Ðe wòsesẽna na wò ɣeaɖewoɣi be nàgbɔ ya, èsena le ɖokuiwò me be yeƒe akɔta le tetem, alo gbɔgbɔtsixe tsia ƒowò le kamedede si mesẽ o gɔ̃ hã megbea? Ðe nèsena le ɖokuiwò me zi geɖe be ɖeɖi te ye ŋu le mɔ si mebɔ o nua? Dzesi siawo ate ŋu atso nu vovovowo gbɔ, gake nu ɖedzesi ɖeka si gbɔ wòtso ate ŋu anye be wò lãkusiwo le ya geɖe lém, si nye nɔnɔme si ɖɔktawo yɔna be Hyperinflated Lungs . Egbea, mina míaƒo nu tso esia ŋu tsitotsito gake le mɔ bɔbɔe nu, le Nirogi Lanka afisia.
Nuka tututue nye Hyperinflated Lungs?
Kpuie ko la, esia dzɔna ne yaƒoƒomɔ suesuesue siwo le wò lãkusi me xe, si wɔe be esesẽna na ya be wòado le wò yagbɔgbɔ vɔ megbe. Esi womate ŋu agbɔ ya bliboe o ta la, egatsia yame kpe ɖe ʋuʋudedi ŋu. Bu eŋu abe ʋuƒo ene: ne èdo ya ɖe eme gake ya mete ŋu do o la, enɔa te sesĩe akpa eye wòtsia mɔ̃ me. Esia koŋue dzɔna le wò lãkusi me.
Ne ya kple ʋuʋudedi xaxa la, gbɔgbɔ va zua avuwɔwɔ, eye wò lãkusiwo kekena wu alesi woate ŋui. Le ɣeyiɣi aɖe megbe la, esia ate ŋu ana wò lãkusi nagblẽ tegbee, dzi nate ɖe dziwò, eye oxygen masɔ gbɔ na wò ŋutilã o . Eyata nɔnɔme sia hiã be woakpɔ egbɔ le atikewɔƒe.
Ðɔkta ate ŋu akpɔ esia to ŋutilãmedɔdada kple nɔnɔmetatawo dodokpɔ abe X-ray ene me. Zi geɖe la, atikewɔwɔmɔnu siwo woate ŋu azã le kɔdziwo dometɔ aɖewoe nye yagbɔgbɔ, nebulizers , gbɔgbɔtsixe ƒe kamedede tɔxɛwo, kple le nɔnɔme siwo nu sẽ wu me la, amekoko.
Nukatae lãkusiwo va zua ya fũu akpa? Nukawoe gbɔ wòtsona?
Nu vevitɔ si gbɔ aɖuɖɔtoe me ʋu ƒe sisi fũu tsonae nye COPD , alo Aklãdɔléle si xea mɔ na ame si nɔa anyi didi . Esia menye dɔléle ɖeka ko o, ke boŋ enye lãkusi me dɔlélewo ƒe ƒuƒoƒo aɖe, eye esiwo ɖe dzesi wue nye:
1. Aɖuɖɔtoedɔléle si nɔa anyi didi: Esia bia be wò aɖuɖɔtoewo (yaƒoƒomɔ̃wo) ƒe dɔdzẽ kple vuvu atraɖii. Esia nana mɔa dzi ɖena kpɔtɔna, si wɔnɛ be gbɔgbɔ sesẽna eye wònana ʋuʋudedi si gbɔ eme dona.
2. Emphysema: Esia bia be ya kotoku (alveoli) siwo le tsɛ siwo le wò lãkusi me la gblẽ, siwo megate ŋu nɔa te sesĩe mlɔeba o eye wogbãna. Kplu siawo le vevie ŋutɔ na oxygen tsɔtsɔ yi wò ʋu me kple carbon dioxide ɖeɖeɖa. Ne wogblẽ la, ya gena ɖe eme.
Tsɔ kpe ɖe COPD ŋu la, lãkusidɔ bubu siwo gblẽa gbɔgbɔtsixetsixe hã ate ŋu ana ame nagbɔ ya fũu akpa, siwo dometɔ aɖewoe nye:
- Asrã : Abe alesi ɖewohĩ ènyae ene la, asrã nana yaƒoƒomɔ̃wo me mekɔna o, si ate ŋu ahe nɔnɔme sia vɛ.
- Cystic Fibrosis: Domenyiŋusẽfianu ƒe nɔnɔme si me ʋuʋudedi ɣi si léna ɖe lãme na ame ƒoa ƒu ɖe lãkusiwo me, si wɔnɛ be gbɔgbɔ sesẽna.
- Bronchiectasis: Nɔnɔme si me yaƒoƒomɔ̃wo kekena tegbee, si wɔnɛ be ʋuʋudedi ƒoa ƒu eye wòxɔa dɔlékuiwo enuenu.
- Bronchiolitis: Yaƒoƒomɔ̃ sue ŋutɔ siwo le lãkusi me ƒe dɔdzẽ, si bɔ ɖe ɖevi suewo me.
Aleke gbegbee nɔnɔme sia bɔe?
Wokpɔa aklã ƒe ʋuʋu fũu akpa zi geɖe le dɔnɔ siwo ŋu COPD le gome. Le dukɔwo abe U.S. ene me la, ame miliɔn 15–20 nɔa agbe kple COPD. Togbɔ be womeɖea xexeame katã ƒe akɔntabubu tɔxɛ siwo ku ɖe ga ƒe asixɔxɔ si gbɔ eme ŋu ɖe vovo ɣesiaɣi o hã la, enye nusi ŋu woke ɖo le atikewɔnyawo me si bɔ ŋutɔ le COPD dɔnɔwo dome.
Nukawoe nye dzesiawo?
Dzesi siwo dzena le aɖuɖɔtoe me ya si gbɔ eme ŋu sɔ kple esiwo dzena le lãkusi me dɔléle bubu siwo nɔa anyi didi ŋu:
- Gbɔgbɔ kpui : Yaƒoƒo ƒe sesẽ le azɔlizɔzɔ fafɛ alo atrakpuiwo lialia megbe. Ɣeaɖewoɣi la, ate ŋu asesẽ na ame be wòagbɔ ya ne èle ɖiɖim ɖe eme gɔ̃ hã.
- Gbɔgbɔ si me goglo o: Ŋutete si mele ame si be wòagbɔ ya goglo o.
- Ðeɖiteameŋu atraɖii kple ŋusẽmanɔamesi: Sese le eɖokui me be tsi vɔ le ye ŋu ɣesiaɣi alo ŋusẽ mele ye ŋu be yeawɔ gbesiagbedɔwo o.
- Akɔta ƒe ʋuʋu: Akɔta ƒe ʋuʋu alo kpekpeme ƒe seselelãme, si do ƒome kple ʋuʋudedi ƒe ƒoƒo zi geɖe.
Dzesi siawo ate ŋu ado mo ɖa ne womedze agbagba vevie o gɔ̃ hã. Ne èkpɔe be gbesiagbedɔwo—abe aƒemedɔwo wɔwɔ alo mɔzɔzɔ yi fiase me kaba ene—na gbɔgbɔtsixe tsia ƒowò eye ɖeɖi tea ŋuwò la, ke ɣeyiɣia de be nàyi ɖɔkta gbɔ.
Amekae le afɔku me wu?
Amesiwo ŋu gbɔgbɔtsixe ƒe dɔléle siwo nɔ anyi do ŋgɔ abe COPD, asrã, kple gbɔgbɔtsixetsixe ene le la le afɔku gã aɖe me wu.
Sigaretnonoe nye nu ɖeka kolia si ate ŋu ahe afɔku vɛ wu. Sigaretnono gblẽa nu le lãkusiwo ŋu tẽ, si wɔnɛ be wòte ŋu xɔa COPD bɔbɔe ŋutɔ eye wòxɔa aɖuɖɔtoewo ƒe ya si gbɔ eme emegbe.
Tsɔ kpe ɖe eŋu la, domenyiŋusẽfianu aɖewo li, abe Alpha-1 antitrypsin ƒe anyimanɔmanɔ , si nye dɔléle si toa ƒomewo me si ate ŋu ana ʋuka me ʋu ƒe sisi kple ʋuka me ʋu ƒe sisi fũ ƒe afɔkua nadzi ɖe edzi ŋutɔ. Ne dzesi sesẽwo le ŋuwò la, taflatse te ɖe dɔwɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ le mia gbɔ enumake.
Kuxi kawoe ate ŋu ado tso nɔnɔme sia me?
Kuxi sesẽ siwo dona tso lãkusi ƒe ya si gbɔ eme me dometɔ ɖekae nye tete si wòhena ɖe wò dzi dzi. Esi wònye be wò dzi nɔa wò lãkusiwo dome tẽ ta la, lãkusi siwo me ya le fũu akpa ate ŋu aƒoe ɖe enu. Le ɣeyiɣi aɖe megbe la, nyaƒoɖeamenu sia ate ŋu agblẽ nu le wò dzi ƒe ŋutete be wòatsɔ ʋu ayi wò lãkusi me nyuie ŋu, si menye ɖeko esia nana dzidɔ ƒe afɔkua dzina ɖe edzi ko o, ke ate ŋu ana oxygen ƒe agbɔsɔsɔ si le wò ʋu me hã naɖiɖi .
Tsɔ kpe ɖe eŋu la, aɖuɖɔtoe me ya si gbɔ eme ate ŋu ado kplamatse wò gbesiagbegbenɔnɔ vevie. Esi gbɔgbɔ va sesẽna ta la, àte ŋu akpɔe be dɔ bɔbɔewo gɔ̃ hã sesẽ na wò, si ate ŋu akpɔ ŋusẽ gbegblẽ ɖe wò agbenɔnɔ ƒe nyonyome bliboa dzi.
Aleke wokpɔa dɔléle sia dzea sii?
Wò ɖɔkta alé ŋku ɖe wò atikewɔwɔ ŋutinya ŋu, ada wò dzesiwo kpɔ, eye wòado wò ŋutilã kpɔ. Woazã nuƒomɔ̃ atsɔ aɖo to wò dzi kple wò lãkusi esime wole biabiam tso asiwò be nàgbɔ ya sesĩe zi geɖe. Le dodokpɔ sia me la, woate ŋu ade dzesii be wò akɔta mele kekem hele ƒoƒom nyuie ne èle gbɔgbɔm o.
Le esia megbe la, wò ɖɔkta ate ŋu aɖe gbe be woawɔ dodokpɔ bubuwo atsɔ akpɔ wò lãkusi ƒe dɔwɔwɔ, abe:
- Akɔta ƒe X-ray: Esia naa wò lãkusi, dzi, kple akɔta ƒe do ƒe nɔnɔmetata, si kpena ɖe ŋuwò nèdea dzesi dzesi siwo fia be aklãa me ʋu si gbɔ eme.
- Kɔmpiuta tomography (CT) scan: Esia naa wò lãkusi kple dzi ƒe nɔnɔmetata si me kɔ wu eye wòdzena nyuie wu X-ray si wozãna ɖaa.
- Aklã ƒe dɔwɔwɔ dodokpɔ (PFT): Dodokpɔ siawo dzidzea ya agbɔsɔsɔme si wò lãkusi ate ŋu alé ɖe asi kple alesi wòwɔa dɔ nyuie.
Wò ɖɔkta vevitɔ ate ŋu aɖo wò ɖe Aklãŋutinunyala (si nye gbɔgbɔmedɔlélewo ŋuti nunyala bibi) hã.
Ðe aɖuɖɔtoe me ya si gbɔ eme nye nɔnɔme sesẽ aɖea?
Ẽ, aɖuɖɔtoe me ya si gbɔ eme nye atikewɔwɔ me dɔléle sesẽ aɖe . Tsɔ kpe ɖe aɖuɖɔtoemekawo ƒe gbegblẽ kple wò agbenɔnɔ dzi ɖeɖe kpɔtɔ ŋu la, ate ŋu ahe nuteɖeamedzi sesẽ aɖe vɛ na wò dzi, si ate ŋu ahe kuxiwo abe dzi ƒe dɔmawɔmawɔ nyuie ene vɛ. Eyata míaƒe Nirogi Lanka eŋutinunyalawo ƒe dɔdzikpɔkpɔ do ŋgɔ le vevie ŋutɔ.
Dɔdamɔnu kawoe li?
Atikewɔwɔ ƒe ɖoɖowo nɔ te ɖe wò dzesiawo ƒe sesẽme kple wò lãmesẽ bliboa dzi. Dɔdamɔnu siwo bɔ dometɔ aɖewoe nye:
- Aɖuɖɔtoe kekeɖenudɔlékuiwo: Atike siawo naa lãmeka siwo ƒo xlã wò yaƒoƒomɔ̃wo ɖea dzi ɖi, si wɔnɛ be woʋuna ale be woate ŋu agbɔ ya si xaxa la bɔbɔe. Zi geɖe la, wodoa wo to yagbɔgbɔ alo nebulizers dzi.
- Yagbɔgbɔ ƒe mɔnuwo: Wò ɖɔkta ate ŋu afia kamedede aɖewo koŋ, abe gbɔgbɔ si wotsɔ nuyi ƒo xlãe ene, be wòakpe ɖe ŋuwò nàna yaƒoƒomɔ̃wo naʋu. Aklã ƒe ɖɔɖɔɖo ƒe ɖoɖowo hã ɖea vi ŋutɔ le nɔnɔmewo abe COPD ene dzi kpɔkpɔ me.
- Oxygen-dɔdamɔnu: Dɔnɔ aɖewo hiã na oxygen kpeɖeŋutɔ si woatsɔ ana to ŋɔti me mɔ̃ alo motsyɔnu dzi be woakpɔ egbɔ be woƒe ŋutilã xɔ oxygen si sɔ.
- Mɔ̃ siwo kpena ɖe gbɔgbɔtsixe ŋu: Dɔwɔnuwo abe nebulizer kple CPAP mɔ̃wo ene ate ŋu akpe ɖe ame ŋu be gbɔgbɔ nanɔ bɔbɔe.
- Amekoko si wowɔna tsɔ ɖea aklã ƒe lolome dzi kpɔtɔna:Zi geɖe la, wobua esia be enye tiatia mamlɛtɔ ne atikewɔwɔ bubuwo medze edzi o; ebia be woaɖe lãkusi si gblẽ la ɖa be lãkusi susɔe siwo le lãmesẽ me nate ŋu awɔ dɔ nyuie wu.
Ðe woate ŋu atrɔ nɔnɔmea?
Nublanuitɔe la, zi geɖe la, nusiwo gblẽna le lãkusiwo ŋu nɔa anyi ɖaa , si fia be ɖewohĩ womagatrɔ ayi woƒe nɔnɔme gbãtɔ me o. Gake atikewɔwɔ nyuie ate ŋu akpɔ dzesiawo gbɔ nyuie eye wòaɖe kɔdziyiyi alo dɔwɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ (ED) yiyi ƒe hiahiã dzi akpɔtɔ ŋutɔ . Togbɔ be atikewɔwɔ nana wò gbɔgbɔ ƒe ŋutete nyona ɖe edzi hã la, lãkusia ŋutɔ megawɔa yeye bliboe o.
Nukae nye nɔnɔme sia ƒe mɔkpɔkpɔ?
Ne Nirogi Lanka ƒe ƒuƒoƒoa lé be na wò nyuie eye nèfia mɔ wò la, àte ŋu anɔ agbe si tsea ku eye dzidzeme le kokoko . Togbɔ be míate ŋu atrɔ nusiwo gblẽ la keŋkeŋ o hã la, míate ŋu awɔ mɔnu siwo axe mɔ ɖe ya ƒe dzidziɖedzi nu eye míaxe mɔ na lãkusi ƒe gbegblẽ bubuwo be woagadzɔ o.
Ele vevie be míade dzesii be ne atikewɔlawo mede nu nyaa me o la, lãkusi ƒe ya si gbɔ eme ate ŋu ana dzi nate ɖe ame dzi vevie eye dzi nawɔ dɔ nyuie. Ðokuitsɔtsɔna ɖe wò atikewɔwɔ ƒe ɖoɖoa ŋu le vevie ŋutɔ.
Aleke woate ŋu axe mɔ ɖe esia nu?
Mɔ nyuitɔ si dzi woato axe mɔ ɖe lãkusi ƒe ya si gbɔ eme nue nye be woaɖe afɔ aɖewo atsɔ aƒo asa na COPD alo akpɔ egbɔ. COPD dɔléle siwo ade 90% do ƒome kple sigaretnono. Eyata atamanono dzudzɔ kple atamanono ƒoƒo asa na ye nye mɔ nyuitɔ kekeake si dzi woato axe mɔ ɖe COPD kple lãkusi ƒe gbegblẽ si do ƒome kplii nu. Tsɔ kpe ɖe eŋu la, ɖiƒoƒo ya dzi ɖeɖe kpɔtɔ le vevie ŋutɔ na wò lãkusi ƒe lãmesẽ si anɔ anyi ɣeyiɣi didi.
Ɣekaɣie wòle be nàkpɔ ɖɔkta?
Ne gbɔgbɔtsixe tsia ƒowò—vevietɔ ne lãkusidɔ aɖe si wonya abe COPD alo asrã ene le ŋuwò—la, ele vevie be nàkpɔ ɖɔkta kaba . Taflatse di atikewɔlawo ƒe aɖaŋuɖoɖo ne ède dzesi dzesi siwo gbɔna:
- Gbɔgbɔtsixetsixe si nɔa anyi ɖaa.
- Yagbɔgbɔ sesẽ alo sese le ɖokuiwò me be yemate ŋu akpɔ ya si sɔ o.
- Ðeɖiteameŋu alo ɖeɖiteameŋu si mebɔ o, le kamedede suetɔ kekeake megbe gɔ̃ hã.
Ɣekaɣie wòle be nàyi Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ER)?
Ne wò gbɔgbɔtsixe ƒe kuxiwo meva nyo ɖe edzi o togbɔ be èdzea agbagba edziedzi be yeakpɔ egbɔ hã la, taflatse yi kɔdzi ƒe dɔwɔƒe si te ɖe ŋuwò kpata enumake . Togbɔ be amesiwo ƒe lãkusi me ʋu si gbɔ eme le ƒe akpa gãtɔ kpɔa gbɔdzɔe to atikewɔwɔ nyuie me hã la, gbɔgbɔtsixe ƒe fuɖename sesẽ nye atikewɔwɔ kpata si hiã be woawɔ nu kpata. Ne èle agbagba dzem be yeagbɔ la, ƒo ka na dɔwɔƒe siwo kpɔa nudzɔdzɔ kpatawo gbɔ (le kpɔɖeŋu me, 911) enumake.
` ## Nyatakaka Mamlɛtɔ aɖe tso Nirogi Lanka gbɔ
Agbenɔnɔ kple lãkusidɔ si nɔa anyi didi ate ŋu asesẽ eye ate ŋu akpɔ ŋusẽ ɖe wò gbesiagbedɔwo dzi vevie. Aklã ƒe yaƒoƒo fũu akpa nye kuxi si wonya be edo ƒome kple nɔnɔmewo abe COPD kple asrã ene. Wò ɖɔkta alo aklãdɔdala ate ŋu awɔ dɔ kpli wò awɔ atikewɔwɔ ƒe ɖoɖo si sɔ na wò be wòakpe ɖe ŋuwò nàkpɔ dzesi siawo gbɔ nyuie.
> **Ele vevie ŋutɔ be nàwɔ ɖe atike siwo nèŋlɔ na wò dzi pɛpɛpɛ abe alesi wogblɔe ene.** Togbɔ be lãkusi ƒe dɔléle aɖewo le ŋgɔ yim hã la, àte ŋu aɖu wo dzi ne èdzudzɔ atamanono, ƒoƒo asa na dzudzɔ si wozãna tsã, eye nàɖe ɖiƒoƒo ya dzi akpɔtɔ. Wò lãmesẽe nye nu vevitɔ na mí.
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Aklã ƒe yaƒoƒo fũu akpa, gbɔgbɔtsixetsixe, COPD, asrã, aklãdɔ, gbɔgbɔtsixe ƒe lãmesẽ, atamanono dzudzɔ
