Ðe yagbɔgbɔmɔ̃ nye nusi wòle be woavɔ̃ na? Mina míasrɔ̃ nusianu tso eŋu (Mechanical Ventilation) .

Enye nusi sɔ be nàse vɔvɔ̃ kple dzimaɖitsitsi geɖe ne èse be wotsɔ ame aɖe si nènya le Dɔnɔdzikpɔƒe (ICU) de yagbɔgbɔmɔ̃ me. Vɔvɔ̃ sia gagblẽna ɖe edzi ne míenya nu geɖe tso mɔ̃ sia ŋu o. Le nyateƒe me la, enye dɔwɔnu xɔasi aɖe ŋutɔ si ate ŋu akpe ɖe ame ŋu le agbe kple ku dome aʋawɔwɔ me. Eyata egbea, mina míaƒo nu tso nusi yagbɔgbɔmɔ̃, alo alesi woyɔnɛ le atikewɔwɔ ŋuti dzɔdzɔmeŋutinunya me, nye kple nusi wòwɔna ŋu, le gbegbɔgblɔ bɔbɔe ŋutɔ si gɔme woate ŋu ase me.

Kpuie ko la, nukae nye yagbɔgbɔmɔ̃?

Yagbɔgbɔmɔ̃ nye mɔ̃ si kpena ɖe ame ŋu wògbɔa ya ne gbɔgbɔ sesẽ nɛ le eɖokui si. Bu eŋu abe atizɔti zazã ne wò afɔ gbã ene. Abe alesi atizɔtiwo kpena ɖe ŋuwò nèzɔna kple wò kpekpeme ene la, yagbɔgbɔmɔ̃ xɔa gbɔgbɔtsixe ƒe dɔwɔwɔ na wò lãkusiwo, keŋkeŋ alo vaseɖe afi aɖe.

Nu siawo dzɔna le yagbɔgbɔmɔ̃ koŋ dzi:

• Enaa ɔksidzin si wò lãkusiwo hiã.
• Ekpena ɖe ame ŋu wòɖea ya si nye carbon dioxide si gblẽa nu le ame ŋu si ƒoa ƒu ɖe lãkusiwo me la ɖa.
• Ya kotoku suesuesue siwo le lãkusi me, siwo woyɔna be alveoli, naa nyaƒoɖeamenu si hiã be woanɔ ʋuʋu ɖi evɔ womamu o.

Ðɔktawo ate ŋu atrɔ mɔ̃ sia ƒe ɖoɖowo le dɔnɔa ƒe nuhiahiãwo nu.

Ðe Intubation kple Ventilation nye nu vovovo evea?

Ɛ̃. Afi siae ame geɖe tɔtɔna le. Togbɔ be eve siawo dzɔna ɖekae hã la, nusiawo nye nuwɔna eve.

• Intubation: Alesi ɖɔkta tona tsɔa mɔ̃ aɖe dea dɔnɔa ƒe yaƒoƒomɔ̃ (yagbɔgbɔ) me to dɔnɔa ƒe nu me.
• Mɔ̃ɖaŋununya ƒe Yaƒoƒo: Esia fia be woatsɔ mɔ̃ si wotsɔ de eme alea aƒo ka kple yagbɔgbɔmɔ̃ si kpena ɖe ame ŋu le gbɔgbɔ me.

Le go aɖewo me la, anya wɔ be woatsɔ yagbɔgbɔmɔ̃a aƒo ka kple modzakaɖenu si sɔ ɖe mo dzi nyuie, evɔ womade mɔ̃ si le abe esia ene eme o.

Yagbɔgbɔmɔnu kawoe li?

Yaƒoƒomɔ̃wo tsɔa nyaƒoɖeamenu nyui ƒoa ya ɖe lãkusiwo me. Woate ŋu awɔ esia le mɔ vevi eve nu. Be nyatakaka sia gɔmesese nanɔ bɔbɔe la, mina míawɔ kplɔ̃ si le abe esia ene.

Amekae hiã yagbɔgbɔmɔ̃ ƒe kpekpeɖeŋu?

Ate ŋu ahiã yagbɔgbɔmɔ̃ ƒe kpekpeɖeŋu ɣesiaɣi si ame aɖe mate ŋu agbɔ ya le eɖokui si o, vevietɔ le nɔnɔme siawo tɔgbe me:

• Le amekokoɣi: Atike si naa alɔ̃dɔdɔ amewo katã ɖea míaƒe gbɔgbɔ ƒe ŋutete dzi kpɔtɔna. Eyata yagbɔgbɔmɔ̃ kpena ɖe ame ŋu wòléa gbɔgbɔ edziedzi le amekokoa katã me.
• Aɖuɖɔtoedɔléle sesẽwo alo nɔnɔmewo: Le nɔnɔmewo abe aklãdɔ, COVID-19, acute respiratory distress syndrome (ARDS), kple chronic obstructive pulmonary disease (COPD) me.
• Afɔkuwo alo atikewɔwɔ kpata: Ne afɔku aɖe dzɔ si na yaƒoƒomɔ̃wo xe alo gbɔgbɔtsixe tsia ƒo. Le kpɔɖeŋu me, nulɔdɔ sesẽ aɖe (anaphylaxis).
• Ahɔhɔ̃ ƒe gbegblẽ: Ahɔhɔ̃ ƒe gbegblẽ, abe ʋusɔgbɔdɔ alo alɔ̃madɔmadɔ ene, ate ŋu ana gbedasi si tso ahɔhɔ̃a gbɔ yia lãkusiwo gbɔ la nagato nyuie o.
• Ʋumenugbagbeviɣi ƒe agbɔsɔsɔ ƒe masɔmasɔ: Le nɔnɔmewo abe carbon dioxide ƒe dzidziɖedzi le ʋu me (hypercapnia) alo oxygen ƒe ɖiɖi (hypoxemia) ene me.
• Be woaxe mɔ na nuɖuɖu alo aɖuɖɔ be wòagage ɖe lãkusi me o: Mexe mɔ na nuwo (aɖuɖɔ, nuɖuɖu) ƒe ʋuʋu le ame si menya nu o ƒe nu me eye wòahe dɔlékui vɛ.

Nukae dzɔna ne wotsɔ yaƒoƒomɔ̃ do ka kpli wò?

Esi wònye be ehiã be woalé ŋku ɖe ame aɖe si do ƒome kple yagbɔgbɔmɔ̃ ŋu nyuie ŋutɔ ta la, zi geɖe la, wotsɔa wo dea dɔnɔdzikpɔƒe si wokpɔa dɔnɔwo gbɔ le vevie (ICU).Afimae ɖɔkta, dɔnɔdzikpɔlawo, kple gbɔgbɔtsixeŋutinunyalawo ƒe ƒuƒoƒo aɖe si xɔ hehe etɔxɛe kpɔa dɔnɔa dzi.

Dɔnɔa dzi kpɔkpɔ

Àde dzesii be mɔ̃ bubu geɖe le wò lɔlɔ̃tɔa si wotsɔ bla ɖe woƒe ŋutilã ŋu. Wodzidzea nuwo abe ʋu ƒe sisi, dzi ƒe tsotso, gbɔgbɔ ƒe tsotso, kple ɔksidzin ƒe agbɔsɔsɔ le ʋu me ene ɣesiaɣi. Wowɔa akɔta ƒe X-ray kple ʋudodo hã.

Numiemie

Mucus ate ŋu aƒo ƒu ɖe yaƒoƒomɔ̃a me. Eyata zi geɖe la, dɔnɔdzikpɔlawo dea mɔ̃ tsɛ aɖe (catheter) eme be woaɖe ʋuʋudedia ɖa. Le ɣeyiɣi sia me la, dɔnɔa ate ŋu akɔ akɔta. Esia ate ŋu maɖe dzi ɖi vie na wò be nànɔ ekpɔm o, gake esia le vevie be yaƒoƒomɔ̃a me nakɔ.

Atikewɔwɔ, nunyiame kple dzadzɛnyenye

Wotsɔa aerosol dea atike aɖewo me toa gbɔgbɔtsixe ƒe mɔ̃a me yia lãkusiwo me. Esi womete ŋu ɖua nu alo noa nu o ta la, wonaa nunyiame si nye tsi to mɔ̃ aɖe si toa ŋɔti me yia dɔgboa me. Wotsɔa tsi siwo hiã la toa ʋuka me to saline dzi.

Ðe dɔnɔa le ŋudzɔa?

Ðɔktawo dzea agbagba be yewoana dɔnɔa naɖe dzi ɖi, eƒe dzi nadze eme, eye wòanɔ ŋudzɔ alesi woate ŋui. Gake le dɔnɔa ƒe nɔnɔme nu la, ate ŋu ahiã be woana dɔnɔa nagbɔ ɖe eme eye woana ŋutilãa nahaya, alo woadɔ alɔ̃ vevie (deep sedation). Ɣeaɖewoɣi la, ahiã be woaxe mɔ na dɔnɔa be woagawɔ nuvevi wo ɖokui o, le kpɔɖeŋu me, be woaxe mɔ na wo be woagadze agbagba aɖe mɔ̃a ɖa o. Wowɔa esia hena dɔnɔa ƒe dedienɔnɔ.

Viɖe kple afɔku kawoe le eme?

Abe atikewɔwɔ ɖesiaɖe ene la, viɖe kple afɔku siaa le yagbɔgbɔmɔ̃ zazã ŋu.

Aleke nàwɔ aɖe ɖokuiwò le yagbɔgbɔmɔ̃a me?

Ne dɔnɔa ƒe nɔnɔmea nyo ɖe edzi eye ɖɔktawo ka ɖe edzi be yewoate ŋu agbɔ le yewo ɖokui si ko la, wodzea ``notsotso'' na wo le yagbɔgbɔmɔ̃a me gɔme. Gbã la, woɖea mɔ̃a ƒe kpekpeɖeŋu dzi kpɔtɔna vivivi eye wokpɔa egbɔ be dɔnɔa ate ŋu agbɔ ya le eɖokui si hã. Ne nusianu nyo la, woɖea ``ET tube'' la ɖa.

Ne woɖe mɔ̃a ɖa vɔ la, àte ŋu ave wò ŋɔti eye wòanɔ ɣli dom ŋkeke ʋɛ aɖewo. Esia sɔ.