Tsɔe be wotsɔ wò ƒomea me tɔ aɖe yi kɔdzi enumake le afɔku alo ʋusɔgbɔdɔ ta. Ðɔkta siwo le afima gblɔ be, "Nyaƒoɖeamenu si le ahɔhɔ̃a dzi la lolo akpa, eye be woaɖe woƒe agbe la, ele be woawɔ dɔ na wo enumake, si woyɔna be taɖuame ɖeɖeɖa." Enye nusi sɔ be míavɔ̃ ŋutɔ eye míaƒe mo natsi ŋutɔ ne míese nya sia. Gake ame aɖe ƒe agbe ɖeɖe ƒe mɔkpɔkpɔ le megbe na ŋkɔ dziŋɔ sia. Eyata, egbea míaƒo nu tso amekoko sia si woyɔna be craniectomy ŋu bɔbɔe ŋutɔ, le mɔ si gɔme nàte ŋu ase nu.
Nukae nye tagbɔ ɖeɖe le nya bɔbɔewo me?
Kpuie ko la, tagbɔ ɖeɖe nye ahɔhɔ̃medɔ gã aɖe si me woɖea wò tagbɔ ƒe akpa aɖe ɖa hena ɣeyiɣi aɖe be wòaɖe nyaƒoɖeamenu si le wò ahɔhɔ̃ me dzi akpɔtɔ.
Ele alea, tsɔe be wò ahɔhɔ̃ nye ʋuƒo. Taɖua nye aɖaka si wotu si me woléa ʋuƒoa ɖo. Ne le susu aɖe ta ahɔhɔ̃a te vuvu, si fia be ne ʋuƒoa te yaƒoƒo la, teƒe si sɔ mele aɖaka la me o. Emegbe ʋuƒoa ate ŋu agbã eye wòagbã. Amekoko si wowɔna tsɔ ɖea tagbɔ ɖa la ɖea aɖaka ma ƒe akpa ɖeka ɖa eye wònana balloon la te ŋu ƒoa ya faa. Esia ate ŋu aɖe nusiwo gblẽ le ahɔhɔ̃a ŋu dzi akpɔtɔ ŋutɔ.
Nu vevitɔe nye be womegatsɔa taɖu kakɛ si woɖe le amekoko sia me la léna ɖe eŋu enumake o. Ne ahɔhɔ̃a ƒe vuvu dzi ɖe kpɔtɔ keŋkeŋ eye nyaƒoɖeamenua gaɖo eƒe nɔnɔme nyuitɔ me vɔ la, wogawɔa dɔ bubu le ŋkeke bubu dzi be woagatsɔ taɖu kakɛa ablae. Míeyɔa amekoko evelia sia be tagbɔdɔ .
Nɔnɔme kawo mee amekoko sia hiã le?
Ðɔktawo ate ŋu atso nya me be yewoawɔ dɔ sia le nɔnɔme ɖesiaɖe si me nyaƒoɖeamenu si le ahɔhɔ̃a me (intracranial pressure) dzi ɖe edzi eye wòade ame ƒe agbe afɔku me. Nu vevi siwo gbɔ nɔnɔme siawo tsonae nye:
| Wᴐe be | Numeɖeɖe Blewu |
|---|---|
| Nuveviwɔame Sesẽe | Ne exɔ abi vevie le ta le afɔku, anyidzedze, alo amedzidzedze ta ate ŋu ana ahɔhɔ̃a navuvu. |
| Gbagbãdᴐ | Ʋuka si naa ʋu yia ahɔhɔ̃a me ƒe xexe alo gbagbã ate ŋu ana ahɔhɔ̃menugbagbeviwo naku eye woavuvu. |
| Ʋu ƒe Ʋuʋu le Ahɔhɔ̃a Me | Ʋuka aɖe ate ŋu age ɖe ʋuka aɖe me le ahɔhɔ̃a me, si ana ame ƒe nyaƒoɖeamenu nadzi ɖe edzi. |
| Ʋumenugbagbeviɣidɔ | Ahɔhɔ̃a dzea vuvu gɔme le ʋu si ƒo ƒu ɖe taɖua me, ƒo xlã ahɔhɔ̃a, alo ahɔhɔ̃a me ta. |
Nukae dzɔna le amekokoa wɔɣi?
Zi geɖe la, esia nyea amekoko kpata, eyata ɣeyiɣi boo aɖeke menɔa anyi be woadzra ɖo o. Ðɔkta la kple atikewɔlawo ƒe ƒuƒoƒoa wɔa dodokpɔ siwo hiã (ʋudodokpɔ, CT scan, MRI scan) kaba eye woɖoa wò be woawɔ dɔ na wò. Afɔɖeɖe ɖesiaɖe ƒe mɔfiame si ku ɖe nusiwo dzɔna le amekokoa me ŋue nye esi:
1. Alɔ̃dɔdɔ: Gbã la, woatsɔ atike si naa alɔ̃dɔdɔ wò bliboe. Esia fia be àdɔ alɔ̃ eye màse veve aɖeke le amekokoa wɔɣi o.
2. Dzadzraɖo: Woɖea ta ƒe akpa si woawɔ dɔa le la ɖa, eye wokɔa teƒea ŋu nyuie hewua dɔlékuiwo.
3. Lãɖeɖe: Ðɔktaa atso ŋutigbalẽa be taɖua nadze. Emegbe, woaɖe lãmekawo kple lãkusiwo ɖa eye woakɔ taɖua ɖe dzi.
4. Tagbɔ ɖeɖe ɖa: Wozãa atikewɔnu tɔxɛ aɖe (drill) tsɔ wɔa do geɖe ɖe taɖua me, wotsoa do mawo me, eye woɖea taɖua ƒe akpa si hiã la ɖa nyuie.
5. Atikewɔwɔ: Ne woɖe taɖua ɖa vɔ la, woɖea nusi gbɔ ahɔhɔ̃a ƒe nyaƒoɖeamenu tso (le kpɔɖeŋu me, ʋu ƒe sisi) ɖa alo wowɔa atike si hiã.
6. Amekokoa wuwu: Wotsɔa lãgbalẽ tɔxɛ aɖe tsyɔa ahɔhɔ̃a ƒe akpa si le ʋuʋu ɖi la dzi. Emegbe wogbugbɔa ŋutigbalẽ kple lãkusi siwo woɖe ɖa va yi la ɖoa woƒe nɔƒe gbãtɔ eye wotsɔa lãgbalẽ alo lãgbalẽgolowo xea ŋutigbalẽa.
Zi geɖe la, dɔ bliboa xɔa abe gaƒoƒo etɔ̃ va ɖo atɔ̃ ene, gake esia ate ŋu ato vovo le dɔnɔa ƒe nɔnɔme nu.
Nukae dzɔna le amekokoa megbe?
Ne wowɔ dɔ na wò vɔ la, woatsɔ wò ayi dɔnɔdzikpɔƒe si wokpɔa dɔnɔwo gbɔ le vevie (ICU) tẽ, afisi atikewɔlawo ƒe ƒuƒoƒoa alé ŋku ɖe wò nɔnɔmea ŋu le gaƒoƒo 24 gbesiagbe, si me wò dzi ƒe tsotso, ʋu ƒe sisi, kple ahɔhɔ̃ ƒe vuvu hã le.
Vevietɔ wu la, esi woɖe wò taɖu ƒe akpa aɖe ɖa ta la, woana ametakpɔnu tɔxɛ aɖe wò be wòagagblẽ nu le wò ahɔhɔ̃ ŋu tso akpa ma gbɔ o.Ne èdo le kɔdzi gɔ̃ hã la, ahiã be nàdo gakuku sia vaseɖe esime woawɔ dɔ evelia na wò eye woagade taɖua ŋu ake.
Ne èle kɔdzi la, atikewɔlawo ƒe ƒuƒoƒoa aɖo aɖaŋu na wò kple wò ƒomea le alesi nàɖi ɖe eme kple wò ta ɖe dzi kple alesi nàlé be na ɖokuiwò ŋu.
Viɖe kple afɔku kawoe le amekoko sia me?
Abe amekoko gã ɖesiaɖe ene la, viɖe kple afɔku le tagbɔ ɖeɖeɖa ŋu.
| Viɖe | Afɔkuwo & Kuxiwo |
|---|---|
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| Ele be míade dzesii: Togbɔ be afɔku siawo li hã la, wowɔa amekoko sia abe mɔnu mamlɛtɔ ene, be woatsɔ axɔ ame ɖe agbe ne tiatia bubu aɖeke meli o. Atikewɔlawo ƒe ƒuƒoƒoa wɔa nusianu si woate ŋui be woaɖe afɔku siawo dzi akpɔtɔ. | |
Ɣeyiɣi didi kae wòxɔna hafi wòhayana?
Esiae nye kuxi gãtɔ kekeake na ame geɖe. Ɣeyiɣi si wòxɔna le tagbɔ ɖeɖe vɔ megbe la toa vovo ŋutɔ tso ame ɖeka gbɔ yi bubu gbɔ. Enɔ te ɖe nusita wowɔ amekokoa ɖo, alesi gbegbe wògblẽ nu le ahɔhɔ̃a ŋui, kple wò lãmesẽ bliboa dzi.
- Abi si woxɔ le ŋutigbalẽ ŋu: Ate ŋu ahaya le kwasiɖa ʋɛ aɖewo megbe.
- Haya bliboe: Gake ate ŋu axɔ ɣleti geɖe, ƒe geɖe gɔ̃ hã hafi wòahaya keŋkeŋ.
- Gbugbɔgaɖɔɖo:Nuƒoƒo, azɔlizɔzɔ, kple gbesiagbedɔwo wɔwɔ ate ŋu asesẽ na ame geɖe, si abia be woawɔ atike siwo woatsɔ aɖɔ ame ɖo ɣeyiɣi didi abe kamedede, dɔdamɔnu, kple nuƒoƒo ƒe atikewɔwɔ ene.
Esia nye mɔzɔzɔ didi aɖe si bia dzigbɔɖi kple ƒomea ƒe kpekpeɖeŋu geɖe. Mègakpɔ mɔ be nusiwo ado tso eme kaba o.
Ɣekaɣie wòle be woakpɔ ɖɔkta
Ne èdo le kɔdzi vɔ la, ele be nàɖɔ ŋu ɖo ŋutɔ ne nuxlɔ̃amedzesi aɖewo dze.
| Features siwo ŋu wòle be woalé ŋku ɖo | |
|---|---|
| Ne dzesi siawo le ŋuwò la, na wò ɖɔkta nanya enumake. | |
| |
| Ne nusiawo dzɔ la, ƒo ka na 1990 enumake alo yi kɔdzia ƒe Dɔwɔƒe si Kpɔa Dɔléle Kpatawo Gbɔ (ETU). | |
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Gbedasi si Wotsɔ Yi Aƒeme
- Craniectomy nye amekoko si xɔa ame ɖe agbe si wowɔna tsɔ ɖea nyaƒoɖeamenu si ate ŋu ade ame ƒe agbe afɔku me le ahɔhɔ̃a me dzi akpɔtɔ.
- Le afisia la, woɖea taɖua ƒe akpa aɖe hena ɣeyiɣi aɖe eye emegbe wogadea eŋu ake le ɣleti ʋɛ aɖewo megbe to tagbɔdɔdada me.
- Enye sedziwɔwɔ be woado gakuku tɔxɛ aɖe atsɔ akpɔ ahɔhɔ̃a ta le amekoko vɔ megbe.
- Hayahaya ƒe ɖoɖoa didi ŋutɔ, ebia be woawɔ atike na ame si agbugbɔ aɖɔ ame ɖo, dzigbɔɖi, kple ƒomea ƒe kpekpeɖeŋu maʋãmaʋã.
- Na wò ɖɔkta nanya nu tso dzesi ɖesiaɖe si mebɔ o si ate ŋu ado mo ɖa le amekokoa megbe ŋu enumake.
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