So wo anaa wo ba no te nka sɛ sukɔm de wo bere nyinaa? Na so wotaa tow nsu? Ebia wo ba no reyɛ mpa no nsu anadwo. Wɔ tebea horow a ɛte saa mu no, wo duruyɛfo betumi akyerɛw wo aduru bi a wɔfrɛ no ‘Desmopressin’. Esiane sɛ wɔtaa de saa aduru yi di dwuma, na esiane sɛ ɛsɛ sɛ wohwɛ yiye kɛse bere a wode redi dwuma nti, ɛnnɛ yɛbɛka Desmopressin aduru yi ho asɛm wɔ nsɛm a ɛnyɛ den mu.
Dɛn ne Desmopressin?
Sɛ yɛbɛka no tiawa a, Desmopressin yɛ hormone a wɔayɛ wɔ lab a ɛte sɛ hormone ‘Vasopressin’ a yɛn nipadua fi awosu mu yɛ no. Hormone Vasopressin a ɛwɔ yɛn nipadua mu no de sɛnkyerɛnne bi fi amemene no mu kɔ asaabo no mu, na ɛhwɛ nsu dodow a efi nipadua no mu sɛ nsu no so. Enti, saa Desmopressin aduru yi nso yɛ ade koro no ara.
N’adwuma titiriw ne sɛ ɛbɛhwɛ nsu dodow a asaabo no yi fi mu no so. Ɛne sɛ, ɛtew nsu a ɛyera fi nipadua no mu a ɛho nhia so na ɛboa ma nipadua no mu nsu kari pɛ. Wɔ Sri Lanka no, ebia wubehu saa aduru yi wɔ din DDAVP ase.
Dɛn na wɔde saa aduru yi di dwuma?
Nnuruyɛfo kyerɛw saa aduru yi ma tebea horow pii titiriw.
- Central Diabetes Insipidus: Eyi yɛ tebea a amemene no ntumi nyɛ Vasopressin hormone kakraa bi. Ne saa nti, nsu a wɔtow boro so ne sukɔm boro so ba. Desmopressin boa kɛse ma wodi tebea yi so.
- Bed-wetting / Nocturnal Enuresis: Nnuruyɛfo kamfo saa aduru yi kyerɛ wɔ ɔhaw yi ho, titiriw wɔ mmofra a wɔadi boro mfe 4 mu. Ɛboa ma nsu dodow a ɛba anadwo no so tew na ɛmma abofra no ntumi mfa mpa so nsu.
- Bere a obi apira ne ti anaa oprehyɛn akyi: Bere a obi apira ne ti kɛse anaa wɔayɛ amemene mu oprehyɛn bi akyi no, ebia hormone vasopressin no dwumadi asɛe bere tiaa bi. Wɔde di dwuma nso de siw nsu a wɔtow boro so ano wɔ mmere a ɛtete saa mu.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom nnuru
Ansa na wobɛkyerɛw Desmopressin no, ɛho hia yiye sɛ wobɛbɔ wo duruyɛfo amanneɛ wɔ w’akwahosan ho abakɔsɛm nyinaa ho, titiriw sɛ wowɔ saa tebea horow yi bi a.
- Sɛ woadi kan anya mogya a ɛretu a
- Sɛ wowɔ tebea bi te sɛ Cystic Fibrosis a
- Sɛ wowɔ komayare anaa mogya mmoroso a
- Sɛ wowɔ asaabo mu yare biara a
- Sɛ wɔadi kan ahu sɛ wo mogya mu sodium dodow sua (eyi ho hia yiye) .
- Sɛ wowɔ allergy wɔ Desmopressin, Vasopressin anaa aduru foforo biara, aduan, anaa aduru a wɔde yɛ ade ho a
- Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a
- Sɛ ɛna bi rema ne ba nufu a
Oduruyɛfo no begyina saa nsɛm yi so asi gyinae sɛ ebia aduru yi fata wo anaasɛ ɛnsɛ ne dodow a wɔde bɛma wo.
Ɔkwan bɛn so ankasa na mede saa aduru yi di dwuma?
Ɛho hia paa sɛ wubehu sɛnea wɔde saa aduru yi di dwuma pɛpɛɛpɛ.
- Ɛsɛ sɛ wɔde nsu kuruwa biako nom saa aduru yi.
- Ɛho hia paa sɛ wobɛnom w’aduru no sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ . Sɛ wofa no pɛnkoro da biara a, fa bere koro no ara da biara (mpɛn pii no ansa na woada anadwo).
- Mma nnom pii nsen nea oduruyɛfo no ka kyerɛ wo da.
- Sɛ wɔde ma mmofra a: Sɛ wɔde saa aduru yi rema mmofra a, ɛsɛ sɛ wodi mmofra oduruyɛfo no akwankyerɛ so pɛpɛɛpɛ.
- Sɛ wonom nnuru pii wɔ akwanhyia mu a: Sɛ wususuw sɛ woanom aduru yi pii wɔ akwanhyia mu a, kɔ 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 mma obi foforo, sɛ mpo wɔn nso wɔ sɛnkyerɛnne koro no ara a wowɔ no a. Ebetumi ayɛ nea asiane wom.
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 mmɔho abien da.
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho titiriw bere a worenom nnuru no
Eyi ne ɔfã a ɛho hia sen biara. Ɛsɛ sɛ wohwɛ yiye paa wɔ w’asetra mu nneɛma bi ho bere a worenom aduru yi no.
Nsuo a Wɔde Di Dwuma - Adwene a Ɛdi Kan!
Eyi ne ade a ɛho hia sen biara . Desmopressin ma nsuo kɔ nipadua no mu, enti ɛsɛ sɛ wohwɛ yie paa wɔ nsuo dodoɔ a wobɛnom ho.
Nnuruyɛfo taa tu fo sɛ, "Fa nsu dum sukɔm no." Yi fi hɔ, gye Yi fi hɔ, gyeHohoro, hohoro Yi fi hɔ, gye Yi fi hɔ, gyeFa no mmerɛw, fa Yi fi hɔ, gye Yi fi hɔ, gye Yi fi hɔ, nya Yi fi hɔ, gyeGye w’ahome, gye w’ahome Yi fi hɔ, gye Yi fi hɔ, fi hɔYi fi hɔ, gye Yi fi hɔ, gye Yi fi hɔ, gyeYi fi hɔ, nya "Komm, komm.". Nsu a wɔnom boro so anaa kakraa bi betumi apira wo. Esiane sɛ saa aduru yi ma wo nipadua no kura nsu nti, sɛ wonom nsu pii a, sodium dodow a ɛwɔ wo mogya mu no betumi akɔ fam wɔ ɔkwan a ɛyɛ hu so.
Nyarewa ahorow
Sɛ wo yafunu mu yɛ wo yaw, wofe, anaa wo ho yɛ wo yaw, anaasɛ wo nya atiridiinini ne ɔyare mmoawa a, gyae aduru yi nom ntɛm ara na kɔ wo duruyɛfo nkyɛn. Nea enti a ɛte saa ne sɛ nsu pii betumi ayera afi nipadua no mu wɔ saa bere yi mu, na sɛ wɔkɔ so de aduru no di dwuma a, ebetumi ama nsakrae kɛse aba sodium dodow mu.
Nsunsuanso bɔne a ebetumi aba esiane aduru yi nti
Te sɛ nnuru biara no, Desmopressin betumi anya nkɛntɛnso bɔne. Ebi yɛ nketewa, nanso ebinom hwehwɛ sɛ wɔde wɔn adwene si so titiriw.
| Nkɛntɛnso a Ɛfa Ho | Nkyerɛkyerɛmu ne nea ɛsɛ sɛ wɔyɛ |
|---|---|
| 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. Hwehwɛ nnuruyɛfo afotu ntɛm ara. |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ sodium dodow sua wɔ nipadua no mu | Tiyɛ a emu yɛ den, nna a ɛyɛ den, adwenemhaw, adwenem naayɛ, akisikuru, ɔfe, ntini a ɛwosow, ahomegye, anaa akisikuru. Eyi yɛ asɛm a egye ntɛmpɛ. Kɔ ETU no so ntɛm ara. |
| Mu duru a ɛkɔ soro mpofirim anaasɛ ɛho ahonhon | Nan anaa nansoaa a ɛho ahonhon, mu duru a ɛkɔ soro mpofirim. Eyi yɛ sɛnkyerɛnne a ɛkyerɛ sɛ nsu kɔ nipadua no mu. |
| Ɔhome a ɛyɛ den | Ɔhome a ɛyɛ den, koko mu yaw anaasɛ ɛyɛ den. |
| Nsakrae a ɛba koma a ɛbɔ mu | Koma a ɛbɔ ntɛmntɛm anaasɛ ɛnteɛ daa. |
| Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo sɛ ɛkɔ so anaasɛ ɛhaw adwene a | |
| Tipaeɛ | Ebia ne ti bɛyɛ no yaw kakra. |
| Ano a ɛyɛ nwunu | Ano a ɛyɛ mmerɛw a wɔte nka. |
| Akisikuru a ɛnyɛ den | Ebinom yafunu mu yare anaasɛ akisikuru. |
Wobɛyɛ dɛn ama nnuru akɔ so ayɛ nea asiane biara nni ho?
- Hwɛ hu sɛ wode bɛhyɛ baabi a mmofra ntumi nkɔ hɔ .
- Fa sie wɔ dan mu hyew (a ɛwɔ digrii Celsius 20-25 ntam). Bɔ wo ho ban fi ɔhyew a ɛboro so ne owia hann tẽẽ ho.
- Tow nnuru a ne bere atwam a womfa nni dwuma.
Nkrasɛm a Wɔde Kɔ Fie
- Desmopressin yɛ aduru a ɛhwɛ nsu dodow a asaabo no yɛ so na ɛsɛ sɛ wɔde di dwuma wɔ nnuruyɛfo afotu nkutoo mu.
- Hwɛ yiye paa wɔ nsu dodow a wobɛnom bere a worenom aduru yi ho. Nnom nsu pii anaa kakraa bi nsen nea wo duruyɛfo ka kyerɛ wo no.
- Sɛ wuhu sɛnkyerɛnne ahorow te sɛ tiyɛ a emu yɛ den, adwenemhaw, adwene a ɛyɛ basaa, anaa ɔfe a, ebetumi ayɛ sɛnkyerɛnne a asiane wom a ɛkyerɛ sɛ sodium dodow sua wɔ mogya no mu. Kɔ oduruyɛfo nkyɛn ntɛm ara.
- Gyae aduru no nom na kɔ wo duruyɛfo nkyɛn sɛ wofe, wo yafunu mu yɛ wo yaw, anaa wo ho yɛ wo hyew a.
- Saa aduru yi yɛ wo nkutoo dea. Mma nnkyɛ obi foforo biara esiane biribiara nti.
👩🏽 ⚕️ Nsɛmmisa foforo (FAQs)
💬 Dɛn na wɔde Desmopressin / DDAVP tablets di dwuma?
Eyi yɛ aduru a etu mpɔn yiye a wɔde siw ‘asikreyare a ɛnyɛ dɛ’ ne ‘mpa so nsu’ a ɛboro so ano wɔ mmofra mu! Ɛde abɔde mu hormone (ADH) bi a yɛn amemene no yɛ no hyɛ nipadua no mu, na ɛsan twetwe nsu a ɛkɔ nipadua no mu sɛ nsu no.
💬 Ɔkwan bɛn so na wobetumi de saa synthetic hormone (Desmopressin) yi asiw urinary incontinence/bedwetting a emu yɛ den?
Mpɛn pii no, amemene no nam hormone ‘ADH’ so de ahyɛde kɔ yɛn asaabo mu sɛ ‘ɛmma nsu ntra nipadua no mu’! Nnipa binom amemene ntumi nyɛ eyi. Sɛ saa aduru yi (pill/spray) hyɛn nipadua no mu a, ɛkɔ asaabo no mu tẽẽ (V2 receptors wɔ asaabo mu) na ɛto apon a ɛma nsu kɔ mu nyinaa, te sɛ tap a wodum, na ɛma nsuo a ɛba no gyae 100%.
💬 Asiane a ɛyɛ hu (Black Box Warning) bɛn na ebetumi aba bere a wɔnom aduru (Desmopressin) a ɛma nsuo gyae no?
Asiane kɛse a ɛwɔ eyi mu ne ‘Hyponatremia / Nsu a Wɔnom’! Esiane sɛ worentow nsu nti, sɛ wonom nsu/nsu pii bere a woanom saa aduru yi awie a, saa nsu no nyinaa bɛhyɛ wo nipadua ma na nkyene a ɛwɔ wo mogya mu no 100% bɛpete. Sɛ nkyene no so tew a, ɔyarefo no betumi anya akisikuru mpofirim na wakɔ koma mu na wawu! (Enti, sɛ nsuo ho sukɔm de wo paa a, nnom yei).
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