Sua Amniotic Fluid Embolism, tebea a asiane wom a ebetumi aba bere a wonyinsɛn no ho ade

So worebɛwo? Anaasɛ obi a ɔwɔ w’abusua mu resiesie ne ho sɛ ɔbɛyɛ ɛna? Nyinsɛn yɛ bere a ɛyɛ nwonwa a anidaso pii ahyɛ mu ma, nanso ɛnnɛ yɛbɛka tebea bi a ɛntaa nsi, nanso ɛyɛ hu yiye, a ɛde nkwa to asiane mu a ebetumi aba wɔ saa bere yi mu ho asɛm. Wɔfrɛ eyi sɛ amniotic fluid embolism . Mma edin no nnyɛ wo hu, eyi yɛ tebea a ɛntaa nsi koraa. Nanso ɛho hia paa sɛ yɛma yɛn ani da hɔ.

Dɛn ankasa ne amniotic fluid embolism (AFE)?

Sɛ yɛbɛka no tiawa a, eyi ne bere a awotwaa mu nsu a atwa akokoaa no ho ahyia bere a ɔwɔ awotwaa mu, anaa akokoaa no nkwammoaa, ne ti nhwi, ne nea ɛkeka ho no kɔ ɛna no mogya mu. Susuw ho hwɛ, mpɛn pii no, abɔde mu akwanside bi da ɛna no ne akokoaa no mogya ntam. Wɔ saa tebea yi mu no, ɔkwan bi so no, saa akwanside no bubu, na akokoaa no mogya fra ɛna no mogya.

Eyi de akisikuru a emu yɛ den ba ɛna no nipadua mu. Mpofirim ara, a wɔammɔ kɔkɔ , nipadua no nhyehyɛe pii fi ase yɛ adwuma yiye. Saa tebea yi betumi aba bere tiaa bi ansa na wɔrewo akokoaa no, bere a wɔrewo no, anaa bere a wɔawo no akyi.

Dɛn ne nneɛma a ɛde tebea yi ba ne nneɛma a ɛde asiane ba?

Nokwarem no, nnuruyɛfo da so ara nnim nea ɛde ba ankasa. Esiane sɛ ɛba mpofirim nti, ɛyɛ den sɛ wobɛka nea ɛde ba no yiye. Nanso, nhwehwɛmu ahorow bi ahu asiane ahorow pii a ɛma ɛyɛ mmerɛw sɛ obi benya tebea no.

Ma yɛnhwɛ nea ɛyɛ.

Dɛn ne eyi ho sɛnkyerɛnne?

Ade a asiane wom sen biara wɔ tebea yi ho ne sɛ yare no ho sɛnkyerɛnne no da adi mpofirim, a ennya bere mpo mfa nsusuw nneɛma ho. Nsɛnkyerɛnne titiriw a ɛkyerɛ ne sɛ:

• Ɔhome a ɛyɛ den kɛse a efi ase mpofirim .
• Mogya mmoroso a ɛkɔ fam mpofirim na ɛyɛ hu (Hypotension).
• Mogya a ɛboro so a wontumi nni so fi awotwaa mu anaasɛ efi kuru a wɔatwa no oprehyɛn mu.
• Ehu, ehu , anaa dadwen a wɔte nka kɛse.
• Akokoaa no koma bɔ brɛoo anaasɛ ɛsakra wɔ ɔkwan soronko so.
• Awɔw ne ahopopo ne akisikuruNea ɛba.
• Koma a entumi nyɛ adwuma yiye anaasɛ n’adwene mu yɛ no naa mpofirim (Cardiac Arrest).

Nea ɛde mogya a ɛboro so yi ba ne nhyehyɛe no nyinaa a ɛpaapae a ɛboa nipadua no ma mogya tu no. Wɔfrɛ eyi Disseminated Intravascular Coagulation (DIC) wɔ nnuruyɛ mu. Nea ɛba wɔ eyi mu ne sɛ mogya no hwere tumi a ɛtumi twetwe no. Ne saa nti, mogya a ɛretu no mu yɛ den araa ma wontumi nsiw ano. Afei nso, ahome a ɛyɛ den, ahurututu a ɛsɛe ne nea wontumi nhome betumi aba, na wɔfrɛ no Acute Respiratory Failure .

Ɔkwan bɛn so na wɔsa tebea yi?

Esiane sɛ eyi yɛ nkwa anaa owu tebea nti, wofi ase sa yare wɔ sikani kakraa bi mu. Wɔhwɛ so wɔ ayaresabea bi a wɔhwɛ wɔn a wɔyare denneennen (ICU) anaa oprehyɛn dan mu. Ɛha yi, ɛnyɛ ayaresa biako pɛ, na mmom ɛyɛ ayaresa ahorow pii a wɔaka abom a egyina ɔyarefo no tebea so.

• Awo Ntɛm ara: Nnuruyɛfo si gyinae sɛ wɔbɛwo akokoaa no ntɛm ara, na wosusuw ɛna no ne akokoaa no nyinaa asetra ho.
• Ayaresa a egye nkwa (Resuscitation): Sɛ ɛna no nnim hwee a, wɔma no oxygen bere a wɔreyɛ Cardiopulmonary Resuscitation (CPR) .
• Mfiri a Wɔde Ma Mframa: Sɛ ɛyɛ den ma wo sɛ wobɛhome a, wɔde wo bata afiri bi a wɔfrɛ no ventilator ho na aboa wo ma woahome.
• Mogya mmoroso ne koma a wɔhwɛ so: Wɔde nhama titiriw bi hyɛ nipadua no ntini atitiriw ne ntini ahorow mu de hwɛ nneɛma te sɛ mogya mmoroso ne koma dwumadi so yiye, nea ɛto so abien.
• Mogya a Wɔde Ma: Esiane mogya a ɛyera dodo nti, wɔde mogya ne mogya mu nneɛma pii ma de si mogya a ayera ananmu na ɛma protein (clotting factors) a ehia na ama mogya atɔ.
• Nnuru titiriw: Wɔma nnuru ahorow a ɛma mogya mmoroso san ba, ɛma koma no yɛ adwuma yiye, na ɛma mogya tu no gyae denam awotwaa no a ɛma ɛtwetwe no so.

Wɔde botae titiriw a ɛne sɛ wobegye ɛna no nkwa na ɛyɛ eyinom nyinaa. Ɛwom sɛ ɛna a ɔwɔ tebea yi mu nkwa nna sua de, nanso ayaresa a wɔde ma ntɛm no betumi ama hokwan a ɛwɔ hɔ sɛ obenya nkwa no ayɛ kɛse. Akokoaa no nkwa nna boro so kɛse (bɛyɛ 70%).