Fa no sɛ sɛ wɔtwe wo sẽ, anaa kuru ketewaa bi a ɛsɛ sɛ wɔpam a, oduruyɛfo no di kan de aduru ketewaa bi ma wo de ma beae no yɛ mmerɛw, ɛnte saa? Eyi yɛ nea ɛbɛma ɛyaw a wote saa bere no afi hɔ. Nnuru a wɔtaa de di dwuma wɔ nsɛm a ɛtete saa mu biako ne Lidocaine; Epinephrine a wɔde di dwuma. Eyi nyɛ aduru a wɔde kum ɛyaw kɛkɛ, na mmom ɛyɛ aduru a ɛma beae
pɔtee bi yɛ mmerɛw bere tiaa bi. Momma yɛnka eyi ho asɛm nkɔ akyiri kakra na yɛnka nnɛ.
Sɛ yɛbɛka no tiawa a, dɛn ne Lidocaine; Epinephrine a wɔde di dwuma?
Eyi yɛ nnuru abien a wɔaka abom. 1.
Lidocaine: Eyi ne aduru titiriw a ɛma obi ho tɔ no. Wɔ aduruyɛ mu no, yɛfrɛ eyi ``Local Anesthetics''. Ɛne sɛ, ɛma nipadua no fã ketewaa bi pɛ yɛ mmerɛw. Eyi ma ɛyaw ho nsɛnkyerɛnne a efi saa beae no kɔ amemene no mu no gyae bere tiaa bi. Ɛte sɛ nea woresiw obi a ɔde nkrasɛm bi rekɔ no kwan. 2.
Epinephrine (Adrenaline): Aduru Epinephrine a wɔde ka eyi ho no yɛ ade titiriw bi. Ɛma mogya ntini a ɛwɔ saa beae no twetwe kakra. Sɛ eyi ba a, mfaso atitiriw abien na ɛwɔ so:
Wɔtaa de saa aduru yi di dwuma wɔ nsensan ho ayaresa, oprehyɛn nketenkete, ne akuru a wɔde kyekyere akuru mu.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanya saa vaccine yi
Ansa na ɔde aduru yi bɛma wo no, wo duruyɛfo no bebisa wo nsɛm bi. Nanso, ɛsɛ sɛ woka saa nsɛm yi nso kyerɛ wɔn. Ɛho hia paa ma w’ahobammɔ. Mfa biribiara nsie, ade ketewaa mpo.
- Allergies : Sɛ wowɔ Lidocaine, Epinephrine, anaa aduru foforo biara a ɛma wo ho yɛ wo hyew a, ɛsɛ sɛ wudi kan ka kyerɛ wo duruyɛfo. Afei nso, sɛ wo ho yɛ wo hyew wɔ nnuru, nnuan, nnuru a wɔde yɛ nneɛma, anaa nneɛma a wɔde siesie nneɛma foforo biara ho a, ka kyerɛ wo duruyɛfo.
- Ayaresa mu tebea afoforo a wowɔ: Sɛ wowɔ saa ayaresa tebea horow yi a, ɛho hia sɛ wobɔ wo duruyɛfo amanneɛ.
- Koma mu yare
- Mogya mmoroso anaa nea ɛba fam
- Mmɛn mu yare
- Asaabo mu yare
- Ahurututu mu yare
- Awosu mu tebea a wɔfrɛ no G6PD a enni hɔ no
- Nyinsɛn ne nufu a wɔde ma: Hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaa worema nufu a.
Oduruyɛfo no begyina saa nsɛm yi so asi gyinae sɛ ɔbɛma wo saa aduru yi, ɔde aduru foforo bedi dwuma, anaasɛ ɔbɛsesa dodow a wɔde ma no.
Wode saa aduru yi di dwuma dɛn?
Eyi nyɛ aduru a wubetumi de akɔ fie. Enti biribiara nni hɔ a ɛsɛ sɛ ɛhaw yɛn ho. Eyi yɛ aduru a wɔde bɔ nkurɔfo ho ban a wɔde ma
koraa wɔ ayaresabea anaa ayaresabea, oduruyɛfo anaa akwahosan ho ɔbenfo a ɔfata . Wɔtaa de gu ``honam ani`` wɔ beae a ɛsɛ sɛ wɔma ɛyɛ mmerɛw no. Wɔma mmofra a wɔadi boro mfe 1 mpo saa aduru yi wɔ nsɛm bi a wɔapaw mu. Nanso wɔde ahwɛyiye kɛse na ɛyɛ wɔ ɔhwɛ titiriw ase.
Sɛ nnuru no dodow kɔ soro a, dɛn na ɛsɛ sɛ woyɛ?
Esiane sɛ wɔde eyi ma wɔ ayaresabea nti, asiane a ɛwɔ hɔ sɛ wɔbɛnom boro so no sua koraa. Nanso, sɛ wususuw sɛ biribi asi a, kɔ ayaresabea
ETU (Emergency Treatment Unit) ntɛm ara. Anaasɛ wubetumi afrɛ
Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ akɔhwehwɛ afotu.
Nnuru afoforo bɛn na ebetumi ne aduru yi adi nkitaho?
Sɛ worenom nnuru ama tebea foforo a, ɛho hia yiye sɛ woka wo nnuru nyinaa (a vitamin ne nhabannuru ka ho) kyerɛ wo duruyɛfo. Nnuru bi betumi ne Lidocaine ne Epinephrine adi nkitaho na ɛde ɔhaw ahorow a wɔmpɛ aba. Pon a ɛwɔ ase ha no kyerɛkyerɛ eyi mu kɔ akyiri.
Nnuru a ɛnsɛ sɛ wɔnom bom da Nnuru afoforo a ebetumi adi nkitaho (saa nsɛm a wɔahyehyɛ yi nni mũ) . | Aduru ko a wɔde yɛ | Nkyerɛmu |
|---|
| Dofetilide a wɔde yɛ aduru | Aduru a ɛka koma no nnyigyei. |
| Saquinavir a wɔde di dwuma | Aduru a wɔde sa HIV yareɛ. |
| Acetaminophen a wɔde yɛ aduru | Nnuru a wɔde kum ɛyaw te sɛ paracetamol. |
| Nnuru bi a ekum ɔyare mmoawa | Sɛ nhwɛso no: dapsone, nitrofurantoin, sulfonamides. |
| Nnuru bi a wɔde sa akisikuru | Sɛ nhwɛso no: phenobarbital, phenytoin, valproic acid. |
| Nnuru afoforo a wɔde kum nipadua no wɔ mpɔtam hɔ | Sɛ nhwɛso no: bupivacaine, prɛmoxine. |
| Nitroglycerin a wɔde yɛ aduru | Aduru a wɔde sa komayare. |
Nea ɛho hia sen biara: Ma wo duruyɛfo no nnuru, vitamin, nhabannuru, ne nnuru a wɔde ka aduan ho a wonom nyinaa ho kyerɛwtohɔ a edi mũ. Afei nso, sɛ wonom sigaret anaa wonom nsa a, ka kyerɛ wo duruyɛfo.
Nneɛma a ɛsɛ sɛ wɔhwɛ yiye wɔ ho bere a wɔabɔ wo ho ban awie no
Eyi ne ade a ɛho hia sen biara a ɛsɛ sɛ wode w’adwene si so wɔ wo fam. Bere tenten a aduru no reyɛ adwuma, kyerɛ sɛ, bere tenten a ɛte sɛ nea ɛyɛ mmerɛw no,
saa beae no rente ɛyaw nka. Fa no sɛ wɔayi wo sẽ na saa ɔfã no reyɛ ayɛ wo yaw. Wubetumi adidi wɔ saa ɔfã no na woaka w’ano anaa w’afono. Nanso esiane sɛ wo ho yɛ wo yaw nti, worente nka. Enti, ebetumi ayɛ opira kɛse.
Enti, ɛyɛ w’asɛyɛde sɛ wobɛhwɛ baabi a ɛyɛ mmerɛw no a worenpira wo. Di oduruyɛfo no akwankyerɛ akyi pɛpɛɛpɛ. Hwɛ beae no yiye kosi sɛ akisikuru no befi hɔ koraa.
Dɛn ne nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ aduru biara no, eyi betumi anya ɔhaw ahorow. Nanso, ɛnyɛ obiara na onya bi. Nneɛma bɔne bi a efi mu ba no yɛ aniberesɛm na ɛsɛ sɛ wohwehwɛ aduruyɛfo afotu ntɛm ara. Ebinom yɛ nea ɛfata na ebefi hɔ bere tiaa bi akyi.
Mpɛn pii no, nsunsuanso bɔne a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara no nyɛ aniberesɛm (nanso sɛ ɛkɔ so a, ka kyerɛ
wo duruyɛfo ).
| Nneɛma a ɛma obi ho yɛ no hyew | Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon. |
| Koma mu nnyigyei sesa | Koma a ɛbɔ ntɛmntɛm anaasɛ ɛnteɛ, adwenemhaw, koko mu yaw, ahome a ɛyɛ den. |
| Mogya mmoroso sesa | Mogya mmoroso a ɛkɔ soro anaasɛ ɛso tew. Sɛ ɛso tew a, sɛnkyerɛnne ahorow te sɛ adwenemhaw ne aniwa a ɛyɛ kusuu betumi aba. |
| Methemoglobinemia ho sɛnkyerɛnne ahorow | Tiyɛ, mmerɛwyɛ soronko, ahome a ɛyɛ den, akisikuru, ɔfe, koma bɔ ntɛmntɛm, honam ani bruu anaa anofafa (tebea a ɛka mogya no tumi a ɛde mframa pa kɔ). |
| Nkɛntɛnso a enya wɔ ntini a ɛwɔ nipadua no mfinimfini (CNS adwenemhaw) so . | Ɔhome a ɛyɛ brɛoo , ɛyɛ den sɛ ɔbɛhome, nna a ɛtra so, adwene a ɛyɛ basaa, ɛyɛ den sɛ ɔbɛma aniwa abue. |
| Akisikuru a ɛma obi ho kyere no | Ebia sɛ wowɔ fit. |
| Adwene mu nsunsuanso | Dadwen, ehu a ɛma obi ho popo. |
| Dae a ɛma obi da | Ɔte nka sɛ ɔda kakra. |
| Akisikuru ne ɔfe (Akisikuru, Ɔfe) . | Yafunu a ɛyɛ yaw, ɛte sɛ nea ɔrefe. |
Saa nsɛm a wɔahyehyɛ yi nka nsunsuanso bɔne a ebetumi aba nyinaa ho. Sɛ wuhu sɛnkyerɛnne biara a ɛyɛ soronko a, wo ne wo duruyɛfo nka ho asɛm.
Nkrasɛm a Wɔde Kɔ Fie
- Lidocaine a wɔde yɛ nnuru; Epinephrine yɛ aduru a wɔde twitwiw nipadua no fã bi bere tiaa bi na ɛma ɛyaw no so tew. Oduruyɛfo a ɔwɔ ayaresabea anaa ayaresabea nkutoo na ɔde ma.
- Hwɛ hu sɛ wobɛka akisikuru biara a wowɔ, aduruyɛ mu tebea afoforo (titiriw koma, mmerɛbo, ne asaabo mu yare), ne nnuru a wonom nyinaa ho asɛm akyerɛ wo duruyɛfo.
- Sɛ wɔde vaccination no ma wie a, ɛyɛ w’asɛyɛde sɛ wobɛbɔ beae no ho ban afi opira ho kosi sɛ akisikuru no ano abrɛ ase koraa.
- Sɛ wuhu sɛnkyerɛnne biara a ɛyɛ soronko (titiriw sɛ ɛyɛ den sɛ wobɛhome, wo koko mu yɛ wo yaw, wo ho yɛ wo yaw kɛse, wo honam ani yɛ bruu) a, hwehwɛ ayaresa ntɛm ara.
- Sɛ wowɔ nsɛmmisa bi fa aduru yi ho a, nsuro da sɛ wubebisa wo duruyɛfo.
Lidocaine, Epinephrine, Nnuru a wɔde kum ɛyaw, Nnuru a wɔde kum ɛyaw, Nnuru a wɔde bɔ nkurɔfo ho ban, Nsunsuanso bɔne, Nsõ a wɔtwe, Nnuru a wɔde kum ɛyaw
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