Lɛ wi lan bɔt di lɔng dɛn we gɛt bɔku bɔku wata.

Sɔntɛnde yu kin fil se yu nɔ de blo smɔl, yu chɛst kin tayt, ɔ yu kin fil taya ɔltɛm ? Dɛn tin ya kin bi bikɔs ɔf difrɛn rizin dɛn. Bɔt wan pan di men rizin fɔ dis na bikɔs yu lɔng dɛn kin ful-ɔp pasmak, we dɔktɔ dɛn kin kɔl (Hyperinflated Lungs) . Lɛ wi tɔk bɔt dis smɔl mɔ ɛn simpul wan tide.

Wetin na di lɔng dɛn we gɛt bɔku bɔku wata?

Fɔ tɔk am simpul wan, dis kin apin we di smɔl smɔl tiub dɛn (airways) na yu lɔng dɛn we de mek di briz kɔmɔt na do kin blok. Dɔn, we yu de blo, nɔto ɔl da briz de kin kɔmɔt. Apat frɔm da briz de, di mכkus we de na yu lכng dεm de trכp bak. Tink bɔt am lɛk we yu blo briz insay balyɔn ɛn i kin blo, bɔt if smɔl briz trɔp insay, i kin blo pasmak, nɔto so? Na dat kin apin to yu lɔng.

We di briz ɛn mכkus kin trɔp na di lכng dεm dis kayn we, i kin at fכ brith, εn di lכng dεm kin big pas aw i fכ bi. As tɛm de go, dis kin pwɛl di lɔng dɛn, afɛkt di at, ɛn mek di bɔdi nɔ gɛt bɛtɛ ɔksijɛn . So, dis na sik wae nid sɔm kayn kia.

Dɔktɔ kin chɛk yu ɛn du tɛst lɛk ɛkstrem rayt fɔ no if yu gɛt dis sik. Di tritmɛnt fɔ dis na fɔ inhala, nebulayz , spɛshal ɛksesaiz fɔ blo, ɛn sɔntɛnde ivin ɔpreshɔn.

Wetin mek di lɔng dɛn kin swel lɛk dis? Wetin na di tin dɛn we kin mek i apin?

Di men rizin fɔ dis we di lɔng dɛn kin swel pasmak na wan sik we dɛn kɔl COPD ɔ Chronic Obstructive Pulmonary Disease . Dis nɔto wan sik, bɔt na kɔmbayn sɔm sik dɛn we gɛt fɔ du wit di lɔng. Di tu men wan dɛn na:

1. 1. 1. .Kronik Bronkaytis: Dis na we di brɔnchi , ɔ di say dɛn we yu de blo, na yu lɔng dɛn kin inflam ɛn swel as tɛm de go. Dis kin mek di ples nɔ bɔku insay di tiub dɛn, ɛn dis kin mek i nɔ izi fɔ blo. I kin mek bak mɔ mכkus de bכku.

2. Emphysema : Dis na we di rili dilik ay sak dεm na di lכng dεm de damej εn dεm de pwεl fכ כltεm. Na dɛn sak ya de ɛp wi fɔ tek ɔksijɛn ɛn pul di kabon dayɔgzayd. We dɛn tin ya dɔn pwɛl, di briz nɔ kin ebul fɔ go insay ɛn kɔmɔt fayn, ɛn i kin stɔp insay.

Apat frɔm COPD, ɔda sik dɛn we de ambɔg yu lɔng we de afɛkt aw yu de blo (we yu de blo) kin mek yu lɔng dɛn swel dis kayn we bak. Na sɔm ɛgzampul dɛn ya:

• Asma : Yu no se we yu gɛt asma, i kin at fɔ blo. Dis kכndyushכn kin apin bak biכs di aywe dεm kin blok.
• Sistik Faybrosis: Dis na sik we pɔsin kin gɛt we i kam pan jɛnɛtiks. pan dis kכndyushכn, di mכkus na di lכng dεm kin tik bכku, we kin mek i at fכ brith.
• Bronchiectasis: Insay dis kɔndishɔn, di say dɛn we di briz de blo kin big fɔ ɔltɛm, we kin mek di mכkus kin gɛda ɛn kin mek i gɛt infεkshכn.
• Bronchiolitis: Dis na sik we kin apin mɔ pan yɔŋ pikin dɛm ɛn i kin gɛt inflamɛns na di rili smɔl aywe dɛm na di lכng.

Aw kɔmɔn tin dis kin apin?

Dɛn kin si di lɔng inflamɛns pan pipul dɛn we gɛt COPD. Dɛn se 15-20 milyɔn pipul dɛm na Amɛrika de liv wit COPD. Bɔt nɔr ɛksaktɔl statystik nɔr de fɔ ɔmɔs pipul dɛn gɛt dis lɔng inflamɛns. Bɔt i kin apin to pipul dɛn we gɛt COPD.

Wetin na di sayn dɛm fɔ dis?

Di sayn dɛm wae de sho se pɔrsin in lכng inflashכn pasmak kin fiba di wan dεm we pipul dεm we gεt jεnarכl lכng sik kin gεt. Dɛn tin ya na:

• Fɔ blo shɔt : Fɔ blo shɔt kin apin ivin afta yu dɔn waka smɔl ɔ yu dɔn klaym wan stej. Sɔntɛnde, ivin we yu jɔs tinap, dat kin mek yu nɔ ebul fɔ blo fayn.
• Fɔ blo shalo: .I at fɔ blo dip ɛn lɛf am, yu jɔs de blo smɔl smɔl.
• Fɔ fil taya ɔltɛm, nɔr gɛt trɛnk: Fɔ fil lɛk se yu nɔr gɛt trɛnk fɔ du ɛnitin, fɔ fil taya ɔltɛm.
• Chɛst kɔnjɛshɔn: Di chɛst kin fil lɛk se sɔntin dɔn stɔp insay, lɛk se i ful-ɔp wit mכkus.

Yu kin gɛt dɛn kayn sik ya we yu nɔr de tray tranga wan. Dis min se yu kin fil bad bad wan ɛn yu kin taya ivin we yu de du nɔmal tin dɛn ɛvride. Imajin aw i nɔ go izi fɔ du ivin smɔl wok na os ɔ go na di stɔ.

Udat de pan denja pas ɔl fɔ dis?

Pipul wae gɛt sɔm kayn sik wae de kam pan pɔrsin wae de blo ɛn in lɔng kin gɛt dis sik, bikɔs dɛn no se dɛn sik ya kin mek dɛn gɛt dis sik. Fɔ ɛgzampul, pipul dɛm wae gɛt sik dɛm lɛk COPD, asma, ɛn ɛmfisema kin gɛt bɔrku risk.

Smok na di big tin we kin mek pɔsin gɛt dis. Smok kin pwɛl di lɔng dɛn dairekt wan, we kin mek yu gɛt sik dɛn lɛk COPD, we kin mek yu lɔng inflamɛns.

Apat frɔm dat, sɔm tin dɛn de we kin mek pɔsin gɛt prɔblɛm wit in jɛnɛtiks. Wan ɛgzampul na di Alpha-1 antitrypsin dɛfisiɛns . Dis na jεnεtik kכndyushכn we kin mek bak εmfysema εn lכng kεnsar.

Us prɔblɛm dɛn dis kin mek?

Wan pan di siriɔs prɔblɛm dɛn we kin apin we yu inflayt pasmak na di at na we yu de prɛs di at . Mɛmba se di at de bitwin di lɔng dɛn. If di lɔng dɛn ful-ɔp pasmak, i kin put prɛshɔn pan di at. As tɛm de go, dis prɛshɔn kin mek chenj dɛn na di we aw yu at de pɔmp blɔd to di lɔng dɛn. Dis kin mek yu at nɔ wok fayn ɛn i kin mek di ɔksijɛn we de na yu blɔd nɔ bɔku .

Apat frɔm dat, we yu lɔng swel kin rili ambɔg yu ɛvride layf. If yu nɔ ebul fɔ blo fayn, dat kin mek i nɔ izi fɔ du ivin di men wok dɛn, ɛn dis kin mek yu nɔ gɛt bɛtɛ layf.

Aw yu no dis?

Dɔktɔ go aks yu bɔt yu mɛdikal histri ɛn di sayn dɛm, ɛn chɛk yu. I go lisin to yu lɔng ɛn at wit stetɔskɔp ɛn aks yu fɔ tek sɔm dip briz. We yu de chɛk yu bɔdi, yu go notis se yu chɛst de go ɔp ɛn fɔdɔm we yu de blo.

Afta dat, yu dɔktɔ kin ɔda fɔ mek dɛn du mɔ tɛst fɔ si aw yu lɔng dɛn de wok. Dɛn tin ya kin bi:

• Chɛst X-ray: Dis kin tek pikchɔ fɔ yu lɔng, at, ɛn ɔda pat dɛn na yu chɛst. I kin mek yu no if yu lɔng dɛn dɔn swel tumɔs.
• CT scan (Computerized tomography (CT) scan): Dis kin mek yu si di lכng εn at bכku klia, mכr ditayli pikchכ pas εks-ray.
• Pulmonary function tests (PFTs): Dɛn tɛst ya de chɛk aw bɔku ay kapasiti yu lɔng dɛn gɛt ɛn aw yu lɔng dɛn de wok fayn fayn wan.

Yu jenɛral dɔktɔ kin sɛn yu bak to dɔktɔ we spɛshal pan sik dɛn we de mek yu blo, we na dɔktɔ we de mɛn yu pulmonɔlɔjis .

Dis lɔng swɛlin na siriɔs sik?

Yɛs, aypa infleshɔn kin bi siriɔs kɔndishɔn . Nɔto jɔs i de pwɛl di lɔng dɛn ɛn afɛkt di kwaliti fɔ layf, i kin put prɛshɔn pan di at ɛn ivin mek pɔsin gɛt tin dɛn lɛk we at nɔ de wok fayn. So i rili impɔtant fɔ no bɔt dis.

Wetin na di tritmɛnt fɔ dis?

Di tritmɛnt fɔ aypa infleshɔn de dipen pan aw yu sik dɛn kin tranga ɛn yu ɔl wɛl bɔdi. Sɔm tritmɛnt dɛn we pɔsin kin gɛt na:

• Bronchodilator dɛn:Dis na mɛrɛsin dɛn we de mek di mɔsul dɛn we de rawnd yu aywe dɛn rilaks ɛn mek dɛn big, ɛn dis kin mek am izi fɔ mek di briz kɔmɔt na yu lɔng. Dɛn kin kam insay di fɔm fɔ inhala ɔ as wata we yu kin put insay nebulayz ɛn inhal.
• Aw fɔ blo: Yu dɔktɔ kin tich yu spɛshal ɛksesaiz dɛn fɔ blo, lɛk fɔ blo wit yu lip we yu dɔn purs, fɔ ɛp fɔ mek yu aywe dɛn big. Pulmonary rihabiliteshɔn na spɛshal program we gɛt fɔ du wit ɛksɛsayz trenin we kin rili ɛp pipul dɛn we gɛt lɔng sik lɛk COPD.
• Ɔksijɛn tɛrapi: Sɔm pipul dɛn nid fɔ gi sɔpɔtmɛnt ɔksijɛn, ilɛksɛf na tru wan kanula na dɛn nos ɔ wan fes mask. Dis kin ɛp di bɔdi fɔ gɛt di ɔksijɛn we i nid.
• Di tin dɛn we de ɛp pɔsin fɔ blo: Divays dɛn lɛk nebulizer ɛn CPAP mashin kin ɛp fɔ mek i izi fɔ mek di briz kɔmɔt na di lɔng dɛn.
• Ɔpreshɔn fɔ ridyus di volyum na di lɔng: Dɛn kin du dis as las tin we ɔl di ɔda tritmɛnt dɛn nɔ wok. I min fɔ pul di pat dɛn na di lɔng dɛn we dɔn pwɛl, ɛn mek di ɔda pat dɛn we gɛt wɛlbɔdi wok fayn fayn wan.

Yu tink se di lɔng infleshɔn go kam bak to nɔmal?

Bɔt i sɔri fɔ no se bɔku tɛm, di prɔblɛm we kin apin to di lɔng dɛn kin de sote go . Dat min se i nɔ de ɛva wɛl ful wan. Bɔt di rayt tritmɛnt kin mek di sik nɔ bɔku, i kin mek i nɔ nid fɔ de na ɔspitul ɔltɛm, ɛn i kin mek i nɔ nid fɔ go na imejensi rum (ETU) . Pan ɔl we di tritmɛnt kin mek i izi fɔ yu fɔ blo, i nɔ go mek yu aywe ɛn yu lɔng tisu kam bak to nɔmal.

Wetin na di lukin-grɔn fɔ tumara bambay wit dis sityueshɔn?

If dɛn trit am fayn, ivin pɔsin we gɛt siriɔs ɛmfisema kin liv nɔmal layf.Pan ɔl we yu lɔng dɛn nɔ go ebul fɔ wɛl ɔl, yu dɔktɔ kin tɛl yu fɔ du tritmɛnt dɛn fɔ mek yu nɔ pwɛl mɔ ɛn fɔ mek yu lɔng dɛn nɔ pwɛl mɔ.

Bɔt if dɛn nɔ trit am, di pulmonary edema kin pwɛl di at, ɛn dis kin mek i gɛt siriɔs tin dɛn lɛk at pwɛl. So, tritmɛnt rili impɔtant.

Aw dɛn go ebul fɔ mek dis nɔ apin?

Di bɛst we fɔ mek yu nɔ gɛt COPD na fɔ tek stɛp fɔ mek yu nɔ gɛt am. Smok na di kɔz fɔ 90% pan di wan dɛn we gɛt COPD. So, fɔ lɛf fɔ smok ɛn fɔ avɔyd fɔ smok sɛkɔn-han na di bɛst we fɔ mek yu nɔ gɛt COPD ɛn COPD. I impɔtant bak fɔ mek dɛn nɔ gɛt bɔku prɔblɛm dɛn we di briz de pwɛl.

Ustɛm a fɔ go to dɔktɔ?

If i nɔ izi fɔ yu fɔ blo, mɔ if yu gɛt lɔng sik lɛk COPD ɔ asma, go to dɔktɔ wantɛm wantɛm . Na sɔm sayn dɛm wae yu fɔ luk fɔ:

• I nɔ kin izi fɔ yu fɔ blo.
• I nɔ izi fɔ yu fɔ blo (inhal).
• Fɔ fil taya pasmak ɛn nɔ gɛt trɛnk ivin if yu nɔ tray tranga wan.

Ustɛm a fɔ go na di Imejɛnsi Dipatmɛnt (ETU) ?

If yu nɔ de blo fayn pan ɔl we yu de tray tranga wan, go na di ɔspitul imejensi rum we de nia yu wantɛm wantɛm . Bɔrku pipul dɛm wae gɛt ɛmfisema kin ebul fɔ blo izi wan wit di rayt tritmɛnt. Bɔt if yu nɔ gɛt bɛtɛ briz igen, na mɛdikal imejensi.

` ## Faynal Tek-Hom Mɛsej
Fɔ liv wit wan sik wae de mek yu nɔr de blo fayn kin afɛkt yu ɛvride layf ɛn mek i nɔr izi fɔ du nɔrmal wok. Lɔng inflamɛns na wan kɔmɔn tin wae kin afɛkt pipul dɛm wae gɛt lɔng sik lɛk COPD ɛn asma. Yu dɔktɔ ɔr pɔrsin wae de mɛn yu pulmonɔlɔjis kin ɛp yu fɔ fɛn tritmɛnt wae go ɛp yu fɔ ridyus de sik lɛk wae yu nɔr de blo fayn.

> I rili impɔtant fɔ tek ɔl di mɛrɛsin dɛn jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek. Pan ɔl we wi nɔ kin ebul fɔ kɔntrol sɔm sik dɛn we de na yu lɔng, yu kin tek step fɔ mek yu nɔ gɛt dɛn bay we yu lɛf fɔ smok, avɔyd sɛkɔnhand smok, ɛn mek yu nɔ gɛt bɔku tin dɛn we de pwɛl di briz. Tek kia ɔf yu wɛlbɔdi.

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Lɔng kɔnjɛshɔn, shɔt brith, COPD, asma, lɔng sik, respiratory sik, smok