So wo nso w’adwene mu yɛ wo naa mpofirim? (Fainting) Momma yɛnka eyi ho asɛm!

So woanya mpofirim, w’ani yɛ bruu, woretwa wo ho, anaasɛ woate nka sɛ woatɔ piti pɛn? Anaasɛ woahu obi a wunim no sɛ ɔreyɛ eyi pɛn? Yɛtaa frɛ eyi sɛ ‘ɔtɔ piti’. Ɛwom sɛ ebetumi ayɛ ade a ɛyɛ hu de, nanso mpɛn pii no ɛnyɛ asɛm kɛse. Ɛnnɛ, yɛbɛka syncope ho asɛm, anaasɛ wɔ aduruyɛ mu no, ‘fainting’ kɛkɛ.

Dɛn na eyi kyerɛ?

Sɛ yɛbɛka no tiawa a, obi a ɔtotɔ piti yɛ bere tiaa mu nhumu a ɔyera . Eyi ba bere a yɛn amemene no nnya mogya a ɛdɔɔso no. Ɛnde dɛn nti na mogya dodow a ɛkɔ amemene no mu no so tew? Nea enti titiriw a ɛte saa ne yɛn mogya mmoroso a ɛso tew mpofirim no .

Susuw ho hwɛ, yɛn amemene te sɛ afiri ketewaa bi. Ɛsɛ sɛ mogya kɔ so ma no aduan na ama ayɛ adwuma. Sɛ mogya mmoroso so tew, sɛnea sɛ nhyɛso a ɛwɔ nsu paipu mu so tew a, nsu dodow a ɛsen kɔ amemene no mu nso so tew. Ɛno ne bere a yɛn adwene fi yɛn ho so bere tiaa bi. Mpɛn pii no, eyi tumi di sikani kakraa bi kosi simma kakraa bi. Afei yɛsan nya yɛn adwene ntɛmntɛm.

Adɛn nti na worehaw yɛn?

Nneɛma ahorow betumi ama ne menewa mu ayɛ no yaw. Ebinom yɛ mmerɛw yiye, nanso ɛtɔ mmere bi a, menewam a ɛyɛ yaw betumi ayɛ aduruyɛ mu tebea bi a ɛda adi ho sɛnkyerɛnne. Momma yɛnhwɛ nneɛma atitiriw a ɛde ba no.

Nipadua mu Nneɛma a Ɛkanyan

• Ɛtɔ da bi a , sɛ wote nka sɛ wo ho yɛ hyew dodo , sɛ wowɔ baabi a nnipa ahyɛ mu ma, anaasɛ mframa nkɔ wo yiye a , wo ti betumi ayɛ wo yaw. Ebia woahu mmofra bi sɛ wɔretotɔ piti bere a wɔreyɛ anɔpa nhyiam wɔ sukuu mu. Afei nso, sɛ wugyina baabi a wotena hɔ mpofirim anaasɛ wugyina baabi a wote a, wo ti betumi ayɛ wo yaw. Wɔfrɛ eyi ``Orthostatic Hypotension``, a ɛkyerɛ sɛ wo mogya mmoroso ``Blood Pressure`` so tew bere a wosakra wo gyinabea no. Fa no sɛ, sɛ wotena ase kyɛ na afei wosɔre gyina hɔ mpofirim a, ɛno na ɛma w’aniwa yɛ bruu.
• Ade foforo nso ne nsu a ɛnnɔɔso wɔ nipadua no mu a wɔfrɛ no dehydration . Sɛ yɛannom nsu a ɛdɔɔso da mũ no nyinaa, titiriw bere a yɛteɛteɛ yɛn apɔw mu denneennen anaa nna a ɛyɛ hyew a, nsu dodow a ɛwɔ nipadua no mu no betumi atew na mogya mmoroso betumi akɔ fam, na ɛno betumi ama yɛn ho atɔ yɛn.

Nkate mu Adwennwen

• Nnipa binom mogya mmoroso so tew mpofirim bere a ehu aka wɔn kɛse , wɔte ɛyaw, wɔahaw , anaasɛ wɔn ho adwiriw wɔn no . Ebia woate sɛ nnipa binom totɔ piti bere a wohu mogya. Anaasɛ sɛ wohu ade mpo a, nnipa binom totɔ piti. Saa na ɛte. Wɔfrɛ eyi Vasovagal Syncope.

Mframa a wɔde ma a ɛboro so

• Sɛ obi home denneennen na ɔyɛ ntɛmntɛm a, wɔfrɛ no ``Hyperventilation``, `Carbon Dioxide/CO2` dodow a ɛwɔ ne mogya mu no so tew. Afei yɛn mogya ntini no mu yɛ den (constricted) kakra, na mogya dodow a ɛkɔ amemene no mu no betumi atew. Ɛno nso betumi ama obi adwene atu afra. Mpɛn pii no, eyi ba bere a ehu aka yɛn kɛse anaa yɛayɛ basaa no.

Ayaresa mu tebea horow bi

• Nnipa a wɔwɔ ayaresa tebea horow bi nso taa nya adwenemhaw. Sɛ nhwɛso no, nnipa a wɔwɔ komayare ( s.e., koma a ɛnyɛ den), mogya a ɛtɔ kɔ nipadua mu , asikre a ɛba mogya mu (hypoglycemia) (titiriw bere a wɔnom nnuru a wɔde sa asikreyare), anaa tebea horow te sɛ postural orthostatic tachycardia syndrome (POTS) betumi anya adwenemhaw.

Nyinsɛn a wɔde di dwuma

• Wɔ nyinsɛn mu no, nsakrae akɛse ba ɔbea nipadua mu. Titiriw nsakrae a ɛba mogya a ɛkɔ nipadua no mu no mu. Ɛtɔ mmere bi a eyi betumi ama obi adwene atu afra. Afei nso, bere a awotwaa no nyin no, ebetumi apia mogya ntini akɛse no na ama mogya a ɛkɔ amemene no mu no so atew, titiriw bere a woda w’akyi no.

Dɛn ne sɛnkyerɛnne ahorow a ɛwɔ hɔ ansa na woanyinsɛn?

Mpɛn pii no, yɛte nsɛnkyerɛnne nketenkete nka ansa na yɛahwe ase. Sɛ yedi kan hu eyinom a, ebia yebetumi akwati sɛ yɛbɛhwe ase bere a yɛrehwe ase no, anaasɛ sɛ yɛhwe ase mpo a, yebetumi akwati opira kɛse.

Nneɛma bi a ebia wobɛte nka ni:

• Sɛ wote nka sɛ wo ho ayɛ wo yaw (vertigo) .
• Lightheadedness, te nka sɛ worebɔ dam
• Pale hwɛbea
• Nneɛma a entumi nnyina pintinn, te sɛ nea nipadua no rehwere ne kari pɛ.
• Anisoadehu sesa , te sɛ sɛ wuhu nsensanee tuntum wɔ aniwa anim, anaa "tunnel vision".
• Koma a ɛbɔ ntɛmntɛm anaasɛ ɛnteɛ/Palpitations
• Fifiri pii (ɛtɔ mmere bi a fifiri a ɛyɛ nwini) .
• Akisikuru ne/anaasɛ ɔfe
• Nkate a ɛma obi nte asɛm yiye na ɔte nka sɛ nnyigyei a atwa ho ahyia no reyɛ akyirikyiri.

Sɛ wunya saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, ɛsɛ sɛ wohwɛ yiye na wuhu sɛ, "Oh, mete nka sɛ meretow mprempren."

So wubetumi asiw akisikuru a ɛbɛba no ano?

Yiw, mpɛn pii no yebetumi asiw yɛn ho kwan sɛ yɛbɛtow abufuw agu. Titiriw sɛ wowɔ sɛnkyerɛnne ahorow a yɛadi kan aka ho asɛm a ɛma wote nka sɛ wobɛtow abufuw a, nneɛma bi a wubetumi ayɛ ni:

• Sɛ ɛbɛyɛ yiye a, da fam ntɛm.Sɛ woda fam saa, titiriw sɛ woma wo nan so kakra (wɔ pillow anaa bag so) a, mogya a ɛkɔ amemene no mu no yɛ kɛse. Eyi betumi aboa ma wɔagyae adwenemhaw no. Sɛ wo ho tɔ wo a, sɔre brɛoo . Sɛ́ anka wobɛsɔre mpofirim no, di kan tra ase kakra, na afei sɔre gyina hɔ nkakrankakra.
• Sɛ wuntumi nna saa a, tena nkongua so na fa wo ti si fam wɔ wo nkotodwe ntam. Eyi nso boa ma mogya kɔ amemene no mu. Nanso ɛnyɛ papa te sɛ nea wobɛda. Sɛ wo ho tɔ wo a, ma wo ti so nkakrankakra, na afei sɔre gyina hɔ.
• Mma wo nsu nkɔ wo mu . Nom nsu pii da mũ no nyinaa. Nom nsu pii ansa na woateɛteɛ w’apɔw mu, bere a woreyɛ apɔw-mu-teɛteɛ, ne bere a woawie, ne nna a ɛyɛ hyew nso. Ɛyɛ adwene pa sɛ anyɛ yiye koraa no wobɛnom nsu lita 2-3 da biara.
• Ma wo mogya no nkɔ yiye. Sɛ wugyina hɔ anaa wotena hɔ kyɛ a, sɔre na di akɔneaba bere ne bere mu. Sɛ wohyɛ wo nan ntini mu den na wotwa wo nan a, ebetumi aboa ma mogya no akɔ so yiye.
• Kwati mmeae a ɛhɔ yɛ hyew kɛse, nnipa ahyɛ hɔ ma, na mframa bɔ kɛse sɛnea wubetumi biara. Sɛ ɛsɛ sɛ wokɔ baabi a ɛte saa a, gye w’ahome mpɛn pii.
• Mma nnyae aduan, titiriw anɔpaduan. Sɛ asikre dodow a ɛwɔ wo mogya mu no so tew a, ebia wobɛyare.

Bere bɛn na ɛsɛ sɛ yɛkɔ oduruyɛfo nkyɛn?

Mpɛn pii no, biribiara nni hɔ a ɛsɛ sɛ wohaw wo ho dodo bere a wo ba anaa aberante no reyɛ abufuw no, titiriw wɔ tebea horow yi mu:

• Sɛ woyɛɛ basabasa pɛnkoro pɛ wɔ w’asetra mu a
• Sɛ ɛyaw no yɛ bere tiaa bi pɛ (sekan kakraa bi anaa simma 1-2) .
• Sɛ nea enti a akisikuru no bae no da adi pefee (sɛ nhwɛso no, na ɛhɔ yɛ hyew yiye, na ɛwɔ baabi a nnipa ahyɛ hɔ ma, anaasɛ wosuro bere a wuhu mogya) .

Nanso, sɛ wo ba no wɔ ayaresa tebea foforo (e.g. komayare, asikreyare) anaasɛ ɔrenom nnuru a wɔakyerɛw ama no , ɛbɛyɛ papa sɛ wo ne oduruyɛfo bɛkasa.

Nanso, wɔ nsɛm yi mu no, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn anaasɛ wohwehwɛ aduruyɛfo afotu:

• Sɛ woapira bere a wofi antweri so rehwe ase (sɛ nhwɛso no, sɛ wobɔ wo ti denneennen, sɛ wobubu wo nsa anaa wo nan bi a) .
• Sɛ wo koko yɛ wo yaw , wo koma bɔ , anaasɛ wo home yɛ tiaa bere a woanya akisikuru no anaasɛ ɛno akyi a
• Sɛ ɛte sɛ akisikuru (te sɛ wosow, sẽ a wɔyam, nsu a ɛtɔ) .
• Sɛ woapira bere a woreyɛ apɔw-mu-teɛteɛ anaa woreyɛ apɔw-mu-teɛteɛ afoforo a
• Sɛ woakɔ ɔhaw mu bɛboro pɛnkoro a, titiriw mpɛn pii wɔ bere tiaa bi mu
• Sɛ na kɔkɔbɔ nsɛnkyerɛnne biara nni hɔ ansa na ogya no retɔ a
• Sɛ obi a ɔwɔ abusua no mu wɔ abakɔsɛm a ɛkyerɛ sɛ ne koma awu mpofirim a

Oduruyɛfo no bebisa wo nsɛm kakraa bi (te sɛ sɛnea ɛyaw no bae, bere tenten a atwam, nea na wote nka kan no, ne sɛ ebia worenom nnuru biara a wɔde sa nyarewa biara), ahwehwɛ wo mu, na ebia ɔbɛyɛ nhwehwɛmu ahorow bi nso, te sɛ:

• ECG (ECG/EKG) sɔhwɛ (eyi yɛ sɔhwɛ a wɔde hu komayare) .
• Mogya mu asikre ho nhwehwɛmu
• Mogya mu nhwehwɛmu a wɔde hwɛ sɛ mogya a ɛtɔ kɔ nipadua mu (Full Blood Count) .
• Wobetumi ayɛ nhwehwɛmu titiriw te sɛ echocardiogram (koma mu nhwehwɛmu) anaa tilt table nhwehwɛmu nso.

Sɛ obi pira wo ba a, dɛn na yɛyɛ?

Sɛ wɔreyɛ wo anaa obi foforo ayayade a, mma wo ho nnyɛ wo hu na yɛ saa nneɛma yi:

1. Fa ahwɛyiye fa no to fam, ɛyɛ papa sɛ wobɛtumi akyere no ansa na wahwe ase. Bɔ mmɔden sɛ wobɛbɔ ne ho ban na sɛ wahwe ase a, ɔremmɔ ne ti.

2. Sɛ onipa no apira (sɛ nhwɛso no, ne kɔn, n’akyi) a, ntutu no, efisɛ eyi betumi ama tebea no asɛe kɛse. Gyae wɔn kosi sɛ aduruyɛ mmoa bɛba.

3. Sɛ wohyɛ ntade a ɛyɛ den (te sɛ abɔso, kɔla, krataa) a, sansan.

4. Ma ne nan ne ne nan ase bɛyɛ nsateakwaa 12 (wɔ akyi bag, jacket, anaa pillow so). Eyi bɛboa ma mogya akɔ amemene no mu. Nanso, sɛ wususuw sɛ woapira wo ti a, mma wo nan so.

5. Mpɛn pii no, ɛsɛ sɛ nhumu san ba wɔ simma biako anaa abien ntam. Ɛyɛ ade a ɛfata sɛ wobɛte nka sɛ wo ho ayɛ wo hyew kakra bere a woasan anya n’adwene awie no. Enti, ma abofra no nna fam kakra (anyɛ yiye koraa no simma 10-15). Sɛ wɔsɔre ntɛm dodo a, ebetumi ama wɔanyan bio.

6. Bere a wanya n’adwene bio a, ma no nsu bi ma ɔnnom.

Sɛ biribi si ntɛm a, frɛ 1990 (Suvaseriya)!

Wɔ tebea yi mu no, frɛ 1990 ntɛm ara na frɛ ambulance:

• Sɛ woannya w’adwene bio wɔ simma kakraa bi akyi (bɛboro 2-3) .
• Sɛ wohwe ase na wobɔ wo ti denneennen na wopira kɛse a
• Sɛ ɛyɛ den ma wo sɛ wobɛhome anaasɛ wo home nyɛ nea ɛfata a
• Sɛ wowɔ koko mu yaw a
• Sɛ wohu tebea bi a ɛte sɛ akisikuru a
• Sɛ ɛyɛ den ma wo sɛ wobɛkasa, anaasɛ wote nka sɛ wo honam akwaa bi reyɛ ayɛ mmerɛw (eyinom betumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ woabɔ akisikuru) .
• Sɛ woadi boro mfe 50 na woatu nyinsɛn agu nea edi kan a.

Nneɛma a ɛho hia paa a yɛpɛ sɛ yɛde fie fie fi saa asɛm yi mu ne

Enti, ɛwom sɛ totɔ piti yɛ hu kakra de, nanso mpɛn pii no ɛyɛ bere tiaa mu de.Na ɛnyɛ ɔhaw kɛse.

• Nea ɛde ba titiriw ne mogya dodow a ɛkɔ amemene no mu a ɛso tew .
• Nneɛma a ɛnyɛ den te sɛ ɔhyew, nnipadɔm, sɔre a wɔsɔre mpofirim, ehu, ne nsu a ɛho ntew betumi ama obi ayɛ basaa.
• Nsɛnkyerɛnne te sɛ adwenemhaw, aniwa a ɛyɛ bruu, ne fifiri betumi aba ansa na akisikuru afi ase. Sɛ wuhu wɔn a, wubetumi ahwɛ yiye.
• Sɛ wote nka sɛ wobɛtow agu , da fam ntɛm ara na fa wo nan si soro.
• Sɛ wotaa kɔfe , sɛ wopira bere a worefe, sɛ wo moma so yɛ wo yaw, ɛyɛ den sɛ wobɛhome, anaasɛ wo ho yɛ wo hyew a , akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn.
• Sɛ obi renya akisikuru , fa no to n’akyi, ma ne nan so kakra, na sansan ne ntade a ɛyɛ den no. Wɔn adwene bɛba wɔn ho so ntɛm.
• Mma wo ho nnyɛ wo hu. Ade a ɛho hia sen biara ne sɛ wubehu eyi. Sɛ biribi a ɛte sɛɛ to wo anaa wo ba a, afei de wunim nea ɛsɛ sɛ woyɛ. Hwehwɛ aduruyɛ mu afotu bere nyinaa, titiriw sɛ w’adwene mu yɛ wo naa a.

Fainting , adwene a ɛyera, syncope, mogya mmoroso a ɛba fam, mogya a ɛkɔ amemene no mu a ɛso tew, adwenemhaw, nsu a ɛtɔ, komayare