Ðe nètɔ be yeabu alesi gbɔgbɔtsixe ƒe nuwɔna nye nusi mexɔ se o eye wòsesẽe ŋu kpɔa? Mède dzesii gɔ̃ hã o la, edzɔna zi gbɔ zi 20,000 kple edzivɔ gbesiagbe. Èɖale alɔ̃ dɔm, le dɔ wɔm, alo le fefem o, kalẽtɔ ŋutɔŋutɔ si le dɔ wɔm le megbe be yeana ɔksidzin si wò ŋutilã hiã esime wòle ya gbegblẽwo ɖeɖem ɖae nye wò Aklã . Egbea, mina míaƒo nu tso ŋutinu vevi siawo siwo le vevie na wò agbe le Nirogi Lanka ŋu.
Nukae nye wò lãkusiwo eye afikae wole?
Kpuie ko la, wò lãkusiwoe nye wò gbɔgbɔtsixe ƒe ŋutinu vevitɔwo —ŋutinu siwo kpɔa gbɔgbɔ dzi ƒe kadodo. Aɖu eve le asiwò, siwo le wò akɔta, siwo wotsɔ ɣla ɖe wò kɔ kple wò ƒodo dome dedie.
Wò lãkusi eveawo mesɔ o; vovototo tɔxɛ ʋɛ aɖewo le wo dome.
Nuɖusi ƒe Aklã
Wò ɖusime lãkusi ma ɖe akpa etɔ̃ siwo woyɔna be ‘lobes’ me. Enɔ kpuie vie gake ekeke wu miame ƒe lãkusi. Lãmetsi tsɛ aɖe si woyɔna be ‘pleural tissue’ ye kpɔa lãkusi eveawo ta.
Miame ƒe Aklã
Aɖuɖɔtoe eve koe le wò miame eye wòle sue vie. Esia le alea elabena ehiã be wòana teƒe na wò dzi . Do sue aɖe le miame ƒe lãkusi me be wòate ŋu axɔ dzia, si míeyɔna be ‘dzi ƒe ʋuʋudedi.’
Nuka tututue wò lãkusiwo wɔna?
Dɔ vevitɔ si wò lãkusi wɔnae nye be wòana oxygen si wò lãmenugbagbeviwo hiã be woatsi agbe eye wòaɖe carbon dioxide , si nye gbeɖuɖɔ si wò lãmenugbagbeviwo wɔna la ɖa. Nuwɔna sia dzɔna abe zi 12 va ɖo 20 ene le aɖabaƒoƒo ɖesiaɖe me.
Bu nusi dzɔna ne ègbɔ ya ŋu kpɔ:
1. Ne èle gbɔgbɔm to wò ŋɔti alo nu me la, ya la toa wò ŋɔti me , toa wò gbeɖiɖiɖaka (larynx) me, eye wògena ɖe wò yaƒoƒomɔ̃ vevitɔ, si nye yaƒoƒomɔ̃a me .
2. Emegbe yaƒoƒomɔ̃a ma ɖe alɔ eve siwo woyɔna be ‘bronchial tubes’ me, eye ɖeka kplɔa ame yia lãkusi ɖesiaɖe gbɔ.
3. Le wò lãkusi me la, mɔ̃ siawo gaɖea alɔ ɖe mɔ sue siwo woyɔna be ‘bronchi’ kple esiwo le sue wu gɔ̃ hã siwo woyɔna be ‘bronchioles’ me.
4. Mlɔeba la, mɔ̃ sue siawo doa ka kple yakotoku sue siwo le abe weintsetsewo ƒe ƒuƒoƒo ene, siwo woyɔna be ‘alveoli.’ Esiawoe nye wò lãkusi ƒe ŋusẽ vavãwo. Kplu siawo mee oxygen si nègbɔna la yia wò ʋu me.
Ne ʋua nya xɔ ɔksidzin ko la, edona le lãkusi me heɖoa ta dzia gbɔ, si tsɔa ʋu sia si me ɔksidzin sɔ gbɔ ɖo la toa wò ŋutilã bliboa me, eye wònaa nunyiame lãmenugbagbevi kple lãkusi ɖesiaɖe.
Ne wò lãmenugbagbeviwo zã ɔksidzin la, wowɔa ya si woyɔna be carbon dioxide abe gbeɖuɖɔ ene. Gbeɖuɖɔ sia trɔna toa wò ʋu me yia lãkusiwo me, afisi nègbɔnɛ yia yame le.
Hafi wò lãkusiwo nate ŋu awɔ dɔ nyuie la, ele be wò yaƒoƒomɔ̃wo nanɔ ʋuʋu ɖi eye wo me kɔ. Ele vevie ŋutɔ be nàƒo asa na abi alo ʋuʋudedi si sɔ gbɔ akpa.
Aleke wò lãkusiwo kpɔa wo ɖokui tae?
Ametakpɔnu siwo wotu ɖe wò gbɔgbɔtsixe me be woaxe mɔ na ke, dɔlékuiwo , kple nu bubu siwo doa dziku na ame be woagage ɖe wò lãkusiwo me o:
- No me Fuwo:Esiawo wɔa dɔ abe dzɔdzɔmenu si wotsɔna tsia ke ene, eye woléa ke gãwo hafi ɖoa wò lãkusi me.
- Mucus: Wò yagbɔgbɔ kple aɖuɖɔtoewo naa ʋuʋudedi be yaƒoƒomɔ̃wo natsi eye wòalé dɔlékuiwo alo ke ɖe mɔ̃ me.
- Cilia: Esiawo nye nu suesuesue siwo le abe taɖa ene siwo ʋãna yia dzi ɣesiaɣi, eye wotua ʋuʋudedi kple gbeɖuɖɔ siwo xaxa ɖe wò ŋɔti gbɔ ale be nàte ŋu akɔ wo ŋu to kɔdzi alo mimi me. Afɔku vevi siwo le atamanono me dometɔ ɖekae nye be egblẽa nu le ɖa siawo ŋu, si wɔnɛ be womete ŋu wɔa woƒe dɔ o.
Aɖuɖɔtoedɔléle siwo bɔ
Nublanuitɔe la, nɔnɔme geɖe ate ŋu agblẽ nu le lãkusiwo ŋu. Togbɔ be ɖewo mefa o hã la, bubuwo ya nɔa anyi didi alo esiwo nu sẽna. Nɔnɔme siwo bɔ dometɔ aɖewo le ete:
| Nɔnɔmea ƒe Ŋkɔ | Le Nya Blewuwo Me |
|---|---|
| Asrãdɔ | Yagbɔgbɔ sesẽ si tso yaƒoƒomɔ̃wo ƒe tete gbɔ. |
| Aɖuɖɔtoedɔléle | Eƒe dzesi enye kɔdzi; ate ŋu anye esi nu sẽ alo esi nɔa anyi didi. |
| COPD ƒe dɔléle | Aɖuɖɔtoedɔléle si nɔa ŋgɔ yim, si nɔa anyi didi, si nana gbɔgbɔ sesẽna le ɣeyiɣi aɖe megbe. |
| Aklãdɔléle | Dɔlékui si naa abi kple tsi nɔa yakotokuwo me; zi geɖe la, ebia beléle na ame le kɔdzi. |
| Yɔmekpe ƒe dɔléle | Dɔlékui ƒe dɔléle si gblẽa nu le lãkusiwo ŋu koŋ gake ate ŋu akaka ɖe teƒe bubuwo. |
| Aklãdɔléle | Sigaretnonoe nye nu vevitɔ si nana dɔléle sesẽ sia ate ŋu adze ame dzi. |
| COVID-19 ƒe dɔléle | Dɔlékui ƒe dɔléle si ate ŋu ahe gbɔgbɔtsixe ƒe kuxi vovovowo vɛ. |
Dzesi Siwo Ate Ŋu Ate Ŋu Afia be Aklãdɔléle
Ne èle kuxiwo me tom le wò lãkusiwo ŋu la, àte ŋu ade dzesi dzesi siwo gbɔna la dometɔ ɖeka alo esi wu nenema. Taflatse lé ŋku ɖe nuxlɔ̃amedzesi siawo ŋu nyuie :
- Yagbɔgbɔ kpui : Sese le ɖokuiwò me be ya le ye ƒom alo be yele agbagba dzem be yeagbɔ le kamedede sue aɖe ko megbe gɔ̃ hã.
- Akɔtave : Dzimaɖitsitsi si nu sẽna ɖe edzi ne ègbɔ ya sesĩe alo kɔ akɔta.
- Kɔdzidede atraɖii: Kɔdziyiyi si nɔa anyi ɖaa si nɔa anyi kwasiɖa geɖe alo esi wu nenema, vevietɔ ne ʋu alo ʋuʋudedi si sɔ gbɔ kpe ɖe eŋu.
- Ɖeɖiteameŋu:Sese le eɖokui me be ɖeɖi te ye ŋu alo ɖeɖi te ye ŋu le mɔ si mebɔ o nu, le ɖiɖiɖeme megbe gɔ̃ hã.
- Wheezing: Gbeɖiɖi si ɖina ne èle gbɔgbɔm, si fia be yaƒoƒomɔ̃ ate ŋu axe mɔ na wò.
- Vuvu: Afɔkpodzi alo afɔwo ƒe ʋuʋu, si ate ŋu ado ƒome kple lãkusi ƒe nɔnɔme aɖewo ɣeaɖewoɣi.
Ne dzesi siawo gakpɔtɔ li la, mègaŋe aɖaba ƒu wo dzi o. Nu nyuitɔ si nàwɔe nye be nàwɔ ɖoɖo ɖe wò ɖɔkta ŋu enumake be nàda dɔ kpɔ.
Aleke Wobua Aklã ƒe Lãmesẽ Ŋui?
Le wò sasrãkpɔ me la, wò ɖɔkta ado wò ŋutilã kpɔ be wòase wò gbɔgbɔtsixe ƒe lãmesẽ gɔme. Esia ate ŋu alɔ:
- Toɖoɖo wò akɔta kple nuƒomɔ̃ be nàde dzesi gbeɖiɖi siwo mesɔ o (abe ʋuʋudedi alo ʋuʋudedi ene).
- Lé ŋku ɖe wò gbɔgbɔ ƒe tsɔtsɔme ŋu (gbɔgbɔ le aɖabaƒoƒo ɖeka me).
- Pulse Oximeter , si nye mɔ̃ sue aɖe si wotso ɖe wò asibidɛ ŋu, zazã atsɔ adzidze oxygen ƒe agbɔsɔsɔ si le wò ʋu me.
Le ŋutilãmedodokpɔa megbe la, ate ŋu ahiã be woagawɔ dodokpɔ bubuwo hafi woate ŋu akpɔ dɔlélea nyuie.
Nɔnɔmetatawo Ƒe Dodokpɔwo
Dodokpɔ siawo na wò ɖɔkta kpɔa wò lãkusi ƒe eme le susu me.
- Akɔta ƒe X-ray
- CT-dɔdamɔnu
- Ultrasound ƒe dɔwɔwɔ
- MRI-dɔdamɔnu ƒe fotoɖeɖe
Aklã ƒe Dɔwɔwɔ Dodokpɔwo
Dɔdamɔnu siawo dzidzea alesi wò lãkusiwo le dɔ wɔm nyuie.
- Spirometry: Dodokpɔ si wotsɔ dzidzea ya agbɔsɔsɔme si nàte ŋu agbɔ kple alesi nàte ŋu agbɔ ya kabakabae.
- Aɖabaƒoƒo ade ƒe azɔlizɔzɔ dodokpɔ: Wozãnɛ tsɔ léa ŋku ɖe tɔtrɔ siwo vaa wò oxygen ƒe agbɔsɔsɔ kple dzi ƒe tsotso ŋu esime nèle zɔzɔm aɖabaƒoƒo ade.
Dɔwɔwɔwo
Le go aɖewo me la, ahiã be wò ɖɔkta nalé ŋku ɖe wò yaƒoƒomɔ̃wo me alo axɔ lãkusi aɖe (biopsy) be woadoe kpɔ nyuie wu.
- Bronchoscopy: Zã mɔ̃ si te ŋu trɔna bɔbɔe si ŋu fotoɖemɔ̃ le nàtsɔ alé ŋku ɖe wò yaƒoƒomɔ̃wo ŋu.
- Aklã me lãmenugbagbeviwo ɖeɖe: Lãmetsi sue aɖe xɔxɔ tso lãkusi me hena nusuekpɔmɔ̃ ƒe numekuku.
Afɔɖeɖe Siwo Nàwɔ Be Nàkpɔ Wò Aklã ƒe Lãmesẽ Ta
Nu geɖe li nàte ŋu awɔ be wò lãkusiwo nanɔ lãmesẽ me eye nàkpɔ nɔnɔme siwo li fifia gbɔ nyuie.
- Ƒo asa na atamanono keŋkeŋ: Esiae nye afɔɖeɖe vevitɔ kekeake si nàte ŋu aɖe. Dzudzɔ sigaret, bidis, kple vaping keŋkeŋ.
- Na wò kpekpeme nanɔ lãmesẽ me: Kpekpeme si sɔ gbɔ akpa, vevietɔ le ƒodo ŋu, ate ŋu axe mɔ na wò lãkusi ƒe ŋutete be wòakeke bliboe.
- Kamedede edziedzi: Lãmesẽfefe nana lãkusi ƒe ŋutete nyona ɖe edzi. Gake taflatse yi ɖɔkta gbɔ hafi nàdze kamedede yeye ɖesiaɖe gɔme.
- Ƒo nuɖuɖu si da sɔ eye nunyiame le.
- Tsi nanɔ ŋuwò: Tsi si sɔ nono kpena ɖe ŋuwò be ʋuʋudedi nanɔ sue, si wɔnɛ be wònɔa bɔbɔe be wòaɖe le wò yaƒoƒomɔ̃wo me.
- Mɔxexe ɖe dɔlékuiwo nu: Dzadzɛnyenye nyuie na asiwo, ƒo asa na kadodo kplikplikpli kple dɔnɔwo, eye nànɔ atikewɔmɔnu siwo wokafu na wò abe alesi wò ɖɔkta ɖo aɖaŋu na wò ene.
Gbedasi si Wotsɔ Yi Aƒeme
- Wò lãkusiwo nye ŋutinu vevi siwo ƒe dɔe nye be woana oxygen naɖo wò ʋu me eye woaɖe ya si woyɔna be carbon dioxide ɖa.
- Sigaretnonoe nye numame si gblẽa nu le wò lãkusi ŋu wu. Be nàkpɔ wò gbɔgbɔtsixe ƒe lãmesẽ ta la, ele be nànɔ atamanono manɔmee.
- Mègaŋe aɖaba ƒu kɔdzidede atraɖii, gbɔgbɔtsixetsixe, alo akɔtave dzi gbeɖe o. Esiawo ate ŋu anye aɖuɖɔtoedɔléle ƒe nuxlɔ̃amedzesiwo kaba. Kpɔ wò ɖɔkta enumake ne nanewo tsi dzi na wò.
- Agbenɔnɔ si me lãmesẽ le, si me nunyiame nyui kple kamedede edziedzi hã le, doa alɔ wò lãkusi ƒe lãmesẽ ɣeyiɣi didi ŋutɔ.
Aklã, gbɔgbɔ, gbɔgbɔmedɔlélewo, asrã, COPD, aklãdɔ, Aklã ƒe lãmesẽ, Nirogi Lanka
