So ɛho abehia sɛ wɔyɛ wo oprehyɛn pɛn? Anaasɛ woreyɛ nhyehyɛe sɛ wubenya bi daakye? Ehu kɛse a yɛwɔ wɔ mmere a ɛtete saa mu ne ɛyaw a ɛba wɔ oprehyɛn no akyi. Nanso seesei, esiane nkɔso a aba wɔ aduruyɛ ho nyansahu mu nti, akwan pii wɔ hɔ a wobetumi afa so adi ɛyaw yi so. Wiɛ, ɛnnɛ yɛreka aduru titiriw bi a ɛhwɛ ɛyaw a ɛba wɔ oprehyɛn akyi nna kakraa bi ho asɛm.
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Dɛn ne Bupivacaine a wɔde hyɛ nipadua mu yi?
Sɛ yɛbɛka no tiawa a, eyi yɛ aduru a ɛma obi ho dwiriw no a wɔde ma de siw ɛyaw a ɛba wɔ oprehyɛn akyi no ano. Te sɛ nea ɛma wo sẽ yɛ mmerɛw ansa na wɔayi wo sẽ no, saa aduru yi ma honam ani ne ntini a atwa beae a wɔyɛ oprehyɛn no ho ahyia no yɛ mmerɛw. Nanso ɛnte sɛ nnuru a wɔde kum nipadua no daa.
Saa aduru yi (Liposomal Bupivacaine) ba sɛ ‘implant’ ketewaa bi a ɛyɛ mmerɛw. Fa no sɛ wɔreyɛ wo hernia oprehyɛn. Oduruyɛfo a ɔyɛ oprehyɛn no de aduru yi gu kuru no mu bere a wɔawie oprehyɛn no ne ansa na wɔapam kuru no. Ade titiriw a ɛwɔ eyi ho ne sɛ ɛde nkakrankakra gyae ɛyaw ano aduru no kɔ nipadua no mu wɔ nna pii mu. Eyi kyerɛ sɛ wunya ahotɔ kɛse fi ɛyaw a ɛwɔ oprehyɛn no mu nnafua 2-3 tẽẽ. Ebinom a wɔde brand din a wɔde frɛ eyi ne Xaracoll.
Nneɛma a ɛsɛ sɛ wo duruyɛfo hu ansa na wama wo saa aduru yi
Ɛwom sɛ eyi yɛ aduru a wɔde ma wɔ ayaresabea de, nanso ɛho hia yiye sɛ wode w’akwahosan ho nkyerɛkyerɛmu a edi mũ ma oduruyɛfo no, efisɛ ebia saa aduru yi ne ayaresa tebea horow bi renhyia.
Hwɛ hu sɛ wobɛka nneɛma yi ho asɛm akyerɛ wo duruyɛfo:
- Sɛ woadi kan anya Bupivacaine anaa aduru foforo biara a wɔde kum nipadua no ho akisikuru a.
- Sɛ wowɔ komayare, mmerɛbo mu yare, anaa asaabo mu yare a.
- Sɛ wowɔ mogya mu yare te sɛ G6PD a enni hɔ a.
- Sɛ wowɔ ɔhome mu nyarewa te sɛ ayamtu a.
- Sɛ wo mogya mmoroso a ɛba fam a.
- Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaa worema nufu a.
Ɛho hia paa ma w’ankasa ahobammɔ sɛ wobɛka akyerɛ wo duruyɛfo a womfa saa nsɛm yi nsie, efisɛ ɛsɛ sɛ wohwɛ yiye titiriw bere a wode aduru yi redi dwuma wɔ ayaresa tebea horow yi ho no.
Ɔkwan bɛn so na wɔde saa aduru yi di dwuma?
Eyi nyɛ aduru a wubetumi de akɔ fie. Eyi yɛ biribi a oduruyɛfo de si baabi a wɔyɛ oprehyɛn no bere a wɔreyɛ oprehyɛn wɔ ayaresabea anaa ayaresabea . Enti ɛnsɛ sɛ wohaw wo ho sɛ wobɛyera dose bi anaasɛ wobɛnom pii.
Sɛ mpofirim ara wote nka sɛ woanya sɛnkyerɛnne biara a ɛyɛ soronko esiane aduru yi nti a, ka kyerɛ oduruyɛfo anaa ɔyarehwɛfo ntɛm ara. Sɛ wususuw sɛ aduru biara a ɛboro so a, wɔ yɛn man yi mu no, ɛsɛ sɛ wofrɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no tẽẽ. Afei nso, sɛ wowɔ ayaresabea a, ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ Emergency Treatment Unit (ETU) ntɛm ara .
So ɔhaw ahorow betumi aba wɔ nnuru afoforo ho? (Nnuru a Wɔde Di Dwuma) .
Yiw, nnuru bi betumi ne Bupivacaine adi nkitaho. Enti, ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ wɔ nnuru a worenom nyinaa ho, ɛnyɛ nea wo duruyɛfo akyerɛw ama wo no nko, na mmom nnuru a wɔtɔn, vitamin, ne nhabannuru nso, ansa na wɔayɛ wo oprehyɛn.
| Nnuru a wɔde di dwuma no fã | Nhwɛso ahorow |
|---|---|
| Nnuru afoforo a ɛma obi ho tɔ no | Lidocaine, Tetracaine, aduru a wɔfrɛ no Tetracaine |
| Nnuru bi a ekum ɔyare mmoawa | Dapsone, Nitrofurantoin, Sulfonamides a wɔde yɛ aduru a wɔfrɛ no Sulfonamides |
| Nnuru a wɔde sa akisikuru | Phenobarbital, Phenytoin a wɔde yɛ aduru |
| Nnuru a wɔde kum ɛyaw | Acetaminophen (Paracetamol) a wɔde yɛ aduru a wɔfrɛ no Acetaminophen (Paracetamol) . |
| Nnuru a wɔde sa komayare | Nitroglycerin, Nitroprusside a ɛyɛ aduru a wɔfrɛ no Nitroprusside |
| Nnuru afoforo | Chloroquine, Quinine, Metoclopramide, Sulfasalazine a wɔde yɛ aduru |
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom aduru no
Ɛsɛ sɛ wohwɛ yiye kɛse bere a saa aduru yi reyɛ adwuma, kyerɛ sɛ, bere a baabi a wɔyɛɛ oprehyɛn no yɛ mmerɛw no. Fa no sɛ wɔayɛ wo yafunu oprehyɛn na wɔde aduru yi maa wo. Esiane sɛ saa beae no yɛ mmerɛw nti, wonte biribiara a ɛbɔ, mia, anaa ɛyɛ yaw wɔ hɔ. Enti, ɛyɛ w’asɛyɛde sɛ wobɛhwɛ saa beae no so sɛnea ɛbɛyɛ a ɛrempira anaasɛ ɛrempira biara.
Dɛn ne nneɛma bɔne a efi mu ba?
Te sɛ aduru biara no, eyi betumi de ɔhaw ahorow bi aba. Ebi yɛ aniberesɛm, ebi nso abu so.
| Nneɛma bɔne a anibere wom a ɛsɛ sɛ wobɔ wo duruyɛfo anaa ETU amanneɛ ntɛm ara | |
|---|---|
| Nneɛma a ɛma obi ho yɛ no yaw | Honam ani akisikuru, ɛyaw, anim, ano anaa tɛkrɛma a ɛho ahonhon, ɛyɛ den sɛ wobɛhome. |
| Nsakrae a ɛba koma a ɛbɔ mu | Koko mu yaw, adwenemhaw, koma a ɛbɔ ntɛmntɛm anaasɛ ɛnteɛ, ɔtopae. |
| Ntini mu ntini mu haw ahorow | Akisikuru , ahopopo. |
| Methemoglobinemia ho sɛnkyerɛnne ahorow | Wora a ɛyɛ fitaa, ɛyɛ fitaa anaa bruu, tiyɛ, koma a ɛbɔ ntɛmntɛm, ɛyɛ den sɛ ɔbɛhome, ɔbrɛ a ɛtra so. |
| Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo | |
| Nneɛma afoforo a ɛwom | Tiyɛ, atiridiinini, ahomegye, nsakrae a ɛba wɔ anom dɛ mu, nsakrae a ɛba wɔ anisoadehu mu. |
Nkrasɛm a Wɔde Kɔ Fie
- Bupivacaine a wɔde hyɛ nipadua mu no yɛ aduru titiriw bi a wɔde si kuru no nkyɛn bere a wɔreyɛ oprehyɛn no na esiw ɛyaw ano nna pii.
- Eyi nyɛ aduru a wubetumi de akɔ fie. Oduruyɛfo bi na ɔde di dwuma wɔ ayaresabea.
- Ɛho hia sɛ woka w’ayaresa tebea nyinaa ne nnuru afoforo a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo ansa na wɔayɛ wo oprehyɛn.
- Sɛ wuhu sɛnkyerɛnne ahorow te sɛ akisikuru a emu yɛ den, ɛyɛ den sɛ wobɛhome, akisikuru , anaa koma a ɛbɔ a ɛnteɛ a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Sɛ wo nipadua no fã bi ayɛ mmerɛw esiane nnuru no nkɛntɛnso nti a, hwɛ yiye paa na bɔ saa beae no ho ban na woanpira.
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