa ho.
Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?
Eyi ne ade a ɛho hia sen biara.
- Sɛ wuhu sɛ ɛsɛ sɛ wotaa kɔ tripod tebea no mu na ama ahome a ɛyɛ tiaa no afi hɔ a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn. Ebia obetumi asesa w’ayaresa nhyehyɛe anaa wakyerɛ wo akwan foforo a wobɛfa so ahwɛ wo home so.
- Sɛ wunnim nea enti a ɛyɛ den ma wo sɛ wobɛhome a , hwehwɛ aduruyɛfo afotu ntɛm ara.
Ɔhome a ɛyɛ den betumi ayɛ aduruyɛ mu tebea a emu yɛ den ho sɛnkyerɛnne. Enti mmu w’ani ngu so da. Sɛ ɛyɛ den ma wo kɛse sɛ wobɛhome a, kɔ ayaresabea a ɛbɛn wo no Emergency Department (ETU) ntɛm ara.
Nkrasɛm a Wɔde Kɔ Fie
- Tripod Position yɛ ɔkwan a ɛyɛ mmerɛw na etu mpɔn a wobɛfa so anya ahotɔ ntɛm ara afi ahome a ɛyɛ tiaa mu.
- Eyi yɛ bere tiaa mu ahotɔ ara kwa, na ɛnyɛ aduru. Ɛho hia sɛ wɔsa nea ɛde ahome a ɛyɛ tiaa ba no.
- Sɛ wuhu sɛ ɛsɛ sɛ wode saa gyinabea yi di dwuma mpɛn pii a, ɛyɛ sɛnkyerɛnne a ɛkyerɛ sɛ ɛsɛ sɛ wohwɛ wo home yiye. Kɔ wo duruyɛfo nkyɛn ntɛm ara.
- Sɛ ahome yɛ den yiye a, nsɛe bere na kɔ ayaresabea a ɛbɛn wo no Dwumadibea a Ɛhwɛ Nneɛma a Egye Ntɛmpɛ So (ETU).
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