Sɛ mogya fi wo hwene mu mpofirim a, ɛyɛ hu kakra, ɛnte saa? Ebia woreyɛ biribi, anaa wo ba kumaa no redi agoru, na mpofirim ara wuhu sɛ mogya a ɛtɔ gu wo hwene mu biako anaa abien refi wo hwene mu. Ɛtɔ da bi a, egyae ara kwa, nanso ɛtɔ da a, sɛ mogya no kɔ so tu a, wuntumi nhu nea ɛrekɔ so. So eyi yɛ aniberesɛm ankasa? Dɛn nti na eyi rekɔ so? Momma yɛnka biribiara ho asɛm nkɔ akyiri na yɛnka nnɛ ara kwa.
Dɛn na saa hwene mu mogya a ɛretu yi kyerɛ? (Epistaxis) .
Sɛ yɛbɛka no tiawa a, wɔfrɛ mogya a efi hwene mu no `(Epistaxis)` wɔ aduruyɛ ho nyansahu mu. Eyi betumi afi hwene tokuru biako mu aba, ɛtɔ mmere bi a efi abien no nyinaa mu. Nanso mpɛn pii no, mogya fi hwene biako pɛ mu.
Afei ma yɛnhwɛ nea enti a eyi ba. Fa no sɛ, mogya ntini nketenkete pii wɔ yɛn hwene mu, a ɛtrɛw te sɛ ahama ketewaa bi. Saa mogya ntini yi wɔ adwuma titiriw bi. Ɛne sɛ, sɛ yɛbɛma mframa a yɛhome no ayɛ hyew na yɛama no nsu a ɛho hia ansa na yɛde akɔ yɛn ahurututu mu. Nanso ɔhaw no ne sɛ, mogya ntini nketenkete yi wɔ soro paa, anaasɛ ɛbɛn honam ani hwɛbea a ɛwɔ hwene no mu no yiye.
Enti sɛ mframa a yɛhome no yɛ nwunu paa, sɛ nhwɛso no bere a yɛde bere pii tra AC dan mu, anaa sɛ yɛte beae a wim tebea yɛ kusuu na awɔw wom te sɛ Nuwara Eliya a, hwene no mu yɛ nwunu na akisikuru nketewa ba. Saa bere yi, sɛ yɛbɔ yɛn hwene denneennen kakra, de yɛn nsateaa hyɛ mu, anaa bere tiaa bi mpo a, mogya ntini nketenkete yi pae na mogya fi ase tu.
Nha wo ho! Sɛ wɔkyekyem pɛpɛɛpɛ a, nnipa 10 biara mu bɛyɛ 6 benya mogya a ɛbɛtɔ wɔn hwene mu anyɛ yiye koraa no pɛnkoro wɔ wɔn nkwa nna mu.
Akwan atitiriw abien na ɛwɔ hɔ a hwene mu mogya tu.
Nnuruyɛfo kyekyɛ hwene mu mogya mu ahorow abien titiriw, na egyina baabi a mogya no fi so.
1. Mogya a Ɛba Hwene mu wɔ Anim
Eyi ne mogya a wɔtaa tu fi hwene mu. Mogya no fi ase wɔ hwene no anim, wɔ septum no ase, ɔfasu a ɛtetew hwene abien no ntam. Mogya ntini a ɛwɔ saa beae yi yɛ mmerɛw yiye, enti sɛ obi pira kakra mpo a, ebetumi ama mogya atu. Mpɛn pii no, eyi nyɛ tebea a emu yɛ den. Mpɛn pii no, wobetumi de mmoa a edi kan a yɛaka ho asɛm no adi so wɔ fie.
2. Akyi Hwene mu Mogya
Eyi yɛ type a ɛhwehwɛ sɛ wɔde adwene si so kakra. Saa mogya a ɛtɔ yi fi mogya ntini akɛse a ɛwɔ hwene no mu tɔnn, a ɛbɛn menewa no mu. Mogya a ɛretu no betumi ayɛ duru kakra, na ɛda adi sɛ mogya no bɛkɔ menewam sen sɛ ɛbɛkɔ anim afi hwene mu. Sɛ mogya yi kɔ yafunu no mu a, ebetumi ama obi ho ayɛ no yaw na wafe.
Mpɛn pii no, ɛyɛ den sɛ wɔde mmoa a edi kan a wɔde ma wɔ fie no begyae mogya a ɛtɔ fi akyi te sɛ eyi.Wɔ tebea a ɛte saa mu no, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara anaasɛ wobɛkɔ ayaresabea hɔ Emergency Treatment Unit (ETU).
Dɛn nti na yɛn hwene mu mogya tu? Ma yɛnhwɛ nea enti a ɛte saa no bi
Nneɛma ahorow betumi ama mogya atɔ hwene mu. Nea eye ne sɛ, nneɛma a ɛde ba yi mu dodow no ara nyɛ aniberesɛm.
Ntease ahorow a wɔtaa hu
- Mframa a ɛyɛ nwunu: Eyi ne ade titiriw a ɛde ba. Wim tebea a ɛyɛ hyew kɛse na ɛhɔ nwini sua, AC dan mu a wobɛtra da mũ nyinaa, ne mframa a ɛyɛ kusuu wɔ mmeae a mmepɔw wɔ no betumi ama hwene no mu ayow na mogya atu.
- Hwene a wɔtetew: Eyi abu so titiriw wɔ mmofra nkumaa mu. Nnadewa no betumi akyere na apira mogya ntini a ɛyɛ mmerɛw.
- Hwene a yɛbɔ: Sɛ yɛwɔ atiridii anaa yɛn hwene mu yare a, yɛbɔ yɛn hwene denneennen. Saa nhyɛso no betumi ama mogya ntini nso apae.
- Allergies: Nnipa a wɔn ho nyɛ wɔn den wɔ nneɛma te sɛ mfutuma ne pollen ho no betumi ate hwene a ɛtaa ayɛ wɔn yaw na wɔafefe, na ebetumi asɛe ntini a ɛyɛ mmerɛw a ɛwɔ hwene no mu no.
- Nnuru a Wɔde Petepete Anom: Nnuru bi a wɔde petepete hwene mu a wɔde yɛ akisikuru anaa anom a ɛyɛ den no betumi ama hwene no mu ayow bere tenten a wɔde di dwuma bere tenten no.
- Apirakuru a ɛba hwene anaa anim: Mogya betumi atu esiane obi a ɔhwee ase, akwanhyia, anaa ɔhwe bere a ɔredi agumadi nti.
- Nnuru a ɛma mogya yɛ mmerɛw: Nnipa a wɔnom nnuru a ɛma mogya yɛ mmerɛw te sɛ aspirin ne warfarin betumi anya mogya a ɛkɔ soro esiane opira ketewaa bi mpo nti.
- Deviated Septum: Sɛ wɔtwe ɔfasu a ɛtetew hwene no mu kɔ ɔfã biako a, mframa a ɛsen no sesa, na ɔfã biako betumi ayow bere nyinaa na mogya atu.
Nneɛma a ɛntaa mma
- Nsã a wɔnom boro so
- Mogya a ɛtwetwe (s.e., hemophilia anaa von Willebrand yare) .
- Mogya mmoroso
- Mogya ntini afasu a ɛyɛ den (Atherosclerosis) .
- Oprehyɛn a wɔyɛ wɔ hwene anaa anim
- Anom akisikuru anaasɛ polyps
- Nyarewa te sɛ mogya mu kokoram (Leukemia) .
- Nyinsɛn (wɔ saa bere yi mu no, mogya ntini a ɛwɔ nipadua no mu no trɛw, na ɛde nhyɛso kɛse ba ntini a ɛyɛ mmerɛw a ɛwɔ hwene no mu no so) .
So ɛsɛ sɛ wohaw wo ho wɔ hwene mu mogya a ɛbɛtɔ wo ho? Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?
Mpɛn pii no, hwene mu mogya nyɛ aniberesɛm. Nanso, wɔ nsɛm bi mu no, wobetumi ayɛ tebea foforo ho sɛnkyerɛnne. Enti, ɛho hia sɛ wohwehwɛ aduruyɛfo afotu wɔ nsɛm a edidi so yi mu:
| Tebea / su | Nea ɛsɛ sɛ wɔyɛ |
|---|---|
| Sɛ wo hwene mu mogya taa tu a . | Hwɛ w’abusua oduruyɛfo na woahu nea ɛde ba. |
| Sɛ wowɔ mogya a ɛtɔ kɔ wo mu ho sɛnkyerɛnne te sɛ mogya a ɛtɔ wo hwene mu, wo ho yɛ fitaa, ɔbrɛ kɛse, adwenemhaw, ne ahome a ɛyɛ den sɛ wobɛhome a . | Kɔ oduruyɛfo nkyɛn ntɛm ara. |
| Sɛ wo hwene mu mogya akɔ soro bere a woafi aduru foforo ase akyi a . | Wo ne oduruyɛfo a ɔkyerɛw saa aduru no nkasa. |
| Sɛ, ne hwene mu mogya , nipadua no afã afoforo nso nya nsensanee te sɛ akuru a. | Kɔ oduruyɛfo ntɛm ara efisɛ eyi betumi ayɛ aduruyɛ mu tebea a emu yɛ den ho sɛnkyerɛnne. |
| Sɛ abofra a onnii mfe 2 wɔ hwene mu mogya a. | Ɛyɛ papa sɛ wobɛkɔ mmofra oduruyɛfo nkyɛn. |
Sɛnea wobegyae mogya a ɛba hwene mu wɔ fie (mmoa a edi kan) .
Okay, afei momma yɛnhwɛ nea ɛsɛ sɛ woyɛ ankasa bere a woafi ase anya hwene mu mogya, a worenbɔ hu.
1. Dwo: Mma wo ho nnpopo mfiase no. Yɛ komm na fa w’anom home.
2. Tena ase tẽẽ: Tena akongua so tẽẽ na dan wo ti kɔ w’anim kakra. Mma wo ti nkɔ akyi da. Saa a wobɛyɛ no betumi ama mogya akɔ wo menewam, na ama woafefe na woafe. Eyi nso betumi ama mogya a ɛretu no ayɛ kɛse.
3. Pia wo hwene: Fa wo nsateaa kɛse ne wo nsateaa a wode kyerɛ ade no twitwiw ɔfã a ɛyɛ mmerɛw a ɛwɔ wo hwene no atifi pɛɛ no. Mfa wo hwene no fã a ɛyɛ nnompe no ntwitwiw, fã a ɛyɛ mmerɛw no nkutoo.
4. Twɛn simma 10-15: anyɛ yiye koraa no simma 10 wɔ bere koro muKɔ so mia so. Mma wo nsa nnyae bere a worehwɛ sɛ mogya no agyae anaa. Saa a wobɛyɛ no bɛma mogya a ɛretu no abubu na mogya no afi ase bio. Gyae wo nsa wɔ simma 10 akyi. Sɛ mogya no da so ara reba a, kɔ so mia so simma 10 bio.
5. Popa mogya no: Fa ntama anaa ntama a ɛyɛ nwini popa mogya a efi mu ba no. Mmɔ mmɔden da sɛ wobɛmia cotton balls anaa tissue paper a wɔabobɔw mu akɔ wo hwene mu.
Wɔ bere a ɛte sɛɛ mu no, kɔ ETU ntɛm ara!
Mpɛn pii no, atifi hɔ mmoa a edi kan no bɛma mogya no agyae. Nanso, wɔ nsɛm a edidi so yi mu no, ntra fie na wo ne obi nkɔ ayaresabea a ɛbɛn wo no Emergency Department (ETU) ntɛm ara.
- Sɛ mogya no annyae bere a woakura wo hwene mu denneennen simma 15-20 akyi a.
- Sɛ mogya pii yera (e.g. ɛboro kuruwa).
- Sɛ worenom nnuru a ɛma mogya yɛ mmerɛw (aspirin, warfarin), anaasɛ wowɔ mogya a ɛtwetwe (hemophilia) na wo mogya no nnyae a.
- Sɛ wote nka sɛ ɛyɛ den sɛ wobɛhome a .
- Sɛ worefe mogya bere nyinaa a.
- Sɛ wofi ase mogya tu bere a woabɔ wo ti anaa w’anim denneennen akyi (ahwease, kar akwanhyia).
Ayaresa bɛn na oduruyɛfo de ma wɔ eyi ho?
Sɛ wokɔ ayaresabea a, oduruyɛfo no betumi de ayaresa ahorow adi dwuma a egyina nea ɛde mogya no ba ne sɛnea emu yɛ den so.
- Nasal Packing: Sɛ wode nhyɛso bɛba baabi a mogya retu no a, wubetumi de biribi te sɛ gauze a wɔde nnuru ahyɛ mu, sponge soronko, anaa balloon a wɔde mframa gu mu ahyɛ hwene no mu. Wogyaw eyi wɔ nea ɛwɔ hɔ bɛyɛ nnɔnhwerew 24-48 na afei woyi fi hɔ.
- Ɔhyew: Eyi hwehwɛ sɛ wɔde nnuru (dwetɛ nitrate) anaa anyinam ahoɔden afiri ketewaa bi (electrocautery) hyew mogya ntini ketewaa a ɛretu no na ‘wɔsɔ ano. Hwene no mu yɛ mmerɛw ansa na eyi aba, enti ɛyaw biara nni hɔ.
- Nnuru mu nsakrae: Ebia wobetu wo fo sɛ sesa dodow a wɔde ma no anaasɛ gyae nneɛma te sɛ nnuru a ɛma mogya yɛ mmerɛw nom bere tiaa bi.
- Oprehyɛn: Sɛ hwene no mu abubu anaasɛ ɛwɔ septum a ayera a, wobetumi de oprehyɛn (septoplasty) asiesie.
Dɛn na wobetumi ayɛ na amma hwene mu mogya ansan bio?
Sɛ mogya taa tu wo hwene mu a, saa suban ahorow yi a wubedi akyi no betumi aboa kɛse ma woadi tebea no so.
- Ma wo hwene nyɛ nwini: Fa aduru a wɔde petepete hwene mu a nkyene wom, a wobetumi anya afi nnurutɔnbea ahorow, di dwuma mprenu kosi mprɛnsa da biara. Ɛyɛ papa nso sɛ wode humidifier bedi dwuma wɔ wo mpa mu anadwo.
- Fa ade a wɔde kata so gu so:Fa Vaseline kakra gu cotton ball so na fa gu hwene no mu. Nanso mfa cotton ball no nhyɛ mu nkɔ akyiri dodo.
- Mmɔ wo hwene denneennen: Yɛ brɛoo paa bere a worebɔ wo hwene no. Bue w’ano bere a worefefe no.
- Mfa wo hwene: Kwati saa su yi. Kyerɛkyerɛ mmofra nkumaa eyi ho ade na ma wɔn nnadewa nyɛ tiaa.
- Kwati sigaretnom: Sigaretnom ma hwene no mu wow na ɛsɛe ntini a ɛyɛ mmerɛw no.
- Hyɛ dade kyɛw a ɛbɔ wo ho ban: Sɛ wobɔ agumadi a ebetumi ama w’anim ne wo hwene apira a, hwɛ hu sɛ wobɛhyɛ dade kyɛw a ɛbɔ wo ho ban.
Nkrasɛm a Wɔde Kɔ Fie
- Hwene mu mogya (Epistaxis) abu so yiye na mpɛn pii no ɛnyɛ biribiara a ɛsɛ sɛ ɛhaw adwene.
- Mpɛn pii no nea ɛde ba ne mframa a ɛyɛ nwunu a ɛma mogya ntini a ɛyɛ mmerɛw a ɛwɔ hwene no mu no pae.
- Mma wo ho nnpopo bere a wuhu mogya no, dan wo ti kɔ w’anim, na mia wo hwene no fã a ɛyɛ mmerɛw no simma 10-15 bere koro mu.
- Sɛ mogya no annyae, sɛ mogya tu no boro so, anaasɛ sɛnkyerɛnne afoforo a emu yɛ den (adwene a ɛyɛ wo yaw, ɛyɛ den sɛ wobɛhome) a, kɔ oduruyɛfo nkyɛn anaa kɔ ETU ntɛm ara.
- Sɛ wo hwene mu mogya taa tu a, ɛho hia paa sɛ wo ne wo duruyɛfo kasa na ama woahu nea ɛde ba ankasa.
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