Ðewohĩ èkpɔ, alo se, wole ‘dze’ nam ame aɖe le kɔdzi. Wodea ka aɖe alɔnu, eye wotsɔa tsi aɖe tso akplo si wotsɔ ƒo ɖe tsitrenu kɔkɔ aɖe dzi la me yia ŋutilãa me. Ame geɖe vɔ̃na na esia vie, eye ame aɖewo susuna be esia nye nusi wonana na dɔléle sesẽwo ko. Nuka tututue nye tsi siawo siwo wodona ɖe ʋuka me, alo dze si mí katã míenya? Nɔnɔme kawo mee wonaae le? Mina míaƒo nu tso esia ŋu bɔbɔe eye eme nakɔ.
Nukatae míehiã IV Fluids?
Kpuie ko la, tsi siwo wodona ɖe ʋuka me (si wodona ɖe ʋuka me) nye tsi tɔxɛ siwo wonana ŋutilãa to ʋuka me. Susu vevitɔ si tae wonaa woe nye be woaxe mɔ ɖe tsikuɖiɖi nu alo adae , si nye ne ŋutilãa me tsi kple dze veviwo va ɖiɖina afɔkutɔe.
Tsi 60% ye le míaƒe ŋutilã me. Eyata bu nusi adzɔ ne tsi agbɔsɔsɔme sia dzi ɖe kpɔtɔ ŋu kpɔ. Tsi le vevie na lãmenugbagbevi kple ŋutinu ɖesiaɖe si le ŋutilãa me. Le nɔnɔme siwo me ame aɖe mate ŋu alé tsi si hiã la me ɖe asi to tsinono to nu me me o la, tsi siwo wodona le ʋuka me va hiã vevie.
| Nɔnɔme vevi siwo me IV Fluids ate ŋu ahiã le | |
|---|---|
| Dɔléle vevie | Ne ʋuɖɔɖɔ kple aɖuɖɔtoetetedɔ sesẽ aɖe le ŋuwò la, tsi gbogbo aɖe buna le ŋutilãa me kaba. Le ɣeyiɣi mawo me la, ŋutilãa mexɔa nu siwo wonona to nu me o. |
| Kamedede kple dzoxɔxɔ si nu sẽ | Ne mèno tsi nyuie o, de kame wògbɔ eme, alo nèle ɣe ƒe keklẽ sesẽ me la, tsi gbogbo aɖe buna le ŋutilãa me to fifia me. |
| Nuveviwɔame sesẽwo alo dzobibi | Le nɔnɔme mawo me la, tsi gbogbo aɖe ate ŋu abu le ŋutilãa me. |
| Amekoko | Vevietɔ le amekoko siwo wowɔna le atike si naa alɔ̃dɔdɔ ame (wotsɔa alɔ̃dɔdɔ) me la, wonaa tsi si wodona ɖe ʋuka me elabena dɔnɔa mete ŋu ɖua nu alo noa nu o eye wòhiã tsi le amekokoa wɔɣi. |
Tsikuɖiɖi ƒe ŋusẽkpɔɖeamedzi kple dzesiwo
Ne tsi vɔ le ŋutilãa me la, ate ŋu akpɔ ŋusẽ ɖe nu geɖe dzi.
- Elektrikŋusẽ ƒe dadasɔ le ŋutilãa me ƒe bu.
- Susu ƒe dɔwɔwɔ dzi ɖe kpɔtɔ kple ŋkuɖoɖonudzi ƒe gbɔdzɔgbɔdzɔ.
- Ŋusẽ ƒe vɔvɔ, ɖeɖiteameŋu ƒe seselelãme ɣesiaɣi.
- Nuɖuɖumeŋusẽ si mesɔ o kple aɖuɖɔtoe ƒe ʋuʋu.
- Taɖuame ƒe dzidziɖedzi kple eƒe sesẽme.
- Nusiwo gblẽna le ŋutinu veviwo abe ayiku, dzi , kple ahɔhɔ̃ ene ŋu.
- Gbɔdzɔgbɔdzɔ le kamedede me.
- Ŋutilã ƒe lãmesẽ ƒe gbegblẽ.
Fifia, esiawoe nye tsikuɖiɖi sesẽ ƒe dzesi siwo bɔ wu. Ne esiawo dometɔ ɖeka alo esi wu nenema le asiwò la, ele vevie ŋutɔ be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake.
| Dzesi si dzena | Alesi nèsena le ɖokuiwò me/wòdzenae |
|---|---|
| Taɖuame | Taɖuame ƒe seselelãme ne èle tsitrenu alo le tsitre. |
| Ŋku ƒuƒu | Sese le eɖokui me be ŋkuwo le ƒuƒum ale gbegbe be aɖatsi medona le ame ŋu ne wole avi fam gɔ̃ hã o. |
| Nuyi kple aɖe ƒuƒu | Aɖuɖɔ ƒe anyimanɔmanɔ, nuyi siwo vuvu, kple aɖe si ƒu. |
| Ŋutilã si ƒu | Ŋutilãa ƒuna, ƒoa ƒu, eye ɣeaɖewoɣi la, teƒeteƒewo dzena le ŋutigbalẽa ŋu. |
| Ɖeɖiteameŋu | Ðeɖiteameŋu si gbɔ eme sese le eɖokui me dɔ aɖeke mawɔmawɔe gɔ̃ hã. |
| 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. |
Nukawoe nye IV Fluids ƒomeviwo?
Wò ɖɔkta atso nya me le IV-tsi ƒomevi si nèhiã ŋu. Ato vovo le wò nɔnɔmea nu. Wole ƒomevi vevi eve me.
Crystalloid ƒe Egbɔkpɔnuwo
Esiawoe wozãna zi geɖe wu. Nu suesuesue siwo le tsi siawo me toa míaƒe ʋukawo me yia míaƒe lãmenugbagbeviwo me bɔbɔe.
- Normal Saline : Esia nye nusi mí katã míenya be ‘saline’. Kpuie ko la, tsi kple dze ( sodium chloride) le eme.
- D5W: Dextrose, si nye sukli ƒomevi aɖe, kple tsi le esia me.
- Lactated Ringer’s: Sodium, chloride, potassium, calcium, kple lactate le esia me. Wozãnɛ ne ehiã be woana tsi gbogbo aɖe ŋutilãa kaba.
Colloid ƒe Egbɔkpɔnuwo
Esiawo nye nu suesuesue siwo lolo vie. Womegena ɖe lãmenugbagbeviwo me bɔbɔe o eye zi geɖe la, wotsia ʋukawo me. Albumin kple hetastarch nye esia ƒe kpɔɖeŋu.
Nukae dzɔna ne wodo IV na ame?
Ðɔkta alo dɔnɔdzikpɔla si xɔ hehee wɔa dɔ sia. Enye nusi yia edzi vivivi ŋutɔ.
1. Gbã la, míenɔa te ɖe wò kpekpeme, ƒe si nèxɔ, kple dɔléle si me nèle dzi nyaa tsi si nàzã le ʋuka me ƒe ƒomevi kple agbɔsɔsɔme si nèhiã.
2. Eyome, wotsɔa dɔlékuiwutike klɔa teƒe si woatsɔ atikekui la ade (zi geɖe la, abɔta alo abɔta ƒe eme) nyuie.
3. Wotsɔa elastic band (tourniquet) blaa alɔ si le etame be ʋukaa nadze.
4. Wotiaa ʋuka si sɔ eye wotsɔa ʋuka si me dɔlékui mele o (aŋetu sue aɖe si me aŋe le) dea eme. At this point , àse le ɖokuiwò me be yeƒoe vie, gake ɣeyiɣi kpui aɖe koe wòanɔ nenema.
5. Ne wonya de ʋukaa me ko la, woɖea elastic band la ɖa.
6. Wotsɔa aŋɔ blaa kanula la ɖe alɔnu be wòagaʋuʋu o.
7. Emegbe, wotsɔa mɔ̃ didi si wotsɔ do ka kple ʋuka si me wodea tsii la doa ka kple ʋukaa.
8. Wotsɔa ʋuka si me tsi le si wotsɔna tsia ʋuka me la ƒua gbe ɖe tsitrenu kɔkɔ aɖe dzi (IV tsitrenu), eye wozia tsi la dzi wògena ɖe ŋutilãa me le agbɔsɔsɔ si woɖo ɖi me to pɔmpimɔ̃ alo to nuheŋusẽ dzi.
9. Atikewɔlawo léa ŋku ɖe ɖoɖo sia ŋu ɣesiaɣi.
Ne èse le ɖokuiwò me be sisi ƒe agbɔsɔsɔme sɔ gbɔ akpa/bɔbɔ akpa esime IV la le teƒea, ne cannula la le veve sem, ne cannula la dze abe ɖe wòle ʋuʋum ene, ne ta le ɖum na wò, alo ne gbɔgbɔ sesẽ na wò la, gblɔe na wò ɖɔkta alo dɔnɔdzikpɔla enumake.
Viɖe kple afɔku kawoe le esia me?
Tsidede ʋuka me, alo tsi nana ɖe ʋuka me, nye mɔnu si bɔ ŋutɔ, si le bɔbɔe, eye wòle dedie. Enaa gbɔdzɔe kabakaba hã. Ate ŋu akpe ɖe ame aɖe si dze dɔ vevie la ƒe agbe gɔ̃ hã ɖeɖeɖa ŋu.
Gake kuxi aɖewo li siwo ate ŋu adzɔ ƒã ŋutɔ. Mehiã be míatsi dzi ɖe nusiawo ŋu o, gake anyo be míanɔ ŋudzɔ.
| Kuxi si dona tso eme | Nukae ema fia? |
|---|---|
| Ya ƒe Ʋuʋudedi | Ya si gena ɖe ʋukaa me to IV-ka dzi. Esia mebɔ kura o, gake ate ŋu anye nu sesẽ. |
| Vein si Mu | Vea ate ŋu axe ne wotsɔ cannula la de eme alo wogblẽe ɖe teƒea ɣeyiɣi didi aɖe. Ne edzɔ alea la, atikewɔlawo azã ʋuka bubu. |
| Lãmetsi ƒe Agbatsɔtsɔ si Gbɔ eme | Lãmetsi geɖe nono kabakaba akpa ate ŋu ana ta naɖu ame, ʋusɔgbɔdɔ, kple gbɔgbɔ sesẽ. Woate ŋu aƒo asa na esia ne wotrɔ asi le tsi ƒe agbɔsɔsɔ ŋu. |
| Ʋu ƒe sisi (Hematoma) . | Ʋu ƒe sisi tso ʋuka aɖe me yi lãmenugbagbevi siwo ƒo xlãe me. Edze abe abi ene eye wòhayana le kwasiɖa ʋɛ aɖewo megbe. |
| Dɔdzedze | Dɔlékuiwo ate ŋu ado mo ɖa ne womekɔ afisi wotsɔ kanulaa de la ŋu nyuie o. Dɔlékuiwutikewo ate ŋu ada wo. |
| Tsi ƒe sisi (Infiltration) . | Lãmetsi ate ŋu ado le ʋukaa me ayi lãkusiawo me le ʋukaa ƒe ʋuʋu ta. Vevesese suesuesuewo kple abi ate ŋu adzɔ gake wokpɔa egbɔ bɔbɔe. |
| Phlebitis (ʋuka ƒe vuvu) . | IV-dɔdamɔnua nana ʋukaa vuvu. Esia bɔ ŋutɔ eye woate ŋu adae to atikekui la ɖeɖe ɖa, dzoxɔxɔ dede eme, kple alɔnu dodo ɖe dzi me. |
Gbedasi si Wotsɔ Yi Aƒeme
- Lãmetsi siwo wodona ɖe ʋuka me, alo ‘saline’, nye atike si wozãna koŋ na tsi kple dze ƒe anyimanɔmanɔ le ŋutilã me (tsikuɖiɖi).
- Tsikuɖiɖi menye nusi woabu nu tsɛe o. Ne tsikuɖiɖi ƒe dzesi sesẽwo dze le ŋuwò la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake.
- Lãmetsi si wodona ɖe ʋuka me nana nye dɔdamɔnu si le dedie ŋutɔ si wowɔna zi geɖe le kɔdziwo. Mègavɔ̃e madzemadzee o.
- Wò ɖɔkta akpɔ tsi si nàzã le ʋuka me ƒe ƒomevi kple agbɔsɔsɔme si nèhiã ne edo wò dɔlélea kpɔ vɔ.
- Ne èse le ɖokuiwò me be yeƒe dzi dze eme esime IV-dɔdamɔnua le teƒea la, na ɖɔkta alo dɔnɔdzikpɔla nanya enumake.
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