Yɛn mu binom wɔ tebea bi a wɔfrɛ no ‘nhyɛso’ anaa mogya mmoroso, ɛnte saa? Mpɛn pii no, wobetumi adi eyi so wɔ fie denam nnuru a oduruyɛfo no akyerɛw ama no a wɔbɛnom so. Nanso, ɛtɔ mmere bi a, mmere bi wɔ hɔ a nhyɛso no kɔ soro kodu baabi a asiane wom a wontumi nni so. Wɔ mmere a ɛtete saa mu no, ɛsɛ sɛ wɔde wo kɔ ayaresabea. Sɛ wɔde wo kɔ ayaresabea a, wɔde aduru titiriw bi a wɔfrɛ no methyldopa ma na ama woatumi asiw wo mogya mmoroso so ntɛm. Enti, ɛnnɛ, momma yɛnka aduru a ɛho hia yi ho asɛm nkɔ akyiri kakra.
Sɛ yɛbɛka no tiawa a, dɛn ne methyldopa?
Methyldopa yɛ aduru a wɔde sa mogya mmoroso. Wɔtaa de ma sɛ aduru a wɔde twitwiw ntini mu wɔ ayaresabea, titiriw wɔ nsɛm a mogya mmoroso yɛ kɛse na ɛho hia sɛ wɔsa no ntɛm no mu. Ɛyɛ adwuma denam mogya ntini a ɛtrɛw kakra, ɛtew nhyɛso a ɛba koma no so, na ɛma mogya mmoroso san ba sɛnea na ɛte kan no so.
Dɛn na ɛsɛ sɛ oduruyɛfo no hu ansa na wama wo saa aduru yi?
Ansa na wo duruyɛfo no besi gyinae sɛ ɔbɛma wo saa aduru yi no, obebisa wo nsɛm bi. Ɛho hia paa sɛ woka saa nsɛm yi kyerɛ wo duruyɛfo no pɛpɛɛpɛ. Eyi yɛ w’ahobammɔ nti.
Sɛ wowɔ tebea horow a edidi so yi mu biara a, hwɛ hu sɛ wobɛka ho asɛm:
- Sɛ wowɔ mogya a ɛtɔ kɔ nipadua mu a .
- Sɛ wowɔ asaabo mu yare a .
- Sɛ wowɔ mmerɛbo mu yare (e.g. cirrhosis).
- Sɛ woadi kan anya methyldopa, nnuru bi a wɔfrɛ no sulfite, anaa aduru foforo biara, aduan, kɔla, anaa ade a wɔde sie.
- Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a .
- Sɛ woyɛ ɛna a ɔma nufu a .
Mfa saa nsɛm yi nsie wo duruyɛfo. Ɛho hia na ama w’ayaresa no ayɛ yiye na ahobammɔ wom.
Wode saa aduru yi di dwuma dɛn?
Eyi nyɛ aduru a wubetumi de akɔ fie. Eyi yɛ aduru a wɔde fa ntini mu. Eyi kyerɛ sɛ wɔde aduru no nkakrankakra fi toa mu te sɛ nkyene mu kɔ wo ntini mu. Wɔyɛ eyi wɔ ayaresabea anaa ayaresabea, oduruyɛfo anaa ɔyarehwɛfo a wɔatete no na ɔyɛ. Enti wunni biribiara a ɛsɛ sɛ wohaw wo ho wɔ ho.
So wɔde aduru yi ma mmofra?
Yiw, ɛtɔ mmere bi a, ɛsɛ sɛ wɔma mmofra nso saa aduru yi. Nanso ɛhwehwɛ sɛ wɔhwɛ so yiye. Enti, sɛ wode saa aduru yi rema wo ba a, ɛsɛ sɛ wo ne mmofra oduruyɛfo kasa fa ho na wudi n’afotu akyi.
Na sɛ menom nnuru pii nso ɛ?
Esiane sɛ wɔde eyi ma wɔ aduruyɛfo hwɛ ase wɔ ayaresabea nti, hokwan a ɛwɔ hɔ sɛ eyi bɛba no sua koraa. Nanso, sɛ wususuw sɛ woanom aduru no pii a, bɔ wo duruyɛfo anaa ayarehwɛfo amanneɛ ntɛm ara. Sɛnea ɛbɛyɛ a, kɔ ayaresabea no Emergency Treatment Unit (ETU) . Sɛ ɛho hia a, wubetumi nso afrɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ akɔhwehwɛ afotu.
Nnuru afoforo a ebetumi ne aduru yi adi nkitaho (Interactions) .
Nnuru bi betumi aka wɔn ho wɔn ho bere a wɔbom nom no. Yɛfrɛ eyi nnubɔne a ɛne wɔn ho wɔn ho di nkitaho. Nnuru bi wɔ hɔ a ebetumi ne methyldopa adi nkitaho.
- MAOIs (Monoamine Oxidase Inhibitors): Eyi yɛ nnuru titiriw bi a wɔde sa tebea horow te sɛ adwenemhaw. Nhwɛsoɔ bi ne `Carbex`, `Eldepryl`, `Marplan`, `Nardil`, `Parnate`. Wɔabara koraa sɛ wɔmfa methyldopa ka eyinom ho .
- Nnuru afoforo:
- Lithium (aduru a wɔde sa adwenemyare) .
- Nnuru afoforo a wɔde sa mogya mmoroso
Saa list yi nwie pɛyɛ. Enti, hwɛ hu sɛ wobɛka nnuru a worenom nyinaa akyerɛ wo duruyɛfo, a nnuru a wɔkyerɛw ma wo, nnuru a wɔtɔn, nhabannuru, vitamin, ne nnuru a wɔde ka ho. Sɛ wonom sigaret, wonom nsa, anaa wode nnuru foforo di dwuma a, mma wo werɛ mmfi sɛ wobɛka akyerɛ wo duruyɛfo .
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom nnuru no
- Dae ne adwenemhaw: Ebia saa aduru yi bɛma woate nka sɛ woda na w’adwene tu fra. Enti nka kar, mfa mfiri nni dwuma, anaa nyɛ nneɛma afoforo a ehia sɛ woma w’ani da hɔ kosi sɛ wubehu sɛnea aduru yi ka wo.
- Gyinabea a wobɛsesa: Msɔre mfi mpa so, sɔre mfi akongua so, anaa ntena ase mpofirim. Saa a wobɛyɛ no betumi ama w’adwene atu afra na wubetumi ahwe ase. Hwɛ yiye titiriw sɛ woabɔ akwakoraa a.
- Nsã: Sɛ wonom nsa a, ebetumi ama woada na woayɛ basaa. Enti, kwati nsa koraa bere a worenom aduru yi.
- Ano a ɛyɛ nwunu: Ebia w’ano bɛte nka sɛ ayow. Anom a asikre nnim a wobɛwe, ahwiesa a asikre nnim a wobɛnom, ne nsu pii a wobɛnom betumi aboa ma woadi eyi so. Sɛ ɔhaw yi kɔ so anaasɛ emu yɛ den a, wo ne wo duruyɛfo nkasa.
Nsunsuanso bɔne bɛn na ebia menya?
Te sɛ aduru biara no, methyldopa betumi de ɔhaw ahorow aba nnipa binom so. Eyinom bi yɛ aniberesɛm, ebi nso nyɛ aniberesɛm saa. Hwɛ pon a ɛwɔ ase hɔ no.
| Methyldopa ho nsunsuanso bɔne a ebetumi aba | |
|---|---|
| Nsunsuanso bɔne a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara | |
| Nneɛma a ɛma obi ho yɛ no hyew te sɛ honam ani akisikuru, ɛyaw, anim, anofafa anaa tɛkrɛma a ɛho ahonhon | Koma a ɛbɔ brɛoo |
| Tɛkrɛma tuntum, a ɛyɛ yaw | Yafunu mu yaw |
| Koko mu yaw | Anan anaa anan a ɛho ahonhon |
| Nsu a ɛyɛ kɔkɔɔ anaa bruu tuntum | Ɔbrɛ anaa mmerɛwyɛ a wɔte nka soronko |
| Hahaahayɔ | Aniwa anaa honam ani a ɛyɛ kɔkɔɔ (Jaundice) . |
| Dae a wontumi nna, dae bɔne | Atiridiinini (mpɛn pii no wɔ asram 3 a edi kan a wofi ase sa yare no mu) . |
| Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo | |
| Nufusu a ɛba mmea mu a ɛnyɛ ne kwan so | Tipaeɛ |
| Nufu a ɛyɛ kɛse wɔ mmarima ne mmea nyinaa mu | Akisikuru, ɔfe |
| Nsakrae a ɛba nna ho akɔnnɔ anaa dwumadi mu | Nkwammoaa a ɛyɛ mmerɛw |
| Ayamtuo | |
Saa nsɛm a wɔahyehyɛ yi nka nsunsuanso bɔne a ebetumi aba nyinaa ho. Sɛ wowɔ nsɛmmisa foforo bi fa eyi ho a, bisa wo duruyɛfo.
Nkrasɛm a Wɔde Kɔ Fie
- Methyldopa yɛ aduru a wɔde gu ntini bi mu wɔ ayaresabea ma mogya mmoroso.
- Ɛho hia sɛ woka wo nyarewa afoforo ne nnuru a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo.
- Saa aduru yi betumi ama obi ada na wayɛ basaa. Enti, hwɛ yiye bere a woreyɛ nnwuma a ɛhwehwɛ sɛ wode w’adwene si biribi so no.
- Sɛ wunya ɔhaw biara a emu yɛ den te sɛ honam ani yɛ kɔkɔɔ, atiridiinini, wo koko mu yaw, anaasɛ wo hohoro kɛse a, bɔ wo duruyɛfo amanneɛ ntɛm ara.
- Saa aduru yi yɛ wo nkutoo dea. Mfa nkyerɛ afoforo da.
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