Ðe nusia dzɔ ɖe dziwò kpɔa? Èɖu dzamezã dzi eye wò lãme sẽ, gake ɖeko wò kɔdzidɔa madzudzɔ o. Kwasiɖa geɖee nye esia nèle kɔdzi ƒom. Ɣeaɖewoɣi la, èfɔna le kpekpe vevi aɖe titina alo le zã si me tomefafa le me eye nèdzea kɔdzidede gɔme. Esia doa dziku ŋutɔŋutɔ eye meɖea dzi ɖi o. Togbɔ be kɔdzi nye ametakpɔnu le míaƒe ŋutilã me hã la, mesɔ be wòayi edzi alea o. Egbea, míaƒo nu tso kɔdziyiyi sia si nɔa anyi ɖaa, alo nusi míeyɔna le atikewɔwɔ me be ‘Kɔdzidɔ si nɔa anyi didi’ ŋu.
Nukae nye kɔdzidɔ sia si nɔa anyi didi?
Kpuie ko la, kɔdzidɔ si nɔa anyi didi nye kɔdzidɔ si nɔa anyi wu kwasiɖa 8 le ame tsitsi me eye wòxɔa wu kwasiɖa 4 le ɖevi gome . Le nyateƒe me la, kɔdzidɔ nye nu nyui aɖe. Ekpena ɖe mía ŋu míeɖea ke kple dɔlékui siwo gena ɖe míaƒe gbɔgbɔtsixe me. Amesiame kɔa akɔta ɣeaɖewoɣi. Gake zi geɖe la, kɔdzidɔ si nɔa anyi didi abe esia ene nyea lãmesẽkuxi bubu si le ete ƒe dzesi. Esia koŋ tae amewo yia ɖɔkta gbɔ ɖo.
Eyata menyo be míaŋe aɖaba aƒu esia dzi o. Kɔdzidede enuenu tea ɖeɖi ame ŋu ŋutɔ. Azɔ hã, ena wòsesẽna be woazɔ le dutoƒo, eye ame aɖe abia eɖokui be, "Ɣekaɣie kɔdzidɔ sia agatrɔ ava?" Eyata ele vevie ŋutɔ be nàdi nusi gbɔ esia tso ahakpɔ egbɔ nyuie.
Dzesi bubu siwo bɔ siwo kpena ɖe kɔdzi ŋu
Le nusi gbɔ wò kɔdzidede atraɖii tso nu la, dzesi bubuwo ate ŋu ado mo ɖa kpe ɖe kɔdzidɔa ŋu. Kpɔ kplɔ̃ si le ete la ɖa be esiawo dometɔ aɖe le asiwò hã.
| Dzesi si dzena | Nuɖᴐɖᴐ |
|---|---|
| Asrã | Ŋutilã ƒe dzoxɔxɔ si dzi ɖe edzi. |
| Dzimeveve | Dzoxɔxɔ si tsoa dɔgbo me acid si gena ɖe ŋɔti me gbɔ. |
| Akɔtave | Vevesese ne èle kɔdzi alo le dɔ siwo sɔ me. |
| Gbe ƒe ɖiɖi | Gbe ƒe tɔtrɔ, gbeɖiɖi ƒe ɖiɖi. |
| Yagbɔgbɔ sesẽ | Gbɔgbɔtsixetsixe alo gbɔgbɔ sesẽ. |
| No me si le sisim alo le ʋuʋum | No me vevesese, abe dzamezã ene. |
| Kɔ me ʋuʋu enuenu | Kɔ me ʋuʋu enuenu elabena ewɔna na ame abe nane tsi ŋɔti me ene. |
Nukawo koŋ gbɔe kɔdzidɔ sia si nɔa anyi ɖaa tsona?
"Fɔɖila" vevi ʋee aɖewo li siwo ateŋu ahe kɔdzidɔ si nɔa anyi didi vɛ. Le ɣeyiɣi 90% me la, nusi gbɔ wòtso ate ŋu anye etɔ̃ siawo dometɔ ɖeka alo esi wu nenema.
| Susu vevitɔ si tae | Numeɖeɖe bɔbɔe aɖe |
|---|---|
| Asrãdɔ | Nusi gbɔ kɔdzidɔ si nɔa anyi didi tsona wu. Ɣeaɖewoɣi la, ya fafɛ/ƒuƒu, ke, dzudzɔ, kple bubuawo me nɔnɔ ate ŋu ana kɔdzidɔa nagasẽ ɖe edzi. |
| Postnosal tsidzadza | Wogayɔa esia be ‘Upper Airway Cough Syndrome (UACS). Kpuie ko la, esiae nye ʋuʋudedi si ƒoa ƒu tso ŋɔti me yia ŋɔti me . Nulɔdɔwo nana ʋuʋudedi si sɔ gbɔ ɖe ŋɔti me, si zɔna yia ŋɔti me eye wòdoa dziku na yaƒoƒomɔ̃wo kple lãkusiwo, si wɔnɛ be ame nɔa kɔdzi. |
| GERD (Dɔléle si Naa Dɔgbomenuwo Trɔna) . | Esiae nye esime dɔgbo me acid gatrɔna yia dzi yia nuɖuɖutome. Aɖi siawo fiãa ŋɔti ƒe lãkusi siwo le tsɛ, si ate ŋu ana ame nakɔ akɔta. |
| Aɖuɖɔtoedɔléle bubuwo | Aɖuɖɔtoedɔléle bubuwo abe aɖuɖɔtoedɔ, COPD, kple aklãdɔ ene hã ate ŋu ana ame nakɔ akɔta ɣeyiɣi didi. |
Susu bubuwo tae
Tsɔ kpe ɖe nu vevi siwo gbɔ wòtsona le etame ŋu la, nu bubu geɖewo hã ate ŋu ahe kɔdzidɔ atraɖii vɛ.
- Ʋusɔgbɔdɔtike aɖewo: Ame aɖewo siwo noa atike aɖewo, vevietɔ esiwo woyɔna be ACE inhibitors, ate ŋu axɔ kɔdzi ƒuƒu. Gake ɖo ŋku edzi be mègadzudzɔ atike siawo nono wò ɖɔkta ƒe aɖaŋuɖoɖo manɔmee o.
- Nulɔdɔwo: Nulɔdɔwo abe ke, aŋɔ, kple bubuawo ene.
- Dzi ƒe Dɔmawɔmawɔ nyuie: Kɔdzi ate ŋu adzɔ le dzi ƒe dɔmawɔmawɔ nyuie hã ta.
- Sigaretnono: Mewɔ nuku o be atamanolawo va xɔa kɔdzidɔ si nɔa anyi didi si woyɔna be "atamanolawo ƒe kɔdzi."
- Yagbɔgbɔdɔlélewo: Dɔlékuiwo abe kɔdzidɔ ene ate ŋu ana kɔdzidɔa nanɔ anyi kwasiɖa geɖe le eƒe hayahaya megbe.
Ɣeaɖewoɣi la, togbɔ be wodoe kpɔ hã la, womate ŋu akpɔ nusi gbɔ kɔdzidɔ tso o. Le nɔnɔme mawo me la, ɖɔktawo yɔa nɔnɔme sia be "Chronic Refractory Cough."
Aleke wowɔa nu ɖe esia ŋui?
Nu vevitɔe nye be atikewɔwɔ nɔ te ɖe nusi gbɔ kɔdzidɔa tso dzi. Esia fia be ele vevie wu be woada nɔnɔme si gbɔ wòtso si le kɔdzidɔa hem vɛ wu be woano atike si xea mɔ na kɔdzidɔa.
Wò ɖɔkta ana atikewɔwɔ ƒe ɖoɖo si sɔ na wò. Esia bia be woazã atikewo kple agbenɔnɔ ƒe tɔtrɔ ɖekae.
Atike ƒomeviwo
- Le GERD gome la: Tsɔ atikewo abe `(antacids)`, `(H2 blockers)`, alo `(PPIs)` ɖu dɔgbo me acid dzi.
- Le dɔlékuiwo ƒe dɔlélewo gome la: `(Dɔlékuiwutikewo)`.
- Le nulɔdɔwo kple aɖuɖɔtoedɔléle gome la: Atike siwo wua aɖuɖɔtoewo kple atike siwo wotsɔna ƒua gbe ɖe ŋɔti me.
- Be woaɖe ʋuʋudedi ɖa: Atikewo abe ``Expectorants`` siwo naa ʋuʋudedi la le sue eye wokpena ɖe eŋu wòdona bɔbɔe.
- Be nàɖe abi dzi akpɔtɔ: Le nɔnɔmewo abe asrã ene me la, tsɔ steroid alo aɖuɖɔtoekeketike siwo wogbɔna ɖe yaƒoƒomɔ̃wo ƒe vuvu dzi kpɔtɔ.
Vevietɔ ŋutɔ:Mègana kɔdzidɔtike siwo womeƒlena le atikedzraƒe o ɖevi siwo mexɔ ƒe 6 haɖe o ɖeviwo ƒe dɔdala kafukafu manɔmee o.
Agbenɔnɔ ƒe tɔtrɔ
Togbɔ be nusiawo adze abe nu bɔbɔe ŋutɔ ene hã la, wokpena ɖe ame ŋu ŋutɔ le kɔdziɖuɖu dzi ɖuɖu me.
- Dɔ alɔ̃ nyuie .
- Ƒo nuɖuɖu si da sɔ .
- No tsi geɖe.
- Ne èsusu be GERD le ye ŋu la, mlɔ abatia ƒe ta ɖe dzi vie .
- Ƒo nu tso nusiwo hea wò kɔdzidɔ vɛ ŋu na wò ɖɔkta (e.g., dzudzɔ, ʋeʋẽ sesẽwo, nuɖuɖu aɖewo), eye emegbe nàwɔ ɖoɖo be yeaƒo asa na wo.
Nukae dzɔna ne womewɔ atike nɛ o?
Kɔdziyiyi atraɖii ate ŋu ana ame nazu alɔ̃madɔmadɔ. Ðeɖiteameŋu kple nuteɖeamedzi si wòhena vɛ ate ŋu akpɔ ŋusẽ ɖe wò ŋkeke bliboa dzi. Àte ŋu ava zu ame si ɖea eɖokui ɖa le hadome hã le ŋukpe si wònyena be nànɔ kɔdzidede ɣesiaɣi ta.
Le nɔnɔme sesẽ aɖewo me la, kɔdzi ate ŋu ana:
- Ʋu si le dodom le ŋkume
- Akɔta ƒe gbagbã
- Taɖuame kple taɖuame
- Hernia ƒe ʋuʋu
- Tsinyegoe dzi ɖuɖu ƒe anyimanɔmanɔ (aɖuɖɔ sue aɖe si dona ne wole kɔdzim) .
- Akɔta kple ƒodo ƒe lãmekawo ƒe vevesese
Ɣekaɣie wòle be nàkpɔ ɖɔkta?
Se bɔbɔetɔ kekeakee nye be, ne èxɔ kɔdzi wu ŋkeke 10, eye mènya nusi tututu gbɔ wòtso o la, ele be nàkpɔ wò ɖɔkta godoo.
Gawu la, ne nuxlɔ̃amedzesi siwo gbɔna dometɔ aɖe le ŋuwò , di atikewɔlawo ƒe aɖaŋuɖoɖo enumake. Ne ehiã la, yi kɔdzi si te ɖe ŋuwò ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU).
| Nuxlɔ̃amedzesi siwo hiã be woakpɔ egbɔ enumake | |
|---|---|
| Ʋu ƒe kɔdzidede | Ʋu si me ʋu le alo ʋu dzĩ dzẽ si wotsaka kple ʋuʋudedi. |
| Fifia si gbɔ eme le zã me | Fifia ale gbegbe be abadzivɔwo tsina. |
| Gbe ƒe ɖiɖi si me nyona ɖe edzi o | Gbea ƒe ɖiɖi meɖe kpɔtɔ kwasiɖa geɖe o. |
| Yagbɔgbɔ sesẽ | Gbɔgbɔ kpui alo gbɔgbɔ kabakaba. |
| Nu mimi sesẽ | Vevesese alo lãmetutudɔ ne èle nuɖuɖu alo nunono mimi. |
| Kpekpeme dzi ɖeɖe kpɔtɔ si womeɖe o | Lolo dzi ɖeɖe kpɔtɔ màdze agbagba o. |
| Ʋuʋudedi | Gbeɖiɖi si ɖina le akɔta ne wole gbɔgbɔm. |
Kɔdzidede atraɖii menye nusi me wòle be nàto o. Dɔdamɔnu aɖewo li siwo ate ŋu akpe ɖe ame ŋu. Dɔlélea didi nyuie nye afɔɖeɖe gbãtɔ le mɔzɔzɔ sia me. Eyata mègahe ɖe megbe eye nàkpɔ wò ɖɔkta o.
Gbedasi si Wotsɔ Yi Aƒeme
- Woyɔa kɔdzi si nɔa anyi wu kwasiɖa 8 le ame tsitsi me alo kwasiɖa 4 le ɖevi me be ‘Kɔdzi si nɔa anyi didi’. Mègaŋe aɖaba ƒu esia dzi gbeɖe o.
- Nusiwo gbɔ esia tsona wue nye nɔnɔmewo abe asrã, ŋɔti me tsi si le dodom le no me megbe, kple dɔgbo me tsi ƒe sisi ƒe dɔléle (GERD).
- Atikewɔwɔ nɔ te ɖe nusi gbɔ kɔdzidɔa tso dzi, eyata ele vevie ŋutɔ be woakpɔ dɔlélea nyuie.
- Ne èkpɔ nuxlɔ̃amedzesiwo abe ʋu ƒe kɔdzi, gbɔgbɔ sesẽ, alo lolo dzi ɖeɖe kpɔtɔ ene la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake.
- Ƒo nu kple wò ɖɔkta eye nàxɔ atikewɔwɔ ƒe ɖoɖo nyuitɔ kekeake kple aɖaŋuɖoɖo nyuitɔ kekeake na wò.
👩🏽 ⚕️ Nyabiase bubuwo (FAQs)
💬 Dɔléle ka ŋue wozãa Timolol (Timolol Systemic / Blocadren) ƒe atikekuiwo na?
Togbɔ be wonyae nyuie wu ɖe eƒe ŋkumeɖonu na ŋkudɔ/ŋku ƒe nyaƒoɖeamenu ta hã la, ‘atikekui’ siae nye (Non-selective Beta-blocker) atike ƒomevi si ŋu ŋusẽ le wu le xexeame! Ðɔktawo zãnɛ tsɔ xea mɔ na ‘Ʋuʋudedi’, taɖuame sesẽ, eye wòɖea afɔku si le ku me zi evelia le agbetsitsi le ‘Dzidɔ’ me dzi kpɔtɔna 100%.
💬 Aleke nàwɔ axe mɔ na ɖokuiwò be dzidɔ/taɖuame bubu nagadze dziwò le atikekui dziŋɔ sia (Timolol) nono vɔ megbe?
Wò dzi kple ʋuka siwo le wò ta me ƒe ʋuʋu trɔna le gbedasi si nye ‘Adrenaline (Epinephrine) ta. Ne atikekui sia nya ge ɖe ŋutilã me ko la, woxea agbo siwo katã le dzia me (Beta-1) kple ʋukawo/aɖuɖɔtoewo (Beta-2) me/tu 100% eye wotua wo sesẽe (Non-selective). Esi wònye be mɔ aɖeke meli si dzi gbedasia ato ato o ta la, ɖeko dzia ƒe zɔzɔ dzi ɖena kpɔtɔna, eye ʋuka siwo le ahɔhɔ̃a me dzudzɔa keke madzemadzee, si wɔnɛ be taɖuame/dzidɔ ƒe afɔkua ɖa.
💬 Nukatae wogblɔ be mele be woadzudzɔ atike sia (Timolol) nono kpata o? Nukae nye Black Box ƒe Nuxlɔ̃amewo?
Ne èno atikekui sia ɣleti geɖe eye nèŋlɔe be alo ‘dzudzɔe zi ɖeka’ la, adrenaline-xɔla mawo katã siwo xe mɔ na wo la aʋu zi ɖeka le mɔ si dzi womate ŋu aɖu o nu! Emegbe le aɖabaƒoƒo ʋɛ aɖewo ko me la, dzidɔ sesẽ aɖe adze dziwò eye wò dzi atɔ (Myocardial Infarction / Sudden Death) si wua ame ale gbegbe be àte ŋu aku! Azɔ hã, esi wònye be esia hã xea mɔ na lãkusiwo ta la, ne èna esia amesiwo ŋu ‘Asrã’ le la, woate ŋu agbɔdzɔ eye woaku (wode se ɖe ahanono nu!).
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