Yu smɔl pikin gɛt prɔblɛm fɔ blo? Lɛ wi tɔk bɔt Riaktiv Ayway Disease (RAD)!

Yu tink se ɛnibɔdi na yu os, sɔntɛm yu yon smɔl pikin, ɔ ivin yusɛf, kin kɔf wantɛm wantɛm we kin mek i nɔ izi fɔ blo, fil lɛk se yu chɛst de kɔnstrikt, ɛn bɔku tɛm na dat kin mek yu swɛt? Sɔmtɛm dɔktɔ kin se, "Dis kin bi `Reactive Airway Disease` ɔ `RAD`" we dɛn si dɛn simptom ya. So yu kin de tink se, "O, wetin na dis nyu sik?" Nɔ wɔri, tide wi go tɔk bɔt wetin na `RAD`, aw i de divɛlɔp, wetin na di sayn dɛm, ɛn wetin na di tritmɛnt dɛm, insay wan simpul we we yu go ɔndastand.

Wetin rili na Riaktiv Ayway Disease (RAD)?

Fɔ tɔk am simpul wan, `Reactive Airway Disease (RAD)` nɔto sik we dɛn dɔn kɔnfyus se na sik, ɛn dɛn nɔ gi am patikyula nem. Na mɔ na nem we dɛn kin gi fɔ shɔt tɛm nɔmɔ. Dɔktɔ dɛn kin yuz dis wɔd we yu ɔ yu pikin gɛt prɔblɛm we tan lɛk asma we dɛn de blo, bɔt dɛn nɔ kin ebul fɔ no di rayt tin we mek dɛn gɛt am.

Tink bɔt dis, wi lɔng dɛn gɛt smɔl smɔl tin dɛn we tan lɛk tiub we de tek briz insay ɛn kɔmɔt (wi kin kɔl dɛn brɔnkial tyub ya), ɛn we dɛn tiub dɛn de swel ɛn smɔl, i kin at fɔ blo. Dis na wetin kin apin na RAD.

I impɔtant fɔ no se `Rɛaktiv Aywe Disiz (RAD)` ɛn `Rɛaktiv Aywe Disfɔkshɔn Sindrom (RADS)` na tu difrɛn kɔndishɔn. Pan ɔl we di nem dɛn fiba smɔl, wi nɔ fɔ kɔnfyus dɛn tu tin ya. `RADS` na wan kכndyushכn we kin apin afta wan sכdεn, hεy lεvεl we dεn εkspos to tכxik gas.

So, we dɔktɔ se `RAD`, i min se, "Yɛs, sɔntin de we nɔ rayt wit yu respiratory system, ɛn wi nid fɔ du mɔ tɛst fɔ no ustɛm i bi." Sɔntɛnde yu kin yɛri dɔktɔ dɛn kin yuz di wɔd dɛn `RAD` ɛn `Asma` fɔ chenj, bɔt dɛn nɔ kin min di sem tin. `RAD` na jɔs wan tɛmporari nem we dɛn kin yuz te dɛn mek wan difinitiv diagnosis.

Wetin na di sayn dɛm fɔ RAD? Aw yu de fil?

Pɔsin wae gɛt RAD kin gɛt sɔm kayn sik lɛk:

• Kɔf we nɔ de dɔn: Dis kɔf kin kam bak wit blɔd.
• Fɔ blo shɔt ɔr at fɔ blo (dyspnea): Na filin wae yu nɔr ebul fɔ blo ɛn yu fɔ wok tranga wan fɔ blo.
• Wiz: Na "whooshing" ɔ "whooshing" sawnd we de kɔmɔt na di chɛst we yu de blo.
• Chɛst tayt: Na filin fɔ mek yu ebi, lɛk se sɔmbɔdi de prɛs yu chɛst.

Dɛn sayn ya kin mek yu fil bad bad wan. Di men sayn dɛm na di chɛst tayt ɛn i nɔ kin izi fɔ blo.

Wetin na di tin dɛn we kin mek pɔsin gɛt RAD?

Bɔku rizin dɛn de we mek dɔktɔ dɛn kin gɛt prɔblɛm fɔ blo, we dɛn kin kɔl fɔ sɔm tɛm `RAD.' Sɔm pan dɛn na:

• Alɛji dɛn:Fɔ gɛt alɛji fɔ tin dɛn lɛk dɔst, pɔlin, sɔm it dɛn, ɛn animal dɛn fut. Jɔs tink bɔt dat, sɔm smɔl pikin dɛn kin it wantɛm wantɛm we dɛn smɛl dɔst ɔ go nia pusi, nɔto so? Na so i bi.
• Baktri ɔ vayral infɛkshɔn: Infɛkshɔn lɛk flu, kol, ɛn nyumonia kin mek di say dɛn we di briz de blo swel.
• Kεmikכl fכm, sεnt, כ fכm: Tin dεm lεk sכm strכng sεnt, insekt sayd fכm, εn vapour dεm we de kכmכt frכm wata we de klin.
• Smok: Ɛni kayn smok, lɛk sigrɛt smok, wud stov smok, ɛn motoka smok.
• Ɛksesaiz: Sɔm pipul dɛn kin gɛt shɔt briz we dɛn de du ɛksɛsayz.
• Di chenj we di wɛda kin chenj: Wantɛm we kol briz kin blo, we kin wam pasmak, we yu kin de na say we gɛt bɔku bɔku wata, we di wɛda kin chenj wantɛm wantɛm.

Dis na di tin dɛm wae kin mek pɔrsin gɛt di sayn dɛm fɔ RAD.

Aw lɔng RAD kin las? Yu tink se i go wɛl kpatakpata?

Dis at fɔ tɔk fɔ tru. Di rizin na dat `RAD` na tɛmporari nem, ɛn di tɛm fɔ wɛl kin dipen pan di sik we de ɔnda am. We dɔktɔ dɔn fɛn di rayt tin we mek yu gɛt di sik ɛn gi yu di rayt mɛrɛsin, dɛn go tɛl yu aw lɔng i go tek fɔ mek yu fil fayn.

Udat dɛn kin afɛkt mɔ pan dis RAD kɔndishɔn?

Infakt, dɔktɔ kin kɔl ɛnibɔdi we gɛt prɔblɛm fɔ blo, bɔt dɛn nɔ kin no klia wan wetin mek i de blo. Bɔt dɛn kin yuz dis wɔd fɔ bebi ɛn smɔl pikin dɛn we tu yɔŋ fɔ mek dɛn du tɛst fɔ no aw dɛn lɔng. Dis na bikɔs di pikin nid sɔm kayn ɔndastandin ɛn sɔpɔt fɔ du dɛn tɛst ya. Bikɔs i nɔ kin izi fɔ yɔŋ pikin dɛn fɔ du dis, dɔktɔ dɛn kin kɔl am fɔ sɔm tɛm `RAD` bay di sayn dɛm.

Aw dɛn kin no se pɔsin gɛt RAD?

If yu ɔ yu pikin gɛt prɔblɛm fɔ blo, ɔ if yu de kɔf ɔltɛm, mek shɔ se yu go to dɔktɔ. Di dɔktɔ go aks yu bɔt yu sik ɛn yu mɛdikal histri, lɛk if ɛnibɔdi na yu famili gɛt histri bɔt asma.

Dɔn, di dɔktɔ go chɛk yu. Spɛshal wan, i go lisin to yu lɔng dɛn bay we i de yuz stetɔskɔp (auscultation). Dis go mek di dɔktɔ ebul fɔ no us sawnd dɛn de yɛri insay di lɔng ɛn if ɛnitin de ambɔg we dɛn pas di briz. Afta dis fɔs ɛgzamin, di dɔktɔ go tɛl yu fɔ du sɔm ɔda tɛst fɔ no if yu gɛt di sik.

Wetin na di tɛst dɛn fɔ dis?

Fɔ no di rayt tin we kin mek pɔsin nɔ blo fayn, dɔktɔ kin du bɔku tɛst dɛn lɛk:

• Spirometry: Dis na di tεst we dεn kin du mכst kכmכn fכ di lכng fכnshכn tεst. I de mɛzhɔ ɔmɔs briz yu kin blo ɛn kɔmɔt kwik kwik wan. I kin ɛp fɔ no if ɛnitin dɔn blok na yu aywe.
• Di tɛst dɛn we dɛn kin du fɔ tek pikchɔ:Dis na tɛst dɛn we nɔ de mek pɔsin fil pen. Dɛn kin ɛp fɔ luk insay yu lɔng, at, ɛn bon.
• Chɛst X-ray: Fɔ chɛk fɔ si if pɔsin gɛt infekshɔn na in lɔng ɛn ɔda prɔblɛm dɛn.
• Echocardiogram (echo): I de chɛk aw di at de wok. Sɔm shɔt briz kin kam bak bikɔs ɔf at sik.
• CT scan (CT scan - Computed Tomography scan): Gɛt klia, mɔ ditayla pikchɔ dɛn bɔt di lɔng ɛn chɛst.
• Blɔd tɛst: Dɛn kin tek smɔl blɔd frɔm smɔl nidul ɛn tɛst am fɔ si if ɛni infekshɔn, alɛji, ɔ sayn de fɔ inflamɛns insay di bɔdi.
• Skin prick test: Dɛn kin du dis tɛst fɔ no if yu gɛt alɛji fɔ sɔntin. Dɛn kin put smɔl difrɛn alɛrjen dɛn pan smɔl say na di skin ɛn dɛn kin tɛst di skin fɔ si if i gɛt riakshɔn.
• ECG (ECG ɔ EKG - Ilɛktrokardiogram): Dis de tɛst di ilɛktrik aktiviti na yu at. Dis kin ɛp fɔ pul at sik as di tin wae de mek yu nɔr de blo fayn.
• Pulse oximetry: Dis na smɔl tin we tan lɛk klip we yu kin put pan yu finga. I de mɛzhɔ di lɛvɛl we ɔksijɛn de na yu blɔd.
• Tɛst fɔ ɛksesaiz: Dis kin chɛk fɔ si if di ɔksijɛn we de na yu blɔd kin go dɔŋ we yu de du ɛksɛsayz.

Dɛn kin du ɔl dɛn tɛst ya fɔ no di rayt tin we mek yu gɛt di sik.

Aw dɛn kin trit RAD?

Bikɔs `RAD` na tɛmporari lɛbl, dɛn kin trit am bay di ɔndalayn diagnosis. Dis min se di dɔktɔ go nid fɔ no fɔs if na asma, infekshɔn, ɔ ɔda sik de mek yu nɔ ebul fɔ blo fayn.

Bɔt if ɛnitin apin we nɔ izi fɔ yu, we min se if i rili at fɔ blo, dɔktɔ dɛn kin yuz tritmɛnt dɛn lɛk dɛn wan ya:

• Bronchodilators: Na dɛn tin ya wi kin kɔl inhala. Dɛn mɛrɛsin ya kin wok bay we dɛn kin mek di say dɛn we dɛn kin blo we dɔn smɔl, big, ɛn dis kin mek i izi fɔ mek pɔsin blo. Dɛn kin yuse dɛn fɔ sik dɛn lɛk asma ɛn COPD (Chronic Obstructive Pulmonary Disease).
• Ɔksijɛn tɛrapi: Dis kin ɛp fɔ gi di bɔdi di ɔksijɛn we i nid we i nɔ izi fɔ blo.
• Epinephrine injection: Dɛn kin gi dis if yu gɛt siriɔs alɛji (anaphylaxis) ɔ if yu gɛt siriɔs asma atak.
• Kɔtikosterɔyd: Dɛn mɛrɛsin ya kin ridyus di inflamɛns na di lɔng dɛn. Dɛn kin yuz dɛn fɔ mɛn asma, COPD, ɛn siriɔs alɛji.

Albuterol de ɛp wit RAD?

Albuterol na wan kayn bronchodilator bak. Na mɛrɛsin we de mek di say dɛn we di briz de blo big. Dɛn kin yuz am fɔ trit asma, COPD, ɛn di brɔnkospasm we pɔsin kin gɛt we i de du ɛksɛsayz. Bɔt if di tin we kin mek pɔsin gɛt RAD na ɔda tin, dis nɔmɔ nɔ go mɛn am. I impɔtant fɔ fɛn di rayt tin ɛn trit am.

Yu tink se dɛn kin mek dɛn nɔ gɛt RAD?

Yu kin du dɛn tin ya fɔ ridyus yu risk fɔ gɛt RAD simptom:

• Stay away frɔm di alɛrgen ɛn trig dɛm wae dɛn no se de ambɔg yu. Fɔ ɛgzampul, if yu nɔ gɛt alɛji fɔ dɔst, de na say dɛn we nɔ gɛt dɔst ɛn kip yu os klin fayn fayn wan.
• Yuz mɛrɛsin dɛn we de mek di aywe nɔ swel (if dɔktɔ tɛl yu fɔ du am) fayn fayn wan.
• If yu de smok, lɛf fɔ smok ɔltogɛda ɛn nɔ spɛn tɛm na say dɛn we ɔda pipul dɛn de smok.
• If yu de wok wit kemikal, wɛr mask ɔ ɔda tin dɛn we de protɛkt yu we yu de blo.

If yu gɛt RAD, wetin yu fɔ ɛkspɛkt? Wetin go apin tumara bambay?

If dɔktɔ tɛl yu se yu gɛt `RAD`, dat min se yu de gɛt prɔblɛm fɔ blo, bɔt dɛn nɔ no di rayt kɔz yet . Nɔ wɔri. Di dɔktɔ go chɛk yu, du di tɛst dɛn we yu nid, ɛn tray fɔ no di tin we mek yu gɛt dis sik. Na da tɛm de nɔmɔ dɛn go bigin fɔ gi di rayt tritmɛnt.

Sɔntɛnde, yu famili dɔktɔ kin sɛn yu to dɔktɔ we de mɛn yu lɔng (pulmonologist) .

Aw fɔ wɛl ɛn aw fɔ mɛn yu sik dipen pan fɔ no di kɔrɛkt tin bɔt di sik. Sɔm sik dɛn kin wɛl kpatakpata. Ɔda wan dɛm (lɛk COPD) kin de fɔ lɔng tɛm ɛn kin go bifo.

Ustɛm yu fɔ go to dɔktɔ? Ustɛm yu fɔ go na Imejɛnsi Dipatmɛnt (ETU) ?

If yu gɛt RAD simptom (kɔf, swɛt, chɛst tayt), ɔ if yu simptom nɔ de bɛtɛ pan ɔl we dɛn de trit yu, mek shɔ se yu go to dɔktɔ.

Bɔt if dis kayn tin apin, go wantɛm wantɛm na di Imejɛnsi Tritmɛnt Yunit (ETU) we de nia yu , ɔ kɔl 1990:

• If yu de gɛt prɔblɛm fɔ blo (ivin we yu luk am, yu kin si se i rili at fɔ blo).
• If nɔ rilif de pan ɔl we yu de yuz mɛrɛsin fɔ mek yu nɔ ebul fɔ blo fayn (e.g. inhaler).
• If di ɔksijɛn lɛvɛl na di blɔd tan lɛk se i smɔl (lɛk di lip ɛn finga nel dɛn we de tɔn blu).
• If yu de sho sayn dɛm fɔ se yu gɛt siriɔs alɛji (anaphylaxis), dis min se:
• I nɔ kin izi fɔ yu fɔ blo bad bad wan.
• Di blɔd prɛshɔn we de go dɔŋ wantɛm wantɛm.
• Lip we de swel.
• Wikɛd tin wantɛm wantɛm.
• Nɔr kin no natin (syncope) ɔr kin fɔdɔm.
• Kɔnfyushɔn (nɔ ɔndastand wetin yu de du ɔ usay yu de).

Sɔntɛnde lɛk dis, nɔ delay atɔl. Go to dɔktɔ wantɛm wantɛm.

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

We yu go to dɔktɔ, yu kin aks kwɛstyɔn dɛn lɛk dis so dat yu go ɔndastand yu sik fayn fayn wan.

• Wetin na di kɔz fɔ mi `Reactive Airway Disease` kɔndishɔn?
• Yu tink se kɔmplit mɛrɛsin de fɔ dis sik?
• Wetin a go du fɔ mek i izi fɔ mek a blo?
• Us mɛrɛsin dɛn yu kin advays?
• Aw ɛksaktɔli dɛn fɔ yuz dis mɛrɛsin? (e.g., if na inhala, aw fɔ yuz am kɔrɛkt wan).
• A nid fɔ go to dɔktɔ we de mɛn pipul dɛn we de mɛn dɛn pulmon?

Wetin na di difrɛns bitwin RAD, asma, ɛn COPD?

Dɛn nem ya kin mek pɔsin kɔnfyus smɔl. Lɛ wi mɛmba wisɛf bak:

• Reactive Airway Disease (RAD): Dis na nem we dɛn kin gi fɔ sɔm tɛm. I min se sɔntin de we nɔ fayn wit di we aw pɔsin de blo, bɔt dɛn nɔ no yet di rayt tin we mek i apin.
• Asma: Dis na wan patikyula sik. Na wan sik we kin de fɔ lɔng tɛm. I kin mek di say dɛn we di briz de blo kin swel ɛn smɔl. Sɔntɛnde, i kin gɛt bɔku bɔku mucus.
• COPD (Chronic Obstructive Pulmonary Disease): Dis na nem bak fɔ wan patikyula grup fɔ sik dɛn. i inklud sεvεra sik dεm we de fכ lכng tεm we de afekt di lכng dεm, mek i at fכ brith, εn sכmtεm i de wכs as tεm de go (e.g. krכnik brכnkitis, εmfysema).

So, dɔktɔ kin kɔl di simptom dɛm fɔ `COPD` fɔs `RAD`, te dɛn no di rayt diagnosis.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Yu kin ɔndastand naw se `Reactive Airway Disease (RAD)` nɔto patikyula diagnosis. Bɔt, i nɔ bad fɔ lɛ dɔktɔ yuz dis wɔd. I jɔs min se dɛn nɔ no yet wetin mek yu nɔ ebul fɔ blo fayn, ɛn dɛn nɔ go ebul fɔ gi yu di rayt diagnosis te dɛn du di tɛst dɛn we yu nid fɔ du sef wan .

If yu ɔ yu pikin gɛt ɛni wan pan dɛn sik ya, nɔ panik ɛn go to dɔktɔ. I go gi yu di gayd we yu nid. If yu famili dɔktɔ nɔ ebul fɔ no di sik, aks fɔ mek dɛn rifer yu to spɛshal dɔktɔ we de mɛn yu lɔng (Pulmonologist).

De tin wae impɔtant pas ɔl na fɔ gɛt di rayt diagnosis ɛn bigin di rayt tritmɛnt. Dɔn yu kin wɛl kwik kwik wan.

` Riaktiv Airway Disease, RAD, difεlεns fכ brith, respiratory disease, asma, lכng, pikin dεm hεlth, kכf, wis