Sɔntɛnde, yu kin fil smɔl fɔ blo? Yu kin swɛt we yu de klaym stej ɔ we yu de waka fɔ shɔt tɛm? Ɔ yu de sɔfa wit kɔf we nɔ de chenj? Dɛn tin ya kin bi sayn dɛm fɔ wan sik we de na di lɔng we dɛn kɔl ɛmfisɛma, we wi go tɔk bɔt tide. Nɔ wɔri, lɛ wi tɔk bɔt dis.
Wetin na Ɛmfisɛma? Lɛ wi ɔndastand am simpul wan
Fɔ tɔk am simpul wan,
ɛmfisɛma na sik we kin apin we di smɔl smɔl ay sak dɛn we de insay yu lɔng, we dɛn kɔl alvɛli, dɔn pwɛl. Dɛn alviɔl ya na di tin dɛn we wi de blo insay, we de ad ɔksijɛn frɔm di briz to di blɔd ɛn pul kabon dayɔgzayd frɔm di blɔd. Tink bɔt yu lɔng dɛn lɛk bɔbul we dɛn rap. Dɛn smɔl smɔl bɔbul dɛn ya na di wan dɛn we wi kin kɔl alveoli. lεk 300 miliכn alvεol dεm de na nכmal hεlty lכng. insay εmfisema, di wכl dεm fכ dεn alvεol dεm ya kin pwεl εn bכs. Insted of dem smol smol bobul, big big air sak dem fom. I tan lɛk se yu blo wan bɔnch smɔl bɔbul dɛn insay bɔbul rap fɔ mek wan big bɔbul. dis de ridyus di sכfa εria na di lכng fכ כksijεn fכ chenj. Dɔn bak, di briz kin trɔp insay di lɔng dɛn. Dis kin mek i nɔ izi fɔ blo, ɛn dis kin mek yu swɛt. Sɔm pipul dɛn kin gɛt chɛst we swel, we kin mek dɛn tan lɛk barɛl chɛst.
Wetin na di men tin dɛm wae kin mek pɔrsin gɛt ɛmfisema?
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 de we kin mek i apin:
- Di tin dɛn we de pwɛl di briz na os ɔ na di wokples: Fɔ inhal tin dɛn lɛk dɔst ɛn kemikal fɔm fɔ lɔng tɛm.
- Jɛnɛtik tin dɛm : Sɔm pipul kin gɛt am bak bikɔs ɔf tin dɛm lɛk Alpha-1 antitrypsin dɛfisiɛns, we na jɛnɛtik kɔndishɔn. Dis na sɔntin we nɔ kin apin so ɔltɛm.
- Infεkshכn dεm na di rεspiretכri : Infεkshכn dεm we de kam na di lכng b כku tεm kin afekt bak.
Dɛn se na Amɛrika nɔmɔ i pas 3 milyɔn pipul dɛn we gɛt ɛmfisɛma. So dis nɔto sɔntin we wi fɔ tek am layt.
Wetin na di difrɛns bitwin Emphysema ɛn COPD?
Sɔntɛm yu dɔn yɛri di wɔd COPD.
COPD (Chronic Obstructive Pulmonary Disease) tinap fɔ krɛse sik. Nɔto wan sik, bɔt na jɛnɛral wɔd fɔ wan grup fɔ sik dɛn we de pwɛl di lɔng dɛn smɔl smɔl. Emphysema na ɔda sik we de pan dis COPD grup. Krεse brɔnkayt na ɔda kayn COPD. Sɔm pipul dɛn we gɛt COPD kin gɛt asma bak.
Wetin na di difrɛns bitwin Emphysema ɛn Chronic Bronchitis?
Dis na ɔl tu kayn COPD. Bɔku pipul dɛn kin gɛt dɛn tu tin ya di sem tɛm.
- εmfisema: Dis kin afekt di alveoli dεm na di lכng dεm mεntal wan. Di men sayn na we i nɔ izi fɔ blo .
- Kronik Bronkaytis: Dis kin kam bikɔs di fayn fayn tin dɛn we tan lɛk ia na di say dɛn we di briz de blo (dɛn kɔl am cilia) de pwɛl. dis cilia dεm de rispansabl fכ pul di jεm dεm εn di dεbri we de go insay di aywe dεm. di men simptom fכ krεse brכnkaytis na we di mכkus de prodyuz bכku. Dis min se yu de kɔf we de mek yu gɛt tik, yɔlɔ, grɛn, ɔ grey mכkus. Insay ɛmfisema, sɔm sayn dɛm lɛk fɔ kɔf kin apin bak apat frɔm we yu nɔ de blo fayn.
Wetin na di stej dɛm fɔ ɛmfisɛma?
Dɔktɔ dɛn kin klas ɛmfisema insay di stej dɛn we di COPD gɛt. Dɛn kɔl dis
di GOLD (Global Initiative for Chronic Obstructive Lung Disease) klasification. Dis kin ɛp fɔ ɔndastand aw di sik kin tranga.
- Stej 1 (Mild): Dis na di stej we mild pas ɔl. yu lכng dεm de wok at le 80% pan di lכng fכnshכn fכ pכsin we gεt hεlth, i dipכnt pan yu ej, ayt, εn jεnda.
- Stej 2 (Mɔdarɛt): Mɔdaret ɛmfisema. di lכng fכnshכn de bitwin 50% εn 79%.
- Stej 3 (Stej 3 - Sivεr): Sivεr εmfysema. di lכng fכnshכn de rεdכks bitwin 30% εn 49%.
- Stej 4 (Vɛri Sivεr): Rili siriכs εmfysema. di lכng fכnshכn de rεdכks pas 30%.
Na bay dɛn stej ya we dɔktɔ dɛn kin disayd bɔt di we aw dɛn de trit dɛn ɛn di kwaliti fɔ layf.
Wetin na di layf we pɔsin we gɛt ɛmfisɛma kin liv?
Dis na kwɛstyɔn we at fɔ ansa. I dipen pan yu ej, di stej we di sik de, ɛn if yu bin smok, lɛf fɔ smok, ɔ yu nɔ ɛva smok. Dɛn se we yu smok, dat kin mek yu nɔ liv lɔng lɛk 3.5 ia. Di tin dɛn we de mek pɔsin gɛt jɛnɛtiks kin ɛp bak. Emphysema kin pasmak pan man dɛm wae ol bitwin 50 ɛn 70. So, i impɔtant fɔ nɔr frayd ɛn go to dɔktɔ kwik kwik wan if yu gɛt sɔm sayn dɛm.
Wetin na di fɔs sayn dɛm fɔ ɛmfisema?
Bɔku pipul dɛn nɔ kin bigin fɔ notis di sayn dɛm fɔ ɛmfisema te 50% ɔ mɔ pan dɛn lɔng tisu dɔn pwɛl. Da tɛm de,
di fɔs sayn dɛn na we i de blo smɔl smɔl ɛn taya. Ɔda sayn dɛn we de sho se yu gɛt dis sik na:
If yu gɛt ɛmfisema, yu kin gɛt bɔku risk bak fɔ gɛt infɛkshɔn na yu lɔng lɛk nyumonia ɛn brɔnkayt.
Wetin na di men tin we kin mek pɔsin gɛt ɛmfisɛma?
Smok na di men tin we kin mek pɔsin gɛt ɛmfisɛma. Sigrɛt smok kin pwɛl yu lɔng tisu ɛn i kin mek yu aywe dɛn vɛks. Dis kin mek yu aywe dɛn swel, mek yu gɛt mɔkus, ɛn mek i nɔ izi fɔ mek yu aywe dɛn klin. Ɔl dis kin mek i nɔ izi fɔ blo. Ɔda tin dɛn de we kin mek pɔsin smok apat frɔm we pɔsin de smok:
- Kannabis smok.
- Vaping ɛn e-sigrɛt.
- Siga smok.
- Pɔlyushɔn we di briz de pwɛl.
- Dɔst.
- Kεmikכl fכm dεm.
Yu tink se Emphysema na sik we pɔsin kin pas?
Nɔ, ɛmfisɛma nɔto sik we pɔsin kin pas. If yu gɛt ɛmfisɛma, yu nɔ go ebul fɔ gi am to ɔda pɔsin.
Aw dɛn kin no se pɔsin gɛt Ɛmfisɛma?
Yu dɔktɔ kin no se yu gɛt ɛmfisɛma. Bɔt, di sayn dɛm nɔmɔ nɔ go ebul fɔ no fɔ tru. Di dɔktɔ go chɛk yu. I go lisin to yu lɔng dɛn wit stetɔskɔp. If yu yɛri wan ol sawnd we yu tap yu chɛst, dat min se briz dɔn trɔp na yu lɔng. Dɔn, dɛn go ɔda fɔ du mɔ tɛst fɔ kɔnfɔm ɛmfisema.
Us tɛst dɛn kin yuz fɔ no if pɔsin gɛt ɛmfisɛma?
Di dɔktɔ kin ɔda fɔ du dɛn tɛst ya:
- Chɛst X-ray: Fɔ chɛk aw di lɔng dɛn de. Bɔt i nɔ kin izi fɔ no di ɛkstrem rayt we di sik bigin. Dɛn kin jɔs yusful pan mɔdaret to siriɔs kes dɛm.
- CT skan: Dis kin tek tri-dimɛnshɔnal (3D) imej fɔ di lɔng dɛn. I de gi klia ditil dɛn pas ɛkstrem rayt.
- Pulmonary function testing (PFT): De sho aw yu lכng dεm kin brith insay εn kכmכt fayn fayn wan. Dis tɛst we dɛn kin kɔl bak spirometry , kin no aw di briz de flɔ na yu lɔng ɛn di kayn briz we de na yu lɔng.
- Arterial Blood Gas (ABG): Dis tɛst de sho di ɔksijɛn ɛn kabon dayɔgzayd we de insay wan blɔd we dɛn tek frɔm wan at. Dɛn kin du dis tɛst fɔ si if yu nid sɔpɔtmɛnt ɔksijɛn if yu ɛmfisema de wɔs.
- Ilɛktrokardiogram (EKG): Dis kin tɛst aw di at de wok. Dɛn kin du dis fɔ si if at sik de mek yu nɔ ebul fɔ blo fayn.
- Blɔd tɛst ɛn jenɛtik tɛst: Dɛn kin du dɛn tin ya fɔ no if sɔntin de we kin mek pɔsin gɛt jɛnɛtiks, lɛk we i nɔ gɛt Alpha-1 antitrypsin .
Yu tink se di damej we de pan di lɔng dɛn we ɛmfisema kin mek kin wɛl?
כnכfכs, di damej we di lכng dεm we εmfysema kin mek, nכ kin kכmplit rivεs. Bɔt tritmɛnt kin mek di sik nɔ bɔku, i kin mek i gɛt bɛtɛ layf, ɛn i kin mek i nɔ pwɛl mɔ.
Aw dɛn kin trit Ɛmfisema?
Emphysema na sik wae kin wɔs as tɛm de go. So, di men gol fɔ tritmɛnt na fɔ slo di sik ɛn fɔ mek di lכng tisu we lɛf we gɛt wɛlbɔdi de wok fayn fayn wan. Di tritmɛnt we dɛn kin pik kin difrɛn difrɛn wan bay aw di sik bad. Di tritmɛnt we dɛn kin pik kin bi:
- Fɔ lɛf fɔ smok: If yu na pɔsin we de smok, di bɛst ɛn impɔtant tin fɔ kɔntrol di ɛmfisema na fɔ lɛf fɔ smok. Yu ɛn yu dɔktɔ kin wok togɛda fɔ fɛn di bɛst we fɔ du dis.
- Bronchodilators: Dɛn mɛrɛsin ya kin mek di mɔsul dɛn we de rawnd di say dɛn we di briz de blo rilaks, ɛn dis kin mek mɔ briz go insay ɛn kɔmɔt na di lɔng dɛn. Bɔku tɛm, dɛn kin gi dɛn tin ya as mɛrɛsin we dɛn kin blo.
- Inhaled corticosteroids: Dɛn wan ya de ridyus di swɛlin ɛn mכkus prodakshɔn na di aywe dɛm. Yu kin nid fɔ tek dɛn tin ya ɛvride fɔ mek yu nɔ gɛt di sik.
- Ɔral kɔtikosterɔyd: Dɛn kin gi dɛn tin ya fɔ shɔt tɛm we di pɔsin de flay.
- Antibayɔtik: Dɛn kin gi dɛn tin ya fɔ trit baktriyal infɛkshɔn lɛk nyumonia ɛn brɔnkayt.
- Anti-inflammatory medications: Ridyus inflamɛns na di aywe dɛm.
- Ɔksijɛn tritmɛnt: If yu blɔd nɔ de gɛt bɛtɛ ɔksijɛn frɔm yu lɔng (dɛn kɔl dis haypoksimia) , ɔksijɛn tritmɛnt kin ɛp. Na mashin de gi ɔksijɛn tru wan kanula na di nos ɔ fes mask.
- Lכng Volyum Ridyushכn כpεrayshכn (LVRS): Dis כpεrayshכn involv fכ pul wan pat pan di lכng tisu we sik εn kכnekt di tisu we rεst bak. If yu pul di tisu we dɔn pwɛl, i kin mek di prɛshɔn we de pan di mɔsul dɛn we de blo nɔ bɔku ɛn i kin mek di lɔng in ebul fɔ bɔku. Nɔto ɔlman kin gɛt dis ɔpreshɔn.
- brכnkoskopik lכng vכlyum rεdukshכn: insay dis prכsidכs, dεn de put wan we valv insay di aywe dεm we dεn de yuz brכnkoskop. dis valv dεm de mek di briz kכmכt na di lכng dεm, bכt dεn nכ de alaw nyu briz fכ kam insay. Dis kin mek am izi bak fɔ blo. Dis nɔto fɔ ɔlman.
- Lɔng transplant: If yu gɛt siriɔs ɛmfisɛma ɛn ɔda tritmɛnt dɛn nɔ de wok, yu kin ebul fɔ gɛt wɛlbɔdi lɔng transplant fɔ tek di ples fɔ di lɔng we dɔn pwɛl.
Wetin yu kin ɛkspɛkt if yu gɛt ɛmfisɛma?
Di we aw yu de si tin dipen pan aw yu ɛmfisema siriɔs. If yu gɛt mild emphysema, di lukin-grɔn fayn. Bɔt ivin smɔl smɔl ɛmfisema kin afɛkt sɔm tin dɛn we yu kin du ɛvride, mɔ if yu dɔn pas 65. Di sayn dɛn kin apin we yu de du tin dɛn lɛk fɔ waka, fɔ klaym stej, ɔ fɔ drɛs. If yu gɛt siriɔs ɛmfisɛma, i kin rili at fɔ blo, ɛn yu kin nid dɔktɔ fɔ ɛp yu ɔltɛm.
Emphysema nɔ gɛt ɛni mɛrɛsin. Ivin if yu stɔp fɔ smok, di damej we yu lɔng nɔ go chenj. Bɔt, dɛn kin ebul fɔ kɔntrol di sik wit tritmɛnt. Di kwik we yu bigin fɔ tek tritmɛnt, na di mɔ yu layf go bɛtɛ.
Aw fɔ 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 smok. I kin tek sɔm tɛm fɔ tray fɔ lɛf fɔ wok fayn fayn wan. If yu de tink bɔt fɔ lɛf fɔ smok, tɔk to yu dɔktɔ. I kin ɛp yu. I fayn bak fɔ jɔyn sɔpɔt grup. Ɔda we dɛn fɔ ridyus yu risk fɔ gɛt ɛmfisema:
- Nɔ smok sɛkɔnhand, pwɛl pwɛl di briz, kemikal dɛn we de kɔmɔt na do, dɔst, pɔlin, ɛn animal dɛn we yu lɛk.
- Chek yu os fɔ si if radɔn gas de.
- Wear mask we yu de wok wit kemikal ɔ na say dɛn we gɛt dɔti.
Aw a kin kia fɔ misɛf?
If yu gɛt ɛmfisema, di bɛst we fɔ mek yu nɔ gɛt ɔda prɔblɛm na fɔ lɛf fɔ smok ɛn protɛkt yusɛf frɔm di sik dɛn we yu kin gɛt we yu de blo. Dɛn advays ya kin ɛp fɔ mek yu nɔ gɛt infɛkshɔn na di say we yu de blo:
- Wash yu an ɔltɛm.
- Brush ɛn flos yu tit ɛvride. Yuz antiseptik mɔt was afta yu dɔn it.
- Kip di tin dɛn we yu de yuz fɔ blo klin.
- Kip yu os klin ɛn dust ɔltɛm.
- Gɛt yu vaysin dɛn di rayt tɛm, inklud di flu shot, nyumokɔk vaysin, ɛn COVID-19 vaysin.
- Gɛt ɛksɛsayz program frɔm yu dɔktɔ ɛn fala am.
- Nɔ tek tin dɛn we de mek yu vɛks lɛk smok, motoka ɛkzoz, strɔng sɛnt, tin fɔ klin, pent/varnish, dɔst, pɔlin, ɛn pet dander.
Ustɛm a fɔ go to dɔktɔ?
If yu gɛt siriɔs prɔblɛm fɔ blo, kɔl 1990 wantɛm wantɛm.
Tɔk to yu dɔktɔ if yu gɛt ɛni wan pan dɛn sayn ya:
- If fɔ blo at pas aw yu kin blo ɔ yu kin shɔt fɔ blo izi wan.
- If yu de prodyuz mɔ mכkus pas aw yu kin prodyuz.
- If di mכkus na yכlכ כ grεn we nכ kɔmɔn.
- If yu nid fɔ yuz yu brɔnkodaylɛta ɔ inhal kɔtikosterɔyd mɛrɛsin mɔ ɛn mɔ.
- If i tan lɛk se yu mɛrɛsin nɔ de ɛp yu fɔ fil fayn.
- If di kɔf de bɔku.
- If yu nɔ ebul fɔ slip na nɛt ɔ wek na midul nɛt bikɔs i nɔ izi fɔ yu fɔ blo.
- If yu fil se yu nɔ gɛt bɛtɛ trɛnk.
Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?
We yu go si dɔktɔ, rɛdi fɔ aks kwɛstyɔn dɛn lɛk dɛn wan ya:
- Aw yu go no if a gɛt ɛmfisɛma?
- If a nɔ gɛt ɛmfisɛma, us ɔda mɛrɛsin a gɛt?
- Us tin dɛn kin mek mi ɛmfisema wɔs?
- Aw a go no if mi briz de wɔs?
- Us tritmɛnt dɛn yu kin advays?
- Us ɛgzampul dɛn yu kin advays?
- Wetin a kin du fɔ mek a nɔ gɛt infekshɔn na di say we a de blo?
- Wetin a go du fɔ lɛf fɔ smok?
- Sɔpɔt grup dɛn de we go ɛp mi fɔ lɛf fɔ smok?
- A nid fɔ evaluet fɔ di we aw dɛn de ridyus di volyum na mi lɔng ɔ fɔ mek dɛn transplant mi lɔng?
Yu tink se COVID-19 de mek yu gɛt ɛmfisema?
If yu nɔ gɛt lɔng sik ɔ damej yet, COVID-19 kin mek yu gɛt big big ɛmfisema. Bɔt, dis nɔ kin apin so ɔltɛm. Na smɔl ripɔt dɛn dɔn de bɔt wan link bitwin COVID-19 ɛn jayant ɛmfisema. Jaynt ɛmfisɛma na wan sik we de mek pɔsin fil bad. If yu gɛt ɛmfisɛma, di ay pɔkit dɛn kin big, ɛn dɛn kin kɔba lɛk wan pat pan tri pat pan wan ɔ ɔl tu di lɔng dɛn. Dɔktɔ dɛn kin kɔl dɛn big big ay pɔkit ya bullae (plural: bulla).
Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .
Emphysema na wan sik we nɔ de mɛn we kin pwɛl di ay sak dɛn na yu lɔng, ɛn dis kin mek i nɔ izi fɔ blo. Dɛn nɔ kin ebul fɔ chenj di damej we ɛmfisema kin gɛt, ɛn i kin wɔs smɔl smɔl as tɛm de go. Bɔt
tritmɛnt kin ɛp fɔ kɔntrol di sayn dɛm ɛn ridyus di impak we ɛmfisema kin gɛt.Apat frɔm di tritmɛnt, if yu fala di advays fɔ mek yu nɔ gɛt sik dɛn we yu de blo, dat go ɛp yu fɔ blo izi wan.
If yu no di sik kwik kwik wan, dat kin ɛp yu fɔ gɛt gud kwaliti layf fɔ lɔng tɛm. If i nɔ izi fɔ yu fɔ blo, mɔ if yu na pɔsin we de smok, mek shɔ se yu go to dɔktɔ. I kin no se yu gɛt ɛmfisema ɛn mek wan wɛlbɔdi plan we go fayn fɔ yu. Dɔn yu kin kɔntinyu fɔ du di tin dɛn we yu lɛk.
Emphysema, lכng sik, sכt brith, smok, COPD, krεse brכnkitis, rεspiretכri sik
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