Sɛ wɔresa wo yareɛ wɔ komayareɛ bi ho, anaa ansa na wɔreyɛ wo oprehyɛn anaa oprehyɛn bi (te sɛ angioplasty) a, wo duruyɛfoɔ bɛtumi ama wo aduru soronko bi a ɛbɛma wo mogya ansiw ano. Bivalirudin yɛ nnuru a ɛte saa no mu biako, a wɔde fa ntini mu wɔ ayaresabea nkutoo a aduruyɛfo hwɛ so. Enti ɛnnɛ, momma yɛnka aduru yi a wɔfrɛ no Bivalirudin, nea ɛyɛ, ne nea ɛsɛ sɛ yɛhwɛ yiye wɔ ho bere a yɛrenom no ho asɛm.
Aduru bɛn na Bivalirudin yɛ?
Sɛ yɛbɛka no tiawa a, Bivalirudin yɛ aduru a ɛmma mogya ntumi nkɔ, anaasɛ ɛboa ma mogya no yɛ mmerɛw . Wɔ aduruyɛ mu no, yɛfrɛ eyi ``anticoagulant''. Wɔde di dwuma titiriw de siw mogya a ɛbɛtɔ wɔ mogya ntini no mu ano.
Fa no sɛ, sɛ obi rebɛnya komayare anaasɛ wɔresa no yare wɔ mogya ntini bi a asiw wɔ koma no mu ho a, sɛ mogya tu wɔ saa ntini no mu a, tebea no betumi asɛe kɛse. Ɛno ne bere a nnuruyɛfo de saa aduru yi di dwuma. Wobetumi ahu wɔ gua so wɔ brand din te sɛ Angiomax ase.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na wode aduru yi ama wo
Ansa na wubefi ase de Bivalirudin ayɛ ayaresa no, nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ woka kyerɛ w’aduruyɛfo kuw no. Hwɛ hu sɛ wobɛka eyinom ho asɛm.
- Sɛ wowɔ mogyatɔw ho haw ahorow a .
- Sɛ wowɔ bivalirudin anaa aduru foforo biara, aduan, anaa ade a wɔde yɛ ade ho akisikuru biara a.
- Sɛ woanyinsɛn, anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a.
- Sɛ woyɛ ɛna a ɔma nufu a.
Oduruyɛfo no begyina saa nsɛm yi so asi gyinae sɛ ɔbɛma wo saa aduru yi anaasɛ ɔremma wo, na sɛ ɛte saa a, ɔkwan a ɔbɛfa so ama wo.
Wode saa aduru yi di dwuma dɛn?
Eyi nyɛ aduru a wubetumi de akɔ fie. Sɛ wowɔ ayaresabea anaa ayaresabea a, nnuruyɛfo a wɔatete wɔn na wɔde ma sɛ nea wɔde hyɛ wo ntini mu. Enti biribiara, a dodow ne ahoɔhare a wɔde ma ka ho, wɔ wɔn tumi ase.
Ɛsɛ sɛ wɔhwɛ yiye titiriw bere a wɔde aduru yi rema mmofra no. Wo duruyɛfo bɛbɔ wo amanneɛ wɔ eyi ho.
Sɛ wonom boro so a, dɛn na wobɛyɛ?
Wɔde eyi ma wɔ ayaresabea, enti hokwan a ɛwɔ hɔ sɛ eyi bɛba no sua koraa. Nanso, sɛ wususuw sɛ woanom nnuru a ɛboro so a, ɛsɛ sɛ wobɔ ayaresabea adwumayɛfo amanneɛ ntɛm ara. Sɛ ɛho hia a, wɔbɛkɔ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ akɔhwehwɛ afotu, anaasɛ Emergency Treatment Unit (ETU).Mmoa a wɔsrɛ.
So ɔhaw ahorow betumi aba wɔ nnuru afoforo ho?
Yiw, koraa. Esiane sɛ bivalirudin yɛ aduru a ɛma mogya yɛ mmerɛw nti, sɛ wɔde ka nnuru afoforo a ɛma mogya tu a, asiane a ɛwɔ hɔ sɛ mogya bɛtu no yɛ kɛse koraa . Enti, ɛsɛ sɛ woka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo, a vitamin ne nhabannuru ka ho.
Bivalirudin betumi ne nnuru a edidi so yi adi nkitaho titiriw:
- Nnuru a ɛma mogya yɛ mmerɛw (e.g. heparin) .
- Nnuru a ɛma mogya yɛ mmerɛw te sɛ Warfarin
- Mifepristone a wɔde yɛ aduru
- Nnuru afoforo a ɛma mogya yɛ mmerɛw te sɛ Abciximab, Clopidogrel, Eptifibatide, Tirofiban
- Nnuru a wɔde kum ɛyaw (NSAID) te sɛ Ibuprofen ne Diclofenac
Saa nsɛm a wɔahyehyɛ yi nwie pɛyɛ, enti ɛho hia yiye sɛ wobɔ wo duruyɛfo amanneɛ wɔ nnuru a worenom nyinaa ho.
Nneɛma a ɛsɛ sɛ wode sie w’adwenem bere a worenom aduru no
Wobɛma aduruyɛfo ahwɛ wo so bere nyinaa bere a worenom saa aduru yi no. Afei nso, hwɛ nneɛma yi yiye.
- Kwati opira: Kwati agumadi ne dwumadi ahorow a ebetumi ama obi ahwe ase na wapira. Sɛ obi hwe ase anaa opira kɛse a, ebetumi ama mogya atu ne mu a wontumi nhu.
- Kɔkɔbɔ: Hwɛ yiye paa bere a wode nnwinnade a ano yɛ nnam ne nnade redi dwuma no. Sɛ worebɔ wo ti nhwi a, ɛyɛ nea asiane biara nni ho sɛ wode anyinam ahoɔden afiri bedi dwuma.
- Nsõ ne Nsõ: Sɛ worebɔ wo sẽ na worebɔ floss a, brush no nkakrankakra. Hwɛ yiye na woamma mogya antɔ wo hwene mu.
- Aduruyɛ mu nhwehwɛmu: Mpɛn pii no, wo duruyɛfo bɛka akyerɛ wo sɛ wɔnyɛ wo mogya mu nhwehwɛmu. Ma wɔnyɛ no bere ano.
- Oprehyɛn afoforo: Sɛ woreyɛ oprehyɛn foforo biara anaasɛ woreyɛ wo sẽ a, hwɛ hu sɛ wobɛka akyerɛ oduruyɛfo no sɛ worenom Bivalirudin.
Nsunsuanso bɔne bɛn na ebia menya?
Te sɛ aduru biara no, Bivalirudin betumi de ɔhaw ahorow aba. Eyinom bi yɛ aniberesɛm, bere a afoforo nso abu so. Sua wɔn ho nsɛm pii wɔ pon a ɛwɔ ase ha no so.
| Nsunsuanso bɔne no su | Features a ɛsɛ sɛ wuhu |
|---|---|
| Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo anaa ɔyarehwɛfo ntɛm ara | |
| Nneɛma a ɛma obi ho yɛ no yaw | Wora mu akisikuru, ɛyaw, anim, ano anaa tɛkrɛma a ɛho ahonhon. |
| Nsɛnkyerɛnne a Ɛkyerɛ sɛ Mogya Retu | Nsu a ɛyɛ tuntum anaa tarry; nsu a ɛyɛ kɔkɔɔ anaa bruu tuntum; mogya a wɔfe anaa biribi a ɛte sɛ kɔfe a wɔayam; nsensanee kɔkɔɔ a ɛwɔ honam ani; mogya a ɛyɛ soronko a efi hwene, anom, anaa aniwa mu; mogya a ɛretu a ɛrennyae, esiane sɛ wɔatwa no ketewaa bi mpo nti. |
| Nsɛnkyerɛnne a Ɛkyerɛ sɛ Mogya Atwa | Koko mu yaw; ɛyɛ den sɛ wobɛhome; ɛyaw, ahonhon, anaa ɔhyew a ɛba nan bi mu. |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare a ɛma obi hwe ase | Anisoadehu sesa; kesereneeyɛ; kasa anaa ntease a ɛyɛ den; tiyɛ a emu yɛ den; anim, abasa, anaa nan a ɛyɛ mmerɛw anaa mmerɛwyɛ mpofirim; ɛyɛ den sɛ wobɛnantew; adwenemhaw a ɛma obi ho kyere no. |
| Nneɛma a ɛsɛ sɛ wɔbɔ oduruyɛfo no amanneɛ sɛ wɔkɔ so yɛ a | |
| Ɛyaw a ɛba baabi a wɔde aduru no guu no | Ɛyaw, kɔkɔɔ, anaa ɔfe kakra wɔ baabi a wɔde aduru no guu no. |
Nkrasɛm a Wɔde Kɔ Fie
- Bivalirudin yɛ aduru a ano yɛ den a esiw mogya a ɛtwetwe no ano. Wɔde ma wɔ ayaresabea nkutoo, wɔ aduruyɛfo hwɛ ase.
- Hwɛ hu sɛ wobɛka aduruyɛ mu tebea foforo biara a wowɔ, nneɛma a ɛma wo ho yɛ wo hyew, ne nnuru a wonom nyinaa ho asɛm akyerɛ wo duruyɛfo.
- Bere a worenya saa ayaresa yi no, kwati dwumadi ahorow a ebetumi ama woapira koraa.
- Sɛ wuhu sɛ mogya retu wo wɔ ɔkwan soronko so, wo koko mu yaw, ɛyɛ den sɛ wobɛhome, anaasɛ wohu sɛ woahu akisikuru a, bɔ nnuruyɛfo amanneɛ ntɛm ara.
- Kae sɛ eyi nyɛ aduru a wubetumi de akɔ fie. Biribiara si wɔ ayaresabea hɔ.
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