So wote nka sɛ wo ti yɛ wo yaw anaasɛ wo ti yɛ hare bere a wugyina baabi a wotena hɔ mpofirim anaa bere a wusɔre fi mpa so no? Ɛtɔ da bi a, wote nka sɛ wobɛhwe ase. Wɔ aduruyɛ mu no, wɔfrɛ eyi orthostatic hypotension. Sɛ yɛbɛka no tiawa a, ɛyɛ mogya mmoroso a ɛso tew bere a wosakra wo gyinabea no. Enti, Midodrine yɛ aduru a nnuruyɛfo taa kyerɛw ma nnipa a wɔwɔ saa sɛnkyerɛnne ahorow yi. Ɛnnɛ, momma yɛnka aduru yi ho asɛm pefee na ɛnyɛ den.
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Dɛn ankasa ne Midodrine?
Sɛ yɛbɛka no tiawa a, Midodrine yɛ aduru a ɛma wo mogya so tew. Sɛ wugyina baabi a wote a, tumi a ɛtwe ade ba fam no ma mogya bi boaboa ano wɔ wo nan mu. Eyi ma mogya a ɛkɔ w’amemene mu no so tew kakra, na ɛno betumi ama woayɛ basaa.
Midodrine yɛ adwuma denam mogya ntini nketenkete a ɛwɔ wo nipadua mu a ɛkyekyere ) no so. Sɛnea nsu afiri a wɔpiapia no ma nsu no sen ntɛmntɛm no, saa ara na mogya ntini no a wɔkyekyere no ma mogya no sen denneennen. Eyi boa ma wo mogya mmoroso nkɔ fam mpofirim bere a wosɔre gyina hɔ no. Wobetumi anya saa aduru yi wɔ din a wɔde frɛ no Orvaten anaa ProAmatine ase.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi saa aduru yi ase
Midodrine nyɛ aduru a ɛyɛ pɛ. Enti, ɛho hia yiye sɛ wo duruyɛfo hu w’ayaresa ho abakɔsɛm nyinaa ansa na wakyerɛw saa aduru yi ama wo. Hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ wowɔ tebea horow a wɔabobɔ din wɔ ase ha no bi a.
| So wowɔ saa tebea yi? | Dɛn nti na ɛsɛ sɛ wobɔ amanneɛ? |
|---|---|
| Koma mu yare | Efisɛ Midodrine betumi aka koma a ɛbɔ. |
| Mogya mmoroso a na ɛwɔ hɔ dedaw | Efisɛ saa aduru yi tumi ma mogya mmoroso kɔ soro kɛse mpo. |
| Asaabo mu yare | Esiane sɛ asaabo no yi nnuru fi nipadua no mu nti, sɛ asaabo no ntumi nyɛ adwuma yiye a, nkɛntɛnso a aduru no de ba no betumi asesa. |
| Thyroid a ɛyɛ adwuma boro so | Saa tebea yi nso tumi ma mogya mmoroso ne koma bɔ. |
| Ɛyɛ den sɛ wobɛtow nsu | Midodrine betumi ama tebea yi asɛe kɛse. |
| Nkwammoaa mu nkwammoaa a wɔfrɛ no Pheochromocytoma | Eyi yɛ akisikuru a ɛba adrenal gland no mu, na saa aduru yi mfata efisɛ ebetumi ama mogya mmoroso aba. |
| Nyinsɛn a obi benyin anaasɛ ɔrebɔ mmɔden sɛ obenyinsɛn | Ɛsɛ sɛ wo ne wo duruyɛfo susuw nkɛntɛnso a ebetumi aba akokoaa no so no ho. |
| Nufu a wɔde ma | Hwɛ wo duruyɛfo sɛ ebia aduru no nam nufusu so kɔ wo ba no nkyɛn anaa. |
| Nnuru, nnuan, anaa nneɛma a wɔde yɛ nneɛma afoforo ho akisikuru | Sɛ wo ho nyɛ wo den wɔ aduru no anaa nneɛma a ɛwom ho a, ebetumi ayɛ asiane. |
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Ɛho hia yiye sɛ wudi wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ wɔ sɛnea wode aduru yi bedi dwuma ho.
- Fa saa aduru yi ne nsu kuruwa biako.
- Nea ɛho hia sen biara: Nnom nnuru a etwa to wɔ da no mu wɔ anwummere aduan akyi anaasɛ nnɔnhwerew 4 akyi bere a woada no.
- Mma ntra ase nkyɛ bere a woanom aduru yi awie no. Eyi kyerɛ sɛ nnyɛ nneɛma te sɛ TV hwɛ anaa nhoma akenkan bere a woda fam no.
adɛn nti na ɛte saa?Sɛ woda fam a, Midodrine dwumadi betumi ama wo mogya mmoroso akɔ soro a ɛho nhia. Wɔfrɛ eyi supine hypertension. Enti, ɛsɛ sɛ wonom saa aduru yi wɔ awiabere mu bere a woreyɛ adwuma, nantew, anaa wogyina hɔ nkutoo.
Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?
Sɛ wopa dose bi a, fa no bere a woakae ara pɛ. Nanso, sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ no a, twa dodow a woayera no so na fa wo dodow a edi hɔ no wɔ bere a woahyɛ da ayɛ no mu. Mfa nnuru abien bere koro mu da.
Na sɛ menom nnuru pii nso ɛ?
Sɛ wususuw sɛ woanom nnuru pii a, frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no ntɛm ara . Anaasɛ kɔ ayaresabea a ɛbɛn wo no Emergency Treatment Unit (ETU) .
Saa aduru yi yɛ wo nkutoo dea. Mfa w’aduru nkyerɛ afoforo da.
Nnuru afoforo a ebia ɛne aduru yi bedi nkitaho
Midodrine yɛ aduru a ebetumi ne nnuru afoforo adi nkitaho, enti ɛsɛ sɛ woka nnuru a worenom nyinaa (a vitamin ne nhabannuru ka ho) kyerɛ wo duruyɛfo.
| Mfa Midodrine nka aduru yi ho. | |
|---|---|
| MAOIs (nnuru ahorow bi a wɔde sa adwenemyare) . | Ergot alkaloids (nnuru a wɔde sa atiridiinini) . |
| Nnuru bi a wɔde sa atiridii ne ahome a ɛyɛ den | Nnuru bi a wɔde ma obi mu duru so tew |
| Sɛ worenom saa aduru yi a, wo ne wo duruyɛfo nkasa. | |
| Digoxin, Flecainide (a wɔde ma komayare) . | Fludrocortisone (aduru bi a ɛma nipadua no yɛ adwuma) . |
| Metformin (a wɔde ma asikreyare) . | Alpha-blockers (nnuru a wɔde sa prostate yare ne mogya mmoroso) . |
| Cimetidine, Ranitidine (a wɔde ma yafunu mu yare) . | Nnuru pii bio... |
Saa list yi nwie pɛyɛ. Enti , ɛho hia yiye sɛ woka nnuru a wonom nyinaa kyerɛ wo duruyɛfo, ne sɛ wonom sigaret anaa wonom nsa a .
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom nnuru no
- Hwɛ a wobɛkɔ akɔhwɛ wo daa: Kɔ wo duruyɛfo nkyɛn wɔ nna a wɔahyɛ ato hɔ mu na woahwɛ wo nkɔso. Obetumi ahwɛ wo mogya mmoroso na wasi gyinae sɛ ebia ɛsɛ sɛ wɔyɛ nsakrae wɔ wo nnuru dodow mu anaa.
- Dae ne adwenemhaw: Ebia saa aduru yi bɛma woate nka sɛ woda na w’adwene tu fra. Enti, nyɛ biribiara a ɛhwehwɛ sɛ woma w’ani da hɔ, te sɛ karka anaa mfiri a wode bedi dwuma, kosi sɛ wubehu sɛnea aduru no ka wo.
- Nsɔre ntɛm dodo: Nnyina hɔ anaa ntena ase mpofirim. Titiriw sɛ woanyin a, sesa wo gyinabea nkakrankakra. Eyi bɛma asiane a ɛwɔ hɔ sɛ obi betu akisikuru na wahwe ase no so atew.
- Ano a ɛyɛ nwunu: Ebia w’ano bɛte nka sɛ ayow. Sɛ wowe anom a asikre nnim na wonom nsu pii a, ebetumi aboa.
- Nnuru a wɔnom ma nyarewa afoforo: Nnom nnuru a wɔde sa ɔfe, atiridiinini, anaa ɛyaw a wontua hwee a wonkɔ wo duruyɛfo nkyɛn. Nnuru yi bi betumi ama wo mogya mmoroso akɔ soro.
Dɛn ne nnuru no mu nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ nnuru biara no, Midodrine betumi de ɔhaw ahorow aba. Ebinom yɛ aniberesɛm, ebi nso nyɛ aniberesɛm saa.
| Sɛ wuhu saa sɛnkyerɛnne ahorow yi a, ka kyerɛ wo duruyɛfo ntɛm ara. | |
|---|---|
| Tiyɛ a emu yɛ den, a ɛyɛ dede wɔ aso mu | Koma a ɛbɔ ntɛmntɛm, a ɛnteɛ, anaa koko mu yaw |
| Anisoadehu a ɛyɛ kusuu | Wora mu akisikuru, akisikuru |
| Sɛ saa sɛnkyerɛnne ahorow yi kɔ so anaasɛ ɛhaw adwene a, ka kyerɛ wo duruyɛfo. | |
| Goose a ɛyɛ mmerɛw | Nkate a ɛyɛ mmerɛw wɔ ti nhwi anaa honam ani |
| Wora a ɛyɛ wo yaw | Ɛho hia sɛ wɔtaa tow nsu |
| Nipadua mu awɔw (Chills) . | Yafunu mu yaw |
Sɛ wuhu sɛnkyerɛnne foforo biara a wɔanka ho asɛm wɔ saa nsɛm yi mu a, wo ne wo duruyɛfo nka ho asɛm.
Ɔkwan bɛn so na ɛsɛ sɛ mede aduru no sie?
Nnuru a wɔbɛkora so yiye nso ho hia yiye.
- Twe wo ho fi mmofra ho.
- Fa sie wɔ dan mu hyew (a ɛwɔ digrii Celsius 15-30 ntam). Bɔ ho ban fi ɔhyew ne nsu a ɛboro so ho.
- Tow nnuru a ne bere atwam gu.
Nkrasɛm a Wɔde Kɔ Fie
- Midodrine yɛ aduru a wɔde siw adwenemhaw (orthostatic hypotension) a ɛba bere a wosɔre fi baabi a wote no ano.
- Mmara titiriw a ɛho hia sen biara wɔ aduru yi ho ne sɛ ɛnsɛ sɛ woda hɔ nkyɛ bere a woanom awie no. Fa aduru a etwa to wɔ da no mu anyɛ yiye koraa no nnɔnhwerew 4 ansa na woada.
- Ka nnuru afoforo a wonom nyinaa ne nyarewa biara a wowɔ ho asɛm kyerɛ wo duruyɛfo.
- Sɛ wuhu sɛnkyerɛnne ahorow te sɛ tiyɛ a emu yɛ den ne wo koko mu yaw a, eyinom betumi ayɛ mogya mmoroso ho sɛnkyerɛnne. Sɛ eyi ba a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Di wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ bere nyinaa. Nnyae w’aduru nonom anaasɛ w’ankasa nnsesa dodow a wode di dwuma no.
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