So wohaw wo ho kakra nso sɛ wo nnompe bɛyɛ mmerɛw bere a woanyin no? Anaasɛ wo duruyɛfo akyerɛw wo aduru bi a ɛbɛma wo nnompe mu ayɛ den? Sɛ saa a, asɛm yi bɛyɛ nea ɛho hia wo paa. Ɛnnɛ yɛrebɛka aduru bi a ɛho hia kɛse ma nnompe, titiriw ma tebea horow te sɛ
nnompe mu yare ho asɛm . Ɛyɛ nnuru abien a wɔfrɛ no `(Alendronate)` ne `(Cholecalciferol)` a wɔaka abom.
Dɛn ne aduru yi? Sɛ yɛbɛka no tiawa a...
Saa aduru yi a wɔfrɛ no `(Alendronate; Cholecalciferol) wɔ nnuru ahorow abien titiriw. 1.
`(Alendronate)` (Alendronate): Wɔde eyi di dwuma de tew calcium (`
Calcium `) a ɛyera fi wo nnompe mu no so. Sɛ yɛbɛka no pɛpɛɛpɛ a, ɛboa ma wo nnompe mu yɛ den. Wɔtaa de ma sɛ ɔyare bi a wɔfrɛ no
osteoporosis , tebea a nnompe yɛ mmerɛw na ɛyɛ mmerɛw no sa. 2.
`(Cholecalciferol)` (Cholecalciferol): Eyi ne nea yenim sɛ
vitamin D3 `( vitamin D3)` .
Vitamin D boa nipadua no ma ɛtwe calcium a ɛwɔ aduan a yedi mu no. Enti, calcium ne vitamin D ho hia ma nnompe a ɛyɛ den. Enti, nnuru abien yi a wɔde ka bom no betumi aboa ma woabɔ wo
nnompe akwahosan ho ban . Ɛtɔ da bi a, wobetumi de saa aduru yi nso ama nnipa afoforo a wɔn nnompe betumi ayɛ mmerɛw. Afei nso, ebia wo duruyɛfo bɛkyerɛw saa aduru yi ama tebea foforo. Sɛ wowɔ nsɛmmisa bi fa ho a, bisa wo duruyɛfo anaa nnuruyɛfo. Edin a agye din a wɔde frɛ saa aduru yi ne `(Fosamax Plus D)`.
Nneɛma bɛn na ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom saa aduru yi?
Eyi yɛ asɛm a ɛho hia paa. Ansa na wubefi saa aduru yi ase no,
ɛsɛ sɛ woka kyerɛ wo duruyɛfo anaa ɔyarehwɛfo no ampa sɛ wowɔ tebea horow a edidi so yi mu biara a. Efisɛ ɛno ansa na wobetumi asi gyinae sɛ ebia saa aduru yi fata wo anaasɛ ɛnsɛ, ne sɛnea wɔde bɛma.
- Mogya a ɛtɔ kɔ nipadua no mu : Ɛne sɛ, sɛ mogya tu wo ntɛmntɛm anaasɛ wowɔ ɔhaw ahorow wɔ mogya a ɛtwetwe ho a .
- Kokoram: Ɛnyɛ hwee sɛ wɔbɛsa wo yare wɔ kokoram tebea bi ho, sɛ wowɔ bi a.
- Nsõ ho haw: Nneɛma te sɛ sẽ a ɛyɛ yaw ne anom yare.
- Nsɛnnennen a ɛwɔ sɛ wobɛmene: Sɛ ɛyɛ den ma wo sɛ wobɛmene aduan ne anonne a.
- Vitamin D a ɛdɔɔso wɔ nipadua no mu: Sɛ vitamin D dodow a ɛwɔ mogya no mu dɔɔso sen dodow a wɔkamfo kyerɛ no koraa a.
- Nipadua mu yareɛ: Sɛ wowɔ yareɛ bi a ɛwɔ sɛnkyerɛnne te sɛ atiridiinini, atiridiinini, ɔfe, menewa mu yaw, ne ɛyaw bere a woretotɔ nsuo a.
- Asaabo mu yare: Sɛ ɔhaw bi wɔ asaabo no ho a.
- Calcium anaa nneɛma afoforo a ɛwɔ mogya no mu a ɛba fam: Tebea ahorow te sɛ calcium a enni nipadua no mu.
- Mogya mu nkwammoaa kɔkɔɔ a ɛwɔ mogya no mu a ɛso tew (anemia).
- Steroid a wobɛnom: Sɛ nhwɛso no, sɛ wode nnuru te sɛ Dexamethasone anaa Prednisone redi dwuma a.
- Yafunu anaa dwensɔtwaa mu haw: Nneɛma te sɛ yafunu mu yare, dwensɔtwaa mu akuru.
- Ɛyɛ den sɛ wobɛtra ase anaa wubegyina hɔ simma 30 bere koro mu: Sɛ wuntumi nyɛ saa a.
- Sɛ woanya aduru yi (Alendronate, Cholecalciferol) anaa aduru foforo biara, aduan, ade a wɔde yɛ nneɛma, anaa ade a wɔde siw ano ho adwene a ɛyɛ wo yaw a.
- Sɛ woanyinsɛn, anaasɛ wowɔ anidaso sɛ wobɛwo akokoaa daakye a enni akyiri a.
- Sɛ woyɛ ɛna a worema akokoaa nufu a.
Mfɛre sɛ wobɛka saa nsɛm yi, efisɛ w’ahobammɔ ne ade a ɛho hia sen biara.
Ɔkwan bɛn so ankasa na ɛsɛ sɛ mede saa aduru yi di dwuma?
Eyi yɛ biribi a ɛsɛ sɛ wɔde ahwɛyiye kɛse yɛ. Efisɛ sɛ wode saa aduru yi di dwuma wɔ ɔkwan a ɛnteɛ so a, hokwan kɛse wɔ hɔ sɛ wubenya nsunsuanso bɔne bi. Enti ma eyi ntra w’adwenem.
- Ɛsɛ sɛ wɔnom saa aduru yi wɔ anom. Fa nsu kuruwa a ɛyɛ ma nom .
- Fa yɛ wo su sɛ wobɛnom eyi dapɛn no mu da koro, bere koro no ara, sɛnea wo duruyɛfo atu wo fo no.
- Ɛyɛ papa sɛ wobɛnom eyi bere a woasɔre anɔpa ara pɛ , ansa na woadi anaa woanom biribi foforo biara.
- Nnom biribi foforo biara sɛ nsu ansa na woanom saa aduru yi. Mfa no nka tii, kɔfe, nufusu, nnuaba nsu, ne nea ɛkeka ho Nsu nkutoo.
- Mma nwe anaasɛ nsɛe tablet no. Mene no nyinaa.
- Sɛ wonom aduru no wie a, nni anɔpaduan, nnom biribi foforo biara (gye nsu), anaa nnom nnuru anaa vitamin foforo biara anyɛ yiye koraa no simma 30.
- Nea ɛho hia sen biara: Sɛ wonom aduru no wie a, anyɛ yiye koraa no, tra ase anaa gyina hɔ tẽẽ simma 30. Mfa wo ho to fam anaasɛ mfa nna fam. Eyi boa ma aduru no du yafunu no mu yiye na ɛmma ɛnkyere wo menewam.
- Kɔ so fa saa aduru yi di dwuma kosi sɛ wo duruyɛfo bɛka akyerɛ wo sɛ gyae.
Sɛ wonya saa aduru yi firi nnurutɔnbea a, wɔbɛma wo akwankyerɛ krataa soronko bi (a `MedGuide`). Hwɛ sɛ wobɛkenkan saa krataa no yie berɛ biara a wobɛnya w'aduru anaa wobɛnya `refill`. Nsɛm pii a ɛho hia ma wo wom.
Sɛ wode saa aduru yi rema mmofra a: Ɛsɛ sɛ wohwɛ yiye titiriw bere a wode aduru yi redi dwuma wɔ mmofra mu no. Enti, wo ne wo duruyɛfo nkasa wɔ eyi ho na nya afotu.
Sɛ wonom pii a, dɛn na ɛsɛ sɛ woyɛ? Sɛ wususuw sɛ woanom aduru yi dodo a,
kɔ ayaresabea a ɛbɛn wo no dwumadibea a wɔhwɛ ntɛmpɛ so anaa frɛ baabi a wɔhwɛ awuduru so ntɛm ara. Nsɛm a ɛho hia: Wɔakyerɛw saa aduru yi
ama wo nkutoo. Mfa mma wo nnamfo anaa w’abusuafo da, sɛ wususuw sɛ wohyia ɔhaw koro no ara mpo a.
Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?
- Wonom saa aduru yi pɛnkoro da biara, enti sɛ wo werɛ fi a: Twaw dodow a woayera no so saa da no. Nha wo ho. Fa dodow a edi hɔ no wɔ bere a wɔtaa de di dwuma no mu adekyee anɔpa. Mfa nnuru abien da koro.
- Wonom saa aduru yi pɛnkoro dapɛn biara, na sɛ wo werɛ fi sɛ wobɛnom a: Fa dodow a woayera no anɔpa a woakae akyi. Afei fa wo dodow a edi hɔ no da a wotaa fa wɔ dapɛn no mu no. Nanso nnom nnuru abien da koro da.
Nneɛma afoforo a ebetumi ne saa aduru yi adi nkitaho (`Nkitahodi`) .
Yiw, saa aduru yi betumi ne nnuru, nnuan, ne nnuru afoforo bi adi nkitaho. Eyi kyerɛ sɛ sɛ wɔbom ka a, ebetumi asakra sɛnea aduru yi yɛ adwuma yiye anaasɛ ɛbɛma ne nsunsuanso bɔne no ayɛ kɛse. Enti, ka nnuru a worenom (wɔakyerɛw ama wo, a wontɔn, nhabannuru, vitamin, anaa aduannuru) nyinaa ho asɛm kyerɛ wo duruyɛfo. Afei nso, sɛ wonom sigaret, wonom nsa, anaa wode nnubɔne foforo di dwuma a, ka kyerɛ wo
duruyɛfo . Nneɛma bi a ebetumi ne aduru yi adi nkitaho ni:
- Nnuru a wɔde sa yafunu mu yare ne yafunu mu yare (`Antacids`) .
- Aspirin ne nnuru a ɛte sɛ aspirin
- Calcium a wɔde ma, titiriw nea ɛka vitamin D ho no
- Nnuru bi a ɛtew mogya mu srade so (sɛ nhwɛso no, Cholestyramine, Colestipol) .
- Nnuru a ɛtew yafunu mu acid so (e.g. Cimetidine, Ranitidine) .
- `(Corticosteroids)` (aduru a ɛte sɛ steroid) .
- Iron a wɔde ma
- Magnesium a wɔde ma
- `(Ngo a ɛwɔ aboɔden abo mu)`
- Nnuru a wɔde kum ɛyaw ne nnuru a ɛko tia ɔyare mmoawa (NSAIDs - e.g. Ibuprofen, Naproxen) .
- `(Orlistat)` (aduru a ɛma obi mu duru so tew) .
- Nnuru bi a wɔde sa akisikuru (e.g., `(Phenobarbital)`, `(Phenytoin)`) .
- Phosphorous a wɔde ka aduan ho
- Aduru foforo a wɔde sa akisikuru (`(Primidone)`) .
- Nnuru a wɔde yɛ steroid (sɛ nhwɛso no, Prednisone, Cortisone) .
- Nnuru bi a ɛma obi tow nsu (`Thiazide diuretics`) .
- Vitamin ahorow a ɛne minerals ba, titiriw nea vitamin D wom.
Saa nsɛm a wɔahyehyɛ yi nyɛ nea edi mũ, enti ɛbɛyɛ papa sɛ wobɛka biribiara a wobɛnom ho asɛm akyerɛ wo duruyɛfo .
Ahwɛyiye titiriw bɛn na ɛsɛ sɛ wɔyɛ bere a wɔrenom aduru yi?
- Kɔ so ne wo duruyɛfo nni nkitaho daa. Wɔde wo bɛkɔ akɔhwɛ sɛnea woreyɛ wɔ aduru no ho.
- Ebia ebegye bere kakra ansa na woahu nea afi aduru yi mu aba. Enti mma ɛnhaw wo, kɔ so de di dwuma sɛnea wo duruyɛfo kyerɛ no ara kwa.
- Ebia nnipa binom bɛte yaw kɛse wɔ wɔn nnompe, wɔn nkwaa, anaa wɔn ntini mu bere a wɔrenom aduru yi. Saa aduru yi nso betumi ama obi anya anom haw anaasɛ ɛbɛma asiane a ɛwɔ hɔ sɛ asen dompe bebubu no ayɛ kɛse . Sɛ wote ɛyaw a emu yɛ den wɔ wo hwene, wo nnompe, wo nkwaa, anaa wo ntini mu a, ka kyerɛ wo duruyɛfo ntɛm ara. Afei nso, sɛ wowɔ ɛyaw bi a ɛnkɔ anaasɛ ɛnkɔ so yɛ den a, ka kyerɛ wo duruyɛfo.
- Sɛ worekɔ akɔhwɛ sẽ ho oduruyɛfo a, ka kyerɛ no sɛ worenom saa aduru yi. Ɛsɛ sɛ wokwati sɛ wobɛyɛ wo sẽ oprehyɛn kɛse bere a worenom aduru yi no. Ɛyɛ papa sɛ wobɛkɔ sẽ ho oduruyɛfo nkyɛn akɔhwɛ wo sẽ na wasiesie ɔhaw biara ansa na woafi saa aduru yi ase. Ma wo sẽ ho ntew bere a worenom aduru yi. Hwɛ wo sẽ ho oduruyɛfo daa na woadi akyi.
- Ɛsɛ sɛ wohwɛ hu sɛ worenya calcium ne vitamin D a ɛdɔɔso bere a worenom aduru yi no. Wo ne wo duruyɛfo nkasa fa nnuan ne vitamin ahorow a worenom no ho. Ebia wobetu wo fo nso sɛ fa calcium ne vitamin D aduru a wɔde hyɛ wo nsa.
- Ɛtɔ da bi a, ebia wo duruyɛfoɔ nso bɛpɛ sɛ ɔyɛ mogya adwuma berɛ a worenom saa aduru yi.
Dɛn ne aduru yi mu nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ aduru biara no, saa aduru yi betumi de ɔhaw ahorow aba nnipa binom so. Ɛnyɛ obiara na onya bi, nanso nnipa binom betumi.
Nneɛma bɔne a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara:
Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, kɔ wo
duruyɛfo anaa ayaresabea a ɛbɛn wo nkyɛn a ɛnntwentwɛn wo nan ase.
- Nneɛma a ɛma obi ho yɛ no hyew: honam ani akisikuru, ɛyaw, ɛho ahonhon (titiriw anim, anofafa, tɛkrɛma).
- Nnompe mu yaw.
- Koma a ɛyɛ yaw: Eyi taa ba bere a wɔadi adidi anaa bere a wɔada hɔ no.
- Anom yaw: Titiriw bere a wɔasa wɔn sẽ akyi.
- Nkwaa mu yaw.
- Nsɛnkyerɛnne a ɛkyerɛ sɛ calcium dodow sua wɔ mogya mu:Koma a ɛbɔ ntɛmntɛm; ntini a ɛtwetwe anaa ɛyaw; akwaa a ɛyɛ mmerɛw anaasɛ ɛyaw wɔ nipadua no mu; akisikuru a ɛma obi ho kyere no.
- Ntini mu yaw.
- Ɛyɛ yaw anaasɛ ɛyɛ den sɛ wobɛmene.
- Kɔkɔɔ, akisikuru, honam ani a ɛyɛ mmerɛw, ne sɛnkyerɛnne a ɛte saa ara a ɛwɔ ano no mu.
- Nsɛnkyerɛnne a ɛkyerɛ sɛ mogya tu wɔ yafunu mu: Nsu tuntum a ɛyɛ tar; mogya a wɔfe a ɛyɛ te sɛ kɔfe a wɔayam.
Nsunsuansoɔ bɔne a ɛtaa nhia sɛ wɔkɔ aduruyɛ mu, nanso sɛ ɛkɔ so anaasɛ ɛhaw adwene a, ɛsɛ sɛ wobɔ wo duruyɛfoɔ amanneɛ:
Mpɛn pii no, eyinom nyɛ aniberesɛm na ebefi hɔ wɔ nna kakraa bi mu. Nanso sɛ wɔkɔ so anaasɛ wɔhaw wo a, ka kyerɛ
wo duruyɛfo .
- Ayamtim.
- Ayamtuo.
- Abofono.
- Yafunu mu yaw.
Saa nsɛm a wɔahyehyɛ yi nyɛ nea ebetumi afi mu aba nyinaa. Sɛ wuhu biribi a ɛyɛ soronko ka eyinom ho a, kɔ wo duruyɛfo nkyɛn.
Ɛhe na ɛsɛ sɛ mede saa aduru yi sie?
- Fa sie baabi a mmofra ne afieboa ntumi nkɔ hɔ . Eyi ho hia paa.
- Fa sie wɔ dan mu hyew (a ɛwɔ digrii Celsius 15 kosi 30 / digrii Fahrenheit 59 ne 86 ntam). Bɔ ho ban fi hann ne nsu ho. Ɛno kyerɛ sɛ, mfa nneɛma nsie wɔ mmeae a ɛhɔ yɛ nwini te sɛ aguaree.
- Fa aduru no sie mfitiase ade a ɛbaa mu no mu kosi sɛ wubenya.
- Mfa nnuru a ne bere atwam (nea atwam bere a ne bere atwam) nni dwuma. Tow gu sɛnea ɛsɛ.
Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .
Okay, yɛaka saa `(Alendronate; Cholecalciferol)` aduru yi ho asɛm pii, ɛnte saa? Sɛ yɛbɛbɔ no mua a:
- Eyi yɛ aduru a ɛma wo nnompe mu yɛ den , ɛtew calcium a ɛyera so, na ɛma wonya vitamin D.
- Sɛ worenom aduru no a, ɛsɛ sɛ wudi akwankyerɛ no akyi pɛpɛɛpɛ. Titiriw no, sɛ wobɛnom anɔpa a wo yafunu da mpan a nsu wom na woatra hɔ tẽẽ simma 30.
- Mma wo werɛ mmfi sɛ wobɛka nyarewa foforo biara a wowɔ ne nnuru foforo biara a wonom ho asɛm akyerɛ wo duruyɛfo .
- Sɛ wunya ɔhaw foforo biara, titiriw ɛyaw a emu yɛ den, anom haw, anaasɛ ɛyɛ den sɛ wobɛmene ade a, ka kyerɛ wo duruyɛfo ntɛm ara.
- Hwɛ wo sẽ akwahosan nso.
- Hwɛ hu sɛ worenya calcium ne vitamin D a ɛdɔɔso bere a worenom aduru yi no.
Mma ɛnhaw wo, wo duruyɛfo akyerɛw saa aduru yi ama w’akwahosan. Sɛ wowɔ nsɛmmisa anaa biribi a ɛhaw wo a, ntwentwɛn wo nan ase sɛ wo ne wɔn bɛkasa. Saa aduru yi bɛboa wo ma woakɔ so akura wo nnompe akwahosan mu!
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