Yagbɔgbɔ sesẽ le lolo akpa ta? Mina míaƒo nu tso (Obesity Hypoventilation Syndrome) ŋu!

Ðe gbɔgbɔtsixe tsia ƒowò ɣeaɖewoɣia? Ðe ɖeɖi tea ŋuwò hedɔa alɔ̃ le ŋkekea me ko? Ele vevie be nànya nu siawo, vevietɔ ne èlolo akpa. Egbea míele nu ƒom tso gbɔgbɔmekuxi aɖe si womenya tututu o, gake ate ŋu anye nu sesẽ, si ate ŋu ado ƒome kple lolo akpa ŋu. Woyɔa esia be `(Obesity Hypoventilation Syndrome)` alo OHS. Mègatsi dzi o, mina míaɖe eme bɔbɔe.

Nukae nye OHS (Lolo akpa ƒe Yaƒoƒo ƒe Dɔléle)?

Kpuie ko la, `(Obesity Hypoventilation Syndrome)` nye gbɔgbɔtsixetsixe si dzɔna ɖe ame aɖewo siwo lolo akpa dzi. Esiae nye esime ya si woyɔna be carbon dioxide ƒe agbɔsɔsɔ si le míaƒe ʋu me dzina ɖe edzi eye oxygen ƒe agbɔsɔsɔ dzi ɖena kpɔtɔna. Zi geɖe la, ne míele gbɔgbɔm la, míexɔa ɔksidzin eye míegbɔa ya si woyɔna be carbon dioxide. Gake ne gbɔgbɔ ƒe tsɔtsɔme dzi ɖe kpɔtɔ eye ya mege ɖe lãkusi me nyuie o la, dadasɔ sia meganɔa anyi o. Woyɔa esia be `(Hypoventilation)` (gbɔgbɔtsixe dzi ɖe kpɔtɔ).

Tsɔ kpe ɖe yaƒoƒo ƒe agbɔsɔsɔ si mede ame dzi o ŋu la, gbɔgbɔtsixe tsia ame ƒo le alɔ̃dɔdɔ me hã ate ŋu adzɔ le OHS me. Le nyateƒe me la, gbɔgbɔtsixetsixe siwo dona tso alɔ̃dɔdɔ me siwo do ƒome kple OHS ƒe 90% tso alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe si xea mɔ na ame gbɔ.

Eyata, OHS le abe nu vevi etɔ̃ ƒe ƒuƒoƒo ene:

• Amidada.
• Yagbɔgbɔ dzi ɖe kpɔtɔ (Hypoventilation).
• Gbɔgbɔtsixe si mewɔ ɖeka kple alɔ̃dɔdɔ o.

Ŋkɔ bubu aɖe hã li na OHS sia, si nye `(Pickwickian Syndrome)`. Charles Dickens ƒe agbalẽ aɖe me ame aɖe si ŋu OHS ƒe dzesiwo nɔ tae woto ŋkɔ sia vɛ.

OHS nye gbɔgbɔtsixe ƒe kuxi sesẽ aɖe si lolo akpa hena vɛ. Togbɔ be ate ŋu ahe lãmesẽkuxi siwo ate ŋu ade ame ƒe agbe afɔku me vɛ hã la, atike nyuiwo le eŋu.

Amekae ate ŋu axɔ OHS wu?

OHS bɔ ɖe ŋutsuwo me wu nyɔnuwo. Woka nya ta be vovototo aɖewo hã le to aɖewo dome. Gake nusi koŋ gbɔ wòtsona be wòate ŋu adzɔe nye lolo akpa.

Esesẽ be woagblɔ alesi tututu esia bɔe, gake numekuku aɖewo ɖee fia be ate ŋu akpɔ ŋusẽ ɖe ame tsitsiwo ƒe alafa memamã sue aɖe dzi. Ema fia be mebɔ boo o, gake enye nusi gblẽa nu le ame gbogbo aɖewo ŋu.

Nukae nye OHS ƒe dzesiwo?

Zi geɖe la , alɔ̃madɔmadɔ kple oxygen ƒe agbɔsɔsɔ si mede ʋua me o gbɔe OHS ƒe dzesiwo tsona (Hypoxemia). Dzesi siawo dometɔ aɖewoe nye:

• Yagbɔgbɔ kpuie.
• Ðeɖiteameŋu ƒe seselelãme ɣesiaɣi (Ðeɖiteameŋu).
• Ŋusẽ ƒe anyimanɔmanɔ.
• Alɔ̃dɔdɔ fũ le ŋkeke me (Ŋkeke me kuviawɔwɔ).
• Taɖuame enuenu.
• Taɖuame.
• Teteɖeanyi.

Ne èle alɔ̃ dɔm la, wò zɔhɛ ate ŋu akpɔ nanewo abe:

• Aɖuɖɔtoe sesẽ.
• Sese le ɖokuiwò me abe ɖe nèle ʋuʋum alo le gbɔgbɔm ne èle alɔ̃ dɔm ene.
• Etɔ vie le gbɔgbɔ me. Bu eŋu kpɔ ne ame aɖe gblɔ na wò be, "Ne èdɔ alɔ̃ le zã me la, ɣeaɖewoɣi la, ewɔna na wò abe ɖe nèdzudzɔ gbɔgbɔ sɛkɛnd ʋɛ aɖewo ene." Ema nye nane si le abe ema ene.

Nukawoe hea OHS vɛ?

Numekulawo menya nusi tututu hea OHS vɛ haɖe o, gake woxɔe se be ɖewohĩ nu vovovowo gbɔe wòtso:

• Ðewohĩ nane gblẽ le alesi wò ahɔhɔ̃ kpɔa gbɔgbɔ dzii ŋu . Ðeko wòle abe ɖe vodada vi aɖe le míaƒe gbɔgbɔ "trɔtrɔ" me ene.
• Kpekpeme si sɔ gbɔ ɖe akɔta ƒe akpa dzi ate ŋu ana wòasesẽ na lãkusiwo be woagbɔ ya nyuie eye woagbɔ ya sesĩe. Ðeko wòle abe ɖe nèle agbagba dzem be yeagbɔ kple kpekpeme aɖe ɖe wò akɔta ene.
• Ami si sɔ gbɔ ɖe teƒewo abe kɔ, akɔta, kple ƒodo ene ate ŋu ana lãmetsi aɖewo nadzi ɖe edzi , si ate ŋu akpɔ ŋusẽ ɖe gbɔgbɔ ƒe ɖoɖowo dzi.

Aleke nàwɔ anya ne OHS le ŋuwò?

Ne èyi ɖɔkta gbɔ la, woabia wò dzesiwo eye woado wò kpɔ. Woadzidze wò kɔkɔme kple wò kpekpeme eye woabu wò Ŋutilã ƒe Agbɔsɔsɔme (BMI). Ame siwo lolo akpa ƒe BMI nye 30 alo esi wu nenema.

Le ema megbe la, ɖɔkta ate ŋu aɖe gbe be woagawɔ dodokpɔ geɖe wu atsɔ anya ne OHS le ŋuwò. Esiawo dometɔ aɖewoe nye:

• Ʋuka me gas dodokpɔ: Esia bia be nàɖe ʋu sue aɖe le wò ʋuka me ahadzidze carbon dioxide kple oxygen ƒe agbɔsɔsɔ si le eme. Aleae nàte ŋu anya ne CO2 sɔ gbɔ ɖe wò ʋu me alo O2 mesɔ gbɔ o.
• Pulse oximeter: Ðewohĩ èkpɔ esia, si nye mɔ̃ sue aɖe si le abe klip ene si nèdea wò asibidɛ dzi. Ate ŋu adzidze oxygen agbɔsɔsɔme si le wò ʋu me. Ke hã, mate ŋu adzidze ya si woyɔna be carbon dioxide o, eye medea pɛpɛpɛ abe ʋu si woɖe tso ʋu me ene o.
• Aklã ƒe dɔwɔwɔ dodokpɔwo: Dodokpɔ siawo léa ŋku ɖe alesi wò lãkusiwo le dɔ wɔm nyuie ŋu eye wodia nu bubu siwo nana gbɔgbɔtsixe tsia ƒowò.
• Akɔta ƒe X-ray: Esia ate ŋu akpe ɖe ame ŋu hã be woagbe nu bubu siwo gbɔ gbɔgbɔtsixetsixe tsona.
• Alɔ̃dɔdɔ ŋuti nusɔsrɔ̃ `(Polysomnography):` Esia nye dodokpɔ tɔxɛ aɖe. Ne ènɔ kɔdzi zã ɖeka vɔ la, woléa ŋku ɖe wò gbɔgbɔ, dzi ƒe tsotso, kple ahɔhɔ̃ ƒe ʋuʋu ŋu ne èle alɔ̃ dɔm. Esia ateŋu akpeɖe ŋuwò nànya nenye be `(Sleep Apnea)` le ŋuwò eye ne ele nenema la, alesi gbegbe wòsẽe.

Nukawoe nye OHS ƒe atikewo?

OHS dada koŋ lɔ lolo dzi ɖeɖe kpɔtɔ kple gbɔgbɔ ƒe kpekpeɖeŋunana ɖe eme.

Lolo dzi ɖeɖe kpɔtɔ

Kpekpeme si sɔ si sɔ na wò ŋutilã gbɔ ɖoɖo kple edzi léle ɖe asi nye afɔɖeɖe gbãtɔ kple vevitɔ kekeake le OHS dada me.Ɣeaɖewoɣi la, lolo dzi ɖeɖe kpɔtɔ ko ate ŋu akpe ɖe ame ŋu wòaɖu dzesiawo dzi eye wòana nɔnɔmea nanyo ɖe edzi. Agbenɔnɔ si me lãmesẽ le zazã ate ŋu akpe ɖe ame ŋu ŋutɔ. Le kpɔɖeŋu me:

• Nuɖuɖu si naa lãmesẽ ɖuɖu. Le kpɔɖeŋu me, nuɖuɖu si da sɔ abe Mediterraneatɔwo ƒe nuɖuɖu ene.
• Kamedede aɖabaƒoƒo 30 ya teti gbesiagbe.
• Ðo alɔ̃dɔdɔ ƒe nɔnɔme nyuiwo anyi.

Le wò nɔnɔmea nu la, wò ɖɔkta ate ŋu aɖo aɖaŋu hã be nàwɔ dɔ na wò be nàɖe wò lolo dzi akpɔtɔ, abe dɔgbo ƒe mɔɖeɖe ene.

Kpekpe ɖe ame ŋu le gbɔgbɔ me

Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã mɔ̃ si naa yaƒoƒomɔ̃ si akpe ɖe ŋuwò nàgbɔ ya. Esiawo nye mɔ̃ siwo mewɔa nuvevi ame o, si fia be woate ŋu azã wo amekoko gã aɖeke manɔmee. Mɔ̃ siawo nana wò yaƒoƒomɔ̃wo ʋuna le zã me ne èle alɔ̃ dɔm, si wɔnɛ be ɔksidzin ƒe agbɔsɔsɔ si le wò ʋu me dzina ɖe edzi. Èdoa ametakpɔnu tɔxɛ aɖe ne èle alɔ̃ dɔm, eye mɔ̃a tsɔa ya toa mɔ̃ aɖe me. Mɔ̃ ƒomevi vovovowo li:

• CPAP (Continuous Positive Airway Pressure) Mɔ̃: CPAP mɔ̃ naa ya le nyaƒoɖeamenu ma ke me ne èle gbɔgbɔm hele gbɔgbɔm.
• BiPAP (Bilevel Positive Airway Pressure) Mɔ̃: BiPAP mɔ̃ naa ya le nyaƒoɖeamenu si lolo wu me ne èle gbɔgbɔm eye wònaa ya si bɔbɔ wu ne èle gbɔgbɔm. Woyɔa esia ɣeaɖewoɣi be adzɔnu ƒe ŋkɔ ``(BiPAP®)``.

Ƒã ŋutɔ la, ne ``Positive Airway Pressure'' mɔ̃ siawo mete ŋu ɖu nɔnɔmea dzi o la, ``Tracheostomy'' ateŋu ahiã. Esia fia be amekola aɖe doa do ɖe wò kɔ me hetsɔnɛ doa ka kple wò yaƒoƒomɔ̃a be wòakpe ɖe ŋuwò nàgbɔ ya. Zi geɖe la, esia nyea mɔnu mamlɛtɔ.

Aleke nàwɔ aɖe afɔku si le OHS xɔxɔ me dzi akpɔtɔ?

Mɔ nyuitɔ si dzi nàto aɖe OHS xɔxɔ ƒe afɔkua dzi akpɔtɔe nye be nàlé wò kpekpeme si sɔ me ɖe asi. Ne wò ɖɔkta ŋlɔ CPAP alo BiPAP na wò la, ele vevie be nàzãe abe alesi wogblɔe ene pɛpɛpɛ.

Tsɔ kpe ɖe eŋu la, ne èle yameʋu me alo woawɔ dɔ na wò la, gblɔe na wò ɖɔkta do ŋgɔ, elabena kuxi sesẽwo ƒe afɔkua lolo wu le nɔnɔme mawo me.

Nukae nye amesi ŋu OHS le ƒe lãmesẽ ƒe nɔnɔme?

Ne wowɔ atike na wo la, woate ŋu aɖe OHS ƒe dzesiwo dzi akpɔtɔ alo aɖe wo ɖa keŋkeŋ. Le ame aɖewo gome la, lolo dzi ɖeɖe kpɔtɔ ko gɔ̃ hã ate ŋu akpe ɖe wo ŋu. Atikewɔwɔ le vevie elabena ate ŋu ana wò agbenɔnɔ nanyo ɖe edzi eye wòaɖe kuxi bubuwo ƒe afɔkua dzi akpɔtɔ. Wokpɔe be atikewɔwɔ kaba kple gbɔgbɔmɔ̃ ɖea ame siwo kuna le OHS ta dzi kpɔtɔna 10%.

Gake ne womewɔ atike na OHS o la, ate ŋu ahe kuxi siwo ate ŋu ade ame ƒe agbe afɔku me vɛ, vevietɔ kuxi siwo le dzi kple ʋukawo ŋu. Oxygen ƒe anyimanɔmanɔ dea teteɖeanyi geɖe dzia dzi. Èva nɔa kuxi siwo dona tso alɔ̃madɔmadɔ me hã me bɔbɔe wu. Ne womewɔ atike na wò o la, wò agbenɔnɔ ƒe nyonyome aɖiɖi eye anɔ eme be ahiã be woaxɔ wò ɖe kɔdzi.

Nusiwo wogblɔ ɖi na amesiwo mexɔa atike o la menyo tututu o. OHS si womewɔ atike na o ate ŋu ana ame ƒe agbenɔƒe nadidi ɖe edzi. Le amesiwo ŋu dɔléle bubuwo le dome la, ɣleti 18 ƒe ku le OHS ta sɔ gbɔ va ɖo 23%.

Nukawoe nye kuxi siwo ate ŋu ado tso OHS me?

Ne womedae o la, lolo akpa ƒe yaƒoƒo ƒe dɔlélea ate ŋu ahe kuxi siwo do ƒome kple alɔ̃dɔdɔ vɛ. Esiawo dometɔ aɖewoe nye:

• Teteɖeanyi.
• Tɔtɔ kple dzikudodo.
• Afɔkuwo ƒe afɔku si lolo wu.
• Kuxi siwo le gbɔdɔdɔ ƒe agbenɔnɔ kple ƒomedodo kplikplikpli me.

OHS ate ŋu ahe dzidɔ hã vɛ, le kpɔɖeŋu me:

• Ʋusɔgbɔdɔ (Hypertension).
• Dzi ƒe dɔmawɔmawɔ nyuie le ɖusime.
• Aklã me ʋusɔgbɔdɔ.

Ɣekaɣie wòle be nàkpɔ ɖɔkta?

Ele be nàkpɔ ɖɔkta godoo le nɔnɔme siwo gbɔna me:

• Ne èlolo akpa eye dzesi bubu siwo do ƒome kple OHS le ŋuwò.
• Ðe wò zɔhɛ gblɔna be èɖea hũ sesĩe le zã me eye nèdea dzesi nuwo abe wò gbɔgbɔtsixe tsia ɣeaɖewoɣi enea?
• Ne èse le ɖokuiwò me be ɖeɖi te ye ŋu akpa eye alɔ̃ le ye wum le ŋkekea me.

Obesity Hypoventilation Syndrome (OHS) nye gbɔgbɔtsixe ƒe kuxi sesẽ aɖe si lolo akpa hena vɛ. Ne èlolo akpa, gbɔgbɔ sesẽ na wò, alo alɔ̃dɔdɔ ƒe kuxi aɖe le ŋuwò la, yi ɖɔkta gbɔ enumake. Wole afima be yewoakpe ɖe ŋuwò. Ne ɖɔkta aɖe kpɔe be OHS le ŋuwò la, woana atikewɔwɔ ƒe ɖoɖo si sɔ wu wò.

Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui

Enyo, eyata, mina mabia tso asiwò be nàɖo ŋku nu vevitɔ aɖewo dzi tso nusiwo ŋu míeƒo nu tsoe me.

• Lolo akpa Yagbɔgbɔ ƒe Dɔléle nye gbɔgbɔtsixetsixe si ate ŋu anye nu sesẽ ŋutɔ eye wòkplɔa lolo akpa vɛ.
• Nusi dzɔna le esia mee nye be ya si woyɔna be carbon dioxide dzina ɖe edzi eye oxygen dzi ɖena kpɔtɔna le ʋua me.
• Nu nyuitɔ kekeakee nye be, atikewɔwɔ li na esia! Lolo dzi ɖeɖe kpɔtɔ kple gbɔgbɔmɔ̃wo abe CPAP/BiPAP ene zazã nye nu vevi aɖe.
• Ne wokpɔ dɔlélea kaba hedae ate ŋu axe mɔ ɖe nusiwo agblẽ nu le ame ƒe agbenɔnɔ ŋu vevie nu eye wòana agbenɔnɔ nanyo ɖe edzi ŋutɔ.
• Ne èlolo akpa eye dzesiwo abe gbɔgbɔtsixetsixe, alɔ̃dɔdɔ le ŋkeke me, kple aɖuɖɔtoe le zã me ene le ŋuwò la, taflatse di atikewɔlawo ƒe aɖaŋuɖoɖo. Naneke meli si ŋu woavɔ̃ alo ŋu nakpe le o. Wò lãmesẽe nye nu vevitɔ kekeake.

Mele mɔ kpɔm be nyatakaka sia aɖe vi na wò. Nɔ lãmesẽ me!

` Lolo akpa Yagbɔgbɔ ƒe Dɔléle, OHS, Pickwickian Dɔléle, lolo akpa, gbɔgbɔtsixetsixe, alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe, CPAP, BiPAP