Ðe wò, ame si wɔa dɔ le agble dzi hã ate ŋu axɔ dɔléle siaa? Mina míasrɔ̃ nu tso (Agbledela ƒe Aklã) ŋu pɛpɛpɛ!

Agbledelae nènyea? Alo ɖe nènye amesi wɔa dɔ le agble aɖe dzi eye wòkpɔa nuwo abe gbe, ƒo, kple gbe ƒuƒu ene ɣesiaɣia? Ðe gbɔgbɔtsixe tsia ƒowò ɣeaɖewoɣi, kɔa dzi, gbɔdzɔa, alo asrã nɔa ŋuwò ne èle dɔ wɔm kple nu siawoa? Ne nenemae la, ke esia nye nusi ate ŋu anɔ vevie na wò ŋutɔ. Egbea míele nu ƒom tso nɔnɔme aɖe si woyɔna be "Agbledela ƒe Aklã" ŋu.

Nukae nye "Agbledela ƒe Aklã"?

Kpuie ko la, esia nye nulɔdɔ ƒomevi aɖe si gblẽa nu le míaƒe lãkusiwo ŋu. Ne míagblɔe tututu la, enaa ya kotoku suesuesue siwo le míaƒe lãkusi me, si nye alveoli, si me woɖɔlia ɔksidzin le ne míele gbɔgbɔm la me. Woyɔa esia le atikewɔwɔ me be Hypersensitivity Pneumonitis .

Nusi koŋ gbɔ esia tsonae nye ke si wogbɔna tso gbe si me aŋɔ le, gbe ƒuƒu, nukuwo, alo nu bubu siwo do ƒome kple agbledede me. Esia to vovo vie tso `allergic rhinitis` si míekpɔna zi geɖe tso ke alo aƒemelãwo ƒe dander gbɔ. Ate ŋu anye nusi nu sẽ wu nulɔdɔ mawo tɔgbe ɣeaɖewoɣi. Elabena, ne míeyi edzi le gbɔgbɔm le aŋɔka siawo me la, mɔnukpɔkpɔ gã aɖe li be míaƒe lãkusiwo nagblẽ tegbee .

Ðe "Agbledela ƒe Aklã" ƒomevi vevi aɖewo lia?

Ẽ, woate ŋu ama nɔnɔme sia ɖe hatsotso vevi etɔ̃ me. Woawoe nye:

• `Acute Farmer's Lung`: Tsɔe be èwɔ dɔ kple gbe si me aŋɔ le ƒe ƒuƒoƒo aɖe. Le gaƒoƒo ʋɛ aɖewo me le dɔwɔwɔ vɔ megbe la, kasia dzesiwo abe dzoxɔxɔ, kɔdzidɔ, kple gbɔgbɔtsixe tsia ƒowò ene. Gake dzesi siawo ate ŋu aɖiɖi le gaƒoƒo alo ŋkeke ʋɛ aɖewo megbe, vevietɔ ne èdzo le teƒe si aŋɔ le.
• Subacute Farmer’s Lung: Zi geɖe la, esia dzɔna le aŋɔ si mebɔ o ɣeyiɣi didi aɖe megbe. Dzesiawo ate ŋu ava vivivi eye woanɔ anyi eteƒe nadidi. Ðewohĩ àsusu be, "Oo, vuvɔ vɔ̃ɖi aɖe koe nye esia." Dzesiawo ate ŋu anɔ anyi ɖaa alo woava yi.
• Agbledela ƒe Aklã si Nɔa Anyi Didi: Esia ate ŋu adze egɔme le ɣeyiɣi aɖe megbe, ɣeaɖewoɣi le esi wòdo go kpata zi geɖe vɔ megbe, alo le aŋɔ si sɔ gbɔ dodo vɔ megbe. Dzesiawo doa mo ɖa vivivi eye vivivi. Dɔdzẽ sia si nɔa anyi didi ate ŋu ana abi nanɔ lãkusia ŋu si womate ŋu atrɔ o mlɔeba. Esiae nye nɔnɔme si me afɔku le wu.

Nukae nye esia ƒe dzesiwo?

Dzesiawo ate ŋu ato vovo vie le nɔnɔme si ƒomevi wòle nu.

`Acute` nɔnɔme ƒe dzesiwo:

Zi geɖe la, esiawo dzena le gaƒoƒo ʋɛ aɖewo megbe tso esime wodo aŋɔ:

• Yagbɔgbɔ sesẽ (gbɔgbɔtsixetsixe) .
• Kpe(zi geɖe la, kɔdzi ƒuƒu) .
• Sese le eɖokui me be akɔta le tetem eye wòte ɖe ye ŋu
• Vuvɔ (ʋuʋudedi kple dzoxɔxɔ) .
• Ɖeɖiteameŋu
• Asrã
• Ŋutilã ƒe vevesese, lãmekawo ƒe vevesese

`Subacute` kple `Chronic` nɔnɔmewo ƒe dzesiwo:

Dzesi siawo ate ŋu asɔ kple nɔnɔme sesẽa tɔ, gake wodzena vivivi eye wova nu sẽna ɖe edzi le ɣeyiɣi aɖe megbe.

• Le `subacute` ƒe afɔɖeɖea me la, àte ŋu ase le ɖokuiwò me be vuvɔ si nu metsina o le ye ŋu .
• Le `Nɔnɔme si nɔa anyi didi` me la, àte ŋu akpɔe be:
• Mesena le ɖokuinye me be gbɔgbɔtsixe tsi ƒonye eye metsia dzodzodzoe kabakaba wu tsã (vevietɔ ne mele dɔ suetɔ kekeake gɔ̃ hã wɔm).
• Kɔdzi kple ɖeɖiteameŋua le dzidzim ɖe edzi vivivi, ke menye ɖe wòle ɖeɖem kpɔtɔ o.
• Kpekpeme dzi ɖena kpɔtɔna le manyamanya me.
• Asibidɛ alo afɔbidɛ ƒoƒo (asibidɛ alo afɔbidɛ ƒoƒo) .

Nukatae "Agbledela ƒe Aklã" sia dona?

Susu vevitɔ si tae nye be aŋɔ ƒomevi aɖewo tsina ɖe nuwo abe gbe, gbe ƒuƒu, kple nuku ene dzi. Ne gotagome nane ɖe fu na aŋɔ siawo (le kpɔɖeŋu me, ne gbe ƒe babla aɖe gbã alo wohe nuku kotoku aɖe) la, aŋɔa ɖea nu suesuesuewo (`nu suesuesuewo`) siwo le sue akpa be woate ŋu akpɔ kple ŋku dzro la ɖe yame.

Ne míegbɔ nu suesuesue siawo la, míaƒe ŋutilã ƒe dɔlélenutsiŋutete wɔa nu wògbɔa eme , si wɔnɛ be dɔdzẽ le lãkusiwo me. Esia sɔ kple nusiwo ŋu nulɔdɔ le.

Bu eŋu kpɔ, míaƒe ŋutilã dea dzesi aŋɔka siawo be wonye "futɔ." Ne míewɔ nu ɖe ​​aŋɔ siawo ŋu zi gbãtɔ la, míaƒe ŋutilã wɔa atike tɔxɛwo be woatsɔ ade dzesi wo le etsɔme. Gake nusi dzɔna le "agbledela ƒe lãkusi" kple `hypersensitivity pneumonitis` nɔnɔme bubuwo me enye be ne míeyi edzi le nulɔdɔ sia xɔm la, míaƒe ŋutilã va `sesẽna` geɖe wu, si wɔnɛ be nuwɔna si kplɔe ɖo la gagblẽna ɖe edzi. Le ɣeyiɣi aɖe megbe la, nuwɔna sesẽ sia gblẽa nu le yakotokuwo (alveoli) siwo le míaƒe lãkusiwo me kple yaƒoƒomɔ̃ suesuesue siwo kplɔa ame yia wo gbɔ la ŋu. Nu gbegblẽ siae nana dzesiawo dzina ɖe edzi vivivi.

Amekawoe le afɔku gã me be woaxɔ esia?

Ne èwɔa dɔ kple gbe alo nuku siwo me aŋɔ le, alo ne èle nɔnɔme ma tɔgbe me zi geɖe la, ke dɔléle sia xɔxɔ le wò afɔku me wu. Esia nye nyateƒe vevietɔ le dzomeŋɔli ƒe nuwuwu kple kele ƒe gɔmedzedze, esime gbe kple nukuwo xɔ dzo eye aŋɔ ate ŋu adzi ɖe edzi. Eyata afɔkua ga lolo wu le ɣeyiɣi siawo me.

Ame siawo le afɔku gã aɖe me be woaxɔ "agbledela ƒe lãkusi":

• Ame siwo wɔa dɔ le nyinotsi agblewo dzi
• Amesiwo trɔa asi le nukuwo ŋu hedea agba wo me
• Ame siwo wɔa dɔ ɖe gbe alo gbe ƒuƒu ŋu (vevietɔ ne wole gbe ƒuƒu siwo ate ŋu azu aŋɔ gbãm) .
• Ame siwo zãa ɣeyiɣi geɖe le lãkpɔwo me
• Ame siwo wɔa dɔ le lãwo dzikpɔƒewo
• Ame siwo mezãa dɔwɔnu siwo wowɔna le wo ɖokui si tsɔ kpɔa nuwo abe gbe kple nuku ene gbɔ o (i.e., ame siwo wɔa dɔ sia ƒe akpa gãtɔ kple asi)
• Ame siwo xɔ tso ƒe 50 va ɖo ƒe 70 (siwo bɔ wu le ƒe sia me) .

Kuxi kawoe esia ate ŋu ahe vɛ?

Ne woyi edzi nɔ aŋɔ siwo hea "agbledela ƒe lãkusi" vɛ la, ate ŋu ahe kuxi sesẽwo vɛ. Esiawo dometɔ vevitɔwoe nye:

• Aɖuɖɔtoewo ƒe abi (pulmonary fibrosis): Esia wɔnɛ be lãkusiwo megate ŋu trɔna ɖe nɔnɔmewo ŋu o eye womegawɔa dɔ nyuie o. Gbɔgbɔ va sesẽna ɖe edzi.
• Ʋusɔgbɔdɔ le dzi kple lãkusi dome (aklã me ʋusɔgbɔdɔ): Ne lãkusia gblẽ la, ele be dzia nawɔ dɔ sesĩe wu be wòatsɔ ʋu ato lãkusi me. Esia ate ŋu akpɔ ŋusẽ ɖe dzia hã dzi.

Aleke nèwɔna dea dzesi esia?

Ðɔkta aɖe dea dzesi "Agbledela ƒe Aklã" le nu geɖe ŋu bubu vɔ megbe.

• Wò dzesiwo (nusi nèle sesem le ɖokuiwò me, ɣeyiɣi didi si nèxɔ, kple bubuawo) .
• Wò lãmesẽ ŋutinya (dɔléle siwo nèkpɔ va yi, atike siwo nèno) .
• Ŋutilãmedodokpɔ (ɖɔkta la doa wò kpɔ) .
• Dodokpɔ tɔxɛwo:
• Ʋudodokpɔ: Ʋudodokpɔ tɔxɛwo, abe `Hypersensitivity pneumonitis panel` ene, ateŋu akpɔe ɖa be wò ŋutilã wɔ nu ɖe ​​protein siwo hea `Agbledela ƒe lãkusi` kple `hypersensitivity pneumonitis` nɔnɔme bubuwo vɛ ŋu hã.
• Aɖuɖɔtoewo ƒe nɔnɔmetatawo ɖeɖe: Wowɔa akɔta ƒe X-ray alo CT scan tsɔ léa ŋku ɖe nusiwo gblẽ, dɔdzẽ, alo abi le lãkusiwo me ŋu.
• Aklã ƒe dɔwɔwɔ dodokpɔ: Esia bia be woana nàgbɔ ya ahado le mɔ̃ tɔxɛ aɖe me atsɔ adzidze alesi wò aklã le dɔ wɔm nyuie kple ya agbɔsɔsɔme si nàte ŋu agbɔ ahagbɔ.
• Bronchoscopy: Le go aɖewo me la, le atike si naa alɔ̃dɔdɔ ame me la, wotsɔa mɔ̃ aɖe si me fotoɖemɔ̃ sue aɖe le toa ŋɔti alo nu me yia lãkusi me be woakpɔ lãkusia ƒe eme eye woaɖe lãkusi suewo (biopsies) hena dodokpɔ.
• Ele vevie ŋutɔ hã be dɔlélea didi nanya nenye be ate ŋu adzɔ be aŋɔ ate ŋu adze ame dzi le nuto si me nèle dɔ wɔm le alo nèle me .

Nukae nye esia ƒe atikewɔwɔ?

Be woate ŋu ada "agbledela ƒe lãkusi" dzidzedzetɔe la, ele vevie be woaƒo asa na aŋɔ siwo hea dɔlélea vɛ keŋkeŋ. Esiae nye nu vevitɔ kekeake. Tsɔ kpe ɖe eŋu la, wò ɖɔkta ate ŋu aŋlɔ atikewo abe:

• Atikewo:
• Corticosteroids alo dɔlélenutsiŋutete ƒe atikewo:Esiawo kpena ɖe ame ŋu be dɔdzẽ si le lãkusiwo me dzi ɖena kpɔtɔna. Le kpɔɖeŋu me, woate ŋu ana atikewo abe `prednisone`, `mycophenolate`, kple `azathioprine`.
• Atike siwo tsia fibrotic nu: Atikewo abe pirfenidone kple nintedanib ene ate ŋu ana abi siwo le lãkusiwo me nagbɔdzɔ.
• Aklã ƒe ɖɔɖɔɖo: Yagbɔgbɔ ƒe kamedede tɔxɛwo, kamedede, kple aɖaŋuɖoɖo kpena ɖe ame ŋu be gbɔgbɔ nɔa bɔbɔe eye wònaa agbenɔnɔ nyona ɖe edzi.
• Oxygen-dɔdamɔnu: Ne oxygen ƒe agbɔsɔsɔ le wò ʋu me mesɔ gbɔ o la, woate ŋu ana oxygen bubu wò to ŋɔti me ʋuka alo motsyɔnu dzi.
• Aɖuɖɔtoe dodo: Ne lãkusia gblẽ vevie eye abi le eŋu la, ate ŋu ahiã be woado lãkusi na ame abe mɔnu mamlɛtɔ ene.

Nu vevitɔ kekeake: Ne èzã atike sia kple atike bubuwo gɔ̃ hã la, ne èyi edzi le aŋɔ xɔm la, dɔlélea ate ŋu agava. Eye mɔnukpɔkpɔ gã aɖe li be lãkusia nagblẽ tegbee. Le "agbledela ƒe lãkusi" si nɔa anyi didi me la, nusiwo gblẽ le lãkusiwo ŋu ate ŋu ayi edzi anɔ sesẽm ɖe edzi ɣeaɖewoɣi ne èƒo asa na aŋɔ keŋkeŋ gɔ̃ hã.

Aleke gbegbee nye lãme ahaya kaba le atikewɔwɔ vɔ megbe?

Ne `Acute` (sesẽ) `Agbledela`s Lung` le ŋuwò la, àte ŋu adze egɔme ƒe lãme sẽ le esi nèƒo asa na aŋɔ si hea dɔlélea vɛ vɔ megbe kpuie (ɖewohĩ le gaƒoƒo alo ŋkeke ʋee aɖewo me). Gake ate ŋu axɔ ɣleti geɖe hafi dɔdzẽ si le wò lãkusi me nahaya keŋkeŋ. Le `Acute` kple `Chronic` nɔnɔmewo siaa me la, nusiwo gblẽ la dometɔ aɖewo ate ŋu anɔ anyi ɖaa .

Nukae ame si si "Agbledela ƒe Aklã" le ate ŋu akpɔ mɔ na?

Esia nɔ te ɖe ɣeyiɣi didi si "agbledela ƒe lãkusi" le ŋuwò kple alesi wòsẽe dzi.

• Zi geɖe la, `Acute` nɔnɔmewo nyona ɖe edzi le ŋkeke ʋee aɖewo megbe, gake ne mègakpɔ aŋɔ ake o ko hafi.
• ``Subacute`` nɔnɔmea ateŋu anɔ anyi ɣleti geɖe. Zi geɖe la, esia bia be woatsɔ atikewo awɔ dɔe.
• Zi geɖe la, esesẽna be woada "agbledela ƒe lãkusi" si nɔa anyi didi keŋkeŋ. Gake atikewo ate ŋu akpe ɖe ame ŋu wòaɖu dzesiawo dzi eye wòana agbea nanɔ bɔbɔe vie.

Àte ŋu ahaya keŋkeŋ tso "Agbledela ƒe Aklã" mea?

Woateŋu ada "agbledela ƒe lãkusi" ƒe nɔnɔme sesẽwo kple esiwo mesẽ o , gake ele vevie be woaƒo asa na aŋɔsisi. Ate ŋu ahiã be woazã atike hã be woatsɔ aɖe dɔdzẽ dzi akpɔtɔ.

Ke hã, zi geɖe la, "agbledela ƒe lãkusi" si nɔa anyi didi la gblẽa nu le lãkusi ŋu (vevietɔ abi - fibrosis).Enye nusi womate ŋu atrɔ o. Gake aŋɔ dada kple eƒoƒo asa na ate ŋu ana nusiwo gagblẽna ɖe edzi la nagbɔdzɔ.

Ðe esia kpɔa ŋusẽ ɖe ame ƒe agbenɔƒe dzia?

Ɣeyiɣi si woatsi agbe le `Chronic` Farmer`s Lung ƒe dɔléle dzedze vɔ megbe nɔ te ɖe nenye be lãkusiawo gblẽ kple alesi gbegbe nu gblẽ le wo ŋui dzi. Ne wotsɔe sɔ kple `hypersensitivity pneumonitis` nɔnɔme bubuwo la, agbetsitsi ƒe ɣeyiɣi si gogoe nye esi gbɔna:

• Ame si abi (fibrosis) mele eƒe lãkusi me o ate ŋu anɔ agbe ƒe 15 kple edzivɔ ne wokpɔ dɔlélea le eŋu vɔ.
• Ame si ŋu abi (fibrosis) le le lãkusi me, gake nu bubu aɖeke megblẽ le eŋu vevie o (e.g., anyitsi ƒe ʋuʋudedi), ate ŋu anɔ agbe abe ƒe 8 ene le dɔlélea kpɔkpɔ vɔ megbe.
• Ame si ƒe lãkusi gblẽ vevie (fibrosis kple anyitsi siaa) ate ŋu anɔ agbe abe ƒe 3 ene le dɔlélea kpɔkpɔ vɔ megbe.

Gake aɖuɖɔtoe dodo ate ŋu adidi ɣeyiɣi siawo ɖe edzi. Mègana xexlẽme siawo navɔ̃ o, akɔntabubu siwo me kɔ o koe wonye. Anyo wu be nàƒo nu kple ɖɔkta be nànya nɔnɔme si tututu me nèle.

Aleke woawɔ axe mɔ ɖe esia nu?

Mɔ nyuitɔ kple ɖeka kolia si dzi nàto akpɔ ɖokuiwò ta tso "agbledela ƒe lãkusi" me enye be nàƒo asa na aŋɔ siwo hea dɔlélea vɛ. Ne ètsɔa nusiwo ate ŋu ana aŋɔ natsi la, àte ŋu awɔ nu siwo gbɔna be nàɖe wò afɔkua dzi akpɔtɔ:

• Ele be woana gbe, nuku, kple agblemenuku bubuwo naƒu nyuie hafi azãe alo adzra wo ɖo.
• Dzra nuwo ɖo ɖe teƒe siwo ya nyui gena ɖo be aŋɔ nagadzɔ o .
• Ɣesiaɣi si wòanya wɔ la, zã mɔ̃ siwo wowɔna le wo ɖokui si tsɔ wu be nàtsɔ asi awɔ nusiwo ate ŋu aŋe bɔbɔe, abe gbe kple nuku ene.
• Ne èle dɔ wɔm kple nusiwo ate ŋu adzi aŋɔ, abe gbe kple nuku ene la, ele vevie be woado Ameɖokui Takpɔnu (PPE). Ele vevie ŋutɔ be woado ametakpɔnu nyui aɖe si ɖea nu suesuesuewo ɖa .
• Ne èle teƒe siwo ke le kɔm la, zã avɔ si me tsi le nàtsɔ akɔ kea ŋu evɔ màʋuʋu ke o. Esia aɖe aŋɔka siwo dona ɖe yame dzi akpɔtɔ.
• Kpɔ egbɔ be ya nyui gena ɖe xɔ siwo me xɔtunu siwo me aŋɔ le bɔbɔe la me.

Aleke mawɔ akpɔ ɖokuinye dzi (Self-care)?

Ne ɖɔkta aɖe kpɔe be Agbledela ƒe Aklãdɔ le ŋuwò la, wɔ dɔ kple wò ɖɔkta nàwɔ ɖoɖo aɖe si ana nàɖe nusiwo agblẽ le wò lãkusiwo ŋu la dzi akpɔtɔ.

• No atike siwo katã ɖɔkta ŋlɔ na wò pɛpɛpɛ eye nàno ɖe game dzi.
• Nusiwo nàte ŋu awɔ le aƒeme be wò lãkusi ƒe dɔwɔwɔ nanyo ɖe edziBia wò ɖɔkta tso kamedede tɔxɛ alo gbɔgbɔ ƒe kamedede ŋu.

Ɣekaɣie wòle be makpɔ ɖɔkta?

• Ne dzesi siwo nɔa anyi ɖaa abe kɔdzi kple gbɔgbɔ sesẽ ene le ŋuwò, alo ne edze abe ɖe wole sesẽm ɖe edzi le ɣeyiɣi aɖe megbe ene la, kpɔ egbɔ be yeyi ɖɔkta gbɔ.
• Ne Agbledela ƒe Aklãdɔ le ŋuwò xoxo la, yi ɖɔkta gbɔ enumake ne dzesi yeyewo va dze ŋuwò, alo ne wò dzesiawo gagblẽ ɖe edzi .

Nya kawoe wòle be nàbia ɖɔktaa?

Ne èyi ɖɔkta gbɔ la, anyo be nàbia nya siawo:

• Aleke mawɔ aƒo asa na aŋɔ siwo hea "agbledela ƒe lãkusi" vɛ?
• Ðe nye lãkusiwo gblẽa? Aleke gbegbe wògblẽe?
• Ðe woate ŋu atrɔ nusiwo gblẽ sia?
• Aleke wòle be mazã atike siawoe? Ðe eƒe nugbegblẽ le ame ŋu aɖewo lia?
• Ɣeyiɣi didi kae mate ŋu akpɔ mɔ be magahaya?
• Ɣekaɣie wòle be magava ɖɔkta gbɔ ake?

Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui

"Agbledela ƒe lãkusi" nye dɔléle si ateŋu agblẽ nu le wò lãkusi ŋu ne èle nusiwo le abe gbe si me aŋɔ le kple nukuwo ene me ɣesiaɣi. Gake ne wolée kaba la, àte ŋu aƒo asa na nusiwo gblẽ le eŋu vevie, si anɔ anyi ɖaa.

Eyata ne lãkusi ƒe dzesi aɖewo siwo nɔa anyi ɖaa le ŋuwò – alo ne èsusu be "dzamezã vɔ̃ɖi aɖe koe esia nye" – ele vevie ŋutɔ be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake.

Ne wokpɔ Agbledela ƒe Aklãdɔ le ŋuwò la, ƒo nu kple wò ɖɔkta anukwaretɔe tso alesi wò dɔlélea nu sẽe ŋu. Wò ɖɔkta ate ŋu akpe ɖe ŋuwò nàwɔ ɖoɖo ɖe nusi nàkpɔ mɔ na kple nusi nàte ŋu awɔ be wò gbɔgbɔ nanɔ bɔbɔe eye wò agbenɔnɔ nanyo ɖe edzi ŋu.

` Agbledela ƒe Aklã, Agbledela ƒe Aklã, lãkusidɔ, nulɔdɔ, aŋɔ, agbledede, gbɔgbɔtsixe ƒe kuxiwo