Ɛyɛ ade a ɛfata sɛ ɛna anaa agya bɛte ehu ne dadwen kɛse nka bere a oduruyɛfo no ka kyerɛ wɔn sɛ wɔn ba no rehyia ɔhaw wɔ ɔhome mu no. Titiriw ansa na akokoaa no ayɛ ma, kyerɛ sɛ, nkokoaa a wɔawo wɔn ntɛm no betumi anya ahomegye a ɛte sɛɛ. Enti ɛnnɛ yɛreka aduru bi a ɛsom bo a egye nkwa a nnuruyɛfo de boa akokoaa no ahurututu na ɛma ɔhome no yɛ mmerɛw ho asɛm.
Sɛ yɛbɛka no tiawa a, dɛn ne Beractant?
Eyi nyɛ aduru a yɛtaa nom anaa yɛde twitwiw mu. Eyi yɛ aduru soronko koraa. Wɔ aduruyɛ mu no, saa aduru yi ka kuw a wɔfrɛ wɔn surfactants .
Fa no sɛ, nneɛma nketenkete a ɛte sɛ balloon a mframa ahyɛ yɛn ma wɔ yɛn ahurututu mu. Yɛfrɛ saa mframa kotokuo yi `(Alveoli)`. Wɔ ahurututu a anyin yiye mu no, mframa kotoku yi wɔ nsu bi a ɛyɛ hwerɛma a efi awosu mu wɔ wɔn mu. Eyi nti na sɛ yɛhome na yɛrefi mu a, mframa kotoku nketenkete yi bue na ɛto mu ntɛm a ɛnkyekyere yɛn ho no.
Nanso esiane sɛ nkokoaa a wɔawo wɔn ntɛm no ahurututu nnyinii koraa nti, wɔnyɛ saa abɔde mu nsu yi, anaasɛ wɔnyɛ dodow a ɛdɔɔso. Eyi ma mframa kotoku no bata ho bere a akokoaa no home no. Sɛ akokoaa no home bio a, ɛsɛ sɛ akokoaa no yɛ adwumaden paa bue mframa kotoku a akyeakyea yi. Eyi ne nea yɛfrɛ no Ɔhome mu Ahokyere (RDS) .
Enti Beractant yɛ aduru a wɔayɛ a ɛte sɛ saa nsu a ɛwɔ abɔde mu no. Sɛ wɔde gu akokoaa no ahurututu mu a, ɛkata mframa kotoku no so na ɛmma ɛnbata ho. Afei akokoaa no tumi home ntɛm a ɔmmɔ mmɔden pii. Saa aduru yi na wɔtaa frɛ no brand din `(Survanta)`.
So biribi wɔ hɔ a ɛsɛ sɛ meka kyerɛ oduruyɛfo no ansa na mede saa aduru yi ama akokoaa no?
Yiw, koraa. Sɛ wɔde saa aduru yi ma akokoaa mpo a, ɛho hia paa sɛ wo, sɛ ɔwofo no, de nsɛm a wunim no ma nnuruyɛfo kuw no.
- Allergies: Wɔde mmoa nneɛma (nantwinam nneɛma) na ɛyɛ saa aduru yi, enti sɛ wo ba no ho yɛ no den wɔ saa nneɛma yi ho a, ɛho hia sɛ wobɔ wo duruyɛfo amanneɛ. Afei nso, sɛ wo ba no ho yɛ no hyew wɔ nnuru, nnuan, anaa nnuru foforo biara ho a, ka kyerɛ wo duruyɛfo.
- Nnuru afoforo: Sɛ mprempren wo ba no renom nnuru foforo biara (titiriw nnuru a ekum ɔyare mmoawa a wɔhome) a, akyinnye biara nni ho sɛ ɛsɛ sɛ woka ɛno nso kyerɛ oduruyɛfo no.
Mpɛn pii no, nnuru a wɔakyerɛw so ka sɛ sɛ wonyinsɛn anaa worenom nufu a, ka kyerɛ wo duruyɛfo . Nanso esiane sɛ wɔde saa aduru yi rema abofra a wɔawo no foforo nti, saa nneɛma no mfa ha. Ade a ɛho hia sen biara ne sɛ wobɛka biribiara a wunim fa wo ba no akwahosan ho akyerɛ nnuruyɛfo kuw no.
Wobɛyɛ dɛn de saa aduru yi ama akokoaa?
Eyi nyɛ aduru a wɔde kɔ fie. Nnuruyɛfo ne ayarehwɛfo adwumayɛfo a wɔwɔ ayaresabea a wɔhwɛ wɔn a wɔyare denneennen (NICU/SCBU) nkutoo na wɔde ma wɔ ayaresabea.
Ebia wɔde akokoaa no bɛka mframa a wɔde ma ho esiane sɛ ɛyɛ den sɛ ɔbɛhome nti. Nnuruyɛfo nam afiri bi a ɛbata ɔhome afiri (endotracheal tube) ho so de saa aduru yi kɔ ahurututu no mu tẽẽ.
Wɔ saa adeyɛ yi mu ne akyi no, mfiri ne nnuruyɛfo kuw no hwɛ biribiara fi akokoaa no koma a ɛbɔ, oxygen dodow, ne mogya mmoroso so yiye. Enti akokoaa no wɔ ahobammɔ kɛse.
Sɛ wɔma aduru no dodow kɔ soro a, dɛn na ɛba?
Esiane sɛ wɔyɛ eyi wɔ ayaresabea, wɔ nnuruyɛfo a wɔn ho akokwaw hwɛ so nti, ɛda adi sɛ wobedi mfomso wɔ aduru no ho no sua koraa. Wogyina akokoaa no mu duru so na ebu dodow a wɔde ma no pɛpɛɛpɛ sen biara.
Nanso, eye sɛ wubehu nea ɛsɛ sɛ woyɛ sɛ wonom aduru biara boro so a. Mpɛn pii no, wɔ nsɛm a ɛtete saa mu no, yɛhwehwɛ afotu fi Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea anaasɛ Emergency Treatment Unit (ETU) a ɛbɛn yɛn no hɔ .
Nanso sɛ w’adwene mu yɛ wo naa bere a wode nnuru rema akokoaa wɔ ayaresabea te sɛ eyi mu a, ade a eye sen biara na ɛyɛ ntɛm ne sɛ wo ne oduruyɛfo anaa ɔyarehwɛfo a ɔwɔ hɔ ntɛm ara no bɛkasa.
So nneɛma bɔne bi wɔ hɔ a ɛsɛ sɛ yɛhwɛ yiye wɔ ho?
Yiw, te sɛ aduru biara no, eyi betumi anya nkɛntɛnso bɔne bi. Nanso mma ɛnhaw wo, nnuruyɛfo kuw a wɔhwɛ wo ba no hwɛ saa sɛnkyerɛnne ahorow yi bere nyinaa. Sɛ́ ɔwofo no, eye sɛ wubehu eyinom nso.
| Nneɛma bɔne a ebetumi afi mu aba | Nea ɛsɛ sɛ woyɛ |
|---|---|
| Nneɛma a Ɛyɛ Den a Ɛma Nnipa Ho Yɛ Den Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon. | Eyinom betumi asi ntɛmntɛm paa. Ka kyerɛ wo duruyɛfo anaa ɔyarehwɛfo ntɛm ara. |
| Mogya a ɛretu wɔ amemene no mu ho sɛnkyerɛnne Nsakrae a ɛba ɔhome mu, su a ɛkɔ soro a ɛkɔ so, mmeae a ɛyɛ mmerɛw a ɛwɔ ti no atifi no hohoro anaasɛ ɛbɔ, ne akisikuru. | Eyi betumi ayɛ tebea a emu yɛ den. Bɔ nnuruyɛfo kuw no amanneɛ ntɛm ara. |
| Koma a ɛbɔ brɛoo anaa mogya mmoroso a ɛba fam Akokoaa no were anaa n’ano yɛ fitaa, bruu anaa kɔkɔɔ, ɛyɛ mmerɛw soronko, anaasɛ ne nsa ne ne nan yɛ nwini. | Aduruyɛ kuw no de mfiri rehwɛ eyinom so, nanso sɛ wuhu nsakrae biara a, yɛsrɛ sɛ ma yɛnhu ntɛm ara. |
Nneɛma a ɛtaa ba a ebetumi asi no ka saa din a wɔahyehyɛ yi ho. Nea ɛka ho no, sɛ wuhu biribi foforo bi a ɛyɛ soronko wɔ wo ba no nipadua ho a, nsuro sɛ wubebisa wo duruyɛfo no ho asɛm.
Nkrasɛm a Wɔde Kɔ Fie
- Beractant yɛ aduru a ɛho hia yiye a ɛboa nkokoaa a wɔawo wɔn ntɛm no ahurututu a ennyaa nkɔso na ɛma ɛyɛ mmerɛw sɛ wɔbɛhome.
- Wɔde saa aduru yi ma wɔ ayaresabea nkutoo, wɔ nnuruyɛfo hwɛ ase koraa. Eyi nyɛ aduru a wɔde bɛkɔ fie.
- Aduruyɛ kuw no bɛhwɛ wo ba no yiye nnɔnhwerew 24 da biara, bere a wɔde aduru no ama no ne bere a wɔde ama no akyi nyinaa.
- Nsuro da sɛ wubebisa oduruyɛfo anaa ayarehwɛfo no nsɛm anaa nsɛm biara a ɛhaw wo wɔ wo ba no tebea anaa ayaresa a wɔde rema no ho.
- Saa ayaresa yi yɛ hokwan kɛse ma wo ba ketewa no sɛ obefi asetra ase a ɔwɔ apɔwmuden, ahome yiye.
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