Yagbɔgbɔ sesẽa? Na míasrɔ̃ nu tso asrãdɔ ŋu pɛpɛpɛ

Ðe kɔdzidɔ hã le ŋuwò si nyɔa wò le zã mea? Ðe ɖeɖi te ŋuwò ne èzɔ mɔ kpui aɖe gɔ̃ hã? Ðe nèsena le ɖokuiwò me be yeƒe akɔta le ƒoƒom, alo ɖe nèsea kpẽ ƒe ɖiɖi ne èle gbɔgbɔm? Ne nusiawo dzɔna ɖe dziwò zi geɖe la, ate ŋu anye asrã ƒe dzesi. Mègatsi dzi o, esia nye nɔnɔme si gblẽa nu le ame geɖe ŋu. Egbea, mina míaƒo nu tso nusi tututu asrã nye, eƒe dzesiwo , kple nusi míawɔ tso eŋu ŋu.

Nuka tututue nye asrã?

Kpuie ko la, asrã nye dɔléle si nɔa anyi didi si gblẽa nu le míaƒe lãkusiwo ŋu. Ðɔkta aɖewo hã yɔnɛ be gbɔgbɔtsixe ƒe dɔléle si nɔa anyi didi. Ame aɖewo hã yɔnɛ be ‘bronchial asthma’.

Nusi dzɔna le afisiae nye be míaƒe yaƒoƒomɔ̃wo, siwo nye mɔ̃ siwo tsɔa ya yia lãkusiwo me la, xɔa abi, wovuvuna, eye wotsina. Abe ale si ko tsi ƒe pɔmpi aɖe xena kple ɖi eye wòxana ene la, eva sesẽna na tsia be wòato eme. Ne yaƒoƒomɔ̃wo va xaxa la, eva sesẽna be woagbɔ ya. Tsɔ kpe ɖe eŋu la, ʋuʋudedi ƒomevi aɖe si le ʋeʋẽm eye wòléna ɖe nu ŋu la dzea ƒoƒo ɖe mɔ̃ siawo me. Ne nu etɔ̃ siawo katã va ƒo ƒu la, asrã ƒe dzesiwo dzena.

Nukawoe nye asrãdɔ ƒe dzesi veviwo?

Menye amesiame si ŋu asrãdɔ le ƒe dzesiwo sɔ ɣesiaɣi o. Ame aɖewo ate ŋu anɔ wo ŋu ɣesiaɣi, evɔ ɣeaɖewoɣi koe wonɔa ame bubuwo si. Gake dzesi aɖewo li siwo bɔ.

Nukae nye Asrãdɔ?

Asrã ƒe amedzidzedze nye dzesiwo ƒe gbegblẽ zi ɖeka. Nusi dzɔna le afisia enye be lãmeka siwo ƒo xlã yaƒoƒomɔ̃awo me sẽna zi ɖeka le nusi gbɔ wòtso (trigger) aɖe ta. Woyɔa esia le atikewɔwɔ me be (Bronchospasm) . Tsɔ kpe ɖe esia ŋu la, yaƒoƒomɔ̃awo me vuvu kple ʋuʋudedi ƒe dodo dzina ɖe edzi. Esia wɔnɛ be gbɔgbɔ sesẽna ŋutɔ.

Dzesi siawo ate ŋu adze le asrãdɔ sesẽ aɖe hã me:

• Gbeɖiɖi sesẽ aɖe si ɖina ne wole gbɔgbɔm hele gbɔgbɔm.
• Kɔdzidede si womate ŋu atɔ te o.
• Yagbɔgbɔ kabakaba ŋutɔ .
• Nuƒoƒo gɔ̃ hã sesẽ.
• Retractions (se le eɖokui me abe lãmeka siwo le kɔ kple akɔta le hehem ɖe eme ene).
• Nuyi blɔwo alo asibidɛwo. Esia fia be ŋutilãa mele oxygen si sɔ xɔm o .
• Dzimaɖitsitsi alo vɔvɔ̃ gã aɖe ƒe seselelãme.
• Mo ƒe dzedzeme le ɣie eye fifia le dodom.

Ɣekaɣie wòle be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake

Zi geɖe la, woate ŋu atsɔ atike si wogbɔna aɖu asrãdɔ dzi. Gake dɔléle aɖewo li, siwo ate ŋu anye nudzɔdzɔ kpata siwo ate ŋu ade ame ƒe agbe afɔku me . Ne dzesi siwo gbɔna dometɔ aɖe le ŋuwò alo viwòa ŋu la, yi kɔdzi ƒe dɔwɔƒe si te ɖe ŋuwò kpata (ETU) enumake.

Nukawoe nana asrãdɔa nu sẽna ɖe edzi?

Ame si ŋu asrã le ƒe yaƒoƒomɔ̃wo sea veve ŋutɔ. Nu siwo menye kuxi na ame dzɔdzɔe o gɔ̃ hã ate ŋu ana asrãdɔléla ƒe dzesiwo nadzi ɖe edzi. Míeyɔa esiawo be ‘nu siwo ʋãa ame’. Ele vevie ŋutɔ be nànya nusiawo.

• Nusiwo nana ame ƒe ŋutilã melɔ̃a nu o: Nuwo abe ke, aŋɔ, aƒemelãwo ƒe ƒuƒu, koklozi, kple aŋɔ ene.
• Yagbɔgbɔdɔlélewo: Dɔlékuiwo ƒe dɔlélewo abe dzamezã kple asrã ene.
• Kamedede: Ne wole kame dem ko hafi ame aɖewo kpɔa asrã ƒe dzesiwo.
• Yame ƒe nɔnɔme ƒe tɔtrɔ: ya fafɛ alo ƒuƒuiƒe si nu sẽ, yame ƒe nɔnɔme ƒe tɔtrɔ kpata.
• Ʋeʋẽ sesẽwo kple dzudzɔ: atama ƒe dzudzɔ (atamanono si mewɔa naneke o gɔ̃ hã), ami ʋeʋĩwo, atike siwo wotsɔna klɔa nu ŋu, ɖiƒoƒo ya.
• Atike aɖewo: Vevesesenutsitike aɖewo abe aspirin ene.
• Nuɖuɖu: Ame aɖewo ƒe nulɔdɔ ate ŋu anɔ nuɖuɖu siwo me nusiwo wotsɔ dzraa nuɖuɖu ɖo (sulfites) (e.g. atikutsetse ƒuƒuwo, atadi) ŋu.
• Seselelãme sesẽwo: Dzidzɔkpɔkpɔ si gbɔ eme, blanuiléle, vɔvɔ̃, alo nuteɖeamedzi hã ate ŋu ana gbɔgbɔtsixe natrɔ eye wòana asrãdɔ nagagblẽ ɖe edzi.
• Dɔgbo ƒe dɔléle (GERD): Ame aɖewo ƒe asrã hã nu sẽna ɖe edzi le dɔgbo me acid si gena ɖe kɔ me ta.

Aleke wokpɔa asrãdɔ?

Ne èsusu be asrã le ye ŋu la, yi wò ƒomea ƒe ɖɔkta gbɔ. Abia nya tso wò dzesiwo ŋu eye wòado wò kpɔ. Ne ehiã la, woate ŋu aɖo wò ɖe lãkusiŋutinunyala bibi (aklãŋutinunyala).

Dodokpɔ vevi geɖewo li siwo wowɔna tsɔ ɖoa ​​kpe asrãdɔ dzi:

• Spirometry: Esia nye gbɔgbɔ dodokpɔ bɔbɔe aɖe. Wobia tso asiwò be nàƒo ya sesĩe ɖe mɔ̃ aɖe me. Edzidzea ya si nàte ŋu agbɔ kabakaba kple ya agbɔsɔsɔme si nàte ŋu ado tso wò lãkusi me.
• Peak Flow Meter: Esia nye mɔ̃ sue aɖe si nàte ŋu azã le aƒeme. Ate ŋu adzidze wò gbɔgbɔ ƒe duƒuƒu hã. Esia ate ŋu akpe ɖe ŋuwò nàkpɔe ɖa be wote ŋu le wò asrãdɔa dzi ɖum hã.
• Dodokpɔ bubuwo: Ɣeaɖewoɣi la, woate ŋu awɔ nuwo abe akɔta ƒe X-ray kple nulɔdɔ dodokpɔwo ene.

Nukawoe nye asrãdɔ ƒe atikewo?

Womate ŋu ada asrãdɔ keŋkeŋ o, gake ne èwɔ atike nyuitɔ la, àte ŋu aɖu wò dzesiwo dzi ahanɔ agbe si sɔ. Wò ɖɔkta awɔ Asrãdɔ ƒe Dɔwɔɖoɖo si wotu ɖe alesi wò asrãa nu sẽe dzi.

Woma atikewɔwɔa ɖe akpa eve me koŋ:

1. Kpekpeɖeŋunana / Xɔname Atikewo

Wozãa esiawo tsɔ naa gbɔdzɔe kaba ne asrã ƒe dzesiwo dze. Woɖea lãmeka siwo ƒo xlã yaƒoƒomɔ̃wo dzi kpɔtɔna kabakaba, si wɔnɛ be gbɔgbɔ nɔa bɔbɔe.

• Beta-agonists siwo wɔa dɔ kpuie: Esiawoe nye nusiwo míeyɔna zi geɖe be ‘rescue inhaler’. Kpɔɖeŋu aɖee nye Albuterol/Salbutamol. Ele be nàna esia nanɔ gbɔwò ɣesiaɣi.

2. Ɣeyiɣi Didi ƒe Dzɔdzɔmeŋusẽ / Dzɔla Atikewo

Wozãa nusiawo gbesiagbe, ne dzesi aɖeke mele wo ŋu o gɔ̃ hã. Taɖodzinuae nye be woaɖe abi si le yaƒoƒomɔ̃wo me dzi akpɔtɔ eye woaxe mɔ ɖe asrã ƒe amedzidzedze nu.

• Corticosteroids Siwo Wogbɔna: Esiawoe nye atike vevitɔ kekeake kple esiwo wozãna zi geɖe tsɔ léa asrãdɔ nu. Woɖea yaƒoƒomɔ̃wo ƒe vuvu dzi kpɔtɔna.
• Beta-agonists siwo wɔa dɔ ɣeyiɣi didi (LABA): Esiawo hã kekea yaƒoƒomɔ̃wo ɖe enu, gake wowɔa dɔ gaƒoƒo geɖe. Zi geɖe la, wonaa wo abe atike si wogbɔna kple corticosteroid siwo wogbɔna ene.
• Leukotriene modifiers: Esiawo nye atike siwo wozãna abe atikekuiwo ene. Esiawo kpena ɖe ame ŋu hã be woaɖu yaƒoƒomɔ̃wo ƒe vuvu dzi. Le kpɔɖeŋu me: (Montelukast).