Sɛ woda yiye anadwo a, biribiara nni hɔ a ɛhyɛ wo abufuw sen sɛ ɛsɛ sɛ wosɔre kɔtow nsu a ɛnyɛ pɛnkoro anaa mprenu pɛ, na mmom mpɛn pii da biara. Ade kyee no, wote nka sɛ woabrɛ na woada. Wɔ aduruyɛ mu no, wɔfrɛ saa tebea yi a ɛma mpanyimfo nna anadwo no `(Nocturia)`. Enti, sɛ eyi ano aduru no, aduru bi a ɛtɔ mmere bi a nnuruyɛfo kamfo kyerɛ ne `Desmopressin`. Ɛnnɛ, momma yɛnka saa aduru yi ne nneɛma a ɛsɛ sɛ yɛhwɛ yiye wɔ ho bere a yɛde redi dwuma no ho asɛm.
Dɛn ne Desmopressin?
Sɛ yɛbɛka no tiawa a, Desmopressin yɛ hormone bi a nnipa ayɛ a yɛn nipadua fi awosu mu yɛ. Hormone `(vasopressin)`, a wɔyɛ wɔ yɛn amemene mu no ne nea ɛka kyerɛ yɛn asaabo sɛ "OK, ɛdɔɔso dɔɔso, tew nsu dodow a woyɛ so." Desmopressin nso yɛ ade koro no ara.
Sɛ yɛnom saa aduru yi a, ɛka yɛn asaabo na ɛhwɛ nsu dodow a ɛba no so, titiriw anadwo. Eyi mma hia a ehia sɛ yɛtaa tow nsu anadwo no so tew na ɛboa ma yɛda yiye anadwo. Wɔde sa tebea `(Nocturia)` a ɛwɔ mpanyimfo mu kɛse.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom saa aduru yi
`Desmopressin` nyɛ aduru a wobetumi anom sɛnea wɔpɛ. Ansa na wo duruyɛfo bɛkyerɛw ama wo no, ebehia sɛ ohu w’ayaresa ho abakɔsɛm nyinaa. Ɛho hia titiriw sɛ wobɛka akyerɛ wɔn sɛ wowɔ tebea horow a edidi so yi mu biara a:
| W’akwahosan tebea | Dɛn nti na ɛsɛ sɛ wobɔ oduruyɛfo no amanneɛ? |
|---|---|
| Koma mu yare anaa mogya mmoroso | Saa aduru yi betumi aka nsu dodow a ɛwɔ nipadua no mu, na ebetumi aka koma no dwumadi ne mogya mmoroso. |
| Asaabo mu yare | Esiane sɛ aduru no fa asaabo mu yɛ adwuma nti, sɛ asaabo no ntumi nyɛ adwuma yiye a, nea aduru no de ba no betumi ayɛ asiane. |
| Sodium dodow a ɛso tew wɔ mogya no mu | (Ɛho hia yiye) Desmopressin ho nsunsuanso titiriw biako ne sɛ ebetumi ama sodium dodow akɔ fam bio. Enti, ɛyɛ hu paa sɛ wode bɛma obi a sodium sua dedaw. |
| Loop diuretics anaa steroid nnuru a wɔde di dwuma | Saa nnuru yi nso ka nipadua no sodium ne nsu a ɛkari pɛ, enti ɛyɛ hu sɛ wode bɛka Desmopressin ho. |
| Nnuru, nnuan, anaa nneɛma a wɔde yɛ nneɛma afoforo ho akisikuru | Eyi ho hia sɛ wuhu sɛ ebia wo ho yɛ wo hyew wɔ desmopressin anaa nneɛma a ɛwom no bi ho anaa. |
| Sɛ́ wonyinsɛn anaasɛ worehwɛ akokoaa/nufu a wɔma wo kwan | Wɔ tebea horow yi mu no, ɛho hia sɛ wobɔ oduruyɛfo no amanneɛ na ama wahwɛ ahu sɛ aduru no yɛ nea ahobammɔ wom. |
Ɔkwan bɛn so ankasa na mede saa aduru yi di dwuma?
Eyi nyɛ aduru a wode nsu mene te sɛ aduru a wɔde di dwuma daa. Eyi yɛ ``sublingual'' pill, a ɛkyerɛ sɛ ɛpete wɔ tɛkrɛma ase. Sɛnea wode bedi dwuma ni:
1. Fa no bere ano: Fa no sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ, bere a woakyerɛ wo no. Wɔtaa nom eyi bɛyɛ dɔnhwerew biako ansa na wɔada.
2. Mbubu nsɔano no kosi sɛ bere bedu sɛ wobɛnom aduru no: Bubu blister pack a aduru no wom no bere a woasiesie wo ho sɛ wode bedi dwuma no nkutoo.
3. Ma wo nsa nwo: Fa nsa abien a ayow yiye bue ade a wɔde ahyɛ mu no na yi tablet no nkakrankakra.
4. Fa to tɛkrɛma ase: Fa tablet no na fa to tɛkrɛma ase tẽẽ .
5. Ma ɛnwo: Twɛn kosi sɛ ɛbɛtetew koraa. Afei mene no. Mfa saa aduru yi nka nsu ho. Ɛsɛ sɛ wɔnom a nsu nnim.
6. Nsesa dodow a wode ma: Nnom nsen dodow a wɔakyerɛw ama wo no anaasɛ nnyae mpofirim a wo duruyɛfo nka ho afotu.
Sɛ wususuw sɛ woanom aduru yi dodo a, frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no ntɛm ara . Anaasɛ kɔ ETU (Emergency Treatment Unit) a ɛwɔ ayaresabea a ɛbɛn wo no.
Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?
Sɛ wopa 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 da mfa nsiesie dodow a woayera no.
Nnuru afoforo a ebetumi ne Desmopressin adi nkitaho
Nnuru bi betumi de nsunsuanso bɔne a ɛyɛ hu aba bere a wɔde ka Desmopressin ho no. Enti, ɛsɛ sɛ woka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo, a nnuru a wɔkyerɛw ma wo, nnuru a wɔtɔn, nnuru a wɔde di dwuma wɔ amanne kwan so, vitamin, ne nhabannuru ka ho.
| Mfa Desmopressin nka aduru yi ho! | |
|---|---|
| Loop Diuretics (nnuru a ɛma nsu pii fi nipadua mu) . | Nnuru a wɔde yɛ steroid (sɛ nhwɛso no, Prednisone, Cortisone) . |
| Hwɛ yiye paa bere a worenom aduru yi. | |
| Nnuru bi a wɔde sa tebea horow te sɛ adwenemhaw ne dadwen | Nnuru bi a wɔde sa akisikuru (e.g. Carbamazepine, Lamotrigine) . |
| Nnuru bi a wɔde yɛ nnubɔne | Nnuru a wɔde kum ɛyaw a efi NSAIDS kuw mu (e.g. Ibuprofen, Naproxen) . |
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom aduru no
- Hwɛ yiye wɔ nsu dodow a wonom ho: Eyi ne ade a ɛho hia sen biara. Esiane sɛ `Desmopressin` brɛ nsu a wɔtow so tew nti, sɛ wonom nsu pii sɛnea wotaa yɛ a, saa nsu no betumi aboaboa ano wɔ nipadua no mu na sodium dodow a ɛwɔ mogya no mu no betumi akɔ fam wɔ ɔkwan a ɛyɛ hu so. Yɛfrɛ eyi `(Nsuo a Wɔnom)`. Enti, di wo duruyɛfo akwankyerɛ a ɛfa nsu dodow a ɛsɛ sɛ wonom da biara ho no akyi pɛpɛɛpɛ.Ebia wobetu wo fo sɛ to nsu a wobɛnom so, titiriw dɔnhwerew biako ansa na woanom aduru no ne nnɔnhwerew 8 bere a woanom akyi.
- Sɛ worehwere nsu wɔ akwan foforo so a: Sɛ wo ho yɛ wo yaw, wofe, anaa wo ho fifiri boro so a, ka kyerɛ wo duruyɛfo. Eyi te saa efisɛ nipadua no mu nsu ne nkyene a ɛkari pɛ no betumi asesa wɔ saa bere yi mu, na ɛma ɛyɛ hu sɛ wɔbɛnom Desmopressin.
- Aduruyɛ mu nhwehwɛmu daa: Sɛ wufi ase nom aduru no wie a, yɛ mogya mu nhwehwɛmu (titiriw hwɛ sodium dodow) ne aduruyɛ mu nhwehwɛmu sɛnea wo duruyɛfo kyerɛ no.
Dɛn ne nneɛma bɔne a efi mu ba?
Te sɛ aduru biara no, Desmopressin betumi anya nkɛntɛnso bɔne. Ebi yɛ aniberesɛm, bere a afoforo nso abu so.
| Nneɛma bɔne a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo no ntɛm ara | |
|---|---|
| Nsɛnkyerɛnne a ɛkyerɛ sɛ sodium sua | Tiyɛ, nna a ɛyɛ den, adwenemhaw, adwene a ɛyɛ basaa, akisikuru, ɔfe, ntini a ɛtwetwe, ahomegye a enni hɔ, ne akisikuru . |
| Nneɛma a ɛma obi ho yɛ no hyew | Wora mu akisikuru, ɛyaw, anim, ano anaa tɛkrɛma a ɛho ahonhon. |
| Nsɛnkyerɛnne afoforo a anibere wom | Ɔhome a ɛyɛ den, koko mu yaw anaasɛ ɛyɛ den, mogya mmoroso a ɛsakra, koma bɔ ntɛmntɛm anaasɛ ɛnteɛ, mu duru a ɛkɔ soro mpofirim, nan anaa anansoaa a ɛho ahonhon, ɔbrɛ a ɛtra so. |
| Mpɛn pii no ɛnyɛ aniberesɛm (nanso sɛ ɛkɔ so a, ka kyerɛ wo duruyɛfo ) . | |
| Ano a ɛyɛ nwunu | Tiyɛ kakra, akisikuru kakra. |
Nkrasɛm a Wɔde Kɔ Fie
- Desmopressin yɛ aduru titiriw bi a ɛyɛ adwuma te sɛ hormone na wɔde ma mpanyimfo de sa tebea a ɛne sɛ wɔtaa tow nsu anadwo (nocturia) no.
- Asiane titiriw ne nea anibere wom sen biara a ɛwɔ eyi mu ne sodium dodow a ɛba mogya mu. Enti hwɛ yiye wɔ sɛnkyerɛnne ahorow te sɛ tiyɛ, akisikuru, ne adwenemhaw ho.
- Di wo duruyɛfo akwankyerɛ a ɛfa nsu a wobɛnom ho akyi yiye. Nsu pii a wɔnom no betumi ayɛ nea asiane wom.
- Sɛ wode saa aduru yi redi dwuma a, ɛho hia sɛ wobɔ wo duruyɛfo amanneɛ wɔ nnuru afoforo a worenom nyinaa ho.
- Mmene tablet no. Fa to wo tɛkrɛma ase na fa gu mu. Mfa nsu nni dwuma.
- Saa aduru yi yɛ wo nkutoo dea. Mfa nkyerɛ afoforo da.
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