Mí katã míese amewo gblɔna kpɔ be, "Ele be mana saline wò," "Ele be mana sukli wò," ne ame aɖe dze dɔ, ʋuɖɔɖɔ alo aɖuɖɔtoe le eŋu, alo le dɔwɔwɔ gã aɖe megbe. Ame aɖewo gblɔna gɔ̃ hã be enaa ŋusẽ wò. Eyata nuka tututue nye tsi siawo siwo wonana ŋutilãa to ʋuka aɖe me, alo nusi woyɔna be IV tsiwo le atikewɔwɔ me? Nukatae wona wo? Ðe wòle dediea? Egbea, míaƒo nu tso nusiawo katã ŋu bɔbɔe ŋutɔ, le mɔ si gɔme nàte ŋu ase nu.
Nukatae míehiã IV Fluids (salines)?
Kpuie ko la, tsi si wodona ɖe ʋuka me hiã ne tsi ƒe agbɔsɔsɔ si le míaƒe ŋutilã me dzi ɖe kpɔtɔ afɔkutɔe, si fia be tsi vɔ le mía me . Bu eŋu abe ʋu ƒe mɔ̃ ene. Abe alesi ko mɔ̃ hiã tsi kple ami hafi wòate ŋu awɔ dɔ nyuie ene la, tsi hiã vevie hafi lãmenugbagbevi kple ŋutinu ɖesiaɖe si le míaƒe ŋutilã me nate ŋu awɔ dɔ nyuie. Le nyateƒe me la, míaƒe ŋutilã ƒe 60% nye tsi. Eyata ne tsi agbɔsɔsɔme sia dzi ɖe kpɔtɔ la, ŋutilã bliboa ƒe dɔwɔwɔ ate ŋu agblẽ.
Zi geɖe la, àte ŋu akpɔ tsi ƒe hiahiã sia gbɔ ne èno tsi to nu me. Gake ɣeaɖewoɣi la, ŋutilãa gbɔdzɔna akpa be wòate ŋu ano tsi to nu me, alo tsi agbɔsɔsɔme si dona le ŋutilãa me sɔ gbɔ sã wu agbɔsɔsɔ si nu me nona. Le nɔnɔme mawo me la, ele be woatsɔ tsi sia ayi ʋua me tẽ to ʋuka aɖe me.
Nukawoe nye nɔnɔme siawo?
- Dɔlélewo: Ne èle ʋuʋum fũ alo aɖuɖɔtoe le ŋuwò , ke tsi gbogbo aɖe buna le wò ŋutilã me. Le ɣeyiɣi siawo tɔgbe me la, ne èno tsi to nu me gɔ̃ hã la, ɖewohĩ maganɔ wò ŋutilã me eye wòagado go ake o.
- Kamedede kple dzoxɔxɔ si nu sẽ: Ne èfi fi geɖe le fefe le ŋdɔ me alo dɔ sesẽ wɔwɔ vɔ megbe la, tsi kple dze meganɔa wò ŋutilã me o. Ne mèno tsi nyuie le ɣeyiɣi ma me o la, tsi ate ŋu agbɔdzɔ wò.
- Nuveviwɔame alo dzobibi gãwo: Afɔku sesẽ, abi, alo ŋutigbalẽ ƒe dzobibi ate ŋu ana tsi gbogbo aɖe nabu le ŋutilãa me kaba.
- Amekoko: Do ŋgɔ na amekoko gã aɖe kple emegbe la, wonaa tsi si wodona ɖe ʋuka me be wòalé tsi si le ŋutilãa me ɖe te elabena atike si naa alɔ̃dɔdɔ ame le ŋuwò eye ɖewohĩ màte ŋu aɖu nu alo ano nu o.
Kuxi kawoe doa mo ɖa ne tsi bu le ŋutilãa me (tsi ƒe vɔvɔ)?
Menye ɖeko tsikuɖiɖi mefia be tsikɔ le wuwòm o. Ate ŋu akpɔ ŋusẽ ɖe nu geɖe dzi le míaƒe ŋutilã me.
- Tomenu siwo meda sɔ o: Tomenu siwo woyɔna be electrolytes, abe sodium kple potassium ene, hiã vevie hafi míaƒe ŋutilã ƒe lãmekawo kple lãmekawo nawɔ dɔ nyuie. Esiawo medaa asɔ le tsikuɖiɖi me o.
- Susu ƒe dɔwɔwɔ: Tsi hã le vevie ŋutɔ na ahɔhɔ̃a ƒe dɔwɔwɔ. Ne tsi mesɔ gbɔ na wò o la, eva sesẽna be wò susu nanɔ nu ŋu eye wò tamebubu ŋutete dzi ɖena kpɔtɔna.
- Ŋusẽ ƒe bu: kuviawɔwɔ, ɖeɖiteameŋuÐeɖiteameŋu ƒe seselelãme nye tsikuɖiɖi ƒe dzesi vevi aɖe.
- Nuɖuɖumeŋusẽ: Tsi hiã vevie na nuɖuɖumeŋusẽ, kpakple aɖuɖɔ kple aɖuɖɔ ƒe dodo.
- Taɖuame: Tsikunɔamesi ate ŋu ana ta naɖu ame enuenu eye wòsẽna ɖe edzi.
- Ŋusẽ si wòkpɔna ɖe ŋutinu siwo le ememe dzi: Ate ŋu agblẽ nu le ŋutinu veviwo, vevietɔ ayiku, dzi, kple ahɔhɔ̃ ƒe dɔwɔwɔ ŋu vevie.
- Ŋutilã ƒe lãmesẽ: Ŋutilãa ƒuna eye wòƒona.
Ðo ŋku edzi be tsikuɖiɖi sesẽ nye atikewɔwɔ kpata, eyata ele vevie be nànɔ ŋudzɔ ɖe dzesi siwo gbɔna ŋu.
| Tsikuɖiɖi Sesẽ ƒe Dzesiwo | |
|---|---|
| Dzesi si dzena | Numeɖeɖe bɔbɔe aɖe |
| Taɖuame | Se le eɖokui me be yeƒe ta le ʋuʋum, ŋkuwo trɔ zu blɔ. |
| Ŋku, nuyi, kple aɖe ƒuƒu | Ŋku ƒuƒu, si ƒu ale gbegbe be aɖatsi medona ne wole avi fam o, eye nuyiwo kple aɖe ƒuna abe ɖe wogbã ene. |
| Ŋutilã ƒe kuɖiɖi kple eƒe amadede ƒe tɔtrɔ | Ŋutilãa ƒuna, ƒoa ƒu, eye ɣeaɖewoɣi la, teƒeteƒewo dzena le ŋutigbalẽa ŋu. |
| Ɖeɖiteameŋu | Sese le ɖokuiwò me be yemate ŋu awɔ naneke o ale gbegbe be màte ŋu awɔ naneke o. |
| Gbɔgbɔ kabakaba | Yagbɔgbɔ ƒe tsɔtsɔme sɔ gbɔ wu alesi wòle dzɔdzɔmee. |
| Asi kple afɔ siwo fa miamiamia | Vuvɔ ƒe seselelãme ne èka asi asi kple afɔ ŋu. |
| Aɖuɖɔtoe dzi ɖeɖe kpɔtɔ | Aɖuɖɔtoe si mede zi ene gbesiagbe o eye aɖuɖɔ si dona le eme la ƒe amadede nyea ɣie eye wòʋẽna lilili. |
Ðe tsi ƒomevi aɖewo li siwo wodona ɖe ʋuka mea?
Ẽ, togbɔ be wogblɔna be "saline" hã la, le nyateƒe me la, tsi ƒomevi vovovowo li siwo wozãna le ʋuka me. Wò ɖɔkta atso nya me le ƒomevi si nèhiã ŋu, le wò nɔnɔmea nu. Wole ƒomevi vevi eve me.
1. Crystalloid solutions: Esiawoe nye tsi ƒomevi siwo wozãna wu le IV me. Nu suesuesue siwo wotsɔ ƒo tsii la le wo me. Nu suesuesue siawo te ŋu toa ʋukawo me yia ŋutilãa ƒe lãmenugbagbeviwo kple lãmenugbagbeviwo me bɔbɔe.
- Normal Saline: Esiae nye nusi míeyɔna ko be "dzetsi." Wowɔa esia to sodium chloride (dze) tsɔtsɔ ƒo tsi me.
- D5W (Dextrose le tsi me): Esiae nye nusi woyɔna be "glucose" alo "sukli tsi". Wowɔe to dextrose, si nye sukli ƒomevi aɖe, tsɔtsɔ ƒo tsi me.
- Lactated Ringer’s: Sodium, chloride, potassium, calcium, kple lactate le tsi sia me. Wozãnɛ tsɔ ɖɔlia tsi gbogbo siwo bu le ŋutilãa me kabakaba.
2. Colloids: Nusuekpɔmɔ̃ siwo lolo vie le esiawo me. Nu suesuesue siawo mate ŋu ato lãmenugbagbeviwo ƒe gliwo me bɔbɔe o. Eyata wonɔa ʋukawo me ɣeyiɣi didi aɖe. Kpɔɖeŋu aɖewoe nye albumin kple hetastarch .
Afɔɖeɖe kawoe woɖena le ʋu me saline nana me?
Ne ehiã be nàna tsi si wodona ɖe ʋuka me la, ɖɔkta alo dɔnɔdzikpɔla awɔ ɖe afɔɖeɖe siawo dzi. Esia nyanya akpe ɖe ŋuwò nàƒo asa na vɔvɔ̃ madzemadzee.
1. Gbã la, ɖɔktaa abu nu geɖe, abe wò kpekpeme, ƒe si nèxɔ, kple wò atikewɔwɔ ƒe nɔnɔme ene ŋu be yeanya tsi si ƒomevi nèhiã le ʋuka me, agbɔsɔsɔme si nàna, kple alesi wòle be nànae kaba.
2. Eyome, dɔnɔdzikpɔla atia ʋuka nyui aɖe le wò alɔnu (zi geɖe la, le wò abɔta ƒe akpa si le eme alo le abɔta si le etame).
3. Wotsɔa dɔlékuiwutike klɔa teƒe si nètia la nyuie.
4. Emegbe wotsɔa tourniquet, abe elastic band ene, ƒoa xlã abɔ si le etame eye woblanɛ sesĩe vie. Esia ana ʋukaawo nadze ƒã.
5. Emegbe, wotsɔa aŋe si me dɔlékui mele o dea ʋukaa me nyuie. Àte ŋu ase le ɖokuiwò me be yeƒe lãme le ʋuʋum vie le ɣeyiɣi sia me. Wogblẽa aŋetu sue aɖe (cannula) si wotsɔ bla aŋea ɖe ʋukaa me eye woɖea aŋea ɖa.
6. Ðe tourniquet la ɖa eye nàɖo kpe edzi be wotsɔ cannula la de ʋukaa me bliboe.
7. Tsɔ aŋɔ bla cannula la ɖe wò alɔnu be wòagaʋuʋu o.
8. Emegbe wotsɔa mɔ̃ didi aɖe doa ka kple ʋukaa, eye wotsɔa mɔ̃a ƒe nuwuwu kemɛ doa ka kple ʋuka si me tsi le si me wodoa ʋu ɖo.
9. Wotsɔa ʋuka si me tsi le si wotsɔ ʋua wɔe la hem ɖe tsitrenu kɔkɔ aɖe dzi, ɣeaɖewoɣi la, wotoa pɔmpimɔ̃ aɖe dzi, si wɔnɛ be tsia te ŋu sina yia wò ŋutilã me le agbɔsɔsɔ si woɖo ɖi nu.
10. Dɔnɔdzikpɔlawo vaa edziedzi be yewoakpɔe ɖa be ele dɔ wɔm nyuie hã eye nenye be vevesese aɖe le fu ɖem na wò hã.
Viɖe kawoe le esia me kple afɔku siwo mebɔ kura o?
Lãmetsi siwo wodona ɖe ʋuka me nana nye dɔ bɔbɔe aɖe ŋutɔ eye wòle dedie si wozãna le xexeame godoo. Ate ŋu akpe ɖe ŋuwò nàhaya kaba eye ɣeaɖewoɣi gɔ̃ hã axɔ ame aɖe ƒe agbe.
Gake abe alesi wòle le atikewɔwɔ ɖesiaɖe gome ene la, kuxi aɖewo li siwo mebɔ kura o siwo ate ŋu ado mo ɖa. Enyo be nànya nusiawo, gake mègavɔ̃ wo madzemadzee o.
| Kuxi si dona tso eme | Nukae ema fia? (Ðeko) |
|---|---|
| Ya ƒe ʋuka me ʋu ƒe sisi | Ya si gbɔ eme si gena ɖe ʋukaa me to IV-ka dzi. Esia ƒã ŋutɔ, ƒã ŋutɔ , gake ate ŋu anye nu vevi ne edzɔ. |
| Vein si mu | Vea ate ŋu axe ne wotsɔ aŋea de eme alo ne ʋukaa le teƒea ɣeyiɣi didi aɖe. Ne edzɔ alea la, atikewɔlawo azã ʋuka bubu. |
| Lãmetsi ƒe agba si gbɔ eme | Ne èno tsi geɖe kabakaba akpa la, taɖuame, ʋusɔgbɔdɔ, kple gbɔgbɔ sesẽ na wò. Esia nu ayi kaba ne ènya trɔ asi le wò tsi ƒe agbɔsɔsɔ ŋu ko. |
| Ʋumenugbagbeviɣidɔ | Ʋu si le dodom tso ʋuka aɖe me yi ɖe lãkusi si ƒo xlãe me. Esia le abe abi sesẽ aɖe ene eye wòhayana le eɖokui si le kwasiɖa ʋɛ aɖewo ko me. |
| Dɔdzedze | Ne womekɔ afisi woɖe to ɖo nyuie o la, dɔlékui ate ŋu adze ame dzi. Woate ŋu atsɔ dɔlékuiwutikewo ada amesiawo. |
| Amewo ƒe gege ɖe amewo me | Cannula la ate ŋu ado tso ʋukaa me eye tsi nado ɖe lãmeka siwo ƒo xlãe me. Esia ate ŋu ana ame naxɔ abi eye wòaxɔ abi, gake ate ŋu akpɔ egbɔ bɔbɔe. |
| Phlebitis ƒe dɔléle | Vea ate ŋu avuvu le IV. Esia nye nusi bɔ vie, gake woate ŋu adae bɔbɔe ne woɖe IV la ɖa eye wotsɔ atike si wotsɔna ƒoa tsii si me dzo le la de eme. |
Nukae wòle be magblɔ na ɖɔkta alo dɔnɔdzikpɔla le saline dodo me?
Ne èse veve aɖe esime nèle dzetsi nom la, ele be nàgblɔe enumake. Esia ate ŋu axe mɔ nɛ be wòagazu kuxi gãtɔ o.
- Ne tsi ƒe sisi le dzekotokua me se le eɖokui me be ele blewu akpa alo le du dzi akpa .
- Ne teƒe si wotsɔ kansa la de eme la le veve sem, vuvu, biã, alo wòse le eɖokui me be ele bibim .
- Ne cannula la se le eɖokui me be yeɖe asi le eŋu .
- Ne taɖuame alo gbɔgbɔ sesẽ na wò kasia .
Ne èse nane si le abe esia ene la, mègavɔ̃ be yeaƒo nu kple dɔnɔdzikpɔla alo ɖɔkta aɖe le afima o. Ele vevie ŋutɔ na wò dedienɔnɔ.
Gbedasi si Wotsɔ Yi Aƒeme
- IV tsiwo, alo "saline" alo "glucose" abe alesi míeyɔnae ene, nye tsi ƒomevi tɔxɛ aɖe si wonana to ʋuka me be wòagbugbɔ ŋutilãa ƒe tsi kple mineralwo aɖo ne mehiã o (tsi ƒe vɔvɔ).
- Wozãnɛ zi geɖe le aɖuɖɔtoe, aɖuɖɔtoe, fifia si gbɔ eme, afɔkuwo, kple amekoko me.
- Esia nye atikewɔwɔmɔnu si bɔ ŋutɔ eye wòle dedie, gake ƒã hafi kuxiwo ate ŋu ado mo ɖa.
- Ne èse veve, èvuvu, alo ŋutilã me vevesese bubu aɖe le afisi ʋukaa le esime nèle tsi si wodona ɖe ʋuka me xɔm la, na wò ɖɔkta alo dɔnɔdzikpɔla nanya enumake.
- Wò ɖɔkta akpɔ tsi si wodona ɖe ʋuka me ƒomevi kple agbɔsɔsɔme si sɔ na wò nɔnɔmea, eyata wɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi ɣesiaɣi.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment