Ðe gbɔgbɔ le sesẽm na viwò suea? Mina míaƒo nu tso Reactive Airway Disease (RAD) ŋu!

Ðe ame aɖe le wò aƒeme, ɖewohĩ wò ŋutɔ wò vi sue, alo wò ŋutɔ gɔ̃ hã, xɔa kɔdzi si nɔa anyi ɖaa si wɔnɛ be gbɔgbɔ sesẽna, wòsena le eɖokui me abe ɖe wò akɔta le xɔxlɔ̃m ene, eye zi geɖe la, eya gbɔe wòtsona be nànɔ ʋuʋum? Ɣeaɖewoɣi la, ɖɔkta ateŋu agblɔ be, "Esia ateŋu anye `Reactive Airway Disease` alo `RAD`" ne wokpɔ dzesi siawo. Eyata ɖewohĩ ànɔ eŋu bum be, "Oo, nukae nye dɔléle yeye sia?" Mègatsi dzi o, egbea míaƒo nu tso nusi `RAD` nye, alesi wòdzɔnae, nusiwo nye dzesiawo, kple nusiwo nye atikewɔwɔwo ŋu, le mɔ bɔbɔe aɖe si gɔme nàte ŋu ase nu.

Nuka tututue nye Yaƒoƒo ƒe Dɔléle si Wowɔna (RAD)?

Kpuie ko la, `Reactive Airway Disease (RAD)` menye dɔléle si woɖo kpe edzi be enye dɔléle o, eye wometsɔ ŋkɔ tɔxɛ aɖeke hã nɛ o. Ɣeyiɣi kpui aɖe ƒe ŋkɔe wònye wu. Ðɔktawo zãa nya sia ne gbɔgbɔmekuxi siwo le abe asrã ene le ŋuwò alo viwòa ŋu, gake womate ŋu ake ɖe nusi tututu gbɔ wòtso ŋu o.

Bu eŋu kpɔ, nu suesuesue siwo le abe mɔ̃ ene le míaƒe lãkusiwo me siwo naa ya gena ɖe eme hedoa go (míeyɔa aɖuɖɔtoe siawo), eye ne ʋuka mawo vuvu hele kpuie la, gbɔgbɔ sesẽna. Esiae nye nusi dzɔna le RAD me.

Ele vevie be míade dzesii be `Reactive Airway Disease (RAD)` kple `Reactive Airways Dysfunction Syndrome (RADS)` nye nɔnɔme vovovo eve. Togbɔ be ŋkɔawo ɖi wo nɔewo vie hã la, mele be woatɔtɔ nɔnɔme eve siawo o. `RADS` nye nɔnɔme si dzɔna zi geɖe le ya si me aɖi le ƒe agbɔsɔsɔ kpata, si sɔ gbɔ megbe.

Eyata, ne ɖɔkta gblɔ be `RAD` la, efia be, "Ẽ, nane gblẽ le wò gbɔgbɔtsixe ŋu, eye ele be míawɔ dodokpɔ geɖe wu be míanya nusi tututu wònye." Ɣeaɖewoɣi la, èsena ɖɔktawo zãa nya `RAD` kple `Asthma` ɖe wo nɔewo yome, gake womefia nu ɖeka o. `RAD` nye ŋkɔ si wozãna hena ɣeyiɣi kpui aɖe ko vaseɖe esime woakpɔ dɔléle si ŋu kakaɖedzi le.

Nukawoe nye RAD ƒe dzesiwo? Aleke nèsena le ɖokuiwò me?

Ame si ŋu RAD le ate ŋu akpɔ dzesiwo abe:

• Kɔdziyiyi si nɔa anyi ɖaa: Kɔdzidɔ sia ate ŋu akpe ɖe ʋuʋudedi hã ŋu.
• Gbɔgbɔ kpui alo gbɔgbɔ sesẽ (dyspnea): Seselelãme si nye be yemete ŋu le gbɔgbɔm o eye wòle be yeaku kutri hafi agbɔ ya.
• Wheezing: "Whooshing" alo "whooshing" gbeɖiɖi si dona tso akɔta ne wole gbɔgbɔm.
• Akɔta ƒe tete: Sese le ɖokuiwò me be yeƒe akɔta le kpekpem, abe ɖe ame aɖe le tetem ɖe wò akɔta ene.

Dzesi siawo ate ŋu ana nàse le ɖokuiwò me be yemele dedie kura o. Dzesi vevitɔwoe nye akɔta ƒe tete kple gbɔgbɔ sesẽ.

Nukae nye nusiwo hea RAD vɛ?

Susu geɖewo li siwo tae ɖɔktawo ate ŋu anɔ gbɔgbɔ sesẽm, si woyɔna hena ɣeyiɣi aɖe be `RAD.' Wo dometɔ aɖewoe nye:

• Nusiwo ŋu nulɔdɔ le:Nusiwo ƒe ŋutilã melɔ̃a nu abe ke, aŋɔ, nuɖuɖu aɖewo, kple lãfu ene o. Bu eŋu kpɔ ko, ɖevi sue aɖewo xɔa ʋuʋudedi zi ɖeka ne wose ke alo wogogo avu, alo? Aleae wòle.
• Dɔlékui alo dɔlékuiwo ƒe dɔlékuiwo: Dɔlékuiwo abe dzamezã, dzamezã, kple aklãdɔ ene ate ŋu ana yaƒoƒomɔ̃wo navuvu.
• Atikewo ƒe dzudzɔ, ami ʋeʋĩ, alo dzudzɔ: Nuwo abe ami ʋeʋĩ sesẽ aɖewo, nudzodzoeviwutike ƒe dzudzɔ, kple ya si dona tso tsi siwo wotsɔ klɔa nu me ene.
• Dzudzɔ: Dzudzɔ ƒomevi ɖesiaɖe, abe sigaret ƒe dzudzɔ, atikplɔ ƒe dzudzɔ, kple ʋu ƒe dzudzɔ ene.
• Kamedede: Ame aɖewo ate ŋu agbɔ ya le kamedede me.
• Yame ƒe nɔnɔme ƒe tɔtrɔ: Ya fafɛ ƒoƒo kpata, dzoxɔxɔ sesẽ, teƒe si fa miamiamia nɔnɔ, yame ƒe nɔnɔme ƒe tɔtrɔ kpata.

Esiawo koŋue nana RAD ƒe dzesiwo dzena.

Ɣeyiɣi didi kae RAD nɔa anyi? Ðe woadae keŋkeŋa?

Esia gbɔgblɔ kple kakaɖedzi sesẽ. Nusitae nye be `RAD` nye ɣeyiɣi kpui aɖe ƒe ŋkɔ, eye ɣeyiɣi si woatsɔ ahaya la nɔ te ɖe dɔléle si le ete dzi. Ne ɖɔkta nya kpɔ nusi tututu gbɔ wò dzesiawo tso eye wòŋlɔ atike nyuitɔ na wò ko la, woagblɔ ɣeyiɣi didi si wòaxɔ hafi wò lãme nasẽ.

Amekae RAD ƒe nɔnɔme sia gblẽa nu le wu?

Le nyateƒe me la, ɖɔkta ate ŋu aƒo ka na amesiame si gbɔgbɔ sesẽ na, gake womenya nusi gbɔ wòtso o. Gake zi geɖe la, wozãa nya sia na vidzĩwo kple ɖevi sue siwo metsi akpa be woado woƒe lãkusi ƒe dɔwɔwɔ kpɔ o. Esia le alea elabena ɖevia hiã gɔmesese kple kpekpeɖeŋu aɖe si ana wòate ŋu awɔ dodokpɔ siawo. Esi wònye be esesẽna na vidzĩ suewo be woawɔ esia ta la, ɖɔktawo yɔnae hena ɣeyiɣi aɖe be `RAD` le dzesiawo nu.

Aleke wowɔna dea dzesi RAD?

Ne gbɔgbɔ le sesẽm na wò alo viwòa, alo ne kɔdzidɔ le fu ɖem na wò atraɖii la, kpɔ egbɔ be yeyi ɖɔkta gbɔ. Ðɔktaa abia nya wò tso wò dzesiwo kple wò atikewɔwɔ ŋutinya ŋu, abe nenye be asrãdɔ le wò ƒomea me dometɔ aɖe ŋu hã.

Emegbe, ɖɔktaa ado wò kpɔ. Etɔxɛe la, atsɔ nuƒomɔ̃ (auscultation) aɖo to wò lãkusiwo. Esia ana ɖɔktaa nakpɔ gbeɖiɖi siwo wosena le lãkusia me kple nenye be mɔxenu aɖe li ne ya to eme. Le dodokpɔ gbãtɔ sia megbe la, ɖɔktaa aɖo aɖaŋu be woagawɔ dodokpɔ geɖe atsɔ aɖo kpe dɔlélea dzi.

Dodokpɔ kawoe le esia ŋu?

Be ɖɔkta nanya nusi tututu gbɔ gbɔgbɔtsixetsixe tsona la, ate ŋu awɔ dodokpɔ geɖe, abe:

• Spirometry: Esiae nye lãkusi ƒe dɔwɔwɔ dodokpɔ si bɔ wu. Edzidzea ya agbɔsɔsɔme si nàte ŋu agbɔ ahado le eme kabakaba. Ate ŋu akpe ɖe ŋuwò nànya ne nane xe wò yaƒoƒomɔ̃wo.
• Nɔnɔmetatawo ɖeɖe ƒe dodokpɔwo:Esiawo nye dodokpɔ siwo me vevesese aɖeke mele o. Wokpena ɖe ŋuwò nèléa ŋku ɖe wò lãkusi, dzi, kple ƒuwo ƒe ememe ŋu.
• Akɔta ƒe X-ray: Be woatsɔ akpɔe ɖa be aɖuɖɔtoedɔlékuiwo kple kuxi bubuwo le eŋu hã.
• Echocardiogram (echo): Eléa ŋku ɖe dzia ƒe dɔwɔwɔ ŋu. Gbɔgbɔtsixe aɖewo hã ate ŋu atso dzidɔ gbɔ.
• CT scan (Computed Tomography scan): Na lãkusi kple akɔta ƒe nɔnɔmetata siwo me kɔ wu, siwo me kɔ wu.
• Ʋudodokpɔ: Woɖea ʋu sue aɖe tso aŋe sue aɖe me hedonɛ kpɔna be dɔlékuiwo, nulɔdɔ, alo dɔdzẽ ƒe dzesi aɖewo le ŋutilãa me hã.
• Skin prick test: Wowɔa dodokpɔ sia be woatsɔ anya ne nane melɔ̃a nu le ŋuwò o. Wotsɔa nu vovovo siwo nana ŋutilãa ƒe ŋutilã ƒe akpa sue aɖe dea ŋutigbalẽa ƒe akpa sue aɖe eye wodoa ŋutigbalẽa kpɔna be ewɔa nu ɖe ​​eŋu hã.
• ECG (ECG alo EKG - Electrocardiogram): Esia doa wò dzi ƒe elektrikŋusẽ ƒe dɔwɔwɔ kpɔna. Esia ate ŋu akpe ɖe ŋuwò nàgbe dzidɔ be eya gbɔe wò gbɔgbɔtsixe tsia ƒowò.
• Pulse oximetry: Esia nye mɔ̃ sue aɖe si le abe clip ene si nèdea wò asibidɛ dzi. Edzidzea oxygen ƒe agbɔsɔsɔ si le wò ʋu me.
• Kamedede dodokpɔ: Esia léa ŋku ɖe eŋu be ya si le wò ʋu me dzi ɖena kpɔtɔna ne èle kame dem hã.

Wowɔa dodokpɔ siawo katã be woatsɔ adi nusi tututu gbɔ wò dzesiawo tso.

Aleke wowɔa atike na RAD?

Esi wònye be `RAD` nye ɣeyiɣi kpui aɖe ƒe dzeside ta la, wotua atike nɛ ɖe dɔléle si le ete dzi. Esia fia be ahiã be ɖɔktaa nakpɔe ɖa gbã nenye be asrã, dɔlékui aɖe, alo nɔnɔme bubu aɖe gbɔe wò gbɔgbɔtsixe ƒe kuxiwo tso.

Gake le nɔnɔme kpata aɖe me, si fia be ne gbɔgbɔ va sesẽ ŋutɔ la, ɖɔktawo ate ŋu azã atikewɔmɔnu siawo abe esiawo ene:

• Aɖuɖɔtoe kekeɖenudɔlékuiwo: Esiawoe míeyɔna be yagbɔgbɔmɔ̃wo. Atike siawo wɔa dɔ to yaƒoƒomɔ̃ siwo xaxa la keke ɖe enu me, si wɔnɛ be gbɔgbɔ nɔa bɔbɔe. Wozãa wo zi geɖe na nɔnɔmewo abe asrã kple COPD (Chronic Obstructive Pulmonary Disease) ene.
• Oxygen zazã: Esia kpena ɖe ŋutilãa ŋu wòkpɔa oxygen agbɔsɔsɔme si hiã ne gbɔgbɔ sesẽ.
• Epinephrine dodo: Wodoa esia ne nulɔdɔ sesẽ aɖe (anaphylaxis) alo asrã sesẽ aɖe dze ame dzi.
• Corticosteroids: Atike siawo ɖea abi si le lãkusiwo me dzi kpɔtɔna. Wozãa wo tsɔ daa asrã, COPD, kple nulɔdɔ sesẽwo.

Ðe Albuterol kpena ɖe ame ŋu le RAD mea?

Albuterol hã nye aɖuɖɔtoe kekeɖenudɔ ƒomevi aɖe. Enye atike si kekea yaƒoƒomɔ̃wo ɖe enu. Wozãnɛ tsɔ daa asrã, COPD, kple kamedede ƒe aɖuɖɔtoe me ʋuʋu. Gake ne nu bubu aɖee nye nusi gbɔ RAD tso la, esia ɖeɖe dzaa madae o. Ele vevie be nàdi nusi tututu gbɔ wòtso ahadae.

Ðe woate ŋu axe mɔ ɖe RAD nua?

Àte ŋu awɔ nusiawo be nàɖe afɔku si le eme be RAD ƒe dzesiwo xɔxɔ dzi akpɔtɔ:

• Te ɖa le nusiwo nana ame ƒe ŋutilã mewɔa dɔ nyuie o kple nusiwo hea dɔlélea vɛ siwo wonya be wogblẽa nu le ŋuwò ŋu. Le kpɔɖeŋu me, ne ke melɔ̃a wò o la, nɔ teƒe siwo ke mesɔ gbɔ ɖo o eye nàna wò aƒea nakɔ nyuie.
• Zã atike siwo xea mɔ na yaƒoƒomɔ̃wo ƒe vuvu (ne ɖɔkta ŋlɔe) nyuie.
• Ne ènoa atama la, dzudzɔ kura eye nàƒo asa na ɣeyiɣi zazã le teƒe siwo ame bubuwo noa atama le.
• Ne èle dɔ wɔm kple atikewo la, do ametakpɔnu alo gbɔgbɔtsixe ƒe ametakpɔnu bubu.

Ne RAD le ŋuwò la, nukae wòle be nàkpɔ mɔ na? Nukae adzɔ le etsɔme?

Ne ɖɔkta gblɔ na wò be `RAD` le ŋuwò la, efia be gbɔgbɔ le sesẽm na wò, gake womenya nusi tututu gbɔ wòtso haɖe o . Mega tsi dzi o. Ðɔktaa ado wò kpɔ, awɔ dodokpɔ siwo hiã, eye wòadze agbagba adi nusi gbɔ wòtso. Ema ko hafi woate ŋu adze atikewɔwɔ nyuitɔ gɔme.

Ɣeaɖewoɣi la, wò ƒomea ƒe ɖɔkta ate ŋu aɖo wò ɖe lãkusiŋutinunyala bibi (aklãŋutinunyala) gbɔ .

Wò hayahaya kple dɔlélea dzi kpɔkpɔ nɔ te ɖe dɔlélea didi nyuie dzi. Woate ŋu ada nɔnɔme aɖewo keŋkeŋ. Bubuwo (abe COPD ene) ate ŋu anɔ anyi didi eye woanɔ ŋgɔ yim.

Ɣekaɣie wòle be nàkpɔ ɖɔkta? Ɣekaɣie wòle be nàyi Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) ?

Ne RAD (kɔdzi, ʋuʋudedi, akɔta ƒe tete) ƒe dzesiwo le ŋuwò, alo ne wò dzesiwo meva nyo ɖe edzi o togbɔ be wowɔ atike na wò hã la, kpɔ egbɔ be yeyi ɖɔkta gbɔ.

Gake le nɔnɔme sia tɔgbe me la, yi Emergency Treatment Unit (ETU) si te ɖe ŋuwò enumake , alo nàƒo ka na 1990:

• Ne gbɔgbɔ le sesẽm na wò (ne èlé ŋku ɖe eŋu gɔ̃ hã la, àte ŋu akpɔe be gbɔgbɔ sesẽ ŋutɔ).
• Ne gbɔdzɔe aɖeke meli o togbɔ be wozã atike na gbɔgbɔtsixetsixe hã (e.g. inhaler).
• Ne edze abe oxygen ƒe agbɔsɔsɔ si le ʋua me le sue ene (abe nuyiwo kple asibidɛwo ƒe blɔ ene).
• Ne èle dzesiwo ɖem fia be nulɔdɔ sesẽ aɖe le ŋuwò (anaphylaxis) la, esia fia be:
• Yagbɔgbɔ sesẽna vevie.
• Ʋu ƒe sisi ƒe ɖiɖi kpata.
• Nuyi ƒe vuvu.
• Gbɔdzɔgbɔdzɔ kpata.
• Tagbɔdɔléle (syncope) alo alɔ̃madɔmadɔ.
• Tɔtɔ (nusi wɔm nèle alo afisi nèle gɔmesese manɔmee).

Le ɣeyiɣi siawo tɔgbe me la, mègahe ɖe megbe kura o. Di atikewɔlawo ƒe aɖaŋuɖoɖo enumake.

Nya kawoe wòle be mabia ɖɔktaa?

Ne èyi ɖɔkta gbɔ la, àte ŋu abia nya siawo tɔgbe ale be nàte ŋu ase wò nɔnɔmea gɔme nyuie wu.

• Nuka gbɔe nye `Reactive Airway Disease` nɔnɔmea tso?
• Ðe dɔléle sia ƒe atike blibo aɖe lia?
• Nukae mate ŋu awɔ be nye gbɔgbɔ nanɔ bɔbɔe?
• Atike kawoe nèkafu?
• Aleke tututu wòle be woazã atike siae? (e.g., nenye be enye yagbɔgbɔmɔ̃ la, alesi woazãe nyuie).
• Ðe wòhiã be makpɔ aklãdɔdala aɖea?

Vovototo kae le RAD, asrã, kple COPD dome?

Ŋkɔ siawo tɔtɔa ame vie. Mina míagaɖo ŋku edzi na mía ɖokui ake be:

• Yame ƒe Dɔléle si Wowɔna (RAD): Esia nye ŋkɔ si wozãna hena ɣeyiɣi aɖe. Efia be nane gblẽ le gbɔgbɔtsixetsixe ŋu, gake womenya nusi tututu gbɔ wòtso haɖe o.
• Asrã: Esia nye dɔléle aɖe koŋ. Enye nɔnɔme si nɔa anyi ɣeyiɣi didi. Enaa yaƒoƒomɔ̃wo vuvuna eye wòtsina. Ɣeaɖewoɣi la, ʋuʋudedi ate ŋu agbɔ eme.
• COPD (Chronic Obstructive Pulmonary Disease): Esia hã nye ŋkɔ na dɔlélewo ƒe hatsotso aɖe koŋ. Elɔ dɔléle geɖe siwo nɔa anyi didi siwo gblẽa nu le lãkusiwo ŋu, siwo nana gbɔgbɔ sesẽna, eye wogblẽna ɖe edzi vivivi le ɣeyiɣi aɖe megbe (e.g. chronic bronchitis, emphysema) ɖe eme.

Eyata, ɖɔkta ateŋu ayɔ `COPD` ƒe dzesiwo le gɔmedzedzea me be `RAD`, vaseɖe esime woakpɔ dɔlélea nyuie.

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Àte ŋu ase egɔme azɔ be `Reactive Airway Disease (RAD)` menye dɔléle si wokpɔna koŋ o. Ke hã, megblẽ be ɖɔkta nazã nya sia o. Ðeko wòfia be womenya nusi gbɔ wò gbɔgbɔtsixe tsia ƒo na wò haɖe o, eye womate ŋu agblɔ dɔléle si ŋu kakaɖedzi le o vaseɖe esime wowɔ dodokpɔ siwo hiã dedie .

Ne dzesi siawo dometɔ aɖe le ŋuwò alo viwòa ŋu la, mègatsi dzodzodzoe ayi ɖɔkta gbɔ o. Ana mɔfiame si nèhiã la wò. Ne wò ƒomea ƒe ɖɔkta mete ŋu kpɔ dɔlélea dze sii o la, bia be woaɖo ye ɖe lãkusiŋutinunyala bibi (Aklãŋutinunyala) gbɔ.

Nu vevitɔe nye be woakpɔ dɔlélea nyuie eye woadze atikewɔwɔ nyuitɔ gɔme. Ekema àte ŋu ahaya kaba.

` Reactive Airway Disease, RAD, gbɔgbɔ sesẽ, gbɔgbɔtsixe ƒe dɔléle, asrã, lãkusi, ɖeviwo ƒe lãmesẽ, kɔdzi, ʋuʋudedi