Sɛ wohome, titiriw bere a worehome a, so wote nnyigyei bi a ɛba fam a ɛyɛ abɛn a efi wo koko mu reba? Ɛtɔ da bi a, ebetumi ayɛ hu kakra bere a wote saa nnyigyei yi ka wo ɔfe ho no? Nnipa pii ahu eyi. Wɔ aduruyɛ mu no, yɛfrɛ no ‘wheezing’. Eyi yɛ nnyigyei a ɛba bere a mframa kwan nketenkete a ɛwɔ yɛn ahurututu mu no yɛ teateaa esiane biribi nti, na ɛma mframa fa mu no ankasa. Enti ɛnnɛ, momma yɛnka nea ɛde eyi ba, sɛnea oduruyɛfo hu no, ne ayaresa ahorow a wɔde sa no ho asɛm.
Ɔkwan bɛn so na oduruyɛfo hu nea ɛde akisikuru ba?
Ade a eye sen biara a ɛsɛ sɛ woyɛ bere a wowɔ dede a ɛte sɛɛ wɔ wo koko mu ne sɛ wobɛkɔ oduruyɛfo nkyɛn. Esiane sɛ eyi yɛ sɛnkyerɛnne ara kwa nti, nea ɛho hia sen biara ne sɛ wubehu nea ɛde ba. Nneɛma bi a oduruyɛfo no bɛyɛ bere a wahu wo ni.
1. Nsɛm a wobebisa wo:
Nea edi kan no, oduruyɛfo no bebisa wo wo yare no ho sɛnkyerɛnne ahorow ho asɛm. Susuw ho sɛ wubebisa nsɛm te sɛ eyinom:
- "Bere bɛn na dede yi fii ase?"
- "So wote ɔfe, menewa mu yaw, anaasɛ wo moma so a ɛyɛ den nka eyi ho?"
- "Bere bɛn na eyi kɔ soro? Bere a ɛda mfutuma mu? Bere a awɔw wom? Bere a woreyɛ apɔw-mu-teɛteɛ ?"
- "So obi wɔ w'abusua mu a ɔwɔ ayamtu ?"
- "So eyi ba bere a wɔadi nnuan bi akyi? Anaasɛ ɛba wɔ afe no mu bere koro no ara mu (sɛ nhwɛso no, bere a nhwiren refifi)?"
Saa nsɛmmisa yi betumi ama wo duruyɛfo anya adwene pa wɔ sɛ ebia wowɔ allergy , ayamtu , anaa ɔhaw foforo bi.
2. Nipadua mu nhwehwɛmu:
Afei, oduruyɛfo no de afiri a wɔde tie asɛm bɛto wo moma so na watie wo yiye. Eyi bɛboa wo ma woahu baabi pɔtee a nnyigyei no fi w’ahurututu mu ne sɛnea emu yɛ den.
3. Sɔhwɛ titiriw : .
Ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ nhwehwɛmu pii bio, a egyina wo sɛnkyerɛnne ne abakɔsɛm so.
- Spirometry: Eyi hwehwɛ sɛ wobɛhome na woakɔ afiri ketewa bi mu. Ebetumi asusuw sɛnea w’ahurututu reyɛ adwuma yiye ne sɛnea wo mframa kwan no yɛ teateaa no.
- Chest X-ray : Eyi boa ma wohu sɛ ebia ɔhaw foforo bi wɔ hɔ, te sɛ ɔyare mmoawa bi wɔ ahurututu mu anaa.
- Mogya mu Nhwehwɛmu: Ɛtɔ mmere bi a, wɔyɛ mogya mu nhwehwɛmu de hwɛ sɛ ɔyare mmoawa anaa akisikuru wɔ hɔ anaa.
- Allergy Tests: Sɛ wususuw sɛ wowɔ allergy a, wubetumi ayɛ honam ani nhwehwɛmu anaa mogya mu nhwehwɛmu de akyerɛ sɛ ɛyɛ nokware.
Kae sɛ, ebetumi ayɛ asiane sɛ w’ankasa wobɛnom nnuru a wunhu nea ɛde wo hwirew ba no yiye. Bere nyinaa kɔ wo duruyɛfo nkyɛn kɔhwehwɛ afotu.
Dɛn ne ayaresa ahorow a wɔde sa akisikuru?
Ayaresa no gyina nea ɛde wo ahurututu no ba so. Ɛno nti na ɛho hia sɛ wudi kan hwehwɛ nea ɛde ba no. Hwɛ ayaresa ahorow a wɔde sa nneɛma bi a ɛtaa de ba no ni.
Sɛ woreyɛ akisikuru esiane ayamtu nti a
Akisikuru yɛ tebea a ɛma mframa kwan a ɛwɔ ahurututu mu no hohoro, ɛyɛ mmerɛw, na ɛnyɛ den sɛ ɛbɛyɛ teateaa. Ebia wo duruyɛfo bɛkyerɛw nnuru te sɛ eyinom de asa saa tebea yi.
| Ayaresa no su | Dɛn na ɛto so? | Nhwɛso ahorow |
|---|---|---|
| Nnuru a wɔde home a ɛyɛ adwuma ntɛmntɛm | Sɛ wofe anaa wo koko mu ayɛ wo den a, ɛma wo mframa kwan no trɛw na ɛma wo ho tɔ wo ntɛm. Wɔsan frɛ eyi sɛ ‘Reliever’ inhaler. | Albuterol (Ventolin), Levalbuterol (Xopenex) a ɛwɔ nipadua no mu. |
| Controller Inhalers a Wɔde Hye Mu | Wɔde eyinom di dwuma da biara da de tew ɔfe a ɛba mframa kwan mu no so na wɔhyɛ ayamtu ano. Wɔsan frɛ eyi sɛ ‘Preventer’. | Nnuru a wɔde yɛ aduru a wɔfrɛ no beclomethasone (Qvar), Budesonide (Pulmicort), Fluticasone (Flovent) . |
| Nneɛma a Wɔde Inhalers a Wɔaka abom | Eyi ka aduru bi a ɛhwɛ ɔhome so ne aduru a ɛyɛ adwuma bere tenten a ɛtrɛw mframa kwan no bom. | Budesonide/formoterol (Symbicort), Fluticasone/salmeterol (Advair) a wɔde di dwuma wɔ aduruyɛ mu. |
| Controller Nnuru a Wɔde Di Dwuma | Wɔ nnuru a wɔde home akyi no, ebia wo duruyɛfo nso bɛkamfo nnuru a ɛma mframa kwan no mu ahonhon so tew akyerɛ wo. | Montelukast (Nneɛma biako), Zafirlukast (Accolate) . |
| Nnuru a wɔde sa akisikuru (Antihistamines) . | Sɛ wo ayamtu no fi akisikuru a, wobetumi ama wo nnuru a wɔde siw akisikuru ano anaa nnuru a wɔde petepete hwene mu. | Nnuru a wɔde yɛ nnuru: Cetirizine (Zyrtec), Loratadine (Claritin) . Nneɛma a wɔde petepete so: Fluticasone (Flonase), Mometasone (Nasonex) . |
Sɛ ɔyare bi te sɛ ahurututu mu yare na ɛde ahurututu mu akisikuru ba a
Ɛtɔ da bi a, sɛ atiridii mu yɛ den a, ɔyare mmoawa betumi aba ahurututu mu mframa kwan a ɛwɔ ahurututu no mu (Acute Bronchitis). Ahomegye nso betumi aba. Mpɛn pii no, eyi ankasa fi hɔ bere a ɔyare mmoawa no mu tew no.
- Sɛ ɛyɛ den sɛ wobɛhome: Wo duruyɛfo betumi ama wo aduru a ɛma wo home ntɛmntɛm (e.g. Albuterol) bere tiaa bi na aboa wo ma woanya ahotɔ.
- Nnuru a ekum ɔyare mmoawa: Wɔntaa mma nnuru a ekum ɔyare mmoawa mma ɔyare mmoawa. Nanso, sɛ wowɔ ahurututu mu yare foforo anaasɛ oduruyɛfo no susuw sɛ eyi yɛ ɔyare mmoawa nkutoo a, wɔde nnuru a ekum ɔyare mmoawa ma.
Dɛn na ɛsɛ sɛ woyɛ wɔ tebea a egye ntɛmpɛ mu?
Nneɛma te sɛ ahome a ɛyɛ den dodo, kasa a ɛyɛ den, anaa anofafa anaa nsateaa a ɛyɛ bruu yɛ nneɛma a egye ntɛmpɛ. Wɔ tebea horow a ɛtete saa mu no, frɛ ambulance ntɛm ara anaa kɔ ayaresabea a ɛbɛn wo no Emergency Department (ETU) . Ɛhɔ no, nnuruyɛfo kuw no bɛma wo ayaresa ahorow a edidi so yi na ama woanya ahotɔ ntɛm.
| Ayaresa a egye ntɛmpɛ | Nkyerɛmu |
|---|---|
| Epinephrine a wɔde twitwiw nipadua no mu | Sɛnea ɛbɛyɛ a wobebue mframa kwan a ayɛ ma kɛse no ntɛmntɛm. |
| Oxygen a wɔde ma | Sɛnea ɛbɛyɛ a oxygen dodow a nipadua no hia no akɔ so atra hɔ. |
| Corticosteroid a wɔde twitwiw nipadua no mu | Sɛnea ɛbɛyɛ a wɔbɛtew mframa kwan a ɛho ahonhon kɛse so ntɛmntɛm. (sɛ nhwɛso no, Methylprednisolone) . |
| Nebulizer aduruyɛ | Nsu a wɔde yɛ nnuru a wɔde yɛ nsu a ɛyɛ hyew na wɔhome kɔ akyiri no ma wo ho tɔ no ntɛm. |
| Sɛ wɔde bɛka afiri a wɔde home (Mechanical Ventilator) ho . | Wɔ tebea horow a emu yɛ den sen biara mu no, sɛ ɔyarefo no ankasa ntumi nhome a, wɔde afiri bi boa ma ɔhome. |
Nkrasɛm a Wɔde Kɔ Fie
- Akisikuru yɛ sɛnkyerɛnne, na ɛnyɛ yare. Ɛho hia sɛ wuhu nea ɛde ba no.
- Akisikuru ne akisikuru yɛ nneɛma abien a ɛtaa ma obi ho dwiriw no.
- Sɛ wo ho yɛ wo yaw a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn na wanya yare no ho nhwehwɛmu ne ayaresa ho nhyehyɛe a edi mu.
- Tebea a ɛma ahome yɛ den yiye na ɛnne no mu yɛ den araa ma wuntumi nkasa no yɛ nea egye ntɛmpɛ. Kɔ ayaresabea bi Dwumadibea a Ɛhwɛ Nneɛma a Ɛho Hia Ntɛmntɛm (ETU) ntɛm ara.
- Kwati sɛ wode obi foforo afiri a ɛma ɔhome bedi dwuma anaasɛ wobɛnom nnuru a wunni oduruyɛfo afotu. Ayaresa a wo nsa bɛka no bɛyɛ nea ɛfa wo tebea no ho pɔtee.











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