So obi a ɔwɔ w’abusua mu, ebia wo maame, wo papa, anaa wo dɔfo bi wɔ Parkinson yare no? Afei ebia wunim sɛ ɛtɔ mmere bi a wɔn nipadua no yɛ den mpofirim , wofi ase wosow, na wontumi nyɛ hwee. Ɛte sɛ kar bi a ɛregyina mpofirim. Ɛnnɛ yɛreka injection soronko bi a wɔde ma ahotɔ ntɛmntɛm fi nea wɔfrɛ no "off-periods" yi mu ho asɛm. Ɛno ne Apomorphine a wɔde twitwiw nipadua no mu.
Dɛn ne Apomorphine?
Sɛ yɛbɛka no tiawa a, Apomorphine yɛ aduru a wɔde sa Parkinson yare no ho sɛnkyerɛnne. Ɛyɛ adwuma wɔ ɔkwan a ɛte sɛ nnuru bi a wɔfrɛ no dopamine a ɛwɔ yɛn amemene mu no so. So wunim sɛ nkwammoaa a ɛyera wɔ yɛn amemene mu a ɛyɛ nnuru a wɔfrɛ no dopamine yi na ɛde Parkinson yare no ba. Saa dopamine yi boa ma yɛhwɛ yɛn nipadua no kankyee ne ne dwumadi so.
Enti, sɛ dopamine nnɔɔso a, sɛnkyerɛnne te sɛ nea ɛyɛ den ne nea ɛwosow no da adi. Apomorphine a wɔde twitwiw nipadua no mu no yɛ adwuma te sɛ dopamine, na ɛhyɛ saa sintɔ no ma bere tiaa bi, na ɛboa ma nipadua no san tu. Wɔtaa hu eyi wɔ gua so wɔ edin Apokyn ase .
Fa no sɛ Parkinson yare no ama wo nipadua akɔhyɛ, te sɛ ɔpon a wɔato mu a safe nni mu. Apomorphine a wɔde twitwiw nipadua no mu no te sɛ safe titiriw bi a ebue saa ɔpon no. Ɛma wo nipadua no san kɔ sɛnea na ɛte kan no ntɛm ara. Nanso wobetumi de ayɛ nneɛma foforo nso, enti sɛ wowɔ nsɛmmisa bi a, bisa wo duruyɛfo.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na wode saa aduru yi adi dwuma
Ansa na ɔde aduru yi bɛma wo no, ɛho behia sɛ wo duruyɛfo hu w’akwahosan ho abakɔsɛm nyinaa. Eyi te saa efisɛ tebea horow bi hwehwɛ sɛ wɔhwɛ yiye titiriw bere a wɔde aduru yi redi dwuma no. Hwɛ hu sɛ wobɛka nea edidi so yi mu biara ho asɛm akyerɛ wo duruyɛfo:
- Sɛ wowɔ ayamtu a.
- Sɛ wowɔ su bi sɛ wobɛtaa da awia anaasɛ woda mpofirim a.
- Sɛ woyɛ obi a ɔtaa nom nsa a .
- Sɛ woanya akisikuru pɛn a.
- Sɛ wowɔ komayare a .
- Sɛ wowɔ abakɔsɛm a ɛkyerɛ sɛ wotɔ ɔhaw mu bere nyinaa a .
- Sɛ koma bɔ a ɛnteɛ anaasɛ ɛsakra wɔ nnyigyei mu a.
- Sɛ wowɔ asaabo anaa mmerɛbo mu yare a .
- Sɛ wo mogya mmoroso a ɛba fam a .
- Sɛ wowɔ adwenemyare (te sɛ adwenemhaw).
- Sɛ woadi kan anya apomorphine, sulfites, anaa aduru foforo biara, aduan, anaa ade a wɔde yɛ ade a ɛma wo ho yɛ wo hyew a.
- Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a .
- Sɛ woyɛ ɛna a worenom nufu a .
Saa nsɛm yi a wode bɛma wo duruyɛfo no pɛpɛɛpɛ no ho hia yiye ma w’ahobammɔ.
Ɔkwan bɛn so na wɔde vaccine no bedi dwuma yiye?
Eyi yɛ aduru a wɔde twitwiw nipadua no ase. Sɛ wufi ase nom saa aduru yi a, wo duruyɛfo anaa ɔyarehwɛfo bɛma wo akwankyerɛ a ɛkɔ akyiri a ɛfa sɛnea wubesiesie aduru no ne sɛnea w’ankasa wobɛhyehyɛ no ho. Ɛho hia paa sɛ wudi akwankyerɛ ahorow yi akyi pɛpɛɛpɛ.
- Fa di dwuma sɛnea wo duruyɛfo ka kyerɛ wo no pɛpɛɛpɛ: Mfa nni dwuma nsen dodow a wɔakyerɛw anaa mpɛn dodow a wɔakyerɛw ama wo.
- Nnyae saa aduru yi nom mpofirim: Nnyae saa aduru yi nom gye sɛ wo duruyɛfo ka kyerɛ wo. Sɛ wugyae mpofirim a, ebetumi de ɔhaw ahorow a emu yɛ den aba na ama wo tebea no asɛe kɛse.
- Tow nnade ne syringe gu dwoodwoo: Mfa nnade ne syringe a wɔde adi dwuma ngu nwura mu da. Ɛsɛ sɛ wɔde gu ade titiriw bi a wɔde nnam ayɛ a wɔde ama mu . Sɛ wunni bi a, wubetumi abisa wo duruyɛfo no bi.
- Kenkan akwankyerɛ krataa no: Kenkan akwankyerɛ krataa a ɛka aduru yi ho no yiye. Sɛ wowɔ nsɛmmisa bi a, bisa wo duruyɛfo.
Na sɛ menom boro so nso ɛ?
Sɛ wususuw sɛ woanom nnuru pii sen sɛnea wususuw a, kɔ ayaresabea a ɛbɛn wo no ntɛm ara Emergency Department (ETU) anaa frɛ National Poisons Information Center a ɛwɔ Colombo National Hospital .
Wɔakyerɛw saa aduru yi ama wo nkutoo. Enti, nkyɛ obi foforo da.
Nnuru foforo bɛn na ɛnsɛ sɛ wɔde ka aduru yi ho?
Nnuru bi betumi ne apomorphine adi nkitaho na ɛde ɔhaw ahorow a emu yɛ den aba. Enti, ɛsɛ sɛ woka nnuru a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo, a vitamin, nhabannuru, ne nnuru a wɔde ka ho ka ho.
| Nnuru a wɔde di dwuma no fã | Nkyerɛkyerɛmu ne nhwɛso ahorow |
|---|---|
| Nnuru a akyinnye biara nni ho sɛ ɛnsɛ sɛ wɔnom | |
| Nnuru bi a wɔde sa akisikuru/ɔfe | Sɛ nhwɛso no: dolasetron, granisetron, ondansetron, palonosetron |
| Nnuru afoforo | Dronedarone, Ketoconazole, Levoketoconazole, Pimozide, Thioridazine a wɔde di dwuma |
| Nneɛma a wɔde ahwɛyiye bedi dwuma/nkitahodi a ebetumi aba | |
| Nsaden | Nkɔanim no nya nsunsuanso bɔne so nkɛntɛnso kɛse. |
| Aduru a wɔde sa dadwen anaa nna | Sɛ nhwɛso no: Benzodiazepines te sɛ alprazolam, diazepam, lorazepam |
| Mogya mmoroso nnuru bi | Hwɛ hu sɛ wubebisa wo duruyɛfo no eyi ho asɛm. |
| Nitroglycerin a wɔde yɛ aduru | Mogya mmoroso betumi akɔ fam wɔ ɔkwan a ɛyɛ hu so (wɔakyerɛkyerɛ eyi mu wɔ ase hɔ). |
| Nnuru afoforo | Haloperidol, Metoclopramide, Opioids, nnuru afoforo a ɛka koma no nnyigyei, Phenothiazines. |
Saa nsɛm a wɔahyehyɛ yi nwie pɛyɛ, enti ɛbɛyɛ papa sɛ wobɛka biribiara a wobɛnom ho asɛm akyerɛ wo duruyɛfo.
Nneɛma a ɛsɛ sɛ wode sie w’adwenem bere a worenom saa vaccine yi
Nneɛma pii wɔ hɔ a ɛsɛ sɛ wususuw ho fa w’ahobammɔ ho bere a wode aduru yi redi dwuma no.
Kɔ oduruyɛfo nkyɛn mpɛn pii.
Kɔ wo duruyɛfo nkyɛn daa kɔhwɛ wo tebea no na hwɛ sɛ wo yare no ho sɛnkyerɛnne no tu mpɔn anaasɛ ɛyɛ kɛse anaa. Sɛ wo yare no ho sɛnkyerɛnne no ankɔ yiye anaasɛ ɛnyɛ kɛse a, ka kyerɛ wo duruyɛfo .
Akisikuru ne ɔfe
Saa aduru yi betumi ama obi ho ayɛ no yaw na wafe, ɛtɔ mmere bi a ebetumi ayɛ kɛse koraa. Wo duruyɛfo bɛkyerɛw aduru foforo ama eyi. Mma w’ankasa nnom aduru biara a wɔde sa akisikuru. Nea enti a ɛte saa ne sɛ nnuru bi a wɔde sa akisikuru tumi ne apomorphine di nkitaho.
Dae a obi da ne karka
Saa aduru yi betumi aka wo nhyehyɛe ne bere a wode yɛ w’ade. Enti, kosi sɛ wubehu sɛnea aduru yi ka wo ankasa no , kwati sɛ wobɛyɛ nneɛma a ehia sɛ woma w’ani da hɔ, te sɛ karka anaa mfiri a wode bedi dwuma. Afei nso, sɔre gyina hɔ brɛoo bere a wosɔre gyina hɔ mpofirim, anaa bere a wosɔre fi baabi a wote no. Sɛ ɛnte saa a, ebia w’adwene betu na wo tirim ayɛ hare. Asiane yi yɛ kɛse mpo sɛ wonom nsa a.
Ɛhia! Sɛ nnipa binom nom aduru yi a, ebia wɔbɛda mpofirim a wɔmmɔ wɔn kɔkɔ . Eyi betumi asi bere a wɔreka kar, wɔrekasa, anaa wɔredidi. Sɛ eyi to wo a, ka kyerɛ wo duruyɛfo ntɛm ara.
Nneyɛe a ɛne nitroglycerin yɛ
Sɛ worenom nitroglycerin ama komayare a, ɛsɛ sɛ wohwɛ yiye paa. Sɛ wode ka aduru yi ho a, ebetumi ama wo mogya so atew koraa. Eyi betumi ama obi adwenem ayɛ no naa, atɔ piti, na ebia wahwe ase.
Enti sɛ ɛho hia sɛ wonom nitroglycerin a, .
1. Nea edi kan no, da fam.
2. Afei fa abopon no to wo tɛkrɛma ase.
3. Anyɛ yiye koraa no, kɔ so da fam simma 45.
Dɛn ne nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ aduru biara no, apomorphine betumi de ɔhaw ahorow aba. Ebi yɛ aniberesɛm, ebi nso abu so.
| Nsunsuanso bɔne | Nkyerɛmu |
|---|---|
| Nneɛma bɔne a anibere wom a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo no ntɛm ara | |
| Nneɛma a ɛma obi ho yɛ no hyew a emu yɛ den (Allergic reactions anaa angioedema) . | Wora mu akisikuru, ɛyaw, anim, aniwa, anofafa, tɛkrɛma, nsa anaa anan a ɛho ahonhon, ɛyɛ den sɛ wobɛmene anaa wobɛhome. |
| Koko mu yaw (Angina) . | Ɛyaw, ntini a ɛyɛ den, anaa nhyɛso a wobɛte nka wɔ wo koko, kɔn, akyi, anaa abasa mu. |
| Dae a wɔda mpofirim | Dae a wɔda a wɔmmɔ wo kɔkɔ bere a woreyɛ adwuma awiabere. |
| Nneɛma a wɔde yɛ nneɛma a ɛyɛ nwonwa | Nneɛma a enni hɔ a wohu anaa wote. |
| Komayare ho sɛnkyerɛnne ahorow | Koko, mmati, abasa anaa anom yaw, akisikuru, ahome a ɛyɛ den, fifiri a ɛyɛ nwini, adwenemhaw. |
| Nsakrae a ɛba koma a ɛbɔ mu | Koma a ɛbɔ ntɛmntɛm anaasɛ ɛnteɛ, adwenemhaw, ɔtopae, koko mu yaw. |
| mogya a ɛtɔ kɔ mogya mu a ɛma mogya tu | Ɔbrɛ a ɛyɛ soronko, adwenemhaw, tiyɛ, ahome a ɛyɛ den, nsu a ɛyɛ tumm, honam ani anaa aniwa a ɛyɛ kɔkɔɔ. |
| Suban ahorow a ɛyɛ soronko | Ɔpɛ a wontumi nhyɛ so sɛ wɔbɛtow kyakya, adidi boro so, de wɔn ho ahyɛ nna mu, anaa wɔbɛsɛe sika a ɛho nhia. |
| Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo | |
| Adwene a ɛyɛ basaa, nna a ɛma obi da | Eyinom betumi aba mpɛn pii. |
| Akisikuru, ɔfe | Ɛtaa ba wɔ bere a wofi ase de aduru no di dwuma no mu. |
| Hwene a ɛretu anaasɛ hwene a ɛyɛ mmerɛw | Ebia ɛbɛyɛ te sɛ atiridii ho sɛnkyerɛnne. |
| Asen, nsa, anaa anan a ɛho ahonhon | Ebia efi nsu a ɛkɔ nipadua no mu. |
Sɛ wunya nsunsuanso foforo biara a wɔankyerɛw wɔ saa nsɛm yi mu a, yɛsrɛ wo ka kyerɛ wo duruyɛfo.
Ɔkwan bɛn so na wokora nnuru so na wotow gu?
- Fa sie baabi a mmofra ne afieboa ntumi nkɔ hɔ.
- Fa sie wɔ dan mu hyew (a ɛwɔ digrii Celsius 20-25 ntam).
- Mfa nnuru a ne bere atwam nni dwuma.
- Sɛ woretow nnuru a wɔmfa nni dwuma anaasɛ ne bere atwam agu a, bisa wo duruyɛfo ɔkwan a ahobammɔ wom ho asɛm.
Nkrasɛm a Wɔde Kɔ Fie
- Apomorphine injection yɛ aduru a ɛma ahotɔ ntɛmntɛm fi mpofirim a ɛyɛ katee ne wosow ("off-periods") wɔ Parkinson yare no mu.
- Ka nnuru afoforo a wonom nyinaa ne ayaresa tebea foforo biara a wowɔ ho asɛm kyerɛ wo duruyɛfo bere nyinaa.
- Kwati sɛ wobɛka kar anaa wode mfiri bedi dwuma kosi sɛ wubehu sɛnea aduru yi ka wo. Kae sɛ ebia wobɛte nka sɛ woada mpofirim.
- Sɛ wunya ɔhaw ahorow a emu yɛ den te sɛ wo koko mu yaw, wo ho yɛ wo hyew kɛse, anaa nsakrae a ɛba koma a ɛbɔ mu a, hwehwɛ ayaresa ntɛm ara.
- Bere nyinaa tow nnade ne syringe a wode adi dwuma no gu dwoodwoo wɔ "sharps container" soronko bi mu.

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