Mina míasrɔ̃ nu tso gbɔgbɔtsixetsixe si wozãna na gbɔgbɔtsixetsixe ŋua? (Aɖuɖɔtoe kekeɖenudɔ) .

Ðe gbɔgbɔ sesẽna na wò abe asrã enea? Alo ɖe nèkpɔ ame aɖe le wò ƒomea me wòzãa yagbɔgbɔmɔ̃a? Egbea míele nu ƒom tso atike siawo siwo nana gbɔgbɔ nɔa bɔbɔe, siwo nye atike siwo kekea aɖuɖɔtoewo me la ŋu. Ame geɖe vɔ̃na na nusiawo, gake ne èse wo gɔme hezã wo nyuie la, esiawo ate ŋu akpe ɖe ŋuwò ŋutɔ le agbe me.

Kpuie ko la, nukae nye aɖuɖɔtoe kekeɖenudɔ?

Bu yaƒoƒomɔ̃ siwo tsɔa ya yia wò lãkusiwo me abe mɔ̃wo ene ŋu kpɔ. Ne lãmeka tsɛ siwo ƒo xlã mɔ̃ siawo me sẽ la, teƒe si le mɔ̃awo me va nɔa sue eye wòsesẽna na ya be wòato eme. Esiae dzɔna le nɔnɔmewo abe asrã kple COPD (Chronic Obstructive Pulmonary Disease) ene me. Ɣemaɣie nèsena le ɖokuiwò me be yele ʋuʋum eye yeƒe akɔta xaxa.

Eyata nusi atike sia si woyɔna be aɖuɖɔtoe kekeɖenudɔwɔnu wɔnae nye be enaa lãmeka mawo siwo le sesẽm la ɖea dzi ɖi enumake eye wòkekea yaƒoƒomɔ̃ siwo xaxa (bronchi) ɖe enu. Emegbe eva nɔa bɔbɔe na lãkusiwo be woage ɖe eme ahado go, eye àte ŋu agbɔ ya bɔbɔe.

Atike siawo koŋue nyea yagbɔgbɔ ƒe nɔnɔme kple abe tsi si wodona to mɔ̃ si woyɔna be nebulizer dzi ene.

Aɖuɖɔtoe kekeɖenudɔ ƒomevi vevi eve li:

Woate ŋu ama esiawo ɖe hatsotso vevi eve me le ɣeyiɣi didi si woxɔna hafi wowɔa dɔ nu. Wò ɖɔkta agblɔ na wò be nàzã esiawo dometɔ ɖeka, alo ɖewohĩ evea siaa.

Nukawoe nye aɖuɖɔtoe kekeɖenudɔ ƒomevi veviwo?

Aɖuɖɔtoe kekeɖenudɔ ƒomevi vevi etɔ̃e li: beta 2-agonists, anticholinergics, kple theophylline.

1. Beta 2-dɔlékuiwutikewo

Esiawo le esiwo wɔa dɔ kpuie (SABA) kple esiwo wɔa dɔ ɣeyiɣi didi (LABA) siaa me.

• Short-acting beta 2-agonists (SABA): Esiawoe nye "xɔname" atike siwo wozãna na asrã ƒe amedzidzedze kpata. Wowɔa dɔ le miniti 15-20 me eye wonaa gbɔdzɔe abe gaƒoƒo 4-6 ene. Woate ŋu azã wo hã hafi ade kame atsɔ axe mɔ ɖe asrã si kamedede hena vɛ nu. Kpɔɖeŋuwo: `Albuterol (Ventolin®)`, `Levalbuterol (Xopenex®)`.
• Beta-2 agonists siwo wɔa dɔ ɣeyiɣi didi (LABA): Wonoa esiawo abe zi eve ene gbesiagbe eye wokpena ɖe ame ŋu be woaɖu dɔlélea dzi. Zi geɖe la, wonaa wo kpena ɖe corticosteroid, si nye atike ƒomevi aɖe si ɖea yaƒoƒomɔ̃wo ƒe vuvu dzi kpɔtɔna ŋu. Kpɔɖeŋuwo: `Salmeterol (Serevent®)`, `Formoterol (Foradil®)`. Yagbɔgbɔmɔ̃wo hã li siwo ƒoa wo ame evea siaa nu ƒu, abe `Advair®` kple `Symbicort®` ene.

2. Atike siwo tsia ʋumenugbagbeviɣidɔ nu

Esiawo xea mɔ na acetylcholine, si nye atike si míaƒe lãmekawo wɔna la ƒe dɔwɔwɔ. Acetylcholine siae naa dzesi lãmeka siwo ƒo xlã yaƒoƒomɔ̃wo be woasẽ. Wozãa atike siawo tsɔ ɖua asrã si dzi ɖuɖu sesẽna dzi ɣeyiɣi didi, tsɔ wu be woazãe atsɔ aɖe gbɔdzɔe enumake. Kpɔɖeŋuwo: `Ipratropium bromide (Atrovent®)`, `Tiotropium bromide (Spiriva Respimat®)`.

3. Theophylline ƒe atike

Eva le atikekui (`Uniphyl®`) ƒe nɔnɔme me. Togbɔ be ekpena ɖe ame ŋu wòɖua asrãdɔ sesẽwo dzi hã la, womegazãnɛ le afisiafi o. Ne èle atike sia nom la, ahiã be nàdo ʋu kpɔ edziedzi be nàka ɖe edzi be atike agbɔsɔsɔme si sɔ le wò ʋu me hã.

Nukawoe nye esia ƒe nugbegblẽ le ame ŋu?

Nusiwo wògblẽna le ame ŋu ate ŋu ato vovo le ƒomevi si wozã nu. Ke hã, menye amesiamee xɔa wo o, eye ne woxɔ wo hã la, zi geɖe la, wodzona le ŋkeke ʋɛ aɖewo megbe.

Ðe aɖuɖɔtoe kekeɖenudɔ nye steroid ƒomevi aɖea?

Ao, esiawo nye atike ƒomevi eve siwo to vovo kura.

Kpuie ko la, aɖuɖɔtoe kekeɖenudɔlékuiwo naa lãmeka siwo le wò yaƒoƒomɔ̃wo me la ɖea dzi ɖi. Steroid-tikewo ɖea abi si le wò yaƒoƒomɔ̃wo me dzi kpɔtɔna. Esi wònye be nuwɔna siawo evea siaa dzɔna le dɔlélewo abe asrã ene me ta la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã atike siawo evea siaa ɖekae.

Aleke woazã yagbɔgbɔmɔ̃a nyuie?

Be atike la naɖe vi bliboe la, ele vevie ŋutɔ be nàzã atike si wogbɔna la nyuie. Wɔ ɖe afɔɖeɖe siawo dzi.

1. Do yagbɔgbɔmɔ̃a ƒe nutrenu nyuie eye nàʋuʋui nyuie abe zi 10-15 ene.

2. Ʋu nutsyɔnu la.

3. Gbugbɔ gbɔgbɔ sesĩe eye nàgbɔ ya keŋkeŋ.

4. Tsɔ wò nuyiwo ƒo xlã nuƒomɔ̃a eye nàlée sesĩe.

5. Zi yagbɔgbɔmɔ̃a dzi zi ɖeka. Le ɣeyiɣi ma ke me la, gbɔ ya sesĩe to wò nu me.

6. Ne èse kpẽ ƒe ɖiɖi ne èle gbɔgbɔm la, efia be èle gbɔgbɔm kabakaba akpa. Gbugbɔ gbɔgbɔ ʋee aɖewo.

7. Lé wò gbɔgbɔ ɖe te abe sɛkɛnd 10 ene. Esiae nye esime atike la ɖoa wò lãkusi ƒe dzogoe ɖesiaɖe dzi.

8. Gbugbɔ wɔ afɔɖeɖe siawo hena ya agbɔsɔsɔme si wò ɖɔkta kafu. Gblẽ abe aɖabaƒoƒo ɖeka ene ɖe yaƒoƒo ɖesiaɖe dome.

9. Ne èwu enu la, gatu nutsyɔnu la ake.

10. Vevietɔ:Ne èle atike si me steroid (corticosteroid) le zãm la, klɔ wò nu nyuie kple tsi ne èzãe vɔ. Esia ate ŋu aɖe eƒe nugbegblẽ le ame ŋu dzi akpɔtɔ ŋutɔ.

Ɣekaɣie wòle be makpɔ nye ɖɔkta?

Ne dzesi yeyewo abe gbɔgbɔtsixetsixe, kɔdzidɔ, alo ʋuʋudedi ene va dze dziwò la, kpɔ egbɔ be yeyi ɖɔkta gbɔ. Ate ŋu awɔ aklã ƒe dɔwɔwɔ dodokpɔ atsɔ anya wò nɔnɔmea tututu.

Eye nu vevi bubu aɖe hã li.

Ne edzɔ alea la, mègaŋe aɖaba ƒu edzi o. Kpɔ wò ɖɔkta enumake nàdzro eme nenye be ehiã be nàtrɔ atike si nèzãna alo atike ƒomevi si nèzãna be nàte ŋu akpɔ wò dɔlélea dzi ɣeyiɣi didi. Wɔ ɖe wò ɖɔkta ƒe atikewo zazã ƒe ɖoɖoa dzi pɛpɛpɛ ɣesiaɣi.