So ɛtɔ mmere bi a wote nka sɛ wo nipadua reyɛ ayɛ mmerɛw na wo nsa ne wo anan nso ayɛ mmerɛw? Eyi betumi ayɛ osuahu a ɛyɛ nwonwa yiye. Eyi ba esiane tebea bi a ɛba bere a potassium dodow a ɛwɔ yɛn nipadua mu no so tew anaasɛ ɛkɔ soro mpofirim nti. Wɔfrɛ eyi ‘Periodic Paralysis’ wɔ aduruyɛ ho nyansahu mu. Enti ɛnnɛ yɛrebɛka aduru soronko bi a wɔfrɛ no Dichlorphenamide a wɔde sa saa tebea yi ho asɛm.
Dɛn ne Dichlorphenamide yi?
Sɛ yɛbɛka no tiawa a, dichlorphenamide yɛ aduru a ɛma nsu fi nipadua no mu, a ɛkyerɛ sɛ ɛboa ma nsu a ɛboro so fi nipadua no mu. Nanso n’adwuma titiriw ne sɛ ɛbɛhyɛ tebea a yɛadi kan aka ho asɛm, ‘Periodic Paralysis’ no so. Ɛne sɛ, saa aduru yi boa ma wodi ntini a ɛyɛ mmerɛw mpofirim a nipadua no mu potassium dodow a ɛso tew anaasɛ ɛkɔ soro wɔ ɔkwan a ɛnteɛ so de ba no so. Ebia wo duruyɛfo bɛkyerɛw saa aduru yi ama wo wɔ din Keveyis' ase.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi ase anom nnuru
Saa aduru yi mfata obiara. Enti, ansa na wo duruyɛfo bɛkyerɛw saa aduru yi no, ɛho behia sɛ ohu w’akwahosan tebea no ho nkyerɛkyerɛmu a edi mũ. Titiriw no, hwɛ hu sɛ wobɛka nea edidi so yi ho asɛm akyerɛ no:
| Wo tebea anaa wo su | Dɛn nti na ɛno ho hia? |
|---|---|
| Adrenal gland ho haw anaa Cushing yare | Sɛ hormone ho haw ahorow yi wɔ hɔ a, ɔkwan a saa aduru yi fa nipadua no nkyene a ɛkari pɛ no betumi asesa. |
| Mmɛn mu yare | Te sɛ nnuru pii no, mmerɛbo no boa ma woyi eyi fi nipadua no mu. Sɛ mmerɛbo no yɛ mmerɛw a, aduru no betumi ayɛ kɛse wɔ nipadua no mu na ama nea efi mu ba no ayɛ kɛse. |
| Ahurututu anaa ɔhome mu yare | Esiane sɛ saa aduru yi ka nipadua no acid ne base a ɛkari pɛ nti, ebetumi anya nkɛntɛnso bɔne wɔ nnipa a wɔwɔ ɔhome mu nyarewa so. |
| Sɛ wode aspirin di dwuma daa a | Nkitahodi bɔne betumi aba aspirin ne aduru yi ntam, titiriw sɛ wɔnom aspirin dodow a ɛdɔɔso a. |
| Nnuru, nnuan, anaa nneɛma afoforo ho akisikuru | Sɛ wo ho nyɛ wo hyew wɔ sulfonamides ho a, ebia wo ho nyɛ wo den wɔ saa aduru yi ho nso. Enti hwɛ hu sɛ wobɛka ho asɛm akyerɛ wo duruyɛfo. |
| Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaa worema nufu a | Wɔda so ara nni nsɛm a edi mũ biara a ɛkyerɛ sɛ ebia aduru yi bɛka akokoaa a ɔhyɛ yafunu mu anaa ɔrema nufu. Enti, ɛho hia sɛ wo ne wo duruyɛfo kasa fa eyi ho. |
Ɔkwan bɛn so na ɛsɛ sɛ mede aduru no di dwuma?
Ɔkwan a wɔfa so de saa aduru yi di dwuma no yɛ mmerɛw yiye.
- Ɛsɛ sɛ wɔnom eyi sɛ aduru a wɔde di dwuma wɔ ano.
- Fa yɛ wo su sɛ wobɛnom w'aduru no bere koro mu da biara . Saa kwan no so no wo werɛ remfi.
- Fa saa aduru yi di dwuma sɛnea wo duruyɛfo kyerɛ no pɛpɛɛpɛ, bere tenten a wɔde sa yare no nyinaa. Mma nnyae aduru no nom da a wunnya wo duruyɛfo afotu.
- Sɛ wode saa aduru yi rema mmofra a, ebia ɛho behia sɛ wɔhwɛ yiye titiriw. Bisa wo duruyɛfo no eyi ho asɛm.
Sɛ wonom nnuru pii a, dɛn na ɛsɛ sɛ woyɛ? (Nneɛma a wɔde ma boro so) .
Fa no sɛ woanom nnuru a ɛboro nnuru dodow a wɔakyerɛw ama wo no. Sɛ ɛba saa a , ntwentwɛn wo nan ase. Frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ ntɛm ara . Anaasɛ kɔ ayaresabea a ɛbɛn wo no Emergency Treatment Unit (ETU).
Wɔakyerɛw saa aduru yi ama wo nkutoo. Enti, mfa w’aduru mma obi foforo da.
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 abien prɛko pɛ da.
Nnuru afoforo bɛn na ebetumi ne aduru yi adi nkitaho?
Ɛho hia yiye sɛ wobɛka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo, efisɛ nnuru bi betumi ne dichlorphenamide adi nkitaho na ɛde nkɛntɛnso bɔne aba.
| Nnuru a ɛnsɛ sɛ wɔde ka aduru yi ho da | |
|---|---|
| Aspirin a wɔde di dwuma kɛse | |
| Nnuru afoforo a ebetumi de ɔhaw aba | |
| Aspirin (dodow a wɔtaa de ma) . | Nnuru bi a wɔde kum HIV anaa Hepatitis |
| Nnuru afoforo a ɛma nsu fi nipadua mu (e.g. Furosemide) . | Famotidine, Nnuru a ɛma obi ho yɛ hyew |
| Metformin a wɔde sa asikreyare | Nnuru a wɔde sa fungal yare mmoawa |
| Methotrexate, Oseltamivir, Probenecid a wɔde yɛ aduru a wɔfrɛ no Probenecid | Penicillin nnuru a ekum ɔyare mmoawa, Theophylline |
Saa list yi nwie pɛyɛ. Ka nnuru, vitamin, ne nhabannuru a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo. Afei nso, sɛ wonom sigaret anaa wonom nsa a, mma wo werɛ mmfi sɛ wobɛka akyerɛ wo duruyɛfo.
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom nnuru no
- Dae ne adwenemhaw: Ebia saa aduru yi bɛma woate nka sɛ woda na w’adwene tu fra. Enti, nka kar anaa mfa mfiri nni dwuma kosi sɛ wubehu sɛnea aduru yi ka wo.Titiriw sɛ woyɛ obi a ne mfe akɔ anim a, hwɛ yiye bere a woresɔre mpofirim afi baabi a wugyina hɔ anaa wugyina baabi a wote ase no. Eyi bɛma hokwan a ɛwɔ hɔ sɛ obi adwene tu fra na wahwe ase no so atew.
- Mogya mu nhwehwɛmu: Wo duruyɛfo bɛhyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu bere a woafi ase anom aduru yi no. Nea enti a ɛte saa ne sɛ saa aduru yi betumi aka potassium ne nkyene afoforo dodow a ɛwɔ wo nipadua mu no. Wɔyɛ saa sɔhwɛ ahorow yi de hwɛ sɛ eyi te saa. Enti, ntwa wɔn so.
- Nsɛnkyerɛnne: Sɛ wo sɛnkyerɛnne no ankɔ yiye, anaasɛ ɛte sɛ nea ɛreyɛ kɛse a, ka kyerɛ wo duruyɛfo ntɛm ara.
Nneɛma bɔne bɛn na wobetumi ahu?
Te sɛ nnuru nyinaa no, eyi betumi anya ɔhaw ahorow. Ebi yɛ aniberesɛm, ebi nso abu so.
| Nneɛma bɔne a anibere wom a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo no ntɛm ara | |
|---|---|
| Nneɛma a ɛma obi ho yɛ no hyew | Wora mu akisikuru, ɛyaw, anim, anofafa, tɛkrɛma a ɛho ahonhon. |
| Adwene mu nsakrae | Adwene a ɛyɛ basaa, nkae a wɔyera. |
| Honam ani haw ahorow | Wora a ɛyɛ kɔkɔɔ, akisikuru, a ɛyɛ mmerɛw (anom mpo). |
| Potassium a ɛba fam ho sɛnkyerɛnne | Ntini mu yaw anaasɛ ɛyɛ den, koko mu yaw, adwenemhaw, koma a ɛbɔ ntɛmntɛm anaasɛ ɛnteɛ, ahome a ɛyɛ den. |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ acid a ɛkɔ soro wɔ nipadua no mu | Ɔhome ntɛmntɛm, koma bɔ ntɛmntɛm, tiyɛ, tiyɛ a ɛyɛ hare, akisikuru, ɔfe. |
| Nneɛma a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo | |
| Nneɛma a ɛyɛ dɛ sesa | Ayamtuo |
| Abofono | Numbness, ɛyaw a ɛba nipadua no akwaa mu |
| Ɔbrɛ | |
Ebia nneɛma bɔne a efi mu ba nyinaa nka saa nsɛm a wɔahyehyɛ yi ho. Sɛ wuhu biribi a ɛyɛ soronko a, wo ne wo duruyɛfo nka ho asɛm.
Ɔkwan bɛn so na ɛsɛ sɛ wode w’aduru sie?
Sɛ nnuru no bɛkɔ so ayɛ papa a, ɛsɛ sɛ wɔkora so yiye.
- Fa sie baabi a mmofra ne afieboa ntumi nkɔ hɔ .
- Fa sie wɔ dan mu hyew (a ɛwɔ digrii Celsius 20-25 ntam). Bɔ ho ban fi ɔhyew ne nsu a ɛboro so ho.
- Mfa nnuru a ne bere atwam nni dwuma da . Tow gu sɛnea ɛsɛ.
Nkrasɛm a Wɔde Kɔ Fie
- Dichlorphenamide yɛ aduru a ɛsɛ sɛ wonom sɛnea wo duruyɛfo kyerɛ no nkutoo.
- Ansa na wubefi saa aduru yi ase no, ka aduruyɛ mu tebea foforo biara a wowɔ ne nnuru afoforo a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo, titiriw sɛnea wo ho yɛ wo hyew wɔ aspirin ne sulfa nnuru ho.
- Sɛ wote nka sɛ woda anaasɛ wo ho yɛ wo yaw bere a worenom aduru no a, nka kar anaa wonyɛ nneɛma a asiane wom.
- Sɛ wuhu sɛnkyerɛnne biara a emu yɛ den te sɛ akisikuru (honam ani akisikuru, ɛho ahonhon), ɛyɛ den sɛ wobɛhome, anaa adwene a ɛyɛ basaa a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Kɔ so nom aduru no bere tenten a wo duruyɛfo bɛka akyerɛ wo no. Nnyae aduru no nom kwa esiane biribiara nti.
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