Sɔntɛnde, i nɔ kin izi fɔ yu fɔ blo? Yu tink se we yu klaym stej ɔ waka ivin smɔl, dat kin mek yu fil lɛk se briz de blo? Yu de strɛs wit kɔf we nɔ de dɔn? Dɛn tin ya kin bi sayn fɔ wan sik we de na di lɔng we dɛn kɔl ɛmfisɛma, we wi go tɔk bɔt tide. Duya una nɔ fred; mek wi waka tru dis togeda.
Wetin na Ɛmfisɛma? Fɔ Ɔndastand di Besik tin dɛn
Fɔ tɔk am simpul wan, ɛmfisɛma na wan sik we kin kam bikɔs di smɔl smɔl ay sak dɛn we de na yu lɔng dɛn kin pwɛl, we dɛn kɔl alveoli. Dɛn alviɔl ya de mek ɔksijɛn kɔmɔt na di briz go insay yu blɔd we dɛn de pul di kabon dayɔgzayd. Tink bɔt yu lɔng dɛn lɛk bɔbul rap; di alvεol dεm na dεn sכm sכm bכbul dεm. Wan sɛt fɔ di lɔng dɛn we gɛt wɛlbɔdi gɛt lɛk 300 milyɔn pan dɛn.
insay εmfisema, di wכl dεm fכ dεn alvεol dεm ya de wik εn leta dεn kin rכp. Bifo yu gɛt bɔku smɔl smɔl bɔbul dɛn, yu kin dɔn wit big big ay pɔkit dɛn we nɔ de ɔltɛm. dis de ridyus di sכfayz εria we de fכ כksijεn εkschεnj bכku bכku wan. Dɔn bak, di briz kin trɔp insay yu lɔng, ɛn dis kin mek i nɔ izi fɔ blo ɛn yu nɔ kin blo fayn. sכm pipul kin divεlכp "barel-chεst" apinεns bikoz fכ dis εya we dεn trכp.
Wetin na di men tin dɛn we kin mek pɔsin gɛt ɛmfisɛma?
Bɔrku tɛm, ɛmfisema kin kam pan pipul dɛm wae dɔn smok fɔ bɔrku ia. Bɔt nɔto di wangren tin we kin mek pɔsin smok. Ɔda tin dɛn we kin apin na:
- Di tin dɛn we de pwɛl di briz na os ɔ wokples: Fɔ lɔng tɛm we yu de na dɔst, kemikal dɛn we de mek yu smok, ɔ we di briz de pwɛl.
- Jɛnɛtik tin dɛn : Sɔm pipul dɛn kin gɛt wan sik we nɔ kin apin so ɔltɛm we dɛn kɔl alpha-1 antitrypsin deficiency , we kin mek dɛn gɛt ɛmfisema.
- Infεkshכn dεm na di rεspiretכri : We yu gεt infεkshכn na di lכng b כku tεm kin kכntribyut bak fכ di damej.
Bɔku bɔku pipul dɛn ɔlsay na di wɔl gɛt wan sik we dɛn kɔl emphysema. Na siriɔs sik we nid fɔ go to dɔktɔ fayn fayn wan.
Wetin na di difrɛns bitwin Emphysema ɛn COPD?
Sɔntɛm yu dɔn yɛri di wɔd COPD. COPD (Chronic Obstructive Pulmonary Disease) na wan ɔmbrela wɔd we dɛn kin yuz fɔ tɔk bɔt wan grup we gɛt sik dɛn we de go bifo na di lɔng. Emphysema de ɔnda dis kategori, lɛk aw Kronik Bronchitis de. Sɔm pipul dɛn we gɛt COPD kin gɛt asma bak.
Wetin na di difrɛns bitwin Emphysema ɛn Chronic Bronchitis?
Dɛn tu tin ya na kayn COPD, ɛn bɔrku pipul dɛn kin gɛt dɛn tu sik ya wan tɛm.
- Emphysema: Dis kin min fɔ mek di alvɔlɔ dɛn we de na yu lɔng dɛn pwɛl. Di sayn we de sho se i nɔ izi fɔ blo .
- Kronik Bronkaytis: Dis kin min se di say dɛn we yu de blo—smɔl smɔl tin dɛn we tan lɛk ia—na yu aywe dɛn pwɛl. Dɛn cilia ya kin klin di jem , dɔst, ɛn tin dɛn we kin mek pɔsin vɛks. Di praymar simptom na we yu kɔf we de mek yu gɛt tik tik mucus, we kin bi yɔlɔ, grɛn, ɔ grey.
Wetin na di stej dɛm fɔ Emphysema?
Di wan dɛn we sabi bɔt mɛrɛsin kin klas ɛmfisema bay di GOLD (Global Initiative for Chronic Obstructive Lung Disease) krayteria fɔ no aw di sik siriɔs.
- Stej 1 (Mild): Yu lכng fכnshכn na at le 80% pan wetin dεn de εkspεkt fכ yu ej, ayt, εn jεnda.
- Stej 2 (Mכdarεt): Yu lכng fכnshכn de bitwin 50% εn 79%.
- Stej 3 (Siv): Yu lכng fכnshכn de bitwin 30% εn 49%.
- Stej 4 (Vɛri Sivεr): Yu lכng fכnshכn de less dan 30%.
Dɛn stej ya kin ɛp yu wɛlbɔdi prɔvayda fɔ tayla yu tritmɛnt ɛn layf stayl mɛnejɛmɛnt plan dɛm.
Wetin na di lukin-grɔn fɔ pɔsin we gɛt Emphysema?
Ɔlman difrɛn, ɛn di we aw yu de si tin kin dipen pan yu ej, di stej we di sik gɛt, ɛn di histri we yu dɔn smok. If yu lɛf fɔ smok, dat kin rili ɛp yu fɔ liv yu layf, ivin afta dɛn dɔn no se yu gɛt di sik. Pan ɔl we dis sik kin bɔku pan pipul dɛn we ol bitwin 50 ɛn 70 ia, di impɔtant tin we yu fɔ du na fɔ go to yu dɔktɔ kwik kwik wan if yu notis di sayn dɛm.
Wetin na di fɔs sayn dɛm fɔ Emphysema?
fכ bכku, di simptom dεm kin כnli notis afta 50% כ mכr pan di lכng tisu dεn dכn pwεl. Fɔs, yu kin gɛt shɔt shɔt briz ɛn taya.
Ɔda sayn dɛn we de sho se yu gɛt dis sik na:
- Wan "smoker's cough" we de kɔntinyu fɔ de.
- Wi de swɛt we yu de blo.
- Shortness of breath , mɔ we yu de tray tranga wan lɛk fɔ klaym stej.
- Wan filin ɔltɛm fɔ nɔ gɛt bɛtɛ briz.
- Chɛst tayt.
- di mכkus prodakshכn de bכku.
- Taya we nɔ de dɔn .
- Tin dɛn we de mɔna pɔsin we gɛt fɔ du wit at .
- Di prɔblɛm dɛn we kin mek pɔsin nɔ slip fayn.
- Wɔri .
- Pwɛl at.
- We yu de lɔs yu wet we yu nɔ ɛksplen.
If yu gɛt ɛmfisema, yu kin gɛt bɔku risk bak fɔ gɛt infɛkshɔn lɛk nyumonia ɛn brɔnkayt.
Wetin na di men tin we kin mek pɔsin gɛt Emphysema?
Sigarɛt smok na di men tin we kin mek pɔsin gɛt ɛmfisɛma.
Sigrɛt smok kin pwɛl di lɔng tisu ɛn i kin mek di say dɛn we di briz de blo vɛks, ɛn dis kin mek di bɔdi inflamɛns ɛn bɔku bɔku mɔkus. Apat frɔm smok, ɔda tin dɛn na kanaba smok, vaping, e-sigarɛt, siga smok, pwɛl pwɛl we di briz de pwɛl, dɔst, ɛn di industri kemikal smok.
Yu tink se Emphysema kin pas?
Nɔ, ɛmfisɛma nɔto sik we pɔsin kin pas. Yu nɔ go ebul fɔ pas am to ɛni ɔda pɔsin.
Aw dɛn kin no se pɔsin gɛt Ɛmfisɛma?
Yu dɔktɔ kin no if yu gɛt ɛmfisema tru wan ɛgzam pan yu bɔdi ɛn tɛst fɔ no if yu gɛt am. Dɛn go lisin to yu lɔng dɛn wit stetɔskɔp; wan ol sawnd we yu tap di chɛst kin sho se di briz dɔn trɔp. If yu de tray tranga wan fɔ blo, duya go to dɔktɔ wantɛm wantɛm. If yu gɛt siriɔs prɔblɛm fɔ blo, duya kɔntak di imejensi savis (911) wan tɛm.
Us tɛst dɛn kin yuz fɔ no if pɔsin gɛt Ɛmfisema?
Yu dɔktɔ kin tɛl yu fɔ du dɛn tɛst ya fɔ no if yu gɛt di sik:
- Chɛst X-ray: Fɔ no aw yu lɔng dɛn de. Duya mɛmba se ɛkstrem rayt nɔ kin no di sik we i bigin; dɛn kin yus mɔ fɔ no di wan dɛn we gɛt mɔdaret to siriɔs kes.
- CT skan: Dis kin gi yu ditayla 3D pikchɔ dɛn fɔ yu lɔng dɛn, we kin mek yu si klia wan pas standad ɛkstrem rayt.
- Pulmonary function testing (PFT): Dɛn tɛst ya de sho aw yu lɔng dɛn de blo ɛn pul di briz fayn fayn wan. Dis inklud Spirometry , we de spεshal mכsu fכ di briz fכ fכlכ εn di tכtal volyum fכ di briz we yu lכng kin ol.
- Arterial Blood Gas (ABG): We dɛn de analayz wan blɔd we kɔmɔt na wan at, dɛn kin no di ɔksijɛn ɛn kabon dayɔgzayd lɛvɛl. If yu ɛmfisema de wɔs, dis tɛst de ɛp fɔ no if yu nid ɔda ɔksijɛn.
- Ilɛktrokardiogram (EKG): Dis kin chɛk aw yu at de wok fɔ no if di prɔblɛm we yu gɛt fɔ blo gɛt fɔ du wit wan sik we de ɔnda yu at.
- Blɔd ɛn Jɛnɛtik Tɛst: Dɛn kin du dɛn tɛst ya fɔ no if sɔntin de we mek dɛn gɛt jɛnɛtik, lɛk we Alpha-1 antitrypsin nɔ de .
Yu tink se di lɔng damej we ɛmfisema kin mek kin chenj?
כnכfכs, di lכng dεm we εmfysema de mek dεn nכ kin rivεs kכmplit wan. Bɔt if yu trit yu fayn fayn wan, yu go ebul fɔ ridyus di sayn dɛn bad bad wan, yu go ebul fɔ liv yu layf fayn fayn wan, ɛn yu nɔ go pwɛl yu lɔng dɛn mɔ.
Aw dɛn kin trit ɛmfisɛma?
Emphysema na wan sik wae de go bifo ɛn kin wɔs as tɛm de go. So, di praymar gol dɛm fɔ tritmɛnt na fɔ slo di sik ɛn fɔ mek yu rεmεn hεlty lכng tisu dεm wok fayn fayn wan. Dɛn kin mek di tritmɛnt strateji fɔ aw yu sik bad.
Di tritmɛnt we dɛn kin pik kin bi:
- Fɔ lɛf fɔ smok: If yu de smok, fɔ lɛf fɔ smok na di wangren tin we impɔtant ɛn we go wok fɔ yu fɔ kɔntrol di ɛmfisema. Yu ɛn yu dɔktɔ kin wok togɛda fɔ fɛn di bɛst we fɔ lɛf fɔ smok.
- Bronchodilators: Dɛn mɛrɛsin ya kin ɛp fɔ mek di mɔsul dɛn we de rawnd yu aywe rilaks, ɛn dis kin mek mɔ briz go insay ɛn kɔmɔt na yu lɔng. Dɛn kin gi dɛn bay we dɛn de yuz inhala.
- Inhaled corticosteroids: Dɛn wan ya de ridyus inflamɛns ɛn mucus prodakshɔn na yu aywe. Yu kin nid fɔ yuz dɛn tin ya ɛvride fɔ kɔntrol di sayn dɛm.
- Ɔral kɔtikosterɔyd: Dɛn kin gi dɛn tin ya fɔ shɔt tɛm we di sik de bigin.
- Antibayɔtik: Dɛn kin gi am fɔ trit baktriyal infɛkshɔn lɛk nyumonia ɔ brɔnkayt.
- Anti-inflammatory medications: Dɛn kin yuz am fɔ ridyus inflammatory insay di aywe mɔ.
- Ɔksijɛn tɛrapi: If yu lɔng nɔ ebul fɔ gi yu blɔd inof ɔksijɛn (wan sik we dɛn kɔl haypoksimi ), ɔksijɛn tɛrapi kin ɛp. Dɛn kin yuz ɔksijɛn bay mashin tru wan kanula na di nos ɔ wan fes mask.
- Lung Volume Reduction Surgery (LVRS): We dɛn de du dis, dɔktɔ we de du ɔpreshɔn kin pul smɔl smɔl pat dɛn pan di lɔng tisu we dɔn pwɛl, ɛn dis kin mek di tisu we lɛf we gɛt wɛlbɔdi kin wok fayn fayn wan. Dis kin mek di prɛshɔn we de pan yu mɔsul dɛn we yu de blo nɔ bɔku ɛn i kin ɛp fɔ mek di lɔng dɛn we yu de blo fayn. Dis prosidur nɔ fayn fɔ ɔlman.
- brכnkoskopik lכng vכlyum rεdukshכn: Insay dis minimally invasive prosidur, dכkta de yuz brכnkoskop fכ put wan-way valv dεm na di aywe dεm. Dɛn valv dɛn ya kin mek di briz we dɔn trɔp kɔmɔt na di briz ɛn i kin mek nyu briz nɔ go insay, we kin mek i izi fɔ blo. Dis nɔ fayn bak fɔ ɔlman we sik.
- Lɔng transplant: If yu gɛt siriɔs ɛmfisema ɛn ɔda tritmɛnt dɛn nɔ wok, dɛn kin tink bɔt fɔ transplant lɔng fɔ chenj di lɔng dɛn we dɔn pwɛl wit wɛlbɔdi dona lɔng dɛn.
Wetin a kin ɛkspɛkt if a gɛt ɛmfisɛma?
Di we aw yu de si tin fɔ lɔng tɛm de dipen pan aw yu ɛmfisema tranga.
If yu gɛt smɔl kes, di we aw yu de si tin kin fayn. Bɔt ivin smɔl smɔl ɛmfisema kin ambɔg di tin dɛn we yu kin du ɛvride, mɔ if yu dɔn pas 65. Yu kin notis sɔm sayn dɛn we yu de du tin dɛn we yu kin du ɔltɛm lɛk fɔ waka, fɔ klaym stej, ɔ fɔ drɛs.
If yu gɛt siriɔs ɛmfisema, i kin rili at fɔ blo, ɛn yu kin nid fɔ go to dɔktɔ ɔltɛm.
No kɔmplit mɛrɛsin nɔ de fɔ ɛmfisema, ɛn di lɔng we de pwɛl na in lɔng kin de sote go. Bɔt, tritmɛnt kin mek yu ebul fɔ kɔntrol di sik fayn fayn wan. Di kwik we yu bigin fɔ trit yu ɔnda di kia fɔ di Nirogi Lanka tim, na di mɔ yu go ebul fɔ kip yu kwaliti layf.
Aw a go ridyus di risk fɔ gɛt ɛmfisema?
Di bɛst we fɔ ridyus yu risk fɔ gɛt ɛmfisema na fɔ avɔyd fɔ smok.
I nɔ izi fɔ lɛf fɔ du am, ɛn i kin tek sɔm tɛm fɔ tray fɔ du am. If yu de tink bɔt fɔ lɛf fɔ smok, tɔk to yu dɔktɔ. Dɛn kin gi yu tin dɛn ɛn sɔpɔt fɔ ɛp yu fɔ gɛt sakrifays. If yu jɔyn sɔpɔt grup, dat kin rili bɛnifit yu bak.
Ɔda we dɛn fɔ ridyus yu risk na:
- Fɔ avɔyd fɔ smok we yu de smok, fɔ pwɛl di briz, fɔ mek yu nɔ gɛt kemikal, dɔst, pɔlin, ɛn fɔ mek yu animal dɛn we yu lɛk.
- Test yu os fɔ radon gas.
- We yu de wɛr mask we de protɛkt yu we yu de wok wit kemikal ɔ na say dɛn we gɛt dɔti.
Aw a go ebul fɔ kɔntrol mi sik?
If yu gɛt ɛmfisema, di impɔtant tin fɔ du fɔ mek yu nɔ gɛt prɔblɛm na fɔ lɛf fɔ smok ɛn fɔ protɛkt yusɛf frɔm di sik dɛn we yu kin gɛt we yu de blo. Dɛn advays ya kin ɛp:
- Wash yu an ɔltɛm.
- Brush ɛn flos ɛvride, ɛn yuz antiseptik mɔt was afta yu dɔn it.
- Kip ɔl di tin dɛn we yu de yuz fɔ blo klin.
- Mek yu gɛt klin os bay we yu de yuz dɔst ɔltɛm.
- Stay up to date pan yu vaysin dɛm, inklud di flu shot, nyumococcal vaccine, ɛn COVID-19 vaccine.
- Fɔ fala wan program we yu fɔ du fɔ ɛksesaiz lɛk aw yu dɔktɔ tɛl yu fɔ du.
- Nɔ it tin dɛn we de mek yu vɛks lɛk smok, motoka ɛkzoz, strɔng sɛnt, tin dɛn fɔ klin, pent/varnish, dɔst, pɔlin, ɛn pet dander.
Ustɛm a fɔ go to dɔktɔ?
If yu gɛt siriɔs prɔblɛm fɔ blo, kɔl 911 ɔ yu lokal imejensi savis wantɛm wantɛm.
Kɔnsul yu dɔktɔ if yu gɛt dɛn tin ya:
- Fɔ blo kin tranga pas aw yu kin blo ɔ yu kin fil izi fɔ mek yu blo.
- Yu notis se di mכkus de prodyuz bכku bכku wan.
- Yu mכkus kin chenj kכla to yכlכ כ grεn.
- Yu nid fɔ yuz yu rescue bronchodilators ɔ inhaled corticosteroids mɔ pas aw yu kin yuz am.
- Yu mɛrɛsin dɛn nɔ de gi yu di sem rilif igen.
- Yu kɔf dɔn wɔs.
- Yu kin wek na midul nɛt bikɔs i nɔ kin izi fɔ yu fɔ blo.
- Yu kin fil se yu nɔ gɛt bɛtɛ trɛnk ɔ yu taya.
Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?
We yu de pripia fɔ go to yu dɔktɔ, tink bɔt fɔ aks dɛn impɔtant kwɛstyɔn dɛn ya:
- Aw yu kam fɔ no se a gɛt ɛmfisɛma?
- If a nɔ gɛt ɛmfisɛma, us ɔda sik kin de mek a gɛt di sik?
- Us patikyula tin dɛn kin mek mi ɛmfisema wɔs?
- Aw a go ebul fɔ no if di we aw a de blo de go bifo?
- Us tritmɛnt opshɔn dɛn yu kin rɛkɔmɛnd fɔ mi?
- Sɔm patikyula ɛgzampul dɛn de we yu kin tɔk bɔt fɔ mek a gɛt wɛlbɔdi na mi lɔng?
- Us step a kin tek fɔ mek a nɔ gɛt infɛkshɔn na di say we a de blo?
- Us tin dɛn ɔ we yu kin yuz fɔ ɛp mi fɔ lɛf fɔ smok?
- Sɔpɔt grup dɛn de fɔ ɛp mi fɔ lɛf fɔ smok?
- Yu nid fɔ evalyu mi fɔ di lɔŋ volyum ridɔkshɔn prosidur ɔ fɔ gɛt lɔng transplant?
Yu tink se COVID-19 kin mek pɔsin gɛt ɛmfisɛma?
If yu nɔ gɛt lɔng sik ɔ damej we bin dɔn de bifo, i nɔ kin izi fɔ mek COVID-19 mek "jaynt emphysema." Ripɔt dɛn we de link COVID-19 to di divɛlɔpmɛnt fɔ jayant ɛmfisema rili smɔl.
Jaynt ɛmfisema na wan kayn bullɔs sik. pan di sik pipul dεm we gεt dis kכndyushכn, di εya pכket dεm we de insay di lכng dεm kin εkspכnd fכ kכba wan tכd pan wan כ di tu lכng dεm. Dɔktɔ dɛn kin kɔl dɛn big big ay pɔkit ya bulla (singular) ɔ bullae (plural).
Faynal Takeaways dɛn
Emphysema na wan sik we nɔ de mɛn we de pwɛl di ay sak dɛn na yu lɔng, ɛn dis kin mek i nɔ izi fɔ blo. Pan ɔl we di damej we ɛmfisema kin kam wit nɔ kin chenj ɛn i kin go bifo as tɛm de go, di rayt tritmɛnt kin ebul fɔ kɔntrol yu sik dɛn fayn fayn wan ɛn ridyus di impak we di sik kin gɛt pan yu ɛvride layf. If yu fala di advays we dɔktɔ gi yu ɛn tek tɛm fɔ mek yu nɔ gɛt sik dɛn we yu de blo, yu go ebul fɔ blo fayn fayn wan. Fɔ no di sik kwik kwik wan ɛn fɔ ɛp yu na di men tin fɔ mek yu kɔntinyu fɔ gɛt ay kwaliti layf fɔ lɔng tɛm.If yu gɛt prɔblɛm fɔ blo, mɔ if yu dɔn gɛt histri fɔ smok, duya go to yu dɔktɔ wantɛm wantɛm. Dɛn kin ɛp fɔ no if yu gɛt ɛmfisema ɛn mek yu yon tritmɛnt plan we dɛn mek fɔ yu nid, ɛn ɛp yu fɔ kɔntinyu fɔ ɛnjɔy di tin dɛn we yu lɛk wit di sɔpɔt we Nirogi Lanka de gi yu.
Emphysema, lכng sik, at fכ brith, smok, COPD, krεse bכn, sik we de mek yu blo
