So oduruyɛfo no kyerɛw aduru foforo bi esiane sɛ wowɔ mogya mmoroso nti? Aduru no din yɛ nea ɛyɛ den kakra, enti ebia ehu ka wo kakra na wopɛ sɛ wuhu ho asɛm. Ɛnnɛ, yɛbɛka saa aduru yi a wɔde nnuru mmienu a wɔfrɛ no Chlorthalidone ne Clonidine a wɔaka abom ayɛ no ho asɛm. Eyi bɛboa wo ma woadi wo mogya so. Momma yɛnka biribiara ho asɛm tiawa na emu nna hɔ.
Aduru bɛn na eyi yɛ? Ɔkwan bɛn so na ɛyɛ adwuma?
Sɛ yɛbɛka no tiawa a, eyi yɛ nnuru abien a wɔde ma de siw wo mogya mmoroso ano a wɔaka abom. Momma yɛnhwɛ nea nnuru yi mu biara yɛ.
1. Chlorthalidone: Eyi yɛ aduru a ɛma obi ho yɛ hyew . Yɛtaa frɛ no "nsu aduru." Ɛyɛ adwuma denam nkyene ne nsu a ɛboro so a ɛnam wo nsu so yi fi wo nipadua mu no so. Eyi ma nhyɛso a ɛwɔ wo mogya ntini mu no so tew na ɛboa ma wohwɛ wo mogya so. Ɛyɛ ade a ɛfata sɛ wobɛte nka sɛ ɛsɛ sɛ wotow wo ho mpɛn pii bere a worenom saa aduru yi no, na ɛno yɛ sɛnkyerɛnne a ɛkyerɛ sɛ aduru no reyɛ adwuma.
2. Clonidine: Saa aduru yi yɛ adwuma denam nsɛnkyerɛnne a efi yɛn amemene mu kɔ yɛn mogya ntini mu no bi a ɛhwɛ so, na ɛma ɛtrɛw (ɛhome). Eyi ma mogya tumi sen ntɛmntɛm, na ɛma mogya mmoroso so tew.
Sɛ wɔka nnuru abien yi bom a, ɛsono sɛnea ɛyɛ adwuma na ɛboa ma wudi wo mogya so yiye.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi ase anom nnuru
Ɛho hia paa sɛ wo duruyɛfo no hu w’akwahosan tebea no yiye ansa na wama wo saa aduru yi. Enti, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ wowɔ tebea horow a edidi so yi mu biara a:
- Akisikuru: Sɛ wowɔ ayamtu a.
- Asikreyare: Saa aduru yi betumi aka asikre dodow a ɛwɔ mogya mu. Enti, ɛho hia sɛ woda saa nsɛm yi adi sɛ wowɔ asikreyare a.
- Gout: Sɛ wowɔ gout a.
- Asaabo mu Yare: Sɛ mmerɛwyɛ bi wɔ asaabo no mu a.
- Mmɛn Yare: Sɛ wowɔ mmerɛbo mu yare biara a.
- Lupus (Systemic Lupus Erythematosus - SLE): Sɛ wowɔ nyarewa a nipadua no tumi ko tia nyarewa te sɛ SLE a.
- Allergies: Sɛ wo ho ayɛ wo hyew wɔ nnuru yi (Chlorthalidone, Clonidine), sulfa nnuru, nnuru afoforo, nnuan, nnuru a wɔde yɛ nneɛma, anaa nneɛma a wɔde sie ho bere bi a atwam a.
- Nyinsɛn: Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a, akyinnye biara nni ho sɛ ɛsɛ sɛ woka kyerɛ wo duruyɛfo.
- Sɛ woyɛ ɛna a ɔma nufu a: Sɛ woyɛ ɛna a ɔma nufu nso ka kyerɛ oduruyɛfo no .
Ɛsɛ sɛ wɔde aduru no di dwuma wɔ ɔkwan a ɛfata so.
Fa saa aduru yi ne nsu kuruwa biako. Ɛyɛ papa sɛ wode bɛka adidi ho. Fa dodow a wɔakyerɛw ama wo no, wɔ bere a wɔakyerɛw ama wo no mu, sɛnea wo duruyɛfo akyerɛ wo no. Mfa nea ɛboro nea wɔakyerɛw ama wo no.
Nea ɛho hia paa: Nnyae aduru yi nom mpofirim esiane biribiara nti a wo duruyɛfo nka ho afotu. Sɛ woyɛ saa a, wo mogya mmoroso betumi akɔ soro mpofirim akodu baabi a asiane wom. Sɛ ɛho hia sɛ wugyae aduru no nom a, yɛ saa denam dodow a wobɛtew so nkakrankakra sɛnea wo duruyɛfo bɛkyerɛ wo no so.
Sɛ wonom nnuru pii a, dɛn na ɛsɛ sɛ woyɛ? (Nnuru a wɔde ma boro so) .
Sɛ wususuw sɛ woanom saa aduru yi dodo 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.
Na sɛ mepa nnuru dodow bi nso ɛ?
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 mmɔho abien da.
Nneɛma a ɛsɛ sɛ ɛtra w’adwenem bere a worenom nnuru no
- Oduruyɛfo a wobɛkɔ: Kɔ ayaresabea daa sɛnea oduruyɛfo no akyerɛ wo no na woahwɛ nea afi wo nnuru no mu aba na woayɛ nhwehwɛmu a ɛho hia.
- Wo mogya mmoroso a wobɛhwɛ: Hwɛ wo mogya mmoroso daa wɔ fie. Hwehwɛ nea ɛsɛ sɛ wo mogya mmoroso a ɛfata yɛ ne dodow a ɛsɛ sɛ wokɔ wo duruyɛfo nkyɛn.
- Dae ne adwenemhaw: Ebia nnipa binom bɛte nka sɛ wɔda anaa wɔn adwenem yɛ wɔn naa bere a wɔnom aduru yi. Enti, kwati sɛ wobɛka kar anaa wode mfiri bedi dwuma kosi sɛ wubehu sɛnea aduru yi ka wo. Ebia wobɛte nka sɛ wo ti ayɛ wo yaw anaasɛ wobɛhwe ase bere a wosɔre fi baabi a wotena anaa wugyina hɔ mpofirim no. Sɛ woyɛ obi a ne mfe akɔ anim a, sɔre gyina hɔ brɛoo bere a wosɔre fi baabi a wote anaa wugyina hɔ no.
- Nsã: Kwati nsa a wobɛnom. Nsã betumi ama woate nka kɛse sɛ woda na wo ho kyere wo.
- Ano a ɛyɛ mmerɛw: Ebia wubenya ano a ɛyɛ mmerɛw. Gum a asikre nnim a wobɛwe, ahwiesa a wɔannom, ne nsu pii a wobɛnom betumi aboa. Sɛ ɔhaw yi kɔ so anaasɛ emu yɛ den a, ka kyerɛ wo duruyɛfo.
- Owia ho nkate: Ebia saa aduru yi bɛma wo honam ani ayɛ mmerɛw kɛse wɔ owia ho. Enti, sɛ worekɔ owia mu a, hyɛ ntade a ɛkata wo honam ani na fa aduru a ɛbɔ wo ho ban fi owia ho di dwuma.
- Nnuru afoforo:Bere a worenom saa aduru yi no, nnom nnuru a wɔtɔn a wɔde sa ɔfe, atiridiinini, anaa ɛyaw a wonkɔ wo duruyɛfo nkyɛn. Nnuru bi betumi ama wo mogya mmoroso akɔ soro esiane nneɛma a ɛwɔ mu nti.
Nsunsuanso bɔne a ebetumi afi aduru no mu aba
Te sɛ aduru biara no, eyi betumi de ɔhaw ahorow aba nnipa binom so. Eyinom bi yɛ aniberesɛm, ebi nso abu so.
| Nneɛma bɔne a efi mu ba no mu nkyekyɛmu | |
|---|---|
| Nsunsuanso bɔne a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara | |
| Nneɛma a ɛma obi ho yɛ no hyew | Wora mu akisikuru, ɛyaw, anim, ano anaa tɛkrɛma a ɛho ahonhon. |
| Adwene mu nsakrae | Dadwen, ahomegye a enni hɔ, adwenemhaw. |
| Koma a ɛbɔ | Koma a ɛbɔ ntɛmntɛm, a ɛnteɛ, koko mu yaw. |
| Nipadua mu nsakrae |
|
| Nsunsuanso bɔne a mpɛn pii no enhia sɛ wɔde kɔ ayaresabea (nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo) . | |
| Nsunsuanso nketenkete a efi mu ba |
|
Saa nsɛm a wɔahyehyɛ yi nka nneɛma bɔne a efi mu ba nyinaa ho. Sɛ wuhyia biribi soronko anaa ɛyɛ soronko a, wo ne wo duruyɛfo nka ho asɛm.
Nneɛma afoforo a ebia ɛne aduru yi bedi nkitaho
Ebia saa aduru yi ne nnuru afoforo, vitamin, nhabannuru, anaa nnuru a wɔde ka ho a worenom no adi nkitaho. Enti, ma wo duruyɛfo no nkyerɛw biribiara a worenom no nyinaa. Titiriw sɛ worenom nea edidi so yi mu biara a, ka kyerɛ wo duruyɛfo:
- Nnuru a ɛma woda anaasɛ ɛsa akisikuru (e.g. Phenobarbital) .
- Nnuru bi a wɔde sa adwenemhaw (e.g. Amitriptyline) .
- Digoxin a wɔde di dwuma
- Lithium a wɔde yɛ nneɛma
- Nnuru a wɔde sa asikreyare
- Nnuru afoforo a wɔde sa mogya mmoroso
- Nnuru a ɛte sɛ steroid (sɛ nhwɛso no, Prednisone, Cortisone) .
Nkrasɛm a Wɔde Kɔ Fie
- Saa aduru yi yɛ nnuru abien a wɔaka abom a wɔde siw mogya mmoroso ano.
- Fa dodow a wɔakyerɛw ama no, wɔ bere a wɔahyɛ no mu, sɛnea oduruyɛfo no akyerɛ no. Ɛyɛ papa sɛ wode bɛka aduan ho.
- Mma nnnyae nnuru a wobɛnom mpofirim da a wunnya wo duruyɛfo afotu. Saa a wobɛyɛ no betumi ayɛ nea asiane wom.
- Esiane sɛ nna ne adwenemhaw betumi aba bere a worenom aduru no nti, hwɛ yiye bere a woreyɛ nnwuma a ɛsɛ sɛ wode w’adwene si so, te sɛ karka no. Kwati nsa a wobɛnom.
- Ka nnuru afoforo, vitamin, ne nnuru a wɔde ka ho a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo.
- Sɛ wuhu sɛ nneɛma bɔne bi a anibere wom anaa ɛnyɛ nea ɛtaa ba a, ka kyerɛ wo duruyɛfo ntɛm ara.
- Fa aduru no sie baabi a ɛhɔ yɛ nwini na ɛhɔ yɛ kusuu a mmofra ntumi nkɔ hɔ.
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