So wote nka nso sɛ wiase nyinaa afono wo dapɛn biako anaa abien ansa na wo nna afi ase? So wo bo fuw wɔ nneɛma nketenkete mpo ho, so w’ani so tew a ntease biara nnim, so wote awerɛhow ne adwenemhaw a ɛyɛ nwonwa nka? So ɛtɔ mmere bi a saa nkate ahorow yi mu yɛ den araa ma wuntumi nni wo ho so? Eyi yɛ tebea a emu yɛ den kɛse sen ‘Premenstrual Syndrome - PMS’ a ɛtaa ba no. Wɔ aduruyɛ mu no, yɛfrɛ eyi sɛ 'Premenstrual Dysphoric Disorder' anaa `(PMDD)'. Enti sɛ saa `(PMDD)` tebea yi rehaw wo da biara da adwuma, adwuma, ne abusua asetra a, oduruyɛfo betumi akyerɛw wo aduru bi a wɔfrɛ no `Fluoxetine` sɛ ano aduru. Momma yɛnka aduru yi ho asɛm nkɔ akyiri nnɛ.
Sɛ yɛbɛka no tiawa a, dɛn ne Fluoxetine?
`Fluoxetine` yɛ aduru a wɔde sa `PMDD`. Ɛka nnuru kuw bi a wɔfrɛ no `SSRI` (Selective Serotonin Reuptake Inhibitors) ho. Okay, afei ebia woresusuw nea nsɛmfua yi kyerɛ ho.
Susuw ho wɔ saa kwan yi so kɛkɛ. Nnuru bi wɔ yɛn amemene mu a ɛboa yɛn ma yɛdi nkitaho wɔ ntini mu nkwammoaa ntam. Yɛfrɛ eyinom ``Neurotransmitters''. ``Serotonin'' yɛ nnuru a ɛte saa no mu biako. Saa ``Serotonin'' yi boa kɛse wɔ yɛn adwene a yɛdi so, kyerɛ sɛ, yɛn anigye, awerɛhow, ne kommyɛ nkate horow mu. Ɛno nti na nnipa binom nso frɛ no "anigye hormone."
Wogye di sɛ mmea a wɔwɔ PMDD no serotonin dodow sua ansa na wɔn bra. Ɛno nti na wɔte adwenemhaw nka kɛse wɔ saa nna no mu no. Enti, aduru Fluoxetine no yɛ adwuma denam serotonin dodow a ɛwɔ amemene no mu a ɛma ɛkɔ soro na ɛboa ma saa dodow no kari pɛ no so. Afei, wodi saa sɛnkyerɛnne ahorow a emu yɛ den te sɛ adwenemhaw, abufuw, ne awerɛhow so.
Ɛnyɛ PMDD nko na nnuruyɛfo kamfo saa aduru yi kyerɛ, na mmom adwenemyare afoforo te sɛ adwenemhaw ne dadwen nso.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom saa aduru yi
Fluoxetine nyɛ aduru a wubetumi atɔ afi nnurutɔnbea kɛkɛ. Ansa na wode bedi dwuma no, ɛsɛ sɛ wo duruyɛfo hu w’akwahosan ho abakɔsɛm nyinaa. Hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ wo anaa w’abusua mu obiara wɔ tebea horow a edidi so yi mu biara a:
Saa nsɛm yi a wode besie no de wo nkwa reto asiane mu. Enti wo ne wo duruyɛfo nka biribiara ho asɛm pefee.
- Adwene mu akwahosan ho nsɛm: Sɛ wo anaa w’abusua mu obi wɔ adwenemhaw, anaasɛ woadi kan anya adwene, nhyehyɛe, anaa mmɔden a wobɛbɔ sɛ wubekum wo ho a, ɛsɛ sɛ woka eyi nso ho asɛm.
- Nnuru ahorow afoforo:Sɛ mprempren worenom aduru bi a wɔfrɛ no MAOI (e.g. Carbex, Eldepryl, Marplan, Nardil, Parnate) a, ka kyerɛ wo duruyɛfo. Nnuru abien yi a wɔbɛbom anom no yɛ asiane kɛse.
- Mogya mu haw: Sɛ worenom nnuru a ɛma mogya yɛ mmerɛw (e.g. Warfarin) anaasɛ wowɔ mogyatɔw yare bi a.
- Ayaresa mu tebea afoforo: Komayare, mmerɛbo mu yare, akisikuru, atiridiinini, thyroid yare, anaa sodium a ɛba fam wɔ nipadua no mu.
- Allergies: Sɛ wowɔ allergy wɔ Fluoxetine anaa aduru foforo biara, aduan, anaa aduru a wɔde yɛ ade ho a.
- Nyinsɛn ne nufu a wɔde ma: Sɛ wonyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaasɛ worema nufu a, akyinnye biara nni ho sɛ ɛsɛ sɛ wo ne wo duruyɛfo kasa ansa na woafi aduru yi ase.
Ɔkwan bɛn so na ɛsɛ sɛ mede aduru no di dwuma?
Ɔkwan a wɔfa so de saa aduru yi di dwuma no yɛ mmerɛw yiye, nanso ɛho hia yiye sɛ wubedi akwankyerɛ no akyi pɛpɛɛpɛ.
1. Sɛnea wɔnom: Saa aduru yi ba sɛ aduru a wɔde hyɛ nipadua mu anaa aduru a wɔde hyɛ nipadua mu. Fa nsu kuruwa mene no. Wubetumi de aka aduan ho anaasɛ wunhia. Nanso, sɛ wo yafunu mu yɛ wo yaw a, ɛbɛyɛ papa sɛ wode bɛka aduan ho.
2. Bere a ɛfata: Fa dodow a wɔakyerɛw ama wo no da biara, bere a wo duruyɛfo bɛka akyerɛ wo no. Mma nntwa bere no so.
3. Kwati sɛ wubegyae mpofirim: Eyi ne ade a ɛho hia sen biara. Nnyae aduru yi nom mpofirim a wunnya wo duruyɛfo afotu. Sɛ woyɛ saa a, ebia wo ho bɛkyere wo te sɛ adwenemhaw, tiyɛ, ne akisikuru. Ebia ɛbɛma wo PMDD ho sɛnkyerɛnne nso ayɛ kɛse. Sɛ wugyae a, ɛsɛ sɛ woyɛ saa denam dodow a wobɛtew so nkakrankakra sɛnea wo duruyɛfo kyerɛ no so.
Sɛ wopa nnuru dodow bi a, dɛn na woyɛ?
Sɛ wo werɛ fi sɛ wobɛnom dose bi a, fa no bere a woakae ara pɛ. Nanso, sɛ ɛkame ayɛ sɛ bere adu sɛ wobɛma wo dodow a edi hɔ a, twa dodow a woayera no so na fa wo dodow a edi hɔ no sɛnea wotaa yɛ no. Mfa nnuru abien prɛko pɛ da mfa nsiesie dodow a woayera no.
Na sɛ menom nnuru pii nso ɛ?
Sɛ wususuw sɛ woanom nnuru pii sen sɛnea wususuw a, kɔ ayaresabea bi Ayaresa a Ɛho Hia Ntɛmntɛm (ETU) ntɛm ara anaa frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea . Mfa eyi nyɛ hwee.
Nnuru afoforo a ebetumi ne Fluoxetine adi nkitaho (Drug Interactions) .
Ɛho hia yiye sɛ woka nnuru, vitamin, ne nhabannuru a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo, efisɛ fluoxetine betumi ne nnuru afoforo adi nkitaho na ɛde ɔhaw ahorow a ɛyɛ hu aba.
| Nneyɛe su | Nhwɛso ne nkyerɛkyerɛmu ahorow |
|---|---|
| Nnuru a ɛnsɛ sɛ wɔnom bom da | Sɛ wɔde nnuru yi ka Fluoxetine ho a, ebetumi de obi nkwa ato asiane mu.
|
| Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho kɛse bere a worenom ne nea ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ | Oduruyɛfo afotu ho hia efisɛ eyinom betumi ne Fluoxetine adi nkitaho.
Saa nsɛm a wɔahyehyɛ yi nwie pɛyɛ, enti ka biribiara a wobɛnom ho asɛm kyerɛ wo duruyɛfo. |
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom aduru no
Hu nsakrae a ɛba adwene mu.
Eyi ho hia paa. Asiane ketewaa bi wɔ hɔ sɛ wubekum wo ho ho adwene anaa nneyɛe a ɛbɛkɔ soro bere a wudi kan fi ase nom aduru bi te sɛ Fluoxetine, titiriw wɔ mmerante ne mmabaa mu. Enti sɛ wo anaa obi a wunim no hu saa nneɛma yi a, wo ne wo duruyɛfo nkasa ntɛm ara.
- Sɛ wote nka sɛ w’awerɛhow ne w’adwenemhaw renya nkɔanim a.
- Sɛ wote nka sɛ wo ho yeraw wo, wo ho ntɔ wo, anaa wo bo fuw a.
- Sɛ wuhu nsakrae a emu yɛ den mpofirim wɔ suban anaa adwene mu.
Ebia ebegye adapɛn kakraa bi ansa na aduru yi atumi ayɛ adwuma koraa. Enti, sɛ wo yare no ho sɛnkyerɛnne no nnyaa nkɔso kakra a, mma ɛnhaw wo. Kɔ so nom aduru no sɛnea wo duruyɛfo ka kyerɛ wo no.
Nsunsuanso afoforo a ɛtaa ba
- Dae ne adwenemhaw: Ebia aduru yi bɛma woate nka sɛ woada, ayɛ den sɛ wode w’adwene besi biribi so, anaasɛ wobɛte nka sɛ wo ho ayɛ wo yaw. Enti, kwati sɛ wobɛka kar anaa wode mfiri a ɛyɛ hu bedi dwuma kosi sɛ wubehu sɛnea aduru yi ka wo.
- Ano a ɛyɛ nwunu: Ebia wobɛte nka sɛ w’ano ayow. Sɛ wowe aduru a asikre nnim na wonom nsu pii a, ebetumi aboa.
- Asikreyare: Sɛ wowɔ asikreyare a, saa aduru yi betumi aka asikre dodow a ɛwɔ wo mogya mu, enti wo ne wo duruyɛfo nka ho asɛm.
Nsunsuanso bɔne a aduru no de ba
Te sɛ aduru biara no, Fluoxetine betumi de ɔhaw ahorow aba. Nanso, ɛnyɛ obiara na onya bi. Ebia nnipa binom behyia ɔhaw nketenkete bi. Ade a ɛho hia ne sɛ wubehu nea efi mu ba a anibere wom ne nea ɛtaa de ba.
| Nsunsuanso bɔne a anibere wom a ɛhwehwɛ sɛ wɔkɔ ayaresabea ntɛm ara | |
|---|---|
| Nneɛma a ɛma obi ho yɛ no yaw | Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon, ɛyɛ den sɛ wobɛhome. |
| Serotonin Yare a Ɛyɛ Fɛ | Ahomegye, adwene a ɛyɛ basaa, koma bɔ ntɛmntɛm, ntini a ɛyɛ den anaasɛ ɛtwetwe, fifiri a ɛboro so, atiridiinini, akisikuru, ɔfe, akisikuru. Eyi yɛ tebea a ɛyɛ hu paa. |
| Mogya a ɛtɔ a ɛnyɛ ne kwan so | Nsu tuntum anaa mogya, nsu a ɛyɛ kɔkɔɔ/biribiri tuntum, mogya a ɛfe, nsensanee kɔkɔɔ/kɔla kɔkɔɔ wɔ honam ani, ne akuru a wontumi nkyerɛkyerɛ mu. |
| Nsakrae a ɛba koma a ɛbɔ mu | Koma a ɛbɔ ntɛmntɛm anaasɛ ɛnteɛ, adwenemhaw, te nka sɛ wayɛ mmerɛw, koko mu yaw. |
| Aniwa ho haw ahorow | Aniwa a ɛyɛ yaw mpofirim, aniwa a ɛyɛ kusuu, ne halo ahorow a wohu a atwa akanea ho ahyia. |
| Sodium dodow a ɛso tew wɔ nipadua no mu | Ntini mu mmerɛwyɛ, ɔbrɛ a ɛtra so, tiyɛ, adwene a ɛyɛ basaa. |
| Mpɛn pii no ɛnyɛ aniberesɛm (nanso sɛ ɛkɔ so a, ka kyerɛ wo duruyɛfo ) . | |
| Nnuan a wɔyam no mu haw ahorow | Akisikuru, akisikuru, yafunu a ɛyɛ yaw. |
| Ɔhaw afoforo a ɛtaa ba | Ano a ɛyɛ mmerɛw, tiyɛ, fifiri a ɛboro so, nna a ontumi nna anaasɛ ɔda, wosow, dadwen, nsakrae a ɛba nna ho akɔnnɔ anaa adwumayɛ mu. |
Nkrasɛm a Wɔde Kɔ Fie
- Fluoxetine yɛ aduru a etu mpɔn a wɔde sa adwenemhaw a emu yɛ den a wɔfrɛ no PMDD no. Ɛsɛ sɛ wɔde di dwuma bere a oduruyɛfo akamfo akyerɛ nkutoo.
- Ka nnuru afoforo nyinaa, vitamin ahorow, ne ayaresa tebea biara a worenom ho asɛm kyerɛ wo duruyɛfo ansa na woafi nnuru no ase.
- Kwati sɛ wubegyae aduru yi mpofirim. Saa a wobɛyɛ no betumi ama wo ho atɔ wo. Sɛ wugyae a, yɛ saa sɛnea wo duruyɛfo bɛkyerɛ wo.
- Wɔ bere a edi kan a wobɛnom aduru no mu no, hwɛ yiye paa wɔ nsakrae a ɛbɛba w’adwene mu, titiriw adwene a ɛne sɛ wubekum wo ho no ho. Sɛ wuhu nsakrae bi a, ka kyerɛ wo duruyɛfo ntɛm ara.
- Sɛ nneɛma bɔne a anibere wom (te sɛ akisikuru, serotonin syndrome, mogya a ɛtɔ soronko) ba a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- PMDD nyɛ wo mfomso. Ɛyɛ tebea a wotumi sa. Enti nsuro da sɛ wobɛsrɛ mmoa.
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