Ðe gbɔgbɔ le fu ɖem na wò hã? Ðe wònye amedzro aɖe si le wò lãkusi mea? Mina míaƒo nu tso Bullous Emphysema ŋu!

Ðe gbɔgbɔtsixe tsia ƒowò vie, wò akɔta tena ɣeaɖewoɣia? Alo ɖe kɔdzidɔ si nu sẽna ɖe edzi le ŋdi me, alo ɖeɖi tea ŋuwòa? Ðewohĩ menye dzamezã ƒe dzesiwo koe esiawo nye o. Woate ŋu anye lãkusidɔ aɖe si woyɔna be Bullous Emphysema , si ŋu wòle be nàtsi dzi ɖo la ƒe dzesiwo. Eyata, mina míaƒo nu tso esia ŋu tsitotsito vie egbea, abe ɖe nèle nu ƒom na xɔ̃wò aɖe ene, enyoa?

Nukae nye Bullous Emphysema?

Kpuie ko la, Bullous Emphysema nye lãkusidɔ ƒomevi aɖe si woyɔna be emphysema . Emphysema dzɔna ne yakotoku suesuesue siwo le wò lãkusi me, siwo woyɔna be alveoli , ƒe gliwo gblẽ. Ðo ŋku edzi be ʋuka siawoe wɔa dɔ vevitɔ kekeake si nye oxygen xɔxɔ kple carbon dioxide dodo ne míele gbɔgbɔm.

Fifia, le bullous emphysema me la, nusi dzɔnae nye be ʋuka mawo ƒe gliwo gblẽna, eye wovuvuna hewɔa yakotoku gãwo abe balloonwo ene. Míeyɔa esiawo be bullae . Bullae siawo ate ŋu alolo wu sentimeta ɖeka.

Ne ƒunukpeƒetetedɔ sia va dzɔ la, edoa kplamatse lãkusia ƒe ŋutete be wòawɔ dɔ nyuie. Eva sesẽna na ʋukawo be woaɖɔli oxygen kple carbon dioxide. Nɔnɔme sia ate ŋu adzɔ le lãkusi ɖeka alo evea siaa me. Gake ne ƒunukpeƒetetedɔ sia va do le lãkusi ɖeka me gɔ̃ hã la, ate ŋu ado kplamatse lãkusi evelia ƒe ŋutete be wòagbɔ ya, si fia be wòagbɔ ya. Ɣeaɖewoɣi la, ne ʋuʋudedi sia lolo ŋutɔ la, lãkusia ate ŋu agbã, si ahe nɔnɔme aɖe si woyɔna be Vanishing Lung Syndrome vɛ . Togbɔ be esia ate ŋu agblẽ nu le lãkusi ŋu tegbee hã la, atikewɔwɔ nyuie ate ŋu aɖu nɔnɔme sia dzi eye wòana wò agbenɔƒe nadzi ɖe edzi.

Amekawoe ate ŋu axɔ nɔnɔme sia wu?

Le nyateƒe me la, amesiame ate ŋu axɔ bullous emphysema, metsɔ le ƒe si wòxɔ, ameƒomevinyenye, alo ŋutsu alo nyɔnu nyenye me o. Gake zi geɖe la, edoa ƒome kple aklãdɔléle si xea mɔ na dɔléle (COPD) , si nye aklãdɔ si atamanono hena vɛ. Azɔ hã, ne domenyiŋusẽfianu ƒe nɔnɔme aɖewo le ŋuwò la, wò afɔkua lolo wu. Le kpɔɖeŋu me:

• Alpha-1 antitrypsin ƒe anyimanɔmanɔ
• Ehlers-Danlos ƒe dɔlélea
• Marfan ƒe dɔlélea

Tsɔ kpe ɖe eŋu la, amesiwo ŋu Amegbetɔ ƒe Dɔlélenutsiŋutete ƒe Dɔlékui (HIV) le hã le afɔku me be woaxɔ bullous emphysema.

Aleke gbegbee esia bɔe? Nukatae esia dzɔna ɖo?

Le xexeame godoo la, wogblɔ be bullous emphysema le ame tsitsi siwo wu 5% kple ame tsitsi siwo xɔ wu ƒe 30 ƒe 12% kple edzivɔ ŋu. Enye nu etɔ̃lia si wua ame le dukɔwo abe United States ene hã me. Eyata, esia menye nusi woabu nu tsɛe o.

Azɔ na míakpɔ nusitae esia dzɔna ɖa.

Nusi koŋ gbɔ bullous emphysema tsonae nye atamanono . Dzoxɔxɔ si nɔa anyi didi si sigaret ƒe dzudzɔ hena vɛ gblẽa nu le wò ʋukawo ƒe gliwo ŋu. Esia wɔnɛ be yakotokuawo lolona, ​​si xea mɔ na oxygen kple carbon dioxide ƒe ʋuʋu.

Tsɔ kpe ɖe atamanono ŋu la, nu bubu aɖewo hã li siwo gbɔ wòtsona:

• Crack cocaine alo marijuana nono.
• Atikewo zazã le ʋuka me.
• Domenyiŋusẽfianu ƒe nɔnɔme siwo míeyɔ va yi hã ate ŋu ana ʋukawo ƒe gliwo nagbɔdzɔ eye woagblẽ, si ana woakpɔ bullous emphysema.

Nukae nye esia ƒe dzesiwo?

Bullous emphysema ƒe dzesi vevitɔ kple esi bɔ wue nye gbɔgbɔtsixetsixe . Esia fia be gbɔgbɔtsixe tsia ƒowò, menye ne ɖeɖi te ŋuwò vie, ne èle atrakpui liam ko o, ke ɣeaɖewoɣi ne ètsi tre ɖe teƒe ɖeka ko gɔ̃ hã.

Dzesi bubu siwo bɔ hã li:

• Akɔtave alo akɔta ƒe ʋuʋu ƒe seselelãme.
• Kɔdzidede (zi geɖe la, esia vɔ̃ɖina ɖe edzi le ŋdi me).
• Ðeɖiteameŋu kple ɖeɖiteameŋu ƒe seselelãme ɣesiaɣi (Ðeɖiteameŋu).
• Nuɖuɖua mevivina o.
• Xeɖeɖe.
• Gbɔgbɔtsixe ƒe kuxi.

Gake bullous emphysema ate ŋu anɔ ame aɖewo ŋu gake womeɖea dzesi aɖeke fiana o. Ne bullae-awo lolo ŋutɔ la, míeyɔa wo be giant bullae , ekema dzesiawo ate ŋu asẽ ɖe edzi.

Ne èyi ɖɔkta gbɔ la, adi dzesiwo abe esiawo ene esime wòle wò dom kpɔ:

• Aɖaka si le abe ʋuƒo ene.
• Asibidɛ siwo wotsɔ lãgbalẽ wɔe.
• Wò dzi ƒe tsotso sesĩe le aklã me ʋusɔgbɔdɔ ta.
• Ʋuʋudedi (Edema).
• Ʋuʋudedi.

Aleke tututu nèwɔ de dzesi esia?

Wò ɖɔkta abia wò gbã tso wò dzesiwo, wò lãmesẽ ŋutinya, kple nenye be wò ƒomea me tɔ aɖe to nɔnɔme sia tɔgbe me kpɔ. Emegbe woawɔ ŋutilãmedɔdada.

Ne wosusu be bullous emphysema le ame ŋu la, wò ɖɔkta aɖe gbe be woado aklã ƒe dɔwɔwɔ kpɔ (PFT) . Dodokpɔ siawo léa ŋku ɖe alesi wò lãkusiwo le ya ʋuʋum nyuie kple nenye be bullaeawo le mɔ xem na ya ƒe sisi hã.

Abe dodokpɔ siawo ƒe akpa aɖe ene la, spirometryÀte ŋu adoe kpɔ. Esia bia be nàgbɔ ya to mɔ̃ aɖe me ayi mɔ̃ (spirometer) me. Esia dzidzea ya agbɔsɔsɔme si gena ɖe wò lãkusi me hedona le eme ne èle gbɔgbɔm hele dodom.

Tsɔ kpe ɖe eŋu la, wò ɖɔkta ate ŋu aɖo aɖaŋu be nàwɔ nɔnɔmetatawo dodokpɔ atsɔ akpɔe ɖa be ʋuka siwo lolo alo gblẽ hã. Esiawo ate ŋu anye:

• Akɔta ƒe X-ray: Esia ate ŋu akpe ɖe ŋuwò nànya ne bullae aɖewo li kple afisi wole le lãkusi me.
• CT scan: Esia ate ŋu akpe ɖe ŋuwò nànya afisi tututu ʋukaa le, eƒe xexlẽme, kple eƒe lolome.

Woate ŋu aɖo aɖaŋu be woawɔ dodokpɔ bubuwo, le kpɔɖeŋu me:

• Ʋudodokpɔ: Kpɔe ɖa be ya si woyɔna be carbon dioxide ƒo ƒu ɖe lãkusiwo me, si wɔnɛ be ʋua nazu acid (woyɔa esia be respiratory acidosis ), alo oxygen ƒe agbɔsɔsɔ si mede o hã.
• Ʋu ƒe xexlẽme bliboa (CBC): Eléa ŋku ɖe ʋumenugbagbeviɣidɔ ƒe agbɔsɔsɔ si le ʋɛ ŋu hã.
• Electrocardiogram (EKG): Be woalé ŋku ɖe dzi ƒe ŋusẽkpɔɖeamedzi ɖesiaɖe si aɖuɖɔtoedɔléle hena vɛ ŋu, abe ɖusime ʋuka ƒe dzidziɖedzi alo ɖusime ʋuka ƒe lolome ene .

Wò ɖɔkta ate ŋu akpɔe ɖa hã be Alpha-1 antitrypsin ƒe anyimanɔmanɔ le ŋuwò to ʋudodokpɔ me.

Ðe atike blibo aɖe li na esia?

Nublanuitɔe la, atike aɖeke meli na bullous emphysema o. Esia fia be ne enya tsi ko la, womate ŋu atrɔe o. Gake mègatsi dzi o! Dɔdamɔnu aɖewo li siwo ate ŋu akpe ɖe ŋuwò nànɔ agbe kple dzesiawo eye woaxe mɔ na dɔlélea be wòagagblẽ ɖe edzi o.

Eyata nukawoe nye atikewɔmɔnuawo?

Be wòakpe ɖe ŋuwò nàɖu wò dzesiwo dzi la, wò ɖɔkta ate ŋu aŋlɔ atike siwo woyɔna be aɖuɖɔtoe kekeɖenudɔlékuiwo na wò . Zi geɖe la, wogbɔa nusiawo to yagbɔgbɔmɔ̃ dzi . Aɖuɖɔtoe kekeɖenudɔlékuiwo wɔa dɔ to lãmeka siwo le wò yaƒoƒomɔ̃wo me ƒe ɖiɖiɖeme me, si wɔnɛ be ya nate ŋu age ɖe wò lãkusiwo me bɔbɔe, eye wòɖea gbɔgbɔtsixetsixe dzi kpɔtɔna.

Bu eŋu kpɔ, atike siawo wɔa dɔ abe mɔ si dzi amewo sɔ gbɔ ɖo keke vie ene, si wɔnɛ be ʋuwo te ŋu toa eme bɔbɔe.

Ne dzesi sesẽwo le ŋuwò alo aɖuɖɔtoedɔ le ŋuwò la, woate ŋu ana dɔlékuiwutikewo alo corticosteroids hã wò hena ɣeyiɣi kpui aɖe.

Ne oxygen ƒe agbɔsɔsɔ si le asiwò mesɔ gbɔ o la, wò ɖɔkta ate ŋu aɖo aɖaŋu be nàzã oxygen kpeɖeŋutɔ , si bia be nàna oxygen bubu wò ŋutilã to mɔ̃ si wotsɔ de wò ŋɔti me alo ametakpɔnu si woda ɖe wò mo dzi.

Ɣeaɖewoɣi, vevietɔ ne ègblɔ nya maNe bullae gãwo li, ne gbɔgbɔ sesẽa nu sẽ ŋutɔ, alo ne kuxi bubuwo le dɔléle sia ta, le kpɔɖeŋu me:

• Aɖuɖɔtoe si mu (Pneumothorax) .
• Ʋu ƒe kɔdzidede (Hemoptysis) .
• Aklãdɔlélewo

Ne nu siawo tɔgbi dzɔ la, ɖewohĩ ahiã be woawɔ dɔ na wò.

Amekoko ƒomevi siwo wowɔna na bullous emphysema:

• Bullectomy: Le dɔ sia wɔwɔ me la, amekolaa ɖea bulla (ya kotoku) le wò lãkusi me. Woateŋu awɔ esia abe amekoko si wowɔ le gaglãgbe (Thoracotomy) alo abe dɔwɔwɔ si me womewɔa nu boo aɖeke le o ene (Video-assisted thoracic surgery - VATS).
• Bronchoscopic lung volume reduction (BLVR): Le dɔ sia si me womewɔa nu boo aɖeke le o me la, amekolaa dea ʋuƒo aɖe wò lãkusi me eye wòɖonɛ koŋ ɖea lãkusia ƒe akpa aɖe dzi kpɔtɔna.
• Aɖuɖɔtoe ƒe lolome dzi ɖeɖe kpɔtɔ ƒe amekoko (LVRS): Le esia me la, amekolaa ɖea lãkusi siwo gblẽ la ɖa ale be lãkusi susɔeawo nate ŋu awɔ dɔ nyuie wu.

Ne atikewɔwɔ siawo dometɔ aɖeke mewɔ dɔ o, eye ne esɔ la, wò ɖɔkta ate ŋu aɖo wò be woado wò lãkusi na ame .

Aleke woate ŋu aɖe afɔku sia dzi akpɔtɔ?

Nu nyuitɔ si nàte ŋu awɔ be nàɖe afɔku si le bullous emphysema xɔxɔ me dzi akpɔtɔe nye be màno atama o, alo ne ènoa atama la, nàdzudzɔ. Ðo dze kple wò ɖɔkta tso mɔ siwo dzi wòato akpe ɖe ŋuwò nàdzudzɔ atamanono ŋu. Míenya be mele bɔbɔe o, gake eɖea vi na wò lãkusi ƒe lãmesẽ.

Nukae wòle be nàkpɔ mɔ na ne èle agbe kple nɔnɔme sia?

Bullous emphysema nye lãmesẽkuxi si nɔa ame ƒe agbemeŋkekewo katã me. Esia fia be ne wò lãkusiwo nya gblẽ ko la, womahaya keŋkeŋ gbeɖe o. Gake zi alesi nèdze atikewɔwɔ gɔme kaba la, zi nenemae wòate ŋu atɔ te nɔnɔmea be wòagagblẽ ɖe edzi o. Eyata ele vevie be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo kaba ne dzesiwo le ŋuwò.

Aleke malé be na ɖokuinye?

Àte ŋu akpɔ wò dzesiwo gbɔ eye nànɔ agbe nyuie. Atike nyuitɔ didi na wò ate ŋu ana wò agbenɔnɔ nanyo ɖe edzi ŋutɔ.

Ele vevie hã be nànɔ lãmesẽ me eye nàƒo asa na lãmesẽkuxi sesẽwo. Eyata, ƒo nu kple wò ɖɔkta tso atike ƒomevi siwo nàhiã ŋu, abe dzamezã ƒe atike, COVID ƒe atike, kple Pneumococcus ƒe atike ene .

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne ède dzesi bullous emphysema ƒe dzesi aɖewo, alo ne dzesi yeyewo dze le ŋuwò la, kpɔ egbɔ be yeyi ɖɔkta gbɔ.

Ne dzesi siwo gbɔna le ŋuwò la, ele vevie be nàyi atikewɔƒe enumake:

• Amadede blɔ alo aŋutiɖiɖi na wò nuyiwo alo asibidɛwo (cyanosis).
• Esesẽna be woanɔ ŋudzɔ le susu me.
• Gbɔgbɔ sesẽ si le dzidzim ɖe edzi.
• Dzi ƒe tsotso kabakaba (Tachycardia).

Gbɔgbɔtsixe ate ŋu anye nusi dzi ŋɔ. Ne bullous emphysema le ŋuwò la, àte ŋu ase le ɖokuiwò me abe ɖe nèle agbagba dzem ɣesiaɣi be yeagbɔ ene. Ðo ŋku edzi be atamanono koŋue gbɔ wòtsona. Azɔ hã, domenyiŋusẽfianu aɖewo ate ŋu ana wò afɔkua nadzi ɖe edzi. Atamanono dzudzɔ nye nu nyuitɔ kekeake si nàte ŋu awɔ be bullous emphysema nagagblẽ o. Wò ɖɔkta ate ŋu aɖo aɖaŋu le atikewɔmɔnu siwo ate ŋu akpe ɖe ŋuwò nàgbɔ ya bɔbɔe eye wòana wò gbesiagbegbenɔnɔ nanyo ɖe edzi.

Ðo ŋku nu vevitɔ kekeake dzi (Take-Home Message) .

Enyo, eyata nu vevi siwo ŋu míeƒo nu tsoe egbea dometɔ aɖewoe nye esi be wòakpe ɖe ŋuwò nàɖo ŋku edzi:

• Bullous emphysema nye nɔnɔme si me ya kotoku siwo le lãkusi me gblẽna eye ya kotoku gãwo (bullae) dzɔna.
• Sigaretnono koŋue hea esia vɛ, eyata ele vevie ŋutɔ be woaƒo asa na atamanono.
• Ne dzesiwo abe gbɔgbɔ sesẽ, kɔdzidede atraɖii, alo akɔtave le ŋuwò ene la, kpɔ egbɔ be yedi atikewɔlawo ƒe aɖaŋuɖoɖo.
• Togbɔ be womekpɔ atike na esia bliboe o hã la, atikewɔmɔnu nyui aɖewo li siwo dzi woato aɖu dzesiawo dzi ahaxe mɔ na dɔlélea be wòagagblẽ ɖe edzi o.
• Ne èkpɔ dɔlélea kaba eye nèdae la, ate ŋu ana wò agbenɔnɔ nanyo ɖe edzi.

Eyata ne dzesi siawo le wò alo ame aɖe si nènya ŋu la, mègatsi dzodzodzoe eye nàyi ɖɔkta gbɔ aɖaɖo aɖaŋu na wò o. Nɔ lãmesẽ me!

` Bullous emphysema, lãkusidɔ, gbɔgbɔtsixetsixe, atamanono, COPD, bullae, alveoli