Ebia obi a ɔwɔ w’abusua mu, anaa w’ankasa, renom ‘mogya a ɛma mogya tu’. Ebia wotee ehu nka kakra bere a wo duruyɛfo kyerɛw saa aduru yi maa wo no. Ɛyɛ ade a ɛfata yiye ma nsɛmmisa te sɛ "So eyi bɛma mogya a ɛtɔ kɔ soro?", "Sɛ meyɛ no bɔne a, dɛn na ɛba?" sɛ ɛbɛba w’adwene mu. Enti, nsuro. Ɛnnɛ, momma yɛnka nnuru a ɛma mogya yɛ mmerɛw yi ho asɛm, anaasɛ sɛnea wɔfrɛ no wɔ aduruyɛ mu no, `(Anticoagulants)`, na ama biribiara ada adi pefee.
Sɛ yɛbɛka no tiawa a, dɛn ne nnuru a ekum mogya a ɛtwetwe mogya yi?
Nnuru a ɛko tia mogya a ɛtwetwe mogya no yɛ nnuru bi a ɛmma wo mogya ntumi nkɔ mogya mu. Nnipa binom frɛ wɔn ‘mogya a ɛma mogya tu’. Nanso nea wɔyɛ ankasa no nyɛ sɛ ‘wɔma mogya no yɛ teateaa’ te sɛ nsu, na mmom wɔbrɛ mogya a ɛtwetwe no brɛoo . Saa nnuru yi yɛ nneɛma atitiriw abien. Biako ne sɛ wobɛboa wo nipadua no ma mogya a ɛwɔ hɔ dedaw no apete. Ɔfoforo no ne sɛ wɔbɛsiw mogya a ɛtɔ foforo a wɔmpɛ ano.
Wobetumi anya nnuru yi sɛ nnuru a wɔde twitwiw nipadua mu, nsu a wɔde fa ntini mu (IV), ne nnuru a wɔde di dwuma wɔ ano.
Dɛn nti na yehia aduru a ɛte sɛɛ?
Mpɛn pii no, sɛ yɛn nipadua pira a, eye sɛ mogya no bɛtɔ. Eyi ma mogya no gyae na kuru no sa. Nanso susuw ho hwɛ, sɛ mogya a ɛtɔ yɛn ntini mu a ntease biara nnim nso ɛ?
Ɛte sɛ lɔre kɛse bi a akɔhyɛ ɔkwan bi a kar biara nni so so mpofirim. Afei, kar afoforo a ɛwɔ kwan so no ntumi ntwam, efisɛ mogya a ɛretu yi resiw mogya kwan.
Sɛ mogya a ɛtɔ a ɛnam saa kwan yi so no fa mogya ntini no mu na ɛkyere mogya ntini ketewaa bi a ɛwɔ akwaa bi a ɛho hia te sɛ amemene, ahurututu, anaa koma mu a, ebetumi de tebea horow a asiane wom kɛse aba.
- Akisikuru: Mogya a ɛtɔ kɔ amemene no mu na esiw ano na ɛde ba.
- Pulmonary Embolism (PE): Mogya a ɛtɔ a esiw mogya ntini titiriw bi a ɛwɔ ahurututu no mu . Eyi yɛ tebea a asiane wom a ebetumi ama obi awu ntɛm ara.
- Koma a Ɛyare: Nea ɛde ba ne mogya a ɛtwetwe a esiw ntini a ɛde mogya kɔ koma no mu no.
Enti, nnuruyɛfo kyerɛw saa ``Anticoagulants'' nnuru yi ma nnipa a wɔwɔ asiane mu sɛ wobenya tebea horow a ɛyɛ hu saa.
| Nnuru a wɔde kum mogya a ɛtwetwe mogya a wɔtaa de di dwuma | |
|---|---|
| Koma a ɛbɔ daa (Atrial Fibrillation) . | Esiane sɛ koma no atifi adan no ntumi nkɔ nsu mu yiye nti, mogya tumi boaboa ano na ɛtwetwe. Sɛ mogya a ɛtɔ kɔ amemene no mu yi tu kwan kɔ amemene no mu a, ebetumi ama obi abubu. |
| Koma a Wɔde Yɛ Adwuma | Bere a wɔde koma no mu ntini bi a wɔde nsa ayɛ ahyɛ mu akyi no, asiane wɔ hɔ sɛ mogya bɛtɔ wɔ ntini no so. |
| Hip/Knee a Wɔde Sisi ananmu | Wɔ saa oprehyɛn ahorow yi akyi no, mogya a ɛbɛtɔ wɔ nan no mu ntini a emu dɔ no mu. Wɔfrɛ saa tebea yi Deep Vein Thrombosis (DVT). Mogya a ɛtɔ a ɛpaapae fi DVT yi mu no betumi akɔ ahurututu no mu. |
| Mogya a Ɛma Nnipa Nyinaa Ho Nyarewa | Nnipa binom wɔ awosu mu nyarewa a ɛma wɔn mogya tu ntɛmntɛm. Wohia saa aduru yi nso. |
Ɔkwan bɛn so na saa aduru yi yɛ adwuma wɔ nipadua no mu?
Yɛn nipadua no kari pɛ bere nyinaa wɔ mogya a ɛtwetwe ne mogya a ɛtwetwe a esiw ano no mu. Nnuru a ekum mogya a ɛtwetwe mogya no ka saa kari pɛ yi kakra na ɛma mogya no fã a ɛtwetwe mogya no yɛ mmerɛw. Eyi mma mogya a wɔmpɛ no ntumi nkɔ. Ɛsono sɛnea nnuru yi yɛ adwuma.
Nnuru a wɔde twitwiw nipadua mu ne nnuru a wɔde fa IV mu
Wɔtaa de eyinom di dwuma wɔ ayaresabea ahorow, bere a ɛho hia sɛ wonya nea efi mu ba ntɛm no.
- Heparin: Eyi yɛ adwuma denam protein bi a wɔfrɛ no `(Antithrombin)` a ɛmma mogya nkɔ nipadua no mu no so. Eyi ahorow abien na ɛwɔ hɔ. Biako yɛ ntɛmntɛm yiye, nanso ɛsɛ sɛ wohwɛ wo mogya mu daa na ama woahu sɛ dodow a wode ma no teɛ anaa. Ɔkwan foforo `(Low-Molecular-Weight Heparin - LMWH)` no yɛ adwuma brɛoo kakra, nanso ɛnyɛ den sɛ wubesusuw sɛnea etu mpɔn no ho. Enti, ɛho nhia sɛ wotaa hwɛ wo mogya mu.
- Direct Thrombin Inhibitors: Eyinom ma protein a wɔfrɛ no `(Thrombin)` a ɛboa ma mogya tu no yɛ adwuma tẽẽ.
Nnuru ahorow a wɔde di dwuma wɔ anom
Eyinom ne nea nnuruyɛfo kyerɛw ma sɛ wɔmfa nni dwuma bere tenten.
- Warfarin: Eyi yɛ aduru a akyɛ kakra a yɛn man yi mu nnipa pii de di dwuma. Ɛyɛ adwuma denam vitamin K a ɛho hia ma mogya a ɛbɛtɔ no a esiw ano no so. Dose a wɔde ma no ho hia yiye bere a wɔrenom Warfarin no. Sɛ wokɔ akyiri kakra a, asiane a ɛwɔ hɔ sɛ mogya bɛtɔ wo no betumi ayɛ kɛse. Ɛno nti na wo duruyɛfo no bɛyɛ wo mogya mu nhwehwɛmu (INR nhwehwɛmu) daa na wasakra dodow a wode ma no.
- Direct Oral Anticoagulants (DOACs): Eyinom yɛ nnuru foforo. Nhwɛsoɔ bi ne `(Dabigatran)`, `(Apixaban)`, `(Rivaroxaban)`. Eyinom nhia sɛ wɔtaa yɛ mogya mu nhwehwɛmu te sɛ Warfarin.
Ade a ɛyɛ hu sen biara! Dɛn ne nsunsuanso bɔne ne nsɛnnennen a efi mu ba?
Asiane titiriw ne nea ɛtaa ba wɔ nnuru biara a ekum mogya a ɛtwetwe mogya mu ne mogya a ɛbɛtɔ. Eyi kyerɛ sɛ, sɛ wotwa no ketewaa bi mpo a, ebetumi agye bere tenten ansa na mogya atɔ wo, na wo ho betumi apirapira ntɛm. Nea ɛka ho no, aduru biara wɔ n’ankasa nsunsuanso bɔne.
| Aduru ko a wɔde yɛ | Nsunsuanso bɔne/nsɛnnennen pɔtee a ebetumi aba |
|---|---|
| Warfarin a wɔde di dwuma |
|
| Heparin a wɔde di dwuma | |
| Nnuru a Wɔde Ko Tia mogya a Wɔnom Tẽẽ (DOACs) . |
Bere bɛn na ɛsɛ sɛ wohwehwɛ aduruyɛ mu afotu ntɛm ara?
Sɛ́ obi a ɔnom saa aduru yi no, ɛsɛ sɛ wohwɛ yiye paa wɔ eyi ho, efisɛ akwanhyia ketewaa bi mpo betumi ayɛ nea asiane wom.
Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, wo ne wo duruyɛfo nkasa:
- Sɛ mogya a efi anom, hwene, anaa kuru ketewaa bi mu no nnyae a .
- Sɛ wobɔ ntɛmntɛm sen sɛnea wotaa yɛ anaasɛ wuhu sɛ woapirapira a ntease biara nnim a.
- Sɛ wote nka sɛ wo ho ayɛ wo yaw, woyɛ mmerɛw, anaasɛ woabrɛ wɔ ɔkwan soronko so a .
Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, kɔ ayaresabea hɔ Emergency Treatment Unit (ETU) ntɛm ara:
Eyi ho hia paa! Sɛ obi a ɔnom saa aduru yi hwe ase, titiriw sɛ ɔbɔ ne ti a, sɛ mogya biara nni abɔnten mpo a, obetumi atu mogya wɔ amemene no mu. Eyi de nkwa to asiane mu!
- Ɛsɛ sɛ wɔbɔ ETU amanneɛ ntɛm ara sɛ wobɛhwe ase, titiriw sɛ wobɔ wo ti a, sɛ mpo apirakuru biara nni hɔ a wotumi hu a.
- Sɛ wunya kar akwanhyia anaasɛ biribi a emu yɛ den bɔ wo na woabɔ akuru kɛse a .
- Tiyɛ anaa yafunu a ɛyɛ yaw mpofirim a emu yɛ den.
- Mogya a wɔfe (titiriw sɛ ɛte sɛ kɔfe a wɔayam a) anaasɛ mogya a wɔfe.
- Mogya a ɛwɔ nsuo mu (nsuo dane borɔdɔma, kɔkɔɔ, anaa bruu) anaa mogya a ɛwɔ nsuo mu (nsuo dane kɔkɔɔ anaa tuntum tuntum, te sɛ tar).
Nkrasɛm a Wɔde Kɔ Fie
- Nnuru a ɛma mogya tu yɛ nnuru a ɛho hia yiye a ebetumi aboa ma wɔagye nnipa nkwa. Ntease pa bi nti na wo duruyɛfo kyerɛw ma wo.
- Asiane kɛse a ɛwɔ nnuru yi mu ne mogya a ɛbɛtɔ. Hwɛ kɔkɔbɔ nsɛnkyerɛnne a ɛkyerɛ sɛ mogya retu no yiye bere nyinaa.
- Nnyae w’aduru no nom anaasɛ nsakra dodow a wode ma no da a wonkɔ wo duruyɛfo nkyɛn.
- Sɛ wokɔ oduruyɛfo nkyɛn, wo sẽ ho oduruyɛfo ma yare foforo biara, anaa woyɛ wo oprehyɛn a, hwɛ hu sɛ wobɛka akyerɛ wɔn sɛ worenom saa aduru yi.
- Sɛ wohwe ase anaa wobɔ wo ti a, kɔ ayaresabea hɔ Emergency Department (ETU) ntɛm ara, sɛ wonte nka sɛ wo ho nyɛ wo dɛ biara mpo a.
- Sɛ worenom Warfarin a, ɛho hia sɛ woyɛ INR mogya mu nhwehwɛmu wɔ da a wɔahyɛ sɛ wo duruyɛfo no akyerɛ wo no.
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