Ðe viwò suea fa avi le susu manɔmeea? Ðe nèsena le ɖokuiwò me hã be nyemate ŋu akpɔ esia gbɔ oa? Enye nusi sɔ be nàse le ɖokuiwò me nenema abe vidada alo vifofo ene. Gake mègafɔ viwòa ahaʋuʋui sesĩe le dziku alo dziɖeleameƒo ta gbeɖe o. Sɛkɛnd ʋɛ aɖewo ƒe ŋumaɖɔɖo ate ŋu agblẽ vidzĩ ƒe agbemeŋkekewo katã me. Egbea míele nu ƒom tso afɔku ma si wua ame, si nye ‘Shaken Baby Syndrome’ ŋu.
Kpuie ko la, nukae nye Shaken Baby Syndrome?
Shaken Baby Syndrome nye nɔnɔme si me woʋuʋua vidzĩ alo vidzĩ si le zɔzɔm sesĩe kple ŋutasesẽtɔe, si nana ahɔhɔ̃a gblẽna. Ŋkɔ bubu si wotsɔ na esiae nye ‘abusive head trauma’. Eyae nye abi si woxɔ le ta ŋu le mɔ gbegblẽ nu.
Bu eŋu kpɔ, vidzĩ ƒe ta lolo ŋutɔ eye wòlolo ne wotsɔe sɔ kple woƒe ŋutilã ƒe akpa mamlɛa. Azɔ hã, woƒe kɔ ƒe lãmekawo mesẽ haɖe o. Eyata ne ame aɖe ʋuʋu vidzĩ sesĩe la, ahɔhɔ̃ si le tsɛ si le abe jelly ene si le taɖua me la nɔa dzodzom kabakaba yia ŋgɔ kple megbe. Ʋuʋudedi sia nana ʋuka tsɛ siwo le ahɔhɔ̃a me kple esiwo ƒo xlãe la gbãna hedoa ʋu. Ahɔhɔ̃a hã ate ŋu avuvu. Esia nye nɔnɔme sesẽ aɖe si ate ŋu adzɔ ne woʋuʋui kpuie abe sɛkɛnd 5 ene gɔ̃ hã . Nusiwo gblẽ le eŋu alea ate ŋu ade vidzĩa ƒe ŋkuwo, kɔ, kple akɔta gɔ̃ hã afɔku me. Nusi dona tso emee nye ahɔhɔ̃a ƒe gbegblẽ tegbee, nuwɔametɔnyenye tegbee, alo ku.
Nukatae ame aɖe aʋuʋu vidzĩ sue aɖe alea?
Esia dzɔna zi geɖe ne dzila alo vidzikpɔla mete ŋu ɖu woƒe dziku alo dziɖeleameƒo dzi ne vidzĩa le avi fam atraɖii o. Ðewohĩ woasusui be ne woʋuʋu vidzĩa la, ana avifafa la nadzudzɔ.
Agbanɔamedzi siwo dona tso vidada alo vifofo yeye nyenye me ate ŋu agbɔ eme ɣeaɖewoɣi. Ƒomenya bubuwo kple gakuxiwo ate ŋu anɔ nuteɖeamedzia dzim ɖe edzi. Le ɣeyiɣi siawo tɔgbe me la, ne vidzĩ fa avi madzudzɔmadzudzɔe la, ate ŋu agbɔ eme. Ame aɖewo menya gɔ̃ hã be vidzĩ sue ʋuʋu ate ŋu anye afɔku alea gbegbe o.
Nu vevitɔ kekeakee nye esia. Enye nusi sɔ be vidzĩwo nafa avi. Ɣeaɖewoɣi la, womadzudzɔ avifafa o eɖanye nuka kee nèwɔ o. Gake ŋuɖoɖoae nye be màʋuʋu vidzĩ, aƒoe, alo atsɔe aƒu gbe gbeɖe o.
Ameka dzie nɔnɔme sia gblẽa nu le wu?
Shaken Baby Syndrome nye nɔnɔme si me afɔku le si ate ŋu adzɔ ɖe ɖevi dzi le ƒome ɖesiaɖe me, le ganyawo ƒe ɖoƒe ɖesiaɖe, kple ameƒomevi ɖesiaɖe me. Zi geɖe la, dɔnɔdzikpɔla vevitɔ, si nye vidada alo fofoa gbɔe wòtsona. Ate ŋu adzɔ ɖe dɔnɔdzikpɔla bubuwo (vidzikpɔlawo) alo ƒometɔwo hã dzi.
Vidzĩ siwo mexɔ ƒe ɖeka haɖe o ye le afɔku gãtɔ me, vevietɔ esiwo xɔ tso ɣleti 2 va ɖo 8 .Vidzĩwoe ate ŋu adze afɔku sia bɔbɔe wu. Togbɔ be zi geɖe la, nɔnɔme sia mebɔ ɖe ɖevi siwo xɔ wu ƒe 2 me o hã la, ɣeaɖewoɣi la, wowɔ ŋlɔmi le ɖevi siwo xɔ ƒe 6 pɛ ko ŋu alea.
Nukae ʋuʋu gblẽna le vidzĩ ƒe ahɔhɔ̃ kple ŋutilã ŋu?
Esiae nye akpa vevitɔ kekeake si gɔme wòle be mí katã míase. Nu geɖe li siwo ate ŋu agblẽ le vidzĩ ʋuʋu sesĩe akpa ŋu.
| Nusiwo wògblẽ | Numeɖeɖe bɔbɔe aɖe |
|---|---|
| Subdural hematoma (ʋu si me ʋu sina tona le lãme na ame). | Ʋu si ƒo ƒu ɖe ahɔhɔ̃a ƒe go kple lãkusi si tsyɔ edzi dome. Esia dzɔna ne ʋuka siwo me kɔ nyuie la gbã le ahɔhɔ̃a ƒe ʋuʋu me. |
| Ʋu si dona le lãme na ame le subarachnoid | Ʋu si le dodom le ahɔhɔ̃a kple lãkusi si le abe akpɔkplɔ ene si ƒo xlãe dome. |
| Ahɔhɔ̃ ƒe nuveviwɔame tẽ | Ahɔhɔ̃a gbãna eye wògblẽa nu le eŋu le alesi ahɔhɔ̃a ƒoa nu kabakaba ɖe taɖua ƒe akpa si le eme ta. |
| Ʋu si dona le ŋku ƒe ŋkume | Ʋu si dona le ŋkua ƒe ŋkume ƒe akpa si le megbe. Esia nye Shaken Baby Syndrome ƒe dzesi vevi aɖe. |
| Ahɔhɔ̃ ƒe gbegblẽ le oxygen ƒe anyimanɔmanɔ ta | Ne vidzĩa dzudzɔ gbɔgbɔ le ʋuʋuɣi la, ahɔhɔ̃a ate ŋu axɔ ɔksidzin o eye ahɔhɔ̃menugbagbeviwo ate ŋu aku. |
| Kɔ kple akɔta ƒe abixɔxɔ | Kɔ ƒe lãmeka siwo gbɔdzɔ kple akɔtaƒuwo ate ŋu agblẽ, si agblẽ nu le lãmeka siwo le aklã me ŋu. |
| Nusiwo gbagbã | Ate ŋu agbã le tagbɔ, akɔtaƒu, kɔmeƒu, abɔwo, kple afɔwo me. |
Nukae nye nɔnɔme sia ƒe dzesiwo?
Dzesi aɖewo ate ŋu adze le vidzĩa dzidzi vɔ megbe teti. Wo dometɔ aɖewo ate ŋu aɖo woƒe kɔkɔƒe le gaƒoƒo 4 va ɖo 6 dome. Azɔ hã, dzesi aɖewo siwo nugbegblẽ hena vɛ (nuwɔna me kuxiwo, nusɔsrɔ̃ ƒe kuxiwo) ate ŋu adze le eƒe tsitsime.
Dzesi sesẽ siwo dzena enumake
- Ame ƒe susu ƒe dɔwɔwɔ
- Alɔ̃madɔmadɔ
- Dzidziƒoame
Dzesi bubu siwo bɔ
- Alɔgbɔnukoko, menye nuƒoƒo o.
- Dzikudodo ŋutɔ, avifafa enuenu
- Ʋuʋudedi
- Nuɖuɖu ƒe dzodzro ƒe bu, gbegbe notsi nono
- Yagbɔgbɔ sesẽ
- Kuviawɔwɔ, si nye nɔnɔme si me ame nɔa alɔ̃ dɔm ɣesiaɣi eye womete ŋu nyɔa ame o
- Ŋutilã si le blɔ alo blɔ
- Abɔ alo akɔta ƒe abi
- Ta alo ŋgonu ƒe dzedzeme si lolo le mɔ si mesɔ o nu
- Teƒe si le tsɛ si le ta tame (ŋgonu ƒe ʋuʋudedi) la le ʋuʋum.
- Mate ŋu alé kɔa nyuie o
- ŋkume ƒe ŋkumeʋuʋu siwo keke
- Ŋutete be woatsɔ ŋkuwo aɖo teƒe ɖeka, ŋutete manɔamesi be wòalé ŋku ɖe nusiwo le ʋuʋum ŋu
- Ʋuʋudedi
- Alɔ̃madɔmadɔ me yiyi
Ɣeaɖewoɣi la, ɖewohĩ gotagome abi alo abi aɖeke manɔ vidzĩa ƒe ŋutilã ŋu si woate ŋu akpɔ o. Eyata ame aɖe si menya be woʋuʋu vidzĩa o la ate ŋu asusu be esia nye dɔlékui ƒe dɔléle si bɔ abe dzamezã ene. Emae nye nusi me afɔku le wu le afisia.
Aleke ɖɔkta awɔ anya esia?
Esesẽna ɣeaɖewoɣi be woade dzesi nɔnɔme sia. Elabena,
- Ðewohĩ amesi kplɔ vidzĩa vɛ la magblɔ nyateƒe si ku ɖe vidzĩa ʋuʋu ŋu na ɖɔktaa o.
- Vidzĩa mete ŋu nya afisi wòle veve sem le alo nusi dzɔ o.
- Dzesiwo abe ʋuʋudedi kple dzikudodo ene nye dɔléle bubuwo ƒe dzesi siwo bɔ.
Eyata ɖɔkta la doa ɖevia kpɔ nyuie eye ne ehiã la, ewɔa dodokpɔ tɔxɛ geɖe.
- Ŋkudodokpɔ: Woléa ŋku ɖe ŋku ƒe ʋu si le dodom le ŋkume ŋu hã.
- X-ray: Kpɔe ɖa be taɖu, akɔta, alo abɔ kple afɔwo gbã hã.
- CT scan (Computed Tomography scans): Dodokpɔ sia le vevie ŋutɔ be woatsɔ ade dzesi abi, ʋu si le dodom, kple nu bubu siwo gblẽ le ahɔhɔ̃a ŋu.
- MRI scans (Magnetic Resonance Imaging scans): Woate ŋu akpɔ ahɔhɔ̃a ƒe gbegblẽ si menya kpɔna dzea sii bɔbɔe o gɔ̃ hã nyuie ŋutɔ.
Atikewɔwɔ kple nusiwo wògblẽna le ame ŋu ɣeyiɣi didi
Ne dzesi siawo dometɔ aɖe le viwòa ŋu la, ele be nàkplɔe ayi kɔdzi ƒe Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) enumake . Esia menye dɔléle si woate ŋu ada le aƒeme o.
Atikewɔwɔ nɔ te ɖe alesi gbegbe nu gblẽ le vidzĩa ŋui dzi. Woate ŋu ana atike wò eye woatsɔe ade kɔdzi be woalé ŋku ɖe ŋuwò. Le nɔnɔme sesẽwo me la, ate ŋu ahiã be woawɔ dɔ na ame si axɔ ame ɖe agbe. Ðewohĩ ahiã be woawɔ dɔ na ame be wòadzudzɔ ʋu si le dodom le ahɔhɔ̃a me eye wòaɖe abi dzi akpɔtɔ.
Nɔnɔme sia me tsonu siwo anɔ anyi ɣeyiɣi didi la menyo tututu o.
- Vidzĩ siwo ŋu dɔléle sia le dometɔ siwo ade 25% kuna .
- Amesiwo atsi agbe ƒe 80% kloe axɔ ahɔhɔ̃mekawo ƒe dɔléle sesẽwo kple nuwɔametɔwo le woƒe agbemeŋkekewo katã me.
Nuwɔametɔnyenye mavɔ siwo ate ŋu ado tso esia me dometɔ aɖewoe nye:
- Nuƒoƒo kple nusɔsrɔ̃ ƒe kuxiwo
- Nukpɔkpɔ ƒe bu alo ŋkumaʋumaʋu
- Tosese ƒe bu keŋkeŋ
- Ahɔhɔ̃mekawo ƒe Dɔléle
- Aɖuɖɔtoedɔ
- Alɔ̃madɔmadɔ enuenu
- Lãmetsiwo ƒe lãmetutudɔ
Aleke míawɔ axe mɔ ɖe afɔku sia nu?
Esiae nye akpa vevitɔ kekeake. Woate ŋu axe mɔ ɖe Shaken Baby Syndrome nu 100% . Enye nusi sɔ be nàse le ɖokuiwò me be yedo dziku eye nu te ɖe ame dzi ne vidzĩ le avi fam. Nusi le vevie enye alesi míekpɔa egbɔe.
Ne èse le ɖokuiwò me be yele nyaƒoɖeamenu geɖe me la, te nu siawo kpɔ:
1. Gbã la, lé ŋku ɖe vidzĩa ƒe nuhiahiã veviwo ŋu: Ðe vidzĩa ƒe aklala xɔ dzoa? Ðe dɔ le ewuma? Ðe vuvɔ le wɔwɔma? Ðe dɔléle ƒe dzesi aɖewo, abe asrã alo vuvu ene, le eŋua? Ðe vevesese aɖe le eƒe ŋutilã ƒe akpa aɖea.
2. Dze agbagba nàna vidzĩa ƒe dzi nadze eme:
- Dzi ha, ƒo nu kple vidzĩa.
- Ƒo ha fafɛ aɖewo. Vidzĩ aɖewo hã lɔ̃a yaƒoƒomɔ̃ alo ɖatutumɔ̃ ƒe gbeɖiɖi.
- Na notsi ƒe atike.
- Xatsa vidzĩa nyuie ɖe avɔ (swaddle) me.
- Dae ɖe ʋua ƒe zikpui dzi nyuie eye nàzɔ azɔli kpui aɖe.
- Tsɔe de kekexɔa me eye nàyi aɖatsa le afima.
3. Bia kpekpeɖeŋu: Esiae nye nu nyuitɔ kekeake si nàte ŋu awɔ. Ne ɖeɖi te ŋuwò alo nèdo dziku la, bia xɔ̃wò, ƒometɔ, alo aƒelika si dzi nèka ɖo be wòalé ŋku ɖe vidzĩa ŋu aɖabaƒoƒo ʋɛ aɖewo. Ŋukpe aɖeke mele kpekpeɖeŋu biabia me o.
4. Mɔnu mamlɛtɔ: Ne ame aɖeke meli si akpe ɖe eŋu o la, gblẽ vidzĩa ɖe teƒe si le dedie, abe eƒe abadzivɔ ene, eye nàdo le xɔa me . Yi xɔ bubu me aɖabaƒoƒo 5-10 be wò dzi nadze eme. Gbugbɔ gbɔgbɔ sesĩe. Emegbe trɔ yi vidzĩa gbɔ.
Vidzĩ ƒe avifafa mawɔ nuvevii o, gake ne woʋuʋui la, ate ŋu agblẽ nu le eŋu vevie.
Azɔ hã, ne èle viwòa nam ame bubu (vidzikpɔla, vidzikpɔla) la, tia wo nyuie. Kpɔ egbɔ be wona wonya nu tso afɔku siwo le Shaken Baby Syndrome me ŋu nyuie. Mègagblẽ viwòa ɖe amesi dzi mèka ɖo bliboe o gbɔ gbeɖe o.
Gbedasi si Wotsɔ Yi Aƒeme
- Shaken Baby Syndrome nye ahɔhɔ̃ me abi gã aɖe si wua ame, si vidzĩ ʋuʋu sesĩe hena vɛ.
- Esi vidzĩwo ƒe kɔ gbɔdzɔ eye woƒe ta lolo ne wotsɔe sɔ kple woƒe ŋutilã ta la, afɔku sia te ŋu dzea wo dzi bɔbɔe.
- Enye nusi sɔ be dzi naɖe le ƒowò ahado dziku ne viwòa le avi fam madzudzɔmadzudzɔe, gake ele vevie be nàɖu seselelãme mawo dzi.
- Ne èse le ɖokuiwò me be yemate ŋu aɖu nɔnɔmea dzi o la, da vidzĩa ɖe teƒe si le dedie eye nàɖe afɔ vie be yeƒe dzi nadze eme. Mègahe ɖe megbe gbeɖe le kpekpeɖeŋu biabia me o.
- Woate ŋu axe mɔ ɖe nɔnɔme sia nu 100%. Wò nyanya kple dzigbɔɖi axɔ viwòa ɖe agbe.
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