Yusɛf nɔ gɛt bɛtɛ briz? Yu chɛst de fil tayt? Lɛ wi tɔk bɔt dis (Bronchoconstriction)!

Sɔntɛnde, i nɔ kin izi fɔ yu fɔ blo wantɛm wantɛm? I tan lɛk se sɔmbɔdi de swɛt yu chɛst, lɛk se yu de kam fɔ swɛla? Yu kin ivin yɛri wan sawnd we de swɛt ɔ grɔmbul we de kɔmɔt insay yu chɛst. Sɔmtɛm lɛk dis, yu kin fil bak lɛk se sɔntin dɔn stɔp na yu trot wit smɔl kɔf. Dis sik na wetin wi go tɔk bɔt tide, we dɛn kɔl bronchoconstriction . Pan ɔl we di nem kin tan lɛk se i strenj smɔl, dis na sɔntin we kin apin to sɔm pipul dɛn, mɔ di wan dɛn we gɛt sik lɛk asma. No wori, mek wi tok abaut dis ditail, rili simpul, okay?

Wetin na brɔnkokonstrikshɔn? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, brɔnkokɔnstrikshɔn na we di men say dɛn we wi kin blo ( bronchi ) kin smɔl wantɛm wantɛm we de go na wi lɔng dɛn. Tink bɔt am lɛk se wata paip kin blok wantɛm wantɛm, ɛn dis kin mek i nɔ izi fɔ mek di wata pas. Wan rili tint layεr de fכ mכsul rawnd wi aywe dεm. We dɛn mɔsul dɛn ya tayt wantɛm wantɛm, di say we di briz de blo kin smɔl. Na da tɛm de i nɔ kin izi fɔ wi fɔ blo ɛn fil lɛk se dɛn de swɛt wi chɛst.

Dis kin bi bikɔs ɔf bɔku tin dɛn. Fɔ ɛgzampul, we yu gɛt alɛji fɔ sɔntin, dat na we yu inhal sɔntin we de mek yu gɛt alɛji , fɔ ɛgzampul, we yu gɛt bɔku dɔst, ɔ we yu gɛt kol briz wantɛm wantɛm, sɔntɛnde ivin we yu de ɛksesaiz tranga wan. Dis kin apin mɔ pan pipul dɛm wae gɛt asma ɔr sik dɛm wae kin gɛt lɔng tɛm fɔ blo lɛk COPD (Chronic Obstructive Pulmonary Disease), wae kin gɛt brɔnkokonstrikshɔn.

Wetin mek dis de apin to wi? Wetin na di rizin dɛn we mek dɛn de du dis?

as wi bin dכn tכk bכt bifo, di men rizin fכ dis na di tayt we di dilik mכsul dεm na wi aywe dεm de tayt (wi kכl dεn smol mכ sul dεm ya , we wi nכ kin kכntro lεk aw wi want, dat min se wi nכ kin mek dεn wok we wi want). Dis kin apin wantɛm wantɛm.

Sɔmtɛm, insay wan siriɔs alɛji riakshɔn lɛk anafylaksis, di aywe dɛn kin lɔk wantɛm wantɛm dis we. Dat na tin we rili denja. Apat frɔm dat, di mɔsul dɛn na dɛn aywe dɛn ya kin du sɔm tin dɛn. Lɛ wi si wetin na dɛn tin dɛn de.

Wetin na di men tin dɛn we kin mek pɔsin du dis?

Na sɔm tin dɛn we kin mek yu aywe blok:

• Alɛrjens: Sɔm pipul dɛn kin gɛt alɛji to pɔlin , pet dander , dɔst, ɛn ivin sɔm it dɛn. Jɔs tink se, fɔ sɔm pipul dɛn, we dɛn de klin ol buk dɛn, di dɔst kin bigin fɔ sɛtul wantɛm wantɛm, nɔto so? Na so i bi.
• Ɛksesaiz ɔ tray tranga wan: Sɔm pipul dɛn kin gɛt shɔt briz wantɛm wantɛm we dɛn de rɔn, klaym stej, ɔ es wet. Wi de kɔl disDɛn kɔl am ɛksesaiz-induced bronchoconstriction.
• Kwɛmyuɛl: Fɔ ɛgzampul, di klorin vapour we de na swimin pul, strɔng sɛnt, ɛn sɔm kemikal dɛn fɔ klin os kin afɛkt bak.
• Tempracha chenj: Lɛk we yu go wantɛm wantɛm frɔm ples we rili wam to kol rum we gɛt AC, ɔ we yu go na do pan kol de.
• Kol, dray briz: Dis na tin bak we kin mek di say dɛn we di briz de blo kin kɔnstrikt.
• Smok ɛn sɛkɔn-han smok: Dis nɔ sɔprayz. Smok kin rili ambɔg di we aw pɔsin de blo.
• Infεkshכn dεm na di כp rεspiretכri: Dis kכndyushכn kin apin we di rεspiretכri trakt gεt infεkshכn wit tin dεm lεk kol, flu, כ di flu.
• Sɔm mɛrɛsin dɛn: Fɔ ɛgzampul, sɔm beta-blɔk fɔ ay blɔd prɛshɔn, ɛn bak mɛrɛsin dɛn we de mek pɔsin fil pen lɛk aspirin, kin afɛkt sɔm pipul dɛn dis kayn we.

pan tap dat, sik dεm we de kam fכ lכng tεm we yu de blo kin mek di aywe dεm inflameshn כ chenj fכ tεm na di wכl dεm na di aywe dεm (airway remodeling), we kin mek di aywe dεm kin sכmtεm as tεm de go. Dis kin mek yu swɛla kwik kwik wan frɔm ivin di smɔl smɔl tin dɛn.

Wetin na di sayn dɛm fɔ dis? Aw yu go no fɔ tru?

If yu gɛt brɔnkokonstrikshɔn, yu kin gɛt wan ɔ mɔ pan dɛn sik ya wan tɛm. Sɔntɛnde, dɛn sayn ya kin go ɔp smɔl smɔl.

• Wiz: Na sawnd we yu de wis ɔ grɔmbul we yu de blo . I tan lɛk se dɛn de blo briz tru wan tin tiub. Yu kin yɛri dis yusɛf, ɔ dɔktɔ kin yɛri am wit stetɔskɔp.
• Fɔ blo shɔt: I nɔ kin izi fɔ blo, i kin tan lɛk se yu de swɛla. I kin tan lɛk se ilɛk aw yu blo, i nɔ go du fɔ yu. Yu kin fil bak se yu de fɔdɔm tumɔs we yu klaym sɔm stej ɔ rɔn smɔl.
• Kɔf: Yu kin gɛt dray kɔf. Yu kin kɔf bak lɛk se sɔntin dɔn stɔp na yu trot, ɔ lɛk se yu de swɛt. Sɔntɛnde, di kɔf kin wɔs na nɛt.
• Chɛst tayt: Di chɛst kin fil ebi, lɛk se pɔsin de swɛt am wit bɛlt, ɔ swɛt am frɔm insay.

Wan ɔ mɔ pan dɛn sayn ya kin kam wantɛm wantɛm. Fɔ sɔm pipul dɛn, i kin stɔp insay sɔm minit, bɔt fɔ ɔda pipul dɛn, i kin las fɔ sɔm awa.

Udat de pan denja pas ɔl fɔ dis?

Pipul wae gɛt sɔm kayn mɛrɛsin kin gɛt brɔnkokonstrikshɔn bɔrku tɛm. Dis min se dɛn de pan ay risk fɔ gɛt am.

• Asma: .Di wan dɛn we gɛt asma na dɛn kin gɛt dis men tin. Asma na rili wan inflamɛns we nɔ de dɔn ɛn we di aywe dɛn kin fil bad.
• COPD (Chronic Obstructive Pulmonary Disease): Dis kin inklud tin dɛm lɛk ɛmfisema ɛn kronik brɔnkayt. Dis na sik dεm bak we de teik lכng tεm we de afekt di lכng dεm.
• Siriɔs alɛji: Fɔ ɛgzampul, dis sik kin kam kwik kwik wan pan pipul dɛm wae gɛt siriɔs alɛji to tin dɛm lɛk it ɔr insɛkt sting.

Yu tink se dis kin denja? Yu tink se wi fɔ fred?

Yɛs, dis kin rili denja sɔntɛnde. Na dat mek i nɔto sɔntin fɔ tek am layt. If di say dɛn we di briz de blo tumɔs, di bɔdi nɔ de gɛt di ɔksijɛn we i nid. Dis kin mek yu gɛt siriɔs prɔblɛm lɛk haypoksia (we denja fɔ lɛ ɔksijɛn nɔ de na di blɔd) ɛn di we aw yu de blo fayn . Dis kin mek pɔsin in layf de pan denja.

So, if yu gɛt prɔblɛm fɔ blo, yu chɛst tayt bad bad wan, yu so swɛla dat yu nɔ ebul fɔ ivin tɔk, yu lip dɛn de tɔn blu, ɔ yu asma dɔn rili wɔs, go na di ɔspitul we de nia yu wantɛm wantɛm ɔ kɔl di 1990 imejensi ambulans savis. If yu gɛt tritmɛnt di rayt tɛm, yu kin avɔyd dis denja.

Aw dɔktɔ kin no bɔt dis? Us tɛst dɛn kin du?

If yu gɛt imejensi, dɔktɔ dɛn go no se yu gɛt brɔnkokonstrikshɔn bay di sayn dɛm we yu gɛt (lɛk fɔ mek yu nɔ ebul fɔ blo fayn, yu de swɛt). Bɔt dɛn kin du ɔda tɛst fɔ no ustɛm di tin we kin mek pɔsin gɛt dis sik ɛn aw i rili bad.

• Pulmonary function tests (PFT): Dɛn tin ya de chɛk aw yu lɔng dɛn de wok fayn, ɔmɔs briz yu kin inhal ɛn pul insay wan briz, ɛn if ɛnitin de ambɔg yu aywe. di tεst we dεn kin tεst fכ dis mכst na dεn kכl am spirometry.
• Imej tɛst: Dɛn kin du di chɛst X -ray ɔ CT skan . Dɛn tin ya kin chɛk fɔ ɔda infɛkshɔn ɔ prɔblɛm dɛn we de na di lɔng.

Wetin na di tritmɛnt dɛm fɔ dis? Yu nɔ tink se dɛn go mɛn am?

Nɔ wɔri, gud tritmɛnt dɛn de fɔ dis. De tritmɛnt wae yu go gɛt go dipen pan wetin de kɔz yu sik ɛn aw e tranga. Yu dɔktɔ kin gi yu mɛrɛsin dɛn lɛk:

• Mɛrɛsin dɛn we de ridyus di swɛlin ɛn opin di say dɛn we di briz de blo:
• Bronchodilators: Dɛn mɛrɛsin ya de wok bay we dɛn de rilaks di mɔsul dɛn na yu aywe, ɛn mek dɛn big. Dis kin mek i izi fɔ yu fɔ blo. Dɛn kin gi dɛn tin ya tru wan inhala (dɛn kin kɔl am bak puffer).Yu kin gɛt am frɔm nebulizer ( mashin we de mek mist). Dɛn tin ya kin gɛt tu kayn: we kin akt fɔ shɔt tɛm ɛn we kin akt fɔ lɔng tɛm.
• Kɔtikosterɔyd: Dɛn wan ya de wok bay we dɛn de ridyus di swɛlin na di say dɛn we di briz de blo. Dɛn kin gi dɛn tin ya as inhala, ɔ sɔntɛnde as pil. Bɔrku tɛm, pipul dɛm wae gɛt asma kin yuse dɛn tin ya fɔ lɔng tɛm.
• Mεdikeshכn dεm we de blכk kεmεkal dεm na di bכdi we de mek yu swel: Mεdikeshכn dεm lεk antihistamin (mεrεsin dεm we dεn kin gi fכ alerji) εn leukotriene modifiers (dεn tu na wan kayn pil we de rεdכks swel na di aywe dεm).
• Mɛrɛsin fɔ ansa yu asma atak: Yu dɔktɔ kin tɛl yu fɔ kip wan rescue inhaler (a short-acting bronchodilator) wit yu fɔ yuz kwik if yu gɛt asma atak wantɛm wantɛm, we min se yu nɔ kin ebul fɔ blo. Dis tan lɛk "faya ɛkstinguisher."
• Imejɛnsi tritmɛnt: If yu de pan denja fɔ gɛt siriɔs alɛji (anaphylaxis) , kip wan epinephrine auto-injector , lɛk EpiPen® ɔ Auvi-Q® , nia yu ɛn mek yu dɔktɔ tich yu aw fɔ yuz am.

Wetin yu kin du na ɔspitul we yu gɛt imejensi?

If yu aywe dɔn blok ɔl ɛn yu nɔ ebul fɔ blo yusɛf, dɔktɔ dɛn na di ɔspitul kin nid fɔ opin yu aywe dis we:

• Intubation: Dis min se yu fɔ put wan tiub insay yu winda paip (trachea) ɛn alaw yu fɔ blo artificially, bɔku tɛm na tru ventilator (dɛn kin kɔl am bak mechanical ventilation ).
• Tracheostomy: Dis min se yu fɔ mek smɔl ol na di fɔs pat na di nɛk insay di winda fɔ mek yu ebul fɔ blo dairekt wan. Dis kin bi fɔ sɔm tɛm ɔ, sɔm tɛm dɛn kin du am, fɔ ɔltɛm.

Wetin yu fɔ ɛkspɛkt we yu de liv wit dis sik?

If yu gɛt krɛse sik lɛk asma wae de mek yu gɛt brɔnkokonstrikshɔn, i impɔtant fɔ manej am fayn fayn wan. I impɔtant fɔ tek yu mɛrɛsin dɛn lɛk aw yu dɔktɔ tɛl yu fɔ tek am ɛn fɔ de fa frɔm di tin dɛn we kin mek yu gɛt dis sik as yu ebul. If nɔto dat, yu sik kin flay mɔ ɛn mɔ.

Nɔto ɔlman in ɛkspiriɛns na di sem. Fɔ sɔm, i nɔ kin apin ɔltɛm ɔ i kin izi fɔ mek dɛn ebul fɔ kɔntrol am. Fɔ ɔda pipul dɛn, i kin apin ɔltɛm, ɛn sɔntɛnde i kin rili bad. So, tɔk to yu dɔktɔ bɔt yu sik ɛn aw yu want fɔ mɛn am, ɛn kam wit tritmɛnt plan we go wok fɔ yu.

Ustɛm a fɔ go to dɔktɔ?

Yu fɔ rili go to dɔktɔ pan dɛn kayn tin ya:

• If yu kin gɛt brɔnkokonstrikshɔn bɔku tɛm, dat na, yu kin blo shɔt ɛn yu chɛst kin tayt.
• If i tan lɛk se di mɛrɛsin we yu de tek naw nɔ de kɔntrol am fayn. Fɔ ɛgzampul, if yu fɔ yuz yu rescue inhaler bɔku tɛm.
• If i tan lɛk se di sayn dɛn dɔn wɔs pas aw i bin de bifo.
• If dis sik de mek i nɔr izi fɔ yu fɔ du yu woke wae yu de du ɛvride.

Dɔn di dɔktɔ kin chɛk yu sik bak, ajɔst yu tritmɛnt plan as nid de, ɛn ɛp fɔ mek di sik nɔ wɔs.

Ustɛm wi fɔ panik ɛn go na ɔspitul wantɛm wantɛm (ETU) ?

If yu ɔ pɔsin we yu sabi gɛt dɛn sik ya, kɔl 911 wantɛm wantɛm, ɔ go na di ɔspitul imejensi rum we de nia yu ɛn nɔ de te. Dis kin bi tin we go mek pɔsin day ɔ day!

• If yu gɛt siriɔs prɔblɛm fɔ blo (so te yu nɔ ebul fɔ tɔk ɔ waka).
• If yu asma bad bad wan ɛn yu stil de yuz yu rescue inhaler, .
• If yu trot, yu fes, yu mɔt, yu lip, ɔ yu tɔng swel wantɛm wantɛm (dis kin bi sayn fɔ se yu gɛt siriɔs alɛji).
• If yu fil lɛk se yu blɔd prɛshɔn dɔn dɔŋ wantɛm wantɛm, yu ed de tɔn, ɔ yu kol.
• If di skin, di lip, ɔ di nel dɛn tɔn blu (wi kin kɔl dis saynosis , we min se ɔksijɛn nɔ de na di blɔd).
• If yu lɔs kɔnshɛns, ɔ if yu kɔnshɛns nɔ de wok fayn.

Wetin na di impɔtant kwɛstyɔn dɛn we wi fɔ aks di dɔktɔ?

E kin fayn fɔ aks dɛn kayn kwɛstyɔn ya wae yu de go to yu dɔktɔ, bikɔs i impɔtant fɔ mek yu no ɔltin bɔt yu sik.

• Wetin yu tink se na di men tin wae kin mek dis brכnkokonstrikshכn de?
• Aw a go avɔyd dɛn tin dɛn de as a ebul?
• Wetin a fɔ du fɔs na os if a gɛt flawa ɔ asma atak? Aw a go yuz mi rescue inhaler kɔrɛkt wan?
• Us mɛrɛsin dɛn a nid fɔ tek ɛvride? Aw ɛksaktɔli a go tek dɛn?
• Wetin ɔda tin a kin du fɔ mek dis sik nɔr wɔs ɔr gɛt asma atak? (e.g., it, ɛksesaiz, ɛn ɔda tin dɛn)
• Us sayn dɛn we a fɔ wɔri bɔt mɔ? Ustɛm a fɔ go to di dɔktɔ bak?

Ɛnitin de we wi go du fɔ mek dis nɔ apin?

Pan ɔl we dɛn nɔ kin ebul fɔ stɔp am ɔltogɛda, bɔku tin dɛn de we wi kin du fɔ ridyus di risk fɔ gɛt dis brɔnkokonstrikshɔn kɔndishɔn ɛn di exacerbations we i kin gɛt ɔltɛm.

• Fɔ trit di tin we de mek yu gɛt dis sik: If yu gɛt wan sik lɛk asma ɔ COPD, i impɔtant fɔ tek di mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek am.
• Fɔ avɔyd tin dɛn we kin mek yu nɔ du bad tin: Tek sɔm tɛm fɔ no us tin dɛn we kin mek yu gɛt prɔblɛm. Yu kin nid fɔ kip wan jɔnal fɔ yu sayn dɛm, wetin yu de it, ɛn usay yu de go. Dis go ɛp yu fɔ ɔndastand wetin kin mek yu gɛt dis sik. Dɔn, avɔyd dɛn tin dɛn de as yu ebul. Fɔ ɛgzampul, nɔ yuz dɔst, nɔ yuz ples usay pipul dɛn de smok, ɛn nɔ yuz sɛnt we nɔ fayn fɔ yu.
• Fɔ fala di dɔktɔ in advays lɛk aw dɛn tɛl yu fɔ du am: Mek shɔ se yu go to di dɔktɔ di de dɛn we dɛn dɔn sɛtul ɛn tek yu mɛrɛsin lɛk aw dɛn tɛl yu fɔ tek am.

Sɔm tin dɛn we a tink se impɔtant fɔ yu (Take-Home Message)

Chɛst tayt. I kin tan lɛk se yu nɔ ebul fɔ blo. Na wan sawnd de we de mek pɔsin swɛt. If yu gɛt wan sik we yu de blo lɛk asma ɔ COPD, yu no aw dis brɔnkokɔnstrikshɔn kin mek yu fred ɛn nɔ kin fil fayn.

Bɔt, nɔ panik. Dis na kɔndishɔn we pɔsin kin ebul fɔ kɔntrol. De tin wae impɔtant pas ɔl na fɔ ɔndastand yu sik gud gud wan ɛn fɔ woke wit yu dɔktɔ fɔ mek gud tritmɛnt plan. Dɔn, yu go no bifo tɛm wetin fɔ du if dis sik wɔs. Nɔ fɔgɛt fɔ kip yu rescue inhaler wit yu ɔltɛm.

I impɔtant bak fɔ tɛl yu fambul, yu tayt padi dɛm, ɛn yu kɔmpin wokman dɛm bɔt di sayn dɛm fɔ brɔnkokonstrikshɔn ɛn aw fɔ ɛp yu if i apin (e.g., fɔ gi yu inhala, kɔl ambulans we i gɛt imejensi). Dis go ɛp dɛn fɔ gɛt di ɛp we dɛn nid kwik kwik wan we ɛnitin apin.

Mɛmba se if yu trit yu kwik ɛn fayn, yu no bɔt yu, ɛn gɛt gud wɛlbɔdi, yu go ebul fɔ kɔntrol dis sik ɛn liv nɔmal layf!

` Bronkokonstrikshɔn, shɔt briz, asma, COPD, chɛst tayt, kɔf, sik we de mek yu blo