Nukae nye alɔ̃madɔmadɔ? Mina míaƒo nu tso nɔnɔme sesẽ sia si me ame ƒe susu meganɔ o ŋu!

Ðewohĩ èse ame aɖe gblɔ be "yeyi alɔ̃ me" alo kpɔ ame aɖe le sinima me eye wòmiã ŋku, meʋãna kura o. Le nyateƒe me la, esia nye nɔnɔme sesẽ aɖe ŋutɔ, si ate ŋu ade ame ƒe agbe afɔku me. Eyata, egbea míele nu ƒom tso nusi tututu coma nye, nusita wòdzɔna, kple nusi míate ŋu awɔ tso eŋu ŋu.

Nuka tututue nye alɔ̃madɔmadɔ?

Kpuie ko la, alɔ̃madɔmadɔ me nɔnɔ fia be mèle manyamanya , mènya nusiwo le edzi yim ƒo xlã wò o, eye mèle nu wɔm ɖe eŋu le mɔ aɖeke nu o . Mènya wò ŋutilã alo eƒe nuhiahiãwo o. Kpuie ko la, alɔ̃madɔmadɔ fia be wò ahɔhɔ̃ mele dɔ wɔm nyuie o .

Bu eŋu ale: ahɔhɔ̃a le abe míaƒe ŋutilã ƒe dziɖuƒe ene. Esiae dzɔna ne mewɔ dɔ nyuie o. Nɔnɔme vovovo siwo gblẽa nu le ahɔhɔ̃a ŋu vevie alo gblẽa nu le eŋu gbɔ ate ŋu atso alɔ̃madɔmadɔ. Menye kɔmamãwo katãe sɔ o. Wo dometɔ aɖewo goglo wu , si fia be ahɔhɔ̃a ƒe dɔwɔwɔ gblẽna vevie wu.

Coma nye atikewɔwɔ ƒe nɔnɔme kpata aɖe . Ne ame aɖe le miaƒe nutoa me menya nu o eye meɖoa nya ŋu o la, ƒo ka na 911 (alo xexlẽdzesi si le mia gbɔ kpata) enumake . Nu geɖe siwo nana ame nɔa alɔ̃ me hiã be woawɔ atike na ame enumake. Heheɖemegbe ate ŋu ahe kuxi sesẽwo vɛ, eye wòaku gɔ̃ hã.

Aleke gbegbee kɔmamãwo bɔe?

Le numekuku siwo li nu la, le dukɔwo abe United States kple England ene me la, ame yeye siwo ade 250 ye nɔa alɔ̃ me le ame 100,000 ɖesiaɖe dome ƒe sia ƒe. Gake kakaɖedzi aɖeke mele alesi akɔntabubu siawo de pɛpɛpɛe ŋu o. Susu geɖewo tae wòle alea ɖo. Susu vevi ɖekae nye be woate ŋu ada dɔléle siwo nana ame nɔa alɔ̃ me dometɔ aɖewo eye woate ŋu ada wo kaba. Ɣeaɖewoɣi la, kpekpeɖeŋunala gbãtɔwo ate ŋu ada amesiawo hafi woaɖo kɔdzi gɔ̃ hã. Susu bubue nye be nɔnɔme bubuwo li siwo ate ŋu adze abe alɔ̃madɔmadɔ ene, gake le nyateƒe me la, woto vovo.

Alɔ̃madɔmadɔ ate ŋu adzɔ le amesiame si si atikewɔwɔ me dɔléle ɖesiaɖe si gblẽa nu le ahɔhɔ̃a ƒe dɔwɔwɔ ŋu le la ŋu. Ate ŋu agblẽ nu le ame sia ame ŋu, metsɔ le ƒe si wòxɔ, ŋutsu alo nyɔnu nyenye, ameƒomevinyenye, alo subɔsubɔha me o.

Nukawoe nye alɔ̃madɔmadɔ ƒe dzesiwo?

Dzesi vevi etɔ̃e dzena le alɔ̃madɔmadɔ me:

• Numabumabu: Esia le abe alɔ̃dɔdɔ deto ŋutɔ ene. Mɔ aɖeke meli si dzi woato anyɔ wò o.
• Ŋku ƒe ŋuɖoɖo ƒe anyimanɔmanɔ: Esia fia be wò ŋkuwo tu. Mèɖoa eŋu ne ame aɖe dze agbagba be yeaʋu wò ŋkuwo gɔ̃ hã o. Ɣeaɖewoɣi la, ŋkuawo ƒe ʋuʋu aɖewo ate ŋu anɔ anyi. Le kpɔɖeŋu me, alesi nàwɔ nu ɖe ​​kekeli ŋu, ŋkuʋuʋu, kple ŋku ʋuʋu ne ètrɔ ta. Gake ne alɔ̃madɔmadɔa goglo ŋutɔ la, ɖewohĩ nɔnɔme siawo madzɔ abe alesi wokpɔ mɔe ene o.
• Mɔ̃ ƒe dɔwɔwɔ ƒe anyimanɔmanɔ:Ema fia be mèɖoe koŋ wɔa ʋuʋu aɖeke o . Ɣeaɖewoɣi la, susu aɖewo ate ŋu anɔ ŋuwò. Gake ne alɔ̃madɔmadɔa goglo ŋutɔ la, woate ŋu abu hã. Àte ŋu anya alesi gbegbe alɔ̃madɔmadɔa gogloe hã to susu ƒe dɔwɔwɔ ƒomevi si nèɖena fiana me.

Togbɔ be zi geɖe la, wokpɔa dzesi siawo le alɔ̃madɔmadɔ me hã la, vovototo aɖewo ate ŋu anɔ wo dome. Ðewohĩ ame aɖewo ƒe lãmekawo ƒe dɔwɔwɔ trɔ.

Nukae nye Glasgow ƒe Kɔdzi ƒe Dzesidenu (GCS)?

Glasgow Coma Scale (GCS) ye nye mɔnu si wozãna wu le xexeame katã tsɔ dzidzea alesi gbegbe alɔ̃madɔmadɔ ƒe sesẽme. GCS la ƒe hatsotso vevi etɔ̃, eye woxɔa dzesi hatsotso ɖesiaɖe. Dzesi si sɔ gbɔ wue nye 15. Esia fia be ènya nu tso nusiwo ƒo xlã wò ŋu bliboe, ète ŋu sea nyabiasewo gɔme heɖoa wo ŋu, eye nète ŋu wɔa ɖe sededewo dzi.

Zi geɖe la, ne èxɔ dzesi 8 alo esi mede nenema o la , efia be èle alɔ̃ me. Zi alesi dzesia le ɖiɖim la, zi nenemae alɔ̃madɔmadɔa gogloe. Dzesi si bɔbɔ wue nye 3. Ƒomedodo etɔ̃ siwo GCS dzidzee nye:

• Ŋku ƒe ŋuɖoɖo (teƒe 1-4) .
• Ʋuʋu ƒe ŋuɖoɖo (1-6 dzesiwo) .
• Nuƒoƒo ƒe ŋuɖoɖo (dzesi 1-5) .

Nukawoe ate ŋu ahe alɔ̃madɔmadɔ vɛ?

Susu geɖewo li siwo ate ŋu ana ame natsi alɔ̃ me alo ana ame natsi alɔ̃ me. Mina míalé ŋku ɖe nusiwo wonye ŋu:

• Tɔtrɔ siwo mesɔ o le sukli ƒe agbɔsɔsɔ me: Esia lɔ alɔ̃madɔmadɔ siwo do ƒome kple suklidɔ hã ɖe eme. Afɔku le ʋumesukli ƒe agbɔsɔsɔ si mede ame dzi o (suklidɔ ƒe agbɔsɔsɔ fũ) kple sukli si sɔ gbɔ ɖe ʋu me (suklidɔ ƒe agbɔsɔsɔ fũ) siaa me.
• Atikewo kple atikewɔwɔ ƒe mɔnuwo: Atike si naa alɔ̃dɔdɔ ame hena amekoko, kpakple alɔ̃madɔmadɔ si atikewɔwɔ hena vɛ.
• Atikewo zazã le atikewɔwɔ me kple esiwo menye atikewɔwɔ o.
• Ahanono ƒe ahamumu kple ahatsunono ƒe aɖi.
• Ta ƒe abixɔxɔ: Nuwo abe ʋuʋudedi, si dzɔna ne woƒo ta le afɔku me, alo nusiwo nu sẽ wu gɔ̃ hã abe ahɔhɔ̃mekawo ƒe abixɔxɔ si nu sẽ (TBI) ene .
• Ʋu si dona le ahɔhɔ̃a me.
• Ʋu ƒe sisi yi ahɔhɔ̃a me dzi ɖeɖe kpɔtɔ: Ate ŋu atso ʋusɔgbɔdɔ ƒomevi ɖesiaɖe gbɔ, vevietɔ ʋusɔgbɔdɔ si me ʋu sina tona .
• Oxygen ƒe anyimanɔmanɔ (ahɔhɔ̃ me ya si mebɔ o).
• Aɖinuwo: Le kpɔɖeŋu me , carbon monoxide , ga kpekpewo, kple nudzodzoeviwutike aɖewo.
• Dɔlékuiwo: Vevietɔ ahɔhɔ̃medɔlélewo abe tagbɔdɔléle kple taɖuame ene , kpakple nɔnɔme siwo ate ŋu ade ame ƒe agbe afɔku me abe dɔlékuiwutikewo ene .
• Ayiku alo aklã ƒe dɔmawɔmawɔ nyuie.
• Dɔdzẽ ƒe nɔnɔmewo alo dɔléle siwo do ƒome kple dɔlélenutsiŋutete: Le kpɔɖeŋu me , ‘Multiple Sclerosis’ (MS) .
• Elektrikŋusẽ ƒe masɔmasɔ: Nɔnɔmewo abe sodium ƒe ʋɛ akpa (hyponatremia) alo calcium ƒe agbɔsɔsɔ fũ (hypercalcemia) ene .
• Tɔtrɔ siwo mesɔ o le ŋutilã ƒe dzoxɔxɔ me: Ŋutilã ƒe dzoxɔxɔ si bɔbɔ akpa (dzoxɔxɔ si gbɔ eme) kple esi kɔ akpa (dzoxɔxɔ si gbɔ eme) .
• Nyaƒoɖeamenu si dzina ɖe edzi le taɖua me (Intracranial hypertension): Esia ate ŋu atso nɔnɔmewo abe hydrocephalus ene gbɔ.
• Alɔ̃madɔmadɔ: Vevietɔ ‘Status Epilepticus’, si nye asrãdɔ si nɔa anyi ɖaa.

Amekae le afɔku gã aɖe me be wòaxɔ alɔ̃madɔmadɔ?

Atikewɔwɔ ƒe nɔnɔme aɖewo kple agbenɔnɔ ƒe nɔnɔmewo ate ŋu ana afɔku si le ame me be wòage ɖe alɔ̃madɔmadɔ me nadzi ɖe edzi. Esiawo dometɔ aɖewoe nye:

• Lãmetsiŋusẽ ƒe nɔnɔmewo: Nɔnɔme siwo gblẽa nu le sukli ƒe agbɔsɔsɔ le ʋu me ŋu , abe Suklidɔ Ƒomevi 1 kple Suklidɔ Ƒomevi 2 ƒe kuxi aɖe si mebɔ o, si woyɔna be Diabetic Ketoacidosis (DKA) ene.
• Dɔléle siwo nɔa anyi ɣeyiɣi didi aɖe: Nuwo abe ʋusɔgbɔdɔ (ʋusɔgbɔdɔ) kple ʋumemi si sɔ gbɔ (hyperlipidemia) ene . Esiawo ate ŋu ana ʋu nado le ahɔhɔ̃a me alo ana ame naxɔ ʋusɔgbɔdɔ.
• Atike vɔ̃ɖiwo kple ahanono zazã: Atike vɔ̃ɖi ɖesiaɖe zazã ƒe numame, siwo dometɔ aɖewoe nye atike muamewo zazã, opioid vevesesenutsitikewo, alɔ̃dɔdɔtikewo, ahanono ƒe numame, opioid zazã ƒe numame, kple atike vɔ̃ɖi siwo wogbɔna.
• Dedienɔnɔ ƒe dɔwɔnuwo zazã o: Dedienɔnɔ ƒe dɔwɔnuwo abe gakuku kple zikpuimekawo zazã ene ate ŋu ana ame naxɔ abi le ta kple nɔnɔmewo abe ʋuʋudedi alo TBI ene .
• Dɔléle siwo tso dzitodzito me: Nuwo abe dzi ƒe tsotso si mesɔ o ene.
• Nɔnɔme bubu siwo nɔa anyi didi: Nɔnɔmewo abe asrã , ʋumenugbagbeviɣidɔ .

Kuxi kawoe ate ŋu ado tso alɔ̃madɔmadɔ me?

Ame si le alɔ̃madɔmadɔ me mate ŋu akpɔ eɖokui dzi o. Womate ŋu aʋuʋu, aɖu nu, anɔ tsi, alo awɔ nusiawo dometɔ aɖeke o. Esia fia be wohiã atikewɔwɔ gaƒoƒo 24 gbesiagbe. Ame si le alɔ̃ me ate ŋu ahiã be woatsɔ aɖuɖɔtoe si akpe ɖe eŋu wòaɖe aɖuɖɔ. Ebɔ hã be woahiã kpekpeɖeŋu le gbɔgbɔ me, si woyɔna be mɔ̃memi ya., si fia be wotsɔa mɔ̃ aɖe naa wogbɔa ya.

Kuxi siwo ate ŋu ado mo ɖa le alɔ̃madɔmadɔ alo atikewɔwɔ siwo do ƒome kplii ta dometɔ aɖewoe nye:

• Dɔlékui siwo dona tso kɔdzi: abe aklãdɔ si do ƒome kple yagbɔgbɔmɔ̃ (VAP) kple aɖuɖɔtoe me dɔlékui siwo dona tso catheter gbɔ (CAUTIs) ene .
• Nyaƒoɖeamenu ƒe abi/Abati ƒe abi: Ŋutilã ƒe akpa aɖewo ate ŋu axɔ abi le esi wònɔ nɔnɔme ɖeka me ta.
• Tube ƒe nuɖuɖu nana.
• Lãmetsiwo ƒe gbagbã.
• Ʋuka me ʋu ƒe sisi: Be woaxe mɔ ɖe esia nu la, wozãa ʋumenugbagbeviɣitikewo (atike siwo tsia ʋumenugbagbeviɣidɔ nu) kple mɔ̃ siwo wotsɔna ƒoa ʋu si me ʋu sina tona ɣeaɖewoɣi (IPC) . Esia ate ŋu axe mɔ ɖe nuwo abe ʋusɔgbɔdɔ kple aklã me ʋu ƒe sisi ene nu.
• Delirium ƒe dɔléle.
• Do wɔwɔ le ŋɔti me be wòagbɔ ya (Tracheostomy): Zi geɖe la, ne alɔ̃madɔmadɔa xɔ wu kwasiɖa eve ko hafi esia hiã.

Aleke nèwɔna dea dzesi alɔ̃madɔmadɔ?

Nusi gbɔ alɔ̃madɔmadɔ tso didi – si fia be woanya atikewɔwɔ me nɔnɔme si gbɔ wòtso – nye nusi wòle be wòadzɔ kaba . Afɔɖeɖe gbãtɔ siwo woawɔ le alɔ̃madɔmadɔ didi me dometɔ ɖekae nye be woado ahɔhɔ̃mekawo kpɔ . Emegbe ɖɔkta ate ŋu azã nane abe Glasgow Coma Scale ene atsɔ anya alesi gbegbe alɔ̃madɔmadɔa nu sẽe.

Tsɔ kpe ɖe ahɔhɔ̃mekawo ƒe dodokpɔ ŋu la, ɖɔktawo awɔ dodokpɔ geɖe atsɔ anya nusi gbɔ alɔ̃madɔmadɔa tso kple alesi gbegbe kuxia nu sẽe. Le kpɔɖeŋu me, ne ame aɖe xɔ abi le ta ŋu kpɔ la, anɔ bɔbɔe be woanya nusi gbɔ wòtso. Emegbe dodokpɔawo alé ŋku ɖe alesi gbegbe nusiwo gblẽ la ŋu. Ne womenya nusi gbɔ wòtso o la, nusi gbɔ alɔ̃madɔmadɔa tso didi kple nusi gbɔ wòtso ƒe sesẽme nyanya nye nu ɖeka kloe.

Dodokpɔ kawoe wowɔna tsɔ dea dzesi nɔnɔme sia?

Dodokpɔ geɖe li siwo ate ŋu akpe ɖe ame ŋu wòanya be ame aɖe le alɔ̃ me eye wòanya alesi gbegbe wòsẽe. Wo dometɔ aɖewoe nye:

• Nudokpɔƒe dodokpɔ siwo wowɔna le ʋu, aɖuɖɔ, kple ahɔhɔ̃mekawo me tsi (CSF): Esiawo ɖea vi ŋutɔ le nu geɖe siwo hea alɔ̃madɔmadɔ vɛ didi me. Woate ŋu ade dzesi nu geɖe, siwo dometɔ aɖewoe nye ʋumesukli ƒe kuxiwo, dze ƒe masɔmasɔ, ŋutinuwo ƒe dɔmawɔmawɔ nyuie, aɖinuwo, kple dɔlékuiwo ƒe dzesiwo.
• Diagnostic imaging: Dodokpɔ siawo ateŋu azã mɔnu vovovowo atsɔ "akpɔ" abi alo nusiwo gblẽ le wò ta me. Nɔnɔmetatawo dodokpɔ siwo bɔ wue nye ‘CT scans’ (Computed Tomography - CT scans) kple ‘MRI scans’ (Magnetic Resonance Imaging - MRI scans) .
• Elektrikŋusẽ ƒe ahɔhɔ̃mekawo ƒe dɔwɔwɔ (EEG):Dodokpɔ sia dea dzesi elektrikŋusẽ si le wò ahɔhɔ̃ me heŋlɔnɛ ɖi. Ate ŋu akpe ɖe ame ŋu wòanya alesi gbegbe ame ƒe alɔ̃madɔmadɔ sesẽe eye wòade dzesi nɔnɔme siwo ate ŋu ana ame natsi alɔ̃madɔmadɔ, abe asrãdɔ ene.
• Electrocardiogram (ECG alo EKG): Dodokpɔ sia ate ŋu akpe ɖe ame ŋu woade dzesi dzi ƒe tsotso ƒe kuxi aɖe si ate ŋu ana ame nazu alɔ̃madɔmadɔ alo aɖee ɖa.

Tsɔ kpe ɖe esiawo ŋu la, woate ŋu awɔ dodokpɔ bubuwo. Esia anɔ te ɖe alesi alɔ̃madɔmadɔa le, wò nɔnɔmea, kple wò lãmesẽ ŋutinya dzi. Ne ame aɖe si te ɖe ŋuwò le alɔ̃ me la, ɖɔktae nye ame nyuitɔ si aɖe dodokpɔ siwo wɔm wole la me. Ne ènya gaɖo eŋu ko la, ate ŋu agblɔ dodokpɔ siwo wowɔ na wò.

Aleke wodaa alɔ̃madɔmadɔe? Ðe woate ŋu adaea?

Atikewɔwɔ na alɔ̃madɔmadɔ nɔ te ɖe nusi gbɔ wòtso dzi koŋ . Esi wònye be nu geɖewo nana ame nɔa alɔ̃ me ta la, atike geɖewo ate ŋu anɔ anyi. Nusi wɔa dɔ ɖe nu ɖeka ta ate ŋu mawɔ dɔ na bubu o (alo ate ŋu ana nɔnɔme bubu nagado gã ɖe edzi gɔ̃ hã).

Eyata ɖɔktae nye ame nyuitɔ si agblɔ atikewɔmɔnu siwo li eye wokafu na wò na wò nɔnɔme tɔxɛa alo ame aɖe si te ɖe ŋuwò la na wò.

Atikewɔwɔ kpata siwo bɔ

Hafi woanya nusi gbɔ alɔ̃madɔmadɔ tsona la, atikewɔwɔ aɖewo li siwo ɖɔktawo alo dɔnɔdzikpɔlawo ate ŋu adze egɔme. Zi geɖe la, atikewɔwɔ siawo do ƒome kple atikewɔwɔ ƒe nɔnɔme siwo wonya, alo nusiwo ame aɖe susu be woate ŋu ahe alɔ̃madɔmadɔ vɛ le kpeɖodzi siwo ƒo xlã wo nu. Dɔdamɔnu siawo ate ŋu akpe ɖe ame ŋu wòali ke, axe mɔ na alɔ̃madɔmadɔa be wòagagblẽ ɖe edzi o, alo ana wòado le alɔ̃madɔmadɔa me kura gɔ̃ hã. Kpɔɖeŋu aɖewoe nye:

• Glucose alo insulin: Esiawo kpena ɖe ame ŋu be sukli ƒe agbɔsɔsɔ le ʋu me dzina ɖe edzi alo ɖiɖina ɖe edzi. Ne wona suklidɔ le ɣeyiɣi nyuitɔ dzi la, woate ŋu atrɔ alɔ̃madɔmadɔ kaba.
• Atike siwo wozãna tsɔ trɔa atikewo ƒe agbɔsɔsɔ fũu akpa: Kpɔɖeŋu aɖee nye ‘Naloxone’ . Esia ate ŋu atrɔ opioid zazã fũ ƒe ŋusẽkpɔɖeamedziwo. Naloxone ate ŋu atrɔ opioid zazã fũ ƒe ŋusẽkpɔɖeamedzi le miniti eve va ɖo atɔ̃ me.

Ku ɖe kuxiwo/dɔdamɔnu ƒe nugbegblẽ le ame ŋu gome la, esi wònye be atike vovovo geɖe li na alɔ̃madɔmadɔ ta la, kuxi kple nugbegblẽ le ame ŋu geɖe li siwo ate ŋu ado tso atikewɔwɔawo me. Wò ɖɔktae nye ame nyuitɔ kekeake si aɖe nugbegblẽ le ame ŋu alo kuxi siwo ate ŋu ado mo ɖa kple nusi woate ŋu awɔ tso wo ŋu me.

Aleke wòle be nàse ne èle alɔ̃ me?

Zi geɖe la, ne èle alɔ̃ me la, efia be mèle manyamanya , eyata mènya be yele alɔ̃ me o. Mèɖea xexe si ƒo xlã wò ŋuti sidzedze aɖeke fiana o. Mèɖoe koŋ wɔa nu ɖe ​​wò nɔnɔmea, nuto si me nèle, alo wò ŋutilã ƒe nuhiahiãwo ŋu o. Le alesi gbegbe alɔ̃madɔmadɔa gogloe nu la, àte ŋu akpɔ ŋusẽ aɖewo, gake esiawo ato vovo tso ame ɖeka gbɔ yi bubu gbɔ.

Ne èle alɔ̃ me la, ɖe nàte ŋu ase nusiwo le dzɔdzɔm ƒo xlã wòa? Àte ŋu aɖo ŋku edzia?

Nu siaAte ŋu adzɔ ɣeaɖewoɣi, gake enɔ te ɖe alɔ̃madɔmadɔ ƒomevi kple alesi wò kɔmamã la gogloe dzi. Kpeɖodziwo li be amesiwo le alɔ̃madɔmadɔ me te ŋu sea nusiwo le edzi yim ƒo xlã wo. Ame aɖewo siwo haya tso alɔ̃madɔmadɔ me la te ŋu ɖo ŋku nu siwo dzɔ le teƒe si te ɖe wo ŋu, abe dzeɖoɖowo ene dzi. Ke hã, esia ate ŋu ato vovo ŋutɔ. Esesẽna be míagblɔ ɣeyiɣi si tututu ame aɖe ato esia me alo aleke wòato.

Ele vevie hã be míaɖo ŋku edzi be alɔ̃madɔmadɔ ate ŋu asesẽ ɣeaɖewoɣi. Ðɔktawo zãa woƒe hehexɔxɔ, nuteƒekpɔkpɔ, kple nuŋububu tsɔ dea dzesi dɔléle sia. Gake menye nya ɖesiaɖee nye ɖeka o. Esia fia be woate ŋu akpɔ dɔléle si nye coma vodadatɔe alo woabu eƒe goglome nu tsɛe le nu bubuwo ta. Azɔ hã, ame ate ŋu anɔ alɔ̃ me le gɔmedzedzea me eye wòahaya vaseɖe afi aɖe hafi ɖɔkta nade dzesi tɔtrɔ si va le eƒe susu me.

Esi nu geɖe li ta la, biabia sia ŋuɖoɖo mele bɔbɔe o. Ðɔktae nye ame nyuitɔ si akpe ɖe ŋuwò nànya nenye be wò ŋutɔ alo ame aɖe si te ɖe ŋuwò la ƒe susu nɔ nu ŋu eye wòɖo ŋku nusi dzɔ le alɔ̃madɔmadɔ me dzi. Togbɔ be mate ŋu aɖo biabia sia ŋu bliboe o hã la, ate ŋu akpe ɖe ŋuwò ya teti be nàse alesi sidzedze ma kpɔa ŋusẽ ɖe hayahaya ƒe ɖoɖoa dzi kple nusi adzɔ emegbe (ne ɖe li) gɔme.

Ɣeyiɣi didi kae ame ƒe alɔ̃madɔmadɔ nɔa anyi?

Kɔdzi ate ŋu anɔ anyi ɣeyiɣi kpui aɖe ŋutɔ, aɖabaƒoƒo ʋɛ aɖewo ko . Alo ate ŋu anɔ anyi kwasiɖa ɖeka alo eve . Nublanuitɔe la, ku ate ŋu adzɔ hã ne ele alɔ̃madɔmadɔ me. Esia ate ŋu adzɔ wu ne abi alo dɔléle sesẽ aɖe ŋutɔe na ame aɖe le alɔ̃ me, alo ne ame aɖe meyi atikewɔƒe kaba le alɔ̃madɔmadɔ me yiyi megbe o.

Ƒã ŋutɔ be alɔ̃madɔmadɔ nanɔ anyi wu kwasiɖa ʋɛ aɖewo. Esia le alea elabena nusi dona tso eme zi geɖee nye be ame aɖe nyɔna tso alɔ̃madɔmadɔa me alo ame aɖe trɔna yia nɔnɔme bubu si me eƒe susu me mekɔ o alo esi mebɔ o me. Esiawoe nye:

• Numiemiewo ƒe Nɔnɔme: Ame si le nɔnɔme sia me le ŋudzɔ gake menya xexe si ƒo xlãe o. Womeɖea nuwɔna aɖeke si woɖo koŋ fiana o. Woate ŋu aʋu woƒe ŋkuwo ahawɔ nusiwo dze abe ɖe wole nu wɔm ɖe xexe si ƒo xlã wo ŋu ene, gake le nyateƒe me la, womenya o eye womeɖoe koŋ le naneke wɔm o. Ne numiemie ƒe nɔnɔme aɖe nɔa anyi ɣeyiɣi didi la, wogayɔnɛ be numiemie ƒe nɔnɔme si nɔa anyi ɖaa (PVS) . (Le eŋutinunyalawo ƒe nya nu la, wobua numiemie ƒe nɔnɔme si nɔa anyi ɣleti etɔ̃ ya teti afɔku aɖeke manɔmee, alo ɣleti wuieve ne afɔku aɖe gbɔe wòtso la, be enye nusi nɔa anyi ɖaa.)
• ‘Minimally Conscious State’: Esia nye nɔnɔme si me ame nya xexe si ƒo xlãe vie eye wòɖea nuwɔna aɖewo siwo woɖo koŋ fiana. Woate ŋu awɔ ɖe sedede bɔbɔewo dzi ahagblɔ nyagbe kpuiwo. Gake womete ŋu wɔa nusiawo ɣesiaɣi o. Ne womete ŋu le nusiawo wɔm o la, edzena abe ɖe wole ‘Numiemiewo ƒe Nɔnɔme si Nɔa anyi ɖaa’ me ene.

Togbɔ be ‘numiemie ƒe nɔnɔme’ sɔ kple alɔ̃madɔmadɔ hã la, menye alɔ̃madɔmadɔe wònye kura o. Ame siwo le ‘numiemie ƒe nɔnɔme’ me la haya ale gbegbe be womeganɔa alɔ̃ me o. Gake woƒe ahɔhɔ̃ ƒe dɔwɔwɔ kple ŋutetewo gakpɔtɔ le sue ŋutɔ.

Mɔnukpɔkpɔ si li be woahaya tso numiemie ƒe nɔnɔme me la to vovo ŋutɔ. Ame aɖewo ƒe susu gaɖoa wo ŋu bliboe alo woƒe susu ƒe akpa aɖe. Gake ame geɖe mewɔa esia o. Amewo ate ŋu anɔ numiemie ƒe nɔnɔme me kwasiɖa geɖe, ɣleti geɖe, alo ƒe geɖe gɔ̃ hã. Ke hã, womete ŋu kpɔa wo ɖokui dzi o eye wohiãna be woakpɔ wo gbɔ ɣesiaɣi. Nublanuitɔe la, wole afɔku gã aɖe me be kuxiwo nado mo ɖa. Ame akpa gãtɔ siwo le numiemie ƒe nɔnɔme me ƒe agbenɔƒe seɖoƒe li na.

Mɔnukpɔkpɔ kawoe li be woado le nɔnɔme sia me?

Mɔnukpɔkpɔ si li be woahaya tso alɔ̃madɔmadɔ me ate ŋu ato vovo ŋutɔ . Nu geɖe kpɔa ŋusẽ ɖe edzi. Ame nyuitɔ si agblɔ nɔnɔme aɖe koŋ na wòe nye ɖɔkta si nya nɔnɔmea. Zi geɖe la, ɖɔkta mae da dɔ na wò lɔlɔ̃tɔa.

Ne màte ŋu awɔ nyametsotsowo o la, aleke nèwɔna gblɔa wò didiwoe?

Bu eŋu kpɔ, ne ɖe nèle alɔ̃ me la, màte ŋu awɔ nyametsotsowo le wò atikewɔwɔ ŋu alo agblɔ nusi dim nèle na ame aɖeke o. Zi geɖe la, ahiã be ƒometɔwo alo ame veviwo nawɔ nyametsotso mawo.

Eɖanye atikewɔwɔ me dɔléle aɖe le ŋuwò si ate ŋu ana nànɔ alɔ̃ me o, anyo be nàƒo nu tso nusi dim nèle ŋu na wò lɔlɔ̃tɔwo ne mète ŋu le nyametsotso wɔm le wò atikewɔwɔ ŋu o. Dzeɖoɖo sia ate ŋu ase le eɖokui me be yemevo o eye wòasesẽ. Gake, dzeɖoɖo siawo wɔwɔ hafi wòatsi megbe akpa akpe ɖe wò lɔlɔ̃tɔwo ŋu woanya nusi nye wò didiwo ne màte ŋu aƒo nu o.

Anyo hã be nàŋlɔ wò didiwo kple nyametsotsowo ɖe agbalẽ me . Zi geɖe la, woyɔa esia be ‘Mɔfiame Do Ŋgɔ’ alo ‘Domenyinu Agbe’. Eku ɖe senya siwo ku ɖe nusi adzɔ ne mète ŋu le be lém na ɖokuiwò alo wɔ nyametsotsowo na wò ŋutɔ wò nyonyo o ŋu. Àte ŋu axɔ kpekpeɖeŋu tso senyala gbɔ atsɔ adzra agbalẽ siawo ɖo. Gake wò ŋutɔ àte ŋu adzra wo dometɔ aɖewo hã ɖo (le se siwo le miaƒe nutoa me nu la, ahiã be nàna agbalẽŋlɔla nade asi wo te).

Ðe woate ŋu axe mɔ ɖe alɔ̃madɔmadɔ nua?

Woate ŋu axe mɔ ɖe nɔnɔme geɖe siwo hea alɔ̃madɔmadɔ vɛ nu – alo woate ŋu aɖe afɔkua dzi akpɔtɔ . Nu vevi siwo nàte ŋu awɔ atsɔ axe mɔ ɖe afɔku si le wò alɔ̃madɔmadɔ me nu alo aɖe edzi akpɔtɔ dometɔ aɖewoe nye esi:

• Wò dɔléle siwo nɔa anyi didi dzi kpɔkpɔ: Wò ɖɔkta ƒe mɔfiamewo dzi wɔwɔ be nàkpɔ nɔnɔmewo abe suklidɔ kple asrãdɔ ene dzi ate ŋu aɖe mɔnukpɔkpɔ si li be nàge ɖe alɔ̃ me le etsɔme dzi akpɔtɔ.
• Do ametakpɔnu ne ehiã: Ta ƒe abixɔxɔ, vevietɔ ʋuʋudedi kple TBI (Traumatic Brain Injuries) nye nusiwo gbɔ wòtsona be ame ƒe alɔ̃madɔmadɔ bɔ ŋutɔ. Takpɔ ɖokuiwò to ametakpɔnu abe gakuku kple zikpuimeka ene dodo me ne esɔ.
• Ðu nuɖuɖu si da sɔ: Nu geɖe siwo hea alɔ̃madɔmadɔ vɛ la do ƒome kple nuɖuɖu. Le kpɔɖeŋu me, dze ƒe masɔmasɔ, nunyiame ƒe veve. Wò nuɖuɖu hã kpɔa ŋusẽ ɖe wò ʋu ƒe sisi ƒe lãmesẽ dzi. Esia ate ŋu akpe ɖe ame ŋu be woaxe mɔ ɖe alɔ̃madɔmadɔ si nɔnɔmewo abe ʋusɔgbɔdɔ ene hena vɛ nu.
• Nɔ kamedede me eye nàlé wò kpekpeme si le lãmesẽ me ɖe asi: Wò kpekpeme kple kamedede ate ŋu akpe ɖe ŋuwò nàxe mɔ ɖe nɔnɔme siwo gblẽa nu le wò ahɔhɔ̃ ŋu alo ahe wo ɖe megbe, vevietɔ esiwo ana nànɔ alɔ̃ me.
• Ƒo asa na atike muamewo kple atike siwo menye atikewo o zazã, kple ahanono le mɔ si sɔ nu: Atike muamewo zazã ƒe numame nana ame ƒe alɔ̃madɔmadɔ ƒe afɔkua dzina ɖe edzi ŋutɔ. Azɔ hã, ne èno atike si ɖɔktaa ŋlɔ na wò abe alesi wògblɔe ene pɛpɛpɛ la, aɖe kuxiwo kple nugbegblẽ le ame ŋu abe alɔ̃madɔmadɔ ene ƒe afɔkua dzi akpɔtɔ.

Le amesiwo ƒe lɔlɔ̃tɔ aɖe le alɔ̃ me gome la, esia ate ŋu anye nuteƒekpɔkpɔ si dzi ŋɔ ŋutɔ. Ne wò lɔlɔ̃tɔa le alɔ̃ me la, ɖewohĩ nyabiase geɖe siwo ŋu womeɖo o la anɔ asiwò. Ðewohĩ àbia ɖokuiwò be ɖe woahaya, ɣeyiɣi didi si wòaxɔ, kple nenye be woahaya bliboe hã. Togbɔ be mele bɔbɔe be woanɔ agbe kple nyabiasewo kple kakaɖedzimanɔamesi o hã la, numekuku siwo le edzi yim le kpekpem ɖe eŋutinunyalawo ŋu be woase alesi kɔmamãwo wɔa dɔe kple alesi woawɔ nu ɖe ​​wo ŋui gɔme nyuie wu. Esia aʋu mɔ na hayahaya tso kɔdzi me fifia kple le etsɔme.

Kpuie ko la, nusiwo dzi wòle be míaɖo ŋkui (Take-Home Message):

Mele mɔ kpɔm be esia ana nàse alɔ̃madɔmadɔ gɔme vie. Nu vevitɔ kekeake siwo dzi wòle be woaɖo ŋkui enye:

• Kɔmamã nye atikewɔwɔ kpata. Ne èkpɔ ame aɖe wòtsi dzodzodzoe eye megale dɔ wɔm o la , di atikewɔlawo ƒe kpekpeɖeŋu enumake .
• Nu geɖe ate ŋu ahe alɔ̃madɔmadɔ vɛ, eye woate ŋu axe mɔ ɖe wo dometɔ aɖewo nu.
• Woate ŋu aɖe afɔku si le alɔ̃madɔmadɔ me dzi akpɔtɔ ne wokpɔ ta ta (gakuku, zikpuimeka), dɔléle siwo nɔa anyi didi (abe suklidɔ, ʋusɔgbɔdɔ ene), kple atikewo zazã ɖa .
• Ne èle nɔnɔme aɖe si me màte ŋu awɔ nyametsotsowo o me la, ele vevie ŋutɔ be nàdzro wò atikewɔwɔ ƒe didiwo me kple wò ƒomea, eye ne anya wɔ la, nàŋlɔ wo ɖe agbalẽ me .
• Mɔnukpɔkpɔ si li be nàhaya tso alɔ̃madɔmadɔ me la toa vovo tso ame ɖeka gbɔ yi bubu me, eye wò ɖɔkta ate ŋu ana nyatakaka nyuitɔ kekeake wò tso esia ŋu.

Míele mɔ kpɔm be nyatakaka siawo aɖe vi na wò. Nɔ lãmesẽ me!

` Coma, manyamanya, ahɔhɔ̃, atikewɔwɔ, nudzɔdzɔ kpata, dzesiwo, lãmesẽ