Ðe nèle toɣliɖeɖe wɔnuku aɖe wɔm ne èle gbɔgbɔm? Ate ŋu anye stridor!

Ðe nèse gbeɖiɖi sesẽ aɖe si le ɖiɖim tso wò ŋɔti alo kɔ me, ɣeaɖewoɣi ne èle gbɔgbɔm alo le gbɔgbɔm kpɔa? Alo èse viwò suea le ɣli doma? Esiae nye nusi míeyɔna be stridor le atikewɔwɔ me. Ate ŋu ado vɔvɔ̃ na ame vie be nàse, gake mègatsi dzi o. Mina míase nusianu gɔme tso nɔnɔme sia si woyɔna be stridor ŋu.

Nuka tututue nye Stridor?

Kpuie ko la, stridor nye dzesi be mɔxenu alo xexe aɖe le wò ŋɔti, alo wò ŋɔti, alo wò ŋɔti, alo yaƒoƒo ƒe teƒe aɖe. Ele abe tsi ƒe pɔmpi si wɔa toɣliɖeɖe ne tsia le sisim ene. Ne woxe yaƒoƒomɔ̃ sia la, gbeɖiɖi si mesɔ o, si ƒe kɔkɔme le kɔkɔm la dona ne ya la le yiyim nɔ yiyim nɔ gbɔgbɔm.

Bu eŋu kpɔ, ne míetsɔ gbe aɖe ko te eƒe nugbɔ ɖeka vie heƒoe la, ewɔa gbeɖiɖi sia tɔgbe. Aleae stridor ɖinae.

Ðe stridor ƒomevi aɖewo lia?

Ẽ, stridor ƒomevi vevi etɔ̃e li. Woda nusiawo ɖe hatsotsowo me le afisi yaƒoƒomɔ̃a me xexea dzɔ le nu.

1. Inspiratory stridor: Esia dzɔna ne mɔxenu aɖe le wò lãkusi alo lãkusi me (i.e., extrathoracic region). Wosea gbeɖiɖia ne ègbɔ ya.

2. Yagbɔgbɔ ƒe stridor: Le afisia la, mɔxenua le wò lãkusi tame tututu, le yagbɔgbɔ (intrathoracic region) me. Eyata gbeɖiɖia dona ne ègbɔ ya.

3. Biphasic stridor: Esia ƒe kpɔɖeŋu nyui aɖee nye dɔléle aɖe si woyɔna be Laryngomalacia. Esia nye ne ƒunukpeƒe si le gbeɖiɖikawo te gbɔdzɔ, si wɔnɛ be yaƒoƒomɔ̃a le kpuie eye wòdoa gbeɖiɖi ne wole gbɔgbɔm kple gbɔgbɔ siaa . Esia ate ŋu anɔ vidzĩ aɖewo ŋu tso wo dziɣi.

Amekae ate ŋu axɔ stridor wu?

Stridor ate ŋu akpɔ ŋusẽ ɖe amesiame si xɔ ƒe ɖesiaɖe dzi. Gake ebɔ ɖe ɖevi suewo me wu ame tsitsiwo . Esia le alea elabena ɖevi suewo ƒe yaƒoƒomɔ̃wo mekeke abe ame tsitsiwo tɔ ene o, wole kpuie wu sã. Eyata nu sue aɖe alo vuvu sue aɖe gɔ̃ hã ate ŋu axe mɔ na wo bɔbɔe. Ɣeaɖewoɣi la, stridor ate ŋu anɔ anyi le vidzidzi me (dzigbe me).

Alesi wòbɔe la toa vovo le nusi gbɔ wòtso nu. Le kpɔɖeŋu me, dɔlékui ƒe croup, si nye gbɔgbɔtsixe ƒe akpa si le etame ƒe dɔléle si dzea ɖevi suewo dzi gbɔe stridor tsona wu. Wobu akɔnta be nɔnɔme sia dzea ɖevi siwo mexɔ ƒe 3 haɖe o dometɔ 5 va ɖo 6 le 100 ɖesiaɖe me. Stridor ate ŋu atso duta ŋutilã ƒe yaƒoƒo hã gbɔ, si dzɔna ne nane tsi ŋɔti alo yaƒoƒomɔ̃ me. Le United States ɖeɖe dzaa la, wogblɔa nya mawo tɔgbe siwo ade 17,000 na dɔwɔƒe siwo kpɔa nudzɔdzɔ kpatawo gbɔ ƒe sia ƒe.

Aleke stridor kpɔa ŋusẽ ɖe nye ŋutilã dzii?

Stridor nye nɔnɔme si tso yaƒoƒomɔ̃a ƒe xexe gbɔ. Esia fia be ya mate ŋu age ɖe lãkusi me alo ado le eme abe alesi wòle ene o. Esia ate ŋu ana gbɔgbɔ nasesẽ . Míaƒe ŋutilã ƒe ŋutinu ɖesiaɖe hiã oxygen hafi wòate ŋu awɔ dɔ nyuie, eye ehiã be woaɖe ya si woyɔna be carbon dioxide ɖa. Eyata ne womeda Stridor ƒe nɔnɔme sia kaba o la, ɖewohĩ ɔksidzin agbɔsɔsɔme si hiã la masu ŋutilãa si o, si ate ŋu ahe kuxi bubu siwo ate ŋu ade ame ƒe agbe afɔku me vɛ .

Nukae nye stridor ƒe dzesi vevitɔ?

Dzesi vevitɔ si ɖea dzesi le stridor ŋue nye gbeɖiɖi sesẽ aɖe si wosena ne wole gbɔgbɔm alo le gbɔgbɔm . Ate ŋu aɖi ɣeaɖewoɣi abe hũɖeɖe si mebɔ o ene.

Le nusi gbɔ wòtso nu la, àte ŋu akpɔ dzesi bubuwo:

• Kpe
• Aɖuɖɔɖɔɖɔ (vevietɔ na ɖevi suewo) .
• Gbeɖiɖi, gbe ƒe tɔtrɔ
• Kɔ ƒe vevesese kple/alo kɔ ƒe vevesese
• Asrã
• Kɔ kple/alo kɔ me vuvu
• Esesẽna kple vevesese ne wole nu mimim

Dzesi sesẽ siwo hiã be woakpɔ egbɔ enumake:

Ne dzesi siawo le ŋuwò la, ele be nàyi kɔdzi enumake , alo nàƒo ka na 1990:

• Yagbɔgbɔ sesẽna vevie
• Nuyiwo, asibidɛwo, alo ŋutigbalẽ ƒe blɔ alo aŋutiɖiɖi (esia fia be ŋutilãa mele oxygen si sɔ xɔm o) .
• Naneke mate ŋu aɖu nu alo ano nu o
• Ʋu ƒe kɔdzidede

Ne dzesi sesẽ siawo le ŋuwò la, mèganɔ aƒeme gbeɖe o . Ele vevie be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo kaba ale si nàte ŋui.

Nukawoe hea stridor vɛ?

Nu geɖe li siwo gbɔ stridor tsona. Nusiwo gbɔ wòtsona zi geɖee nye:

• Yagbɔgbɔ ƒe akpa si le etame ƒe dɔléle (e.g., viral croup) : Esiae nye nusi gbɔ stridor tsona wu le ɖevi suewo me, eye wònyea stridor ƒe dɔlélewo katã ƒe 90% lɔƒo.
• Duta ŋutilã didi : Ðevi suewo ate ŋu aɖu nu abe fefenuwo kple nuɖuɖu ene.
• Afɔku ɖesiaɖe alo abixɔxɔ le gbɔgbɔtsixe ƒe mɔ̃a ŋu.
• Ʋuʋudedi (e.g. tonsillitis, epiglottitis). Epiglottitis nye dɔléle si nu sẽ ŋutɔ.

Susu bubuwo ate ŋu anɔ anyi:

• Nulɔdɔ (nulɔdɔ sesẽ) .
• Ƒumeŋuɖui (e.g., lãkusi me dɔdzẽ) .
• Abscess ƒe ʋuʋudedi
• Gbeka ƒe dɔmawɔmawɔ nyuie alo lãmetutudɔ
• Dzudzɔ alo atikewo gbɔgbɔ
• Esi wowɔ dɔ na kɔ nɛ ta

Nukae dzɔna ɖe nye ŋutilã dzi ne stridor le ŋunye?

Míaƒe gbɔgbɔtsixe ƒe mɔ̃a nye ŋɔti (Pharynx), ŋɔti (Larynx), yagbɔgbɔ (Trachea), kple aɖuɖɔtoewo (Bronchi). Nu kple ŋɔti kpena ɖe ame ŋu wòtsɔa oxygen yia lãkusi me to yaƒoƒomɔ̃ siawo me, eye wòdoa ya si woyɔna be carbon dioxide doa goe. Oxygen hiã vevie hafi míaƒe ŋutilã nate ŋu anɔ agbe.

Bu haƒonu si le abe kpẽ ene ŋu kpɔ. Ewɔa gbeɖiɖi aɖe tso ya ƒe ʋuʋu me ne ele eme tom. Ne míezi kpẽa ƒe safuiwo dzi la, gbeɖiɖi si wòɖena la trɔna. Esia le alea elabena safui si míezi la xea mɔ na ya ƒe mɔzɔzɔ, si trɔa ʋuʋudediawo. Nenema ke ne xexe le wò yaƒoƒomɔ me la, gbeɖiɖi si nèwɔna ne èle gbɔgbɔm hele gbɔgbɔm la atrɔ, abe ale si ko ne èzi safui aɖe dzi le kpẽ dzi ene la, gbeɖiɖia atrɔ.

Aleke ɖɔktawo wɔa dea dzesi stridor?

Wò ɖɔkta akpɔ nusi tututu gbɔ wò stridor tso to wò dzesiwo, atikewɔwɔ ŋutinya, kple wò dodokpɔ me dzodzro me. Emegbe, woate ŋu awɔ dodokpɔ bubu aɖewo atsɔ aɖo kpe dɔlélea dzi. Esiawo dometɔ aɖewoe nye:

• Nɔnɔmetatawo dodokpɔ: X-ray si woɖena le kɔ alo akɔta.
• Ʋu me gas dodokpɔ: Esia léa ŋku ɖe oxygen kple carbon dioxide ƒe agbɔsɔsɔ si le wò ʋu me ŋu.
• Pulse oximeter: Wotsɔa mɔ̃ sue sia dea asibidɛa ŋu eye wòdzidzea oxygen ƒe agbɔsɔsɔ le ʋua me.
• Laryngoscopy alo Bronchoscopy: Esia bia be nàde mɔ̃ sue aɖe si me fotoɖemɔ̃ le (endoscope) to wò nu alo ŋɔti me be nàkpɔ wò yaƒoƒomɔ̃wo kple wò lãkusiwo me. Esia ate ŋu akpe ɖe ŋuwò nàkpɔ afisi tututu mɔxenua le kple alesi wòle.

Aleke wowɔa atike na Stridor?

Nusi koŋ ŋu wotsia dzi ɖo le stridor dada me enye be woaʋu yaƒoƒomɔ̃a eye/alo woaɖe mɔxenua dzi akpɔtɔ . Atikewɔwɔa nɔ te ɖe nusi gbɔ wò stridor tso dzi. Gake atikewɔwɔawo dometɔ aɖewo ate ŋu anye:

• Amekoko: Be woaɖe nu bubu si xe alo nusi tsi ɖe eŋu la ɖa, alo be woakeke yaƒoƒomɔ̃a ɖe enu.
• Atike: Ðe abi (dɔdzẽ) dzi kpɔtɔ, da dɔlékui ne ele eme, eye nàɖe vevesese dzi akpɔtɔ.
• Heimlich ƒe afɔɖeɖe: Wozãa mɔnu sia tsɔ ɖea nane si tsi ŋɔti me ɖa.
• Oxygen kpeɖeŋutɔ: Wotoa ametakpɔnu alo mɔ̃ sue aɖe si wotsɔ dea ŋɔti me dzi naa oxygen.
• Tube dede yaƒoƒomɔ̃a me: Wowɔa dɔ tsɔ dea mɔ̃ aɖe yaƒoƒomɔ̃a (yagbɔgbɔ) me to nu, ŋɔti, alo ŋɔti me, si wɔnɛ be mɔ aɖe nɔa ya si me ya tona vaseɖe esime ɖɔktaa ɖe nusi xe mɔa ɖa.

Le atikewɔwɔ vɔ megbe la, wò ɖɔkta ayi edzi anɔ ŋku lém ɖe wò dzesiwo ŋu be yeakpɔe ɖa be atikewɔwɔa kpɔ dzidzedze eye wò hayahaya le dedie hã.

Aleke gbegbee nye lãme ahaya kaba le atikewɔwɔ vɔ megbe?

Ɣeyiɣi si wòxɔna hafi nàhaya la nɔ te ɖe nusi gbɔ wò stridor tso kple atike si wò ɖɔkta zã tsɔ ɖe yaƒoƒomɔ̃a ƒe xexe dzi kpɔtɔ dzi. Ne èzã atike la, ele be nàse le ɖokuiwò me be yeƒe lãme sẽ le ŋkeke eve va ɖo etɔ̃ megbe. Ne wowɔ dɔ na wò la, ate ŋu axɔ ɣeyiɣi didi vie, eye ate ŋu axɔ kwasiɖa ʋɛ aɖewo hafi nàgava nɔ nɔnɔme nyui me. Gake atikewɔwɔ ka kee nèɖatia o, ele be nàse le ɖokuiwò me be yekpɔ gbɔdzɔe enumake ne wonya ɖe mɔxenua ɖa ko .

Aleke nàwɔ aɖe stridor ƒe afɔkua dzi akpɔtɔ?

Nu geɖe li siwo gbɔ stridor tsona, eyata manya wɔ be woaƒo asa na wo katã o. Gake àte ŋu awɔ nu siwo gbɔna be nàɖe wò afɔkua dzi akpɔtɔ:

• Lé ŋku ɖe viwò si le zɔzɔm la ŋu nyuie ne ele fefem hele nu ɖum. Na nu suewo nanɔ woƒe mɔ dzi be woatsɔ ade woƒe nu me.
• Ne èle nu ɖum la, lã nuɖuɖu ɖe akpa suesuesuewo me, ɖui nyuie, eye nàmie. To mɔ sia dzi la, màgatsi dzodzodzoe o.
• Mègagblẽ fefenu suewo alo gakuwo ɖe afisi ɖevi suewo ate ŋu alé wo ɖo o.
• Ðe wò teƒe siwo dzudzɔ le dodom le dzi kpɔtɔ.
• Na fefenu kple nusiwo nèzãna enuenu nanɔ dzadzɛ eye woawu dɔlékuiwo.
• Klɔ asi enuenu kple adzalẽ.

Nukae wòle be makpɔ mɔ na ne stridor le ŋunye?

Zi alesi nèdi atike kaba be yeaɖe yaƒoƒomɔ̃a ƒe xexe ɖa la, zi nenemae emetsonua anyo wu. Wò ɖɔkta ate ŋu adi nusi gbɔ wò stridor tso eye wòada dɔ na wò kaba hafi kuxi aɖeke nado mo ɖa.

Gake ɖo ŋku edzi be ne womeda stridor kaba o la, ate ŋu ade ame ƒe agbe afɔku me . Ate ŋu ahe nɔnɔmewo abe gbɔgbɔtsixetsixe ene vɛ. Yagbɔgbɔ ƒe dɔmawɔmawɔ nyuie nye ne wò ʋu mekpɔ oxygen si sɔ be wò ŋutilã ƒe ŋutinuwo nawɔ dɔ o.

Ɣekaɣie wòle be makpɔ nye ɖɔkta?

Ne stridor ƒe dzesiwo le ŋuwò la, kpɔ egbɔ be yeyi ɖɔkta gbɔ . Stridor nye dzesi be nane le dzɔdzɔm le wò ŋutilã me si ate ŋu ade wò agbe afɔku me. Mègahe ɖɔkta yiyi ɖe megbe o, elabena ate ŋu ahe kuxi siwo me afɔku le vɛ ne womewɔ atike nɛ o.

Ɣekaɣie wòle be mayi Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) ?

Ne stridor si dze egɔme yeyee le ŋuwò, alo ne gbɔgbɔ sesẽ na wò la, yi xɔ si me wowɔa dɔ kpata le enumake, alo nàƒo ka na 911 .

Nya kawoe wòle be mabia nye ɖɔkta?

• Ne wowɔ dɔ nam be woaɖe nu si xe le nye yaƒoƒomɔ̃ me ɖa la, nukae mate ŋu aɖu ahano le ema megbe?
• Ðe atike siwo nèkafu la ƒe nugbegblẽ le ame ŋu aɖewoa?
• Ðe wòhiã be matrɔ ava be woakpɔ nye dɔlélea ƒe dzesiwo ɖaa?
• Aleke mawɔ axe mɔ na vinye si le azɔli zɔm be wòagatsɔ nu suesuesuewo ade nu me o?

Ðe stridor kple wheezing nye nu ɖeka?

Togbɔ be ame aɖewo zãa nya "wheezing" tsɔ ɖɔlia "stridor" hã la, vovototowo le dzesi eveawo dome. "Stridor" kple "wheezing" siaa ɖina abe kpẽkuku si kɔkɔ ŋutɔ ene.

• Stridor dzɔna ne xexe aɖe le wò titina (lolo) yaƒoƒomɔ̃ (kɔ, lãkusi, yagbɔgbɔ - geɖe wu le `extrathoracic nuto` me).
• Yaƒoƒo ƒe mɔ̃ sue siwo le wò lãkusi me (yaƒoƒomɔ̃ siwo le akɔta me) xe alo xaxa. Esia bɔ ɖe amesiwo ŋu asrã kple nulɔdɔ le ŋu.

Stridor dzena le ɖevi suewo, ame tsitsi siwo ƒe yaƒoƒomɔ̃wo xe, alo amesiwo ŋu dɔlékui aɖe le ŋu wu.

Vovototo kae le Stridor kple Stertor dome?

• Stertor hã nye gbeɖiɖi si mesɔ o si nèwɔna ne èle gbɔgbɔm. Gake edzɔna ne xexe aɖe xe wò ŋɔti, si nye wò ŋɔti kple ŋɔti ƒe akpa si le etame la tame. Zi geɖe la, wosea gbeɖiɖi sia le gbe si me kɔ vie, si me kɔ vie me. Ele abe aɖuɖɔtoe ene.
• Stridor nye gbeɖiɖi sesẽ aɖe si tsoa ʋuka kple ya si le ete ƒe xexe me.

Kpuie ko la, stridor nye gbeɖiɖi si mesɔ o si nèwɔna ne èle gbɔgbɔm (alo le gbɔgbɔm), si nye dzesi tso wò ŋutilã me be nane gblẽ le wò yaƒoƒomɔ̃ ŋu eye wòhiã be woakpɔ egbɔ alo akpɔ egbɔ. Ne èse gbeɖiɖi sia la, mègaŋe aɖaba ƒu edzi o. Elabena oxygen hiã vevie hafi míaƒe ŋutilã nate ŋu anɔ agbe. Atikewɔmɔnu aɖewo li na esia, eye ne èzã atike mawo la, àte ŋu aɖe gbɔgbɔ ƒe gbeɖiɖi sia si mesɔ o ɖa eye nàhaya.

## Nu vevi siwo dzi wòle be woaɖo ŋkui (Take-Home Message)

• Stridor nye gbeɖiɖi sesẽ aɖe si ɖina sesĩe, si wosena ne wole gbɔgbɔm alo le gbɔgbɔm. Enye yaƒoƒomɔ̃ ƒe xexe ƒe dzesi.
• Esia bɔ ɖe ɖevi suewo me, elabena woƒe yaƒoƒomɔ̃wo le kpuie.
• Dɔlékuiwo abe croup kple nane si tsi ŋɔti me ate ŋu anye nusiwo koŋ gbɔ wòtsona.
• Ne dzesiwo abe gbɔgbɔ sesẽ ŋutɔ kple ŋutigbalẽ si le blɔ ene le ŋuwò la, ke nudzɔdzɔ kpatae! Yi kɔdzi enumake.
• Woate ŋu ada Stridor keŋkeŋ to nusi gbɔ wòtso didi kple edada me.
• Mègaŋe aɖaba ƒu dzesi sia tɔgbe dzi gbeɖe o. Nunya le eme be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo.

Ele vevie ŋutɔ be mia kple wò ƒomea mianɔ ŋudzɔ ɖe dzesi siawo ŋu. Nɔ lãmesẽ me!

` Stridor, Yagbɔgbɔ sesẽ, Yagbɔgbɔdɔ, Kɔ ƒe ʋuʋu, Croup, Ðeviwo ƒe lãmesẽ, Beléle kpata