So wo duruyɛfo akyerɛw aduru koro no ara ama srade a ɛkɔ soro ne mogya mmoroso nyinaa? Ebia wo nsa aka saa aduru yi wɔ edin bi te sɛ ‘Caduet’ ase. Ɛnnɛ, yɛbɛka nea saa aduru yi yɛ ankasa, nea ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom, ne nsunsuanso bɔne a ebetumi de aba no ho asɛm tiawa.
Dɛn ankasa ne aduru yi?
Sɛ yɛbɛka no tiawa a, eyi yɛ nnuru abien a wɔaka abom. Ɛno kyerɛ sɛ nnuru abien na ɛwɔ aduru biako mu. Wɔn ne Amlodipine ne Atorvastatin .
1. Amlodipine: Eyi ka nnuru kuw bi a wɔfrɛ no ‘calcium-channel blockers’ ho. N’adwuma titiriw ne sɛ ɛbɛhyɛ mogya mmoroso so. Nea ɛka ho no, saa aduru yi nso boa ma koko mu yaw a komayare, kyerɛ sɛ, angina de ba no fi hɔ.
2. Atorvastatin: Eyi ka nnuru kuw bi a wɔfrɛ no ‘statins’ ho. Ɛyɛ adwuma denam srade a ɛma mogya mu srade a ɛba yɛn nipadua mu, titiriw wɔ mmerɛbo mu no so. Eyi ho hia yiye ma mogya mu srade dodow a ɛso tew wɔ nnipa a asiane wom sɛ wobenya komayare anaa akisikuru mu. Nnuruyɛfo taa kyerɛw saa aduru yi ma nnipa a ɛyɛ den ma wɔn sɛ wɔnam aduan nkutoo so bedi wɔn srade a ɛwɔ mogya mu no so.
Enti, ɛdenam nnuru abien yi a wɔbɛka abom na wɔde ama sɛ aduru biako so no, ɛnyɛ den sɛ wobedi asiane ahorow a ɛde mogya mmoroso ne srade a ɛkɔ soro ba no nyinaa so prɛko pɛ.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi saa aduru yi ase
Ansa na wobɛkyerɛw saa aduru yi no, ɛho hia yiye sɛ wobɔ wo duruyɛfo amanneɛ wɔ w’akwahosan ho abakɔsɛm a edi mũ ho, titiriw sɛ wowɔ tebea horow a edidi so yi mu biara a:
- Sɛ wowɔ ɔhaw bi a ɛfa asanom ho a.
- Sɛ wowɔ komayare te sɛ komayare, komayare, anaa aortic stenosis a.
- Sɛ wowɔ nyarewa a ɛfa hormone ho te sɛ asikreyare anaa thyroid a ɛnyɛ adwuma yiye a.
- Sɛ wowɔ asaabo anaa mmerɛbo mu yare a (eyi ho hia paa).
- Sɛ wo mogya mmoroso a ɛba fam a.
- Sɛ wɔayɛ wo oprehyɛn nnansa yi anaasɛ woahyia akwanhyia a emu yɛ den a.
- Sɛ wowɔ tebea bi te sɛ akisikuru a.
- Sɛ wowɔ aduru yi anaa nnuru afoforo, nnuan, anaa nneɛma a wɔde sie no ho adwenemhaw a.
- Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaasɛ worema nufu (eyi ho hia yiye, efisɛ wɔmfa statin nkyerɛ bere a wonyinsɛn).
Ɔkwan bɛn so na ɛsɛ sɛ mede aduru no di dwuma?
Fa nsu kuruwa mene saa tablet yi. Fa no sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ, wɔ bere a ɛfata mu. Wubetumi anom saa aduru yi ansa na woadidi anaa bere a woadidi awie.
Nea ɛho hia: Kwati sɛ wobɛnom grapefruit nsu bere a worenom aduru yi. Anaasɛ, nsakra dodow a wonom da biara da. Grapefruit nsu betumi ne saa aduru yi ayɛ adwuma na ama aduru no dodow akɔ soro wɔ wo nipadua mu a ɛho nhia.
Sɛ wopa dose bi a, fa no bere a woakae ara pɛ. Nanso sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ a, fa saa bere no nkutoo. Mfa nnuru abien prɛko pɛ mfa nsiesie dodow a woayera no.
Afei nso, nnyae aduru yi nom mpofirim a wo ne wo duruyɛfo nkasa. Sɛ woyɛ saa a, tew dodow no so nkakrankakra na nya afotu wɔ sɛnea wubegyae ho.
Na sɛ menom nnuru pii nso ɛ?
Sɛ wususuw sɛ woanom nnuru pii a, mma wo ho nnyɛ wo hu. Frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ ntɛm ara. Anaasɛ kɔ ayaresabea a ɛbɛn wo no Emergency Treatment Unit (ETU) .
Nneɛma afoforo a ebia ɛne aduru yi bedi nkitaho
Ɛho hia paa sɛ wobɛka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo, efisɛ nnuru bi betumi ne Amlodipine/Atorvastatin adi nkitaho na ɛde ɔhaw ahorow aba.
| Nneɛma a ɛyɛ adwuma | Nhwɛso ahorow |
|---|---|
| Nneɛma a ɛnsɛ sɛ wɔka bom da | |
| Nnuru afoforo a wɔde yɛ srade a ɛte sɛ statin | Fluvastatin, Lovastatin, Pravastatin, Simvastatin, aduru a ɛma obi nya ɔyare mmoawa |
| Aburow a wɔde mmɔkaw ayɛ kɔkɔɔ | Nnuan a wɔde ka aduan ho bi wɔ mu. |
| Nnuru a ekum ɔyare mmoawa ne nnuru a ekum fungal ahorow bi | Telithromycin, Voriconazole a wɔde di dwuma |
| Nneɛma a ɛsɛ sɛ wobɔ oduruyɛfo no amanneɛ sɛnea ebetumi ama obi ayɛ n’ade | |
| Nnuru bi a wɔnom ma HIV anaa AIDS | Nnuru a wɔde ko tia ɔyare mmoawa |
| Nnuru afoforo a wɔde yɛ srade | Klofibrate, Fenofibrate, Gemfibrozil, Niacin a wɔde hyɛ nipadua mu |
| Aduru a wɔde sa fungal yare mmoawa | Itraconazole, Ketoconazole, Fluconazole a wɔde di dwuma |
| Nnuru bi a ekum ɔyare mmoawa | Clarithromycin, Nkwammoaa mu aduru a wɔfrɛ no Erythromycin |
| Nneɛma afoforo | Cyclosporine, Digoxin, nnuru a wɔde siw awo ano, bobe nsu |
Saa list yi nwie pɛyɛ. Enti ka nnuru, nhabannuru, ne vitamin a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo. Afei nso, sɛ wonom sigaret anaa wonom nsa a, ka kyerɛ no.
Nneɛma a ɛsɛ sɛ wususuw ho bere a worenom nnuru no
- Hwɛ a wobɛhwɛ wo daa: Kɔ wo duruyɛfo nkyɛn daa kɔhwɛ wo tebea no. Ebia ɛho behia nso sɛ woyɛ mogya mu nhwehwɛmu, titiriw mmerɛbo dwumadi ho nhwehwɛmu, na ama woahu sɛnea wo mmerɛbo no yɛ adwuma.
- Ntini mu yaw: Eyi ho hia yiye. Sɛ wo ntini mu yɛ wo yaw a wuntumi nkyerɛkyerɛ mu, wo ho ayɛ wo den, anaa woayɛ mmerɛw , titiriw sɛ wowɔ atiridiinini ne ɔbrɛ a, ka kyerɛ wo duruyɛfo ntɛm ara. Eyi betumi ayɛ statin nnuru no nkɛntɛnso bɔne a anibere wom ho sɛnkyerɛnne.
- Asetra kwan: Saa aduru yi yɛ nhyehyɛe bi a wɔde siw srade ne mogya mmoroso ano no fã biako pɛ. Sɛ wopɛ sɛ wunya nea eye sen biara a, ɛho hia sɛ wudi aduan a ahoɔden wom a srade nnim na srade nnim akyi, teɛteɛ w’apɔw mu daa, na wokwati sigaretnom ne nsa .
- Adwene a ɛyɛ wo yaw: Ebia wobɛte nka sɛ wo ho ayɛ wo yaw. Enti, nyɛ biribiara a ɛhwehwɛ sɛ woma w’ani da hɔ, te sɛ karka anaa mfiri a wode bedi dwuma, kosi sɛ wubehu sɛnea aduru yi ka wo.Titiriw sɛ woyɛ obi a ne mfe akɔ anim a, nsɔre mpofirim mfi baabi a wote ase.
- Asikreyare: Sɛ wowɔ asikreyare a, saa aduru yi betumi aka asikre dodow a ɛwɔ wo mogya mu. Enti wo ne wo duruyɛfo nkasa ansa na woasesa asikreyare aduru dodow anaa w’aduan.
Nsunsuanso bɔne a ebetumi afi aduru yi mu aba
Te sɛ aduru biara no, eyi betumi de ɔhaw ahorow aba nnipa binom so. Ebinom yɛ aniberesɛm, ebinom nso abu so.
| Nsunsuanso bɔne | Nkyerɛmu |
|---|---|
| Nsunsuanso bɔne a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara | |
| Nneɛma a ɛma obi ho yɛ no hyew | Wora mu akisikuru, ɛyaw, anim, ano anaa tɛkrɛma a ɛho ahonhon. |
| Ntini mu yaw/mmerɛwyɛ | Ntini mu yaw a ɛba a ntease biara nnim, a atiridii ka ho anaasɛ enni mu. |
| mmerɛbo mu haw ahorow | Nsu a ɛyɛ tumm, aniwa anaa honam ani yɛ kɔkɔɔ, ɔbrɛ a ɛtra so. |
| Nsɛnkyerɛnne afoforo a anibere wom | Koko mu yaw, koma a ɛbɔ a ɛnteɛ, nan/anansoaa a ɛho ahonhon, ɛyɛ den sɛ wobɛtow nsu. |
| Nneɛma bɔne a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo sɛ ɛkɔ so anaasɛ ɛhaw adwene a | |
| Nnuan a wɔyam no mu haw ahorow | Yafunu mu yaw, akisikuru (gas), akisikuru, akisikuru. |
| Nneɛma nketenkete afoforo | Tiyɛ, anim a ɛyɛ kurukuruwa. |
Sɛ wuhu sɛnkyerɛnne foforo biara a ɛyɛ soronko a enni saa din yi mu a, wo ne wo duruyɛfo nkasa mfa ho nso.
Nkrasɛm a Wɔde Kɔ Fie
- Eyi yɛ aduru a wɔde bom ma mogya mmoroso ne srade a ɛkɔ soro nyinaa.
- Mma nnnyae nnuru no nom mpofirim a wo duruyɛfo nka ho afotu.
- Sɛ wote ntini mu yaw a wontumi nkyerɛkyerɛ mu (titiriw bere a wowɔ atiridiinini) a, ebetumi ayɛ sɛnkyerɛnne a anibere wom. Ka kyerɛ wo duruyɛfo ntɛm ara.
- Kwati sɛ wobɛnom grapefruit nsu bere a worenom aduru yi.
- Sɛ wopɛ sɛ wunya nea eye sen biara a, ɛho hia sɛ wofa asetra pa (aduan pa, apɔw-mu-teɛteɛ) de ka nnuru a wɔnom ho.
- Ka nnuru afoforo a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo.
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