So wo duruyɛfo akyerɛw wo heparin aduru a wɔde bɛma wo sɛnea ɛbɛyɛ a mogya antɔ wo nipadua mu anaasɛ sɛnea ɛbɛyɛ a mogya a ɛretu dedaw no anyɛ kɛse? Anaasɛ wode aduru yi ma obi a ɔwɔ w’abusua mu? Ebia wosuro sɛ wobɛte saa din yi. Nanso mma ɛnhaw wo. Eyi yɛ aduru a ɛho hia paa a wɔtaa de di dwuma. Ɛnnɛ, yɛbɛka aduru a wɔfrɛ no heparin yi ho asɛm wɔ nsɛm a ɛnyɛ den mu.
Sɛ yɛbɛka no tiawa a, dɛn ne Heparin?
Heparin yɛ aduru a ɛmma mogya ntumi nkɔ nipadua no mu . Wɔ aduruyɛ mu no, yɛfrɛ eyi ``anticoagulant''. Wo de susuw ho sɛ, sɛ mogya a ɛtɔ yɛn mogya ntini mu a ɛho nhia a, ebetumi asiw mogya no kwan. Saa mogya a ɛtwetwe yi betumi ayɛ ntini, ntini, ahurututu, anaa koma mu. Nea heparin a wɔde twitwiw nipadua no mu no yɛ ne sɛ esiw mogya a ɛte saa no kwan sɛ ɛnsɛ anaasɛ ɛmma mogya a ayɛ dedaw no nnyɛ kɛse.
Nea ɛka ho no, wɔde di dwuma wɔ mmere titiriw bi nso mu.
- Bere a wɔreyɛ koma a wɔabue mu oprehyɛn no.
- Bere a wɔreyɛ dialysis ama ayarefo a wɔwɔ asaabo no.
- Siw mogya a ɛbɛtɔ wɔ ayarefo a wɔda mpa so bere tenten wɔ oprehyɛn akyi anaasɛ esiane ayaresa tebea foforo nti no ano.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom saa aduru yi
Ansa na ɔbɛma wo heparin no, ɛho behia sɛ wo duruyɛfo hu w’akwahosan ho abakɔsɛm nyinaa. Hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ wowɔ tebea horow a wɔabobɔ din wɔ ase ha no bi a.
| Akwahosan tebea anaa hokwan | Yɛsrɛ sɛ ka kyerɛ oduruyɛfo no. |
|---|---|
| Nyarewa a mogya tu | Sɛ nhwɛso no, yare bi te sɛ hemophilia anaa tebea bi a mogya mu nkwammoaa a ɛma mogya tu no sua. |
| Nyarewa a ɛma aduan mu yɛ den | Tebea horow te sɛ dwensɔtwaa mu yare anaasɛ diverticulitis. |
| Koma mu nyarewa | Tebea horow te sɛ `Endocarditis` (koma mu ntini mu yare). |
| Mogya mmoroso | Sɛ worenom mogya mmoroso ayaresa anaasɛ sɛ wɔanhyɛ so a. |
| mmerɛbo mu nyarewa | mmerɛbo mu yare biara. |
| Oprehyɛn anaa awo a wɔyɛe nnansa yi | Sɛ wɔayɛ wo oprehyɛn nnansa yi ara anaasɛ woawo a. |
| Yafunu mu akisikuru | Yafunu mu akuru a ɛwɔ hɔ mprempren anaa nea atwam. |
| Nneɛma a ɛma obi ho yɛ no hyew | Sɛ wo ho nyɛ wo hyew wɔ heparin, sulfites, nnuru afoforo, nnuan, anaa nneɛma a wɔde sie ho a. |
| Nyinsɛn ne nufu a wɔde ma | Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaa worema nufu a. |
Wode saa aduru yi di dwuma dɛn?
Mpɛn pii no, nnuruyɛfo a wɔatete no na ɔde saa aduru yi ma wɔ ayaresabea anaa ayaresabea. Wɔde ma sɛ nea wɔde gu ntini mu (`injection`) anaasɛ wɔde gu ntini mu (`infusion`) te sɛ saline. Ɛtɔ da bi a, wɔde kakraa bi gu honam ani.
Ebia ɛho behia sɛ wode saa aduru yi ma wo ho wɔ fie. Sɛ saa a, wɔbɛkyerɛ wo sɛnea wusiesie na wode twitwiw mu yiye. Ɛho hia paa sɛ wobɛnom aduru no sɛnea wɔakyerɛw ama wo no pɛpɛɛpɛ, wɔ bere a ɛfata mu. Mma nnyae aduru no nom da a wunnya wo duruyɛfo afotu. Sɛ woyɛ saa a, asiane a ɛwɔ hɔ sɛ wobɛma mogya atɔ wo mu no betumi ayɛ kɛse bio.
Dɛn na wode nnade ne syringe a wɔde adi dwuma yɛ?
Eyi ho hia paa. Mfa nnade ne syringe a wɔde adi dwuma ngu nwura mu da. Fa ade titiriw bi a wɔde nneɛma a ano yɛ nnam gu mu a wɔde ama wɔn di dwuma. Sɛ wunni bi a, wubetumi abisa wo duruyɛfo no bi.
Na sɛ nnuru dodow a wɔde ma no kɔ soro nso ɛ?
Sɛ wususuw sɛ woanom nnuru a ɛboro so a, kɔ Emergency Department (ETU) a ɛbɛn wo no hɔ ntɛm ara. Anaasɛ frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ no na woanya afotu.
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom nnuru no
- Hwɛ a wobɛkɔ akɔhwɛ wo daa: Kɔ wo duruyɛfo nkyɛn a wɔayɛ nhyehyɛe sɛ wobɛhwɛ wo. Ebia ɛho behia nso sɛ woyɛ mogya mu nhwehwɛmu. Mma nntwa saa nhyehyɛe ahorow yi so.
- Kwati sɛ wubepira: Bere a worenom aduru yi no, ebia mogya bɛtɔ wo ntɛm. Enti, twe wo ho fi agumadi ne dwumadi ahorow a ebetumi ama woahwe ase anaa woapira no ho. Hwɛ yiye paa bere a wode nneɛma a ano yɛ nnam te sɛ nnade redi dwuma no. Sɛ wobɔ wo ti nhwi a, ɛyɛ nea asiane biara nni ho sɛ wode anyinam ahoɔden afiri bedi dwuma. Yɛ brɛoo paa bere a worebɔ wo sẽ na wode nhama abɔ wo sẽ no.
- Bɔ opira biara ho amanneɛ: Sɛ wuhu sɛ akuru, nsensanee kɔkɔɔ, anaa mogya a ɛretu dodo wɔ opira ketewaa bi mpo mu a, ka kyerɛ wo duruyɛfo ntɛm ara.
- Amanneɛbɔ a wɔde ma ansa na wɔayɛ wo oprehyɛn: Sɛ wɔayɛ nhyehyɛe sɛ wɔbɛyɛ wo oprehyɛn biara (wobeyi wo sẽ mpo) a, hwɛ hu sɛ wobɛka akyerɛ oduruyɛfo no sɛ worenom heparin.
- Nsa ne anan a ɛyɛ nwini: Sɛ wo nsa anaa wo nan te nka sɛ awɔw ne bruu a, ebetumi ayɛ ɔhaw wɔ mogya a ɛkɔ nipadua no mu ho. Ka kyerɛ wo duruyɛfo ntɛm ara.
- Bere tenten a wɔde di dwuma: Heparin a wɔnom kyɛ no betumi ama nnompe ayɛ mmerɛw na ama asiane a ɛwɔ hɔ sɛ nnompe bɛpaapae no ayɛ kɛse. Enti, wo ne wo duruyɛfo nkasa mfa calcium ne vitamin D a ɛdɔɔso a wubenya wɔ w’aduan mu no ho.
Dɛn ne nnuru no mu nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ nnuru biara no, heparin betumi de ɔhaw ahorow bi aba. Eyinom bi yɛ aniberesɛm, bere a afoforo nso abu so.
| Nsunsuanso bɔne a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara | |
|---|---|
| Nneɛma a ɛma obi ho yɛ no hyew | Wora mu akisikuru, ɛyaw, anim, ano anaa tɛkrɛma a ɛho ahonhon. |
| Mogya a ɛretu ho sɛnkyerɛnne | Nsu a ɛyɛ tuntum anaa tarry; nsu a ɛyɛ kɔkɔɔ anaa bruu tuntum; ɔfe a ɛte sɛ kɔfe a wɔayam; nsensanee kɔkɔɔ a ɛwɔ honam ani; mogya a ɛyɛ soronko a efi aniwa, anom, anaa hwene mu ba. |
| Mogya a ɛretu ho sɛnkyerɛnne | Koko mu yaw; ɛyɛ den sɛ wobɛhome; nan a ɛyɛ yaw, ɛho ahonhon, anaa ɔhyew nka. |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare a ɛma obi hwe ase | Anisoadehu sesa; kesereneeyɛ; kasa anaa ntease a ɛyɛ den; tiyɛ a emu yɛ den; anim, abasa, anaa nan a ɛyɛ mmerɛw anaa mmerɛwyɛ mpofirim; ɛyɛ den sɛ wobɛnantew; adwenemhaw a ɛma obi ho kyere no. |
| Nneɛma afoforo a ɛwom | Nnompe mu yaw, atiridiinini, akisikuru, ɔfe. |
| Nsunsuanso bɔne a ɛtaa ba a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo no sɛ ɛkɔ so a | |
| Nwi a ɛtɔ | Nwi a ɛtɔ bere tiaa bi. |
| Ɛyaw a ɛba baabi a wɔde aduru no guu no | Ɛyaw, kɔkɔɔ, anaa ɔfe kakra wɔ baabi a wɔde aduru no guu no. |
Nneɛma afoforo a ebia ɛne aduru yi bedi nkitaho
Sɛ worenom heparin a, ɛsɛ sɛ wokwati sɛ wobɛnom nnuru afoforo bi. Ka nnuru a worenom nyinaa (a vitamin ne nhabannuru ka ho) kyerɛ wo duruyɛfo.
Asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no kɔ soro kɛse bere a wɔnom nnuru, titiriw aspirin ne NSAIDs (e.g., ibuprofen, naproxen), a heparin ka ho no. Enti, nnom nnuru biara a wɔde kum ɛyaw a wunni aduruyɛfo afotu.
Nneɛma te sɛ sigaretnom ne nsa a wɔnom nso betumi aka sɛnea aduru yi yɛ adwuma yiye. Enti ka ɛno nso ho asɛm kyerɛ wo duruyɛfo.
Nkrasɛm a Wɔde Kɔ Fie
- Heparin yɛ aduru a ɛho hia paa a ɛmma mogya ntumi nkɔ. Nsuro no.
- Fa aduru no sɛnea wo duruyɛfo ka kyerɛ wo no pɛpɛɛpɛ, wɔ dodow a ɛfata mu, wɔ bere a ɛfata mu. Nnyae w’aduru nom da a wunni afotu biara.
- Hwɛ yiye paa bere a worenom aduru yi, efisɛ opira ketewaa bi mpo betumi ama mogya atɔ wo.
- Sɛ wuhu sɛnkyerɛnne biara a emu yɛ den te sɛ mogya a ɛtɔ soronko, tiyɛ a emu yɛ den, anaa wo koko mu yaw a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Ka nnuru afoforo a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo.
- Tow nnade ne syringe a wode adi dwuma no gu ade titiriw bi mu dwoodwoo.
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