Diclofenac yɛ aduru a nnuruyɛfo taa kyerɛw ma bere a yɛwɔ tebea bi te sɛ nipadua mu yaw, nkwaa mu yaw, anaa ntini mu yare no. Ebia wo nso wode saa aduru yi adi dwuma. Nanso ɛnyɛ aduru a wɔde kum ɛyaw kɛkɛ. Nneɛma pii wɔ hɔ a ɛsɛ sɛ yɛhwɛ yiye wɔ ho bere a yɛde redi dwuma no. Momma yɛnka saa asɛm no ho asɛm nnɛ.
Dɛn ne Diclofenac?
Sɛ yɛbɛka no tiawa a, diclofenac yɛ aduru a wɔde sa ɛyaw a emu nyɛ den kosi nea ɛkɔ fam, ɔfe, ne tebea horow te sɛ ntini mu yare. Ɛka nnuru bi a wɔfrɛ no NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) ho . Ne titiriw no, ɛyɛ adwuma denam nnuru a ɛba yɛn nipadua mu a ɛde ɛyaw ne ɔfe ba a ɛtew so no so. Wɔ Sri Lanka no, wobetumi ahu saa aduru yi wɔ din ahorow te sɛ Voltaren ase.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom saa aduru yi
Ɛho hia yiye sɛ woka w’ayaresa ho abakɔsɛm kyerɛ wo duruyɛfo ansa na wode diclofenac adi dwuma. Eyi te saa efisɛ ebetumi ayɛ asiane sɛ wɔde saa aduru yi bedi 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:
| Wo tebea no | Dɛn nti na ɛsɛ sɛ wobɔ amanneɛ? |
|---|---|
| Ɔhaw ahorow a ɛfa koma ho: Nneɛma te sɛ mogya mmoroso, komayare, komayare, ne oprehyɛn a wɔde twaa ho hyia nnansa yi (CABG). | Saa aduru yi betumi ama asiane a ɛwɔ hɔ sɛ obi benya komayare ne akisikuru no ayɛ kɛse. |
| Asiane a ɛwɔ mogya a ɛbɛtɔ mu: Nnuru a ɛma mogya yɛ mmerɛw a wɔnom, mogya a ɛba dwensɔtwaa mu, ne mogyatɔw ho haw ahorow. | Diclofenac ma asiane a ɛwɔ hɔ sɛ mogya bɛtɔ yafunu ne dwensɔtwaa mu no yɛ kɛse. |
| Asaabo anaa mmerɛbo mu yare | Asiane a ɛwɔ hɔ sɛ akwaa ahorow yi bɛsɛe no betumi ayɛ kɛse. |
| Asetra mu su ahorow: Nsa a wɔtaa nom ne sigaretnom. | Saa suban ahorow yi ma asiane a ɛwɔ hɔ sɛ obi benya yafunu mu akuru no yɛ kɛse bio. |
| Akwahosan tebea afoforo: Asthma, Anemia, Steroid a wɔde di dwuma, Mmɔden a wɔbɔ sɛ wobenyinsɛn, Nyinsɛn, Nufu a wɔde ma, Diclofenac anaa nnuru afoforo ho akisikuru. | Ebia tebea horow yi mu biara bɛhwehwɛ sɛ wɔsakra ayaresa nhyehyɛe anaa ɔhwɛ soronko. |
Ɔkwan bɛn so na ɛsɛ sɛ mede aduru no di dwuma?
Ɛho hia paa sɛ wudi wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ bere a wode aduru yi redi dwuma no.
- Mmu, nsɛe, anaa nwe saa aduru yi. Eyinom de ade titiriw bi a wɔde kata so a wɔayɛ sɛ ɛbɛpete wɔ dwensɔtwaa no mu (Enteric-coated) ba. Enti fa nsu kuruwa mene tablet no nyinaa.
- Sɛ wo yafunu yɛ wo yaw bere a worenom aduru yi a, sɛ wode ka aduan ho a , ebetumi atew ɔhaw no so.
- Nnyae aduru no nom kosi sɛ wo duruyɛfo bɛka akyerɛ wo.
- Sɛ woadi boro mfe 65 a, ebia wubehia dodow a ɛba fam. Wo duruyɛfo na obesi gyinae.
- Sɛ wonom nnuru pii wɔ akwanhyia mu a: Sɛ wususuw sɛ woanom nnuru pii a, kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo ntɛm ara. Sɛnea ɛbɛyɛ foforo no, frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no .
- Sɛ wopa dose bi a: Fa dose a woayera 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 dodow a edi hɔ no wɔ bere a woahyɛ da ayɛ no mu. Mfa nnuru mmɔho abien da.
Nnuru afoforo a ebia ɛne aduru yi bedi nkitaho
Diclofenac betumi ne nnuru afoforo adi nkitaho, enti ka nnuru a worenom nyinaa (a vitamin ne nhabannuru ka ho) ho asɛm kyerɛ wo duruyɛfo.
Titiriw no, wɔabara diclofenac a wɔde ka nnuru Cidofovir, Ketorolac, ne Methotrexate ho koraa.
Nea ɛka ho no, ɔhaw ahorow betumi aba wɔ nea edidi so yi ho:
- Nsaden
- Aspirin ne nnuru afoforo a ɛte saa
- Mogya mmoroso aduru
- Nnuru a ɛmma mogya ntumi nkɔ (e.g. Warfarin) .
- NSAID afoforo (sɛ nhwɛso no, Ibuprofen, Naproxen) .
- Steroid ahorow (e.g. Prednisone) .
- Lithium a wɔde yɛ nneɛma
- Cyclosporine a wɔde di dwuma
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom nnuru no
Asiane a ɛwɔ hɔ sɛ yafunu mu akuru ne mogya a ɛbɛtɔ
Eyi ne asiane titiriw a ɛwɔ diclofenac ho. Yafunu mu akuru ne mogya betumi aba a wɔmmɔ kɔkɔ . Sigaretnom, nsanom, onyin, ne akwahosan pa a enni hɔ no ma asiane yi yɛ kɛse.
Sɛ wo yafunu mu yɛ wo yaw kɛse, wofe mogya (brown, te sɛ kɔfe a wɔayam), anaasɛ wowɔ nsu tuntum a ɛyɛ tar a, ebetumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ mogya retu wo yafunu mu. Sɛ eyi ba a, kɔ oduruyɛfo nkyɛn ntɛm ara.
Koma mu yare ne akisikuru ho asiane
Diclofenac nyɛ aduru a esiw komayare anaa akisikuru ano . Nokwarem no, aduru yi a wode bedi dwuma bere tenten anaa sɛ wowɔ komayare dedaw a , ebetumi ama asiane a ɛwɔ hɔ sɛ wubenya komayare ne akisikuru no ayɛ kɛse.
Wɔ nyinsɛn mu
Sɛ woanyinsɛn a, ɛsɛ sɛ wususuw ho mprenu ansa na woanom saa aduru yi. Saa aduru yi a wɔnom, titiriw wɔ nyinsɛn no adapɛn 20 kosi 30 ntam no betumi apira akokoaa a ɔhyɛ yafunu mu no. Wɔ dapɛn a ɛto so 30 akyi no, wɔabara aduru yi a wɔbɛnom koraa.
Honam ani yare a emu yɛ den
Honam ani yare a emu yɛ den betumi aba bere a wɔafi aduru no ase akyi adapɛn kakraa bi mpo. Sɛ wuhu yare no ho sɛnkyerɛnne te sɛ atiridiinini, nipadua mu yaw, akisikuru kɔkɔɔ anaa kɔkɔɔ a ɛwɔ wo honam ani, anaasɛ wo honam ani a ɛrepaapae a, hwehwɛ ayaresa ntɛm ara.
Nsunsuanso bɔne a ebetumi aba esiane nnuru nti
Te sɛ nnuru biara no, diclofenac betumi de ɔhaw ahorow aba. Ebi yɛ aniberesɛm, ebi nso abu so.
| Nsunsuanso bɔne | Nkyerɛmu |
|---|---|
| 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, ɛyɛ den sɛ wobɛhome. |
| Mogya a ɛretu | Nsu tuntum/tarry, mogya a ɛfe anaa kɔfe a wɔayam, ne nsu a ɛyɛ kɔkɔɔ/biribiri tuntum. |
| Komayare ho sɛnkyerɛnne ahorow | Ɛyaw anaa nea ɛyɛ den wɔ koko, mmati, anaa abasa mu, akisikuru, ahome a ɛyɛ den. |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare a ɛma obi hwe ase | Anim, abasa, anaa nan a ɛyɛ mmerɛw mpofirim anaa ɛyɛ mmerɛw, kasa a ɛyɛ den, nantew a ɛyɛ den, tiyɛ a emu yɛ den. |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ asaabo/mrɛbo asɛe | Nsu a ɛba no so tew, nansoaa a ɛho ahonhon, honam ani anaa aniwa a ɛyɛ kɔkɔɔ, ɛyaw a ɛba yafunu no nifa so atifi. |
| Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo | |
| Tipaeɛ | - . |
| Akisikuru, yafunu a ɛnyɛ dɛ | - . |
| Akɔnnɔ | - . |
Nkrasɛm a Wɔde Kɔ Fie
- Ansa na wobɛnom diclofenac no, hwɛ hu sɛ wobɛka w’ayaresa tebea ne nnuru afoforo a worenom nyinaa akyerɛ wo duruyɛfo.
- Fa nsu mene saa aduru yi nyinaa a ɛnbubu, nbubu, anaasɛ ɛnwe. Sɛ wo yafunu ayɛ wo yaw a, fa ka aduan ho.
- Hwɛ yiye bere nyinaa wɔ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ mogya retu wo yafunu mu, te sɛ yafunu mu yaw a emu yɛ den, nsu tuntum, ne mogya a ɛwɔ ɔfe no mu. Sɛ eyi ba a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Ma ɛntra w’adwenem sɛ saa aduru yi betumi ama asiane a ɛwɔ hɔ sɛ obi benya komayare anaa akisikuru no ayɛ kɛse. Ɛnsiw nyarewa yi ano.
- Kwati sɛ wobɛnom saa aduru yi wɔ nyinsɛn mu, titiriw wɔ asram abiɛsa a atwam no mu.
- Saa aduru yi yɛ wo nkutoo dea. Mfa nkyerɛ afoforo da.
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