Mina míasrɔ̃ nu tso nusiwo oxygen ƒe anyimanɔmanɔ gblẽna le ahɔhɔ̃a ŋu (Hypoxic and Anoxic Brain Injury) ŋu.

Mí katã míenya alesi gbegbe wòle vevie be míagbɔ ya hafi anɔ agbe. Nenema kee wòle le míaƒe ahɔhɔ̃ hã gome. Ahɔhɔ̃ me lãmenugbagbeviwo hiã na ɔksidzin ɣesiaɣi . Bu eŋu kpɔ ko, ne wotso oxygen si yia ahɔhɔ̃a me hena miniti 4 alo esi wu nenema la, ahɔhɔ̃menugbagbeviwo dzea kuku gɔme. Esia ate ŋu agblẽ nu le ahɔhɔ̃a ŋu vevie ŋutɔ, eye ɣeaɖewoɣi womate ŋu atrɔe o. Egbea míele nu ƒom tso afɔku sia ŋu, gake ele be mí katã míanya nɔnɔme sia.

Nukae nye hypoxic kple anoxic ahɔhɔ̃ ƒe gbegblẽ?

Ŋkɔ eve siawo aɖi nya sesẽ vie, gake le nyateƒe me la, wole bɔbɔe ŋutɔ. Na míakpɔe ɖa.

Ahɔhɔ̃a zãa ɔksidzin si le míaƒe ŋutilã me ƒe akpa atɔ̃lia. Ahɔhɔ̃ mate ŋu awɔ dɔ nyuie ne ɔksidzin mele eme o, eɖoa gbedasiwo to lãmekawo me eye wònana nusianu si le ŋutilãa me nɔa dɔ wɔm nyuie.

• Hypoxic Brain Injury: Esiae nye esime oxygen ƒe agbɔsɔsɔ si ɖoa ahɔhɔ̃a gbɔ dzi ɖe kpɔtɔ. Medzudzɔna keŋkeŋ o, gake eɖiɖi kura wu agbɔsɔsɔ si hiã.
• Anoxic Brain Injury: Esia nu sẽ wu. Le afisia la, ɔksidzin meganɔa ahɔhɔ̃a me kura o.

Ɣeaɖewoɣi la, ɖɔktawo zãa nya siawo ɖekae. Gake wo ame evea siaa nye nɔnɔme siwo ate ŋu agblẽ nu le ahɔhɔ̃a ŋu vevie. Ne ame aɖe tsi oxygen manɔmee ɣeyiɣi didi akpa la, ate ŋu ayi alɔ̃ me alo ahɔhɔ̃ me ku gɔ̃ hã.

Nukae nana oxygen meganɔa ahɔhɔ̃a me o?

Woate ŋu atso oxygen si yia ahɔhɔ̃a me alo aɖe edzi le susu vovovowo ta , eye ɖewohĩ míanya wo dometɔ aɖewo gɔ̃ hã o.

Nukae nye nɔnɔme sia ƒe dzesiwo?

Zi geɖe la, ame ƒe susu ate ŋu abu le sɛkɛnd 15 me tso esime oxygen meganɔ ahɔhɔ̃a me o. Tsɔ kpe ɖe eŋu la, dzesi siawo hã ate ŋu adze kpata.

• Nuƒoƒo ƒuƒlu alo nyawo tsɔtsɔ ƒo ƒui ƒe ŋutetemanɔamesi
• Tɔtɔ, ŋkuɖoɖonudzi ƒe dɔmawɔmawɔ nyuie
• Mo ƒe ʋuʋu
• Nuyiwo kple ŋutigbalẽ ƒe tɔtrɔ blɔ/dzẽ
• Gbɔgbɔ si me goglo ŋutɔ alo kabakaba
• ŋkume ƒe ŋkumeʋuʋu siwo keke
• Menye ŋuɖoɖo na ŋkɔ o
• Alɔ̃madɔmadɔ

Aleke ɖɔktawo wɔna kpɔa esia?

Zi geɖe la, ne wokplɔ dɔnɔ aɖe va ETU eye wobia nusi dzɔ (le kpɔɖeŋu me, tsinyenye, nuɖuɖu ƒe ʋuʋu) la, susu nyui aɖe nɔa ɖɔktawo si. Gake be woanya alesi tututu abi si woxɔ la nu sẽe la, wowɔa dodokpɔ ʋɛ aɖewo.

• CT scan alo MRI scan: Esiawo ate ŋu adi nusiwo gblẽ le ahɔhɔ̃mekawo ŋu, abe alesi wovuvu ene.
• EEG (Electroencephalogram): Esia dzidzea ahɔhɔ̃a ƒe elektrikŋusẽ ƒe dɔwɔwɔ. Esia kpena ɖe ame ŋu wònyaa alesi ahɔhɔ̃a wɔa dɔe.
• Angiography: Wowɔa dodokpɔ sia be woakpɔe ɖa be ʋuka siwo naa ʋu yia ahɔhɔ̃a me la xe hã.
• Evoked potentials test: Esia doa ŋgɔ ne ahɔhɔ̃a wɔa nu ɖe ​​seselelãmewo abe nukpɔkpɔ, nusese, kple asikaka nu ŋu ene hã.

Aleke wowɔa atike nɛ?

Esia nye atikewɔwɔ kpata. Ne wonya kplɔ wò va kɔdzi ko la, ɖɔktawo adze agbagba ana ya si sɔ na ahɔhɔ̃a kaba ale si woate ŋui. Woana atikewo hã wò be nàtsɔ akpɔ wò ʋu ƒe sisi kple dzi ƒe tsotso dzi.

Dɔdamɔnua toa vovo le alesi dɔnɔa ƒe nɔnɔmea nu sẽe nu. Zi geɖe la, woxɔa dɔnɔa ɖe dɔnɔdzikpɔƒe si wokpɔa dɔnɔwo gbɔ vevie (ICU) eye wodoa ka kple yagbɔgbɔmɔ̃ be wòakpe ɖe wo ŋu woagbɔ ya.

Le dɔléle sesẽ aɖewo me la, wozãa atike tɔxɛ aɖe si woyɔna be Therapeutic Hypothermia .

Nukae nye atike sia si nana ame ƒe ŋutilã fa?

Esia nye atikewɔwɔ tɔxɛ aɖe. Nusi wowɔna le afisia enye be woazã avɔ tɔxɛwo atsɔ akpɔ ŋutilã ƒe dzoxɔxɔ dzi ahaɖee ɖe anyi va ɖo Celsius degree 32-34 abe gaƒoƒo 24 ene. Emegbe vivivi la, wogbugbɔa ŋutilãa vaa dzoxɔxɔ si sɔ gbɔ. Numekukuwo ɖee fia be esia ate ŋu aɖe abi kple nusiwo agblẽ le ahɔhɔ̃a ŋu dzi akpɔtɔ. Ekpena ɖe ahɔhɔ̃a ta hã to oxygen kple ŋusẽ si ahɔhɔ̃mekawo hiã la dzi ɖeɖe kpɔtɔ me.

Nusiwo ate ŋu agblẽ le ame ŋu ɣeyiɣi didi le hayahaya megbe

Ne ame ƒe susu gaɖo eɖokui ŋu le abi gã aɖe si wòxɔ le ahɔhɔ̃ me megbe gɔ̃ hã la, ate ŋu agblẽ nu le eŋu ɣeyiɣi didi. Esiawo ate ŋu anye ŋutilã, susu, alo nuwɔna.

• Lãmesẽnyawo: Taɖuame, dadasɔ ƒe anyimanɔmanɔ ne ele zɔzɔm, ŋku ƒe kuxiwo, alɔ̃madɔmadɔ , nuƒoƒo kple nu mimi sesẽ, ŋutilã ƒe seselelãme ƒe bu, alɔ̃dɔdɔ ƒe tɔtrɔ.
• Susu kple nuwɔna ƒe ŋusẽkpɔɖeamedziwo: ŋkuɖoɖonudzi ƒe dɔmawɔmawɔ nyuie, blanuiléle, wò susu tsɔtsɔ ɖo nu ŋu sesẽ, tɔtɔ, ŋutetemanɔamesi be nàbu tame le mɔ nyuitɔ nu, amenyenye ƒe tɔtrɔ (sese le ɖokuiwò me be menye ame si nènye tsã o), kple dzikudodo.

Aleke woate ŋu ahayae?

Alesi ame aɖe ahaya nyuie la nɔ te ɖe nu geɖe dzi:

• Ɣeyiɣi didi kae ahɔhɔ̃a mexɔ ɔksidzin o?
• Aleke gbegbee ahɔhɔ̃a ƒe gbegblẽ nu sẽe?
• Ƒe nenie nèxɔ esime afɔkua dzɔ? (Amesiwo mexɔ ƒe 50 haɖe o ate ŋu ahaya wu)
• Ɣeyiɣi didi kae nènɔ alɔ̃ me?

Zi geɖe la, abi suesuesuewo ate ŋu ahaya keŋkeŋ evɔ magblẽ nu le ame ŋu ɣeyiɣi didi o. Ke hã, abi sesẽwo ate ŋu axɔ ɣleti geɖe alo ƒe geɖe hafi woahaya. Ɣeaɖewoɣi la, ate ŋu adzɔ be hayahaya bliboe madzɔ o.

Aleke woate ŋu axe mɔ ɖe afɔku sia ƒomevi nu?

Ne ame aɖe ƒe tagbɔ gblẽ eye eƒe dzi dzudzɔ ƒoƒo la, CPR (Cardiopulmonary Resuscitation) , si nye dzimeʋuʋu kple gbɔgbɔ tso nu me yi nu me, ate ŋu akpe ɖe ame ŋu be ʋu kple ɔksidzin aɖewo nanɔ ahɔhɔ̃a me vaseɖe esime atikewɔlawo ƒe kpekpeɖeŋu nava. Esia ate ŋu aɖe ahɔhɔ̃a ƒe gbegblẽ vevie ƒe afɔkua dzi akpɔtɔ ŋutɔ. Alesi woawɔ CPR sɔsrɔ̃ ate ŋu akpe ɖe ame ŋu wòaɖe ame ƒe agbe.

Tsɔ kpe ɖe eŋu la, wɔ ɖe dedienɔnɔ ƒe afɔɖeɖe siawo dzi:

• Ƒo asa na afɔku siwo do ƒome kple tsi. Nɔ ŋudzɔ ne ɖeviwo le tsileƒe gɔ̃ hã.
• De dzudzɔxɔxɔledɔme kple ya si woyɔna be carbon monoxide ƒe mɔ̃wo wò aƒe me.
• Ne ame aɖe ɖu aɖi aɖe la, tsɔe yi kɔdzi enumake. Ne ehiã la, àte ŋu aƒo ka na Dukɔa ƒe Aɖi Ŋuti Nyatakaka Dɔwɔƒe si le Colombo Dukɔa ƒe Kɔdzi axɔ aɖaŋuɖoɖo.