Tsɔe be èƒo wò klo le afi aɖe. Le ɣeyiɣi aɖe megbe la, teƒea vuvuna, alo? Ema sɔ. Míetsɔa atike aɖewo dea edzi, ɖewohĩ míedea tsikpegoe ɖe edzi, eye wòhayana. Gake ne wò ahɔhɔ̃ xɔ abi eye wò ahɔhɔ̃ vuvu ya ɖe? Ema nye nɔnɔme sesẽ aɖe ŋutɔ, si ate ŋu ade ame ƒe agbe afɔku me. Elabena míaƒe ahɔhɔ̃ le taɖu si sesẽ ŋutɔ si me ƒu le la me. Eyata teƒe boo aɖeke mele esi wòavuvu abe klo ene o. Teƒe ƒe anyimanɔmanɔ sia ate ŋu ana ahɔhɔ̃a natsi eye wòahe kuxi gãwo vɛ.
Nukae Nye Ahɔhɔ̃ ƒe Ʋuʋu?
Kpuie ko la, ahɔhɔ̃mekawo ƒe ʋuʋu nye nɔnɔme si me tsi ƒoa ƒu ɖe ahɔhɔ̃mekawo me le susu aɖewo ta, si wɔnɛ be ahɔhɔ̃a vuvu. Wotsɔ ŋkɔ geɖe yɔa esia le atikewɔwɔ me.
- Ahɔhɔ̃ me ʋuʋu
- Tagbɔ ƒe nyaƒoɖeamenu si dzi ɖe edzi
Ne ahɔhɔ̃a vuvu alea la, teƒe si le tagbɔ sesẽa me la ganɔa sue wu. Esia wɔnɛ be nyaƒoɖeamenu si le ahɔhɔ̃a me, si woyɔna be Intracranial Pressure (ICP) dzina ɖe edzi ŋutɔ. Ne nyaƒoɖeamenu sia dzi ɖe edzi la, ʋuka tsɛ siwo tsɔa ʋu yia ahɔhɔ̃a me la tea ƒoƒo. Emegbe ahɔhɔ̃a dzudzɔa oxygen kple nunyiame siwo wòhiã la xɔxɔ. Esia ate ŋu agblẽ nu le ahɔhɔ̃menugbagbeviwo ŋu, alo ana woaku gɔ̃ hã. Tsɔ kpe ɖe eŋu la, mɔ siwo dzi tsi bubu siwo le ahɔhɔ̃a me tona tona hã ate ŋu axe to abi sia me, si ana nɔnɔmea gagblẽ ɖe edzi.
Esia le abe ʋuƒo si me tsi yɔ fũu dede aɖaka sue aɖe me hemimie ene. Ðewohĩ ʋuƒoa agbã, alo? Nu ma ke dzɔna ɖe ahɔhɔ̃a hã dzi.
Nukae nana ahɔhɔ̃a vuvu?
Menye nu ɖeka aɖeke meli si gbɔ ahɔhɔ̃a ƒe vuvu tsona o, gake nu geɖe ate ŋu ana wòavuvu. Nu vovovowoe gbɔ wòtsona, tso ta ƒe abixɔxɔ dzi va ɖo dɔléle vovovowo dzi . Mina míalé ŋku ɖe nusiwo gbɔ nusiawo tsona ŋu nyuie.
| Wᴐe be | Numeɖeɖe Blewu aɖe |
|---|---|
| Ahɔhɔ̃ ƒe Nuveviwɔame (TBI) . | Ahɔhɔ̃a ate ŋu agblẽ eye wòavuvu le nuwo abe ʋufɔku, anyidzedze, taƒoƒo sesẽ, alo amedzidzedze ta. Esia ate ŋu adzɔ hã ne taɖu ƒe ƒuwo gbã eye ʋukawo gblẽ. |
| Ischemic Stroke ƒe Ʋuʋudedi | Esiae nye ʋusɔgbɔdɔ ƒomevi si bɔ wu. Edzɔna ne ʋuka aɖe si le ahɔhɔ̃a me va xe mɔ na ʋu ƒe sisi. Ne ʋu ƒe sisi nu tso la, ahɔhɔ̃menugbagbeviwo dzea kuku gɔme, si wɔnɛ be wovuvuna. |
| Ʋusɔgbɔdɔ ƒe Ʋusɔgbɔdɔ | Ʋuka aɖe si le ahɔhɔ̃a me gbãna eye wòdzea ʋu dodo gɔme. Ʋu sia ƒoa ƒu ɖe ahɔhɔ̃a me, si wɔnɛ be ame ƒe nyaƒoɖeamenu dzina ɖe edzi eye wònana wòvuvuna. Ʋusɔgbɔdɔe nye nusi koŋ gbɔ esia tsona. |
| Dɔlékuiwo | Dɔlékui alo dɔlékuiwo ƒe dɔléle ate ŋu ana ahɔhɔ̃a navuvu. Kpɔɖeŋuwo: Meningitis - lãkusi siwo tsyɔ ahɔhɔ̃a ƒe dɔdzẽ, Encephalitis - ahɔhɔ̃a ŋutɔ ƒe vuvu, Toxoplasmosis - dɔlékui si tso dɔlékui aɖe gbɔ. |
| Ahɔhɔ̃ me Dɔdzẽwo | Dɔdzẽ si dona le ahɔhɔ̃a me ate ŋu ana ame navuvu ne ezi ahɔhɔ̃meka siwo ƒo xlãe dzi eye wòxe mɔ na ahɔhɔ̃a me tsi ƒe sisi. |
| Kɔkɔƒe Kɔkɔwo | Ame aɖewo ateŋu axɔ nɔnɔme sia ne wole mɔ zɔm yi teƒe siwo kɔkɔ wu afɔ 4900 tso atsiaƒu dzi (e.g., tonyigba siwo le Nuwara Eliya tame). Wogayɔa esia be High-Altitude Cerebral Edema (HACE) . |
Nukawoe nye ahɔhɔ̃a ƒe vuvu ƒe dzesiwo?
Zi geɖe la, ahɔhɔ̃a ƒe vuvu ƒe dzesiwo dona kpata ŋutɔ. Dzesi siawo ate ŋu ato vovo le nusi gbɔ wòtso kple alesi gbegbe wòvuvui nu. Àte ŋu ato nusiwo gbɔna dometɔ ɖeka alo esi wu nenema me:
- Taɖuame sesẽ
- Kɔ ƒe vevesese alo eƒe sesẽ
- Aɖuɖɔtoe alo ʋuʋudedi
- Taɖuame
- Gbɔgbɔ si mesɔ o
- Nukpɔkpɔ ƒe bu alo tɔtrɔ le nukpɔkpɔ me (abe nu eve kpɔkpɔ ene) .
- Ŋkuɖodzinu ƒe dɔmawɔmawɔ nyuie
- Azɔlizɔzɔ sesẽ
- Nuƒoƒo sesẽ, aɖe ƒe babla
- Stupor, si nye nɔnɔme si me mègaganya nusi le edzi yim ƒo xlã wò o
- Alɔ̃madɔmadɔ
- Ame ƒe susu ƒe dɔwɔwɔ
Vevietɔ ŋutɔ: Ne ède dzesi dzesi siawo dometɔ aɖe la, ele be woabui be enye atikewɔwɔ kpata. Kplɔ dɔnɔa yi kɔdzi ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) si te ɖe ŋuwò kaba.
Aleke ɖɔkta awɔ anya dɔléle siae?
Ne èyi kɔdzi la, ɖɔktawo awɔ dodokpɔ geɖe le wò dzesiwo kple nusi wosusu be etso wò dɔlélea nu.
- Ŋutilãmedodokpɔ: Gbã la, ɖɔktaa alé ŋku ɖe wò ta, kɔ, kple wò ŋutilã ŋu nyuie.
- Ahɔhɔ̃mekawo ƒe dodokpɔ: Woléa ŋku ɖe wò susu, nukpɔkpɔ, dadasɔ, kple wò susu ƒe dɔwɔwɔ ŋu.
- CT scan: Esia ate ŋu ade dzesi afisi ahɔhɔ̃a ƒe vuvu le kple afisi wòkeke ɖo kaba.
- MRI scan: Esia ate ŋu ana ahɔhɔ̃mekawo ƒe nɔnɔmetata si me kɔ wu, si me kɔ wu.
- Ʋudodokpɔ: Wowɔa ʋudodokpɔ be woatsɔ akpɔe ɖa be nu bubu siwo gbɔ wòtso, abe dɔlékuiwo ene hã.
- Akɔta ƒe dodo: Le go aɖewo me la, wowɔa dodokpɔ sia tsɔ léa ŋku ɖe ahɔhɔ̃meka siwo ƒo xlã ahɔhɔ̃a ŋu be woakpɔe ɖa be dɔlékui aɖewo alo kuxi bubuwo le eŋu hã.
Nukawoe nye ahɔhɔ̃mekawo ƒe ʋuʋu ƒe atikewo?
Taɖodzinu vevi eve li le ahɔhɔ̃ ƒe vuvu dada me. Ðekae nye be wòana ɔksidzin kple ʋu si ahɔhɔ̃a hiã. Bubue nye be woaɖe nyaƒoɖeamenu si le taɖua me dzi akpɔtɔ eye woaɖu abi si le eŋu dzi. Esia ate ŋu abia be woawɔ atikewɔwɔ kple amekoko ƒe atikewɔwɔ ɖekae. Zi alesi wodze atikewɔwɔ gɔme kaba la, zi nenemae mɔnukpɔkpɔ asu ame si be wòahaya eye wòahaya bliboe.
| Atikewɔwɔ ƒe Mɔnu | Numeɖeɖe bɔbɔe aɖe (Nusi wòwɔna) . |
|---|---|
| Oxygen ƒe Dɔdamɔnu | Wotoa yagbɔgbɔmɔ̃ dzi naa oxygen geɖe wu be oxygen ƒe agbɔsɔsɔ nyui nanɔ ʋua me. |
| Tsi siwo wodona ɖe ʋuka me (IV Fluids) . | Wodoa nuwo abe saline ene to ʋuka me (IV) be ʋu ƒe sisi nagaɖiɖi o. Gake tsi aɖewo ate ŋu ana abi nadzi ɖe edzi, eyata ɖɔktawo naa esiawo nyuie ŋutɔ. |
| Atikewo zazã | Wona atike vovovowo be woatsɔ aɖe abi dzi akpɔtɔ, ana ʋukawo natsi, alo be woatsɔ akpɔ ŋutilãa ƒe dɔwɔwɔ dzi. |
| Ventriculostomy ƒe dɔwɔwɔ | Esia nye amekoko ƒe ɖoɖo. Wowɔa do sue aɖe ɖe taɖua me, wotsɔa aŋetu dea ahɔhɔ̃a me, eye woɖea tsi si sɔ gbɔ ɖe eme la ɖa eye woɖea nyaƒoɖeamenua dzi kpɔtɔna. |
| Amekoko | Esia lɔ taɖua ƒe akpa aɖe ɖeɖe ɖa hena ɣeyiɣi aɖe be wòaɖe nyaƒoɖeamenu dzi akpɔtɔ (decompressive craniectomy) , ʋuka si me ʋu le dodom le la dzadzraɖo, alo ahɔhɔ̃meka aɖe ɖeɖeɖa ɖe eme. |
Ðe ŋusẽkpɔɖeamedzi aɖewo li siwo nɔa anyi didi le ahɔhɔ̃a ƒe vuvu megbea?
Ẽ, ɣeaɖewoɣi la, ate ŋu agblẽ nu le ame ŋu ɣeyiɣi didi le ʋuʋudedi megbe. Dɔwɔwɔ siawo nɔ te ɖe alesi ahɔhɔ̃a gblẽe kple ahɔhɔ̃a ƒe akpa si gblẽ la dzi.
- Alɔ̃dɔdɔ ƒe kuxiwo
- Tamebubu kple susu tsɔtsɔ ɖo nu ŋu sesẽ
- Taɖuame enuenu
- Teteɖeanyi
- Nuƒoƒo sesẽ
- Kuxi siwo do ƒome kple ŋutilã ƒe ʋuʋu
- Aɖuɖɔtoe dzi ɖuɖu sesẽ
Wò atikewɔlawo ƒe ƒuƒoƒoa akpe ɖe ŋuwò nàkpɔ kuxi siawo gbɔ. Togbɔ be kuxi aɖewo ate ŋu anyo ɖe edzi vivivi le ɣeyiɣi aɖe megbe hã la, bubuwo hã ate ŋu abia be woayi edzi akpɔ wo gbɔ.
Gbedasi si Wotsɔ Yi Aƒeme
- Ahɔhɔ̃ ƒe vuvu nye nɔnɔme si me afɔku le ŋutɔ si hiã be woawɔ atike nɛ enumake, elabena nyaƒoɖeamenu si le taɖua me dzina ɖe edzi.
- Ta ƒe abixɔxɔ, ʋusɔgbɔdɔ, dɔlékuiwo, kple ahɔhɔ̃ me dɔdzẽ ate ŋu anye nusiwo koŋ gbɔ esia tsona.
- Ne èkpɔ dzesiwo abe taɖuame sesẽ, ʋuʋudedi, taɖuame, nukpɔkpɔ ƒe tɔtrɔ, alo susu ƒe dɔmawɔmawɔ nyuie , yi kɔdzi ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) enumake.
- Atikewɔwɔ ɖe game dzi eye wòsɔ ate ŋu aɖe amewo ƒe agbe eye wòaɖe nusiwo wògblẽna le ame ŋu ɣeyiɣi didi dzi akpɔtɔ. Eyata mègaŋe aɖaba ƒu dzesi siawo dzi gbeɖe o.
- Woate ŋu aɖe afɔku sia dzi akpɔtɔ to nu tsɛwo abe gakuku, zikpuimekawo zazã, ʋusɔgbɔdɔ dzi ɖuɖu, kple atamanono ene me.











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