Fa no sɛ obi a ɔbɛn wo wɔ baabi a wɔhwɛ wɔn a wɔyare denneennen (ICU) esiane akwanhyia, oprehyɛn kɛse, anaa ɔyare mmoawa a emu yɛ den nti. Ɛtɔ mmere bi a, mogya mmoroso betumi akɔ fam wɔ ɔkwan a ɛyɛ hu so wɔ tebea horow yi mu. Ɛnnɛ, yɛreka aduru titiriw bi a tumi wom a nnuruyɛfo de di dwuma wɔ ɔko a ɛte saa a egye nkwa mu ho asɛm. Ɛno ne Angiotensin II.
Dɛn ankasa ne Angiotensin II?
Sɛ yɛbɛka no tiawa a, eyi yɛ aduru a ɛma mogya ntini a ɛwɔ yɛn nipadua mu no twetwe, anaa ɛyɛ teateaa. Wɔ aduruyɛ mu no, yɛfrɛ eyi ‘vasoconstrictor’. Fa no sɛ, sɛ wopiapia nsu paipu kakra a, nsu a ɛsen fa mu no nhyɛso kɔ soro, ɛnte saa? Saa ara nso na sɛ mogya ntini no twetwe a, mogya a ɛsen wɔ mu no nhyɛso kɔ soro .
Wɔtaa de di dwuma wɔ ayaresabea, titiriw wɔ baabi a wɔhwɛ wɔn a wɔyare denneennen (ICU), bere a mogya mmoroso akɔ fam akodu baabi a ɛde nkwa to asiane mu na wontumi mfa ayaresa afoforo nni dwuma no. Edin a wɔde frɛ eyi ne GIAPREZA.
Dɛn na ɛsɛ sɛ oduruyɛfo no hu ansa na wama saa aduru yi?
Ɛwom sɛ eyi yɛ aduru a wɔde ma wɔ ayaresabea wɔ nnuruyɛfo kuw bi hwɛ ase de, nanso ɛho hia yiye sɛ wo ne oduruyɛfo no susuw ɔyarefo no aduruyɛ ho abakɔsɛm a edi mũ ho. Titiriw no, ɛsɛ sɛ wɔbɔ wɔn amanneɛ fa nsɛm a edidi so yi ho:
- Allergies: Sɛ wo ho yɛ wo hyew wɔ aduru yi (Angiotensin II) anaa aduru foforo biara, aduan, aduru, anaa ade a wɔde siesie nneɛma ho a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo.
- Nyinsɛn: Ɛho hia sɛ wobɔ oduruyɛfo no amanneɛ sɛ ɔyarefo no anyinsɛn, anaasɛ ɔrebɔ mmɔden sɛ obenyinsɛn a.
- Sɛ ɔyɛ ɛna a ɔma nufu a: Sɛ ɔyarefo no yɛ ɛna a ɔma nufu a, ka kyerɛ oduruyɛfo no.
Saa nsɛm yi a wɔde bɛma no bɛboa nnuruyɛfo kuw no kɛse ma wɔde ayaresa a ahobammɔ wom na etu mpɔn sen biara ama ɔyarefo no.
Ɔkwan bɛn so na wɔde saa aduru yi di dwuma?
Eyi nyɛ aduru a wobɛmene anaasɛ aduru a wode bɛhyɛ wo honam ani. Eyi yɛ aduru a wɔde ma bere nyinaa, te sɛ nkyene, kɔ ntini mu. Yɛfrɛ no sɛ wɔde hyɛ ntini bi mu. Akwahosan ho ɔbenfo a wɔatete no wɔ ayaresabea na ɔde eyi ma. Wɔbɛhwɛ nneɛma te sɛ ɔyarefo no mogya mmoroso ne ne koma bɔ so na wɔde ahwɛyiye ahwɛ dodow a wɔde ma no so.
So wode eyi di dwuma ma mmofra?
Ɛsɛ sɛ wɔhwɛ yiye titiriw bere a wɔde saa aduru yi rema mmofra nkumaa no. Ɛsɛ sɛ wɔde mmofra oduruyɛfo afotu na esi gyinae ahorow yi.
Na sɛ dodow a wɔde ma no kɔ soro (overdose) nso ɛ?
Esiane sɛ wɔde eyi ma wɔ ayaresabea, wɔ aduruyɛfo hwɛ ase nti, mpɛn pii no ɛho nhia sɛ wɔhaw wɔn ho wɔ ‘dodow a ɛboro so’ ho. Aduruyɛ kuw no hwɛ ɔyarefo no so bere nyinaa. Sɛ adwenem naayɛ bi wɔ hɔ sɛ wɔanom aduru bi a ɛboro so a, ayaresabea no wɔ mmeae a wobetumi ayɛ nneɛma a ɛho hia. Sɛ biribi si ntɛm a, ɛsɛ sɛ wɔbɔ ayaresabea no Emergency Treatment Unit (ETU) amanneɛ ntɛm ara. Afei nso, sɛ wopɛ nsɛm biara a ɛfa nnubɔne mu awuduru ho a, wubetumi afrɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea .
Nnuru afoforo a ebetumi ne saa aduru yi adi nkitaho (Drug Interactions) .
Sɛ wɔde nnuru bi bom di dwuma a, ebetumi aka sɛnea wɔn ho wɔn ho yɛ adwuma. Yɛfrɛ eyi ‘nnubɔne nkitahodi’. Angiotensin II tumi ne nnuru afoforo di nkitaho, titiriw nnuru bi a wɔde sa mogya mmoroso anaa komayare. Nhwɛsoɔ:
- Nnuru a ɛwɔ kuw a wɔfrɛ no ACE inhibitors mu: `benazepril`, `candesartan`, `enalapril`, `lisinopril`, `ramipril`
- ARB ahorow: `irbesartan`, `losartan`, `valsartan`
Saa nsɛm a wɔahyehyɛ yi nyɛ nea edi mũ. Enti, ɛho hia sɛ wɔma oduruyɛfo no nnuru a ɔyarefo no renom nyinaa (a wɔakyerɛw ama no, a wɔtɔn, aduru a wɔde di dwuma wɔ amanne kwan so, vitamin, aduannuru a wɔde ma). Afei nso, ka sigaretnom ne nsa a wɔnom ho asɛm kyerɛ wɔn.
Nsunsuanso bɔne a anibere wom a ɛsɛ sɛ wohwɛ yiye bere a worenom nnuru no
Aduruyɛ kuw no bɛhwɛ ɔyarefo no yiye bere a wɔde saa aduru yi rema no no. Nanso, sɛ wuhu sɛnkyerɛnne ahorow a edidi so yi mu biara a, ɛsɛ sɛ wobɔ wo duruyɛfo anaa ɔyarehwɛfo amanneɛ ntɛm ara. Ebia eyinom yɛ nneɛma bɔne a anibere wom ho sɛnkyerɛnne.
| Nsunsuanso bɔne/sɛnkyerɛnne | Nneɛma a ɛsɛ sɛ yɛhwɛ yiye wɔ ho |
|---|---|
| Nneɛma a ɛma obi ho yɛ no yaw | Wora mu akisikuru, ɛyaw anaa akisikuru, anim, ano anaa tɛkrɛma a ɛho ahonhon. |
| Mogya a Ɛtwetwe Nsɛnkyerɛnne | Ɔhome a ɛyɛ den; anisoadehu mu nsakrae; koko mu yaw; tiyɛ a emu yɛ den mpofirim; nan mu yaw, ɛho ahonhon, ɔhyew; kasa a ɛyɛ den; anim, nsa, anaa nan a ɛyɛ mmerɛw mpofirim anaa ɛyɛ mmerɛw. |
| Mogya mu Asikre a Ɛdɔɔso | Adwene a ɛyɛ basaa ; ano a ɛyɛ nwunu; honam ani a ɛyɛ mmerɛw; nnuaba ahome hua; abofono; yafunu mu yaw; ɔkɔm anaa sukɔm a ɛkɔ soro; a wɔtaa tow nsu. |
| Acidity a Ɛkɔ Anim wɔ Nipadua no Mu | Ɔhome a wɔhome ntɛmntɛm; koma a ɛbɔ ntɛmntɛm; tipaeɛ; kesereneeyɛ; sɛ obi te nka sɛ wayɛ mmerɛw anaasɛ wabrɛ; akisikuru, ɔfe. |
| Mogya a ɛtɔ a ɛnyɛ ne kwan so | Akuru a epue wɔ nipadua no baabiara a ntease biara nnim anaasɛ mogya a ennyae wɔ opira ketewaa bi mpo mu. |
Saa nsɛm a wɔahyehyɛ yi nka nsunsuanso bɔne a ebetumi aba nyinaa ho. Sɛ wowɔ nsɛmmisa foforo bi fa eyi ho a, wo ne wo duruyɛfo nkasa.
Nkrasɛm a Wɔde Kɔ Fie
- Angiotensin II yɛ aduru a ano yɛ den yiye a wɔde ma wɔ ayaresabea de ma mogya mmoroso kɔ soro bere a ɛba fam a ɛde nkwa to asiane mu nkutoo.
- Eyi ma mogya ntini mu teateaa na mogya mmoroso kɔ soro.
- Ɛho hia sɛ wobɔ oduruyɛfo no amanneɛ wɔ akisikuru, nyinsɛn, ne nnuru afoforo a ɔyarefo no renom nyinaa ho.
- Eyi yɛ aduru a wɔde fa ntini mu ma, wɔ nnuruyɛfo kuw bi hwɛ ase yiye.
- Ɛho hia sɛ wuhu nneɛma bɔne a anibere wom te sɛ mogya a ɛtɔ ne nea ɛma obi ho yɛ no hyew ho sɛnkyerɛnne, na sɛ wuhu biribi a ɛte sɛɛ a, wobɔ nnuruyɛfo amanneɛ ntɛm ara.
- Esiane sɛ eyi yɛ aduru titiriw nti, wɔmma wo kwan sɛ wode bedi dwuma anaasɛ wode nsie wɔ fie.
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