So wɔayɛ wo oprehyɛn, kyerɛ sɛ, wɔayɛ wo oprehyɛn pɛn? Anaasɛ woreyɛ nhyehyɛe sɛ wubenya bi daakye? Sɛ saa a, ebia nea wosuro kɛse no mu biako ne sɛ, ‘Na sɛ mesɔre bere a wɔreyɛ oprehyɛn no nso ɛ?’ Ehu yi mu yɛ den esiane nokwasɛm a ɛyɛ sɛ sini ahorow bi kyerɛ nneɛma a ɛte sɛɛ nti. Enti ɛnnɛ, momma yɛnka sɛ ebia eyi betumi asi ankasa, nea ɛkyerɛ wɔ aduruyɛ mu, ne nea ɛsɛ sɛ yehu fa ho.
Dɛn ankasa ne Anesthesia Awareness?
Sɛ yɛbɛka no tiawa a, eyi ne bere a obi san nya n’adwene bio bere a wɔreyɛ no oprehyɛn wɔ aduru a wɔde kum nipadua no mu. Nanso ɛyɛ soronko kakra wɔ nea yɛtaa frɛ no "nyane" ho. Sɛ́ anka wobɛma w’adwene akɔ wo so koraa no, ɛte sɛ nea wowɔ bere tiaa bi a wode bɛte ase. Saa osuahu yi betumi ayɛ soronko wɔ onipa biara ho.
Obi a ohyia saa tebea yi bere a wɔreyɛ no oprehyɛn no betumi anya nea edidi so yi:
- Nea ɛrekɔ so wɔ wo ho a wobɛte, nea nnuruyɛfo no reka.
- Ɛte sɛ nea wowɔ dae mu.
- Mpofirim ara a wobɛsan anya n’adwene na woahu sɛ wuntumi nkɔ baabiara anaasɛ wuntumi nkasa.
- Nhyɛso bi a wɔte nka wɔ nipadua no so, na wɔ nsɛm bi a ɛntaa nsi koraa mu no, ɛyaw a wɔte nka .
Nea ɛho hia no, tebea yi ba bere a wɔreyɛ oprehyɛn wɔ aduru a wɔde kum nipadua no mu nkutoo . Nnuru afoforo a wɔde kum nipadua no te sɛ wo nsa ne wo nan a wobɛma ayɛ mmerɛw, IV a wɔde ma wo ho dwo, anaa "twilight sleep" nyɛ saa. Esiane sɛ saa akwan no ntumi nhwɛ sɛnea wo nipadua no yɛ adwuma ankasa (te sɛ ahome) nti, sɛ ɛho hia a, wubetumi akɔ so ahome wɔ w’ankasa wo ho na wo ne wo duruyɛfo akasa.
Eyi abu so dɛn? So ɛsɛ sɛ yesuro ankasa?
Eyi yɛ ade a ɛntaa nsi koraa ankasa. Enti ɛho nhia sɛ wohaw wo ho wɔ ho a ɛho nhia. Nanso ɛyɛ den sɛ yɛbɛka nnipa dodow pɔtee a eyi to wɔn. Nea enti a ɛte saa ne sɛ nnipa binom nkae sɛ esii kosi dapɛn biako anaa abien wɔ oprehyɛn no akyi. Afoforo nso kae no ntɛm ara, nanso wɔnka ho asɛm nkyerɛ wɔn nnuruyɛfo.
Nhwehwɛmu ada no adi sɛ saa tebea yi ba wɔ oprehyɛn 1,000 biara mu 1 anaa 2 pɛ mu. Ɛno nnu nsɛm no mu 0.2% . Enti wubetumi ahu sɛnea eyi ho yɛ na.
Okay, enti dɛn nti na eyi rekɔ so? Dɛn ne nea enti a ɛte saa?
Saa ``Anesthesia Awareness'' tebea yi betumi aba esiane nneɛma atitiriw abiɛsa nti. Ma yɛnhwɛ nea wɔyɛ no pefee.
| Sɛnti | Wɔakyerɛkyerɛ mu tiawa |
|---|---|
| Nnuru a wɔde kum nipadua no a ɛnnɔɔso | Eyi ne bere a oduruyɛfo a ɔma ɔyarefo no mfa nnuru a ɛdɔɔso mma ɔyarefo no. Eyi taa ba bere a wɔreyɛ oprehyɛn a egye ntɛmpɛ no. Sɛ nhwɛso no, koma mu oprehyɛn, cesarean sections (C-sections), anaa oprehyɛn a wɔyɛ wɔ akwanhyia a emu yɛ den akyi. |
| Ɔyarefo no nipadua mu ahiade ahorow a ɛsakra | Ebia ayarefo binom rentumi nnye nnuru dodow a wɔtaa de ma a ɛma obi dwensɔ no ntom. Saa asiane yi dɔɔso titiriw wɔ wɔn a wɔwɔ adwenemyare a emu yɛ den, wɔn a nnubɔne anaa nsanom aka wɔn hɔ, ne wɔn a wɔanya osuahu a ɛte saa bere bi a atwam no mu. |
| Mfomso ahorow a ɛba wɔ mfiri a wɔde kum nipadua no mu | Ɛwom sɛ ɛntaa nsi de, nanso ɛtɔ mmere bi a eyi betumi asi sɛ ɔhaw bi wɔ mfiri a wɔde kum nipadua no mu anaasɛ wɔanhwɛ mu yiye ansa na wɔreyɛ oprehyɛn no a. |
Hena na ɔwɔ asiane kɛse mu ma tebea yi?
Nnipa binom taa nya saa tebea yi (Anesthesia Awareness) sen afoforo.
- Wɔ wɔn a wɔnom sigaret fam no
- Wɔn a wɔwɔ ayaresa tebea horow pii bere koro mu no fam
- Wɔn a wɔn home mu yɛ den (te sɛ ɔhome mu nyarewa) fam no .
- Wɔn a wɔanya nnubɔne anaa nsa a wɔde di dwuma ɔkwammɔne so (Substance Use Disorder - SUD) .
Afei nso, asiane yi betumi akɔ soro kakra wɔ oprehyɛn ahorow bi a ɛnyɛ nea asiane biara nni ho sɛ wɔde nnuru a wɔde kum nipadua no bɛma obi daa no mu.
- Oprehyɛn a wɔde yɛ oprehyɛn (C-sections) .
- Koma mu oprehyɛn
- Oprehyɛn a wɔyɛ no ntɛm esiane akwanhyia anaa mogya a ɛtɔ dodo nti
So wote ɛyaw bi nka saa bere yi? So nkɛntɛnso bi wɔ hɔ a ɛtra hɔ kyɛ?
Eyi ne ɔhaw kɛse ma nnipa pii. Ɛyaw a wobɛte nka no ho yɛ na koraa., nanso ɛnyɛ nea entumi nyɛ yiye. Bere a nnipa dodow no ara kae sɛ wɔtee nnyigyei no, nnipa binom abɔ amanneɛ sɛ wɔtee menewa mu yaw anaa ɛyaw nka wɔ baabi a wɔtwaa oprehyɛn no esiane afiri a wɔde fa nsu mu no nti.
Ɛnyɛ obiara a obenya saa osuahu yi na obenya nkɛntɛnso a ɛtra hɔ kyɛ. Nanso, sɛ osuahu no mu yɛ den a, nnipa binom betumi anya adwene mu haw ahorow te sɛ:
- Brɛ
- Hahaahayɔ
- Dae bɔne a ɛyɛ hu
- Adwennwen a Ɛba Akyi (PTSD) .
Sɛ adwenemhaw a ɛte sɛɛ sɔre a, ebia wobesuro sɛ wɔbɛkɔ nnuruyɛfo nkyɛn anaa wɔbɛkɔ ayaresabea. Afei, ebetumi aba sɛ wɔrensa wɔn nyarewa afoforo no. Enti, sɛ wowɔ osuahu a ɛte saa ara a, sɛ wo ne adwenemyare ho oduruyɛfo anaa ɔfotufo bi behyia na woaka ho asɛm a, ɛbɛyɛ ahoɔden kɛse wɔ w’asetra mu.
So nnuruyɛfo no ntumi nhu eyi bere a wɔreyɛ oprehyɛn no?
Eyi yɛ asɛmmisa a ɛyɛ den kakra. Nnuruyɛfo a wɔde aduru a ɛma obi dwensɔ betumi ahu no yiye sɛ ebia wɔde aduru a ɛma obi dwensɔ reyɛ adwuma. Wɔyɛ eyi denam wo nsɛnkyerɛnne a ɛho hia a wɔhwɛ so - nneɛma te sɛ wo mogya mmoroso, wo home, ne w’aniwa kɛse.
Nanso, ɛyɛ den kakra sɛ wubesusuw sɛ ebia w’adwene mu da hɔ anaasɛ wunnim. Esiane sɛ nnuru a wɔde kum wo nipadua no ama wo nipadua ayɛ mmerɛw na wuntumi nkasa nti, ɛrentumi nyɛ yiye sɛ wubebisa wo sɛ ebia w’adwene mu da hɔ wɔ ɔkwan a wotaa fa so no so anaa.
Nanso seesei nnɛyi akwan horow bi wɔ hɔ a ebetumi aboa wɔ eyi mu. Saa akwan yi betumi asusuw anyinam ahoɔden a ɛwɔ w’amemene mu bere a woreyɛ oprehyɛn no. Yɛnam eyi so betumi asusuw sɛnea wowɔ nhumu dodow ho.
- Electroencephalogram (EEG): Nea ɛka eyi ho ne sɛ wode nneɛma nketenkete a ɛma wohu nneɛma bata wo ti ho na woahwɛ sɛnea w’amemene no anyinam ahoɔden yɛ adwuma.
- Bispectral IndexTM (BIS) Monitor: Eyi ne ɔkwan a wotumi de ho to so sen biara a ɛwɔ hɔ. Ɛfa EEG data na ɛma bo a ɛwɔ 0 kosi 100. Dodow a bo no sua no, dodow no ara na aduru a wɔde kum nipadua no mu dɔ. Mpɛn pii no nnuruyɛfo bɔ mmɔden sɛ wɔbɛma saa gyinapɛn yi akɔ so ayɛ 40 kosi 60 .
- Auditory Evoked Potentials (AEP) monitor: Eyi hwehwɛ sɛ wode afiri a wɔde bɔ asom bɛhyɛ w’aso mu na woabɔ nnyigyei ahorow bi. Afei wɔde sɛnea w’amemene no yɛ n’ade wɔ saa nnyigyei ahorow no ho no so na ɛkyerɛ sɛnea aduru a wɔde kum nipadua no mu dɔ no.
- Narcotrend®: Eyi nso yɛ afiri a ɛde ``EEG'' data, te sɛ ``BIS'' monitor no susuw aduru a wɔde kum nipadua no mu dɔ.
So nneɛma bi wɔ hɔ a yebetumi ayɛ de atew hokwan a ɛwɔ hɔ sɛ eyi bɛba no so?
Yiw, wubetumi aboa ma asiane yi so atew. Hwɛ hu sɛ wo ne wo oduruyɛfo a ɔde aduru a ɛma obi dwensɔ no bɛbɔ saa nneɛma yi ho nkɔmmɔ ansa na woayɛ wo oprehyɛn.
- Ka nnuru a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo: Nnuru a wɔtɔn, vitamin, nnuru a wɔde di dwuma wɔ amanne kwan so, ne nnuru a wɔde ka aduan ho.
- Ka w’aduruyɛ ho abakɔsɛm a edi mũ kyerɛ yɛn: Ka nyarewa biara a wowɔ, nneɛma biara a ɛma wo ho yɛ wo hyew, ne nnubɔne anaa nsa biara a wode di dwuma ho asɛm kyerɛ yɛn kɔ akyiri. Mfa biribiara nsie.
- Bisa wo nsɛm: Wo ne oduruyɛfo a ɔde aduru a ɛma obi dwensɔ no nsusuw wo suro ne w'adwenem naayɛ nyinaa ho wɔ saa ``Anesthesia Awareness'' yi ho.
- Sɛ woanya saa osuahu yi pɛn a, hwɛ hu sɛ wobɛka sɛ: Eyi ne ade a ɛho hia sen biara. Afei nnuruyɛfo kuw no betumi de wɔn adwene asi so titiriw.
Adeɛ a ɛho hia ne sɛ, saa ``Anesthesia Awareness'' yi nyɛ biribi a ɛba ɛnam mfomsoɔ biara a ɛwɔ wo fam nti. Ɛyɛ ade a ɛntaa nsi koraa.
Sɛ misusuw sɛ biribi a ɛte sɛɛ ato me a, dɛn na ɛsɛ sɛ meyɛ?
Sɛ wususuw sɛ wokae biribi bere a wɔreyɛ wo oprehyɛn anaa bere a woreyɛ no oprehyɛn akyi a, ka kyerɛ wo duruyɛfo anaa ɔyarehwɛfo ntɛm ara . Ka biribiara a wokae kyerɛ wɔn. Afei wobetumi akyerɛw agu w’aduruyɛ ho kyerɛwtohɔ mu. Eyi bɛyɛ nea ɛho hia kɛse ma w’ahobammɔ sɛ wobɛyɛ oprehyɛn foforo daakye a.
Aniwu biara nni ho sɛ wobɛka osuahu a ɛte sɛɛ ho asɛm. Ɛho hia ma w’akwahosan.
Nkrasɛm a Wɔde Kɔ Fie
- Nhumu a ɛwɔ hɔ bere a wɔde aduru a ɛma obi dwensɔ, anaa ``Anesthesia Awareness'', ho yɛ na koraa . Enti nsuro no a ɛho nhia.
- Eyi nyɛ nyane a edi mũ, na mmom ɛyɛ bere tiaa bi a ɛtoatoa so a ɛma obi nya n’adwene.
- Sɛ wusuro anaa w’adwene mu yɛ wo naa wɔ eyi ho ansa na woayɛ wo oprehyɛn a, wo ne oduruyɛfo a ɔma obi dwensɔ no nka ho asɛm pefee .
- Hwɛ hu sɛ wobɛka w’ayaresa ho abakɔsɛm nyinaa, nnuru a wonom nyinaa, ne osuahu biara a woanya dedaw akyerɛ wo duruyɛfo.
- Sɛ wote nka sɛ eyi reto wo a, ma wo duruyɛfo nhu ntɛm ara. Mma ntwentwɛn wo nan ase sɛ wobɛhwehwɛ adwene mu mmoa sɛ ɛho hia a.











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