Wɔn a wɔanya adwenemhaw nkutoo na wonim sɛnea ɛyɛ den sɛ wɔne no bɛtra ase. Ɛtɔ da bi a, ebia wo duruyɛfo akyerɛw wo aduru bi a wɔfrɛ no Levomilnacipran sɛ aduru a wɔde sa yare yi. Ebia wubehu saa aduru yi wɔ din Fetzima ase wɔ Sri Lanka. Enti, sɛ́ obi a ɔde saa aduru yi di dwuma no, ɛho hia yiye sɛ wuhu ho biribiara pefee. Ɛnnɛ, momma yɛnka saa aduru yi, sɛnea ɛyɛ adwuma, ne nneɛma a ɛsɛ sɛ yɛhwɛ yiye wɔ ho.
Dɛn ne aduru yi? Ɔkwan bɛn so na ɛyɛ adwuma wɔ nipadua no so?
Sɛ yɛbɛka no tiawa a, Levomilnacipran yɛ aduru a wɔde sa tebea bi a wɔfrɛ no adwenemhaw . Amemene no mu ntini mu nkwammoaa ne wɔn ho wɔn ho di nkitaho de hwɛ yɛn adwene, yɛn adwene, ne kari pɛ so. Nnuru titiriw abien a ɛboa ma wɔyɛ eyi ne serotonin ne norepinephrine .
Obi a ɔwɔ adwenemhaw betumi anya nsakrae bi wɔ sɛnea nnuru yi yɛ adwuma wɔ n’amemene mu no mu. Levomilnacipran yɛ adwuma denam nnuru yi dodow ne dwumadi a ɛkɔ soro wɔ amemene no mu a wɔfrɛ no serotonin ne norepinephrine no so. Sɛ yɛbɛka no pɛpɛɛpɛ a, saa aduru yi ka nnuru bi a wɔfrɛ no SNRI (Serotonin-Norepinephrine Reuptake Inhibitor) ho . Eyi kyerɛ sɛ saa aduru yi mma nnuru yi ntumi nsan nkɔ ntini mu nkwammoaa no mu. Afei esiane sɛ ɛwɔ ntini mu nkwammoaa no mu bere tenten na ɛdɔɔso nti, adwene no tu mpɔn.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom nnuru
Ansa na wubefi ase anom saa aduru yi no, ɛho hia yiye sɛ wobɔ wo duruyɛfo amanneɛ wɔ w’akwahosan ho abakɔsɛm a edi mũ ho. Ebia saa aduru yi ne aduruyɛ mu tebea horow bi bedi nkitaho. Hwɛ pon a ɛwɔ ase hɔ no. Sɛ wowɔ saa tebea horow yi bi a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo.
| Tebea anaa suban a ɛfa wo ho | Dɛn nti na ɛsɛ sɛ woka kyerɛ oduruyɛfo no? |
|---|---|
| Nsa a wɔtaa nom | Nsunsuanso bɔne (titiriw adwenemhaw) betumi akɔ soro. |
| Adwene mu nyarewa afoforo(sɛ nhwɛso no, Mania, Bipolar disorder) . | Saa aduru yi betumi asesa saa tebea horow no. |
| Koma mu yare , mogya mmoroso , anaa koma a ɛbɔ daa | Saa aduru yi betumi ama mogya mmoroso ne koma bɔ kɛse. |
| Asaabo mu yare | Ebia ɛho behia sɛ wɔsesa aduru no dodow. |
| Glaucoma yɛ aniwa mu yare. | Ebia aniwa mu nhyɛso bɛkɔ soro. |
| Sɛ woanya akisikuru a | Asiane a ɛwɔ hɔ sɛ obi benya akisikuru no betumi ayɛ kɛse. |
| Mogya a ɛtɔ gu nipadua mu anaasɛ nnuru a ɛmma mogya nkɔ nipadua no mu (e.g. Warfarin, Aspirin) . | Ɛma asiane a ɛwɔ hɔ sɛ mogya bɛtɔ obi wɔ ɔkwan a ɛnteɛ so no yɛ kɛse. |
| Sɛ wo anaa obi a ɔwɔ w’abusua mu anya adwene sɛ obekum ne ho a | Eyi yɛ asɛm a ɛho hia paa. Oduruyɛfo no bɛhaw eyi titiriw. |
| Sɛ wonyinsɛn , worebɔ mmɔden sɛ wubenyinsɛn , anaasɛ worema nufu a | Ɛsɛ sɛ wɔde adwene si so titiriw efisɛ aduru no betumi aka abofra no. |
| MAOI nnuru a wɔnom (e.g. Marplan, Nardil) . | Nnuru abien yi a wɔbom nom no betumi ayɛ nea asiane wom kɛse. |
Ɔkwan bɛn so na ɛsɛ sɛ mede saa aduru yi di dwuma?
Ɔkwan a wɔfa so de saa aduru yi di dwuma no yɛ mmerɛw yiye, nanso ɛho hia yiye.
- Fa saa aduru yi ne nsu kuruwa biako. Ɛnfa ho sɛ wobɛnom ansa na woadi anaasɛ wobɛnom awie.
- Nea ɛho hia sen biara: Mbubu, nbubu, anaa nwe capsule no da . Mene no nyinaa . Anyɛ saa a, aduru no bɛkɔ nipadua no mu mpofirim na ebetumi de ɔhaw ahorow a ɛyɛ hu aba.
- Fa aduru no sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ, wɔ bere a wɔakyerɛw ama wo no mu. Mma w’ankasa nnsesa dodow a wɔde ma no.
- Mma nnyae aduru no nom mpofirim esiane biribiara nti a wo duruyɛfo mfa afotu mma. Sɛ woyɛ saa a, ebia wubehu sɛnkyerɛnne ahorow a ɛkyerɛ sɛ woagyae, anaasɛ wo tebea no betumi asɛe kɛse. Sɛ wugyae a, yɛ saa sɛnea wo duruyɛfo kyerɛ no, na tew dodow a wode ma no so nkakrankakra.
Na sɛ menom nnuru pii nso ɛ?
Sɛ wususuw sɛ woanom nnuru pii a, frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no ntɛm ara . Anaasɛ kɔ ayaresabea a ɛbɛn wo no Emergency Treatment Unit (ETU) . Eyi yɛ asɛm a egye ntɛmpɛ.
Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?
Yɛn nyinaa werɛ fi sɛ yɛbɛnom yɛn nnuru. Sɛ ɛba saa a, fa dodow a woayera 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 dodow a edi hɔ no wɔ bere a woahyɛ da ayɛ no mu. Mfa nnuru abien prɛko pɛ da.
Nneɛma afoforo a ebia ɛne aduru yi bedi nkitaho
Levomilnacipran yɛ aduru a ebetumi ne nnuru afoforo, nnuan bi, ne nsa adi nkitaho.
Mfa eyinom nka ho koraa:
Sɛ wɔnom saa aduru yi a, wɔabara koraa sɛ wɔbɛnom SNRI nnuru afoforo te sɛ Duloxetine, Venlafaxine, Milnacipran, ne MAOI nnuru (te sɛ Marplan, Nardil). Afei nso, ebia aduru a ekum ɔyare mmoawa Linezolid ne vaccine Methylene blue ne saa aduru yi bedi nkitaho.
Hwɛ yiye efisɛ eyinom nso betumi ne:
- Nsã: Ɛma nneɛma bɔne te sɛ adwenemhaw ne nna a ɛma obi da no yɛ kɛse kɛse.
- Nnuru a wɔde kum ɛyaw: Nnuru a ɛnyɛ steroid a wɔde kum ɔyare mmoawa (NSAIDs) te sɛ Aspirin, Ibuprofen, ne Naproxen.
- Nnuru a ɛma mogya yɛ mmerɛw: Warfarin, Enoxaparin, ne nea ɛkeka ho.
- Nnuru a wɔde sa atiridiinini: Nnuru a ɛte sɛ Triptan te sɛ Sumatriptan.
- Nnuru ne nnuru a wɔde da a wɔde sa adwenemyare afoforo.
- Nnuru a wɔde ma: titiriw St. John’s Wort .
- Nnuru bi a ekum ɔyare mmoawa (Clarithromycin), nnuru a ekum fungal (Ketoconazole), ne nnuru te sɛ Isoniazid a wɔde sa TB.
Enti, sɛ wokɔ wo duruyɛfo nkyɛn a, fa nnuru, vitamin, nhabannuru, ne nnuru a wɔde ka aduan ho a wonom nyinaa ho kyerɛwtohɔ a edi mũ bra. Mma wo werɛ mmfi sɛ wobɛka akyerɛ wɔn sɛ wonom sigaret anaa wonom nsa a.
Nneɛma a ɛsɛ sɛ wususuw ho bere a worenom nnuru no
- Nya abotare: Worenhu nea ebefi mu aba ntɛm ara bere a woanom aduru yi awie no. Ebia ebegye adapɛn pii ansa na ne ho atɔ no koraa. Enti, kɔ so nom aduru no bere tenten a wo duruyɛfo bɛka akyerɛ wo no.
- Hwɛ sɛnea adwene mu nsakrae (ɛho hia yiye): Sɛ wo anaa w’abusua mu bi nya adwene a ɛne sɛ obekum ne ho, wo ho yeraw no, n’adwene mu yɛ no naa, ne bo fuw, anaasɛ ɛyɛ den ma no sɛ ɔde n’adwene besi biribi so , titiriw bere a worefi aduru no ase anaasɛ wɔasesa dodow a wɔde ma no a, frɛ wo duruyɛfo ntɛm ara. Eyi yɛ kɔkɔbɔ a ɛho hia paa.
- Mogya mmoroso: Saa aduru yi betumi ama mogya mmoroso akɔ soro kakra. Enti, susuw wo mogya mmoroso wɔ fie sɛnea wo duruyɛfo kyerɛ no.
- Adwene a ɛyɛ basaa ne nna a ɛma obi da: Saa aduru yi betumi aka sɛnea wutumi de w’adwene si biribi so na woyɛ w’ade ntɛmntɛm no. Enti, kwati sɛ wobɛka kar anaa wode mfiri bedi dwuma kosi sɛ wubehu sɛnea aduru yi ka wo. Sɛnea ɛbɛyɛ a wobɛtew adwenemhaw no so no, sɔre gyina hɔ brɛoo bere a woresɔre afi baabi a wote anaa woresɔre afi mpa so no.
- Ano a ɛyɛ mmerɛw: Eyi yɛ ɔhaw a ɛtaa ba. Wobetumi adi eyi so denam aduru a asikre nnim a wɔbɛwe na wɔanom nsu pii so.
Nsunsuanso bɔne bɛn na ebia menya?
Te sɛ aduru biara no, eyi betumi anya ɔhaw ahorow. Ebinom yɛ aniberesɛm, ebinom nso abu so.
| Nsunsuanso bɔne a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara | |
|---|---|
| Nsunsuanso bɔne | Nkyerɛmu |
| Allergy a ɛma obi ho yɛ no hyew | Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon. |
| Mogya a ɛtɔ a ɛnyɛ ne kwan so | Nsu tuntum anaa tarry, ɔfe a ɛte sɛ kɔfe a wɔayam, nsu kɔkɔɔ/biribiri tuntum, nsensanee kɔkɔɔ/kɔla kɔkɔɔ wɔ honam ani. |
| Serotonin Yare a Ɛyɛ Fɛ | Adwene a ɛyɛ basaa, ahomegye, fifiri a ɛboro so, atiridiinini a ano yɛ den, ntini a ɛyɛ den, akisikuru. Eyi yɛ tebea a asiane wom. |
| Koma a ɛbɔ ntɛmntɛm | Sɛ wote nka sɛ wo koma rebɔ ntɛmntɛm, ɛrebɔ, anaasɛ ɛrebɔ daa. |
| Mogya mmoroso a ɛkɔ soro | Ka kyerɛ oduruyɛfo no. |
| Sodium a ɛso tew wɔ mogya no mu | Ntini mu mmerɛwyɛ, ɔbrɛ, adwenemhaw, adwene a ɛyɛ basaa. |
| Aniwa mu yaw anaasɛ aniwa a ɛsakra | Aniwa a ɛyɛ yaw mpofirim, aniwa a ɛyɛ mmerɛw, nkaa a wohu a atwa akanea ho ahyia. |
| Ɛyɛ den sɛ wobɛtow nsu | Nsu a wɔtow gu biara nni hɔ anaasɛ ɛyɛ kakraa bi. |
| Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo | |
| Akisikuru ne ɔfe | Ɛtaa ba wɔ bere a wofi ase de aduru no di dwuma no mu. |
| Ayamtim | Wɔtaa hu. |
| Fifiri a ɛboro so | - . |
| Nsakrae a ɛba nna ho akɔnnɔ anaa dwumadi mu | Mfɛre sɛ wo ne wo duruyɛfo bɛkasa afa eyi ho. |
Nkrasɛm a Wɔde Kɔ Fie
- Levomilnacipran (Fetzima) yɛ aduru a ɛsa adwenemhaw na ɛka amemene mu nnuru.
- Mmu, nbubu, anaa nwe capsule no da. Mene no nyinaa.
- Kwati sɛ wubegyae aduru no mpofirim a wunnya wo duruyɛfo afotu.
- Ka nnuru afoforo, vitamin, ne nhabannuru a wɔde ma a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo.
- Sɛ wote nka sɛ wo ho sakra anaasɛ wususuw sɛ wubekum wo ho wɔ ayaresa no mu ntɛm a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Dodow a wɔnom boro so no yɛ ade a egye ntɛmpɛ. Ntɛm ara kɔ National Poisons Information Center anaa ayaresabea a ɛbɛn wo ETU .
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