So wo anaa obi a ɔwɔ w'abusua mu anya ahome a ɛyɛ tiaa mpofirim, wo koko a ɛyɛ den, ne "whoosh.. whoosh.." nnyigyei a ɛyɛ hu pɛn? Eyi yɛ osuahu a ɛtaa ba na ɛnyɛ dɛ ma obi a ɔwɔ tebea bi te sɛ ayamtu. Ɛnnɛ, yɛrebɛka ayaresa bi a wɔde di dwuma wɔ mmere te sɛ eyi mu na ɛma ahotɔ ntɛmntɛm ho asɛm. Ɛno ne aduru a wɔfrɛ no epinephrine a wɔfa nebulizer so de ma no.
Renal function (eGFR)
Measure kidney function based on creatinine value
Dɛn ne aduru yi a wɔfrɛ no Epinephrine?
Sɛ yɛbɛka no tiawa a, epinephrine yɛ aduru a wɔde sa tebea horow a ɛma ɛyɛ den sɛ wɔbɛhome wɔ ahurututu mu. Titiriw wɔ nyarewa te sɛ ayamtu mu no, mframa kwan (bronchi) a ɛde mframa kɔ yɛn ahurututu mu no mu teateaa ba. Wɔ aduruyɛ mu no, yɛfrɛ eyi (Bronchospasm).
Fa no sɛ, sɛ nsu paipu bi si mfinimfini a, ɛbɛyɛ den sɛ nsu no bɛsen afa mu. Sɛ mframa kwan yi siw a, ɛyɛ den ma yɛn paa sɛ yɛbɛhome. Nea epinephrine yɛ ne sɛ ɛtrɛw na ebue mframa kwan a ayɛ teateaa na ayɛ teateaa yi. Ɛte sɛ nea woregyae tube a asiw. Afei ɛnyɛ den sɛ mframa betumi akɔ ahurututu no mu na afi mu, na ɔhome nso yɛ mmerɛw bio.
Ɛtɔ mmere bi a, wobetumi anya saa aduru yi wɔ gua so wɔ din afoforo so. Nhwɛsoɔ bi ne (Adrenalin). Nanso ade a wɔde yɛ adwuma no yɛ ade koro.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom saa aduru yi
Ansa na wobɛnom aduru biara no, ɛho hia sɛ woka w’ayaresa ho abakɔsɛm nyinaa kyerɛ wo duruyɛfo. Efisɛ aduru biako betumi aka foforo. Ansa na wobɛnom epinephrine no, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ wowɔ tebea horow a edidi so yi mu biara a.
| W’akwahosan tebea | Dɛn nti na ɛsɛ sɛ wobɔ amanneɛ? |
|---|---|
| Asikyireyareɛ | Epinephrine betumi ama asikre dodow a ɛwɔ mogya mu no akɔ soro. |
| Glaucoma a ɛma obi ho yɛ hyew | Ebetumi aba sɛ aniwa mu nhyɛso bɛkɔ soro. |
| Koma mu yare | Ebetumi ama koma no bɔ ne mogya mmoroso akɔ soro, na ebetumi de ɔhaw kɛse aba koma no so. |
| Mogya mmoroso | Saa aduru yi betumi ama mogya mmoroso akɔ soro bio. |
| Parkinson yare a ɛma obi nya yare | Nsɛnkyerɛnne, titiriw wosow, betumi ayɛ kɛse. |
| Thyroid yareɛ | Sɛ thyroid ntini no yɛ adwuma boro so a, sɛnkyerɛnne ahorow no betumi asɛe kɛse. |
| Nneɛma afoforo a ɛma obi ho yɛ no yaw | Sɛ wo ho yɛ wo hyew wɔ epinephrine, nnuru afoforo, nnuan, anaa nneɛma a wɔde sie ho a. |
| Sɛ woanyinsɛn anaasɛ worehwɛ akokoaa kwan a | Ɛho hia sɛ wobɛkɔ oduruyɛfo nkyɛn wɔ nnuru a wɔde di dwuma bere a wɔyem no ho. |
| Sɛ woyɛ ɛna a ɔma nufu a | Ɛsɛ sɛ wo ne wo duruyɛfo kasa fa sɛnea ebetumi aba sɛ aduru no nam nufusu so bɛfa wo ba no nkyɛn no ho. |
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Wɔde saa aduru yi ne afiri bi a wɔfrɛ no nebulizer di dwuma . Eyi ma aduru a ɛwɔ nsu mu no dan nsuyiri fɛfɛ (aerosol) a wubetumi ahome mu Afei wohome nsuyiri yi kɔ w’ahurututu mu, fa w’anom anaa akataso a ɛkata w’ano ne hwene so.
Nea ɛho hia sen biara: Di wo duruyɛfo anaa nnuru a wɔakyerɛw so no akwankyerɛ akyi pɛpɛɛpɛ bere nyinaa . Mfa mpɛn pii anaasɛ nnom no pii nsen nea wɔakyerɛw ama no.
Wɔde saa aduru yi ma mmofra nkumaa, titiriw wɔn a wɔadi boro mfe 4, wɔ nsɛm titiriw bi mu. Nanso wɔyɛ no ahwɛyiye kɛse wɔ aduruyɛfo hwɛ ase.
Sɛ wonom nnuru pii a, dɛn na ɛsɛ sɛ woyɛ?
Sɛ wususuw sɛ woanom boro dodow a wɔakyerɛw ama wo no a, kɔ ayaresabea Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) a ɛbɛn wo no ntɛm ara . Anaasɛ frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ no na woanya afotu.
Kae sɛ, wɔakyerɛw aduru yi ama wo nkutoo. Mfa nnkyɛ obi foforo da.
Nnuru afoforo a ebia ɛne aduru yi bedi nkitaho
Nnuru bi tumi di nkitaho bere a wɔnom bom no. Eyi kyerɛ sɛ aduru biako a etu mpɔn no betumi ayɛ kɛse, atew so, anaasɛ ɛde nsunsuanso bɔne a wɔmpɛ aba. Enti, ɛho hia yiye sɛ wobɛka nnuru a worenom (wɔakyerɛw ama wo, nea wɔtɔn, nhabannuru, ne vitamin mpo) nyinaa kyerɛ wo duruyɛfo.
Titiriw no, nnom epinephrine ne nnuru a edidi so yi:
- Mframa ahorow bi a wɔde ma obi da bere a wɔreyɛ oprehyɛn ((General anesthetics))
Nnuru a edidi so yi nso betumi ne epinephrine adi nkitaho:
- Nnuru bi a wɔde sa akisikuru, ɔfe, ne atiridiinini ((Antihistamines)) .
- Nnuru a wɔde sa mogya mmoroso, komayare, ne koma a ɛyɛ den
- Nnuru bi a wɔde sa adwenemhaw anaa dadwen
- Nnuru bi a wɔde sa Parkinson yare no
- Digoxin a wɔde di dwuma
- Diuretics (nnuru a ɛma nsu fi nipadua no mu) .
- Thyroxine (Levothyroxine) a wɔde hyɛ nipadua mu
- Nnuru a wɔde kum adwenemhaw a ɛte sɛ MAOI
- Nnuru a ɛte sɛ steroid (e.g. prednisone) .
- Nnuru bi a ɛkanyan obi
Saa list yi nwie pɛyɛ. Enti ka nnuru a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo. Afei nso, sɛ wonom sigaret anaa wonom nsa a, ka kyerɛ no.
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a wode aduru no redi dwuma no
Kɔ wo duruyɛfo nkyɛn daa na hwɛ wo yare no ho sɛnkyerɛnne ahorow. Sɛ wo yare no ho sɛnkyerɛnne no mu yɛ den, anaasɛ ɛsɛ sɛ wode saa aduru yi di dwuma mpɛn pii sen sɛnea wotaa yɛ a, frɛ wo duruyɛfo ntɛm ara . Ebia eyi bɛkyerɛ sɛ wontumi nni wo ayamtu no so na ebia ɛho behia sɛ wɔsesa w’ayaresa no.
Wo ne wo duruyɛfoɔ nyɛ adwuma na yɛ "Asthma Action Plan" a ɛfa wo pɔtee ho. Ma nea ɛsɛ sɛ woyɛ bere a wo yare no ho sɛnkyerɛnne no nyɛ den (Yellow Zone) ne nea ɛsɛ sɛ woyɛ wɔ tebea a egye ntɛmpɛ mu (Red Zone) no pefee.
Dɛn ne nneɛma bɔne a wɔhwɛ kwan sɛ ebefi mu aba?
Te sɛ aduru biara no, epinephrine betumi de ɔhaw ahorow aba. Ebi yɛ aniberesɛm, ebi nso abu so.
| Nneɛma bɔne a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo no ntɛm ara | |
|---|---|
| Nneɛma a ɛma obi ho yɛ no hyew | Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon. |
| Komayare ho sɛnkyerɛnne ahorow | Koko, mmati, nsa, anaa anom a ɛyɛ den anaa ɛyaw, akisikuru, ahome a ɛyɛ den, fifiri a ɛyɛ nwini, ɔtotɔ piti. |
| Nsakrae a ɛba koma a ɛbɔ mu | Koma a ɛbɔ ntɛmntɛm anaasɛ ɛnteɛ, adwenemhaw, ɔtopae, koko mu yaw. |
| Mogya mmoroso a ɛkɔ soro | Tiyɛ a emu yɛ den, aniwa a ɛsakra. |
| Mpɛn pii no ɛnyɛ aniberesɛm (nanso sɛ ɛkɔ so a, ka kyerɛ wo duruyɛfo) . | |
| Dadwen, ahomegye a enni hɔ | Tipaeɛ |
| Adwene a ɛyɛ basaa | Koma a ɛbɔ ntɛmntɛm a wɔte nka |
| Akisikuru anaa ɔfe | Wosow a ɛwosow |
| Fifiri a ɛrefifi | Wora a ɛyɛ mmerɛw |
Sɛ wunya sɛnkyerɛnne foforo biara a ɛyɛ soronko a wɔanka ho asɛm wɔ saa nsɛm yi mu a, bisa wo duruyɛfo no ho asɛm nso.
Nkrasɛm a Wɔde Kɔ Fie
- Epinephrine nebulizer yɛ aduru a ebue mframa kwan a asiw na ɛma home yɛ mmerɛw wɔ tebea horow te sɛ ayamtu mu.
- Di dodow ne akwankyerɛ a wo duruyɛfo akyerɛ wo no akyi pɛpɛɛpɛ bere nyinaa . Mfa nea ɛboro dodow a wɔahyɛ sɛ wɔmfa nni dwuma da.
- Ɛho hia sɛ wobɔ wo duruyɛfo amanneɛ wɔ aduruyɛ mu tebea foforo biara a wowɔ (te sɛ asikreyare, komayare) ne nnuru afoforo a worenom nyinaa ho.
- Sɛ wunya ɔhaw bi a emu yɛ den te sɛ wo koko mu yaw, ɛyɛ den sɛ wobɛhome, anaasɛ wo ho yɛ wo hyew kɛse a, kɔ baabi a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ (ETU) ntɛm ara.
- Sɛ wo yare no ho sɛnkyerɛnne no mu yɛ den anaasɛ ɛsɛ sɛ wode aduru no di dwuma mpɛn pii a, ɛkyerɛ sɛ wontumi nni wo tebea no so yiye. Kɔ wo duruyɛfo nkyɛn ntɛm ara.
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