Ènya nyateƒenya siawo tso wò lãkusiwo ŋua? Mina míadzro eme! - Nirogi Lanka ƒe agbalẽ

Ðe nètɔ vie be yeabu alesi gbɔgbɔtsixe ƒe nuwɔna bɔbɔe la nye nusi mexɔ se ŋutɔŋutɔ oa? Togbɔ be ese le eɖokui me be enye dzɔdzɔme evelia hã la, ŋutinya dodzidzɔname aɖe le dzɔdzɔm le gbɔgbɔ ɖesiaɖe megbe, si wò ŋutilã ƒe ŋutinu vevitɔwo dometɔ ɖeka ʋãna: wò lãkusiwo. Mina míadzro miaƒe lãkusiwo me ɖekae le Nirogi Lanka afisia. Míama alesi wowɔa dɔe, nɔnɔme siwo bɔ siwo wodoa goe, kple alesi nàte ŋu akpɔ wo dzi nyuie wu la me le nya bɔbɔe siwo gɔme sese le bɔbɔe me.

Nukae nye wò lãkusiwo?

Ne míagblɔe bɔbɔe la, wò lãkusiwoe nye ŋutinu vevi eve siwo kpɔa wò gbɔgbɔ dzi. Woawoe nye wò gbɔgbɔtsixe ƒe nu vevitɔ —si nye kadodo wɔnuku si hea ya yia wò ŋutilã me, xɔa ɔksidzin si nèhiã, eye wòɖea ya gbegblẽ siwo mèhiã o la ɖa.

Aɖu eve le asiwò, siwo le wò akɔta ƒe miame kple ɖusime. Wò akɔta—si nye wò kɔ kple wò ƒodo dome—ƒe ŋutinu siawo le, eye lãkusi tsɛ aɖe si le glidzaglidza si woyɔna be pleura , kpɔa wo ta. Àte ŋu abui abe agbalẽ aɖe ƒe akpata si kpɔa ame ta ene.

Miame kple Nuɖusi ƒe Aklã – A Dynamic Duo

Togbɔ be wò lãkusiwo ɖi wo nɔewo kura hã la, nɔnɔme tɔxɛ aɖewo le wo dometɔ ɖesiaɖe si.

• Nuɖusi ƒe Aklã: Esia ma ɖe akpa etɔ̃ me siwo woyɔna be akpa si le etame, lãkusi si le titina, kple lãkusi si le ete. Ele kpuie vie gake wòkeke wu wò miame lãkusi.
• Miame ƒe Aklã:Akpa eve koe le esia me: akpa si le etame kple esi le ete. Èbu nusita miame lãkusi le sue wu ŋu kpɔa? Enye be nàna teƒe nasu wò dzi , si le miame vie. Nu tɔxɛ aɖe le miame ƒe lãkusi si woyɔna be cardiac notch be wòate ŋu axɔe. Tsɔ kpe ɖe eŋu la, nu sue aɖe si le miame ƒe lãkusi si le abe aɖe ene la le eƒe akpa si le etame si woyɔna be lingula , si nye nɔnɔme si womekpɔna le ɖusime lãkusi me o.

Nukae nye dɔ vevitɔ si wò lãkusiwo wɔna?

Wò lãkusi ƒe dɔ vevitɔe nye be wòana oxygen si wò ŋutilã hiã esime wòle ya si woyɔna be carbon dioxide gbegblẽ ɖem ɖa. Nuwɔna sia dzɔna abe zi 12 va ɖo 20 ene le miniti ɖeka me, ne èle ɖiɖim ɖe eme gɔ̃ hã. Bu eŋu kpɔ ko—dɔ vevi sia medzudzɔna gbeɖe o, ne èle alɔ̃ dɔm gɔ̃ hã!

Gbɔgbɔ aɖe ƒe Mɔzɔzɔ si Mexɔ Se O

Ne ègbɔ ya to wò ŋɔti alo nu me la, ya la zɔna yia wò ŋɔti ƒe megbe gbã, si woyɔna be aɖuɖɔtoe. Emegbe etoa aɖuɖɔtoe (wò gbeɖiɖiɖaka) me eye wògena ɖe yagbɔgbɔ (wò yaƒoƒomɔ̃) me.

Yagbɔgbɔ ƒe alɔdzewo zua Y-nɔnɔme zua mɔ̃ siwo woyɔna be aɖuɖɔtoewo, eye mɔ̃ ɖeka kplɔa ame yia lãkusi ɖesiaɖe gbɔ. Be wò lãkusiwo nate ŋu awɔ dɔ nyuie la, ele be yaƒoƒomɔ̃ siawo nakɔ eye dɔdzẽ alo ʋuʋu aɖeke naganɔ wo me o.

Aɖuɖɔtoe siawo ƒe alɔdzewo yi ŋgɔe va zua yaƒoƒomɔ̃ sue siwo woyɔna be aɖuɖɔtoewo, siwo ma ɖe alɔ suewo gɔ̃ hã siwo woyɔna be aɖuɖɔtoewo me . Esiawo wu enu ɖe ​​yakotoku suesuesue siwo le abe weintsetse ene siwo woyɔna be alveoli .

Oxygen Ge Ðe Eme, Carbon Dioxide Do!

Afi siae akunyawɔwɔa dzɔna le: le ʋukawo me. Oxygen si tso ya si nègbɔna me toa kotoku siawo me yia wò ʋukawo me. Emegbe ʋu sia si me ɔksidzin sɔ gbɔ ɖo la zɔa mɔ yia dzia me, si tsɔnɛ toa wò ŋutilã bliboa me be wòana nunyiame wò lãmenugbagbeviwo.

Ne wò lãmenugbagbeviwo le dɔ wɔm la, wowɔa ya si woyɔna be carbon dioxide abe gbeɖuɖɔ ene. Ya si woyɔna be carbon dioxide sia trɔna yia ʋukawo me eye wòtrɔna yia wò lãkusiwo me. Ne ègbɔ ya la, èɖea gbeɖuɖɔ sia ɖa le wò ŋutilã me nyuie.

Wò Aklãwo Dzɔlawo Takpɔlawo

Wò gbɔgbɔtsixetsixe wɔa dɔ nyuie ɖedzesi aɖe le nusiwo gblẽa nu le ame ŋu be woagage ɖe wò lãkusi me o me:

• No me Fuwo: Esiawo wɔa dɔ abe dzɔdzɔmenu si wotsɔna tsia nu ene, eye woléa ke gãwo kple dutanuwo hafi gena ɖe wò lãkusi me.
• Yaƒoƒomɔ̃wo Me Ʋuʋudedi: Esia nana wò yaƒoƒomɔ̃wo nɔa tsi eye wòléa ke kple dɔlékuiwo ɖe mɔ̃ me .
• Cilia: Nu suesuesue siawo siwo le abe taɖa ene la wɔa dɔ abe ʋuʋudedi ene, eye wotutua nu suesuesue siwo xaxa la yia dzi ale be nàte ŋu akɔ akɔta alo akɔ wo ɖa. Afɔku siwo le atamanono me dometɔ ɖekae nye be egblẽa nu le lãkusi siawo ŋu, si wɔnɛ be wò aɖuɖɔtoedɔléle ƒe afɔkua dzina ɖe edzi ŋutɔ.

Nya Dodzidzɔname Siwo Ku Ðe Wò Aklã Ŋu!

Nyateƒenya wɔnuku aɖewo siwo ɖewohĩ mènya o lae nye esi:

• Àte ŋu anɔ agbe ne woɖe lãkusi ƒe akpa aɖe ko ɖa, alo le go aɖewo me la, woɖe lãkusi ɖeka ɖeɖe gɔ̃ hã ɖa.
• Aklãwo koe nye ŋutinu si le amegbetɔ ƒe ŋutilã me si te ŋu ƒua tsi le tsi dzi!
• Kamedede edziedzi ate ŋu akpe ɖe ŋuwò nàdzi wò lãkusi ƒe ŋutete ɖe edzi—ya agbɔsɔsɔme si wò lãkusi ate ŋu alé ɖe te.
• Ame tsitsi ƒe lãkusi me ʋuka siwo ade miliɔn 300 va ɖo 500 le. Esesẽ be woase egɔme vavã!

Afikae wò lãkusiwo le eye aleke wole?

Wò lãkusiwo le wò akɔta ƒe do me, eye wogbɔna ɖe akɔta , si nye lãmeka gã aɖe si hiã vevie na gbɔgbɔ la tame.

Zi geɖe la, lãkusi siwo le lãmesẽ me nyea amadede pink-grey. Ne èkpɔ nɔnɔmetata siwo tsɔ atamanola ƒe lãkusiwo sɔ kple amesi menoa atama o la, àte ŋu ade dzesii be lãkusi siwo gblẽ la dzena ɣie alo teƒe yibɔwo gɔ̃ hã le wo ŋu. Woƒe nɔnɔme le abe dzogoe etɔ̃ ene, eye zi geɖe la, wotsɔe sɔ kple sɔ ƒe to.

Ame tsitsi ƒe lãkusi ƒe kpekpeme anɔ abe kilogram ɖeka ene. Ne wole gbɔgbɔm nyuie la, woƒe didime anɔ abe sentimeta 9 ene, eye wokekena va ɖoa sentimeta 10.5 kloe ne wole gbɔgbɔm goglo.

Nɔnɔme kawoe gblẽa nu le míaƒe lãkusiwo ŋu?

Nublanuitɔe la, míaƒe lãkusiwo ate ŋu adze nɔnɔme vovovowo dzi bɔbɔe . Wo dometɔ aɖewo nye nu suewo eye wokpɔa wo gbɔ kaba, gake bubuwo ya nye esiwo me nu veviwo le wu eye ate ŋu abia be woakpɔ wo gbɔ ɣeyiɣi didi. Yagbɔgbɔ ƒe kuxi aɖewo siwo wokpɔna zi geɖee nye esi:

• Asbestosis: Abi si dona le lãkusi kple lãkusi me si asbestos ka siwo wogbɔna hena vɛ.
• Asrã: Nɔnɔme si me wò yaƒoƒomɔ̃wo xaxa, si wɔnɛ be gbɔgbɔtsixe tsia ƒowò .
• Bronchiectasis: Wò yaƒoƒomɔ̃wo (bronchi) ƒe dɔdzẽ si nana zi geɖe la, kɔdzidɔ si nɔa anyi ɖaa si me ʋuʋudedi le eye gbɔgbɔ sesẽna.
• Bronchitis: Eƒe dzesi enye kɔdzi; esia ate ŋu anye ‘Acute’ nɔnɔme si nu tsona alo ‘Chronic’ nɔnɔme si nɔa anyi didi.
• COPD (Chronic Obstructive Pulmonary Disease): Aɖuɖɔtoedɔléle si yia ŋgɔ eye womate ŋu atrɔ o, si nana gbɔgbɔ sesẽna.
• COVID-19: Dɔlékui ƒe dɔlékui si ate ŋu ahe gbɔgbɔmedɔléle tso esi nu mesẽ o dzi va ɖo esi nu sẽ dzi.
• Croup: Yagbɔgbɔdɔléle si wokpɔna zi geɖe le ɖevi siwo mexɔ ƒe 5 haɖe o ŋu.
• Cystic Fibrosis: Domenyiŋusẽ ƒe nɔnɔme si me ʋuʋudedi ɣi si léna ɖe nu ŋu ƒoa ƒu ɖe lãkusi kple ŋutinu bubuwo me.
• Dzamezã: Dɔlékui ƒe lãkusidɔ si woyɔna zi geɖe be dzamezã.
• Aklãdɔ: Atamazazãe nye nu vevitɔ si ate ŋu ana dɔléle sia nadze ame dzi.
• Mesothelioma: Kansa ƒomevi aɖe koŋ si tsoa asbestos ka siwo wogbɔna gbɔ koŋ.
• Aklãdɔ: Aɖuɖɔtoedɔléle si ate ŋu ana tsi naƒo ƒu ɖe lãkusi me eye zi geɖe la, ebiana be woaxɔe ɖe kɔdzi.
• Aklã ƒe Dɔléle: Abi si womate ŋu atrɔ le aklã me o si wɔnɛ be gbɔgbɔ sesẽna vevie.
• Aklã me Nodules: Tsitsi le aklã me; zi geɖe la, esiawo nyea ‘Benign’ (siwo menye kansa o).
• RSV (Respiratory Syncytial Virus): Yagbɔgbɔdɔléle si dzea ɖevi suewo kple ame tsitsiwo siaa dzi.
• Yɔmekpe: Aɖuɖɔtoewo koŋue wògblẽa nu le gake ate ŋu akpɔ ŋusẽ ɖe wò ŋutilã ƒe akpa bubuwo hã dzi.

Dzesi kawoe ɖea aɖuɖɔtoedɔléle fiana, eye aleke nàwɔ ade dzesi wo?

Àte ŋu ade dzesi dzesi siwo gbɔna ne lãkusidɔ aɖe le ŋuwò:

• Gbɔgbɔtsixe (Yagbɔgbɔ Kpuie): Sese le ɖokuiwò me be yemate ŋu akpɔ ya si sɔ o, le kamedede suesuesuewo gɔ̃ hã me.
• Akɔtave: Akɔta ƒe vevesese ne èle gbɔgbɔm alo le kɔdzi.
• Kɔdzi: Vevietɔ kɔdzi si nɔa anyi ɖaa alo esi naa ʋu.
• Ðeɖiteameŋu: Ðeɖiteameŋu alo gbɔdzɔgbɔdzɔ ƒe seselelãme si mebɔ o.
• Wheezing: Gbeɖiɖi sesẽ aɖe si ɖina sesĩe ne èle gbɔgbɔm.
• Wò afɔkpodzi kple afɔwo ƒe vuvu.

Vevietɔ: Ne èle dzesi siawo kpɔm la, taflatse yi ɖɔkta gbɔ enumake. Nirogi Lanka ƒe ƒuƒoƒoa ƒe dɔlélea didi kaba nana wò atikewɔwɔ me tsonu nyona ɖe edzi ŋutɔ.

Dodokpɔ kawoe wozãna tsɔ kpɔae ɖa be wò lãkusiwo le lãmesẽ me hã?

Ne èyi ɖɔkta gbɔ la, woada wò nɔnɔmea kpɔ to ŋutilãmedɔdada kple dɔwɔnu bubu siwo wozãna tsɔ dia dɔlélewoe dzi.

Wò ŋutilãmedɔdada

• Wò ɖɔkta atsɔ nuƒomɔ̃ aɖo to wò lãkusiwo atsɔ ade dzesi gbeɖiɖi siwo mesɔ o abe ‘Crackles/Rales’ (gbeɖiɖi siwo le ʋuʋum), ‘Wheezing’ (ɣlidodo), alo ‘Stridor’ (gbɔgbɔ sesẽ).
• Woaxlẽ wò gbɔgbɔ (zi nenie nègbɔna le aɖabaƒoƒo ɖeka me).
• Woate ŋu aɖo to wò lãkusiwo ne èle nu ƒom be yewoakpɔe ɖa be gbe mesɔ o hã.
• Pulse Oximetry: Mɔ̃ sue aɖe si wotsɔ blaa wò asibidɛ si dzidzea oxygen ƒe agbɔsɔsɔ si le wò ʋu me.

Tsɔ kpe ɖe ŋutilãmedodokpɔa ŋu la, wò ɖɔkta ate ŋu aɖe gbe be woagawɔ dɔlélewo didi bubuwo.

Nɔnɔmetatawo Ƒe Dodokpɔwo

Dodokpɔ siawo na wò ɖɔkta kpɔa wò lãkusi ƒe eme le susu me.

• Akɔta ƒe X-ray
• CT (Computed Tomography) ƒe fotoɖeɖefia
• Ultrasound ƒe dɔwɔwɔ
• MRI (Magnetic Resonance Imaging) ƒe fotoɖeɖefia

Aklã ƒe Dɔwɔwɔ Dodokpɔwo

Dodokpɔ siawo dzidzea alesi wò lãkusiwo le dɔ wɔm nyuie, ya agbɔsɔsɔme si woate ŋu alé, kple alesi nètsɔa ya yia eme hedoa goe nyuie.

• Spirometry ƒe dɔwɔwɔ
• Ŋutilã ƒe Plethysmography
• Kaka Dodokpɔ
• Nitric Oxide Dodokpɔ si Wogbɔna
• Aklã ƒe Agbɔsɔsɔme Dodokpɔ
• Methacholine Gbɔgbɔ Dodokpɔ
• Aɖabaƒoƒo Ade ƒe Azɔlizɔzɔ Dodokpɔ

Dɔwɔwɔ Deŋgɔwo

Le go aɖewo me la, wò ɖɔkta ate ŋu aɖo aɖaŋu be nàwɔ ‘Bronchoscopy’ atsɔ akpɔ wò yaƒoƒomɔ̃wo kple fotoɖemɔ̃, ‘Lung Biopsy’ atsɔ axɔ lãmenugbagbeviwo ƒe kpɔɖeŋu, alo ‘Thoracotomy’ (amekoko ƒe akɔta ʋuʋu) gɔ̃ hã. Zi geɖe la, wowɔa esiawo le atike si naa alɔ̃dɔdɔ ame me.

Nukawoe nye atike siwo wozãna na aɖuɖɔtoedɔlélewo?

Atikewɔwɔ ƒe ɖoɖowo nɔ te ɖe dɔléle si nèkpɔ koŋ kple wò lãmesẽ bliboa dzi bliboe. Wò ɖoɖoa ate ŋu anye atikewo, agbenɔnɔ ƒe kamedede, atikewɔmɔ̃ tɔxɛwo, alo amekoko.

Atikewo

Woate ŋu ado nusiawo to atike si wogbɔna, nebulizer, atikekui siwo woano, alo atike siwo wodona ɖe lãme na ame dzi.

• Steroids: Be wòaɖe abi si le wò yaƒoƒomɔ̃wo me dzi akpɔtɔ.
• Dɔlékuiwutikewo: Be woatsɔ ada dɔlékuiwo ƒe dɔlékuiwo.
• Bronchodilators: Be nàʋu wò yaƒoƒomɔ̃wo; woate ŋu akpɔe le ‘Short-acting’ kple ‘Long-acting’ ƒomeviwo me.
• Mucolytics: Be wòana ʋuʋudedi naɖiɖi eye wòana wòanɔ bɔbɔe be wòaɖe le wò lãkusi me.
• Oxygen Dɔdamɔnu: Be wò oxygen ƒe agbɔsɔsɔ nanyo ɖe edzi.
• Atikewɔwɔ kple/alo Kekeli: Be woatsɔ ada lãkusi me dɔdzẽ.
• Atikewo: Be woakpɔ tawò tso gbɔgbɔtsixe ƒe dɔlélewo me.

Kamededewo Kple Mɔ̃wo

• Yagbɔgbɔ ƒe mɔnu tɔxɛwo, abe ‘Pursed Lip Breathing’ kple ‘Diaphragmatic Breathing’ ene.
• ‘Yamɔ̃wo ƒe Ʋuʋudedimɔ̃wo’ abe ‘Vest Therapy’ ene be wòakpe ɖe ame ŋu wòaɖe ʋuʋudedi ɖa.

Amekoko

Le nɔnɔme aɖewo me la, ate ŋu ahiã be woawɔ dɔ na ame.

• Aɖuɖɔtoe ƒe akpa ɖeka ɖeɖe ɖa (Lobectomy) .
• Aɖuɖɔtoe ƒe akpa eve ɖeɖe ɖa (Bilobectomy) .
• Thoracentesis , si nye mɔnu si wozãna tsɔ ɖea tsi si sɔ gbɔ ɖe teƒe si ƒo xlã lãkusia.
• Aɖuɖɔtoe blibo aɖe ɖeɖeɖa (Pneumonectomy) .
• Aklã Dodo Ðe Ame Ŋu .

Aleke nàwɔ ana wò lãkusiwo nanɔ lãmesẽ me? (Gbedasi si Wotsɔ Yi Aƒeme)

Ðewohĩ esiae nye akpa vevitɔ kekeake. Afɔɖeɖe geɖe li nàte ŋu aɖe be wò lãkusiwo nanɔ lãmesẽ me alo akpɔ gbɔgbɔtsixe ƒe nɔnɔme siwo li fifia gbɔ nyuie.

• Afɔɖeɖe vevitɔ kekeakee nye be nàdzudzɔ atamanono ne èno atama. Esia lɔ vaping ɖe eme. Enye nunana gãtɔ kekeake si nàte ŋu ana wò lãkusiwo.
• Lé lolo si sɔ me ɖe asi. Kpekpeme si gbɔ eme ate ŋu axe mɔ na teƒe si wò lãkusiwo hiã be wòakeke bliboe.
• De kame edziedzi. Gake taflatse yi ɖɔkta gbɔ hafi nàdze kamedede yeye ɖesiaɖe gɔme.
• Ƒo nuɖuɖu si naa lãmesẽ, si da sɔ.
• Tsi nɔ lãme na wò nyuie (negbe ɖe wò ɖɔkta ɖo aɖaŋu na wò be nàɖe tsi si nàno dzi akpɔtɔ hafi).
• Nɔ atike siwo nàzã abe alesi wò ɖɔkta kafui ene, abe dzamezã kple aklãdɔ ƒe atikewo ene, ŋuti nyatakaka yeyewo .
• Klɔ asi enuenu be nàxe mɔ ɖe dɔlékuiwo xɔxɔ nu.
• Ƒo asa na kadodo kplikplikpli kple amesiwo ƒe lãme mesẽ o.

Ðo ŋku edzi be togbɔ be ametakpɔnu siwo wotu ɖe wò gbɔgbɔtsixe me hã la, lãkusiwo ate ŋu adze dɔ kokoko. Nɔnɔme aɖewo nu tsona kaba, gake bubuwo ya nu sẽ eye wonɔa anyi didi. Ne lãkusidɔ aɖe si nɔa ŋuwò ɣeyiɣi didi aɖe le fu ɖem na wò la, wò ɖɔkta vevitɔ ate ŋu aɖo wò ɖe Aklãdɔdala gbɔ . Nu vevitɔe nye be nàwɔ ɖe wò atikewɔlawo ƒe aɖaŋuɖoɖowo dzi pɛpɛpɛ.Esia akpe ɖe ŋuwò nàkpɔ egbɔ be yeate ŋu agbɔ ya bɔbɔe alesi nàte ŋui. Ne gbɔgbɔtsixetsixe sesẽ aɖe do mo ɖa kpata la, taflatse ƒo ka na 911 alo yi dɔwɔƒe si te ɖe ŋuwò le nudzɔdzɔ kpatawo gbɔ kpɔƒe si te ɖe ŋuwò enumake.

` Nirogi Lanka, lãkusi, gbɔgbɔtsixe ƒe ɖoɖo, gbɔgbɔ, oxygen, lãkusidɔ, lãkusi siwo le lãmesẽ me