So wo duruyɛfo akyerɛw wo aduru bi te sɛ Pradaxa a ɛbɛma mogya antɔ wo? Anaasɛ abusua muni anaa adamfo bi de saa aduru yi redi dwuma? Eyi yɛ aduru a ɛho hia yiye a ebetumi agye nkwa ankasa. Nanso bere koro no ara mu no, nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ yɛhwɛ yiye wɔ ho bere a yɛde redi dwuma no. Enti ɛnnɛ, momma yɛnka saa aduru yi, Dabigatran, a wonim no ara kwa wɔ yɛn man mu sɛ Pradaxa no ho asɛm.
Dɛn ne Dabigatran (Pradaxa)?
Sɛ yɛbɛka no tiawa a, eyi yɛ aduru a ɛma mogya yɛ mmerɛw . Wɔ aduruyɛ mu no, yɛfrɛ eyi ``Anticoagulant''. Yɛn mogya wɔ tumi a ɛma mogya tu. Ɛno nti na mogya gyae bere a obi apira no. Nanso ɛtɔ mmere bi a, mogya a ɛtɔ gu nipadua no mu, ntini no mu a ɛho nhia. Eyi yɛ tebea a asiane wom.
Dabigatran yɛ adwuma denam mogya a ɛtwetwe a wɔmpɛ a esiw ano no so. Wɔde di dwuma titiriw de yɛ:
- Siw Akisikuru Siw: Tew asiane a ɛwɔ hɔ sɛ mogya bɛtɔ amemene no mu ne ɔyare a ɛma obi hwe ase wɔ ayarefo a wɔn koma bɔ ntɛmntɛm (Atrial Fibrillation) no so.
- Sa mogya a ɛtɔ: Fa mogya a ɛtɔ a ayɛ wɔ ahurututu mu (Pulmonary Embolism) anaa nan no mu ntini a emu dɔ (Deep Vein Thrombosis - DVT) no gu.
- Siw mogya a ɛbɛtɔ ano: Wɔde saa aduru yi ma na amma mogya a ɛbɛtɔ bio wɔ oprehyɛn akyi, te sɛ nea wɔde besi asen ananmu, anaa obi a mogya atɔ bere bi a atwam no.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi saa aduru yi ase
Ansa na wo duruyɛfo bɛkyerɛw Dabigatran no, ɛho hia yiye sɛ ohu w’akwahosan ho abakɔsɛm nyinaa. Hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ wowɔ tebea horow a wɔabobɔ din wɔ ase ha no bi a.
| Akwahosan tebea anaa hokwan | Dɛn nti na ɛsɛ sɛ wodwene ho? |
|---|---|
| Mogya a ɛtɔ gu nipadua mu ho haw ahorow | Saa aduru yi betumi ama asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no ayɛ kɛse. |
| Sɛ wowɔ mfiri a wɔde yɛ koma valve a | Wɔnkamfo saa aduru yi nkyerɛ ayarefo a wɔte saa. |
| Asaabo mu yare | Esiane sɛ woyi aduru no fi nipadua no mu denam asaabo so nti, ebia ebehia sɛ wɔyɛ nsakrae wɔ dodow a wɔde ma no mu. |
| Sɛ mogya atɔ wo yafunu mu pɛn a | Asiane a ɛwɔ hɔ sɛ mogya bɛsan atu no betumi ayɛ kɛse. |
| Sɛ woayɛ akyi berɛmo anaa epidural oprehyɛn nnansa yi ara anaasɛ woreyɛ no a | Asiane wɔ hɔ sɛ mogya bɛtu wɔ akyi berɛmo no mu. |
| Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaasɛ woyɛ ɛna a ɔma nufu a | Wɔ tebea horow yi mu no, ɛsɛ sɛ wo ne wo duruyɛfo kasa fa ahobammɔ a ɛwɔ aduru no mu ho. |
| Sɛ wowɔ nnuru, nnuan anaa nneɛma afoforo ho akisikuru a | Eyi ho hia sɛ wuhu sɛ ebia wo ho yɛ wo hyew wɔ dabigatran ho anaa. |
Ɔkwan bɛn so ankasa na mede saa aduru yi di dwuma?
Sɛnea ɛbɛyɛ na woanya aduru yi so mfaso kɛse na woakwati asiane biara no, ɛho hia yiye sɛ wode di dwuma yiye.
Nea ɛho hia sen biara: Mbubu, nbubu, nwe, anaa mmue aduru a wɔde hyɛ mu no na nnom aduru yi mu nneɛma esiane biribiara nti. Sɛ woyɛ saa a, ebetumi ama nnuru pii akɔ nipadua no mu prɛko pɛ, na ɛno betumi ama mogya atu no a asiane wom. Ɛsɛ sɛ wɔmene capsule no nyinaa.
- Sɛnea wobɛfa: Fa nsu kuruwa mene aduru no nyinaa.
- Aduan a wɔde ka ho: Wobetumi anom eyi ansa na wɔadi anaasɛ wɔadi awie. Nanso, sɛ wo yafunu mu yɛ wo yaw anaa wo ho nyɛ wo dɛ a, aduru no a wobɛnom ne aduan bi betumi aboa ma wɔatew so.
- Ntwa nnuru dodow a wode di dwuma no so: Fa w’aduru no sɛnea wɔakyerɛw ama wo no pɛpɛɛpɛ, wɔ bere a ɛfata mu, ne dodow a ɛfata mu. Sɛ wugyae nnuru dodow a wode di dwuma anaasɛ wugyae wo duruyɛfo afotu biara a, ebetumi ama asiane a ɛwɔ hɔ sɛ mogya bɛtɔ anaasɛ wobɛtɔ akisikuru no ayɛ kɛse mpofirim.
- Sɛ wopa aduan bi a:Sɛ wo werɛ fi sɛ wobɛnom dose bi a, fa no bere a woakae ara pɛ. Nanso, sɛ ennu nnɔnhwerew 6 kosi wo dodow a edi hɔ a wobɛma no so 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.
- Sɛ wonom saa aduru yi pii a: Sɛ wususuw sɛ woanom saa aduru yi pii a, nsɛe bere na kɔ ayaresabea a ɛbɛn wo no ntɛm ara. Anaasɛ frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ no na woanya afotu.
Nneɛma a ɛsɛ sɛ ɛtra w’adwenem bere a worenom aduru yi
Ɛsɛ sɛ wususuw w’ahobammɔ ho titiriw bere a worenom aduru yi no.
- Kwati opira: Twe wo ho fi agumadi (e.g. rugby, bɔɔlbɔ) ne adwuma a ebetumi ama nipadua no apira ho. Sɛ obi hwe ase ketewaa bi mpo a, ebetumi ama mogya atu kɛse wɔ ne mu.
- Nnwinnade a ano yɛ nnam: Susuw ho mprenu ansa na wode nnwinnade a ano yɛ nnam te sɛ nnade ne nkankyee adi dwuma. Sɛ worebɔ wo ti nhwi a, ɛyɛ nea asiane biara nni ho sɛ wode anyinam ahoɔden afiri bedi dwuma sen sɛ wode agyan bedi dwuma.
- Wo sẽ a wobɛhohoro: Hwɛ yiye na woanpira wo sẽ bere a worebɔ wo sẽ na worebɔ wo sẽ no.
- Oprehyɛn: Sɛ wɔbɛyɛ wo oprehyɛn anaasɛ wɔayi wo sẽ a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo anaa wo sẽ ho oduruyɛfo sɛ worenom Dabigatran. Mpɛn pii no wɔbɛka akyerɛ wo sɛ gyae aduru yi nom nna kakraa bi ansa na wɔayɛ oprehyɛn no.
- Oduruyɛfo a wobɛkɔ: Kɔ ayaresabea hɔ wɔ nna a wɔahyɛ ato hɔ no mu na kɔ oduruyɛfo nkyɛn. Ɔbɛhwɛ wo tebea no so na wama wo afotu a ɛho hia.
Nsunsuanso bɔne a ebetumi aba esiane nnuru nti
Te sɛ aduru biara no, Dabigatran betumi de ɔhaw ahorow aba. Ebi yɛ aniberesɛm, ebi nso abu so. Ɛho hia sɛ wohu eyinom.
| Nsunsuanso bɔne a anibere wom a ɛhwehwɛ sɛ wɔkɔ ayaresabea ntɛm ara | |
|---|---|
| Nneyɛe a Ɛma Nnipa Ho Yɛ Den | Wora mu akisikuru, ɛyaw, anofafa/tɛkrɛma/anim a ɛho ahonhon, ɛyɛ den sɛ wobɛhome. |
| Mogya a ɛretu ho sɛnkyerɛnne | Nsu a ɛyɛ tuntum anaa mogya wom; nsu a ɛyɛ kɔkɔɔ anaa bruu tuntum; biribi a ɛte sɛ kɔfe a wɔayam a wɔfe; mogya a ɛyɛ soronko a efi hwene, anom, anaa aniwa mu; akuru akɛse anaa nsensanee kɔkɔɔ wɔ nipadua no so; mogya a ɛtɔ a wontumi nsiw ano. |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare a ɛma obi hwe ase | Anisoadehu sesa mpofirim; kasa a ɛyɛ mmerɛw, kasa anaa ntease a ɛyɛ den; tiyɛ a emu yɛ den; anim, nsa anaa nan a ɛyɛ mmerɛw anaasɛ ɛyɛ mmerɛw; ɛyɛ den sɛ wobɛnantew, adwenemhaw. |
| Mogya a ɛretu ho sɛnkyerɛnne | Koko mu yaw; ɛyɛ den sɛ wobɛhome; ɛyaw, ɔfe, anaa ɔhyew a ɛba nan bi mu (titiriw nan ase). |
| Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ | |
| Yafunu mu a ɛyɛ mmerɛw | Yafunu mu yaw, aduan a ɛnyɛ yiye, akisikuru (eyi betumi atew denam aduru no a wɔde ka aduan ho no so). |
Nnuru afoforo a ebetumi ne Dabigatran adi nkitaho
Ɛsɛ sɛ woka nnuru a wonom nyinaa kyerɛ wo duruyɛfo, ɛnyɛ nea wo duruyɛfo akyerɛw ama wo nkutoo, na mmom nnuru a wɔde kum ɛyaw a wɔtɔn a wɔmfa nnuru nni dwuma wom, vitamin ahorow, nhabannuru, ne Sinhala nnuru mpo nso. Nnuru bi betumi ne Dabigatran adi nkitaho na ama mogya a ɛbɛtɔ obi no ayɛ kɛse.
Nnuru atitiriw kakraa bi wɔ hɔ a ɛsɛ sɛ yɛhwɛ yiye wɔ ho:
- Aspirin ne nnuru afoforo a ɛwɔ kuw yi mu
- Nnuru afoforo a ɛma mogya yɛ mmerɛw (sɛ nhwɛso no, Warfarin, Heparin, Enoxaparin, Apixaban, Rivaroxaban) .
- Nnuru a wɔde kum ɛyaw (NSAID) (sɛ nhwɛso no, Ibuprofen, Naproxen, Diclofenac) .
- Nnuru afoforo a ɛma mogya yɛ mmerɛw, te sɛ Clopidogrel
- Nnuru bi a ekum ɔyare mmoawa, te sɛ Rifampin (aduru bi a wɔde sa nsamanwaw) .
- Nnuru a ekum fungal te sɛ ketoconazole
Saa nsɛm a wɔahyehyɛ yi nwie pɛyɛ, enti ɛbɛyɛ papa bere nyinaa sɛ wobɛka biribiara a worenom ho asɛm akyerɛ wo duruyɛfo .
Nkrasɛm a Wɔde Kɔ Fie
- Mma Dabigatran (Pradaxa) aduru no mmubu, nbubu, anaa nwe da. Mene wɔn nyinaa.
- Nnyae aduru no nom a wunnya wo duruyɛfo afotu. Sɛ wopa dose bi a, mma ɛnhaw wo, fa dose a woayera no ara kwa sɛ ɛboro nnɔnhwerew 6 kosi wo dose a edi hɔ no.
- Ka nnuru afoforo a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo, titiriw nnuru a wɔde kum ɛyaw.
- Hwɛ yiye sɛnea wubetumi biara wɔ asehwe ne opira ho. Asiane a ɛwɔ hɔ sɛ mogya bɛtu no yɛ kɛse.
- Sɛ wuhu sɛnkyerɛnne ahorow a ɛkyerɛ sɛ mogya retu , te sɛ nsu tuntum anaa akuru a ɛyɛ soronko a, bɔ wo duruyɛfo amanneɛ ntɛm ara anaa kɔ ayaresabea ETU.
- Ansa na wobɛyɛ oprehyɛn anaa wobɛyi wo sẽ biara no, kae wo duruyɛfoɔ/nsen ho oduruyɛfoɔ sɛ worenom saa aduru yi.
👩🏽 ⚕️ Nsɛmmisa foforo (FAQs)
💬 Yareɛ bɛn na wɔde Ramipril (Ramipril / Altace) tablets/capsules di dwuma ma?
Eyi ne ACE Inhibitor mogya mmoroso aduru a agye din na edi mu sen biara wɔ wiase! Ɛnyɛ sɛ ɛtew mogya mmoroso so nko, na mmom nnuruyɛfo nso kyerɛ sɛ wɔmfa nsiw daakye ‘komayare ne akisikuru’ (koma ne ntini mu nsɛm a esisi) ano mma nnipa a wɔadi boro mfe 55, wɔn a wɔwɔ asikreyare/srade a ɛwɔ mogya mu, ne wɔn a asiane kɛse wom sɛ wobenya komayare.
💬 Ɔkwan bɛn so na mogya mmoroso aduru (Ramipril) yi a wobɛnom no brɛ mogya mmoroso ase na ɛgye koma no nkwa?
Yɛn mogya ntini no mu yɛ teateaa/ɛyɛ mmerɛw na nhyɛso no kɔ soro esiane nnuru bi a ɛyɛ hu a wɔfrɛ no ‘Angiotensin II’ nti! Sɛ Ramipril hyɛn nipadua no mu a, esiw/toto adwumayɛbea a ɛyɛ saa nnuru (ACE enzyme) no mu koraa na ɛto mu! Afei mogya ntini no nyinaa yɛ mmerɛw (Vasodilation) na nhyɛso no so tew. Sɛ nhyɛso no so tew a, ɛbɛyɛ mmerɛw sɛ koma no bɛyɛ adwuma/abɔ, enti asiane a ɛwɔ hɔ sɛ obi benya komayare no so tew 100%.
💬 Dɛn ne aduru (Ramipril) yi a wɔnom no mu nsunsuanso bɔne a ɛyɛ yaw na ɛyɛ hu (Black Box Warning)?
Asiane kɛse a ɛsɛ sɛ wohu fi mfiase ne sɛ wɔabara koraa ma ɛnanom a wɔyɛ ‘Nyinsɛn’ (Nyinsɛn) (ekum akokoaa no)! Ɔhaw kɛse foforo ne ‘Dry cough’ a ɛba bere a wonom aduru no, sɛ wuntumi nnyina ano a, ɛsɛ sɛ wodan kɔ pill foforo (ARB) so. Afei nso, sɛ nnipa binom nya ‘Anim/anofafa a ɛho ahonhon ne ahome a ɛyɛ tiaa’ (Angioedema - Abibifo wɔ asiane kɛse mu) a, ɛsɛ sɛ wokɔ ayaresabea ntɛm ara.
💬 Comments (0)
Wɔnnya nyɛɛ nsɛm biara. Fa wo nsɛm no ka ho wɔ ha nea edi kan.
Fa wo nsɛm no ka ho