So ɛtɔ mmere bi a wo ti yɛ wo yaw kɛse a ɛte sɛ nea wɔrepiapia wo ti wɔ afã abien no nyinaa, na wo kɔn mu ntini ayɛ den? Bere a woanom nnuru a wɔde kum ɛyaw daa mpo no, so ɛda so ara haw wo da mũ nyinaa? Yiw, ɛnnɛ yɛreka aduru titiriw bi a nnuruyɛfo kamfo kyerɛ ma tiyɛ a emu yɛ den yi (Tension Headache) bere a nnuru afoforo ntumi mma ahotɔ no ho asɛm. Eyi yɛ nnuru ahorow pii a wɔaka abom.
Sɛ yɛbɛka no tiawa a, dɛn ne aduru yi?
Eyi nyɛ aduru biako ankasa, na mmom nneɛma atitiriw anan a wɔaka abom. Ɛsono adwuma a wɔn mu biara yɛ.
1. Butalbital: Eyi ka nnuru bi a wɔfrɛ no barbiturates ho. Sɛ yɛbɛka no tiawa a, ɛma wo ntini a ɛwɔ wo mfinimfini no dwo. Ɛma ntini a ɛyɛ den a ɛwɔ wo ti ne wo kɔn mu no dwo, na ɛtew nhyɛso a ɛma wo ti yɛ wo yaw no so.
2. Aspirin: Ebia woate eyi ho asɛm. Ɛyɛ aduru a ɛma ɛyaw ano brɛ ase wɔ NSAID (Nonsteroidal Anti-inflammatory Drug) adesuakuw no mu. Ɛtew ɛyaw ne ɔfe so.
3. Caffeine: Caffeine yɛ ade koro no ara a ɛwɔ tii ne kɔfe mu. Ɛha yi, caffeine ma ɛyaw ano aduru abien a aka, aspirin ne codeine, a ɛma ɛyaw ano brɛ ase no yɛ kɛse.
4. Codeine: Eyi yɛ ɛyaw ano aduru a ano yɛ den a ɛka opioid kuw no ho. Ɛyɛ adwuma denam ɛyaw ho nsɛnkyerɛnne a esiw kwan sɛ ɛnkɔ w’amemene mu no so.
Nea ɛho hia sen biara ne sɛ wɔde saa aduru yi sa tiyɛ a ɛwɔ hɔ dedaw nkutoo. Wɔmfa nni dwuma mfa nsiw tiyɛ ano.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom nnuru
Esiane sɛ eyi yɛ nnuru a wɔaka abom a tumi wom nti, ɛho hia yiye sɛ wo duruyɛfo no hu w’akwahosan tebea no yiye. Sɛ wowɔ tebea horow a wɔabobɔ din wɔ ase ha no bi a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo ansa na woafi saa aduru yi ase.
| Wo tebea no | Dɛn nti na ɛsɛ sɛ wobɔ amanneɛ? |
|---|---|
| Amemene mu akisikuru, ti a wɔapirapira | Saa aduru yi betumi aka nhyɛso a ɛwɔ amemene no mu. |
| Koma mu yare, mmerɛbo anaa asaabo mu yare | Esiane sɛ wɔnam saa akwaa yi so yi nnuru fi nipadua no mu nti, wɔn dwumadi ho hia. |
| Mogya a ɛtɔ gu nipadua mu (Hemophilia), mogya nkwammoaa a ɛba fam | Aspirin a ɛwɔ aduru no mu no betumi ama asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no ayɛ kɛse. |
| Akisikuru anaa ɔhome mu haw afoforo | Codeine ne butylbital tumi ma ɔhome brɛoo. |
| Asanom anaa nnubɔne a wɔde di dwuma ɔkwammɔne so | Saa nsɛm yi ho hia ma aduru yi a wobedi ho dwuma, efisɛ ɛde asiane a ɛne sɛ obi bɛka ho no ba. |
| Sɛ obi nyinsɛn, ɔbɔ mmɔden sɛ obenyinsɛn, anaasɛ ɔbɛma nufu | Saa aduru yi betumi aka akokoaa a ɔhyɛ yafunu mu ne akokoaa a ɔrema nufu no. |
| Nnuru anaa nnuan bi ho akisikuru | Ɛho hia sɛ wobɔ oduruyɛfo no amanneɛ sɛ wowɔ biribi a ɛma wo ho yɛ wo hyew a, titiriw aspirin ne codeine. |
Wode saa aduru yi di dwuma dɛn?
- Fa dodow no sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ. Mfa dodow a wɔakyerɛw ato hɔ no nnnom da.
- Hyɛ nsu kuruwa ma na fa mene tablet/capsule no.
- Sɛ wo yafunu yɛ wo yaw anaasɛ wo koma yɛ wo yaw a, fa aduru no ka aduan anaa nufusu kuruwa biako ho.
- Saa aduru yi mfata mma mmofra a wonnii mfe 12 . Wɔmfa mma mmofra a wonnii mfe 18 nso bere a wɔayɛ wɔn oprehyɛn de ayi tonsils anaa adenoids no akyi.
Na sɛ asɛm bi si ntɛm nso ɛ?
Sɛ wususuw sɛ woanom boro so a, nntwentwɛn wo nan ase. Ntɛm ara frɛ National Poisons Information Center a ɛwɔ Colombo National Hospital (telefon nɔma 0112 686 143), anaa kɔ Emergency Department (ETU) a ɛwɔ ayaresabea a ɛbɛn wo no.
Wɔakyerɛw saa aduru yi ama wo nkutoo. Mfa nnkyerɛ obi foforo, sɛ mpo wo yare no ho sɛnkyerɛnne ne wo de no yɛ pɛ a. Ebetumi ayɛ nea asiane wom.
Nnuru a Wɔde Di Dwuma Nkitahodi
Ebia saa aduru yi ne nnuru afoforo bi bedi nkitaho, enti ɛho hia yiye sɛ wode nnuru a worenom nyinaa (a vitamin, nhabannuru, ne nnuru a wɔde ka ho) a edi mũ ma wo duruyɛfo.
Titiriw no, kwati sɛ wobɛnom saa aduru yi a nnuru ahorow a edidi so yi ka ho anaasɛ wobɛfa no wɔ wo duruyɛfo afotu nkutoo so.
| Kwati sɛ wode nnuru yi bɛka ho | |
|---|---|
| Nnuru a wɔde di dwuma no fã | Nhwɛso ahorow |
| MAOI nnuru a ekum adwenemhaw | Marplan, Nardil, Parnate (sɛ ɛnyɛ adapɛn 2 fi bere a wonom eyinom a) |
| Nnuru afoforo bi | Ketorolac, Linezolid, Methylene a ɛyɛ bruu |
| Yɛsrɛ sɛ ka nnuru yi ho asɛm kyerɛ wo duruyɛfo pɔtee. | |
| Nsaden | Asiane a ɛwɔ hɔ sɛ obi bɛda dodo ne ɔhome mu haw no dɔɔso yiye. |
| Nnuru afoforo a ɛma obi da | Nnuru a wɔde da, nnuru a wɔde sa dadwen (e.g. Diazepam), ne nnuru afoforo a ano yɛ den a wɔde kum ɛyaw. |
| Nnuru a ɛma mogya yɛ mmerɛw | Warfarin, Apixaban, Rivaroxaban, ne nnuru a wɔde sa yare a wɔfrɛ no Rivaroxaban |
| Nnuru afoforo a wɔde kum ɛyaw (NSAID) . | Ibuprofen, Nnuru a Wɔde Di Dwuma |
Nneɛma a ɛsɛ sɛ wususuw ho bere a worenom aduru no
- Dae: Ebia saa aduru yi bɛma woate nka sɛ woda anaasɛ w’adwene tu fra. Enti, kwati dwumadi ahorow a ehia sɛ woma w’ani da hɔ, te sɛ karka anaa mfiri a wode bedi dwuma, kosi sɛ wubehu sɛnea aduru yi ka wo.
- Nsã: Nnom nsa bere a worenom aduru yi esiane biribiara nti. Ebetumi ama obi ada kɛse, wahome brɛoo, na wawu mpo.
- Yafunu mu mogya: Asiane ketewaa bi wɔ hɔ sɛ yafunu mu akuru anaa mogya tu esiane aspirin a ɛwɔ aduru yi mu nti. Sɛ wo yafunu mu yɛ wo yaw kɛse, wofe a ɛte sɛ kɔfe a wɔayam, anaasɛ wofa nsu tuntum a wɔde tarry ayɛ mu a, kɔ oduruyɛfo nkyɛn ntɛm ara.
- Tolerance & Dependence: Sɛ wonom saa aduru yi kyɛ a, wo nipadua betumi ayɛ ne su. Eyi kyerɛ sɛ ebia wubehia dodow a ɛkɔ soro na ama woatumi adi ɛyaw koro no ara so (Tolerance). Afei nso, sɛ wugyae aduru no nom mpofirim a, ebia wubehu sɛ wogyae aduru no. Eyi nyɛ ade a ɛma obi yɛ ade tra so. Sɛ wo duruyɛfo pɛ sɛ wugyae aduru no nom a, wɔbɛyɛ saa denam dodow a wɔbɛtew so nkakrankakra no so.
- Akisikuru: Akisikuru yɛ ade bɔne a ɛtaa fi codeine mu. Sɛ woankɔ wo dwensɔtwaa mu nnafua 3 a, ka kyerɛ wo duruyɛfo. Nsu pii a wobɛnom ne aduan a ahoɔdennuru pii wom a wubedi betumi aboa wɔ eyi mu.
Nneɛma atitiriw a ebetumi afi mu aba
| Nsunsuanso bɔne a anibere wom a ɛhwehwɛ sɛ wɔkɔ ayaresabea ntɛm ara | |
|---|---|
| Nneyɛe a Ɛma Nnipa Ho Yɛ Den | Wora mu akisikuru, ɛyaw, anim, anofafa, tɛkrɛma a ɛho ahonhon. |
| Ɔhome a wɔhome brɛoo (CNS Depression) . | Ɔhome yɛ brɛoo paa, ɔda dodo, na obi ntumi nhu hwee. |
| Mogya a ɛretu ho sɛnkyerɛnne | Nsu tuntum, mogya a ɛfe, nsu a ɛyɛ bruu tuntum, nsensanee kɔkɔɔ/kɔla kɔkɔɔ wɔ honam ani. |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ mmerɛbo asɛe | Ɛyaw a ɛba yafunu no nifa so atifi, aniwa/honam ani yɛ kɔkɔɔ, nsu a ɛyɛ kɔkɔɔ tuntum/biribiri. |
| Nsunsuanso bɔne a ɛtaa ba a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo no sɛ ɛkɔ so a | |
| Ayamtim | Adwene a ɛyɛ basaa |
| Dae a ɛma obi da | Ano a ɛyɛ nwunu |
| Akisikuru/akisikuru | Yafunu mu yaw |
Nkrasɛm a Wɔde Kɔ Fie
- Eyi yɛ nnuru a ano yɛ den a wɔde kum ɛyaw a wɔaka abom. Mfa dodow a ɛboro dodow a wo duruyɛfo akyerɛ wo no da.
- Ma wo duruyɛfo no nkyerɛw nnuru afoforo, vitamin ahorow, ne nnuru a wɔde di dwuma wɔ amanne kwan so a worenom nyinaa.
- Kwati sɛ wobɛnom nsa koraa bere a worenom aduru yi. Ɛyɛ asiane kɛse.
- Sɛ wuhu yare no ho sɛnkyerɛnne te sɛ nna a ɛtra so, ɛyɛ den sɛ wobɛhome, nsu tuntum, anaa honam ani yare kɛse a, hwehwɛ ayaresa ntɛm ara.
- Esiane sɛ saa aduru yi betumi ama obi ayɛ ɔsadweam nti, fa sie baabi a ahobammɔ wɔ a mmofra ne afoforo ntumi nkɔ hɔ. Mfa nkyerɛ afoforo da.
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