Fa no sɛ wubehu obi a ɔbɛn wo sɛ n’adwene atu afra mpofirim, ne nipadua nyinaa ateɛteɛ te sɛ dua, na wɔatoto wɔn akwaa mu wɔ ɔkwan a ɛyɛ nwonwa so... Ɛno yɛ hu na ɛyɛ awerɛhow dɛn? Eyi yɛ tebea bi a emu yɛ den yiye a wonim wɔ aduruyɛ ho nyansahu mu ho sɛnkyerɛnne. Wɔfrɛ eyi sɛ Decerebrate Posturing. Ɛwom sɛ ebia edin yi bɛyɛ te sɛ nea ɛyɛ den kakra bere a wote no de, nanso ɛnnɛ yɛbɛka ho asɛm tiawa koraa, wɔ ɔkwan a wubetumi ate ase so.
Dɛn ne saa Decerebrate Posturing yi?
Sɛ yɛbɛka no tiawa a, eyi nyɛ yare, na mmom ɛyɛ sɛnkyerɛnne. Sɛ yɛn amemene no, titiriw amemene no dua no sɛe kɛse a, nipadua no mu ntini no mu yɛ den a yɛmpɛ na nipadua no gyina hɔ a ɛnyɛ ne kwan so. Wɔfrɛ eyi sɛ Decerebrate Posturing. Ebia obi a ohu eyi besusuw sɛ wɔahyɛ da ayɛ eyi, nanso nokwarem no, wonni so tumi biara.
Nea ɛho hia ne sɛ onipa a ɔda saa sɛnkyerɛnne yi adi no nnim hwee bere nyinaa, na ɔwɔ komayare a emu dɔ mu . Ɛne sɛ, wontumi mfa kasa anaa wɔn nsa nka wɔn nkanyan wɔn. Wɔ ayaresabea no, nnuruyɛfo de wɔn adwene si saa adeyɛ yi so titiriw bere a wɔreyɛ nhwehwɛmu bi a wɔfrɛ no Glasgow Coma Scale, a ɛkyerɛ sɛnea ɔyarefo bi a ɔwɔ komayare mu yɛ den no.
Saa na tebea yi taa yɛ. Ebia wobehu no wɔ nipadua no fã biako pɛ anaa afã abien no nyinaa.
| Nipadua fã | Nsɛnkyerɛnne a ɛkyerɛ |
|---|---|
| Nan | Wɔateɛteɛ no koraa na ayɛ den. |
| Nansoa | Ɛhwɛ abɔnten fi nipadua no so, na ɛdan kɔ mu kakra. |
| Nsa | Wɔde kura nipadua no mu pɛpɛɛpɛ, na wɔde mia so denneennen wɔ n’afã abien no nyinaa. Wɔdan nsa no kɔ mu, na nsateaa no hwɛ abɔnten. |
| Abakɔn | Wɔabɔ no akɔ abɔnten afi nipadua no mu. |
| Nsateaa a Wɔde Yɛ Nsateaa | Wɔabobɔ nsa no mu akɔ mu te sɛ pillow. |
| Akyi berɛmo | Ebia ɛbɛkotow akɔ akyi na ayɛ den. |
Dɛn na ɛde tebea a emu yɛ den yi reba?
Sɛnea madi kan aka no, nea ɛde eyi ba titiriw ne amemene no ntini a ɛsɛe. Amemene no dua yɛ bridge a ɛka yɛn amemene ne yɛn akyi berɛmo bom. Saa ɔfã yi na ɛhwɛ nneɛma a ɛho hia sen biara a ɛma obi nya nkwa te sɛ ɔhome ne koma bɔ so. Enti, sɛe eyi yɛ asɛm a anibere wom yiye.
Nneɛma bi a ebetumi ama decerebrate gyinabea aba ni:
- Ti a wopirapira kɛse: Amemene mu Apirakuru a Ɛyɛ Hu (TBIs) a nneɛma te sɛ kar akwanhyia ne asehwe na ɛde ba.
- Akisikuru: Mogya ntini bi a ɛde mogya kɔ amemene no mu a esiw anaa ɛpaapae.
- Mogya a ɛtɔ wɔ amemene no mu: Mogya a ɛtɔ wɔ amemene no mu (Intracranial Hemorrhage) esiane nneɛma te sɛ mogya mmoroso nti.
- Amemene Mu Akisikuru: Kokoram anaa akisikuru a ɛnyɛ hu a ɛba, titiriw wɔ amemene no dua mu.
- Nyarewa a emu yɛ den: Nyarewa a ɛka amemene no, te sɛ meningitis anaa encephalitis.
- Intracranial Hypertension: Nhyɛso a ɛkɔ soro dodo wɔ ti nhwi no mu esiane biribi te sɛ amemene a ɛho ahonhon nti.
- Oxygen a enni amemene no mu: Cerebral Hypoxia ba bere a wotwa oxygen a ɛkɔ amemene no mu wɔ tebea horow te sɛ nsu a ɛtɔ anaa komayare mu no.
- Ayaresa mu tebea afoforo: Tebea ahorow te sɛ Reye yare ne Hydrocephalus (nsu a ɛboaboa ano wɔ amemene no so).
Ɔkwan bɛn so na wɔsa eyi?
Nea ɛho hia ne sɛ wontumi nsa saa gyinabea a ɛyɛ den yi yare tẽẽ. Nnuruyɛfo bɔ mmɔden sɛ wɔbɛsa aduruyɛ mu tebea a ɛda adi a ɛde bae no.
Sɛ nhwɛso no, sɛ nea ɛde ba ne amemene mu yare a, wɔbɛma wɔn nnuru a ekum ɔyare mmoawa. Sɛ mogya tu wɔ amemene no mu a, ebia ɛho behia sɛ wɔyɛ oprehyɛn na ama agyae anaasɛ wɔtew nhyɛso no so.
Esiane sɛ ayarefo yi nnim hwee nti, ebia wɔn ankasa rentumi nhome. Wɔ mmere a ɛtete saa mu no, wɔde wɔn kɔ baabi a wɔhwɛ wɔn a wɔyare denneennen (ICU) na wɔde wɔn hyɛ afiri a wɔde home mu.Yɛwɔ abusuabɔ na yɛde ayaresa a ɛboa a ɛho hia na ama asetra akɔ so atra hɔ nyinaa ma.
Esiane sɛ nneɛma pii na ɛde eyi ba nti, ɛsono ayaresa ahorow. Enti, wo duruyɛfo nkutoo na obetumi akyerɛkyerɛ ayaresa a wɔde bɛma wo ɔyarefo no mu yiye.
So wobetumi asiw tebea yi ano?
Ɛwom sɛ yentumi nsiw amemene a ɛma obi gyina hɔ no ano tẽẽ de, nanso yebetumi abɔ yɛn ho ban afi nyarewa ne akwanhyia ahorow a ɛde ba no ho . Ɛno ne ade a eye sen biara a yebetumi ayɛ.
- Hyɛ nneɛma a ahobammɔ wom: Ti a wopirapira no ne ade titiriw a ɛde akwanhyia ba. Enti , hyɛ dade kyɛw yiye bere a wote sakre ne moto so no. Sɛ wode kar retu kwan a, hwɛ hu sɛ wobɛhyɛ ahobammɔ bɛlt .
- Di nyarewa a enni sabea ho dwuma: Sɛ wowɔ nyarewa te sɛ asikreyare, mogya mmoroso, anaa akisikuru a, di wo duruyɛfo akwankyerɛ akyi, nom wo nnuru no yiye, na di ho dwuma yiye.
- Asetra a ahoɔden wom: Sɛ wudi aduan a ɛkari pɛ, woteɛteɛ w’apɔw mu denneennen, na wo mu duru a ɛfata a, ebetumi abɔ wo ho ban afi nyarewa te sɛ akisikuru ho.
- Nya ɔyare mmoawa ayaresa ntɛm: Mfa no kɛkɛ sɛ "ɛnyɛ hwee" bere a woanya ɔyare mmoawa wɔ w'aso, hwene, anaa w'ani mu no. Ɛtɔ da bi a, saa nyarewa yi tumi trɛw kɔ amemene no mu na ɛde tebea horow a emu yɛ den ba. Enti, kɔ oduruyɛfo nkyɛn ntɛm ara na nya ayaresa.
- Kwati nnubɔne ne nsa: Sɛ wode di dwuma a, ebetumi aka amemene no akwahosan nso wɔ ɔkwan a enye so.
Bere bɛn na ɛsɛ sɛ wohwehwɛ aduruyɛ mu afotu?
Eyi yɛ nea wontumi nsusuw ho.
Sɛ wuhu obi a onnim hwee, ne ntini a ɛtwetwe a wontumi nni so, na ɔwɔ gyinabea soronko a wɔaka ho asɛm no mu a, ɛyɛ aduruyɛ mu ntɛmpɛ a egye ntɛmpɛ kɛse.
Frɛ ambulance (te sɛ 1990) ntɛm ara anaasɛ fa onipa no kɔ ayaresabea a ɛbɛn wo no Emergency Treatment Unit (ETU) ntɛm ara sɛnea wubetumi. Mma ntwentwɛn wo nan ase sekan biako mpo.
Minim sɛ ɛyɛ hu na ɛyɛ awerɛhow yiye sɛ wubehu obi a wodɔ no wɔ tebea yi mu. Bere a nsɛm bi wɔ hɔ a nnipa pii a wɔwɔ saa tebea yi nnya nkwa no, ɛnyɛ bere nyinaa na ɛte saa. Bere a nnɛyi nnuruyɛ anya nkɔso no, akwan foforo aba a wɔfa so hu tebea horow a ɛde eyi ba no na wɔsa. Enti, ɛho hia paa sɛ yenya anidaso na yɛne nnuruyɛfo yɛ adwuma yiye.
Nkrasɛm a Wɔde Kɔ Fie
- Decerbrate posturing nyɛ yare, na mmom ɛyɛ sɛnkyerɛnne a anibere wom a amemene no dua a ɛsɛe kɛse na ɛde ba.
- Onipa a ɔda saa sɛnkyerɛnne yi adi no nnim hwee na ɔda koma mu bere nyinaa.
- Eyi yɛ aduruyɛ mu tebea a egye ntɛmpɛ a ɛtra so. Ɛsɛ sɛ wɔde ɔyarefo no kɔ ayaresabea ntɛm ara wɔ Emergency Treatment Unit (ETU).
- Ɛnyɛ ayaresa no nkyerɛ sɛnea obi gyina hɔ no tẽẽ, na mmom wɔde kyerɛ aduruyɛ tebea a ɛwɔ ase a ɛde bae (e.g., ɔyare a ɛma obi hwe ase, ti a opirae).
- Nneɛma te sɛ ti a wosiw ano ne nyarewa a enni sabea a wobedi ho dwuma betumi atew asiane a ɛwɔ tebea yi mu no so.
👩🏽 ⚕️ Nsɛmmisa foforo (FAQs)
💬 Ambrisentan (Ambrisentan / Letairis) tablets yɛ aduru pɔtee bi a wɔde ma yareɛ bɛn?
Eyi nyɛ aduru a wɔde di dwuma ɔkwammɔne so! Eyi yɛ Endothelin Receptor Antagonist (ERA) aduru a etu mpɔn kɛse a ɛma mogya ntini a ɛwɔ koma ne ahurututu mu no dwo, yare a edi awu a mogya ntini a ɛde mogya fi koma no mu kɔ ahurututu mu no yɛ teateaa/yɛ den, na mogya mmoroso a ɛwɔ ntini no mu no yɛ kɛse araa ma ebetumi apae! Eyi kɔ akyiri sen Bosentan, na ɛnyɛ nea epira mmerɛbo no nso kɛse.
💬 Sɛ mogya ntini a ɛkɔ ahurututu mu no siw na woreyɛ awu a, wobɛyɛ dɛn ama ntini no adwo denam saa nnuru (Ambrisentan) yi a wobɛnom so?
Wɔnam nnuru a ano yɛ den bi a ɛwɔ yɛn ankasa nipadua mu a wɔfrɛ no ‘Endothelin-1’ so hyɛ mogya ntini a ɛwɔ ahurututu mu no sɛ ɛntwetwe! Sɛ saa aduru yi hyɛn mogya no mu a, esiw (wɔpaw kɛse) mmeae a saa nnuru no betumi akyekyere/amia bɔtn a ɛwɔ mogya ntini a ɛtwetwe (ETA receptors) no so nkutoo. Esiane sɛ wɔabue (ETB) agyefo afoforo no nti, nnuru a ɛma mogya ntini no dwo no sen kɔ mu, na ntini a ɛwɔ ahurututu no mu nyinaa dwo yiye (Vasodilation) na ɔyarefo no ho tɔ no.
💬 Dɛn ne ‘asiane a ɛyɛ hu’ ne nea efi mu ba (Black Box Warnings) a ɛsɛ sɛ mmea a wɔnom saa aduru yi (Ambrisentan) hu ho asɛm?
Asiane kɛse ne sɛ wɔabara eyi katee ma ‘Ɛnanom a wɔyem’! Sɛ wɔwo abofra bere a ɔnom eyi a, akyinnye biara nni ho sɛ abofra no bɛyɛ dɛmdi (Teratogenic / Birth defects) na wawu wɔ ne mu (enti, ɛsɛ sɛ wɔde akwan 2 a wɔfa so siw awo ano di dwuma)! Ade foforo a ɛde ba kɛse ne sɛ eyi ma nipadua no nyinaa/anansoaa no hohoro kɛse (Severe Fluid Retention / Peripheral Edema).
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