Yɛn nyinaa ka yɛn mogya mmoroso ne asikre dodow ho asɛm na yɛhwɛ mu daa. Nanso so woasusuw mogya dodow a ɛwɔ wo nipadua mu ho pɛn? Ɛne sɛ, so mogya dodow no fata wo nipadua no ara kwa? Anaasɛ ɛdɔɔso dodo? Anaasɛ ɛyɛ kakraa bi dodo? Ɛnnɛ yɛrebɛka sɔhwɛ soronko bi a ɛhwehwɛ sɛ ɛbɛbua saa asɛmmisa no ho asɛm.
Dɛn ne Mogya Dodow Ho Nhwehwɛmu yi?
Sɛ yɛbɛka no tiawa a, Blood Volume Test yɛ nhwehwɛmu a ɛkyerɛ mogya dodow a ɛwɔ wo nipadua mu nyinaa. Eyi nte sɛ mogya mu nhwehwɛmu a wɔyɛ no daa. Eyi yɛ adwuma bi a wɔfrɛ no Nuklea Aduruyɛ dea. Mma asɛmfua "nuklea" no nnsuro. Nea ɛka eyi ho ne sɛ wɔde radioactive ade ketewaa bi a ɛnyɛ asiane biara bedi dwuma de asua sɛnea nneɛma bi kɔ so wɔ nipadua no mu. Ɛte sɛ nea worehyerɛn kanea ketewaa bi wɔ nipadua no mu.
Momma yenni kan nhwɛ nea wɔde yɛ yɛn mogya.
Ansa na yɛbɛte sɔhwɛ yi ase no, momma yɛnkae yɛn ho tiawa nea ɛwɔ yɛn mogya mu. Yɛn mogya nyɛ ade biako pɛ. Ɛyɛ nneɛma pii a wɔaboaboa ano.
| Mogya mu Ade a Ɛfa Mogya Mu | Nea ɛba no yɛ nea ɛyɛ mmerɛw |
|---|---|
| Plasma a ɛwɔ nipadua no mu | Eyi ne mogya no fã a ɛyɛ nsu. Ɛte sɛ nsu. Ɛyɛ nsuo bɛboro 90%. Nkwammoaa a aka no nyinaa sensɛn eyi mu. |
| Mogya Nkwammoaa Kɔkɔɔ | Eyinom ne "delivery service" a ɛde oxygen kɔ yɛn nipadua no fã biara. Te sɛ lɔre nketewa. |
| Mogya Nkwammoaa Fitaa | Eyinom ne yɛn nipadua no "ahobanbɔ tumi ahorow." Sɛ mmoawa a wɔde nyarewa ba a, saa nkwammoaa yi ko tia wɔn. |
| Nkwammoaa mu nkwammoaa a ɛma mogya tu | Sɛ obi pira na mogya tu a, eyinom na wɔboa ma mogya no gyae na mogya no tu. |
Wɔ saa nneɛma yi mu no, mogya mu nkwammoaa fitaa ne mogya nkwammoaa a ɛwɔ mogya mu no nnu mogya dodow no mu 1%. Enti, Mogya Dodow Nhwehwɛmu no susuw mogya mu nkwammoaa ne mogya mu nkwammoaa kɔkɔɔ dodow titiriw . Enti, ɛtɔ da bi a wɔfrɛ saa sɔhwɛ yi ``Plasma Volume Test``.
Ɔkwan bɛn so na yɛn nipadua no di mogya dodow yi so?
Yɛn nipadua yɛ afiri a ɛyɛ nwonwa. Wɔ mu no, nhyehyɛe bi a ɛyɛ den yiye yɛ adwuma ma mogya dodow yi kɔ so yɛ nea ɛfata.
- Mogya mu nkwammoaa kɔkɔɔ: Wɔyɛ mogya mu nkwammoaa kɔkɔɔ foforo wɔ nnompe mu ntini a ɛwɔ yɛn nnompe mu no mu. Nkwammoaa dedaw no sɛe na yɛn mmerɛbo no yi fi hɔ . Saa adeyɛ yi gye bere kakra. Sɛ akwanhyia bi ma mogya pii yera a, ebetumi agye nna pii, anaa asram pii mpo ansa na wɔayɛ mogya mu nkwammoaa kɔkɔɔ foforo.
- Plasma: Plasma yɛ nsu dodow no ara. Enti ɛyɛ ntɛm koraa sɛ wobedi so sen sɛ wɔbɛyɛ mogya mu nkwammoaa kɔkɔɔ. Nipadua no nya nsu fi nsu a yɛnom ne aduan a yedi mu. Nsuo nam fifiri, nsuo, ne ɔhome so yera fi nipadua no mu. Yɛn asaabo titiriw na ɛma saa nsu yi kari pɛ.
Sɛ wɔkyekyem pɛpɛɛpɛ a, ɔpanyin bi mogya bɛyɛ lita 5 wɔ ne nipadua mu. Nanso, dodow yi betumi ayɛ soronko esiane nyarewa ahorow anaa nneɛma afoforo nti.
Mogya dodow a ɛkɔ soro (Hypervolemia) ne mogya dodow a ɛso tew (Hypovolemia) .
Tebea atitiriw abien na ɛba bere a mogya dodow boro nea ɛfata so no. Momma yɛnhwɛ abien yi wɔ ɔkwan soronko so.
| Gyinabea | Nneɛma a ebetumi de aba | Nsɛnkyerɛnne a ɛda adi |
|---|---|---|
| Mogya dodow a ɛkɔ soro (Hypervolemia) . | ||
| Mogya dodow a ɛkɔ soro dodo (titiriw ɔfã a ɛyɛ nsu) wɔ nipadua no mu. |
| |
| Mogya dodow a ɛso tew (Hypovolemia) . | ||
| Mogya mmoroso a ɛba fam wɔ ɔkwan a asiane wom so. |
| Sɛ tebea yi mu yɛ den a, ebetumi ama obi anya tebea a ɛyɛ hu a wɔfrɛ no Hypovolemic Shock , a:
|
Hypovolemic shock yɛ tebea a ɛyɛ hu yiye a ɛhwehwɛ sɛ wɔsa yare ntɛm ara. Ebetumi asɛe nipadua no mu akwaa ne amemene a wontumi nsakra.
Abusuabɔ bɛn na ɛda mogya dodow ne mogya mmoroso ntam?
Eyi yɛ mmerɛw yiye sɛ yɛbɛte ase. Susuw paipu bi a wɔde nsu mfiri rebɔ ho.
- Sɛ mogya dodow kɔ soro (Hypervolemia): Ɛte sɛ nea wode nsu nhyɛso pii bɛto paipu so. Nhyɛso a ɛwɔ mogya ntini no mu no kɔ soro. Ɛno kyerɛ sɛ mogya mmoroso kɔ soro.
- Sɛ mogya dodow so tew (Hypovolemia): Sɛnea nsu dodow a ɛwɔ afiri mu so tew no, saa ara na nhyɛso a ɛwɔ mogya ntini no mu no so tew. Ɛno kyerɛ sɛ mogya mmoroso no so tew. Nipadua no bɔ mmɔden sɛ ɛbɛkɔ so akura nhyɛso no mu denam mogya ntini a ɛma ɛtwetwe no so. Nanso sɛ mogya no mu yɛ den a, nipadua no ntumi nni so.
Enti bere bɛn na ɛsɛ sɛ wɔyɛ sɔhwɛ yi?
Eyi nyɛ sɔhwɛ a obiara yɛ daa. Nnuruyɛfo kamfo nhwehwɛmu yi kyerɛ ayarefo a wɔwɔ Emergency Treatment Unit (ETU) anaa Intensive Care Unit no titiriw. Ebia ɛho behia nso wɔ nsɛm a edidi so yi mu:
- Sɛ mogya tu kɛse a
- Sɛ ɛba sɛ nsu a ɛho ayɛ fĩ kɛse a
- Wɔ koma tebea horow mu
- Sɛ ɛba sɛ asaabo anaa mmerɛbo mu nyarewa ba a
- Wɔ ɔhyew a emu yɛ den mu
- Wɔ ayarefo a wɔn ho adwiriw wɔn no fam
- Sɛnea ɛbɛyɛ a wobehu nea ɛde mogya a ɛtɔ kɔ nipadua mu no ba
- Sɛnea ɛbɛyɛ a wobehu nea ɛde syncope a ɛtaa ba no ba
- Sɛ wowɔ mogya mmoroso anaa nea ɛba fam a wuntumi nni so a
- Sɛnea ɛbɛyɛ a wɔbɛhwɛ ɔyarefo no tebea ansa na wɔayɛ no oprehyɛn kɛse
Momma yensua sɛnea yɛbɛyɛ sɔhwɛ no anammɔn biara.
Wɔtaa yɛ sɔhwɛ yi wɔ ayaresabea. Ebia wɔbɛyɛ no wɔ wo mpa ho pɛɛ, anaasɛ ebia ebehia sɛ wokɔ nuklea nnuruyɛ dwumadibea hɔ.
Wobɛyɛ dɛn asiesie wo ho ansa na woayɛ sɔhwɛ?
Wo duruyɛfo betu wo fo wɔ eyi ho. Mpɛn pii,
- Wɔbɛka akyerɛ wo sɛ kwati adidi anaa anonne nnɔnhwerew kakraa bi ansa na wɔayɛ sɔhwɛ no.
- Nnom anonne a caffeine wom te sɛ kɔfe anaa tii da a wɔbɛyɛ sɔhwɛ no. Caffeine yɛ aduru a ɛma obi ho yɛ hyew.
- Sɛ worenom nnuru biara a, hwɛ hu sɛ wubebisa wo duruyɛfo sɛ ɛsɛ sɛ wugyae ansa na woayɛ nhwehwɛmu no anaa.
Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?
Saa adeyɛ yi yɛ mmerɛw yiye. Biribiara nni hɔ a ɛsɛ sɛ yɛhaw yɛn ho.
1. Nea edi kan no, mfiridwuma ho nimdefo bi bɛsusuw wo tenten ne wo mu duru.
2. Afei wɔde kankyee (IV line) bɛhyɛ ntini bi a ɛwɔ wo nsa mu mu.
3. Ɛsɛ sɛ woda mpa so yiye.
4. Afei, wɔde radioactive ade a madi kan aka ho asɛm (`Iodine-131 human serum albumin (HSA)`) no kakraa bi pɛ fa cannula no mu gu nipadua no mu.
5. Twɛn bɛyɛ simma 12 ansa na saa ade yi ne wo mogya afra yiye.
6. Ɛno akyi no, wɔfa mogya pii bɛyɛ simma 6 biara na wɔde kɔ aduruyɛdan mu.
7. Mpɛn pii no, adeyɛ no nyinaa nnye nea ɛboro simma 90.
Dɛn na woyɛ wɔ sɔhwɛ no akyi?
Sɛ wɔyɛ sɔhwɛ no wie a, wobeyi kankyee no afi hɔ. Wubetumi akɔ fie. Nneɛma a ɛma anyinam ahoɔden a wɔde guu wo nipadua mu no bi bɛkɔ wo nsu mu, bere a nea aka no bɛsɛe wɔ awosu mu na ayera wɔ wo nipadua mu. Ɛho hia paa sɛ wobɛnom nsu pii na ama saa adeyɛ yi akɔ so ntɛmntɛm.
So asiane ahorow bi wɔ sɔhwɛ yi mu?
Sɛnea ɛte wɔ aduruyɛ mu nhwehwɛmu biara ho no, nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ yɛma ɛtra yɛn adwenem.
- Sɛ woanyinsɛn anaa worema nufu a: Sɛ wonyinsɛn anaa worema nufu a, wɔmfa nhwehwɛmu yi nkyerɛ. Enti, wubetumi ayɛ nyinsɛn mu nhwehwɛmu ansa na wɔayɛ nhwehwɛmu no de akyerɛ sɛ woanyinsɛn anaa.
- Allergies: Sɛ wo ho yɛ wo hyew wɔ iodine, ɛpo mu nnuan te sɛ akutu, anaa nkesua ho a , akyinnye biara nni ho sɛ ɛsɛ sɛ woka kyerɛ wo duruyɛfo.Sɛ saa a, oduruyɛfo no betumi ayɛ nsakrae wɔ nhwehwɛmu no mu na amma wannya akisikuru.
- Nkɛntɛnso a enya wɔ thyroid ntini no so: Iodine a ɛyɛ radioactive a wɔde di dwuma wɔ sɔhwɛ no mu no betumi asɛe wo thyroid gland no. Nea ɛbɛyɛ na eyi asiw ano no, wɔbɛma wo iodine aduru bi anom ansa na wɔayɛ nhwehwɛmu. Afei, wo thyroid ntini no twetwe iodine no, na esiw iodine a ɛyɛ radioactive no kwan.
Dɛn na nea efi mu ba no ka?
Nhwehwɛmu amanneɛbɔ no kyerɛ pefee sɛ ebia wo mogya dodow yɛ nea ɛfata, ɛba fam, anaasɛ ɛdɔɔso.
Saa nsɛm yi ho hia wo duruyɛfo yiye. Ebetumi ayɛ ade kɛse a ɛbɛboa wo ma woahu nea ɛde wo yare no ba. Nhwɛsoɔ:
- Sɛ wo mogya so tew (hypovolemia) , wobetumi ama wo nsu te sɛ nkyene anaa, sɛ ɛho hia a, wɔama wo mogya.
- Sɛ mogya dɔɔso (hypervolemia) , a, ebia wɔbɛkyerɛw wo nnuru a ɛbɛboa wo ma woayi nsu a ɛboro so afi wo nipadua mu denam nsu a wode bɛfa so no so.
Wɔ saa kwan yi so no, nea efi sɔhwɛ yi mu ba no boa nnuruyɛfo kɛse ma wohu ayaresa a wɔde bɛma ɔyarefo no ne dodow a wɔde bɛma no pɛpɛɛpɛ.
Nkrasɛm a Wɔde Kɔ Fie
- Mogya Dodow Ho Nhwehwɛmu nyɛ nhwehwɛmu a wɔyɛ daa ma obiara. Wɔyɛ ma ayarefo a wɔwɔ tebea pɔtee bi a ɛtaa yɛ den te sɛ koma, asaabo, ne mmerɛbo mu yare.
- Eyi kyerɛ mogya dodow a ɛwɔ wo nipadua mu nyinaa (titiriw plasma ne mogya mu nkwammoaa kɔkɔɔ).
- Sɛ nipadua no mogya dodow dɔɔso dodo (Hypervolemia) anaa kakraa bi (Hypovolemia) nyinaa betumi de ɔhaw ahorow a ɛyɛ hu aba.
- Sɛ wonyinsɛn, worenom nufu, anaasɛ wowɔ biribi a ɛma wo ho yɛ wo hyew a , hwɛ hu sɛ wobɛbɔ wo duruyɛfo amanneɛ ansa na woayɛ nhwehwɛmu.
- Nea ebefi sɔhwɛ yi mu aba no bɛkyerɛ wo duruyɛfo kwan ma wama wo ayaresa a edi mu na ɛfata sen biara.
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