So wo duruyɛfo akyerɛw saa aduru yi ama wo anaa obi a ɔwɔ w’abusua mu, ebia wo maame anaa wo papa, ama Parkinson yare no? Ebia ɛbɛyɛ te sɛ nea edin no yɛ den kakra. Nanso mma ɛnhaw wo. Ɛnnɛ yɛbɛka aduru yi a wɔfrɛ no Carbidopa ho asɛm; Levodopa, kyerɛ sɛ, aduru a ɛtaa ba din te sɛ SINEMET ase wɔ yɛn man yi mu no, biribiara yɛ mmerɛw yiye na ɛnyɛ den sɛ wobɛte ase.
Aduru bɛn na eyi yɛ?
Sɛ yɛbɛka no tiawa a, eyi yɛ aduru a wɔde ma de siw Parkinson yare no ho sɛnkyerɛnne ano. Parkinson yare no yɛ tebea bi a ɛka nkwammoaa a ɛwɔ yɛn amemene mu a ɛhwɛ kankyee so no. Saa yare yi de sɛnkyerɛnne ahorow te sɛ wosow, akisikuru, ne nantew brɛoo ba.
Enti nea aduru yi yɛ ne sɛ ɛma nnuru bi a wɔfrɛ no dopamine a ɛwɔ yɛn amemene mu fi awosu mu no dodow kɔ soro. Dopamine yɛ biribi a ɛboa yɛn nipadua ma ɛkeka ne ho na ɛyɛ adwuma yiye. Sɛ wonom saa aduru yi a, dopamine dodow a ɛwɔ amemene no mu no kɔ soro, na Parkinson yare no ho sɛnkyerɛnne so tew kɛse.
Ɛtɔ mmere bi a nnuruyɛfo betumi akyerɛw saa aduru yi ama ayaresa tebea afoforo nso. Enti di wo duruyɛfo akwankyerɛ akyi bere nyinaa.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi ase anom nnuru
Ansa na wobɛsi gyinae sɛ saa aduru yi fata wo anaa no, ɛho behia sɛ wo duruyɛfo hu w’akwahosan ho abakɔsɛm nyinaa. Hwɛ hu sɛ wobɛka tebea horow a edidi so yi mu biara ho asɛm akyerɛ wɔn, titiriw sɛ wowɔ bi a:
| W’akwahosan tebea | Dɛn nti na ɛsɛ sɛ wobɔ amanneɛ? |
|---|---|
| Adwenemhaw anaa adwenemyare afoforo | Saa aduru yi tumi sesa adwene mu tebea horow bi. |
| Asikyireyareɛ | Ebia aduru no bɛka asikre dodow a ɛwɔ mogya mu. |
| Glaucoma (ani so nhyɛso a ɛkɔ soro) . | Efisɛ ebetumi aka aniwa so nhyɛso. |
| Koma mu yare, abakɔsɛm a ɛkyerɛ sɛ obi anya komayare, anaa koma a ɛbɔ a ɛnbɔ daa | Ebia koma a ɛbɔ anaa mogya mmoroso bɛka. |
| Asaabo anaa mmerɛbo mu yare | Ebia ɛho behia sɛ wɔsesa dodow a wɔde ma no efisɛ ɛka sɛnea woyi aduru no fi nipadua no mu. |
| Ahurututu mu nyarewa te sɛ ayamtu | Efisɛ ebetumi aka ɔhome nhyehyɛe no. |
| Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaa worema nufu a | Sɛnea ɛbɛyɛ a wobesusuw nkɛntɛnso a ebetumi aba akokoaa no so no ho. |
| Nnuru, nnuan, anaa nneɛma afoforo ho akisikuru | Sɛnea ɛbɛyɛ a wobesiw aduru no ho akisikuru ano. |
Ɔkwan bɛn so na ɛsɛ sɛ mede aduru no di dwuma?
Ɛho hia yiye sɛ wobɛfa dodow a ɛfata, wɔ bere a ɛfata mu, sɛnea oduruyɛfo no akyerɛ no.
- Fa saa aduru yi ne nsu kuruwa biako.
- Mene tablet no nyinaa. Mma nntutu anaa nwe. Nanso, wobetumi abubu tablet ahorow bi (CR - Controlled Release) mu abien. Bisa wo duruyɛfo no eyi ho asɛm.
- Bɔ mmɔden sɛ wobɛnom w’aduru no bere ano, bɛyɛ bere koro no ara da biara.
- Nnyae w’aduru nom da a wunnya wo duruyɛfo afotu. Sɛ wugyae mpofirim a, ebetumi de ɔhaw ahorow a emu yɛ den aba.
Na sɛ mepa nnuru dodow bi nso ɛ?
Sɛ wopa dose bi a, fa no bere a woakae ara pɛ. Nanso, sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ no a, twa dodow a woayera no so na fa wo dodow a edi hɔ no wɔ bere a woahyɛ da ayɛ no mu. Mfa nnuru mmɔho abien da.
Na sɛ menom nnuru pii nso ɛ?
Sɛ wususuw sɛ woanom saa aduru yi dodo a, kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo ntɛm ara. Anaasɛ frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no .
Wɔakyerɛw saa aduru yi ama wo nkutoo. Mfa nnkyerɛ afoforo.
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom nnuru no
Ɛho hia sɛ wohwɛ nsakrae a ɛba wo nipadua mu bere a worenom saa aduru yi no.
Dae a obi da ne adwenemhaw
Saa aduru yi betumi ama woate nka sɛ woada anaasɛ wo ho ayɛ wo yaw. 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. Titiriw sɛ woyɛ obi a ne mfe akɔ anim a, sɔre gyina hɔ brɛoo bere a wosɔre fi baabi a wote anaa wofi mpa so no. Eyi bɛma hokwan a ɛwɔ hɔ sɛ obi adwene tu fra na wahwe ase no so atew. Nsã a wɔnom betumi ama saa nkɛntɛnso yi ayɛ kɛse, enti kwati nsa koraa.
Dae a wɔda mpofirim
Ɛtɔ da bi a, wobɛtumi ada mpofirim a wommɔ wo kɔkɔ biara. Eyi betumi asi bere a wɔreka kar, wɔrekasa, anaa wɔredidi. Sɛ eyi to wo a, ebetumi ayɛ asiane kɛse. Enti ka kyerɛ wo duruyɛfo ntɛm ara.
Nkate a ɛnteɛ
Ebia nnipa binom a wɔnom aduru yi benya nneyɛe a ɛyɛ hu a ɛtra so, te sɛ kyakyatow, nna mu dwumadi, ne sika a wɔsɛe no a ɛho nhia. Sɛ eyi nyɛ wo suban a wotaa yɛ a, mma w’ani nwu na ka kyerɛ wo duruyɛfo ntɛm ara sɛnea wubetumi.
"Wearing-off" ne "On-Off" nkɛntɛnso
Eyi yɛ den kakra sɛ yɛbɛte ase, nanso ɛho hia yiye.
- "Wearing-off" effect: Fa no sɛ, nnɔnhwerew kakraa bi ansa na wo dose a edi hɔ no, aduru no nkɛntɛnso no sa. Wosow ne nea ɛyɛ den no san ba bio. Wɔfrɛ eyi sɛ ‘wearing-off’.
- "On-off" effect: Eyi ne bere a aduru no gyae adwumayɛ mpofirim na afei efi ase yɛ adwuma bio wɔ simma anaa nnɔnhwerew kakraa bi akyi.
Sɛ saa nneɛma yi si a, ka kyerɛ wo duruyɛfo. Obetumi asesa wo nnuru dodow anaa bere a wode bedi dwuma.
Hwɛ w’aduan so yiye.
Nnuan a protein pii wom (e.g. nam, mpataa, nkesua, nufusu, nnuaba) betumi atew aduru yi a wɔtwe no so. Enti:
- Kwati sɛ wubedi nnuan a protein wom a ɛbɛn bere a wobɛnom aduru no.
- Ɛyɛ papa sɛ wobɛnom aduru no simma 30 ansa na woadi anaa dɔnhwerew biako wɔ bere a woadi akyi .
- Wo ne wo duruyɛfo nkasa fa w’aduan ho na nya afotu.
Nsunsuanso bɔne a ebetumi afi aduru yi mu aba
Te sɛ aduru biara no, eyi betumi anya ɔhaw ahorow. Ebi yɛ aniberesɛm, ebi nso abu so.
| Nsunsuanso bɔne a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara | |
|---|---|
| Nneɛma a ɛma obi ho yɛ no hyew | Wora mu akisikuru, ɛyaw, anim, anofafa, tɛkrɛma a ɛho ahonhon. |
| Nsakrae a ɛba koma a ɛbɔ mu | Koma a ɛbɔ ntɛmntɛm anaasɛ ɛnteɛ, adwenemhaw, koko mu yaw, ɔhome a ɛyɛ den. |
| Mogya mmoroso a ɛba fam | Adwene a ɛyɛ basaa, akisikuru, aniwa a ɛyɛ kusuu. |
| Adwene ne nneyɛe mu nsakrae | Dadwen, ahomegye a enni hɔ, nsusuwii hunu, adwene a ɛne sɛ obekum ne ho, adwenemhaw a ɛkɔ soro. |
| Kankyee a wontumi nni so | Anim, ano, anaa nipadua atifi a wɔkankye foforo anaasɛ ɛrenya nkɔanim a wontumi nni so. |
| Mogya a ɛretu wɔ yafunu mu | Nsu tuntum anaa mogya, ade a ɛte sɛ kɔfe a wɔayam, anaa mogya a ɛfe. |
| Nsunsuanso bɔne a mpɛn pii no enhia sɛ wɔde kɔ ayaresabea (nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ) . | |
| Kɔla a ɛwɔ nnompe, fifiri, anaa nsuo mu | Ɔdan kɔkɔɔ tuntum anaa tuntum (eyi nyɛ asiane biara, nanso ebetumi asɛe ntade). |
| Adwene a ɛyɛ basaa ne nna a ɛma obi da | Ebia eyinom so bɛtew bere a nipadua no de aduru no yɛ ne su no. |
| Tiyɛ ne akisikuru | Ɛtɔ mmere bi a, wobetumi asiw eyinom so denam aduru no a wɔde ka aduan ho no so. |
Nneɛma afoforo a ebia ɛne aduru yi bedi nkitaho
Nnuru afoforo a worenom betumi aka sɛnea aduru yi yɛ adwuma. Enti ka nnuru, vitamin, nnuru a wɔde ka aduan ho, ne nnuru a wɔde di dwuma wɔ amanne kwan so a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo. Hwɛ yiye titiriw wɔ nea edidi so yi ho:
- MAOIs (nnuru a wɔde sa adwenemhaw) .
- Iron a wɔde ma anaa vitamin ahorow
- Aduru a wɔde sa mogya mmoroso
- Nnuru a wɔde da
- Nsaden
Nkrasɛm a Wɔde Kɔ Fie
- Carbidopa a wɔfrɛ no carbidopa; Levodopa yɛ aduru a ɛma dopamine dodow kɔ soro wɔ amemene no mu de siw Parkinson yare ho sɛnkyerɛnne ahorow so.
- Gye sɛ wo duruyɛfo kyerɛ no pɔtee sɛ yɛ saa, nsɛe aduru no anaasɛ nwe. Mene no nyinaa.
- Hwɛ hu sɛ wobɛka ayaresa tebea horow a wowɔ nyinaa ne nnuru afoforo a wonom nyinaa akyerɛ wo duruyɛfo.
- Hu nneɛma bɔne a anibere wom te sɛ nna mpofirim, nneyɛe a ɛyɛ soronko a ɛyɛ ntɛm a ɛba, ne adwene mu nsakrae. Sɛ eyi ba a, ka kyerɛ wo duruyɛfo ntɛm ara.
- Ma nsonsonoe ntra nnuan a protein pii wom ne nnuru a wonom ntam. Kɔ wo duruyɛfo nkyɛn wɔ eyi ho.
- Nnyae nnuru nom anaasɛ nsakra dodow a wɔde ma no da a wunni aduruyɛ mu afotu biara.
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