So wode nnuru a wɔde siw awo ano redi dwuma sɛ abusua nhyehyɛe? Anaasɛ woreyɛ nhyehyɛe sɛ wode bedi dwuma? Afei ɛho hia yiye sɛ wuhu aduru ko a worenya. Wɔsan frɛ no "adamfofa nnuru" wɔ yɛn mu wɔ Sri Lanka, saa nnuru yi kura hormone ahorow abien. Ɛnnɛ, yɛbɛka saa awo ano aduru yi a ɛyɛ hormone abien a wɔfrɛ no Levonorgestrel ne Ethinyl Estradiol a nnipa pii de di dwuma no ho asɛm.
Dɛn ne nnuru a wɔde sa yare yi? Dɛn ankasa na eyi yɛ?
Sɛ yɛbɛka no tiawa a, eyi yɛ aduru bi a wɔde siw awo ano ma mmea. Mmea hormone ahorow abien na ɛwɔ mu, estrogen ne progestin, a wɔde nneɛma a wɔayɛ.
Ade titiriw a saa aduru yi yɛ ne sɛ esiw wo nipadua no kwan sɛ ɛbɛtwetwe nkesua, a ɛyɛ bere a wɔayi nkesua bi fi awotwaa mu . Sɛ wɔannyi nkesua bi mfi mu a, mmadwoa ntumi mma no mma. Afei nyinsɛn ntumi mma. Nea ɛka ho no, ɛyɛ nneɛma afoforo te sɛ awotwaa mu nsu a ɛma ɛyɛ den, na ɛma ɛyɛ den sɛ mmadwoa bɛkɔ mu. Saa nnuru yi wɔ din ahorow a wɔde frɛ wɔn. Wo duruyɛfo bɛkamfo ɔkwan a eye ma wo akyerɛ wo.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi saa aduru yi ase
Eyi ho hia paa. Ansa na wubefi ase de nnuru yi adi dwuma no, ɛsɛ sɛ woka w’akwahosan ho abakɔsɛm nyinaa kyerɛ wo duruyɛfo. Titiriw sɛ wowɔ tebea horow a wɔabobɔ din wɔ ase ha no bi anaasɛ woanya bi a .
- Mogya a ɛtwetwe ho haw anaa mogya ntini mu nyarewa.
- Sɛ́ obi anya kokoram wɔ nufu, awotwaa, awotwaa, awotwaa, anaa mmerɛbo mu anaasɛ wanya bi.
- Sɛ wotaa tu mogya a ɛba wo awotwaa mu a ɛnyɛ ne kwan so esiane nea wonnim nti a.
- Sɛ wowɔ mogya mmoroso a .
- Sɛ wowɔ asikreyare (Diabetes Mellitus) a .
- Sɛ woadi kan anya komayare, komayare, anaa akisikuru a .
- Migraine , titiriw sɛ wowɔ atiridiinini a emu yɛ den a ɛde nsakrae ba w’ani so a.
- Mmɛn anaa akisikuru mu yare.
- Sɛ wo mogya mu srade anaa triglyceride dodow dɔɔso yiye a.
- Eyi ho hia titiriw sɛ woyɛ obi a ɔnom sigaret , titiriw sɛ woadi boro mfe 35 a.
- Nyarewa a ɛma nipadua no tumi ko tia nyarewa te sɛ Systemic Lupus Erythematosus (SLE).
- Sɛ awo bi wɔ hɔ nnansa yi anaasɛ nyinsɛn a wogyaee a.
- Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a.
- Sɛ woyɛ ɛna a worema nufu a.
- Sɛ wowɔ aduru foforo biara, aduan, anaa aduru foforo biara ho adwenemhaw a.
Ɛho hia yiye ma w’ankasa ahobammɔ sɛ wobɛka akyerɛ wo duruyɛfo a womfa saa nneɛma yi nsie, efisɛ nnuru yi a wode bedi dwuma ne tebea horow yi bi no betumi ayɛ nea asiane wom.
Ɔkwan bɛn so ankasa na wode eyi di dwuma?
Ɛho hia yiye sɛ wudi sɛnea wɔde eyi bedi dwuma no akyi pɛpɛɛpɛ.
- Ɛsɛ sɛ wɔde ano nom saa aduru yi. Bɔ mmɔden sɛ wobɛnom bere koro mu da biara da sɛ ɛbɛyɛ yiye a . Ebia nnipa binom bɛte nka sɛ wɔn ho ayɛ wɔn yaw bere a wɔanom eyi awie no. Nea ɛbɛyɛ na eyi so atew no, ɛyɛ papa sɛ wode bɛka adidi anaa bere a woadi akyi.
- Fa nnuru no nnidiso nnidiso sɛnea agyan anaa nɔma a ɛwɔ aduru no ho nkyerɛwde so no kyerɛ no . Mma nnsesa sɛnea wɔahyehyɛ no.
- Nsakra wo nnuru dodow sɛnea wopɛ, gye sɛ wo duruyɛfo ka kyerɛ wo sɛ yɛ saa.
- Kenkan Patient Information Leaflet a ɛka w’aduru ho no yiye bere nyinaa.
Sɛ wopa aduru bi a wɔde hyɛ wo mu a, dɛn na woyɛ?
Sɛ wo werɛ fi sɛ wobɛnom aduru bi wɔ akwanhyia mu a, di akwankyerɛ a ɛwɔ nsɛm ho kratasin a ɛka aduru no ho no akyi. Mpɛn pii no, sɛ wopa nnuru bɛboro biako a, ebia tumi a aduru yi de siw nyinsɛn ano no so bɛtew. Wɔ tebea a ɛte saa mu no, nyansa wom sɛ wode ɔkwan foforo a wɔfa so siw nyinsɛn ano, te sɛ kɔndɔm, bedi dwuma ɔsram no mu bere a aka no. Sɛ w’adwene mu yɛ wo naa a, wo ne wo duruyɛfo nkasa.
Na sɛ menom nnuru pii nso ɛ?
Sɛ wususuw sɛ woanom nnuru pii sen sɛnea wususuw a, kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo ntɛm ara. Anaasɛ frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ no na woanya afotu.
Nneɛma afoforo a ebia ɛne aduru yi bedi nkitaho
Saa nnuru a wɔde siw awo ano yi betumi ne nnuru afoforo a worenom no adi nkitaho. Eyi betumi atew nnuru yi a etu mpɔn no so anaasɛ ebetumi ama nea efi mu ba no ayɛ kɛse.
Enti, ka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo (a wo duruyɛfo akyerɛw ama wo, a wɔmfa nnuru nhyɛ mu, vitamin, nhabannuru anaa Ayurvedic nnuru, nnuru a wɔde ka ho). Saa nnuru yi betumi ayɛ ɔhaw titiriw:
- Nnuru ahorow bi a ekum ɔyare mmoawa
- Aduru a wɔde sa akisikuru (fits) .
- Nnuru a wɔde sa HIV yareɛ
- Nnuru a wɔde sa adwenemyare ahorow bi
- Nneɛma a wɔde nhabannuru yɛ te sɛ St. John’s wort
Enti, ma wo duruyɛfo no nkyerɛw nnuru biara, vitamin biara, ne nhabannuru biara a wobɛnom. Ɛno ne ade a ahobammɔ wom sen biara a ɛsɛ sɛ woyɛ.
Dɛn ne nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ aduru biara no, eyi betumi anya ɔhaw ahorow. Ɛnyɛ obiara na onya wɔn. Ma yɛnhwɛ nea saa nsunsuanso bɔne no yɛ.
| Nneɛma bɔne a efi mu ba no mu nkyekyɛmu | |
|---|---|
| Nneɛma bɔne a anibere wom a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara | |
| Nneɛma a ɛma obi ho yɛ no hyew | Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon. |
| Mogya a ɛtwetwe | Nan mu yaw, ɛho ahonhon anaa ɔhyew, ahome a ɛyɛ den, koko mu yaw. |
| Nnwodwoɔ | Anim, abasa, anaa nan a ɛyɛ mmerɛw mpofirim anaa ɛyɛ mmerɛw, kasa a ɛyɛ den, nantew a ɛyɛ den, tiyɛ a emu yɛ den. |
| Mmerɛbo mu haw (Mmerɛbo mu opira) . | Ɛyaw a ɛba yafunu no nifa so atifi, aduan ho akɔnnɔ a ɛyera, honam ani anaa aniwa a ɛyɛ kɔkɔɔ, nsu a ɛyɛ tumm. |
| Foforɔ | Mogya mmoroso, atiridiinini foforo anaasɛ ɛreyɛ kɛse, adwenemhaw. |
| Nneɛma bɔne a ɛtaa ba, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔkɔ ayaresabea | |
| Nipadua mu nsakrae | Nufu mu yaw anaasɛ ɛyɛ mmerɛw, mu duru a ɛkɔ soro kakra, anim a ɛyɛ tuntum anaa honam ani mmeae a owia bɔ. |
| Foforɔ | Akisikuru, brayɛ a ɛnkɔ so daa, anaa mogya a ɛba kakra (spotting) bere a ɔrekɔ brayɛ mu. |
Nkrasɛm a Wɔde Kɔ Fie
- Ansa na wode saa nnuru yi bedi dwuma no, ka w’aduruyɛ ho abakɔsɛm nyinaa (titiriw mogya a ɛtɔ, mogya mmoroso, kokoram, ne nea ɛkeka ho) kyerɛ wo duruyɛfo.
- Mmea a wɔadi boro mfe 35 a wɔnom sigaret no wɔ asiane kɛse mu sɛ mogya bɛtɔ wɔn na wɔanya akisikuru bere a wɔde nnuru yi di dwuma no. Enti, kwati sigaretnom koraa.
- Saa nnuru yi siw nyinsɛn ano nkutoo. Wɔmmɔ wɔn ho ban mfi HIV (AIDS) anaa nyarewa afoforo a wonya fi nna mu (STDs) ho. Fa akwanside kwan te sɛ kɔndɔm di dwuma.
- Nom aduru no bere koro mu da biara, sɛnea wɔakyerɛ wɔ aduru no ho nkyerɛwde so no. Sɛ wopa aduru bi a, di akwankyerɛ no akyi ntɛm ara.
- Hwehwɛ aduruyɛ ntɛm ara sɛ wunya ɔhaw biara a emu yɛ den te sɛ wo koko mu yaw, ɛyɛ den sɛ wobɛhome, ɛyaw a emu yɛ den/ɛhonhon wɔ nan bi mu, anaasɛ ɛyɛ den sɛ wobɛkasa a.
- Fa saa aduru yi to akyirikyiri fi mmofra ne afieboa ho na fa sie baabi a ɛhɔ yɛ hyew.
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