Amekae nye Aklãŋutinunyala sia? Mina míaƒo nu tsitotsito!

Ðe gbɔgbɔtsixe tsia ƒowò vie ɣeaɖewoɣia? Alo ɖe kɔdzidɔ aɖe le ŋuwò si nu mayi oa? Ðewohĩ akɔta le ʋuʋum, ʋuʋudedi, alo nane si sɔ kplii le ŋuwò. Ne dzesi siawo tɔgbe le ŋuwò la, ate ŋu anye kuxi aɖe si le wò lãkusiwo ŋu ƒe dzesi. Ɣemaɣie wòhiã be míakpɔ ɖɔkta si bi ɖe lãkusidɔlélewo me, aka ``Pulmonologist''.

Amekae nye aklãŋutinunyala sia?

Kpuie ko la, ``Aklãŋutinunyala`` nye ɖɔkta si bi ɖe dɔléle siwo do ƒome kple lãkusi me. Ne míagblɔe tututu la, ese dɔléle siwo dzɔna le míaƒe ``Yagbɔgbɔ ƒe Dɔwɔɖoɖo`` me gɔme nyuie – si nye yaƒoƒomɔ̃wo (yagbɔgbɔ, yaƒoƒomɔ̃wo), yakotoku suesuesue siwo le lãkusiwo me ``Alveoli``, kple ʋuka siwo do ƒome kpli wo.

Ðewohĩ èse ame aɖewo yɔ ɖɔkta siawo be "aɖuɖɔtoedɔdalawo," "yagbɔgbɔŋutinunyalawo," alo "akɔtadɔdalawo." Gake ŋkɔ siawo katã ku ɖe eŋutinunyala bibi ɖeka ŋu.

Nukae aklãŋutinunyala wɔna?

Dɔ vevitɔ si aklãdɔdala wɔnae nye be wòakpɔ gbɔgbɔtsixe ƒe dɔlélewo ahada wo nyuie. Ke hã, agble sia hã keke ta ŋutɔ. Eyata aklãŋutinunyala aɖewo bi ɖe dɔ sue bubuwo me.

Le kpɔɖeŋu me:

• Dɔnɔdzikpɔkpɔ Vevie: Woxɔa hehe tɔxɛ ɖɔkta aɖewo be woatsɔ ada dɔ na dɔnɔ siwo gbɔgbɔtsixe sesẽ ŋutɔ.
• Asrã: Ame aɖewo li siwo srɔ̃ nu tso atikewɔwɔmɔnu tɔxɛ siwo wozãna na asrãdɔlélawo ŋu yi ŋgɔe.
• Alɔ̃dɔdɔ ƒe Atike: Ðewohĩ èse be amewo ƒoa aɖuɖɔ eye woƒe gbɔgbɔtsixe tsia ƒo ne wole alɔ̃ dɔm . Ðɔkta aɖewo li siwo bi ɖe nɔnɔmewo abe ``Sleep Apnea'' dada me.
• Ðeviwo ƒe Aklãŋutinunyalawo: Vevietɔ, ɖɔkta siwo bi ɖe aklãdɔlélewo me na ɖevi siwo mexɔ ƒe 18 haɖe o.
• Ame Tsitsiwo ƒe Aklãŋutinunyalawo: Ðɔkta siwo léa ŋku ɖe aɖuɖɔtoedɔlélewo ŋu etɔxɛe le ame tsitsiwo ŋu, siwo xɔ wu ƒe 65.

Nɔnɔme kawoe aklãŋutinunyalawo daa dɔ na?

Aklãdɔdalawo daa yagbɔgbɔdɔ kple nɔnɔme vovovowo. Na míalé ŋku ɖe wo dometɔ vevi aɖewo ŋu:

• Asbestosis ƒe dɔléle
• Aspergillosis ƒe dɔléle
• Asrãdɔ
• Aɖuɖɔtoemedɔléle
• Bronchitis - Esia hã nye dɔléle si nɔa anyi didi si hiã be woaɖoe ɖe eŋutinunyala bibi aɖe gbɔ.
• Beryllium Dɔléle si Nɔa Anyi Didi (Berylliosis) .
• Aklãdɔléle si Kpɔa Aklãdɔléle si Nɔa Anyi Nu (COPD): Esia bɔ ɖe atamanolawo dome wu.
• Coal Dɔwɔlawo ƒe Pneumoconiosis - Ameyibɔwo ƒe Aklãdɔléle
• Cystic Fibrosis ƒe dɔléle
• Emphysema - Esia hã nye COPD ƒe akpa aɖe.
• Aklãdɔléle si le Interstitial Lung
• Yagbɔgbɔ ƒe fuɖename le COVID si nɔa anyi didi ta
• Aklãdɔléle
• Aklã me Ʋusɔgbɔdɔ
• Sarcoidosis ƒe dɔléle
• Silicosis ƒe dɔléle
• Alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe
• Yɔmekpe ƒe dɔléle

Nuŋlɔɖi sia mede blibo o, gake esiawo nye nɔnɔme siwo bɔ wu dometɔ aɖewo.

Nukatae wòhiã be nàyi aklãŋutinunyala gbɔ?

Zi geɖe la, wò dɔnɔdzikpɔla gbãtɔ aɖo wò ɖe aklãdɔdala gbɔ ne wosusu be gbɔgbɔtsixe ƒe dɔléle aɖe le ŋuwò si hiã be woado wò kpɔ etɔxɛe. Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàyi aklãŋutinunyala gbɔ ne dzesi siwo gbɔna dometɔ aɖe le ŋuwò:

• Kɔdzidede Atraɖii: Ele be kɔdzi si nɔa anyi wu kwasiɖa ʋɛ aɖewo nanye nusi ŋu woatsi dzi ɖo godoo.
• Gbɔgbɔtsixetsixe: Togbɔ be esɔ be gbɔgbɔtsixe tsi ƒowò ne èdo vevie nu vie hã la, ate ŋu anye nu sesẽ ne gbɔgbɔ sesẽ na wò ne ètsi tre ɖe teƒe ɖeka ko gɔ̃ hã.
• Asrã ƒe sesẽ (Asthma Attacks): Ne wò asrãa va zu nusi dzi màte ŋu aɖu o eye wòva le dzɔdzɔm enuenu.
• Akɔtave alo eƒe tete: Esia ate ŋu anye dzidɔ ƒe dzesi, gake ate ŋu atso lãkusi me kuxi aɖe hã gbɔ.
• Ʋuʋudedi nye ɣlidodo si tso akɔta.
• Alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe ƒe dzesiwo: Le kpɔɖeŋu me, alɔ̃dɔdɔ fũu akpa le ŋkeke me kple aɖuɖɔtoe sesẽ.

Bu eŋu kpɔ, xɔ̃wò aɖe le kɔdzi ɣleti geɖee nye sia, eye togbɔ be enɔ atikewo zãm hã la, edze abe megale nyonyom ɖe edzi o ene. Eƒe ƒomea ƒe ɖɔkta ɖoe ɖe aklãdɔdala aɖe gbɔ. Ɣemaɣie míehiã kpekpeɖeŋu tɔxɛ sia.

Nukae dzɔna ne èyi aklãdɔdala gbɔ zi gbãtɔ?

Ne zi gbãtɔe nye esia nèyi aklãdɔdala gbɔ la, abia wò atikewɔwɔ ŋutinya gbã eye emegbe wòado wò ŋutilã kpɔ. Le ɣeyiɣi sia me la, àte ŋu adzro susu siwo ta nèva srãe kpɔ kple wò dzesiwo me kple ɖɔkta.

Bu eŋu kpɔ, aleke gbegbe wòanyoe nye si ne àte ŋu adzra ɖo vie hafi ayi ɖɔkta gbɔ, abe alesi nèle nu srɔ̃m hena dodokpɔ ene. Nu siwo nàte ŋu aŋlɔ ɖi dometɔ aɖewoe nye esi:

Nusiwo nàte ŋu adzra ɖo hafi adze kpekpea:

• Ɣeyiɣi didi kae dɔlélea ƒe dzesiwo le ŋuwò?
• Ðe nède dzesi nu tɔxɛ aɖewo siwo ate ŋu ana wò dzesiawo nagblẽ ɖe edzia ? (e.g. gbɔgbɔtsixe ƒe dɔléle aɖewo, .nuteɖeamedzi, yame ƒe nɔnɔme ƒe tɔtrɔ aɖewo).
• Ðe nanewo li siwo nana wò dzesiwo gagblẽna ɖe edzi alo gblẽna ɖe edzia ?
• Ðe nènoa atama? Ðe nèwɔa vape na amea? Alo ɖe nèwɔe va yia?
• Ðe nèdoa go nusiwo nana ame ƒe ŋutilã melɔ̃a nu o alo nusiwo doa dziku na wò to wò dɔwɔɖui, modzakaɖeɖe, alo agbenɔnɔ mea ? (e.g., dzudzɔ si wozãna tsã, atikewo, nukuwo, lãwo ƒe agblewo, xeviwo).
• Ðe gbɔgbɔmedɔléle le wò ƒomea mea?
• Ðe nya aɖewo le asiwò si nàdi be yeabia ɖɔktaa ? (Anyo be nàŋlɔ esiawo ɖi do ŋgɔ, ne menye nenema o la, àte ŋu aŋlɔ wo be ɣeaɖewoɣi.)

Nukae ate ŋu adzɔ le kpekpea ƒe nuwuwu?

Ne wò ɖɔkta lé ŋku ɖe wò dzesiwo ŋu hedo wò kpɔ vɔ la, ate ŋu:

• Woɖe gbe be woagawɔ dodokpɔ geɖe wu.
• Wɔ ɖoɖo ɖe sasrãkpɔ si akplɔe ɖo ŋu.
• Kafu atikewɔmɔnuwo alo ŋlɔa atikewo na amewo.
• Woaɖoe ɖe dɔdala bibi bubu (le kpɔɖeŋu me, ne wosusu be wò kuxia do ƒome kple dzidɔ).

Dodokpɔ kawoe aklãdɔdala wɔna?

Aklãŋutinunyala ate ŋu aɖe gbe be woawɔ dodokpɔ vovovowo atsɔ akpe ɖe ŋuwò nànya wò dɔlélea eye nàtia atike si sɔ wu. Esiawo dometɔ aɖewoe nye:

• Ʋudodokpɔ: Esiawo ate ŋu ade dzesi nuwo abe dɔlékui siwo le ŋutilã me kple aɖuɖɔtoedɔléle aɖewo ƒe dzesiwo ene.
• Nɔnɔmetata dodokpɔwo abe akɔta ƒe X-ray alo CT scan (Computed Tomography Scans): Esiawo ate ŋu alé ŋku ɖe lãkusi ƒe nɔnɔme ŋu, kple nenye be dɔdzẽ alo nu bubu aɖe si mesɔ o le eme hã.
• Aklã ƒe Dɔwɔwɔ Dodokpɔ (PFT): Esiawo nye dodokpɔ siwo dzidzea alesi wò aklã le dɔ wɔm nyuie kple ya agbɔsɔsɔme si nàte ŋu age ɖe eme kple ado goe.
• Spirometry: Esia hã nye PFT. Edzidzea alesi nègbɔna kabakaba kple ya agbɔsɔsɔme si nègbɔna hedoa goe. Esia le vevie ŋutɔ na dɔlélewo abe asrã kple COPD ene didi.
• Bronchoscopy: Dodokpɔ si me wotsɔa mɔ̃ sue aɖe si me fotoɖemɔ̃ le la toa yaƒoƒomɔ̃a me be wòalé ŋku ɖe lãkusia me. Ne ehiã la, woate ŋu atsɔ dɔdamɔnu sia axɔ lãmenugbagbeviwo ƒe kpɔɖeŋuwo (biopsies) hã.
• Alɔ̃dɔdɔ Ŋuti Numekukuwo: Wowɔa dodokpɔ sia be woatsɔ anya ne nɔnɔmewo abe Alɔ̃dɔdɔ ƒe Gbɔgbɔtsixe ene le ame ŋu tututu.

Ɣeaɖewoɣi la, ahiã be woagawɔ dodokpɔ siawo alo ahiã be woawɔ dodokpɔ bubuwo atsɔ aɖo kpe emetsonuwo dzi. Mègatsi dzi ɖe ema ŋu o, atikewɔwɔ nyuitɔ kekeake nana wò koe nye ema.

Vovototo kae le Yagbɔgbɔdɔdala kple Aklãdɔdala dome?

Le nyateƒe me la, ame eve siawo nye eŋutinunyala bibi ɖeka. Eyae nye be, `Aklãŋutinunyala`. Ke hã, ɣeaɖewoɣi ne míegblɔ be `Yagbɔgbɔdɔdala` la, ate ŋu afia ame aɖe abe `Yagbɔgbɔdɔdala`, `Allergist`, alo `Akɔtadɔdala` hã. Amesiawo katã nye amesiwo kpena ɖe ame ŋu le lãkusi kple gbɔgbɔtsixe ƒe dɔlélewo ƒe akpa vovovowo gbɔ kpɔkpɔ me.

Vovototo kae le dzidɔŋutinunyala kple aklãdɔdala dome?

Vovototoa le dɔ tɔxɛ wɔwɔ ƒe akpaa dzi. Dzidɔŋutinunyala nye dzitodzito kple dzitodzito me dɔlélewo ŋuti nunyala bibi. Le go bubu me la, Aklãŋutinunyala nye dɔléle siwo le lãkusi kple gbɔgbɔtsixe ƒe dɔwɔwɔ me ŋuti nunyala bibi.

Gake bu eŋu kpɔ, míaƒe dzi kple lãkusi nye ŋutinu eve siwo wɔa dɔ ɖekae ŋutɔ. Eyata, ne nɔnɔme aɖe abe `(Pulmonary Hypertension)` (aklã me ʋusɔgbɔdɔ) le ŋuwò la, ɖewohĩ ahiã be nàkpɔ dzidɔŋutinunyala kple aklãŋutinunyala siaa. Elabena le nɔnɔme sia tɔgbe me la, egblẽa nu le dzi kple lãkusi siaa ŋu.

Aleke nàwɔ azu aklãdɔdala?

Aklãdɔdala nyenye menye dɔ bɔbɔe o. Ebia ƒe geɖe ƒe hehexɔxɔ kple hehe ŋutɔŋutɔ . Ne èwu wò MBBS nu vɔ la, ele be nàwɔ sukunuwuwu megbe hehexɔxɔ le Ememe Atikewɔwɔ me. Le ema megbe la, ele be nàwɔ fellowship le Pulmonology me. Ame aɖewo naa hehe wo ɖokui le dɔ tɔxɛ bubuwo hã me, abe atikewɔwɔ kpata ene. Esia nye mɔzɔzɔ didi aɖe eye ebia ɖokuitsɔtsɔna geɖe.

Mlɔeba la, nu vevitɔ kekeake!

Zi geɖe la, míebua gbɔgbɔ gɔ̃ hã ŋu o ɖe, alo? Gake, ne kuxi sue aɖe le mía ŋu ko hafi míekpɔa asixɔxɔ si le eŋu dzea sii. Ne kɔdzidɔ le ŋuwò atraɖii, alo ne èse le ɖokuiwò me be gbɔgbɔ le sesẽm na ye abe tsã ene la, gbɔgbɔmedɔlélewo ate ŋu akpɔ ŋusẽ gã aɖe ɖe míaƒe agbenɔnɔ ƒe nyonyome dzi. Ɣeaɖewoɣi la, nɔnɔme siawo te ŋu sesẽna eye wonɔa anyi le woƒe agbemeŋkekewo katã me. Gake woate ŋu akpɔ nɔnɔme aɖewo gbɔ nyuie ne wokpɔ wo nyuie heda wo.

Afimae aklãŋutinunyala va gena ɖo.Hehe tɔxɛ le wo si be woase alesi wò gbɔgbɔtsixe ƒe dɔwɔwɔ wɔa dɔe kple nusiwo hea dzesiwo abe kɔdzidɔ kple gbɔgbɔtsixetsixe vɛ ene gɔme. Woate ŋu akpe ɖe ŋuwò nàkpɔ wò nɔnɔme siwo anɔ anyi eteƒe nadidi la gbɔ eye wòana wò agbenɔnɔ nanɔ bɔbɔe vie.

Ne mèka ɖe edzi be ehiã be yeayi aklãŋutinunyala gbɔ o la, bia wò ƒomea ƒe ɖɔkta alo lãmesẽdɔwɔla bubu si dzi nèka ɖo be wòaɖo aɖaŋu na wò. Woate ŋu agblɔ nusi tututu nàwɔ na wò. Ðo ŋku edzi be lãkusi siwo le lãmesẽ me hiã vevie hafi woate ŋu anɔ agbe le lãmesẽ me!

`Aklãŋutinunyala, aklãŋutinunyala bibi, gbɔgbɔmedɔlélewo, kɔdzidɔ, gbɔgbɔtsixetsixe, asrã, COPD