So wɔayɛ nhyehyɛe sɛ wɔbɛyɛ wo oprehyɛn? Anaasɛ obi a ɔwɔ w’abusua mu resiesie ne ho ama oprehyɛn? Ade titiriw nti a wosuro oprehyɛn ne ɛyaw a ɛba wɔ oprehyɛn no akyi. Nanso mma ɛnhaw wo, nnɛyi aduruyɛ ho nyansahu akɔ anim yiye. Akwan pa a ahobammɔ wom yiye wɔ hɔ a wobɛfa so adi ɛyaw yi so. Ɛnnɛ yɛreka aduru soronko bi a wɔde siw ɛyaw a ɛte saa ano ho asɛm.
Dɛn ankasa ne Bupivacaine?
Sɛ yɛbɛka no tiawa a, Bupivacaine yɛ aduru a wɔde ma de siw ɛyaw ano anaasɛ ɛtew so wɔ oprehyɛn anaa aduruyɛ akyi. Ɛka nnuru bi a wɔfrɛ no ‘ local anesthetics’ ho.
Fa no sɛ ntini nketenkete bi wɔ wo nipadua mu a ɛde ‘ɛyaw ho nsɛnkyerɛnne’ fi baabi a wote ɛyaw nka kɔ amemene no mu. Nea aduru yi yɛ ne sɛ ɛkɔ beae a ɛfa ho nkutoo, kyerɛ sɛ, ɛkɔ beae a wɔyɛɛ oprehyɛn no, na ‘ɛma ntini a ɛde saa ɛyaw nsɛnkyerɛnne no kɔ no yɛ mmerɛw bere tiaa bi. Ɛte sɛ nea ‘woredum’ anyinam ahoɔden nhama kakra. Afei ɛyaw no nkɔ amemene no mu, enti wonte ɛyaw no nka. Eyi mma nipadua no nyinaa nyɛ mmerɛw, te sɛ nea ada, ɛma baabi a ɛyaw no wɔ no yɛ mmerɛw kɛkɛ.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom saa aduru yi
Ɛwom sɛ Bupivacaine yɛ aduru a ahobammɔ wom yiye de, nanso ɛho hia sɛ wo duruyɛfo nim w’ayaresa tebea no yiye. Nea enti a ɛte saa ne sɛ ɛsɛ sɛ wɔhwɛ yiye titiriw bere a wɔde aduru yi rema nnipa a wɔwɔ ayaresa tebea horow bi no. Enti, sɛ wowɔ ayaresa tebea horow a wɔabobɔ din wɔ ase ha no bi a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo.
| Yare anaa tebea | Dɛn nti na ɛho hia sɛ wobɔ oduruyɛfo no amanneɛ? |
|---|---|
| Enzyme a enni nipadua mu te sɛ G6PD a enni nipadua mu | Eyi yɛ mogya mu yare a wonya fi awosu mu a ebetumi ama nnuru bi ayɛ wɔn ade wɔ ɔkwan a enye so. |
| Koma mu yare | Efisɛ ebetumi aka koma no dwumadi. |
| Asaabo mu yare | Efisɛ asaabo no ka ho bi na ɛma woyi nnuru fi nipadua no mu. |
| Mmɛn mu yare | Efisɛ mmerɛbo no ho hia ma nnuru a ɛwɔ nipadua no mu a ɛpaapae. |
| Mogya mmoroso a ɛba fam | Saa aduru yi betumi ama wo mogya so atew kɛse mpo. |
| Ahurututu mu yare | Efisɛ ebetumi aka sɛnea ɔhome nhyehyɛe no yɛ adwuma. |
| Bupivacaine anaa nnuru afoforo, nnuan, anaa nnuru a wɔde yɛ nneɛma a ɛma obi ho yɛ no hyew | Eyi ho hia yiye na wɔasiw akisikuru ano. |
| Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a | Sɛ wobesusuw ho sɛ ebia nkɛntɛnso bi bɛba akokoaa a ɔwɔ awotwaa mu no so anaa. |
| Sɛ woyɛ ɛna a ɔma nufu a | Sɛ wobesusuw ho sɛ ebia aduru no nam nufusu so kɔ akokoaa no nkyɛn anaa. |
Mɛyɛ dɛn ama wo aduru yi?
Eyi nyɛ aduru a wubetumi de akɔ fie. Wɔde ma sɛ aduru a wɔde twitwiw nipadua no mu, baabi a ɛyaw no wɔ no ara pɛ. Wo duruyɛfo anaa nnuruyɛfo kuw a wɔatete wɔn na wɔde ma wɔ ayaresabea anaa ayaresabea. Enti wunni biribiara a ɛsɛ sɛ wohaw wo ho wɔ ho.
Nea ɛho hia paa ne sɛ saa aduru yi yɛ wo nkutoo dea. Mfa saa aduru yi nkyerɛ obi foforo da, sɛ mpo wɔwɔ yare no ho sɛnkyerɛnne te sɛ wo de no a.
Sɛ wonom boro so a, dɛn na wobɛyɛ?
Esiane sɛ wɔde eyi ma wɔ ayaresabea nti, asiane a ɛwɔ hɔ sɛ wɔbɛnom boro so no sua koraa. Nanso, sɛ wususuw sɛ ebia woanom nnuru a ɛboro so a, mma wo ho nnyɛ wo hu na bɔ nnuruyɛfo kuw no amanneɛ ntɛm ara. Sɛnea ɛbɛyɛ foforo no, ɛsɛ sɛ wofrɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no ntɛm ara , anaasɛ wokɔ ayaresabea a ɛbɛn wo no Ayaresa a Ɛho Hia Ntɛmntɛm (ETU) no.
Nnuru afoforo a ebetumi ne Bupivacaine adi nkitaho
Nnuru bi a worenom no betumi ne Bupivacaine adi nkitaho. Eyi kyerɛ sɛ, sɛ wɔnom nnuru abien no bom a, wobetumi asesa sɛnea biako no yɛ adwuma yiye anaasɛ nea efi mu ba no betumi ayɛ kɛse.
Enti, ma wo duruyɛfo no nnuru a wonom nyinaa din a edi mũ, sɛ́ ebia oduruyɛfo na ɔkyerɛw ama wo, nea wontɔn, vitamin, aduru a wɔde di dwuma wɔ amanne kwan so, Ayurveda nnuru, anaa biribi foforo biara a wode di dwuma . Afei nso, sɛ wonom sigaret anaa wonom nsa a, ka kyerɛ wo duruyɛfo.
Nnuru bi a ebetumi ne Bupivacaine adi nkitaho ne:
- Acetaminophen (paracetamol) a wɔde yɛ aduru a wɔfrɛ no Acetaminophen .
- Nnuru ahorow bi a ekum ɔyare mmoawa
- Nnuru bi a wɔde sa tebea horow te sɛ akisikuru (e.g. phenobarbital, phenytoin) .
- Nnuru te sɛ Nitroglycerin a wɔde sa komayare
- Nnuru afoforo a wɔde kum nipadua no te sɛ Lidocaine, Tetracaine
- Nnuru afoforo pii...
Saa list yi nwie pɛyɛ. Ɛno nti na ɛho hia sɛ woka biribiara a wobɛnom ho asɛm kyerɛ wo duruyɛfo no.
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a woanom aduru no awie no
W’aduruyɛfo kuw no bɛhwɛ wo tebea no yiye bere a woregye saa aduru yi no, nanso biribi a ɛho hia wɔ hɔ a ɛsɛ sɛ wuhu.
Ɛne sɛ, wonte ɛyaw nka wɔ saa beae no efisɛ baabi a wɔde aduru no maa wo no yɛ mmerɛw. Fa no sɛ wɔmaa wo aduru yi sɛ wɔnyɛ wo kotodwe oprehyɛn. Saa bere no, na wo kotodwe ayɛ mmerɛw ma enti woante ɛyaw nka. Enti, sɛ saa beae no bɔ, epira, anaa ɛyɛ hyew a, wonte ase. Enti, ɛsɛ sɛ wohwɛ yiye paa kosi sɛ akisikuru no befi hɔ koraa. Hwɛ hu sɛ asiane biara nni saa beae no.
Nsunsuanso bɔne a ebetumi aba esiane nnuru nti
Te sɛ aduru biara no, Bupivacaine betumi de ɔhaw ahorow aba. Nanso, ɛnyɛ obiara na onya bi. Ebinom yɛ aniberesɛm, na ebinom nso yɛ odwo. Nea ɛho hia sen biara ne sɛ wubehu saa sɛnkyerɛnne ahorow yi na sɛ wuhu biribi a anibere wom a, ka kyerɛ wo duruyɛfo anaa ɔyarehwɛfo ntɛm ara.
| Nsunsuanso bɔne a ɛsɛ sɛ wobɔ w’aduruyɛfo kuw no amanneɛ ntɛm ara | |
|---|---|
| Nsunsuanso bɔne | Nkyerɛmu |
| 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 | Sɛ wote nka sɛ wo koma rebɔ ntɛmntɛm anaasɛ ɛnte saa, wo ti ayɛ wo yaw, wo koko yɛ wo yaw, ɛyɛ den sɛ wobɛhome. |
| Akisikuru a ɛma obi ho kyere no | Nipadua a ɛwosow, adwene a ɛyera. |
| Nsakrae a ɛba mogya mmoroso mu | Mogya mmoroso anaa nea ɛba fam (adwene a ɛyɛ no yaw, n’ani a ɛyɛ kusuu, te nka sɛ watɔ piti). |
| Methemoglobinemia ho sɛnkyerɛnne ahorow | Eyi yɛ tebea a ɛntaa nsi a mogya no tumi a ɛde mframa pa kɔ no sɛe. Nsɛnkyerɛnne no bi ne tiyɛ, ɔbrɛ a ɛtra so, ɔhome a ɛyɛ tiaa, akisikuru, koma bɔ ntɛmntɛm, ne honam ani anaa anofafa a ɛyɛ bruu. |
| Ntini a ɛwɔ mfinimfini no dwumadi a ɛso tew (CNS adwenemhaw) . | Ɔhome a ɛyɛ brɛoo anaasɛ ɛnyɛ den, nna a ɛtra so, ɛyɛ den sɛ wobɛma n’ani ada hɔ, adwene a ɛyɛ basaa. |
| Nneɛma a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ nnuruyɛfo kuw no amanneɛ | |
| Abofono | Sɛ wote nka sɛ wobɛfe. |
| Ɔfe a wɔfe | - . |
| Dae a ɛma obi da | - . |
| Adwennwene anaa ehu a ɛba obi so | - . |
Ebia nneɛma bɔne a efi mu ba nyinaa nka saa nsɛm a wɔahyehyɛ yi ho. Sɛ wowɔ biribi a ɛyɛ soronko a wususuw sɛ ebia efi aduru yi mu a, wo ne wo duruyɛfo nka ho asɛm.
Nkrasɛm a Wɔde Kɔ Fie
- Bupivacaine yɛ aduru a wɔde kum ɛyaw a wɔde siw ɛyaw ano bere a wɔayɛ oprehyɛn akyi.
- Aduruyɛ kuw bi a wɔwɔ ayaresabea na wɔde saa aduru yi ma, enti wunni biribiara a ɛsɛ sɛ wohaw wo ho.
- Ɛho hia yiye sɛ wobɛka aduruyɛ mu tebea foforo biara a wowɔ ne nnuru a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo.
- Esiane sɛ beae no bɛyɛ mmerɛw bere a wɔde aduru no ama akyi nti, hwɛ yiye kɛse na woanpira baabi no kosi sɛ akisikuru no bɛsɛe.
- Sɛ wunya ɔhaw biara a emu yɛ den te sɛ ahome a ɛyɛ den, wo koko mu yaw, anaa w’anim a ɛho ahonhon a, bɔ nnuruyɛfo kuw no amanneɛ ntɛm ara .
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