So woate nka pɛn sɛ wo koma rebɔ ntɛmntɛm, anaasɛ wo nnyigyei no yɛɛ basaa mpofirim? Ebetumi ayɛ hu ankasa bere a wote nka sɛ biribi rekɔ so wɔ wo moma so no. Ɛnnɛ yɛreka aduru titiriw bi a wɔde twitwiw nipadua mu a wɔde ma wɔ ayaresabea nkutoo de siw koma a ɛbɔ ntɛmntɛm anaasɛ ɛnyɛ daa yi so ho asɛm. Wɔfrɛ no Ibutilide.
Dɛn ankasa ne Ibutilide?
Sɛ yɛbɛka no tiawa a, yɛn koma no yɛ adwuma bere nyinaa, wɔ nnyigyei a ɛyɛ dɛ mu, esiane anyinam ahoɔden nsɛnkyerɛnne nhyehyɛe a ɛyɛ mmerɛw a ɛwɔ mu nti. Fa no sɛ nnwontofo kuw bi. Bere a obiara bom bɔ nnwom, wɔ biakoyɛ mu nkutoo na wɔte nnwom a ɛyɛ dɛ. Na koma no yɛ ade koro.
Nanso, ɛtɔ mmere bi a, anyinam ahoɔden nsɛnkyerɛnne nhyehyɛe yi yɛ adwuma boro so, na ɛma koma no bɔ ntɛmntɛm a wontumi nhu anaasɛ ɛnteɛ. Wɔ nnuruyɛ mu no, yɛfrɛ tebea yi ‘arrhythmia’ .
Enti, nea aduru a wɔfrɛ no Ibutilide yi yɛ ne sɛ ɛhyɛ saa anyinam ahoɔden nsɛnkyerɛnne a ɛyɛ adwuma boro so no bi so na ɛde koma no nnyigyei san ba tebea a ɛfata na ɛyɛ apɔwmuden mu. Eyi ka nnuru kuw bi a wɔfrɛ no ‘antiarrhythmics’ ho. Ɛne sɛ, ɛyɛ aduru bi a ɛma koma no yɛ adwuma yiye.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na wode aduru yi ama wo
Eyi ho hia paa. Ansa na wo duruyɛfo no besi gyinae sɛ ɔbɛma wo saa aduru yi no, obebisa wo nsɛm kakraa bi. Ɛho hia paa ma w’ahobammɔ sɛ wode nokware no bɛma a womfa biribiara nsie.
| Sɛ wowɔ saa tebea horow yi a... | Dɛn nti na ɛno ho hia? |
|---|---|
| Mmɛn mu yare | Mmɛn no boa ma woyi nnuru fi nipadua no mu. Sɛ ɔhaw bi wɔ mmerɛbo no mu a, ebetumi aka sɛnea aduru no yɛ adwuma yiye. |
| Potassium anaa magnesium dodow a ɛba fam wɔ mogya no mu | Saa aboɔden abo yi ho hia na ama koma no anyinam ahoɔden dwumadi. Sɛ ɛba fam a, Ibutilide betumi de koma no mu ɔhaw foforo aba. |
| Koma mu nyarewa afoforo (e.g. komayare) . | Ɛsɛ sɛ wɔhwɛ yiye kɛse bere a wɔde aduru yi rema obi a ɔwɔ komayare afoforo dedaw no. |
| Ibutilide anaa aduru anaa aduan foforo biara ho akisikuru | Saa nsɛm yi ho hia na wɔasiw akisikuru a emu yɛ den ano. |
| Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn , anaa worema nufu a | Akyinnye biara nni ho sɛ ɛsɛ sɛ wo ne oduruyɛfo no kasa sɛ ebia aduru yi bɛka abofra no anaasɛ ɛrenka no. |
Ɔkwan bɛn so na wɔde aduru yi ma nipadua no?
Eyi nyɛ aduru a wubetumi de akɔ fie anaasɛ wobɛtɔ afi nnurutɔnbea. Wɔde di dwuma wɔ ayaresabea anaa ayaresabea nkutoo, wɔ nnuruyɛfo hwɛ ase tẽẽ.
Wɔde saa aduru yi ma sɛ wɔde fa ntini mu (nkyene aduru) gu ntini bi mu. Eyi kyerɛ sɛ wɔde aduru no ka wo mogya ho nkakrankakra denam kankyee bi so. Wɔde ECG afiri hwɛ wo koma bɔ wɔ bere a wɔde ma no nyinaa mu.
Na sɛ menom nnuru pii nso ɛ?
Esiane sɛ wɔde eyi ma wɔ ayaresabea nti, hokwan a ɛwɔ hɔ sɛ wɔbɛnom boro so no sua koraa. Nanso, sɛ wususuw sɛ eyi asi ɔkwan biara so a, ɛsɛ sɛ wobɔ nnuruyɛfo no amanneɛ ntɛm ara. Sɛ wonom aduru foforo biara boro so a, frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no ntɛm ara , anaa kɔ ayaresabea a ɛbɛn wo no Ayaresa a Ɛho Hia Ntɛmntɛm (ETU) no.
Nnuru afoforo a ebia ɛne aduru yi bedi nkitaho
Eyi nso yɛ asɛm a ɛho hia paa. Ibutilide yɛ aduru a etumi ne nnuru afoforo pii di nkitaho. Enti, sɛnea ɛbɛyɛ a wubenya ahobammɔ no, ka nnuru a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo, a womfa biribiara nsie.
Nea ɛka eyi ho ne:
- Nnuru a nnuruyɛfo afoforo akyerɛw ama wɔn
- Nnuru a w’ankasa wotɔ fi nnurutɔnbea
- Vitamins, minerals, anaa nneɛma afoforo a wɔde ka aduan ho
- Amanne kwan so nnuru anaa Ayurveda nnuru
- Sɛ wonom sigaret anaa wonom nsa a, ka ho asɛm nso kyerɛ yɛn.
Nnuru atitiriw a ebetumi ne Ibutilide adi nkitaho no bi wɔ pon a ɛwɔ ase ha no so. Saa nsɛm a wɔahyehyɛ yi nyɛ nea edi mũ, nanso ɛbɛma woanya adwene bi.
| Nnuru a wɔde di dwuma no fã | Dɛn nti na ɛsɛ sɛ wodwene ho? |
|---|---|
| Nnuru afoforo a wɔde siw koma no nnyigyei ano | Nnuru abien a wɔaka abom no betumi ama nsakrae a ɛyɛ hu aba koma bɔ mu. |
| Nnuru bi a ekum ɔyare mmoawa (sɛ nhwɛso no, Erythromycin, Clarithromycin) . | Eyinom betumi ama asiane a ɛwɔ hɔ sɛ Ibutilide de bɛba no ayɛ kɛse. |
| Nnuru bi a wɔde sa adwenemyare (e.g. Phenothiazines, Tricyclic antidepressants) . | Asiane wɔ hɔ efisɛ saa nnuru yi nso ka koma no anyinam ahoɔden. |
| Nnuru a wɔde sa asramma (e.g. Chloroquine) . | Eyinom nso betumi aka koma no nnyigyei. |
Nsunsuanso bɔne a ebetumi afi aduru no a wɔnom mu aba
Te sɛ aduru biara no, Ibutilide betumi de ɔhaw ahorow aba. Nanso mma ɛnhaw wo, wowɔ aduruyɛfo hwɛ ase wɔ ayaresabea, enti wobetumi asa biribiara ntɛm.
| Nneɛma bɔne a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ nnuruyɛfo ntɛm ara | |
|---|---|
| Nsunsuanso bɔne | Nkyerɛmu |
| Nneɛma a ɛma obi ho yɛ no hyew | Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon. |
| Nsakrae a ɛba koma mu nnyigyei mu | Koma a ɛbɔ daa anaasɛ ɛyɛ ntɛmntɛm, adwenemhaw, ɔtopae, koko mu yaw, ahome a ɛyɛ den. |
| Nneɛma a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ | |
| Tipaeɛ | Tiyɛ a ɛnyɛ den kosi nea ɛkɔ fam. |
| Abofono | Sɛ wote nka sɛ wobɛfe. |
| Ɛyaw wɔ baabi a wɔde injection no maa no | Kɔkɔɔ, ɛyaw kakra, anaa ɔfe wɔ baabi a wɔde kankyee no hyɛɛ mu no. |
Saa nsɛm a wɔahyehyɛ yi nka nsunsuanso bɔne a ebetumi aba nyinaa ho. Sɛ wuhu biribi a ɛyɛ soronko a, ntwentwɛn wo nan ase sɛ wobɛka akyerɛ wo duruyɛfo anaa ɔyarehwɛfo.
Nkrasɛm a Wɔde Kɔ Fie
- Ibutilide yɛ aduru titiriw bi a wɔde ma wɔ ayaresabea nkutoo de siw koma a ɛbɔ ntɛmntɛm anaasɛ ɛnteɛ (arrhythmia) ano.
- Eyi yɛ adwuma denam anyinam ahoɔden nsɛnkyerɛnne a ɛyɛ adwuma boro so a ɛwɔ koma no mu a ɛhwɛ so na ɛma nnyigyei no san ba no so.
- Ansa na wɔbɛma wo saa aduru yi no, ɛho hia sɛ woka nnuru afoforo a worenom nyinaa ne w’ayaresa tebea nyinaa kyerɛ wo duruyɛfo .
- Wɔde ECG afiri bɛhwɛ wo yiye bere a wɔde aduru no rema wo no, enti wowɔ ahobammɔ.
- Sɛ wo tirim yɛ wo yaw, wo koko yɛ wo yaw, ɛyɛ den sɛ wobɛhome, anaasɛ wo ho yɛ wo hyew bere a worenom aduru no a, ka kyerɛ nnuruyɛfo no ntɛm ara .
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