Ðe wò lãkusiwo hã sea veve ɖe nulɔdɔwo nua? Mina míaƒo nu tso (Hypersensitivity Pneumonitis) ŋu!

Ðe gbɔgbɔ sesẽna na wò ɣeaɖewoɣia, alo kɔdzidɔ ko? Ðewohĩ wò lãkusiwo sea veve ɖe ke alo aŋɔ aɖewo siwo le wò dɔwɔƒe alo aƒemenutowo me la nu. Emae nye nɔnɔme si ŋu míele nu ƒom tsoe egbea, si woyɔna be ``Hypersensitivity Pneumonitis''. Mègatsi dzi o, mina míaƒo nu tso esia ŋu bɔbɔe.

Nukae nye esia `(Hypersensitivity Pneumonitis)`? Kpuie ko la,...

Kpuie ko la, Hypersensitivity Pneumonitis nye yaƒoƒo ƒe kotoku suesuesue siwo le wò lãkusi me (si woyɔna hã be alveoli) ƒe nulɔdɔ. Abe ale si ko míaƒe ŋutilã wɔa nu ɖe ​​nane si gblẽa nu le mía ŋu ŋu ɣeaɖewoɣi ene la, míaƒe lãkusiwo hã wɔa nu ɖe ​​nu aɖewo ŋu. Dzesi siawo ate ŋu ava kpata (si nu sẽ) eye woadzo kabakaba, alo woate ŋu adze egɔme le ɣeyiɣi aɖe megbe eye woazu esiwo nɔa anyi didi .

Fifia èle eŋu bum be, "Oo... ɖe esia le abe ke alo aŋɔ ƒe nulɔdɔ enea?" Menye nenema tututue o. Aklãdɔléle si nu sẽ akpa nye dɔlélenutsiŋutete ƒe dɔwɔwɔ si to vovo na nulɔdɔ si bɔ. To vovo na nulɔdɔ siwo bɔ siwo nana ŋɔti me tsi, ŋkuwo ʋuʋuna, kple asrã la, esia nye nɔnɔme si me nulɔdɔa zazã enuenu ate ŋu agblẽ nu le lãkusiwo ŋu tegbee. Eyata esia nye nusi ŋu wòle be míaɖɔ ŋu ɖo.

Aklãdɔléle si nɔa anyi didi si nana ame ƒe lãme gblẽna le lãkusi me ƒe hatsotso me . Le ɣeyiɣi aɖe megbe la, esia ate ŋu ana abi nanɔ lãkusiwo ŋu.

Amekae ate ŋu axɔ Hypersensitivity Pneumonitis wu?

Togbɔ be nɔnɔme sia ate ŋu adze ame sia ame dzi hã la, amesiwo wɔa dɔ le dɔ aɖewo me eye wodoa go nulɔdɔ tɔxɛ aɖewo enuenu la le afɔku me vie. Kpɔe ɖa be èle afɔku me hã:

• Ame siwo wɔa dɔ le agblewo dzi: abe amesiwo kpɔa nyiwo dzi hedea amagbewo ene. Ɣeaɖewoɣi le esi wodoa go nusiwo le abe gbe kple ke ene ɣesiaɣi ta.
• Ame siwo wɔa dɔ kple lãwo: lãwo ƒe dɔdalawo, ame siwo nyia lãwo abe xeviwo, kokloziwo, kple bubuawo Le nusiwo le abe xeviwo ƒe fu kple fu ene ta.
• Ame siwo wɔa dɔ le teƒe siwo wotu nuku alo wɔ alo dea agba me: le teƒewo abe blituƒewo ene le míaƒe dukɔa me.
• Ame siwo wɔa dɔ le atitsoƒewo kple atitsoƒewo.
• Amewo le teƒe siwo wowɔa gli kple pepa le.
• Gadɔwɔlawo.
• Ame siwo do go xeviwo ƒe aɖuɖɔ kple fu: Kplɔ̃ kple mattress siwo me fu yɔ fũu zazã hã ate ŋu anye nusi gbɔ esia tso.
• Ame siwo gbɔa nusiwo nana ame ƒe ŋutilã mewɔa dɔ nyuie o tso fafamɔ̃ siwo ŋu womeléa be na nyuie o, dzoxɔxɔ kple yaƒoƒomɔ̃wo, alo tsi dzodzoewo me.
• Zi geɖe la, woxɔa tso ƒe 50 va ɖo ƒe 70.

Bu eŋu kpɔ, le aƒe aɖewo me la, xeviwo abe akpɔkplɔwo ene wɔa atɔ. Ne womekɔ atɔ mawo ŋu nyuie o la, ke kple aŋɔ si dona tso wo me gbɔgbɔ hã ate ŋu ahe nɔnɔme sia vɛ.

Ðe Hypersensitivity Pneumonitis nye dɔléle sesẽ aɖea?

Ẽ, `(Hypersensitivity Pneumonitis)` nye nɔnɔme si ate ŋu anye nu sesẽ ɣeaɖewoɣi . Elabena, ne èle nusi naa nulɔdɔa nɔa ŋuwò ɣesiaɣi la, dɔdzẽ si le lãkusiwo me ate ŋu agblẽ nu le ŋuwò tegbee. Eyata ele vevie ŋutɔ be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake ne dzesiwo le ŋuwò.

Aleke `(Hypersensitivity Pneumonitis)` sia kpɔa ŋusẽ ɖe míaƒe ŋutilã dzii?

Ne ``Hypersensitivity Pneumonitis'' le ŋuwò la, wò ŋutilã wɔa nu wògbɔa eme ɖe nu suesuesue aɖewo (míeyɔa esiawo be ``allergens'') siwo nègbɔna ŋu.Zi geɖe la, nulɔdɔ siawo tsoa wò dɔwɔƒe alo aƒeme nɔnɔme me. Nusue siawo le sue ale gbegbe be woate ŋu age ɖe yakotoku suesuesue siwo le wò lãkusi me (alveoli) me eye woana abi nado le afima.

Ne èwɔ nu ɖe ​​nusi nana wò ŋutilã ƒe dɔlélenutsiŋutete ŋu zi gbãtɔ la, wò ŋutilã ƒe dɔlélenutsiŋutete wɔa atike siwo dea dzesii. Emegbe ne èle nusi naa nulɔdɔa doa goe zi gbɔ zi geɖe la, wò ŋutilã va sea nu gɔme na wò wu eye wòdzea nuwɔwɔ gɔme vevie wu. Le ɣeyiɣi aɖe megbe la, esia gblẽa nu le yakotokuawo (alveoli) kple yaƒoƒomɔ̃ suesuesue siwo do ƒome kpli wo ŋu. Emae hea dzesiwo abe gbɔgbɔ sesẽ kple kɔdzidɔ ene vɛ.

Nukae nye `(Hypersensitivity Pneumonitis)` ƒe dzesiwo?

Dzesi siawo ate ŋu anye esiwo nu sẽ alo esiwo nɔa anyi didi.

Dzesiwo le acute `(Hypersensitivity Pneumonitis)` ŋu:

Zi geɖe la, dzesi siawo dzena le gaƒoƒo ʋɛ aɖewo megbe tso esime wodo nulɔdɔa eye woate ŋu anɔ anyi gaƒoƒo geɖe alo ŋkeke geɖe gɔ̃ hã.

• Yagbɔgbɔ sesẽ (gbɔgbɔtsixetsixe) .
• Kɔdzi ƒuƒu
• Akɔta ƒe tete, sese le eɖokui me abe ɖe wòxe mɔ ene
• Vuvɔ le wɔwɔm
• Ðeɖiteameŋu sesẽ
• Asrã
• Ŋutilã ƒe vevesese, lãmekawo ƒe vevesese

Ewɔna nam abe asrã le ŋunye ene. Kasia nye ŋutilã se le eɖokui me be yele kpekpem.

Aklãdɔléle si Nàte Ŋu Akpɔ Nu Gbagbee ƒe Dzesiwo:

Dzesi siawo dzena vivivi, eye wodzina ɖe edzi vivivi le ɣeyiɣi aɖe megbe.

• Gbɔgbɔ sesẽ, vevietɔ ne ɖeɖi te ŋuwò alo nèle kame dem
• Kɔdzidede (ɖewohĩ kple ʋuʋudedi) .
• Ɖeɖiteameŋu
• Kpekpeme dzi ɖeɖe kpɔtɔ
• Asibidɛ alo afɔbidɛ ƒe nugbɔ siwo lolo (Clubbing) - Esia medzɔna ɖe amesiame dzi o.

Aleke nèsena le ɖokuiwò me ne èxɔ `(Hypersensitivity Pneumonitis)`?

Acute `(Hypersensitivity Pneumonitis)` ate ŋu ase le eɖokui me abe vuvɔ ene. `(Hypersensitivity Pneumonitis)` si nɔa anyi didi ate ŋu asesẽ be woakpɔe adze sii elabena eva nɔa tsitsim vivivi. Àte ŋu ade dzesii be, "Edze abe gbɔgbɔ le sesẽm nam fifia wu tsã ene," "Edze abe nye kɔdzi kple ɖeɖiteameŋu le sesẽm ɖe edzi ene."

Nukae hea Hypersensitivity Pneumonitis vɛ?

Nusi koŋ gbɔ aklãdɔléle si nu sẽ akpa tsonae nye nusiwo (nulénu siwo nana ŋutilã melɔ̃a nu le ame ŋu) siwo nana nulɔdɔa dzɔna le lãkusiwo me la gbɔgbɔ. Le ɣeyiɣi aɖe megbe la, esia ate ŋu agblẽ nu le lãkusiwo ŋu eye wòana dzesiawo nagagblẽ ɖe edzi. Wode dzesi nu siwo wu 300 siwo hea aklãdɔ si nu sẽ akpa vɛ. Esiawo dometɔ aɖewoe nye:

• Dɔlékuiwo
• Aŋɔ kple fungi: Woate ŋu akpɔ esiawo le gli xoxowo dzi, le tsileƒewo, kple AC-mɔ̃ siwo ŋu womekɔ nyuie o me.
• Atike kple ga aɖewo.
• Lãwo kple numiemiewo ƒe protein: Le kpɔɖeŋu me, protein siwo le xeviwo ƒe fuwo kple lãwo ƒe aɖuɖɔ me.

`(Hypersensitivity Pneumonitis)` ƒe kpɔɖeŋu aɖewo:

Ŋkɔ vovovowo gɔ̃ hã li na ``Hypersensitivity Pneumonitis'' ƒomevi siwo nulɔdɔ vovovowo hena vɛ. Le kpɔɖeŋu me:

• Agbledela ƒe Aklã: Aŋɔ siwo le nusiwo le abe gbe kple nuku ene me gbɔe wòtsona.
• Bird Fancier’s Lung: Protein siwo le xeviwo ƒe fuwo kple fuwo me gbɔe wòtsona.
• Humidifier Lung: Dɔlékui kple fungi siwo dona tso humidifiers kple AC unit siwo ŋu womekɔ nyuie o me gbɔe wòtsona.

Ðe COVID-19 hea Hypersensitivity Pneumonitis vɛa?

Le nyatakaka siwo li fifia nu la, `(COVID-19)` menye nusi hea `(Hypersensitivity Pneumonitis)` vɛ tẽ o. Ke hã, `(COVID-19)` ateŋu ahe dɔdzẽ vɛ na lãkusiwo, si ateŋu adze abe `(Hypersensitivity Pneumonitis)` ene ɣeaɖewoɣi. Kpeɖodziwo hã li be ne ame aɖe si ŋu `(Hypersensitivity Pneumonitis)` le xoxo la xɔ `(COVID-19)` la, nɔnɔme ma ate ŋu asẽ wu.

Aleke wokpɔa Aklãdɔléle si nye Hypersensitivity Pneumonitis?

Ðɔkta anɔ te ɖe wò dzesiwo, nyatakaka siwo ku ɖe wò dɔwɔɖui, nuto si me nèle ŋu, ŋutilãmedɔdada, kple dodokpɔ bubu geɖe dzi akpɔ Aklãdɔléle si nye Hypersensitivity Pneumonitis. Ðɔktaa abia nyawo wò be wòase nusiwo nana wò ŋutilã ƒe ŋutilã mewɔa dɔ nyuie o gɔme.

Ðɔktaa atsɔ nuƒomɔ̃ aɖo to wò lãkusiwo, atsɔ mɔ̃ sue aɖe (`pulse oximeter`) si woda ɖe wò asibidɛ dzi alé ŋku ɖe wò oxygen ƒe agbɔsɔsɔ ŋu, eye ate ŋu awɔ lãkusi ƒe dɔwɔwɔ dodokpɔwo, ʋudodokpɔwo, alo nɔnɔmetatawo dodokpɔwo hã.

Dodokpɔ kawoe wozãna tsɔ dea dzesi `(Hypersensitivity Pneumonitis)`?

Be ɖɔktaa naɖo kpe nɔnɔme sia dzi la, ate ŋu awɔ dodokpɔ siwo gbɔna:

• Ʋudodokpɔ siwo me nulɔdɔ le: Woɖea ʋu sue aɖe le wò alɔnu be woakpɔe ɖa be wò ŋutilã wɔ nu ɖe ​​nusiwo ŋu nulɔdɔ le siwo hea Hypersensitivity Pneumonitis vɛ ŋu hã. Woyɔa esia ɣeaɖewoɣi be Hypersensitivity Pneumonitis panel.
• Nɔnɔmetatawo dodokpɔ: Akɔta ƒe X-ray kple CT scan ɖea foto lãkusiwo be woakpɔe ɖa be nu gblẽ le eŋu hã.
• Aklã ƒe dɔwɔwɔ dodokpɔ: Zi geɖe la, esiawo lɔa gbɔgbɔ ɖe eme kple dodo to mɔ̃ si wotsɔ do ka kple mɔ̃ aɖe dzi. Woate ŋu adzidze alesi wò lãkusiwo le dɔ wɔm nyuie. Woate ŋu anye ʋudodokpɔ kple kamedede dodokpɔ hã.
• Bronchoscopy: Le dodokpɔ sia me la, wotsɔa mɔ̃ sue aɖe si te ŋu trɔna bɔbɔe (si me fotoɖemɔ̃ le) toa ŋɔti alo nu me be wòalé ŋku ɖe lãkusia me. Ne ehiã la, woate ŋu axɔ kpɔɖeŋuwo atsɔ ado wo kpɔ.

Aleke wodaa Aklãdɔléle si Sea Nu Sesẽme Nu?

Be nàda Hypersensitivity Pneumonitis dzidzedzetɔe la, nu vevitɔe nye be nàƒo asa na nulɔdɔ si ŋu wò nulɔdɔ le keŋkeŋ.

Ne èzã atike gɔ̃ hã la, ne èyi edzi le atike si nana wò ŋutilã melɔ̃a nu le ame ŋu la kpɔm la, dɔlélea mada keŋkeŋ o. Nusiwo ``Hypersensitivity Pneumonitis`` si nɔa anyi didi hena vɛ ateŋu ayi edzi anɔ dzidzim ɖe edzi ɣeaɖewoɣi, ne ète ɖa tso nusi nana wò ŋutilã melɔ̃na o gbɔ gɔ̃ hã.

Wò ɖɔkta ate ŋu aŋlɔ atikewo na wò be wòaɖe abi si le wò lãkusi me dzi akpɔtɔ, aʋu wò yaƒoƒomɔ̃wo, alo ana wò oxygen nadzi ɖe edzi.

Nukae nye atike/atike siwo wozãna na `(Hypersensitivity Pneumonitis)`?

• Corticosteroids alo dɔlélenutsiŋutete ƒe atikewo: Esiawo ɖea dɔdzẽ dzi kpɔtɔna. Le kpɔɖeŋu me, woate ŋu ana atikewo abe prednisone, mycophenolate, alo azathioprine ene.
• Atike siwo tsia fibrotic nu: Le kpɔɖeŋu me, pirfenidone kple nintedanib. Esiawo nana aɖuɖɔtoewo ƒe abi ƒe agbɔsɔsɔ dzi ɖena kpɔtɔna.
• Aklã ƒe ɖɔɖɔɖo: Yagbɔgbɔ ƒe kamedede kple kamedede kpena ɖe ame ŋu be gbɔgbɔ nɔa bɔbɔe.
• Oxygen zazã: Ne aklãdɔ si nu sẽ ŋutɔ le ŋuwò la, ahiã be woana oxygen kpeɖeŋutɔ wò be nàkpɔ egbɔ be oxygen sɔ gbɔ na wò ʋu kple lãmenugbagbeviwo. Woate ŋu awɔ esia to ametakpɔnu si woda ɖe mo na wò alo mɔ̃ si wotsɔ da ɖe wò ŋɔti me dzi.
• Aklã dodo: Ne wò Hypersensitivity Pneumonitis yi ŋgɔ va zu aklã me fibrosis , ate ŋu ahiã be woado aklã na wò.

Aleke gbegbee nye lãme asẽ le atikewɔwɔ vɔ megbe kpuie?

Dzoxɔxɔ si ``Hypersensitivity Pneumonitis'' hena vɛ ateŋu axɔ ɣleti geɖe hafi lãkusiwo nahaya. Nusiwo gblẽ la dometɔ aɖewo ate ŋu anɔ anyi ɖaa.

Ðe woate ŋu ada Hypersensitivity Pneumonitis keŋkeŋa?

Zi geɖe la, esesẽna be woada aklãdɔ si nu sẽ akpa si nɔa anyi didi la keŋkeŋ. Gake woate ŋu ada aklãdɔléle si nu sẽ kple esi mesẽ o (si nɔa anyi ɣeyiɣi kpui aɖe) ne wozã atike alo matsɔe adae ne èƒo asa na nusi nana wò nulɔdɔa keŋkeŋ.

Aleke nàwɔ akpɔ ɖokuiwò ta tso `(Hypersensitivity Pneumonitis)` me?

Womate ŋu atrɔ nusiwo `(Hypersensitivity Pneumonitis)` si nɔa anyi didi hena vɛ o. Eyata nu nyuitɔ si nàwɔe nye be nànɔ adzɔge tso nusiwo nana lãmekawo xɔa abi la gbɔ. Ne ele be nànɔ nɔnɔme sia tɔgbe me godoo la, àte ŋu awɔ nusiawo atsɔ aɖe wò afɔkua dzi akpɔtɔ:

• Ne èwɔa dɔ le dɔ si me afɔku le me (gadɔwɔwɔ, dɔwɔwɔ kple xewo alo lã bubuwo, dɔwɔwɔ kple ati, pepa, nuku, kple bubuawo) la, do ame ŋutɔ ƒe ametakpɔnu (PPE) ne èle dɔ wɔm. Vevietɔ zã ametakpɔnu si ɖea nu suesuesuewo ɖa.
• Na tsifamɔ̃wo, tsi dzodzoewo, dzoxɔxɔ kple fafamɔ̃wo nanɔ dzadzɛ eye woanɔ nɔnɔme nyui me.
• Ƒo asa na akɔtaɖonu kple mattress siwo me fu yɔ fũu zazã.
• Na wò aƒemelãwo ƒe teƒewo (vevietɔ xeviwo ƒe atɔ) nanɔ dzadzɛ. Do ametakpɔnu ne èle wo ŋu kɔm.

Nukae nàte ŋu akpɔ mɔ na ne `(Hypersensitivity Pneumonitis)` le ŋuwò?

Nusi nàte ŋu akpɔ mɔ na nɔ te ɖe ɣeyiɣi didi si Hypersensitivity Pneumonitis le ŋuwò kple alesi wòsẽe dzi.

• Zi geɖe la , Acute ``Hypersensitivity Pneumonitis'' nu yina le ŋkeke ʋee aɖewo me, negbe ɖe amea gakpɔ nulɔdɔa ake.
• Subacute ``Hypersensitivity Pneumonitis`` (si tsoa atike si nana ame ƒe ŋutilã mewɔa dɔ nyuie o ƒe agbɔsɔsɔ si mede ame dzi o gbɔgblɔ enuenu) ateŋu anɔ anyi ɣleti geɖe eye zi geɖe la, wotsɔa atike daae.
• Zi geɖe la, aklãdɔléle si nɔa anyi didi medaa gbe le eŋu keŋkeŋ o, gake woate ŋu atsɔ atike aɖu dzesiawo dzi.

Kuxi siwo dona tso `(Hypersensitivity Pneumonitis)` me

Ne woyi edzi le nulɔdɔ si hea Hypersensitivity Pneumonitis vɛ la, ate ŋu ahe kuxi sesẽwo vɛ, siwo dometɔ aɖewoe nye:

• Aɖuɖɔtoewo ƒe abi (aklã me fibrosis) .
• Ʋusɔgbɔdɔ le dzi kple lãkusi dome (aklã me ʋusɔgbɔdɔ) .

Nukae nye nɔnɔme si nye `(Hypersensitivity Pneumonitis)` ƒe mɔkpɔkpɔ?

Mɔkpɔkpɔ na aklãdɔléle si nu sẽ akpa si nɔa anyi didi la nɔ te ɖe alesi gbegbe wò lãkusiwo gblẽe dzi. Numekukuwo ɖee fia be ne abi mele wò lãkusiwo ŋu o la, àte ŋu awɔ ŋgɔyiyi ɖedzesi aɖe le ƒe ɖeka me tso esime wokpɔ dɔlélea. Ame siwo ŋu abi le le woƒe lãkusiwo me la le afɔku me be woaku le aklãdɔ si nye hypersensitivity pneumonitis ta le ƒe ʋɛ aɖewo me ne womedo woƒe lãkusiwo o. Esia aɖi vɔvɔ̃, gake ele vevie be nànya nyatakaka siawo.

Nukae nye ame si ŋu `(Hypersensitivity Pneumonitis)` le ƒe agbenɔƒe?

Esia hã nɔ te ɖe alesi gbegbe nusiwo gblẽ le lãkusiwo ŋui dzi. Aɖuɖɔtoe dodo ate ŋu adidi ɣeyiɣi siawo ɖe edzi.

• Le amesi me abi mele o gome (fibrosis mele eŋu o): Agbenɔƒe si wu ƒe 15 le dɔlélea kpɔkpɔ vɔ megbe.
• Le amesi ŋu abi le gake megblẽ nu bubu aɖeke le eƒe lãkusi ŋu o gome (e.g., anyitsi ƒe ʋuʋu):Anɔ abe ƒe 8 le dɔlélea kpɔkpɔ vɔ megbe.
• Le amesi gblẽ nu vevie - abi kple `anyitsi`: abe ƒe 3 ene le dɔlélea didi vɔ megbe.

Mègavɔ̃ na akɔntabubu siawo o. Esiawo nye nɔnɔme siwo sɔ. Esia ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Nu vevitɔ kekeakee nye be nàwɔ ɖe atikewɔlawo ƒe aɖaŋuɖoɖowo dzi.

Aleke mawɔ akpɔ ɖokuinye dzi kple `(Hypersensitivity Pneumonitis)`?

Ne wokpɔe be Hypersensitivity Pneumonitis le ŋuwò la, wɔ dɔ kple wò ɖɔkta nàwɔ ɖoɖo aɖe si ana nàɖe nusiwo agblẽ le wò lãkusiwo ŋu la dzi akpɔtɔ. No atikeawo katã abe alesi woŋlɔe ene. Bia wò ɖɔkta tso kamedede kple gbɔgbɔ ƒe kamedede siwo nàte ŋu awɔ le aƒeme be wò lãkusi nawɔ dɔ nyuie wu ŋu.

Ɣekaɣie wòle be makpɔ ɖɔkta tso `(Hypersensitivity Pneumonitis)` ŋu?

Ne `(Hypersensitivity Pneumonitis)` ƒe dzesiwo le ŋuwò la, yi ɖɔkta gbɔ enumake. Ne `(Hypersensitivity Pneumonitis)` le ŋuwò xoxo la, yi ɖɔkta ne èdze dzesi yeyewo alo ne wò dzesiwo gagblẽ ɖe edzi.

Nya kawoe wòle be mabia nye ɖɔkta?

• Nukae na mexɔ `(Hypersensitivity Pneumonitis)`?
• Aleke mawɔ adzo le nulɔdɔ si hea esia vɛ gbɔ?
• Ðe nye lãkusiwo gblẽa? Aleke gbegbe wògblẽe?
• Ðe woate ŋu atrɔ nɔnɔme siaa?
• Aleke wòle be mazã atike siae?
• Ɣeyiɣi didi kae wòaxɔ hafi nye lãme nasẽ?
• Ɣekaɣie magava kpɔ wò ake?

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

Aklãdɔléle si nu sẽ akpa nye dɔléle si ate ŋu agblẽ nu le lãkusiwo ŋu vevie ne wodo go nusi nana ŋutilã melɔ̃a nu o enuenu. Gake ne wokpɔe dze sii kaba la, woate ŋu atɔ te tsatsam sia hafi nu gblẽ le eŋu si womate ŋu atrɔ o. Ne lãkusi ƒe dzesi aɖewo siwo nɔa anyi ɖaa le ŋuwò la, ele vevie be nàyi ɖɔkta gbɔ enumake.

Ne wokpɔe be Hypersensitivity Pneumonitis le ŋuwò la, ƒo nu kple wò ɖɔkta anukwaretɔe tso alesi wò dɔlélea nu sẽe ŋu. Esia akpe ɖe ŋuwò nàwɔ ɖoɖo ɖe nusiwo nàkpɔ mɔ na kple alesi nàwɔ wò gbɔgbɔ kple agbenɔnɔ nanyo ɖe edzi ŋu. Mègatsi dzi o, woate ŋu akpɔ nɔnɔme sia gbɔ to atikewɔwɔ nyuitɔ kple agbenɔnɔ ƒe tɔtrɔ me.

` Seselelãme si gbɔ eme Aklãdɔ, lãkusi ƒe nulɔdɔ, gbɔgbɔtsixe ƒe dɔléle, kɔdzidɔ si nɔa anyi didi, gbɔgbɔ sesẽ, nusiwo nana ame ƒe ŋutilã melɔ̃na o, aklãdɔ