So wowɔ ntini mu yare nso a ɛma wo nkotodwe yɛ wo yaw na ɛyɛ den? Anaasɛ obi a wunim no rehu amane wɔ ɛyaw yi ho? Diclofenac yɛ aduru a nnuruyɛfo taa kamfo kyerɛ ma kotodwe mu ntini mu yare. Ebia wode redi dwuma dedaw. Enti, ɛnnɛ yɛbɛka nea Diclofenac yɛ, sɛnea yɛde di dwuma pɛpɛɛpɛ, ne nea ɛsɛ sɛ yɛhwɛ yiye wɔ ho bere a yɛde redi dwuma no ho asɛm.
Dɛn ne Diclofenac nsu yi?
Sɛ yɛbɛka no tiawa a, Diclofenac yɛ aduru a wɔde kum ɛyaw. Nanso ɛnyɛ ɛno nko, ɛtew ɔfe nso. Ɛka nnuru kuw bi a wɔfrɛ no NSAIDs (Nonsteroidal Anti-inflammatory Drugs) ho . Ebia woate nnuru te sɛ Ibuprofen ne Naproxen ho asɛm. Diclofenac ka kuw koro no ara ho.
Nanso Diclofenac Topical Solution a yɛreka ho asɛm no nyɛ aduru a wɔnom wɔ anom. Ɛyɛ abɔnten so dwumadie ano aduru . Wɔkamfo kyerɛ titiriw sɛ wobedi ɛyaw ne ntini a ɛho ahonhon wɔ kotodwe mu no so. Ɛtwetwe kɔ honam ani na ɛkɔ baabi a ɛyaw no wɔ na ɛwɔ nkɛntɛnso. Enti, wobetumi atew nsunsuanso bɔne a ɛba yafunu no so no so akodu baabi.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na wode aduru yi adi dwuma:
Ansa na wo duruyɛfo bɛkyerɛw saa aduru yi ama wo no, ɛho hia yiye sɛ wuhu w’ayaresa ho abakɔsɛm nyinaa. Nea enti a ɛte saa ne sɛ tebea horow bi betumi ama ayɛ nea asiane wom sɛ wɔde aduru yi bedi dwuma. Enti, sɛ tebea horow a wɔabobɔ din wɔ ase ha no bi fa wo ho a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo .
| Tebea anaa suban a ɛfa wo ho | Dɛn nti na ɛsɛ sɛ wobɔ oduruyɛfo no amanneɛ? |
|---|---|
| Nnansa yi ara (wɔ adapɛn 2 mu) oprehyɛn a wɔde twaa kwan (Coronary Artery Bypass Graft - CABG) . | Efisɛ saa aduru yi tumi ma asiane a ɛwɔ hɔ sɛ obi benya komayare ne akisikuru no ayɛ kɛse. |
| Koma mu yare, komayare, komayare | Ebia komayare a ɛwɔ hɔ dedaw no mu ayɛ den. |
| Mogya Nhyɛso a Ɛkɔ Anim | Eyi betumi ama mogya mmoroso akɔ soro bio. |
| Mogya a ɛtɔ, nnuru a ɛma mogya yɛ mmerɛw a wɔde di dwuma | Ɛma asiane a ɛwɔ hɔ sɛ mogya bɛtɔ yafunu ne dwensɔtwaa mu no yɛ kɛse. |
| Asaabo mu yare anaa mmerɛbo mu yare | Asiane wɔ hɔ sɛ akwaa ahorow yi bɛsɛe. |
| Akisikuru anaa ɔhome mu nyarewa afoforo | Ebia nnipa binom behu ayamtu ho sɛnkyerɛnne a emu yɛ den. |
| Abakɔsɛm a ɛkyerɛ sɛ yafunu mu akuru anaa mogya tu | Asiane a ɛwɔ hɔ sɛ saa tebea horow no bɛsan aba bio no kɔ soro. |
| Nsa a wɔtaa nom anaa sigaretnom | Saa suban ahorow yi ma asiane a ɛwɔ hɔ sɛ wobenya nneɛma bɔne te sɛ yafunu mu mogya no yɛ kɛse. |
| Nyinsɛn a obi benyin anaasɛ ɔrebɔ mmɔden sɛ obenyinsɛn | Saa aduru yi betumi ayɛ asiane wɔ nyinsɛn mu, titiriw wɔ asram 3 a atwam no mu. |
| Ɛna a ɔma nufu a ɔbɛyɛ | Ɛho hia sɛ wohwehwɛ aduruyɛfo afotu wɔ sɛ ebia wobetumi de aduru no afa nufusu so akɔ akokoaa no nkyɛn anaa. |
| Diclofenac, Aspirin anaa NSAID afoforo ho akisikuru | Ebia akisikuru a emu yɛ den bɛba. |
Ɔkwan bɛn so ankasa na wode saa aduru yi di dwuma?
Esiane sɛ eyi nyɛ aduru a ɛsɛ sɛ wɔnom nom nti, ɛho hia yiye sɛ wuhu sɛnea wɔde di dwuma ankasa.
- Topical only: Mfa eyi nnom da . Wɔayɛ eyi sɛ wɔde bedi dwuma wɔ nipadua no so nkutoo.
- Hohoro wo nsa: Fa samina hohoro wo nsa yiye ansa na wode aduru no apete so ne bere a wode apete so awie no.
- Mma nnkɔ aniwa mu: Hwɛ yiye na aduru no ankɔ w’ani, wo hwene, anaa w’anom. Sɛ ɛba w’ani so wɔ akwanhyia mu a, ntɛm ara fa nsu pa hohoro w’ani yiye.
- Di wo duruyɛfo akwankyerɛ akyi: Bɔ mmɔden sɛ wobɛnom dodow, mpɛn dodow, ne bere a wode bɛma wo da no sɛnea wo duruyɛfo akyerɛ wo no. Mfa dodow a wɔakyerɛw ato hɔ no nnwe.
- Nnyae: Kɔ so fa saa aduru yi di dwuma kosi sɛ wo duruyɛfo bɛka akyerɛ wo sɛ gyae.
Nea ɛho hia: Sɛ wususuw sɛ woanom saa aduru yi dodo, anaasɛ obi anom a, kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo no ntɛm ara. Anaasɛ frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ no na woanya afotu.
Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?
- Sɛ wode di dwuma mprenu da biara a: Fa dodow 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. Mfa nnuru abien prɛko pɛ da.
- Sɛ wode di dwuma mpɛn anan da biara a: Twa dose a woayera no so. Fa dodow a edi hɔ no wɔ bere a wɔahyɛ da ayɛ no mu. Mfa nnuru bɛboro biako mfa nsiesie dodow a woayera no.
Nnuru afoforo a ebia ɛne aduru yi bedi nkitaho
Diclofenac nsu betumi ne nnuru afoforo a wonom no adi nkitaho, enti ɛho hia sɛ woka nnuru a worenom nyinaa (a vitamin ne nhabannuru ka ho) kyerɛ wo duruyɛfo.
| Aduru ko a wɔde yɛ | Nkyerɛmu |
|---|---|
| Mfa eyinom nni dwuma da | |
| Cidofovir, Ketorolac, Methotrexate a wɔde yɛ nnuru | Sɛ wode Diclofenac ka nnuru yi ho a, ebetumi de ɔhaw ahorow a emu yɛ den aba. |
| Nkitahodi betumi aba wɔ nnuru a edidi so yi mu (bɔ oduruyɛfo no amanneɛ): | |
| NSAID afoforo te sɛ Aspirin, Ibuprofen, Naproxen | Asiane a ɛwɔ nsunsuanso bɔne te sɛ yafunu mu mogya a ɛbɛtɔ mu no kɔ soro kɛse. |
| Nnuru a ɛmma mogya ntumi nkɔ (e.g. Warfarin, Enoxaparin) . | Ɛma asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no yɛ kɛse. |
| Nnuru a wɔde sa mogya mmoroso | Ebia saa nnuru no a etu mpɔn no so bɛtew. |
| Steroid nnuru te sɛ Prednisone | Ɛma asiane a ɛwɔ hɔ sɛ obi benya yafunu mu akuru no yɛ kɛse. |
| Cyclosporine, Lithium a wɔde yɛ aduru | Nnuru yi mu nsunsuanso bɔne betumi ayɛ kɛse. |
Nsunsuanso bɔne a anibere wom a ɛsɛ sɛ wɔhwɛ so ntɛm ara
Ɛtɔ mmere bi a, saa aduru yi betumi de ɔhaw ahorow a emu yɛ den aba. Sɛ wuhu sɛnkyerɛnne ahorow a edidi so yi mu biara a, gyae aduru no nom na kɔ oduruyɛfo nkyɛn anaa kɔ ayaresabea dan a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu ntɛm ara.
- Nneɛma a ɛma obi ho yɛ no yaw: Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma, anaa menewa a ɛho ahonhon.
- Nsɛnkyerɛnne a ɛkyerɛ sɛ mogya retu: nsu a ɛyɛ tarry tuntum , mogya a ɛfe a ɛte sɛ kɔfe a wɔayam , nsu a ɛyɛ kɔkɔɔ/biribiri tuntum, ne nsensanee nketenkete kɔkɔɔ/kɔla kɔkɔɔ wɔ honam ani.
- Komayare ho sɛnkyerɛnne: ɛyaw anaasɛ ɛyɛ den wɔ koko, mmati, basa, anaa anom, akisikuru, ahome a ɛyɛ den, awɔw a wɔte nka, ɔtotɔ piti.
- Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare a ɛma obi hwe ase: anim, ne nsa, anaa nan fã biako a ɛyɛ mmerɛw anaa ɛyɛ mmerɛw, ɛyɛ den sɛ ɔbɛkasa, adwene a ɛyɛ basaa, ɛyɛ den sɛ ɔbɛnantew, ne ti a ɛyɛ den.
- Nsɛnkyerɛnne a ɛkyerɛ sɛ asaabo asɛe: nsu a ɛba no so tew, nansoaa, nsa, anaa anan a ɛho ahonhon.
- Nsɛnkyerɛnne a ɛkyerɛ sɛ mmerɛbo asɛe: ɛyaw wɔ yafunu no atifi nifa so, aduan ho akɔnnɔ a ɛyera, aniwa anaa honam ani yɛ kɔkɔɔ, nsu a ɛyɛ kɔkɔɔ/biribiri tuntum.
- Honam ani yare a emu yɛ den: Honam ani akisikuru kɔkɔɔ/kɔla kɔkɔɔ anaasɛ honam ani akuru a ɛrepaapae a atiridiinini ne sɛnkyerɛnne te sɛ atiridiinini.
Nneɛma bɔne a ɛtaa ba a ɛnyɛ den pii ne tiyɛ, kɔkɔɔ a ɛyɛ mmerɛw anaasɛ ɛyaw wɔ baabi a wɔde aduru no guu no, yafunu a ɛyɛ yaw, ne akisikuru. Sɛ eyinom kɔ so anaasɛ ɛhaw adwene a, ka ho asɛm kyerɛ wo duruyɛfo.
Nkrasɛm a Wɔde Kɔ Fie
- Diclofenac nsu yɛ aduru a wɔde gu nipadua no so ma kotodwe mu ntini mu yaw. Mfa w’ano nnnom da.
- Ansa na wubefi saa aduru yi ase no, hwɛ hu sɛ wobɛka ayaresa tebea horow a wowɔ ne nnuru a wonom nyinaa ho asɛm akyerɛ wo duruyɛfo.
- Hohoro wo nsa yiye ansa na wode aduru no apete so ne bere a wode apete so awie no. Hwɛ yiye na ankɔ w’ani so.
- Sɛ wuhu sɛnkyerɛnne ahorow a emu yɛ den te sɛ wo koko mu yaw, ɛyɛ den sɛ wobɛhome, nsu tuntum a wobɛtɔ, anaa wo honam ani akuru a emu yɛ den a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Bere a wode saa aduru yi redi dwuma no, nnom nnuru afoforo a wɔde kum ɛyaw te sɛ Aspirin ne Ibuprofen a wonkɔ wo duruyɛfo nkyɛn.
- Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaa worema nufu a, ɛsɛ sɛ wo ne wo duruyɛfo kasa ansa na wode aduru yi adi dwuma.
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