So obi wɔ w’abusua mu, ebia wo maame, wo papa, wo nanabea anaa wo nana, wɔ Parkinson yare no? Ɛyɛ awerɛhow kɛse sɛ wubehu sɛ wɔrehu amane wɔ sɛnkyerɛnne ahorow te sɛ wosow, wɔn ho a ɛyɛ den, ne wɔn nantew brɛoo ho, ɛnte saa? Enti, ɛnnɛ yɛsusuu sɛ yɛbɛka Carbidopa ne Levodopa ho asɛm, a ɛyɛ nnuru a ɛho hia paa a ɛbɛtumi aboa ma wɔadi saa nsɛnkyerɛnneɛ yi so na ama asetena ayɛ mmerɛ kakra.
Ɔkwan bɛn so na saa aduru yi yɛ adwuma?
Sɛ yɛbɛka no tiawa a, nnuru titiriw bi a ɔbɔ yɛn amemene a wɔfrɛ no dopamine wɔ yɛn amemene no mu. Saa dopamine yi ho hia na ama yɛn nipadua no kankyee ayɛ biako na yɛadi so. Nea ɛto obi a ɔwɔ Parkinson yare no ne sɛ nkwammoaa a ɛwɔ amemene no mu a ɛyɛ saa dopamine yi sɛe nkakrankakra. Afei dopamine dodow so tew, na sɛnkyerɛnne ahorow a yɛkaa ho asɛm te sɛ ahopopo ne ne ho a ɛyɛ den no da adi.
Enti, saa carbidopa yi; levodopa, aduru bi a ɛyɛ adwuma denam dopamine dodow a ɛkɔ soro wɔ amemene no mu bio no so. Ɛwom sɛ eyi ntumi nsa yare no koraa de, nanso ebetumi adi sɛnkyerɛnne ahorow no so kɛse na aboa ɔyarefo no ma wayɛ da biara da dwumadi ahorow a ɛnyɛ den.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom saa aduru yi
Ansa na wobɛkyerɛw saa aduru yi no, ɛho hia yiye sɛ wo duruyɛfo hu w’akwahosan ho abakɔsɛm nyinaa. Hwɛ hu sɛ wobɛka tebea horow a wɔabobɔ din wɔ ase ha no mu biara akyerɛ no.
| W’akwahosan tebea | Dɛn nti na ɛsɛ sɛ wobɔ amanneɛ? |
|---|---|
| Adwenemhaw anaa adwenemyare afoforo | Saa aduru yi betumi asakra adwene mu tebea horow bi. |
| Asikyireyareɛ | Asikre a ɛwɔ nsu mu no betumi aka nea efi nhwehwɛmu no mu ba. |
| Glaucoma tebea a ɛma obi nya atiridiinini | Ebia aniwa mu nhyɛso bɛka. |
| Komayare, abakɔsɛm a ɛkyerɛ sɛ obi anya komayare, anaa koma a ɛbɔ a ɛnteɛ daa | Ebia koma a ɛbɔ ne mogya mmoroso bɛka. |
| Asaabo anaa mmerɛbo mu yare | Ɔkwan a wɔfa so yi aduru no fi nipadua no mu no betumi anya nkɛntɛnso. |
| Ahurututu mu nyarewa (e.g. ayamtu) . | Ebia ɛbɛyɛ den sɛ ɔbɛhome. |
| Yafunu anaa dwensɔtwaa mu haw ahorow | Ebia nnuru a wɔtwetwe ne nea efi mu ba no bɛka. |
| Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaa worema nufu a | Ɛsɛ sɛ wo ne wo duruyɛfo susuw nkɛntɛnso a ebetumi aba abofra no so ho. |
| Sɛ wowɔ aduru foforo biara, aduan anaa ade foforo biara ho adwenemhaw a | Sɛnea ɛbɛyɛ a wɔbɛhwɛ asiane a ɛwɔ hɔ sɛ obi benya aduru no ho akisikuru. |
Ɔkwan bɛn so na ɛsɛ sɛ mede saa aduru yi di dwuma?
Ɛsɛ sɛ wɔde ano ka aduru yi a wɔde nsu kuruwa ka ho . Ɛho hia yiye sɛ wobɛnom dodow a ɛfata, wɔ bere a ɛfata mu, sɛnea wo duruyɛfo akyerɛ wo no. Mma aduru no dodow nkɔ soro anaasɛ ɛntew so anaasɛ nnyae mpofirim sɛnea wote nka no. Saa a wobɛyɛ no betumi ama nkurɔfo ayɛ wɔn ade a anibere wom. Sɛ wugyae aduru no nom a, yɛ saa nkakrankakra, sɛnea wo duruyɛfo no akwankyerɛ kyerɛ no.
Nea ɛho hia: Sɛ wopa dodow 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 abien prɛko pɛ da mfa nsiesie dodow a wo werɛ afi no.
Sɛ wonom nnuru pii a, dɛn na ɛsɛ sɛ woyɛ?
Sɛ wususuw sɛ woanom nnuru pii a, kɔ Emergency Department (ETU) a ɛbɛn wo no hɔ ntɛm ara. Anaasɛ frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ no na woanya afotu.
Nneɛma afoforo a ebia ɛne aduru yi bedi nkitaho
Ebia nnuru afoforo, vitamin, nhabannuru, ne nsa a worenom no ne saa aduru yi adi nkitaho. Enti, ka biribiara a worenom ho asɛm kyerɛ wo duruyɛfo.
Mfa saa aduru yi nka:
- MAOIs, nnuru kuw bi a wɔde sa adwenemyare (e.g. Marplan, Nardil, Parnate) .
- Reserpine a wɔde yɛ nnuru
- Tetrabenazine a wɔde ma
Wubetumi nso de nneɛma yi ayɛ w’ade:
- Nsaden
- Iron a wɔde ma anaa vitamin ahorow
- Nnuru a ekum ɔyare mmoawa te sɛ Linezolid, Isoniazid (INH), Procarbazine, Tedizolid
- Nnuru a wɔde sa adwenemhaw, dadwen, anaa adwenemyare afoforo
- Aduru a wɔde sa mogya mmoroso
- Nnuru a wɔde da
- Metoclopramide, Droperidol, Papaverine a wɔde di dwuma
- Rasagiline, Selegiline, Entacapone, Tolcapone (eyinom nso yɛ nnuru afoforo a wɔde sa Parkinson yare) .
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom nnuru no
So aduru no nkɛntɛnso bɛbrɛ ase? (Nkɛntɛnso a ɛma ɛyɛ mmerɛw) .
Ɛtɔ mmere bi a, bere a ɛsɛ sɛ wɔde dodow a edi hɔ no ma no, aduru no nkɛntɛnso betumi asɛe na yare no ho sɛnkyerɛnne asan aba bio. Afei nso, ɛtɔ da bi a aduru no betumi agyae adwumayɛ simma biako anaa dɔnhwerew biako na afei afi ase ayɛ adwuma bio. Wɔfrɛ eyi sɛ ‘on-off effect’. Sɛ eyi to wo a, nfɛre na ka kyerɛ wo duruyɛfo. Ebia obetumi ayɛ nsakrae wɔ w’aduru dodow anaa bere a wode bedi dwuma no mu na ama watumi adi tebea yi ho dwuma.
Hwɛ yiye wɔ aduan ne anonne ho.
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 woadidi anaa dɔnhwerew biako wɔ adidi akyi. Ɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa afa w’aduan ho na woanya afotu.
Dae, adwenemhaw, ne nna a ɛba mpofirim
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. Ne titiriw no, sɛ woabɔ akwakoraa a, nsɔre mfi baabi a wotena mpofirim. Twɛn kakra ansa na woasɔre brɛoo.
Ebia nnipa binom bɛda mpofirim a wɔmmɔ wɔn kɔkɔ bere a wɔrenom aduru yi. Eyi betumi asi bere a wɔreka kar anaa wɔrekasa mpo. Sɛ eyi to wo a, ka kyerɛ wo duruyɛfo ntɛm ara.
Ma w’ani nna hɔ wɔ sɔhwɛ ahorow a ɛyɛ soronko ho.
Ɛntaa mma koraa sɛ nnipa binom benya ɔpɛ soronko sɛ wɔbɛtow kyakya, wɔde wɔn ho ahyɛ nna mu, adidi mmoroso, anaa wɔasɛe sika a ɛho nhia bere a wɔrenom aduru yi. Eyi yɛ aduru no mu nsunsuanso bɔne. Sɛ wo anaa w’abusua mu bi hu nsakrae yi bi a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo ntɛm ara.
Nsɛntitiriw afoforo
- Ebia wo nsu anaa wo fifiri bɛdan kɔla tuntum (tuntum anaa kɔkɔɔ) . Eyi yɛ ade a ɛfata na ɛnyɛ biribiara a ɛsɛ sɛ ɛhaw yɛn ho. Nanso, ebetumi asɛe wo ntade.
- Sɛ wowɔ asikreyare a, saa aduru yi betumi aka asikre a wɔhwehwɛ wɔ nsu mu (ɛnnya mogya mu nhwehwɛmu).
- Saa aduru yi betumi ama obi anya vitamin B6 a enni nipadua no mu. Enti, wo ne wo duruyɛfo nkasa fa nnuan a vitamin B6 pii wom (te sɛ kale, spinach, ɛmo) a wubedi ho.
Nsunsuanso bɔne a aduru no de ba
| Nsunsuanso bɔne a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara | |
|---|---|
| Nneɛma a ɛma obi ho yɛ no hyew | Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon. |
| Nsakrae a ɛba koma a ɛbɔ mu | Koma a ɛbɔ ntɛmntɛm, koma a ɛbɔ ntɛmntɛm, koko mu yaw, ahome a ɛyɛ den. |
| Mogya mmoroso a ɛba fam | Adwene a ɛyɛ basaa, akisikuru, aniwa a ɛyɛ kusuu. |
| Adwene ne nneyɛe mu nsakrae | Dadwen, basabasayɛ, nsusuwii hunu, adwene a ɛne sɛ obekum ne ho, adwennwen a ɛkɔ soro. |
| Kankyee a wontumi nni so | Anim, ano, anaa nipadua atifi a ɛyɛ foforo anaasɛ ɛrenya nkɔanim a wontumi nni so. |
| Mogya a ɛretu wɔ yafunu mu | Nsu tuntum anaa tarry, ɔfe a ɛte sɛ kɔfe a wɔayam. |
| Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo | |
| Nnompe, fifiri, ne nsu a ɛyɛ tumm | Mpɛn pii no, eyi nyɛ asiane. |
| Adwene a ɛyɛ basaa ne nna a ɛma obi da | Eyi abu so. |
| Tiyɛ ne akisikuru | Sɛ saa sɛnkyerɛnne ahorow yi kɔ so a, ka kyerɛ wo duruyɛfo. |
Nkrasɛm a Wɔde Kɔ Fie
- Carbidopa a wɔfrɛ no carbidopa; Levodopa nyɛ Parkinson yare no aduru, na mmom ɛyɛ aduru a ɛhwɛ yare no ho sɛnkyerɛnne so na ɛma asetra yɛ mmerɛw.
- Mma nnyae saa aduru yi nom mpofirim esiane biribiara nti a wo duruyɛfo mfa afotu mma.
- Ka nnuru afoforo a wonom nyinaa ne nyarewa foforo biara a wowɔ ho asɛm kyerɛ wo duruyɛfo.
- Hwɛ yiye wɔ nneɛma bɔne te sɛ nna mpofirim, adwene a ɛsakra, ne akɔnnɔ a ɛyɛ soronko ho. Sɛ wuhu nsakrae bi a, ka kyerɛ wo duruyɛfo ntɛm ara.
- Nnuan a protein pii wom betumi atew aduru no a etu mpɔn no so. Enti, wo ne wo duruyɛfo nkasa fa w’aduan ho.
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