Ɛtɔ mmere bi a, ɛyaw a yehyia no, ɛyaw ano aduru biako anaa abien a ɛnyɛ den mma, ɛnte saa? Sɛ wowɔ ɛyaw a wuntumi nnyina ano a wuntumi nnyina ano, na nnuru afoforo a wɔde kum ɛyaw no nyɛ adwuma mma wo anaasɛ wɔmmoa wo a, ebia wo duruyɛfo bɛkyerɛw wo aduru a ano yɛ den a wɔde kum ɛyaw. Celecoxib ne Tramadol yɛ nnuru abien a wɔaka abom a wɔde ma wɔ tebea horow a ɛtete saa mu. Momma yɛnka eyi ho asɛm tiawa.
Dɛn ne aduru yi a wɔfrɛ no Celecoxib ne Tramadol?
Sɛ yɛbɛka no tiawa a, eyi yɛ nnuru atitiriw abien a wɔde kum ɛyaw a wɔaka abom. Ebia ɛbɛba wɔ brand din SEGLENTIS ase.
1. Celecoxib: Eyi ka nnuru kuw a wɔfrɛ no NSAID (Nonsteroidal Anti-inflammatory Drug) ho . Ɛyɛ adwuma denam ɔfe a ɛma ɛyaw ne ɔfe ba yɛn nipadua mu no so tew so.
2. Tramadol: Eyi yɛ ɛyaw ano aduru a ano yɛ den a ɛka opioid kuw no ho. Ɛyɛ adwuma denam ɛyaw ho nkate a ɛtew so denam ɛyaw ho nsɛnkyerɛnne a ɛkɔ amemene no mu tẽẽ a ɛhwɛ so no so.
Nnuru abien yi a wɔde ka bom no taa boa ma wodi ɛyaw a emu yɛ den so.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom saa aduru yi
Ansa na wode saa aduru yi bedi dwuma no, ɛsɛ sɛ woka kyerɛ wo duruyɛfo no ampa sɛ wowɔ tebea horow a edidi so yi mu biara a. Eyinom bi betumi de aduru yi anya nsunsuanso bɔne a ɛyɛ hu.
| W’akwahosan tebea anaa wo su | Dɛn nti na ɛsɛ sɛ wobɔ oduruyɛfo no amanneɛ wɔ ho? (Nea ɛte saa ara) . |
|---|---|
| Mogya a ɛtɔ gu nipadua mu ho haw ahorow | Saa aduru yi betumi ama asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no ayɛ kɛse. |
| Amemene mu akisikuru anaa ti a opira | Asiane wɔ hɔ sɛ nhyɛso bɛkɔ soro wɔ amemene no mu. |
| Nnansa yi oprehyɛn a wɔde twaa kwan (CABG) . | Asiane a ɛwɔ hɔ sɛ obi benya komayare ne akisikuru no betumi ayɛ kɛse. |
| Nnubɔne anaa nsa a wɔde di dwuma ɔkwammɔne so | Tramadol yɛ opioid, enti asiane kɛse wɔ hɔ sɛ obi bɛka ne ho. |
| Komayare, mogya mmoroso | Asiane a ɛwɔ hɔ sɛ obi benya komayare ne akisikuru no betumi ayɛ kɛse. |
| Asaabo anaa mmerɛbo mu yare | Ebia ɛbɛyɛ den sɛ wobeyi aduru no afi nipadua no mu na ebetumi ama nea efi mu ba no ayɛ kɛse. |
| Mogya anaa akuru a ɛba yafunu anaa dwensɔtwaa mu | Saa aduru yi betumi ama tebea horow yi mu ayɛ den. |
| Asthma anaa ahurututu mu nyarewa afoforo (Asthma, COPD) . | Ebia ɛbɛyɛ den sɛ ɔbɛhome. |
| Nsã a wɔnom, sigaretnom | Ɛma asiane a ɛwɔ hɔ sɛ yafunu mu mogya bɛtɔ ne nneɛma afoforo a ɛde ba no yɛ kɛse. |
| Nyinsɛn, mmɔden a wɔbɔ sɛ wobenyinsɛn, nufu a wɔde ma | Saa aduru yi betumi apira akokoaa a ɔhyɛ yafunu mu no. |
| Nnuru afoforo (titiriw nnuru a ɛma mogya yɛ mmerɛw , adwenemyare nnuru, steroid, MAOIs) . | Nkitahodi a asiane wom a ɛne nnuru afoforo betumi aba. |
| Biribiara ho akisikuru | Efisɛ saa aduru yi nso betumi ama obi anya akisikuru. |
Ɔkwan bɛn so na ɛsɛ sɛ mede saa aduru yi di dwuma?
- Fa saa aduru yi ne nsu kuruwa biako .
- Fa no sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ, wɔ bere a wɔakyerɛw ama wo no mu . Ɛyɛ papa sɛ wobɛfa no bere koro mu da biara.
- Wubetumi de aka aduan ho anaasɛ wunhia. Nanso, sɛ wo yafunu mu yɛ wo yaw anaa wo koma yɛ wo yaw a, fa ka aduan ho.
- Mfa dodow a ɛboro dodow a wo duruyɛfo akyerɛ wo no esiane biribiara nti.
- Sɛ woadi boro mfe 65 a, ebia wobɛte aduru yi nkɛntɛnso nka kɛse. Enti, wobetumi akyerɛw dodow a ɛba fam ama obi.
Nea ɛho hia sen biara: Sɛ wususuw sɛ woanom aduru yi dodo a, ntwentwɛn wo nan ase. Frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ ntɛm ara . Anaasɛ kɔ Emergency Department (ETU) a ɛwɔ ayaresabea a ɛbɛn wo no.
Wɔakyerɛw saa aduru yi ama wo nkutoo. Mfa aduru yi nkyɛ obi foforo da. Ɛyɛ asiane na mmara mma ho kwan.
Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?
Sɛ wo werɛ fi sɛ wobɛnom 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 abien prɛko pɛ esiane biribiara nti.
Nnuru afoforo a ebetumi ne saa aduru yi adi nkitaho (Drug Interactions) .
Saa aduru yi tumi ne nnuru afoforo di nkitaho, enti ɛho hia sɛ woka nnuru, vitamin, ne nhabannuru a wonom nyinaa kyerɛ wo duruyɛfo.
| Mfa eyinom nka wo ho da! | |
|---|---|
| Ketorolac (NSAID foforo a ano yɛ den) . | MAOIs (nnuru dedaw bi a wɔde sa adwenemyare) . |
| Linezolid (aduru a ekum ɔyare mmoawa) . | Methylene bruu a ɛyɛ bruu |
| Hwɛ yiye paa bere a worenom eyinom abom (wɔ nnuruyɛfo afotu nkutoo so) . | |
| Nsaden | Opioid nnuru afoforo a wɔde kum ɛyaw |
| NSAID afoforo te sɛ Aspirin, Ibuprofen, Naproxen | Nnuru a ɛmma mogya ntumi nkɔ (te sɛ Warfarin, Apixaban) . |
| Nnuru a wɔde sa adwenemhaw ne dadwen | Nnuru a wɔde da |
| Nnuru a wɔde sa akisikuru | Steroid ahorow te sɛ Prednisone |
| Nnuru a ɛma nsu fi nipadua mu | Nnuru a ekum fungal ne nnuru bi a ekum ɔyare mmoawa |
Saa nsɛm a wɔahyehyɛ yi nwie pɛyɛ, enti ka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo.
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom nnuru no
Dae ne adwene a wɔde si biribi so
Ebia saa aduru yi bɛma woate nka sɛ woda anaasɛ wo ho bɛtɔ wo . Enti nka kar anaa mfa mfiri nni dwuma kosi sɛ wubehu sɛnea ɛka wo. Ne titiriw no, sɛ woabɔ akwakoraa a, nsɔre mfi baabi a wotena mpofirim. Eyi betumi ama wo ho ayɛ wo yaw na woahwe ase.
Nsã a wɔnom
Kwati sɛ wobɛnom nsa koraa bere a worenom aduru yi. Sɛ wɔde saa aduru yi ka nsa ho a, ebetumi de tebea horow a asiane wom te sɛ ahome a ɛyɛ tiaa, nna a ɛtra so, ne adwenem naayɛ aba.
Ayamtim
Akisikuru yɛ Tramadol a ɛtaa ba. Sɛ woankɔ wo dwensɔtwaa mu nnafua 3 a, wo ne wo duruyɛfo nkasa. Nsu pii a wobɛnom na woadi nnuan a ahoɔdennuru pii wom (nnuaba, nhabannuru) betumi aboa.
Mogya a ɛretu wɔ yafunu mu
Celecoxib (NSAID) a ɛwɔ aduru yi mu no betumi ama yafunu ne dwensɔtwaa mu akuru anaasɛ mogya atu. Eyi betumi asi a wɔremmɔ kɔkɔ .Sigaretnom, nsa a wɔnom, onyin, ne akwahosan pa a enni hɔ no ma asiane yi yɛ kɛse. Sɛ wo yafunu mu yɛ wo yaw kɛse, wofe a ɛte sɛ kɔfe a wɔayam, anaasɛ nsu tuntum a wɔde ntakra ayɛ , kɔ oduruyɛfo nkyɛn ntɛm ara.
Aduru no a wobɛsua na woagyae ne nyinaa prɛko pɛ
Sɛ wonom saa aduru yi kyɛ a, wo nipadua no yɛ ne su (tolerance). Eyi kyerɛ sɛ ebia wubehia dodow a ɛkɔ soro kakra na ama woanya ɛyaw ano aduru te sɛ kan no. Eyi yɛ ade a ɛfata.
Nea ɛho hia sen biara ne sɛ, nnyae aduru yi a wobɛnom mpofirim da a wunnya wo duruyɛfo afotu. Saa a wobɛyɛ no betumi ama woanya yare a emu yɛ den a ɛkyerɛ sɛ obi agyae. Sɛ ɛho hia sɛ wugyae aduru no nom a, wo duruyɛfo no bɛtew dodow no so nkakrankakra.
Honam ani yare a emu yɛ den a ebetumi aba
Ɛwom sɛ ɛntaa nsi de, nanso nnipa binom betumi anya honam ani yare a emu yɛ den wɔ aduru yi ho. Eyi betumi asi bere a wɔafi aduru no ase akyi adapɛn kakraa bi mpo. Sɛ wo ho yɛ wo hyew, wo nipadua mu yɛ wo yaw, na wo ho yɛ kɔkɔɔ, wo ho yɛ wo akisikuru, anaa wo honam ani tew a, hwehwɛ aduruyɛfo afotu ntɛm ara.
Dɛn ne nneɛma bɔne a wɔhwɛ kwan sɛ ebefi mu aba?
Te sɛ aduru biara no, eyi betumi anya ɔhaw ahorow. Ebi yɛ nea asiane wom, ebi nso yɛ nea ɛfata.
| Nneɛma bɔne a anibere wom a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo no ntɛm ara | |
|---|---|
| Nneɛma a ɛma obi ho yɛ no hyew a emu yɛ den | Wora mu akisikuru, ɛyaw, anim/anofafa/tɛkrɛma a ɛho ahonhon, ɛyɛ den sɛ wobɛhome. |
| Ɔhome a ɛyɛ den (CNS Depression) . | Ɔhome a ɛyɛ brɛoo , a ɛnyɛ den, nna a ɛtra so, adwenem naayɛ. |
| Mogya a ɛretu ho sɛnkyerɛnne | Nsu tuntum, tarry, ɔfe a ɛte sɛ kɔfe a wɔayam, mogya a ɛwɔ nsu mu, ne nsensanee kɔkɔɔ/kɔla kɔkɔɔ wɔ honam ani. |
| Komayare ho sɛnkyerɛnne ahorow | Koko mu yaw, ɛyɛ den, ɛyaw a ɛhyerɛn kɔ mmati/basa/anom. |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare a ɛma obi hwe ase | Anim/basa/nan fã biako a ɛyɛ mmerɛw, mmerɛwyɛ, ɛyɛ den sɛ wobɛkasa. |
| Mmɛn/asaabo a ɛsɛe | Ɛyaw a ɛba yafunu nifa so atifi, aniwa/honam ani yɛ kɔkɔɔ, nsu a ɛba no so tew, ne nan a ɛho ahonhon. |
| Ɛyɛ ade a ɛfata, nanso sɛ ɛhaw adwene a, ka kyerɛ wo duruyɛfo. | |
| Ayamtim | Akisikuru/akisikuru |
| Dae a ɛyɛ mmerɛw/adwene a ɛyɛ basaa | Akɔnnɔ |
| Ano a ɛyɛ nwunu | Tipaeɛ |
Nkrasɛm a Wɔde Kɔ Fie
- Fa saa aduru yi sɛnea oduruyɛfo no kyerɛ no pɛpɛɛpɛ .
- Ka nyarewa foforo biara a wowɔ ne nnuru foforo biara a wonom ho asɛm kyerɛ wo duruyɛfo.
- Mfa aduru yi nkyɛ obi foforo biara esiane biribiara nti. Fa sie baabi a mmofra ne afieboa ntumi nkɔ hɔ.
- Sɛ ɛyɛ den sɛ wobɛhome, wo yafunu mu yɛ wo yaw kɛse, wo ho yɛ tuntum, anaasɛ wo honam ani yɛ wo yaw a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Mma nnnyae nnuru no nom mpofirim a wo duruyɛfo nka ho afotu.
- Kwati nsa koraa bere a worenom aduru yi.
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