So wotɔ piti mpofirim? Nsuro sɛ wobɛtotɔ piti, momma yɛnkasa!

Ebia woahu sɛ obi adwene atu afra mpofirim na wahwe fam. Ebia ɛtoo wo, anaa ebia ɛtoo obi a wunim no. Eyi ne nea yɛfrɛ no "fainting" wɔ kasa no mu. Wɔ aduruyɛ mu no, eyi yɛ adwene a wɔhwere bere tiaa bi. Nokwarem no, ɛyɛ hu kakra sɛ wubehu anaasɛ wubenya mu osuahu. Nanso, mpɛn pii no, ɛnyɛ tebea a emu yɛ den. Momma yɛnka eyi ho asɛm nkɔ akyiri nnɛ.

Dɛn nti na woretotɔ piti saa?

Sɛ yɛbɛka no tiawa a, totɔ piti bere a yɛn amemene no nnya mogya a ɛdɔɔso bere tiaa bi no . Sɛ mogya a ɛkɔ amemene no mu no so tew a, oxygen dodow a enya nso so tew. Ɛno ne bere a w’adwene mu yɛ wo naa. Nneɛma pii betumi ama mogya a ɛkɔ amemene no mu no so tew yi. Momma yɛnhwɛ nneɛma atitiriw a enti ɛte saa.

1. Honam fam nneɛma nti

Ɛtɔ mmere bi a, nneɛma a atwa yɛn ho ahyia anaa nneɛma a yɛyɛ no betumi aka eyi.

• Fa no sɛ wowɔ baabi a nnipa ahyɛ hɔ ma da a ɛhɔ yɛ hyew yiye . Anaasɛ wɔ baabi a mframa nni hɔ koraa. Ebia woahu sɛ nkurɔfo totɔ piti wɔ afahyɛ ahorow ase anaa wɔtoto ntonto mu. Ebetumi aba esiane ntease ahorow te sɛ eyinom nti.
• Ɛtɔ mmere bi a saa tebea yi betumi aba sɛ woagyina gyinabea koro no ara akyɛ mpo a . Sɛ nhwɛso no, sɛ mmofra gyina owia mu kyɛ wɔ anɔpa nhyiam bi ase wɔ sukuu mu a. Nea ɛkɔ so wɔ ha ne sɛ mogya bi boaboa ano wɔ nan no mu, na ɛma mogya dodow a ɛkɔ amemene no mu no so tew bere tiaa bi.
• Saa ara na sɛ obi sɔre mpofirim fi baabi a ɔte anaa ɔda hɔ a, ebetumi ama obi atɔ piti nso. Wɔfrɛ eyi sɛ orthostatic hypotension. Sɛ wugyina hɔ mpofirim a, tumi a ɛtwe ade ba fam no ma mogya bi kɔ wo nan so, na ɛno betumi atew mogya dodow a ɛkɔ w’amemene mu no so ntɛm ara.

2. Esiane adwennwen ne nkate a emu yɛ den nti

Yɛn nsusuwii nso betumi aka sɛnea obi totɔ piti no tẽẽ. Wɔsan frɛ eyi sɛ `Vasovagal Syncope`.

• Fa no sɛ mpofirim ara wosuro paa , anaasɛ wote ɛyaw pii nka , sɛ wo ho yeraw wo kɛse, sɛ mpofirim ara wunya ahodwiriw kɛse... Nneɛma a ɛte sɛ eyi betumi ama nsakrae aba yɛn ntini mu, na ama yɛn koma bɔ ne mogya mmoroso akɔ fam mpofirim, na ama yɛatotɔ piti.
• So woahyɛ sɛnea nnipa binom totɔ piti bere a wohu mogya no nsow pɛn ? Eyi to nnipa binom bere a wɔkɔyɛ aduru a wɔde twitwiw wɔn anaasɛ wohu kuru bi no. Ɛyɛ eyi nti.

3. Nsakrae a ɛba wɔ ahomegye mu (`Hyperventilation`) .

Eyi yɛ ade foforo a ɛma obi totɔ piti. ``Hyperventilation`` yɛ bere a obi home ntɛmntɛm yiye na ɔhome kɔ akyiri . Nnipa binom home ntɛmntɛm saa bere a wɔn ho yeraw wɔn anaa ehu aka wɔn no.

• Sɛ yɛhome ntɛmntɛm saa a, carbon dioxide (`Carbon Dioxide` anaa `CO2`) dodow a ɛwɔ yɛn mogya mu no so tew sen dodow a ɛho hia.
• Dɛn na ɛba saa bere no? Mogya ntini a ɛde mogya kɔ yɛn amemene mu no bi yɛ teateaa (ɛsiw). Afei mogya dodow a ɛkɔ amemene no mu no so tew bio, na ɛno betumi ama obi atɔ piti.

4. Esiane ayaresa tebea horow bi nti

Ɛtɔ mmere bi a, sɛ wotaa te nka sɛ wo ti yɛ wo yaw a, ebetumi ayɛ yare foforo a ɛda adi ho sɛnkyerɛnne .

• Koma mu yare: Sɛ mmerɛwyɛ bi wɔ koma no dwumadi mu, sɛ nhwɛso no, koma a ɛbɔ a ɛnteɛ (`arrhythmia`) a, ebetumi ama obi atɔ piti efisɛ wɔmfa mogya nkɔ amemene no mu yiye.
• Mogya: Eyi kyerɛ sɛ obi a mogya atɔ no nso tumi totɔ piti. Mogya a ɛtɔ kɔ nipadua mu no kyerɛ sɛ mogya mu nkwammoaa kɔkɔɔ a ɛde mframa pa kɔ nipadua no mu no sua. Eyi nso betumi ama mframa pa a ennya nkɔ amemene no mu.
• Mogya mu asikre a ɛba fam: Totɔtɔ nso betumi aba wɔ tebea bi a wɔfrɛ no ``Low blood sugar'', anaa sɛnea nnuruyɛfo frɛ no ``Hypoglycemia.'' Eyi betumi aba sɛ asikre a ɛwɔ nnipa a wɔnom asikreyare nnuru mu no so tew mpofirim a. Anaasɛ, ebetumi aba nso bere a wonnidi yiye no.
• Postural Orthostatic Tachycardia Syndrome (POTS): Eyi yɛ tebea a emu yɛ den kakra. Wɔ saa tebea yi mu no, sɛ obi sesa ne gyinabea, te sɛ bere a ogyina hɔ fi baabi a ɔda a, ne koma bɔ kɔ soro wɔ ɔkwan a ɛnteɛ so, na sɛnkyerɛnne ahorow te sɛ akisikuru ne adwenemhaw ka ho.

5. Bere a nyinsɛn (`Nyinsɛn`) .

Sɛ mpo worehwɛ kwan sɛ wobɛyɛ ɛna, kyerɛ sɛ, wɔ ``Nyinsɛn'' mu no, wo nipadua no fa nsakrae pii mu .

• Nsakrae ba, titiriw wɔ mogya a ɛkɔ nipadua no mu no mu. Nsakrae a ɛba nipadua mu nkwaadɔm mu no ma mogya ntini mu trɛw kakra, enti mogya mmoroso betumi akɔ fam kakra asen nea ɛfata.
• Afei nso, bere a akokoaa no nyin no, awotwaa no nso nyin. Eyi betumi de nhyɛso aba mogya ntini akɛse no so (titiriw nea ɛde mogya kɔ fam) na ɛtew mogya dodow a ɛsan kɔ koma no mu no so. Eyi betumi atew mogya a ɛkɔ amemene no mu no so, na ama obi atɔ piti. Eyi betumi asi titiriw bere a woada w’akyi anaa bere a woagyina hɔ akyɛ no.

Nsɛnkyerɛnne bɛn na ɛwɔ hɔ ansa na woatotɔ piti?

Mpɛn pii no, obi a ɔtotɔ piti no nsi prɛko pɛ. Ansa na ɛno reba no, yɛn nipadua ma yenya nsɛnkyerɛnne nketenkete, anaa kɔkɔbɔ nsɛnkyerɛnne . Sɛ yehu eyinom a, yebetumi ahwɛ yiye ansa na yɛatotɔ piti na yɛahwe ase. Ma yɛnhwɛ nea wɔyɛ:

• M’afi ase reyɛ me basaa .
• Ebia wobɛte nka sɛ wunni nkwa na wo ti so yɛ hare (te sɛ nea wo ti rehuruhuruw wɔ wo nipadua atifi).
• Anim no dan fitaa mpofirim.
• Ebia wobɛte nka sɛ woankari pɛ na ɛte sɛ nea worebɛhwe ase.
• Ebia w'anisoadehu bɛsakra kakra . Ebia wobɛte esum nka wɔ w’ani, nsensanee, anaa ɔkwan a wɔfa so hu ade mu.
• Koma no bɔ betumi akɔ soro mpofirim anaasɛ ɛnyɛ nea ɛkɔ so daa (`palpitations`).
• Mifi ase fifiri pii na me nipadua yɛ nwini.
• Ebia wobɛte nka sɛ wo ho ayɛ wo yaw na/anaasɛ wobɛfe .

Sɛ wuhu saa nsɛnkyerɛnne yi bi a, ɛsɛ sɛ woyɛ ho biribi ntɛm ara.

So wobetumi asiw ɔtopae ano? Yiw, sɛnea ɛte no ni!

Sɛ yɛte nka sɛ yɛatotɔ piti a, nneɛma bi wɔ hɔ a yebetumi ayɛ de asiw ano, anaasɛ anyɛ yiye koraa no yɛasiw yɛn ho kwan na yɛanhwe ase na yɛampira yɛn ho.

• Sɛ ɛbɛyɛ yiye a, da fam ntɛm ara sɛnea wubetumi. Eyi ne ade a eye sen biara a ɛsɛ sɛ woyɛ. Sɛ woda fam a, ɛnyɛ den sɛ mogya bɛsen akɔ amemene no mu efisɛ enhia sɛ ɛbɔ mogya de ko tia tumi a ɛtwe ade ba fam no. Sɛ ɛbɛyɛ yiye a, ma wo nan so kakra (fa pillow anaa bag). Eyi bɛboa ma mogya a ɛwɔ wo nan mu no akɔ wo koma mu ntɛm, na afi hɔ akɔ w’amemene mu. Sɛ wote nka sɛ wo ho tɔ wo kakra pɛ a, nsɔre mpofirim. Nea edi kan no, tena ase kakra, na afei sɔre brɛoo.
• Sɛ wuntumi nna fam a, tena ase na fa wo ti si fam wɔ wo nkotodwe ntam. Eyi nso boa ma mogya kɔ amemene no mu. Nanso ɛnyɛ nea etu mpɔn te sɛ nea wobɛda. Sɛ wo ho tɔ wo kakra a, sɔre tena hɔ tẽẽ kakra, na afei sɔre gyina hɔ.
• Nom nsu pii. Sɛ nsu nni wo nipadua mu (i.e., nsu nni wo mu) a, ɛda adi sɛ wobɛte nka sɛ wo ti ayɛ wo yaw. Nom nsu pii da mũ no nyinaa. Ɛsɛ sɛ wonom nsu pii mpo bere a woreteɛteɛ w’apɔw mu anaa bere a wim yɛ hyew no.
• Ma wo mogya nkɔ yiye. Sɛ woagyina hɔ anaa wotena baabi koro no ara akyɛ a, tu kɔ baabiara wɔ bere bi akyi. Nneɛma te sɛ apɔw-mu-teɛteɛ a ɛma ntini mu yɛ den ne nan a wɔsesa betumi ama mogya no atu mpɔn.
• Kwati mmeae a ɛhɔ yɛ hyew, nnipa ahyɛ hɔ ma, na mframa nni hɔ sɛnea wubetumi biara. Sɛ ɛsɛ sɛ wokɔ baabi a ɛte saa a, fa nsu toa ka wo ho, na sɛ ɛbɛyɛ yiye a, fi adi kakra na woanya mframa pa bi.

So ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn? Bere bɛn na ɛsɛ sɛ mehwehwɛ aduruyɛ mu afotu?

Mpɛn pii no, sɛ wo ba, ɔbabun, anaa w’ankasa wo totɔ piti a, ɛnyɛ bere nyinaa na ɛhaw wo. Nkanka:

• Sɛ metumi atɔ piti pɛnkoro pɛ wɔ m’asetra mu a .
• Mesan nyaa m’adwene wɔ bere tiaa bi mu, te sɛ simma biako anaa abien .
• Sɛ nea ɛde ɔtopae ba no da adi pefee (sɛ nhwɛso no, owia mu a wobɛtra bere tenten, baabi a ɛhɔ yɛ hyew, mogya a wuhu a wosuro).

Nanso, sɛ wo ba no wɔ yare foforo biara a enni sabea (sɛ nhwɛso no, asikreyare, komayare), ɔnom nnuru bi , anaasɛ n’adwene tu fra a, nyansa wom sɛ wobɛfrɛ oduruyɛfo ma wagye no fo.

Nanso, wɔ nsɛm a edidi so yi mu no, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn anaasɛ wokɔ ayaresabea:

• Sɛ wototɔ piti na wohwee ase na wopirapirae kɛse (titiriw sɛ wobɔ wo ti denneennen a).
• Koko mu yaw a ɛma obi totɔ piti, .Nneɛma a ɛnteɛ wɔ wo koma bɔ mu (i.e., ɛbɔ ntɛmntɛm dodo anaasɛ ɛnyɛ daa – te sɛ `a ɛyɛ wo yaw`), anaasɛ sɛ ɛyɛ den ma wo sɛ wobɛhome a .
• Sɛ wunya akisikuru a ɛka ho a wobɛtotɔ piti (te sɛ wosow, wo sẽ a wobɛyam).
• Sɛ wote nka sɛ woatɔ piti bere a woreyɛ apɔw-mu-teɛteɛ anaa woreyɛ apɔw-mu-teɛteɛ afoforo a, eyi betumi ayɛ komayare ho sɛnkyerɛnne.
• Bɛboro pɛnkoro, kyerɛ sɛ, sɛ wotaa totɔ piti a .
• Sɛ obi a ɔwɔ abusua no mu wɔ abakɔsɛm a ɛkyerɛ sɛ ne koma awu mpofirim a.

Oduruyɛfo no bebisa wo asɛm a esii no ho asɛm, ayɛ wo nipadua mu nhwehwɛmu, na sɛ ɛho hia a, obetumi ayɛ nhwehwɛmu pii te sɛ:

• E.C.G. Sɔhwɛ (`ECG` anaa `Electrocardiogram`): Eyi yɛ sɔhwɛ a ɛnyɛ den a ɛyaw nnim a wɔde hu koma tebea horow, titiriw koma a ɛbɔ a ɛnteɛ.
• Sɔhwɛ a wɔde hwɛ asikre dodow a ɛwɔ mogya mu.
• Mogya mu nhwehwɛmu a wɔyɛ de hwɛ sɛ mogya a ɛtɔ kɔ nipadua no mu denam hemoglobin dodow a ɛwɔ mogya no mu a wɔbɛsusuw so.
• Ebia ɛho behia sɛ wɔyɛ nhwehwɛmu titiriw afoforo te sɛ echocardiogram (koma no mu nhwehwɛmu) anaasɛ tilt-table nhwehwɛmu.

Dɛn na wubetumi ayɛ sɛ ɔwofo?

Sɛ wo ba anaa obi a ɔbɛn wo totɔ piti a, mma wo ho nnpopo na yɛ saa nneɛma yi:

1. Boa no ntɛm ma ɔnkɔda fam, anaa kyere no na ɔnhwe ase. Ade a edi kan a ɛsɛ sɛ yɛyɛ ne sɛ woremma wanhwe ase na wampira ɔfã bi a ɛho hia te sɛ ne ti.

2. Sɛ wahwe ase dedaw a, hwɛ sɛ wapira anaa. Sɛ ɔte sɛ nea wapira kɛse a, gyae no na frɛ ambulance ntɛm ara. Mma nntutu no nkɔ baabiara a ɛho nhia.

3. Gyae ntade biara a ɛyɛ den a wohyɛ (te sɛ abɔso, atade kɔla, krataa).

4. Ma wo nan so kakra (bɛyɛ anammɔn biako). Wubetumi de bag, pillow, anaa w’ankasa wo nan adi dwuma ama eyi. Eyi ma mogya a ɛkɔ amemene no mu no yɛ kɛse.

5. Ma mframa no bɔ w’anim. Ma nnipa a wɔatwa wo ho ahyia no nware kakra.

6. Mpɛn pii no, obi a ɔtotɔ piti no san nya n’adwene wɔ simma biako anaa abien ntam. Bere a woasan anya n’adwene mpo akyi no, mma wɔnsɔre mpofirim. Ka kyerɛ wɔn sɛ wɔnda hɔ simma 10-15 bio. Sɛ wɔsɔre ntɛm dodo a, ebetumi ama wɔatotɔ piti bio.

7. Bere a n’adwene asan aba no akyi no, wubetumi ama no nsu bi anom.

Ɛsɛ sɛ wɔfrɛ ambulance a egye ntɛmpɛ (e.g. 1990 Suwaseriya) wɔ tebea horow a edidi so yi mu:

• Sɛ simma kakraa bi (e.g. simma 2-3) atwam na woda so ara nnim hwee a.
• Sɛ ɛyɛ den ma wo sɛ wobɛhome a .
• Sɛ yɛreka koko mu yaw ho asɛm a.
• Sɛ akisikuru bi ba a.
• Sɛ wohwee ase na wobɔɔ wo ti denneennen anaasɛ wupirapirae kɛse bio a.
• Sɛ ɛna a onyinsɛn totɔ piti a.
• Asikreyarefo biSɛ wote nka sɛ woatɔ piti (ebia asikre a ɛwɔ wo mogya mu no so atew).

Kae eyi sɛ nsɛm a wɔaboaboa ano.

Okay, enti afei ebia woate ase sɛ ɛwom sɛ totɔ piti betumi ayɛ hu kakra de, nanso mpɛn pii no ɛnyɛ asɛm kɛse.

Ade a ɛho hia sen biara ne sɛ wubehu nsɛnkyerɛnne a ɛkyerɛ sɛ obi atɔ piti na woada ntɛm. Anaasɛ anyɛ yiye koraa no, fa wo ti tra wo nkotodwe ntam. Eyi betumi aboa kɛse ma wɔasiw asehwe ne opira ano.

• Bere nyinaa, kɔ so nya nsu pa, a ɛkyerɛ sɛ anyɛ yiye koraa no, wobɛnom nsu nkuruwa 8 da biara. Nom pii mpo wɔ nna a ɛyɛ hyew ne bere a woreyɛ apɔw-mu-teɛteɛ no.
• Nya suban te sɛ sɛ wobɛkɔ baabiara sen sɛ wobɛtra baabi akyɛ dodo, na woasɔre brɛoo mmom sen sɛ wobɛsɔre mpofirim.
• Nanso, sɛnea madi kan aka no, sɛ wototɔ piti bere nyinaa, wopira bere a woretotɔ piti, anaasɛ wowɔ sɛnkyerɛnne afoforo a asiane wom te sɛ wo koko mu yaw, ahome a ɛyɛ den, anaasɛ akisikuru a, akyinnye biara nni ho sɛ ɛsɛ sɛ wuhu oduruyɛfo kɔhwehwɛ nea ɛde ba. Mma nntwa so.
• Sɛ abofra bi totɔ piti a, mma wo ho nnyɛ wo hu, boa no, na sɛ ɛho hia a, hwehwɛ aduruyɛfo afotu ntɛm ara.

Ɛho hia yiye sɛ wuhu eyi. Efisɛ sɛ biribi a ɛte sɛɛ to wo anaa obi a wunim no a, wubehu nea ɛsɛ sɛ woyɛ. Ɛno bɛyɛ mmoa kɛse. Sɛ wowɔ nsɛmmisa bi a, mma wofɛre sɛ wubebisa oduruyɛfo.