So ɛyɛ den ma wo ba sɛ ɔbɛkɔ so de n’adwene asi biribi so? Anaasɛ woate nka pɛn sɛ wɔrehyia ɔhaw sɛ wɔde wɔn adwene besi biribi so bere a wɔresua ade anaa wɔreyɛ adwuma no? Atomoxetine yɛ aduru a nnuruyɛfo kyerɛw ma ADHD (Attention-Deficit Hyperactivity Disorder). Wɔde edin a wɔde frɛ no Strattera na wonim no yiye. Enti ɛnnɛ, momma yensua aduru yi ho ade pii, nea ɛyɛ ankasa, sɛnea wɔde di dwuma, ne nea ɛsɛ sɛ wohwɛ yiye wɔ ho titiriw.
Dɛn na ɛba wɔ aduru yi ho ankasa?
Sɛ yɛbɛka no tiawa a, Atomoxetine yɛ aduru a wɔde sa ADHD. Ɛma wo ne wo ba no tumi de wɔn adwene si biribi so yiye na ɛboa ma wodi nneyɛe a ɛyɛ ntɛm so.
Eyi ka nnuru kuw bi a wɔfrɛ no SNRI (Serotonin-Norepinephrine Reuptake Inhibitor) ho. Sɛ yɛbɛka no tiawa a, saa aduru yi yɛ adwuma denam nnuru bi (neurotransmitters) a ɛde nkrasɛm kɔ yɛn amemene mu ntini ahorow ntam no dwumadi a ɛkari pɛ no so. Eyi boa kɛse wɔ adwene ne nneyɛe a wodi so no mu. Ɛtɔ da bi a, ebia wo duruyɛfo nso bɛkyerɛw eyi ama nneɛma afoforo. Enti sɛ wowɔ nsɛmmisa bi a, ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi ase anom nnuru
Ansa na wubefi ase de atomoxetine adi dwuma no, ɛsɛ sɛ woka kyerɛ wo duruyɛfo no ampa sɛ wowɔ aduruyɛ mu tebea horow a edidi so yi mu biara, efisɛ saa nsɛm yi betumi aka dodow a wode bedi dwuma anaasɛ ebia aduru no fata wo.
| W’ayaresa tebea anaa ɔhaw | Dɛn nti na ɛsɛ sɛ wobɔ oduruyɛfo no amanneɛ? |
|---|---|
| Glaucoma a ɛma obi ho yɛ hyew | Saa aduru yi tumi ma aniwa mu nhyɛso yɛ kɛse. |
| Mogya mmoroso anaa nea ɛba fam, komayare, koma a ɛbɔ daa, anaa abakɔsɛm a ɛkyerɛ sɛ obi anya akisikuru | Aduru no betumi aka mogya mmoroso ne koma bɔ. |
| Mmɛn mu yare | Sɛ mmerɛbo no ntumi nyɛ adwuma yiye a, woyi aduru no fi nipadua no mu nkakrankakra. |
| Adwene mu yare te sɛ mania anaa adwenemhaw a ɛma obi yɛ ade tra so | Saa aduru yi betumi ama tebea horow a ɛtete saa no ayɛ kɛse. |
| Akisikuru bi a wɔfrɛ no pheochromocytoma | Eyi yɛ akisikuru a ɛba adrenal glands no mu, na aduru no betumi ama mogya mmoroso akɔ soro wɔ ɔkwan a ɛyɛ hu so. |
| Adwene a ɛne sɛ obekum ne ho anaasɛ ne ho abakɔsɛm | Ɛntaa mma sɛ aduru yi betumi ama nsusuwii a ɛte saa no ayɛ kɛse. |
| Mmɔden a wobɛbɔ sɛ wubenyinsɛn, anyinsɛn, anaa nufu a wobɛma | Wɔ nsɛm yi mu no, aduruyɛ mu afotu ho hia na ama wɔahwɛ ahu sɛ aduru no yɛ nea ahobammɔ wom. |
| Atomoxetine anaa nnuru, nnuan, anaa nnuru foforo a wɔde yɛ nneɛma ho akisikuru | Ɛho hia sɛ wuhu eyi na woakwati sɛ wo ho nyɛ wo hyew. |
Ɔkwan bɛn so na ɛsɛ sɛ mede saa aduru yi di dwuma?
Ɔkwan a wɔfa so de saa aduru yi di dwuma no yɛ mmerɛw yiye.
- Fa nsu kuruwa bi nom fa w’ano.
- Di oduruyɛfo no akwankyerɛ akyi pɛpɛɛpɛ.
- Wubetumi anom ansa na woadi anaa bere a woadi awie, nanso sɛ wo yafunu mu yɛ wo yaw a, ɛbɛyɛ papa sɛ wode ka aduan ho.
- Eyi betumi ama ayɛ den ama nnipa binom sɛ wɔbɛda anadwo. Sɛ ɛsɛ sɛ wonom bɛboro biako da biara a, bɔ mmɔden sɛ wobɛnom dodow a etwa to no ansa na anwummere nnɔnsia adu.
- Nea ɛho hia sen biara ne sɛ, nnyae nnuru no nom mpofirim a wo duruyɛfo nka ho afotu.
- Sɛ wonom nnuru pii wɔ akwanhyia mu a, kɔ ayaresabea a ɛbɛn wo no ntɛm ara Emergency Unit (ETU) anaa frɛ National Poisons Information Center a ɛwɔ Colombo National Hospital .
Wɔakyerɛw saa aduru yi ama wo nkutoo. Enti nkyɛ w’aduru no nkyerɛ obi foforo da. Ebetumi ayɛ nea asiane wom.
Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?
Sɛ wo werɛ fi sɛ wobɛnom dose bi a, fa no bere a woakae ara pɛ. Nanso, sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ no a, twa dodow a woayera no so na fa dodow a edi hɔ no wɔ bere a woahyɛ da ayɛ no mu. Mfa nnuru abien prɛko pɛ da mfa nsiesie dodow a wo werɛ afi no.
Nnuru afoforo a ebia ɛne aduru yi bedi nkitaho
Atomoxetine yɛ aduru a ebetumi ne nnuru afoforo adi nkitaho, enti ɛho hia yiye sɛ woka nnuru a worenom nyinaa kyerɛ wo duruyɛfo.
| Mfa Atomoxetine nka aduru yi ho da! | |
|---|---|
| MAOI ahorow (sɛ nhwɛso no, Carbex, Eldepryl, Marplan, Nardil, Parnate) . | Cisapride na ɔkyerɛwee |
| Dronedarone a wɔfrɛ no Dronedarone | Pimozide a wɔde yɛ nnuru |
| Reboxetine a wɔde yɛ nneɛma foforo | Thioridazine a wɔde ma |
| Sɛ wo ne saa aduru yi fa Atomoxetine ho a, hwɛ yiye paa. | |
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Saa list yi nwie pɛyɛ. Enti ka aduru, vitamin, ne nhabannuru biara a wobɛnom ho asɛm kyerɛ wo duruyɛfo. Sɛ wonom sigaret anaa wonom nsa a, mma wo werɛ mmfi sɛ wobɛka akyerɛ wo duruyɛfo.
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom nnuru no
- Abotare ho hia: Ebetumi adi dapɛn biako anaa nea ɛboro saa ansa na aduru yi atumi ayɛ adwuma koraa. Enti, nnyae sɛ wobɛnom efisɛ "woda so ara nte nka sɛ wo ho nyɛ wo den." Kɔ so nom sɛnea wo duruyɛfo kyerɛ no.
- Hwɛ adwenemyare: Ɛntaa mma koraa sɛ mmofra ne mpanyimfo nkumaa a wɔnom saa aduru yi ho adwene a ɛne sɛ wobekum wɔn ho anaa nsakrae a ɛba wɔn nneyɛe mu (sɛ nhwɛso no, ne bo afuw kɛse, ne ho yɛ basaa, anaa ne ho yɛ basaa) betumi aba. Sɛ wuhu nsakrae a ɛte saa mpofirim wɔ wo ba no nneyɛe mu a, frɛ wo duruyɛfo ntɛm ara.
- Nsɛm titiriw a ɛsɛ sɛ yɛhyɛ no nsow ma mmarima: Sɛ ɔbarima bi nya ne ho a ɛyɛ yaw anaasɛ ɛkyɛ bɛboro nnɔnhwerew 4 a, ebetumi ayɛ tebea a emu yɛ den. Sɛ eyi ba a , ɛsɛ sɛ wohwehwɛ aduruyɛfo afotu ntɛm ara ansa na nneɛma asɛe koraa.
- Dae ne adwenemhaw: Ebia saa aduru yi bɛma woate nka sɛ woda anaasɛ wo ho bɛtɔ wo. Enti nka kar anaa mfa mfiri nni dwuma kosi sɛ wubehu sɛnea eyi ka wo. Hwɛ yiye bere a woresɔre anaa woretra ase ntɛm no, titiriw sɛ woabɔ akwakoraa a.
- Ano a ɛyɛ nwunu: Sɛ wote nka sɛ w’ano ayow a, wem anom a asikre nnim na nom nsu pii.
Nneɛma bɔne a ebetumi afi mu aba
Te sɛ aduru biara no, Atomoxetine betumi de ɔhaw ahorow aba. Ebinom yɛ aniberesɛm, bere a afoforo nso abu so.
| Nsunsuanso bɔne no su | Esu |
|---|---|
| Nneɛma bɔne a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo no ntɛm ara | |
| Nneɛma a ɛma obi ho yɛ no hyew | Wora mu akisikuru, ɛyaw, anim, anofafa, tɛkrɛma a ɛho ahonhon. |
| Nsakrae a ɛba koma a ɛbɔ mu | Koma a ɛbɔ ntɛmntɛm anaasɛ ɛnteɛ, adwenemhaw, koko mu yaw. |
| Mmɛn a wɔapirapira | Ɛyaw a ɛba yafunu nifa atifi, aduan ho akɔnnɔ a ɛyera, honam ani anaa aniwa a ɛyɛ kɔkɔɔ, nsu a ɛyɛ kɔkɔɔ tuntum, nsu a ɛyɛ mmerɛw. |
| Adwene ne nneyɛe mu nsakrae | Dadwen, abufuw, adwene a ɛne sɛ obekum ne ho, adwenemhaw. |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare a ɛma obi hwe ase | Anim, nsa, anaa nan a ɛyɛ mmerɛw/yɛ mmerɛw mpofirim, kasa a ɛyɛ den, tiyɛ a emu yɛ den. |
| Ɛyɛ den sɛ wobɛtow nsu | Ɛyɛ den sɛ wobɛtow nsu anaasɛ worentow nsu. |
| Mpɛn pii no ɛnyɛ aniberesɛm (nanso sɛ ɛkɔ so a, ka kyerɛ wo duruyɛfo) . | |
| |
Saa nsɛm a wɔahyehyɛ yi nka nsunsuanso bɔne a ebetumi aba nyinaa ho. Sɛ wuhyia biribi a ɛyɛ soronko a, wo ne wo duruyɛfo nka ho asɛm.
Nkrasɛm a Wɔde Kɔ Fie
- Atomoxetine yɛ aduru a ɛboa ma obi nya ADHD. Nanso, egye bere kakra ansa na woahu nea efi mu ba no nyinaa, enti nya abotare na fa di dwuma bere nyinaa sɛnea wo duruyɛfo kyerɛ no.
- Nnyae w’aduru no nom mpofirim a wonkɔ wo duruyɛfo nkyɛn.
- Hwɛ hu sɛ wobɛka nnuru afoforo, vitamin, ne ayaresa tebea horow a worenom nyinaa ho asɛm akyerɛ wo duruyɛfo.
- Hwɛ yiye paa wɔ nsunsuanso bɔne a anibere wom te sɛ nsakrae a ɛba wo ba no nneyɛe mu anaa adwene a ɛne sɛ obekum ne ho no ho. Sɛ wuhu biribi a ɛte sɛɛ a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Saa aduru yi yɛ wo nkutoo dea. Mfa nnkyɛ obi foforo biara.
👩🏽 ⚕️ Nsɛmmisa foforo (FAQs)
💬 Dɛn na wɔde Aliskiren / Tekturna tablets di dwuma?
Eyi yɛ aduru a edi mu kɛse a ɛyɛ awo ntoatoaso a aba foforo na ɛsono no (Direct Renin Inhibitor) a wɔahu wɔ wiase de asiw ‘Mogya Nhyɛso’ ano! Bere a nhyɛso nnuru afoforo nyinaa gyae acid asubɔnten no bere a ɛba fam no, saa aduru yi siw asubɔnten no fibea (Renin) 100% na ɛto mu, na ɛma nhyɛso no ntumi nkɔ soro wɔ nea edi kan no mu.
💬 Ɔkwan bɛn so na yɛde mogya mmoroso aduru foforo (Aliskiren) yi bɛtew mogya mmoroso so?
Nnuru asubɔnten a ɛma mogya mmoroso no fi ase denam enzyme bi a wɔfrɛ no ‘Renin’ a yɛn asaabo gyae so! Nnuru afoforo (ACE/ARB) yɛ adwuma wɔ Angiotensin nnuru a ɛyɛ no so. Nanso sɛ saa aduru yi hyɛn nipadua no mu a, ɛkɔ asaabo no mu tẽẽ na esiw saa enzyme afiri titiriw a wɔfrɛ no ‘Renin’ no kwan 100%. Afei asubɔnten no mfi ase mpo, mogya ntini no dwo na nhyɛso no so tew ntɛm ara.
💬 Dɛn ne asiane a ɛho hia sen biara a ebetumi akum obi (Black Box Warning) a ɛsɛ sɛ wohu bere a worenom saa aduru yi (Aliskiren)?
Wɔabara saa aduru yi, te sɛ mogya mmoroso nnuru afoforo, koraa mma mmea a wɔyem! Sɛ ɔbea a onyinsɛn a ɔnom eyi nyinsɛn a, abofra no asaabo betumi asɛe/mogya atu na abofra no betumi awu (Fetal morbidity). Afei nso, sɛ wowɔ asikreyare na wonom saa aduru yi ne mogya mmoroso nnuru afoforo (ACE/ARB - e.g. Losartan) a, asiane wɔ hɔ sɛ wobɛsɛe asaabo 100%/potassium a ɛkɔ soro na woawu.
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