So woasusuw nea ɛba yɛn nipadua so wɔ akwanhyia kɛse bi akyi anaa bere a yɛn mogya pii hwere no ho pɛn? Anaasɛ tebea a emu yɛ den bɛn na ebetumi aba bere a nipadua no hwere nsu esiane akisikuru ne ɔfe a ɛkɔ so daa nti no ? Hypovolemic Shock , a yɛreka ho asɛm nnɛ no yɛ tebea a asiane wom kɛse na ɛde nkwa to asiane mu mpo a ebetumi aba wɔ bere a ɛte saa mu. Ɛho hia paa sɛ yɛte eyi ase yiye na yɛyɛ ho biribi wɔ bere ano.
Dɛn ne Hypovolemic Shock?
Sɛ yɛbɛka no tiawa a, eyi yɛ tebea a egye ntɛmpɛ a ɛba bere a mogya anaa nsu afoforo pii (sɛ nhwɛso no, nsu a efi ɔfe anaa akisikuru mu) fi yɛn nipadua mu mpofirim no. Eyi ma mogya a ɛkyinkyini yɛn nipadua mu nyinaa, anaa mogya dodow so tew mpofirim. Ɛno nti na ɛtɔ da bi a wɔfrɛ no ‘low-volume shock’.
Eyi yɛ tebea a egye ntɛmpɛ a ɛde nkwa to asiane mu , enti ɛho hia yiye sɛ wohu eyi.
Susuw ho hwɛ, mogya ho hia na ama yɛatumi ahwɛ yɛn nipadua mu hyew so , sɛ mogya retu yɛn a, ɛma mogya tu, na ɛde mframa pa ne aduannuru kɔ nkwammoaa biara mu. Enti sɛ mogya dodow so tew dodo a, yɛn akwaa atitiriw te sɛ yɛn koma, amemene, ne asaabo no nnya mframa pa ne aduannuru a ehia no. Ne saa nti, saa akwaa ahorow no ntumi nyɛ adwuma yiye.
Mpɛn pii no, opira kɛse bi te sɛ mogya ntini a apaapae, na ɛma mogya tu dodo na ɛde tebea yi ba. Yɛfrɛ saa tebea pɔtee no mogyatɔw a ɛma obi ho popo . Ebetumi nso afi ɔhyew a ano yɛ den, ɔfe a ɛkɔ so, ne akisikuru a obi ho tɔ no.
Dɛn ne tebea yi ho sɛnkyerɛnne?
Eyi ho sɛnkyerɛnne betumi ayɛ soronko wɔ onipa biara ho. Egyina nneɛma pii so, a nea ɛka ho ne mfe a woadi, ayaresa tebea biara a woadi kan anya, nea ɛde mogya anaa nsu a ɛyerae, sɛnea esii ntɛmntɛm, ne dodow a ɛyerae ka ho.
Ma yɛnhwɛ sɛnkyerɛnne atitiriw no bi.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛmu |
|---|---|
| Mogya a ɛtɔ kɛse | Eyi da adi pefee wɔ opira bi mu. Nanso, wontumi nhu wɔ mogya a ɛtɔ gu nipadua no mu, te sɛ nyinsɛn a ɛwɔ awotwaa no akyi (nyinsɛn a wogye akokoaa wɔ awotwaa no akyi) anaasɛ akwaa a ɛsɛe mu. |
| Koma a Ɛbɔ Ntɛmntɛm | Koma no bɔ ntɛmntɛm efisɛ ɛsɛ sɛ koma no yɛ adwumaden na ama mogya dodow a nipadua no hia. |
| Ɔhome yɛ ntɛmntɛm na ɛyɛ tiaa. | Esiane oxygen a enni nipadua no mu nti, home fi ase yɛ ntɛmntɛm na ɛnyɛ den. |
| Nipadua mu mmerɛwyɛ, ɔbrɛ | Nipadua no te nka sɛ nkwa nni mu efisɛ nkwammoaa no nnya ahoɔden ne mframa pa a ɛho hia. |
| Adwene a ɛyɛ basaa, adwene a ɛyera | Saa tebea yi ba bere a mogya dodow a ɛsen kɔ amemene no mu no so tew. Ɔkasa mpo betumi ayɛ nea ɛnteɛ. |
| Nsu a wɔtow so tew anaasɛ egyaee | Esiane mogya a ɛnkɔ asaabo no mu sɛnea ɛsɛ nti, nsu a ɛba no so tew. Eyi yɛ sɛnkyerɛnne a ɛyɛ hu paa. |
| Mogya Nhyɛso a Ɛba Fam | Mogya mmoroso so tew esiane mogya dodow a ɛso tew wɔ nipadua no mu nti. |
| Wora a Ɛyɛ Nwini na Ɛyɛ Nwoma | Nipadua no brɛ mogya a ɛkɔ mmeae te sɛ akwaa no ase na ɛde mogya kɔ akwaa a ɛho hia te sɛ koma ne amemene no mu, na ɛma honam ani yɛ nwini na fifiri fifiri. |
Dɛn na ɛde eyi ba?
Yebetumi akyekyɛ nea ɛde eyi ba no mu akuw atitiriw abien: nea mogya tu na ɛde ba ne nea efi nsu a ɛba a mogya ntu no mu ba.
Nneɛma a ɛma mogya tu
- Nnompe akɛse a abubu, te sɛ asen
- Ntetewmu a emu dɔ wɔ ti ne kɔn mu
- Akwaa a ɛwɔ yafunu mu, te sɛ akyi berɛmo, mmerɛbo, ne asaabo a ɛsɛe fi kar akwanhyia anaa asehwe mu
- Tokuru anaa koma no mu a ɛpaapae anaa mogya ntini kɛse bi (te sɛ aortic aneurysm) .
- Mogya a efi akuru a ɛwɔ aduan mu
- Nyinsɛn a ɛwɔ awotwaa no akyi
- Awotwaa mu a ɛba mpofirim bere a nyinsɛn no
- Ovarian cyst a ɛpaapae
- Mogya a ɛtɔ kɛse bere a wɔrewo anaasɛ wɔ awo akyi nnɔnhwerew 24 mu
Nneɛma a ɛde mogya a ɛntu
- Nsu a ɛho ayɛ fĩ a emu yɛ den
- Atiridiinini ne ɔfe a ɛkɔ so tra hɔ
- Nsu a ɛyera fi nipadua no mu esiane ɔhyew a emu yɛ den nti
- Nsu a ɛboaboa ano wɔ nipadua no fã biako esiane nyarewa te sɛ dwensɔtwaa mu yare nti
Hypovolemic Shock no Afã Anan
Wɔahu akwan anan a egyina sɛnea tebea yi mu yɛ den so, a mogya anaa nsu dodow a ɛyera fi nipadua no mu na ɛkyerɛ.
| Prama | Mogya/nsu dodow a ɛyera | Mpopoeɛ |
|---|---|---|
| Ɔfã 1 | Ɛkɔ 15% (bɛyɛ mililita 750) . | Mogya mmoroso, koma bɔ, ne nsu a wɔtow no yɛ nea ɛfata. Ebia wobɛte nka sɛ wo ho yeraw wo kakra. |
| Ɔfã 2 | 15% – 30% (750-1500 ml) na ɛwɔ hɔ. | Koma a ɛbɔ kɔ soro. Dadwen a wɔte nka. Ebia honam ani bɛyɛ nwini kakra. |
| Ɔfã 3 | 30% – 40% (1500-2000 ml) na ɛwɔ hɔ. | Mogya mmoroso so tew kɛse. Nsu a wɔtow gu no sua koraa. Nsa ne anan yɛ nwini. N’adwene atu afra kɛse. |
| Ɔfã 4 | Bɛboro 40% (bɛboro 2000 ml) . | Tebea a emu yɛ den yiye. Koma no bɔ ntɛmntɛm koraa. Mogya mmoroso sua koraa. Nsu a wɔtow gu no gyae. Ebia wobɛhwere w’adwene mpo. |
Ɔkwan bɛn so na wohu yare no na wɔsa?
Ade a ɛho hia sen biara wɔ eyi mu ne sɛ wɔde ɔyarefo no bɛkɔ ayaresabea, titiriw ETU (Emergency Treatment Unit) , ntɛm ara sɛnea wobetumi. Sɛ worekɔ hɔ a, sɛ mogya bi retu a wotumi hu a, ɛsɛ sɛ wobɔ mmɔden sɛ wubesiw ano denam ntama a ɛho tew a wode bɛmia so.
Wɔ ayaresabea hɔ no, nnuruyɛfo kuw no bedi kan abɔ mmɔden sɛ wobegye wo nkwa.
- Wɔbɛhwɛ wo hyew, wo koma bɔ, wo home, ne wo mogya mmoroso (vital) bere nyinaa.
- Wɔyɛ nhwehwɛmu te sɛ X-ray, ultrasound scan, ne CT scan de hu nea ɛde ba.
- Wɔreyɛ mogya ne nsu mu nhwehwɛmu.
- Wɔyɛ ECG (electrocardiogram) de hwɛ sɛnea koma no yɛ adwuma.
Sɛ́ ayaresa no, botae atitiriw abiɛsa na ɛwɔ hɔ:
1. Oxygen pii a wɔde bɛma nipadua no fã biara.
2. Sɛnea ɛbɛyɛ a wobegyae mogya a ɛretu anaasɛ wɔbɛhyɛ so.
3. Mogya ne nsu a ayera a wɔde besi ananmu.
Eyi nti, wɔbɛma wo nkyene (IV nsu) denam kankyee bi a wɔde ahyɛ ntini bi mu so. Sɛ wo mogya dodow so atew bɛboro 30% a, ebia ebehia sɛ wɔma wo mogya . Sɛ mogya tu wɔ wo mu anaasɛ mmea ho haw bi wɔ hɔ a, ebia ebehia sɛ wɔyɛ wo oprehyɛn na ama agyae.
Nsɛnnennen bɛn na eyi betumi de aba?
Sɛ wɔansa tebea yi yiye na wɔansa wɔ bere ano a, nsɛnnennen a emu yɛ den yiye betumi aba.
- Sɛ eyi fi opira bi a, ɔyare mmoawa betumi aba.
- Akwaa a ɛsɛe akwaa te sɛ asaabo, koma, ne amemene daa .
- Awiei koraa no, owu mpo betumi aba.
Sɛnea wo ho bɛtɔ wo no gyina sɛnea wo nsa ka ayaresa ntɛmntɛm, mogya dodow a wohweree, ne sɛ ebia wowɔ akwahosan ho haw afoforo so. Enti sɛ wususuw sɛ saa sɛnkyerɛnne yi bi wɔ hɔ a, kɔ wo duruyɛfo nkyɛn ntɛm ara anaa fa ɔyarefo no kɔ ayaresabea.
Nkrasɛm a Wɔde Kɔ Fie
- Hypovolemic shock yɛ ntɛmpɛ a asiane wom kɛse a mogya anaa nsu a ɛyera dodo fi nipadua no mu ba.
- Nea ɛde eyi ba titiriw betumi ayɛ mogya a ɛtɔ kɛse, ɔfe/akisikuru a ɛkɔ so, ne ɔhyew a emu yɛ den.
- Sɛ wuhu sɛnkyerɛnne ahorow te sɛ koma a ɛbɔ ntɛmntɛm, ɛyɛ den sɛ wobɛhome, adwene a ɛyɛ basaa, ne honam ani a ɛyɛ nwini , fa ɔyarefo no kɔ ayaresabea ETU (Emergency Treatment Unit) ntɛm ara.
- Sɛ wɔtwentwɛn ayaresa ase a, ebetumi ama akwaa te sɛ asaabo asɛe na mpo awu, enti bere ho hia.
- Sɛ wo anaa obi a wunim no susuw sɛ wowɔ saa tebea yi a, hwehwɛ aduruyɛfo afotu ntɛm ara. Mmu w’ani ngu saa sɛnkyerɛnne ahorow yi so da.
Hypovolemic Shock Sinhala, mogya dodow a ɛba fam, mogya mmoroso a ɛba fam, akwanhyia, mogya a ɛtɔ dodo, nsu a ɛtɔ, ahodwiriw
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