Ne gbɔgbɔ sesẽ, ne wò akɔta le ƒoƒom, alo ne èle ta ƒom vie la, mía dometɔ akpa gãtɔ bua yagbɔgbɔnu aɖe ŋu enumake. Mɔ̃ sue sia si nàte ŋu alé ɖe asi ate ŋu axɔ wò agbe ɖe agbe ŋutɔŋutɔ ɣeaɖewoɣi. Gake mía dometɔ nenie nya nu tso yagbɔgbɔmɔ̃ sia ŋu ŋutɔŋutɔ? Ƒomevi nenie li? Ðe wotsɔa ƒomevi ɖeka naa dɔléle ɖesiaɖea? Eye vevietɔ wu la, aleke tututu nèzãnɛ? Enyo, mina míaƒo nu tso nusiawo katã ŋu bɔbɔe eye eme nakɔ egbea.
Kpuie ko la, nukae nye yagbɔgbɔ?
Yagbɔgbɔ nye mɔ̃ sue aɖe si nèléna ɖe asi eye wòtsɔa atikewo yia wò lãkusiwo me tẽ. Ewɔa dɔ kabakaba to atikeawo tsɔtsɔ yi wò yaƒoƒomɔ̃wo me tẽ me, si naa gbɔdzɔe wò. Wozãnɛ koŋ tsɔ ʋua wò yaƒoƒomɔ̃ siwo xe alo tsɔ ɖea dɔdzẽ si le wò lãkusiwo me dzi kpɔtɔna. Wotrɔ asi le yagbɔgbɔmɔ̃ siawo ŋu be woatsɔ atikeawo ana abe atike ƒuƒu, atike si wotsɔna ƒua gbe si ƒe agbɔsɔsɔme le mita, alo kuɖiɖi falɛfalɛ ene.
Vovototo kae le yagbɔgbɔ kple nebulizer dome?
Ame geɖe tɔtɔa ame eve siawo. Wozãa yagbɔgbɔ kple nebulizer siaa tsɔ naa atike na aɖuɖɔtoedɔlélewo. Gake vovototo gãwo le wo ame evea dome. Na míakpɔ nusiwo wonye ɖa.
| Ŋutinu | Yagbɔgbɔ ƒe mɔ̃ | Nebulizer ƒe mɔ̃ |
|---|---|---|
| Agbɔsɔsɔ kple nɔnɔme | Ele sue, àte ŋu atsɔe ɖe kotoku me gɔ̃ hã. (Asi wotsɔ asi) . | Elolo eye zi geɖe la, wozãnɛ le kplɔ̃ dzi. |
| Ŋusẽ | Elektrikŋusẽ alo batri aɖeke mehiã o. | Ele be woatsɔe aƒo ka na elektrikŋusẽa, ne menye nenema o la, batriwoe wòawɔ dɔ. |
| Mɔnu si dzi woato anae | Wonoa atike la le yaƒoƒo ɖeka me. | Wogbɔa yaƒoƒoa to ametakpɔnu alo nu me aɖabaƒoƒo geɖe. |
| Ezazã bɔbɔe | Ezazã le bɔbɔe ne èle mɔ zɔm alo le nɔnɔme kpata aɖe me. | Esɔ be woazãe le aƒeme kple kɔdziwo. Esɔ nyuie wu na atike nana ɖevi suewo kple amesiwo ŋu dɔléle sesẽwo le. |
Amekae hiã na yagbɔgbɔmɔ̃?
Zi geɖe la, amesiwo ŋu aɖuɖɔtoedɔléle siwo nɔa anyi didi abe asrã kple COPD (Chronic Obstructive Pulmonary Disorder) le zãna . Ame siawo koŋue wonaa yagbɔgbɔ ƒomevi eve.
1. Gbesiagbe/Preventer Inhalers: Wozãa esiawo gbesiagbe tsɔ ɖua dzesiwo dzi eye woxea mɔ na dzobibi.
2. Fast-acting/Rescue Inhalers: Wozãa esiawo tsɔ naa gbɔdzɔe enumake le asrãdɔ ƒe amedzidzedze me alo ne COPD do mo ɖa eye gbɔgbɔ va sesẽ. Esiae nye nusi míeyɔna be "xɔname ƒe gbɔgbɔtsixetsixe."
Nu vevitɔe nye be ele be nàzã atike si gbɔ wò ya si wò ɖɔkta ŋlɔ na wò la ko. Mègazã ame bubu ƒe yagbɔgbɔnu gbeɖe o.
Le amesi ŋu asrã mele o gɔ̃ hã gome la, ɖɔkta ate ŋu aŋlɔ atike si wogbɔna ɣeaɖewoɣi na gbɔgbɔmedɔlékuiwo abe aɖuɖɔtoedɔ ene.
Yagbɔgbɔ ƒomevi veviwo kple atike siwo le wo me
Woate ŋu ama mɔ̃ siwo wotsɔ yaa yae ɖe hatsotso vevi etɔ̃ me. Eye atike ƒomevi siwo wotsɔna naa amewo hã to vovo. Mina míalé ŋku ɖe esia ŋu nyuie.
Mɔ̃ siwo wotsɔna gbɔa yae ƒomeviwo
- Metered Dose Inhalers (MDIs): Esiawoe nye nusiwo míeyɔna zi geɖe be "puffers". Atikea le gaze aɖe me le nyaƒoɖeamenu me. Ne míezi edzi la, atike la dona kabakaba abe atike si wotsɔna ƒua gbe ene. Le ɣeyiɣi ma me la, ele be míagbɔ ya nyuie.
- Dry Powder Inhalers (DPIs): Atikea le esiawo me le aŋɔ ƒe nɔnɔme me. Womeɖea atike la ɖe go o. Ne míegbɔ ya kabakaba eye míegbɔ ya goglo la, .Aleae wowɔa atikekui siawo yia lãkusiwo me. Wole nɔnɔme vovovowo me, abe tube alo disk goglo (e.g. Diskus®, HandiHaler®).
- Soft Mist Inhalers: Mɔ̃ siawo trɔa atike siwo nye tsi wòzua kuɖiɖi nyui aɖe ŋutɔ. Kuɖiɖi sia zɔna blewu wu atike si wotsɔna ƒua gbe tso MDI-wo me, si wɔnɛ be wònɔa bɔbɔe be woagbɔ ya.
Atike ƒomevi vevi siwo le atike siwo wogbɔna me
Nusi dzɔna ɖe yagbɔgbɔmɔ̃ dzi nɔ te ɖe atike si le eme dzi. Mina míase atike siawo ƒomevi gɔme tso kplɔ̃ si le ete la dzi.
| Atike ƒomevi | Dɔwɔwɔ kple eŋudɔwɔwɔ | Kpɔɖeŋuwo |
|---|---|---|
| Aɖuɖɔtoe kekeɖenudɔwɔnu siwo wɔa dɔ kpuie (SABA/SAMA) . | Wogayɔa esiawo be "Rescue Inhalers." Woɖea dzi ɖi kabakaba na yaƒoƒomɔ̃wo ƒe lãmekawo eye wònana wònɔa bɔbɔe be woagbɔ ya. Wozãa wo ne asrãdɔ dze dziwò eye gbɔgbɔ le fu ɖem na wò. Wowɔa dɔ abe gaƒoƒo 4-6 ene. | Salbutamol (Ventolin®), Levalbuterol (Xopenex®), Ipratropium (Atrovent®) ƒe lãgbalẽ. |
| Aɖuɖɔtoewo kekeɖenudɔwɔnu siwo wɔa dɔ ɣeyiɣi didi (LABA/LAMA) . | Wozãa esiawo gbesiagbe tsɔ ɖua dzesiwo dzi. Wokpena ɖe ame ŋu be yaƒoƒomɔ̃wo nɔa ʋuʋu ɖi gaƒoƒo 12-24. Womesɔ na zazã kpata o. | Salmeterol (Serevent®), Tiotropium (Spiriva®), Formoterol (Foradil®) ƒe lãgbalẽ. |
| Corticosteroid siwo Wogbɔna (ICS) . | Esiawo ɖea yaƒoƒomɔ̃wo ƒe vuvu kple dɔdzẽ dzi kpɔtɔna. Wozãa wo gbesiagbe tsɔ xea mɔ na asrã ƒe amedzidzedze. Woyɔa esiawo be "Preventer Inhalers". | Budesonide (Pulmicort®), Fluticasone (Flovent®), Beclomethasone (Qvar®) ƒe atike . |
| Atike Siwo Wozãna Ðekae | Esiawo nye atike siwo míeyɔ ɖe etame la dometɔ eve alo etɔ̃ ƒe ƒuƒoƒo. Le kpɔɖeŋu me, yagbɔgbɔmɔ̃ geɖe li siwo ƒoa LABA kple ICS nu ƒu. | Fluticasone/Salmeterol (Advair®), Budesonide/Formoterol (Symbicort®), Fluticasone/Umeclidinium/Vilanterol (Trelegy®) ƒe atike si wotsɔna ƒoa ƒui. |
Mɔ nyuitɔ si dzi woato azã yagbɔgbɔmɔ̃
Esiae nye akpa vevitɔ kekeake. Be nàkpɔ viɖe geɖe tso wò yagbɔgbɔmɔ̃a me la, ele be nàzãe nyuie . Ne èzãe vodadatɔe la, atike la anɔ wò nu kple ŋɔti me le esi teƒe be wòaɖo wò lãkusiwo gbɔ. Alesi nèzãa yagbɔgbɔ ƒomevi ɖesiaɖe to vovo vie.
Bia wò ɖɔkta alo dɔnɔdzikpɔla ɣesiaɣi be aleke tututu nàzã yagbɔgbɔmɔ̃ si wona wò, eye nàzu numame na wò.
Afɔɖeɖe siwo dzi wowɔna zi geɖe la dometɔ aɖewoe nye esi.
Alesi woazã MDI (puffer):
1. Gbã la, ɖe nutsyɔnu la ɖa le nuƒomɔ̃a ŋu.
2. Ʋuʋu yagbɔgbɔmɔ̃a nyuie (anɔ abe sɛkɛnd 5 ene).
3. Gbugbɔ ya goglo alesi nàte ŋui eye nàkɔ wò lãkusiwo me.
4. De yagbɔgbɔmɔ̃a ƒe nu me nu me eye nàtsɔ wò nuyiwo axee sesĩe.
5. Azɔ zi gazea dzi ɖekaɖeka esi nèdze gbɔgbɔ blewuu gɔme .
6. Yi edzi nàgbɔ ya blewuu eye ne èwu enu la, ɖe gbɔgbɔtsixetsixea ɖa le wò nu me.
7. Lé gbɔgbɔ ɖe te abe sɛkɛnd 10 ene . Esia naa ɣeyiɣi atike la be wòaɖo wò lãkusiwo gbɔ.
8. Emegbe nàgbɔ ya le mɔ si sɔ nu.
9. Ne ɖɔktaa gblɔ na wò be nàgagbɔ ya ake la, lala abe aɖabaƒoƒo ɖeka ene eye nàgawɔe ake.
Dometsotsomɔ̃ zazã: Esesẽna na ame aɖewo, vevietɔ ɖevi suewo, be woaɖo ɣeyiɣi si woagbɔ ya. Le nɔnɔme mawo me la, woate ŋu azã mɔ̃ aɖe si woyɔna be spacer tube. Wotsɔa yagbɔgbɔmɔ̃a doa ka kple esia, wodoa atike la ɖe dometsotsoa me, eye emegbe dɔnɔa te ŋu gbɔa ya blewuu to eme. Esia ɖea atike siwo wogblẽna ɖe ame ŋu dzi kpɔtɔna ŋutɔ.
Alesi woazã DPI (powder inhaler):
Esiawo to vovo na MDI-wo.
1. Do atike ƒe agbɔsɔsɔme ɖe atike si wogbɔna ƒe mɔfiamewo nu (ɖewo bia be nàtro nutsomɔ̃, ɖewo bia be nàzi edzi).
2. Trɔ wò ta ɖa le yagbɔgbɔmɔ̃a ŋu eye nàgbɔ ya alesi nàte ŋui. Mègagbɔ ya ɖe yagbɔgbɔmɔ̃a me gbeɖe o.Ne èwɔe nenema la, aŋɔa ate ŋu aƒo tsi eye wòatsi.
3. De nuƒomɔ̃a wò nu me eye nàtsɔ wò nuyiwo axee sesĩe.
4. Azɔ ya ya kaba ŋutɔ eye nàgbɔ ya goglo , abe ɖe nèle yaƒoƒomɔ̃ zãm ene.
5. Ðe gbɔgbɔtsixetsixe le nu me eye nàlé wò gbɔgbɔ ɖe te abe sɛkɛnd 10 ene .
6. Emegbe nàgbɔ ya vivivi.
Vevietɔ ŋutɔ: Ne èle atike si me corticosteroid (e.g. ICS) le zãm la, klɔ wò nu nyuie kple tsi le eŋudɔwɔwɔ ɖesiaɖe megbe eye nàɖee ɖe go . Esia ate ŋu akpe ɖe ame ŋu be fungi dɔlékui (thrush) ƒe dzɔdzɔ le nu kple ŋɔti me o.
Ɣekaɣie wòhiã be nàyi ɖɔkta gbɔ?
Ne nya aɖe le asiwò ku ɖe wò yagbɔgbɔmɔ̃ ŋu la, ƒo nu kple wò ɖɔkta. Ele vevie be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo, vevietɔ le nɔnɔme siawo tɔgbe me.
- Ne esesẽ na wò be nàzã yagbɔgbɔmɔ̃ si wona wò.
- Ne womeɖu wò dzesiwo dzi o togbɔ be èzã atike hã.
- Ne èfɔ le zã me le vuvɔ ta.
- Ne ehiã be nàzã wò xɔnamenu si gbɔ wògbɔna wu zi eve le kwasiɖa me la, esia ate ŋu afia be womete ŋu lé wò dɔlélea nu nyuie o.
Le ɣeyiɣi siawo tɔgbe me la, wò ɖɔkta ate ŋu atrɔ wò atikeawo ƒe agbɔsɔsɔme alo atrɔ wò ɖe atike bubu si nègbɔna ŋu.
Gbedasi si Wotsɔ Yi Aƒeme
- Inhaler nye mɔ̃ vevi aɖe ŋutɔ si tsɔa atikewo yia lãkusiwo me tẽ na gbɔgbɔmedɔlélewo abe asrã kple COPD ene.
- Yagbɔgbɔ ƒomevi vovovowo li (MDI, DPI), eye wo zazã ƒe mɔnuwo to vovo.
- Be nàkpɔ viɖe geɖe tso wò yagbɔgbɔmɔ̃a me la, ele vevie be nàsrɔ̃ alesi nàzãe nyuie . Ne ɖikeke le ŋuwò la, bia wò ɖɔkta ɣesiaɣi.
- Ne èzã steroid (ICS) inhaler vɔ la, ne èklɔ nu nyuie ate ŋu akpe ɖe ŋuwò nàxe mɔ ɖe fungi ƒe dɔlékui siwo le nu me nu.
- Ne womete ŋu ɖu wò dzesiwo dzi o alo ele be nàzã wò xɔnamemɔ̃a enuenu la, yi ɖɔkta gbɔ enumake.
- Mele be nàzã ame bubu ƒe yagbɔgbɔmɔ̃ alo ama wò yagbɔgbɔmɔ̃ na ame bubuwo gbeɖe o.

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