Ɛtɔ mmere bi a, tiyɛ yɛ bɔne ankasa, ɛnte saa? Ɛtɔ mmere bi a ɛyaw no mu yɛ den araa ma wuntumi nyɛ hwee, te sɛ nea wo ti rebɔ. Wɔ mmere a ɛte sɛɛ mu no, yɛfrɛ no ‘Tension Headache’. Enti, oduruyɛfo betumi akyerɛw wo aduru titiriw bi ama wo tiyɛ a ɛte sɛɛ. Ɛnnɛ yɛreka nnuru a wɔtaa de di dwuma a wɔaka abom ho asɛm, a ɛne aduru a Butalbital, Aspirin, ne Caffeine wom.
Dɛn ne aduru yi? Dɛn na wɔde di dwuma?
Sɛ yɛbɛka no tiawa a, eyi yɛ nnuru abiɛsa a wɔaka abom, na ɛsono emu biara yɛ adwuma.
- Butalbital: Eyi yɛ nnuru kuw bi a wɔfrɛ no ``Barbiturates.'' Ne dwumadi titiriw ne sɛ ɛbɛma w'amemene ne wo ntini ahorow adwo. Ɛboa ma wo ho tɔ wo denam ntini mu nhyɛso ne ahomegye a ɛka tiyɛ ho a ɛtew so no so.
- Aspirin: Ebia woate saa din yi pɛn. Aspirin yɛ aduru bi a wɔde kum ɛyaw a wɔfrɛ no nonsteroidal anti-inflammatory drug (NSAID). Ɛyɛ adwuma denam nnuru a ɛma ɛyaw a ɛba nipadua no mu a ɛtew so, na ɛboa ma ɛyaw ne ɔfe so tew no so.
- Caffeine: Caffeine koro no ara a ɛwɔ kɔfe ne tii mu. Nea caffeine yɛ wɔ ha ne sɛ ɛma aspirin tumi a ɛma ɛyaw ano brɛ ase no yɛ kɛse na ɛma mogya ntini a ɛwɔ amemene no mu no yɛ mmerɛw kakra. Eyi boa ma tiyɛ a ɛyɛ yaw no so tew ntɛmntɛm.
Nea ɛho hia: Wɔde saa aduru yi di dwuma de yi tiyɛ a emu yɛ den a ɛde ba dedaw no fi hɔ nkutoo, wɔmfa nsiw tiyɛ ano anaasɛ wɔmfa nsa atiridiinini.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom saa aduru yi
Ansa na wubefi saa aduru yi ase no, ɛho hia yiye sɛ wode w’akwahosan ho abakɔsɛm a edi mũ ma wo duruyɛfo, titiriw sɛ wowɔ tebea horow a edidi so yi mu biara a:
- Sɛ wowɔ mogyatɔw ho yare bi a.
- Sɛ woyɛ obi a ɔnom nsa daa a .
- Sɛ wowɔ komayare a.
- Sɛ wowɔ asaabo mu yare anaa mmerɛbo mu yare a.
- Sɛ wowɔ ahurututu mu nyarewa, sɛ nhwɛso no , ayamtu anaa COPD .
- Sɛ wowɔ yareɛ bi a ɛntaa nsi a wɔfrɛ no `Porphyria` a.
- Sɛ woadi kan anya yafunu mu akuru anaa ɔhaw afoforo wɔ yafunu ne dwensɔtwaa mu a.
- Sɛ wowɔ nnuru a wɔde di dwuma ho haw bi a.
- Sɛ wo ho yɛ wo hyew wɔ aspirin, caffeine, anaa aduru foforo biara, aduan, anaa ade a wɔde yɛ ade ho a.
- Eyi yɛ ade a ɛsɛ sɛ wuhu sɛ worebɔ mmɔden sɛ wubenyinsɛn, woanyinsɛn, anaasɛ woyɛ ɛna a ɔma nufu a .
Ɛsɛ sɛ wɔde aduru no di dwuma wɔ ɔkwan a ɛfata so.
Di wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ bere a wode aduru yi redi dwuma no.
- Fa aduru no ne nsu kuruwa a ɛyɛ ma .
- Sɛ wo yafunu yɛ wo yaw anaasɛ wo koma yɛ wo yaw bere a woanom aduru yi akyi a, fa ka aduan anaa nufusu kuruwa biako ho .
- Mfa dodow a ɛboro dodow a wo duruyɛfo akyerɛ wo no da. Eyi remma ɛyaw no mfi hɔ ntɛm saa, nanso asiane a ɛwɔ hɔ sɛ ebefi mu aba no bɛkɔ soro kɛse.
Sɛ wonom nnuru pii a, dɛn na ɛsɛ sɛ woyɛ?
Fa no sɛ woanom aduru yi dodo. Sɛ wususuw sɛ woanom aduru yi dodo a, frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ ntɛm ara a ɛnkyɛ . Anaasɛ kɔ Emergency Department (ETU) a ɛwɔ ayaresabea a ɛbɛn wo no. Fa eyi sɛ asɛm a egye ntɛmpɛ.
Nea ɛho hia: Wɔakyerɛw saa aduru yi ama wo nkutoo. Mfa mma obi foforo biara a ɔwɔ yare no ho sɛnkyerɛnne koro no ara a wowɔ no. Ebetumi ayɛ nea asiane wom.
Nnuru afoforo a ebetumi ne saa aduru yi adi nkitaho (Drug Interactions) .
Sɛ worenom saa aduru yi a, nnuru foforo bi wɔ hɔ a ɛnsɛ sɛ wonom bere koro mu na ɛsɛ sɛ wohwɛ yiye paa wɔ nom ho. Ɛho hia paa sɛ wobɛka nnuru a worenom nyinaa (a vitamin ne nhabannuru ka ho) kyerɛ wo duruyɛfo.
| Nnuru a Wɔde Di Dwuma Nkitahodi | |
|---|---|
| Mfa eyinom nka biribiara ho. | |
| Nsã anaa nnuru a nsa wom | Cidofovir, Methotrexate, Probenecid, Warfarin, Voriconazole, Procarbazine a wɔde di dwuma wɔ ɔkwan a ɛyɛ hu so |
| Nnuru ahorow bi a wɔde sa adwenemhaw: `MAOIs` (e.g. Carbex, Eldepryl, Marplan, Nardil, Parnate) . | |
| Hwɛ yiye paa bere a worenom eyinom ne nnuru afoforo (ka kyerɛ wo duruyɛfo). | |
| Nnuru afoforo a wɔde kum ɛyaw | ``NSAIDs'' te sɛ Ibuprofen, Naproxen |
| Nnuru a ɛma mogya yɛ mmerɛw | Heparin ne nnuru a ɛtete saa |
| Nnuru afoforo | Nnuru a ekum adwenemhaw, nnuru a ekum histamine, benzodiazepines, ne nnuru a ɛma ntini mu dwo. |
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a wode aduru no redi dwuma no
Abodwokyɛre ne Nneɛma a Wɔde Yɛ Adwuma
Sɛ wode saa aduru yi di dwuma kakra a, ebia wubehu sɛ dodow koro no ara a na wonom de ma wo yaw no so tew no nnɔɔso bio. Wɔfrɛ eyi abodwokyɛre . Eyi yɛ ade a ɛfata. Nanso ɛnkyerɛ sɛ aduru no agye wo. Ade a ɛma obi yɛ ade tra so ne aduru bi a wɔde di dwuma de gye adwene mu anigye a wonni aduruyɛ mu ntease biara. Aduru no a wobɛnom esiane sɛ wote ɛyaw nti no yɛ aduruyɛ mu ntease. Sɛ ɛho hia sɛ wosesa dodow a wode ma no a, wo ne wo duruyɛfo nka ho asɛm.
Mma nnnyae saa aduru yi nom mpofirim da a wo duruyɛfo nka ho afotu. Saa a wobɛyɛ no betumi ama woanya yare a emu yɛ den a ɛkyerɛ sɛ obi agyae. Sɛ ɛho hia sɛ wugyae a, wo duruyɛfo no bɛtew dodow no so nkakrankakra.
Asiane afoforo
- Dae ne adwenemhaw: Ebia saa aduru yi bɛma woate nka sɛ woda na w’adwene tu fra. Enti , kwati sɛ wobɛka kar anaa wode mfiri bedi dwuma kosi sɛ wubehu sɛnea aduru yi ka wo.
- Yafunu mu akuru ne mogya a ɛtɔ: Esiane sɛ aspirin wɔ aduru yi mu nti, asiane wɔ hɔ sɛ yafunu mu akuru ne mogya bɛtu. Nneɛma te sɛ sigaretnom, nsanom, ne onyin na ɛma asiane yi yɛ kɛse. Sɛ wo yafunu yɛ wo yaw kɛse, wofe a ɛte sɛ kɔfe a wɔayam, anaasɛ wo nsu tuntum a wɔde tarry ayɛ a .
- Wo honam ani akisikuru: Ɛtɔ mmere bi a, bere a woafi aduru yi ase akyi adapɛn kakraa bi no, wubetumi anya atiridii na woanya akisikuru a akisikuru kɔkɔɔ anaa kɔkɔɔ wɔ wo honam ani. Sɛ eyi ba a, kɔ oduruyɛfo nkyɛn ntɛm ara.
Nsunsuanso bɔne a ebetumi aba esiane nnuru nti
Te sɛ aduru biara no, eyi betumi de ɔhaw ahorow aba nnipa binom so.
| Nsunsuanso bɔne no su | Esu |
|---|---|
| Sɛ wuhu saa sɛnkyerɛnne ahorow yi a, ka kyerɛ wo duruyɛfo ntɛm ara. | |
| Nneɛma a ɛma obi ho yɛ no yaw | Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon. |
| Mogya a ɛretu | Nsu tuntum, tarry, ɔfe a ɛte sɛ kɔfe a wɔayam, nsu kɔkɔɔ/biribiri tuntum, nsensanee kɔkɔɔ/kɔla kɔkɔɔ wɔ honam ani. |
| Ntini a ɛwɔ mfinimfini no mu adwenemhaw (CNS Depression) . | Ɔhome brɛoo, nna a ɛtra so, ɛyɛ den sɛ ɔbɛda, adwenemhaw a emu yɛ den. |
| Mmɛn anaa asaabo a ɛsɛe | Ɛyaw a ɛba yafunu nifa atifi, aduan ho akɔnnɔ a ɛyera, aniwa anaa honam ani yɛ kɔkɔɔ, nsu a ɛba no so tew, ne nansoaa a ɛho ahonhon. |
| Mpɛn pii no, eyinom nyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ka kyerɛ wo duruyɛfo. | |
| Nneɛma nketenkete a efi mu ba | Adwene a ɛyɛ basaa, nna a ɛyɛ den, akisikuru, ɔfe, yafunu mu yaw, aduan ho akɔnnɔ a ɛyera. |
Nkrasɛm a Wɔde Kɔ Fie
- Sɛ oduruyɛfo kyerɛw ma obi nkutoo a, ɛsɛ sɛ wɔde saa aduru yi di dwuma. Ɛyɛ sɛnea ɛbɛyɛ a wobegyae tiyɛ a ɛte sɛ nhyɛso nkutoo. Ɛnyɛ sɛ wɔde besiw tiyɛ ano.
- Hwɛ hu sɛ wobɛka nnuru afoforo a wonom nyinaa ne nyarewa foforo biara a wowɔ ho asɛm akyerɛ wo duruyɛfo.
- Kwati sɛ wobɛnom nsa koraa bere a worenom aduru yi.
- Sɛ wuhu sɛnkyerɛnne ahorow te sɛ yafunu mu yaw a emu yɛ den, nsu tuntum, anaa honam ani akisikuru a emu yɛ den a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Mma nnnyae nnuru no nom mpofirim a wo duruyɛfo nka ho afotu.
- Fa saa aduru yi sie baabi a ahobammɔ wɔ a mmofra ne afieboa ntumi nkɔ hɔ . Eyi yɛ aduru a wobetumi de adi dwuma ɔkwammɔne so.
👩🏽 ⚕️ Nsɛmmisa foforo (FAQs)
💬 Butalbital/Aspirin/Caffeine - Fiorinal tablets yɛ aduru soronko a wɔde ma yareɛ bɛn?
Eyi nyɛ wo Panadol a wɔtaa de di dwuma no! Eyi yɛ nnuru a wɔaka abom a tumi wom yiye (a Barbiturates wom) a ɛsa ‘tiyɛ a emu yɛ den, a wontumi nnyina ano a ɛte sɛ nhyɛso’ a ɛnkɔ so wɔ aduru foforo biara mu, na ɛte sɛ nea wo ti reyɛ apae! Nanso nnuruyɛfo kyerɛw eyi nso ma atiridiinini, ɛwom mpo sɛ ɛyɛ hu de.
💬 Sɛ wo ti yɛ wo yaw te sɛ nea ɛbɛpae a, wobɛyɛ dɛn ayi tiyɛ no afi hɔ koraa denam saa nnuru (Fiorinal) yi a wobɛnom so?
Nnuru a ano yɛ den 3 na ɛwɔ eyi mu wɔ biako mu! 1. Aspirin, a ɛtwa nnuru (Prostaglandins) a ɛma ɛyɛ yaw wɔ ti no mu 100%. 2. Caffeine, a ɛtew mogya ntini (Vasoconstriction) a ɛde ɔfe ne ɛyaw ba ti no so na ɛtew nhyɛso so. 3. Eyinom mu nea ɛyɛ hu na tumi wom sen biara ne ‘Barbiturate’; Eyi kɔ amemene no mu na ɛma amemene no dwumadi nyinaa brɛ ase, ɛma ntini ahorow no dwo anwonwakwan so (CNS Depressant), ɛma ɔyarefo no da kɛse na ɛma tiyɛ no ba awiei.
💬 Dɛn ne ‘asiane a ɛyɛ hu’ ne addiction (Black Box Warning) a ɛsɛ sɛ nnipa a wɔnom saa aduru a ɛyɛ hu (Butalbital) yi hu ho asɛm?
Ɛno ne asiane kɛse! ‘Butalbital’ a ɛwɔ eyi mu no yɛ ‘Highly Addictive / Controlled Substance’ aduru, te sɛ heroin ne wii ara pɛ! Sɛ wokɔ so nom eyi a, wobɛbɔ dam (Withdrawal). Asiane foforo a edi awu ne sɛ, sɛ wo ne nnuru afoforo a wɔde da (Benzodiazepines) nom eyi, anaasɛ bere a woabow nsa nkutoo a, asiane kɛse wɔ hɔ sɛ ɔyarefo no bɛtɔ koma mu, agyae home na wawu (Fatal Respiratory Depression)!
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