Ède dzesii kpɔ be viwò suea le agbagba dzem be yeagbɔ le vuvɔ alo dzoxɔxɔ me, afisi wòdzena abe ŋutigbalẽ si le woƒe akɔta dome hea yi eme le gbɔgbɔ ɖesiaɖe me enea? Alo ɖewohĩ edze abe akɔta le nyɔnyrɔm ɖe eme ne wole gbɔgbɔm enea? Enye nusi sɔ kura be dzila ɖesiaɖe natsi dzimaɖi ne ekpɔ esia. Le atikewɔwɔ me la, míeyɔa esia be Intercostal Retractions . Enye gbɔgbɔtsixetsixe ƒe dzesi vevi aɖe. Egbea, míele afisia le Nirogi Lanka be míaɖe esia me eme nakɔ eye wòanɔ bɔbɔe.
Kpuie ko la, nukae nye Intercostal Retractions?
Intercostal retractions dzɔna ne lãmekawo kple ŋutigbalẽ siwo le wò akɔta dome he yi ememe esime nèle gbɔgbɔm. ‘Intercostal’ fia teƒe si le akɔta eve dome. Hehe yi ememe sia fia be viwòa le agbagba dzem be yeagbɔ le dɔdzẽ alo yaƒoƒomɔ̃wo ƒe xexe ta.
Be nàkpɔ esia le susu me: Zi geɖe la, wò akɔta (lãmeka si le wò akɔta kple ƒodo dome) hea yi anyime ne èle gbɔgbɔm. Esia hea nyaƒoɖeamenu gbegblẽ vɛ le akɔta, si hea ya yia lãkusiwo me—abe alesi wohea plunger ɖe syringe dzi ene. Gake ne yaƒoƒomɔ̃a xa alo xe mɔ na ʋuʋudedi alo nu bubuwo la, ya mete ŋu xɔa ya si sɔ o. Togbɔ be akɔtaƒua le ʋuʋum hã la, ya ƒe sisi ƒe anyimanɔmanɔ nana akɔta ƒe gli ƒe lãmekawo gbãna yia eme.
Bu eŋu abe agbagbadzedze be yeano aha to gbe si woxe ɖe eƒe nugbɔ ɖeka me ene. Aleke kee nèɖahee sesĩe o, tsi aɖeke menɔa asiwò o; ke boŋ gbea ŋutɔ mu. Esiae nye nusi le dzɔdzɔm le akɔta la me. Esi ya mele gegem ɖe eme bɔbɔe o ta la, akɔta ƒe lãmekawo kple ŋutigbalẽa dzea hehe yi eme.
Togbɔ be akɔta ƒe ʋuʋu aɖewo sɔ le kamedede sesẽ megbe hã la, ne èlé ŋku ɖe esia ŋu esime viwòa le ɖiɖim ɖe eme la, enye gbɔgbɔtsixe ƒe nuteɖeamedzi sesẽ ƒe dzesi ɖedzesi aɖe eye wòhiã be woakpɔ egbɔ enumake le dɔwɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ.
Dzesi bubu kawoe ɖee fia be gbɔgbɔtsixe tsia ame ƒo?
Intercostal retractions nana be teƒe siwo le akɔtaƒuawo dome la dzena abe ɖe wonyrɔ ene. Zi geɖe la, esia dzena le vidzĩwo kple ɖevi suewo ŋu wu elabena woƒe ŋutilã me ami si tsyɔa woƒe akɔtaƒuwo dzi mesɔ gbɔ o. Zi geɖe la, ɖɔktawo ɖoa aɖaŋu na dzilawo be woalé ŋku ɖe akɔta ƒe ʋuʋu ‘si le nyɔnyrɔm’ sia ŋu. Le esia godo la, ne viwòa le gbɔgbɔtsixe tsim la, àte ŋu ade dzesi nuxlɔ̃amedzesi bubu geɖe.
| Dzesi si dzena | Nuɖᴐɖᴐ |
|---|---|
| No ƒe Dzobibi | Wò ŋɔtiwo kekena ŋutɔ le gbɔgbɔ ɖesiaɖe si nègbɔna me. |
| Gbɔgbɔ Kabakaba (Tachypnea) . | Wò gbɔgbɔ ƒe tsɔtsɔme sɔ gbɔ ŋutɔ wu esi sɔ na wò ƒexɔxɔ. |
| Gbeɖiɖi Siwo Mesɔ O | Kpẽkuku (ɣlidodo) alo gbeɖiɖi sesẽ si nu sẽ (stridor) sese tso wò akɔta alo ŋɔti me esime nèle gbɔgbɔm. |
| Gbɔgbɔ Kpuie | Seselelãme alo edze abe gbɔgbɔtsixe tsi ye ƒo ene, ne èle agbagba dzem be yeaƒo nu gɔ̃ hã. |
| Ɣeyiɣi Didi ƒe Nuwuwu | Exɔa ɣeyiɣi didi sã hafi nègbɔa ya wu esi wòxɔna hafi nègbɔa ya. |
Ne ède dzesi dzesi siawo dometɔ aɖe—vevietɔ ne akɔta ƒe ʋuʋu kpe ɖe eŋu—la, esia nye atikewɔwɔ kpata. Taflatse di beléle enumake le Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ si te ɖe ŋuwò alo nàƒo ka na 911 enumake.
Ðe heheɖemegbe ƒomevi vovovowo lia?
Ẽ, woɖoa nusiwo hea ŋutigbalẽa ɖe hatsotsowo me le afisi wole ŋutigbalẽa hem yi ememe le wò akɔta alo kɔ dzi nu. Esia kpena ɖe ɖɔktawo ŋu wokpɔa afisi tututu yaƒoƒomɔ̃ aɖe ate ŋu axe mɔ na.
| Heheɖemegbe Ƒomevi | Teƒe | Zi geɖe la, Fiae |
|---|---|---|
| Intercostal | Le akɔtaƒuawo dome | Yaƒoƒomɔ̃ ƒe xexe si le anyime. |
| Subcostal ƒe ƒuƒoƒo | Le akɔtaƒua te | Yaƒoƒomɔ̃ ƒe xexe si le anyime. |
| Substernal ƒe ƒuƒoƒo | Le no ƒe ƒu te | Yaƒoƒomɔ̃ ƒe xexe si le anyime. |
| Suprasternal (Tɔdzisasrã ƒe hehe) . | Le akɔtaƒu tame, le kɔa gɔme | Yaƒoƒomɔ̃ si le etame ƒe xexe. |
| Supraclavicular ƒe ƒuƒoƒo | Le kɔmeƒua tame | Yaƒoƒomɔ̃ si le etame ƒe xexe. |
Nukawo koŋue hea nɔnɔme sia vɛ?
Intercostal retractions dzɔna ne wò yaƒoƒomɔ̃a xaxa alo xe mɔ. Nu geɖe ate ŋu ahe esia vɛ:
- Asrã alo COPD ƒe Nuveviwɔame: Nɔnɔme siawo nana aɖuɖɔtoe me ʋukawo me sẽna, si wɔnɛ be gbɔgbɔ sesẽna.
- Gbɔgbɔmedɔlékuiwo: Nusiwo hea dɔlélea vɛ zi geɖe dometɔ aɖewoe nye RSV (vevietɔ le ɖeviwo me), COVID-19, kple dɔlékui bubuwo ƒe dɔlékuiwo.
- Yaƒoƒomɔ̃wo ƒe Dzoxɔxɔ: Nɔnɔmewo abe Bronchiolitis, Croup, kple Pneumonia ene.
- Ŋutilã ƒe Mɔxexe: Yaƒoƒomɔ si nu dzro aɖe xe (le kpɔɖeŋu me, nuɖuɖu alo fefenu), ʋuʋudedi si le ʋeʋẽm, alo dɔdzẽ.
- Nulɔdɔ Sesẽwo (Anaphylaxis):Nuɖuɖu, atike, alo nudzodzoewo ƒe ƒoƒo ƒe nulɔdɔ sesẽ ate ŋu ana yaƒoƒomɔ̃wo navuvu eye woatu.
- Nu Bubu Siwo Gbɔ Wòtso: Gbe ƒe lãmetutudɔ, ketoacidosis sesẽ si do ƒome kple suklidɔ, alo nɔnɔme siwo mebɔ o abe Reye ƒe dɔléle ene.
Aleke atikewɔlawo awɔ nu ɖe esia ŋu le Nirogi Lanka?
Ne èva ɖo kɔdzi kple akɔta ƒe ʋuʋu la, míaƒe taɖodzinu vevitɔe nye be míaɖe wò gbɔgbɔtsixetsixe dzi akpɔtɔ eye míagbugbɔ oxygen ƒe agbɔsɔsɔ si sɔ aɖo wò. Míezãa atike tɔxɛ vovovo siwo wowɔ ɖe nusi gbɔ wò dzesiawo tsona nu.
- Oxygen-dɔdamɔnu: Oxygen kpeɖeŋutɔ nana to aɖuɖɔtoe alo motsyɔnu dzi.
- Nebulizer ƒe atikewɔwɔwo: Atikewo abe yaƒoƒomɔ̃ siwo kekea yaƒoƒomɔ̃wo ene alo corticosteroids be woaɖe dɔdzẽ dzi akpɔtɔ le kuɖiɖi nyui aɖe me la gbɔgbɔ.
- Yaƒoƒomɔ̃a ƒe ʋuʋu: Nu ŋutɔŋutɔ ɖesiaɖe si xea mɔ na yaƒoƒomɔ̃a ɖeɖeɖa.
- Yaƒoƒo ƒe nyaƒoɖeamenu nyui: Ne èle agbagba dzem be yeagbɔ ya le ɖokuiwò si la, wozãa mɔ̃ aɖe tsɔ naa ya alo ɔksidzin le nyaƒoɖeamenu si lolo wu me. Woate ŋu awɔ esia to ametakpɔnu (abe CPAP alo BiPAP ene) dzi alo le nɔnɔme sesẽwo me la, woate ŋu awɔe to mɔ̃ dzi yaƒoƒo me.
Esi wole dɔdamɔnu siawo wɔm la, wò ɖɔkta ate ŋu awɔ dodokpɔ geɖe atsɔ anya nusi gbɔ wò dɔlélea tso:
- Akɔta ƒe X-ray alo CT scan.
- No me tsi si woatsɔ ade dzesi dɔlékui siwo ate ŋu axɔ dɔlékuiwo.
- Ʋudodokpɔwo.
Afɔku kawoe le eme ne womewɔ atike na wo o?
Ne womeda nɔnɔme si gbɔ wòtso si hea akɔta ƒe ʋuʋu vɛ o la, wò nɔnɔmea ate ŋu agblẽ ɖe edzi. Le nɔnɔme sesẽwo me la, gbɔgbɔtsixe ate ŋu ahe kuxi siwo ate ŋu ade ame ƒe agbe afɔku me vɛ, siwo dometɔ aɖewoe nye:
- Hypoxia (oxygen ƒe agbɔsɔsɔ si bɔbɔ ɖe ŋutilã ƒe lãkusiwo me).
- Hypercapnia (carbon dioxide ƒe agbɔsɔsɔ si dzina ɖe ʋua me).
- Yagbɔgbɔ ƒe dɔmawɔmawɔ nyuie keŋkeŋ.
Nu Vevi Siwo Wotsɔna Yia Aƒeme (Gbedasi Siwo Wotsɔna Yia Aƒeme) .
- Intercostal retractions dzɔna ne ŋutigbalẽ si le wò akɔta dome he yi eme ne èle gbɔgbɔm, si nyea gbɔgbɔtsixe ƒe dzesi vevi aɖe.
- Dzesi sia dzena le vidzĩwo kple ɖevi suewo koŋ gome.
- Ne ède dzesi esia esime ame aɖe le ɖiɖim ɖe eme la, bu eŋu be enye atikewɔwɔ kpata. Di beléle enumake le Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ si te ɖe ŋuwò.
- Nɔnɔme sia ate ŋu atso nu vovovowo gbɔ, siwo dometɔ aɖewoe nye asrã, aklãdɔ, alo yaƒoƒomɔ̃ ƒe xexe.
- Atikewɔwɔ ƒe atikewɔwɔ ku ɖe yaƒoƒomɔ̃wo me kɔklɔ kple ɔksidzin ƒe agbɔsɔsɔ gbugbɔgaɖo ŋu. Mègatsi dzodzodzoe o; di atikewɔla bibiwo ƒe kpekpeɖeŋu enumake ne ède dzesi dzesi siawo.
👩🏽 ⚕️ Nyabiase Siwo Wobiana Enuenu (FAQs)
💬 Nukae nye ʋuʋudedi?
Menye vuvɔ alo vɔvɔ̃ ta koe ʋuʋudedi nye o. Enye lãmekawo ƒe tete le lɔlɔ̃nu faa me, si naa alɔ, afɔ, ta, alo wò gbe gɔ̃ hã ʋuʋuna. Ate ŋu anye ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie ƒe dzesi si na gbesiagbedɔwo abe kplu léle alo nuŋɔŋlɔ ene sesẽna.
💬 Nukawo koŋue hea ʋuʋudedi vɛ?
Nu vevi siwo gbɔ wòtsona dometɔ aɖewoe nye: 1) Parkinson ƒe Dɔléle (zi geɖe la, edzena abe ɖiɖiɖeme ƒe ʋuʋu ene). 2) Essential Tremor (si dzɔna le ʋuʋu me). 3) Hyperthyroidism (ʋumenugbagbeviɣidɔ si wɔa dɔ fũu akpa). 4) Nuteɖeamedzi, caffeine nono fũ, alo ahanono.
💬 Nukatae nàkpɔ ɖɔkta hena ʋuʋudedi? Ɣekaɣie wònyea nudzɔdzɔ kpata?
Ele be ahɔhɔ̃ŋutinunyala nada ʋuʋudedi kpɔ be wòaɖe nya siwo do ƒome kple ahɔhɔ̃a ɖa. Di beléle kpata enumake ne ʋuʋudedi kpata kpe ɖe: 1) Nuƒoƒo si me mekɔ o alo mo ƒe ŋeŋe (ʋusɔgbɔdɔ ƒe dzesiwo). 2) Ame ƒe susu ƒe bu alo ŋutilã bliboa ƒe ʋuʋu (dzesiwo be ame ƒe lãme gbã). Le nɔnɔme siawo me la, sɛkɛnd ɖesiaɖe le vevie.
