Ne èyi ɖɔkta gbɔ la, wotsɔa nuƒomɔ̃ dea wò akɔta kple megbe hegblɔna be, "Gbugbɔ gbɔ sesĩe... gbɔgbɔ blewuu..." Èbu nusita wowɔa nenema ŋu kpɔa? Kpuie ko la, ɖɔktaa le to ɖom gbeɖiɖi siwo tso wò lãkusi me. Gbeɖiɖi siawo le abe wò lãkusi ƒe gbe ene. Gbeɖiɖi siawo ate ŋu agblɔ nu geɖe na wò tso wò gbɔgbɔtsixe ƒe lãmesẽ ŋu.
Nukawoe nye lãkusi ƒe gbeɖiɖi siawo?
Aklã ƒe gbeɖiɖiwo, alo gbɔgbɔtsixe ƒe gbeɖiɖiwo, nye gbeɖiɖi siwo nèsena le wò yaƒoƒomɔ̃wo (mɔ̃ tsɛ siwo tsɔa ya yia wò lãkusi me) me ne èle gbɔgbɔm hele dodom.
Ame si ƒe lãkusiwo le lãmesẽ me la ƒe yaƒoƒomɔ̃wo me kɔ. Esia fia be ʋuʋudedi, vuvu, alo mɔxenu aɖeke mele wo me fũ o. Emegbe ya la zɔna bɔbɔe ŋutɔ eye wòbɔbɔna, eyata ewɔa gbeɖiɖi fafɛ ŋutɔ. Míeyɔa esiawo be lãkusi ƒe gbeɖiɖi siwo sɔ (vesicular lung sounds).
Gake nukae adzɔ ne yaƒoƒomɔ̃ siawo yɔ fũ kple ʋuʋudedi, vuvu, alo nane xe le atikewɔwɔ ƒe nɔnɔme aɖe ta? Emegbe yaƒoƒomɔ̃a va xena. Ɣemaɣie nèdzea gbeɖiɖi wɔnuku ƒomevi ɖesiaɖe sese gɔme. Ate ŋu anɔ abe ‘whoosh’, ‘whoosh’, alo ‘whoosh’ ene. Míeyɔa lãkusi siawo be gbeɖiɖi siwo mesɔ o/siwo dzɔna le vome .
Nu vevitɔe nye be ɖɔkta maƒo nya ta be dɔléle aɖe le ŋuwò le esi wòse gbeɖiɖi si mebɔ o abe esia ene ta ko o. Kpeɖodzi vevi aɖe koe wònye si kpena ɖe ame ŋu le dɔlélea didi me. Tsɔ kpe ɖe esia ŋu la, woate ŋu akpɔ dɔlélea nyuie wu ne wobu wò dzesi bubuwo, wò lãmesẽ ŋutinya, kple ne ehiã la, dodokpɔ bubuwo ŋu.
Nukawoe nye lãkusi ƒe gbeɖiɖi siwo mesɔ o ƒomevi veviwo?
Gbeɖiɖi siawo ƒomevi vovovowo li siwo mebɔ o siwo ɖɔkta sena. Wo dometɔ ɖesiaɖe gblɔa ŋutinya vovovo. Mina míalé ŋku ɖe ƒomevi veviawo ŋu.
| Gbeɖiɖi Ƒomevi | Aleke nya ma ɖii? / Numeɖeɖe bɔbɔe aɖe |
|---|---|
| Rhonchi ƒe ŋkɔ | Esia nye ‘ɣlidodo’ ƒe gbeɖiɖi goglo aɖe si le abe aɖuɖɔtoe ene. Ne míagblɔe tututu la, gbeɖiɖi sia dona ne ya to yaƒoƒomɔ̃ gãwo me ne ʋuʋudedi yɔ wo me fũ. Gbeɖiɖi sia ate ŋu abu hena ɣeyiɣi aɖe ne woʋu kɔdzi. |
| Ʋuʋudedi | Esia nye gbeɖiɖi si ame geɖe nya nyuie. Enye gbeɖiɖi si nu sẽ, si le ɣli dom. Wosenɛ zi geɖe ne ègbɔ ya. Gbeɖiɖi sia dona ne yaƒoƒomɔ̃awo va le kpuie. Gbeɖiɖi sia nye nusi amesiwo ŋu asrã le nya nyuie ŋutɔ . |
| Stridor (Stridor) ƒe nya | Esia hã nye gbeɖiɖi si nu sẽ, si le ɣli dom. Gake woseae zi geɖe ne wole gbɔgbɔm . Wosea gbeɖiɖi sia ne xexe aɖe xe mɔ na ŋɔti alo yaƒoƒomɔ̃ si le etame (e.g., vuvu, nane si tsi eme). Wosea gbeɖiɖi sia zi geɖe le ɖevi sue siwo ŋu croup le ŋu. |
| Kpekpeɖeŋuna / Rales | Esia menye gbeɖiɖi si yia edzi ɖaa o. Enye gbeɖiɖi si nɔa tsatsam, ‘kiri kiri’, ‘chiti chiti’ gbeɖiɖi. Ele abe gbeɖiɖi si dona ne ètsɔ asi ƒo aŋgba ƒuƒu aɖewo, alo ne èle tsi ƒom to gbe me ene. Wosea nya sia ne yaƒoƒomɔ̃ suetɔ kekeake siwo le lãkusiwo me yɔ fũ kple ʋuʋudedi alo tsi. |
| Pleural Rub ƒe Ʋuʋu | Esia nye gbeɖiɖi si me kɔ, si le ŋeŋem. Ele abe sandpaper ƒe agbalẽ eve siwo le ƒoƒom ɖe wo nɔewo ŋu ene. Gbeɖiɖi sia dona ne lãkusi eve siwo ƒo xlã míaƒe lãkusiwo, siwo woyɔna be lãkusi, vuvu eye wole wo nɔewo ƒom. Woate ŋu asee ne míegbɔ ya kple gbɔgbɔ siaa. |
Nukatae gbeɖiɖi siawo siwo mebɔ o le dodom tso akɔta?
Nu vevi ene li siwo ate ŋu ahe gbeɖiɖi siawo siwo mebɔ o vɛ:
1. Mucus si yɔa gbɔgbɔtsixe ƒe mɔ̃a me: Esiae nye nusi gbɔ wòtsona wu.
2. Yaƒoƒomɔ̃wo ƒe vuvu: Ne yaƒoƒomɔ̃wo vuvu le dɔlékui alo nulɔdɔwo ta la, yaƒoƒomɔ̃awo tsia.
3. Mɔxexeɖedɔ: Dɔdzẽ alo nu bubu aɖe si le yaƒoƒomɔ̃a me.
4. Pleural effusion: Lãmetsi si ƒo xlã lãkusia ƒe vuvu.
Esiawo nye dɔléle siwo hea nɔnɔme siawo vɛ la dometɔ aɖewo:
- Yagbɔgbɔdɔlélewo, le kpɔɖeŋu me, aɖuɖɔtoedɔ alo croup le ɖevi suewo me.
- Aklãdɔléle.
- Asrãdɔ.
- Aklãdɔléle si xea mɔ na dɔléle si nɔa anyi didi (COPD) nye gbɔgbɔtsixe ƒe dɔléle si nɔa anyi didi.
- Cystic fibrosis ƒe dɔléle.
- Nusiwo ŋu nulɔdɔ le.
- Anaphylaxis nye nulɔdɔ sesẽ aɖe.
- Aklã me ʋuʋu.
- Dzi ƒe dɔmawɔmawɔ nyuie.
- Aklã me ʋu ƒe sisi (PE) nye ʋu ƒe sisi le aklã me.
Aleke wowɔa atike nɛ?
Atikewɔwɔa nɔ te ɖe nusi gbɔ gbeɖiɖi sia si mebɔ o tsona dzi bliboe. Ðɔktaa ade dzesi nusi tututu gbɔ wòtso gbã eye emegbe wòaŋlɔ atike nɛ.
- Le nɔnɔmewo abe asrã ene gome la: Yagbɔgbɔmɔ̃ siwo ʋua yaƒoƒomɔ̃wo eye woɖea abi dzi kpɔtɔna, le kpɔɖeŋu me, corticosteroids.
- Le dɔlékui ƒe dɔléle gome (e.g. aklãdɔ): Dɔlékuiwutikewo.
- Le nulɔdɔ sesẽwo gome la: Atikewo abe epinephrine ene.
- Ne mɔxenu aɖe tsi: Ðewohĩ ahiã be woawɔ dɔ na wò hafi aɖee ɖa.
Ɣekaɣie wòle be makpɔ ɖɔkta?
Esiae nye akpa vevitɔ kekeake. Ne ètsi dzi alo tsi dzi ɖe wò gbɔgbɔ ŋu, vevietɔ le gbeɖiɖi si le dodom tso wò akɔta ŋu la, mègaŋe aɖaba ƒu edzi o. Kpɔ wò ƒomea ƒe ɖɔkta enumake. Ate ŋu ado wò kpɔ ahagblɔ nusi nàwɔ na wò.
Vevietɔ ɖo ŋku edzi! Ne dzesiwo abe gbɔgbɔ sesẽ, akɔtave, alo nuyi blɔ ene le ŋuwò kpe ɖe gbeɖiɖi sia si mebɔ o ŋu la, ke enye nusi dzɔ kpata . Le nɔnɔme sia tɔgbe me la, yi kɔdzi si te ɖe ŋuwò ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) me heheɖemegbe aɖeke manɔmee.
Gbedasi si Wotsɔ Yi Aƒeme
- Aɖuɖɔtoe siwo le lãmesẽ me naa gbeɖiɖi fafɛ si le blɔ. Gbeɖiɖi siwo mesɔ o abe ‘hooping’, ‘whooping’, kple ‘whooping’ fia be kuxi aɖe le gbɔgbɔtsixe ŋu.
- Nusi gbɔ gbeɖiɖi siawo tso ate ŋu anye nusianu tso vuvɔ, asrã, aklãdɔ, dzi va ɖo nane si nu sẽ wu dzi.
- Ðɔktaa tsɔa nuƒomɔ̃ ɖoa to gbeɖiɖi siawo be yeakpɔ kpeɖodzi veviwo atsɔ anya dɔlélea nyuie.
- Ne èse gbeɖiɖi aɖe si mebɔ o esime nèle gbɔgbɔm, vevietɔ ne gbɔgbɔ sesẽ kpe ɖe eŋu la, mègaŋe aɖaba ƒu edzi o.
- Ne èse toɣliɖeɖe si mebɔ o tsɔ kpe ɖe gbɔgbɔ sesẽ ŋu la, ke nudzɔdzɔ kpatae wònye! Yi kɔdzi aɖe ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) enumake.
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