Ènya nu tso mɔ̃ vevi siawo siwo le wò yaƒoƒomɔ̃ me ŋua? (Bronchi) Mina míakpɔe ɖa!

Èbu alesi tututu ya gena ɖe lãkusi me ne míele gbɔgbɔm ŋu kpɔa? Enye mɔ̃ wɔnuku aɖe si wozãna. Nu vevi siwo wɔa akpa vevi aɖe le mɔzɔzɔ vevi sia me le míaƒe gbɔgbɔtsixe ƒe dɔwɔwɔ me dometɔ ɖekae nye aɖuɖɔtoewo . Egbea míele nu ƒom tso aɖuɖɔtoe siawo kple alesi wole vevie na míaƒe lãmesẽ ŋu.

Nukawoe nye aɖuɖɔtoe siawo?

Kpuie ko la, wò aɖuɖɔtoewo nye mɔ̃ gã eve siwo tsɔa ya yia wò lãkusi me. Ne èle gbɔgbɔm la, ya si gena ɖe wò ŋɔti alo nu me toa wò ŋɔti me yia wò yagbɔgbɔ , si nye wò yaƒoƒomɔ̃ . Yaƒoƒomɔ̃ sia ma ɖe eve, abe ŋɔŋlɔdzesi Y. Woyɔa mɔ̃ vevi eve siawo be aɖuɖɔtoe - ɖeka yia miame lãkusi me, evelia yia ɖusime lãkusi me. Emegbe mɔ̃ gã eve siawo, abe ati ƒe alɔwo ene, ma zua mɔ̃ suesuesuewo gɔ̃ hã le wò lãkusi me. Esiawo nye míaƒe gbɔgbɔtsixe ƒe akpa vevi aɖe ŋutɔ . Bu wo be wonye mɔwo, siwo kpena ɖe ya ŋu wòɖoa yakotoku suesuesue siwo le wò lãkusi me la gbɔ.

Nukae dzɔna ɖe aɖuɖɔtoeawo dzi?

Nu vevitɔe nye esi. Dɔ vevitɔ si yaƒoƒomɔ̃wo wɔnae nye be wòatsɔ ya ayi lãkusiwo me eye wòatsɔ ya ado goe le lãkusiwo me. Ele abe mɔ si dzi ʋuwo te ŋu zɔna yia ŋgɔ kple megbe ene.

Tsɔe be èle gbɔgbɔm...

1. Ya gena ɖe nu me alo ŋɔti me eye wòzɔna toa aɖuɖɔtoeawo me .

2. Emegbe ya gena ɖe yaƒoƒomɔ̃ gã eve siwo nye ɖusime kple miame, siwo dzɔna to yaƒoƒomɔ̃ sia ƒe mama me la me.

3. Aɖuɖɔtoe siawo ma zua mɔ̃ suewo, eye mlɔeba to mɔ̃ suetɔ kekeake siwo woyɔna be aɖuɖɔtoe me la, ya la toa ʋuka siwo le lãkusia me me. Afi mae wotsɔa oxygen dea wò ʋu me le.

Azɔ hã, ne wotsɔ ɔksidzin de ʋua me la, ya si nye carbon dioxide si womedi o si le ʋua me la gagena ɖe yakotokuawo me. Ne ègbɔ ya la, ya sia si nye ya si woyɔna be carbon dioxide la trɔna toa yagbɔgbɔ, aɖuɖɔtoe, kple aɖuɖɔtoewo me eye wòdoa ya to wò nu alo ŋɔti me.

Vevietɔ: Nusi woyɔna be mucus , le yaƒoƒomɔ̃awo ƒe eme. Aɖuɖɔ sia dea tsi ya si gena ɖe eme la me eye wòléa nusiwo gblẽa nu le ame ŋu abe dɔlékuiwo kple ke ene ɖe ya me. Tsɔ kpe ɖe eŋu la, nu suesuesue siwo le abe taɖa ene siwo woyɔna be cilia hã le yaƒoƒomɔ̃awo me. Esiawo wɔa dɔ abe ʋuʋudedi ene eye wotua dɔlékui kple ke siwo xaxa la ɖe ŋɔti ƒe megbe. Ɣemaɣie míekɔa akɔta alo míeɖea aɖuɖɔ eye wodona. Ðe menye ametakpɔnu wɔnuku aɖee wònye oa?

Afikae aɖuɖɔtoeawo le?

Wò yaƒoƒomɔ̃ le wò akɔta me, le wò lãkusiwo me, siwo wò akɔtaƒu kpɔa ta na. Abe alesi míegblɔe va yi ene la, esiawoe nye mɔ̃ siwo le wò yagbɔgbɔ me (Aɖuɖɔtoeawo do ƒome kple lãkusia ƒe nuwuwu si le ete. Wodzea egɔme abe mɔ̃ gãwo ene, vivivi la, womaa wo ɖe alɔ suewo me, eye mlɔeba wozua alɔdzewo zua aɖuɖɔtoe suetɔ kekeake .

Akpa kawoe nye aɖuɖɔtoeawo?

Yagbɔgbɔmɔ̃a menye mɔ̃memi ƒe kadodo ɖeka o. Woate ŋu ama wo ɖe akpa gã etɔ̃ me, abe mɔ si woma ɖe mɔ gãwo kple axadzimɔwo me ene.

• Primary/Main Bronchi: Esiawoe nye bronchi gãtɔ eve gbãtɔwo – ɖusime kple miame bronchi. Esiawoe do ƒome kple yaƒoƒomɔ̃ (bronchi ) tẽ. Esiawoe nye aɖuɖɔtoeawo ƒe akpa si keke wu.
• Secondary/Lobular Bronchi: Esiawoe nye mɔ̃ siwo dona tso aɖuɖɔtoe gãwo gbɔ eye wogena ɖe lãkusi vovovoawo me. Ènya be ɖusime lãkusi etɔ̃ le ɖusime eye miame lãkusi ƒe akpa eve le eŋua? Aɖuɖɔtoe evelia siawo gena ɖe lãkusi mawo dometɔ ɖesiaɖe me.
• Tertiary/Segmental Bronchi: Esiawo nye mɔ̃ sue siwo ƒe alɔdzewo zua akpa suewo le lãkusiwo me. Le esiawo megbe la, aɖuɖɔtoe suewo gɔ̃ hã dzea egɔme.

Bu eŋu abe mɔ aɖe ene. Ele abe tɔtrɔ tso mɔ gã (Gɔmedzesuku) dzi yi mɔ evelia dzi (Secondary), eye emegbe nàyi mɔ sue bubu dzi (Tertiary).

Nukae nye aɖuɖɔtoewo ƒe wɔwɔme?

Lãmetsi gbadzɛ kple lãkusi sesẽ aɖe si woyɔna be ƒunukpeƒetetedɔ si ƒo xlã woe nye yaƒoƒomɔ̃awo. Ƒunukpeƒe sia naa ŋusẽ nyui nɔa yaƒoƒomɔ̃awo ŋu eye wòxea mɔ na wo be womegbãna ne ya to eme o. Yaƒoƒomɔ̃ veviawo ƒe ƒunukpeƒetetedɔ ƒe asigɛwo le wo ŋu. Gake esi wònye be yaƒoƒomɔ̃ evelia kple etɔ̃lia le sue wu ta la, ƒunukpeƒetetedɔ ƒe akpa aɖewo koe le wo ŋu. Abe alesi míegblɔe va yi ene la, ʋuʋudedi kple ʋuʋudedi le esiawo me.

Woyɔa yagbɔgbɔ, aɖuɖɔtoe, kple aɖuɖɔtoewo ƒe ɖoɖo blibo sia be yagbɔgbɔ ƒe ati , si gɔmee nye "yagbɔgbɔ ƒe ati." Elabena edze abe ati si wotsɔ ƒo xlãe ene. Yagbɔgbɔ le abe ati ƒe ke ene, eye aɖuɖɔtoewo le abe alɔwo ene.

Dɔléle kawoe gblẽa nu le aɖuɖɔtoewo ŋu?

Nublanuitɔe la, míaƒe gbɔgbɔtsixe hã ate ŋu axɔ dɔléle vovovowo. Ðewohĩ èse nusiawo dometɔ aɖewo ŋkɔ kpɔ.

• Asrã: Esia nye nɔnɔme si me yaƒoƒomɔ̃wo xɔa dzo ɣesiaɣi, si wɔnɛ be gbɔgbɔ sesẽna.
• Bronchiectasis: Le nɔnɔme sia me la, yaƒoƒomɔ̃wo kekena, wogblẽna, eye wowɔa kotoku siwo ƒoa ʋuʋudedi nu ƒu.
• Bronchitis: Yaƒoƒomɔ̃wo ƒe dɔdzẽ. Esia ate ŋu anye ɣeyiɣi kpui aɖe (si nu sẽ) alo ɣeyiɣi didi (si nɔa anyi didi).
• Bronchopulmonary Dysplasia: Esia nye gbɔgbɔtsixetsixe si ate ŋu adzɔ ɖe vidzĩ siwo wodzi yeyee dzi. Edzɔna ne lãkusiwo metsi nyuie o.
• Aklãdɔléle si Nu Mexea Mɔ Na (COPD): Esia nye dɔdzẽ ƒe ƒuƒoƒo aɖe si gblẽa nu le aklã ŋu, si xea mɔ na yaƒoƒomɔ̃wo eye wònana gbɔgbɔ sesẽna.
• Cystic Fibrosis (CF): Esia nye domenyiŋusẽfianu ƒe dɔléle si nana be ʋuʋudedi ɣi siwo léna ɖe nu ŋu la ƒoa ƒu ɖe yaƒoƒomɔ̃wo me.

Nukawoe nye gbɔgbɔtsixetsixe ƒe dzesi siwo bɔ?

Ne kuxi aɖe le wò yaƒoƒomɔ̃wo ŋu la, àte ŋu akpɔ dzesiwo abe esiawo ene:

• Kɔdzidede (ate ŋu anye kɔdzidɔ si nɔa anyi ɖaa) .
• Yagbɔgbɔ sesẽ (abe gbɔgbɔtsixetsixe ene) .
• Ʋuʋudedi
• Ʋu si le dodom kple ʋuʋudedi
• Akɔta ƒe tete, sese le eɖokui me be yeƒe akɔta le ʋuʋu
• Ðeɖiteameŋu enuenu
• Yagbɔgbɔdɔléle enuenu (e.g. aklãdɔ, aɖuɖɔtoedɔ) .

Nukawoe nye dodokpɔ siwo léa ŋku ɖe aɖuɖɔtoeawo ƒe lãmesẽ ŋu?

Le wò dzesiwo nu la, ɖɔkta ate ŋu aɖe gbe be woawɔ dodokpɔ vovovowo atsɔ akpɔ wò yaƒoƒomɔ̃wo kple wò lãkusiwo ƒe lãmesẽ.

• Spirometry: Esiae nye lãkusi ƒe dɔwɔwɔ dodokpɔ si bɔ wu. Edzidzea ya agbɔsɔsɔme si nàte ŋu alé ɖe wò lãkusi me kple alesi nàte ŋu agbɔ ya kabakabae.
• Bronchoscopy: Le dɔ sia wɔwɔ me la, ɖɔktaa tsɔa mɔ̃ sue aɖe si te ŋu trɔna bɔbɔe (si me fotoɖemɔ̃ le) toa nu alo ŋɔti me be yeakpɔ yaƒoƒomɔ̃awo me.
• CT Scan: Esia nye dodokpɔ si me wozãa kɔmpiuta tɔxɛwo kple X-ray tsɔ wɔa lãkusiwo ƒe nɔnɔmetata tsitotsito.
• Endobronchial Ultrasound (EBUS): Esia sɔ kple bronchoscopy , gake ezãa ultrasound mɔ̃ɖaŋununya tsɔ kpena ɖe ame ŋu wòdea dzesi dɔdzẽ alo kansa le yaƒoƒomɔ̃wo me.
• Nitric Oxide Dodokpɔ si Wogbɔna: Esia dzidzea nitric oxide agbɔsɔsɔme si nègbɔna. Esia ate ŋu ana ɖɔktawo nanya ne dɔdzẽ le wò yaƒoƒomɔ̃wo me.

Dɔléle siwo gblẽa nu le aɖuɖɔtoewo ŋu ƒe atike kawoe bɔ?

Atikewɔwɔ ƒe tiatia nɔ te ɖe nɔnɔme si gblẽa nu le wò yaƒoƒomɔ̃wo ŋu dzi. Dɔdamɔnu siwo wozãna wu dometɔ aɖewoe nye esi:

• Atike Siwo Wogbɔna: Atikewo abe aɖuɖɔtoe kekeɖenudɔlékuiwo kple steroids ene ɖea abi si le yaƒoƒomɔ̃wo me dzi kpɔtɔna, si wɔnɛ be wokekena eye wònana gbɔgbɔ nɔa bɔbɔe. Woate ŋu ana nusiawo to yagbɔgbɔ alo nebulizer dzi.Àte ŋu atsɔe ade tsi me eye nàna wòaxɔ dzo.
• Oxygen Dɔdamɔnu: Ne oxygen mesɔ gbɔ na wò o la, ahiã be woana oxygen wò tso egodo.
• Aklã ƒe Gbugbɔgaɖɔɖo: Esia nye kamedede kple hehenana ƒe ɖoɖo si kpena ɖe ame ŋu wòdoa ŋusẽ aklãwo eye wòkpɔa aklãdɔléle gbɔ.
• Atike Siwo Wonona: Woate ŋu aŋlɔ atikewo abe steroid alo dɔlékuiwutikewo ene be woano gbesiagbe alo ne dɔlékui aɖe dze ame dzi alo dɔlélea gagblẽ ɖe edzi.
• Yaƒoƒo ƒe Nyaƒoɖeamenu Nyui: Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã CPAP alo BiPAP® mɔ̃. Esia kpena ɖe ŋuwò be wò yaƒoƒomɔ̃wo nɔa ʋuʋu ɖi.

Aleke mawɔ ana nye aɖuɖɔtoewo nanɔ lãmesẽ me?

Nu aɖewo siwo nàte ŋu awɔ be wò gbɔgbɔtsixetsixe katã nanɔ lãmesẽ me, ke menye wò yaƒoƒomɔ̃wo ɖeɖeko o:

• Ƒo asa na atamanono kple vaping. Esiae nye nu vevitɔ kekeake.
• Ƒo asa na dzudzɔ si wozãna tsã la gbɔgbɔ.
• Na wò aƒea nanɔ dzadzɛ eye nàtrɔ yaƒoƒomɔ̃wo edziedzi.
• De kame edziedzi be nàdo ŋusẽ wò dzi kple wò lãkusi.
• Ðe ɖiƒoƒo ya dzi kpɔtɔ alesi nàte ŋui.
• Ne ke, nusiwo nana ŋutilã melɔ̃a nu o, alo atikewo ƒe dzudzɔ doa go wò enuenu la, zã ametakpɔnu abe modzakaɖenu ene.
• Be nàkpɔ ɖokuiwò ta tso gbɔgbɔmedɔlékuiwo me la, klɔ asi enuenu, ƒo asa na teƒe siwo amewo sɔ gbɔ ɖo le dzamezãɣi, eye nàxɔ atike siwo wokafu.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne kɔdzidɔ le ŋuwò atraɖii eye nèse le ɖokuiwò me be gbɔgbɔ le sesẽm na ye la, ke yi ɖɔkta gbɔ godoo.

Azɔ hã, ne èkpɔ gbɔgbɔtsixe ƒe dzesi siwo gbɔna dometɔ aɖe , ele be nàƒo ka na 1990 enumake alo nàyi kɔdzi ƒe dɔwɔƒe si te ɖe ŋuwò kpata:

• Nuyi, ŋutigbalẽ, alo ɖa ƒe amadede blɔ, ɣi, alo ɣie (Cyanosis) .
• Chest Retractions (sese le ɖokuiwò me abe wò akɔta le nyɔnyrɔm ɖe eme ne èle gbɔgbɔm) .
• Gbɔgbɔ kabakaba le susu aɖeke koŋ ta o
• ŋɔti me vuvu (le gbɔgbɔ sesẽ ta) .
• Fifia si ame ƒe ŋutilã ƒe dzoxɔxɔ madzi ɖe edzi o
• Ʋuʋudedi

Ðo ŋku edzi be: Wò yaƒoƒomɔ̃wo ƒe agbanɔamedzi gã aɖee nye be woatsɔ ya ayi wò lãkusiwo me. Wò ŋutilã zãa ya sia tsɔ xɔa ɔksidzin si wòhiã be wòanɔ agbe. Le ɣeyiɣi ma ke me la, wò yaƒoƒomɔ̃wo dea tsi ya me, eye wokpɔa tawò tso dɔlékuiwo kple nu bubu siwo ate ŋu agblẽ nu le ŋuwò la si me.

Mlɔeba la, ɖo ŋku esia dzi.

Eyata, fifia èse alesi gbegbe aɖuɖɔtoewo le vevie le míaƒe ŋutilã me gɔme. Ne wogblẽ alo wobi la, dɔlélewo abe aɖuɖɔtoedɔ kple COPD ene ate ŋu adze wo dzi. Eyata be wò aɖuɖɔtoewo nanɔ lãmesẽ me la, ƒo asa na atamanono keŋkeŋ eye mègagbɔ naneke si agblẽ nu le wò lãkusi ŋu o. Lé be na wò gbɔgbɔ! Elabena gbɔgbɔ si le lãmesẽ me nye nu vevitɔ si ana ame nanɔ agbe le lãmesẽ me.

` Yagbɔgbɔ, lãkusi, gbɔgbɔ, gbɔgbɔtsixe, asrã, aɖuɖɔtoedɔ, lãkusi siwo le lãmesẽ me