Ðe ʋu kple ya yɔ wò akɔta eye wònana gbɔgbɔtsixe tsia ƒowòa? Esia ate ŋu anye (Hemopneumothorax)!

Èbu alesi gbegbe akɔta ƒe abi ate ŋu asẽe ŋu kpɔa, eɖanye afɔku, anyidzedze, alo nu ma tɔgbe gbɔe wòtso oa? Ɣeaɖewoɣi la, ate ŋu asesẽ ŋutɔ be woagbɔ ya le nane si le abe ema ene megbe. Nu ma tututu ŋue míaƒo nu tsoe egbea, eye enye nɔnɔme sesẽ aɖe si hiã be woakpɔ egbɔ enumake. Míeyɔa esia be `(Hemopneumothorax)`. Togbɔ be ŋkɔa adze abe ɖe wòdidi vie ene hã la, mina míana wòanɔ bɔbɔe.

Nukae nye `(Hemopneumothorax)` sia?

Kpuie ko la, `(Hemopneumothorax)` nye ne ʋu (`(hemothorax)`) kple ya (`(pneumothorax)` alo lãkusi ƒe mumu) yɔ teƒe si ƒo xlã wò lãkusi, si míeyɔna be `(pleural space)`, fũ le ɣeyiɣi ɖeka me. Bu eŋu abe wò lãkusiwo le abe ʋuƒo eve ene. Balloon siawo le wò akɔta ƒe do me. Do sue aɖe le lãkusiwo kple akɔta ƒe gli dome, si woyɔna be `(pleural space)`. Zi geɖe la, esia menye nya gã o, gake ne ʋu kple ya yɔ dometsotso sia me la, lãkusiwo mete ŋu tsɔa ya nyuie o, si fia be womate ŋu agbɔ ya o. Ele abe balloon léle ɖe asi eye maxɔ ya o ene.

Zi geɖe la, nɔnɔme sia dzɔna le abi si wòxɔ kpata le akɔta, abe ʋufɔku, gege tso kɔkɔƒe, ameƒoƒo, alo tudada ene megbe. Ne hemopneumothorax ƒe dzesiwo le ŋuwò la, ele vevie be nàyi atikewɔƒe enumake.

Ðe ``(Hemopneumothorax)`` nye nɔnɔme sesẽa?

Ẽ, keŋkeŋ! `(Hemopneumothorax)` nye dɔléle sesẽ aɖe ŋutɔ eye wòhiã be woakpɔ egbɔ enumake. Elabena ne womewɔ atike na wo o la, ʋu kple ya si ƒoa ƒu ɖe lãkusiwo ŋu ate ŋu aƒoe ɖe lãkusiawo nu vevie, si ana womate ŋu agbɔ ya kura o. Nu vɔ̃ɖitɔ kekeake siwo ate ŋu adzɔe nye:

• Gbɔgbɔ ƒe ŋutete manɔamesi.
• Dzi ƒe dɔmawɔmawɔ nyuie.
• Nublanuitɔe la, ku gɔ̃ hã ate ŋu adzɔ.

Eyata ne dzesi siawo tɔgbe le ŋuwò la, nu nyuitɔ si nàwɔe nye be nàyi kɔdzi kaba.

Ðe `(Hemopneumothorax)` ƒomevi aɖewo lia?

`(Hemopneumothorax)` ƒomevi vevi eve li:

1. Traumatic hemopneumothorax: Esiae nye ƒomevi si bɔ wu. Edzɔna le abi gã aɖe si woxɔ le akɔta ta. Gake ƒã ŋutɔ la, ate ŋu atso nɔnɔme bubuwo abe lãkusi me dɔdzẽ alo ƒunukpeƒetetedɔ ene hã gbɔ.

2. Hemopneumothorax si dzɔna le eɖokui si: Esia dzɔna evɔ womekpɔ nusi gbɔ wòtso o. Esia mebɔ kura o.

Aleke gbegbee nɔnɔme sia bɔe?

Hemopneumothorax nye dɔléle si mebɔ ŋutɔŋutɔ o.Ame akpe geɖe li siwo xɔa `(Pneumothorax)` ɖeɖeko ƒe sia ƒe. Le eŋutinunyalawo ƒe nya nu la, `(hemothorax)` (ʋu si yɔa lãkusiwo ŋu) dzɔna le ame siwo ade akpe alafa etɔ̃ me ƒe sia ƒe. Ke hã, amesiwo ŋu `(pneumothorax)` le la dometɔ siwo ade 5% koe xɔa `(hemothorax)` hã, si nye `(Hemopneumothorax).` Eyata, ema fia be esia mebɔ vie o.

Nukae nye `(Hemopneumothorax)` ƒe dzesiwo?

Ne `(Hemopneumothorax)` le ŋuwò la, àte ŋu akpɔ dzesi siawo dometɔ ɖeka alo esi wu nenema:

• Akɔtave: Esiae nye dzesi vevitɔ. Ate ŋu anye vevesese si nu sẽ kpata.
• Gbɔgbɔ sesẽ: Esesẽna ŋutɔ, vevietɔ ne èle agbagba dzem be yeagbɔ ya sesĩe.
• Gbɔgbɔ kabakaba (yagbɔgbɔ fũu akpa): Àte ŋu ase le ɖokuiwò me abe ɖe nèle gbɔgbɔm kabakaba ŋutɔ ene.
• Gbɔgbɔ kpui (dyspnea): Seselelãme si nye be yemete ŋu le gbɔgbɔm o.
• Ðeɖiteameŋu, ɖeɖiteameŋu: Ðewohĩ ɖeɖi te ŋuwò ale gbegbe be màte ŋu awɔ naneke o.
• Dzi ƒe tsotso kabakaba (tachycardia): Dzi ƒe tsotso ate ŋu adzi ɖe edzi.
• Dzimaɖitsitsi kple dziɖeleameƒo: Ebɔ be vɔvɔ̃ kple dzimaɖitsitsi kpena ɖe vevesese siawo ŋu.

Bu eŋu kpɔ, ne èdze anyi kpata alo nèdze afɔku, eye emegbe wò akɔta le veve sem eye gbɔgbɔ sesẽ na wò la, mègaŋe aɖaba ƒu edzi o.

Nukae nye nusiwo gbɔ `(Hemopneumothorax)` tsona?

Abe alesi míedzro eme va yi ene la, nusi gbɔ hemopneumothorax si wɔa nublanui vɛ wue nye ƒoƒo ɖe akɔta alo nane si ƒoa akɔta. Le kpɔɖeŋu me:

• Kamedefefe me abi: Vevietɔ ne wole kamedefefe siwo gblẽa nu le ame ŋu vevie wɔm. Bu bɔlƒoƒo, hockey, lacrosse, kpekpeme kɔkɔ, kɔdada, kɔdada, kple karat ŋu kpɔ.
• Ʋufɔkuwo.
• Tsitsetsea (vevietɔ tso teƒe kɔkɔ aɖe).
• Abi siwo wodo le lãme na ame: Ate ŋu atso hɛ, tudada, alo ɣeaɖewoɣi le atikewɔwɔ abe lãmenugbagbeviwo ƒe dɔwɔwɔ ene me (esia mebɔ kura o).

Susu bubuwo hã ate ŋu anɔ anyi, gake womebɔ vie o:

• Aklãdɔ (`(Aɖuɖɔtoe me dɔdzẽ)`).
• Ƒumeŋuɖui (`(Lãmetsiŋusẽ)`).
• Akɔta ƒe dɔwɔwɔ, si me dzi ƒe dɔwɔwɔ hã le.
• Ʋu ƒe sisi ƒe dɔléle.
• Pleural mesothelioma (Esia nye kansa ƒomevi aɖe si dzɔna le ʋuka me).

Ƒã ŋutɔ la, ``Spontaneous hemopneumothorax'' ateŋu adzɔ evɔ womekpɔ nusi gbɔ wòtso si dze ƒã o.

Nukae nye kuxi siwo ate ŋu ado tso `(Hemopneumothorax)` me?

Ne womekpɔ dɔléle sia gbɔ kaba o la, kuxi bubuwo ate ŋu ado mo ɖa. Esiawo dometɔ aɖewoe nye:

• Gbɔgbɔ sesẽ alo gbɔgbɔ ƒe ŋutete manɔamesi le ɖokuiwò si (gbɔgbɔ ƒe dɔmawɔmawɔ nyuie).
• Dzi ƒe dɔmawɔmawɔ nyuie.
• Aklãdɔlélewo:Le kpɔɖeŋu me, `(empyema)` (aɖuɖɔ si yɔa lãkusi me) alo `(aklãdɔ)`.
• Abi si le lãkusi alo lãkusi ƒe lãkusi ŋu.

Azɔ hã, mɔnukpɔkpɔ li be `(Hemopneumothorax)` nagadzɔ ake.

Aleke woawɔ anya `(Hemopneumothorax)`?

Ne èyi kɔdzi la, ɖɔkta aɖe ado wò kpɔ gbã. Atsɔ nuƒomɔ̃ (`(auscultation)`) aɖo to wò lãkusiwo. Emegbe, aɖe gbe be woawɔ nɔnɔmetatawo dodokpɔ tɔxɛ aɖewo atsɔ aɖo kpe nɔnɔmea dzi ahakpɔ afisi tututu ʋu kple ya ƒo ƒu ɖo.

Dodokpɔ ka ƒomevie wowɔna?

Ðɔktaa ate ŋu aɖe gbe be woawɔ dodokpɔwo abe esiawo ene:

• Akɔta ƒe X-ray: Esia kpena ɖe ame ŋu wòdea dzesi abi alo nɔnɔme ɖesiaɖe si do ƒome kple lãkusi.
• CT scan (alo Computed Tomography scan): Esia ate ŋu aɖe wò lãkusi ƒe nɔnɔmetata si le akpa etɔ̃ (3D) me. Ate ŋu aɖe nu geɖe afia tsitotsito wu X-ray.
• Ultrasound: Esia kpena ɖe ame ŋu wònyaa ʋu kple ya agbɔsɔsɔme si ƒo ƒu ɖe lãkusia ŋu kple afisi wòle.

Aleke wowɔa atike na `(Hemopneumothorax)`?

Nu vevitɔ si le ʋumenugbagbeviɣidɔ dada me enye be woaɖe ʋu kple ya ɖa le ʋuka me.

Gbã la, wò ɖɔkta ate ŋu ana oxygen (`(Oxygen therapy)`) wò be wòakpe ɖe ŋuwò nàgbɔ ya. Ne wò nɔnɔmea nu sẽ la, woate ŋu atsɔ wò ade `(mechanical ventilation)` me. Esia fia be ne mète ŋu le gbɔgbɔm le ɖokuiwò si o la, mɔ̃ aɖe agbɔ ya na wò.

Le alesi ʋumenugbagbeviɣidɔa nu sẽe nu la, ɖɔkta ate ŋu:

• Zã aŋe nyui aɖe ŋutɔ (`needle aspiration`) nàtsɔ aɖe ʋu kple ya aɖe ado goe.
• Alo, wotsɔa mɔ̃ si lolo vie (``akɔta ƒe mɔ̃'' alo ``akɔta ɖeɖeɖa'') toa wò akɔtaƒuwo me dea ʋuka me, eye woɖea ʋu kple ya to eme. Ne wonya ɖe ʋu kple ya ɖa ko la, woɖea aŋe alo mɔ̃a ɖa.

Gake ne ʋu kple ya yi edzi yɔ akɔta ƒe teƒea la, amekola aɖe atso wò akɔta sue aɖe (akɔta ɖeɖe) eye wòada lãkusi si gblẽ la. Ne ʋu geɖe bu na wò la, ahiã hã be woado ʋu na wò.

Le atikewɔwɔ vɔ megbe la, ɖɔktaa aŋlɔ dɔlékuiwutikewo be woatsɔ axe mɔ ɖe dɔlékuiwo xɔxɔ nu kple vevesesenutsitikewo be woatsɔ aɖe vevesese dzi akpɔtɔ vaseɖe esime wòahaya.

Ðe atikewɔwɔa ƒe nugbegblẽ aɖewo lia?

Abe alesi wòle le atikewɔwɔ ɖesiaɖe gome ene la, afɔku aɖewo le ʋumenugbagbeviɣidɔ dada me:

• Vevesese.
• Ʋu si le dodom.
• Aɖuɖɔtoedɔléle aɖe.
• Aklã me ʋuʋu (tsi ƒe ƒuƒoƒo ɖe aklã me).

Ðɔktaa agblɔ nu geɖe tso esiawo ŋu na wò.

Aleke gbegbee nye lãme ahaya kaba le atikewɔwɔ vɔ megbe?

Nu siaEnɔ te ɖe nusi gbɔ ʋumenugbagbeviɣidɔa tso kple atike si ƒomevi wowɔ na wò dzi.

Anɔ eme be ànɔ kɔdzi ŋkeke ʋɛ aɖewo le akɔtamɔ̃ dede eme alo le amekoko vɔ megbe. Hemopneumothorax alo akɔta ƒe abi bubuwo ate ŋu axɔ kwasiɖa geɖe alo ɣleti geɖe gɔ̃ hã hafi woahaya. Wò ɖɔkta ana nàkpɔ ɣeyiɣi didi si wòaxɔ hafi ahaya, le wò nɔnɔmea nu.

Nukae nàkpɔ mɔ na ne èxɔ `(Hemopneumothorax)`?

Hemopneumothorax nye dɔléle sesẽ aɖe si hiã be woakpɔ egbɔ enumake. Ðewohĩ ahiã be nànɔ kɔdzi ŋkeke ʋɛ aɖewo alo wòadidi wu be nàkpɔe ɖa be yeƒe lãme sẽ nyuie hã. Gake ne wokpɔ dɔlélea nyuie eye wodae kaba la, mɔnukpɔkpɔ si li be wòahaya la nyo ŋutɔ.

Ke hã, mɔnukpɔkpɔ sue aɖe li be `(Hemopneumothorax)` nagadzɔ ake. Eyata anyo wu be nànɔ kadodo me kple ɖɔkta edziedzi eye wò ŋku nanɔ wò lãkusiwo ŋu.

Ɣekaɣie mate ŋu atrɔ ayi dɔme kple suku?

Ne hemopneumothorax le ŋuwò la, le nusi gbɔ wòtso kple alesi nèhayana kabakaba nu la, ɖewohĩ màte ŋu ayi suku, dɔme, alo nuwɔna bubuwo hena ɣeyiɣi aɖe o. Wò ɖɔkta agblɔ ɣeyiɣi si nàte ŋu atrɔ ayi dɔwɔna siwo nèwɔna ɖaa dzi na wò.

Ðe woate ŋu axe mɔ ɖe `(Hemopneumothorax)` nua?

Esesẽna be woaxe mɔ ɖe hemopneumothorax nu be wòagadzɔ o le susu aɖewo ta. Gake aɖaŋuɖoɖo siawo dzi wɔwɔ ate ŋu akpe ɖe ŋuwò nàɖe wò afɔkua dzi akpɔtɔ:

• Do ametakpɔnu ne èle kamedefefe siwo gblẽa nu le ame ŋu ŋutɔ wɔm.
• Do zikpuimeka ɣesiaɣi ne èle ʋu me.
• Ðe nusiwo ate ŋu ana nàdze anyi ahadze anyi le wò aƒe me ɖa eye nàna woanɔ dzadzɛ.
• Zɔ madzudzɔmadzudzɔe eye nàzã atikplɔ, afɔzɔla, alo atizɔti be nàxe mɔ ɖe anyidzedze nu.
• Zã dɔwɔnu nyuiwo (abe atrakpui, afɔdzideƒe, alo dɔwɔnu si wotsɔ léa nu ene) ne èle asi ɖom ta dzi. Mègalia zikpuiwo alo kplɔ̃wo dzi gbeɖe o.
• Ne ènoa atama la, dzudzɔe.
• Ðe dɔwɔna siwo me ya ƒe nyaƒoɖeamenu ƒe tɔtrɔ gãwo le (abe yameʋuɖoɖo, ƒu goglo me tsi me nɔnɔ ene) dzi kpɔtɔ alo nàtɔ te wo.

Aleke malé be na ɖokuinye (le nɔnɔme sia megbe)?

Ele vevie be nàƒo asa na nusianu si ate ŋu agblẽ nu le lãkusiwo ŋu alo aƒoe ɖe wo nu:

• Sigaretnono.
• Kamedede sesẽ, si me kpekpeme kɔkɔ hã le.
• Te ɖe kamedefefewo ŋu.
• Ƒu goglo me tsi me nɔnɔ.
• Yameʋuɖoɖo (vevietɔ le eƒe gɔmedzedze, le atikewɔlawo ƒe aɖaŋuɖoɖo te).

Ɣekaɣie wòle be nàkpɔ ɖɔkta?

Ne wowɔ atike na wò vɔ la, yi wò ɖɔkta gbɔ be wòawɔ ɣeyiɣi siwo woatsɔ akplɔ wò ɖo. Ðewohĩ wogawɔ dodokpɔ bubuwo na wò be nàkpɔe ɖa be èle hayahayam nyuie hã.

Ɣekaɣie wòle be nàyi xɔ si me wowɔa dɔ kpata le (ETU) ?

Ne dzesiwo le ŋuwò be `(Hemopneumothorax),` vevietɔ gbɔgbɔ sesẽ alo akɔtave sesẽ la, yi xɔ si te ɖe ŋuwò kpata kaba ale si nàte ŋui.Esia menye nusi ŋu woatsi megbe le o.

Nya kawoe wòle be mabia ɖɔktaa?

Nya aɖewo siwo nàte ŋu abia wò ɖɔkta tso nɔnɔme sia ŋue nye esi:

• "Ðɔkta, aleke mawɔ anya kple kakaɖedzi be `(Hemopneumothorax)` le ŋunye?"
• "Aleke mewɔ va xɔ esia?"
• "Aleke gbegbee esia nye nu sesẽe?"
• "Nukae wòle be mawɔ be nane si le abe esia ene nagadzɔ ake o?"
• "Atikewɔwɔ kae ɖɔktaa kafu nam?"
• "Ɣeyiɣi didi kae wòaxɔ hafi nye lãme nasẽ?"
• "Ðe mahiã oxygen bubua?"
• "Ðe wòahiã be manɔ kɔdzia?"
• "Ɣeyiɣi didi kae vaseɖe esime magakpɔ ɖɔktaa?"

Ne èbia nya siawo la, àte ŋu ase nɔnɔmea gɔme nyuie wu.

Vovototo kae le `(Pneumothorax)` kple `(Hemopneumothorax)` dome?

Kpuie ko la:

• Pneumothorax nye ne ya yɔ wò ʋuka me .
• `(Hemopneumothorax)` nye `(pneumothorax)` (ya) kple `(hemothorax)` (ʋu) ƒe ƒuƒoƒo . Eyae nye be ya kple ʋu siaa le ʋuka me.

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Enyo, eyata mele mɔ kpɔm be susu nyuitɔ va su asiwò azɔ le nɔnɔme si ŋu míeƒo nu tsoe si woyɔna be `(Hemopneumothorax)` ŋu.

Esia nye nɔnɔme sesẽ aɖe ŋutɔ si hiã be woakpɔ egbɔ enumake. Zi geɖe la, abi gã aɖe si woxɔ le akɔta gbɔe wòtsona. Ne èkpɔ dzesiwo abe gbɔgbɔ sesẽ kple akɔtave ene la, ele be nàyi kɔdzi enumake godoo.

Gake mègatsi dzi o, ne wokpɔ dɔlélea dze sii nyuie eye wodae kaba la, àte ŋu ahaya. Nu vevitɔe nye be nàwɔ nu enumake, ke menye be nàŋe aɖaba aƒu dzesiawo dzi o. Míele lãmesẽ nyui dim na wò kple wò lɔlɔ̃tɔwo!

` Hemopneumothorax, Pneumothorax, Hemothorax, Akɔtave, Yagbɔgbɔ sesẽ, Aklã, Afɔkuwo