We yu go to dɔktɔ, dɛn put stetɔskɔp na yu chɛst ɛn bak ɛn se, "Tek dip briz insay... briz kɔmɔt sloslo..." Yu dɔn ɛva wɔnda wetin mek dɛn de du dat? Fɔ tɔk am simpul wan, di dɔktɔ de lisin to di sawnd dɛn we de kɔmɔt insay yu lɔng. Dɛn sawnd ya tan lɛk di langwej we yu lɔng. Dɛn sawnd ya kin tɛl yu bɔku tin bɔt di wɛlbɔdi fɔ yu respiratory system.
Wetin na dɛn lɔng sawnd ya?
di sawnd dεm na di lכng, כ di sawnd dεm we yu de blo na di sawnd dεm we yu de yεri insay yu aywe dεm (di tכn tכb dεm we de kכri briz insay yu lכng) we yu de blo insay εn kכmכt.
Pɔsin we gɛt wɛlbɔdi lɔng gɛt klia say fɔ blo. Dis min se nɔbɔdi nɔ de we pasmak, swel, ɔ ɛnitin we de ambɔg dɛn. Dɔn di briz kin muv fayn fayn wan ɛn saful saful, so i kin mek sawnd we rili saf. wi kכl dεn nכmal lכng sawnd dεm ya (vεsikul lכng sawnd dεm).
Bɔt wetin kin apin if dɛn aywe ya ful-ɔp wit mכkus, swεla, ɔr sɔntin blok bikɔs ɔf mεdikal kכndyushכn? Dɔn di say we di briz de blo kin blok. Na da tɛm de yu kin bigin fɔ yɛri ɔlkayn strenj sawnd. I kin tan lɛk ‘whoosh’, ‘whoosh’, ɔ ‘whoosh’. Wi kin kɔl dɛn abnɔmal/adventitiɔs lɔng sawnd ya .
Di impɔtant tin na dat, dɔktɔ nɔ go se yu gɛt sik jɔs bikɔs i yɛri wan sawnd we nɔ kɔmɔn lɛk dis. Na jɔs wan impɔtant tin we de ɛp fɔ no if pɔsin gɛt di sik. Apat frɔm dis, dɛn kin rich di kɔrɛkt diagnosis bay we yu tink bɔt yu ɔda sayn dɛm, yu wɛl bɔdi istri, ɛn, if nid de, ɔda tɛst dɛm.
Wetin na di men kayn sawnd dɛm we nɔrmal fɔ di lɔng?
Bɔku kayn sawnd dɛn ya we nɔ kɔmɔn we di dɔktɔ kin yɛri. Ɛni wan pan dɛn de tɛl difrɛn stori. Lɛ wi luk di men kayn dɛn.
| Tayp fɔ Sawnd | Aw dat kin tan lɛk? / Wan simpul diskripshɔn |
|---|---|
| Rhonchi we de na di wɔl | Dis na dip, snor-layk ‘grɔn’ sawnd. Fɔ tɔk di kɔrɛkt tin, dis sawnd kin kɔmɔt we di briz de pas na di big say dɛn we di briz de blo we dɛn ful-ɔp wit mכkus. Dis sawnd kin lɔs fɔ sɔm tɛm we dɛn opin kɔf. |
| We pɔsin de swɛt | Dis na sawnd we bɔku pipul dɛn sabi. Na ay ay sawnd we de mek pɔsin wispa. Bɔku tɛm, dɛn kin yɛri am we yu de blo. Dis sawnd kin apin we di say dɛn we di briz de blo kin smɔl. Dis sawnd na tin we pipul dɛn we gɛt asma sabi gud gud wan . |
| Stridor we gɛt fɔ du wit am | Dis na ay ay sawnd bak we de mek pɔsin wispa. Bɔt, dɛn kin yɛri am mɔ we pɔsin de blo . dis sawnd de yεri we wan tin de ambɔg di trot כ di כp aywe (e.g., swel, sכmtin we stכk insay). Dɛn kin yɛri dis sawnd pan yɔŋ pikin dɛn we gɛt krɔp. |
| Krak krak / Rales | Dis nɔto sawnd we de kɔntinyu. Na sawnd we de apin wan wan tɛm, na ‘kiri kiri’, na ‘chiti chiti’ sawnd. I tan lɛk di sawnd we yu kin mek we yu krɔs sɔm dray lif dɛn wit yu an, ɔ we yu de bɔbul wata tru wan straw. dis kin yεri we di sכm sכm say dεm we de fכm na di lכng dεm fulכp wit mכkus כ wata. |
| Pleural Rub we dɛn kin yuz | Dis na sawnd we rɔf ɛn grind. I tan lɛk se tu sheet dɛn we dɛn mek wit sand pepa de rɔb togɛda. dis sawnd de mek we di tu mεmbran dεm we de rawnd wi lכng dεm we dεn kכl pleura, swel εn rכb pan dεn wan dεm. Wi kin yɛri am we wi de blo ɛn pul briz. |
Wetin mek dɛn sawnd ya we nɔ kɔmɔn de kɔmɔt na di chɛst?
Fo men tin dɛn de we kin mek dɛn sawnd dɛn ya we nɔ kɔmɔn:
1. Mukus we de ful-ɔp di say we yu de blo: Dis na di tin we kin mek yu blo pas ɔl.
2. Di say dɛn we di briz de swel: We di say dɛn we di briz de blo swel bikɔs ɔf infɛkshɔn ɔ alɛji, di say dɛn we di briz de blo kin smɔl.
3. Obstruction: Na tumor ɔ fɔrin tin we de na di say we di briz de blo.
4. Pleural effusion: di membran we de rawnd di lכng dεm de swεla.
Dis na sɔm pan de sik dɛm wae kin mek pɔrsin gɛt dɛn kayn sik ya:
- Infεkshכn dεm na di rεspiretכri, fכ egzampl brכnkaytis כ kכp na yכŋ pikin dεm.
- Nyumonia.
- Asma we gɛt asma.
- Krɛse sik we de mek pɔsin nɔ ebul fɔ blo fayn (COPD) na wan sik we de mek pɔsin nɔ ebul fɔ blo fayn.
- Sistik fibrosis we de mek pɔsin gɛt sik.
- Alɛji dɛn we pɔsin kin gɛt.
- Anafylaksis na wan bad bad alɛji.
- Ɛdima we de na di pulmonari.
- At we nɔ de wok fayn.
- Pulmonary embolism (PE) na blɔd we de klɔt na di lɔng dɛn.
Aw dɛn kin trit am?
Di tritmɛnt dipen ɔl pan di ɔndalayn kɔz fɔ dis nɔmal sawnd. Di dɔktɔ go fɔs no di rayt tin we mek i sik ɛn afta dat i go gi am di tritmɛnt.
- Fɔ kɔndishɔn lɛk asma: Inhala dɛn we de opin di say dɛn we di briz de blo ɛn ridyus di swel, fɔ ɛgzampul kɔtikosterɔyd.
- Fɔ baktriyal infɛkshɔn (e.g. nyumonia): Antibayɔtik.
- Fɔ siriɔs alɛji: Mɛrɛsin lɛk epinephrine.
- If sɔntin we de ambɔg yu stɔp: Yu go nid fɔ du ɔpreshɔn fɔ pul am.
Ustɛm a fɔ go to dɔktɔ?
Dis na di pat we impɔtant pas ɔl. If yu gɛt ɛnitin fɔ wɔri bɔt ɔ wɔri bɔt aw yu de blo, mɔ bɔt di sawnd we de kɔmɔt na yu chɛst, nɔ ignore am. Si yu famili dɔktɔ wantɛm wantɛm. I kin chɛk yu ɛn tɛl yu wetin fɔ du.
Ɛspɛshali mɛmba! If yu gɛt sɔm sayn dɛn lɛk fɔ mek yu nɔ ebul fɔ blo fayn, yu chɛst de pen, ɔ yu lip blu wit dis sawnd we nɔ kɔmɔn, na imejensi . If na so i bi, go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) we yu nɔ go delay.
Mɛsej we dɛn kin kɛr go na os
- di lכng dεm we gεt hεlth de mek sawnd sכft, sכft. sawnd dεm we nכ nכmal lεk ‘whooping’, ‘whooping’, εn ‘whooping’ de sho se prכblεm de wit di respiratory tract.
- Di tin we kin mek dɛn sawnd ya kin bi ɛnitin frɔm kol, asma, nyumonia, to sɔntin we rili siriɔs.
- Di dɔktɔ kin lisin to dɛn sawnd ya wit stetɔskɔp fɔ gɛt impɔtant tin dɛn fɔ no di sik kɔrɛkt wan.
- If yu yɛri ɛni sawnd we nɔ kɔmɔn we yu de blo, mɔ if i at fɔ blo wit am, nɔ ignore am.
- If yu yɛri wan nɔys we nɔ kɔmɔn wit di prɔblɛm fɔ blo, na imejensi! Go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
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