Zi geɖe la, míekpɔnɛ le sinimawo kple television dzi dramawo me be ne ame aɖe no aɖi alo no atikekui geɖe la, wokplɔnɛ yia kɔdzi eye wowɔa ‘dɔgboklɔ’. Wodea mɔ̃ aɖe eme eye woɖea nusiwo le dɔgboa me la doa goe. Le nyateƒe me la, esiae nye nusi míeyɔna le atikewɔwɔ me be ‘Gastric Lavage’ alo ‘Stomach Pumping’. Kpuie ko la, dɔgbo kɔklɔ. Gake ɖe esia le bɔbɔe abe alesi wòdzena le sinimawo me enea? Ðe wowɔa esia le aɖi ƒe nɔnɔme ɖesiaɖe mea? Mina míaƒo nu tso esia ŋu egbea.
Nuka tututue nye Gastric Lavage?
Kpuie ko la, esia nye atikewɔwɔ si me wozãa mɔ̃ aɖe tsɔ ɖea nusiwo le wò dɔgbo me ɖa le. Esia bia be nàde mɔ̃ tsɛ aɖe to wò ŋɔti alo nu me ɖe wò dɔgbo me, atsɔ tsi alo dzetsi sue aɖe ato eme, eye emegbe nàtsɔ tsi si le wò dɔgbo me la ado goe. Esia fia be wole dɔgboa klɔm hele eŋu kɔm, eye le ɣeyiɣi ma ke me la, wole emenuwo ɖem ɖa.
Nɔnɔme kawo mee ‘Dɔdomepɔmpi’ hiã le?
Ame geɖe nya esia be enye atikewɔwɔ kpata. Ẽ, nyateƒee. Eɖanye ame aɖe no aɖi alo no atike wògbɔ eme o , wozãa mɔnu sia tsɔ ɖea ame ƒe agbe to aɖia ɖeɖe le dɔgboa me hafi woate ŋu age ɖe ŋutilãa me.
Gake menye nɔnɔme kpata mawo ta koe wozãa atike sia le o, ke le susu bubuwo hã ta.
- Ðe nyaƒoɖeamenu si le dɔgboa me dzi kpɔtɔ ne nuɖuɖu, tsi, alo ya yɔe fũ.
- Klɔ ʋu si le dodom le dɔgboa me fũu akpa.
- Tsɔ wò dɔgbo ƒuƒlu eye nàkɔe hafi nàwɔ dɔ gã aɖe nɛ. Esia ate ŋu akpe ɖe ŋuwò be dɔgboa me nuwo nagayi dzi le wò ŋɔti me le amekoko me o.
| Nɔnɔme siwo me wòahiã be woaɖe dɔgboa ɖa le | Atikewɔwɔ ƒe mɔnu siwo wozãna tsɔ klɔa dɔgbo |
|---|---|
| Aɖi ƒe nuɖuɖu/Aɖiɖuɖu | Dɔgbo ƒe dɔwɔwɔ na ame |
| Nɔnɔme siwo hea dɔgboa ƒe tsi ƒuƒlu ɖe megbe (Gastroparesis) . | Yaƒoƒo si kpena ɖe ame ŋu |
| Dɔgbo suewo ƒe xexe | Dɔgbo me acid dodokpɔ |
| Ʋuʋudedi kple ʋuʋudedi si nɔa anyi ɖaa | Hafi woawɔ dɔlékuiwutike (Upper Endoscopy) . |
| Ʋu si le dodom le nuɖuɖumeŋusẽ ƒe akpa si le etame |
Ðe dɔgbo me tsilele bɔ le nɔnɔme kpatawo me fifia?
Ne míagblɔe tututu la, mebɔ abe tsã ene o. Vevietɔ abe aɖi ƒe atike ene. Nyitsɔ laa la, aɖiŋutinunyalawo ƒe habɔbɔ xɔŋkɔ siwo le xexeame kafui be menye dɔgbo me tsi ɖeɖekoe nye atike si woatsɔ ada aɖinuwo katã o, ke boŋ woabu atikewɔwɔ bubuwo ŋu. Le go aɖewo me la, atikewɔwɔwo abe activated charcoal ene ate ŋu anɔ dedie wu eye woawɔ dɔ nyuie wu. Eya ta ɖɔktawo nɔa te ɖe nu geɖe dzi ɖoa atikewɔwɔ si sɔ wu, siwo dometɔ aɖewoe nye dɔnɔa ƒe nɔnɔme, aɖi ƒomevi si wòɖu, kple ɣeyiɣi si va yi.
Aleke tututu atikewɔwɔ sia wɔa dɔe?
Woate ŋu ama ɖoɖo sia ɖe akpa vevi etɔ̃ me.
1. Dzadzraɖo: Ne èva ɖo kɔdzi la, ɖɔktawo kple dɔnɔdzikpɔlawo alé ŋku ɖe wò dzesi veviwo ŋu edziedzi - abe wò dzi ƒe tsotso, ʋu ƒe sisi, kple gbɔgbɔ ƒe tsotso ene. Ne èle ŋudzɔ la, woaɖe alesi woawɔe la me eye woaxɔ wò lɔlɔ̃nu. Ne ehiã la, woate ŋu ade gbɔgbɔtsixe ƒe mɔ̃ aɖe eme be dɔgboa me nuwo nagage ɖe wò lãkusi me le dɔa wɔwɔ me o.
2. Intubation: Esia bia be nàde tube aɖe wò dɔgbo me eye nàtsɔe aƒo ƒu kple pɔmpi si le gota. Ne wotsɔ mɔ̃ sia to wò ŋɔti me la, woyɔnɛ be ``nasogastric tube'', eye ne wotsɔe to wò nu me la, woyɔnɛ be ``orogastric tube.'' Zi geɖe la, wozãa mɔ̃ si keke vie, si wotsɔ dea wò nu me tsɔ klɔa wò dɔgbo.
- Woate ŋu awɔ esia ne mlɔ anyi dzɔdzɔe alo nàtrɔ ɖe miame eye nàɖiɖi ta vie.
- Mewua atike aɖe tsɔ ƒua gbe ɖe nye ŋɔti me. Esia ɖea vevesese kple vevesese dzi kpɔtɔna ŋutɔ.
- Nu sue aɖe si wotsɔ ɖua nu la le nu me be wòagaɖu nu le mɔ̃a me o.
- Dzidze mɔ̃ si nèhiã na wò dɔgbo ƒe didime eye nàde dzesii.
- Wotsɔa ami nyui aɖe si ami na mɔ̃a ƒe nugbɔ eye wotsɔa wò toa wò ŋɔti me vivivi yia wò dɔgbo me. Ne èle ŋudzɔ le ɣeyiɣi sia me la, woabia tso asiwò be nàno tsi aɖe. Esia akpe ɖe mɔ̃a ŋu wòage ɖe eme bɔbɔe wu.
- Kpɔ egbɔ 100% be tube la le dɔgboa me.Wowɔa X-ray dodokpɔ, alo woɖea tsi sue aɖe tso mɔ̃a me eye wokpɔa eƒe acid (pH) ɖa.
3. Gastric Suctioning/Lavage: Ne woɖo kpe edzi be mɔ̃a le teƒea vɔ la, wotsɔa tsi sue aɖe (tsi alo dze) toa mɔ̃a me yia dɔgboa me. Le aɖabaƒoƒo ɖeka alo eve megbe la, woɖea tsi si le eme la kpena ɖe nusiwo le dɔgboa me ŋu. Wowɔa esia zi geɖe vaseɖe esime tsi si trɔna gbɔna la nakɔ keŋkeŋ. Ɣeaɖewoɣi la, wotsɔa dzoka xɔxɔ si wotsɔ wɔa dɔe dea tsi mamlɛtɔa me. Esia kpena ɖe ame ŋu wòléa aɖi susɔe ɖesiaɖe si ge ɖe dɔgboa me eye wòtsɔa aɖuɖɔa ƒua gbe.
Ðe wòvea ame ne èwɔ esiaa? Ne míagblɔe tututu la, ate ŋu adzɔ be nàse le ɖokuiwò me vie eye nane le dodom le wò ŋɔti me ne ètsɔ mɔ̃a de eme heɖee do goe. Gake atikewɔlawo wɔa woƒe ŋutete ɖesiaɖe be woaɖe ema dzi akpɔtɔ. Vevesese aɖeke meli ne woɖe nuawo le dɔgboa me o.
Ɣekaɣie wòle be nàtso nya me be yeaklɔ dɔgboa ne aɖi le eme?
Esia le vevie ŋutɔ. Esia mewɔa dɔ na aɖi ɖesiaɖe o. Ðɔktaa wɔa nyametsotso sia ne ebu nu geɖe ŋu vɔ.
| Nyametsotsowo wɔwɔ le dɔgbo ƒe pɔmpi ŋu | |
|---|---|
| Wozãa atikewɔwɔ sia zi geɖe ne: | |
| Ne womeɖu aɖia o ɣeyiɣi didi aɖe (zi geɖe la, le gaƒoƒo ɖeka me). | |
| Ne aɖi si woɖu la nye esi nu sẽ ŋutɔ, si ate ŋu ade ame ƒe agbe afɔku me . | |
| Ne atike bubuwo (abe Activated Charcoal ene) mesɔ gbɔ o alo womate ŋu ana wo o. | |
| Nɔnɔme siwo me atikewɔwɔ sia mesɔ o alo afɔku ate ŋu anɔ eme: | |
| Ne woɖu nusiwo hea abi vɛ (e.g. acid, kerosene). (Nu siwo gblẽ ate ŋu adzi ɖe edzi ne wotsɔ mɔ̃a de eme). | |
| Ne dɔnɔa ƒe susu megale dɔ wɔm o alo eƒe susu megale dɔ wɔm o (evɔ womede yaƒoƒomɔ̃a ta o). | |
| Ne dɔnɔa le alɔ̃madɔmadɔ (fit) . | |
| Ne gaƒoƒo geɖe va yi tso esime woɖu aɖia (elabena woxɔ aɖia xoxo kaka ɣemaɣi). |
Ɣekaɣie wòle be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake
Ne wò alo ame aɖe si dzi nèkpɔna susui be yeno atike vɔ̃ɖiwo wògbɔ eme, yeno aɖi, alo yeno aha sesẽ la, ele be nàyi atikewɔƒe enumake kaba . Nɔ ŋudzɔ ɖe dzesi siwo gbɔna ŋu:
Vevietɔ wu: Mègadze agbagba gbeɖe be yeana ame naɖe aɖuɖɔ alo awɔ atike bubuwo le aƒeme o. Atikewɔlawo ƒe aɖaŋuɖoɖo hiã vevie. Ne ɖikeke le ŋuwò la, àte ŋu aƒo ka na Dukɔa ƒe Aɖi Ŋuti Nyatakaka Dɔwɔƒe si le Colombo Dukɔa ƒe Kɔdzi hã axɔ aɖaŋuɖoɖo.
| Nuxlɔ̃amedzesiwo kpata be aɖi le ame ŋu | |
|---|---|
| Taɖuame | Aɖuɖɔtoe kple ʋuʋudedi |
| Dzi ƒe tsotso | Yagbɔgbɔ sesẽ |
| Dzobibi le nu me kple eƒe golɔgoewo me | Atikewo ƒe ʋeʋẽ le gbɔgbɔa dzi |
| Alɔ̃madɔmadɔ | Dzimaɖitsitsi |
| Alɔ̃dɔdɔ alo ame ƒe susu ƒe dɔmawɔmawɔ nyuie | Susu me tɔtɔ |
| Ne dzesi siawo le ŋuwò la, yi Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) si te ɖe ŋuwò enumake! | |
Gbedasi si Wotsɔ Yi Aƒeme
- ‘Dɔdome Pɔmpi’ mele bɔbɔe abe alesi woɖenɛ fiana le sinimawo me ene o, enye atikewɔwɔ si dɔwɔla siwo wona hehee wɔna le atikewɔwɔ ƒe susu tɔxɛ aɖewo ta.
- Wozãa atike sia koŋ ne aɖi sesẽ aɖe le ame ŋu (le ɣeyiɣi kpui aɖe ko me tso esime wòdzɔ) kple atikewɔwɔ ƒe hiahiã bubuwo.
- Dɔgbo me tsilele mesɔ na aɖi ɖesiaɖe o. Wò ɖɔkta akpɔ atikewɔmɔnu si sɔ wu eye wòle dedie wu na dɔnɔa.
- Ne ɖikeke suetɔ kekeake gɔ̃ hã li be aɖi le ame ŋu la, mègadze agbagba be yeadae le aƒeme o, ke boŋ yi kɔdzi ƒe Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) enumake.
- Ne dzimaɖitsitsi alo nyabiase aɖewo le asiwò ku ɖe esia ŋu la, mègavɔ̃ be yeaƒo nu kple wò ɖɔkta gaglãa o.
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