So wowɔ ɔhome mu haw a ɛtra hɔ kyɛ nso, kyerɛ sɛ, tebea bi te sɛ COPD (Chronic Obstructive Pulmonary Disease)? Wɔ tebea horow a ɛtete saa mu no, ebia wo duruyɛfo no aka akyerɛ wo sɛ fa nebulizer so nom nnuru. Nnuru titiriw biako a wɔde ma wɔ saa kwan yi so na ɛma home yɛ mmerɛw ne Ipratropium. Mpɛn pii no wubetumi anya eyi wɔ brand din Atrovent ase. Enti ɛnnɛ, momma yɛnka aduru yi, sɛnea wɔde di dwuma, ne nneɛma a ɛsɛ sɛ yɛhwɛ yiye wɔ ho no ho asɛm tiawa koraa.
Aduru bɛn na Ipratropium yɛ?
Sɛ yɛbɛka no tiawa a, Ipratropium yɛ aduru a ɛma ntini a ɛwɔ mframa kwan a ɛwɔ w’ahurututu mu no dwo, na ɛtrɛw, na ɛma ɛyɛ mmerɛw sɛ wobɛhome na woafi mu. Wɔde di dwuma titiriw de di ɔhome tebea horow a ɛtra hɔ kyɛ te sɛ COPD ho dwuma .
Nanso eyi ho hia yiye: Ipratropium nyɛ aduru a wɔde sa ayamtu a ɛyɛ hyew mpofirim. Ebia wo duruyɛfo ama wo "reliever" inhaler a ɛyɛ soronko a ɛyɛ adwuma ntɛmntɛm ama ɛno. Wɔde saa aduru yi di dwuma de hyɛ wo sɛnkyerɛnne ahorow no so na wɔasiw ano bio.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom nnuru
Ansa na wubefi ase de saa aduru yi adi dwuma no, ɛho hia sɛ wobɔ wo duruyɛfo amanneɛ wɔ nyarewa foforo biara ne akisikuru a wowɔ ho, efisɛ ɛsɛ sɛ yɛhwɛ yiye kɛse bere a yɛde saa aduru yi redi dwuma wɔ tebea horow bi mu no.
| Tebea a ɛsɛ sɛ wobɔ ho amanneɛ | Dɛn nti na ɛno ho hia? |
|---|---|
| Glaucoma (nhyɛso a ɛkɔ soro wɔ aniwa mu) . | Sɛ saa aduru yi kɔ w’ani so a, w’aniwa tebea no betumi asɛe kɛse. Enti, ɛsɛ sɛ wohyɛ nebulizer akataso no yiye na wohwɛ hu sɛ aduru no nsu a ɛyɛ hyew no renkɔ w’ani so. |
| Ɛyɛ den sɛ wobɛtow nsu anaasɛ prostate ho haw ahorow | Saa aduru yi betumi aka sɛnea wutumi kura nsu mu, enti sɛ wowɔ ɔhaw a ɛte saa dedaw a, ɛho hia sɛ woka kyerɛ wo duruyɛfo . |
| Koma mu yare anaa koma a ɛbɔ a ɛnteɛ daa | Ɛwom sɛ saa aduru yi ho yɛ na de, nanso ebetumi aka koma no bɔ. Enti, sɛ wowɔ komayare ho abakɔsɛm a, yɛsrɛ sɛ bɔ yɛn amanneɛ. |
| Nneɛma ahorow a ɛma obi ho yɛ no yaw (Allergies) . | Akyinnye biara nni ho sɛ ɛsɛ sɛ woka kyerɛ yɛn sɛ wowɔ akisikuru bi, titiriw wɔ nneɛma te sɛ Ipratropium, Atropine, soya protein, anaa atoko ho. |
| Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaa worema nufu a | Wɔ tebea horow yi mu no, ɛho hia yiye sɛ wo ne wo duruyɛfo bɛkasa ansa na wode aduru biara adi dwuma na woate mfaso ne asiane a ɛwɔ so no ase. |
Wobɛyɛ dɛn de saa aduru yi adi dwuma yiye wɔ nebulizer ho?
Nebulizer yɛ afiri a ɛdan nnuru a ɛyɛ nsu ma ɛyɛ nsuo a ɛyɛ fɛ. Sɛ wohome saa nsuyiri yi fa w’anom anaasɛ fa w’ano ne hwene mu (fa akataso so) a, aduru no kɔ w’ahurututu mu tẽẽ.
Anamɔn a ɛnyɛ den a ɛsɛ sɛ wudi akyi:
1. Nea edi kan no, fa samina hohoro wo nsa yiye.
2. Fa Ipratropium nsuo aduru dodoɔ a oduruyɛfoɔ no akyerɛw ama no no gu kuruwa ketewa (nebulizer kuruwa) a ɛwɔ nebulizer no mu no mu.
3. Fa nebulizer no afã afoforo (mask anaa ano aduru ne tube) no bata ho yiye.
4. Sɛ ɛyɛ akatasoɔ a, fa to w’anim sɛdeɛ ɛbɛyɛ a ɛbɛkata wo hwene ne w’ano yie. Sɛ ɛyɛ ano aduru a, fa w’anofafa kura mu denneennen.
5. Afei dan nebulizer no na home sɛnea ɛsɛ. Kɔ so home saa kwan yi so kosi sɛ aduru no mu nsuo bɛyera (bɛyɛ simma 10-15).
6. Sɛ wowie a, paapae nebulizer no mu na tew ho sɛnea nea ɔyɛe no kyerɛ no.
Ade a ɛho hia sen biara ne sɛ wode dodow ne mpɛn dodow a wo duruyɛfo akyerɛ wo nkutoo bedi dwuma. Mma nnsesa dodow a wɔde ma no da sɛnea wopɛ anaasɛ fa di dwuma mpɛn pii nsen nea wɔakyerɛw ama wo no.
Sɛ wonom nnuru boro so anaasɛ wopa dodow bi a, dɛn na ɛsɛ sɛ woyɛ?
Sɛ wɔma dodow a wɔde ma no kɔ soro a
Sɛ wususuw sɛ woanom nnuru pii sen sɛnea wususuw a, kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo ntɛm ara . Anaasɛ kɔ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ no nkyɛn.Wubetumi afrɛ Ɔman Awuduru Ho Amanneɛbɔbea hɔ akɔhwehwɛ afotu.
Sɛ wopa aduan bi a
Sɛ wopa dose bi a, fa no bere a woakae ara pɛ. Nanso, sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ no a, twa dodow a woayera no so na fa wo dodow a edi hɔ no wɔ bere a woahyɛ da ayɛ no mu. Mfa nnuru abien prɛko pɛ da mfa nsiesie dodow a woayera no.
Nnuru afoforo bɛn na ebetumi ne aduru yi adi nkitaho?
Ipratropium betumi ne nnuru afoforo a worenom no adi nkitaho. Enti ma wo duruyɛfo no nkyerɛw nnuru a worenom nyinaa, a vitamin, nhabannuru, ne nnuru a wɔde ka ho ka ho. Hwɛ yiye titiriw wɔ nnuru a edidi so yi ho:
- Atropine a wɔde di dwuma
- Nnuru bi a ekum histamine ma atiridii ne akisikuru
- Nnuru a wɔde sa akisikuru ho haw (sɛ nhwɛso no, oxybutynin, tolterodine) .
- Nnuru bi a wɔde sa adwenemyare
- Nnuru bi a wɔde sa yafunu mu yaw (e.g. dicyclomine) .
- Nnuru a ɛsɛ sɛ wɔnom ma ɔfe bere a wɔretu kwan (e.g. scopolamine) .
- Nnuru bi a wɔde sa Parkinson yare no
Saa list yi nwie pɛyɛ. Enti , mfa nnuru biara nfra nebulizer no mu anaasɛ mfi ase nyɛ foforo a wommisa wo duruyɛfo.
Nsunsuanso bɔne a ebetumi aba bere a wɔrenom aduru no
Te sɛ aduru biara no, Ipratropium betumi de ɔhaw ahorow bi aba. Eyinom bi yɛ aniberesɛm, bere a afoforo nso abu so.
| Nsunsuanso bɔne | Nkyerɛkyerɛmu ne nea ɛsɛ sɛ wɔyɛ |
|---|---|
| Nsunsuanso bɔne a anibere wom a ɛhwehwɛ sɛ wɔkɔ ayaresabea ntɛm ara | |
| Nneɛma a ɛma obi ho yɛ no hyew | Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon. Kɔ oduruyɛfo nkyɛn ntɛm ara. |
| Aniwa a ɛyɛ yaw mpofirim anaasɛ n’ani sesa | Nneɛma te sɛ ani a wontumi nhu ade yiye, nkaa a wohu a atwa akanea ho ahyia, anaasɛ aniwa a ɛyera. Kɔ oduruyɛfo nkyɛn ntɛm ara. |
| Ɛyɛ den sɛ wobɛtow nsu | Sɛ woreto nsu pii anaasɛ ɛyɛ den a, ka kyerɛ wo duruyɛfo. |
| Ɔhome a ɛyɛ den a ɛkɔ soro bere a wanom aduru no awie no | Eyi yɛ ade a ɛntaa nsi (paradoxical bronchospasm). Sɛ eyi ba a, mfa aduru no nni dwuma bio na kɔ oduruyɛfo nkyɛn ntɛm ara. |
| Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo | |
| Ano a ɛyɛ nwunu | Wubetumi anya ahotɔ denam nsu bi a wobɛnom ne aduru a asikre nnim a wobɛwe so. |
| Ɛwa | Mpɛn pii no, eyi brɛ ase wɔ nna kakraa bi mu. Sɛ ɛkɔ so a, ka kyerɛ wo duruyɛfo . |
| Tipaeɛ | Home. Sɛ ɛho hia a, wubetumi ne oduruyɛfo no akasa na woanya nnuru bi a wɔde kum ɛyaw. |
| Ayamtim | Nom nsu pii na di nnuan a ahoɔdennuru wom (nnuaba, nhabannuru) pii. |
Nkrasɛm a Wɔde Kɔ Fie
- Ipratropium yɛ aduru a wɔde di ɔhome mu nyarewa a ɛtra hɔ kyɛ te sɛ COPD ho dwuma, na ɛnyɛ aduru a wɔde di dwuma wɔ tebea horow a egye ntɛmpɛ mu.
- Ansa na wubefi saa aduru yi ase no, hwɛ hu sɛ wobɛka w’ayaresa tebea ne nnuru afoforo a wonom nyinaa akyerɛ wo duruyɛfo.
- Fa nebulizer no di dwuma sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ. Mma dodow a wɔde ma no nkɔ soro da.
- Sɛ wunya ɔhaw bi a emu yɛ den te sɛ aniwa mu yaw, nsakrae a ɛba w’ani so, akisikuru a emu yɛ den, anaasɛ ɛyɛ den sɛ wobɛhome bere a woanom aduru no awie a, hwehwɛ ayaresa ntɛm ara.
- Saa aduru yi yɛ wo nkutoo dea. Mma obi foforo mfa nni dwuma esiane biribiara nti.
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