Ðe nènye amesi ŋu asrãdɔ lea? Alo ɖe asrãdɔ le wò ƒomea me, ɖewohĩ viwò, si nye xɔ̃wò, ŋua? Ne míelé ŋku ɖe ame mawo ŋu la, míekpɔnɛ be ŋkeke aɖewo la, wogbɔa ya bɔbɔe ŋutɔ, eye mesesẽna na wo o. Gake, ɣeyiɣi aɖewo li siwo me gbɔgbɔ sesẽna na wo zi ɖeka, wosena le wo ɖokui me abe ɖe woƒe akɔta xaxa ene, eye wokɔa akɔta sesĩe. Ɣemaɣie míegblɔna be asrã nu sẽ ɖe edzi, alo asrã ƒe amedzidzedze , alo asrã ƒe ʋuʋu va. Esia ate ŋu anye nuteƒekpɔkpɔ si ɖea fu na ame ŋutɔŋutɔ. Eyata ɖe míaƒo nu tso esia ŋu tsitotsito vie egbea?
Nuka tututue nye asrã? Mina míase egɔme bɔbɔe.
Hafi míaƒo nu tso asrã ƒe sesẽ ŋu la, mina míadzro nusi asrã nye me kpuie. Kpuie ko la, asrã nye nɔnɔme si me míaƒe yaƒoƒomɔ̃wo , siwo nye mɔ̃ siwo tsɔa ya yia lãkusiwo me, va sea veve . Seselelãme sia ate ŋu ana yaƒoƒomɔ̃ siawo naxɔ abi , si fia be wovuvu, eye woaxe, le susu vovovowo ta.
Bu eŋu abe tsi ƒe pɔmpi ene. Zi geɖe la, pɔmpia ʋuna, eyata tsia toa eme bɔbɔe. Gake le amesi ŋu asrã le gome la, yaƒoƒomɔ̃ siwo nye mɔ̃ siwo woyɔna be yaƒoƒomɔ̃wo wɔa nu ɖe nu aɖewo ŋu eye wovuvuna hetsia. Emegbe abe alesi ko ne pɔmpia xe ene la, eva sesẽna be tsi nate ŋu ato eme, si wɔnɛ be esesẽna be woagbɔ ya ado goe.
Nu vevitɔe nye be asrã nye dɔléle si nɔa anyi didi . Esia fia be menye nane si anyo ɖe edzi le ŋkeke ɖeka alo eve megbe o. Gake ne wokpɔ edzi nyuie eye wozã atikea nyuie la, anya wɔ be woanɔ agbe si sɔ ne asrã le ame ŋu gɔ̃ hã.
Eyata nukae nye asrã ƒe dzodzo sia?
Azɔ mina míalé ŋku ɖe nusi asrã ƒe ʋuʋu, alo asrã ƒe amedzidzedze, nye ŋu. Ame si ŋu asrã le ate ŋu awɔ eƒe gbesiagbedɔwo nenye be vevesese sue aɖe le eŋu le ŋkekea me gɔ̃ hã. Gake asrã ƒe ʋuʋu nye gbɔgbɔtsixetsixe kpata, si nu sẽ ŋutɔ.
Dzesi vevi siwo woate ŋu akpɔ le ɣeyiɣi sia mee nye:
- Kɔdzidɔ sesẽ: Ɣeaɖewoɣi la, kɔdzidɔa te ŋu nu sẽ ale gbegbe be manya wɔ be woadzudzɔ o.
- Wheezing: Gbeɖiɖi si le bɔbɔe, si ɖina sesĩe si dona tso akɔta ne wole gbɔgbɔm. Esiae wosena zi geɖe ne wole gbɔgbɔm.
- Gbɔgbɔtsixetsixe sesẽ: Ate ŋu ase le ɖokuiwò me abe ɖe gbɔgbɔtsixe tsi ƒowò eye wò akɔta le tetem ene. Gbɔgbɔ sesẽna na ame aɖewo, si wɔnɛ be nuƒoƒo gɔ̃ hã sesẽna.
Nɔnɔme sia ate ŋu anɔ anyi gaƒoƒo geɖe, alo ŋkeke geɖe gɔ̃ hã, eyata esia nye nusi ŋu wòle be woabu godoo.
Nukatae asrã dzina ɖe edzi zi ɖeka? Mina míakpɔ nusiwo koŋ gbɔ wòtsona (Triggers) ɖa.
Nu vovovowo ate ŋu aʋã ame ɖesiaɖe be wòaxɔ asrãdɔa. Woyɔa esiawo be nusiwo ʋãa ame.Ne asrã le ŋuwò la, ele vevie be nàde dzesi nusi hea wò asrã vɛ.
Nusiwo gbɔ wòtsona zi geɖe dometɔ aɖewoe nye esi:
- Nusiwo ŋu nulɔdɔ le:
- Dust mites: Nu gbagbe sue siwo nɔa xɔ me, le abadzivɔwo, akɔtaɖonuwo, kple mattresswo me.
- Pollen: Aŋɔ si dona tso ati ƒe seƒoƒowo me le kele me.
- Lãwo ƒe fu, taɖa, kple ŋutigbalẽ ƒe ƒuƒu (Pet dander): Lãwo abe avu kple avu ene gbɔe wòtso.
- Aŋɔ Ƒomeviwo: Aŋɔ si tsina le teƒe siwo fafa bɔ ɖo, abe tsileƒewo kple nuɖaƒewo ene.
Ne nu siawo ge ɖe ŋutilã me la, ame si ŋu asrã le ƒe yaƒoƒomɔ̃wo wɔa nu ɖe eŋu, wovuvuna eye woxena. Bu eŋu kpɔ ko, ame aɖewo ƒoa aɖuɖɔ eye wosena le wo ɖokui me be yewole wo ɖokuiwo ƒom ne yewoka asi ke vi aɖe ŋu gɔ̃ hã, eye gbɔgbɔ sesẽna na amesiwo ŋu asrã le le nu siawo ta.
- Vuvɔ kple gbɔgbɔtsixe ƒe dɔléle bubuwo:
- Aɖuɖɔtoe alo asrã si bɔ gɔ̃ hã ate ŋu ana asrãdɔ nagado gã ɖe edzi. Esia le alea elabena dɔlékui siawo dzia dɔdzẽ ɖe edzi le gbɔgbɔtsixe me. Esia tae wòle be amesiwo ŋu asrã le naɖɔ ŋu ɖo geɖe wu ne woxɔ dzamezã ɖo.
- Sigaret ƒe dzudzɔ kple dzudzɔ bubuwo:
- Ame aɖe si noa atama (atamanono evelia) kple atamanono (atamanono vevie) dome nɔnɔ ate ŋu ana asrãdɔa nagasẽ ɖe edzi. Atike siwo le sigaret ƒe dzudzɔ me gblẽa nu le gbɔgbɔtsixe ŋu ŋutɔ.
- Azɔ hã, nuwo abe atikpakpɛ ƒe dzudzɔ, ʋu ƒe yaƒoƒo, dɔwɔƒewo ƒe dzudzɔ, ami ʋeʋĩ sesẽwo, kple nudzodzoeviwutikewo hã ate ŋu ana asrã nadzi ɖe edzi.
- Kamedede:
- Ame aɖewo ate ŋu akpɔ asrã ƒe dzesiwo ƒe dzidziɖedzi ne wole kame dem, vevietɔ le teƒe siwo vuvɔ le wɔwɔm eye kuɖiɖi le. Woyɔa esia be asrã si kamedede hena vɛ .
- Gake esia mefia be mele be amesiwo ŋu asrã le nade kame o. Abe alesi atikewɔlawo ƒe aɖaŋuɖoɖo gblɔe ene la, esɔ be nàde kame, ɖewohĩ nàzã atike si gbɔa ya hafi ade kame.
- Ya fafɛ:
- Ne ya fafɛ do go zi ɖeka, le kpɔɖeŋu me, ne wole gota tso xɔ si me fa miamiamia me, alo ne wole tsi fafɛ nom la, ame aɖewo ƒe yaƒoƒomɔ̃wo ate ŋu axe eye asrã ate ŋu agblẽ ɖe edzi.
- Susu bubuwo tae:
- Nuteɖeamedzi kple seselelãme sesẽwo: Ame aɖewo ƒe asrã ate ŋu agblẽ ɖe edzi ne wodo dziku vevie, vɔvɔ̃ ɖo wo, alo lé blanui.
- Atike aɖewo: Vevesesenutsitike aɖewo (e.g., NSAID abe aspirin kple ibuprofen ene), kple dzidɔtike aɖewo abe beta-blockers ene ate ŋu ana asrãa nagagblẽ ɖe edzi. Ne asrã le ŋuwò la, kpɔ egbɔ be yegblɔe na yeƒe ɖɔkta ne yedze atike yeye ɖesiaɖe nono gɔme.
- Ðiƒoƒo ya: Nuwo abe ʋuwo ƒe yaƒoƒo kple dɔwɔƒewo ƒe dzudzɔ le dugãwo me ene.
- Nusiwo le nuɖuɖu kple nunono me dometɔ aɖewo (Food additives):Nuwo abe sulphites ene ate ŋu agblẽ nu le ame aɖewo ŋu, gake esia mebɔ kura o.
Nukae dzɔna le míaƒe gbɔgbɔtsixe ƒe dɔwɔwɔ me ne asrã do mo ɖa?
Ne asrãa nu sẽ la, tɔtrɔ vevi etɔ̃ dzɔna le míaƒe yaƒoƒomɔ̃wo me:
1. Yaƒoƒomɔ̃a ƒe akpa si le eme ƒe dɔdzẽ kple eƒe vuvu: Le nusiwo hea dɔlélea vɛ siwo ŋu míeƒo nu tsoe va yi ta la, lãkusi tsɛ siwo le yaƒoƒomɔ̃awo ŋu la dzea vuvu gɔme. Abe alesi ko ne míexɔ abi ene la, míaƒe ŋutilã vuvuna.
2. Lãmetsiwo ƒe tete / Bronchoconstriction: Lãmetsi sue siwo ƒo xlã yaƒoƒomɔ̃wo la sesẽna, si wɔnɛ be yaƒoƒomɔ̃ siwo me dɔdzẽ le la gatsina ɖe edzi.
3. Yaƒoƒo ƒe dzidziɖedzi: Lãmetsi siwo le yaƒoƒomɔ̃wo me dzea ʋuʋudedi geɖe wɔwɔ gɔme wu alesi wòle dzɔdzɔmee. Aɖuɖɔ sia tsina, si wɔnɛ be yaƒoƒomɔ̃ siwo xaxa la gatsina ɖe edzi, si wɔnɛ be esesẽna na ya be wòato eme.
Kpɔe ɖa le susu me be tsido aɖe si vuvu tso eme, ame aɖe le eƒom tso egodo, eye le esia dzi la, ɖi hã xa ɖe eme. Emae nye nusi dzɔna le lãkusi me ne asrãa do mo ɖa. Eyata àte ŋu akpɔ ale si gbegbe wòasesẽ be woagbɔ ya la le susu me.
Ðe míate ŋu ade dzesi asrã si nu sẽ ƒe dzesiwo nyuiea?
Asrã ƒe sesẽ ƒe dzesiwo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ, eye ɖewohĩ masɔ le ame ɖesiaɖe gome o. Gake esiawo nye dzesi siwo bɔ dometɔ aɖewo:
- Gbɔgbɔtsixetsixe: Esiae nye dzesi vevitɔ. Ewɔna nam abe gbɔgbɔtsixe tsi ƒowò eye màte ŋu agbɔ ya sesĩe o ene.
- Akɔta ƒe tete alo vevesese: Ate ŋu ase le eɖokui me abe alidziblanu aɖe le ƒoƒom ɖe akɔta ene, alo abe nane kpekpe le akɔta ene.
- Kɔdzidede atraɖii: Kɔdzidɔ sia ate ŋu agblẽ ɖe edzi le zã me, le ŋdi kanya, alo le kamedede me. Ate ŋu anye kɔdzi ƒuƒu ɣeaɖewoɣi, alo ate ŋu anye kɔdzi si me ʋuʋudedi le.
- Wheezing: Gbeɖiɖi si ɖina tso akɔta, abe "soo... soo...", ne wole gbɔgbɔm, vevietɔ ne wole gbɔgbɔm. Ɣeaɖewoɣi la, menye wò ŋutɔ koe ate ŋu ase gbeɖiɖi sia o, ke ame siwo dome nèle hã ate ŋu ase.
- Gbɔgbɔ kabakaba.
- Nuƒoƒo sesẽ: Gbɔgbɔ sesẽ, si wɔnɛ be wòsesẽna be woaƒo nu le nyagbe si me madzudzɔmadzudzɔe me o. Ele be nàgblɔ nya eve alo etɔ̃ eye nàgbɔ ya.
- Sese le eɖokui me be ɖeɖi te ye ŋu alo gbɔdzɔ ŋutɔ.
- Alɔ̃dɔdɔ sesẽ: Le kɔdzi kple gbɔgbɔ sesẽ ta.
- Wò yagbɔgbɔ si naa gbɔdzɔe ame zazã enuenu: Ne èkpɔe be ehiã be yeazã yeƒe yagbɔgbɔ blɔ (abe Salbutamol ene) zi geɖe wu alesi nèzãnɛ ɖaa la, ke enye dzesi be asrãa nu sẽ ɖe edzi.
Dzesi sesẽ siwo hiã be woakpɔ egbɔ kpata:
Ne dzesi siawo le ame ŋu la, .Ele be nàyi kɔdzi alo ayɔ dɔnɔdzikpɔʋu enumake. Esiawo ate ŋu ade ame ƒe agbe afɔku me.
- Nuyi alo asibidɛ blɔ/aɖabɛ (Cyanosis): Esia fia be ŋutilãa mele oxygen si sɔ xɔm o.
- Gbɔgbɔtsixe sesẽ, gbɔgbɔtsixe tsia ame ƒo.
- Gbɔdzɔe aɖeke alo gbɔdzɔe aɖeke manɔ anyi hena ɣeyiɣi aɖe le yagbɔgbɔmɔ̃ si naa gbɔdzɔe kabakaba zazã vɔ megbe gɔ̃ hã o.
- Gbɔgbɔ sesẽ ale gbegbe be màte ŋu aƒo nu alo azɔ o.
- Taɖuame alo tɔtɔ.
- Le ɖevi suewo gome la, gbɔgbɔ kabakaba kple ŋɔti siwo lolo, ƒodo me gbɔgbɔ, gbegbe be yemaɖu nu alo ano nu o, kple hũɖeɖe.
Nukae nàwɔ ne wò asrãa nu sẽ? Atikewɔwɔ kaba le vevie ŋutɔ!
Ne èwɔ afɔɖeɖe ne asrã ƒe sesẽ ƒe dzesiwo dze egɔme ko la, ate ŋu ana nɔnɔmea nagagblẽ ɖe edzi o.
1. Nɔ anyi kpoo: Dzimaɖitsitsi ate ŋu ana gbɔgbɔ nasesẽ.
2. Zã wò "Reliever Inhaler / Rescue Inhaler": Zi geɖe la, esia nyea yagbɔgbɔmɔ̃ si ƒe amadede nye blɔ (e.g. `(Salbutamol)`, `(Ventolin)`). No agbɔsɔsɔme si woŋlɔ na wò abe alesi wò ɖɔkta gblɔe ene. Yagbɔgbɔmɔ̃ sia wɔa dɔ to lãmeka siwo le wò yaƒoƒomɔ̃wo me ƒe ɖiɖi kabakaba me , si wɔnɛ be gbɔgbɔ nɔa bɔbɔe.
3. Nɔ anyi dzɔdzɔe: Ne èbɔbɔ nɔ anyi ɖe ŋgɔ vie la, enaa ya te ŋu gena ɖe lãkusiwo me bɔbɔe.
4. Wɔ ɖe wò "Asthma Action Plan" dzi: Ne wò ɖɔkta na asthma action plan wò la, wɔ ɖe edzi. Ðoɖo sia gblɔ atike siwo nàno, agbɔsɔsɔme si nàno, kple ɣeyiɣi si nàkpɔ ɖɔkta ne wò asrãa nu sẽ.
5. Ne dzesiawo gakpɔtɔ li alo wogagblẽ ɖe edzi: Ne mèse gbɔdzɔe aɖeke le miniti 5-10 me le wò yagbɔgbɔ si naa gbɔdzɔe kabakaba zazã megbe o, alo ne wò dzesiawo gagblẽ ɖe edzi la, di atikewɔlawo ƒe aɖaŋuɖoɖo alo yi kɔdzi enumake. Ne dzesi sesẽ siwo míeyɔ ɖe etame dometɔ aɖe le ŋuwò la, mègahe ɖe megbe sɛkɛnd ɖeka pɛ hã o.
Nukae míate ŋu awɔ atsɔ axe mɔ ɖe asrãdɔa ƒe sesẽ nu?
Asrã ƒe sesẽ nye nuteƒekpɔkpɔ si medzea ame ŋu kura o, eyata anyo wu be nàdze agbagba aƒo asa na wo alesi nàte ŋui.
- De dzesi nusiwo hea wò asrã vɛ eye nàƒo asa na wo: Dze agbagba nànya nusi hea wò asrã vɛ. Enyo be nàŋlɔ ŋkekenyuigbalẽ ɖe agbalẽ dzi. Emegbe ƒo asa na nusiwo ʋãa ame mawo alesi nàte ŋui.
- No "Controller/Preventer medications" siwo wò ɖɔkta ŋlɔ na wò pɛpɛpɛ, gbesiagbe: Esiawoe nye atike siwo ɖua asrã dzi ɣeyiɣi didi. Woɖea yaƒoƒomɔ̃wo ƒe dɔdzẽ dzi kpɔtɔna eye woxea mɔ na asrã ƒe ʋuʋu. Ele vevie be nàno atike siawo abe alesi woŋlɔe na wò ene, le ŋkeke siwo dzi dzesi aɖeke mele ŋuwò o gɔ̃ hã dzi. Wo nu tsotso ate ŋu ana wò asrãa nagafɔ ɖe te ake.
- Srɔ̃ mɔ nyuitɔ si dzi nàto azã wò yagbɔgbɔmɔ̃: Be atike la naɖo wò yaƒoƒomɔ̃wo gbɔ nyuie la, ele be nàzãe nyuie. Bia wò ɖɔkta alo atikewɔla be wòana mɔfiamewo le alesi nàzãe ŋu.
- Kpɔ wò ɖɔkta le ɣeyiɣi aɖewo me: Ƒo nu tso wò asrã ŋu na wò ɖɔkta eye nàtso nya me nenye be ehiã be nàtrɔ wò atike ƒe agbɔsɔsɔme.
- Na dzamezã ƒe atike ƒe sia ƒe: Esi wònye be nuwo abe dzamezã kple dzamezã ene ate ŋu ana asrã nagado gã ɖe edzi ta la, atike sia xɔxɔ naa ametakpɔnu aɖe.
- Ƒo asa na atamanono keŋkeŋ eye nàƒo asa na hadede le teƒe siwo amewo noa atama le.
- Wɔ ɖe agbenɔnɔ si me lãmesẽ le dzi: no tsi geɖe, ɖu nuɖuɖu si da sɔ, eye nàdɔ alɔ̃ nyuie.
Mlɔeba la, nu ʋɛ aɖewo siwo dzi wòle be woaɖo ŋkui (Take-Home Message) .
Asrã ƒe ʋuʋu nye nusi wòle be míavɔ̃, gake ne míese egɔme nyuie la, míate ŋu anɔ te ɖe enu ahaxe mɔ ɖe enu.
Ɖo ŋku edzi:
* De dzesi nusiwo tututu wò asrã ʋãna.
* Zã mɔxexeɖedɔlékuiwutike siwo wò ɖɔkta ŋlɔ na wò gbesiagbe, màdo kpo nu o.
* Na atike si naa gbɔdzɔe ame nanɔ gbɔwò ɣesiaɣi eye nànya alesi nàzãe nyuie.
* Ne Asrãdɔ ƒe Ðoɖo aɖe le asiwò la, se egɔme nyuie eye nàwɔ dɔ ɖe edzi.
* Ne èkpɔ dzesi sesẽ siwo fia be asrãdɔa nu sẽ la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake. Mègahe ɖe megbe o!
Agbenɔnɔ kple asrã ate ŋu asesẽ, gake ne èkpɔ egbɔ nyuie la, wò hã àte ŋu anɔ agbe si me lãmesẽ le, si me dzo le. Menye wò ɖeka koe o, eye ɖɔktawo kple lãmesẽdɔwɔlawo le klalo ɣesiaɣi be yewoakpe ɖe ŋuwò.
` Asrã, asrã, asrã ƒe ʋuʋu, asrã ƒe amedzidzedze, gbɔgbɔ sesẽ, ʋuʋudedi, kɔdzi, nusiwo hea asrã vɛ











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