Ède dzesii kpɔ be ne dzamezã alo asrã le viwò suea ŋu la, ŋutigbalẽ si le akɔta ƒe akɔta dome la gena ɖe eme ne wole gbɔgbɔm? Alo ɖe wòdze abe woƒe akɔta le ƒoƒom enea? Enye nusi sɔ be vidada alo vifofo ɖesiaɖe navɔ̃ vie ne ekpɔ esia. Esiae nye nusi míeyɔna be Intercostal Retractions le atikewɔwɔ me. Esia nye dzesi vevi aɖe si fia be gbɔgbɔ sesẽna. Eyata mina míaƒo nu tso esia ŋu le mɔ bɔbɔe si me kɔ nu egbea.
Kpuie ko la, nukae nye Intercostal Retractions?
Intercostal retractions nye ne lãmekawo kple ŋutigbalẽ siwo le wò akɔta dome la he yi eme ne èle gbɔgbɔm. ‘Intercostal’ fia teƒe si le akɔta eve dome. Akɔta ƒe heheɖemegbe sia fia be dɔdzẽ alo xexe le lãkusiwo me, si wɔnɛ be gbɔgbɔ sesẽna.
Bu eŋu ale. Ne míegbɔ ya nyuie la, lãmeka si le míaƒe akɔta kple ƒodo dome, si woyɔna be diaphragm, hea ɖe anyi. Esia hea nyaƒoɖeamenu gbegblẽ aɖe vɛ le akɔta, eye ya hea wo yia lãkusia me. Esia le abe atike hehe ɖe atikekui me ene. Gake nukae dzɔna ne yaƒoƒomɔ̃, si nye mɔ si dzi ya tona la, xe alo xaxa to ʋuʋudedi alo nu bubu aɖe ta? Togbɔ be lãkusia hea ɖe anyi hã la, ya si sɔ mate ŋu age ɖe lãkusia me o.
Ðeko wòle abe ɖe nèle gbe aɖe ƒe nugbɔ ɖeka tum eye nèle nu nom le eƒe nugbɔ kemɛ ene. Aleke kee nèhee sesĩe o, naneke meɖina tso gbea me o, ke boŋ gbea ƒe axawo nyrɔna ɖe eme.Emae dzɔna le akɔta la me. Esi ya mele gegem ɖe eme o ta la, akɔta ƒe lãmekawo kple ŋutigbalẽa dzea hehe ɖe eme.
Esia ate ŋu asɔ le duƒuƒu kple fefe megbe, gake ne dzesi sia dze le ɖiɖiɖemeɣi, agbagbadzedze aɖeke manɔmee la, ke enye gbɔgbɔtsixetsixe gã aɖe ƒe dzesi.
Dzesi bubu kawoe nye gbɔgbɔtsixetsixe ƒe dzesi?
Intercostal retractions nye do siwo le akɔtaƒuawo dome ƒe dzedzeme. Ðeko wòle abe ɖe wole akɔtaƒuwo hem ɖe eme ene. Ðewohĩ ɖɔktawo gblɔ na wò ɣeaɖewoɣi be nàdi akɔta ƒe tete ne gbɔgbɔ le sesẽm na viwòa. Tsɔ kpe ɖe dzesi sia ŋu la, dzesi bubu geɖewo li siwo woate ŋu akpɔ ne gbɔgbɔ le sesẽm na viwòa.
| Dzesi si dzena | Nuɖᴐɖᴐ |
|---|---|
| No ƒe ʋuʋu | ŋɔtiawo kekena eye wole kpuie le gbɔgbɔ ɖesiaɖe me. |
| Gbɔgbɔ kabakaba (`Tachypnea`) . | Gbɔgbɔ ƒe xexlẽme le miniti ɖeka me dzina ɖe edzi ŋutɔ ne ame tsi. |
| Gbeɖiɖi siwo mebɔ o | Ʋuʋudedi alo gbeɖiɖi sesẽ aɖe (stridor) le akɔta alo ŋɔti me ne èle gbɔgbɔm. |
| Yagbɔgbɔ kpuie | Seselelãme alo edze abe gbɔgbɔtsixe tsi ye ƒo ene, ne èle nu ƒom gɔ̃ hã. |
| Ɣeyiɣi didi wu tsɔtsɔ na gbɔgbɔ | Ɣeyiɣi didi hafi woagbɔ ya wu yagbɔgbɔ. |
Ne èkpɔ dzesi siawo dometɔ ɖeka alo esi wu nenema, vevietɔ le akɔta ƒe megbedede me la, ke enye atikewɔwɔ kpata. Kplɔ ɖevia alo amea yi kɔdzi ƒe dɔwɔƒe si te ɖe ŋuwò kpata (ETU) enumake.
Ðe heheɖemegbe ƒomevi vovovowo lia?
Ẽ, woate ŋu ama esiawo ɖe hatsotso vovovowo me le afisi wohe ŋutigbalẽ si le akɔta kple kɔ ŋu le nu.Ðɔkta ate ŋu anɔ te ɖe teƒe ma dzi akpɔ afisi yaƒoƒomɔ̃a xe mɔ na la nyuie.
| Heheɖemegbe ƒomevi | Teƒe si nèhea nu le | Zi geɖe la, eɖenɛ fiana |
|---|---|---|
| Intercostal | Le akɔtaƒuawo dome | Yagbɔgbɔ ƒe mɔ̃ si le ete ƒe xexe. |
| Subcostal ƒe ƒuƒoƒo | Le akɔta te, dɔgbo ƒe akpa | Yagbɔgbɔ ƒe mɔ̃ si le ete ƒe xexe. |
| Substernal ƒe ƒuƒoƒo | Le akɔtaƒu te | Yagbɔgbɔ ƒe mɔ̃ si le ete ƒe xexe. |
| Suprasternal (`Tɔdzisasrã ƒe hehe`) . | Le kɔ titina, le akɔtaƒu ƒe titina tame | Yaƒoƒomɔ̃ si le etame ƒe xexe. |
| Supraclavicular ƒe ƒuƒoƒo | Le kɔmeƒua tame | Yaƒoƒomɔ̃ si le etame ƒe xexe. |
Nukawo koŋ gbɔe nɔnɔme sia tso?
Yaƒoƒomɔ̃a ƒe ʋuʋu alo xexe gbɔe akɔta ƒe megbedede tsona. Esia ate ŋu atso nu vovovowo gbɔ.
- Dɔlélewo abe asrã alo COPD ene ƒe sesẽ: Le nɔnɔme siawo me la, yaƒoƒomɔ̃wo xana, si wɔnɛ be gbɔgbɔ sesẽna.
- Yagbɔgbɔdɔ: Vevietɔ le dɔlélewo abe `RSV` dɔlékui, `COVID-19`, si bɔ ɖe ɖeviwo me.
- Yagbɔgbɔ ƒe dɔléle: Nɔnɔmewo abe `Bronchiolitis` (yaƒoƒomɔ̃ suewo ƒe dɔdzẽ), `Croup` (aɖuɖɔtoe ƒe dɔdzẽ), kple `Pneumonia` (aklãdɔ).
- Mɔxexe: Yaƒoƒomɔ̃a ƒe xexe le nane si tsi ŋɔti me (e.g., nuɖuɖu kakɛ aɖe, fefenu), ʋuʋudedi si le ʋeʋẽm, alo dɔdzẽ ta.
- Nulɔdɔ sesẽ (`Anaphylaxis`): Nuɖuɖu, atike, alo nudzodzoe ƒe ƒoƒo ƒe nulɔdɔ sesẽ ate ŋu ana yaƒoƒomɔ̃wo navuvu eye woaxe.
- Nu bubu siwo gbɔ wòtsona: Gbe ƒe lãmetutudɔ, suklidɔ ƒe ketoacidosis, kple nɔnɔme siwo mebɔ o abe Reye ƒe dɔléle ene.
Atike kae ɖɔktawo naa esia?
Ne wokplɔ amesi ƒe akɔta ƒe ʋuʋu yi kɔdzi va kɔdzi la, ɖɔktawo ƒe taɖodzinu gbãtɔe nye be woaɖe gbɔgbɔtsixetsixe dzi akpɔtɔ eye woana oxygen agbɔsɔsɔme si hiã la ŋutilãa. Le nusi gbɔ wòtso nu la, wozãa atikewɔwɔmɔnu vovovowo.
- Oxygen-dɔdamɔnu: Wotoa ŋɔti me mɔ̃ alo motsyɔnu dzi naa oxygen.
- Nebulizer-dɔdamɔnu: Atike ƒe yaƒoƒo, abe yaƒoƒomɔ̃ siwo kekea yaƒoƒomɔ̃wo alo corticosteroids siwo ɖea dɔdzẽ dzi kpɔtɔna ene, gbɔgbɔ.
- Mɔxenua ɖeɖeɖa: Nane si tsi yaƒoƒomɔ̃a me ɖeɖeɖa.
- Yaƒoƒo nyuie: Ne gbɔgbɔ le ɖokuiwò si sesẽ akpa la, mɔ̃ aɖe naa ya alo ɔksidzin le nyaƒoɖeamenu sesẽ me. Woateŋu awɔ esia to modzakaɖenu abe `CPAP` alo `BiPAP` alo, le nɔnɔme sesẽ ŋutɔ me la, to kadodo kple yagbɔgbɔmɔ̃ si wowɔ (`mɔ̃ɖaŋu yaƒoƒo`) me.
Le atikewɔwɔ sia me la, ɖɔkta ate ŋu awɔ dodokpɔ geɖe atsɔ adi nusi gbɔ nɔnɔme sia tso.
- Akɔta ƒe X-ray alo CT scan.
- No me tsinono be woatsɔ ade dzesi dɔlékuiwo ƒe dɔlékuiwo.
- Ʋudodokpɔwo.
Afɔku kawoe le eme ne womewɔ atike na wo o?
Ne womeda nɔnɔme si gbɔ wòtso be akɔta ƒe ʋuʋu le megbe na o la, nɔnɔmea ate ŋu agblẽ ɖe edzi. Le nɔnɔme sesẽwo me la, gbɔgbɔ sesẽna, .
- Oxygen si naa ŋutilã ƒe lãkusiwo dzi ɖe kpɔtɔ (hypoxia).
- Carbon dioxide ƒe agbɔsɔsɔ si dzina ɖe edzi le ʋu me (hypercapnia).
- Kuxi siwo ate ŋu ade ame ƒe agbe afɔku me abe gbɔgbɔtsixetsixe keŋkeŋ ene ate ŋu ado mo ɖa.
Gbedasi si Wotsɔ Yi Aƒeme
- Intercostal retractions nye ŋutigbalẽa hehe ɖe akɔta dome ne wole gbɔgbɔm. Esia nye gbɔgbɔ sesẽ ƒe dzesi vevi aɖe .
- Woate ŋu akpɔ nɔnɔme sia nyuie le ɖevi suewo kple vidzĩwo dome.
- Ne èkpɔ dzesi sia esime nèle tsitrenu ko, agbagbadzedze aɖeke manɔmee la, ke enye nudzɔdzɔ kpata. Yi kɔdzi si te ɖe ŋuwò wu ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) enumake.
- Nɔnɔme sia ate ŋu ado mo ɖa le susu vovovowo ta, abe asrã, aklãdɔ, alo nane si xea yaƒoƒomɔ̃a ene.
- Dɔdamɔnu ʋua yaƒoƒomɔ̃wo eye wònaa ya si nye oxygen si ŋutilãa hiã. Ele vevie ŋutɔ be màgatsi dzodzodzoe ne èkpɔ nɔnɔme sia o eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo nyuitɔ kaba.
👩🏽 ⚕️ Nyabiase bubuwo (FAQs)
💬 Ahɔhɔ̃mekawo ƒe nɔnɔme ka ƒomevie nye ʋuʋudedi?
Ʋuʋudedi mesɔ kple ʋuʋu ne vuvɔ le wɔwɔm/vɔvɔ̃ ɖo wò o! ‘Ʋuʋuʋu’ nye lãmekawo ƒe dɔléle sesẽ aɖe si me ame ƒe alɔ, afɔ, ta, alo gbe ʋuʋuna le eɖokui si (le lɔlɔ̃nu faa, lãmekawo ƒe ʋuʋu le ɣeyiɣi ƒe didime nu), nɔa ʋuʋum/ʋuʋuna ɣesiaɣi abe pendulum ene. Esia na agbea sesẽna ale gbegbe be màte ŋu alé kplu alo aŋlɔ lɛta gɔ̃ hã o.
💬 Nukawo koŋue hea ʋuʋudedi siwo dzi womate ŋu aɖu o vɛ?
Nu vevi geɖewo li siwo gbɔ esia tso: 1) ‘Parkinson ƒe Dɔléle’ - Esia ƒe dzesi si me afɔku le wu enye be dɔnɔa ʋuʋua asi ɖeka ne ‘wòtsi tre ɖe teƒe ɖeka’ naneke mawɔmawɔe (Resting tremor - abe gaku xlẽxlẽ le asi me ene). 2) 'Essential Tremor' - Ne woyi ɖaxɔ kplu/ŋlɔ (Action tremor) ko hafi ame siawo ʋuʋuna. 3) Lãmetsiŋusẽ si zɔna kabakaba le mɔ si mesɔ o nu (Hyperthyroidism). 4) Nuteɖeamedzi, caffeine nono fũ kple ahanono.
💬 Nukatae wòle be nàkpɔ ɖɔkta le ʋuʋudedi ŋu? Nukawoe nye ‘nɔnɔme siwo ate ŋu ade ame ƒe agbe afɔku me/kpata’ siwo hiã be woaxɔ ame ɖe kɔdzi enumake?
Ne èle ʋuʋum la, ele be nàyi ahɔhɔ̃ŋutinunyala gbɔ godoo (ɖewohĩ ahɔhɔ̃a gblẽ vevie). Gake afɔku gãtɔ kekeake! Ame si nɔ nyuie ate ŋu, le aɖabaƒoƒo ʋɛ aɖewo ko me, 1) alɔ/afɔ ɖeka aʋuʋu, eye le ɣeyiɣi ma ke me la, mate ŋu aƒo nu o/mo nadze anyi (Stroke), 2) eƒe ŋkuwo naʋuʋu/aƒe susu nadzo eye woƒe ŋutilã bliboa naʋuʋu/aʋuʋu (Alɔ̃madɔmadɔ), eyata ele be nàyi kɔdzi ƒe dɔwɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ kaba, elabena dɔnɔa ate ŋu adze alɔ̃ me eye wòaku!
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