Sɛ ɛrenkyɛ wɔbɛyɛ wo oprehyɛn a, ade biako a wusuro kɛse ne ɛyaw a ɛbɛba wɔ ɛno akyi no. "Oh, oduruyɛfo, ɛbɛyɛ yaw kɛse wɔ ɛno akyi?" Yɛn nyinaa bisa sɛ, ɛnte saa? Saa ehu no fata. Nanso, anigyesɛm ne sɛ, ɛnnɛ, esiane aduruyɛ ho nyansahu a anya nkɔso nti, akwan pa pii wɔ hɔ a wɔfa so di ɛyaw a ɛba wɔ oprehyɛn akyi no so. Enti ɛnnɛ yɛrebɛka aduru titiriw bi a nnuruyɛfo de siw ɛyaw yi ano ho asɛm. Wɔfrɛ no Bupivacaine.
Dɛn ne Bupivacaine yi?
Sɛ yɛbɛka no tiawa a, Bupivacaine yɛ aduru a ɛma obi ho tɔ no a wɔde ma baabi a atwa kuru a wɔayɛ no oprehyɛn ho ahyia bere a wɔreyɛ oprehyɛn no anaasɛ bere a wɔreyɛ no oprehyɛn akyi no. Ɛte sɛ aduru a ɛma wo sẽ yɛ mmerɛw a wode ma ansa na woayi wo sẽ, nanso ɛyɛ aduru titiriw a emu yɛ den a wɔde yɛ oprehyɛn akuru.
Wɔde eyi gu baabi a wɔyɛɛ oprehyɛn no tẽẽ, kyerɛ sɛ, wɔde gu ntini a atwa kuru no ho ahyia no mu. Eyi ma ntini a ɛwɔ saa beae no yɛ mmerɛw bere tiaa bi na ɛma ɛyaw ho nsɛnkyerɛnne no nkɔ amemene no mu. Eyi kyerɛ sɛ worente ɛyaw nka kɛse nnɔnhwerew kakraa bi wɔ oprehyɛn no akyi. Eyi kyerɛ sɛ wo ho bɛtɔ wo kɛse bere a wo ho retɔ wo no.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na wode aduru yi ama wo
Ansa na ɔde aduru yi bɛma wo no, ɛho behia sɛ wo duruyɛfo hu w’ayaresa ho abakɔsɛm nyinaa. Eyi te saa efisɛ aduruyɛ mu tebea horow bi hwehwɛ sɛ wɔhwɛ so yiye bere a wɔde aduru yi redi dwuma no. Enti, sɛ wowɔ tebea horow a wɔabobɔ din wɔ ase ha no bi a, hwɛ hu sɛ wobɛka ho asɛm akyerɛ wo duruyɛfo. Mma w’ani ngu so, efisɛ w’ahobammɔ ne ade a ɛho hia sen biara.
| Yare anaa tebea | Dɛn nti na ɛsɛ sɛ wobɔ amanneɛ? |
|---|---|
| Bupivacaine anaa nnuru foforo a ɛma obi ho yɛ no yaw (e.g. Lidocaine) ho akisikuru . | Sɛnea ɛbɛyɛ a wɔremma obi nnya akisikuru a emu yɛ den. |
| Koma mu yare | Nnipa a wɔwɔ komayare hia sɛ wɔhwɛ wɔn yiye efisɛ ebia ɛsono nea aduru yi de ba. |
| Mmɛn anaa Asaabo mu yare | Efisɛ ebetumi aka ɔkwan a wɔfa so yi nnubɔne fi nipadua no mu no. |
| Mogya mmoroso a ɛba fam | Efisɛ saa aduru yi tumi ma mogya mmoroso so tew kɛse mpo. |
| Ahurututu mu nyarewa (e.g. ayamtu, COPD) . | Sɛnea ɛbɛyɛ a wubehu asiane a ɛwɔ ɔhome mu haw ahorow mu. |
| G6PD a enni hɔ | Eyi yɛ tebea a ɛntaa nsi a ɛfa mogya ho a ehia sɛ wɔhwɛ so yiye. |
| Sɛ obi nyinsɛn, ɔbɔ mmɔden sɛ obenyinsɛn, anaasɛ ɔbɛma nufu | Sɛnea ɛbɛyɛ a wobesusuw nkɛntɛnso a ebetumi aba abofra no so ho na wɔasi gyinae a eye sen biara. |
Wode saa aduru yi di dwuma dɛn?
Nea ɛho hia ne sɛ, eyi nyɛ aduru a wubetumi de akɔ fie. Oduruyɛfo anaa ayarehwɛfo a wɔatete wɔn nkutoo na wɔde bupivacaine a wɔde twitwiw nipadua no ma wɔ ayaresabea anaa ayaresabea nkutoo.
Wɔtaa de gu ntini a atwa oprehyɛn kuru no ho ahyia no mu bere a wɔreyɛ oprehyɛn no anaa bere a wɔreyɛ oprehyɛn no akyi, enti ɛnsɛ sɛ wohaw wo ho sɛ wobɛhwere dodow bi.
Sɛ ɔhaw bi ba mpofirim wɔ aduru yi a wɔnom boro so ho a, ɛbɛsi wɔ ayaresabea na nnuruyɛfo no bɛyɛ ho biribi ntɛm ara. Wɔ tebea a ɛte saa mu no, wobetumi afrɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no nso na wɔanya afotu a ɛho hia. Afei nso, wɔde ɔyarefo no bɛkɔ Emergency Treatment Unit (ETU) ntɛm ara na wɔde ayaresa a ɛho hia ama no.
Nnuru afoforo a ebetumi ne Bupivacaine adi nkitaho
Sɛ worenom nnuru foforo biara a, ɛho hia sɛ woka ho asɛm nso kyerɛ wo duruyɛfo. Nnuru bi betumi ne Bupivacaine adi nkitaho na ɛde nsunsuanso a wɔmpɛ aba. Ka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo, ɛnyɛ nea wo duruyɛfo akyerɛw ama wo nko, na mmom nnuru a wɔde kum ɛyaw, vitamin, ne nhabannuru a wotɔ fi nnurutɔnbea nso.
Dɛn ne nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ aduru biara no, Bupivacaine betumi de ɔhaw ahorow aba nnipa binom so. Nanso, ɛnyɛ obiara na onya bi. Ebinom yɛ aniberesɛm na ɛsɛ sɛ wɔbɔ amanneɛ ntɛm ara. Afoforo nso yɛ nnipa a wɔte ase na wɔkɔ bere tiaa bi akyi. Ma yɛnhwɛ nea wɔyɛ.
| Nsunsuanso bɔne | Nkyerɛmu |
|---|---|
| Nneɛma bɔne a ɛsɛ sɛ wobɔ wo duruyɛfo anaa ɔyarehwɛfo 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. |
| Nsakrae a ɛba koma a ɛbɔ mu | Sɛ wote nka sɛ wo koma rebɔ ntɛmntɛm anaasɛ ɛrebɔ daa, wo ti a ɛyɛ wo yaw, wo koko mu yɛ wo yaw. |
| Ntini a ɛwɔ mfinimfini no mu adwenemhaw (CNS adwenemhaw) . | Ɔhome a ɔhome brɛoo anaa nea emu nnɔ, nna a ɛtra so, ne adwene a ɛyɛ basaa. |
| Akisikuru a ɛma obi ho kyere no | Nipadua a ɛrewosow, ɛrewosow. |
| Methemoglobinemia a ɛma mogya tu | Ɔhome a ɛyɛ den, ano, nsateaa nnadewa, anaa honam ani kɔla a ɛsakra bruu/fitaa, ɔbrɛ kɛse, tiyɛ. (Eyi yɛ tebea a ɛntaa nsi nanso anibere wom). |
| Nneɛma a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo | |
| Adwene a ɛyɛ yaw, tiyɛ | Ebia ɛyɛ bere tiaa mu de, nanso sɛ ɛkɔ so a, ma menhu. |
| Ɔfe, akisikuru | Eyi nso taa betumi aba bere a wɔayɛ oprehyɛn akyi. |
| Nsakrae a ɛba wɔ dɛ mu wɔ anom | Dade dɛ a wɔte nka wɔ w’anom. |
| Aso a ɛrebɔ wɔ aso mu | Nnyigyei a ɛyɛ dede a wɔte wɔ aso mu. |
Hwɛ baabi a ɛyɛ mmerɛw no yiye!
Eyi ho hia paa. Esiane sɛ beae a wɔyɛɛ wo oprehyɛn no yɛ nea Bupivacaine a wɔde guu wo mu no ayɛ mmerɛw nti, worente ɛyaw biara nka wɔ saa beae no. Enti, hokwan kɛse wɔ hɔ sɛ obi bepira anaa akwanhyia besi wɔ saa beae no. Sɛ nhwɛso no, ebia worente yaw biara sɛ wɔbɔ wo, wotwitwa wo, anaa wohyew wo baabiara wɔ saa beae no. Enti, ɛsɛ sɛ wohwɛ yiye paa wɔ saa beae no ho kosi sɛ akisikuru no befi hɔ koraa. Hwɛ yiye wɔ saa asɛm no ho.
Nkrasɛm a Wɔde Kɔ Fie
- Bupivacaine yɛ aduru a ɛma obi ho dwiriw no a wɔde ma wɔ ayaresabea nkutoo na ama ɛyaw no so atew bere a wɔayɛ no oprehyɛn akyi.
- Hwɛ hu sɛ wobɛka w’ayaresa tebea nyinaa (titiriw koma, mmerɛbo, ne asaabo mu yare) ne nnuru a wonom nyinaa akyerɛ wo duruyɛfo.
- Bɔ beae a ayɛ mmerɛw no ho ban fi nnuru no nkɛntɛnso ho na ansɛe no. Hwɛ yiye kɛse efisɛ worente ɛyaw biara nka.
- Sɛ wuhu nneɛma bɔne bi a anibere wom te sɛ ahome a ɛyɛ den, wo koko mu yaw, anaa w’anim a ɛho ahonhon a, bɔ nnuruyɛfo amanneɛ ntɛm ara.
- Sɛ wowɔ nsɛmmisa anaa nsɛm bi a ɛhaw wo wɔ saa aduru yi anaa wo tebea no ho a, nsuro sɛ wo ne wo duruyɛfo anaa ɔyarehwɛfo bɛkasa.
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