Ðe gbɔgbɔtsixe tsia ƒowò zi ɖekaa? Ðe wò akɔta sesẽa? Mina míasrɔ̃ nu tso (Bronchospasm) sia ŋu!

Ðe wòsesẽna na wò hã zi ɖeka be nàgbɔ ya? Ðe wòwɔna na wò abe ɖe wole wò akɔta mimim ene eye nèsea ʋuʋudedi ne èle gbɔgbɔm? Amesiame si to nu sia tɔgbi me kpɔ la ase alesi gbegbe wòate ŋu ana ame ƒe dzi nadze eme o eye wòado vɔvɔ̃ na ame la gɔme. Esia menye wò ɖeɖeko tɔ o, ke ate ŋu adzɔ ɖe ame geɖe dzi. Egbea míele nu ƒom tso nɔnɔme aɖe si woyɔna be `(Bronchospasm)`, si ateŋu anye nu vevitɔ si hea gbɔgbɔtsixetsixe abe esia ene vɛ. Mègatsi dzi o, míaƒo nu tso esia ŋu bɔbɔe eye míase egɔme.

Nukae nye `(Bronchospasm)` sia?

Kpuie ko la, yaƒoƒo ƒe ʋuʋu nye ne nu suesuesue siwo le abe mɔ̃ ene siwo le míaƒe yaƒoƒomɔ̃wo me siwo tsɔa ya yia míaƒe lãkusiwo me – si woyɔna le atikewɔwɔ me be aɖuɖɔtoewo – la sesẽna zi ɖeka, si wɔnɛ be lãmeka tsɛ siwo ƒo xlã wo la xaxa. Bu eŋu abe tsi ƒe pɔmpi mimi ɖe eƒe nugbɔ eveawo, si ana tsia natsi ene.

Aɖuɖɔtoe siawoe nye mɔ̃ siwo tsɔa ya tso wò yaƒoƒomɔ̃ me yia wò lãkusi me. Eyata ne mɔ̃ siawo xe la, ɔksidzin si gena ɖe wò lãkusi me dzi ɖena kpɔtɔna. Esia tae gbɔgbɔ sesẽna na wò, eye wòwɔna na wò abe wò akɔta le ʋuʋum ene.

Aleke nèsena le ɖokuiwò me ne `(Bronchospasm)` le ŋuwò?

Le nyateƒe me la, `(Bronchospasm)` ƒe amesinɔnɔ ateŋu anye nuteƒekpɔkpɔ dziŋɔ vie. Elabena kasia nèsena le ɖokuiwò me be yemate ŋu agbɔ ya abe alesi nèdi ene o. Le amesi mekpɔ nu sia tɔgbe kpɔ o gome la, ate ŋu ado vɔvɔ̃ na ame ŋutɔ zi gbãtɔ.

Kpɔe ɖa le susu me, ne èle nu bum la, kasia gbɔgbɔ sesẽna na wò, abe ɖe ame aɖe le wò akɔta mimim ene. Gbɔgbɔ sesẽna wu gɔ̃ hã, eye ɖewohĩ gbeɖiɖi aɖe le dodom tso wò akɔta. Enye nusi sɔ be nàtsi dzodzodzoe vie eye nàvɔ̃ ɣemaɣi.

Ne èkpɔ dzesi siawo zi ɖeka la:

• Ne èse le ɖokuiwò me be yeƒe akɔta le sesẽm
• Ne èse le ɖokuiwò me be gbɔgbɔ sesẽ ŋutɔ
• Ne èwɔ gbeɖiɖi aɖe si le ʋuʋum ne èle gbɔgbɔm
• Ne kɔdzidɔ si nu metsina o le ŋuwò

Ne èkpɔ dzesi sesẽ siawo, vevietɔ akɔtave kple gbɔgbɔ sesẽ la, ele be nàyi kɔdzi si te ɖe ŋuwò ƒe xɔ si me wokpɔa dɔnɔwo gbɔ kpata le me enumake godoo. Woate ŋu aɖu esia dzi ne èxɔ atike ɖe game dzi.

Amekae ate ŋu axɔ `(Bronchospasm)` wu?

Aɖuɖɔtoe me ʋuʋu ate ŋu adzɔ ɖe amesiame dzi ŋutɔŋutɔ. Ke hã, anɔ eme be ame aɖewo axɔe.

• Na amesiwo ŋu nulɔdɔ vovovowo le
• Le amesiwo ŋu asrã le gome
• Le amesiwo ŋu lãkusidɔ bubuwo le gome (e.g. `(COPD)` - Aklãdɔléle si xea mɔ na dɔléle si nɔa anyi didi) .

Tsɔ kpe ɖe ame siawo ŋu la, ɖevi suewo kple ame tsitsi siwo xɔ wu ƒe 65 hã ate ŋu axɔ aɖuɖɔtoemedɔ.

Esia bɔ ale gbegbe be wobua aɖuɖɔtoe me ʋuʋu be enye dzesi le lãkusidɔ geɖe abe asrã, ʋuka me ʋu ƒe sisi, kple COPD ene me. Ate ŋu adzɔ kple lãkusi me dɔlékui vovovowo hã.

Vovototo kae le `(Bronchospasm)`, `(Laryngospasm)` kple `(Asthma)` dome?

Ŋkɔ etɔ̃ siawo ate ŋu adze abe ɖe wotɔtɔ vie ene. Togbɔ be wo ame etɔ̃a katã kpɔa ŋusẽ ɖe wò gbɔgbɔ dzi hã la, woto vovo tso wo nɔewo gbɔ.

• `(Aɖuɖɔtoe ƒe ʋuʋu)` vs `(Aɖuɖɔtoe me ʋuʋu)`:

Aɖuɖɔtoewo ƒe ʋuʋu gblẽa nu le aɖuɖɔtoewo (yamɔwo) siwo le wò lãkusiwo me ŋu. Laryngospasm gblẽa nu le wò gbeɖiɖikawo (wò ŋɔti ƒe akpa si ʋuʋuna ne èle nu ƒom) ŋu. Laryngospasm nye ne wò gbeɖiɖikawo tu zi ɖeka ne èle gbɔgbɔm, si xea mɔ na ya ƒe sisi ɖe wò lãkusiwo me. Esia ate ŋu anye nusi dzi ŋɔ, si dzɔna kpata, gake zi geɖe la, nu yina le eɖokui si le aɖabaƒoƒo ɖeka alo eve me. Mebɔ abe aɖuɖɔtoe me ʋuʋu ene o.

• `(Aɖuɖɔtoe me ʋuʋu)` vs `(Asrã)`:

Ele vevie be míase nya sia gɔme. Bronchospasm nye dɔlélewo abe asrã ene ƒe dzesi. Eyae nye be ame si ŋu asrã le ate ŋu axɔ aɖuɖɔtoemedɔ. Gake menye amesiame si ŋu aɖuɖɔtoedɔ le lae asrã le o. Nɔnɔme evea siaa tsoa yaƒoƒomɔ̃wo ƒe vuvu, dɔdzẽ, alo dzikudodo aɖewo gbɔ.

Nukae nye `(Bronchospasm)` ƒe dzesiwo?

`(Bronchospasm)` ƒe dzesiwo doa vɔvɔ̃ na ame vie, eye ɣeaɖewoɣi la, woate ŋu ava kpata. Ame geɖe sena le wo ɖokui me be yewomate ŋu agbɔ ya abe alesi wòle be yewoagbɔ ene o. Dzesi vevi bubuwoe nye:

• Akɔta ƒe tete
• Yagbɔgbɔ kpuie
• Wheezing ( ɣlidodo si dona tso akɔta ne wole gbɔgbɔm ) .
• Kɔdzi - Ate ŋu anye kɔdzi ƒuƒu alo kɔdzi si me ʋuʋudedi le.
• Ðeɖiteameŋu - Esia ateŋu atso oxygen ƒe anyimanɔmanɔ gbɔ.
• Taɖuame

Ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò la, ele vevie be nàlé be na wo.

Nukae hea `(Bronchospasm)` sia vɛ?

Aɖuɖɔtoe me ʋuʋu ate ŋu adzɔ ɣesiaɣi si dziku alo vuvu le yaƒoƒomɔ̃wo me. Abe alesi míedzro emee ene la, asrãe nye nusi gbɔ aɖuɖɔtoe ƒe ʋuʋu tsona wu. Gake nu bubu geɖewo hã li siwo gbɔ wòtsona:

• Dɔlékui siwo le lãkusi alo yaƒoƒomɔ̃wo me: Esiawo ate ŋu anye dɔlékuiwo, dɔlékuiwo, alo fungiwo ƒe dɔlékuiwo. Le kpɔɖeŋu me, nɔnɔmewo abe aklãdɔ alo aɖuɖɔtoedɔ ene.
• Aklãdɔléle si Mexea Mɔ Na Anyi Didi (COPD): Esia hã nye aklãdɔ si nɔa anyi didi.
• Nusiwo nana ame ƒe ŋutilã melɔ̃a nu o: Nuwo abe ke, aŋɔ, aƒemelãwo ƒe ƒuƒu, kple nuɖuɖu aɖewo ene.
• Kamedede:Ame aɖewo ateŋu axɔ `(Bronchospasm)` sia ne wole kame dem gɔ̃ hã. Míeyɔa esia be `(kamedede si tsoa aɖuɖɔtoe me ƒe ʋuʋu)`. Bu eŋu kpɔ, ne èwu duƒuƒu kple fefe sesẽ nu vɔ la, gbɔgbɔ sesẽna na wò, eye nèsena le ɖokuiwò me abe ɖe nèle kɔdzi ge ene. Ema ate ŋu anye nenema.
• Atikewo ƒe dzudzɔ alo nu bubu siwo doa dziku na ame: Nuwo abe ami ʋeʋĩ aɖewo, dzudzɔ si dona tso atike siwo wotsɔna klɔa nu ŋu, kple nudzodzoeviwutikewo ƒe dzudzɔ ene.
• Yame fafɛ: Ya fafɛ gbɔgbɔ zi ɖeka ate ŋu agblẽ nu le ame aɖewo hã ŋu.
• Sigaretnono alo vaping: Esiawo dzia aɖuɖɔtoe me ʋuʋu ƒe afɔkua ɖe edzi elabena wogblẽa nu le yaƒoƒomɔ̃wo ŋu.
• Atike si naa alɔ̃dɔdɔ ame: Ame aɖewo ate ŋu akpɔ nɔnɔme sia le amekoko vɔ megbe.

Gake nu ɖeka si dzi wòle be nàɖo ŋkui enye be esi atikewɔwɔ ƒe nɔnɔme si míeyɔ ɖe etame la le ŋuwò ta la, màte ŋu aka ɖe edzi be yeaxɔ `(Bronchospasm)` o. Gake afɔku aɖe li.

Vevietɔ: Ƒã ŋutɔ la, aɖuɖɔtoekeketike aɖewo siwo wozãna tsɔ daa aɖuɖɔtoemeʋuʋu ate ŋu ana nɔnɔmea nagagblẽ ɖe edzi. Woyɔa esia be paradoxical bronchospasm. Ne esia dzɔ ɖe dziwò, si fia be gbɔgbɔ sesẽ na wò le wò yagbɔgbɔmɔ̃ zazã vɔ megbe la, ele be nàdzudzɔ atike la zazã enumake eye nàgblɔe na wò ɖɔkta.

Aleke nàwɔ anya ne `(Bronchospasm)` le ŋuwò?

Wò ɖɔkta ate ŋu anyae kple kakaɖedzi nenye be aɖuɖɔtoe me ʋu ƒe sisi le ŋuwò. Ado wò kpɔ, abia wò dzesiwo, eye wòabia wò ƒome ŋutinya hã. Ɣeaɖewoɣi la, woate ŋu aɖo wò ɖe lãkusiŋutinunyala bibi (aklãdɔdala).

Dodokpɔ ka ƒomevie wowɔna na esia?

Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàwɔ dodokpɔ vovovowo atsɔ akpɔ alesi wò lãkusiwo le dɔ wɔm nyuie. Esiawo dometɔ aɖewoe nye:

• Pulse oximetry: Esia bia be nàtsɔ mɔ̃ sue aɖe si le abe klip ene abla wò asibidɛ alo to ƒe nugbɔ be wòadzidze oxygen ƒe agbɔsɔsɔ le wò ʋu me. Esia nye dodokpɔ bɔbɔe ŋutɔ si me vevesese aɖeke mele o.
• Spirometry: Le dodokpɔ sia me la, wobia tso asiwò be nàgbɔ ya ado goe to mɔ̃ sue aɖe me. Mɔ̃a (si nye spirometer) dzidzea ya si nègbɔna kabakaba kple ya agbɔsɔsɔme si nègbɔna hedona.
• Aklã ƒe lolome ƒe dodokpɔ: Esia wɔnɛ be wò ɖɔkta te ŋu nya ya agbɔsɔsɔme si wò lãkusi ate ŋu alé ɖe te.
• Aklã ƒe kaka ƒe ŋutete dodokpɔ: Dodokpɔ sia hã bia tso asiwò be nàgbɔ ya ɖe mɔ̃ me. Edzidzea alesi oxygen le tɔtrɔm nyuie le wò lãkusiwo kple wò ʋukawo domee.
• Ʋukawo me ʋu ƒe gas dodokpɔ:Esia dzidzea oxygen kple carbon dioxide agbɔsɔsɔme si le wò ʋu me, kpakple wò ʋu ƒe pH.
• Eucapnic voluntary hyperventilation: Woate ŋu awɔ dodokpɔ sia atsɔ akpɔe ɖa be aɖuɖɔtoe me ʋuʋu le ŋuwò le kamedede me hã. Le dodokpɔ sia me la, wonana nègbɔa ɔksidzin kple ya si woyɔna be carbon dioxide ƒe tsakatsaka. Esia srɔ̃a alesi nègbɔa yae le kamedede me. Ne egblẽ nu le wò lãkusiwo ŋu le mɔ gbegblẽ nu la, ke ɖewohĩ kamedede ƒe aɖuɖɔtoewo ƒe ʋuʋu le ŋuwò.

Tsɔ kpe ɖe gbɔgbɔ dodokpɔ siawo ŋu la, wò ɖɔkta ate ŋu aɖo aɖaŋu hã be nàdo nɔnɔmetatawo kpɔ, abe akɔta ƒe X-ray alo CT scan ene, atsɔ akpɔe ɖa be dɔlékui alo kuxi bubu aɖewo le wò lãkusi ŋu hã.

Aleke wowɔa atike na Bronchospasm?

Atike vevitɔ si wozãna na aɖuɖɔtoemedɔe nye atike ƒomevi aɖe si woyɔna be aɖuɖɔtoe kekeɖenudɔlékuiwo. Atike siawo wɔa dɔ to yaƒoƒomɔ̃ siwo xaxa (bronchi) keke ɖe enu eye wonana gbɔgbɔ nɔa bɔbɔe me. Aɖuɖɔtoe kekeɖenudɔlékuiwo le nɔnɔme vovovowo me, abe atike siwo wogbɔna, nebulizer solutions, kple tablets ene.

Ne dɔlélea nu sẽ la, ɖɔkta ate ŋu aŋlɔ atike ƒomevi aɖe si woyɔna be steroid be wòaɖe yaƒoƒomɔ̃wo ƒe vuvu dzi akpɔtɔ.

Aɖuɖɔtoe kekeɖenudɔwɔnu siwo wɔa dɔ kpuie

Wozãa esiawo abe "xɔname ƒe gbɔgbɔtsixetsixe" ene. Wokpena ɖe ame ŋu be woakpɔ gbɔdzɔe kaba ne `(Bronchospasm)` ƒe dzesiwo dze. Atike siawo wɔa dɔ le aɖabaƒoƒo ʋɛ aɖewo ko me be wò yaƒoƒomɔ̃wo kekena, si wɔnɛ be gbɔgbɔ nɔa bɔbɔe. Nusiwo wògblẽna ate ŋu anɔ anyi gaƒoƒo 6 sɔŋ. `(Bronchodilators)` siwo wɔa dɔ kpuie si wozãna wu enye `(Albuterol)` kple `(Levalbuterol)`.

Aɖuɖɔtoe kekeɖenudɔwɔnu siwo wɔa dɔ ɣeyiɣi didi

Wozãa atike siawo tsɔ ɖea afɔku si le aɖuɖɔtoe me ʋuʋu le etsɔme dzi kpɔtɔna. Womekafu wo be woanye "xɔname yagbɔgbɔwo" o (negbe Formoterol koe mele eme o), elabena womenaa gbɔdzɔe enumake o. Woxɔa ɣeyiɣi aɖe hafi wodzea dɔwɔwɔ gɔme, gake wonɔa anyi abe gaƒoƒo 12 ene. Atike siwo wozãna wu siwo kekea aɖuɖɔtoewo ɖe enu siwo wɔa dɔ ɣeyiɣi didi enye Salmeterol, Formoterol, kple Vilanterol.

Woyɔa aɖuɖɔtoe kekeɖenudɔ ƒomevi bubu si wɔa dɔ ɣeyiɣi didi be anticholinergic. Esiawo hã li abe atike siwo wɔa dɔ kpuie (e.g., ipratropium) kple esiwo wɔa dɔ ɣeyiɣi didi (e.g., tiotropium, umeclidinium, aclidinium) ene.

Steroid-tikewo

Steroid wɔa dɔ to wò yaƒoƒomɔ̃wo ƒe dɔdzẽ (ʋuʋudedi) dzi ɖeɖe kpɔtɔ me. Zi geɖe la, wonaa atike siawo abe atike si wogbɔna ene. Gake ne wò aɖuɖɔtoe me ʋuʋu sesẽ la, woate ŋu ana wo abe atikekuiwo ene alo woado wo ɖe ʋuka me to IV-ka dzi.

Nukae nàte ŋu awɔ le aƒeme ne `(Bronchospasm)` le ŋuwò?

Le nyateƒe me la, aƒeme atike aɖeke koŋ meli si ate ŋu atɔ te aɖuɖɔtoemeʋuʋu ne enya dze egɔme ko o. Ahiã godoo be nàzã atike si kekea aɖuɖɔtoewo ɖe enu si wɔa dɔ kpuie (e.g. atike si wogbɔna) be wòaɖe wò dzesiwo dzi akpɔtɔ.

Ne ɖɔkta kpɔe va yi be `(Bronchospasm)` le ŋuwò la, ele be `(Bronchodilator)` nanɔ ŋuwò xoxo. Ke hã, ne esiae nye wò nuteƒekpɔkpɔ gbãtɔ, eye `(Bronchodilator)` mele asiwò o la, anyo wu be nàyi kɔdzi si te ɖe ŋuwò enumake aɖadi atike.

Eŋutinunyala aɖewo gblɔ be gbɔgbɔtsixe ƒe kamedede ate ŋu aɖe aɖuɖɔtoemeʋuʋu ƒe afɔkua dzi akpɔtɔ. Ke hã, wogale esia srɔ̃m kokoko, eyata kpeɖodzi geɖe hiã. Gake kamedede siawo madzudzɔ aɖuɖɔtoe me ʋuʋu ne enya dze egɔme ko o. Ne aɖuɖɔtoe me ʋuʋu enuenu la, ƒo nu kple wò ɖɔkta tso alesi nàkpɔ egbɔe ŋu.

Ðe woate ŋu axe mɔ ɖe aɖuɖɔtoe me ʋuʋu nua?

Manya wɔ be woaxe mɔ ɖe aɖuɖɔtoe me ʋuʋu nu keŋkeŋ o. Ke hã, nu aɖewo li nàte ŋu awɔ atsɔ aɖe wò afɔkua dzi akpɔtɔ. Le kpɔɖeŋu me:

• No tsi geɖe. Ana ʋuʋudedi si le wò akɔta la naɖiɖi eye wòana gbɔgbɔ nanɔ bɔbɔe.
• Ƒo asa na atamanono kple vaping keŋkeŋ.
• Do dzo hafi nàde kame.
• Ne nulɔdɔwo le ŋuwò la, ke seɖoƒe na nusiwo le abe aŋɔ ene zazã.
• Ðe kamedede dzi kpɔtɔ le teƒe siwo vuvɔ le.
• Na wò atikewo nava ɖe game dzi, vevietɔ ne èxɔ wu ƒe 65. (e.g. aklãdɔlékuiwutike, dzamezã ƒe atike)

Nukae wòle be amesi ŋu `(Bronchospasm)` le nakpɔ mɔ na?

Ne ɖɔkta kpɔe be aɖuɖɔtoe me ʋuʋu le ŋuwò la, anɔ eme be aŋlɔ atike si kekea aɖuɖɔtoewo me (xɔnametike) si wɔa dɔ kpuie na wò be nàzã le nɔnɔme kpata aɖe me. Woate ŋu aŋlɔ atike si kekea aɖuɖɔtoewo ɖe enu si wɔa dɔ ɣeyiɣi didi hã be wòakpe ɖe ame ŋu be wòaɖe afɔku si le aɖuɖɔtoe me ʋuʋu le etsɔme ŋu dzi akpɔtɔ.

Zi geɖe la, aɖuɖɔtoe me ʋuʋu nɔa anyi abe ŋkeke 7 va ɖo 14 ene. Le ɣeyiɣi sia me la, wò ɖɔkta ana atike wò be wòaɖu wò dzesiwo dzi.

Ðe Bronchospasm ate ŋu ade ame ƒe agbe afɔku mea?

Ne womedae nyuie o la, aɖuɖɔtoe me ʋuʋu sesẽ ate ŋu ade ame ƒe agbe afɔku me. Gake ne wodae kaba la, zi geɖe la, dzesiawo nu tsona le aɖabaƒoƒo ʋɛ aɖewo ko me. Ne èkpɔ aɖuɖɔtoe me ʋuʋu ƒe dzesiwo la, zã wò aɖuɖɔtoe kekeɖenudɔa enumake. Ne atike si kekea aɖuɖɔtoe me mele asiwò o la, ƒo ka na 911 alo yi kɔdzi si te ɖe ŋuwò.

Ɣekaɣie wòle be nàkpɔ ɖɔkta?

Ne `(Bronchospasm)` ƒe dzesi siwo nɔa anyi ɖaa le ŋuwò, alo ne wodo kplamatse wò gbesiagbedɔwo la, yi ɖɔkta gbɔ.

Vevietɔ ne nusiwo gbɔna dometɔ aɖe dzɔ la, ƒo ka na 911 (alo wò nutoa me xexlẽdzesi si kpɔa nudzɔdzɔ kpatawo gbɔ) enumake, alo yi kɔdzi ƒe xɔ si me wowɔa dɔ kpata le si te ɖe ŋuwò me:

• Ne gbɔgbɔ sesẽ ŋutɔ.
• Ne èkɔ ʋu kple ʋuʋudedi.
• Ne akɔta le veve sem ne èle gbɔgbɔm.
• Ne èse le ɖokuiwò me be yeƒe ta le ƒoƒom alo yeƒe tagbɔ le gbegblẽm.

## Nu Vevi Siwo Dzi Nàɖo Ðo (Take-Home Message)

Bronchospasm nye dɔléle si woate ŋu ada. Ke hã, ate ŋu ado vɔvɔ̃ na ame ŋutɔ be woato eme.

Ðo ŋku edzi be menye wò ɖeka koe o. Míate ŋu akpe ɖe ŋuwò nàkpɔ nɔnɔme sia gbɔ.

• Ne gbɔgbɔtsixetsixe aɖe abe asrã alo COPD ene le ŋuwò si ana nànɔ afɔku gã aɖe me be nàxɔ aɖuɖɔtoemedɔ la, ƒo nu tso eŋu na wò ɖɔkta.
• Zã atike siwo wò ɖɔkta ŋlɔ na wò (vevietɔ atike siwo gbɔa ya) abe alesi wogblɔe ene eye le ɣeyiɣi siwo sɔ me.
• Tsɔ "rescue inhaler" ɖe asi ɣesiaɣi ne nɔnɔme kpata aɖe do mo ɖa. Bia wò ɖɔkta tso mɔ nyuitɔ si dzi nàto azãe ŋu.
• De dzesi nusiwo ate ŋu ahe aɖuɖɔtoe me ʋuʋu vɛ eye nàdze agbagba anɔ adzɔge tso wo gbɔ alesi nàte ŋui.
• Ne gbɔgbɔ sesẽ na wò, akɔta le ƒoƒom, alo ɣlidodo le ɣlidodo me la, mègaŋe aɖaba ƒu edzi o. Di atikewɔlawo ƒe aɖaŋuɖoɖo enumake.

Lé be na wò gbɔgbɔtsixe ƒe lãmesẽ. Ne nane si ŋu nètsi dzi ɖo la, mègahe ɖe megbe le wò ɖɔkta biabia me o.

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