Nukae wòfia ne míaƒe ŋutilã ƒe ŋutinu aɖe do kpo dɔwɔwɔ? (Organ Failure) Mina míaƒo nu tso esia ŋu!

Ne ame aɖe gblɔ na mí be "ŋutilã ƒe dɔmawɔmawɔ nyuie" le ye ŋu la, míaƒe dziwo ƒua du enumake, alo? Nya dziŋɔ aɖee wònye. Gake ele vevie be mí katã míanya nusi wòfia, nusita wòdzɔna, kple nusi woate ŋu awɔ. Eyata egbea, mina míaƒo nu tso eŋu bɔbɔe, le mɔ si gɔme nàte ŋu ase nu.

Nuka tututue nye ŋutinuwo ƒe dɔmawɔmawɔ nyuie?

Kpuie ko la, ŋutinuwo ƒe dɔmawɔmawɔ nyuie nye ne wò ŋutilã ƒe ŋutinu vevi ɖeka alo esi wu nenema dzudzɔ dɔwɔwɔ nyuie. Esia ate ŋu adzɔ vivivi le ɣeyiɣi aɖe megbe (nusi míeyɔna be kpododonu si nɔa anyi didi ), alo ate ŋu adzɔ kpata (nusi míeyɔna be kpododonu sesẽ ).

Bu eŋu kpɔ, ŋutinu aɖewo le míaƒe ŋutilã me siwo hiã vevie hafi míate ŋu anɔ agbe. Esiawoe nye nusiwo míeyɔna be ŋutinu veviwo . Ne ŋutinu ma tɔgbe te kpododonu la, míehiãa kpekpeɖeŋu tso egodo be míawɔ dɔ si wòle be ŋutinu ma nawɔ. Ɣeaɖewoɣi ne wokpe ɖe eŋu alea la, ŋutinua ate ŋu ahaya. Gake ɣeaɖewoɣi la, mewɔa nenema o. Ne ŋutinuwo ƒe dɔmawɔmawɔ nyuie ɖo eƒe akpa mamlɛa la, ate ŋu ade ame ƒe agbe afɔku me gɔ̃ hã.

Ŋutinu vevi kawoe ate ŋu ado kpo nu?

Míaƒe ŋutilã ƒe ŋutinu vevi siwo le vevie la dometɔ geɖe ate ŋu azu dɔmawɔmawɔ nyuie le mɔ sia nu.

Aklã

Wò aklã nye ŋutinu wɔnuku aɖe. Ewɔa dɔ alafa geɖe. Wo dometɔ vevitɔe nye be woaɖe aɖinuwo ɖa le ʋua me. Aklã ƒe dɔmawɔmawɔ nyuie ate ŋu adzɔ kpata alo vivivi le ɣeyiɣi aɖe megbe.

Ayikuwo

Ayikuwoe ɖea gbeɖuɖɔwo ɖa le wò ʋu me abe aɖuɖɔ ene. Wonana ŋutilãa me tsi kple elektrikŋusẽnamɔ̃wo hã da sɔ. Ayiku ƒe dɔmawɔmawɔ nyuie ate ŋu adzɔ kpata alo ɣeyiɣi didi aɖe. Le míaƒe dukɔa me la, nɔnɔmewo abe suklidɔ kple ʋusɔgbɔdɔ ene ate ŋu agblẽ nu le ayikuwo ŋu wu.

Dzi

Dziae tsɔa ʋu si me ɔksidzin sɔ gbɔ ɖo ɖe míaƒe ŋutilã katã me. Ne dzia te gbɔdzɔgbɔdzɔ la, egblẽa nu le ŋutilã bliboa ŋu. Le dzidɔ me la , dzia ƒe dɔwɔwɔ ate ŋu aɖiɖi kpata (dzidɔ sesẽ), alo ate ŋu agblẽ ɖe edzi vivivi le ɣeyiɣi aɖe megbe (dzi ƒe dɔmawɔmawɔ nyuie).

Dzitodzito

Aɖuɖɔtoewoe nye míaƒe gbɔgbɔtsixe ƒe akpa vevitɔ kekeake. Woawoe naa oxygen lãmenugbagbevi ɖesiaɖe si le ŋutilãa me. Yagbɔgbɔ ƒe dɔmawɔmawɔ nyuie ate ŋu adzɔ kpata alo axɔ ɣeyiɣi didi.

Dɔgbo sue aɖe

Dɔgbo suea xɔa nunyiame siwo míaƒe ŋutilã hiã la ƒe akpa gãtɔ tso nuɖuɖu siwo míeɖuna me. Ne dɔgbo suea do kpo nu la, ɖewohĩ nunyiame masu ŋutilãa si o eye nɔnɔmewo abe nunyuimakpɔɖui ene ate ŋu ado mo ɖa.

Hɔhɔ̃

Ahɔhɔ̃e gblɔna na ŋutinu bubu siwo katã le míaƒe ŋutilã me be woawɔ woƒe dɔwo. Ahɔhɔ̃medɔléle aɖewo siwo gblẽna ate ŋu ana ahɔhɔ̃a nado kpo nu vivivi. Ahɔhɔ̃ ƒe dɔmawɔmawɔ nyuie nye nusi woyɔna be ahɔhɔ̃ ƒe ku . Ne ahɔhɔ̃a alo ahɔhɔ̃a ku la, ŋutinu bubuawo hã doa kpo nu vivivi.

Ɣeaɖewoɣi la, menye ŋutinu ɖeka ko o, ke boŋ ŋutinu geɖewo hã ate ŋu ado kpo nu zi ɖeka. Ðɔktawo yɔa esia hã be ŋutinu geɖe ƒe dɔmawɔmawɔ nyuie , ŋutinu geɖe ƒe dɔmawɔmawɔ nyuie , alo ŋutinu geɖe ƒe dɔmawɔmawɔ nyuie ƒe dɔléle .

Nuka tututue nye seselelãme ƒe bu?

Ne míegblɔ be "ŋutilã ƒe dɔmawɔmawɔ nyuie" la, míesusuna be ŋutinua dzudzɔ dɔwɔwɔ kura. Gake emae nye nuwuwu ƒe akpaa. Nusi wòfia ŋutɔŋutɔe nye be ŋutinua le teƒe aɖe si mate ŋu awɔ eƒe dɔ bliboa o. Eyae nye be, mele dɔ wɔm nyuie o , eƒe dɔa ƒe akpa aɖe koe wòle wɔwɔm. Esi dɔa ƒe agbɔsɔsɔ dzi le ɖeɖem kpɔtɔ la, míehiã kpekpeɖeŋu geɖe wu tso egodo. Le kpododonu sesẽ me la, kpekpeɖeŋu sia ate ŋu ahiã kpata, eye ate ŋu anɔ anyi ɣeyiɣi kpui aɖe gɔ̃ hã. Le kpododonu atraɖii me la, ehiã be woawɔ ɖoɖo si anɔ anyi ɣeyiɣi didi.

Nukae dzɔna ne ŋutinu aɖe do kpo dɔwɔwɔ?

Zi geɖe la, ŋutinuwo ƒe dɔmawɔmawɔ nyuie atraɖii yia edzi toa akpa vovovowo me. Ðɔktawo ɖea afɔɖeɖe siawo gɔme le mɔ vovovowo nu vie na ŋutinu ɖesiaɖe. Zi geɖe la, akpa ene alo atɔ̃e nɔa anyi. Wobua esiawo dometɔ ɖeka alo eve mamlɛawo be wonye "nuwuwu ƒe afɔɖeɖewo." Vaseɖe fifia la, ŋutinua gblẽ vevie eye eƒe dɔwɔwɔ dzi ɖe kpɔtɔ ŋutɔ. Be nàtsi agbe la, ahiã be woatsɔ agbemenuhiahiãwo awɔe alo woado ŋutinuwo na wò .

Ŋutinuwo ƒe dɔmawɔmawɔ nyuie dzea egɔme le akpa mamlɛ siawo me alo yia edzi kabakaba ŋutɔ. Ebia be woawɔ atike nɛ enumake. Gake ŋutinu geɖe ƒe dɔmawɔmawɔ nyuie ate ŋu adzɔ le akpa vovovowo me. Esi míaƒe ŋutinu veviwo kpena ɖe wo nɔewo ŋu ta la, ɣeaɖewoɣi ne ŋutinu ɖeka do kpo nu la, ate ŋu ahe kɔsɔkɔsɔ ƒe dɔwɔwɔ vɛ si ate ŋu ana ŋutinu bubuwo hã nado kpo dɔwɔwɔ.

Aleke míesena le mía ɖokui me ne míaƒe seselelãmewo bu?

Dzesi geɖe siwo bɔ ɖe ŋutinu geɖe ƒe dɔmawɔmawɔ nyuie ŋu:

• Sese le eɖokui me be yegbɔdzɔ, taɖuame, alo ɖeɖi te ye ŋu.
• Alɔ̃dɔdɔ alo ame ƒe susu ƒe dɔmawɔmawɔ nyuie.
• Esesẽ be woatsɔ susu aɖo nu ŋu, tɔtɔ.
• Nuɖuɖua mevivina o.
• Aɖuɖɔtoe kple ʋuʋudedi.
• Gbɔgbɔ kabakaba, si me goglo o.
• Dzi ƒe tsotso kabakaba alo esi mewɔ ɖeka o.
• Asrã, vuvɔ.
• Afɔwo alo ƒodo ƒe vuvu.
• Akɔta alo ƒodo me vevesese atraɖii.

Tsɔ kpe ɖe esiawo ŋu la, dzesi bubuwo hã li siwo do ƒome kple seselelãme ƒe dɔmawɔmawɔ nyuie tɔxɛwo. Le kpɔɖeŋu me:

• Wò ŋutigbalẽ kple ŋkuwo ƒe ɣie ( jaundice – esia dzɔna ne aklãa mewɔ dɔ nyuie o).
• Amadede blɔ aɖe le wò nuyiwo kple asibidɛwo te ( cyanosis – esia ateŋu adzɔ kple gbɔgbɔ alo dzi ƒe dɔmawɔmawɔ nyuie).

Nukatae ŋutinu sia mewɔa dɔ nyuie o? Nukawoe nye susu siwo tae?

Nu vevi geɖewo li siwo gbɔ ŋutinuwo ƒe dɔmawɔmawɔ nyuie tsona.

Dɔléle siwo nɔa anyi didi

Dɔléle siwo nɔa anyi didi ate ŋu agblẽ nu le wò ŋutinuwo ŋu vivivi le ɣeyiɣi aɖe megbe. Dɔléle aɖewo nɔa ame dzi le vidzidzi me, eye bubuwo hã doa mo ɖa le eƒe tsitsime. Ne dɔléle si nɔa anyi didi nya dze ame dzi ko la, zi geɖe la, mehayana keŋkeŋ o. Gake mɔ aɖewo li siwo dzi woato aɖe nusiwo agblẽ le ame ŋu dzi akpɔtɔ. Nusiwo gblẽ sia ate ŋu adzi ɖe edzi eye wòaxɔ ƒe geɖe hafi wòakpɔ ŋusẽ ɖe ŋutinu aɖe ƒe dɔwɔwɔ dzi alo ahiã be woawɔ atike nɛ.

• Aklãdɔléle si nɔa anyi didi: Le kpɔɖeŋu me, dɔlélewo abe aklãdɔ si me ami le kple aklãdɔléle C ate ŋu ana aklã nawɔ dɔ atraɖii.
• Ayikudɔ si nɔa anyi didi: Nɔnɔmewo abe glomerulonephritis kple polycystic kidney disease ene ate ŋu ana ayiku nawɔ dɔ nyuie atraɖii. Ʋusɔgbɔdɔ kple suklidɔ hã nye nu vevi siwo gbɔ wòtsona.
• Dzidɔ si nɔa anyi didi: Nuwo abe dzitodzito me ʋukawo ƒe dɔléle kple dzidɔ si wodzina ene ate ŋu ana dzi nawɔ dɔ vivivi.
• Dɔgbomedɔléle siwo nɔa anyi didi: Dɔgbo ƒe dɔléle siwo nɔa anyi didi, abe Crohn ƒe dɔléle , kple dɔgbo ƒe alakpa mɔxexe ate ŋu ana dɔgbo ƒe dɔmawɔmawɔ nyuie atraɖii.
• Yagbɔgbɔdɔléle siwo nɔa anyi didi: Asrã kple aklãdɔléle si xea mɔ na ame (COPD) ate ŋu ana gbɔgbɔtsixe natsi anyi atraɖii.
• Ahɔhɔ̃medɔléle siwo gblẽa nu le ame ŋu ɣeyiɣi didi: Dɔlélewo abe Alzheimer ƒe dɔléle kple Parkinson ƒe dɔléle ene nana ahɔhɔ̃a megawɔa dɔ nyuie o ( dementia) ɣeyiɣi didi .

Nuveviwɔame si me nuveviwɔame le

Ne èxɔ abi vevie le wò ŋutinuwo dometɔ ɖeka ŋu la, ate ŋu ana wò ŋutinuwo nawɔ dɔ kpata. Ɣeaɖewoɣi la, ne ŋutinua haya hã la, ne abi la gblẽ nu tegbee la, ate ŋu ana ŋutinua nawɔ dɔ atraɖii. Esia fia be ŋutinua megate ŋu wɔa dɔ nyuie abe tsã ene o. Afɔku sesẽ si gblẽa nu le ŋutilã bliboa ŋu ate ŋu ana ame natsi dzodzodzoe , si ana ʋu siwo katã le sisim yi wò ŋutinuwo katã me la nu tsona. Esia ate ŋu ana ŋutinu geɖe nawɔ dɔ kpata.

• Ne wowɔ dɔ na wò dɔgbo suea ƒe akpa gã aɖe, zi geɖe le dɔléle ta (woyɔa esia be dɔgbo kpui ƒe dɔléle) , la, enye nu vevi aɖe si nana dɔgbo suea megawɔa dɔ nyuie o tegbee.
• Kpeɖodzi aɖeke meli si me kɔ be ahɔhɔ̃mekawo ƒe abixɔxɔ si wɔ nuku nana ahɔhɔ̃a ƒe dɔmawɔmawɔ nyuie atraɖii o. Gake ate ŋu ana ahɔhɔ̃ naku (ahɔhɔ̃ ƒe dɔmawɔmawɔ nyuie) .

Nuveviwɔame si me aɖi le

Aɖi ate ŋu agblẽ nu le ŋutinuwo ŋu vevie kple esiwo nɔa anyi didi siaa. Woate ŋu akpɔ ŋusẽ ɖe wò ŋutinu vevi ɖesiaɖe alo wo katã dzi. Woate ŋu atso nusiwo le nutoa me, dɔlékui siwo naa aɖi le wò ŋutilã me, alo nusiwo nèɖuna gbɔ. Míaƒe aklã kple ayikuwo ɖea aɖi sue aɖewo ɖa le wò ʋu me gbesiagbe. Ne womewɔ dɔ nyuie o la, aɖi siawo ate ŋu aƒo ƒu ɖe wò ŋutilã me eye woagblẽ nu le ŋutinu bubuwo ŋu.

• Atike vɔ̃ɖi alo aha sesẽ zazã ɣeyiɣi didi ate ŋu ana aklã nawɔ dɔ tegbee ( aklãdɔ si me aɖi le ), dzi nawɔ dɔ tegbee ( dzitodzito me dɔléle si aha sesẽ hena vɛ) , alo ahɔhɔ̃a nawɔ dɔ tegbee (ahɔhɔ̃ ƒe gbegblẽ le ahanono ta ). Esiawo hã kpena ɖe dɔgbo kple ayikudɔléle si nɔa anyi didi ŋu vevie. Dzi, aklã, alo ayiku ƒe dɔmawɔmawɔ nyuie kpata ate ŋu atso atike muamewo nono fũ alo ahanono ƒe aɖi kpata gbɔ.
• Aɖi siwo le nutoa me ate ŋu ana gbɔgbɔtsixe tsia ame ƒo atraɖii, ayiku alo aklãdɔ, kple ahɔhɔ̃medɔ siwo gblẽa nu le ame ŋu.
• Dɔlékuiwo ƒe dɔlékuiwo naa aɖinuwo abe nusi dona tso eme ene. Esiawo ate ŋu agblẽ nu le ŋutinu ɖeka ŋu alo ne woƒo ƒu ɖe ʋua me la, ate ŋu agblẽ nu le ŋutinuwo katã ŋu. Ne dɔlékui aɖe le ʋua me la, ate ŋu ana ame naxɔ dɔlékuiwutikewo eye wòawɔ nuku na ame .

Ʋu/oxygen ƒe agbɔsɔsɔ si bu

Míaƒe ŋutinuwo xɔa ɔksidzin to ʋu ƒe sisi me. Ne wotso ʋu si yia ŋutinu aɖe me le susu aɖe ta la, mexɔa ɔksidzin si wòhiã be wòawɔ dɔ o ( hypoxia ). Esia ate ŋu ana ŋutinuwo nawɔ dɔ kpata alo agblẽ nu tegbee.Ischemia nye ʋu ƒe sisi ɖe ŋutinu aɖe me dzi ɖeɖe kpɔtɔ. Ate ŋu anye esi nu sẽ alo vivivi. Dzidziƒoame nye ʋu ƒe sisi kpata yi ŋutilã bliboa me.

• Ischemia le ŋutinu ɖesiaɖe me ate ŋu ana ame naxɔ abi, si ate ŋu ana lãmenugbagbeviwo naku emegbe. Esia ate ŋu adzɔ kabakaba alo vivivi. Ʋusɔgbɔdɔ si me ʋu sina tona le ahɔhɔ̃a ƒe akpa aɖe ate ŋu agblẽ nu le ahɔhɔ̃a ŋu kpata eye le go aɖewo me la, ahɔhɔ̃a naku. Dzitodzito me dɔléle si nye ischemic cardiomyopathy nye nu vevitɔ si hea dzidɔ si nɔa anyi didi vɛ.
• Dzitodzito me nudzɔdzɔ vevi aɖe, abe dzidɔ , dzi ƒe dɔmawɔmawɔ nyuie , alo ʋusɔgbɔdɔ ene, ate ŋu atso ʋu kple ɔksidzin si yi ŋutinu bubuwo me. Esia ate ŋu ana dzi nawɔ dɔ kpata alo ahɔhɔ̃a nagblẽ, eye ŋutinu geɖe nawɔ dɔ nyuie o. Ne dzi alo ahɔhɔ̃meka ku la, ŋutinu bubuawo akplɔe ɖo.
• Dzidziƒoame nye ʋu ƒe sisi kpata le ŋutilã bliboa me. Ate ŋu atso nu geɖe gbɔ, siwo dometɔ aɖewoe nye dɔlékui siwo le ʋu me ( septic shock ), dzi ƒe gbegblẽ ( cardiogenic shock ), dzi ƒe xexe ( obstructive shock ) , kple nulɔdɔwo (anaphylactic shock) . Esia ate ŋu ana ŋutinu geɖe nawɔ dɔ kpata.

Aleke ɖɔktawo wɔa nya sia tututue?

Ðɔktawo zãa dodokpɔ tɔxɛ aɖewo tsɔ dea dzesi ŋutinu vovovowo ƒe dɔmawɔmawɔ nyuie. Le kpɔɖeŋu me:

• Aklã ƒe dɔwɔwɔ dodokpɔ kple ayiku ƒe dɔwɔwɔ dodokpɔ dzidzea atike siwo le wò ʋu kple aɖuɖɔ me be woakpɔ nyatakaka tso alesi wò ŋutinuwo le dɔ wɔm ŋu. Emegbe woate ŋu awɔ ayiku ƒe foto alo awɔ fotoɖeɖe na wò be wòalé ŋku ɖe wò aklã ƒe sesẽ ŋu ( elastography ).
• Ʋudodokpɔ be nunyuimakpɔɖui mele ame ŋu o, eye emegbe woawɔ dɔgbo suea ƒe dɔgbo me dodokpɔ ate ŋu ade dzesi dɔgbo suea ƒe dɔmawɔmawɔ nyuie si tsoa dɔgbo ƒe dɔmawɔmawɔ nyuie alo aʋatso-mɔxexe gbɔ.
• Echocardiogram ate ŋu adzidze ʋu agbɔsɔsɔme si wò dzi tsɔna ( ejection fraction) eye wòakpɔ alesi wòle dɔ wɔm nyuie.
• Ahɔhɔ̃mekawo ƒe dɔwɔwɔ dodokpɔ kple ahɔhɔ̃mekawo ƒe dɔwɔwɔ ate ŋu akpe ɖe ame ŋu woade dzesi ahɔhɔ̃a ƒe nugbegblẽ.
• Aklã ƒe dɔwɔwɔ dodokpɔ ate ŋu akpɔ alesi gbegbe wò gbɔgbɔtsixe ƒe dɔwɔwɔ le dɔ wɔm nyuie. Pulse oximetry (nyitsu ƒe ʋuʋudedi) .Àte ŋu adzidze oxygen ƒe agbɔsɔsɔ le wò ʋu me to ʋuka me ʋu ƒe gas dodokpɔ .
• Ŋutinuwo ƒe nɔnɔmetatawo dodokpɔ , abe ultrasound alo CT scan ene .

Nukawoe nye atike siwo wozãna na esia?

Ne ŋutinuwo ƒe dɔmawɔmawɔ nyuie kpata la, ɖɔktawo ana kpekpeɖeŋu wò be wò nɔnɔmea nali ke. Esia ate ŋu alɔ:

• Tsi siwo wodona ɖe ʋuka me (IV fluids).
• Dɔlékuiwutikewo.
• Ʋudodo.
• Nuɖuɖu si wodona ɖe ʋuka me (IV nutrition).
• Oxygen zazã alo mɔ̃ si wotsɔ dea yae.
• Vasopressor atikewo be woadzi ʋu ƒe sisi ɖe edzi.
• Dialysis ƒe dɔwɔwɔ.

Le go aɖewo me la, ŋutinuwo dodo na ame ate ŋu ada ŋutinuwo ƒe dɔmawɔmawɔ kpata.

Le ŋutinuwo ƒe dɔmawɔmawɔ nyuie atraɖii gome la, ɖɔktawo do susua ɖa be:

• Le aklã ƒe dɔmawɔmawɔ nyuie atraɖii gome la, nuɖuɖu kple agbenɔnɔ ŋuti aɖaŋuɖoɖo ate ŋu akpe ɖe ŋuwò nàkpɔ eƒe ŋgɔyiyi gbɔ alo atrɔe. Ne eɖo eƒe nuwuwu la, ɖewohĩ ahiã be woado aklã na wò .
• Wozãa ʋumenugbagbeviɣidɔ tsɔ daa ayiku ƒe dɔmawɔmawɔ nyuie si nu sẽna ɖe edzi. Ne eɖo eƒe nuwuwu la, ahiã be woado ayiku na wò .
• In cases of chronic respiratory failure , gbɔgbɔtsixe ƒe kpekpeɖeŋu ƒomevi vovovowo li siwo ate ŋu akpe ɖe ŋuwò nàkpɔ oxygen geɖe. Le akpa mamlɛawo me la, ate ŋu ahiã be woado wò lãkusi na ame alo woatsɔ mɔ̃ ado ya na wò tegbee.
• Atike siwo wozãna na dzidɔ si nɔa anyi didi kple eƒe nɔnɔme siwo gbɔ wòtso, abe ʋusɔgbɔdɔ kple dzitodzito me dɔléle ene. Le ɣeyiɣi siwo va yi me la, mɔ̃ vovovo siwo wotsɔ dea dzia me siwo kpena ɖe dzia ŋu wòwɔa dɔ, eye mlɔeba la , dzia ƒe dɔwɔwɔ ƒe tiatia abe dzitodzito dodo ene li.
• Nunyiame si wodona le dɔgboa me na dɔgbo ƒe dɔmawɔmawɔ nyuie atraɖii. Àte ŋu anɔ nunyiame si wozãna le dɔgboa me dzi le wò agbemeŋkekewo katã me, gake atikewɔwɔ ɣeyiɣi didi ate ŋu ahe kuxiwo vɛ. Àte ŋu ado dɔgbo na wò hã .
• Atike siwo wozãna na tagbɔdɔléle ƒe dzesi siwo nu sẽna ɖe edzi vivivi. Fifia la, atike aɖeke meli si ana eƒe ŋgɔyiyi nagbɔdzɔ alo atrɔe o. Atike aɖeke meli si ada ahɔhɔ̃a ƒe ku o .

Ðe wòanya wɔ be woahaya le ŋutinuwo ƒe dɔmawɔmawɔ nyuie megbea?

Ɣeaɖewoɣi le ŋutinuwo ƒe dɔmawɔmawɔ nyuie megbe la, ŋutinuawo gahayana. Esia ate ŋu adzɔ ne ŋutinu geɖe do kpo nu zi ɖeka gɔ̃ hã. Le go sia me la, ɖewohĩ ɣeyiɣi kpui aɖe koe nàhiã agbemenuhiahiãwo. Le ŋutinuwo ƒe dɔmawɔmawɔ nyuie ƒe gɔmedzedze la, ne woate ŋu ada nusi gbɔ wòtso nyuie la, ate ŋu atrɔe. Gake le ɣeyiɣi siwo va yi me la, zi geɖe la, nu gblẽ le wo ŋu si womate ŋu atrɔ o. Le kpɔɖeŋu me, ŋutinuwo ƒe abi ( fibrosis ) alo lãmenugbagbeviwo ƒe kuku.

Ne wokpɔ ayikudɔ si le eƒe nuwuwu gɔ̃ hã la, mègana mɔkpɔkpɔ o . Anɔ eme be ƒe geɖe anɔ asiwò nàtsɔ adze agbagba atrɔ wò nɔnɔmea. Atikewɔwɔ geɖe li siwo akpe ɖe wò ayiku siwo le dɔ wɔm nyuie ŋu eye woaɖe wò dzesiwo dzi akpɔtɔ. Ame aɖewo meɖoa ayikudɔléle ƒe akpa mamlɛawo gbɔ gbeɖe o. Ne èɖo afɔɖeɖe ma me la, zi geɖe la, àte ŋu abia be woado wò ŋutinuwo na ye.

Zi geɖe la, ŋutinuwo ƒe gbagbã kpata dzɔna le dɔléle alo afɔku aɖe si womele mɔ kpɔm na o ta. Esesẽna be woaxe mɔ ɖe enu, eye wònyea nudzɔdzɔ kpata ne edzɔ. Ðɔkta siwo le dɔnɔdzikpɔƒe si wokpɔa dɔnɔwo gbɔ vevie (ICU) wɔa nusianu si woate ŋui be woado alɔ wò ŋutilã ƒe dɔwɔɖoɖo mamlɛawo esime wole agbagba dzem be yewoagbugbɔ ŋutinu alo ŋutinu siwo le kpo dom nu la aɖo te.

Nu vevitɔ kekeake siwo dzi wòle be míaɖo ŋkui

Togbɔ be ŋutinuwo ƒe dɔmawɔmawɔ nyuie nye nɔnɔme sesẽ aɖe hã la, ele vevie be woase egɔme nyuie . Toléle ɖe dzesiawo ŋu, atikewɔla ƒe aɖaŋuɖoɖo nyui didi, kple atike si woŋlɔ na ame zazã ate ŋu awɔ akpa gã aɖe le dɔlélea dzi ɖuɖu me. Azɔ hã, agbe nyui nɔnɔ kple dɔléle ɖesiaɖe si nɔa anyi didi gbɔ kpɔkpɔ nyuie ate ŋu aɖe ŋutinuwo ƒe dɔmawɔmawɔ nyuie ƒe afɔkua dzi akpɔtɔ. Ne ɖikeke aɖe le wò ŋutɔ alo wò kplikplikpli aɖe me le esia ŋu la, mègahe ɖe megbe le nuƒoƒo kple ɖɔkta me o.

` Ŋutinu ƒe dɔmawɔmawɔ nyuie, aklã, ayiku, dzi, lãkusi, ahɔhɔ̃, dzesiwo, atikewɔwɔ