So woahu sɛ obi totɔ piti na ɔhwe ase bere a wɔde aduru a wɔde twitwiw obi anaa wɔatwe mogya no awie no pɛn? Ebia w’ankasa woanya mu osuahu. Ɛwom sɛ eyi yɛ biribi a ɛbɔ nnipa pii hu de, nanso nokwarem no, ɛnyɛ biribi a ɛsɛ sɛ wosuro. Ɛnnɛ yɛreka saa akisikuru a abu so yiye yi ho asɛm, a wɔfrɛ no aduruyɛ mu sɛ Vasovagal Syncope.
Dɛn ne Vasovagal Syncope?
Sɛ yɛbɛka no tiawa a, Vasovagal Syncope yɛ adwene a ɛyera mpofirim esiane adeyɛ bi a ɛwɔ yɛn ntini mu, a ɛma mogya mmoroso ne koma bɔ so tew mpofirim nti. Mpɛn pii no, saa adwene a wɔhwere yi nnu simma biako.
Eyi yɛ biribi a ɛba ara kwa, a yentumi nni so. Yɛn nipadua no wɔ ntini a ɛhwɛ ne ho so. Saa nhyehyɛe yi wɔ ntini bi a ɛho hia yiye a wɔfrɛ no ‘Vagus’. Saa ntini yi di dwuma titiriw wɔ yɛn koma bɔ ne yɛn mogya mmoroso so. Sɛ biribi nti, wɔkanyan vagus ntini yi dodo a, ɛma yɛn koma bɔ ne yɛn mogya mmoroso so tew mpofirim.
Sɛ nhyɛso no so tew mpofirim saa a, mogya a ɛkɔ amemene no mu no so tew bere tiaa bi. Ɛno ne bere a yɛtotɔ piti na yɛn adwene mu yɛ yɛn naa.
Ɛwom sɛ ebetumi ato obiara a wadi mfe biara de, nanso wɔbɔ amanneɛ sɛ tebea a wɔfrɛ no Vasovagal Syncope no mu dodow no ara fi nnipa a wonnii mfe 40. Ɛwom sɛ eyi betumi ayɛ te sɛ nea ɛyɛ hu bere a wodi kan hwɛ no de, nanso mpɛn pii no ɛnyɛ tebea a epira.
Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ ansa na wagyae brayɛ?
Mpɛn pii no, wubefi ase ate kɔkɔbɔ nsɛnkyerɛnne bi nka bɛyɛ sikani 30-60 ansa na akisikuru no aba. Sɛ wuhu saa nsɛnkyerɛnne yi a, wubetumi asiw akisikuru a ɛremma akwanhyia mma no ano.
| Nsɛnkyerɛnne a atwam | Sɛ yɛbɛka no tiawa a... |
|---|---|
| Ɔbrɛ a wɔte nka mpofirim (Ɔbrɛ) . | Mpofirim ara, ntease biara nni mu no, wo nipadua no fi ase te nka sɛ nkwa nni mu na wabrɛ. |
| Ɔhyew a wɔte nka | Mpofirim ara, mete sɛ ɔhyew bi fi me nipadua mu reba. |
| Ti a ɛyɛ hare /Adwene a ɛyɛ hare | Ɛte sɛ nea me ti retwa, na nneɛma a atwa me ho ahyia no retwa. |
| Anim a ɛyɛ mmerɛw (Pallor) . | Anim no hwere mogya a ɛyɛ no na ɛyɛ fitaa. |
| Abofono | Mete nka sɛ mefe. |
| Fifiri a ɛdɔɔso | Mpofirim ara, mifi ase pae fifiri a ɛyɛ nwini mu. |
| Tunnel anisoadehu | Ɛte sɛ nea wohwɛ tube mu a, wutumi hu kakraa bi wɔ wo ho na wuhu mfinimfini nkutoo. |
Dɛn nti na eyi ba? Dɛn ne nneɛma atitiriw a ɛkanyan no?
Biribi pɔtee bi wɔ hɔ a ɛkanyan tebea yi. Ɛne sɛ, adeyɛ a ɛwɔ ntini no mu no fi adeyɛ pɔtee bi a ohu anaa ɔte nka no so. Nneɛma a ɛtaa de ba ne:
- Nnade anaa nnuruyɛ ho nnwinnade a wohu: Eyi betumi ato nnipa binom bere a wɔretwe mogya, wɔde aduru a wɔde twitwiw wɔn, anaa wɔrehu nnwinnade a wɔde di dwuma wɔ oprehyɛn mu no.
- Mogya a wubehu: W’ankasa anaa obi foforo mogya a wubehu nso yɛ ade titiriw a ɛde eyi ba.
- Adwennwen anaa nkate a emu yɛ den: Ehu, ahodwiriw, awerɛhow, anaa ɛyaw a ɛba mpofirim , a emu yɛ den no betumi afi tebea yi mu aba .
- Ɔbrɛ a ɛtra so anaa nsu a ɛho ayɛ fĩ: Sɛ obi gyina baabi koro bere tenten, ɔbɔ mmɔden boro so, ne nsu a ɛho ntew nso betumi ama obi abrɛ.
- Sɛ́ wobɛtra baabi a ɛhɔ yɛ hyew na nnipa pii wɔ hɔ: Saa tebea yi betumi aba nso bere a wowɔ baabi a nnipa ahyɛ hɔ ma na mframa ntumi nkɔ mu yiye no.
Ɔkwan bɛn so na oduruyɛfo hu eyi?
Sɛ wowɔ akisikuru te sɛ eyi a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn. Obebisa wo asɛm a esii no ho asɛm. Ɛne sɛ, nea esii ansa na akisikuru no reba, nea wotee nka, ne nea ɛkeka ho Bio nso, ebia sɔhwɛ ahorow bi wɔ hɔ a wɔde behu nea ɛde bae.
- Mogya mu nhwehwɛmu: Hwɛ sɛ ebia aduruyɛ mu tebea afoforo te sɛ mogya a ɛtɔ kɔ nipadua mu a dade nnim.
- ECG (Electrocardiogram): Eyi boa ma wohu nneɛma a ɛnyɛ ne kwan so anaa nsakrae biara a ɛba koma no mu.
- Echocardiogram: Eyi te sɛ koma no mu ultrasound scan. Ebetumi ahwɛ sɛnea wɔahyehyɛ koma no na ahu sɛ ebia biribi a ɛnteɛ wɔ hɔ anaa.
- EEG (Electroencephalogram): Wɔyɛ sɔhwɛ yi de hu sɛ ebia amemene mu haw bi te sɛ akisikuru na ɛma obi ntumi nhu hwee anaa.
- Tilt-table test: Wɔ sɔhwɛ yi mu no, woda mpa soronko bi so na wɔde mpa no dannan nkakrankakra tẽẽ. Wɔhwɛ wo mogya mmoroso ne wo koma bɔ so hwɛ sɛ wote nka sɛ wo ho ayɛ wo yaw anaa.
Ɔkwan bɛn so na wobetumi asiw eyi ano na wɔasa?
Nnipa dodow no ara nhia ayaresa titiriw biara wɔ eyi ho. Ade a ɛho hia sen biara ne sɛ wubehu nneɛma a ɛkanyan wo na woakwati. Nanso nneɛma bi wɔ hɔ a wubetumi ayɛ de asiw ɔpɛ a ɛwɔ wo mu sɛ wobɛtow nsu bere a aba no ano.
Nneɛma a wɔde ko tia nhyɛso
Saa akwan yi ma nipadua no ntini mu yɛ den na ɛma mogya mmoroso ntumi nkɔ fam.
1. Wo nan a wobɛtwa: Sɛ wogyina hɔ a, twa wo nan biako di foforo akyi. Afei kyekye wo nan, wo yafunu, ne wo nan ase ntini mu den.
2. Nsa a wobɛkyekyere: Fa wo nsateaa mu, fa hyɛ mu, na twe kɔ abɔnten. Te sɛ nea worebɔ mmɔden sɛ wobɛtwe wo nsa atew mu.
3. Bɔɔl a wobɛpiapia: Sɛ wokura biribi te sɛ rɔba bɔɔl wɔ wo nsam na wopiapia no denneennen nso boa ma nhyɛsoɔ kɔ so tra hɔ.
Wɔ saa nneɛma yi akyi no, ebia wo duruyɛfo nso bɛkamfo nneɛma te sɛ:
- Nom nsu pii ne nkyene kakra: Ɛho hia sɛ wonom nsu pii na amma wo ho atɔ wo. Ebia wɔbɛka akyerɛ nnipa binom nso sɛ wɔmfa nkyene kakra nka wɔn aduan ho. Nanso, ɛsɛ sɛ wɔyɛ eyi wɔ oduruyɛfo afotu nkutoo so.
- Compression stockings: Eyinom yɛ sɔks soronko a wɔhyɛ wɔ nan so. Wɔboa ma mogya a ɛboaboa ano wɔ nan no mu no so tew na ɛma nhyɛso kɔ so tra hɔ.
- Nnuru: Sɛ saa tebea yi taa ba a, wo duruyɛfo betumi akyerɛw nnuru bi a ɛbɛma woatumi asiw mogya mmoroso ano (e.g. fludrocortisone, midodrine).
- Pacemaker: Wɔ tebea horow a ɛntaa nsi a koma no bɔ so tew wɔ ɔkwan a ɛnteɛ so mu no, ebia ɛho behia sɛ wɔde pacemaker hyɛ nipadua no mu.
Bere bɛn na eye sɛ wobɛkɔ oduruyɛfo nkyɛn?
Ade a ɛho hia sen biara ne sɛ, sɛ worehu sɛ woretotɔ piti nea edi kan wɔ w’asetra mu a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn kɔhwehwɛ nea ɛde ba ankasa, efisɛ ɛtɔ mmere bi a tebea horow a emu yɛ den te sɛ komayare nso betumi ama woatɔ piti.
Nea ɛka ho no, hwɛ hu sɛ wobɛhwehwɛ aduruyɛ mu afotu wɔ nsɛm yi mu:
- Sɛ wohwe ase na wobɔ wo ti , sɛ woapira ketewaa bi mpo a, kɔ ETU (Emergency Treatment Unit) ntɛm ara.
- Sɛ worenom nnuru a ɛma mogya tu a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn bere a woahwe ase awie no.
- Sɛ mpɛn dodow a akisikuru ba no kɔ soro anaasɛ sɛnkyerɛnne ahorow no sesa a.
Nkrasɛm a Wɔde Kɔ Fie
- Vasovagal syncope yɛ tebea a abu so yiye na mpɛn pii no ɛnyɛ asiane biara. Nanso, sɛ worehyia syncope nea edi kan wɔ w’asetra mu a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn kɔhwɛ nea ɛde ba.
- Hu nneɛma a ɛkanyan wo ma w’adwene tu fra. Sɛ nhwɛso no, sɛ woreyɛ aduru a wɔde twitwiw wo mu a, sɛ woda fam a, ebetumi aboa ma woanhwe ase.
- Sɛ wote nka sɛ wo ho ayɛ wo yaw a, da fam anaa tena ase sɛ ɛbɛyɛ yiye a. Eyi betumi aboa ma wo ti ne mmeae afoforo a wopirapira no anhwe ase.
- Nhyɛso a wɔde ko tia nhyɛso te sɛ wo nan a wobɛtwa ne wo nsateaa a wobɛkyekyere bere a wote nka sɛ akisikuru reba no betumi aboa ma akisikuru no asiw ano.
- Sɛ wo tiyɛ wo yaw esiane akisikuru nti, anaasɛ saa tebea yi taa ba a, kɔ wo duruyɛfo nkyɛn ntɛm.
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