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Mun na ji nafa ka bon kosɛbɛ an farikolo ma?
Fɔlɔ, an k’a lajɛ mun na an farikolo nafa ka bon kosɛbɛ ji la. Miiri k’a filɛ, an farikolo 60% ye ji ye. O ji nafa ka bon an farikolo yɔrɔ bɛɛ ka baara kɛcogo ɲuman na, hali an kunkolo, an dusukun , fogonfogon ani sugunɛ. N’an y’a fɔ cogo nɔgɔman na, ji bɛ fɛn nafama caman kɛ an farikolo kɔnɔ, i n’a fɔ:- A bɛ seliw dɛmɛ u k’u ka baara kɛ ka ɲɛ.
- A bɛ tulu kɛ an ka jogindaw la .
- A bɛ farikolo funteni kɔlɔsi.
- Balofɛnw bɛ taa farikolo fan bɛɛ la.
- Nɔgɔ bɛ bɔ sugunɛ ni nɔgɔ fɛ.
- A bɛ kunsɛmɛ ni kɔkolo tanga tiɲɛni ma.
Lactated Ringers ani Normal Saline ye mun ye?
Ninnu ye ji fila ye minnu bɛ kɛ ka caya dɔgɔtɔrɔsow la. an b' u fila bɛɛ wele ko kristali jilamaw . O kɔrɔ ye ko fɛnɲɛnɛma minnu bɛ o ji ninnu na, olu ka dɔgɔ kosɛbɛ. O la sa, u bɛ se ka tɛmɛ nɔgɔya la an ka selilɛriw fɛ ka don farikolo la. Ani fana, o ji fila bɛɛ ye isotonikiw ye . O kɔrɔ ye ko o ji ninnu hakɛ bɛ tali kɛ an ka joli la kosɛbɛ. O la, n’u dira farikolo ma, u tɛ kojugu kɛ farikolokisɛw la. Nka danfaraba dɔw bɛ o fla ni ɲɔgɔn cɛ. O danfara kosɔn, dɔgɔtɔrɔw bɛ ji suguya sugandi min bɛ bɛn banabagatɔ kelen-kelen bɛɛ ma.| Fluid suguya | Nafɛnw | Kɛrɛnkɛrɛnnenya la |
|---|---|---|
| Saline normal (0,9% kuloridi sodiyɔmu) . | Kuloridi sodiyɔmu (kɔgɔ) ni ji dɔrɔn. | IV basigilen jilama min bɛ kɛ ka caya. |
| Lactated Ringers (LR) Bamako, Mali . | Kuloridi sodiyɔmu, laktati natɔmu, kuloridi potasiyɔmu, kuloridi kalisiyɔmu ani ji. | Fura dafalen, min ni an joli la joli bɛ tali kɛ ɲɔgɔn na kosɛbɛ. |
Dɔgɔtɔrɔw bɛ ninnu sugandi cogo di?
Okey, sisan min nafa ka bon kosɛbɛ. Saline Normal ka kan ka di tuma jumɛn? Lactated Ringers ka kan ka di tuma jumɛn? O desizɔn bɛ kɛ pewu dɔgɔtɔrɔ min bɛ aw furakɛ. Fɛn caman bɛ yen minnu bɛ nɔ bila a la.Min nafa ka bon kosɛbɛ, o ye ko banabagatɔ de ka kan ka a latigɛ abada a mago bɛ ji suguya min na. O ye desizɔn ye dɔgɔtɔrɔ bɛna min ta ka da banabagatɔ ka bana cogoya kan, joli sɛgɛsɛgɛli jaabiw kan, ani furakɛli cogoya wɛrɛw kan.An k’o ɲɛfɔ ka taa a fɛ ja in kɔnɔ min bɛ duguma.
| IV ji suguya | Baara kɛli ni waati ɲumanw ye | Ko minnu ka kan ka kɔlɔsi/aw ka kan ka aw janto baara kɛli la |
|---|---|---|
| Saline Normal (Saline) min bɛ wele ko Normal |
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| Lactated Ringers (Dɔgɔtɔrɔso minnu bɛ sin di den ma). |
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Yala farati dɔw bɛ IV ji tali la wa?
A ka ca a la, ji minnu bɛ kɛ IV la, olu tali farati ka bon kosɛbɛ dɔgɔtɔrɔ ka kɔlɔsili kɔnɔ. Nka, i n’a fɔ furakɛli suguya bɛɛ, farati bɛ a la. Faratiba minnu bɛ a la, olu ye ji suguya jugu dili ye, walima ka a di kojugu walima ka a dɔgɔya kojugu .Ni aw bɛ ji caman sɔrɔ ka tɛmɛ aw mago kan:
- Senw ni bolokɔniw fununi.
- Tansiyɔn jiginni.
- Ninakili gɛlɛya.
- Joginda kɛnɛyali kɔfɛ.
Ni aw ma ji caman sɔrɔ (ni farikolojidɛsɛ tora sen na):
- Dusukun tantanni caya.
- Tansiyɔn jiginni.
- Sugunɛbilenni.
- Shock ani farikolo yɔrɔw dɛsɛli.
Take-Home cikan
- Hali n’an b’a fɔ ko "saline", IV ji suguya caman bɛ yen minnu bɛ kɛ dɔgɔtɔrɔsow la. Normal Saline ani Lactated Ringers ye suguya belebele fila ye.
- Nin jimafɛn ninnu kelen-kelen bɛɛ kɛcogo tɛ kelen ye, o la u bɛ baara kɛ cogo wɛrɛ la farikolo la.
- Aw ka dɔgɔtɔrɔ bɛna IV ji suguya bɛnnen sugandi ka di aw ma, ka aw ka furakɛli cogoya, aw si hakɛ, furakɛli cogoya wɛrɛw ani joli sɛgɛsɛgɛli jaabiw jateminɛ.
- IV jimafɛnw farati ka bon kosɛbɛ ni u dira ka ɲɛ dɔgɔtɔrɔw ka ladilikanw kɔnɔ, o la aw kana siran u ɲɛ kun t’a la.
- Ni ɲininkali walima haminanko dɔ bɛ aw fɛ o ko la, aw kana siga abada ka dɔgɔtɔrɔ walima dɔgɔtɔrɔso baarakɛlaw ɲininka minnu bɛ aw furakɛ.
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