So ɛho abehia sɛ wɔyɛ wo oprehyɛn ketewaa bi, oprehyɛn bi a ɛhwehwɛ sɛ wɔde nnade twitwiw wo, anaa ebia wɔtwe mogya pɛn? Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra wɔ ɛyaw no ho. Wɔ mmere te sɛ eyinom mu no, ebia wo duruyɛfo bɛka akyerɛ wo sɛ fa aduru bi bɛhyɛ wo ho na aboa ma ɛyaw no so atew. Ɛwom sɛ ɛte sɛ plaster de, nanso nokwarem no, ɛyɛ aduru. Ɛnnɛ yɛreka aduru soronko bi a wɔde di dwuma ma mmere te sɛ eyinom ho asɛm, na ɛma honam ani yɛ mmerɛw, na nnuru abien a wɔfrɛ no Lidocaine ne Tetracaine wom.
Dɛn ne Lidocaine yi; Tetracaine Patch a Wɔde Yɛ Nneɛma?
Sɛ yɛbɛka no tiawa a, ɛyɛ nnuru abien a wɔaka abom a ɛma wo honam ani ne ntini a atwa wo ho ahyia no yɛ mmerɛw bere tiaa bi, na esiw ɛyaw nka bere tiaa bi. Saa nnuru abien yi ne Lidocaine ne Tetracaine . Wɔka nnuru kuw bi a wɔfrɛ no local anesthetics ho. Eyi kyerɛ sɛ wobetumi ama nipadua no fã ketewaa bi pɛ ayɛ mmerɛw.
Fa no sɛ ɛsɛ sɛ wode nnuru kakra gu wo nsa ho were mu. Saa bere no, sɛ saa aduru yi bata saa beae no ho a, saa beae no yɛ mmerɛw. Afei, sɛ wɔde ade no hyɛ mu a, ɛkame ayɛ sɛ wote ɛyaw biara. Ade titiriw foforo a ɛwɔ eyi mu ne sɛ patch ahorow bi wɔ nhyehyɛe bi a ɛma ɔhyew kakra ba. Esiane ɔhyew yi nti, aduru no kɔ honam ani ntɛmntɛm, na ɛyɛ mmerɛw ntɛmntɛm.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na wode saa aduru yi adi dwuma
Ɛwom sɛ eyi betumi ayɛ te sɛ nea ɛyɛ mmerɛw de, nanso esiane sɛ eyi nso yɛ aduru nti, ɛho hia yiye sɛ wobɔ wo duruyɛfo amanneɛ wɔ w’akwahosan tebea ho. Titiriw sɛ wowɔ tebea horow a edidi so yi a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo.
| Akwahosan tebea anaa ɔhaw | Dɛn nti na ɛno ho hia? |
|---|---|
| Mmɛn mu yare | Esiane sɛ mmerɛbo ho hia wɔ ɔkwan a wɔfa so yi nnuru fi nipadua no mu nti, ɔkwan a saa aduru yi fa so ka nnipa a wɔwɔ mmerɛbo mu yare no betumi ayɛ soronko. |
| Pseudocholinesterase a enni nipadua no mu | Eyi yɛ awosu mu tebea a ɛntaa nsi. Ɛyɛ den ma nnipa a wɔwɔ saa tebea yi sɛ wɔbɛpaapae nnuru ahorow a wɔde kum nipadua no mu wɔ wɔn nipadua mu, na ɛma asiane a ɛwɔ hɔ sɛ wobenya ɔhaw ahorow no yɛ kɛse. |
| Wora mu yare anaa ɔhaw | Sɛ akuru, nsensanee, anaa eczema wɔ baabi a ɛsɛ sɛ wɔde aduru no gu a, nnuru dodow a nipadua no twetwe no betumi asesa. |
| Nneɛma a ɛma obi ho yɛ no hyew | Sɛ wo ho yɛ wo hyew wɔ nneɛma te sɛ Lidocaine, Tetracaine, nnuru afoforo a ɛma obi dwensɔ, PABA, parabens, anaa nnuru anaa aduan foforo biara ho a, ɛsɛ sɛ woda no adi. |
| Nyinsɛn a obi benyin anaasɛ ɔrebɔ mmɔden sɛ obenyinsɛn | Ɛsɛ sɛ wohwɛ yiye bere a wode nnuru biara redi dwuma bere a woanyinsɛn no, enti wo ne wo duruyɛfo nka eyi ho asɛm. |
| Akokoaa a wɔma no nufu | Kɔ wo duruyɛfo nkyɛn na hwɛ sɛ ebia aduru no betumi afa nufusu mu akɔ akokoaa no nkyɛn anaa. |
Ɔkwan bɛn so ankasa na mede saa patch yi di dwuma?
Ɔkwan a wɔfa so de eyi di dwuma no yɛ mmerɛw yiye, nanso ɛho hia yiye sɛ wubedi akwankyerɛ no akyi pɛpɛɛpɛ.
1. Nya abotare: Myi aduru no mfi nea wɔde ahyɛ mu no mu kosi sɛ wubesiesie wo ho sɛ wode bɛhyɛ mu.
2. Fa gu baabi a ɛfata: Fa gu honam ani baabi a oduruyɛfo no aka akyerɛ wo no nkutoo. Mfa nhyɛ mmeae a wɔatwitwa, akuru, ayɛ kɔkɔɔ, anaasɛ ɛwɔ akisikuru .
3. Fa ahwɛyiye gu so: Yi aduru no fi packet no mu, kura mu wɔ afã horow a ɛyɛ nnam no nkutoo, na fa gu honam ani.
4. Hwɛ yiye wɔ bere no ho: Nnyaw aduru no wɔ wo honam ani nkyɛ nsen sɛnea wo duruyɛfo ka kyerɛ wo no. Mpɛn pii no, ɛnsɛ sɛ wugyaw no boro simma 20-30.
5. Hwɛ yiye wɔ nsu ho: Mfa nsu petepete aduru no so bere a wode ahyɛ mu awie no. Nguare anaa nhohoro ho.
6. Yi na tow gu dwoodwoo: Sɛ bere du a, fa ahwɛyiye yi aduru no denam ne ntwea biako a wobɛkura mu no so. Afei, bobɔ ade a wode adi dwuma no mu na ɔfã a ɛyɛ nnam no kɔ mu, fa gu ade a ɛbaa mu no mu, na tow gu nwura mu, baabi a mmofra ne afieboa ntumi nkɔ hɔ . Eyi ho hia paa.
7. Hohoro wo nsa: Fa samina hohoro wo nsa yiye ansa na wode aduru no apete so ne bere a woayi afi hɔ awie no.
Na sɛ wudi mfomso anaasɛ wode di dwuma boro so nso ɛ? Kae kɛkɛ sɛ sɛ wode sie kyɛ dodo, anaasɛ wode boro biako di dwuma a, ebetumi ayɛ asiane. Sɛ wowɔ adwenem naayɛ ketewaa bi mpo sɛ biribi a ɛte sɛɛ asi a, kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo no ntɛm ara. Anaasɛ frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ no na woanya afotu.
So wode eyi di dwuma ma mmofra?
Yiw, wɔ nsɛm titiriw bi mu, sɛ nhwɛso no, ansa na wɔde aduru a ɛyɛ yaw ahyɛ no mu no, oduruyɛfo no betumi aka eyi akyerɛ mmofra a wɔadi boro mfe 3. Nanso wɔde ahwɛyiye kɛse na ɛyɛ. Enti, sɛ wode eyi di dwuma wɔ abofra bi so a, akyinnye biara nni ho sɛ ɛsɛ sɛ wudi mmofra oduruyɛfo akwankyerɛ akyi .
Nsɛntitiriw a ɛsɛ sɛ wususuw ho bere a wode redi dwuma no
- Hwɛ yiye bere a woayɛ mmerɛw akyi: Ebia beae no bɛkɔ so ayɛ mmerɛw nnɔnhwerew kakraa bi bere a wɔayi aduru no afi hɔ akyi. Esiane sɛ ebia worente ɛyaw biara nti, ntwitwiw baabi a ɛwɔ no, npetepete so denneennen, anaa mfa nhyɛ biribiara a ɛyɛ hyew anaa awɔw mu. Ebia wobɛpira wo ho a wunnim.
- Bɔ w’ani ho ban: Mma aduru yi nkɔ w’ani so ɔkwan biara so. Ebetumi apira w’ani paa. Sɛ wunya wɔ w’ani so wɔ akwanhyia mu a, ntɛm ara fa nsu anaa nkyene aduru hohoro mu yiye na fa to mu kosi sɛ wobɛsan ate nka bio.
- Ntwitwa aduru no: Ntwitwa aduru no anaasɛ nyi nkataso a ɛwɔ soro no. Saa a wobɛyɛ no betumi ama aduru no ayɛ hyew dodo na ahyew honam ani.
- Ansa na wɔbɛyɛ MRI scan: Sɛ worekɔyɛ Magnetic Resonance Imaging (MRI) scan a, ka kyerɛ MRI mfiridwumayɛfo no sɛ wowɔ saa patch yi a. Ɛsɛ sɛ woyi fi hɔ ansa na wɔayɛ MRI.
Dɛn ne nnuru no mu nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ aduru biara no, eyi betumi de ɔhaw ahorow aba nnipa binom so. Ebinom yɛ aniberesɛm, ebinom nso abu so.
| Nsunsuanso bɔne no su | Esu |
|---|---|
| Nsunsuanso bɔne a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara | |
| Nneɛma a ɛma obi ho yɛ no hyew | Wora mu akisikuru, ɛyaw, anim, anofafa, tɛkrɛma a ɛho ahonhon. |
| Honam ani yare a emu yɛ den | Blistering ne ɛyaw a emu yɛ den wɔ baabi a wɔde aduru no guu no. |
| Nkɛntɛnso a enya wɔ ntini ahorow so | Adwene a ɛyɛ basaa, ahomegye a enni hɔ, basabasayɛ a ɛtra so, adwenemhaw, nna a ɛyɛ yaw, tiyɛ, akisikuru, ahopopo. |
| Nsɛnkyerɛnne afoforo a anibere wom | Ɔhome a ɛyɛ den, aniwa a ɛsakra, atiridiinini, atiridiinini, koma a ɛbɔ a ɛnteɛ, akisikuru, ɔfe. |
| Mpɛn pii no ɛnyɛ aniberesɛm (nanso sɛ ɛkɔ so a, ka kyerɛ wo duruyɛfo) . | |
| Nsakrae nketenkete a ɛba honam ani | Wora a ɛyɛ kɔkɔɔ anaasɛ ɛyɛ fitaa, ɛho ahonhon kakra, anaasɛ ɛyɛ mmerɛw wɔ baabi a wɔde aduru no guu so no. |
So nnuru foforo bi wɔ hɔ a ebetumi ne aduru yi adi nkitaho?
Yiw, koraa. Aduru a ɛwɔ saa patch yi mu no betumi ne nnuru afoforo a worenom no adi nkitaho. Enti, ɛho hia yiye sɛ woka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo, a vitamin ahorow, nnuru a wɔde ka aduan ho, ne sɛ ebia wonom sigaret anaa wonom nsa ka ho . Hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ worenom nnuru a edidi so yi mu biara a:
- Acetaminophen (Paracetamol) a wɔde yɛ aduru a wɔfrɛ no Acetaminophen (Paracetamol) .
- Nnuru bi a ekum ɔyare mmoawa (te sɛ dapsone, nitrofurantoin) .
- Nnuru a wɔde ko tia akisikuru (te sɛ phenobarbital, phenytoin) .
- Koma mu nnuru (te sɛ nitroglycerin) .
- Nnuru afoforo a wɔde kum nipadua no wɔ mpɔtam hɔ
Saa nsɛm a wɔahyehyɛ yi nwie pɛyɛ, enti sɛnea ɛbɛyɛ a wubenya ahobammɔ no, wo ne wo duruyɛfo nsusuw biribiara ho.
Nkrasɛm a Wɔde Kɔ Fie
- Ɛsɛ sɛ wode saa aduru yi di dwuma sɛnea wo duruyɛfo kyerɛ no nkutoo. Mfa nni dwuma sɛnea wopɛ.
- Ɛboro bere a wɔahyɛ da ayɛ no so (sɛ nhwɛso no, simma 30) .Mma nnyaw no wɔ wo honam ani nkyɛ dodo.
- Ka nnuru afoforo a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo.
- Sɛ wuyi patch no wie a , hwɛ yiye na woampira baabi a wo honam ani ayɛ mmerɛw no.
- Tow aduru a wɔde adi dwuma no gu dwoodwoo, baabi a mmofra ne afieboa ntumi nkɔ hɔ . Sɛ abofra mene aduru foforo anaa nea wɔde adi dwuma a, ebetumi akum no.
- Sɛ wowɔ ɔhaw bi a emu yɛ den anaasɛ wususuw sɛ woanom boro so a, kɔ ayaresabea Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) ntɛm ara.
👩🏽 ⚕️ Nsɛmmisa foforo (FAQs)
💬 Lidocaine ne Tetracaine (Lidocaine; Tetracaine / Synera Patch) Dɛn ne aduru?
Eyi nyɛ honam ani yare! Eyi yɛ aduru a wɔde kum nipadua no wɔ mpɔtam hɔ a ano yɛ den yiye. Wɔde di dwuma de ma honam ani yɛ mmerɛw koraa na ɛma honam ani yɛ mmerɛw bere tiaa bi. Wɔtaa de yi ɛyaw a ɔyarefo no nya bere a ɔreyɛ honam ani, te sɛ IV, nnuru a wɔde twitwiw nipadua no, anaa honam ani yare ho ayaresa no 100% fi hɔ.
💬 Ɛbɛyɛ dɛn na saa patch yi ayi ɛyaw a ɛwɔ needle prick mu no afi hɔ koraa?
Ɛte sɛ nea wode nsukyenee a wɔde ahyɛ baabi a ɛyɛ hyew! Sɛnea ɛbɛyɛ a ntini a ɛwɔ yɛn honam ani no betumi de nkrasɛm a ɛkyerɛ sɛ ‘ɛyɛ yaw’ akɔ amemene no mu no, ɛsɛ sɛ wobue wɔn ‘Sodium Channels’ na ɛde anyinam ahoɔden (Action potentials) kɔ. Sɛ wɔde saa aduru yi gu honam ani a, saa nnuru abien no nyinaa (Lidocaine/Tetracaine) fa honam ani na ‘ɛsiw/toto’ sodium akwan a ɛwɔ ntini no mu nyinaa. Esiane sɛ ɔkwan biara nni hɔ a nkrasɛm no bɛfa so nti, amemene no nte ɛyaw biara.
💬 Adɛn nti na woka sɛ fa saa numbing patch (Lidocaine Patch) yi nkɔ so/mfa nhyɛ akuru akɛseɛ so?
Ɛno ne asiane a ɛyɛ hu sen biara (na edi awu) a ɛwɔ eyi mu (Systemic Toxicity)! Mfa eyi nhyɛ honam ani a ‘ɛapirapira/wɔapete’ so da! Sɛ woyɛ saa a, nnuru dodow a ɛfa honam ani kɔ mogya no mu tẽẽ no bɛkɔ soro, na ɔyarefo no (titiriw mmofra nkumaa) betumi anya akisikuru/akisikuru a emu yɛ den (Akisikuru) na koma no agyae/ahome na wawu. Afei nso, eyi betumi ayɛ nea ɛboro so ‘simma 20-30’ nkutoo!
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