Boa ma wobɛhyɛ wo akisikuru so: Momma yensua Ethosuximide ano aduru ho ade.

Ɛtɔ da bi a, yɛnya nyarewa a ɛba mpofirim. Tebea a ɛte saa no biako ne atiridiinini yi anaa nea yɛsan frɛ no akisikuru . Enti, sɛnea ɛbɛyɛ na yɛadi tebea horow a ɛtete saa so no, wɔfrɛ aduru biako a nnuruyɛfo de ma yɛn Ethosuximide . Eyi nso ba wɔ nsu (te sɛ srade ) mu. Ɛnnɛ, momma yɛnka saa aduru yi ho asɛm nkɔ akyiri kakra, wɔ Sinhala kasa a ɛnyɛ den a wubetumi ate ase mu. Fa no sɛ, te sɛ nea w’adamfo paa anaa w’abusua muni bi reka saa nsɛm yi akyerɛ wo.

Nneɛma bɛn na ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na wode aduru yi adi dwuma?

Okay, enti seesei wo duruyɛfoɔ akyerɛw wo saa aduru yi a wɔfrɛ no Ethosuximide (ebia wunim no wɔ brand din Zarontin so). Ansa na wubefi ase anom no, nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ woma emu da hɔ kyerɛ w’akwahosan kuw (i.e. wo duruyɛfo ne nnuruyɛfo ) . Efisɛ saa nsɛm no ne nea ɛbɛboa wɔn ma wɔasi gyinae sɛ ebia saa aduru yi fata wo ne sɛ ebia asiane biara nni ho. Anaasɛ ebia wubehyia ɔhaw afoforo.

Mma wo werɛ mmfi sɛ wobɛka nneɛma a ɛte sɛɛ akyerɛ wɔn:

• Sɛ wowɔ asaabo mu yare a . Ɛne sɛ, tebea a asaabo no ntumi nyɛ adwuma yiye.
• Sɛ wowɔ mmerɛbo mu yare (liver disease).
• Sɛ woanya adwene sɛ wubekum wo ho pɛn, sɛ woayɛ biribi a ɛte saa ho nhyehyɛe, anaasɛ woabɔ mmɔden a. Eyi ho hia yiye, ɛho hia sɛ woka kyerɛ yɛn. Eyi nyɛ biribi a ɛsɛ sɛ ɛyɛ aniwu, na ɛho hia yiye ma w’ahobammɔ sɛ oduruyɛfo no hu eyi.
• Sɛ woanya aduru yi ho adwenemhaw pɛn a, ethosuximide, aduru foforo biara, aduan, aduan a wɔde yɛ nneɛma, anaa nneɛma a wɔde siw ano. Sɛ nhwɛso no, sɛ wo ho yɛ wo yaw anaasɛ ɛyɛ den sɛ wobɛhome bere a woanom aduru bi a atwam no a.
• Sɛ woanyinsɛn anaa woreyɛ nhyehyɛe sɛ wobɛwo akokoaa a , ɛsɛ sɛ wohwɛ yiye paa wɔ nnuru a wonom wɔ saa bere yi mu no ho.
• Sɛ woyɛ ɛna a ɔma nufu a , nnuru bi betumi afa nufusu so akɔ akokoaa no nkyɛn.

Sɛ womfa saa nneɛma yi nsie a, sɛ woka kyerɛ me nokwarem a, oduruyɛfo no betumi ama wo ayaresa a eye sen biara na ahobammɔ wom.

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

Yɛnom saa aduru yi wɔ ano. Ɛyɛ papa sɛ wobɛnom bere koro mu da biara , sɛnea oduruyɛfo no akyerɛw wɔ nnuru toa no so no pɛpɛɛpɛ. Saa kwan no so no, aduru no bɛyɛ adwuma yiye.

Esiane sɛ eyi yɛ nsu nti, ɛsɛ sɛ wode syringe a wɔahyɛ no agyirae titiriw, susuw nsenia, anaa ade a wɔde gu nsu mu a nnurutɔnbea no de ama no di dwuma de susuw. Mfa teaspoon anaa tablespoon nni dwuma wɔ fie mfa nsusuw, efisɛ ɛnyɛ pɛpɛɛpɛ. Nsakrae kakra mpo a ɛba mililita no mu no betumi anya nkɛntɛnso. Sɛ wunni afiri a ɛte saa a wode susuw nneɛma a, bisa wo nnuruyɛfo, wɔbɛboa wo.

Wobetumi anom saa aduru yi a aduan ka ho anaasɛ wɔmfa nni dwuma. Nanso, sɛ wo yafunu mu yɛ wo yaw anaasɛ wo ho yɛ wo yaw a, ɛbɛyɛ papa sɛ wode bɛka aduan ho. Ɛsɛ sɛ wokɔ so nom saa aduru yi kosi sɛ wo duruyɛfo bɛka akyerɛ wo sɛ gyae. Ɛyɛ papa sɛ worennyae sɛ wobɛnom mpofirim, esiane sɛ wote nka sɛ wopɛ nti. Saa a wobɛyɛ no betumi ama wo tebea no asɛe kɛse.

Bere biara a wubenya saa aduru yi afi nnurutɔnbea hɔ, sɛ́ ɛyɛ foforo anaasɛ nea wɔasan ahyɛ mu ma no, wɔbɛma wo akwankyerɛ krataa titiriw bi (MedGuide) . Ɛsɛ sɛ wokenkan no yiye bere nyinaa. Nsɛm pii a ɛho hia wɔ aduru yi, ne nsunsuanso bɔne, ne nneɛma a ɛsɛ sɛ yɛhwɛ yiye wɔ ho.

Sɛ wode saa aduru yi rema mmofra a, hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa afa ho. Wɔ nsɛm bi a wɔapaw mu no, wobetumi de ama mmofra a wɔadi mfe 3 pɛ. Nanso, nneɛma titiriw bi wɔ hɔ a ɛsɛ sɛ wosusuw ho, te sɛ dodow a wɔde ma no, a ɛsɛ sɛ wɔhwɛ yiye.

Sɛ wodi mfomso nom nnuru pii a, dɛn na ɛsɛ sɛ woyɛ?

Sɛ eyi ba, na wususuw sɛ woanom aduru yi dodo a, frɛ baabi a wɔhwɛ awuduru so anaa kɔ baabi a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ a ɛbɛn wo no ntɛm ara. Ntwentwɛn wo nan ase.

Kae: Saa aduru yi yɛ ma wo nkutoo. Mfa nnkyɛ afoforo, sɛ wɔn nso wɔ tebea koro no ara mpo a. Ɛsono aduru ne dodow a ɛfata ma obiara.

Sɛ woantumi ankɔ nnuruyɛ ho nhyehyɛe no a, dɛn na woyɛ?

Momma yɛnka sɛ mpofirim ara wopa dose bi. Ebetumi ato obiara. Sɛ ɛba saa 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 bere a wokae (sɛ nhwɛso no, sɛ ɛsɛ sɛ wode dodow a edi hɔ no ma wɔ nnɔnhwerew abien anaa abiɛsa akyi a), twa dodow a woayera no so na fa dodow a edi hɔ no wɔ bere a wɔahyɛ no mu. Mfa nnuru abien prɛko pɛ da (dodow no mmɔho abien). Saa a wobɛyɛ no betumi de nnuru a ɛboro so ne ɔhaw afoforo aba.

Nneɛma foforo bɛn na ebetumi ne aduru yi adi nkitaho?

Sɛ yɛnom aduru bi a, ɛtumi ne nnuru foforɔ, aduane, anaa nneɛma foforɔ a yɛnom di nkitaho, na ɛtumi de ‘ntawntawdie’ ba. Eyi betumi asakra ɔkwan a aduru no fa so yɛ adwuma, anaasɛ ebetumi ama nea efi mu ba no ayɛ kɛse.

Nnuru bi wɔ hɔ a ebetumi ne Ethosuximide adi nkitaho. Nhwɛsoɔ:

• Phenytoin (aduru a wɔde sa akisikuru nso) .
• Valproic acid (eyi nso te saa ara) .

Saa list yi nyɛ nea ɛfa ne nyinaa ho. Enti, ka nnuru a wonom nyinaa (wɔakyerɛw ama wo, a wɔmfa nnuru nhyɛ mu, nhabannuru, vitamin, aduan a wɔde ka aduan ho) ho asɛm kyerɛ wo duruyɛfo. Afei nso, sɛ wonom sigaret, wonom nsa, anaa wode nnubɔne a mmara mma ho kwan di dwuma a, ka kyerɛ wo duruyɛfo . Nneɛma bi betumi ne wo nnuru no adi nkitaho.

Nneɛma a ɛsɛ sɛ wohwɛ so titiriw bere a worenom aduru yi!

Ɛsɛ sɛ wokɔ wo duruyɛfo nkyɛn daa kɔhwɛ wo daa bere a worenom aduru yi no. Kɔ sɛnea wo duruyɛfo ka kyerɛ wo no pɛpɛɛpɛ. Sɛ wo yare no ho sɛnkyerɛnne no ankɔ yiye anaasɛ ɛte sɛ nea ɛreyɛ kɛse a, ka kyerɛ wo duruyɛfo.

Sɛ ɛbɛyɛ yiye a, hyɛ aduruyɛ ho ID abɔso anaa nkɔnsɔnkɔnsɔn a wɔakyerɛw wo tebea no. Ɛyɛ papa nso sɛ wode krataa bi a wɔakyerɛw nnuru a wonom, a ne dodow ka ho, besie. Eyi betumi aboa paa wɔ tebea a egye ntɛmpɛ mu.

Ebia saa aduru yi bɛma woate nka sɛ woda kakra anaasɛ wo ho bɛtɔ wo. Enti, nka kar, mfa mfiri a emu yɛ duru nyɛ adwuma, anaa nyɛ biribiara a ɛhwehwɛ sɛ wode w’adwene si biribi so (te sɛ adwuma a wobɛyɛ wɔ mmeae a ɛkorɔn) kosi sɛ wubehu sɛnea aduru yi ka wo. Ne titiriw no, sɛ woabɔ akwakoraa a, nsɔre mfi mpa, akongua, anaa baabi a wotena so mpofirim. Yɛ eyi nkakrankakra. Sɛ woyɛ saa a, ebetumi atew asiane a ɛwɔ hɔ sɛ obi betu akisikuru na wahwe ase no so.

Nsã betumi asiw aduru yi a etu mpɔn no kwan. Ɛnyɛ ɛno nko, na mmom ebetumi ama nsunsuanso bɔne nso ayɛ kɛse. Enti, kwati sɛ wobɛnom nsa koraa bere a worenom aduru yi.

Hwɛ yiye paa wɔ nsɛnkyerɛnne a anibere wom yi ho!

Eyi ho hia paa, tie yiye. Sɛ wo anaa w’abusua (fie mufo, nnamfo) hu nsakrae biara wɔ wo suban mu a , sɛ nhwɛso no:

• Adwenemhaw foforo anaa nea emu yɛ den reba. Ɛno kyerɛ sɛ wote awerɛhow nka, w’ani nnye biribiara ho, na woayɛ ankonam.
• Adwene a ɛfa me ho a mɛpira ho ba m’adwene mu, na mete nka sɛ asetra afono me.
• Mete ehu ne dadwen nka bere nyinaa .
• Nsusuwii afoforo a ɛyɛ soronko anaasɛ ɛhaw adwene ba w'adwenem .
• Anaasɛ ɛte sɛ nea wo nkae so tew na wo werɛ afi nneɛma a na wokae kan no.

Sɛ wuhu biribi a ɛte sɛɛ a, ɛsɛ sɛ wo ne wo duruyɛfo kasa ntɛm ara. Mma w’ani ngu eyinom so.

Afei nso, ɛtɔ mmere bi a saa aduru yi betumi ama honam ani yare a emu yɛ den . Ebetumi aba bere a wɔafi aduru no ase akyi adapɛn anaa asram pii. WoSɛ wowɔ atiridiinini a ɛka ho ne sɛnkyerɛnne a ɛte sɛ atiridii ne akisikuru a, ka kyerɛ wo duruyɛfo ntɛm ara. Ebia akisikuru no bɛdan kɔkɔɔ anaa kɔkɔɔ, afei akisikuru na ayɛ. Anaasɛ, sɛ w’anim anaa w’anofafa so ntini kɔkɔɔ a ahonhon, anaasɛ wo kɔn anaa w’abasa ahonhon , ka kyerɛ wo duruyɛfo ntɛm ara.

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

Te sɛ aduru biara no, ethosuximide betumi de ɔhaw ahorow bi aba. Nanso, ɛnyɛ obiara na onya bi. Ebinom yɛ aniberesɛm na ɛsɛ sɛ woka kyerɛ wo duruyɛfo ntɛm ara. Ebinom nyɛ aniberesɛm, nanso sɛ ɛkɔ so anaasɛ ɛhaw adwene a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo .

Sɛ wuhu saa nneɛma yi a, ka kyerɛ wo duruyɛfo ntɛm ara sɛnea wubetumi:

• Nneɛma a ɛma obi ho yɛ no hyew: honam ani akisikuru, ɛyaw, akisikuru, anim, anofafa, tɛkrɛma, anaa menewa a ɛho ahonhon (ebetumi ama ayɛ den sɛ ɔbɛhome).
• Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare no: atiridiinini, atiridiinini, ɔfe, anaa menewam yaw.
• Nsɛnkyerɛnne a ɛkyerɛ sɛ w’asaabo asɛe: nsu a ɛba wo mu no so tew, wo nansoaa, wo nsa, anaa wo nan ho ahonhon.
• Nsɛnkyerɛnne a ɛkyerɛ sɛ mmerɛbo no asɛe: Ɛyaw wɔ yafunu nifa so atifi, aduan ho akɔnnɔ a ɛyera, akisikuru, nsu a ɛyɛ kɔla a ɛyɛ hare (te sɛ fitaa), nsu a ɛyɛ kɔkɔɔ anaa bruu tuntum, honam ani anaa aniwa a ɛyɛ kɔkɔɔ (te sɛ jaundice), ne ɔbrɛ anaa mmerɛwyɛ a ɛyɛ soronko.
• Lupus-like syndrome: Nkwaa mu yaw, ɛho ahonhon, anaasɛ ɛyɛ den, anim a ɛyɛ kurukuruwa a ɛte sɛ ntontom, akisikuru a ɛyɛ kɛse bere a owia hann, atiridiinini, mmerɛwyɛ anaa ɔbrɛ a ɛyɛ soronko.
• Wora mu akisikuru, atiridiinini, ne ntini a ɛho ahonhon (wɔ mmeae te sɛ kɔn, abasa, ne asen).
• Wo were betumi ayɛ kɔkɔɔ, ayɛ kurukuruwa, ayɛ mmerɛw, anaasɛ ayɛ mmerɛw, a ano mu ka ho .
• Nsusuwii a ɛne sɛ obekum ne ho anaasɛ obepira ne ho, adwene a ɛresɛe, anaa adwenemhaw (wɔadi kan aka eyi, nanso ɛho hia saa ara).
• Akuru anaa mogya a ɛtɔ a ɛnyɛ ne kwan so (e.g. hwene mu mogya, mogya a ɛba anom bere a wɔrehohoro sẽ, anaasɛ akuru a ɛba nipadua no so kɛkɛ).

Mpɛn pii no, saa nsunsuanso bɔne yi nhia sɛ wokɔ ayaresabea (nanso sɛ ɛkɔ so anaasɛ ɛhaw adwene a, ka kyerɛ wo duruyɛfo ):

• Yafunu mu yare (akisikuru) .
• Adwene a ɛyɛ basaa
• Ɔbrɛ
• Hiccups a ɛyɛ hu
• Mu duru a ɛso tew a aduan ho akɔnnɔ a ɛso tew
• Akisikuru (te nka sɛ wofe) .

Saa nsɛm a wɔahyehyɛ yi nka nsunsuanso bɔne a ebetumi aba nyinaa ho. Sɛ wuhu sɛnkyerɛnne biara a ɛyɛ soronko anaasɛ ɛnyɛ wo dɛ a, wo ne wo duruyɛfo nka ho asɛm. Nsuro sɛ wubebisa sɛ, "So eyi yɛ ade a ɛfata anaasɛ ɛsɛ sɛ ɛhaw me?"

Wobɛyɛ dɛn akora saa aduru yi so yiye?

Ɛsɛ sɛ wɔde saa aduru yi sie baabi a mmofra ne ofie mmoa ntumi nkɔ hɔ .

Fa sie wɔ dan mu hyew, digrii Celsius 20 kosi 25 (digrii Fahrenheit 68 kosi 77). Mma nnyɛ nwini. Bɔ ho ban fi hann ho (owia hann, akanea a ɛhyerɛn). Hwɛ da a ɛbɛtwam na tow aduru biara a atwam da a ɛbɛtwam no gu.

Dɛn na wode nnuru a wɔmfa nni dwuma, a ne bere atwam yɛ?

Ɛnyɛ adwene pa sɛ wobɛtow nnuru a ne bere atwam anaasɛ wompɛ agu nwura mu kɛkɛ. Anaasɛ hohoro wɔn kɔ tiafi mu. Wobetumi apira nneɛma a atwa yɛn ho ahyia. Ɛsɛ sɛ wɔtow gu yiye.

• Sɛ ɛbɛyɛ yiye a, fa saa aduru yi kɔ nhyehyɛe bi a wɔde san fa nnuru no mu . Hwɛ wo nnurutɔnbea anaa wo mpɔtam hɔ akwahosan dwumadibea na hwɛ sɛ wɔwɔ bi anaa.
• Sɛ ɔkwan biara nni hɔ a wobɛfa so asan de a, hwɛ aduru no din anaa krataa a ɛwɔ ade a wɔde ahyɛ mu no mu hwɛ sɛ ɛsɛ sɛ wɔtow saa aduru yi gu nwura mu anaasɛ wɔhohoro gu tiafi mu anaa. Sɛ wunnim a, bisa wo duruyɛfo anaa nnuruyɛfo.
• Sɛ ɛka sɛ ɛyɛ nea asiane biara nni ho sɛ wobɛtow agu nwura mu a, yi aduru no fi toa no mu na fa biribi a awuduru nnim te sɛ tii nhaban a wɔde adi dwuma, kɔfe a wɔayam, dɔte, anaa mpataa nwura fra yiye. Afei fa afrafrade no gu plastic bag anaa ade a wotumi to mu mu na tow gu nwura mu.

Awiei koraa no, nneɛma kakraa bi a ɛsɛ sɛ wokae (Take-Home Message) .

Enti, Ethosuximide yɛ aduru a ɛho hia a ɛboa ma wodi tebea horow te sɛ akisikuru so. Nanso sɛ wode redi dwuma a , ɛsɛ sɛ wudi oduruyɛfo no akwankyerɛ akyi pɛpɛɛpɛ. Fa no bere a ɛfata mu, wɔ dodow a ɛfata mu. Mma wo werɛ mmfi sɛ wobɛka nyarewa foforo biara a wowɔ ne nnuru foforo biara a wonom ho asɛm akyerɛ wo duruyɛfo.

Sɛ wunya ɔhaw biara, titiriw sɛnkyerɛnne ahorow a anibere wom a madi kan aka ho asɛm (te sɛ honam ani haw, adwene mu nsakrae) a, ka kyerɛ wo duruyɛfo ntɛm ara. Sɛ ɛte sɛ nea ɛyɛ ade ketewaa bi mpo a, mmu w’ani ngu so.

Sɛ wowɔ nsɛmmisa, dadwen, anaa dadwen bi fa saa aduru yi ho a, yɛsrɛ wo ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo, nnuruyɛfo, anaa akwahosan ho ɔyaresafo foforo. Wɔbɛboa wo. Ade a ɛho hia sen biara ne sɛ wobɛhwɛ w’akwahosan so. Ɛnyɛ wo nko ara, na nnuruyɛfo bi wɔ hɔ a wobetumi aboa wo wɔ akwantu yi mu.

` Ethosuximide, Ethosuximide, Akisikuru, Atiridiinini, Akisikuru, Nnuru, Nsunsuanso bɔne, Zarontin