Ɛtɔ mmere bi a, ɛyɛ den yiye sɛ wobɛko atia tebea bi a wɔfrɛ no adwenemhaw. Sɛ nsakrae biara mma wo tebea no mu bere a woanom nnuru na woayɛ biribiara a oduruyɛfo no ka akyi mpo a, wontumi mfa nsɛm nkyerɛ abasamtu ne ankonamyɛ a ɛba w’adwenem no. Sɛ wo nso woyɛ obi a worehu amane wɔ osuahu a ɛte saa ara mu a, asɛm yi bɛyɛ nea ɛho hia wo paa. Ɛnnɛ yɛreka ayaresa titiriw bi a wɔde di dwuma wɔ nsɛm a nnuru a wɔtaa kyerɛw ma obi a ɛko tia adwenemhaw no amma ahotɔ amma, kyerɛ sɛ, Esketamine Nasal Spray ho asɛm.
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Sɛ yɛbɛka no tiawa a, dɛn ne Esketamine?
Esketamine (a wɔsan frɛ no edin Spravato) yɛ aduru a wɔde sa adwenemhaw. Nanso ɛnyɛ ayaresa a ɛyɛ nea ɛfata obiara. Sɛ wowɔ adwenemhaw na anyɛ yiye koraa no, woasɔ nnuru afoforo abien a ekum adwenemhaw ahwɛ na wɔmmoa wo sɛnea wopɛ nkutoo a, na wo duruyɛfo no besusuw saa ayaresa yi ho. Ɛno kyerɛ sɛ ɛyɛ ayaresa pɔtee bi a wɔde ma nnipa a wɔnyɛɛ ayaresa afoforo ho biribi .
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom saa aduru yi
Ansa na wubefi saa ayaresa yi ase no, ɛho hia yiye sɛ wobɛma wo duruyɛfo no w’akwahosan tebea no ho nkyerɛkyerɛmu a edi mũ. Sɛ wowɔ tebea horow a ɛwɔ ase ha no bi a, hwɛ hu sɛ wobɛka ho asɛm akyerɛ wɔn.
| Tebea | Nkyerɛmu |
|---|---|
| Koma ne mogya mmoroso | Sɛ obi anya mogya mmoroso, komayare, komayare, anaa koma a ɛbɔ a ɛnteɛ daa. |
| Amemene ne mogya ntini | Amemene mu mogya a ɛtɔ, akisikuru, ti a opira, anaa mogya ntini mu yare a ɛwɔ amemene, koko, akwaa, anaa baabi foforo. |
| Adwene mu akwahosan | Adwene mu nyarewa afoforo te sɛ adwenemhaw, adwenemhaw, adwene a ɛne sɛ obekum ne ho anaa mmɔden a wɔbɔ (wɔ wo ho anaa obi a ɔwɔ w’abusua mu). |
| Tebea afoforo | Mmɛn mu yare, abakɔsɛm a ɛfa nnubɔne anaa nsa a wɔde di dwuma ho, Esketamine, Ketamine anaa nnuru afoforo, nnuan, anaa nnuru a wɔde yɛ nneɛma a ɛma obi ho yɛ no hyew. |
| Nyinsɛn a wɔde di dwuma | Sɛ wonyinsɛn mprempren, worebɔ mmɔden sɛ wubenyinsɛn, anaasɛ worema nufu a, hwɛ hu sɛ wobɛma yɛahu. |
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Ade a ɛho hia sen biara a ɛsɛ sɛ wote ase wɔ ha ne sɛ eyi nyɛ aduru a wubetumi de akɔ fie . Wɔde saa aduru yi di dwuma wɔ aduruyɛfo hwɛ ase nkutoo, wɔ ayaresabea anaa ayaresabea.
- Wɔ aduruyɛfo hwɛ ase: Ɛsɛ sɛ wode saa aduru a wɔde petepete hwene mu yi di dwuma wɔ oduruyɛfo anaa nnuruyɛfo a wɔatete wɔn hwɛ ase. Wɔbɛkyerɛ wo sɛnea wode bedi dwuma ne dodow a wode bedi dwuma no pefee.
- Nnɔnhwerew abien a wɔde hwɛ wo: Sɛ wonom aduru no wie a, anyɛ yiye koraa no, nnuruyɛfo bɛhwɛ wo nnɔnhwerew abien . Wɔbɛhwɛ wo mogya mmoroso ne tebea afoforo na wɔasi gyinae sɛ wo ho atɔ wo a wubetumi akɔ fie anaa.
- Wɔabara karka koraa: Eyi ho hia yiye. Worentumi nka kar esiane biribiara nti da a wobɛnom aduru no. Ɛnyɛ ɛno nko, na mmom ɛnsɛ sɛ wode mfiri di dwuma anaasɛ woyɛ biribiara a ɛhwehwɛ sɛ wode w’adwene si biribi so. Enti, ɛho hia sɛ wode w’abusua muni anaa w’adamfo bi ba ma ɔde wo bɛkɔ fie. Sɛ woda yiye anadwo a, ade kye a, wubetumi asan ayɛ nneɛma a woyɛ daa no.
- Hwɛ yiye wɔ aduan ne anonne ho: Saa aduru yi betumi ama wo ho ayɛ wo yaw na woafe. Sɛnea ɛbɛyɛ a wobɛkwati eyi no, nni biribiara nnɔnhwerew 2 ansa na woanom aduru no. Afei nso, gyae nsu a nsu ka ho nom simma 30 ansa na woanom aduru no.
- Nnuru afoforo a wɔde petepete hwene mu: Sɛ wode nnuru afoforo a wɔde petepete hwene mu (corticosteroids) anaa nnuru a wɔde tew hwene mu redi dwuma a, anyɛ yiye koraa no, fa di dwuma dɔnhwerew biako ansa na wode Esketamine apete.
Sɛ wopa dose bi, a ɛkyerɛ sɛ wuntumi nkɔ wo bere a woahyɛ da ayɛ no a, yɛsrɛ wo bɔ wo duruyɛfo amanneɛ ntɛm ara. Ɛho hia yiye sɛ wobɛtoa saa ayaresa yi so sɛnea wɔakyerɛw ama wɔn no.
Sɛ wonom nnuru pii a, dɛn na ɛsɛ sɛ woyɛ?
Wɔde eyi ma wɔ aduruyɛfo hwɛ ase enti hokwan a ɛwɔ hɔ sɛ eyi bɛba no sua. Nanso, sɛ biribi te sɛ eyi si a, frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no ntɛm ara . Anaasɛ kɔ ayaresabea a ɛbɛn wo no Emergency Treatment Unit (ETU) .
Nneɛma afoforo a ebia ɛne aduru yi bedi nkitaho
Ɛho hia yiye sɛ wobɛka nnuru, vitamin, aduannuru a wɔde ma, ne nhabannuru a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo. Nneɛma bi betumi ne aduru yi adi nkitaho. Hwɛ yiye titiriw wɔ nneɛma yi ho:
- Nsaden
- Nnuru a ɛma adwene no dwo na ɛma ɔda
- Nnuru bi a wɔde sa atiridiinini, ɔfe, ne akisikuru (Antihistamines) .
- Nnuru afoforo a ekum adwenemhaw (sɛ nhwɛso no, Amitriptyline, Fluoxetine, Sertraline) .
- Nnuru bi a wɔde sa akisikuru (e.g. Phenobarbital) .
- Nnuru a wɔde kum nipadua no nyinaa
- Nnuru a ɛma ntini mu dwo a wɔde di dwuma bere a wɔreyɛ oprehyɛn no
- Nnuru a wɔde yɛ nnubɔne a wɔde sa ɛyaw a emu yɛ den
- Nnuru a ekum adwenemhaw a ɛte sɛ nea wɔfrɛ no MAOIs
- Nnuru a ɛkanyan adwene (sɛ nhwɛso no, Amphetamines, Methylphenidate) .
Saa nsɛm a wɔahyehyɛ yi nwie pɛyɛ, enti ka biribiara a wobɛnom ho asɛm kyerɛ wo duruyɛfo.
Dɛn ne nsunsuanso bɔne a ebetumi afi mu aba?
Sɛnea ɛte wɔ nnuru biara ho no, nsunsuanso bɔne betumi aba. Ebi yɛ aniberesɛm, ebi nso abu so. Ɛho hia sɛ wohu eyinom.
| Nsunsuanso bɔne a ɛsɛ sɛ wobɔ w’aduruyɛfo kuw no amanneɛ ntɛm ara | |
|---|---|
| Nneɛma a ɛma obi ho yɛ no hyew | Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon. |
| Nnipa a wɔtetew wɔn ho | Sɛ obi te nka sɛ watwe ne ho afi ne nsusuwii, ne nkate, ne nipadua, ne nneɛma a atwa ne ho ahyia ho, te sɛ nea ɔrehuruhuruw. Nkate a ɛma obi twe ne ho fi nokwasɛm ho. |
| Mogya mmoroso a ɛkɔ soro | Mogya mmoroso a ɛkɔ soro kɛse bere a wɔanom aduru no akyi. |
| Nsakrae a ɛba adwene mu tebea mu | Adwene a ɛne sɛ obekum ne ho, adwenemhaw a emu yɛ den, basabasayɛ. |
| Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo sɛ ɛkɔ so anaasɛ ɛhaw adwene a | |
| Nneɛma a wɔtaa te nka | Adwene a ɛyɛ basaa, nna a ɛyɛ den, akisikuru, ɔfe, dadwen. |
| Nsunsuanso afoforo | Ɛyɛ den sɛ wode w’adwene besi biribi so, ɔhaw ahorow a ɛba wɔ nkae anaa kasa mu, nipadua no a ɛyɛ mmerɛw, anigye a ɛtra so ho nkate. |
Nkrasɛm a Wɔde Kɔ Fie
- Esketamine yɛ aduru titiriw a wɔde sa adwenemhaw a emu yɛ den a ennyaa nnuru afoforo ho dwuma, na wɔde ma wɔ nnuruyɛfo hwɛ ase nkutoo.
- Eyi nyɛ aduru a wubetumi de akɔ fie na wode adi dwuma. Wɔde ma wɔ ayaresabea anaa ayaresabea bere nyinaa.
- Da a wobɛnom aduru no, ɛho hia sɛ obi de wo kɔ fie. Kwati sɛ wobɛka kar anaasɛ wobɛyɛ biribiara a ɛhwehwɛ sɛ wode w’adwene si biribi so kosi sɛ wobɛda yiye.
- Ma wo duruyɛfo no nkyerɛkyerɛmu a edi mũ wɔ nnuru afoforo a wonom nyinaa, nyarewa a ɛwɔ hɔ dedaw, ne nneɛma a ɛma wo ho yɛ wo hyew ho.
- Hu nneɛma bɔne a anibere wom (titiriw adwene mu nsakrae, mogya mmoroso, akisikuru) na sɛ wuhu sɛnkyerɛnne biara a ɛte saa a, bɔ nnuruyɛfo kuw no amanneɛ ntɛm ara.
- Di wo duruyɛfo akwankyerɛ akyi bere nyinaa. Nnyae ayaresa no fã.
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