Ðe wò lãkusiwo xɔ abia? Esia ate ŋu anye aklãdɔléle!

Ðe gbɔgbɔtsixe tsia ƒowò vie ɣeaɖewoɣia? Alo ɖe nèsea seselelãme wɔnuku aɖe si le veve sem le wò akɔta? Ðewohĩ ɖeko wòdze egɔme abe vuvɔ ene, gake gbɔgbɔ gakpɔtɔ le sesẽm na wòa? Ne ele nenema la, ele vevie ŋutɔ be nànya nɔnɔme sia si woyɔna be "aklãdɔ", si ŋu míele nu ƒom tsoe egbea. Mègatsi dzi o, míaƒo nu tso esia ŋu bɔbɔe, le mɔ si gɔme nàte ŋu ase nu.

Nukae nye aklãdɔ? Kpuie ko la,...

Kpuie ko la, aklãdɔ nye nɔnɔme si me ya kotoku suesuesue siwo le wò lãkusi me (siwo woyɔna be alveoli) la vuvu, alo vuvu, le susu bubu aɖe ta, ke menye le dɔlékui aɖe ta o . Bu eŋu kpɔ, abe alesi ko ne míexɔ abi la, nane si le abe esia ene ate ŋu adzɔ le míaƒe lãkusi me ene. Dzoxɔxɔ sia ate ŋu ana wòasesẽ na wò be nàgbɔ ya nyuie, eye ate ŋu ahe kuxi bubuwo hã vɛ na wò ŋutilã.

Aklãdɔléle ƒe agbɔsɔsɔ vovovowo li:

• Nɔnɔme sesẽ: Le go sia me la, dɔdzẽa dzɔna kpata eye wòɖiɖina le ɣeyiɣi kpui aɖe megbe.
• Subacute stage: Le afisia la, dɔdzẽa dona vivivi vivivi.
• Nɔnɔme si nɔa anyi didi: Esia nye afɔku vie wu. Dzoxɔxɔa nɔa anyi ɣeyiɣi didi, eye ate ŋu anɔ anyi ɖaa gɔ̃ hã.

Ðe aklãdɔ nye nɔnɔme si me afɔku lea?

Ẽ, aklãdɔ nye dɔléle si wòle be woabu nu vevii . Elabena ne èkpɔ nu siwo hea dɔlélea vɛ ɣeyiɣi didi la , ate ŋu agblẽ nu le wò lãkusi ŋu tegbee . Esia tae wòle vevie be nànya esia eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake ne èkpɔ dzesiwo.

Nukawoe nye aklãdɔléle ƒomevi veviwo?

Aklãdɔ ƒomevi vovovowo li le nusi gbɔ wòtso nu. Mina míalé ŋku ɖe ƒomevi vevi aɖewo ŋu:

• Acute Interstitial Pneumonitis: Esia dzea egɔme kpata eye dzesiawo nu sẽna ɖe edzi kabakaba ŋutɔ. Ðɔktawo menya nusi tututu gbɔ wòtso haɖe o.
• Chemical Pneumonitis: Esia tsoa atikewo (`(inhalants)`) siwo míezãna gbesiagbe, alo esiwo míedoa goe le dɔwɔƒe la gbɔgbɔ gbɔ. Le kpɔɖeŋu me, atike siwo wozãna le dodokpɔ aɖewo me, chlorine gas, nudzodzoeviwutikewo, mɔ̃memi, kple dzudzɔ.
• Aklãdɔ si nana ame ƒe lãme gblẽna akpa: Esia le abe nulɔdɔ ene. Etsoa dɔlékuiwutikewo, abe dɔlékuiwo, ke, aŋɔ, kple nu suesuesuewo (dander) siwo tso lãwo ƒe ŋutigbalẽ, lãfu, alo fuwo me gbɔgbɔ me.
• Kekeli ƒe Aklãdɔléle:Nɔnɔme sia ate ŋu ado mo ɖa le keklẽŋusẽdɔdada na kansa megbe.

Nukawoe nye aklãdɔléle ƒe dzesiwo?

Le gɔmedzedzea me la, aklãdɔ ƒe dzesiwo ate ŋu asɔ kple dzamezã ƒe dzesiwo. Esiawo dometɔ aɖewoe nye:

• Yagbɔgbɔ sesẽ (Dyspnea). Ðewohĩ àse le ɖokuiwò me be gbɔgbɔtsixe tsi ƒowò vie.
• Akɔtave.
• Kɔdzi ƒuƒu si me ʋuʋudedi mele o.

Tsɔ kpe ɖe esia ŋu la, dzesi bubuwo ate ŋu ado mo ɖa:

• Ɖeɖiteameŋu.
• Asrã.
• Ŋutilã ƒe dzodzro.
• Fifia ƒe ʋuʋu.

Gake le aklãdɔléle si nɔa anyi didi gome la, woate ŋu akpɔ dzesiwo abe esiawo ene hã:

• Gbɔgbɔ kpui siwo me goglo o.
• Ŋutilã ƒe amadede ƒe tɔtrɔ blɔ (Cyanosis). Esia dzɔna ne ŋutilãa mekpɔ oxygen si sɔ o.
• Lolo dzi ɖeɖe kpɔtɔ le manyamanya me.

Nukawoe hea aklãdɔléle vɛ?

Nu geɖe li siwo ate ŋu ahe aklãdɔ vɛ. Mina míalé ŋku ɖe nusiwo gbɔ wòtsona zi geɖe la dometɔ aɖewo ŋu:

• Lãwo: Nulɔdɔ siwo le lãwo ƒe fu, fu, kple ŋutigbalẽ me ate ŋu ana lãkusi naxɔ abi. Ame siwo wɔa dɔ le agblewo dzi, kpakple lãwo ƒe dɔdalawo kple lãwo dzikpɔlawo le afɔku me.
• Dɔlékuiwo: Dɔlékui ƒomevi aɖewo, vevietɔ esiwo le teƒe siwo tsi ƒoa ƒu ɖo, abe yaƒoƒomɔ̃wo, fafamɔ̃wo, kple tsifamɔ̃wo ene, ate ŋu atsi age ɖe ya si míegbɔna me.
• Atikewo kple atikewo: Atike aɖewo hã ate ŋu ahe esia vɛ. Kpɔɖeŋu aɖewoe nye aspirin, dɔlékuiwutike aɖewo (e.g., sulfonamides, nitrofurantoin), dzidɔtike aɖewo (e.g., amiodarone), kple atike siwo wozãna tsɔ daa dɔlékuiwoe.
• Aŋɔwo: Nɔnɔme sia ate ŋu atso aŋɔ siwo tsina ɖe nuwo abe gbe, nuku ƒuƒu, cheese, lãmi, kple suklitiwo dzi gbɔgbɔ me hã. Woate ŋu akpɔ aŋɔ siawo le aƒe xoxo siwo me tsi le kple teƒe siwo woƒo agbalẽwo nu ƒu ɖo.
• Kekeli ƒe Dɔdamɔnu: Nɔnɔme sia ate ŋu ado mo ɖa le keklẽŋusẽdɔdamɔnu si wona ŋutilã bliboa alo akɔta ƒe akpa aɖe le kansa ƒomevi aɖewo, abe no me dɔdzẽ kple lãkusi me dɔdzẽ ene, dada me vɔ megbe.

Ðe aklãdɔ sia xɔa ame mea?

Ao, aklãdɔ menye dɔléle si xɔa ame me o . Gake dɔlékui alo dɔlékui aɖewo siwo henɛ vɛ ate ŋu akaka tso ame ɖeka me ayi ame bubu me. Gake dɔdzẽ si dzɔna le lãkusi me la mexɔa ame o.

Amekae ate ŋu axɔ aklãdɔ wu?

Amesiame ate ŋu axɔ aklãdɔ, gake èle afɔku me vie ne èwɔ dɔ le nuto siwo gbɔna me:

• Ame siwo wɔa dɔ kple lãwo (agbledelawo, lãwo ƒe dɔdalawo, lãwo dzikpɔlawo, aƒemelãwo dzralawo).
• Ame siwo wɔa dɔ le agble siwo me wowɔa dɔ le nudzodzoeviwutikewo alo nuku siwo me aŋɔ le kple gbe me.
• Ame siwo wɔa dɔ le wɔwɔƒewo, pepadɔwɔƒewo, kple atitsoƒewo.

Azɔ hã, ne èzãa tsilénu le aƒeme alo nèzãa ɣeyiɣi le tsi dzodzoewo me, ne womekɔ wo ŋu nyuie o la, aŋɔ kple dɔlékuiwo ate ŋu atsi eye ne ègbɔ ya si dona tso wo me la, ana aklãdɔléle ƒe afɔkua dzina ɖe edzi.

Kuxi kawoe ate ŋu ado tso aklãdɔléle me?

Nusiwo gbɔ aklãdɔléle tsona ɣeyiɣi didi ate ŋu ana ame ƒe lãkusi nagblẽ vevie si womate ŋu atrɔ o . Wo dometɔ vevitɔwoe nye:

• Aklã ƒe Ʋuʋudedi: Esia nye nɔnɔme si me abi va nɔa lãkusiwo ŋu eye vivivi la, wova lolona ɖe edzi. Esia ate ŋu ana gbɔgbɔ nasesẽ ŋutɔ eye ate ŋu ana ame naku gɔ̃ hã.
• Aklã me Ʋusɔgbɔdɔ: Esiae nye esime ʋu ƒe sisi (ʋusɔgbɔdɔ) si le ʋukawo (aklã me ʋukawo) siwo tsɔa ʋu tso wò dzi me yia wò lãkusi me dzina ɖe edzi.

Ðo ŋku edzi be: Kuxi siawo ate ŋu ade ame ƒe agbe afɔku me, si tae wòle vevie be woakpɔ dɔlélea ahadae kaba ɖo.

Aleke wokpɔa aklãdɔléle?

Ðɔkta ate ŋu akpɔ aklãdɔ. Abia nu tso wò dzesiwo ŋu, axɔ wò atikewɔwɔ ŋutinya, eye wòatsɔ nuƒomɔ̃ (`(auscultation)`) aɖo to wò lãkusiwo. Tsɔ kpe ɖe eŋu la, woate ŋu awɔ dodokpɔ bubu geɖe atsɔ aɖo kpe dɔlélea dzi.

Dodokpɔ kawoe wole wɔwɔm na esia?

Be nàɖo kpe aklãdɔléle dzi la, wò ɖɔkta ate ŋu adɔ dodokpɔ siwo gbɔna:

• Nulɔdɔ ƒe Ʋudodokpɔ: Woɖea wò ʋu ƒe kpɔɖeŋu aɖe hedonɛ kpɔna be ewɔa nu ɖe ​​nusiwo nana nulɔdɔ aɖewo ŋu hã.
• Bronchoscopy: Wona alɔ̃dɔdɔ wò eye wotsɔa dɔwɔnu tsɛ aɖe si te ŋu trɔna bɔbɔe (bronchoscope) si me fotoɖemɔ̃ le dea wò nu alo ŋɔti me be woatsɔ ado wò lãkusiwo kpɔ.
• Nɔnɔmetatawo Dodokpɔwo: Esiawo nye dodokpɔ siwo me vevesese aɖeke mele o. Woate ŋu awɔ akɔta ƒe X-ray alo CT scan.
• Lung Biopsy: Amekoko si wowɔna tsɔ ɖea lãkusi suesuesuewo le lãkusiwo me be woado wo kpɔ.
• Aklã ƒe Dɔwɔwɔ Dodokpɔwo: Esiawo dzidzea gbɔgbɔ agbɔsɔsɔme si nègbɔna le aɖabaƒoƒo ɖeka me (yagbɔgbɔ ƒe tsɔtsɔme), ya agbɔsɔsɔme si gena ɖe wò aklã me kple esi dona le eme.
• Pulse Oximetry (Nyitsu ƒe Ʋuʋudedi):Mɔ̃ sue aɖe si léna ɖe wò asibidɛ ŋu dzidzea oxygen agbɔsɔsɔme si le wò ʋu me.

Nukawoe nye aklãdɔléle ƒe atikewo?

Ne aklãdɔ le ŋuwò la, atike nyuitɔ kekeakee nye be nànɔ adzɔge tso nusiwo gbɔ wòtso gbɔ . Tsɔ kpe ɖe eŋu la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã atikewo alo atikewɔmɔnuwo abe:

• Corticosteroids alo dɔlélenutsiŋutete ƒe dɔlékuiwutikewo: Atike siawo ɖea abi si le lãkusiwo me dzi kpɔtɔna. Le kpɔɖeŋu me, woate ŋu ana atikewo abe `(prednisone)`, `(mycophenolate)`, alo `(azathioprine)`.
• Atike siwo wua fibrotic: Esiawo ɖea abi ƒe dzɔdzɔ le lãkusiwo me dzi kpɔtɔna. Woateŋu ana atikewo abe `(pirfenidone)` alo `(nintedanib)`.
• Aklã ƒe Gbugbɔgaɖɔɖo: Le esia me la, èwɔa dɔ kple ɖɔkta aɖe tsɔ wɔa kamedede ƒe ɖoɖo aɖe si ana wò aklã ƒe ŋusẽ nadzi ɖe edzi.
• Oxygen Dɔdamɔnu: Esia kpena ɖe ame ŋu be oxygen nana ŋutilãa ne gbɔgbɔ sesẽ. Woate ŋu ana oxygen ɣesiaɣi, alo le ɣeyiɣi aɖewo ko me, abe le kamedede me alo ne wole alɔ̃ dɔm ene.
• Aklã Dodo: Ne aklãdɔa nu sẽ eye wòyi ŋgɔ va zu nɔnɔmewo abe aklã me lãkusi ene la, ɖɔktawo ate ŋu aɖo aɖaŋu be woaɖe lãkusi siwo gblẽ la dometɔ ɖeka alo evea siaa ɖa eye woado lãkusi si le lãmesẽ me.

Aleke gbegbee nye lãme asẽ kaba le atikewɔwɔ vɔ megbe?

Enɔ te ɖe nusi gbɔ wò aklãdɔlélea tso kple alesi wòsẽe dzi ŋutɔŋutɔ. Ate ŋu axɔ ɣleti geɖe hafi wò lãkusiwo nahaya. Le go aɖewo me la, nusiwo gblẽ le wò lãkusiwo ŋu ate ŋu anɔ anyi ɖaa .

Ðe woate ŋu axe mɔ ɖe Aklãdɔléle nua?

Ẽ, mɔ nyuitɔ si dzi nàto aɖe aklãdɔléle xɔxɔ ƒe afɔkua dzi akpɔtɔe nye be nànɔ adzɔge tso nusiwo hea lãkusi me dɔdzẽ vɛ gbɔ alesi nàte ŋui . Ne ele be nàdo go nu mawo tɔgbe la, àte ŋu awɔ nusiawo:

• Do Ameɖokui Takpɔnu (PPE) , vevietɔ N95 ƒomevi ƒe ametakpɔnu, be nàxe mɔ ɖe nu siwo gblẽa nu le ame ŋu le ya me gbɔgbɔ nu.
• Klɔ nuwo abe yaƒoƒomɔ̃wo, dzoxɔxɔnamɔ̃wo, kple tsifamɔ̃wo ene ŋu eye nàwu dɔlékuiwo wo edziedzi .
• Klɔ modzakaɖebɔwo kple xɔmenuwo ŋu edziedzi kple yaƒoƒomɔ̃ be nàɖe ke kple lãwo ƒe fu ɖa.
• Ya si me nugbagbevi suesuesuewo le (HEPA) si wɔa dɔ nyuie (HEPA) zazã le aƒeme ate ŋu akpe ɖe ame ŋu be woaɖe nusiwo nana ame ƒe ŋutilã mewɔa dɔ nyuie o ɖa le ya me.

Nukae dzɔna ne aklãdɔ le ŋuwò?

Ne wokpɔe kaba eye wodae nyuie la, woate ŋu atrɔ aklãdɔ le akpa gãtɔ. Ne aklãdɔléle sesẽ aɖe le ŋuwò la, wò dzesiwo ate ŋu nu ayi le ŋkeke ʋɛ aɖewo megbe ne èɖe nusi gbɔ wòtso ɖa le nuto si me nèle me vɔ megbe.

Zi geɖe la, nusiwo gblẽa nu le ame ŋu ƒe agbɔsɔsɔ si mesɔ gbɔ o zazã ɣeyiɣi didi gbɔe subacute nɔnɔmewo tsona. Dzesiawo ate ŋu anɔ anyi ɣleti geɖe eye ahiã be woawɔ atike na wo.

Gake zi geɖe la, nusiwo aklãdɔléle si nɔa anyi didi hena vɛ la nɔa anyi ɖaa . Gake atikewo kple atikewɔwɔ ate ŋu aɖe dzesiawo ƒe sesẽ dzi akpɔtɔ.

Vovototo kae le Aklãdɔ kple Aklãdɔ dome?

Esia nye nusi tɔtɔa ame geɖe. Na míakpɔ vovototo si le wo ame evea dome ɖa:

• Aklãdɔ: Esia nye lãkusi ƒe dɔdzẽ si me dɔlékui aɖeke mele o . Dzoxɔxɔ sia gblẽa nu le ʋukawo ƒe gliwo ŋu, gake tsi alo ʋuʋudedi aɖeke meƒoa ƒu o. Aklãdɔ nana ame ƒe akɔta ƒuna .
• Aklãdɔ: Esia nye dɔlékui, dɔlékui, alo fungi ƒe dɔlékui si le lãkusi me. Esia hã nye aklãdɔ ƒomevi aɖe, gake le go sia me la, tsɔ kpe ɖe dɔdzẽ ŋu la, tsi alo ʋuʋudedi ƒoa ƒu ɖe lãkusi me. Esia ate ŋu ana ame naxɔ kɔdzi si ana ʋuʋudedi ɣi, amadede dzẽ, alo ʋu nado (kɔdzi si me tsi le) .

Mlɔeba la, nu ʋɛ aɖewo siwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Aklãdɔ nye lãkusi ƒe dɔdzẽ. Nusiwo gbɔ wòtsona ɣeyiɣi didi ate ŋu agblẽ nu le eƒe lãkusi ŋu vevie. Eyata ele vevie ŋutɔ be nàyi ɖɔkta gbɔ ne dɔlélea ƒe dzesiwo nya dze ko . Esia ate ŋu axe mɔ ɖe nusiwo womate ŋu atrɔ o nu. Ðɔktaa ate ŋu awɔ dodokpɔwo, anya alesi wò dɔlélea nu sẽe, eye wòakpe ɖe ŋuwò nàɖe wò dzesiwo dzi akpɔtɔ eye wòana gbɔgbɔ nanɔ bɔbɔe na wò.

Ne èva kpɔe be aklãdɔ le ye ŋu la, mègaŋlɔ be be yeaƒo asa na nusiwo hea dɔlélea vɛ, ano atike siwo woŋlɔ na wò, eye nàwɔ gbɔgbɔ ƒe kamedede abe alesi wò ɖɔkta gblɔ na wò ene o. Bia wò ɖɔkta tso nu siawo ŋu:

• Nukatae aklãdɔ dze dzinye?
• Ðe dɔléle si nu sẽ alo esi nɔa anyi didi le ŋunyea?
• Mɔ nyuitɔ kae li si dzi nàto ate ɖa tso nusiwo gbɔ wòtsona gbɔ?
• Ðe nye lãkusiwo gblẽ tegbeea?
• Atike ka ƒomevie nèkafu?
• Ɣeyiɣi didi kae wòaxɔ hafi nye lãme nasẽ?
• Ɣekaɣie wòle be matrɔ ava hena dodokpɔa?
• Ðe wòle be makpɔ aklãdɔdala aɖea?

Ne èse le ɖokuiwò me be yemete ŋu le gbɔgbɔm o la, yi kɔdzi si te ɖe ŋuwò alo ƒo ka na xexlẽdzesi si wozãna kpata enumake .

` Aklãdɔ, Aklãdɔ, Aklãdɔ, Yagbɔgbɔ sesẽ, Yagbɔgbɔdɔ, Nulɔdɔ, Aklãdɔ