Oo, ɖe wòwɔna na wò abe ɖe nèle gbɔgbɔm enea? Mina míakpɔ nusi tututu (Asphyxiation) nye ɖa!

Ɣeaɖewoɣi la, gbɔgbɔ sesẽna zi ɖeka, alo? Alo èkpɔ ame aɖe wòle avu wɔm kple gbɔgbɔtsixe kpɔa? Esia nye nusi dzi ŋɔ ŋutɔ eye afɔku le eme ŋutɔŋutɔ. Egbea míele nu ƒom tso gbɔgbɔtsixetsixe ma, alo atikewɔwɔ me nya `(Asphyxiation)` ŋu. Ne míese nya sia gɔme nyuie la, míate ŋu axɔ ame aɖe ƒe agbe gɔ̃ hã.

Nukae nye `(Asphyxiation)`? Kpuie ko la,...

Kpuie ko la, `(Asphyxiation)` fia be wò ŋutilã mekpɔa oxygen si sɔ o. Esia kpɔa ŋusẽ gã aɖe ɖe gbɔgbɔ ƒe ɖoɖoa dzi. Ɣeaɖewoɣi la, ate ŋu ana ame natsi dzodzodzoe gɔ̃ hã. Le nɔnɔme siwo vɔ̃ɖi wu me la, ku gɔ̃ hã ate ŋu adzɔ. Ame aɖewo yɔe be `(asphyxia)`, ame bubuwo yɔe be `(suffocation)`. Gɔmesese ɖekae le wo katã si.

Nukae nye `(Asphyxiation)` ƒomevi veviwo?

Aɖuɖɔtoe ƒomevi vovovowo li. Na míalé ŋku ɖe vevitɔwo ŋu.

`(Mɔ̃ɖaŋununya ƒe gbɔgbɔtsixetsixe)` - Mɔ̃ɖaŋununya ƒe gbɔgbɔtsixetsixe

Esia nye ne mète ŋu le gbɔgbɔm o le nu ŋutɔŋutɔ aɖe alo ŋutilã ƒe nɔnɔme ta. Bu eŋu abe ame aɖe si le mia ƒom ene, alo ɖevi sue aɖe ƒe fefenu aɖe ge ɖe woƒe ŋɔti me, kple bubuawo Ɣeaɖewoɣi ne míeda míaƒe nɔƒe si mesɔ o, le kpɔɖeŋu me, vidzĩ sue aɖe trɔna eye mete ŋu trɔna o eye woƒe ŋɔti kple nu tsia akɔta, ema hã dzena le hatsotso sia me.

Traumatic asphyxia - gbɔgbɔtsixetsixe si afɔku aɖe hena vɛ

Esia hã nye ``mɔ̃wo ƒe gbɔgbɔtsixetsixe'' ƒe akpa aɖe. Nusi dzɔna le afisia enye be wò akɔta, si nye ``akɔta ƒe do'' si ƒo xlã akɔta, lãmekawo, lãkusiwo, kple ŋutigbalẽ la, tsia dzodzodzoe le ŋusẽ gã aɖe (``nuveviwɔame'') si tso gota ta. Tsɔe be womi wò akɔta sesĩe le afɔku gã aɖe me. Emegbe, wotua ʋu si tso dzia me ɖe megbe to ʋukawo me yia kɔ kple ahɔhɔ̃ me.

Vidzidzi ƒe gbɔgbɔtsixetsixe

Esia nye nusi do ƒome kple míaƒe vidzĩ suewo. Nɔnɔme sia dzɔna ne vidzĩa mekpɔ oxygen agbɔsɔsɔme si hiã la do ŋgɔ teti do ŋgɔ na vidzidzi, le edzidziɣi, alo le edziɣi megbe teti o. Esia nye nusi ŋu wòle be míaɖɔ ŋu ɖo vevie.

`(Compressive asphyxia)` - gbɔgbɔtsixetsixe le nutete ta

Esia hã nye ``mɔ̃wo ƒe gbɔgbɔtsixetsixe'' ƒomevi aɖe. Esia dzɔna ne gotagome ŋusẽ gã aɖe te wò akɔta alo ƒodo. Le kpɔɖeŋu me, ne womimi wò le teƒe si amewo sɔ gbɔ ɖo (bu kɔnsɛt aɖe ŋu kpɔ), alo ne ame aɖe bɔbɔ nɔ wò akɔta alo dze klo ɖe wò akɔta.

Aleke gbegbee woyɔa nɔnɔme sia be ``Asphyxiation''?

Le nyateƒe me la, esia bɔ wu alesi nàsusui. Le kpɔɖeŋu me, le United States ɖeɖe dzaa la, ame 19,000 kloe ku le gbɔgbɔtsixetsixe ta le ƒe 2016 me.

Azɔ hã, tso ƒe 2018 va ɖo ƒe 2019 me la, gbɔgbɔtsixe tsia ƒo na ɖevi siwo mexɔ ƒe ɖeka haɖe o ku le vo me wu. Eyata ele be dzila siwo si vi suewo le naɖɔ ŋu ɖo vevie le esia ŋu.

Aleke Asphyxia kpɔa ŋusẽ ɖe nye ŋutilã dzii?

Nɔnɔme sia (Asphyxia) ate ŋu akpɔ ŋusẽ ɖe wò ŋutilã dzi le mɔ vovovowo nu.

Dutanuwo ƒe xexe

Tsɔe be nane le mɔ xem na wò yaƒoƒomɔ̃. Emegbe wò ŋutilã ƒoa ya si woyɔna be carbon dioxide nu ƒu. Míeyɔa esia hã be hypercapnia. Le ɣeyiɣi ma ke me la, oxygen mele gegem ɖe ŋutilãa ƒe lãkusiwo me o (hypoxia).

Emegbe ŋutilãa gadzea agbagba be yeagbɔ ya ake. Ate ŋu ado vɔvɔ̃ na ame vie be woakpɔe. Àte ŋu akpɔ nuwo abe ŋkuwo le lolom, ŋutigbalẽ ƒe amadede le tɔtrɔm, asiwo lé wò kɔ, kple kɔdzidede vivivi ene.

Wò ʋu ƒe sisi kple dzi ƒe tsotso dzina ɖe edzi zi ɖeka. Wò ʋu ƒe pH ɖiɖina. Wò ŋutilã ɖea lãmetsi siwo woyɔna be catecholamines dona. Catecholamine siawo nye lãmetsi siwo le vevie le ŋutilã ƒe ‘avuwɔwɔ alo sisi ƒe ŋuɖoɖo’ me.

Mlɔeba la, wò ʋu ƒe sisi dzi ɖena kpɔtɔna eye wò dzi ƒe tsotso dzi ɖena kpɔtɔna.

Ne womeɖe mɔxenua ɖa le ɣeyiɣi sia me o, alo ne ame aɖe medae kaba o la, dzia ate ŋu atɔ (dzi ƒe dɔmawɔmawɔ nyuie) le miniti ene va ɖo atɔ̃ me. Esia nye afɔku gã aɖe.

Tsi me nɔnɔ

Le tsinyenye ƒe 10% lɔƒo me la, wò gbeɖiɖikawo dzudzɔa dɔwɔwɔ zi ɖeka ne tsia ge ɖe wò ŋɔti me zi gbãtɔ. Woyɔa esia be ``laryngospasm.'' Emegbe èkuna le ``asphyxiation,'' togbɔ be tsi mele wò lãkusi me o hã.

Le 90% bubuawo me la, lãmeka siwo le dometsotso si le wò gbeɖiɖikawo dome (`glottis`) la ɖea dzi ɖi, si wɔnɛ be tsi yɔa wò lãkusiwo me fũ.

Wò ŋutilã xɔa tsi nyui kaba. Tsi nyui la naa `plasma` si le wò ʋu me la tsia eye wònana `ʋumenugbagbevi dzĩwo` gblẽna (`hemolysis`).

Dzetsi hea tsi tso wò ʋukawo me yia wò lãkusi me, si wɔnɛ be ʋumenugbagbeviɣi si le wò ʋu me dzi ɖena kpɔtɔna.

Nukawoe nye gbɔgbɔtsixetsixe ƒe dzesiwo?

Dzesi geɖewo li siwo dzena le ``Asphyxiation`` nɔnɔme sia me:

• Yagbɔgbɔ sesẽ (gbɔgbɔtsixetsixe). Ame aɖewo sena le wo ɖokui me be gbɔgbɔtsixe tsi yewo.
• Yagbɔgbɔ kabakaba alo goglo (yagbɔgbɔ fũu akpa).
• Ame ƒe susu meganɔa ame ŋu o.
• Kpe.
• Gbe ƒe ɖiɖi alo tɔtrɔ.
• Nuƒoƒo ƒe ŋutete manɔamesi.
• Mo alo nuyi ƒe amadede ƒe tɔtrɔ (ate ŋu azu dzĩ, aŋutiɖiɖi, blɔ alo aŋutiɖiɖi).
• Nu mimi sesẽ alo nu mimi ƒe ŋutetemanɔamesi.
• Ŋkuɖodzinu ƒe dɔmawɔmawɔ nyuie.
• Aɖuɖɔɖɔɖɔ alo aɖuɖɔtoe ɖeɖe le eɖokui si evɔ womenya o.
• Taɖuame.
• Taɖuame.

Nukae nye nusiwo hea `(Asphyxia)` vɛ?

Susu geɖewo ate ŋu anɔ gbɔgbɔtsixetsixe sia ŋu. Na míalé ŋku ɖe wo dometɔ ʋɛ aɖewo ŋu:

• Anaphylaxis: Esia nye nulɔdɔ sesẽ aɖe. Zi geɖe la, nuɖuɖuwo gbɔe wòtsona. Ate ŋu ahe dzesi sesẽwo abe ʋuʋudedi, abɔ kple mo ƒe vuvu (vevietɔ nuyiwo) hã vɛ.
• Asrãdɔ:Esia nye lãkusidɔ si `nɔa anyi didi`. Nuwo abe ɖiƒoƒo ya, kamedede, aƒemelãwo ƒe ʋuʋudedi, kple atamadzudzɔ ate ŋu ana wòagagblẽ ɖe edzi.
• `(Positional asphyxiation)` - Positional asphyxiation: Esia nye ne wò gbɔgbɔ xe mɔ na wò ŋutilã ƒe nɔnɔme. Zi geɖe la, esia dzɔna ɖe vidzĩ yeyewo alo ɖevi sue siwo ŋu ŋusẽ mele be woatrɔ woƒe ŋutilã o la dzi. Le kpɔɖeŋu me, esia ate ŋu adzɔ ne vidzĩ aɖe mlɔ anyi ŋkume kple ŋkume eye woƒe ŋɔti kple nu tsi mattress la me eye womete ŋu trɔ o.
• Atikewo ƒe gbɔgbɔtsixetsixe: Esia dzɔna ne atike aɖe si nègbɔna ɖe oxygen ɖa le wò lãkusiwo me eye wòna oxygen yɔ wo me fũ. Emegbe oxygen mete ŋu ɖoa wò ŋutilã ƒe akpa bubuwo o. Atikewo abe carbon monoxide, cyanide, hydrogen sulfide, kple atike aɖewo siwo le aƒeme dzadzɛnyenyenuwo me ate ŋu ahe esia vɛ.
• Opioid zazã fũu akpa: Opioid nye atike siwo wɔa dɔ kple lãmekawo ƒe lãmenugbagbeviwo tsɔ ɖea vevesese dzi kpɔtɔna. Ne èno wo fũu akpa la, wò gbɔgbɔ ate ŋu agbɔdzɔ eye wòadzudzɔ mlɔeba.
• Tsi me nɔnɔ: Esia nye gbɔgbɔtsixetsixe si tsoa tsi si wotsɔ nyrɔ ɖe tsi, si zi geɖe la, tsi me gbɔ.
• Duta nu ƒe xexe / mɔxexe: Duta nu xea yaƒoƒomɔ̃a. Esia ate ŋu adzɔ ne womemi nuɖuɖu nyuie o, alo ne ʋuʋudedi va tsi ŋɔti me le aha sesẽ nono fũ megbe (aha ƒe aɖi).
• Strangulation: Yaƒoƒomɔa xexe to asi, ka, ka, alo nu bubu aɖe babla ɖe kɔ me.

Aleke woawɔ ade dzesi `(Asphyxiation)`?

Aɖuɖɔtoe sia nye ``atikewɔwɔ ƒe nɔnɔme kpata`` si hiã be woawɔ atike nɛ enumake . Ne èle ɖevi sue alo ame tsitsi aɖe si gbɔgbɔ sesẽ kasia gbɔ la, bia wo nenye be ``wole ƒoƒom.`` Ne womete ŋu ɖo eŋu o la, di dzesi siawo:

• Kɔa léle (esiae nye xexeame katã ƒe dzesi si wozãna tsɔ gblɔna be ètsi).
• Kɔdzidede blewu kple gbɔdzɔgbɔdzɔ.
• Gbeɖiɖi si nye kpẽkuku ne èle gbɔgbɔm (`wheezing`).
• Nuƒoƒo ƒe ŋutete manɔamesi.
• Ame ƒe susu meganɔa ame ŋu o.

Ne vidzĩ aɖe ƒe gbɔgbɔ le sesẽm la, lé ŋku ɖe tɔtrɔ siwo ava eƒe nuwɔna ŋu. Le kpɔɖeŋu me, gbɔgbɔ sesẽ, avifafa gbɔdzɔ, alo kɔdzidede blewu ŋutɔ.

Ðe wònyo be woana nane ame si mete ŋu le gbɔgbɔm oa?

Ao, menyo kura o. Ne èna nane ame aɖe si gbɔgbɔ sesẽ nɛ la, ate ŋu axe yaƒoƒomɔa ɖe edzi.

Dodokpɔ kawoe wozãna tsɔ dea dzesi `(Asphyxia)`?

Ne nane tsi wò yaƒoƒomɔ̃ me la, wò ɖɔkta ate ŋu azã X-ray alo aɖuɖɔtoemekpɔmɔ̃ atsɔ adi nusi xe mɔ na wò eye wòaɖee ɖa.

Aleke wowɔa atike na `(Asphyxia)`?

Atikewɔwɔ nɔ te ɖe nusi gbɔ gbɔgbɔtsixe tsia ame ƒo dzi. Atikewɔwɔ ƒe tiatia aɖewoe nye:

• Dzitodzito me gbɔgbɔ (CPR): Akɔta tete kpena ɖe ame ŋu be ʋu nayi ŋutinu veviwo gbɔ vaseɖe esime dzia gadze ƒoƒo gɔme ake. Esia nye kpekpeɖeŋunanu gbãtɔ si le vevie ŋutɔ.
• Heimlich ƒe afɔɖeɖe: Ƒodo ƒe ʋuʋu kpena ɖe ame ŋu wòɖea nuwo ɖa le yaƒoƒomɔ̃a me. Esia ɖea vi ŋutɔ ne nane, abe nuɖuɖu ene, tsi yaƒoƒomɔ̃a me.
• Atikewo: Le nusi gbɔ gbɔgbɔtsixetsixe tso nu la, woate ŋu azã atike aɖewo. Le kpɔɖeŋu me, atike si wogbɔna na asrã, epinephrine (EpiPen®) na nulɔdɔwo, alo naloxone (Narcan®) na opioid ƒe agbɔsɔsɔ fũ.
• Gbɔgbɔ tso nu me yi nu me: Esia kpena ɖe ame ŋu wòʋãa gbɔgbɔ. Woate ŋu awɔe na amesiwo tsi tsi alo amesiwo gbɔgbɔ sesẽna le opioid geɖe nono vɔ megbe.
• Oxygen-dɔdamɔnu: Wotoa yagbɔgbɔmɔ̃, oxygen-nutsyɔnu, ŋɔti me mɔ̃, alo yagbɔgbɔmɔ̃ dzi naa oxygen yia ŋutilãa me.

Aleke woawɔ axe mɔ ɖe `(Asphyxiation)` nu?

Mɔ nyuitɔ si dzi nàto axe mɔ ɖe gbɔgbɔtsixetsixe ƒomevi sia nue nye be nàɖɔ ŋu ɖo . Ne gbɔgbɔ sesẽ na ame aɖe le miaƒe nutoa me la, ƒo ka na 1990 (Sri Lanka ƒe dɔnɔdzikpɔƒe si kpɔa dɔnɔwo gbɔ kpata) enumake.

• Ne èle nu ɖum la, ɖu wò nuɖuɖu vivivi eye ne èmie vɔ ko hafi nàƒo nu. Lé ŋku ɖe viwòwo ŋu nyuie ne wole nu ɖum. De dzi ƒo na wo be woatsɔ nu suesuesuewo aɖu nu eye nàgblɔ na wo be woagaƒo nu vaseɖe esime womi woƒe nuɖuɖu o.
• Ne nuɖuɖu ƒe nulɔdɔ le ŋuwò la, tsɔ EpiPen ɖe asi ɣesiaɣi. Kpɔ nusiwo wotsɔ wɔe ƒe ŋkɔ si le nusianu si nèɖuna dzi.
• Ne èle tsi ƒum le tsia me la, yi kple ame bubu ɖeka ya teti. Ne màte ŋu aƒu tsi o la, do agbetsiwui.
• Ne asrãdɔ ate ŋu adze dziwò la, ke na atike si gbɔa ya le te ɖe ŋuwò ɣesiaɣi.
• De mɔ̃ siwo dea dzesi ya si woyɔna be carbon monoxide wò aƒe me. Na mɔ̃ɖaŋudɔwɔla bibi aɖe nalé ŋku ɖe mɔ̃ siwo zãa mɔ̃memi abe ati alo gas ene (e.g., dzodoƒewo, tsi dzodzoewo, dzodoƒewo) ŋu zi ɖeka le ƒea me.

Nukae dzɔna ne `(Asphyxia)` dzɔ?

Ne woda nusi gbɔ gbɔgbɔtsixetsixe tso enumake la, zi geɖe la, anɔ eme be ahaya.

Gake ne womewɔ atike na gbɔgbɔtsixetsixe kaba o la, ate ŋu agblẽ nu le ame ŋu ɣeyiɣi didi alo anɔ anyi ɖaa, abe ʋusɔgbɔdɔ, ahɔhɔ̃mekawo ƒe abixɔxɔ, alo ku ene. Eyata ele vevie ŋutɔ be míaɖe afɔ kaba.

Nya kawoe wòle be mabia nye ɖɔkta?

Ne nuteƒekpɔkpɔ sia tɔgbe dzɔ ɖe dziwò kpɔ, alo ne èdi be yeanya nu geɖe tso eŋu la, àte ŋu abia nya siawo wò ɖɔkta:

• Nukae wòle be mawɔ ne ame aɖe mele gbɔgbɔm o?
• Ðe gbɔgbɔmagate ŋu agblẽ nu le nye lãmesẽ ŋu ɣeyiɣi didi alo si anɔ anyi ɖaa?
• Ðe nuɖuɖu ƒe nulɔdɔ le ŋunyea? Ðe wòle be makpɔ nulɔdɔŋutinunyala aɖea?
• Nukae wòle be mawɔ atsɔ akpɔ ɖokuinye ta tso `(asphyxia)` nɔnɔme sia me le etsɔme?

Mlɔeba la, nane si dzi wòle be míaɖo ŋkui! (Gbedasi si Wotsɔ Yi Aƒeme)

Asphyxiation nye nɔnɔme dziŋɔ aɖe ŋutɔ si me wotsoa oxygen le ŋutilãa me. Ne wò alo ame aɖe si gbɔ nèle la le dzesiwo ɖem fia be gbɔgbɔtsixe tsia ƒo la, ate ŋu ado vɔvɔ̃ na ame. Ke hã, ele vevie be nànɔ anyi kpoo alesi nàte ŋui. Lé ŋku ɖe dzesi siwo fia be gbɔgbɔ sesẽna ŋu, vevietɔ ne wò asiwo lé wò kɔ. Ƒo ka na 911 enumake eye nàwɔ ɖe woƒe mɔfiamewo dzi. Zi alesi nèda nusi gbɔ gbɔgbɔtsixetsixea tso kaba la, zi nenemae mɔnukpɔkpɔ asu asiwò be nàƒo asa na lãmesẽkuxi siwo anɔ anyi ɣeyiɣi didi alo esiwo anɔ anyi ɖaa. Wò nyanya kple afɔɖeɖe kabakaba ate ŋu akpe ɖe ŋuwò nàɖe ame aɖe ƒe agbe!

` Asphyxiation, oxygen, gbɔgbɔ, kpekpeɖeŋunana gbãtɔ, nudzɔdzɔ kpata, gbɔgbɔtsixetsixe, gbɔgbɔtsixetsixe, tsinyenye, carbon monoxide, CPR, Heimlich maneuver