Nukae Nye Ahɔhɔ̃ me Ʋuʋudedi? Mina míasrɔ̃ nu tso nɔnɔme sia si me afɔku le ŋu le nya bɔbɔewo me!

Ðe nèse nyaƒoɖeamenu wɔnuku aɖe, kpekpeme, alo vevesese wɔnuku aɖe le ta me kpɔa? Ɣeaɖewoɣi la, míesusuna be taɖuame si sɔ ko, gake ƒã hafi, ate ŋu anye nusi nu sẽ vie wu. Eyata, nɔnɔme aɖe si wòle be mí katã míanya eye míatsi dzi ɖe eŋu vie enye ahɔhɔ̃mekawo ƒe ʋuʋu , alo abe alesi ɖɔktawo yɔnae ene la, ``Ahɔhɔ̃meʋuʋu.'' Nuka tututue nye esia, nukatae esia dzɔna, kple nu bubu geɖe siwo ŋu míaƒo nu tsoe egbea.

Nukae nye ahɔhɔ̃mekawo ƒe ʋuʋu? Kpuie ko la,...

Kpuie ko la, `(Cerebral Edema)` nye ne tsi geɖe ƒo ƒu ɖe míaƒe ahɔhɔ̃mekawo me, si wɔnɛ be ahɔhɔ̃a vuvu keŋkeŋ alo eƒe akpa aɖe. Azɔ bu eŋu kpɔ, míaƒe ta le abe koklozi sesẽ aɖe ene. Míaƒe ahɔhɔ̃ le eme, wokpɔ eta. Ke hã, ta sia mate ŋu akeke ɖe enu ahanɔ ɖeɖem o. Eyata ne ahɔhɔ̃a vuvu, si fia be ne ahɔhɔ̃mekawo vuvu le tsi ma si sɔ gbɔ ta la, nyaƒoɖeamenu si le taɖua me, si ɖɔktawo yɔna be `(Intracranial Pressure)` alo `(ICP)`, dzina ɖe edzi ŋutɔ.

Vevietɔ wu la, ahɔhɔ̃ ƒe vuvu nye dɔléle sesẽ aɖe si hiã be woakpɔ egbɔ kpata . Ne womewɔ atike nɛ nyuie o la, ate ŋu ade ame ƒe agbe afɔku me.

Nɔnɔme sia ate ŋu adze ame sia ame dzi, tso vidzĩ suewo dzi va ɖo ame tsitsiwo dzi, le afɔku alo dɔléle aɖe ta.

Nukawoe nye ahɔhɔ̃a ƒe vuvu ƒomevi veviwo?

Ahɔhɔ̃ ƒe vuvu ate ŋu adzɔ le mɔ vovovowo nu. Wole ƒomevi vevi geɖe:

1. Ʋukawo me Ʋuʋudedi

Esiae nye ƒomevi si bɔ wu . Nusiwo le abe dɔdzẽ siwo le ahɔhɔ̃a me ene ate ŋu atso abi sia ƒomevi. Nusi dzɔna le afisiae nye be tsi dona le ʋuka siwo le ahɔhɔ̃a me me, si wɔnɛ be wodona.

2. Lãmenugbagbeviwo ƒe Ʋuʋudedi

Wogayɔa esia be `(Cytotoxic Edema)`. Zi geɖe la, esia tsoa abi gã aɖe si woxɔ le ta ŋu, abe `(Traumatic Brain Injury)` alo nɔnɔme aɖe abe `(Stroke)` ene gbɔ. Le afisia la, ne ahɔhɔ̃menugbagbeviawo mexɔ ʋu alo ɔksidzin si sɔ o la, vuvu dona le lãmenugbagbeviawo me.

Tsɔ kpe ɖe ƒomevi vevi eve siawo ŋu la, ƒomevi bubu siwo mebɔ o hã li:

• Osmotic Edema: Esia ƒomevi ateŋu atso nɔnɔmewo abe Ketoacidosis si do ƒome kple Suklidɔ alo sodium ƒe agbɔsɔsɔ si bɔbɔ ɖe ŋutilã me (Hyponatremia) ta.
• Interstitial Edema: Woateŋu akpɔ vuvu sia ƒomevi le nɔnɔmewo abe `(Hydrocephalus)` (tsi ƒe ƒoƒo ɖe ahɔhɔ̃a dzi) kple `(Meningitis)` (meningitis) ta.

Aleke gbegbee ahɔhɔ̃ ƒe ʋuʋu bɔe?

Susu vovovowo tae ahɔhɔ̃a ƒe vuvu ate ŋu atso, eyata enye dɔléle si bɔ vie si woda le kɔdziwo. Ema fia be ele vevie be míanɔ ŋudzɔ ɖe esia ŋu.

Nukawoe nye ahɔhɔ̃ ƒe vuvu sia ƒe dzesiwo?

Ne vuvua le sue la, ɖewohĩ dzesi aɖeke madze le ŋuwò o. Gake ne dzesiawo dze la, woate ŋu anye:

• Taɖuame: Esia to vovo na taɖuame si sɔ eye ate ŋu asẽ ŋutɔ.
• Alɔ̃dɔdɔ alo tamebubu sesẽ: Ðewohĩ màte ŋu abu tame nyuie o eye alɔ̃ nanɔ ŋuwò ɣesiaɣi.
• Nuwɔna ƒe tɔtrɔ: Àte ŋu ade dzesi amenyenye ƒe tɔtrɔ, abe dzikudodo alo dzimaɖitsitsi zi ɖeka ene.
• Kɔ ƒe veve alo eƒe sesẽ: Eva sesẽna be woatrɔ kɔ, si wɔnɛ be wòsea veve.
• Aɖuɖɔtoe: Aɖuɖɔtoe, vevietɔ le ŋdi me.
• Alɔ̃madɔmadɔ : Ame ƒe susu ƒe dɔwɔwɔ bu zi ɖeka eye wòʋuʋuna.
• Nukpɔkpɔ ƒe kuxiwo: Nukpɔkpɔ eve, nukpɔkpɔ si me kɔ o.
• Nuƒoƒo sesẽ: Nya siwo wogblɔna le mɔ gbegblẽ nu, mete ŋu ƒoa nu nyuie o.
• Ŋkuɖodzikuxiwo: Nuwo ŋɔŋlɔ be.
• Ʋu ƒe sisi ƒe dzidziɖedzi kpata.
• Yagbɔgbɔ sesẽ.
• Gbɔdzɔgbɔdzɔ.
• Ame ƒe susu meganɔa ame ŋu o.

Ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò la, ele vevie ŋutɔ be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake . Mègagblẽ ɣeyiɣi o.

Nukae nana ahɔhɔ̃a vuvu?

Abe ale si ko nu vovovo siwo nana míaƒe ŋutilã ƒe akpa bubuwo vuvuna ene la, nenema ke nu vovovowo hã li siwo nana ahɔhɔ̃a vuvu. Esia ate ŋu atso abi si woxɔ le ahɔhɔ̃a ŋutɔ ŋu, dɔlékuiwo, kple dɔdzẽ ƒe nɔnɔmewo gbɔ. Nusiwo gbɔ wòtso dometɔ aɖewoe nye esi:

• Ahɔhɔ̃ ƒe Nuveviwɔame si Me Nuveviwɔame Le: Kpɔe ɖa le susu me be ame aɖe ge tso keke dzi heƒo ta, alo bɔl ƒoe esime wòle kriket ƒom. Afɔku siawo ƒomevi ate ŋu ana ahɔhɔ̃a navuvu.
• Ahɔhɔ̃ me Dɔdzẽ.
• Ketoacidosis si do ƒome kple suklidɔ.
• Eclampsia nye dɔléle sesẽ aɖe si ate ŋu adzɔ le fufɔɣi.
• Tagbɔdɔléle.
• Ʋusɔgbɔdɔ ƒe Ʋusɔgbɔdɔ.
• Aklã ƒe dɔmawɔmawɔ nyuie si gblẽa nu le ahɔhɔ̃a ŋu (Hepatic Encephalopathy).
• Tsi ƒe ƒuƒoƒo ɖe ahɔhɔ̃a me (Hydrocephalus).
• Ischemic stroke (ʋuʋudedi si tsoa ʋuka aɖe ƒe xexe me).
• Tagbɔdɔléle.
• Aɖi siwo tso nuwo abe atike vɔ̃ɖiwo, aɖinuwo, alo da ƒe ɖuɖu ene me.
• Toxoplasmosis alo ahɔhɔ̃medɔléle bubuwo.
• Ʋu ƒe sisi le ahɔhɔ̃a ƒe ʋukawo me (Venous Sinus Thrombosis).
• Kɔkɔme ƒe Dɔléle: Woyɔa esia be ``High-Altitude Cerebral Edema - HACE''.

Ðe ahɔhɔ̃mekawo ƒe ʋuʋu xɔa ame mea?

Ao, taɖuame menye nusi nàte ŋu alé tso ame bubu gbɔ o, eye menye nusi nàte ŋu ana ame bubu hã o. Gake dɔléle aɖewo siwo xɔa ame ate ŋu ahe taɖuame . Le kpɔɖeŋu me:

• Tagbɔdɔléle
• Tagbɔdɔléle
• Toxoplasmosis `(Toxoplasmosis ƒe dɔléle)`

Ɣeaɖewoɣi la, dɔlékui suesuesuewo abe sinusitis ene gɔ̃ hã, togbɔ be mebɔ o hã la, ate ŋu ana ʋuʋudedi naƒo ƒu ɖe taɖua me, si ana ahɔhɔ̃a navuvu.

Nukawoe nye nusiwo ate ŋu ahe nɔnɔme sia vɛ?

Afɔku aɖewo li siwo ate ŋu akpɔ ŋusẽ ɖe ahɔhɔ̃a ƒe vuvu ƒe dzɔdzɔ dzi. Ame siwo ŋu suklidɔ le la le afɔku gã aɖe me be ahɔhɔ̃a navuvu le nɔnɔmewo abe ``Diabetes-related Ketoacidosis'' alo dɔlékuiwo ta. Wogblɔ be ɖeviwo le afɔku me wu ame tsitsi siwo ŋu suklidɔ le. Amesiwo ŋu kansa le alo dɔlélenutsiŋutete siwo gbɔdzɔ hã le afɔku gã aɖe me be ahɔhɔ̃ navuvu.

Aleke ɖɔktawo wɔa anya ahɔhɔ̃mekawo ƒe vuvu?

Ðɔkta aɖe aƒo nu na wò kple amesiwo dome nèle eye wòado ahɔhɔ̃mekawo kpɔ. Wò atikewɔwɔ ŋutinya kple dzesiwo ate ŋu akpe ɖe wò ɖɔkta ŋu wòasusui nyuie. Gake be nàka ɖe edzi bliboe la, ehiã be woawɔ wò ahɔhɔ̃ ƒe CT alo MRI scan.

Dodokpɔ ka ƒomevie woawɔ?

Be wò ɖɔkta nanya ahɔhɔ̃mekawo ƒe vuvu ahanya nusi gbɔ wòtso la, ate ŋu aɖe gbe be woawɔ dodokpɔwo abe:

• CT Scan (Computed Tomography - CT Scan): Esia ɖea ahɔhɔ̃a ƒe nɔnɔmetata siwo woɖe ɖe vovo.
• MRI Scan (Magnetic Resonance Imaging - MRI Scan): Esia hã nye dodokpɔ si me woɖea ahɔhɔ̃a ƒe nɔnɔmetata tsitotsito.
• Ʋudodokpɔ: Esiawo kpena ɖe ame ŋu be woalé ŋku ɖe nuwo abe dɔlékuiwo kple suklidɔ ene ŋu.

Aleke wodaa ahɔhɔ̃mekawo ƒe vuvu?

Taɖodzinu vevitɔ si le ahɔhɔ̃mekawo dada ŋue nye be woaɖe tsi si ƒo ƒu ɖe ahɔhɔ̃mekawo me dzi akpɔtɔ eye woaɖu abi la dzi. Wowɔa esia to atikewo kple amekoko dzi koŋ.

Atike siwo wozãna na ahɔhɔ̃a ƒe vuvu

Le nusi gbɔ ahɔhɔ̃a ƒe vuvu tso nu la, atike siwo wona wò ate ŋu ato vovo. Wò ɖɔkta ate ŋu aŋlɔ atikewo abe:

• Corticosteroids: Esiawo nye atike siwo ɖea abi kple abi dzi kpɔtɔna.
• Mannitol kple aɖuɖɔtoemetike bubuwo: Esiawo kpena ɖe ame ŋu wòɖea tsi si sɔ gbɔ ɖe ŋutilãa me ɖa.
• Hypertonic Saline: Esia hã nye nusi kpena ɖe ame ŋu wòɖea tsi ɖa le ahɔhɔ̃a me eye wòɖea nyaƒoɖeamenu dzi kpɔtɔna.
• Atike siwo naa ame ƒe dzi dzea eme: Na dɔnɔa ƒe dzi nadze eme eye nàɖu ʋu ƒe sisi dzi to ahɔhɔ̃a ƒe dɔwɔwɔ dzi ɖeɖe kpɔtɔ me.
• Asrã Dzi Ðeɖe Akpɔtɔ.
• Ʋu ƒe Ʋuʋudedi: Mexe mɔ na ʋu ƒe sisi.

Amekoko na ahɔhɔ̃a ƒe vuvu

Le nɔnɔme siwo nu sẽ ŋutɔ me la, ahɔhɔ̃ŋutinunyala ate ŋu atso nya me be yeawɔ amekokowo abe:

• Craniectomy: Esia bia be woaɖe taɖua ƒe akpa aɖe ɖa be woaɖe nyaƒoɖeamenu si le ahɔhɔ̃a dzi dzi akpɔtɔ.
• Ventriculostomy: Wowɔa do ɖe ahɔhɔ̃a ƒe ventricle aɖe me eye wotsɔa mɔ̃ aɖe dea eme be ahɔhɔ̃mekawo me tsi nate ŋu age ɖe akplo si ƒoa ƒu me.
• Ʋuʋudedi: Esia bia hã be woatsɔ tsi si sɔ gbɔ ɖe ahɔhɔ̃a me ayi ŋutilãa ƒe akpa bubu (le kpɔɖeŋu me, ƒodo me) afisi ŋutilãa ate ŋu axɔe dedie le.
• Amekoko ƒe ahɔhɔ̃ me abi, abe dɔdzẽ ene, ɖeɖe ɖa.

Atikewɔwɔ ƒe nugbegblẽ le ame ŋu/kuxi siwo dona tso eme

Zi geɖe la, amekoko hea dɔlékuiwo xɔxɔ kple ʋu ƒe dodo ƒe afɔku vɛ.

Atikewo hã ate ŋu ahe nugbegblẽ le ame ŋu vɛ. Le kpɔɖeŋu me, corticosteroids:

• Nuɖuɖudzroame kple lolo ƒe dzidziɖedzi.
• Dɔlékuiwo ƒe dɔlélenutsiŋutete dzi ɖe kpɔtɔ.
• Aklãdɔ.
• Seselelãme trɔna.
• Dzimaɖitsitsi.
• Nuveviwɔame bɔbɔe.

Tso `(Mannitol)` kple `(Diuretics)` bubuwo gbɔ:

• Tsikuɖiɖi le ŋutilãa me.
• Ayikuwo ƒe gbegblẽ.

Ðe nàte ŋu ahaya tso ahɔhɔ̃a ƒe vuvu mea?

Ŋuɖoɖo kpuiae nye be, ẽ, àte ŋui . Woate ŋu ada ahɔhɔ̃mekawo ƒe vuvu. Gake ele vevie be woada nusi gbɔ wòtso kpakple ahɔhɔ̃a ƒe vuvu dada tẽ.

Nukae mate ŋu akpɔ mɔ na ne ahɔhɔ̃meka aɖe le ŋunye?

Nusiwo wogblɔ ɖi be woahaya tso ahɔhɔ̃ ƒe vuvu me nɔ te ɖe nu geɖe dzi:

• Nusi gbɔ ʋuʋudedi tsona.
• Wò lãmesẽ bliboa.
• Aleke gbegbe nèxɔa atikewɔwɔ kabakaba ɖe abi la tae.

Ate ŋu axɔ ɣeyiɣi aɖe hafi woate ŋu ada abi kple nusi gbɔ wòtso. Tsɔ kpe ɖe eŋu la, ate ŋu ahiã be nànɔ te ɖe nɔnɔme bubu siwo na vuvu la nu.

Ðe woate ŋu axe mɔ ɖe ahɔhɔ̃a ƒe vuvu nua?

Togbɔ be menye ahɔhɔ̃mekawo ƒe vuvu katãe woate ŋu axe mɔ na o hã la, nanewo li nàte ŋu awɔ atsɔ aɖe wò afɔkua dzi akpɔtɔ:

• Do atikewɔlawo kpɔ edziedzi: Yi wò ƒomea ƒe ɖɔkta gbɔ eye nàwɔ dodokpɔ siwo hiã.
• Kpɔ dɔléle siwo nɔa anyi didi abe suklidɔ kple ʋusɔgbɔdɔ ene dzi nyuie.
• Zã atikeawo abe alesi ɖɔkta gblɔe ene pɛpɛpɛ.
• Kpɔ nyuie ne èle kamedefefe siwo ate ŋu ana ame naxɔ abi le ta la wɔm: Kpɔ nyuie ne èle kamedefefe siwo ate ŋu ana ame naʋuʋu ta.
• Do zikpuimeka ne èle ʋuwo me, eye nàdo gakuku ne èle keke kple dzokeke dom.
• Na atike siwo hiã eye nàwɔ ɖe lãmesẽnyawo gbɔ kpɔkpɔ ƒe mɔnu bubuwo dzi.
• Wɔ afɔɖeɖewo be nàxe mɔ ɖe dɔlékuiwo xɔxɔ nu: te ɖa tso ame siwo le dɔ lém gbɔ, klɔ asi nyuie.
• Ne ènoa atama la, dze agbagba nàdzudzɔ. Sigaretnono nana ʋusɔgbɔdɔ ƒe afɔkua dzina ɖe edzi.

Ɣekaɣie wòle be nàyi ɖɔkta gbɔ le ahɔhɔ̃ ƒe ʋuʋu ŋu?

Ne abi ƒomevi aɖe le ta ŋu na wò, ne exɔ abi sue aɖe gɔ̃ hã la, yi ɖɔkta gbɔ enumake . Ne èƒo ta esime nèle kamedefefe wɔm, alo ne èʋuʋu la, kpɔ egbɔ be yeyi ɖɔkta gbɔ eye mègatrɔ yi kamedefefe dzi o vaseɖe esime wòana wò o.

Ne dɔléle siwo nɔa anyi didi abe suklidɔ, ʋusɔgbɔdɔ ene le ŋuwò, eye tsi ƒe ƒoƒo ɖe ahɔhɔ̃a dzi alo vuvu ƒe dzesiwo le ŋuwò la, yi atikewɔƒe enumake.

Nya kawoe wòle be mabia nye ɖɔkta tso ahɔhɔ̃ ƒe ʋuʋu ŋu?

Nya aɖewo ate ŋu anɔ asiwò nàbia wò ɖɔkta tso ahɔhɔ̃a ƒe vuvu ŋu, abe:

• Nukae na nye ahɔhɔ̃ le vuvu?
• Atikewɔwɔ kawoe nèkafu?
• Aleke nèwɔa nu tso nusi gbɔ ahɔhɔ̃a ƒe vuvu tsona ŋui?
• Nukawoe nye atikewɔwɔa ƒe nugbegblẽ le ame ŋu?

Mlɔeba la, nusi dzi nàɖo ŋkui (Take-Home Message) .

Cerebral edema, alo ``Cerebral Edema'', nye dɔléle sesẽ aɖe si ate ŋu ade ame ƒe agbe afɔku me. Eya ta atikewɔla didi ne dzesiawo dze ko la, ate ŋu axe mɔ ɖe kuxi sesẽwo nu. Ele vevie hã be woade dzesi nusi gbɔ vuvua tso eye woada nɔnɔme si gbɔ wòtso. To dɔléle siwo nɔa anyi didi dzi kpɔkpɔ nyuie kple mɔxexeɖedɔléle nu ƒe afɔɖeɖewo wɔwɔ me la, míate ŋu akpe ɖe mía ŋu míaxe mɔ ɖe nusiwo gbɔ ahɔhɔ̃mekawo ƒe vuvu tsona dometɔ aɖewo nu. Lé be na wò lãmesẽ, elabena eyae nye nunɔamesi vevitɔ kekeake si le asiwò!

` Cerebral Edema, Intracranial Pressure, Ta ƒe Abixɔxɔ, Ahɔhɔ̃ ƒe Dɔléle, Lãmetsiŋusẽ, Ahɔhɔ̃mekawo ƒe Dɔléle