Bu eŋu kpɔ be, èle alɔ̃ dɔm nyuie be wòaɖe ɖeɖiteameŋu si le ŋkekea me dzi akpɔtɔ. Gake kasia, ènyɔ kple gbɔgbɔtsixetsixe ƒe seselelãme dziŋɔ aɖe, wò akɔta te. Ele abe tsi me nɔnɔ ene eye ele be nàwɔ avu hafi agbɔ ya. Esia nye nuteƒekpɔkpɔ si ame geɖe tona, gake wovɔ̃na be yewoaƒo nu tso eŋu, edzi ŋɔ ŋutɔ. Le atikewɔwɔ me la, míeyɔa nɔnɔme sia be Paroxysmal Nocturnal Dyspnea, alo PND kpuie. Menye nu bubu aɖe koe esia nye o, ate ŋu anye dzesi vevi aɖe si wò ŋutilã le na wò.
Nuka tututue nye PND?
Kpuie ko la, PND nye ne èfɔ zi ɖeka le gaƒoƒo ɖeka alo eve megbe le alɔ̃dɔdɔ megbe eye gbɔgbɔ sesẽ na wò. Zi geɖe la, esia ɖea fu na ame ŋutɔ. Àte ŋu anɔ agbagba dzem be yeagbɔ ya, agbɔ ya kabakaba, eye àte ŋu akɔ akɔta gɔ̃ hã.
Nu vevitɔe nye be ne èle alɔ̃ dɔm ko hafi nɔnɔme sia si woyɔna be PND la dzɔna . Esia to vovo na gbɔgbɔtsixetsixe si dzɔna ne èmlɔ anyi esime nèle ŋudzɔ (si woyɔna be orthopnea).
Gake gbɔdzɔe aɖe li. Ne èfɔ alea la, ne èbɔbɔ nɔ aba dzi la, zi geɖe la, wò gbɔgbɔ atrɔ ava nɔ abe tsã ene le miniti 10 va ɖo 15 me, eye vivivi la, vevesesea nu ayi.
Nukatae esia dzɔna ne medɔ alɔ̃ le zã me? Nukawoe nye susu vevi siwo tae?
PND menye dɔléle o, ke boŋ enye atikewɔwɔ me nɔnɔme aɖe si le ete ƒe dzesi. Woate ŋu ama nusiwo gbɔ wòtsona ɖe hatsotso vevi etɔ̃ me:
| Nuto vevitɔ si ate ŋu ahe esia vɛ | Ne míaɖe eme bɔbɔe la... |
|---|---|
| Dzidɔléle | Ne míemlɔ míaƒe axadzi la, ʋu kple tsi si le míaƒe afɔwo me trɔna yia akɔta, afisi míaƒe lãkusiwo le le nuheŋusẽ ta. Dzi si le lãmesẽ me ate ŋu atsɔ ʋu sia si sɔ gbɔ wu la aƒo xlã ŋutilãa bɔbɔe. Gake ne gbɔdzɔgbɔdzɔ aɖe le dzia me (abe Congestive Heart Failure ene) la, tsi sia si sɔ gbɔ wu ate ŋu aƒo ƒu ɖe lãkusiwo me, si ana nyaƒoɖeamenu eye wòana gbɔgbɔ nasesẽ. |
| Yagbɔgbɔ ƒe Nɔnɔmewo | Ne atikewɔwɔ me dɔléle aɖe abe asrã alo COPD (Chronic Obstructive Pulmonary Disease) ene le ŋuwò la, gbɔgbɔ ate ŋu asesẽ na wò le ŋkekea me. Nɔnɔme siawo ate ŋu agado gã ɖe edzi ne tɔtrɔ siwo vaa wò ŋutilã me le zã me. |
| Ahɔhɔ̃mekawo ƒe Nyawo | Dzesi siwo tso ahɔhɔ̃a gbɔe kpɔa míaƒe gbɔgbɔ dzi. Le nɔnɔmewo abe Sleep Apnea ene me la, dzesiwo nana ƒe ɖoɖo sia mewɔa dɔ nyuie o. Yaƒoƒomɔ̃a xe, alo ahɔhɔ̃a dzudzɔa dzesi si nye be wòagbɔ ya la nana hena ɣeyiɣi kpui aɖe. Esia wɔnɛ be gbɔgbɔtsixe tsia dzodzodzoe, si wɔnɛ be nènyɔ zi ɖeka. |
Atikewɔwɔ ƒe nɔnɔme tɔxɛ siwo gblẽa nu le PND ŋu
- Alɔ̃dɔdɔ ƒe Gbɔgbɔtsixetsixe: Gbɔgbɔtsixetsixe enuenu le alɔ̃dɔdɔ me.
- Dzi ƒe Dɔmawɔmawɔ nyuie: Dzia ƒe pɔmpi ŋutete ƒe gbɔdzɔgbɔdzɔ.
- Aklã ƒe Ʋusɔgbɔdɔ: Nyaƒoɖeamenu si dzina ɖe edzi le aklã ƒe ʋukawo me.
- COPD (Chronic Obstructive Pulmonary Disease): Aɖuɖɔtoedɔléle si nɔa anyi didi.
- Asrãdɔ
- Aklã me Ʋuʋudedi: Tsi ƒe ƒoƒo ɖe aklã me.
- Parkinson ƒe Dɔléle
- Zã me Vɔvɔ̃: Vɔvɔ̃ ƒe amedzidzedze kpata si dzɔna le zã me.
- Lolo akpa: Lolo akpa hã ate ŋu ahe gbɔgbɔtsixetsixe ƒe nyaƒoɖeamenu vɛ.
Aleke wowɔa nu ɖe esia ŋui?
Ele vevie be nàɖo ŋku esia dzi: Menye dzesiawo ɖeɖeko tae wodaa PND ɖo o, ke boŋ le nɔnɔme si gbɔ wòtso ta. Wò ɖɔkta ado wò kpɔ, awɔ dodokpɔ aɖewo ne ehiã, eye wòake ɖe nusi tututu gbɔ wòtso ŋu. Emegbe, woadze atikewɔwɔ gɔme le nusi gbɔ wòtso nu.
| Susu | Atikewɔwɔ siwo wonana zi geɖe |
|---|---|
| Dzidɔ | Wona atikewo abe tsinyegoe me atikewo kple ʋu ƒe sisi dzi ɖuɖu ƒe atikewo (ACE inhibitors, beta-blockers) ene. |
| Alɔ̃dɔdɔ ƒe Gbɔgbɔtsixetsixe | Mɔ̃ abe CPAP alo BiPAP ene zazã be yaƒoƒomɔ̃a nanɔ ʋuʋu ɖi le alɔ̃dɔdɔ me hã le vevie ŋutɔ. Lolo dzi ɖeɖe kpɔtɔ hã le vevie ŋutɔ. |
| Yagbɔgbɔdɔlélewo (asrã/COPD) . | Wozãa aɖuɖɔtoe kekeɖenudɔlékui siwo wogbɔna kple corticosteroid siwo wogbɔna. |
| Susu ƒe lãmesẽkuxiwo | Wonaa Sidzedze ƒe Nuwɔna Ŋuti Atikewɔwɔ alo atike siwo tsia dzimaɖitsitsi nu na nɔnɔmewo abe zã me vɔvɔ̃ ene. |
Nukae míate ŋu awɔ atsɔ axe mɔ ɖe PND nu?
Nu nyuitɔ si nàwɔe nye be nàxɔ atike nyuitɔ na wò nɔnɔme si gbɔ wòtso. Ele vevie be nàno atike siwo wò ɖɔkta ŋlɔ na wò ɖe game dzi. Tsɔ kpe ɖe eŋu la, nu siawo ate ŋu akpe ɖe ŋuwò nàna wò dzi kple wò lãkusi nanɔ lãmesẽ me:
- Kamedede: Ðo dze kple wò ɖɔkta tso kamedede si le dedie si sɔ na wò ŋu, eye nàde kame gbesiagbe. Esia ado ŋusẽ wò dzi kple wò lãkusi.
- Yagbɔgbɔ ƒe kamedede: Yagbɔgbɔ deto ƒe kamedede kple ɖiɖiɖeme ƒe mɔnuwo ate ŋu akpe ɖe ame ŋu wòaɖu gbɔgbɔtsixetsixe kple dzimaɖitsitsi dzi.
- Ƒo asa na atamanono: Ne ènoa atama la, dzudzɔ egbea. Sigaretnonoe nye nusi wua lãkusiwo wu. Ate ŋu agblẽ nɔnɔmewo abe asrã kple COPD ene ɖe edzi, eye ate ŋu ahe dɔléle yeyewo gɔ̃ hã vɛ.
Ðe wòhiã be makpɔ ɖɔktaa?
Esia ƒe ŋuɖoɖo le bɔbɔe ŋutɔ. Ẽ, kakaɖedzitɔe!
Ne èfɔ le zã me kple gbɔgbɔtsixe tsi ƒowò kpɔ la, mègaŋe aɖaba ƒu edzi ko o. Ate ŋu anye nuxlɔ̃amedzesi gbãtɔ si fia be nɔnɔme sesẽ aɖe le wò ŋutilã me. Eyata , yi wò ƒomea ƒe ɖɔkta gbɔ enumake. Ate ŋu afia mɔ wò nyuie.
Ðo ŋku edzi be ne wò gbɔgbɔtsixe tsia ƒowò vevie, eye akɔtave alo wòse le ɖokuiwò me be yegbɔdzɔ la, yi kɔdzi si te ɖe ŋuwò ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) kaba.
Alɔ̃dɔdɔ nyuie le vevie na míaƒe ŋutilã kple susu. Alɔ̃dɔdɔ ma ƒe tɔtɔ le PND ta ate ŋu akpɔ ŋusẽ gã aɖe ɖe agbenɔnɔ ƒe nyonyome dzi. Eyata mègaŋe aɖaba ƒu dzesi sia dzi o. Di atikewɔlawo ƒe aɖaŋuɖoɖo nyuiwo, da nusi gbɔ wòtso, eye nàdze agbe si me nàte ŋu adɔ alɔ̃ nyuie le la gɔme.
Gbedasi si Wotsɔ Yi Aƒeme
- PND nye nyɔnyrɔ̃ kpata tso alɔ̃dɔdɔ me le zã me kple gbɔgbɔtsixetsixe. Togbɔ be esia ate ŋu anye nuteƒekpɔkpɔ dziŋɔ hã la, menye dzesi si dzi wòle be woaŋe aɖaba aƒu o.
- Dzidɔ, gbɔgbɔtsixe ƒe dɔléle, alo lãmekawo ƒe kuxiwo abe Sleep Apnea ene gbɔe esia tsona koŋ.
- Ne èto esia me zi ɖeka gɔ̃ hã la, yi ɖɔkta gbɔ enumake. Ate ŋu anye dɔléle sesẽ aɖe ƒe dzesi kaba.
- Menye dzesia tae wodaa dɔa ɖo o, ke boŋ nɔnɔme si gbɔ wòtso si he dɔlélea vɛ tae.
- Agbenɔnɔ si me lãmesẽ le (kamedede, atamanono) ate ŋu akpe ɖe ame ŋu wòaɖu nɔnɔme siwo hea PND vɛ dzi.
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Womeɖo nya aɖeke ɖe amewo haɖe o. Tsɔ wò nyaŋuɖoɖo kpe ɖe afisia zi gbãtɔ.
Tsɔ wò nyaŋuɖoɖo kpee