So ɛho abehia sɛ wɔyɛ wo oprehyɛn pɛn? Anaasɛ ɛsɛ sɛ obi a ɔwɔ w’abusua mu yɛ saa? Afei animdefo kuw bi wɔ hɔ a wobetumi ama woada koraa sɛnea ɛbɛyɛ a worente ɛyaw biara, anaasɛ woremma wo nipadua no fã bi nyɛ mmerɛw, ɛnte saa? Ɛnnɛ, yɛrebɛka afuw bi a ɛde saa ɔsom adwuma a ɛho hia no ma ho asɛm, nanso yɛnka ho asɛm pii. Titiriw no, yɛrebɛka "Nurse Anesthetists" ho asɛm, a wonya ntetee titiriw ma eyi wɔ aman bi mu.
Hena ne Nurse Anesthetist?
Sɛ yɛbɛka no tiawa a, eyi yɛ aduruyɛ ho nimdefo a wɔatete no titiriw sɛ ɔmfa nnuru a wɔde kum ayarefo sɛnea ɛbɛyɛ a wɔrente ɛyaw nka bere a wɔreyɛ wɔn oprehyɛn anaa wɔreyɛ aduruyɛ afoforo no. Wɔsan frɛ wɔn Certified Registered Nurse Anesthetists (CRNAs).
Wɔ Sri Lanka no, nnuruyɛfo a wɔde nnuru a wɔde kum nipadua no na wɔyɛ saa adwuma yi titiriw. Ɛne sɛ, nnuruyɛfo a wɔasua nnuru a wɔde kum nipadua no ho ade mfe pii wɔ wɔn aduruyɛ ho abodin krataa akyi na wɔanya nimdeɛ titiriw. Nanso, wɔ aman te sɛ United States mu no, wɔma ayarehwɛfo a wɔatete wɔn titiriw nso kwan ma wɔyɛ adwuma yi. Nhwehwɛmu ahorow ada no adi sɛ ahobammɔ, ne su ne nea efi nnuru a wɔde kum nipadua no mu a nnipa baanu no nyinaa de ma no mu ba no yɛ pɛ . Enti, obiara a ɔbɛyɛ saa adwuma yi no, ɛho hia sɛ onya ntetee ne ahwehwɛde a ɛkorɔn sen biara.
Dɛn ankasa na saa nkurɔfo yi reyɛ?
Oduruyɛfo a ɔma aduru a ɛma obi dwensɔ adwuma yɛ den sen sɛnea ebia wubesusuw. Ɛnyɛ sɛ "wɔbɛma wo aduru a ɛma wo ho dwo wo" kɛkɛ. Ɛyɛ wɔn asɛyɛde sɛ wɔbɛma wo ho atɔ wo na wo ho atɔ wo wɔ wo oprehyɛn no nyinaa mu.
Ansa na wɔbɛyɛ oprehyɛn no, oduruyɛfo a ɔde aduru a ɛma obi dwensɔ no ne wo behyia na wabisa wo w’akwahosan, nnuru afoforo a worenom, ne biribiara a ebia wo ho yɛ wo hyew ho asɛm. Wɔbɛkyerɛkyerɛ aduru ko a wɔde bɛma wo, asiane a ɛwɔ mu, ne nea efi mu ba nso mu.
Bere a wɔreyɛ oprehyɛn no, wɔbɛkɔ so ahwɛ wo sɛnkyerɛnne ahorow a ɛho hia te sɛ wo koma bɔ, wo nipadua mu hyew, mogya mmoroso, ne wo home . Wɔbɛyɛ nsakrae wɔ nnuru a wɔde kum nipadua no mu sɛnea ɛho hia na ama woakɔ so agyina pintinn. Wɔ oprehyɛn no akyi no, wɔbɛhwɛ wo kosi sɛ w’adwene bɛsan aba na wo tebea no atu mpɔn.
Nnuru a wɔde kum nipadua no mu nneɛma atitiriw pii wɔ hɔ. Ɔkwan a ɛfata sen biara no begyina sɛnea wo oprehyɛn no te ne w’akwahosan tebea so.
| Anesthesia Ahorow a Wɔde Ma | Dɛn na ɛto so? |
|---|---|
| General Anesthesia a wɔde ma | Eyi mu no, wobɛda koraa. Worente nka anaasɛ worenkae biribiara bere a wɔreyɛ oprehyɛn no. Eyi nti, wɔde aduru no bɛma wo denam home a wobɛhome so (ɛnam akataso so) anaasɛ wɔde cannula a wɔde ahyɛ ntini mu (IV - Intravenous). |
| Ɔmantam no mu Anesthesia | Wɔ eyi mu no, nipadua a wɔreyɛ no oprehyɛn no fã nkutoo na ɛyɛ mmerɛw. Sɛ nhwɛso no, sɛ wɔreyɛ wo oprehyɛn wɔ wo nsa so a, ebia wo nsa nkutoo na ayɛ mmerɛw, anaasɛ sɛ wɔreyɛ wo nan oprehyɛn a, w’akyi fam nkutoo betumi ayɛ mmerɛw. Epidural a wɔde ma bere a wɔrewo no nso hyɛ saa kuw yi mu. Wo adwene mu da hɔ, nanso wonte ɛyaw nka. |
| Nnuru a ɛma obi dwo | Eyi ma woda kakra anaasɛ ɛma woda aduru a ɛma wo ho dwo wo. Ɛtew wo suro ne wo dadwen so na ɛma wote nka sɛ wo ho adwo wo. Wɔtaa de saa kwan yi di dwuma wɔ sɔhwɛ ahorow te sɛ Endoscopy ne Colonoscopy mu. Nneɛma pii wɔ ha nso: - Mild Sedation: Wobɛte nka sɛ wo ho adwo wo na woada. - Moderate Sedation: Ebia wobɛte nka sɛ woada, nanso sɛ ɛho hia a, ɛnyɛ den sɛ wobɛnyane. - Deep Sedation: Wobɛda kɛse na worenkae ayaresa no. |
Bere bɛn na ɛho hia sɛ wɔyɛ nnuru a wɔde kum nipadua no?
Anesthesia yɛ beae a ɛho hia yiye a ɛma yetumi nya ayaresa dwoodwoo a ɛyaw biara nni ho.
Tebea atitiriw pii wɔ hɔ a saa nnwuma yi ho hia.
Wɔ oprehyɛn ne aduruyɛ mu nhwehwɛmu ahorow ho
Efi oprehyɛn nketenkete te sɛ aso nhama so kosi oprehyɛn akɛse te sɛ asen a wɔde si ananmu so no, aduru a wɔde kum nipadua no ho hia ma oprehyɛn biara. Wɔde yɛ nneɛma te sɛ sẽ a woyi ne plastic oprehyɛn nso. Wɔde nnuru a ɛma obi dwo nso di dwuma de tew ɔhaw so bere a wɔreyɛ oprehyɛn te sɛ endoscopy anaa colonoscopy.
Bere a wɔrewo
Mpɔtam hɔ aduru a wɔde kum nipadua no boa kɛse wɔ ɛyaw a ɛba bere a wɔrewo no so. Nea wɔtaa de di dwuma ne epidural.Wɔ saa kwan yi so no, wɔkɔ so de nnuru a wɔde kum ɛyaw fa afiri (catheter) a ɛyɛ tratraa yiye a wɔde hyɛ akyi berɛmo no mu no mu. Eyi ma ɛna no tumi de ne ho hyɛ awo no mu wɔ nhumu mu a ɔnte yaw. Sɛ ɛho hia sɛ wɔyɛ oprehyɛn oprehyɛn a, ɛtɔ mmere bi a wobetumi de saa kwan yi adi dwuma ama ɛno nso. Sɛnea ɛbɛyɛ foforo no, wɔde nnuru a wɔde kum ɛyaw a wɔde gu akyi berɛmo mu pɛnkoro (akyi berɛmo mu aduru a wɔde kum akyi berɛmo) na ɛyɛ oprehyɛn a wɔde twa oprehyɛn. Sɛ biribi si ntɛm a, saa adwumayɛfo yi nso asiesie wɔn ho sɛ wɔde ɛna no bɛhyɛ aduru a wɔde kum nipadua no mu ntɛm.
Ɛyaw a Enni sabea a Wɔde Di Dwuma
Nnuruyɛfo binom nso boa ma wɔyɛ ɛyaw ano aduru ho nhyehyɛe ma ayarefo a wɔte ɛyaw a enni sabea, a nnuru a wɔde twitwiw wɔn, nnuru, ne nipadua mu ayaresa ka ho.
Nkrasɛm a Wɔde Kɔ Fie
- Anesthesia yɛ aduruyɛ mu adeyɛ a ahobammɔ wom yiye a ɛboa ma woyɛ oprehyɛn ne ayaresa afoforo a ɛyaw biara nni mu.
- Saa dwumadie yi yɛ adwumayɛfoɔ a wɔn ho akokwa paa te sɛ Anesthesiologists anaa Nurse Anesthetists a wɔatete wɔn titire.
- Wɔbɛpaw ɔkwan a wɔfa so de aduru a ɛma obi dwensɔ (aduru a wɔde kum nipadua no nyinaa, ɔmantam, anaa aduru a wɔde dwudwo) a ɛfata wo yiye, a egyina w’akwahosan tebea ne ayaresa a wɔreyɛ so.
- Wɔhwɛ wo yiye ansa na wɔayɛ wo aduru, bere a wɔreyɛ wo aduru, ne bere a wɔawie no de hwɛ hu sɛ wo ho bɛtɔ wo.
- Sɛ wowɔ ehu, adwenem naayɛ, anaa nsɛmmisa bi wɔ aduru a wɔde kum nipadua no ho a, ntwentwɛn wo nan ase sɛ wo ne wo duruyɛfo anaa oduruyɛfo a ɔhwɛ aduru a wɔde kum nipadua no mu bɛbɔ ho nkɔmmɔ . Wɔasi wɔn bo sɛ wobebua wo nsɛmmisa nyinaa.
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