Sɛ oduruyɛfo bi ka kyerɛ wo anaa obi a wunim sɛ ɛsɛ sɛ woyɛ koma a wɔabue mu oprehyɛn a, ehu kɛse biako a ɛba w'adwenem ne sɛ, "So wobebue me moma so?" Dɛn na ɛkɔ so ankasa wɔ eyi mu? Aduruyɛ mu asɛmfua a wɔde frɛ saa "koko a wobue" yi ne "Sternotomy." Mma nnsuro sɛ wote saa din yi a, ɛnyɛ hu sɛnea wususuw no. Momma yɛnka biribiara ho asɛm tiawa koraa, efi A so kosi Z so.
Sɛ yɛbɛka no tiawa a, dɛn ne Sternotomy?
Sternotomy yɛ adeyɛ a ɛtetew dompe a ɛyɛ tratraa a ɛwɔ wo koko mfinimfini, sternum (nufu mu dompe) no mu bere tiaa bi de yɛ oprehyɛn. Susuw ho saa kwan yi so: akyi berɛmo ne mpampam wɔ hɔ sɛ ɛbɛbɔ akwaa a ɛho hia te sɛ koma ne ahurututu a ɛwɔ yɛn koko mu ho ban. Ɛte sɛ sikakorabea a wɔde nneɛma a ɛsom bo gu mu.
Enti, sɛ ehia sɛ wɔde oprehyɛn siesie komayare bi (te sɛ mogya ntini a asiw kɔ koma no mu) a, ɛsɛ sɛ oduruyɛfo a ɔyɛ oprehyɛn no nya koma no mu kwan pa. Saa bere no, wɔde ahwɛyiye twitwa nufu dompe a ɛbɔ ho ban yi mfinimfini na afei wɔpaapae mu abien de yɛ ɔkwan bi a ɛkɔ koma no mu. Wɔfrɛ eyi sɛ `Sternotomy`.
Sɛnea woyi ɔpon bi so bere tiaa bi na afei wɔsan de bata ho na ama ade kɛse bi akɔ ofie mu no, saa ara na wɔtetew nufu mu dompe yi mu abien bere tiaa bi na afei wɔsan de bata ho wɔ oprehyɛn akyi na ama nnuruyɛfo a wɔyɛ oprehyɛn no atumi adu wo koma mu ntɛm.
Ɛtɔ da bi a, sɛ anka wɔbɛtwa akyi berɛmo no koraa no, wɔtwa ketewaa bi (bɛyɛ nsateakwaa 2-3). Wɔfrɛ eyi `mini-sternotomy`.
So sternotomy yɛ oprehyɛn kɛse?
Yiw, wobu eyi sɛ oprehyɛn kɛse. Nea enti titiriw ne sɛ egye bɛyɛ adapɛn 8, anaa bɛyɛ asram abien ansa na akyi berɛmo no ayɛ yiye koraa. Afei nso, wɔtaa yɛ sternotomy sɛ koma a wɔabue mu oprehyɛn, a ɛkyerɛ sɛ esiesie kwan ma oprehyɛn kɛse te sɛ koma a wɔabue mu oprehyɛn, enti sɛ woka oprehyɛn abien yi nyinaa bom a, ɛbɛyɛ oprehyɛn kɛse. Nanso kae sɛ eyi yɛ oprehyɛn a abu so yiye na edi mu a koma ho oprehyɛn ho animdefo a wɔwɔ wiase nyinaa yɛ.
Ɔkwan bɛn so na wɔyɛ oprehyɛn no? Anamɔn biara
Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka bere a woresusuw oprehyɛn a ɛte sɛɛ ho no. Nanso saa ehu no so tew kɛse bere a wunim nea ɛbɛba ankasa no. Sɛnea wɔyɛ oprehyɛn no anammɔn biara ni.
| Anamɔn a wɔfa so yɛ | Dɛn na ɛrekɔ so? |
|---|---|
| 1. Ahosiesie | Wɔbɛma wo aduru koraa, enti worente ɛyaw biara. Afei, wɔbɛhohoro wo moma so were no ho yiye na sɛ ɛho hia a, wɔayi wo ti nhwi. |
| 2. Wora mu ntwitwiridii | Oduruyɛfo a ɔyɛ oprehyɛn no bɛtwa wo moma so were a ne kɛse yɛ nsateakwaa 6, afi wo kɔn mu nnompe ntam akɔ fam. |
| 3. Sternum a wɔatwa | Sɛ wɔde aduruyɛ mu saw soronko (`sternal saw`) di dwuma a, wɔde ahwɛyiye kɛse ne pɛpɛɛpɛ kyekyɛ nufu dompe no mu abien kɔ fam wɔ mfinimfini. |
| 4. Akoma no a wɔbɛma ayɛ baabi | Wɔde afiri soronko bi (``retractor'') hyɛ mu na wɔde nnompe asinasin abien a wɔatew mu no kɔ nkyɛnkyɛn, na ɛma baabi ba sɛnea ɛbɛyɛ a wobetumi ahu koma no pefee. |
| 5. Oprehyɛn kɛse a wɔyɛ | Eyi ne bere a wɔyɛ koma anaa akwaa a ɛfa ho oprehyɛn (e.g., oprehyɛn a wɔde twa kwan, valve a wɔde si ananmu). |
| 6. Asen no a wɔsan de bata ho | Sɛ wɔyɛ oprehyɛn no wie a, wɔsan de sternum a wɔatew mu no bom na wɔde dade a ɛnyɛ den nhama bɛyɛ 8 kosi 12 (sternotomy wires) kyekyere ho. |
| 7. Kuru no a wɔbɛpam | Awiei koraa no, wɔpam emu ntini ne honam ani, wɔto kuru no mu, na wɔde srade bi gu so de siw ɔyare mmoawa ano. |
Dɛn na ɛsɛ sɛ yɛhwɛ kwan wɔ oprehyɛn akyi?
Sɛ wɔyɛ oprehyɛn no wie a, ɛho behia sɛ wotra ayaresabea hɔ baabi a wɔhwɛ wɔn a wɔyare denneennen (ICU) nna kakraa bi. Afei wɔbɛyi wo akɔ ward a wɔyɛ no daa.
Bere a wɔde bɛsan anya ahoɔden ne nneɛma a ɛsɛ sɛ wohwɛ yiye
- Bere a wɔde bɛma obi ho atɔ no:Egye bɛyɛ asram abien ansa na akyi berɛmo no ayɛ yiye koraa. Ɛsɛ sɛ wohwɛ yiye paa wɔ saa bere yi mu.
- Ɛyaw: Ɛyɛ ade a ɛfata sɛ obi bɛte ɛyaw bi bere a wɔayɛ no oprehyɛn awie no. Nanso, nnipa dodow no ara betumi de nnuru a ɛnyɛ den a wɔde kum ɛyaw te sɛ `Paracetamol` adi ɛyaw no ho dwuma. Sɛ wowɔ ɛyaw a wuntumi nnyina ano a, ka kyerɛ wo duruyɛfo anaa ɔyarehwɛfo.
- Nneɛma a emu yɛ duru a wɔma so: Eyi ho hia yiye . Wɔ asram abien a edi kan no mu no, mma so ntra kilogram 4-5 . Sɛ yɛbɛka no tiawa a, ɛnyɛ papa sɛ wobɛma nufusu a ɛboro lita 4-5 so.
- Sɛnea wode wo nsa bedi dwuma: Sɛ worema biribi so a, fa wo nsa abien no nyinaa di dwuma. Afei nso, fa wo nsa abien no nyinaa bɛn wo nipadua no ma so. Kwati sɛ wode wo nsa biako bɛma nneɛma a emu yɛ duru so anaasɛ wobɛpia apon.
- Ɔfe ne ahurututu: Sɛ worefefe, worefefe, anaa woreserew a, fa pillow anaa wo nsa a wɔabobɔw to wo moma so. Eyi bɛma nhyɛso a ɛwɔ wo sternum so no so atew na ɛyaw no so atew.
- Karka: Mpɛn pii no, wubetumi asan aka kar bio wɔ bɛyɛ ɔsram biako anaa abien akyi, nanso ɛbɛyɛ papa sɛ wobɛkɔ wo duruyɛfo nkyɛn ahwɛ ahu.
Kɔkɔbɔ nsɛnkyerɛnne a ɛkyerɛ sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn
Sɛ wokɔ fie wie a, ɛho hia paa sɛ wohwɛ wo kuru ne wo nipadua no yiye. Sɛ wowɔ sɛnkyerɛnne ahorow a edidi so yi mu biara a, frɛ wo duruyɛfo ntɛm ara , anaa kɔ ayaresabea a wonyaa wo yare no.
- Nufu mu dompe sesa: Sɛ wote nka sɛ wo nufu dompe retu, anaasɛ wote anaa wote nka sɛ ‘klik’ anaa ‘klik’ nnyigyei bi.
- Ɛyaw a ɛkɔ soro: Ɛsɛ sɛ ɛyaw no so tew nkakrankakra bere a kuru no sa no. Nanso sɛ ɛyaw no kɔ soro mpofirim a.
- Nsu a ɛkɔ kuru no mu: Sɛ nsu a ɛte sɛ akisikuru a ɛyɛ kɔkɔɔ, ahabammono, anaa ɛyɛ huam retu a.
- Ahohoro ne kɔkɔɔ: Sɛ baabi a atwa kuru no ho ahyia no yɛ kɔkɔɔ paa, ɛho ahonhon, na sɛ woka a, ɛyɛ hyew a.
- Atiridii: Sɛ atiridii wɔ nipadua no mu a.
Saa sɛnkyerɛnne ahorow yi betumi akyerɛ sɛ ɔyare mmoawa wɔ kuru no mu anaasɛ dompe no ntumi nsa yiye. Enti mmu w’ani ngu wɔn so.
Nkrasɛm a Wɔde Kɔ Fie
- Sternotomy yɛ adeyɛ a wɔtaa yɛ na ahobammɔ wom a wɔde ma kwan ma wɔyɛ koma oprehyɛn. Nsuro no.
- Egye bɛyɛ asram abien ansa na akyi berɛmo a wɔatwa no ayɛ yiye. Saa bere yi mu no, kwati sɛ wobɛma nneɛma a emu yɛ duru so anaasɛ wobɛtwetwe wo nipadua wɔ ɔkwan biara so.
- Di wo duruyɛfo akwankyerɛ akyi yiye, titiriw wɔ nneɛma a emu yɛ duru a wobɛma so ne wo koko a wobɛbɔ ho ban ho.
- Sɛ kuru no yɛ yaw, ɛyɛ dede a ɛyɛ soronko, anaasɛ ɛwɔ sɛnkyerɛnne te sɛ akisikuru a ɛretu afi mu a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Sɛ wowɔ nsɛmmisa bi fa oprehyɛn yi ho a, nsuro sɛ wubebisa wo oprehyɛn ho ɔbenfo. Ɛyɛ wo hokwan.
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