Boa ma woyi nsa fi hɔ: Momma yensua Disulfiram aduru ho ade!

Asanom a wɔnom no yɛ asɛnnennen a nnipa pii hyia. Yenim sɛ so nkonimdi nyɛ akwantu a ɛyɛ mmerɛw. Nanso, ɛnyɛ wo nkutoo na wowɔ. Nneɛma bi wɔ hɔ a ebetumi aboa wo wɔ akwantu yi mu. Ɛnnɛ yɛrebɛka aduru bi a wɔfrɛ no Disulfiram a ɛbɛtumi aboa ho asɛm. Ebia woate ho asɛm wɔ brand din Antabuse ase .

Aduru bɛn na Disulfiram yɛ?

Sɛ yɛbɛka no tiawa a, Disulfiram yɛ aduru a ɛboa nnipa a wɔrepere wɔn ho wɔ nsa ho no ma wogyae asanom. Ɛyɛ adwuma wɔ ɔkwan foforo kakra so. Sɛ wonom saa aduru yi a, sɛ wonom nsa kakraa bi mpo a, wubenya osuahu a ɛnyɛ dɛ koraa . Ɛne sɛ, ɛbɛyɛ den ama wo nipadua no yiye. Enti, ɛbɛboa ma ɔpɛ a obi wɔ sɛ ɔbɛnom nsa no so atew.

Nanso, eyi nyɛ nkonyaayi aduru a ɛbɛma woagyae nsa nom prɛko pɛ. Ɛyɛ nhyehyɛe a wɔde san nya ahoɔden no fã titiriw bi kɛkɛ . Ɛne sɛ, nea ɛka aduru yi ho no, akyinnye biara nni ho sɛ nnuruyɛfo hwɛ ne afotu ho hia. Ɛyɛ den sɛ yɛbɛhwɛ kwan sɛ nea ebefi eyi nkutoo a wɔde bedi dwuma no mu aba.

Ɛtɔ da bi a nnuruyɛfo betumi akyerɛw saa aduru yi ama wo wɔ tebea afoforo ho, enti sɛ wowɔ nsɛmmisa foforo bi fa eyi ho a, bisa wo duruyɛfo anaa nnuruyɛfo.

Nneɛma bɛn na ɛsɛ sɛ meka kyerɛ oduruyɛfo no ansa na mafi saa aduru yi ase?

Ansa na wobɛhyɛ aseɛ anom Disulfiram no, ɛho hia paa sɛ wobɛka w’aduruyɛ ho abakɔsɛm kyerɛ wo duruyɛfoɔ. Ɛsɛ sɛ woka tebea horow a edidi so yi mu biara ho asɛm titiriw:

• Sɛ w'amemene mu asɛe bi pɛn a .
• Sɛ wowɔ asikreyare (Diabetes Mellitus) a .
• Sɛ wowɔ komayare a .
• Sɛ wowɔ asaabo mu yare a .
• Sɛ wowɔ mmerɛbo mu yare a (eyi ho hia titiriw, efisɛ saa aduru yi betumi aka mmerɛbo no).
• Sɛ wowɔ adwenemyare bi a .
• Sɛ woanom nsa nnansa yi anaasɛ wode ade foforo biara a nsa wom adi dwuma a (eyi ho hia yiye, efisɛ sɛ wonom saa aduru yi wɔ bere a ɛte saa mu a, ebetumi ama wo ho ayɛ wo hyew kɛse).
• Sɛ wowɔ akisikuru a .
• Sɛ wode nnuru te sɛ metronidazole anaa paraldehyde redi dwuma a .
• Sɛ wo thyroid ntini no nyɛ adwuma yiye (thyroid a ɛnyɛ adwuma) .
• Ebia wo ho nyɛ wo hyew wɔ disulfiram, nnuru a wɔde kum mmoawa, nnuru a wɔde rɔba yɛ, nnuru afoforo, nnuan, aduan mu kɔla, anaa nneɛma a wɔde kora nnuan so.Sɛ woanya akisikuru a ɛyɛ soronko pɛn a.
• Sɛ woanyinsɛn, anaasɛ wowɔ anidaso sɛ wubenyinsɛn a .
• Sɛ woyɛ ɛna a ɔma nufu a .

Sɛ woka saa nneɛma yi kyerɛ wo duruyɛfo a, obetumi asi gyinae pɔtee sɛ ebia aduru yi fata wo anaasɛ ɛnsɛ, ne ɔkwan a ɔbɛfa so de ama.

Ɔkwan bɛn so na ɛsɛ sɛ mede saa aduru yi di dwuma?

Ɛho hia paa sɛ wubehu sɛnea wɔde saa aduru yi di dwuma pɛpɛɛpɛ.

• Ɛsɛ sɛ wɔnom saa nnuru yi wɔ ano, na wɔde nsu kuruwa pa ka ho .
• Di akwankyerɛ a ɛwɔ wo nnuru a wɔakyerɛw so no akyi pɛpɛɛpɛ . Mfa dodow a wo duruyɛfo ka kyerɛ wo sɛ fa no nnɔɔso anaa nnɔɔso.
• Eyi ne ade a ɛho hia sen biara: Nnom saa aduru yi da, da wɔ nnɔnhwerew 12 akyi bere a woanom nsa no. Saa a wobɛyɛ no betumi ama obi ayɛ n’ade a anibere wom paa.
• Ɛtɔ mmere bi a, wobetumi abubu saa nnuru yi na wɔde afra nsu te sɛ nsu mu ansa na wɔanom. Nanso hwɛ hu sɛ wubebisa wo duruyɛfo anaa nnuruyɛfo no eyi ho asɛm.
• Nom aduru no wɔ bere a ɛfata mu ne bere a ɛfata mu .
• Nnyae aduru yi nom mpofirim a wunnya wo duruyɛfo afotu.
• Sɛ wode saa aduru yi rema mmofra a, akyinnye biara nni ho sɛ ɛsɛ sɛ wo ne mmofra oduruyɛfo kasa fa ho. Ebia ɛho behia sɛ wɔhwɛ yiye titiriw wɔ nsɛm a ɛtete saa mu.

Nea ɛho hia: Saa aduru yi yɛ nea w’ankasa wode bedi dwuma nkutoo. Mma nnkyɛ obi foforo da, sɛ mpo wɔn nso wɔ ɔhaw koro no ara a wote no a.

Sɛ wonom nnuru pii a, dɛn na ɛsɛ sɛ woyɛ? (Nneɛma a wɔde ma boro so) .

Sɛ wususuw sɛ woanom nnuru pii sen sɛnea wususuw a, frɛ beae a ɛbɛn awuduru a wɔde siw ano anaa ayaresabea dan a wɔhwɛ ntɛmpɛ so ntɛm ara. Mma nsɛe bere.

Na sɛ mepa m’aduru no 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 mmɔho abien da.

Nneɛma foforo bɛn na ebetumi ne aduru yi adi nkitaho?

Disulfiram yɛ aduru a ebetumi ne nnuru afoforo bi, nnuan, ne nneɛma adi nkitaho, enti ɛho hia sɛ wohu eyi nso.

Mfa Disulfiram nka nnuru yi ho da:

• Nsã anaa ade biara a nsa wom. Eyi ne ade titiriw.
• Amprenavir a wɔde di dwuma
• Cocaine a wɔde di dwuma
• Lopinavir a wɔde di dwuma; Ritonavir (lopinavir; ritonavir) a wɔde di dwuma wɔ aduruyɛ mu .
• Metronidazole a wɔde ma
• Nnuru a wɔnom a ritonavir anaa sertraline wom
• Paclitaxel a wɔde di dwuma
• Paraldehyde a wɔde yɛ adwuma
• Tranylcypromine a wɔde di dwuma

Saa nnuru yi nso betumi ne Disulfiram adi nkitaho:

• Isoniazid a wɔde yɛ nnuru
• Nnuru a ɛmma mogya nkɔ, sɛ nhwɛso no, warfarin
• Phenytoin a wɔfrɛ no phenytoin

Saa nsɛm a wɔahyehyɛ yi nyɛ nea edi mũ. Enti, ka nnuru a worenom (nnuru a wɔakyerɛw ama wo, nnuru a wɔmfa nkyerɛw mma wo, nhabannuru, vitamin, ne nnuru a wɔde ka aduan ho) nyinaa kyerɛ wo duruyɛfo. Afei nso, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ wonom sigaret, wonom nsa (a wɔabara koraa bere a worenom aduru yi), anaa wode nnubɔne afoforo a mmara mma ho kwan di dwuma a. Saa nneɛma yi bi betumi aka sɛnea aduru yi yɛ adwuma.

Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho titiriw bere a wode aduru yi redi dwuma no:

Nneɛma pii wɔ hɔ a ɛsɛ sɛ wohwɛ yiye bere a worenom aduru yi na ama woahwɛ ahu sɛ wo ho bɛtɔ wo na aduru no adi nkonim.

• Kɔ wo duruyɛfo nkyɛn daa na woakɔhwɛ wo daa. Yɛ nhwehwɛmu ahorow a wo duruyɛfo kamfo kyerɛ no.
• Hwɛ yiye paa wɔ nsa ho!
• Mfa saa aduru yi nnom da bere a woanom nsa no.
• Ma nnipa afoforo a wɔwɔ wo fie (abusua mufo, nnipa a wɔbom te) nhu saa aduru yi na ka nea ɛsɛ sɛ wɔyɛ sɛ tebea a egye ntɛmpɛ bi si a.
• Sɛ wonom nsa kakraa bi mpo bere a worenom aduru yi a, ebia wubenya adwene a emu yɛ den yiye na ɛnyɛ dɛ. Wɔfrɛ saa adeyɛ yi Disulfiram-Ethanol Adeyɛ . Sɛ ɛba saa a, wubetumi anya tiyɛ a ɛyɛ den a ɛyɛ wo yaw, wo ho bɛtɔ wo, wobɛfe, woayɛ mmerɛw, na woayɛ wo koko mu yaw . Wɔ tebea horow bi a emu yɛ den mu no, ɔhome mu haw, komayare, akisikuru, ne owu mpo betumi aba. Enti, ɛsɛ sɛ wohwɛ yiye paa wɔ eyi ho.
• Ade foforo a ɛho hia ne sɛ Disulfiram nkɛntɛnso betumi atra wo nipadua mu akosi nnafua 14 wɔ bere a etwa to a woanom wo aduru a etwa to no akyi . Eyi kyerɛ sɛ, sɛ wonom nsa saa bere no a, ebia wubenya nneyɛe a ɛyɛ hu a yɛaka ho asɛm wɔ atifi hɔ no.

• Hwɛ nso sɛ nsa a ahintaw:
• Ɛnyɛ nsa nko na kwati koraa, na mmom nneɛma afoforo a nsa wom nso.
• Kenkan nneɛma a wode di dwuma no din yiye bere nyinaa na woahu sɛ nsa wom anaa.
• Susuw ho, ebinomEbia nsa wɔ ɔfe mu nnuru, nnuru a wɔde sa ɛyaw a ɛyɛ nsu, nnuru a ɛma obi nya ahoɔden, nnuru a wɔde hohoro ano, nnuru a wɔde yiyi akyi, colognes, liniments bi, vinegars, ne sauces bi nso. Enti, ɛsɛ sɛ wohwɛ yiye paa ansa na wode saa nneɛma yi adi dwuma.

• Hyɛ badge a ɛkyerɛ sɛ obi hu obi:
• Ɛyɛ adwene pa sɛ wobɛhyɛ aduruyɛ mu abɔso anaa kɔnmuade a ɛkyerɛ sɛ woyɛ obi a ɔde disulfiram di dwuma.
• Afei nso, bere nyinaa fa krataa a ɛkyerɛ wo din, aduru a worenom no din ne dodow, wo duruyɛfo din ne telefon nɔma, ne obi a wubetumi ne no adi nkitaho wɔ tebea a egye ntɛmpɛ mu (e.g., abusua muni bi) ho nsɛm ka wo ho bere nyinaa. Eyi bɛboa wɔn a wɔresa wo yare wɔ tebea a egye ntɛmpɛ mu no kɛse.

Dɛn ne aduru yi mu nsunsuanso bɔne a ebetumi afi mu aba?

Te sɛ nnuru biara no, Disulfiram betumi de nsunsuanso bɔne bi aba. Ebinom nyɛ aniberesɛm, nanso ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara.

Nneɛma bɔne a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ntɛm ara no bi ne:

Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, kɔ oduruyɛfo anaa ayaresabea ntɛm ara sɛnea wubetumi:

• Nneɛma a ɛma obi ho yɛ no hyew te sɛ: honam ani akisikuru, ɛyaw anaa akisikuru, anim, anofafa, anaa tɛkrɛma a ɛho ahonhon.
• Anisoadehu sesa (e.g. anisoadehu a ɛyɛ kusuu).
• Adwene a ɛyɛ basaa, adwene a ɛyɛ basaa, abufuw.
• Sɛ nsu no dan tuntum a .
• Sɛ ɔte nka sɛ wayɛ mmerɛw na ɔwɔ sɛnkyerɛnne ahorow a ɛte sɛ atiridiinini.
• Aduan ho akɔnnɔ a ɛyera, akisikuru.
• Nkate a ɛne sɛ ɔne wiase ankasa no ntam atwa, atenka a ɛne sɛ wowɔ adwenem naayɛ tebea mu (wɔn ne nokwasɛm ntam nkitahodi a wɔhwere).
• Nkwammoaa a ɛyɛ mmerɛw, ɛyaw anaasɛ ɛyɛ mmerɛw.
• Yafunu atifi nifa mu yaw ( eyi betumi ayɛ mmerɛbo mu haw).
• Sɛ wote nka sɛ woayɛ mmerɛw anaasɛ woabrɛ wɔ ɔkwan soronko so a.
• Aniwa anaa honam ani a ɛyɛ kɔkɔɔ (eyi betumi ayɛ jaundice ho sɛnkyerɛnne).

Nsunsuanso bɔne a mpɛn pii no enhia sɛ wɔde kɔ ayaresabea, nanso sɛ ɛkɔ so anaasɛ ɛhaw adwene a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo:

Mpɛn pii no, eyinom brɛ ase wɔ nna kakraa bi mu, nanso sɛ ɛkɔ so a, ka kyerɛ wo duruyɛfo.

• Nsakrae biara a ɛba wɔ nna ho akɔnnɔ anaa adwumayɛ mu.
• Adwene a ɛyɛ basaa.
• Ɔdae, ɔbrɛ.
• Tiyɛ (ɛnyɛ tiyɛ a emu yɛ den a ɛka nsa ho no).
• Ɛyɛ dɛ a ɛte sɛ dade anaa galik wɔ anom.
• Nausea, vomiting ( ɛnyɛ ɔfe a emu yɛ den a ɛba wɔ nsa ho).

Saa nsɛm a wɔahyehyɛ yi nka nsunsuanso bɔne a ebetumi aba nyinaa ho. Sɛ wuhu biribi foforo a ɛyɛ soronko a, wo ne wo duruyɛfo nka ho asɛm.

Ɔkwan bɛn so na ɛsɛ sɛ mede saa nnuru yi sie?

• Fa saa aduru yi sie baabi a mmofra ntumi nkɔ hɔ na fa wɔn nsa .
• Fa sie wɔ dan mu hyew, digrii Celsius 20 kosi 25 (digrii Fahrenheit 68 kosi 77). Mfa wo ho nhyɛ ɔhyew anaa awɔw a ano yɛ den mu.
• Fa sie ade a wɔatoto mu denneennen a hann ntumi nkɔ mu mu.
• Mfa nnuru a ne bere atwam nni dwuma. Tow gu sɛnea ɛsɛ.

Nneɛma a ɛho hia paa sɛ wobɛkae (Take-Home Message) .

Disulfiram yɛ mmoa a ɛsom bo ma wɔn a wɔrebɔ mmɔden sɛ wobegyae nsa no. Nanso ma eyinom ntra w’adwenem:

• Saa aduru yi yɛ adwuma denam osuahu a ɛnyɛ dɛ koraa a ɛma wunya sɛ wonom nsa no so.
• Eyi nyɛ ano aduru a egyina hɔ ma ne ho. Eyi yɛ nhyehyɛe bi a wɔyɛ de yi nsa fi hɔ nyinaa fã bi kɛkɛ. Aduruyɛ mu afotu ne afotu ho hia.
• Mma nnom biribiara a nsa wom bere a worenom aduru yi. Ɛnyɛ nsa nko na ɛka eyi ho, na mmom nnuan, anonne, nnuru, ne nnuhuam bi nso. Kenkan nkyerɛwde ahorow no yiye.
• Ka nnuru afoforo a wonom nyinaa ne wo nyarewa nyinaa ho asɛm kyerɛ wo duruyɛfo.
• Hwɛ nneɛma bɔne a efi mu ba no yiye. Sɛ wuhu biribi a anibere wom a, ka kyerɛ wo duruyɛfo ntɛm ara.
• Nom aduru no bere a wɔakyerɛw ama wo no sɛnea oduruyɛfo no akyerɛ wo no. Nnyae mpofirim.

Akwantu a ɛbɛma woanya ahoɔden afi nsanom mu no betumi ayɛ den, nanso sɛ wonya mmoa ne ayaresa a ɛfata a, wubetumi adi so nkonim. Disulfiram yɛ adwinnade biako pɛ a ebetumi aboa wo wɔ saa akwantu no mu. Ka wo duruyɛfo no pefee na ka wo nsɛmmisa ne wo haw ahorow ho asɛm. Ti pa!

` Disulfiram, Antabuse, sɛ wobegyae asanom, nsa aduru, nsa a wɔde yɛ ade, nnubɔne a wɔtwe wɔn ho fi ho, Disulfiram Sinhala