Ðe kɔdzidɔ si me ʋuʋudedi yɔ fũu la nɔa ŋuwò zi geɖea? Ɣeaɖewoɣi la, àsusu be dzamezã koe wònye, gake ne eyi edzi la, ate ŋu anye lãkusidɔ aɖe si woyɔna be aɖuɖɔtoemedɔléle ƒe dzesi. Mègatsi dzi o, ŋkɔ sia aɖi nya gã aɖe, gake ne ènyae eye nèwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi la, àte ŋu akpɔ edzi nyuie. Mina míaƒo nu tso nusianu ŋu le nya bɔbɔewo me.
Kpuie ko la, nukae nye Bronchiectasis?
Bu eŋu ale: mɔ̃ suesuesue siwo tsɔa ya yia míaƒe lãkusiwo me ƒe ɖoɖo aɖe le mía si. Míeyɔa yaƒoƒomɔ̃ siawo be yaƒoƒomɔ̃wo alo aɖuɖɔtoewo. Bronchiectasis nye nɔnɔme si me yaƒoƒomɔ̃ siawo gblẽna eye wokekena tegbee, abe balloon ene.
Ne nu sia gblẽ la, mɔ̃ siawo mete ŋu kɔa ʋuʋudedi si le wo me la me nyuie o. Zi geɖe la, ame si le lãmesẽ me ƒe lãkusiwo léa dɔlékuiwo kple ke suesuesuewo ɖe ʋuʋudedi me eye wòkɔa wo doa goe. Gake le amesi ŋu aɖuɖɔtoedɔléle le gome la, ʋuʋudedi ƒoa ƒu ɖe yaƒoƒomɔ̃ siwo gblẽ la me. Dɔlékuiwo dzea tsitsi gɔme le ʋuʋudedi sia si ƒo ƒu me. Esia hea dɔlékuiwo xɔxɔ enuenu eye wògagblẽa nu le lãkusiwo ŋu geɖe wu. Eyata, ŋutilãa yia edzi nɔa kɔdzi yim esi wòle agbagba dzem be yeaɖe ʋuʋudedi sia si ƒo ƒu la ɖa.
Vovototo kae le aɖuɖɔtoemedɔléle kple aɖuɖɔtoedɔléle dome?
Ame geɖe tɔtɔa ŋkɔ eve siawo elabena woƒe gbeɖiɖi ɖi wo nɔewo vie. Dzesiawo hã ɖi wo nɔewo vie, eye ʋuʋudedi kple kɔdzidɔ le wo ame evea siaa ŋu. Gake vovototo gã aɖe le wo ame evea dome.
| Nɔnɔme si le ame ŋu | Aɖuɖɔtoemedɔléle | Aɖuɖɔtoedɔléle |
|---|---|---|
| Nusiwo gblẽ ƒe nɔnɔme | Yaƒoƒomɔ̃wo ƒe gbegblẽ tegbee eye wokekena. | Esia nye gbɔgbɔtsixe ƒe dɔlékui si xɔa ame ɣeyiɣi kpui aɖe. Megblẽa nu tegbee o. |
| Ɣeyiɣi didime | Esia nye dɔléle si nɔa anyi didi . | Nɔnɔme si nɔa anyi ɣeyiɣi kpui aɖe (si nu sẽ) si nu yina zi geɖe le kwasiɖa ʋɛ aɖewo megbe. |
Nukae nye aɖuɖɔtoemedɔléle ƒe dzesiwo?
Dzesi siawo medzena le mɔ ɖeka nu na amesiame o. Dzesi siwo nu mesẽ kura o ate ŋu anɔ ame aɖewo ŋu, evɔ dzesi sesẽwo ate ŋu anɔ ame bubuwo ŋu. Azɔ hã, ate ŋu anɔ anyi be ɣeyiɣi aɖewo naɖee ɖa, eye ɣeyiɣi aɖewo na "exacerbation" alo flare-up.
| Dzesi siwo bɔ | |
|---|---|
| Kɔdzidede enuenu kple ʋuʋudedi | Esiae nye dzesi vevitɔ. Ɣeaɖewoɣi la, tsi si le abe ʋuʋudedi ɣi alo amadede dzẽ ene ate ŋu ado. |
| Yagbɔgbɔ sesẽ (Dyspnea) . | Esesẽna na wò be nàgbɔ ya, vevietɔ ne ɖeɖi te ŋuwò. |
| Vuvɔ alo lãkusi me dɔlékuiwo xɔxɔ enuenu | Akɔta ƒe ʋuʋu va doa mo ɖa kabakaba wu ame bubuwo. |
| Wheezing (whistling) ne wole gbɔgbɔm | Wosea gbeɖiɖi aɖe tso ŋɔti alo akɔta ne wole gbɔgbɔm. |
| Ʋu ƒe kɔdzidede (Hemoptysis) . | Ðewohĩ ʋu vi aɖe alo ɖewohĩ eƒe akpa gãtɔ ado kple ʋuʋudedia. |
| Nail clubbing (asibidɛwo ƒe vuvu kple ɖawo ƒe ƒoƒo) . | Dzesi si ate ŋu ado mo ɖa le oxygen ƒe agbɔsɔsɔ si mede ame dzi o ɣeyiɣi didi ta. |
| Dzesi siwo dzena ne dɔlélea nu sẽ ɖe edzi (exacerbation) . | |
| Ðeɖiteameŋu si gbɔ eme (Ðeɖiteameŋu) . | Sese le eɖokui me be ɖeɖi te ye ŋu ŋutɔ. |
| Asrã kple vuvɔ | Dzesi si fia be dɔlékui aɖe le ŋutilãa me. |
| Yagbɔgbɔ sesẽna ɖe edzi | Gbɔgbɔ sesẽ wu alesi wònɔna ɖaa. |
| Zã me fifia | Dɔlékui aɖe ƒe dzesi bubu. |
Nukatae nɔnɔme sia dzɔna ɖo?
Bronchiectasis dzɔna le "tsatsa vɔ̃ɖi" me. Edzea egɔme le mɔ si wɔ nuku ŋutɔ nu. ‘Afɔɖeɖe’ eve le esi.
1. Vlododo Gbãtɔ: Gbã la, dɔléle aɖewo, dɔlékuiwo, alo nu bubu aɖe si gbɔ wòtso gblẽa nu le yaƒoƒomɔ̃ siwo le lãkusiwo me ŋu.
2. Tsitretsitsi Vɔ̃ɖi la: Nusiwo gblẽ sia nana ʋuʋudedi ƒoa ƒu ɖe edzi le esi teƒe be woaɖee nyuie. Dɔlékuiwo tsina le ʋuʋudedi si ƒo ƒu la me. Dɔlékui siawo hea dɔlékui bubuwo vɛ, wogagbɔdzɔna ɖe lãkusi ƒe gliwo ŋu, eye wogagblẽa nu geɖe wu. Tsitrenɔnɔ sia yi edzi.
Ɣeaɖewoɣi la, le dɔnɔ siwo ade 40% gome la, womate ŋu anya nusi tututu gbɔ nusiwo gblẽ le gɔmedzedzea me sia tso o.
Nu vevi siwo gbɔ aɖuɖɔtoemedɔléle tsona
- Cystic Fibrosis: Esia nye domenyiŋusẽfianu ƒe dɔléle si gblẽa nu le lãkusiwo ŋu le esi ʋuʋudedi ƒoa ƒu ɖe ŋutilãa me ta.
- Aɖuɖɔtoedɔléle sesẽwo: Dɔlékui sesẽwo abe aklãdɔ, kɔdzidɔ, alo yɔmekpe (TB) le ɖevime ate ŋu agblẽ nu le lãkusiwo ŋu tegbee.
- Dɔlélenutsiŋutete ƒe gbɔdzɔgbɔdzɔ: Dɔlélewo abe HIV alo dɔlélenutsiŋutete ƒe gbɔdzɔgbɔdzɔ bubuwo (abe hypogammaglobulinemia ene) ate ŋu ahe dɔlékuiwo vɛ enuenu eye wòagblẽ nu le lãkusiwo ŋu.
- Dɔlélenutsiŋutete ƒe Dɔlélewo:Le dɔlélewo abe Rheumatoid Arthritis (RA) alo Lupus (SLE) ene me la, ŋutilãa ŋutɔ ƒe lãmenugbagbeviwo ate ŋu adze lãkusiwo dzi ahagblẽ nu le wo ŋu.
- Yaƒoƒomɔ ƒe xexe: Ne dɔdzẽ, amedzro aɖe, alo ʋuka si vuvu xe yaƒoƒomɔ̃ aɖe la, ʋuʋudedi ate ŋu aƒo ƒu ɖe teƒe ma eye wòana aɖuɖɔtoewo natsi.
- Allergic Bronchopulmonary Aspergillosis (ABPA): Esia nye nulɔdɔ si dzɔna ɖe lãvi ƒomevi aɖe dzi.
- Primary Ciliary Dyskinesia: Esia hã nye domenyiŋusẽfianu ƒe nɔnɔme. Mucus ƒoa ƒu elabena ‘fu sue’ (cilia) siwo ʋua ʋuʋudedi doa goe le ŋkua me, si ŋu míeƒo nu tsoe va yi la, mewɔa dɔ nyuie o.
Aleke ɖɔkta awɔ anya dɔléle siae?
Ne èyi ɖɔkta gbɔ la, aɖo to wò dzesiwo kple atikewɔwɔ ŋutinya siwo va yi la nyuie. Emegbe atsɔ nuƒomɔ̃ aɖo to wò akɔta eye wòakafu dodokpɔ ʋɛ bubuwo wɔwɔ.
- Akɔta ƒe CT-dɔdamɔnu: Esiae nye mɔ nyuitɔ si dzi woato anya aɖuɖɔtoemedɔléle. Ete ŋu kpɔnɛ nyuie nenye be yaƒoƒomɔ̃ siwo le lãkusiwo me keke eye gliawo hã le ƒoƒom. Togbɔ be woate ŋu awɔ X-ray gbã hã la, CT scan koe nye mɔ si dzi woato aɖo kpe dɔlélea dzi.
- Aɖuɖɔtoe ƒe Dekɔnu: Woɖea wò aɖuɖɔ ƒe kpɔɖeŋu eye wodoa dɔlékui ƒomevi si tsina ɖe eme kpɔna nenye be dɔlékuiwutikewo hiã hã.
- Aklã ƒe Dɔwɔwɔ Dodokpɔwo: Wobia tso asiwò be nàgbɔ ya ayi mɔ̃ aɖe me ahado goe atsɔ adzidze alesi wò lãkusiwo le dɔ wɔm nyuie.
- Ʋudodokpɔ: Ʋudodokpɔ kpena ɖe ame ŋu wònya ne dɔlékui aɖe le ŋutilãa me alo ne kuxi aɖe le dɔlélenutsiŋutete ŋu.
- Bronchoscopy: Ɣeaɖewoɣi la, ahiã be wò ɖɔkta nalé ŋku ɖe wò yaƒoƒomɔ̃wo me. Esia zãa mɔ̃ sue aɖe si me fotoɖemɔ̃ (bronchoscope) le tsɔ kpɔa ne nane tsi eme kple alesi ʋuʋudedia le.
Nukawoe nye atike siwo wozãna na esia?
Nu gbãtɔ si dzi wòle be míaɖo ŋkui enye be aɖuɖɔtoemedɔléle nye dɔléle si womate ŋu ada keŋkeŋ o , elabena womate ŋu atrɔ nusiwo gblẽ le lãkusiwo ŋu o. Gake ne wowɔ atike nyuitɔ eye wotrɔ agbenɔnɔ la, ame geɖe ate ŋu aɖu woƒe dzesiwo dzi ahanɔ agbe si sɔ.
Taɖodzinu vevi etɔ̃e le atikewɔwɔ ŋu:
1. Ʋuʋudedi si ƒoa ƒu ɖe lãkusiwo me ɖeɖeɖa.
2. Dɔlékuiwo dzi ɖuɖu kple wo nu tsitsi.
3. Dɔdzẽ dzi ɖeɖe kpɔtɔ le lãkusiwo me.
| Atikewɔwɔ ƒe mɔnu | Nuɖᴐɖᴐ |
|---|---|
| Yameʋuɖoɖo Ŋuti Mɔnuwo | |
| Yagbɔgbɔ ƒe kamedede kple kamedede ƒe atikewɔwɔ | Lãmesẽdɔwɔla afia kɔdzidɔ kple gbɔgbɔ ƒe mɔnu siwo akpe ɖe ŋuwò nàkɔ ʋuʋudedi ŋu bɔbɔe wu la wò. Esia ate ŋu alɔ aɖaŋuwo abe akɔtaƒoƒo ene ɖe eme. |
| Atikewɔnuwo | Woate ŋu azã mɔ̃ suewo abe PEP-mɔ̃ siwo ʋuʋuna alo ƒoƒo ƒe ʋuƒo siwo wodona ɖe akɔta ene atsɔ akpe ɖe ʋuʋudedi ŋu wòaɖe asi le eŋu ahaɖee ɖa. |
| Atikewo | |
| Dɔlékuiwutikewo | Ne dɔlékuiwo dze wo dzi la, wotsɔa atikekuiwo, tsinyegoewo, alo le nɔnɔme sesẽwo me la, wozãa atike siwo wodona ɖe ʋuka me (IV). Ɣeaɖewoɣi la, woate ŋu ana wo le agbɔsɔsɔ sue aɖe me hena ɣeyiɣi didi aɖe be woaxe mɔ ɖe dɔlékuiwo xɔxɔ nu. |
| Mucolytics ƒe atikewo | Esiawo kpena ɖe ame ŋu wòɖea ʋuʋudedi si le ʋeʋẽm la dzi kpɔtɔna eye wònana wònɔa bɔbɔe be wòakɔ akɔta. Atike aɖewo hã li siwo wozãna le yaƒoƒo ƒe nɔnɔme me to nebulizer dzi. |
| Atike siwo tsia dzodzodzoetsitsi nu | Atikewo abe macrolides ene kpena ɖe ame ŋu be yaƒoƒomɔ̃wo ƒe vuvu dzi ɖena kpɔtɔna esime wole dɔlékuiwo dzi ɖum. |
Ne ehiã be nàyi ɖɔkta gbɔ
Ne kɔdzidɔ si nu metsina o le fu ɖem na wò alo gbɔgbɔ le sesẽm na wò la, kpɔ egbɔ be yeyi ɖɔkta gbɔ. Ne wokpɔe be aɖuɖɔtoedɔléle le ŋuwò xoxo la, yɔ wò ɖɔkta enumake ne èkpɔ dzesi siwo gbɔna la dometɔ aɖe:
- Ne dɔlékuiwo ƒe dzesiwo le ŋuwò, abe dzoxɔxɔ kple vuvɔ ene.
- Ne gbɔgbɔ va sesẽ wu alesi wònɔna ɖaa.
- Ne ɖeɖi te ŋuwò wu alesi nèwɔnɛ ɖaa.
- Ne ʋuʋudedi si nèkɔna la sɔ gbɔ akpa la, ke ʋuʋudedia ƒe amadede trɔ (amadede dzẽ/dzẽ), alo ne ʋu le ʋuʋudedia me.
- Ne nuɖuɖu megadzroa wò o eye wò lolo dzi ɖe kpɔtɔ.
Gake le nɔnɔme sia tɔgbe me la, ele be nàyi ETU (Emergency Treatment Unit) enumake:
- Ne ʋu le dodom le ŋuwò ŋutɔ.
- Ne akɔta le veve sem na wò.
- Ne gbɔgbɔ sesẽ ŋutɔ.
Gbedasi si Wotsɔ Yi Aƒeme
- Bronchiectasis nye dɔléle si nɔa anyi didi si me yaƒoƒomɔ̃ siwo le lãkusiwo me gblẽna tegbee eye wokekena.
- Dzesi vevitɔe nye kɔdziyiyi si nɔa anyi ɖaa si naa ʋuʋudedi gbogbo aɖewo dona.
- Togbɔ be womate ŋu adae keŋkeŋ o hã la, àte ŋu aɖu dzesiawo dzi, axe mɔ ɖe dɔlékuiwo xɔxɔ nu, eye nànɔ agbe nyui.
- Ele vevie ŋutɔ be nàzã atike siwo ɖɔktaa ŋlɔ na wò pɛpɛpɛ eye nàwɔ kamedede siwo ɖea ʋuʋudedi ɖa gbesiagbe.
- Ƒo asa na atamanono keŋkeŋ. Ƒo asa na dzudzɔ kple ya siwo gblẽa nu le lãkusiwo ŋu la gbɔgbɔ.
- Takpɔ ɖokuiwò ta tso dɔlékuiwo me to atike siwo hiã (e.g. Flu, Pneumococcal) xɔxɔ ɖe game dzi me.
- Ne dzesiawo gagblẽ ɖe edzi alo nuxlɔ̃amedzesiwo do mo ɖa kpata la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake.
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