Yu bin no dɛn tin ya bɔt yu aywe?

Wi ɔl de blo ɔltɛm, nɔto so? Bɔt yu dɔn ɛva tink dip smɔl bɔt aw dis briz de go insay wi bɔdi, aw i de kɔmɔt bak, ɛn wetin na di rod dɛn we i de tek pan dis waka? Jɔs lɛk aw rod de fɔ motoka, na so wan spɛshal sistɛm de fɔ rod na wi bɔdi fɔ mek di briz we wi de tek fɔ go insay ɛn kɔmɔt bak. Dɛn rod dɛn de na wetin wi kin kɔl 'airways' ɔ insay Inglish ``airways''. Dɛn tin ya na rili impɔtant pat pan wi respiratory system.

So wetin na dɛn aywe ya?

Fɔ tɔk am simpul wan, di say dɛn we yu de blo na di tiub ɔ di rod dɛn we de mek di briz go insay ɛn kɔmɔt na yu lɔng. Tink bɔt dɛn lɛk say dɛn we plen dɛn kin land ɛn tek ɔf. Dɛn rod ya na di say we di briz we gɛt ɔksijɛn kin go insay yu lɔng, ɛn di kabon dayɔgzayd (CO2), we na dɔti tin we kin gɛda na di lɔng, kin kɔmɔt na yu bɔdi.

Dɛn sheb dɛn aywe ya to tu men pat dɛn:

1. Upper Airways: Dɛn wan ya de rawnd yu fes, ed, ɛn nɛk. Dɛn tan lɛk di ɔp flo dɛn na os. Dɛn tin ya na:

• Nasal cavities we de na di nos
• Saynɔs kaviti dɛn (`saynus`) .
• Di pat we de ɔp na di trot (farinks) .
• Voys bɔks (larynx) .

na dεn pat dεm ya na di say dεm we dεn de tek di briz insay di bכdi frכm di say we de na do.

2. Lɔwa Aywe: Dɛn wan ya de na di ɔda pat na yu nɛk ɛn chɛst. Dɛn kin kɔnɛkt dɛn dairekt wan to di lɔng dɛn. Dɛn tin ya na:

• Di briz paip (trachea - wi kin kɔl am bak di bronchi ) .
• di men brכnki dεm (`bronchi` - dεn na di tu big tכb dεm we de sheb di trakya insay tu) .
• sכm sכm aywe dεm (`bronchioles` - dεn big tכb dεm we de branch aut to sכm sכm wan dεm)

Us savis di aywe dɛn rili de gi wi?

Di men tin na fɔ bi say we di briz kin pas. Bɔt, apat frɔm dat, dɛn aywe ya de du wan rili impɔtant wok.

• Temperature and humidity control: Imajin se yu de blo pan kol de. I nɔ fayn if da kol briz de go stret na yu lɔng. So, dɛn aywe ya kin wam da briz de fɔ mek i mach yu bɔdi tɛmpracha. Dɔn bak, if di briz dray, dɛn kin ad di wata we dɛn nid to am.

• Fɔ pul di mכkus ɛn protɛkt am: Bɔku bɔku smɔl smɔl ia dɛn de insay wi aywe. Dɛn kɔl dɛn tin ya cilia. Dɛn tan lɛk smɔl smɔl brum dɛn. insay di כp pat pan di briz, dεn tin ya de stכp di bad tin dεm lεk dכst εn jεm fכ go insay. afta dat, di cilia dεm de muv כp lεk wev εn push dis mכkus tכwεd di trot. dis prכsεs dεn kכl am di mucociliary escalator. Dɔn, we wi de kɔf ɔ sniz, dis mucus ɛn dɛn bad tin dɛn de kin kɔmɔt na di bɔdi. Pan ɔl we i kin tan lɛk se we wi de mek mɔk ɔltɛm lɛk se i de mɔna wi, fɔ tru, na we fɔ mek wi bɔdi protɛkt insɛf.

• Ɛp fɔ tɔk ɛn smɛl: Yu no aw yu de tɔk? We yu de blo, di briz de pas tru di vokal kɔd dɛn we de na yu vɔys bɔks (larynx) ɛn dɛn de shek shek, we de mek sawnd. semweso, we yu inhal, di sεnt patikyula dεm we de kam wit di briz de hit wan spεshal nεv na di tכp pat pan yu nos (di olfactory nerve), εn da mεsej de go na yu bren, tεl yu, "Ah... dat de smεl lεk ros."

Lɛ wi no di men pat dɛn na di say we di briz de blo.

Wi dɔn tɔk smɔl bɔt di tin dɛn we wi dɔn tɔk bɔt. naw lε wi luk aw dis rod de fכm, frכm di nos to di sכm sכm εya sak dεm (alveoli) insay di lכng dεm.

• Nasal cavity (insay di nos) .
• Sayn dεm (kaviti dεm na di sכkul rawnd di nos) .
• Farins (trot) .
• Larynx (voys bɔks) .
• Trakya (windpaip) .
• di men brכnki dεm (`Bronchi`) (di tu big tכb dεm we de sheb di trakya) .
• Bronkiol (smɔl smɔl tiub dɛn we de sheb to smɔl wan dɛn) .

dis sכm sכm aywe dεm kin kכnekt to di sכm sכm εya sak dεm (alveoli) insay di lכng dεm, we lεk kכlכsta dεm fכ greps. Na de di chenj we di ɔksijɛn ɛn kabon dayɔgzayd kin chenj kin apin.

Wetin na di kɔmɔn sik dɛn we kin afɛkt di say dɛn we di briz de blo?

Bɔt i sɔri fɔ no se difrɛn kayn sik dɛn de we kin afɛkt dis impɔtant sistɛm. Dɛn kin sheb dɛn to tri men kayn dɛn.

1. Kɔndishɔn dɛn we nɔ de mɛn

Dis nɔto sik wae kin kam wantɛm wantɛm ɛn wɛl, bɔt na tin wae kin de fɔ lɔng tɛm, sɔntɛm ivin fɔ ɔl yu layf.

• Asma: Dis na sik we di say dɛn we di briz de blo kin swel ɛn smɔl, we kin mek i nɔ izi fɔ blo. Sɔm pipul dɛn kin fil tayt na dɛn chɛst we dɛn de sniz.
• Bronchiectasis: Dis na we di wɔl dɛn na di say dɛn we di briz de blo kin wik ɛn swel. Dis kin mek i nɔ izi fɔ klin di mכkus ɛn i kin mek yu gɛt infεkshכn.
• Chronic obstructive pulmonary disease (COPD): Dis na krεse sik wae de kam pan pipul dεm wae de smok. I kin mek di lɔng dɛn pwɛl fɔ lɔng tɛm ɛn i kin mek i nɔ izi fɔ blo.
• Sistik fibrosis: Dis na jεnεtik sik we di tin dεm we de kכmכt na di bכdi, spεshal mכkus, de tik εn blכk di say dεm we di briz de blo.

2. Inflameshɔn na di say we yu de blo

Inflammation na jɔs fɔ swel. Dɛn aywe ya kin swel fɔ difrɛn rizin dɛn.

• Infεkshכn: Vayral כ baktri infεkshכn lεk flu, kol, nyumonia, εn COVID-19 kin mek di aywe dεm swel.
• Alɛji: Alɛji to tin dɛn lɛk dɔst, pɔlin, ɛn sɔm it dɛn kin mek bak di say dɛn we yu de blo swel.

Di nem fɔ di sik kin difrɛn difrɛn wan bay usay dis swɛlin de:

• If di men say dɛn we di briz de blo kin inflam: Bronchitis
• If di smɔl smɔl say dɛn we di briz de blo kin swel (bɔku tɛm na yɔŋ pikin dɛn): Bronchiolitis
• If di sayn dɛn we de na di sayn dɛn dɔn swel: Saynaytis

3. di we aw di briz de blo (Blockages) .

Sɔntɛnde, sɔmtin kin blok di say dɛn we di briz de blo.

• Fɔrina tin dɛn: Ɛspɛshali yɔŋ pikin dɛn kin gɛt pis toys, it lɛk kash, ɛn pis we kin stɔp na dɛn nos ɛn trot.
• Benign growth: sכmtεm di growth dεm we nכ de kεnsar kin fכm insay di aywe dεm εn blok di pasej.
• Kansa tכmכro dεm: Tin dεm lεk lכng kεnsar kin blכk di say dεm we di briz de kכmכt bak.
• di aywe we de sכmtεm sכmtεm (`Stenosis`): fכ sכm rizin, pat pan di aywe kin sכmtεm sכmtεm εn tayt.
• Obstructive sleep apnea (OSA): Dis na de sik wae bɔrku pipul kin kɔl "snoring." di sכft tisu na di bak pat na di trot de kolכp we i de slip, we de blכk di say we di briz de blo.

Wetin na di kɔmɔn sayn dɛm wae de sho se pɔrsin gɛt sik wae de kam pan pɔrsin wae de blo?

If yu gɛt dɛn sayn ya, i kin bi bikɔs ɔf prɔblɛm wit yu briz:

• Nasal kɔnjɛshɔn, nɔs we de rɔn.
• Sawnd dɛn we nɔmal we yu de blo. Fɔ ɛgzampul, i kin gɛt wan sawnd we de mek pɔsin wispa (`wheezing`) ɔ wan sawnd we at (`stridor`) .
• Difεlεns fכ brith (dyspnea) – fכ fil sכt fכ brith εn fכ fil fכ tayt na di chεst ivin we yu de klaym fכ stej.
• Fɔ slip pasmak na de (espɛshali pan di wan dɛn we gɛt OSA).
• Kɔf ɔltɛm, sɔm tɛm dɛn kin gɛt blɔd.

Impɔtant: If yu gɛt sayn dɛn lɛk dis, i go fayn fɔ mek yu go to dɔktɔ ɛn go to advays.

Us tɛst dɛn dɔktɔ dɛn kin du fɔ no if dɛn gɛt dɛn sik ya?

Di dɔktɔ kin ɔda fɔ du difrɛn tɛst dɛn dipen pan yu sik dɛn:

• εndoskopi: na tin we dεn de yuz wan tin tכb (skop) we dεn tay kεmεra pan am fכ luk insay di aywe dεm. if i luk tru di nos, dεn kכl am nos εndoskopi, εn if i luk insay di trakya εn brכnki, dεn kכl am brכnkoskopi.
• Pulmonary function tests: Dis na test dεm we de mכsu tin dεm lεk aw yu de blo fayn εn di kapasiti fכ yu lכng dεm.
• Pulse oximetry: na simpul tεst we de mכsu di כksijεn lεvεl na di bכdi bay we dεn put sכmכl klip pan di finga.
• Chɛst ɛkstrem rayt ɛn CT skan: Dɛn tin ya kin tek klia pikchɔ dɛn bɔt di say dɛn we di briz de blo ɛn di lɔng dɛn fɔ no di prɔblɛm dɛn we de.
• Stɔdi fɔ slip: Dɛn kin du dɛn tɛst ya fɔ no if yu gɛt slip apnea (OSA).

Wetin na di tritmɛnt fɔ sik dɛn we pɔsin kin gɛt we i de blo?

Di we aw dɛn kin trit am kin difrɛn fɔ di sik ɛn aw i siriɔs.

• Di kayn drɔgs dɛn we dɛn kin yuz:
• rεdyus di swel εn opin di aywe dεm: dεn kin du dis bכku tεm wit `(inhalers)` (e.g. `inhaled corticosteroids`, `bronchodilators`).
• Fɔ infɛkshɔn: Dɛn kin gi mɛrɛsin lɛk ``antivirals`` fɔ vayral infɛkshɔn, ``antibiotics`` fɔ baktriyal infɛkshɔn, ɛn ``antifungals`` fɔ fungal infɛkshɔn.
• Fɔ kɔntrol di swel we alɛji kin mek, mɛrɛsin dɛn de lɛk ``Antihistamines`` ɛn ``Leukotriene modifiers``.

• If di say we yu de blo dɔn blok ɔ yu nɔ ebul fɔ blo:
• Ɔpreshɔn: If sɔntin lɛk tumbu dɔn blok di say we dɛn de pas, dɛn go nid fɔ du ɔpreshɔn fɔ pul am.
• Intubation: If i at fɔ blo bad bad wan, dɛn kin put wan tiub (endotracheal tube) tru di mɔt ɔ nos, ɛn sɔm tɛm dɛn kin yuz mashin (mɛkanikal ventilashɔn / ventilatɔ) fɔ mek pɔsin ebul fɔ blo.
• Tracheostomy (ɔ tracheotomy): na we dɛn kin mek smɔl opin na di fɔs pat na di nɛk insay di winda paip (trachea) fɔ mek i ebul fɔ blo. Dis kin bi fɔ shɔt tɛm ɔ fɔ ɔltɛm.

• Fɔ pipul dɛn we gɛt obstructive sleep apnea (OSA): Dɛn kin yuz wan tin we dɛn kɔl CPAP mashin na nɛt we yu de slip. Dis kin yuz di prɛshɔn fɔ di briz fɔ mek yu aywe opin.

Aw a go mek di say dɛn we a de blo fayn?

Dɛn se: “Prɛvenshɔn bɛtɛ pas fɔ mɛn am.” So, sɔm tin dɛn de we wi kin du fɔ mek wi respiratory tract gɛt wɛlbɔdi.

• Nɔ smok ɛn vaping: Dis na di tin we impɔtant pas ɔl. Di kemikal dɛn we de insay sigrɛt ɛn tin dɛn we dɛn kin yuz fɔ mek vayp kin mek di say dɛn we di briz de blo ɛn di lɔng dɛn pwɛl bad bad wan. If yu dɔn gɛt prɔblɛm wit di we aw yu de blo, fɔ smok kin mek dɛn wɔs.
• Nɔ yuz smok ɛn gas dɛn we de ambɔg yu: Nɔ blo tin dɛn lɛk smok, kemikal smok, motoka we de kɔmɔt na di motoka, ɛn redɔn (we na redioaktiv gas we kin mek pɔsin gɛt kansa). If yu wok ɔ di tin we yu lɛk fɔ du de mek yu gɛt dɔst ɔ smok, mek shɔ se yu wɛr mask.
• Drink bɔku wata: If yu drink inof wata ɔl di de, i kin ɛp fɔ mek di mכkus we de na di say we yu de blo tan ɛn i kin ɛp am fɔ pas kɔmɔt na di bɔdi izi wan.
• Protɛkt yusɛf frɔm infɛkshɔn: Was yu an ɔltɛm wit sop ɛn wata. Kɔba yu mɔt ɛn nos wit tisu we yu de sniz ɔ kɔf. Gɛt ɛni vaysin we yu nid lɛk aw yu dɔktɔ tɛl yu.
• Ɛgzampul fɔ Klia di Aywe: Sɔm pipul dɛn, mɔ di wan dɛn we gɛt sik lɛk COPD ɔ Bronchiectasis, kin gɛt prɔblɛm fɔ klin di mכkus. Speshal tεknik dεm de fכ dεm, lεk hכf kכf εn chεst fyzikal tεrapi. Aks yu dɔktɔ bɔt dɛn tin ya.

Faynal Mɛsej fɔ Tek-Hom

Yu go dɔn ɔndastand naw se di say dɛn we wi de blo, ɔ di say dɛn we wi de blo, nɔto jɔs smɔl smɔl tiub dɛn. Na big big savis dɛn de du fɔ wi bɔdi! If wi nɔ no, dɛn de protɛkt wi bɔdi frɔm jem, ɛp wi fɔ tɔk, ɛn ɛp wi fɔ smɛl fayn fayn flawa dɛn.

So, i rili impɔtant fɔ mek wi ɔl tek kia ɔf dis kayn valyu sistɛm. Di bɛst tin we wi go du na fɔ avɔyd fɔ smok kpatakpata, nɔ fɔ blo smok we go ambɔg wi, drink bɔku wata, ɛn du di tin dɛn we wi nid fɔ protɛkt wisɛf frɔm sik dɛn . Tek kia ɔf yu respiratory health!

` Respiratory tract, Airways, brith, lכng, mכkus, asma, sik dεm we de fכ blo