Bɔku tɛm yu kin gɛt kɔf we ful-ɔp wit mכkus? Sɔntɛnde yu kin tink se na jɔs kɔmɔn kol, bɔt if i kɔntinyu, i kin bi sayn fɔ wan sik we dɛn kɔl brɔnkiɛktasis. Nɔ wɔri, dis nem kin tan lɛk big tin, bɔt if yu no bɔt am ɛn fala yu dɔktɔ in instrɔkshɔn, yu kin ebul fɔ manej am fayn fayn wan. Lɛ wi tɔk bɔt ɔltin insay simpul wɔd dɛn.
Fɔ tɔk am simpul wan, wetin na Bronchiectasis?
Tink bɔt am lɛk dis: wi gɛt wan sistem we gɛt smɔl smɔl tiub dɛn we de kɛr briz go na wi lɔng. Wi kin kɔl dɛn aywe dɛn ya ɔ brɔnchi. Bronchiectasis na wan sik we dɛn aywe ya kin pwɛl ɛn kin big fɔ ɔltɛm, lɛk balyɔn.
we dis damej de apin, dεn tכb dεm ya nכ kin ebul fכ klin di mכkus we de insay dεm fayn fayn wan. Nɔmal wan, pɔsin we gɛt wɛlbɔdi in lɔng dɛn kin trap di jem ɛn dɔst pat dɛn na di mכkus ɛn kɔf dɛn. Bɔt pan pɔsin we gɛt brɔnkiɛktasis, di mכkus kin gɛda na di say dɛn we di briz de blo we dɔn pwɛl. baktri dεm kin bigin fכ gro na dis mכkus we dεn kin gɛda. Dis kin mek pɔsin gɛt infɛkshɔn bɔku tɛm ɛn i kin mek di lɔng dɛn pwɛl mɔ. So, di bɔdi de kɔntinyu fɔ kɔf as i de tray fɔ pul dis mכkus we dɔn gɛda.
Wetin na di difrɛns bitwin bronchiectasis ɛn bronchitis?
Bɔku pipul dɛn kin kɔnfyus dɛn tu nem ya bikɔs dɛn kin sawnd smɔl. Di sayn dɛm bak kin fiba smɔl, wit swɛt ɛn kɔf pan ɔl tu. Bɔt big difrɛns de bitwin dɛn tu.
| Di kwaliti we pɔsin gɛt | Bronchiectasis we dɛn kɔl Bronchiectasis | Bronkitis we dɛn kɔl Bronchitis |
|---|---|---|
| Nature of damej | Di damej fɔ ɔltɛm ɛn di say dɛn we di briz de blo kin big. | Dis na wan tɛmporari infɛkshɔn na di say we dɛn de blo. I nɔ de mek pɔsin pwɛl sote go. |
| Ɔmɔs tɛm | Dis na wan sik we nɔ de mɛn . | Wan shɔt tɛm (akyu) kɔndishɔn we kin dɔn insay sɔm wiks. |
Wetin na di sayn dɛm wae de sho se yu gɛt brɔnkiɛktasis?
Dɛn sayn ya nɔ kin apin di sem we fɔ ɔlman. Sɔm pipul dɛn kin gɛt sɔm kayn sik wae nɔr kin pasmak, ɛn ɔda wan dɛn kin gɛt siriɔs sayn dɛm. כlso, i kin bi se tεm dεm de fכ rεmishכn, dεn kin fכlכ tεm dεm we "exacerbation" כ flare-up.
| Di kɔmɔn sayn dɛm | |
|---|---|
| Fɔ kɔf bɔku tɛm wit mɔkus | Dis na di men sayn we de sho se yu gɛt dis sik. Sɔntɛnde, yu kin gɛt yɔlɔ ɔ grɛn pus we tan lɛk pus. |
| I nɔ izi fɔ blo (Dyspnea) . | I kin fil tranga fɔ blo, mɔ we yu taya. |
| Kɔl ɔltɛm ɔ infekshɔn na in lɔng | Chɛst kɔnjɛshɔn kin divɛlɔp kwik pas ɔda wan dɛn. |
| Wiz (wistling) we yu de blo | Dɛn kin yɛri sawnd frɔm di trot ɔ chɛst we dɛn de pul di briz. |
| Fɔ kɔf blɔd (Hemoptysis) . | I kin bi se smɔl blɔd de ɔ sɔntɛm bɔku pan am kin kɔmɔt wit di mɔkus. |
| Nail clubbing (we di finga dɛn kin swel ɛn di nel dɛn kin kɔl) . | Wan sayn we kin apin bikɔs di ɔksijɛn nɔ de bɔku fɔ lɔng tɛm. |
| Simptom dɛm wae kin apun wae de sik de wɔs (exacerbation) . | |
| Fɔ taya pasmak (Fatigue) . | Fɔ fil se yu taya bad bad wan. |
| Fiva ɛn kol kol | Wan sayn we de sho se infεkshכn de na di bכdi. |
| I kin at fɔ blo mɔ ɛn mɔ | Fɔ gɛt prɔblɛm fɔ blo pas aw yu kin blo. |
| Nayt swet dɛn | Wan ɔda sayn fɔ se yu gɛt infekshɔn. |
Wetin mek dis tin kin apin?
Bronchiectasis de apin insay wan "vicious cycle." I kin bigin insay wan we we rili strenj. I gɛt tu ‘step’.
1. Fɔs Insul: Fɔs, sɔm sik, infɛkshɔn, ɔ ɔda tin kin pwɛl di say dɛn we di briz de blo na di lɔng.
2. Di Vicious Cycle: Dis damej de mek di mכkus bכku insted fכ kכl am fayn fayn wan. Baktri dεm de gro na di mכkus we dεn gεt. Dɛn baktri ya kin mek pɔsin gɛt mɔ infɛkshɔn, i kin mek di lɔng wɔl dɛn wik mɔ ɛn mɔ, ɛn i kin pwɛl mɔ. Dis saykl de kɔntinyu.
Sɔntɛnde, pan lɛk 40% pan di sik pipul dɛm, dɛn nɔ kin no di rayt tin we mek dis fɔs damej.
Di men tin dɛn we kin mek pɔsin gɛt brɔnkiɛktasis
- Sistik Faybrosis: Dis na jεnεtik sik we de afekt di lכng dεm bikoz fכ di mכkus we de bכku na di bכdi.
- Sivεr lכng infεkshכn: Sivεr infεkshכn lεk nyumonia, kכf, כ tuberculosis (TB) we i pikin kin mek di lכng dεm pwεl fכ כltεm.
- di imyun sistεm we wik: Sik dεm lεk HIV כ כda imyun dεm we nכ de wok fayn (lεk haypogammaglobulinemia) kin mek yu gεt infεkshכn bכku tεm εn i kin pwεl di lכng dεm.
- Dizayd dɛn we de mek pɔsin nɔ ebul fɔ fɛt insɛf:Insay sik dɛm lɛk Rimatɔyd Atraytis (RA) ɔ Lupus (SLE), di bɔdi in yon sɛl dɛm kin atak ɛn pwɛl di lɔng dɛm.
- di we aw di briz de blo: If tumbu, fɔrin bɔdi, ɔ limf node we dɔn swel blok di say we di briz de blo, di mכkus kin gɛda na da say de ɛn mek i gɛt brɔnkiɛktasis.
- Alɛji Bronchopulmonary Aspergillosis (ABPA): Dis na alɛji riakshɔn to wan kayn fɛns.
- Praymari Siliary Dyskinesia: Dis na jεnεtik kכndyushכn bak. di mכkus de bכku biכs di ‘sכm sכm ia dεm' (cilia) we de muv mכkus kכmכt na di yay, we wi bin tכk bכt, nכ de wok fayn.
Aw dɔktɔ kin no bɔt dis sik?
We yu go to dɔktɔ, i go tek tɛm lisin to di sayn dɛn we yu gɛt ɛn di mɛdikal istri we yu bin dɔn gɛt trade. Dɔn i go lisin to yu chɛst wit stetɔskɔp ɛn tɛl yu fɔ du sɔm ɔda tɛst dɛn.
- Chɛst CT skan: Dis na di bɛst we fɔ no if yu gɛt brɔnkiɛktasis. i kin si klia wan if di aywe dεm na di lכng dεm dכn big εn di wכl dεm dכn tik. Pan ɔl we dɛn kin du ɛkstrem rayt fɔs, na CT skan na di wangren we fɔ kɔnfirm di sik.
- Sputum Culture: Dɛn kin tek wan sampul pan yu sputum ɛn dɛn kin tɛst di kayn baktri we de gro insay am fɔ no if dɛn nid antibayɔtik.
- Tɛst fɔ di Lɔng Fɔnkshɔn: Dɛn kin aks yu fɔ blo insay ɛn kɔmɔt na mashin fɔ no aw yu lɔng dɛn de wok fayn.
- Blɔd tɛst: Blɔd tɛst kin ɛp fɔ no if infɛkshɔn de na di bɔdi ɔ if prɔblɛm de wit di imyun sistɛm.
- Bronchoscopy: Sɔntɛnde, yu dɔktɔ go nid fɔ luk insay yu aywe. dis de yuz sכm sכm tכb wit kεmεra (bronchoscope) fכ si if enitin stכk insay εn aw di mכkus de.
Wetin na di tritmɛnt dɛm fɔ dis?
di fכs tin fכ mεmba na dat, bronchiectasis na wan kכndyushכn we dεn nכ kin kכl kכl , as dεn nכ kin rivεs di damej we di lכng dεm dכn pwεl. Bɔt if dɛn gɛt di rayt tritmɛnt ɛn chenj dɛn layf, bɔku pipul dɛn kin ebul fɔ kɔntrol dɛn sik ɛn liv nɔmal layf.
Tri men gol dɛn de fɔ tritmɛnt:
1. Fɔ pul di mכkus we kin gɛda na di lכng.
2. Kɔntrol ɛn fɔ mek dɛn nɔ gɛt infɛkshɔn.
3. Fɔ ridyus di inflamɛns na di lɔng dɛn.
| Di we aw dɛn kin trit am | Tɔk bɔt |
|---|---|
| Tɛknik dɛn fɔ Klia di Ayway | |
| Ɛksesaiz fɔ blo ɛn fɔ trit yu bɔdi | Wan dɔktɔ we de mɛn yu bɔdi go tich yu aw fɔ kɔf ɛn brith we go ɛp yu fɔ klin di mכkus izi wan. Dis kin inklud tεknik dεm lεk fכ pכkshכn na in chεst. |
| Di tin dɛn we dɛn kin yuz fɔ mɛn pipul dɛn | sכm sכm tin dεm lεk oscillating PEP divays כ percussive vest dεm we dεn wear na di chεst kin yus fכ εp fכ lכs εn kכl mכkus. |
| Di mɛrɛsin dɛn we dɛn kin yuz | |
| Antibayɔtiks | We infɛkshɔn apin, dɛn kin trit am wit pils, srɔp, ɔ if i tranga, dɛn kin gi am mɛrɛsin we dɛn kin put insay di bɛlɛ (IV). Sɔntɛnde, dɛn kin gi dɛn smɔl smɔl fɔ lɔng tɛm fɔ mek dɛn nɔ gɛt di sik. |
| Mucolytics we de mek pɔsin gɛt bɔdi | Dɛn tin ya kin ɛp fɔ mek tik tik mucus tan ɛn mek i izi fɔ kɔf. I gɛt mɛrɛsin dɛn bak we dɛn kin tek lɛk vapour tru wan nebulizer. |
| Di tin dɛn we de mek pɔsin nɔ gɛt inflamɛns | Drug dεm lεk makrolayd dεm de εp fכ ridyus di swel na di aywe dεm we dεn de kכntrכl infεkshכn dεm. |
We yu nid fɔ go to dɔktɔ
If yu de kɔf ɔltɛm wit blɔd ɔ yu gɛt prɔblɛm fɔ blo, mek shɔ se yu go to dɔktɔ. If dɛn dɔn ɔlrɛdi no se yu gɛt brɔnkiɛktasis, kɔl yu dɔktɔ wantɛm wantɛm if yu gɛt ɛni wan pan dɛn sik ya:
- If yu gɛt sayn dɛm fɔ infekshɔn, lɛk fiva ɛn kol.
- If i kin at fɔ blo pas aw i kin bi.
- If yu taya pas aw yu kin taya.
- If di mכkus we yu de kכf pasmak, di mכkus in kכla dεn chenj (grin/yכlכ), כ if blכd de na di mכkus.
- If yu nɔ want fɔ it ɛn yu nɔ gɛt bɔku bɔku bɔdi.
Bɔt we tin lɛk dis, yu fɔ go na di ETU (Imejɛnsi Tritmɛnt Yunit) wantɛm wantɛm:
- If yu de blɔd bɔku.
- If yu gɛt pen na yu chɛst.
- If i rili at fɔ blo.
Mɛsej we dɛn kin kɛr go na os
- Bronchiectasis na wan sik we de te we di aywe na di lכng dεm de damej fכ כltεm εn i de big.
- Di men sayn na we yu de kɔf ɔltɛm we de mek bɔku bɔku mucus.
- Pan ɔl we i nɔ go ebul fɔ wɛl ɔl, yu kin kɔntrol di sik dɛn, mek yu nɔ gɛt di sik, ɛn liv gud layf.
- I rili impɔtant fɔ yuz di mɛrɛsin dɛn we di dɔktɔ gi yu ɛksaktɔli ɛn fɔ du di ɛksesaiz dɛn we de pul di mכkus ɛvride.
- Nɔ smok kpatakpata. Nɔ inhal smok ɛn gas dɛn we de pwɛl di lɔng dɛn.
- Protɛkt yusɛf frɔm infɛkshɔn bay we yu gɛt di vaksin dɛn we yu nid (e.g. Flu, Nyumokɔk) di rayt tɛm.
- If di sayn dɛn de wɔs ɔr sayn dɛn de sho se yu go wɔn yu kwik kwik wan, go to dɔktɔ wantɛm wantɛm.
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