Ðewohĩ èkpɔe le sinima alo television dzi wɔna aɖe me kpɔ, ame aɖe mlɔ aba dzi, manyamanya, eye meʋãna gɔ̃ hã o. Míeyɔa nɔnɔme sia be " coma ". Ame geɖe susuna be esia nye nane si le abe alɔ̃dɔdɔ deto ene. Gake le nyateƒe me la, alɔ̃madɔmadɔ nye atikewɔwɔ me dɔléle si to vovo kura eye wòsesẽ ŋutɔ. Le esia me la, togbɔ be ame le agbe hã la, mɔ aɖeke meli si dzi woato anyɔe o. Eyata, be míaɖo nyabiase geɖe siwo le susu me ŋu la, mina míaƒo nu tso kɔmamã sia ŋu egbea.
Kpuie ko la, nukae nye kɔdzi?
Bu ame si le alɔ̃madɔmadɔ me be ele abe television si woʋu gake televisiondɔwɔƒe aɖeke mele esi o ene. TV la le keklẽm, akaɖiawo le keklẽm, gake naneke mele screen la dzi o. Nenema ke ame si le alɔ̃ me la, eƒe dzi le ƒoƒom, eƒe gbɔgbɔ, kple eƒe ŋutilã ememenuwo yia edzi, gake kadodo aɖeke mele woƒe ahɔhɔ̃ kple gotagome xexeame o.
Kpuie ko la, alɔ̃madɔmadɔ nye nɔnɔme si me ame ƒe susu mele o ɣeyiɣi didi . Eto vovo kura tso alɔ̃dɔdɔ sesẽ gbɔ. Míate ŋu anyɔ ame aɖe le alɔ̃ dɔm vevie me to toɣliɖeɖe alo asitutu eƒe ŋutilã me. Gake womate ŋu anyɔ amesi le alɔ̃ me to vevesese gɔ̃ hã me o. Nusiwo gblẽ le ahɔhɔ̃a ŋu vevie gbɔe nɔnɔme sia tsona.
Nukae nana ame aɖe gena ɖe alɔ̃ me?
Nu vevitɔ si gbɔ alɔ̃madɔmadɔ tsonae nye ahɔhɔ̃ ƒe dɔmawɔmawɔ nyuie. Nusiwo gblẽ sia ate ŋu ato mɔ vovovowo dzi. Nusiwo gblẽ dometɔ aɖewo nyea ɣeyiɣi kpui aɖe ko eye woate ŋu akpɔ wo gbɔ . Gake nusiwo gblẽna dometɔ aɖewo nɔa anyi ɖaa eye woate ŋu ahe ku gɔ̃ hã vɛ. Ta ƒe abixɔxɔ kple ʋu ƒe sisi le ahɔhɔ̃a me ƒe kuxiwo gbɔe kɔma siwo wu 50% tsona.
Na míakpɔ nusiwo koŋ tae ɖa.
| Susu | Numeɖeɖe bɔbɔe |
|---|---|
| Ta ƒe abixɔxɔ (Trauma) . | Ne woƒo wò ta le afɔku aɖe me la, wò ahɔhɔ̃ ate ŋu avuvu alo ado ʋu. Vuvu sia ateŋu ade nyaƒoɖeamenu ahɔhɔ̃a dzi eye wòagblẽ nu le ahɔhɔ̃a ƒe akpa si kpɔa ŋusẽ ɖe sidzedze dzi (the Reticular Activating System - RAS). |
| Anoxic Ahɔhɔ̃ ƒe Nuveviwɔame | Oxygen le vevie na ahɔhɔ̃a. Ne oxygen meganɔ ahɔhɔ̃a si o aɖabaƒoƒo ʋɛ aɖewo, eɖanye dzidɔ, tsinyenye, alo nutete tae o la, ahɔhɔ̃menugbagbeviwo dzea kuku gɔme. |
| Gbagbãdᴐ | Kɔma ate ŋu adzɔ ne ʋu ƒe sisi yi ahɔhɔ̃a ƒe akpa gãtɔ tɔ alo ne ahɔhɔ̃a vuvu le ʋu si le dodom ta. |
| Ʋu me Sukli | Suklidɔ ƒe agbɔsɔsɔ si dzi womeɖu o (suklidɔ ƒe agbɔsɔsɔ fũ) alo sukli ƒe agbɔsɔsɔ si bɔbɔ ɖe ʋu me (suklidɔ ƒe agbɔsɔsɔ si mede ame dzi o) ate ŋu ana suklidɔlélawo natsi alɔ̃ me. Zi geɖe la, esia nu tsona ne wonya kpɔ sukli ƒe agbɔsɔsɔ le ʋu me dzi ko. |
| Dɔlékuiwo | Dɔlékui siwo gblẽa nu le ahɔhɔ̃a alo lãmekawo ƒe dɔwɔwɔ ŋu, abe taɖuame alo tagbɔdɔ ene, ate ŋu ana ahɔhɔ̃a navuvu eye wòana ame natsi alɔ̃ me. |
| Aɖinuwo | Aklã alo ayikudɔ ateŋu ana aɖi (e.g. ammonia, urea) si wòle be woaɖe le ŋutilã me naƒo ƒu ɖe ŋutilã me eye wòagblẽ nu le ahɔhɔ̃a ŋu. Atike vɔ̃ɖi alo aha sesẽ nono fũ hã ate ŋu anye nusi gbɔ wòtso. |
| Epilepsy/ Alɔ̃madɔmadɔ | Ne alɔ̃madɔmadɔ si nu metsina o (Status Epilepticus) le ŋuwò la, ɣeyiɣi menɔa ahɔhɔ̃a si be wòahaya le alɔ̃madɔmadɔ dome o . Esia ate ŋu ana ame natsi alɔ̃ me hã. |
Aleke nèwɔna dea dzesi alɔ̃madɔmadɔ?
Ðɔktawo koe ate ŋu anya ne ame aɖe ƒe tagbɔ le manyamanya alo le alɔ̃ me. Ele vevie ŋutɔ hã be nàdi nusi gbɔ wòtso.
Ðɔktawo léa ŋku ɖe nu siawo ŋu:
- Ŋuɖoɖo ƒe seƒe:Míekpɔa ne woɖoa eŋu ne woyɔ woƒe ŋkɔ, ne wole asi ƒom ɖe ŋutilã ŋu, alo ne wodo vevesese vi aɖe (e.g., asibidɛ tete).
- Ŋku ƒe ŋuɖoɖo: Ne èʋu ŋku eye nèklẽ kekeli ɖe wo dzi la, àkpɔe be ŋkua ƒe ŋkume le sue hã.
- Gbɔgbɔ ƒe ɖoɖo: Kpɔe ɖa be gbɔgbɔ mele ɖoɖo nu o, kabakaba, alo blewu hã.
- Ŋutilã ƒe nɔnɔme: Kpɔe ɖa be abɔ kple afɔwo bɔbɔ le mɔ si mele dzɔdzɔme nu o nu alo wosẽ hã.
Tsɔ kpe ɖe dodokpɔ siawo ŋu la, ele vevie ŋutɔ be woabia ƒomea tso nusi dzɔ do ŋgɔ na nudzɔdzɔa ŋu. Tsɔ kpe ɖe eŋu la, wowɔa ʋudodokpɔ, aɖuɖɔ dodokpɔ, kple dodokpɔwo abe CT scan alo MRI scan ene tsɔ léa ŋku ɖe ahɔhɔ̃a ƒe nɔnɔme ŋu hã.
Ðɔktawo zãa nudanu tɔxɛ aɖe tsɔ dzidzea nɔnɔme sia. Woyɔa esia be Glasgow Coma Scale (GCS) . Ekpɔa alesi gbegbe ame ƒe manyamanya le to dzesiwo nana le nuwo abe ŋkuʋuʋu, ʋuʋu, kple nuƒoƒo ene ŋu me . Zi alesi dzesia ɖiɖi la, zi nenemae nɔnɔmea nu sẽna ɖe edzii.
Aleke nèwɔa nu ɖe alɔ̃madɔmadɔ ŋui?
Kɔmamã nye atikewɔwɔ kpata. Ne èkpɔ ame aɖe ƒe tagbɔ bu alo eƒe susu megale dɔ wɔm o la, ƒo ka na 911 enumake eye nàxɔ dɔnɔdzikpɔʋu. Wo kplɔkplɔ yi kɔdzi, vevietɔ Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU), kaba ale si wòanya wɔ ate ŋu akpe ɖe ame ŋu be ahɔhɔ̃a ƒe nugbegblẽ dzi naɖe akpɔtɔ.
Le kɔdzi la, nusi gbɔ alɔ̃madɔmadɔa tsoe dea dzesi atikewɔwɔ.
- Nusi gbɔ wòtso dada: Ne dɔlékui aɖee wònye la, wonaa dɔlékuiwutikewo . Ne ahɔhɔ̃a vuvu la, wonaa atike be wòaɖe abi la dzi akpɔtɔ. Ne ʋu le dodom le ahɔhɔ̃a me alo dɔdzẽ aɖe le ahɔhɔ̃a me la, ahiã be woawɔ dɔ nɛ. Ne suklidɔ gbɔe wòtso la, wokpɔa sukli ƒe agbɔsɔsɔ le ʋu me dzi.
- Agbe Kpekpeɖeŋunana: Zi geɖe la, wokpɔa dɔnɔ siwo le alɔ̃ me le dɔnɔdzikpɔƒe si wokpɔa dɔnɔwo gbɔ le vevie (ICU) . Ne gbɔgbɔ sesẽ na wo le wo ɖokui si la, wotsɔa wo doa ka kple yagbɔgbɔmɔ̃ .
- Kpekpeɖeŋunana: Ne dɔnɔa le alɔ̃ me la, ele vevie ŋutɔ be woaxe mɔ na kuxi bubuwo be woagava do mo ɖa o.
- Nunyiame: Esi mete ŋu ɖua nu alo noa nu o ta la, wotsɔa nuɖuɖu si me tsi le la naae to mɔ̃ si wotsɔna naa nuɖuɖui dzi.
- Ŋutilã dzi kpɔkpɔ: Abati dzi abi ate ŋu ado tso ame ƒe nɔnɔme ɖeka me nɔnɔ me. Be nàxe mɔ ɖe esia nu la, trɔ dɔnɔa ɖe megbe gaƒoƒo ʋɛ ɖesiaɖe.
- Lãmetsiwo kple ƒunukpeƒewo:Ʋuʋu ƒe anyimanɔmanɔ ate ŋu ana lãmekawo nasẽ eye ƒunukpeƒewo nasẽ. Be woatɔ te esia la, lãmesẽdɔwɔlawo gena ɖe eme va kpena ɖe ŋuwò nèʋuʋua wò abɔwo kple afɔwo.
Ðe nàte ŋu agaɖo ŋudzɔ ne ètsi alɔ̃madɔmadɔa?
Esia nye kuxi si le ame geɖe ŋu. Hahaya tso alɔ̃madɔmadɔ me nɔ te ɖe nusi gbɔ wòtso, ɣeyiɣi didi si wòtsɔ nɔ alɔ̃madɔmadɔ me, kple dɔnɔa ƒe lãmesẽ bliboa dzi.
Ƒã hafi nàkpɔ ɖokuiwò be yeʋu ŋkuwo zi ɖeka anɔ biabiam be, "Afikae mele?" abe alesi wònɔna le sinimawo me ene. Gbɔdzɔe nye nusi yia edzi blewu ŋutɔ, si yia edzi afɔɖeɖe ɖesiaɖe.
Zi geɖe la, ne dɔnɔa ƒe susu gadze egɔme la, wodzea gbeɖiɖi alo vevesesewo xɔxɔ gɔme gbã. Emegbe, woʋua ŋku vivivi. Le ame geɖe ƒe susu ƒe ɣeyiɣi gbãtɔ me la, ate ŋu atɔtɔ eye woatsi dzodzodzoe . Woate ŋu awɔ nu hã le mɔ bubu nu wu tsã. Esiawo katã nye dɔyɔyɔ ƒe ɖoɖoa ƒe akpa aɖe. Ate ŋu axɔ ɣleti alo ƒe geɖe hafi wòahaya keŋkeŋ. Ame aɖewo ate ŋu anye nuwɔametɔwo tegbee. Woate ŋu ahiã ɖɔɖɔɖodɔwo abe kamedede kple dɔwɔwɔ ƒe atikewɔwɔ ene hafi woate ŋu atrɔ ava nɔ nɔnɔme nyui me.
Gbedasi si Wotsɔ Yi Aƒeme
- Coma menye alɔ̃dɔdɔ deto o, ke boŋ enye atikewɔwɔ me dɔléle sesẽ aɖe si ahɔhɔ̃a ƒe gbegblẽ vevie hena vɛ.
- Ne wokpɔe be ame aɖe ƒe susu megale dɔ wɔm o eye mete ŋu gagbɔ agbe o la, ele be woabui be enye nudzɔdzɔ kpata eye woayɔ ƒe 1990 enumake eye woatsɔe ayi Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) .
- Ele vevie ŋutɔ be woada nusi gbɔ alɔ̃madɔmadɔ tsona eye woana beléle si akpe ɖe ame ŋu.
- Hahaya tso alɔ̃madɔmadɔ me nye nusi yia edzi blewu , eye ƒomea kple atikewɔlawo ƒe kpekpeɖeŋu le vevie ŋutɔ.
- Dzro nyabiase alo dzimaɖitsitsi ɖesiaɖe si le asiwò ku ɖe wò lɔlɔ̃tɔa ƒe nɔnɔmea ŋu me kple wò ɖɔkta . Mègaɖo ŋu ɖe nya siwo nèsena le Internet dzi alo tso ame bubuwo gbɔ ɖeɖeko ŋu o.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment