Fa no sɛ, obi koko mu yaw kɛse mpofirim, osusuw sɛ komayare, na wɔde no kɔ ayaresabea. Wɔ bere a ɛte saa mu no, hokwan kɛse wɔ hɔ sɛ mogya a ɛbɛtɔ wɔ ntini a ɛde mogya kɔ koma no mu no mu na esiw saa ntini no ano. Ɛnnɛ, yɛrebɛka aduru titiriw bi a ano yɛ den yiye a nnuruyɛfo de siw mogya a ɛbɛtɔ wɔ nsɛm a egye ntɛmpɛ ne nea emu yɛ den saa mu ho asɛm. Eyi nyɛ aduru a wɔtaa de di dwuma wɔ fie, na mmom wɔde ma wɔ ayaresabea nkutoo.
Sɛ yɛbɛka no tiawa a, dɛn ne Abciximab?
Abciximab (momma yɛmfrɛ no ‘abciximab’) yɛ aduru a ano yɛ den yiye a esiw mogya a ɛbɛtɔ ano. Ne brand din ne ReoPro. Yɛwɔ mogya mu nkwammoaa kɔkɔɔ, nkwammoaa ketewaa bi a ɛwɔ yɛn mogya mu. Mpɛn pii no, sɛ yɛtwa a, mogya nkwammoaa yi boaboa ano ma ɛyɛ akisikuru ma mogya no gyae. Ɛno yɛ ade pa.
Nanso, sɛ mogya nkwammoaa yi boaboa ano wɔ koma no mogya ntini mu bere a komayare bi rekɔ so na ɛma mogya tu a, ebetumi asiw mogya a ɛkɔ koma no mu no ano koraa anaa ne fã bi. Ɛno ne nea ɛyɛ hu.
Saa aduru a wɔfrɛ no Abciximab yi siw saa mogya nkwammoaa no kwan sɛ ɛbɛbata ho na ayɛ mogya a ɛho nhia.
Wɔde eyi di dwuma titiriw ma:
- Bere a komayare bi asi no.
- Wɔn a wɔn moma so yɛ wɔn yaw a entumi nnyina (angina a entumi nnyina) fam no.
- Bere a wɔde coronary artery bypass grafting (angioplasty ne stenting) reyɛ ne bere a wɔayɛ no akyi.
Wɔde saa aduru yi ma sɛ wɔde twitwiw ntini mu anaasɛ wɔde gu ntini mu, te sɛ nkyene. Wɔyɛ eyi wɔ ayaresabea bere nyinaa, wɔ nnuruyɛfo ne ayarehwɛfo hwɛ ase koraa.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom saa aduru yi
Esiane sɛ eyi yɛ aduru a tumi wom yiye nti, ɛho hia yiye sɛ wobɔ w’aduruyɛfo kuw no amanneɛ wɔ aduruyɛ mu tebea foforo biara a wowɔ anaa nnuru afoforo a wonom ho. Sɛ nneɛma a ɛwɔ pon a ɛwɔ ase ha no mu biara fa wo ho a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo.
| Tebea anaa asɛm a esii bere bi a atwam | Dɛn nti na ɛsɛ sɛ woka kyerɛ oduruyɛfo no? |
|---|---|
| Mogya a ɛtɔ ho haw anaa mogya mu tebea biara a ɛnteɛ. | Saa aduru yi ma asiane a ɛwɔ hɔ sɛ mogya bɛtɔ wo no yɛ kɛse, na sɛ wowɔ tebea a ɛte saa dedaw a, ebetumi ayɛ asiane. |
| Tebea bi te sɛ amemene mu akisikuru anaa mogya ntini mu ntini a ɛyɛ den. | Asiane a ɛwɔ hɔ sɛ mogya bɛtu afi mmeae a ɛtete saa no kɔ soro. |
| Mogya mmoroso a wontumi nni so. | Mogya mmoroso betumi ama mogya atɔ amemene no mu. |
| Sɛ woanya akisikuru pɛn a. | Asiane no yɛ kɛse titiriw sɛ mogya a ɛretu na ɛde ɔyare no ba a. |
| Akwanhyia anaa oprehyɛn a emu yɛ den nnansa yi. | Oprehyɛn akuru no betumi asan mogya atu bio. |
| Sɛ woanom aduru a ɛma mogya yɛ mmerɛw te sɛ warfarin wɔ dapɛn a atwam no mu a. | Asiane wɔ hɔ sɛ mogya bɛtɔ no dodo esiane nnuru abien no nyinaa dwumadi nti. |
| Tebea bi te sɛ vasculitis (mogya ntini a ɛyɛ hyew). | Eyi betumi ama mogya atu afi mogya ntini a ayɛ mmerɛw mu. |
| Sɛ woanya abciximab, nnuru afoforo, nnuan, anaa protein ahorow a wonya fi mprako mu ho akisikuru a. | Ɛho hia sɛ wɔbɔ eyi amanneɛ na wɔasiw akisikuru a emu yɛ den ano. |
| Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaa worema nufu a. | Ɛsɛ sɛ oduruyɛfo no susuw nkɛntɛnso a ebetumi anya wɔ akokoaa anaa akokoaa a ɔrema nufu so no ho. |
So ɔhaw ahorow betumi aba wɔ nnuru afoforo ho?
Yiw, koraa. Ɛsɛ sɛ woka nnuru afoforo a worenom nyinaa (wɔakyerɛw ama wo, a wɔmfa nnuru nhyɛ mu, nhabannuru a wɔde yɛ nnuru, vitamin ahorow) kyerɛ wo duruyɛfo bere a worenom saa aduru yi. Saa aduru yi betumi ne nea edidi so yi adi nkitaho, titiriw:
- Nnuru afoforo a ɛma mogya yɛ mmerɛw: Nnuru te sɛ Aspirin, Clopidogrel, Ticlopidine, Dipyridamole.
- Nnuru a ɛma mogya yɛ mmerɛw: Nnuru a ano yɛ den a wɔde ma wɔ komayare mu te sɛ Alteplase, Reteplase, ne Streptokinase.
- Nnuru afoforo a ɛma mogya yɛ mmerɛw ne nnuru a wɔde sa yare: Nnuru te sɛ Warfarin, Enoxaparin (Clexane), Dalteparin, Argatroban.
- Nnuru a wɔde kum ɛyaw (NSAID): Nnuru te sɛ Ibuprofen, Naproxen, Diclofenac.
- Nneɛma a wɔde nhabannuru yɛ: Nneɛma a nneɛma te sɛ galik, ginger, ginkgo, feverfew wom.
Sɛ wɔde saa nneɛma yi bom di dwuma a, asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no dodo no yɛ kɛse. Enti ɛho hia paa ma w’ahobammɔ sɛ wobɛka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo.
Nneɛma bɔne bɛn na ebetumi afi aduru no a wɔnom mu aba?
Te sɛ aduru biara no, Abciximab betumi de ɔhaw ahorow aba. Esiane sɛ wowɔ ayaresabea nti, adwumayɛfo no bɛhwɛ wo bere nyinaa wɔ eyinom ho. Nanso sɛ wote nka sɛ biribi a ɛyɛ soronko a, ɛsɛ sɛ wobɔ ho amanneɛ ntɛm ara.
| Nsɛnkyerɛnne a emu yɛ den a ɛsɛ sɛ wɔbɔ oduruyɛfo anaa ɔyarehwɛfo amanneɛ ntɛm ara | |
|---|---|
| Nneɛma a ɛma obi ho yɛ no yaw | Honam ani akisikuru, ɛyaw, anim, ano anaa tɛkrɛma a ɛho ahonhon, ɛyɛ den sɛ wobɛhome. |
| Nsɛnkyerɛnne a Ɛkyerɛ sɛ Mogya Retu |
|
| Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare a ɛma obi hwe ase | Tiyɛ a emu yɛ den mpofirim, kasa a ɛyɛ den, anim, nsa anaa nan a ɛyɛ mmerɛw mpofirim anaa ɛyɛ mmerɛw, anisoadehu mu nsakrae. |
| Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm (nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ) . | |
| Akyi yaw | Adwene a ɛyɛ basaa |
| Tipaeɛ | Akisikuru anaa yafunu a ɛnyɛ dɛ |
Saa nsɛm a wɔahyehyɛ yi nka nsunsuanso bɔne a ebetumi aba nyinaa ho. Sɛ wuhu sɛnkyerɛnne biara a ɛyɛ soronko a, nsuro sɛ wo ne w’aduruyɛfo kuw no bɛka ho asɛm.
Na sɛ wɔma aduru no dodow kɔ soro nso ɛ?
Ayaresabea adwumayɛfo de ahwɛyiye kɛse na ɛde saa aduru yi ma, enti enhia sɛ wohaw wo ho wɔ dodow a ɛboro so ho. Wɔde dodow a ɛfata bɛma. Sɛ wuhu sɛnkyerɛnne biara a ɛyɛ soronko a, ka kyerɛ ayaresabea adwumayɛfo no ntɛm ara. Wɔ Sri Lanka no, wubetumi afrɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no nso akɔhwehwɛ afotu wɔ ɔhaw biara a ɛfa nnuru ho. Sɛ biribi si ntɛm a, wɔde wo bɛkɔ Emergency Treatment Unit (ETU) ntɛm ara.
Nkrasɛm a Wɔde Kɔ Fie
- Abciximab yɛ aduru a tumi wom yiye a wɔde ma wɔ ayaresabea nkutoo de siw mogya a ɛbɛtɔ wɔ tebea horow a egye ntɛmpɛ te sɛ komayare mu ano.
- Ɛho hia yiye sɛ wobɛka aduruyɛ mu tebea foforo biara a wowɔ (titiriw nea ɛfa mogya a ɛtɔ ho), nneɛma a ɛma obi ho yɛ no hyew, ne nnuru afoforo a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo.
- Asiane titiriw a ɛwɔ aduru yi mu ne mogya a ɛbɛtɔ. Enti, sɛ wuhu sɛnkyerɛnne biara a ɛkyerɛ sɛ mogya retu, te sɛ akuru a ɛyɛ soronko, nsu tuntum, anaa mogya a ɛrefe a, bɔ nnuruyɛfo no amanneɛ ntɛm ara.
- Wɔbɛhwɛ wo yiye wɔ ayaresabea bere a wɔreyɛ saa ayaresa yi. Sɛ wowɔ adwenem naayɛ anaa nsɛmmisa bi a, ntwentwɛn wo nan ase da sɛ wubebisa wo duruyɛfo anaa ɔyarehwɛfo.
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