Ðe gbɔgbɔ le sesẽm na wò zi ɖekaa? Mina míasrɔ̃ nu tso Gbeɖiɖi ƒe Dɔmawɔmawɔ nyuie / Inducible Laryngeal Obstruction ŋu!

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be yeƒe lãme le ƒoƒom zi ɖeka eye yemegate ŋu le gbɔgbɔm oa? Ðewohĩ èto esia me esime nèle nu ƒom, nèle kame dem, alo nènɔ anyi kpoo ko. Togbɔ be ate ŋu ado vɔvɔ̃ na ame vie hã la, egbea míele nu ƒom tso nɔnɔme aɖe si ate ŋu ahe esia vɛ ŋu. Woyɔa esia be Gbeɖiɖi ƒe Dɔmawɔmawɔ nyuie (VCD) , si woyɔna ɣeaɖewoɣi be Inducible Laryngeal Obstruction (ILO) .

Nukae nye gbeɖiɖi ƒe dɔmawɔmawɔ nyuie (VCD/ILO)?

Kpuie ko la, ɣeyiɣi sia mee wò gbeɖiɖikawo , alo wò ŋɔti ƒe akpa si kpɔa wò gbe dzi, si woyɔna be larynx (gbe ƒe aɖaka) mewɔa dɔ nyuie o. Bu eŋu kpɔ, ne míegbɔ ya le dzɔdzɔme nu la, ele be míaƒe gbeɖiɖikawo naʋu be ya nage ɖe míaƒe lãkusiwo me. Gake le nɔnɔme sia si woyɔna be VCD me la, ne ègbɔ ya la, wò gbeɖiɖikawo dzea agbagba be yewoatu, alo ne míagblɔe tututu la, wotuna le ɣeyiɣi si mesɔ o me. Ema wɔnɛ be gbɔgbɔ sesẽna, alo?

Esia gɔmesese anɔ bɔbɔe wu ne èsrɔ̃ nu geɖe tso míaƒe gbeɖiɖikawo ŋu vie. Esiawo nye lãmeka eve siwo le míaƒe lãkusi me. Wowɔa nu abe ʋɔtru sue eve siwo le míaƒe ŋɔti me ene.

• Ne míegbɔ ya: ʋɔtru eve siawo ʋuna, si wɔnɛ be ya te ŋu gena ɖe lãkusiwo me mɔxenu aɖeke manɔmee.
• Ne míele nu ƒom: Ʋɔtru eve siawo va kpena, doa go le titina, eye woʋuʋuna. Ʋuʋudedi mae nana míaƒe gbe dona. Nenema kee ne míemi nane, kɔ míaƒe ŋɔti me, alo míekɔ kɔdzi la, gbeɖiɖika siawo va ƒoa ƒu hetsia wo nɔewo nu be nu mawo nagage ɖe yaƒoƒomɔ̃a me o.

Eyata nusi dzɔna ɖe amesi ŋu VCD le dzi enye be ne wodze agbagba be yeagbɔ ya la, gbeɖiɖikawo tuna vodadatɔe le ɣeyiɣi si me wòle be woaʋu. Esia tae nuwo abe gbɔgbɔ sesẽ kple gbɔgbɔtsixe tsia ame ƒo ene dzɔna ɖo. Le ame aɖewo gome la, esia ate ŋu adzɔ enuenu eye wòasẽ ŋutɔ. Ɣemaɣi la, ewɔna nam abe ɖe gbɔgbɔ sesẽ ŋutɔ ene.

Nukae nye nɔnɔme sia ƒe dzesiwo?

Ne gbe ƒe dɔmawɔmawɔ nyuie (VCD) le ŋuwò la, àte ŋu ase le ɖokuiwò me be ƒu aɖe le yeƒe ŋɔti me (wòase le ɖokuiwò me be ƒu aɖe le yeƒe ŋɔti me ) alo yeƒe ŋɔti me te. Dzesi ʋɛ bubuwo hã li, kpɔe ɖa be esiawo ɖi nusi nènya nyuie hã:

• Yagbɔgbɔ sesẽ: Esiae nye dzesi vevitɔ eye zi geɖe la, edoa vɔvɔ̃ na ame wu. Ewɔna nam abe ɖe nèle gbɔgbɔm ene, abe ɖe màte ŋu agbɔ ya le ŋɔti me o ene.
• Sese le ɖokuiwò me ɣesiaɣi be yeakɔ yeƒe ŋɔti me , abe ɖe nane tsi wò ŋɔti me ene.
• Sese le eɖokui me be taɖuame alo ta le ʋuʋum (tagbɔdɔ).
• Seselelãme si nye be èle nu ƒom alo le gbɔgbɔm.
• Gbeɖiɖi aɖe dona tso ŋɔti me ne èle gbɔgbɔm (stridor alo toɣliɖeɖe gbɔgbɔ le gbɔgbɔtsixe me). Ate ŋu aɖi abe gbeɖiɖi si le ɣli dom ene.
• Ʋuʋudedi ƒe seselelãme le wò asiwo kple afɔwo me.

Nukatae esia le dzɔdzɔm? Nukawoe nye susu siwo tae?

Eŋutinunyalawo meka ɖe nusi tututu hea esia vɛ dzi haɖe o . Gake woxɔe se be ɖewohĩ nusiwo gbɔ wòtso la wu ɖeka. Woate ŋu ama nusiwo ate ŋu ahe nɔnɔme sia vɛ, alo adze egɔme, alo agblẽe ɖe edzi ɖe hatsotso vovovowo me:

• Kamedede ƒe ʋuʋu (EILO): Abe alesi ŋkɔa ɖee fia ene la, esia nye nɔnɔme aɖe si dzɔna le kamedede me. Ebɔ ɖe sɔhɛ kamedefefewɔlawo dome vevietɔ . Le kpɔɖeŋu me, bu eŋu kpɔ be ne èle sukufefewo wɔm, le du ƒum, alo le ti kpom la, kasia gbɔgbɔ sesẽna na wò.
• Atikewɔwɔ ƒe nɔnɔme bubuwo: Atikewɔwɔ ƒe nɔnɔme aɖewo hã ate ŋu ana VCD ƒe afɔkua nadzi ɖe edzi. Le kpɔɖeŋu me:
• Asrãdɔ
• Gastroesophageal Reflux Disease (GERD) (Míeyɔnɛ be acid reflux, dzimeve, nusi wònye)
• Yagbɔgbɔ ƒe dɔlékui siwo le etame (e.g., dzamezã, ŋɔti me dɔlékuiwo) .
• Susu ƒe lãmesẽ ƒe nɔnɔmewo: Susu ƒe lãmesẽ ƒe nɔnɔme aɖewo hã ate ŋu ana VCD nagblẽ ɖe edzi. Nuwo abe nuteɖeamedzi kple dzimaɖitsitsi si nusiawo hena vɛ ene ate ŋu akpɔ ŋusẽ ɖe gbeɖiɖikawo ƒe dɔwɔwɔ dzi. Le kpɔɖeŋu me:
• Dzimaɖitsitsidɔ si Wozãna le Amewo Katã
• Blanuiléle si le Dɔdaƒe
• Amenyenye ƒe Dɔléle (OCPD) .
• Nuteɖeamedzi le Nuveviwɔame megbe (PTSD) .
• Nusiwo doa dziku na wò siwo nègbɔna: Ɣeaɖewoɣi la, nusiwo míegbɔna gbɔe esia ate ŋu atso. Esiawo ate ŋu anye ‘nu si aʋã’, alo nusi aʋã míaƒe gbeɖiɖikawo. Kpɔɖeŋu ʋɛ aɖewoe nye esi:
• Ya fafɛ ŋutɔ si ƒuna.
• Ya siwo me aɖi le, abe amonia alo bleach ene.
• Atike siwo wotsɔna klɔa aƒewo kple tsileƒewo ŋu.
• Ʋeʋẽ sesẽwo alo ami ʋeʋĩwo, dzudzɔ ʋeʋĩ ƒe dzudzɔ.
• Dzudzɔ, si fia be menye sigaret ƒe dzudzɔ ɖeɖeko o, ke boŋ dzudzɔ si dona tso atikpowo, ʋu ƒe yaƒoƒo, kple dzobibi ƒomevi bubuwo hã me.

Aleke ɖɔktawo wɔa dea dzesi dɔléle siae?

Le nyateƒe me la, ate ŋu asesẽ vie na ɖɔktawo be woakpɔ dɔléle sia enumake, elabena dzesiawo ate ŋu asɔ kple gbɔgbɔmedɔléle bubuwo abe asrã ene. Numekuku aɖewo ɖee fia be ɣeaɖewoɣi la, ɖɔktawo bua vodadatɔe be gbeɖiɖi ƒe dɔmawɔmawɔ nyuie (VCD) nye asrã alo croup (yagbɔgbɔdɔ si dzea ɖevi suewo dzi).

Eyata ne míagblɔe tututu la, zi geɖe la, ɖɔkta awɔ nusiawo:

1. Wowɔa ŋutilãmedɔdada .

2. Bia wò atikewɔwɔ ŋutinya bliboa (dɔléle siwo nèxɔ va yi, atike siwo nèno, nenye be nɔnɔme mawo tɔgbe nɔ wò ƒomea me dometɔ aɖe ŋu, kple bubuawo).

3. Bia nu tso dɔwɔna alo nusiwo nèdo goe hafi gbɔgbɔtsixetsixe sia dzɔ ŋu (e.g., ɖe nède kamea? Ðe nèdo go ʋeʋẽ aɖea?).

Tsɔ kpe ɖe eŋu la, woate ŋu awɔ dodokpɔ siawo hã:

• Laryngoscopy: Zi geɖe la, esiae nye dodokpɔ vevitɔ kekeake. Esia bia be ɖɔktaa natsɔ fotoɖemɔ̃ sue aɖe si le mɔ̃ tsɛ aɖe si te ŋu trɔna bɔbɔe dzi ade wò ŋɔti alo ŋɔti me be wòalé ŋku ɖe wò gbeɖiɖikawo ŋu. Mègatsi dzi o, woakpɔ egbɔ be yeƒe dzi dze eme esime yewole esia wɔm (woate ŋu ana atike vi aɖe wò be wòana wò ŋɔti natsi). Esia ana woakpɔ alesi wò gbeɖiɖikawo ʋuna hetua ne èle gbɔgbɔm hele nu ƒom. Ɣeaɖewoɣi ne ɖɔktaa le ŋku lém ɖe wò ŋɔti ŋu la, woate ŋu awɔ nane hã si ate ŋu aʋã VCD (le kpɔɖeŋu me, woate ŋu abia tso asiwò be nàse ʋeʋẽ aɖe alo nàgbɔ ya kabakaba ʋɛ aɖewo). Woyɔa esia be dzikudodo ƒe dodokpɔ . Esia ana woakpɔ nusi tututu dzɔna ɖe wò gbeɖiɖikawo dzi ne gbɔgbɔ sesẽ na wò.
• Aklã ƒe dɔwɔwɔ dodokpɔ kple spirometry: Le dodokpɔ siawo me la, wobiana tso asiwò be nàgbɔ ya ayi mɔ̃ aɖe si woyɔna be spirometer me ahado goe. Esia dzidzea ya agbɔsɔsɔme si nàte ŋu agbɔ ahagbɔ ya, kple alesi nàte ŋu agbɔe kabakabae. Wò ɖɔkta awɔ dodokpɔ sia be wòaɖe dɔléle bubuwo abe asrã ene ɖa. Ɣeaɖewoɣi la, tɔtrɔ siwo va le flow-volume loop (flow-volume loop) me tso dodokpɔ sia me ate ŋu afia be VCD le ŋuwò. Gake nu vevitɔ si dzi wòle be nàɖo ŋkui enye be lãkusi ƒe dɔwɔwɔ dodokpɔ siawo ɖeɖe mate ŋu anyae kple kakaɖedzi nenye be VCD le ŋuwò o. Mɔfiala koe wonye.

Nukawoe nye atike siwo wozãna na esia?

Atikewɔwɔ ƒe tiatia ate ŋu ato vovo le wò nɔnɔmea nu, siwo dometɔ aɖewoe nye nusiwo nana gbɔgbɔtsixe tsia ƒowò, zi nenie wòdzɔna, kple alesi wò dzesiawo nu sẽe (siwo mesẽ o, esiwo mesẽ o, alo esiwo nu sẽ). Atike siwo wozãna na gbeɖiɖi ƒe dɔmawɔmawɔ nyuie (VCD) dometɔ aɖewoe nye:

• Yagbɔgbɔ ƒe hehexɔxɔ ƒe atikewɔwɔ: Esiae nye atikewɔwɔ vevitɔ kekeake eye wòwɔa dɔ nyuie wu . Nuƒoƒo kple gbegbɔgblɔ ŋuti dɔléleŋutinunyala siwo wona hehee etɔxɛe fiaa gbɔgbɔ ƒe kamededewo wò. Kamedede siawo kpena ɖe ŋuwò nèɖua wò gbɔgbɔ dzi ne VCD le ŋuwò. Wofiaa alesi nàɖe dzi ɖi na wò gbeɖiɖikawo eye nàtrɔ wò gbɔgbɔ ƒe ɖoɖo wò. Le kpɔɖeŋu me:
• Nuyi siwo wotsɔ ƒo ƒu ƒe gbɔgbɔ: Yagbɔgbɔ kple nuyi siwo wotsɔ ƒo ƒu, abe ɖe nèle kpẽ ƒom ene. Esia kpena ɖe ame ŋu be yaƒoƒomɔ̃wo nɔa ʋuʋu ɖi.
• Diaphragmatic breathing: Míeyɔna be ƒodo me gbɔgbɔ, si fia be woagbɔ ya sesĩe eye woagbɔ ɖe eme.

Ɣeaɖewoɣi la, gbɔgbɔtsixetsixe ƒe atike sia zazã zi ʋɛ aɖewo ko ate ŋu aɖe dzesiawo dzi akpɔtɔ ŋutɔ. Ne èsrɔ̃e nyuie la, wò ŋutɔ àte ŋu aɖu nɔnɔme sia dzi.

• Dɔléle siwo hea dɔlélea vɛ dada: Le kpɔɖeŋu me, ne dɔléle aɖe si nɔa anyi didi abe GERD (gastroesophageal reflux disease) ene le ŋuwò la, ele vevie be nàdae nyuie. Dɔgbo me acid ate ŋu ana wò gbeɖiɖikawo navuvu eye woase veve ne egatrɔ va wò ŋɔti me. Ðɔktawo kafui hã be woaɖu dzamezã kple dɔlékui bubu siwo ate ŋu ahe VCD ƒe dzesiwo vɛ dzi ahada wo. Ne nuteɖeamedzi alo dzimaɖitsitsi nye nusiwo gbɔ wòtso la, ele vevie hã be nàdi aɖaŋuɖoɖo alo atike na amesiawo.

Ðe woate ŋu ada nɔnɔme sia keŋkeŋa?

Ao, atike aɖeke meli na esia haɖe o . Gake mègatsi dzi o. Enye nɔnɔme si dzi woate ŋu aɖu. Ðɔktawo ate ŋu akpe ɖe ŋuwò nàke ɖe nusiwo hea wò gbeɖiɖi ƒe dɔmawɔmawɔ nyuie (VCD) vɛ ŋu. Woate ŋu akafu atikewɔmɔnuwo hã, vevietɔ gbɔgbɔtsixe ƒe kamedede, be wòakpe ɖe ŋuwò nàkpɔ wò gbɔgbɔtsixetsixe gbɔ. Ekema àte ŋu anɔ agbe si sɔ evɔ màse le ɖokuiwò me be gbɔgbɔtsixe tsi ƒowò o.

Aleke woate ŋu axe mɔ ɖe esia nu be wòagadzɔ o?

Mɔ ɖeka kolia si dzi nàto aɖe gbɔgbɔtsixetsixe sia ƒe dzɔdzɔ dzi akpɔtɔe nye be nàƒo asa na nusiwo gbɔ wòtsona kple nɔnɔme siwo nana wò gbɔgbɔ sesẽna eye nàɖu wo dzi.

• Bu eŋu kpɔ, ne ènya be dzesi siawo ava dze ye dzi ne yedo go atike aɖe le yeƒe dɔwɔƒe la, àte ŋu aɖe afɔku ma dzi akpɔtɔ to gbɔgbɔtsixetsixe ƒe ametakpɔnu zazã me.
• Ne ènya be nuwo abe ami ʋeʋĩ sesẽwo kple dzudzɔ ene gblẽa nu le ŋuwò la, dze agbagba nànɔ adzɔge tso wo gbɔ.
• Ne dɔléle aɖe abe GERD ene le ŋuwò la, no nuɖuɖu kple atike siwo sɔ.
• Ne esia dzɔ esime nèle kame dem la, ate ŋu aɖe vi be nàdo dzo hafi adze egɔme eye nàfa le kamedede vɔ megbe. Azɔ hã, ƒo nu kple wò ɖɔkta tso kamedede siwo sɔ na wò ŋu.

Ðe gbeɖiɖika ƒe dɔmawɔmawɔ nyuie sia ate ŋu ade ame ƒe agbe afɔku mea?

Le nyateƒe me la, ne VCD ƒe nɔnɔme sia dzɔ , ate ŋu ase le eɖokui me be yeade ame ƒe agbe afɔku me. Enye nuteƒekpɔkpɔ si dzi ŋɔ ŋutɔ eye wòɖea fu na ame. Gake le nyateƒe me la, menye nɔnɔme si ate ŋu ade ame ƒe agbe afɔku me o. Esi gbeɖiɖikawo tu keŋkeŋ eye màte ŋu agbɔ ya o ta la, màyi afi aɖeke o. Gake ne gbɔgbɔ sesẽ na wò ŋutɔ la, ele be nàyi dɔwɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ heheɖemegbe manɔmee. Zi geɖe la, dodokpɔ siwo woawɔ le afima aɖee afia be wò ŋutilã le oxygen agbɔsɔsɔme si wòhiã la xɔm, ne mènyae o gɔ̃ hã.

Le veviẽ:Ne gbɔgbɔ sesẽ na wò vevie la, ate ŋu asesẽ na wò ŋutɔ be nànya ne VCD alo nu bubu aɖee. Ate ŋu anye nɔnɔme si nu sẽ wu, abe asrã ene hã. Eyata nunya le eme be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake.

Aleke malé be na ɖokuinye?

Ele vevie ŋutɔ be nàdzro gbeɖiɖi ƒe dɔmawɔmawɔ nyuie (ILO/VCD) sia me kple ɖɔktawo ƒe ƒuƒoƒo aɖe si bi ɖe dɔa me (ENT eŋutinunyala, nuƒoƒoŋutinunyala). Ekema àte ŋu ase nusi le dzɔdzɔm ɖe dziwò kple nusi nàwɔ ne gbɔgbɔtsixe tsia ƒowò alea (abe gbɔgbɔ ƒe kamedede ene) gɔme nyuie wu. Woawɔ dɔdzikpɔkpɔ ƒe ɖoɖo si sɔ na wò ŋutɔ.

Ɣekaɣie wòle be makpɔ nye ɖɔkta?

Ne èwɔ gbɔgbɔme kamededeawo nyuie, èkpɔ nɔnɔme ɖesiaɖe si le eme gbɔ (abe GERD ene), eye nèƒo asa na nusiwo hea nɔnɔme sia vɛ, gake dzesiwo gakpɔtɔ le ŋuwò la, kpɔ egbɔ be yeyi ɖɔkta gbɔ. Ðewohĩ ahiã be woatrɔ wò atikewɔwɔ alo ahiã be woawɔ dodokpɔ geɖe wu.

Ne gbɔgbɔtsixe tsi ƒowò si nu mefa le susu aɖeke ta o, ne akɔtave kpe ɖe eŋu, ne wò nuyiwo trɔ zu blɔ, alo ne èse le ɖokuiwò me be yeƒe susu megale dɔ wɔm o la, ƒo ka na ƒe 1990 Suwaseriya Ambulance Service enumake alo yi kɔdzi ƒe dɔwɔƒe si te ɖe ŋuwò kpata.

Nusiwo dzi míaɖo ŋkui tso nusiwo me míedzro me (Take-Home Message) .

Ɣeyiɣi aɖewo li siwo me gbɔgbɔ sesẽna na mí katã. Bu eŋu kpɔ, ne èle kame dem vevie, le du dzi yina bɔs me, alo ne nuteɖeamedzi aɖe dzɔ. Gake ne gbeɖiɖi ƒe dɔmawɔmawɔ nyuie (VCD), alo inducible laryngeal obstruction (ILO) le ŋuwò la, gbɔgbɔ ate ŋu asesẽ na wò le susu aɖeke manɔmee.

Togbɔ be VCD medea ame ƒe agbe afɔku me o hã la, ate ŋu anye nuteƒekpɔkpɔ si ɖea fu na ame ŋutɔ eye wòdoa vɔvɔ̃ na ame. Eyata manyo be míaŋe aɖaba aƒu edzi o. Togbɔ be ɖɔktawo mate ŋu ada dɔléle sia keŋkeŋ o hã la, woate ŋu akpe ɖe ŋuwò nànya nusiwo hea dɔléle sia vɛ. Woate ŋu afia atikewɔwɔmɔnu hã wò, vevietɔ gbɔgbɔtsixe ƒe kamedede, siwo ate ŋu akpe ɖe ŋuwò nàɖu wò gbɔgbɔtsixetsixe dzi ne edzɔ. Eyata ne dzesi siawo le ŋuwò la, anyo wu be màgavɔ̃ alo akpe ŋu o eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo. Ame aɖewo li siwo ate ŋu akpe ɖe ŋuwò ahafia mɔ wò be nànɔ agbe dzidzedzetɔe kple nɔnɔme sia.

` Gbeɖiɖi ƒe Dɔmawɔmawɔ nyuie, Aɖuɖɔtoe ƒe Mɔxexe si Woate Ŋu Awɔ, Yagbɔgbɔ sesẽ, Kɔ ƒe ʋuʋu, Aɖuɖɔtoe, Aɖuɖɔtoemekpɔkpɔ