So ɛho abehia sɛ wɔyɛ wo honam ani oprehyɛn ketewaa bi anaasɛ wɔyɛ wo honam ani oprehyɛn ketewaa bi wɔ wo honam ani pɛn? Ebia woahu sɛ oduruyɛfo no de aduru a ɛma honam ani yɛ mmerɛw apete honam ani de ayɛ baabi a ɛhɔ yɛ mmerɛw. Bere a beae no ayɛ mmerɛw simma kakraa bi akyi nkutoo na woyɛ biribiara. Wɔ asɛm yi mu no, yɛbɛka aduru titiriw bi a wɔde yɛ honam ani yare ho asɛm.
Dɛn ankasa ne Lidocaine yi; Tetracaine aduru a wɔde yɛ aduru?
Eyi yɛ nnuru abien a wɔaka abom. Wɔn ne Lidocaine ne Tetracaine . Wɔfrɛ eyinom abien nyinaa ‘local anesthetics’. Sɛ yɛbɛka no tiawa a, wɔn adwuma ne sɛ wobegyae ɛyaw ho nsɛnkyerɛnne a ɛnam ntini ahorow a ɛwɔ nipadua no fã pɔtee bi so nkɔ amemene no mu bere tiaa bi.
Fa no sɛ ɛsɛ sɛ woyi akisikuru ketewaa bi fi wo nsa so. Sɛ́ anka oduruyɛfo no bɛma wo nipadua nyinaa ayɛ mmerɛw no, obetumi de saa aduru yi apete akisikuru no so nkutoo, na ama saa beae no ayɛ mmerɛw. Afei wubetumi ayɛ oprehyɛn no a wonte ɛyaw biara. Eyi ne ade titiriw a wɔde saa aduru yi di dwuma. Wɔtaa de siesie honam ani ansa na wɔayɛ aduruyɛ.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na wode aduru yi adi dwuma
Ɛho hia yiye sɛ wobɛbɔ wo duruyɛfo amanneɛ wɔ w’akwahosan ho abakɔsɛm a edi mũ ho ansa na wode saa aduru yi adi dwuma. Titiriw sɛ wowɔ tebea horow a edidi so yi mu biara a, akyinnye biara nni ho sɛ ɛsɛ sɛ woka kyerɛ.
| Akwahosan tebea anaa ɔhaw | Dɛn nti na ɛno ho hia? |
|---|---|
| Lidocaine, Tetracaine anaa nnuru afoforo a wɔde kum nipadua no ho akisikuru | Sɛ woanya aduru a ɛte sɛɛ ho akisikuru pɛn a, ebia wo ho bɛtɔ wo kɛse bio. |
| G6PD a enni nipadua mu (Glucose-6-phosphate dehydrogenase a enni nipadua mu) . | Eyi yɛ awosu mu tebea a ɛka mogya mu nkwammoaa kɔkɔɔ a ɛwɔ mogya no mu no. Asiane wɔ hɔ sɛ nsɛnnennen betumi afi aduru yi mu aba. |
| Methemoglobinemia a ɛma mogya tu | Eyi yɛ tebea a ɛka tumi a mogya no tumi fa mframa pa, na saa aduru yi betumi ama asɛe kɛse. |
| Nyinsɛn a obi benyin anaasɛ ɔrebɔ mmɔden sɛ obenyinsɛn | Ɛho hia sɛ wohwehwɛ aduruyɛfo afotu ansa na wode aduru biara adi dwuma bere a wonyinsɛn no. |
| Ɛna a ɔma nufu a ɔbɛyɛ | Ɛsɛ sɛ wo ne wo duruyɛfo kasa fa sɛnea ebetumi aba sɛ aduru no nam nufusu so bɛfa wo ba no nkyɛn no ho. |
Ade a ɛho hia sen biara ne sɛ wobɛma oduruyɛfo no nnuru a worenom (a nnuruyɛfo afoforo akyerɛw ama wo, a woatɔ afi nnurutɔnbea), vitamin ahorow, ne nnuru a wɔde di dwuma wɔ amanne kwan so nyinaa.
Sɛnea wɔde saa cream yi bedi dwuma ne nea ɛsɛ sɛ yɛhwɛ yiye wɔ ho
Eyi nyɛ aduru a wubetumi de akɔ fie na wode adi dwuma. Eyi yɛ nea wɔde bedi dwuma wɔ abɔnten nkutoo. Mpɛn pii no, oduruyɛfo anaa ɔyarehwɛfo a wɔatete no wɔ ayaresabea anaa ayaresabea na ɔde gu wo honam ani.
- Fa di dwuma wɔ mmofra nkumaa mu: Ebia wɔbɛkamfo aduru yi akyerɛ mmofra nkumaa wɔ nsɛm titiriw bi mu. Nanso, ɛsɛ sɛ wodi ahwɛyiye titiriw akyi. Enti, sɛ wode eyi redi dwuma ama wo ba a, wo ne wo mmofra oduruyɛfo nkasa mfa ho.
- Nnuru a wɔde di dwuma boro so: Eyi yɛ nea oduruyɛfo bi de di dwuma, enti hokwan a ɛwɔ hɔ sɛ wɔbɛnom boro so no sua. Nanso, sɛ wususuw sɛ ebia woanom aduru no dodo a, kɔ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ ntɛm ara. Anaasɛ kɔ ayaresabea a ɛbɛn wo no Emergency Department (ETU) .
Kwati sɛ wobɛka aniwa!
Eyi ho hia paa. Saa cream yi betumi apira aniwa no kɛse. Sɛ ɛba w’ani so wɔ akwanhyia mu a, ntɛm ara fa nsu pa hohoro mu yiye. Afei, bɔ w’ani ho ban kosi sɛ wobɛsan anya nkate, kyerɛ sɛ, kosi sɛ nkate a ɛyɛ wo yaw no befi hɔ.
Hwɛ honam ani a ɛyɛ kusuu yiye
Beae a wɔde saa aduru yi bɛhyɛ no bɛyɛ mmerɛw na ayɛ mmerɛw bere tiaa bi. Worente ɛyaw biara nka wɔ saa bere yi mu. Enti, hokwan kɛse wɔ hɔ sɛ wobepira saa beae no.Kwati sɛ wobɛtwetwe wo honam ani, wobɛpetepete wo honam ani, anaasɛ wode wo ho bɛhyɛ ɔhyew anaa awɔw a ano yɛ den mu kosi sɛ wo honam ani yɛ wo yaw no befi hɔ koraa na asan ayɛ sɛnea na ɛte kan no.
Dɛn ne nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ aduru biara no, eyi betumi de ɔhaw ahorow aba nnipa binom so. Ebinom hwehwɛ sɛ wɔde wɔn kɔ ayaresabea ntɛm ara, na ebinom nso nyɛ aniberesɛm pii.
| Nsunsuanso bɔne a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara | |
|---|---|
| • Nneɛma a ɛma obi ho yɛ no hyew a emu yɛ den (honam ani akisikuru, ɛyaw, anim/anofafa/tɛkrɛma a ɛho ahonhon) . | • Ɔhome a ɛyɛ den |
| • Koko mu yaw | • Koma a ɛbɔ ntɛmntɛm (ntɛmntɛm, brɛoo , anaa ɛnteɛ) . |
| • Adwene a ɛyɛ den, te nka sɛ ebia wobɛtotɔ piti | • Akisikuru a ɛma obi ho kyere no |
| • Adwene mu basaayɛ anaasɛ ahomegye a emu yɛ den | • Nsakrae a ɛba wɔ anisoadehu mu |
| • Wosow anaa ɔbrɛ a ɛtra so | • Akisikuru anaa ɔfe |
| Mpɛn pii no ɛnyɛ aniberesɛm (nanso sɛ ɛkɔ so a, ka kyerɛ wo duruyɛfo) . | |
| • Ebia wubenya atenka bi a ɛyɛ soronko, te sɛ kɔkɔɔ, wo hohoro kakra anaasɛ wo ho ayɛ wo yaw, wɔ baabi a wɔde cream no guu no. (Eyi taa kɔ bere tiaa bi akyi) . | |
Saa nsɛm a wɔahyehyɛ yi nka nsunsuanso bɔne a ebetumi aba nyinaa ho. Bio nso, sɛ wuhu sɛnkyerɛnne bi a ɛyɛ soronko a, wo ne wo duruyɛfo nka ho asɛm.
So aduru yi betumi ne nnuru afoforo adi nkitaho?
Aane. Nnuru bi betumi aka sɛnea saa aduru yi yɛ adwuma. Ɛno nti na ɛho hia sɛ woka nnuru a worenom nyinaa kyerɛ wo duruyɛfo no. Eyi betumi ne nnuru ahorow a edidi so yi adi nkitaho titiriw:
- Acetaminophen a wɔde yɛ aduru
- Nnuru ahorow bi a ekum ɔyare mmoawa : s.e. `dapsone`, `nitrofurantoin`, `sulfasalazine a wɔde yɛ aduru`
- Nnuru bi a wɔde sa akisikuru : s.e. `phenobarbital`, `phenytoin`, a ɛyɛ aduru a wɔde siw yare ano
- Nitroglycerin a wɔde yɛ aduru
- Chloroquine a wɔde yɛ aduru
- Nnuru afoforo a wɔde kum nipadua no wɔ mpɔtam hɔ
Saa nsɛm a wɔahyehyɛ yi nwie pɛyɛ, enti hwɛ hu sɛ wobɛka nnuru a worenom nyinaa akyerɛ wo duruyɛfo.
Nkrasɛm a Wɔde Kɔ Fie
- Lidocaine a wɔde yɛ nnuru; Tetracaine yɛ aduru a nnuruyɛfo de di dwuma de ma honam ani yɛ mmerɛw ansa na wɔayɛ aduruyɛ.
- Eyi nyɛ aduru a ɛsɛ sɛ wode di dwuma wɔ fie. Ɛsɛ sɛ oduruyɛfo bi na ɔde di dwuma bere nyinaa.
- Ɛho hia sɛ woka w’ayaresa tebea horow, nneɛma a ɛma wo ho yɛ wo hyew, ne nnuru afoforo a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo.
- Sɛ wo honam ani yɛ mmerɛw bere a wode cream no ahyɛ wo ho awie no a, bɔ beae no ho ban na ansɛe, anpira, na ɔhyew a ɛboro so.
- Sɛ wunya ɔhaw biara a emu yɛ den te sɛ ahome a ɛyɛ den, wo koko mu yaw, anaasɛ wo ti a ɛyɛ wo yaw kɛse a, hwehwɛ aduruyɛfo afotu ntɛm ara.
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