Ke ne wò lãmekawo ɖo afɔku me ya ɖe? Mina míasrɔ̃ nu tso ‘Ahɔhɔ̃mekawo ƒe Ʋuʋudedi’ si me afɔku le ŋu!

Mí katã míese nya "dzidziƒoame," alo? Ɣeaɖewoɣi la, míebunɛ be enye nu bubu ne vɔvɔ̃ ɖo mí alo do dziku na mí zi ɖeka. Gake le atikewɔwɔ me la, "dzidziƒoame" fia nɔnɔme si nu sẽ wu sã. Egbea míele nu ƒom tso "dzidziƒoame" ƒomevi si sɔ kplii, gake wòto vovo vie ŋu. Woyɔa esia be ‘ahɔhɔ̃mekawo ƒe dzidziɖedzi.’ Kpuie ko la, edzɔna ne abi gã aɖe le míaƒe lãmekawo ŋu, vevietɔ le aklã me .

Nuka tututue nye ‘Ahɔhɔ̃mekawo ƒe Ʋuʋudedi’?

Bu wò lãmekawo abe telefon ƒe ɖoɖo si le dukɔ aɖe me ene. Lãmetsi siawo tsɔa gbedasiwo tso ahɔhɔ̃a me yia ŋutilã ƒe akpa ɖesiaɖe. Fifia, ne abi aɖe le lãmeka sia ŋu, vevietɔ le aklã me, abe aklã ƒe gbagbã alo ʋuʋudedi ene la, dɔlékui si tsɔa gbedasi siawo la gblẽna.

Neurogenic shock nye nɔnɔme si me wò dzi ƒe tsotso, ʋu ƒe sisi, kple wò ŋutilã ƒe dzoxɔxɔ megate ŋu ɖua wo dzi le afɔku aɖe megbe o. Abe alesi wòle le dzidziƒoame ƒomevi bubuwo gome ene la, esia nye nɔnɔme sesẽ aɖe ŋutɔ, eye ate ŋu awu ame ɣeaɖewoɣi. Nusitae nye be ʋu ƒe sisi le ŋutilã bliboa me tɔtɔ. Ne ʋu mele sisim nyuie o la, oxygen kple nunyiame siwo míaƒe lãmenugbagbeviwo hiã la mesu wo si o. Ekema lãmenugbagbeviawo mate ŋu awɔ woƒe dɔwo o.

Eyata ele vevie be woadi atike na dzidziƒoame kaba ale si nàte ŋui.

Vovototo kae le ‘Neurogenic Shock’ kple ‘Spinal Shock’ dome?

Togbɔ be wo ame evea siaa do ƒome kple abixɔxɔ le aklã me hã la, vovototo sue aɖe le wo dome. Le aklã ƒe ʋuʋu me la, wò lãmekawo tuna eye wò susu ƒe dɔwɔwɔ meganɔa anyi o le abi si nèxɔ le wò aklã ŋu megbe. Le ahɔhɔ̃mekawo ƒe ʋuʋu me la, nu vevitɔ siwo wògblẽna le wò dzi ƒe tsotso kple ʋu ƒe sisi ŋu.

Vovototo kae le ‘Neurogenic Shock’ kple ‘Hypovolemic Shock’ dome?

Hypovolemic shock nye nɔnɔme si tsoa tsi geɖe, vevietɔ ʋu, ƒe bu le ŋutilãa me gbɔ. Vovototo vevitɔ si le wo ame evea domee nye dzi ƒe tsotso.

• Ame si ŋu ahɔhɔ̃mekawo ƒe ʋuʋu le la ƒe dzi ƒe tsotso blewu (bradyarrhythmia).
• Ame si ŋu hypovolemic shock le la ƒe dzi ƒe tsotso dzina ɖe edzi (tachycardia).

Ameka ŋue nɔnɔme sia gblẽa nu le wu? Aleke gbegbe wòbɔe?

Ahɔhɔ̃mekawo ƒe ʋuʋu dzɔna le amesiwo xɔ abi le aklã me eye wògblẽ nu le lãmekawo ŋu.

Numekukuwo ɖee fia be amesiwo xɔ abi le aklã me la dometɔ 19% va ɖo 31% akpɔeWoyɔa esia be ‘Neurogenic Shock’. Le dukɔ abe Amerika ene gɔ̃ hã me la, ame 8,000 va ɖo 10,000 xɔa abi le aklã me ƒe sia ƒe. Nusiwo koŋ gbɔ esia tsonae nye ʋufɔkuwo kple anyidzedze tso kɔkɔƒewo. Afɔku mawo bɔ ɖe míaƒe dukɔa hã me, alo?

Aleke ‘Neurogenic Shock’ kpɔa ŋusẽ ɖe nye ŋutilã dzii?

Kpuie ko la, ne abi aɖe le aklã ŋu la, míaƒe lãmekawo mete ŋu ɖoa dzesiwo ɖe ʋukawo o, hegblɔna be, "Enyo, azɔ la, xaxa vie." Ne womexɔ gbedasi sia nyuie o la, ʋukawo lolona akpa, si woyɔna be `vasodilation` . Ele abe tsi ƒe pɔmpi si le lolom zi ɖeka ene. Nusi dzɔna enye be ʋu ƒe sisi dzi ɖena kpɔtɔna kasia `ʋusɔgbɔdɔ` . Ne ʋu ƒe sisi ɖiɖi la, ʋu ƒe sisi le ŋutilã bliboa me hã dzi ɖena kpɔtɔna. Esia fia be míaƒe ŋutinu veviwo mekpɔa ɔksidzin si wohiã o.

Nukae nye esia ƒe dzesiwo?

Dzesi siwo dzena le ahɔhɔ̃mekawo ƒe ʋuʋu ŋu dometɔ aɖewoe nye:

• Ʋusɔgbɔdɔ (Hypotension): Esiae nye dzesi vevitɔ.
• Dzi ƒe tsotso blewu (Bradyarrhythmia): Zi geɖe la, woɖea ƒoƒo ƒe xexlẽme dzi kpɔtɔna le miniti ɖeka me.
• Ŋutilãa biãna eye wòxɔa dzo, emegbe wòfa, fifia, eye wònɔa ʋeʋẽm.
• Nuyiwo kple asibidɛwo trɔna zua blɔ: Esia tsoa oxygen ƒe anyimanɔmanɔ le ʋua me gbɔ.
• Ame ƒe tagbɔ bu keŋkeŋ alo eƒe susu ƒe dɔwɔwɔ dzi ɖeɖe kpɔtɔ: Esia ate ŋu adzɔ le ʋu ƒe sisi yi ahɔhɔ̃a me dzi ɖeɖe kpɔtɔ ta.

Ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ame aɖe ŋu, vevietɔ ne exɔ abi le aklã me la, ele be woalé ŋku ɖe eŋu enumake.

Nukawoe hea ‘Ahɔhɔ̃mekawo ƒe Ʋuʋudedi’ vɛ?

Susu vevi geɖewo tae nɔnɔme sia tso:

• Aklã ƒe abi: Esiae nye nusi gbɔ wòtsona wu. Ate ŋu atso nuwo abe ʋufɔku, gege tso kɔkɔƒe, alo kamedefefe ƒe afɔku gbɔ.
• Aɖi siwo gblẽa nu le lãmeka siwo wɔa dɔ le wo ɖokui si ŋu.
• Guillain-Barré ƒe dɔléle: Esia nye dɔléle si mebɔ o si gblẽa nu le lãmekawo ŋu.
• Aklã ƒe alɔ̃dɔdɔ: Wotsɔa alɔ̃dɔdɔ sia naa amekoko aɖewo. Ƒã ŋutɔ hafi ate ŋu adzɔ abe kuxi ene.
• Transverse myelitis: Esia hã nye lãmeka siwo le aklã me ƒe dɔléle.

Aleke ɖɔktawo dea dzesi esiae?

Be ɖɔktaa nanya ne ahɔhɔ̃mekawo ƒe ʋuʋu le ŋuwò la, awɔ nu siwo gbɔna:

1. Wodoa wò ŋutilã kpɔ: Wodoa wò nɔnɔme kple abi si nèxɔ la kpɔna.

2. Woléa ŋku ɖe dzesi veviwo ŋu: wodzidzea ʋu ƒe sisi, dzi ƒe tsotso, gbɔgbɔ ƒe tsotso, kple dzoxɔxɔ.

3. Wowɔa ʋudodokpɔwo:Srɔ̃ nu tso ŋutilãa ƒe nɔnɔme ememetɔ kple ŋutinuwo ƒe dɔwɔwɔ ŋu.

4. Woɖea gbe be woawɔ scan: Be woada nusiwo gblẽ le akɔta ŋu akpɔ nyuie.

Scan ka ƒomevie wowɔna?

Esiawoe nye scan ƒomevi vevi eve:

• CT Scan (Computed Tomography - CT scan): Esia ate ŋu akpɔ nusiwo gblẽ le ƒuwo ŋu nyuie.
• MRI scan (Magnetic Resonance Imaging - MRI scan): Esia ate ŋu alé ŋku ɖe nusiwo gblẽ le akɔta ƒe lãkusi falɛfalɛwo ŋu nyuie wu, si nye aklã kple lãmekawo.

Aleke wowɔa atike na Neurogenic Shock?

Esia nye atikewɔwɔ kpata eye ele be woadze atikewɔwɔ gɔme enumake.

Gbã la, ɖɔktawo atsɔ kɔmewu abla wò kɔ. Esia nye be woatsɔ axe mɔ na aklãa be wòagagblẽ o, elabena ne èʋuʋu wò kɔ la, ate ŋu ana abi la nagagblẽ ɖe edzi.

Eyome, nu vevitɔ kekeakee nye be nàɖu ʋu ƒe sisi (hypotension) dzi. Wowɔa esia to tsiwo abe saline ene nana to IV (si wodona ɖe ʋuka me) dzi.

Emegbe, wonaa atike be woatsɔ akpɔ dzi ƒe tsotso blewu (bradyarrhythmia) dzi.

Esi wole ‘Neurogenic Shock’ sia dam la, woawɔ atike na wò hã ɖe abi bubu ɖesiaɖe si nàte ŋu axɔ le afɔkua me ta.

Atike ka ƒomevie wozãna?

Ðɔktawo ate ŋu azã atike ƒomevi geɖe atsɔ akpɔ ahɔhɔ̃mekawo ƒe ʋuʋu gbɔ:

• Phenylephrine ƒe atike
• Norepinephrine `(Norepinephrine)`
• Epinephrine ƒe atike
• Atropine si wotsɔna ƒoa ƒui
• Glycopyrrolate `(Glikopyrrolate)`
• Isoproterenol `(Isoproterenol)`
• Theophylline ƒe atike
• Aminophylline ƒe atike

Wona atike siawo le ɖɔkta ƒe dzikpɔkpɔ te vevie, eye wobua nu geɖe abe dɔnɔa ƒe nɔnɔme, ʋu ƒe sisi, kple dzi ƒe tsotso ene ŋu.

Ðe kuxi aɖewo alo nugbegblẽ le ame ŋu le atikewɔwɔa mea?

Atike ɖesiaɖe ate ŋu ahe nugbegblẽ le ame ŋu vɛ. Gake ne viɖe si wòaɖe na dɔnɔa sɔ gbɔ wu afɔku si le eme ko hafi ɖɔktawo tiaa atike aɖe. Azɔ hã, ne tsi si wonana to IV-mɔ̃a dzi sɔ gbɔ akpa ɣeaɖewoɣi la, mɔnukpɔkpɔ sue aɖe li be ŋutilãa navuvu.

Aleke mawɔ aɖe afɔku sia dzi akpɔtɔ?

Esi wònye be nusi koŋ gbɔ ahɔhɔ̃mekawo ƒe ʋuʋu tsonae nye abi si woxɔna le aklã me ta la, ele vevie be woaxe mɔ ɖe abi mawo tɔgbe xɔxɔ nu. Nu geɖe li nàte ŋu awɔ atsɔ akpe ɖe ŋuwò:

• Mègaku ʋu le aha sesẽ alo atike muamewo zazã me o. Ʋua ʋu kple susu kple ŋkuléle ɖe ʋua ŋu.
• Do zikpuimeka ɣesiaɣi ne èle ʋu me. Do tasiaɖamfɔ etɔ̃ kple dzokeke dedie.
• Mègayi tsi me nɔnɔ le teƒe siwo mènya o alo tsi si me goglo o. Esia ate ŋu ana ame naxɔ abi vevie le kɔ me.
• Kpɔ nyuie le dedienɔnɔ ŋu ne èle atiwo liam hele dɔ wɔm le teƒe kɔkɔwo.

Nukae mate ŋu akpɔ mɔ na ne ahɔhɔ̃mekawo ƒe ʋuʋu le ŋunye?

Ne abi si woxɔ le aklã me na ahɔhɔ̃mekawo ƒe ʋuʋu la, ʋusɔgbɔdɔ (ʋusɔgbɔdɔ) ate ŋu anɔ anyi kwasiɖa atɔ̃.

Azɔ hã, kuxi bubuwo ate ŋu ado mo ɖa le nɔnɔme sia me. Le kpɔɖeŋu me:

• Ʋu ƒe sisi le afɔwo ƒe ʋukawo me (Deep Vein Thrombosis - DVT) .
• Nuteɖeamedzi ƒe abiwo
• Nuɖuɖu alo nu bubu siwo gena ɖe yaƒoƒomɔ̃a me gbɔe aklãdɔ si woyɔna be aspiration pneumonia tsona .

Ɣeyiɣi didi kae ahɔhɔ̃mekawo ƒe ʋuʋu ate ŋu anɔ anyi?

Zi geɖe la, ahɔhɔ̃mekawo ƒe ʋuʋu ƒe dzesiwo ate ŋu anɔ anyi abe kwasiɖa ene va ɖo atɔ̃ ene . Gake esia ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ eye wòanɔ te ɖe alesi afɔkua dzɔe nu.

Ðe mate ŋu atrɔ ayi dɔme/sukua?

Ne àte ŋu atrɔ ayi wò dɔwɔna siwo nèwɔna ɖaa dzi, dɔwɔwɔ, alo sukudede me la nɔ te ɖe alesi wò aklã ƒe abi si nèxɔ la nu sẽe kple abi bubu ɖesiaɖe si nèxɔ ƒe nɔnɔme dzi. Ɣeaɖewoɣi la, ahiã be nàwɔ tɔtrɔ gã aɖewo le wò agbe me, vevietɔ ne azɔlizɔzɔ sesẽ na wò.

Nukae nye ahɔhɔ̃mekawo ƒe ʋuʋu ƒe mɔkpɔkpɔ?

Ne womewɔ atike nɛ o la, dzidziƒoame ƒe akpa gãtɔ wua ame. Ke hã, ne èwɔ atike na wò kaba eye wòsɔ la, ate ŋu axɔ wò agbe. Wò lãmesẽ le etsɔme nɔ te ɖe nu geɖe dzi, siwo dometɔ aɖewoe nye:

• wò ƒexɔxɔ.
• Alesi afɔkua nu sẽe.
• Nusiwo gblẽ le ŋutinu bubuwo ŋu.
• Dɔléle bubu siwo nɔa anyi didi siwo le ŋuwò (atikewɔwɔ me kuxi bubuwo).
• Ɣeyiɣi didi kae wòxɔ hafi woxɔ atike?
• Kuxi bubuwo abe nuƒoƒo ƒe ŋutetemanɔamesi kple dadasɔ ƒe anyimanɔmanɔ ene.
• Alesi wò ŋutilã wɔa nu ɖe ​​atikewɔwɔ ŋui.

Nublanuitɔe la, ame si ƒe aklã xɔ abi la ate ŋu aku kaba zi gbɔ zi eve va ɖo atɔ̃ wu amesi mexɔ abi o. Ku ƒe afɔkua lolo wu le ƒe gbãtɔ me le abi si woxɔ le aklã me megbe.

Aleke malé be na ɖokuinye?

Ne èxɔ abi le aklã me la, anɔ eme be lãmesẽkuxi bubuwo, abe Deep Vein Thrombosis (DVT) ene, abe alesi míegblɔe va yi ene, adze dziwò. Azɔ hã, ahɔhɔ̃mekawo ƒe ʋuʋu, si nye nɔnɔme si me ʋu ƒe sisi dzi ɖena kpɔtɔna eye ŋutinu ɖeka alo esi wu nenema gblẽna.

Amesiame ƒe nɔnɔme to vovo, gake le amesiame si to ahɔhɔ̃mekawo ƒe ʋuʋu me gome la, ele vevie be wòawɔ ɖe kamedede kple atikewɔlawo ƒe aɖaŋuɖoɖowo dzi nyuie be woaxe mɔ ɖe kuxi siwo ava do mo ɖa le etsɔme nu.

Ɣekaɣie wòle be makpɔ nye ɖɔkta?

Ne ède dzesi tɔtrɔ aɖewo le wò nɔnɔmea me, abe tɔtrɔ le dzesi veviwo alo vevesese ŋu ene la, ele be nàna wò ɖɔkta nanya enumake.

Ɣekaɣie wòle be mayi Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) ?

Ele be nàdi atike kpata enumake ne dzesi siawo le ŋuwò:

• Akɔtave
• Taɖuame
• Xeɖeɖe

Esiawo ate ŋu anye nɔnɔme sesẽ bubu ƒe dzesiwo.

Nya kawoe wòle be mabia nye ɖɔkta?

Àte ŋu abia ɖɔktaa nya siawo abe esiawo ene:

• Nukae nye nye nɔnɔme tɔxɛa ƒe mɔkpɔkpɔ?
• Ðe nye ŋutinuwo gblẽ le ‘Neurogenic Shock’ ta?
• Nu vevi kawoe wòle be mawɔ le nye nɔnɔmea ta?

Kpuie Kpuie Kple Gbedasi si Wotsɔ Yi Aƒeme

Enyo, eyata ‘Neurogenic Shock’ si ŋu míeƒo nu tsoe egbea nye nɔnɔme si me afɔku le ŋutɔ si ate ŋu adzɔ le abi gã aɖe si woxɔ le aklã ŋu ta. Le esia me la, nusiwo gblẽ le lãmekawo ŋu nana ŋutilãa megate ŋu ɖua nusiwo le abe dzi ƒe tsotso kple ʋu ƒe sisi ene dzi o.

Nu vevitɔe nye be nànɔ dedie alesi nàte ŋui eye nàdze agbagba aƒo asa na abixɔxɔ le wò akɔta. Kpɔ nyuie ŋutɔ ne èle ʋu kum, nèle dɔ wɔm le teƒe kɔkɔwo, eye nèle titim ɖe tsi me.

Ne afɔku aɖe dzɔ la, atikewɔla didi enumake ate ŋu akpe ɖe ŋuwò nàɖe wò agbe. Le ema megbe la, ne èyi kamedede dzi abe alesi wò ɖɔkta gblɔe ene la, akpe ɖe ŋuwò nànɔ lãmesẽ me alesi nàte ŋui. Wò atikewɔlawo ƒe ƒuƒoƒoa akpe ɖe ŋuwò nàɖu kuxi sia dzi.

` Ahɔhɔ̃mekawo ƒe Ʋuʋu, Aklã ƒe Nuveviwɔame, Ʋu ƒe Nyaƒoɖeamenu, Lãmetsiŋusẽ, Kpata, Ʋusɔgbɔdɔ, Bradyarrhythmia