Momma yɛnka sɛ wɔayɛ wo oprehyɛn ketewaa anaa kɛse, wɔayi wo sẽ, anaa aduruyɛ mu nhwehwɛmu foforo bi a ɛyɛ yaw. Afei, nnuruyɛfo a wonnim ɛyaw no ma wo aduru a ɛma wo ho tɔ wo, ɛnte saa? Ɛtɔ da bi a, bere a wɔde aduru no ahyɛ wo mu akyi no, wonte ɛyaw no nka kakra. Ɛnnɛ, yɛrebɛka aduru bi a wɔtaa de di dwuma wɔ nsɛm a ɛtete saa mu ho asɛm. Ne din yɛ nnuru abien a wɔfrɛ no Bupivacaine ne Epinephrine a wɔaka abom.
Sɛ yɛbɛka no tiawa a, dɛn ne aduru yi?
Eyi yɛ nnuru abien a wɔaka abom ankasa. 1.
Bupivacaine: Eyi ne nea ɛyɛ adwuma ankasa. Sɛ yɛbɛka no pɛpɛɛpɛ a, eyi yɛ aduru a wɔde kum nipadua no wɔ mpɔtam hɔ. Ɛno kyerɛ sɛ ɛma beae pɔtee a wɔde ahyɛ mu no nkutoo yɛ mmerɛw. Fa no sɛ wɔreyɛ wo nsa ho oprehyɛn ketewaa bi. Afei wɔde saa aduru yi gu wo nsam. Afei ɛma ntini a ɛwɔ wo nsam no gyae bere tiaa bi sɛ ɛde nkrasɛm bɛkɔ amemene no mu sɛ "eyi yɛ yaw wɔ ha." Ɛte sɛ nea woadum ‘ɛyaw waya’ a ɛwɔ saa beae no kakra. 2.
Epinephrine: Wɔde eyi ka ho na ama saa akisikuru no atra hɔ akyɛ. Epinephrine ma mogya ntini a ɛwɔ saa beae no twetwe kakra. Afei wɔde Bupivacaine no fra mogya no mu na egye bere tenten ansa na atumi akɔ nipadua no afã afoforo. Enti akisikuru no tra baabi biako kyɛ. Afei nso, esiane sɛ mogya ntini no mu yɛ den nti, mogya no sua bere a wɔreyɛ oprehyɛn no. Sɛ yɛbɛka no tiawa a, eyi yɛ
aduru a ano yɛ den a ɛma ɛyaw ano brɛ ase wɔ baabiara. Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom saa aduru yi
Ansa na obesi gyinae sɛ ɔbɛma wo saa aduru yi no, ɛsɛ sɛ wo duruyɛfo nya w’akwahosan tebea no ho mfonini a edi mũ. Saa na obetumi ahwɛ ahu sɛ w’ahobammɔ. Enti, sɛ wowɔ tebea horow a edidi so yi mu biara a,
hwɛ hu sɛ wobɛka ho asɛm akyerɛ no a womfa biribiara nsie. | Wo tebea no | Dɛn nti na ehia sɛ woka ho asɛm? |
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| Bupivacaine, Epinephrine anaa nnuru afoforo a wɔde kum nipadua no ho akisikuru | Sɛ woadi kan anya akisikuru a, ebia wobɛsan anya akisikuru a emu yɛ den bio. Afei nso, sɛ wo ho yɛ wo hyew wɔ nnuru, nnuan, anaa nnuru afoforo ho a, ka kyerɛ wo duruyɛfo. |
| Koma mu yare | Epinephrine tumi ka koma bɔ ne mogya mmoroso, enti ɛsɛ sɛ wɔde ahwɛyiye kɛse ma nnipa a wɔwɔ komayare. |
| Mogya mmoroso a ɛba fam | Ɛtɔ mmere bi a saa aduru yi betumi ama mogya mmoroso akɔ fam mpo, enti ɛho hia sɛ wudi kan hu eyi. |
| Mmɛn anaa Asaabo mu yare | Mmɛn ne asaabo boa ma woyi nnuru fi nipadua no mu. Sɛ saa akwaa ahorow yi ntumi nyɛ adwuma yiye a, nnuru betumi ayɛ kɛse wɔ nipadua no mu na ɛde ɔhaw ahorow aba. |
| Ahurututu mu yare | Sɛ nneɛma bi te sɛ ɔhome a ɛyɛ den wɔ hɔ a, ɛsɛ sɛ wɔhwɛ yiye titiriw bere a wɔde aduru a ɛma obi dwensɔ no. |
| G6PD a enni hɔ | Eyi yɛ mogya mu yare a wonya fi awo mu. Nnuru bi betumi de ɔhaw aba nnipa a wɔwɔ saa yare yi so. |
| Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a | Saa nsɛm yi ho hia na ama oduruyɛfo no asusuw nkɛntɛnso a ebetumi aba akokoaa no so no ho. |
| Sɛ woyɛ ɛna a ɔma nufu a | Eyi ho hia na ama wɔahu sɛ ebia aduru no nam nufusu so kɔ akokoaa no nkyɛn ne sɛ ebia ɛwɔ nkɛntɛnso bi anaa. |
Kae sɛ w’ahobammɔ di kan. Enti mfa nsɛm a ɛte sɛɛ nsie wo duruyɛfo.
Wode saa aduru yi di dwuma dɛn?
Eyi
nyɛ aduru a wubetumi de akɔ fie afi nnurutɔnbea.. Bere nyinaa oduruyɛfo anaa akwahosan ho ɔbenfo a wɔatete no de eyi ma wo nipadua mu wɔ ayaresabea anaa ayaresabea. Enti ɛho nhia sɛ wohaw wo ho wɔ ho. Wɔtaa de di dwuma wɔ mmofra a wɔadi boro mfe 12 mu wɔ nsɛm titiriw bi mu. Nanso oduruyɛfo no nkutoo na osi ho gyinae.
Sɛ aduru no dɔɔso dodo a, dɛn na ɛsɛ sɛ woyɛ?
Esiane sɛ wɔde eyi ma wɔ oduruyɛfo hwɛ ase nti, hokwan a ɛwɔ hɔ sɛ wobenya nnuru a ɛboro so no sua koraa. Nanso, sɛ wususuw sɛ biribi ato wo, anaasɛ wuhu saa sɛnkyerɛnne ahorow yi bi (sɛ nhwɛso no, adwenemhaw, w’ano a ɛyɛ mmerɛw, w’ani a ɛyɛ mmerɛw, wo ho popo) a, ɛsɛ sɛ wobɔ nnuruyɛfo a wɔwɔ hɔ no amanneɛ ntɛm ara. Wɔbɛyɛ nneɛma a ɛho hia. Sɛ wowɔ ɔhaw biara wɔ ayaresabea akyi a, kɔ ayaresabea a ɛbɛn wo no
Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) ntɛm ara. Sɛ wususuw sɛ awuduru ahyɛ wo mu a, wubetumi afrɛ
Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no nso .
Nnuru afoforo a ebia ɛne aduru yi bedi nkitaho
Ɛho hia paa sɛ woka nnuru, vitamin, ne nhabannuru a wonom nyinaa kyerɛ wo duruyɛfo. Nnuru bi tumi ne aduru yi di nkitaho wɔ akwan a wɔnhwɛ kwan so. Nnuru yi bi wɔ ase hɔ. Eyi nyɛ nsɛm a wɔahyehyɛ a edi mũ.
Fa nnuru a wonom nyinaa din ma wo duruyɛfo. Afei nso, sɛ wonom sigaret, wonom nsa, anaa wode nnubɔne foforo di dwuma a, hwɛ hu sɛ wobɛka akyerɛ wɔn.
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom nnuru no
Eyi yɛ biribi a nnipa pii werɛ fi, nanso ɛho hia paa. Sɛ beae no yɛ mmerɛw bere a wɔde aduru a ɛma obi ho yɛ no yaw no ama akyi a,
wonte ɛyaw no nka. Enti hokwan kɛse wɔ hɔ sɛ wubepira a wunhu. Fa no sɛ, sɛ wo sẽ abɔ wo sẽ na w’ano fã ayɛ mmerɛw a. Enkosi sɛ akisikuru no befi hɔ no, worente nka sɛ w’ano rebɔ bere a wudidi wɔ saa ɔfã no. Enti anofafa no betumi apira. Sɛ wo nan ayɛ mmerɛw a, ebia worente nka sɛ wo nansoaa rehuruhuruw bere a wonam no.
Enti, kosi sɛ baabi a ayɛ basaa no bɛsan ayɛ yiye koraa, kyerɛ sɛ, kosi sɛ akuru no befi hɔ koraa no, hwɛ yiye paa wɔ saa beae no ho. Twe wo ho fi dwumadi ahorow a ebetumi ama woapira ho.
Dɛn ne nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ aduru biara no, eyi betumi de ɔhaw ahorow aba. Nanso, ɛnyɛ obiara na onya bi. Ɛsɛ sɛ wɔbɔ eyinom bi ho amanneɛ ntɛm ara, bere a afoforo nso nyɛ aniberesɛm saa.
Ka kyerɛ wo duruyɛfo anaa akwahosan ho kuw no ntɛm ara. Mpɛn pii no ɛnyɛ aniberesɛm (nanso sɛ ɛkɔ so a, ka kyerɛ wo duruyɛfo).
| Nneɛma a ɛma obi ho yɛ no hyew | Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon, ɛyɛ den sɛ wobɛhome. |
| Nsakrae a ɛba koma a ɛbɔ mu | Koma a ɛbɔ ntɛmntɛm anaasɛ ɛnteɛ, adwenemhaw, koko mu yaw, ahome a ɛyɛ den. |
| Mogya mmoroso a ɛba fam/ɛkɔ soro | Adwene a ɛyɛ basaa, n’ani a ɛyɛ kusuu, te nka sɛ obi ayɛ mmerɛw (mogya mmoroso) anaa tiyɛ a emu yɛ den (mogya mmoroso). |
| Akisikuru a ɛma obi ho kyere no | Nipadua a ɛwosow ne nea wontumi nni so. |
| Ntini a ɛwɔ mfinimfini no mu adwenemhaw (CNS adwenemhaw) . | Ɔhome a ɛyɛ brɛoo anaasɛ ɛnyɛ den, nna a ɛtra so, ɛyɛ den sɛ ɔbɛda. |
| Methemoglobinemia ho sɛnkyerɛnne ahorow | Wora anaa anofafa yɛ bruu, ahome a ɛyɛ den, tiyɛ a emu yɛ den, koma bɔ ntɛmntɛm, akisikuru, ɔfe. |
| Adwene mu ahomegye a enni hɔ | Dadwen, ehu a ɛma obi ho popo. |
| Dae a ɛma obi da | Tebea a ɛtaa ba a ebetumi aba esiane nnuru a wɔde di dwuma nti. |
| Akisikuru ne ɔfe (Akisikuru, Ɔfe) . | Eyinom taa kɔ bere tiaa bi akyi. |
Ebia nneɛma bɔne a efi mu ba nyinaa nka saa nsɛm a wɔahyehyɛ yi ho. Sɛ wuhyia biribi a ɛyɛ soronko a, wo ne wo duruyɛfo nka ho asɛm.
Nkrasɛm a Wɔde Kɔ Fie
- Bupivacaine ne Epinephrine yɛ nnuru a wɔde twitwiw baabi pɔtee bi na ɛma ɛyaw no gyae bere a wɔreyɛ oprehyɛn anaa akwan afoforo a ɛyɛ yaw no.
- Ansa na wobɛnom saa aduru yi no, ɛho hia sɛ woka w’ayaresa tebea nyinaa (titiriw koma, mmerɛbo, ne asaabo mu yare) ne nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo.
- Eyi nyɛ aduru a wɔde kɔ fie. Bere nyinaa oduruyɛfo anaa akwahosan ho ɔbenfo a wɔatete no na ɔde ma wɔ ayaresabea.
- Bere a aduru no rema wo ho ayɛ wo yaw no, ɛyɛ w’asɛyɛde sɛ wobɛhwɛ baabi a ɛwɔ hɔ no sɛnea ɛbɛyɛ a ɛrempira. Hwɛ yiye paa wɔ saa asɛm no ho.
- Sɛ wunya ɔhaw biara a emu yɛ den te sɛ ahome a ɛyɛ den, wo koko mu yaw, akisikuru, anaa w’anofafa a ɛyɛ bruu a, hwehwɛ aduruyɛfo afotu ntɛm ara .
Nnuru a wɔde kum ɛyaw, Bupivacaine, Epinephrine, Oprehyɛn, Nnuru a wɔde kum ɛyaw, Nnuru a ɛma obi dwensɔ wɔ mpɔtam hɔ, Nea efi mu ba
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