So ɛho abehia sɛ wɔyɛ wo oprehyɛn ketewaa bi anaa kɛse bi pɛn? Anaasɛ woreyɛ nhyehyɛe sɛ wubenya bi daakye? Sɛ saa a, ɛyɛ ade a ɛfata sɛ wusuro ɛyaw a ɛba wɔ oprehyɛn akyi no kakra. Nanso mma ɛnhaw wo, nnɛyi aduruyɛ akɔ anim yiye. Nnuruyɛfo fa akwan horow so di ɛyaw yi so. Ɛnnɛ, yɛreka aduru titiriw bi a wɔde gu kuru a wɔde yɛ oprehyɛn no ankasa so na wɔde siw ɛyaw ano nnɔnhwerew pii ho asɛm.
Dɛn ne aduru yi? (Bupivacaine; Meloxicam) a wɔde di dwuma wɔ ɔkwan a ɛfata so.
Sɛ yɛbɛka no tiawa a, eyi yɛ nnuru abien a wɔaka abom. Wɔtɔn no wɔ edin ``ZYNRELEF'' ase. Nnuru abien na ɛwɔ mu, Bupivacaine ne Meloxicam .
Fa no sɛ ade a oduruyɛfo de ma wo ansa na woayi wo sẽ. Ɛno ma mpɔtam hɔ yɛ basaa, ɛnte saa? Wiɛ, Bupivacaine a ɛwɔ eyi mu no ne nea ɛma ntini a ɛwɔ baabi a wɔyɛɛ wo oprehyɛn no yɛ mmerɛw bere tiaa bi. Afei saa ntini ahorow no gyae ɛyaw ho nsɛnkyerɛnne a ɛde kɔ amemene no mu, na wote ɛyaw nka kɛse.
Aduru a ɛto so abien ne Meloxicam . Eyi yɛ aduru a wɔde kum ɛyaw ne aduru a ɛtew ɔfe so. Wɔ aduruyɛ mu no, yɛfrɛ eyi `(NSAID - Non-Steroidal Anti-Inflammatory Drug)`. Saa aduru yi di kuru no a ɛho ahonhon na ɛyɛ kɔkɔɔ bere a wɔayɛ no oprehyɛn akyi no so. Enti, nnuru abien yi a wɔde bɛka abom no bɛma woanya ahotɔ kɛse afi ɛyaw a ɛwɔ oprehyɛn mu bɛyɛ nnɔnhwerew 72 no mu.
Nea ɛho hia ne sɛ, eyi nyɛ aduru a wubetumi de akɔ fie. Ɛyɛ ano aduru titiriw a oduruyɛfo de hyɛ kuru no mu bere a wɔreyɛ oprehyɛn wɔ ayaresabea anaa ayaresabea.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na wode aduru yi ama wo
Ansa na wubesi gyinae sɛ ebia saa aduru yi fata wo no, ɛho behia sɛ wo duruyɛfo hu w’akwahosan ho abakɔsɛm nyinaa. Hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ wowɔ tebea horow a edidi so yi mu biara a:
| Akwahosan tebea anaa suban | Nkyerɛmu |
|---|---|
| Ɔhome mu nyarewa | Sɛ wowɔ ahurututu mu nyarewa te sɛ ayamtu a. |
| Mogya a ɛtɔ ho haw ahorow | Sɛ wowɔ mogyatɔw ho yare bi a. |
| Koma mu oprehyɛn | Sɛ nnansa yi ara (wɔ adapɛn 2 mu) wɔayɛ wo koma no oprehyɛn (Coronary Artery Bypass Graft - CABG). |
| Koma mu yare ne mogya mmoroso | Tebea horow te sɛ komayare, mogya mmoroso anaa nea ɛba fam. |
| Yafunu ne dwensɔtwaa mu haw ahorow | Sɛ woanya yafunu mu akuru anaa mogya atɔ wo bere bi a atwam a. |
| Asaabo anaa mmerɛbo mu yare | Sɛ wowɔ ayaresa tebea biara a ɛfa asaabo anaa mmerɛbo dwumadi ho a. |
| Suban ne tebea afoforo | Sɛ wonom nsa da biara da, wonom sigaret, anaasɛ wowɔ G6PD a enni wo mu a. |
| Nneɛma a ɛma obi ho yɛ no hyew | Sɛ wo ho yɛ wo hyew wɔ Bupivacaine, Meloxicam, Aspirin anaa NSAIDs afoforo, nnuru afoforo, nnuan, anaa nnuru a wɔde yɛ nneɛma ho a. |
| Nyinsɛn a wɔde di dwuma | Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaa worema nufu a. |
Na sɛ wɔnom aduru yi boro so nso ɛ?
Esiane sɛ oduruyɛfo a ɔwɔ ayaresabea na ɔde aduru yi ma nti, asiane a ɛwɔ hɔ sɛ wɔbɛnom boro so no sua koraa. Nanso, sɛ wususuw sɛ ebia woanom nnuru a ɛboro so a, ɛsɛ sɛ wofrɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Ɔman Ayaresabea no ntɛm ara , anaasɛ wokɔ ayaresabea a ɛbɛn wo no Dwumadibea a Ɛhwɛ Nneɛma a Egye Ntɛmpɛ So (ETU) no.
Nkitahodi a ɛda nnuru afoforo ntam
Saa aduru yi betumi de ɔhaw aba bere a wɔde ka nnuru afoforo bi ho no, enti ɛho hia yiye sɛ woka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo, a vitamin, nhabannuru, ne nnuru a wɔde ka ho .
Ɛnsɛ sɛ wɔde ZYNRELEF ka nnuru yi ho titiriw:
- Cidofovir a wɔde di dwuma
- Ketorolac (aduru foforo a ano yɛ den a wɔde kum ɛyaw) .
Nea ɛka ho no, ɔhaw ahorow nso betumi aba wɔ nnuru a edidi so yi ho:
- Nnuru afoforo a wɔde kum ɛyaw (sɛ nhwɛso no, Aspirin, Ibuprofen, Naproxen) .
- Nnuru a ɛmma mogya ntumi nkɔ (e.g. Warfarin) .
- Nnuru bi a wɔde sa mogya mmoroso ne komayare
- Nnuru ahorow pii a ekum ɔyare mmoawa
- Nnuru a ɛma nsu fi nipadua mu
- Nnuru a wɔde sa adwenemhaw (SSRIs, SNRIs) .
- Nnuru ahorow a wɔde ma wɔ akisikuru ho
- Nnuru pɔtee afoforo te sɛ Lithium, Methotrexate
Saa nsɛm a wɔahyehyɛ yi nni mũ, enti ɛbɛyɛ papa sɛ wobɛka nnuru a worenom nyinaa ho asɛm akyerɛ wo duruyɛfo ansa na woayɛ wo oprehyɛn.
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a woanom aduru yi awie no
1. Hwɛ yiye wɔ baabi a ɛyɛ mmerɛw no ho: Esiane sɛ baabi a wɔyɛɛ oprehyɛn no yɛ mmerɛw nti, worente ɛyaw biara. Enti, ɛsɛ sɛ wohwɛ yiye na woanpirapira, wompira, anaa woanhyew baabi a ɛwɔ no.
2. Ka kyerɛ nnuruyɛfo afoforo: Sɛ ɛho hia sɛ woyɛ oprehyɛn foforo anaa woyɛ ayaresa wɔ nnafua 4 akyi bere a woanom saa aduru yi a, ka kyerɛ oduruyɛfo no sɛ wo nsa aka saa aduru yi.
3. Hwɛ yiye wɔ yafunu mu mogya a ɛbɛtɔ ho: Ɛtɔ mmere bi a Meloxicam (NSAID) a ɛwɔ aduru yi mu no tumi ma yafunu mu akuru anaa mogya tu. Sigaretnom, nsa a wɔnom, nkwakoraa ne mmerewa, ne akwahosan pa a wonni betumi ama asiane yi ayɛ kɛse. Sɛ wo yafunu mu yɛ wo yaw mpofirim, wofe a ɛte sɛ kɔfe a wɔayam, anaasɛ nsu tuntum a wɔde tar ayɛ , hwehwɛ aduruyɛfo afotu ntɛm ara.
Nneɛma bɔne a ebetumi afi mu aba
Sɛnea ɛte wɔ nnuru biara ho no, nsunsuanso bɔne betumi aba. Ebi yɛ aniberesɛm, ebi nso abu so.
| Nsunsuanso bɔne | Mpopoeɛ |
|---|---|
| Nneɛma bɔne a anibere wom a ɛsɛ sɛ wobɔ wo duruyɛfo anaa ETU amanneɛ ntɛm ara | |
| Nneɛma a ɛma obi ho yɛ no hyew a emu yɛ den | Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon, ɛyɛ den sɛ wobɛhome. |
| Mogya a ɛretu | Nsu tuntum, ɔfe a ɛte sɛ kɔfe a wɔayam, nsu a ɛyɛ kɔkɔɔ/biribiri tuntum, nsensanee kɔkɔɔ/kɔla kɔkɔɔ wɔ honam ani. |
| Koma mu yare | Koko, mmati, basa, anaa anom a ɛyɛ den/ɛyaw, akisikuru, ahome a ɛyɛ den. |
| Nnwodwoɔ | Anim, abasa, anaa nan a ɛyɛ mmerɛw/mmerɛwyɛ mpofirim, kasa a ɛyɛ den, adwene a ɛyɛ basaa, nantew a ɛyɛ den. |
| Asaabo anaa mmerɛbo a ɛsɛe | Nsu a ɛba no so tew, nansoaa/nsa/nan a ɛho ahonhon, aniwa/honam ani yɛ kɔkɔɔ, yafunu no atifi nifa so ɛyaw. |
| Methemoglobinemia a ɛma mogya tu | Tiyɛ, ɔbrɛ a ɛtra so, ahome a ɛyɛ tiaa, koma a ɛbɔ ntɛmntɛm, honam ani anaa anofafa a ɛyɛ bruu (eyi yɛ tebea a ɛka mogya no tumi a ɛde mframa pa kɔ). |
| Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo | |
| Ayamtim | Ɛyɛ den sɛ wobɛkɔ tiafi. |
| Tipaeɛ | Tipaeɛ. |
| Ɔfe a wɔfe | Ɔfe a ɛma obi ho kyere no. |
Nkrasɛm a Wɔde Kɔ Fie
- `ZYNRELEF` yɛ nnuru soronko bi a wɔde gu oprehyɛn kuru no so tẽẽ de siw ɛyaw ano wɔ oprehyɛn akyi.
- Ansa na wɔbɛma wo saa aduru yi no, hwɛ hu sɛ wobɛka w’ayaresa tebea nyinaa ne nnuru a wonom nyinaa ho asɛm akyerɛ wo duruyɛfo.
- Esiane sɛ baabi a wɔbɛyɛ oprehyɛn no bɛyɛ mmerɛw bere a wɔde aduru no ama akyi nti, ɛyɛ w’asɛyɛde sɛ wobɛhwɛ yiye na woampira baabi a ɛwɔ no.
- Sɛ wuhu sɛnkyerɛnne biara a ɛkyerɛ sɛ biribi a emu yɛ den te sɛ yafunu mu mogya tu, komayare, obubuafo, anaasɛ akisikuru a emu yɛ den a, hwehwɛ aduruyɛ mu afotu ntɛm ara a wontwentwɛn wo nan ase anaasɛ kɔ ayaresabea a ɛbɛn wo no Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) nkyɛn.
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