Ðe wòsesẽna na wò ɣeaɖewoɣi be nàgbɔ ya? Ðe atrakpui aɖe lialia alo azɔlizɔzɔ didi kpui aɖe gɔ̃ hã nana nèsena le ɖokuiwò me be ya le ye ƒom? Ðe nèle avu wɔm kple kɔdzidɔ si nu metsina oa? Esiawo ate ŋu anye lãkusidɔ aɖe si woyɔna be emphysema, si ŋu míele nu ƒom tsoe egbea, ƒe dzesiwo. Taflatse mègatsi dzodzodzoe o; mina míazɔ to esia me ɖekae.
Nukae nye Emphysema? Gɔmeɖosewo Gɔmesese
Kpuie ko la, yaƒoƒo nye dɔléle si tsoa ya kotoku suesuesue siwo le wò lãkusi me, siwo woyɔna be alveoli, ƒe gbegblẽ gbɔ. Ʋuka siawo ƒe dɔe nye be woatsɔ oxygen tso ya me ayi wò ʋu me esime wole carbon dioxide ɖem ɖa. Bu wò lãkusiwo ŋu abe bubble wrap ene; ʋukawoe nye kuɖɔ sue mawo. Wo dometɔ siwo ade miliɔn 300 ye le lãkusi siwo le lãmesẽ me me.
Le yaƒoƒo me la, ʋuka siawo ƒe gliwo gbɔdzɔna eye wogbãna mlɔeba. Le esi teƒe be kuɖɔ suesuesue geɖe nanɔ asiwò la, ya kotoku siwo lolo wu siwo mewɔ ɖeka kple ɖoɖo o la va nɔa asiwò. Esia ɖea anyigba ƒe lolome si li be woatsɔ aɖɔli ɔksidzin dzi kpɔtɔna ŋutɔ. Gakpe ɖe eŋu la, ya ate ŋu atɔ ɖe wò lãkusi me, si ana gbɔgbɔ nasesẽ na wò eye gbɔgbɔtsixe natsi wò. Ame aɖewo ateŋu adze "barrel-chested" dzedzeme le ya sia si xaxa ta.
Nukawo koŋue hea ya si me ʋu sina tona vɛ?
Zi geɖe la, ame siwo no atama ƒe geɖe la dzie ya sina tona ƒe dɔléle dzɔna. Ke hã, menye atamanono koe gbɔe wòtso o. Nu bubuwoe nye:
- Ya ƒe ɖiƒoƒo le aƒeme alo dɔwɔƒe: Ke, atikewo ƒe dzudzɔ, alo ɖiƒoƒo ya me nɔnɔ ɣeyiɣi didi.
- Domenyiŋusẽfianu : Dɔléle aɖe si mebɔ o si woyɔna be alpha-1 antitrypsin ƒe anyimanɔmanɔ , si ate ŋu ana woaxɔ ʋusɔgbɔdɔ.
- Yagbɔgbɔ ƒe dɔlékuiwo : Aɖuɖɔtoedɔléle enuenu hã ate ŋu awɔ akpa aɖe le nusiwo gblẽ la me.
Ame miliɔn geɖe le fu ɖem le xexea me godoo. Enye nɔnɔme sesẽ aɖe si hiã be woakpɔ egbɔ nyuie.
Vovototo kae le Emphysema kple COPD dome?
Ðewohĩ èse nya si nye COPD kpɔ. COPD (Chronic Obstructive Pulmonary Disease) nye nya si wozãna tsɔ ɖɔa aklãdɔléle siwo le ŋgɔ yim ƒe ƒuƒoƒo aɖe. Emphysema dze le hatsotso sia me, abe alesi Chronic Bronchitis hã le ene. Ðewohĩ asrã ate ŋu anɔ COPD dɔnɔ aɖewo hã ŋu.
Vovototo kae le Emphysema kple Chronic Bronchitis dome?
Wo ame evea siaa nye COPD ƒomeviwo, eye nɔnɔme evea siaa le ame geɖe ŋu le ɣeyiɣi ɖeka me.
- Emphysema: Esia lɔ wò lãkusiwo ƒe gbegblẽ ɖe eme koŋ. Dzesi si ɖe dzesi enye gbɔgbɔ sesẽ .
- Aɖuɖɔtoedɔléle si nɔa anyi didi: Esia bia be wòagblẽ nu le wò yaƒoƒomɔ̃wo ƒe lãkusiwo—nu suesuesue siwo le abe taɖa ene—ŋu. Cilia siawoe ɖea dɔlékuiwo , ke, kple nusiwo doa dziku na ame la ɖa. Dzesi vevitɔe nye kɔdzidɔ si tsea ku si hea ʋuʋudedi ɣi vɛ, si ate ŋu anye ɣi, amadede dzẽ, alo aŋutiɖiɖi.
Nukawoe nye Emphysema ƒe afɔɖeɖewo?
Atikewɔlawo nɔa te ɖe GOLD (Global Initiative for Chronic Obstructive Lung Disease) ƒe dzidzenuwo dzi daa ʋumenugbagbeviɣidɔ ɖe hatsotsowo me tsɔ daa dɔlélea ƒe sesẽme kpɔ.
- Afɔɖeɖe 1 (si mesẽ o): Wò lãkusi ƒe dɔwɔwɔ nye nusi wokpɔ mɔ na le wò ƒexɔxɔ, kɔkɔme, kple ŋutsu alo nyɔnu nyenye nu ƒe 80% ya teti.
- Afɔɖeɖe 2 (Ele titina): Wò lãkusi ƒe dɔwɔwɔ le 50% va ɖo 79% dome.
- Afɔɖeɖe 3 (Esesẽ): Wò lãkusi ƒe dɔwɔwɔ le 30% va ɖo 49% dome.
- Afɔɖeɖe 4 (Esesẽ ŋutɔ): Wò lãkusi ƒe dɔwɔwɔ mede 30% o.
Akpa siawo kpena ɖe wò lãmesẽdɔwɔla ŋu wòtrɔa asi le wò atikewɔwɔ kple agbenɔnɔ dzi kpɔkpɔ ƒe ɖoɖowo ŋu.
Nukae nye mɔkpɔkpɔ na Emphysema dɔnɔ?
Ame ɖesiaɖe to vovo, eye nukpɔsusua nɔ te ɖe ƒe si nèxɔ, afisi dɔlélea le, kple wò atamanono ŋutinya dzi. Atamanono dzudzɔ ate ŋu ana wò agbenɔnɔ nanyo ɖe edzi ŋutɔ, ne wokpɔ dɔlélea le ŋuwò gɔ̃ hã. Togbɔ be dɔlélea bɔ ɖe ame ɖekaɖeka siwo xɔ tso ƒe 50 va ɖo ƒe 70 dzi wu hã la, afɔɖeɖe vevitɔ si nàte ŋu awɔe nye be nàyi ɖɔkta gbɔ kaba ne ède dzesi dzesiwo.
Nukawoe nye Emphysema ƒe dzesi gbãtɔwo?
Le ame geɖe gome la, ne lãkusi ƒe lãkusi ƒe 50% alo esi wu nenema gblẽ ko hafi dzesiawo dzena. Le gɔmedzedzea me la, gbɔgbɔtsixetsixe kple ɖeɖiteameŋu ate ŋu anɔ sesẽm ɖe edzi vivivi.
Dzesi bubuwoe nye:
- "Atamanolawo ƒe kɔdzi" si nɔa anyi ɖaa.
- Ʋuʋudedi ne èle gbɔgbɔm.
- Gbɔgbɔ kpui , vevietɔ le kamedede abe atrakpui lialia ene me.
- Seselelãme si nɔa ame me ɣesiaɣi be ya mele ye si o.
- Akɔta ƒe tete.
- Mucus ƒe dzidziɖedzi.
- Ðeɖiteameŋu si nɔa anyi didi .
- Dzimaɖitsitsi siwo do ƒome kple dzi .
- Alɔ̃dɔdɔ ƒe tɔtɔ.
- Dzitsitsi .
- Teteɖeanyi.
- Kpekpeme dzi ɖeɖe kpɔtɔ si womeɖe o.
Ne ya si me ʋu sina tona le ame ŋu le ŋuwò la, ke èle afɔku gã aɖe me hã be nàxɔ dɔlékuiwo abe aklãdɔ kple aɖuɖɔtoedɔléle ene.
Nukae nye nusi koŋ gbɔ Emphysema tsona?
Sigaretnono koŋue nana ame ƒe lãme gbãna.
Sigaret ƒe dzudzɔ gblẽa lãkusiwo dome eye wòdoa dziku na yaƒoƒomɔ̃wo, si wɔnɛ be dɔdzẽ kple ʋuʋudedi si sɔ gbɔ ɖe eme. Le atamanono megbe la, nu bubuwoe nye gbekui ƒe dzudzɔ, vaping, e-sigaret, sigaret ƒe dzudzɔ, ɖiƒoƒo ya, ke, kple dɔwɔƒewo ƒe atikewo ƒe dzudzɔ.
Ðe Emphysema xɔa ame mea?
Ao, menye dɔléle si xɔa ame me nye emphysema o. Màte ŋu atsɔe ana ame bubu aɖeke o.
Aleke wowɔna dea dzesi Emphysema?
Wò ɖɔkta ate ŋu anya ya si me ʋu sina tona to ŋutilãmedɔdada kple dodokpɔ siwo woawɔ atsɔ anya dɔlélea me. Woatsɔ nuƒomɔ̃ aɖo to wò lãkusiwo; gbeɖiɖi si me do le ne wole akɔta ƒom ate ŋu afia be ya si xaxa. Ne èle agbagba dzem be yeagbɔ la, taflatse yi atikewɔƒe enumake. Ne gbɔgbɔ sesẽ na wò vevie la, taflatse te ɖe dɔwɔƒe siwo kpɔa nudzɔdzɔ kpatawo gbɔ (911) ŋu zi ɖeka.
Dodokpɔ kawoe wozãna tsɔ dea dzesi Emphysema?
Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàwɔ dodokpɔ siwo gbɔna atsɔ akpɔ dɔlélea:
- Akɔta ƒe X-ray: Be nàda wò lãkusi ƒe nɔnɔme kpɔ. Taflatse mide dzesii be ɖewohĩ X-ray makpɔ dɔlélea le eƒe gɔmedzedze o; woɖea vi wu le dɔléle siwo le titina va ɖo esiwo nu sẽ didi me.
- CT scan: Esia naa wò lãkusiwo ƒe nɔnɔmetata tsitotsito le 3D me, si wɔnɛ be nàte ŋu akpɔe nyuie wu X-ray si wozãna ɖaa.
- Aklã ƒe dɔwɔwɔ dodokpɔ (PFT): Dodokpɔ siawo dzidzea alesi wò lãkusiwo gbɔa ya hegbɔa ya nyuie. Esia lɔ Spirometry , si dzidzea ya ƒe sisi kple ya agbɔsɔsɔme si katã wò lãkusi ate ŋu alé ɖe asi koŋ ɖe eme.
- Ʋukawo me Ʋu ƒe Ya (ABG): To ʋu si woɖe tso ʋuka aɖe me me dzodzro me la, dodokpɔ sia dzidzea oxygen kple carbon dioxide ƒe agbɔsɔsɔ. Ne wò ʋumenugbagbeviɣidɔa le sesẽm ɖe edzi la, dodokpɔ sia kpena ɖe ŋuwò nènya ne èhiã ɔksidzin kpeɖeŋutɔ.
- Electrocardiogram (EKG): Esia léa ŋku ɖe wò dzi ƒe dɔwɔwɔ ŋu be yeanya ne wò gbɔgbɔmekuxiwo do ƒome kple dzidɔ aɖe si le eme.
- Ʋu Kple Domenyiŋusẽfianu Dodokpɔ: Wowɔa dodokpɔ siawo tsɔ ɖoa kpe edzi be domenyiŋusẽfianu aɖe li si gbɔ wòtso, abe Alpha-1 antitrypsin ƒe anyimanɔmanɔ ene .
Ðe woate ŋu atrɔ nusiwo ʋuka me ʋu ƒe sisi gblẽna le lãkusi ŋua?
Nublanuitɔe la, womate ŋu atrɔ nusiwo ʋuka me ʋu ƒe sisi hena vɛ la keŋkeŋ o. Gake ne wowɔ atike na wò nyuie la, àte ŋu aɖe dzesiawo dzi akpɔtɔ ŋutɔ, ana wò agbenɔnɔ nanyo ɖe edzi, eye nàxe mɔ ɖe nu bubu siwo agblẽ le wò lãkusiwo ŋu nu.
Aleke wodaa ya si woyɔna be emphysema?
Emphysema nye dɔléle si yia edzi vivivi si ate ŋu agblẽ ɖe edzi le ɣeyiɣi aɖe megbe. Eyata atikewɔwɔ ƒe taɖodzinu vevitɔwoe nye be wòana dɔlélea nayi edzi blewu eye wòana wò lãkusi si le lãmesẽ me si susɔ la nawɔ dɔ geɖe wu. Wotrɔ asi le atikewɔwɔ ƒe mɔnuwo ŋu ɖe alesi wò dɔlélea nu sẽe nu.
Atikewɔwɔ ƒe tiatia ate ŋu anye:
- Atamanono dzi ɖeɖe kpɔtɔ: Ne ènoa atama la, atamanono ɖeɖeɖae nye afɔɖeɖe ɖeka kolia si le vevie wu eye wòwɔa dɔ nyuie wu si nàte ŋu aɖe atsɔ akpɔ ya si me ʋu sina tona dzi. Mia kple wò ɖɔkta miate ŋu awɔ dɔ aduadu akpɔ mɔnu nyuitɔ kekeake si dzi nàto adzudzɔ dɔa.
- Aɖuɖɔtoe kekeɖenudɔlékuiwo: Atike siawo kpena ɖe lãmeka siwo ƒo xlã wò yaƒoƒomɔ̃wo ŋu wòɖea dzi ɖi, si wɔnɛ be ya geɖe gena ɖe wò lãkusiwo me hedoa go. Zi geɖe la, wodoa wo to yagbɔgbɔmɔ̃wo dzi.
- Corticosteroids siwo wogbɔna: Esiawo ɖea dɔdzẽ kple ʋuʋudedi si dona le wò yaƒoƒomɔ̃wo me dzi kpɔtɔna. Ðewohĩ ahiã be nàzã esiawo gbesiagbe atsɔ akpɔ dzesiawo gbɔ.
- Corticosteroids siwo woano: Woŋlɔa esiawo na ame hena ɣeyiɣi kpui aɖe le dɔlélea ƒe ʋuʋu me.
- Dɔlékuiwutikewo: Woŋlɔa wo be woatsɔ ada dɔlékuiwo abe aklãdɔ alo aɖuɖɔtoedɔ ene.
- Atike siwo tsia dzodzodzoetsitsi nu: Wozãnɛ tsɔ ɖea dɔdzẽ si le yaƒoƒomɔ̃wo me dzi kpɔtɔna ɖe edzi.
- Oxygen zazã: Ne wò lãkusiwo mete ŋu tsɔ oxygen si sɔ yi wò ʋu me o (nɔnɔme si woyɔna be hypoxemia ) la, oxygen zazã ate ŋu akpe ɖe ŋuwò. Wotoa mɔ̃ aɖe dzi toa aɖuɖɔtoe alo motsyɔnu dzi tsɔa oxygen naa ame.
- Aklã ƒe Agbɔsɔsɔme Dzi Ðeɖe Akpɔtɔ ƒe Amekoko (LVRS): Le dɔ sia wɔwɔ me la, amekola aɖe ɖea lãkusi siwo gblẽ ƒe akpa suesuesuewo ɖa, si wɔnɛ be lãkusi si susɔ siwo le lãmesẽ me la te ŋu wɔa dɔ nyuie wu. Esia ɖea nyaƒoɖeamenu si le wò gbɔgbɔ ƒe lãmekawo ŋu dzi kpɔtɔna eye wòkpena ɖe ŋuwò be lãkusiwo nate ŋu abla nyuie wu. Dɔwɔwɔ sia mesɔ na amesiame o.
- Bronchoscopic lung volume reduction: Le dɔdamɔnu sia si me womewɔa nu boo aɖeke le o me la, ɖɔkta zãa bronchoscope tsɔ dea mɔ ɖeka dzi ʋukawo me. Valvɔ siawo nana ya si xaxa la dona esime woxea mɔ na ya yeye be wòagage ɖe eme o, si ate ŋu ana gbɔgbɔ nanɔ bɔbɔe ŋutɔ. Esia hã mesɔ na dɔnɔ ɖesiaɖe o.
- Aklã dodo na ame: Ne ʋuka me ʋu ƒe sisi sesẽ le ŋuwò eye atikewɔwɔ bubuwo do kpo nu la, woate ŋu abu lãkusi dodo na ame be woatsɔ aɖɔli lãkusi si gblẽ la atsɔ aɖɔli lãkusi si gblẽ la kple ame si tsɔ dɔa na ƒe lãkusi siwo le lãmesẽ me.
Nukae mate ŋu akpɔ mɔ na ne ʋumenugbagbeviɣidɔ le ŋunye?
Wò nukpɔsusu si anɔ asiwò ɣeyiɣi didi la nɔ te ɖe alesi wò ʋumenugbagbeviɣidɔa nu sẽe dzi.
Ne dɔléle aɖe si mesẽ o le ŋuwò la, zi geɖe la, nukpɔsusua nyo. Gake ʋumenugbagbeviɣidɔ si nu mesẽ o gɔ̃ hã ate ŋu akpɔ ŋusẽ ɖe gbesiagbedɔwo dzi, vevietɔ ne èxɔ wu ƒe 65. Àte ŋu ade dzesi dzesiwo le dɔ siwo nèwɔna edziedzi abe azɔlizɔzɔ, atrakpuiwo lialia, alo awudodo ene me.
Ne yaƒoƒo sesẽ aɖe le ŋuwò la, gbɔgbɔ ate ŋu asesẽ ŋutɔ, eye ahiã be nàyi atikewɔƒe enuenu.
Atike aɖeke meli na ya si me ʋu sina tona keŋkeŋ o, eye lãkusi ƒe gbegblẽ nɔa anyi ɖaa. Gake atikewɔwɔ nana nète ŋu kpɔa dɔlélea gbɔ nyuie. Zi alesi nèdze atikewɔwɔ gɔme kaba le Nirogi Lanka ƒe ƒuƒoƒoa ƒe dzikpɔkpɔ te la, zi nenemae nàte ŋu alé wò agbenɔnɔ ƒe nyonyome me ɖe asi nyuie wu.
Aleke mawɔ aɖe afɔku si le eme be woaxɔ ʋumenugbagbeviɣidɔ dzi akpɔtɔ?
Mɔ nyuitɔ si dzi nàto aɖe afɔku si le eme be nàxɔ ʋumenugbagbeviɣidɔ dzi akpɔtɔe nye be nàƒo asa na atamanono.
Asiɖeɖe le eŋu mele bɔbɔe o, eye ate ŋu abia agbagbadzedze zi geɖe. Ne èle eŋu bum be yeadzudzɔ la, ƒo nu kple wò ɖɔkta. Woate ŋu ana nunɔamesiwo kple kpekpeɖeŋu wò be wòakpe ɖe ŋuwò nàkpɔ dzidzedze. Kpekpeɖeŋunaha aɖe me nɔnɔ hã ate ŋu aɖe vi ŋutɔ.
Mɔ bubu siwo dzi nàto aɖe wò afɔkua dzi akpɔtɔ dometɔ aɖewoe nye:
- Ƒo asa na dzudzɔ si wozãna tsã, ɖiƒoƒo ya, atikewo ƒe dzudzɔ, ke, aŋɔ, kple aƒemelãwo ƒe ʋuʋudedi.
- Dodokpɔ le wò aƒe me be radon gas hã le eme.
- Ametakpɔnu dodo ne èle dɔ wɔm kple atikewo alo le teƒe siwo ke le.
Aleke mawɔ akpɔ nye nɔnɔmea gbɔe?
Ne yaƒoƒo ƒe dɔléle le ŋuwò la, afɔɖeɖe vevitɔ siwo nàwɔ be nàxe mɔ ɖe kuxiwo nue nye atamanono dzudzɔ kple ɖokuiwò takpɔkpɔ tso gbɔgbɔtsixe ƒe dɔlélewo me. Aɖaŋuɖoɖo siawo ate ŋu akpe ɖe ŋuwò:
- Klɔ asi enuenu.
- Brɔs kple aŋesisi gbesiagbe, eye nàzã atike si wua dɔlékuiwutike si wotsɔna klɔa nu me le nuɖuɖu vɔ megbe.
- Na wò gbɔgbɔdɔwɔnuwo katã nanɔ dzadzɛ.
- Na aƒea me nanɔ dzadzɛ to ke sisi edziedzi me.
- Nɔ wò atikewɔmɔnu yeyewo, siwo dometɔ aɖewoe nye dzamezã ƒe atike, aklãdɔlékuiwutike, kple COVID-19 ƒe atike.
- Wɔ ɖe kamedede ƒe ɖoɖo si wowɔ na wò ŋutɔ dzi abe alesi wò ɖɔkta kafui ene.
- Ƒo asa na nusiwo doa dziku na ame abe dzudzɔ, ʋu ƒe ya si dona, ami ʋeʋĩ sesẽwo, atike siwo wotsɔna klɔa nu, amadede/aŋɔ, ke, aŋɔ, kple aƒemelãwo ƒe ʋuʋudedi.
Ɣekaɣie wòle be makpɔ ɖɔkta?
Ne gbɔgbɔ sesẽ na wò vevie la, ƒo ka na 911 alo dɔwɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ le mia gbɔ enumake.
Kpɔ wò ɖɔkta ne èto nusiwo gbɔna me:
- Gbɔgbɔ va sesẽna wu alesi wònɔna ɖaa alo nèsena le ɖokuiwò me be ya ƒona bɔbɔe.
- Ède dzesii be ʋuʋudedi ƒe dzidziɖedzi.
- Wò ʋuʋudedi ƒe amadede trɔna zua ɣi alo amadede dzẽ.
- Ele be nàzã wò xɔnametɔ siwo kekea aɖuɖɔtoewo ɖe enu alo corticosteroid siwo wogbɔna zi geɖe wu alesi nèzãnɛ ɖaa.
- Wò atikewo meganaa gbɔdzɔe ma ke o.
- Wò kɔdzidɔa nu sẽ ɖe edzi.
- Èfɔna le zã titina le gbɔgbɔ sesẽ ta.
- Èsena le ɖokuiwò me be ŋusẽ le ye ŋu alo ɖeɖi te ye ŋu vevie.
Nya kawoe wòle be mabia nye ɖɔkta?
Ne èle dzadzram ɖo ɖe wò ɖɔkta ƒe kpekpe ŋu la, bu nya vevi siawo biabia ŋu kpɔ:
- Aleke nèwɔ kpɔe be ʋumenugbagbeviɣidɔ le ŋunye?
- Ne ʋuʋudedi mele ŋunye o la, nɔnɔme bubu kae ate ŋu anɔ nye dzesiwo hem vɛ?
- Nu kawo koŋ ate ŋu ana nye ʋuka si me ʋu sina tona nasẽ ɖe edzi?
- Aleke mawɔ anya ne nye gbɔgbɔ le gbegblẽm ɖe edzi?
- Atikewɔwɔmɔnu kawoe nèkafu nam?
- Ðe kamedede aɖewo koŋ li siwo nèdo ɖa be woatsɔ ana nye lãkusi ƒe lãmesẽ nanyo ɖe edzia?
- Afɔ kawoe mate ŋu aɖe atsɔ axe mɔ ɖe gbɔgbɔtsixe ƒe dɔlékuiwo nu?
- Dɔwɔnu alo mɔnu kawoe nèkafu be wòakpe ɖe ŋunye madzudzɔ atamanono?
- Ðe kpekpeɖeŋunaha aɖewo li siwo akpe ɖe ŋunye le atamanono dzudzɔ ƒe ɖoɖoa mea?
- Ðe wòhiã be woada nye akɔta ƒe agbɔsɔsɔme dzi ɖeɖe kpɔtɔ ƒe mɔnuwo kpɔ alo ɖe woado nye lãkusia?
Ðe COVID-19 ate ŋu ahe ʋuʋudedi vɛa?
Negbe ɖe lãkusidɔ alo nusiwo gblẽ le ŋuwò do ŋgɔ hafi la, ƒã ŋutɔ be COVID-19 nahe "giant emphysema" vɛ. Nyatakaka siwo do ƒome kple COVID-19 kple ʋumenugbagbeviɣidɔ gã aɖe ƒe dzɔdzɔ la le ʋɛ ŋutɔ.
Giant emphysema nye bullous dɔléle ƒomevi aɖe. Le dɔnɔ siwo ŋu dɔléle sia le gome la, ya kotoku siwo le lãkusiwo me ate ŋu akeke ɖe enu wòaxɔ lãkusi ɖeka alo evea siaa ƒe akpa etɔ̃lia. Ðɔktawo yɔa ya kotoku gã siawo be bulla (ɖekaɖeka) alo bullae (agbɔsɔsɔme).
Nusiwo Wotsɔna Yia Nu Mamlɛawo
Emphysema nye dɔléle si nɔa anyi didi si gblẽa nu le yakotoku siwo le wò lãkusi me ŋu, si wɔnɛ be gbɔgbɔ sesẽna. Togbɔ be womate ŋu atrɔ nusiwo ʋumenugbagbeviɣidɔ gblẽna o eye ate ŋu ayi ŋgɔ le ɣeyiɣi aɖe megbe hã la, atikewɔwɔ nyuie ate ŋu akpɔ wò dzesiwo gbɔ nyuie eye wòaɖe ŋusẽ si dɔlélea kpɔna ɖe wò gbesiagbegbenɔnɔ dzi dzi akpɔtɔ. Ne èwɔ ɖe atikewɔlawo ƒe aɖaŋuɖoɖowo dzi eye nèɖɔ ŋu ɖo le gbɔgbɔmedɔlékuiwo ŋu la, àte ŋu agbɔ ya nyuie wu. Dɔlélea didi kaba kple nudede eme nye nu vevi aɖe si ana woalé agbenɔnɔ ƒe nyonyome deŋgɔ me ɖe asi ɣeyiɣi didi si woate ŋui.Ne gbɔgbɔ sesẽ na wò, vevietɔ ne èno atama kpɔ la, taflatse yi ɖɔkta gbɔ enumake. Woate ŋu akpe ɖe ŋuwò nànya ʋumenugbagbeviɣidɔ eye nàwɔ atikewɔwɔ ƒe ɖoɖo si sɔ na wò ŋutɔ si sɔ ɖe wò hiahiãwo nu, si akpe ɖe ŋuwò nàyi edzi ase vivi na dɔwɔna siwo nèlɔ̃na to Nirogi Lanka ƒe kpekpeɖeŋu me.
Emphysema, lãkusidɔ, gbɔgbɔ sesẽ, atamanono, COPD, aɖuɖɔtoedɔléle si nɔa anyi didi, gbɔgbɔtsixe ƒe dɔléle
