Ebia wo anaa obi a wunim no na wo duruyɛfo akyerɛw Clozapine ama wo wɔ adwenemyare bi a na ɛyɛ den sɛ wode nnuru afoforo bedi so. Ebia edin no bɛyɛ te sɛ nea ɛyɛ hu kakra ma wo. Nanso mma ɛnhaw wo. Ɛnnɛ, yɛde nsɛm a ɛnyɛ den bɛka sɛnea wɔde saa aduru yi di dwuma, nea ɛyɛ, ne nea ɛsɛ sɛ wohwɛ yiye ho asɛm.
Sɛ yɛbɛka no tiawa a, dɛn ne Clozapine?
Clozapine yɛ aduru bi a wɔde sa adwenemyare te sɛ adwenemhaw . Wɔtaa kyerɛw ma bere a nnuru afoforo anyɛ adwuma anaa bere a nipadua no ntumi nnye ntom no. Sɛ yɛbɛka no tiawa a, ɛyɛ aduru a ano yɛ den kakra a ɛsɛ sɛ wɔde ahwɛyiye di dwuma.
Saa aduru yi ka nnuru bi a wɔfrɛ no nnuru a ekum adwene mu yare ho. Ɛyɛ adwuma denam ntini mu nkwaadɔm a wɔfrɛ no dopamine ne serotonin dodow a ɛkari pɛ wɔ yɛn amemene mu no so. Eyinom boa ma yedi yɛn adwene, nkate, ne yɛn nsusuwii so.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi ase anom nnuru
Ansa na wubefi Clozapine ase no, ɛho hia yiye sɛ wode w’akwahosan ho nkyerɛkyerɛmu a edi mũ ma wo duruyɛfo. Efisɛ ɛsɛ sɛ wɔde ahwɛyiye de saa aduru yi di dwuma wɔ ayaresa tebea horow bi mu. Hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ wowɔ tebea horow a edidi so yi mu biara a:
| Akwahosan tebea | Nkyerɛmu |
|---|---|
| Nnuan a wɔyam no mu haw ahorow | Intestinal siw, akisikuru a ɛtaa ba |
| Ɔhaw ahorow a ɛfa mogya ho | Mogya mu nkwammoaa dodow a ɛso tew (mogya mu nkwammoaa fitaa, mogya mu nkwammoaa kɔkɔɔ, mogya mu nkwammoaa kɔkɔɔ) . |
| Koma mu yare | Komayare biara, koma a ɛbɔ a ɛnteɛ, srade a ɛdɔɔso, mogya mmoroso, abakɔsɛm a ɛfa ɔyare a ɛma obi hwe ase ho |
| Ayaresa mu tebea afoforo | Asikreyare, Akisikuru, Mmɛn anaa Asaabo Yare, Glaucoma, Parkinson Yare, Adwene mu Yare, Prostate Ho haw |
| Suban ne nsɛm afoforo | Tawa a wɔnom (sigaretnom), ɔhaw a ɛyɛ den sɛ ɔbɛmene ade, ɔhaw a ɛyɛ den sɛ ɔbɛtow nsu, ɔhaw a ɛfa ntini a wɔde di dwuma ho |
| Nneɛma a ɛma obi ho yɛ no hyew | Sɛ wowɔ allergy wɔ Clozapine anaa aduru foforo biara, aduan, anaa aduru a wɔde yɛ ade ho a. |
| Mmere titiriw | Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaa worema nufu a |
Ɔkwan bɛn so ankasa na mede saa aduru yi di dwuma?
Esiane sɛ eyi yɛ aduru a ɛyɛ nsu (suspension) nti, ɛsɛ sɛ wohwɛ yiye kakra bere a wode redi dwuma no.
- Wosow yiye: Ansa na wode bedi dwuma biara no, wosow toa no yiye bɛyɛ sikɔne 10 .
- Nsusuwii a edi mu: Fa syringe soronko a wɔde ano nom a ɛka aduru no ho no nkutoo di dwuma na susuw dodow pɔtee a wo duruyɛfo ka kyerɛ wo sɛ fa no. Mfa ofie teaspoons anaa soup spoons nni dwuma da . Wɔnnyɛ nokware.
- Nom ntɛm ara: Nom aduru no ntɛm ara bere a woatwe akɔ syringe no mu awie no. Mfa nsie mma akyiri yi.
- Aduan: Wobetumi anom saa aduru yi ansa na wɔadi anaasɛ wɔadi awie. Mmara titiriw biara nni ho.
- Fa no bere ano: Bɔ mmɔden sɛ wobɛnom w’aduru no bere koro mu da biara. Nom w’aduru no wɔ bere a wɔahyɛ no mu, sɛnea wo duruyɛfo kyerɛ no. Mfa dodow a wɔakyerɛw ato hɔ no nnwe.
- Nnyae: Kwati sɛ wubegyae aduru no mpofirim a wunnya wo duruyɛfo afotu. Saa a wobɛyɛ no betumi ama nkurɔfo ayɛ wɔn ade a anibere wom.
Sɛ wopa nnuru dodow bi a, dɛn na 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 a, twa dodow a woayera no so na fa wo dodow a edi hɔ no wɔ bere a wotaa de di dwuma no mu. Mfa nnuru mmɔho abien mfa nsiesie dodow a woayera no. Sɛ wopa nnuru bɛboro nna abien a, hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa afa nnuru dodow a ɛfata ho ansa na woafi ase bio.
Na sɛ wonom nnuru pii nso ɛ? (Nnuru a wɔde ma boro so) .
Sɛ wususuw sɛ woanom nnuru pii a, frɛ National Poisons Information Center a ɛwɔ Colombo National Hospital no ntɛm ara, anaa kɔ Emergency Department (ETU) a ɛwɔ ayaresabea a ɛbɛn wo no.
Wɔakyerɛw saa aduru yi ama wo nkutoo. Enti, nkyɛ obi foforo da.
Nnuru afoforo a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a wɔde di dwuma ne Clozapine no
Clozapine yɛ aduru a ebetumi ne nnuru afoforo pii adi nkitaho. Eyi kyerɛ sɛ sɛ wɔde ka nnuru afoforo ho a, ebetumi asakra sɛnea Clozapine yɛ adwuma yiye anaasɛ ɛbɛma ne nsunsuanso bɔne no ayɛ kɛse. Enti ka nnuru a worenom nyinaa (a vitamin ne nhabannuru ka ho) kyerɛ wo duruyɛfo.
| Mfa Clozapine nka eyinom ho da. | |
|---|---|
| Dronedarone a wɔfrɛ no Dronedarone | Pimozide a wɔde yɛ nnuru |
| Metoclopramide a wɔde di dwuma | Thioridazine a wɔde ma |
| Hwɛ yiye titiriw sɛ wo ne Clozapine ka eyinom ho a. | |
| Nsaden | Nsã a caffeine wom (kɔfe, tii) . |
| Nnuru ahorow bi a ekum ɔyare mmoawa | Aduru a wɔde sa adwenemhaw |
| Nnuru a wɔde da anaa dadwen | Nnuru a wɔde sa akisikuru, ɔfe, ne atiridiinini |
| Mogya mmoroso aduru | Aduru a wɔde sa akisikuru |
Saa nsɛm a wɔahyehyɛ yi nni mũ, enti ɛho hia yiye sɛ woka nnuru biara a worenom ho asɛm kyerɛ wo duruyɛfo.
Nneɛma a ɛsɛ sɛ wode w’adwene si so titiriw bere a worenom aduru no
- Mogya mu nhwehwɛmu dapɛn biara: Sɛ wufi ase de Clozapine , ɛho behia sɛ woyɛ mogya mu nhwehwɛmu pɛnkoro dapɛn biara wɔ asram kakraa a edi kan no mu. Eyi bɛhwɛ sɛ wo mogya mu nkwammoaa fitaa dodow so retew wɔ ɔkwan a ɛyɛ hu so anaa. Sɛ wo mogya dodow ye wɔ asram 6 a edi kan no mu a, ebia wo duruyɛfo besi gyinae sɛ ɔbɛtew mpɛn dodow a wɔyɛ mogya mu nhwehwɛmu no so. Eyi yɛ biribi a ɛsɛ sɛ woyɛ ampa.
- Honam ani yare: Ɛtɔ mmere bi a, honam ani yare a emu yɛ den betumi aba wɔ adapɛn bi akyi bere a wɔafi aduru no ase no. Sɛ wunya akisikuru kɔkɔɔ anaa kɔkɔɔ wɔ wo honam ani a ɛka ho ne sɛnkyerɛnne te sɛ atiridii anaa awɔw, honam ani a ɛrepaapae, anaasɛ ntini a ɛho ahonhon wɔ w’anim, w’anofafa, wo kɔn, anaa w’abasa mu a, hwehwɛ ayaresa ntɛm ara.
- Akisikuru: Asiane wɔ hɔ sɛ obi betumi anya akisikuru wɔ aduru yi ho. Sɛ wuntumi nkɔ aguaree sɛnea wotaa yɛ no, sɛ wo ho nnu mprɛnsa dapɛn biara, anaa sɛ wowɔ sɛnkyerɛnne ahorow te sɛ yafunu mu yaw, wo ho popo, wo ho popo, anaa wofe a, ka kyerɛ wo duruyɛfo. Nom nsu pii.
- Dae ne adwenemhaw: Saa aduru yi betumi ama obi ada na ne ho ayɛ no yaw. Enti, kwati sɛ wobɛka kar anaa wode mfiri bedi dwuma kosi sɛ wubehu sɛnea eyi ka wo. Sɛnea ɛbɛyɛ a worenhaw wo ho no, sɔre brɛoo bere a woresɔre afi baabi a wote anaa worefi mpa so no.
- Sigaretnom: Sɛ wonom sigaret a, ka kyerɛ wo duruyɛfo, efisɛ sigaretnom betumi aka sɛnea aduru yi yɛ adwuma. Sɛ woreyɛ nhyehyɛe agyae sigaretnom nso a, ka kyerɛ wo duruyɛfo.
- Nipadua mu hyew: Ebia aduru yi bɛka sɛnea wutumi hwɛ wo nipadua mu hyew so. Bɔ wo ho ban fi awɔw ne ɔhyew a ano yɛ den ho. Nom nsu pii.
Nsunsuanso bɔne a ebetumi aba wɔ aduru yi ho
Te sɛ nnuru biara no, Clozapine betumi de ɔhaw ahorow aba. Ebi yɛ aniberesɛm, bere a afoforo nso abu so.
| Nneɛma bɔne a anibere wom 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 |
| Koma mu haw ahorow | Koma a ɛbɔ a ɛnteɛ, koko mu yaw, ahome a ɛyɛ den, nan/anansoaa a ɛho ahonhon, ɔbrɛ a ɛtra so |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare mmoawa | Atiridiinini, atiridiinini, ɔfe, menewam yaw (ebia ɛyɛ mogya mu nkwammoaa fitaa dodow a ɛba fam ho sɛnkyerɛnne) . |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare a ɛma obi hwe ase | Anim, nsa, anaa nan a ɛyɛ mmerɛw/mmerɛwyɛ mpofirim, kasa a ɛyɛ den, adwene a ɛyɛ basaa, nantew a ɛyɛ den, tiyɛ a emu yɛ den |
| Nsɛnkyerɛnne afoforo a anibere wom | Akisikuru, atiridiinini kɛse a ntini mu yɛ den (Neuroleptic Malignant Syndrome), nipadua a ɛkeka ne ho a wontumi nni so (EPS), akisikuru a emu yɛ den, mmerɛbo asɛe ho sɛnkyerɛnne (honam ani/aniwa a ɛyɛ kɔkɔɔ, nsu a ɛyɛ tuntum) . |
| Mpɛn pii no ɛnyɛ aniberesɛm (nanso sɛ ɛkɔ so a, ka kyerɛ wo duruyɛfo ) . | |
| Adwene a ɛyɛ basaa/dae a ɛma obi da | Nnompe a ɛkɔ nipadua no mu dodo |
| Tipaeɛ | Mu duru a ɛkɔ soro |
Saa nsɛm a wɔahyehyɛ yi nka nsunsuanso bɔne a ebetumi aba nyinaa ho. Sɛ wuhyia biribi a ɛyɛ soronko a, wo ne wo duruyɛfo nkasa ntɛm ara.
Ɔkwan bɛn so na wɔde aduru no sie?
- Fa sie baabi a mmofra ntumi nkɔ hɔ.
- Fa sie wɔ dan mu hyew (a ɛwɔ 20-25 Celsius ntam). Mfa nhyɛ frigye mu anaasɛ mfa nhyɛ nwini mu.
- Bɔ ho ban fi hann ho.
- Tow aduru biara a aka no gu nnafua 100 akyi bere a woabue toa no.
- Mfa nnuru a ne bere atwam nni dwuma.
Nkrasɛm a Wɔde Kɔ Fie
- Clozapine yɛ aduru a ɛsɛ sɛ wɔde ahwɛyiye soronko di dwuma. Di wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ.
- Hwɛ hu sɛ wobɛka w’ayaresa tebea afoforo ne nnuru a wonom nyinaa ho asɛm akyerɛ wo duruyɛfo.
- Mma nntwa mogya mu nhwehwɛmu biara a wɔayɛ ho nhyehyɛe no so. Eyi ho hia paa ma w’ahobammɔ.
- Kwati sɛ wubegyae aduru no mpofirim a wunni aduruyɛfo afotu.
- Sɛ wunya ɔhaw bi a emu yɛ den te sɛ atiridiinini, honam ani akisikuru, wo koko mu yaw, anaasɛ ɛyɛ den sɛ wobɛhome a, kɔ oduruyɛfo nkyɛn ntɛm ara.
- Sɛ wowɔ nsɛmmisa bi fa saa aduru yi ho a, nsuro sɛ wubebisa wo duruyɛfo.
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