Sɛ wususuw sɛ wobɛkɔ sẽ ho oduruyɛfo nkyɛn a, nnipa binom ho popo, ɛnte saa? Saa nkongua no, saa dede no, saa nnwinnade no... Sɛ wodwen ho mpo a, ɛma wote ehu nka. Esiane ehu yi nti, nnipa pii twɛn kosi sɛ wɔn sẽ ho haw no mu bɛyɛ den. Nanso sɛ meka kyerɛ wo sɛ ɔkwan bi wɔ hɔ a wobɛfa so ayɛ wo sẽ ho aduru a ɛnyɛ den koraa, a ehu, dadwen, anaa ɛyaw biara nni mu a, so wubegye me adi? Ɛno ne nea yɛfrɛ no 'Sedation Dentistry'. Momma yɛnka eyi ho asɛm tiawa koraa nnɛ.
Dɛn ankasa ne Sedation Dentistry?
Sɛ yɛbɛka no tiawa a, eyi hwehwɛ sɛ wɔde wo bɛto tebea a ɛyɛ komm na wo ho adwo wo mu bere a wɔreyɛ wo sẽ ho oprehyɛn no. Eyi yɛ aduru a ɛma obi dwo a ɛkɔ fam, a ɛkyerɛ sɛ ɛnyɛ nea wunnim hwee koraa . Wowɔ adwene, nanso wowɔ tebea a ɛma wo ho dwo wo, na wo ho adwo wo kɛse mu. Nnipa binom nso frɛ eyi ‘twilight sleep’, efisɛ ɛde tebea bi a ɛnyɛ nea wunnim hwee, wonte ɛyaw nka, na wonkae ayaresa no akyiri yi ba. Sɛ yɛbɛka no pɛpɛɛpɛ a, nnipa dodow no ara te nka te sɛ nea wɔreso dae.
Henanom na saa kwan yi fata paa?
Nokwarem no, obiara a wadi mfe biara, mmofra nkumaa mpo, betumi anya saa kwan yi so mfaso. Sɛ wowɔ ɔhaw a ɛte saa ara a, wubetumi ne wo sẽ ho oduruyɛfo akasa afa ɔkwan yi ho.
| Ɔhaw / Ehu | Nkyerɛmu |
|---|---|
| Nsõ Ho Dadwen | Ehu ne dadwen a ɛboro so bere a wosusuw sɛ wobɛkɔ oduruyɛfo nkyɛn no. |
| Gag reflex a ɛma obi ho yɛ hyew | Sɛ wode adwinnade anaa oduruyɛfo nsa hyɛ w’anom a, wobɛte nka sɛ wobɛfe. |
| Suro a wosuro wɔ nnade ho (Aichmophobia) . | Suro a wosuro dodo wɔ injection a ɛma ɛyɛ mmerɛw no ho. |
| Nsõ a ɛyɛ mmerɛw dodo | Ɛyaw a emu yɛ den bere a biribi bɔ wo sẽ no. |
| Sɛ obi te nka sɛ wɔakyere no (Claustrophobia) . | Sɛ obi te nka sɛ ne menewa mu na ɛyɛ den sɛ ɔbɛhome bere a ɔte oduruyɛfo agua so no. |
| Numbing aduru a ɛnyɛ adwuma yiye | Wo nipadua no ntumi nyɛ ade yiye wɔ aduru a wɔde kum nipadua no mu a wɔtaa de ma no ho. |
| Nnipa a wɔwɔ ahiade soronko | Wɔ mmofra anaa mpanyimfo a wɔwɔ honam fam, adwene anaa nneyɛe mu ahiade soronko fam. |
Dɛn ne akwan a wɔfa so ma obi dwo yi?
Wo duruyɛfo no begyina w’ahiade, ehu dodow, bere a wode sa yare, ne w’akwahosan ho abakɔsɛm so apaw ɔkwan a ɛfata wo yiye. Akwan titiriw abiɛsa na ɛwɔ hɔ.
1. Nitrous Oxide (Nitrous Oxide) anaa ‘mframa a ɛserew’.
Wɔsan frɛ eyi sɛ ‘ɔserew mframa’. Wɔma wo akataso ketewaa bi wɔ wo hwene so na wɔma wohome mframa yi. Wɔ simma 3-5 mu no, wubefi ase ate nka sɛ wo ho yɛ hare yiye na wo ho adwo wo. Oduruyɛfo no betumi ahwɛ mframa dodow a wɔde ma wo wɔ ayaresa no nyinaa mu.
Mfaso kɛse a ɛwɔ eyi so ne sɛ, sɛ wohome mframa pa bi bere a wɔawie ayaresa no a, ɛkame ayɛ sɛ mframa yi fi wo nipadua mu koraa. Enti w’ankasa wubetumi de kar akɔ fie.
2. Anom a Wɔde Dwudwo Anom
Wɔ saa kwan yi so no, wɔma wo aduru a ɛma obi dwo bɛyɛ dɔnhwerew biako ansa na wɔayɛ ayaresa no. Nea wɔtaa de di dwuma ne aduru bi a efi ``Diazepam`` kuw mu, te sɛ ``Triazolam``. Wɔ mmofra nkumaa fam no, wobetumi ama aduru a ɛyɛ nsu te sɛ ``Midazolam``.
Sɛ wonom saa nnuru yi a, wobɛte nka sɛ woada paa, na ebia wobɛda mpo. Nanso sɛ oduruyɛfo no pɛ sɛ ɔne wo kasa a, obetumi de tap a emu yɛ hare akanyan wo.
Nea ɛho hia paa: Esiane sɛ saa kwan yi ka wo nkae ne wo kankyee bere tiaa bi nti, wo nkutoo ntumi nkɔ fie bere a woayɛ ayaresa no awie esiane biribiara nti. Ɛsɛ sɛ woma w’adamfo anaa w’abusua muni bi ka wo ho.
3. Ntini a Wɔde Fa Ntini Mu (IV) a ɛma obi dwo
Eyi ne aduru a emu dɔ sen biara a wɔde ma wɔ nsensan ho adwumayɛbea. Wɔ eyi mu no, wɔde aduru a ɛma obi dwo ma wo ntini no tẽẽ denam IV ( saline ) so. Bere a wɔreyɛ ayaresa no, oduruyɛfo no ne ne kuw no kɔ so hwɛ wo koma bɔ, wo mogya mmoroso, ne oxygen dodow so .
Nnipa pii da wɔ saa kwan yi so na sɛ wɔsɔre a, wɔnkae ayaresa no ho hwee. Saa kwan yi ye ma nnipa a wosuro paa anaa ayaresa a egye bere tenten.
So ɛma obi ntumi nhu ade koraa (General Anesthesia)?
Yiw, wɔ nsɛm titiriw bi mu no, wɔyɛ saa nso. Nanso ɛyɛ soronko wɔ `Sedation` ho. `General Anesthesia` kyerɛ sɛ wo nnim hwee koraa wɔ ayaresa no mu. Wɔtaa yɛ eyi ma mmofra nkumaa, mpanyimfo a wɔwɔ ahiade soronko, anaa nnipa a wɔwɔ nsensan ho suro a wontumi nnyina ano.
Eyi nyɛ biribi a wobetumi ayɛ wɔ ayaresabea a wɔhwɛ wɔn sẽ daa. Ɛhwehwɛ sɛ wonya ayaresabea anaa baabi a wɔyɛ nneɛma titiriw bi. Na ɛhwehwɛ sɛ obi nya oduruyɛfo a ɔde aduru a ɛma obi dwensɔ a wɔatete no titiriw na ama watumi ayɛ eyi.
Dɛn na ɛsɛ sɛ meyɛ ansa na wɔasa me yare ne bere a wɔawie no?
Ansa na wɔbɛsa no yare
Ɛsɛ sɛ wudi kan ne wo duruyɛfo kasa na woka w’akwahosan ne nnuru biara a wonom ho asɛm nyinaa kyerɛ wɔn. Mpɛn pii no, wɔhyɛ wo nkuran sɛ kwati sɛ wubedi anaa wobɛnom biribiara nnɔnhwerew 6 ansa na woayɛ ayaresa. Sɛ worenom nnuru a ɛma mogya yɛ mmerɛw te sɛ Warfarin a, akyinnye biara nni ho sɛ ɛsɛ sɛ woka ho asɛm kyerɛ wo duruyɛfo .
Bere a wɔasa no yare akyi
Gye sɛ wode ‘ɔserew mframa’ nkutoo na edii dwuma, sɛ wode akwan abien a aka no mu biako dii dwuma a, ɛsɛ sɛ wunya obi a wowɔ ne mu ahotoso a ɔde wo bɛkɔ fie.
Nea ɛho hia: Mma wo nkutoo nkɔ fie, sɛ́ ɛyɛ taksi anaasɛ ride-share service (e.g. Uber, PickMe), esiane biribiara nti. Wo ne obi a wunim no yiye na wowɔ ne mu ahotoso kɔ fie. Ɛsɛ sɛ wokɔ fie kɔhome yiye.
Dɛn ne mfaso ne nea efi mu ba?
Sɛnea ɛte wɔ aduruyɛ mu adeyɛ biara ho no, mfaso horow ne asiane nketenkete nso wɔ so.
| Mfaso a ɛwɔ so | Nsunsuanso bɔne/Asiane ahorow |
|---|---|
| Ɛma ehu ne dadwen fi hɔ. | Dae a obi da wɔ ayaresa akyi mpo. |
| Wobetumi ayɛ ayaresa no a ɛnyɛ den. | Ano a ɛyɛ mmerɛw (Xerostomia). |
| Oduruyɛfo no tumi yɛ adwuma ntɛm. | Akisikuru ne ɔfe. |
| Ɛboa wɔn a ehu nti wɔkwati ayaresa. | Tiyɛ ne akuru a ɛwɔ baabi a wɔde IV no hyɛɛ mu no. |
So eyi fata wɔ nyinsɛn mu?
Wɔntaa nkamfo saa akwan yi nkyerɛ bere a wɔyem efisɛ nnuru bi betumi aka akokoaa no nkɔso. Ɛwom sɛ ɛtɔ mmere bi a wobetumi de nitrous oxide ama wɔ ɔsram abiɛsa a ɛto so abien mu de, nanso nnuruyɛfo dodow no ara pɛ sɛ wɔde saa aduru yi di dwuma bere a wɔawo awie no.
Bere bɛn na ɛsɛ sɛ mesan kɔ oduruyɛfo nkyɛn bio?
Aduru no betumi ayɛ adwuma akosi nnɔnhwerew 24 wɔ ayaresa akyi. Nanso, sɛ wo ho yɛ wo yaw anaa wofe a ɛkɔ so, atiridiinini a ɛboro digrii Fahrenheit 101 (digrii Celsius 38.33), anaa ɛyaw a ɛnsɛe wɔ nnuru a wɔde kum ɛyaw ho , frɛ wo sẽ ho oduruyɛfo ntɛm ara na ɔmmoa wo.
Nkrasɛm a Wɔde Kɔ Fie
- Nkwati ayaresa efisɛ wusuro sɛ wobɛkɔ ntini ho oduruyɛfo nkyɛn. Sedation Dentistry yɛ ɔkwan a ahobammɔ wom a ebetumi aboa wo.
- Wo sẽ ho oduruyɛfo begyina ehu, w’akwahosan, ne ayaresa a wɔreyɛ so apaw ɔkwan a ɛfata sen biara a wobɛfa so ama wo ho dwo wo.
- Sɛ wɔama wo nnuru a wɔde dwudwo wo anom (aduru a wɔde dwudwo) anaa aduru a wɔde fa IV mu (a wɔde fa ntini mu) a, wo nkutoo nkɔ fie da. Wo ne obi a wowɔ ne mu ahotoso kɔ. Anyɛ yiye koraa no, kwati sɛ wobɛka kar da koro.
- Di wo duruyɛfo akwankyerɛ akyi yiye ansa na woasa wo yare ne bere a woawie no. Sɛ wowɔ ɔhaw bi anaa sɛnkyerɛnne ahorow bi a ɛyɛ soronko a, kɔ wo duruyɛfo nkyɛn ntɛm ara.
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