So wowɔ ahurututu mu yare a enni sabea nso, a ɛno ne nea yɛfrɛ no wɔ aduruyɛ mu no COPD (Chronic Obstructive Pulmonary Disease)? Sɛ saa a, ebia wo duruyɛfo ama wo aduru a wɔde home te sɛ eyi. Eyi yɛ nnuru abiɛsa a wɔaka abom ankasa. Ɛwom sɛ sɛ wohwɛ a, ɛbɛyɛ te sɛ nea ɛyɛ den kakra de, nanso ɔkwan a wɔfa so de di dwuma ne nneɛma a ɛsɛ sɛ wuhu fa ho no yɛ mmerɛw koraa. Enti momma yɛnka eyi ho asɛm pefee nnɛ, te sɛ nea yɛne yɛn adamfo pa rekasa.
Dɛn na ɛba ankasa wɔ saa afiri a wɔde home yi ho?
Sɛ yɛbɛka no tiawa a, saa afiri a wɔde home yi boa w’ahurututu ma ɛhome ntɛmntɛm. Nnuru atitiriw abiɛsa na ɛwɔ mu: Budesonide , Glycopyrrolate , ne Formoterol . Ma yɛnhwɛ nea eyinom mu biara yɛ.
- Budesonide: Eyi yɛ steroid a wɔhome. Ɛyɛ adwuma denam wo mframa kwan a ɛho ahonhon ne ɔfe a ɛtew so no so. Sɛ saa ɔfe yi kɔ fam a, wo mframa kwan no trɛw kakra.
- Glycopyrrolate ne Formoterol: Wɔfrɛ saa nnuru abien yi nyinaa ahurututu mu ntini a ɛtrɛw. Eyi kyerɛ sɛ wɔyɛ adwuma denam ntini a atwa mframa kwan a ayɛ teateaa na ayɛ mmerɛw no ho a wɔma ɛyɛ mmerɛw, na wɔtrɛw mu no so. Ɛte sɛ nea woretrɛw afiri a ɛyɛ teateaa mu.
Esiane sɛ nnuru abiɛsa yi bom yɛ adwuma nti, saa afiri a wɔde home yi betumi aboa wo ma woahome mmerɛw da mũ no nyinaa. Ɛno nti na yɛfrɛ no "controller inhaler." Ɛno kyerɛ sɛ wɔde di dwuma de di sɛnkyerɛnne ahorow so, de kura mu da mũ no nyinaa, na ɛnyɛ ntɛmpɛ mpofirim.
Nea ɛho hia yiye: Ɛnsɛ sɛ wɔde saa afiri a wɔde home yi di dwuma da ma COPD a ɛbɛsɔre mpofirim. Ebia wo duruyɛfo ama wo "rescue inhaler" soronko bi a wode bedi dwuma wɔ nsɛm a ɛtete saa mu.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom saa aduru yi
Ɛho hia paa sɛ wo duruyɛfo no hu w’akwahosan tebea no yiye ansa na wama wo saa aduru yi. Sɛ wowɔ tebea horow a ɛwɔ ase ha no bi a, hwɛ hu sɛ wobɛka ho asɛm akyerɛ wo duruyɛfo.
| W’ayaresa tebea horow |
|---|
| Akisikuru ho haw anaasɛ ɛyɛ den sɛ wobɛtow nsu |
| Nnompe mu haw (e.g. nnompe mu yare) . |
| Asikyireyareɛ |
| Aniwa mu nyarewa (e.g. glaucoma, cataracts) anaa aniwa mu haw |
| Koma mu yare anaa mogya mmoroso |
| Abakɔsɛm a ɛfa koma no nnyigyei a ɛnkɔ so pɛpɛɛpɛ ho |
| Nkwammoaa a ɛko tia nyarewa a ɛyɛ mmerɛw anaasɛ ɔyare mmoawa |
| Asaabo mu yare |
| Prostate nyarewa ahorow |
| Thyroid yareɛ |
| Sɛ woanya aduru yi (budesonide, formoterol, glycopyrrolate), nnuru afoforo, nnuan anaa nneɛma a wɔde sie no ho adwene a ɛyɛ soronko anaasɛ wo ho nyɛ wo hyew a |
| Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaa worema nufu a |
Ɔkwan bɛn so na wode saa afiri a wɔde home yi di dwuma yiye?
Sɛ wubenya eyi so mfaso kɛse a, ɛho hia sɛ wuhu sɛnea wode bedi dwuma ankasa.
- Fa no bere a ɛfata mu: Fa no bere koro mu da biara , sɛnea wo duruyɛfo akyerɛ wo no. Wɔtaa kyerɛ sɛ wɔmfa no mprenu da biara (anɔpa ne anwummere).
- Wosow yiye: Wosow afiri a wɔde home no yiye ansa na wode adi dwuma.
- Hohoro w’ano (nea ɛho hia sen biara): Sɛ wonom aduru no wie a, fa nsu bi gu w’anom, hohoro w’ano yiye, na teɛteɛm gu mu a wunmene.Eyi ho hia yiye efisɛ sɛ steroid aduru a ɛwɔ saa aduru yi mu no kɔhyɛ w’anom a, ebetumi ama woanya fungal infection (thrush) a ɛbɛma w’anom ayɛ fitaa. W’ano a wobɛhohoro no ne ɔkwan a wobɛfa so asiw saa kwan no ano.
- Nnom nsen dodow a wɔakyerɛw ama wo: Nnom nsen dodow a wo duruyɛfo akyerɛ wo (e.g., sɛ wobɔ no mprenu da biara a, abien pɛ).
- Nnyae: Kɔ so de di dwuma kosi sɛ wo duruyɛfo bɛka akyerɛ wo sɛ gyae. Nnyae mpofirim, sɛ wo ho atɔ wo mpo a.
Sɛ w’adwene mu yɛ wo naa wɔ sɛnea wode wo inhaler bedi dwuma no ho a, mfa nfɛre na bisa wo duruyɛfo bio sɛ ɔnhwɛ hu.
Na sɛ midi mfomso de nnuru pii di dwuma nso ɛ?
Sɛ wususuw sɛ woanom pii asen sɛnea wususuw a, frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no ntɛm ara . Anaasɛ kɔ ayaresabea a ɛbɛn wo no Emergency Treatment Unit (ETU) .
Nnuru afoforo a ebia ɛne aduru yi bedi nkitaho
Ɛnyɛ nnuru a wonom nyinaa na ɛne saa afiri a wɔde home yi hyia. Nnuru bi betumi ama nea efi mu ba no ayɛ kɛse anaasɛ ɛbɛsakra sɛnea aduru yi yɛ adwuma yiye bere a wɔde saa aduru a wɔde home yi ka ho no.
| Nnuru a ɛnsɛ sɛ wɔde saa afiri a wɔde home yi ka ho da |
|---|
| Nnuru te sɛ Cisapride, Dronedarone, Pimozide, Thioridazine |
| MAOI yɛ nnuru a wɔde sa adwenemyare. |
| Eyi ne nnuru afoforo a wɔde home a nnuru a ɛma ahurututu mu trɛw a ɛyɛ adwuma bere tenten (LABA) wom . |
Nea ɛka ho no, nnuru afoforo pii betumi ne eyi adi nkitaho. Nhwɛsoɔ:
- Nnuru bi a wɔde sa komayare ne mogya mmoroso (e.g., beta-blockers te sɛ Atenolol ne Metoprolol) .
- Nnuru bi a wɔde sa tebea horow te sɛ adwenemhaw
- Nnuru te sɛ Ketoconazole ne Itraconazole, a wɔde sa fungal yare mmoawa
- Nnuru bi a wɔde ko tia HIV anaa Hepatitis
- Nnuru te sɛ Oxybutynin ne Tolterodine, a wɔde di dwuma ma akisikuru ho haw
- Diuretics (nnuru a ɛma nsu fi nipadua no mu) .
- Steroid afoforo a wɔde yɛ nnuruNnuru a wɔde yɛ nnuru (sɛ nhwɛso no, Prednisolone) .
Saa list yi nwie pɛyɛ. Enti, ma wo duruyɛfo no nkyerɛw nnuru, vitamin, nhabannuru, ne nnuru a wɔde ka aduan ho a wonom nyinaa ho kyerɛwtohɔ a edi mũ. Hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ wonom sigaret anaa wonom nsa a.
Dɛn ne nneɛma bɔne a wɔhwɛ kwan sɛ ebefi mu aba?
Te sɛ aduru biara no, eyi betumi de ɔhaw ahorow aba nnipa binom so. Ebi yɛ aniberesɛm, ebi nso abu so. Ɛho hia sɛ wohu eyinom.
| Nsunsuanso bɔne | Nkyerɛmu |
|---|---|
| Nneɛma bɔne a anibere wom a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara | |
| Nneɛma a ɛma obi ho yɛ no hyew | Wora mu akisikuru, ɛyaw, anim, anofafa, tɛkrɛma a ɛho ahonhon, ɛyɛ den sɛ wobɛhome anaa wobɛmene. |
| Ahomegye a ɛba bere a wode afiri a wɔde home no adi dwuma akyi pɛɛ | Sɛ ɔhome a ɛyɛ den no kɔ soro ntɛm ara bere a wanom aduru no awie no a. |
| Nsakrae a ɛba koma a ɛbɔ mu | Koma a ɛbɔ, koma a ɛbɔ a ɛnteɛ, koko mu yaw, adwenemhaw. |
| Aniwa ho haw ahorow | Aniwa a ɛyɛ yaw mpofirim, aniwa a ɛyɛ kusuu, ne halos a atwa akanea ho ahyia. |
| Fungal yare mmoawa a ɛwɔ ano (Thrush) . | Nsonsonoe fitaa a ɛwɔ ano anaa tɛkrɛma so. |
| Ɛyɛ den sɛ wobɛtow nsu | Ɛyɛ den anaa ɛyaw a wobɛte nka bere a woretow nsu no. |
| Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo | |
| Menewa mu yaw, ɛyɛ dede | Hoarseness, Menewa mu yaw |
| Tiyɛ, ɔfe, ano a ɛyɛ mmerɛw | Tiyɛ, Ɔfe, Ano a ɛyɛ kusuu |
| Dae a wontumi nna, nipadua a ɛwosow | Ɔhaw a ɛba nna mu, Tremors |
Ɔkwan bɛn so na wode aduru no sie na wotow gu?
- Fa sie: Fa saa afiri a wɔde home yi sie wɔ dan mu hyew (ɛyɛ Celsius 15-30 ntam), wɔ baabi a ɛhɔ yɛ kusuu. Fa sie baabi a mmofra ne afieboa ntumi nkɔ hɔ. Mfa nneɛma nsie baabi a ɛbɛn ɔhyew anaa ogyaframa a ɛboro so da. Ebia toa no bɛpae. Mfa nhyɛ frigye mu.
- Expiration: Ɛsɛ sɛ wode inhaler no di dwuma wɔ asram 3 (ma 120 puff canister) anaa adapɛn 3 (ma 28 puff canister) fi da a wubue aluminium packet no. Sɛ ɛnte saa a, tow afiri a wɔde home no gu bere a dose indicator no kyerɛ sɛ zero (0) .
- Tow: Kɔ wo duruyɛfo nkyɛn wɔ sɛnea wobɛtow wo afiri a wode home a wode adi dwuma anaasɛ ne bere atwam no agu dwoodwoo.
Nkrasɛm a Wɔde Kɔ Fie
- Saa inhaler yi yɛ "controller inhaler" a wonom da biara da de siw wo ayamtu ano. Mfa nni dwuma mma ahome a ɛyɛ tiaa mpofirim. Fa wo "rescue inhaler" di dwuma ma ɛno.
- Sɛ wode bedi dwuma bere biara a, fa nsu hohoro w’ano yiye na teɛteɛm gu mu a wunmene. Eyi ho hia na wɔasiw fungal yare mmoawa a ɛwɔ ano no ano.
- Ka nnuru afoforo, vitamin, ne nnuru a wɔde di dwuma wɔ amanne kwan so a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo.
- Sɛ wo sɛnkyerɛnne no mu yɛ den anaasɛ wuhu sɛ ɛsɛ sɛ wode wo "reliever inhaler" no di dwuma mpɛn pii a, frɛ wo duruyɛfo ntɛm ara.
- Fa afiri a wɔde home no sie yiye na tow gu dwoodwoo bere a ne bere atwam no.
💬 Comments (0)
Wɔnnya nyɛɛ nsɛm biara. Fa wo nsɛm no ka ho wɔ ha nea edi kan.
Fa wo nsɛm no ka ho