So ɛtɔ mmere bi a wote nka sɛ wo moma so ayɛ wo den anaasɛ wo ho ayɛ wo den bere a woforo antweri, wobrɛ kakra, anaa wo nantew ntɛmntɛm no? Wɔ aduruyɛ mu no, yɛfrɛ tebea yi angina ɛyaw. Sɛ yɛbɛka no tiawa a, ɛyaw yi ba bere a koma no nnya mframa pa dodow a ɛho hia no. Enti, Isosorbide Mononitrate yɛ aduru a nnuruyɛfo taa kamfo kyerɛ na nnipa pii de siw angina ɛyaw yi ano. Ɛnnɛ, yɛbɛka aduru a ɛho hia yi ho asɛm wɔ ɔkwan a ɛnyɛ den koraa so.
Aduru bɛn na Isosorbide Mononitrate yɛ?
Isosorbide Mononitrate yɛ aduru a ɛka nnuru kuw a wɔfrɛ no nitrates ho . N’adwuma titiriw ne sɛ ebesiw komayare, kyerɛ sɛ, angina, a ɛbɛba no ano.
Fa wo koma sɛ pɔmpɛ a ɛyɛ adwuma a ennyae. Sɛ mogya ntini a ɛde mogya kɔ pɔmpɛ yi mu no yɛ teateaa a, ɛsɛ sɛ pɔmpɛ no yɛ adwumaden kɛse. Ɛno na ɛyaw no ba. Enti nea aduru yi yɛ ne sɛ ɛtrɛw saa mogya ntini no mu kakra (ɛma ɛyɛ mmerɛw), na ɛma ɛyɛ mmerɛw sɛ mogya bɛsen. Afei adesoa a ɛda koma no so, kyerɛ sɛ, adwuma dodow no so tew. Afei ɛyaw a ɛwɔ angina mu nso so tew.
Ade a ɛho hia sen biara: Wɔde saa aduru yi "siw" angina ɛyaw ano, na ɛnyɛ sɛ "wɔtew ɛyaw a ɛba mpofirim so ntɛm ara." Nnuru ahorow a wɔde ma wɔ ɛyaw a ɛba mpofirim no yɛ soronko. Enti ma eyi ntra w’adwenem.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom nnuru
Ansa na wo duruyɛfo bɛkyerɛw saa aduru yi ama wo no, nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ wohwɛ yiye. Ɛho hia yiye ma w’ankasa ahobammɔ sɛ wobɛka saa nneɛma yi ho asɛm pefee.
- Sɛ woadi kan anya komayare anaa komayare a .
- Sɛ wo ho nyɛ wo hyew wɔ Isosorbide Mononitrate anaa nitrate foforo biara ho a, ka kyerɛ wo duruyɛfo. Afei nso, sɛ wo ho nyɛ wo hyew wɔ nnuru afoforo, nnuan, nnuru a wɔde yɛ nneɛma, anaa nneɛma a wɔde siesie nneɛma ho a, ka kyerɛ wo duruyɛfo.
- Sɛ woanyinsɛn , anaasɛ worehwɛ akokoaa kwan a .
- Sɛ woyɛ ɛna a ɔma nufu a .
Oduruyɛfo no begyina saa nsɛm yi so asi gyinae sɛ ebia aduru yi fata wo anaasɛ ɛnsɛ, anaasɛ ɛsɛ sɛ wɔsesa dodow a wɔde ma no.
Ɔkwan bɛn so ankasa na mede saa aduru yi di dwuma?
Eyi nso ho hia paa. Sɛ wopɛ sɛ wunya aduru bi so mfaso kɛse a, ɛsɛ sɛ wode di dwuma yiye.
- Fa nsu kuruwa mene saa aduru yi.
- Mmu, nbubu, anaa nwe tablet no.Eyinom yɛ "Extended-Release" (ETU) nnuru titiriw. Eyi kyerɛ sɛ wɔayɛ aduru no sɛnea ɛbɛyɛ a bere kɔ so no, ɛbɛkɔ nipadua no mu. Sɛ wobubu pill no a, saa adeyɛ no yera.
- Fa w’aduru no sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ, bere a wo duruyɛfo bɛkyerɛw ama wo no. Sɛ wonom pɛnkoro pɛ da biara a, bɔ mmɔden sɛ wobɛnom bere koro mu da biara.
- Sɛ wo ho tɔ wo mpo a, nnyae aduru no nom mpofirim a wo duruyɛfo nka ho afotu.
- Ebia aduru yi behia sɛ wɔhwɛ so yiye sɛ wɔde ma mmofra a. Wo ne wo duruyɛfo nka eyi ho asɛm.
Na sɛ menom nnuru pii wɔ akwanhyia mu nso ɛ?
Sɛ wususuw sɛ woanom nnuru pii wɔ akwanhyia mu a, kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo ntɛm ara. Anaasɛ, frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no .
Kae sɛ oduruyɛfo no kyerɛw saa aduru yi maa wo nkutoo. Mfa saa aduru yi mma w’adamfo bi esiane sɛ wɔwɔ ɔhaw koro no ara nti.
Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?
Sɛ wo werɛ fi sɛ wobɛnom 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 mmɔho abien da mfa nsiesie dodow a wo werɛ afi no.
Nneɛma afoforo a ebetumi ne aduru yi adi nkitaho (Nkitahodi) .
Eyi ho hia paa. Isosorbide Mononitrate a wɔde ka nnuru afoforo bi ho no betumi anya nsunsuanso bɔne a ɛyɛ hu. Enti hwɛ eyi so yiye.
| Nnuru ahorow a wɔde di dwuma | Nkyerɛmu |
|---|---|
| Mfa eyinom nnye din da! | |
| ED Nnuru a Wɔde Yɛ Adwuma | Nnuru te sɛ Avanafil, Sildenafil (Viagra), Tadalafil, ne Vardenafil. Sɛ wɔka saa abien yi bom a, ebetumi ama mogya mmoroso akɔ fam wɔ ɔkwan a ɛyɛ hu so. |
| Riociguat na ɛwɔ hɔ | Eyi nso yɛ mogya mmoroso aduru. Sɛ wode Isosorbide ka ho a, asiane wom kɛse. |
| Hwɛ yiye bere a wode eyinom rekɔ no. | |
| Nnuru a Wɔde Ma Mogya Nhyɛso | Sɛ wɔka eyinom bom a, ebetumi ama obi adwenem ayɛ no naa na mogya mmoroso akɔ fam. |
| Nnuru afoforo a wɔde sa angina anaa komayare | Fa di dwuma sɛnea wo duruyɛfo kyerɛ no nkutoo. |
Saa list yi nwie pɛyɛ. Enti, ka nnuru a wonom nyinaa (a vitamin, nhabannuru, ne nnuru a wɔde ka ho) , ne sɛ wonom sigaret anaa wonom nsa ho asɛm kyerɛ wo duruyɛfo.
Nneɛma a ɛsɛ sɛ wususuw ho bere a worenom nnuru no
- Adwene a ɛyɛ wo yaw: Ebia wobɛte nka sɛ wo ho ayɛ wo yaw anaasɛ wo ti ayɛ wo hare bere a wode aduru yi redi dwuma no. Kwati sɛ wobɛka kar anaa wode mfiri bedi dwuma kosi sɛ wubehu sɛnea aduru yi ka wo.
- Mma nnsɔre ntɛm dodo: Sɛnea ɛbɛyɛ a wobɛtew adwenemhaw ne ɔtopae so no, sɔre brɛoo bere a wosɔre fi tenabea anaa woda mu no. Hwɛ yiye wɔ eyi ho titiriw sɛ woabɔ akwakoraa a.
- Nsã: Sɛ obi nom nsa a, ebetumi ama obi adwenem ayɛ no naa, ne ho atɔ no, na ne koma abɔ kɛse. Enti, ɛyɛ nea asiane biara nni ho sɛ wobɛtwe wo ho afi nsa ho koraa bere a worenom aduru yi no.
- Nnuru a wɔde sa nyarewa afoforo: Sɛ wofe, atiridii, anaa wo nipadua mu yɛ wo yaw a, ntɔ nnuru mfi nnurutɔnbea a wonkɔ wo duruyɛfo nkyɛn. Nnuru a wɔde kum ɛyaw ne nnuru a wɔde fa ɔfe bi betumi ama wo mogya mmoroso akɔ soro.
Nsunsuanso bɔne a aduru no de ba
Te sɛ aduru biara no, eyi betumi anya nkɛntɛnso bɔne bi. Momma yɛnhwɛ nea wɔyɛ.
| Sɛ wuhu saa sɛnkyerɛnne ahorow yi a, kɔ oduruyɛfo nkyɛn ntɛm ara. | |
|---|---|
| Nneɛma a ɛma obi ho yɛ no hyew | Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon. |
| Mogya mmoroso a ɛba fam | Adwene a ɛyɛ basaa, akisikuru, aniwa a ɛyɛ kusuu. |
| Koma a ɛbɔ brɛoo | Adwene a ɛyɛ basaa, akisikuru, ɛyɛ den sɛ ɔbɛhome, ɔbrɛ a ɛyɛ soronko. |
| Angina a ɛreyɛ kɛse | Ɛyaw, nhyɛso, anaa nea ɛyɛ den a ɛkɔ soro wɔ koko, kɔn, akyi, anaa abasa mu. |
| Methemoglobinemia ho sɛnkyerɛnne ahorow | (Eyi ye tebea a mogya no ntumi nkɔ oxygen) - Tiyɛ a emu yɛ den, mmerɛwyɛ soronko, ɔhome a ɛyɛ den, akisikuru, ɔfe, koma bɔ ntɛmntɛm, honam ani bruu anaa anofafa. |
| Nhyɛso a ɛkɔ soro wɔ amemene no ho | Tiyɛ a emu yɛ den, aniwa a ɛyɛ mmerɛw, nsakrae a ɛba wɔ aniwa mu, akisikuru, ɔfe. |
| Mpɛn pii no, eyinom nyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ka kyerɛ wo duruyɛfo. | |
| Adwene a ɛyɛ basaa | Ebia eyi so bɛtew bere a nipadua no de aduru no yɛ ne su no. |
| Tipaeɛ | Ɛtaa ba wɔ nna kakraa a edi kan bere a wɔafi aduru no ase akyi no mu. |
| Flushing a wɔde wɔn ho hyɛ mu | Wora a ɛyɛ kɔkɔɔ anaasɛ ɔhyew a ɛte nka. |
Nkrasɛm a Wɔde Kɔ Fie
- Isosorbide Mononitrate yɛ aduru a esiw angina (koko mu yaw) ano, ɛnyɛ aduru a ɛsa ɛyaw a ɛba mpofirim ntɛm ara.
- Mfa eyi nka nnuru te sɛ Sildenafil (Viagra), a wɔde di dwuma ma nna mu ɔhaw ahorow ho da. Ebetumi de nkwa ato asiane mu.
- Mene saa aduru yi nyinaa a wommubu, nbubu, anaasɛ worenwe .
- Nnyae w’aduru no nom mpofirim a wunnya wo duruyɛfo afotu.
- Esiane sɛ adwenemhaw betumi aba bere a worenom aduru no nti, hwɛ yiye bere a woreyɛ nneɛma a asiane wom te sɛ karka no. Kwati nsa a wobɛnom.
- Ɛho hia sɛ wobɔ wo duruyɛfo amanneɛ wɔ nnuru afoforo a worenom nyinaa ho.
👩🏽 ⚕️ Nsɛmmisa foforo (FAQs)
💬 Isosorbide Mononitrate / Imdur tablets yɛ aduru a wɔde sa yareɛ bɛn?
Eyi nyɛ komayare aduru a wɔde di dwuma kwa! Eyi yɛ aduru a etu mpɔn kɛse (Nitrate vasodilator) a ɛma wotumi di angina pectoris so bere tenten, tebea a ɛba bere a mogya nnɔɔso nkɔ koma no mu ansa na komayare aba no. ‘Extended-Release’ a ɛwɔ eyi mu no kyerɛ sɛ, sɛ wonom pill biako a, aduru a ɛwɔ mu no tew wɔ nipadua no mu (boro nnɔnhwerew 12-24) (Long-acting), enti worennya wo koko mu yaw da mũ nyinaa.
💬 Sɛ wote nka sɛ wo koko mu yɛ den/koma yareɛ reba a, wobɛyɛ dɛn adi so bere a wonom saa nnuru (Isosorbide) yi?
Koko mu yaw ba efisɛ koma ntini no brɛ esiane mogya a ɛnnɔɔso nti. Sɛ saa aduru yi hyɛn nipadua no mu a, ɛdan nnuru bi a wɔfrɛ no ‘Nitric Oxide (NO)’ wɔ nipadua no mu. Sɛ saa mframa no hyɛn mu ara pɛ a, mogya ntini (titiriw ntini nhyehyɛe) a ɛba koma no mu na ɛwɔ nipadua no nyinaa mu no nyinaa dwo/trɛw ntɛm ara (Vasodilation). Afei, ɔhaw/adesoa a ɛwɔ sɛ koma no bɛbɔ mogya no yera ntɛm ara, enti koko mu yaw no sa prɛko pɛ.
💬 Dɛn ne asiane a ɛyɛ hu (Black Box Warning) a ɛnsɛ sɛ nnipa a wɔnom saa aduru yi (Imdur) ‘yɛ da’?
Sɛ worenom saa aduru yi a, nnom nnuru te sɛ ‘Viagra / Sildenafil / Cialis’ da de kanyan nna bere koro mu/kɔ so! Sɛ woka bom a, mogya ntini no nyinaa bɛtrɛw dodo na wo mogya so atew akodu zero (Fatal Hypotension) na ebia wobɛkɔ coma mu na woawu! Ɔhaw a ɛtaa ba a obiara nya ne sɛ ɛma wo ti yɛ wo yaw te sɛ nea ɛbɛpae (Severe Headaches).
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