Ʋu nenie le wò ŋutilã me? Mina míasrɔ̃ nu tso Ʋu ƒe Agbɔsɔsɔme Dodokpɔ ŋu le mɔ bɔbɔe aɖe nu!

Èbu ʋu agbɔsɔsɔme si le wò ŋutilã me ŋu kpɔa? Esia menye nyanya ko o, ate ŋu agblɔ nyatakaka vevi ŋutɔ aɖewo na wò tso wò lãmesẽ ŋu ɣeaɖewoɣi. Emae nye nusi míeyɔna be ``Ʋu ƒe Agbɔsɔsɔme Dodokpɔ'', dodokpɔ si dzidzea ʋu ƒe agbɔsɔsɔme. Le nyateƒe me la, esia nye ``Nuclear Medicine Test'', si fia be ezãa nu sue aɖe si me keklẽŋusẽ le tsɔ léa ŋku ɖe ŋutilã ƒe dɔwɔwɔ ŋu. Mègatsi dzi o, esia le dedie ŋutɔ. Mina míaƒo nu tso esia ŋu tsitotsito, enyoa?

Nuka tututue ʋu fia?

Togbɔ be míegblɔna be "ʋu" hã la, nu ƒomevi ɖesiaɖe le eme. Ne míagblɔe tututu la, esiawoe nye esi:

• Plasma: Esiae nye ʋua ƒe akpa si nye tsi. Megawɔ nuku o, tsi wu 90%!
• Ʋumenugbagbevi dzĩwo: Esiawo nye lãmenugbagbevi suesuesue siwo kpena ɖe ʋua ŋu be wòatsi. Wole vevie ŋutɔ na ʋudodo nutsitsi ne èxɔ abi.
• Ʋumenugbagbevi Dzĩwo: Esiawo le abe bɔl goglowo ene. Esiawoe tsɔa ɔksidzin yia lãmekawo me le ŋutilã bliboa me.
• Ʋumenugbagbeviɣiwo: Esiawo le abe ame kukua ƒe dedienɔnɔdzikpɔlawo ene. Woawoe kpɔa mía ta tso dɔlékuiwo kple dɔlékuiwo me.

Ènya be togbɔ be ʋumenugbagbevi dzĩ siawo kple ʋumenugbagbevi ɣiwo le vevie ŋutɔ hã la, womedea míaƒe ʋu ƒe agbɔsɔsɔ bliboa ƒe 1% oa. ``Ʋu ƒe Agbɔsɔsɔme Dodokpɔ`` koŋ dzidzea ʋumenugbagbevi dzĩwo ƒe agbɔsɔsɔ. Esia tae woyɔnɛ ɣeaɖewoɣi be ``Plasma Volume Test`` alo ``Red Cell Mass Test``.

Aleke wokpɔa ʋu ƒe agbɔsɔsɔ si le míaƒe ŋutilã me dzii?

Esia nye mɔ̃ wɔnuku aɖe ŋutɔ. Míaƒe ŋutilã le ʋumenugbagbevi dzĩwo wɔm hele wo tsrɔ̃m ɣesiaɣi. Míaƒe ƒumeŋuɖui wɔa ʋumenugbagbevi dzĩwo , eye míaƒe aklã gblẽa wo. Gake ɖoɖo sia nɔa blewu vie. Bu eŋu kpɔ, ne ʋu geɖe bu le ŋuwò le dɔléle, afɔku, alo abi aɖe ta la, ate ŋu axɔ ŋkeke geɖe, ɖewohĩ ɣleti geɖe hafi nàte ŋu awɔ ʋumenugbagbevi dzĩ yeyewo.

Gake plasma dzi ɖuɖu le kabakaba wu sã. Elabena tsi koŋue nye plasma. Tsi si míenona kple nuɖuɖu siwo míeɖuna mee ŋutilãa xɔa eƒe tsiwo. Lãmetsiwo hã buna to aɖuɖɔ, aɖuɖɔ, fifia, kple gbɔgbɔ me. Ne èle lãmesẽ me la, wò ayikuwo nana tsi sia da sɔ.

Nu kawoe kpɔa ŋusẽ ɖe ʋu ƒe agbɔsɔsɔ dzi? Aleke gbegbee wòle be wòanye le dzɔdzɔme nu?

Zi geɖe la, ʋu si ade lita 5 nɔa ame tsitsi ƒe ŋutilã me. Gake agbɔsɔsɔ sia ate ŋu ato vovo le susu vovovowo ta. Ɣeaɖewoɣi la, ʋu ƒe agbɔsɔsɔ ate ŋu asɔ gbɔ akpa (Hypervolemia) alo aɖiɖi akpa (Hypovolemia).

Ʋu ƒe agbɔsɔsɔ si dzina ɖe edzi (Hypervolemia) .

Nusiwo ate ŋu ahe nɔnɔme sia vɛ dometɔ aɖewoe nye:

• Dzi ƒe dɔléle aɖewo (Congestive Heart Failure) .
• Dze (sodium) ɖuɖu fũ akpa .
• Ayikukuxiwo, le kpɔɖeŋu me, ayiku ƒe dɔmawɔmawɔ nyuie kple ayiku ƒe dɔléle
• Aklã ƒe dɔmawɔmawɔ nyuie

Ne ʋu ƒe agbɔsɔsɔ dzi ɖe edzi (Hypervolemia), dzesiwo abe:

• Ƒodo ƒe ʋuʋu kple vevesese (Ascites) .
• Dzi ƒe Dɔmawɔmawɔ nyuie
• Ʋu ƒe Ʋuʋudedi
• Yagbɔgbɔ sesẽ le tsi si yɔ lãkusiwo me ta
• Vuvu (Edema) – Zi geɖe la, afɔ, afɔkpodzi, asibidɛ , alo mo vuvu.

Ʋu ƒe agbɔsɔsɔ si dzi ɖe kpɔtɔ (Hypovolemia) .

Susu vevi eve tae ʋu ƒe agbɔsɔsɔ dzi ɖena kpɔtɔna ɖo:

• Ʋu si dona le ame ŋu (nuveviwɔame, amekoko, ʋu si dona le ememe) .
• Tsikuɖiɖi – Esia fia be tsi mesɔ gbɔ le ŋutilã me o.

Ne wò ʋu ƒe agbɔsɔsɔme ɖiɖi akpa zi ɖeka la, àte ŋu ayi nɔnɔme si me afɔku le si woyɔna be ``Hypovolemic Shock.'' Esiae nye esime míaƒe ŋutilã wɔa nusiwo gbɔna tsɔ xea fe ɖe ʋu ƒe sisi si dzi ɖe kpɔtɔ le ŋutilãa me ta:

• Eɖea ʋu ƒe sisi dzi kpɔtɔna.
• Enaa dzi ƒe tsotso dzina ɖe edzi.
• Enaa gbɔgbɔtsixe tsia ame ƒo.

Ne ʋu ƒe agbɔsɔsɔme yi edzi le ɖiɖim la, nu gblẽ le míaƒe ŋutinu ememetɔwo kple ahɔhɔ̃a ŋu si womate ŋu atrɔ o. Eyata menye fefenyae esia nye o!

Ðe ƒomedodo aɖe le ʋu ƒe agbɔsɔsɔ kple ʋu ƒe sisi domea?

Ele godoo! Nyaƒoɖeamenu si le míaƒe ʋukawo me ye nana ʋu sina yia lãmeka kple lãmenugbagbevi ɖesiaɖe si le ŋutilãa me. Ne ʋu ƒe agbɔsɔsɔ dzi ɖe kpɔtɔ la, ʋu ƒe sisi hã dzi ɖena kpɔtɔna. Emegbe ŋutilãa dzea agbagba be yeana ʋu nate ŋu ana to ʋukawo ƒe ƒoƒo me. Gake ne ʋu si le dodom la nu sẽ (Severe Hypovolemia) la, ŋutilãa mate ŋu aɖu edzi o.

Nenema ke ne ʋu ƒe agbɔsɔsɔ dzi ɖe edzi la, ekekea míaƒe ʋukawo (ʋukawo kple ʋukawo), si nana ʋu ƒe sisi dzina ɖe edzi. Zi geɖe la, ʋu ƒe sisi fũ dzɔna ne ŋutilãa mete ŋu ɖua tsi ƒe agbɔsɔsɔ dzi o le ayiku alo aklã ƒe dɔmawɔmawɔ nyuie ta.

Ɣekaɣie wòle be woawɔ esia (Ʋu ƒe Agbɔsɔsɔme Dodokpɔ)?

Ðɔktawo zãa dodokpɔ sia, vevietɔ le dɔnɔ siwo le dɔnɔdzikpɔƒewo ŋu . Le kpɔɖeŋu me:

• Ame siwo ƒe ʋu geɖe bu
• Ame siwo tsi vɔ le lãme na
• Ame siwo dzidɔ le fu ɖem na
• Ame siwo ƒe ayiku alo aklã mewɔ dɔ nyuie o
• Ame siwo ƒe dzobibi vevie
• Amewo ƒe mo wɔ yaa

Tsɔ kpe ɖe esia ŋu la, ɣeyiɣi bubuwo hã li siwo me ɖɔktawo zãa dodokpɔ sia.

• Da ʋusɔgbɔdɔ kpɔ.
• Di nusi gbɔ wòtsona be ame ƒe lãme tsia dzodzodzoe enuenu (syncope).
• Da ʋusɔgbɔdɔ kple ʋusɔgbɔdɔ si le lãme na ame hã kpɔ.
• Abe ``Presurgical Screening'' dodokpɔ do ŋgɔ na amekoko aɖewo ene.

Afikae wowɔa dodokpɔ sia le?

Woateŋu awɔ esia esime nèle kɔdzi ƒe aba dzi, alo woateŋu awɔe le kɔdzi ƒe ``Nuclear Medicine Department''.

Aleke esia (Ʋu ƒe Agbɔsɔsɔme Dodokpɔ) wɔa dɔe? Ðe wòsesẽ ŋutɔa?

Ao, menye nusi sesẽ nenema gbegbe o. Kpuie ko la, ezɔ ale:

Be woadzidze ʋu agbɔsɔsɔme si le wò ŋutilã me la, wodoa iodine tracer si me keklẽŋusẽ le ƒe agbɔsɔsɔ aɖe koŋ ɖe wò ʋuka me. Tracers abe esiawo ene na ɖɔktawo léa ŋku ɖe ŋutilã ƒe dɔwɔwɔ aɖewo ŋu.

Ne wotsɔ ``(Tracer)`` sia tsaka kple wò ʋu nyuie vɔ la, ɖɔkta la xɔa ʋu le asiwò eye wòdzidzea keklẽŋusẽ si le eme.

Wozãa akɔntabubu ƒe sɔsɔŋu bɔbɔe aɖe abe esia ene tsɔ bua wò ʋu ƒe lolome: `C1V1 = C2V2`.

Esia fia be:

• `C1` nye keklẽŋusẽ ƒe agbɔsɔsɔ le `(Tracer)` si wodo ɖe lãme na ame me.
• `V1` nye `(Tracer)` si wodo ɖe lãme na ame ƒe lolome.
• `C2` nye keklẽŋusẽ ƒe agbɔsɔsɔ le wò ʋu me le `(Tracer)` ƒe tsakatsaka kple wò ʋu nyuie vɔ megbe.
• `V2` nye ʋu ƒe agbɔsɔsɔ le wò ŋutilã me (nusi míele agbagba dzem be míake ɖe eŋu).

Bu eŋu kpɔ, ne míena atike agbɔsɔsɔme aɖe si míenya la, míebua ʋu ƒe agbɔsɔsɔme bliboa to ŋkuléle ɖe alesi gbegbe wòtsaka kple ʋua eye wòzua tsia ŋu me.

Gake be nànya ne ʋu ƒe agbɔsɔsɔ si wodzidze le mɔ sia nu la sɔ na wò, esɔ gbɔ, alo le sue na wò la, ele be nàtsɔe asɔ kple wò ʋu ƒe agbɔsɔsɔ si sɔ. Amesiame ƒe ʋu ƒe agbɔsɔsɔme to vovo. Wonɔa te ɖe wò kɔkɔme, wò kpekpeme, kple ŋutsu alo nyɔnu nyenye dzi bua wò ʋu ƒe agbɔsɔsɔ si sɔ.

Aleke wòle be nàdzra ɖo hafi adze dodokpɔa gɔmee?

Wò ɖɔkta aɖo aɖaŋu na wò le esia ŋu. Zi geɖe la, anyo wu be màɖu nu alo ano naneke gaƒoƒo ʋɛ aɖewo hafi adoe kpɔ o.

Gbesigbe woawɔ dodokpɔa la, ele be nàƒo asa na aha siwo me caffeine le (abe kɔfi kple tii ene) nono. Caffeine nye tsinyegoe, si fia be enaa aɖuɖɔtoe dzina ɖe edzi eye wòɖea tsi ɖa le ŋutilãa me. Caffeine hã le atike aɖewo me. Eya ta anyo be nàƒo nu kple wò ɖɔkta tso atike siwo zãm nèle ŋu hafi adoe kpɔ eye nàbia nenye be ehiã be woatrɔ wo, ne ehiã.

Nukae dzɔna do ŋgɔ na dodokpɔa?

Mɔ̃ɖaŋudɔwɔla aɖe adzidze wò kɔkɔme kple wò kpekpeme. Emegbe, woatsɔ ka si wodona ɖe ʋuka me (IV) ade ʋuka aɖe si le wò alɔnu, asibidɛ, alo akɔta me. Esia nye mɔ̃ si le abe cannula ene.

Nukae dzɔna ne èwɔ dodokpɔa?

Nu siwo gbɔna la dzɔna le dodokpɔa wɔɣi:

• Woana nàmlɔ dodokpɔkplɔ̃ dzi.
• Mɔ̃ɖaŋudɔwɔla la doa keklẽŋusẽtike si woyɔna be Iodine-131 Human Serum Albumin (HSA) to IV-mɔ̃a dzi.
• Emegbe ele be nàlala abe miniti 12 ene hafi `(Tracer)` la natsaka kple ʋua nyuie.
• Le ema megbe la, woɖea ʋu geɖe le aɖabaƒoƒo ade ɖesiaɖe me heɖonɛ ɖe nudokpɔƒe.
• Zi geɖe la, dodokpɔ bliboa mexɔa wu miniti 90 o.

Le dodokpɔa megbea?

Mɔ̃ɖaŋudɔwɔla la aɖe IV la ɖa, eye emegbe àte ŋu ayi aƒeme. Radioactive tracer la dometɔ aɖewo ado le wò aɖuɖɔ me, eye susɔea agbã le dzɔdzɔme nu le wò ŋutilã me.Ele be nàno tsi geɖe le dodokpɔa megbe, si akpe ɖe tracer la ŋu wòado le wò ŋutilã me kaba.

Ðe afɔku aɖewo le esia mea?

• Menyo be nàwɔ dodokpɔ sia ne èfɔ fu alo nèle no nam viwò o. Eyata wò ɖɔkta ate ŋu adi be yeawɔ fufɔfɔ dodokpɔ hafi adoe kpɔ.
• Mɔnukpɔkpɔ sue aɖe li be nulɔdɔ nadze ame dzi. Ele be nàgblɔe na wò ɖɔkta ne iodine, ƒumelã, alo azi ƒe nulɔdɔ aɖe le ŋuwò. Ne nulɔdɔ aɖe le ŋuwò la, wò ɖɔkta ate ŋu atrɔ asi le dodokpɔa ŋu be wòaƒo asa na nulɔdɔwo.
• Iodine si me keklẽŋusẽ le ``(Tracer)`` ateŋu agblẽ nu le wò lãkusi ŋu. Be ɖɔktaa naxe mɔ ɖe esia nu la, ana iodine-tike wò hafi adoe kpɔ. Ne wò lãkusia nya xɔ iodine la ko la, edzudzɔa iodine si me keklẽŋusẽ le la xɔxɔ.

Nukae emetsonuwo gblɔ? Nukae nèwɔna kpli wo?

Dodokpɔa me tsonu aɖee afia ne wò ʋu ƒe xexlẽme sɔ, le sue, alo sɔ gbɔ. Wò ɖɔkta ate ŋu azã nyatakaka siawo atsɔ ada wò nɔnɔmea kpɔ ahatso nya me le atikewɔwɔ si hiã ŋu.

Kpuie ko la, ``Ʋu ƒe Agbɔsɔsɔme Dodokpɔ'' dzidzea ne ʋu ƒe agbɔsɔsɔ le wò ŋutilã me sɔ alo mesɔ o. Ʋu ƒe agbɔsɔsɔ ƒe tɔtrɔ do ƒome kple dɔléle geɖe, eye woate ŋu ahe kuxi sesẽwo vɛ. Zi geɖe la, wowɔa dodokpɔ sia ɖe dɔnɔ siwo le dɔnɔdzikpɔƒe siwo wokpɔa dɔnɔwo gbɔ vevie ŋu. Ate ŋu akpe ɖe wo ŋu be woƒe tsi ƒe agbɔsɔsɔ nagaɖo woƒe nɔnɔme nyuitɔ me, eye wòakpe ɖe wo ŋu woahaya kabakaba.

Gbedasi si Wotsɔ Yi Aƒeme

• ``Ʋu ƒe Agbɔsɔsɔme Dodokpɔ'' nye dodokpɔ si dzidzea ʋu ƒe agbɔsɔsɔ bliboa le wò ŋutilã me.
• Esia léa ŋku ɖe ʋumenugbagbevi dzĩwo kple ʋumenugbagbevi dzĩwo ƒe agbɔsɔsɔ ŋu koŋ.
• Ʋu ƒe agbɔsɔsɔ dzi ɖeɖe kpɔtɔ (Hypervolemia) kple ʋu ƒe agbɔsɔsɔ dzi ɖeɖe kpɔtɔ (Hypovolemia) siaa ate ŋu ahe lãmesẽkuxiwo vɛ.
• Ðɔktawo zãa dodokpɔ sia tsɔ dea dzesi atikewɔwɔ ƒe nɔnɔme vovovowo eye wowɔa ɖoɖo ɖe atikewɔwɔ ŋu, vevietɔ le nɔnɔme kpatawo me.
• Wozãa nu sue aɖe si me keklẽŋusẽ le (Radioactive Tracer) le dodokpɔa me, eye mele dedie o. Gake mesɔ na funɔwo kple vidada siwo le no nam no o.
• Ne nulɔdɔ aɖe le ŋuwò la, mègaŋlɔ be be yeagblɔe na ɖɔkta do ŋgɔ o.

Eyata, esiawo nye nu vevitɔ kekeake siwo wòle be nànya tso `(Ʋu ƒe Agbɔsɔsɔme Dodokpɔ)` ŋu. Ne nya bubu aɖewo gale asiwò ku ɖe esia ŋu la, mègavɔ̃ be yeabia wò ɖɔkta o, enyoa?

` Ʋu ƒe agbɔsɔsɔ, Ʋu ƒe agbɔsɔsɔ, Ʋu ƒe agbɔsɔsɔme dodokpɔ, Ʋu ƒe agbɔsɔsɔ fũ, Ʋu ƒe agbɔsɔsɔ si mede ame dzi o, Plasma, Ʋumenugbagbevi dzĩwo, Lãmesẽ dodokpɔwo