Fa no sɛ wo duruyɛfo akamfo oprehyɛn ama wo anaa obi a wunim no, sɛ́ ɛyɛ tebea bi te sɛ akisikuru anaa amemene mu akisikuru. Afei, wo suro kɛse biako ne sɛ, ‘So merentumi nkasa wɔ oprehyɛn no akyi? So mɛhwere me nkae?’ Sɔhwɛ titiriw bi wɔ hɔ a ɛboa nnuruyɛfo ma wonya nsɛmmisa a ɛho hia saa ho mmuae na wɔyɛ oprehyɛn no dwoodwoo. Ɛno na yɛfrɛ no Wada Sɔhwɛ.
Dɛn ankasa na Wada Sɔhwɛ no hwehwɛ?
Sɛ yɛbɛka no tiawa a, ɛdenam sɔhwɛ yi so no, nnuruyɛfo rehwehwɛ nsɛmmisa atitiriw abien ho mmuae.
- Tumi a wotumi kasa, kyerɛ sɛ, sɛ́ ebia w’amemene no benkum anaa nifa na ɛhwɛ kasa dwumadi ahorow so.
- Hwɛ sɛnea amemene no fã biara ho hia ma wo nkae.
Wo ntini mu oprehyɛn ho ɔyaresafo no nam saa nsɛm yi so betumi adi kan asusuw sɛnea ebetumi aka wo kasa ne wo nkae wɔ oprehyɛn akyi, na wayɛ oprehyɛn no ho nhyehyɛe sɛnea ɛfata.
Oduruyɛfo bi a wɔfrɛ no Oduruyɛfo Juhn Wada na odii kan yɛɛ nhwehwɛmu yi wɔ 1949 mu. Ɛno nti na enyaa ne din no. Wɔsan frɛ no `(Intracarotid amobarbital sɔhwɛ)`.
Amemene no fã bɛn na ɛhwɛ kasa ne nkae so?
Mpɛn pii no, yɛn mu dodow no ara wɔ kasa so tumi wɔ yɛn amemene no benkum so. Nanso eyi ntaa mma obiara. Eyi betumi ayɛ soronko, titiriw wɔ nnipa a wɔde benkum di dwuma no fam. Ɛno nti na ɛho hia sɛ wosi eyi so dua pɛpɛɛpɛ denam Wada sɔhwɛ a wobɛyɛ no so.
Sɛ ɛba nkae so a, amemene no afã abien no nyinaa tumi di so. Mpɛn pii no, wɔ nnipa a benkum-amemene na ɛhyɛ wɔn so no, benkum so na ɛhwɛ asɛm a wɔkae so, na nifa so na ɛhwɛ nkae a wɔde aniwa hu, a ɛyɛ tumi a ɛma wɔkae mfonini ahorow no so. Wada sɔhwɛ no betumi aboa wo duruyɛfo ma wahu amemene no fã a eye sen biara wɔ nkae mu.
Hena na obetumi ayɛ sɔhwɛ yi?
Mpanyimfo ne mmofra nso betumi ayɛ sɔhwɛ yi. Nanso, sɛ ɛyɛ abofra kumaa a, ɛsɛ sɛ wonyin na wɔn adwene mu yɛ den sɛnea ɛbɛyɛ a wɔbɛte akwankyerɛ a wɔde ma wɔ sɔhwɛ no mu ase, akasa, na wɔayɛ biako. Fa no sɛ, sɛ wode krataa bi kyerɛ akokoaa ketewa mpo a, ɔrentumi nte ase. Enti, mmofra a wɔadi boro mfe pɔtee bi nkutoo na wobetumi ayɛ eyi yiye.
Hena na ɔyɛ Wada Sɔhwɛ no?
Eyi nyɛ sɔhwɛ a onipa biako na ɔyɛ. Nnuruyɛfo kuw bi a wɔyɛ adwumaden na wɔyɛ.
| Oduruyɛfo a ne ho akokwaw | Adwuma a wɔreyɛ no |
|---|---|
| Oduruyɛfo a ɔhwɛ akisikuru | Oyi yɛ oduruyɛfo a ne ho akokwaw wɔ ntini mu yare ho. Ɔno na ɔyɛ nhwehwɛmu no na ɔhwɛ sɛnea amemene no yɛ adwuma. |
| Ntini mu Mframa Ho Ɔbenfo a ɔde ne ho hyɛ mu | Saa oduruyɛfo yi ne nea ɔkyerɛ afiri (catheter) a ɛyɛ fɛ yiye kwan fa mogya ntini no mu kɔ carotid ntini a ɛwɔ kɔn no mu no mu ma ɛde aduru a ɛma obi dwensɔ no kɔ amemene no mu. |
| Ntini mu adwene ho ɔbenfo | Ntini mu yare ho ɔbenfo yɛ obi a ne ho akokwaw wɔ sɛnea nsakrae a ɛba amemene no dwumadi mu ka yɛn nneyɛe ne yɛn adwene mu tumi ho. Ɔbɛsɔ wo nkaeɛ ne wo kasa ahwɛ wɔ sɔhwɛ no mu. |
Wobɛyɛ dɛn asiesie wo ho ansa na woayɛ sɔhwɛ?
Ebia wo duruyɛfo bɛka akyerɛ wo sɛ gyae nnuru bi a wobɛnom bɛyɛ adapɛn abien ansa na wɔayɛ nhwehwɛmu no, te sɛ aspirin, NSAID, ne nnuru a ɛma mogya tu.
Nanso eyi ho hia paa: Nnyae nnuru biara a wonom daa nom gye sɛ wo duruyɛfo ka kyerɛ wo sɛ ɛnte saa. Afei nso, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ wowɔ nnuru biara ho adwenemhaw bi a.
Dɛn na ɛba da a wɔbɛyɛ sɔhwɛ no?
Wobɛte nka yie wɔ sɔhwɛ yi mu. Sɔhwɛ no nyinaa betumi agye bɛyɛ nnɔnhwerew abiɛsa kosi anan.
Ansa na sɔhwɛ no befi ase
Nea edi kan no, wɔbɛma wo ayaresabea atade a wobɛhyɛ. Afei, wobeyi nhwi a ɛwɔ wo srɛ mu no na ama woatumi akɔ mogya ntini a ehia ma nhwehwɛmu no mu. Afei, wɔde electrode ahorow pii bɛbata wo ti nhwi ho ama ``EEG - electroencephalogram`` sɔhwɛ de asusuw w'amemene no dwumadi.
Afei, nnuruyɛfo ma w’asen no yɛ mmerɛw. Wɔnam mu de afiri a ɛyɛ tratraa (catheter) hyɛ mogya ntini bi a ɛwɔ wo nan mu mu na wɔkyerɛ kwan kɔ ntini titiriw a ɛwɔ wo kɔn mu (carotid artery) no mu. Saa bere yi mu no, ebia wobɛte dade dɛ ne ɔhyew nka. Ɛnyɛ yaw.
Sɛnea wɔyɛ Wada Sɔhwɛ no
Afei nhwehwɛmu no fã titiriw no fi ase.
1. Bere tiaa mu nna a ɛyɛ mmerɛw wɔ amemene no fã biako: Wɔnam afiri teateaa bi a wɔfrɛ no ``catheter'' so de aduru a ɛma obi dwensɔ gu mogya ntini bi a ɛkɔ w'amemene no fã biako mu. Fa no sɛ wɔde aduru no ama ɔfã nifa. Afei amemene no nifa kɔda bere tiaa bi. Bere koro no ara mu no, wo nipadua no benkum so yɛ mmerɛw. Ebia wobɛte nka sɛ worehu nsoromma wɔ w’ani anim, wote nhyɛso nka w’ani akyi, na wote ɔhyew nka w’anim. Eyinom yɛ nneɛma a ɛfata.
2. Nkae ne kasa mu sɔhwɛ: Bere a woada w’amemene no fã biako no, ntini mu adwene ho ɔbenfo no bɛkyerɛ wo nkrataa a nsɛmfua ne mfonini ahorow wom. Wɔbɛsɔ sɛnea wotumi kasa nso ahwɛ. Wɔbɛka akyerɛ wo sɛ kae saa nneɛma yi. Saa bere yi mu no, ebia ɛbɛyɛ den ama wo sɛ wobɛkasa na ebia wobɛte nka sɛ worekasa. Eyi yɛ ade a ɛfata.
Ebia ɛbɛyɛ hu saa bere yi, nanso kae sɛ nnuruyɛfo ne ayarehwɛfo wɔ hɔ bere nyinaa sɛ wɔbɛboa wo.
3. Amemene no a wɔsan nyane: Nea efi aduru a wɔde kum nipadua no mu ba no sɛe wɔ simma kakraa bi mu. Afei amemene no fã a na ada no sɔre bio. Afei wobisa wo nea na ɛwɔ nkrataa a wɔde kyerɛɛ wo no so. Ebia worenkae wɔn. Ɛno nyɛ hwee.
4. Ɔfã foforo no a wɔbɛsɔ ahwɛ: Bere bi akyi no, wɔde afiri no kɔ ɔfã foforo no carotid artery no so, wɔde aduru a ɛma obi dwensɔ saa ɔfã no nso wɔ ɔkwan koro no ara so, na wɔde nkrataa foforo san yɛ sɔhwɛ no.
Dɛn na ɛba wɔ sɔhwɛ no akyi?
Sɛ sɔhwɛ no ba awiei a, wɔde wo bɛkɔ dan a wɔde wo ho bɛto mu. Ɛhɔ no, nnuruyɛfo no bɛhwɛ wo nan, baabi a wɔde afiri no hyɛɛ mu no daa, ahwɛ sɛ ebia wo koma bɔ ne sɛ ebia aduru a wɔde kyekyere wo ho no wɔ nea ɛwɔ hɔ anaa. Wobɛtumi akɔ fie da no ara. Nanso, wɔbɛtu wo fo sɛ kwati dwumadi ahorow a emu yɛ den da koro anaa nnanu.
So eyi yɛ sɔhwɛ a asiane wom? So asiane ahorow bi wɔ hɔ?
Wada Sɔhwɛ no yɛ sɔhwɛ a ahobammɔ wom yiye, asiane biara nni ho . Nea ɛtaa ba ne ɛyaw a emu nyɛ den bere a akisikuru no asɛe wɔ baabi a wɔde ahyɛ mu no. Nanso, nsɛnnennen bi wɔ hɔ a ɛntaa nsi koraa a ebetumi aba.
| Nsɛnnennen a ɛntaa nsi | Nneɛma a ebetumi ama asiane no ayɛ kɛse |
|---|---|
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Dɛn na sɔhwɛ no mu aba ka?
Ɛdenam nsɛm a efi sɔhwɛ yi mu a wobɛka abom so no, w’aduruyɛfo kuw no behu w’amemene no fã a ɛde wo kasa ne wo nkae titiriw ba.
Wɔde saa nsɛm yi toto nhwehwɛmu afoforo a efii mu bae te sɛ baabi a akisikuru no wɔ wɔ w’amemene mu no ho. Ɛdenam saa nsɛm yi nyinaa a wobɛka abom so no, wo duruyɛfo a ɔyɛ oprehyɛn no betumi ayɛ oprehyɛn no ho nhyehyɛe na ama asiane a ɛwɔ hɔ sɛ wobɛsɛe wo kasa ne wo nkae no so atew.
Akisikuru betumi ayɛ yare a ɛyɛ hu. Na amemene mu oprehyɛn ho adwene betumi ayɛ hu kɛse mpo. Nanso nea eye ne sɛ, wo nnuruyɛfo wɔ nimdeɛ ne nnwinnade a ɛbɛboa ma wɔasiw nsɛnnennen yi ano. Wada Sɔhwɛ no yɛ adwinnade a ɛho hia saa no mu biako. Sɛ wowɔ nsɛmmisa bi fa sɔhwɛ yi ho a, ntwentwɛn wo nan ase sɛ wo ne wo duruyɛfo bɛkasa.
Nkrasɛm a Wɔde Kɔ Fie
- Wada Sɔhwɛ yɛ sɔhwɛ a wɔyɛ ansa na wɔayɛ amemene no oprehyɛn de ahu tebea horow te sɛ akisikuru de ahu amemene no mmeae a ɛhwɛ wo kasa tumi ne wo nkae so.
- Eyi hwehwɛ sɛ wɔde aduru bi a ɛma obi dwensɔ bɛma na "wɔde" amemene no fã biako ada bere tiaa bi.
- Wobɛkɔ so ayɛ w’adwene wɔ sɔhwɛ no nyinaa mu, bere a wɔasɔ wo nkae ne wo kasa ahwɛ no.
- Mpɛn pii no eyi yɛ sɔhwɛ a ahobammɔ wom kɛse, asiane biara nni ho, nanso ɛho hia sɛ wo ne wo duruyɛfo kasa fa biribiara a ɛhaw wo ho.
- Nea ebefi sɔhwɛ yi mu aba no bɛboa wo oprehyɛn ho ɔbenfo no ma wayɛ oprehyɛn no ho nhyehyɛe na ama biribiara a ebetumi asɛe wo kasa ne wo nkae no ayɛ ketewaa bi.
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