Ènya nu siawo tso wò lãkusiwo ŋua? Mina míaƒo nu!

Èbu alesi wòwɔ nukui be míegbɔa ya ŋu kpɔa? Togbɔ be míegbɔa ya ko hã la, ŋutinya gã aɖe le megbe nɛ. Esia tso ŋutinu wɔnuku aɖe si le míaƒe ŋutilã me gbɔ. Emae nye míaƒe lãkusiwo. Eyata egbea, mina míaƒo nu tso mía xɔlɔ̃ si woyɔna be lãkusi ŋu ? Aleke wòwɔa dɔe, dɔléle kawoe ate ŋu axɔe, eye aleke wòle be míalé be nɛ? Mina míaƒo nu le nya bɔbɔewo me.

Aleke wò lãkusiwo le?

Kpuie ko la, wò lãkusiwoe nye ŋutinu vevi eve siwo kpena ɖe ŋuwò nègbɔa ya. Wonye wò gbɔgbɔtsixe ƒe akpa vevi aɖe ŋutɔ. Yagbɔgbɔ ƒe ɖoɖoa nye ŋutinu siwo kpɔa gome le ya xɔxlɔ̃, nusiwo míehiã la ɖeɖeɖa le eme, kple nusiwo míehiã o ɖeɖeɖa ƒe ɖoɖo bliboa me la nuƒoƒoƒu.

Aɖu eve le asiwò , ɖeka le wò akɔta ƒe ɖusime eye ɖeka le miame. Wò akɔtae nye teƒe si le wò kɔ kple wò dɔgbo dome. Wotsɔa nutsyɔnu si woyɔna be pleural tissue tsyɔa lãkusi eveawo siaa dzi . Ele abe agbalẽ si ƒe akpa dzi woŋlɔ nu ɖo ene.

Nuɖusi ƒe lãkusi kple miame lãkusi - abe nɔviŋutsu eve ene!

Togbɔ be lãkusi eve siawo ƒe dzedzeme ɖi wo nɔewo vie hã la, vovototo sue aɖewo le wo dome.

• Nuɖusi ƒe lãkusi: Womae ɖe akpa etɔ̃ me. Míeyɔa wo be akpa si le etame `(Superior lobe)`, titina ƒe akpa `(Middle lobe)`, kple ete ƒe akpa `(Inferior lobe)`. Enɔ kpuie vie wu miame lãkusi, gake ekeke wu.
• Miame lãkusi: Eƒe lãkusi eve le eŋu. Woawoe nye akpa si le etame `(Superior lobe)` kple akpa si le ete `(Inferior lobe)`. Nukatae nèsusu be miame tɔ le sue wu? Nusitae nye be, ele be wòana teƒe na wò dzi. Dzia le miame. Esia tae miame lãkusia ƒe ʋuƒo sue aɖe le `(Cardiac notch)` be wòana teƒe na dzia. Azɔ hã, miame lãkusi ƒe kekeme vi aɖe le etame si woyɔna be `(Lingula)` , si mele ɖusime lãkusi me o.

Subɔsubɔdɔ kae lãkusiwo wɔna na mí?

Dɔ vevitɔ si lãkusiwo wɔnae nye be wòana ya si nye oxygen si míaƒe ŋutilã hiã eye wòana ya si woyɔna be carbon dioxide si mehiã o la do goe. Esia dzɔna abe zi 12 va ɖo 20 ene le miniti ɖeka me, ne míetsi tre ɖe teƒe ɖeka ko gɔ̃ hã. Bu eŋu kpɔ, dɔ sia medzudzɔna ne míele alɔ̃ dɔm gɔ̃ hã o!

Mɔzɔzɔ wɔnuku si nye gbɔgbɔ

Ne ègbɔ ya to wò ŋɔti alo nu me la, ya la gena ɖe wò ŋɔti ƒe megbe, si nye ŋɔti me gbã. Emegbe etoa aɖuɖɔtoe (míaƒe gbeɖaka) me yia yagbɔgbɔ (yaƒoƒomɔ̃) me.

Yaƒoƒomɔ̃ sia ma ɖe eve, abe ŋɔŋlɔdzesi Y. Woyɔa wo be aɖuɖɔtoe vevitɔwo. Tube ɖeka yia miame lãkusi me, eye evelia yia ɖusime lãkusi me. Ele be yaƒoƒomɔ̃ siawo nanɔ ʋuʋu ɖi ɣesiaɣi, eye ʋuʋudedi alo ʋuʋudedi manɔ wo ŋu o. Ema ko hafi lãkusiwo ate ŋu awɔ dɔ nyuie.

Emegbe yaƒoƒomɔ̃ gã siawo ma ɖe mɔ̃ suewo me. Woyɔa esiawo be aɖuɖɔtoewo. Esiawo gamã ɖe alɔ suewo me, siwo woyɔna be aɖuɖɔtoewo . Aɖuɖɔtoe siawo wu enu ɖe ​​yakotoku suesuesue siwo le abe weintsetsewo ƒe ƒuƒoƒo ene me . Woyɔa esiawo be alveoli .

Oxygen ge ɖe eme, carbon dioxide do goe!

Alveoli siawo mee asitɔtrɔ wɔnuku aɖe dzɔna le. Oxygen si le ya si míegbɔna me la toa ʋuka siawo me gena ɖe ʋua me. Emegbe ʋu si me oxygen sɔ gbɔ ɖo la zɔa mɔ yia dzia me, afisi wokɔnɛ le le ŋutilã bliboa me. Aleae lãmenugbagbevi ɖesiaɖe xɔa ɔksidzin.

Ne lãmenugbagbeviwo zã ɔksidzin sia tsɔ wɔ dɔ la, carbon dioxide dona abe gbeɖuɖɔ ene. Emegbe wogbugbɔa ya si woyɔna be carbon dioxide ma gena ɖe ʋua me hetsɔnɛ yia lãkusiwo me. Ne míegbɔ ya, si fia be ne míegbɔ ya la, ya si woyɔna be carbon dioxide sia dona le ŋutilãa me.

Aɖuɖɔtoewo dzikpɔlawo

Míaƒe gbɔgbɔtsixetsixe bi ɖe nusiwo gblẽa nu le ŋutilã ŋu nu be woagage ɖe lãkusiwo me o me ŋutɔ.

• No me fuwo: Esiawo wɔa dɔ abe nusiwo wotsɔna tsia ya me ene. Woléa ke gãwo kple nudzodzoewo, kple bubuawo ɖe ŋɔti me tututu.
• Mucus: Mucus sia nana yaƒoƒomɔ̃wo nɔa tsi. Eléa ke kple dɔlékuiwo hã ɖe mɔ̃ me .
• Cilia : Esiawo le abe ʋuʋudedi ene. Wokpena ɖe ame ŋu wòtutua ʋuʋudedia ɖe dzi eye wokpena ɖe ame ŋu wòdoa goe. Nusiwo ta atamanono nye afɔku alea dometɔ ɖekae nye be cilia siawo megate ŋu wɔa dɔ o. Esia nana be aɖuɖɔtoedɔléle ƒe afɔkua dzina ɖe edzi.

Nyateƒenya wɔnuku aɖewo tso lãkusiwo ŋu!

Azɔ, lé ŋku ɖe nyateƒenya siawo ŋu. Ðewohĩ mèse nya siawo kpɔ o.

• Àte ŋu anɔ agbe ne woɖe wò lãkusi ƒe akpa aɖe ɖa. Ðe esia mewɔ nuku oa? Ɣeaɖewoɣi la, àte ŋu anɔ agbe kple lãkusi ɖeka ko.
• Aɖuɖɔtoewo koe nye míaƒe ŋutilã ƒe ŋutinu si nɔa tsia dzi ne wotsɔe de tsi me!
• Ne èle kame dem la, àte ŋu adzi wò lãkusi ƒe ŋutete ɖe edzi, si nye ya agbɔsɔsɔme si nàte ŋu agbɔ.
• Aɖuɖɔtoe miliɔn 300 va ɖo 500 ye le ame tsitsi mamã dedie ƒe lãkusi me! Enye nusi dzi womate ŋu axɔ ase o, alo?

Afikae wò lãkusiwo le? Aleke woƒe dzedzeme le?

Wò lãkusiwo le akɔta ƒe doa me. Wonɔa lãmeka aɖe si woyɔna be diaphragm dzi .

Zi geɖe la, lãkusi siwo le lãmesẽ me nyea amadede pink-grey. Ðewohĩ èkpɔ atamanolawo kple amesiwo menoa atama o siaa ƒe lãkusiwo ƒe fotowo kpɔ. Aklã siwo atamanono gblẽna la ƒe amadede nyea aŋutiɖiɖi, eye ɣeaɖewoɣi la, teƒe yibɔwo nɔa wo ŋu. Aɖuawo ƒe nɔnɔme le abe dzogoe etɔ̃ ene, eye wogblɔna ɣeaɖewoɣi be woɖi sɔ ƒe to.

Ame tsitsi ƒe lãkusi ƒe kpekpeme anɔ abe kilogram ɖeka ene le mamã dedie nu. Edidi abe sentimeta 9 ene le gbɔgbɔ si sɔ me, eye wòkekena va ɖoa abe sentimeta 10.5 ene le gbɔgbɔ deto me.

Dɔléle kawoe ate ŋu agblẽ nu le míaƒe lãkusiwo ŋu?

Nublanuitɔe la, míaƒe lãkusiwo hã ate ŋu axɔ dɔléle vovovowo . Wo dometɔ aɖewo le sue eye woƒe lãme sẽna kabakaba. Gake ɖewo nyea nu veviwo wu eye woate ŋu anɔ anyi eteƒe nadidi. Dɔléle siwo bɔ wu dometɔ aɖewoe nye esi:

• Asbestosis: Abi si dona le lãkusi kple lãkusi me si asbestos ka siwo wogbɔna hena vɛ.
• Asrã: Yagbɔgbɔ sesẽ le yaƒoƒomɔ̃wo ƒe ʋuʋu ta.
• Bronchiectasis: Aɖuɖɔtoe ƒe ʋukawo vuvu, si wɔnɛ be ʋuʋudedi si le abe ʋuʋudedi ene eye gbɔgbɔ sesẽna.
• Aɖuɖɔtoedɔ: Dzesi vevitɔe nye kɔdzi. Esia ate ŋu anye esi nu sẽ, si va kpata eye wòhayana, alo esi nɔa anyi didi, si nɔa anyi didi.
• COPD (Chronic Obstructive Pulmonary Disease): Yagbɔgbɔdɔ si yia edzi ɖaa, si womate ŋu atrɔ o.
• Covid-19 `(COVID-19)`: Dɔlékui sia ate ŋu ahe gbɔgbɔmedɔléle si nu mesẽ o va ɖo esi nu sẽ.
• Croup: Yagbɔgbɔ ƒe dɔléle si dzea ɖevi sue siwo mexɔ ƒe 5 haɖe o dzi.
• Cystic Fibrosis: Domenyiŋusẽ ƒe dɔléle si me ʋuʋudedi si léna ɖe nu ŋu eye wòle ʋeʋẽm la ƒoa ƒu ɖe lãkusiwo kple ŋutinu bubuwo me.
• Influenza: Aɖuɖɔtoedɔ si dɔlékui aɖe hena vɛ.
• Aklãdɔ: Sigaretnonoe nye nusi ate ŋu ahe esia vɛ wu.
• Mesothelioma: Esia hã nye kansa ƒomevi aɖe. Asbestos ka siwo wogbɔna gbɔe wòtsona koŋ.
• Aklãdɔ: Aɖuɖɔtoedɔléle. Ate ŋu ana tsi nayɔ lãkusiwo me eye ate ŋu abia be woaxɔ ame ɖe kɔdzi.
• Pulmonary Fibrosis: Yagbɔgbɔ sesẽ le abi siwo le lãkusiwo ŋu ta. Womate ŋu ada esia o.
• Pulmonary Nodules: Ƒumelã siwo dzɔna le aklã me. Zi geɖe la, esiawo menye kansa (siwo me dɔlékui aɖeke mele o) o.
• RSV (Respiratory Syncytial Virus): Yagbɔgbɔdɔléle si ate ŋu adze ɖevi suewo kple ame tsitsiwo siaa dzi.
• Yɔmekpe: Esia gblẽa nu le lãkusiwo ŋu koŋ, gake ate ŋu adze ŋutilã ƒe akpa bubuwo hã dzi.

Nukawoe nye aɖuɖɔtoedɔléle ƒe dzesiwo? Aleke nèwɔ dea dzesii?

Aɖuɖɔtoedɔléle ƒe dzesiwo ate ŋu anye:

• Gbɔgbɔtsixe: Gbɔgbɔtsixetsixe ƒe seselelãme ne èdze agbagba vie gɔ̃ hã.
• Akɔtave: Akɔtave ne wole gbɔgbɔm alo le kɔdzim.
• Kɔdzi: Vevietɔ kɔdzi si nɔa anyi ɖaa, kɔdzi si hea ʋu kple ʋuʋudedi vɛ.
• Ðeɖiteameŋu: Ðeko nèsena le ɖokuiwò me be ɖeɖi te ye ŋu.
• Wheezing: Gbeɖiɖi si ɖina le akɔta ne ele gbɔgbɔm.
• Afɔkpodzi kple afɔwo ƒe vuvu.

Vevietɔ: Ne dzesi siawo dometɔ aɖe le ŋuwò la, kpɔ egbɔ be yeyi ɖɔkta gbɔ. Ne wokpɔe kaba la, edada le bɔbɔe wu.

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

Ne èyi ɖɔkta gbɔ la, ado wò kpɔ ahakpɔ nu aɖewo ɖa.

Alesi ɖɔktaa doa wò kpɔnae

• Wotsɔa nuƒomɔ̃ ɖoa to lãkusiwo be woatsɔ akpɔ gbeɖiɖi aɖeke si mesɔ o, abe ``Crackles/Rales'' (gbeɖiɖi sue siwo le ʋuʋum), ``Wheezing'' (ɣlidodo si nu sẽ), kple ``Stridor'' (gbɔgbɔ ƒe gbeɖiɖi si nu sẽ).
• Yagbɔgbɔwo bua zi nenie nègbɔa ya le aɖabaƒoƒo ɖeka me.
• Woaɖo to wò lãkusiwo ahakpɔe ɖa be tɔtrɔ aɖe va le wò gbe me hã.
• Pulse oximeter nye mɔ̃ sue aɖe si wotsɔ blaa asibidɛ eye wòdzidzea oxygen ƒe agbɔsɔsɔ le ʋua me.

Tsɔ kpe ɖe ŋutilãmedodokpɔ sia ŋu la, ɖɔkta ate ŋu aɖe gbe be woawɔ dodokpɔ bubuwo.

Fotoɖeɖe be woakpɔ ememe - Nɔnɔmetatawo Dodokpɔwo

Dodokpɔ siawo nana ɖɔktaa kpɔa alesi nɔnɔmea le le lãkusi me.

• Akɔta ƒe X-ray
• CT scan `(Akɔntabubu ƒe Tomography scan)`
• Ultrasound ƒe dɔwɔwɔ
• MRI scan `(Magnetic Resonance Imaging ƒe fotoɖeɖe)`

Pulmonary Function Tests (Dodokpɔ siwo léa ŋku ɖe alesi lãkusiwo le dɔ wɔm nyuie ŋu) .

Wogayɔa esiawo be aklã ƒe dɔwɔwɔ dodokpɔ. Woléa ŋku ɖe alesi wò lãkusi ate ŋu agbɔ ya nyuie ahalé ya ɖe te ŋu.

• 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

Dodokpɔ siwo woawɔ le atike si naa alɔ̃dɔdɔ ame hã ate ŋu anɔ anyi.

Ɣeaɖewoɣi la, wotsɔa fotoɖemɔ̃ dea lãkusia me be wòalé ŋku ɖe eme (Bronchoscopy), woɖea lãkusi aɖe hedoae kpɔ (Lung Biopsy), alo woɖea akɔta.Ðewohĩ ahiã be nàwɔ dodokpɔ/dɔdamɔnu siwo abia be nàʋu akɔta, abe akɔta ƒe x-ray ene. Zi geɖe la, wowɔa esia le atike si naa alɔ̃dɔdɔ ame me.

Nukawoe nye atike siwo wozãna na aɖuɖɔtoedɔlélewo?

Ne lãkusidɔ aɖe le ŋuwò la, wò atikewɔwɔ anɔ te ɖe dɔléle si ƒomevi le ŋuwò kple wò lãmesẽ bliboa dzi. Atikewɔwɔ ƒe tiatia ate ŋu anye atikewo, kamedede, dɔwɔnu tɔxɛwo, kple amekoko.

Atikewo

Woate ŋu ana esiawo abe atike si wogbɔna ene, abe tsi si wotsɔna ƒoa tsii ene, abe atikekui siwo woano ene, alo abe atike siwo wodona ɖe lãme na ame ene.

• Steroid-tikewo ɖea yaƒoƒomɔ̃wo ƒe vuvu dzi kpɔtɔna.
• Dɔlékuiwutikewo daa dɔlékuiwo.
• Bronchodilators be woakeke yaƒoƒomɔ̃wo ɖe enu. Esiawo va le nɔnɔme siwo me wowɔa nu kpuie kple esiwo wɔa dɔ ɣeyiɣi didi me.
• Mucolytics kpena ɖe ʋuʋudedi tsɛ ŋu eye wònana wònɔa bɔbɔe be wòakɔ akɔta.
• Na oxygen ƒe agbɔsɔsɔ nanyo ɖe edzi to Oxygen Therapy zazã me .
• Da kansa kple atikewɔmɔnu kple/alo keklẽŋusẽdɔdamɔnu .
• Atike siwo woatsɔ akpɔ ame ta tso dɔlékuiwo me.

Kamedede kple kpeɖeŋutɔ

• Yagbɔgbɔmɔnu tɔxɛwo, le kpɔɖeŋu me (Pursed Lip Breathing) kple (Diaphragmatic Breathing) .
• Yameʋuɖoɖo ƒe Mɔ̃wo , abe Vest Therapy ene, kpena ɖe ame ŋu wòɖea ʋuʋudedi ɖa le yaƒoƒomɔ̃wo me.

Amekoko

Le go aɖewo me la, ehiã be woawɔ dɔ na ame.

• Aɖuɖɔtoe ƒe akpa aɖe ɖeɖe ɖa (Lobectomy) .
• Aɖuɖɔtoe ƒe akpa eve ɖeɖe ɖa (Bilobectomy) .
• Thoracentesis nye mɔnu si wozãna tsɔ ɖea tsi ɖa le lãkusi me.
• Aɖuɖɔtoe ɖeka ɖeɖe ɖa keŋkeŋ (Pneumonectomy) .
• Aklã Dodo Ðe Ame Ŋu .

Nukae míate ŋu awɔ be míaƒe lãkusiwo nanɔ lãmesẽ me? (Gbedasi si Wotsɔ Yi Aƒeme)

Enyo, eyata esiae nye akpa vevitɔ kekeake. Nu geɖewo li míate ŋu awɔ be míaƒe lãkusiwo nanɔ lãmesẽ me, alo be míakpɔ aɖuɖɔtoedɔléle gbɔ ne ele mía ŋu.

• Nu gbãtɔ kple vevitɔe nye be nàdzudzɔ atamanono ne èdzudzɔ. Nenema kee wòle le vaping hã gome. Esiae nye nunana gãtɔ kekeake si nàte ŋu ana wò lãkusiwo.
• Dze agbagba nàlé wò kpekpeme si sɔ me ɖe asi. Amesiwo lolo akpa la ƒe lãkusi me kuxiwo mebɔna o.
• De kame edziedzi. Gake bia wò ɖɔkta hafi nàdze kamedede ƒe ɖoɖo ɖesiaɖe gɔme.
• Ðu nuɖuɖu siwo naa lãmesẽ, le agbɔsɔsɔ si sɔ me.
• No tsi geɖe (negbe ɖe wò ɖɔkta ɖo seɖoƒe na wò tsinono).
• Na atike siwo ɖɔktaa ŋlɔ na wò la nasu asiwò ɖe game dzi.Le kpɔɖeŋu me, asrãtike, aklãdɔlékuiwutike.
• Klɔ asi enuenu eye nàklɔe nyuie. Esia ate ŋu akpe ɖe ŋuwò nàkpɔ ta tso dɔlékuiwo me.
• Te adzɔge tso ame siwo le dɔ lém gbɔ alesi nàte ŋui.

Ðo ŋku edzi be togbɔ be mɔ siwo dzi míaƒe gbɔgbɔtsixe ƒe dɔwɔwɔ akpɔ mía ta le hã la, míaƒe lãkusiwo ate ŋu adze dɔ. Ame aɖewo ƒe lãme sẽna kabakaba. Gake ɖewo nyea nu veviwo eye wonɔa anyi didi. Ne aklãdɔléle aɖe le ŋuwò ɣeyiɣi didi la, wò ɖɔkta gã aɖe aɖo wò ɖe aklãdɔdala gbɔ . Nu vevitɔe nye be nàwɔ ɖe mɔfiame siwo wò atikewɔlawo ƒe ƒuƒoƒoa na dzi pɛpɛpɛ. Emegbe àte ŋu agbɔ ya bɔbɔe alesi nàte ŋui.

` Aklã, Yagbɔgbɔ ƒe Dɔwɔɖoɖo, Gbɔgbɔ, Oxygen, Aklãdɔléle, Aklã si le Lãmesẽ, Aklã