Momma yensua hypoxemia - oxygen a ɛso tew wɔ mogya mu ho ade!

So ɛtɔ mmere bi a wote nka sɛ wo home ayɛ wo yaw? Anaasɛ te sɛ nea wo moma so ayɛ den kakra? Ade biako nti a ɛte saa betumi ayɛ sɛ mframa pa a ɛwɔ wo mogya mu no so tew. Eyi ne nea yɛfrɛ no hypoxemia wɔ aduruyɛ mu. Ɛwom sɛ eyi betumi ayɛ tebea a emu yɛ den de, nanso sɛ wote ase yiye na woyɛ nneɛma a ɛho hia a, wubetumi adi ho dwuma yiye. Enti, momma yɛnka eyi ho asɛm nkɔ akyiri kakra nnɛ, ɛnte saa?

Dɛn ne Hypoxemia?

Sɛ yɛbɛka no tiawa a, hypoxemia yɛ bere a oxygen a ɛwɔ yɛn mogya mu no sua sen sɛnea ɛsɛ sɛ ɛyɛ no. Susuw ho saa kwan yi so: yɛn nipadua te sɛ kar. Sɛnea kar hia pɛtro na ama atumi atu mmirika no, saa ara na yɛn nipadua mu akwaa ne nkwammoaa biara hia oxygen na ama ayɛ adwuma yiye.

Saa mframa pa yi fa ahurututu mu kɔ yɛn mogya mu bere a yɛhome no. Sɛ yɛhome a, mframa pa a ɛwɔ mframa mu no kɔ yɛn ahurututu mu. Ahurututu no mu no, mframa kotoku nketenkete te sɛ bobe nketewa a ɛwɔ bobe so wɔ hɔ. Yɛfrɛ eyinom `(Alveoli)` . Mogya akwan pa pii atwa `(Alveoli)` ho ahyia `(Capillaries) . Sɛ yɛhome a, oxygen a ɛwɔ mframa a ɛba mu no nam saa mogya akwan pa no so kɔ saa `(Alveoli)` yi mu. Afei oxygen yi ne mogya no fa nipadua no nyinaa mu na ɛkɔ yɛn ntini ahorow mu.

Enti, sɛ ɔhaw bi wɔ baabi wɔ saa adeyɛ yi mu, kyerɛ sɛ, sɛ oxygen a ɛdɔɔso nni ahome a yɛhome no mu, anaasɛ sɛ ahurututu no ntumi nnye mframa pa nkɔ mogya no mu yiye a, ɛnde oxygen dodow a ɛwɔ mogya no mu no so tew, a ɛkyerɛ sɛ hypoxemia ba.

Hypoxemia betumi anya nkɛntɛnso ahorow, a egyina sɛnea emu yɛ den ne bere tenten a egye so . Ɛtɔ da bi a, ɛtumi de nsɛnkyerɛnneɛ a ɛnyɛ den te sɛ tiyɛ ne ahome a ɛyɛ tiaa ba. Nanso wɔ tebea a emu yɛ den mu no, ebetumi asiw koma ne amemene no dwumadi kwan, de tebea bi a wɔfrɛ no ``Hypoxia`` aba, baabi a nipadua no akwaa ne ntini ahorow no nni oxygen, na ebetumi mpo akowie owu mu.

Sɛ eyi ba bere tiaa bi mu a, yɛfrɛ no "ɔhome a entumi nyɛ adwuma yiye," na sɛ ɛyɛ ɔhaw a ɛkɔ so asram anaa mfe pii a, yɛfrɛ no "ɔhome a enni sabea."

Nsonsonoe bɛn na ɛda Hypoxemia ne Hypoxia ntam?

Ebia woate nsɛmfua hypoxemia ne hypoxia. Bere a wɔn nnyigyei yɛ pɛ no, nsonsonoe kakra wɔ mu.

• Hypoxemia yɛ mframa pa a ɛwɔ mogya mu a ɛso tew.
• Hypoxia yɛ oxygen dodow a ɛkɔ yɛn nipadua mu ntini mu a ɛso tew.

Mpɛn pii no, tebea bi a wɔfrɛ no hypoxemia na ɛde hypoxia ba. Eyi kyerɛ sɛ, sɛ mogya no mu mframa pa sua a, ntini no nso nya oxygen dodow a ɛba fam. Nanso ɛnyɛ bere nyinaa na ɛte saa. Ɛtɔ da bi a, oxygen betumi ayɛ kakraa bi wɔ ntini no mu ɛwom mpo sɛ oxygen dodow a ɛfata wɔ mogya no mu, anaasɛ oxygen betumi ayɛ kakraa bi wɔ mogya no mu ɛwom mpo sɛ oxygen dodow sua wɔ mogya no mu. Ɛyɛ den kakra, nanso ade titiriw ne sɛ abien no nyinaa ne oxygen dodow a ɛba fam wɔ abusuabɔ.

Hena na ɛda adi kɛse sɛ obenya hypoxemia?

Ɛwom sɛ obiara betumi anya saa tebea yi a wɔfrɛ no hypoxemia de, nanso nnipa binom wɔ asiane kɛse mu sɛ wobenya bi.

• Asiane yi yɛ kɛse titiriw ma nnipa a wɔwɔ ahurututu mu nyarewa, sɛ nhwɛso no, ayamtu, COPD (Chronic Obstructive Pulmonary Disease), ne ahurututu mu yare.
• Eyi betumi aka nnipa a wɔwɔ komayare nso . Efisɛ koma no na ɛma mogya a oxygen pii wom kɔ nipadua no nyinaa mu. Enti sɛ ɔhaw bi wɔ koma no dwumadi mu a, ɛbɛka oxygen dodow a ɛwɔ mogya no mu nso.
• Bio nso, nyarewa bi a ɛde ɔyare mmoawa ba te sɛ influensa, ahurututu mu yare, ne COVID-19 nso betumi ama asiane a ɛwɔ hɔ sɛ obi benya hypoxemia no ayɛ kɛse.

Dɛn ne eyi ho sɛnkyerɛnne?

Okay, afei momma yɛnhwɛ nea ɛyɛ sɛnkyerɛnne ahorow a yehu wɔ hypoxemia tebea yi mu. Saa sɛnkyerɛnne ahorow yi betumi ayɛ soronko a egyina sɛnea yare no mu yɛ den, kyerɛ sɛ, sɛnea oxygen no sua, ne nea ɛde ba no so.

• Tiyɛ: Tiyɛ a ɛtaa yɛ no yaw.
• Dyspnea: Ɔte nka sɛ ɛyɛ den sɛ ɔbɛhome, ne koko mu ayɛ den, na ne home ayɛ tiaa.
• Tachycardia: Koma no bɔ ntɛmntɛm a ɛkɔ soro.
• Ɔfe: Ɔfe a ɛkɔ so daa.
• Wheezing: Nnyigyei a ɛyɛ abɛn a efi koko mu ba bere a worehome no.
• Adwene a ɛyɛ basaa: Sɛ wote nka sɛ wo ho ayɛ wo hyew na wunhu nea ɔnyɛ.
• Wora, nnadewa, ne anofafa a ɛyɛ bruu (Cyanosis): Eyi yɛ sɛnkyerɛnne a emu yɛ den kɛse. Sɛ nipadua no nnya mframa pa a ɛdɔɔso a, ɛtɔ mmere bi a honam ani, nnadewa, ne anofafa tumi dan bruu.

Dɛn ne nneɛma atitiriw a ɛde hypoxemia ba?

Hypoxemia betumi de nneɛma pii aba. Nanso mpɛn pii no, nea ɛde ba titiriw ne aduruyɛ mu tebea bi a ɛda adi. Eyi kyerɛ sɛ koma anaa ahurututu mu yare a ɛka ɔhome anaa mogya a ɛkɔ nipadua no mu no na ɛtaa de ba. Nnuru bi nso betumi ama hypoxemia aba denam ahome a wɔma ɛyɛ brɛoo so.

Ebia woate tebea bi a wɔfrɛ no `(Sleep Apnea)` ho asɛm. Ɛyɛ tebea a ɛma ɔhome gyae bere ne bere mu bere a wada. Wɔ tebea horow a ɛtete saa mu, anaa nnipa a wɔwɔ ahurututu mu nyarewa a emu nyɛ den mu no, mframa pa a ɛwɔ mogya mu no betumi atew anadwo. Wɔfrɛ eyi `(Anadwo Hypoxemia)`.

Ade foforo ne sɛ hypoxemia nso betumi aba bere a wɔretu kwan akɔ mmeae a ɛkorɔn no . Fa no sɛ, sɛ wokɔ beae a mmepɔw atenten te sɛ Nuwara Eliya a, ɛno nti na nnipa binom te nka sɛ ɛyɛ den ma wɔn sɛ wɔbɛhome. Nea enti a ɛte saa ne sɛ oxygen dodow a ɛwɔ mframa mu no so tew bere a beae a ɛkorɔn no kɔ soro no.

Nteaseɛ kakraa bi bio nti...

Tebea afoforo bi a ebetumi ama hypoxemia aba no bi ne:

• Ɔhome mu Ahokyere a Ɛyɛ Hu (ARDS) .
• Anemia - a ekyere se mogya a wonnya
• Akisikuru
• Ahurututu mu yare
• Ahurututu mu Yare a Ɛmma Nnipa Ntumi Siw Nneɛma Mu (COPD) .
• Koma mu dɛmdi a wɔde wo awo - komayare a ɛwɔ hɔ wɔ awo mu
• Koma a ɛyɛ den a ɛyɛ mmerɛw
• Emphysema - a ɛsɛe mframa kotokuo a ɛwɔ ahurututu mu
• Ahurututu mu yare
• Mframa a atwa ahurututu ho ahyia anaasɛ ahurututu a ɛhwe ase (Pneumothorax) .
• Ahurututu mu akisikuru
• Ahurututu mu ntini a ɛma mogya tu
• Ahurututu mu akuru (Pulmonary fibrosis) .
• Ahurututu mu mogya mmoroso

Nneɛma atitiriw 5 a ɛma hypoxemia ba

Afei momma yɛnhwɛ akwan titiriw 5 a ɛma hypoxemia ba. Eyinom yɛ aduruyɛ kakra, nanso momma yɛmmɔ mmɔden sɛ yɛbɛte ase kɛkɛ.

1. Ventilation-Perfusion (V/Q) mismatch: Susuw ho hwɛ, sɛ mogya no benya oxygen a, ɛsɛ sɛ ahurututu no nya mframa a ɛdɔɔso (wɔfrɛ eyi mframa), na sɛ ɛbɛsoa saa oxygen no a, ɛsɛ sɛ ahurututu no nya mogya a ɛdɔɔso (wɔfrɛ eyi perfusion). Sɛ nhwɛso no, sɛ ɔhaw bi wɔ abien yi mu biara ho a, sɛ ahurututu no nya mframa a ɛdɔɔso nanso ennya mogya a ɛdɔɔso, anaasɛ mogya no nya mframa a ɛdɔɔso nanso ennya mframa a ɛdɔɔso a, ɛnde mframa pa nkɔ mogya no mu yiye. Wɔfrɛ eyi sɛ `(V/Q) a ɛnhyia`. Eyi taa fi komayare anaa ahurututu mu yare.

2. Diffusion impairment: Ɛtɔ da bi a ahurututu no nya mframa ne mogya a ɛdɔɔso, nanso ɛbɛyɛ den sɛ oxygen a ɛwɔ ahurututu no mu no bɛtwe (atrɛw) akɔ mogya ntini no mu. Te sɛ bere a afiri a wɔde yiyi mu no mu ntini siw no, nsu ntumi mfa mu. Eyi betumi aba esiane tebea horow te sɛ ahurututu mu akisikuru anaasɛ ahurututu mu akuru nti.

3. Hypoventilation: Eyi ne bere a yɛhome denneennen dodo anaasɛ yɛhome brɛoo dodo. Eyi kyerɛ sɛ mframa pa a ɛdɔɔso ntumi nkɔ ahurututu no mu. Eyi betumi afi ahurututu mu nyarewa pii ne amemene mu nyarewa bi mu aba.

4. 4. .Oxygen a ɛba fam wɔ nneɛma a atwa yɛn ho ahyia mu: Sɛ mframa a atwa yɛn ho ahyia no mu oxygen sua a, ɛmfa ho sɛnea yɛhome no, yɛn nipadua no rennya oxygen a ehia no. Sɛnea madi kan aka no, mframa a ɛwɔ mmeae a mmepɔw a ɛkorɔn no nni mframa pa pii.

5. Nifa so kɔ benkum so shunting: Mpɛn pii no, mogya a oxygen nnim (a enye) a ɛwɔ yɛn nipadua mu no kɔ koma no nifa, efi hɔ kɔ ahurututu no mu kɔfa oxygen (tew ho), na afei ɛsan kɔ koma no benkum so na wɔde fa nipadua no nyinaa mu. Nanso, wɔ nnipa binom fam no, mogya a oxygen nnim yi tumi fi koma no nifa kɔ nipadua no benkum so tẽẽ sen sɛ ɛbɛkɔ ahurututu mu. Afei, mogya a oxygen nnim no kɔ nipadua no nyinaa mu. Wɔfrɛ eyi nifa-kɔ-benkum shunting. Mpɛn pii no, eyi ba esiane biribi a ɛnteɛ wɔ koma no mu nti.

Wobɛyɛ dɛn ahu eyi?

Okay, afei momma yɛnhwɛ sɛnea oduruyɛfo bi hu saa tebea yi a ɛne hypoxemia. Sɛ wokɔ oduruyɛfo nkyɛn a, obedi kan atie wo koma ne w’ahurututu. Efisɛ biribiara a ɛnteɛ wɔ saa akwaa yi mu no betumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ oxygen sua wɔ mogya no mu. Ɔbɛhwɛ nso sɛ wo honam ani, w’ano, ne wo nsateaa nnadewa yɛ bruu anaa.

Nea ɛka ho no, wubetumi ayɛ nhwehwɛmu ahorow a edidi so yi de ahwɛ sɛnea oxygen dodow a ɛwɔ wo mu no te:

• Pulse oximetry: Ebia woahu eyi. Ɛyɛ afiri ketewaa bi a ɛkyekyere wo nsateaa so na ɛsusuw oxygen dodow a ɛwɔ wo mogya mu. Ɛnyɛ yaw na enhia mogya. Nnuruyɛfo pii de di dwuma bere a wɔreyɛ nhwehwɛmu daa no.
• Arterial blood gas test: Eyi yɛ nhwehwɛmu a wɔde susuw oxygen dodow a ɛwɔ mogya no mu pɛpɛɛpɛ denam mogya ketewaa bi a wogye fi baabi te sɛ nsateaa, abasa no kronkron, anaa asen no so.
• Simma asia nantew sɔhwɛ (6MWT): Eyi hwehwɛ sɛ wobɛnantew baabi a ɛyɛ petee simma asia, asusuw sɛnea wo oxygen dodow sesa ne baabi a wubetumi anantew akɔ akyiri. Eyi betumi ama woanya sɛnea w’ahurututu ne wo koma reyɛ adwuma yiye no ho adwene.

Dɛn ne ayaresa ahorow no?

Sɛ wɔresa hypoxemia a, ayaresa no gyina nea ɛde ba no so. Ebia wo duruyɛfo bɛma wo oxygen foforo na ama oxygen dodow a ɛwɔ wo mogya mu no akɔ soro. Wobetumi de eyi ama denam oxygen akorae anaa mfiri a wɔfrɛ no oxygen concentrators so. Ebia nnipa binom behia no bere nyinaa, bere a afoforo nso behia bere a wɔabrɛ nkutoo. Egyina sɛnea tebea no mu yɛ den so.

Wɔ hypoxemia tebea horow a emu yɛ den te sɛ acute respiratory distress syndrome (ARDS) mu no, wobetumi de afiri bi a wɔfrɛ no ventilator adi dwuma de aboa wo ma woahome.

Ade titiriw ne sɛ wobɛsa nea ɛde ba no. Nhwɛsoɔ:

• Nnuru a wɔde home ma nnipa a wɔwɔ ahurututu mu nyarewa te sɛ COPD, kyerɛ sɛ, wobetumi ama nnuru a wɔde home a `(Bronchodilators)` (bronchodilators) anaa `(Steroids)` wom.
• Wobetumi de nnuru a wɔde yi nsu fi ahurututu mu ama de ayi nsu a ɛboro so afi ahurututu no mu.
• Ebia wɔbɛka akyerɛ wo sɛ fa CPAP (Continuous Positive Airways Pressure) akataso di dwuma de sa nna mu ahomegye.
• Sɛ asiane wɔ hɔ sɛ mogya mu mogya a ɛtɔ kɔ nipadua mu no bɛkɔ so atew a, wobetumi ama oxygen foforo. Mfiri ahorow ahorow wɔ hɔ a wɔde oxygen ma. Wobetumi de oxygen ama denam akataso a wɔde home, afiri ketewaa bi a wɔde gu hwene mu (cannula) so. Wobetumi de eyi ama wɔ fie, afiri ketewa bi a wubetumi de akɔ bere a worekɔ, anaa ayaresabea.

Ɔkwan bɛn so na wobedi yare no ho sɛnkyerɛnne ahorow ho dwuma?

Sɛ mpofirim ara wote nka sɛ w’adwene atu afra, ɛyɛ den ma wo sɛ wobɛhome, wo koma bɔ ntɛmntɛm, anaa wuhu sɛ wo nnadewa, w’ano, anaa wo honam ani reyɛ bruu a, ɛsɛ sɛ wokɔ ayaresabea ntɛm ara. Sɛ wowɔ pulse oximeter wɔ fie a, wubetumi nso de ahwɛ wo oxygen dodow. Ɛsɛ sɛ wɔsa hypoxemia ntɛmntɛm na wɔasiw akwaa a ɛsɛe wɔ tebea horow a emu yɛ den mu ano.

Nnipa a wɔwɔ tebea horow bi te sɛ COPD ne Sleep Apnea betumi anya hypoxemia daa anaasɛ bere ne bere mu, nanso ebia wɔrenhu sɛnkyerɛnne titiriw biara. Enti, wo ne wo duruyɛfo nkasa mfa sɛnea wobɛhwɛ wo tebea no so, atew sɛnkyerɛnne ahorow so, na woatew asiane a ɛwɔ hɔ sɛ oxygen dodow a ɛba fam no so.

Nsɛnnennen bɛn na eyi betumi de aba?

Sɛ oxygen dodow a ɛwɔ mogya mu no so tew a, yɛn akwaa ne yɛn ntini ahorow no nnya oxygen dodow a ehia na ama wɔatumi ayɛ adwuma no. Sɛnea yɛaka ho asɛm dedaw no, wɔfrɛ eyi `(Hypoxia).` Sɛ tebea yi kɔ so, sɛ nhwɛso no, `(Sleep Apnea)` a ɛma oxygen so tew anadwo (`Nocturnal hypoxemia`), yɛn koma ne yɛn amemene betumi asɛe. Hypoxemia a emu yɛ den mpofirim no betumi de nkwa ato asiane mu mpo.

Ɔkwan bɛn so na wobetumi atew asiane no so?

Ɔkwan a eye sen biara a wobɛfa so atew asiane a ɛwɔ hɔ sɛ wubenya hypoxemia so ne sɛ wubedi w’ayaresa tebea horow a ɛwɔ ase no ho dwuma yiye. Sɛ wowɔ ahurututu anaa komayare a, wo ne wo duruyɛfo nkasa mfa akwan pɔtee a wobɛfa so atew asiane a ɛwɔ hɔ no so.

Wɔ nnipa a wonni koma anaa ahurututu mu yare mpo fam no, asiane a ɛwɔ hɔ sɛ wobenya hypoxemia no betumi ayɛ kɛse esiane nnuru bi nti anaasɛ bere a wɔretu kwan akɔ mmeae a ɛkorɔn no. Enti, bisa wo duruyɛfo no nnuru biara a wonom ne ahwɛyiye titiriw biara a ɛsɛ sɛ woyɛ bere a woretu kwan no. Sɛ woretu kwan akɔ mmeae a ɛkorɔn a, ma wo nipadua no bere a ɛdɔɔso ma ɛnyɛ nea ɛfata.

Dɛn na wubetumi ayɛ na ama oxygen dodow akɔ soro?

Ɔkwan a eye sen biara a wobɛfa so ama oxygen dodow a ɛwɔ wo mogya mu no ayɛ nea asiane biara nni ho na wɔatew asiane a ɛwɔ hɔ sɛ wobɛma mogya a ɛtɔ wo mogya mu no so atew ne sɛ wobɛhwɛ w’ayaresa tebea horow so yiye.

• Mma wo werɛ mmfi yare no ho sɛnkyerɛnne foforo.Sɛ wote biribi a ɛyɛ nwonwa nka a, yɛ aso tie. Hwɛ oduruyɛfo anaa kɔ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu.
• Sɛ wo duruyɛfo akyerɛw wo oxygen ama wo a, fa di dwuma yiye.
• Hwɛ w'ahurututu akwahosan so (`Ahurututu mu ahotew`). Sɛ wowɔ ``COPD`` anaa ayamtu a, hu nea ɛkanyan wo. Bere nyinaa fa wo ``rescue inhaler`` no ka wo ho. Fa ``incentive spirometer`` di dwuma, yɛ ahomegye apɔw-mu-teɛteɛ, na di ahurututu akwahosan ho afotu afoforo a wo duruyɛfo de ma wo akyi.
• Sɛ wonom sigaret a, gyae. Sigaretnom a wugyae no ma ahurututu no yɛ adwuma yiye, na ɛma w’ahurututu tumi nya mframa pa pii. Ɛsan nso siw w’ahurututu a ɛsɛe bio no ano.
• Fa aduru no sɛnea oduruyɛfo no kyerɛ no pɛpɛɛpɛ.
• Yɛ nhyehyɛe bere a worekɔ mmeae a ɛkorɔn no. Wɔ nnipa a wonni koma anaa ahurututu mu yare mpo fam no, ebetumi ayɛ den sɛ wɔbɛhome wɔ mmeae a ɛkorɔn. Di kan susuw sɛnea ɛbɛka wo ne sɛnea wobɛyɛ nsakrae wɔ nsakrae no mu no ho. Afei nso, di kan yɛ nea wobɛyɛ sɛ wuhia aduruyɛ mu mmoa a egye ntɛmpɛ a. Gye bere a ɛdɔɔso na sɛ ɛho hia a, fa wo ho hyɛ wo ho so, na fa nnwinnade anaa nnuru foforo biara a ebia wubehia bra.

Bere bɛn na ɛsɛ sɛ wokɔ ayaresabea ntɛm ara?

Hypoxemia yɛ tebea a ɛde nkwa to asiane mu. Wɔ tebea horow a ɛtete saa mu no , ɛsɛ sɛ wokɔ Emergency Department (ETU) ntɛm ara :

• Sɛ wowɔ hypoxemia ho sɛnkyerɛnne, anaasɛ afoforo hu nsakrae mpofirim wɔ wo suban anaa w’adwene mu (ahomegye, adwene a ɛyɛ basaa, w’adwene a ɛsakra).
• Sɛ wowɔ ayaresa tebea bi a ɛkɔ so, na wo yare no ho sɛnkyerɛnne a wotaa nya no mu yɛ den mpofirim, anaasɛ wunya sɛnkyerɛnne foforo a wususuw sɛ ebia efi hypoxemia.

Nsɛm bɛn na ɛsɛ sɛ wubisa oduruyɛfo no?

Sɛ wo duruyɛfo ka kyerɛ wo anaa wo dɔfo bi sɛ wowɔ hypoxemia a, wubetumi abisa wɔn nsɛm te sɛ eyinom:

• So aduruyɛ mu tebea foforo a ɛda adi na ɛde hypoxemia yi ba?
• Ɔkwan bɛn so na ɛsɛ sɛ midi me tebea no ho dwuma na ama asiane a ɛwɔ hɔ sɛ menya hypoxemia no so atew?
• So eyi de akwaa bi asɛe anaa ɔhaw afoforo bi aba?
• Nsakrae bɛn na ɛba asetra mu a ebetumi atew asiane a ɛwɔ hɔ sɛ obi benya hypoxemia no so?
• So m’akwantu nhyehyɛe a mɛsakra anaasɛ mesesa nnuru a mede di dwuma no betumi ama asiane a ɛwɔ hɔ sɛ menya hypoxemia no ayɛ kɛse?

Sɛ yɛbɛbɔ no mua a (Take-Home Message) .

Enti, sɛ yɛbɛbɔ no mua a, hypoxemia yɛ tebea a ɛma oxygen dodow a ɛwɔ mogya no mu so tew. Ɛtɔ mmere bi a eyi betumi de nkwa ato asiane mu. Nanso, sɛ wokɔ ayaresabea ntɛm a, wobetumi asa no yiye.Ɛtɔ da bi a, sɛ nhwɛsoɔ no, sɛ wowɔ ``Sleep Apnea'' a, wo oxygen dodoɔ tumi kɔ fam anadwo mpo a enni sɛnkyerɛnne titire biara. Sɛ eyi kɔ so a, ebetumi asɛe wo koma.

Enti, ɛho hia paa sɛ wuhu asiane a ɛwɔ wo mu ne nea wubetumi ayɛ de asiw ano. Sɛ w’adwene mu yɛ wo naa a, nsuro sɛ wo ne oduruyɛfo bɛkasa. Kɔ so nya apɔwmuden!

` Hypoxemia, oxygen a enni hɔ, ahome a ɛyɛ den, ahurututu mu yare, komayare, oxygen dodow, cyanosis