So ɛsɛ sɛ wo nso wotra ase a ɛyaw, ɛyɛ den na wobrɛ bere nyinaa wɔ wo nipadua nyinaa so? Ebia wo duruyɛfo frɛɛ tebea yi fibromyalgia . Ɛyɛ tebea a ɛhyɛ abufuw kɛse. Enti, aduru titiriw biako a nnuruyɛfo kamfo kyerɛ sɛ wɔmmoa wo wɔ mmere te sɛ eyinom mu ne Milnacipran. Ɛnnɛ, yɛbɛka saa aduru yi ho asɛm, sɛnea ɛyɛ adwuma, nea ebetumi ayɛ ne nea ɛsɛ sɛ wohwɛ yiye, tiawa koraa, te sɛ nea wo ne w’adamfo bi rekasa.
Aduru bɛn na Milnacipran yɛ?
Sɛ yɛbɛka no tiawa a, Milnacipran yɛ aduru a wɔde sa wo Fibromyalgia tebea no. Ɛka nnuru ahorow bi a wɔfrɛ no SNRI (Serotonin-Norepinephrine Reuptake Inhibitor) ho. Nsusuw sɛ, "Oh, dɛn ne asɛmfua kɛse yi?" Mebɛkyerɛkyerɛ mu tiawa.
Fa no sɛ abɔfo nketewa bi wɔ yɛn amemene mu a wɔde nkrasɛm kɔ anim ne akyi. Yɛfrɛ wɔn neurotransmitters. Serotonin ne Norepinephrine yɛ abɔfo a wɔho hia yiye yi mu abien. Wɔboa ma yɛn adwene kɔ so yɛ anigye na yedi ɛyaw so. Ebia nnipa a wɔwɔ fibromyalgia no benya nsakrae bi wɔ saa abɔfo yi dwumadi mu.
Enti, nea Milnacipran yɛ ne sɛ ɛma serotonin ne norepinephrine yi dodow kɔ soro wɔ amemene no mu, na ɛboa ma wodi ɔkwan a wofa so te ɛyaw nka ne wo adwene so. Enti ɛyaw ne ɔhaw afoforo a wote nka no befi ase atew nkakrankakra.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom saa aduru yi
Eyi ho hia paa. Ansa na wubefi Milnacipran ase no, ɛsɛ sɛ woma wo duruyɛfo no w’akwahosan tebea ho nkyerɛkyerɛmu a edi mũ. Mfa biribiara nsie efisɛ ɛyɛ ade ketewaa bi. Efisɛ saa nneɛma nketenkete no mpo betumi aka wo ayaresa.
Sɛ wowɔ tebea horow a wɔabobɔ din wɔ pon a ɛwɔ ase ha no mu bi a, hwɛ hu sɛ wobɛka ho asɛm akyerɛ wo duruyɛfo.
| Tebea anaa suban | Dɛn nti na ɛno ho hia? |
|---|---|
| Mogya a ɛtɔ gu nipadua mu ho haw ahorow | Saa aduru yi betumi ama asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no ayɛ kɛse kakra. |
| Sɛ wotaa nom nsa a | Mmerɛbo a ɛsɛe ne nneɛma afoforo a efi mu ba no betumi ayɛ kɛse. |
| Glaucoma tebea a ɛma obi nya atiridiinini | Ebetumi ama aniwa mu nhyɛso akɔ soro. |
| Koma mu yare, mogya mmoroso, koma a ɛbɔ denneennen | Saa aduru yi tumi ka mogya mmoroso ne koma bɔ. |
| Asaabo anaa mmerɛbo mu yare | Ebia ɛho behia sɛ wɔsesa dodow a wɔde ma no efisɛ ɛka sɛnea woyi aduru no fi nipadua no mu. |
| Mania anaasɛ adwenemhaw tebea horow | Ɛda adi sɛ tebea horow yi mu bɛyɛ den. |
| Prostate nyarewa ahorow | Ebia ɛbɛyɛ den sɛ wobɛtow nsu. |
| Sɛ wowɔ ɔyare a ɛma obi ho kyere no a | Asiane no betumi ayɛ kɛse. |
| Sɛ wo anaa obi a ɔwɔ w’abusua mu anya adwene sɛ obekum ne ho a | Eyi ho hia paa. Ɛsɛ sɛ wohwɛ yiye titiriw wɔ saa nsusuwii ahorow yi ho wɔ mmere a edi kan a wode befi aduru no ase no mu. |
| Sɛ woanom MAOI aduru bi wɔ nnafua 14 a atwam no mu a | Eyi betumi ama obi ayɛ n’ade a asiane wom kɛse. |
| Sɛ worebɔ mmɔden sɛ wubenyinsɛn, woanyinsɛn, anaa woyɛ ɛna a ɔma nufu a | Hwɛ hu sɛ wobɛbɔ wo duruyɛfo amanneɛ wɔ eyi ho. |
Ɔkwan bɛn so na ɛsɛ sɛ mede aduru no di dwuma?
Ɛsɛ sɛ wɔnom saa aduru yi ne nsu kuruwa biako. Wubetumi anom ansa na woadidi anaa bere a woadi akyi. Nanso, sɛ wote nka sɛ ɛhaw wo a, eye sɛ wode bɛka aduan ho. Hwɛ hu sɛ wobɛnom dodow a wɔakyerɛw ama wo no wɔ bere a wɔahyɛ no mu, sɛnea oduruyɛfo no kyerɛ no . Mma dodow a wɔde ma no nkɔ soro anaasɛ ɛntew so sɛnea wote nka, anaasɛ fa no mpɛn pii nsen nea wɔakyerɛw ama wo no.
Nea ɛho hia sen biara ne sɛ, sɛ wugyae aduru yi mpofirim a, ebetumi de ɔhaw ahorow a emu yɛ den aba. Anaasɛ wo fibromyalgia tebea no betumi asɛe kɛse. Enti, nnyae saa aduru yi nom mpofirim da a wo duruyɛfo mfa afotu mma.
Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?
Nha wo ho. Twa nnuru dodow a woayera no so na nom aduru no sɛnea wotaa yɛ bere a ɛsɛ sɛ ɛba no. Mfa nnuru abien bere koro mu da. Sɛ eyi ba a, kɔ wo duruyɛfo nkyɛn.
Na sɛ menom nnuru pii nso ɛ?
Sɛ wususuw sɛ woanom nnuru pii a, kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo ntɛm ara. Anaasɛ frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ no na woanya afotu.
Kae nso sɛ, wɔakyerɛw aduru yi ama wo nkutoo. Mfa saa aduru yi mma obi foforo, sɛ mpo ne sɛnkyerɛnne ne wo de no yɛ pɛ a. Ebetumi ayɛ nea asiane wom.
Nnuru afoforo a ebetumi ne saa aduru yi adi nkitaho (Interactions) .
Milnacipran yɛ aduru a ebetumi ne nnuru afoforo adi nkitaho, enti ɛho hia yiye sɛ woka nnuru a worenom nyinaa (a vitamin, nhabannuru, ne nnuru a wɔde ka ho) kyerɛ wo duruyɛfo.
Mfa Milnacipran nka aduru yi ho.
Akyinnye biara nni ho sɛ ɛnsɛ sɛ wode Milnacipran di dwuma sɛ worenom nnuru a edidi so yi mu biara a: Ebetumi ama woanya nneyɛe a emu yɛ den, a ɛde wo nkwa mpo to asiane mu.
- MAOI nnuru (sɛ nhwɛso no, Marplan, Nardil) .
- Linezolid a wɔfrɛ no linezolid
- Methylene blue (wɔde fa ntini mu) .
- SNRI afoforo te sɛ Duloxetine, Desvenlafaxine, Venlafaxine, Levomilnacipran
Ɔhaw ahorow nso betumi aba wɔ aduru yi ho.
Nnuru a edidi so yi nso betumi ne Milnacipran adi nkitaho. Enti, hwɛ hu sɛ wobɛka eyinom nso ho asɛm akyerɛ wo duruyɛfo.
- Aspirin ne nnuru a ɛte saa a wɔde kum ɛyaw
- Nnuru a wɔde kum ɛyaw a ɛte sɛ NSAIDS (sɛ nhwɛso no, Ibuprofen, Naproxen) .
- Nnuru a ɛmma mogya ntumi nkɔ (e.g. Warfarin, Enoxaparin) .
- Nnuru bi a wɔde sa atiridiinini (Triptans) .
- Nnuru afoforo a wɔde sa adwenemyare
- Tramadol, Lithium, Tryptophan, ne aduru a wɔfrɛ no Tryptophan
- Nnuadewa a wɔde ka aduan ho a wɔfrɛ no St. John’s Wort
Saa nsɛm a wɔahyehyɛ yi nwie pɛyɛ, enti ka biribiara a wobɛnom ho asɛm kyerɛ wo duruyɛfo.
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom nnuru no
Hwɛ yiye titiriw: Sɛ wufi ase de aduru yi di dwuma nea edi kan anaasɛ wosakra dodow a wode di dwuma a, hwɛ yiye sɛ ebia adwene mu nsakrae foforo anaa nea ɛresɛe, adwene a ɛne sɛ wubekum wo ho, basabasayɛ, anaa dadwen bi bɛba w’ankasa anaa w’abusua mu. Sɛ eyi ba a , frɛ wo duruyɛfo ntɛm ara. Eyi ho hia paa.
- Mogya mmoroso: Saa aduru yi betumi ama mogya mmoroso akɔ soro. Ebia wo duruyɛfo bɛka akyerɛ wo sɛ wɔnhwɛ wo mogya mmoroso daa.
- Adwene a ɛyɛ wo yaw: Saa aduru yi betumi aka sɛnea wutumi de w’adwene si biribi so na woyɛ w’ade ntɛmntɛm no. Enti, kwati sɛ wobɛka kar anaa wode mfiri bedi dwuma kosi sɛ wubehu sɛnea aduru yi ka wo. Sɛnea ɛbɛyɛ a wobɛtew adwenemhaw ne tiyɛ a ɛyɛ hare so no, sɔre brɛoo fi baabi a wote anaa fi mpa so. Saa tebea yi betumi asɛe kɛse denam nsa a wɔnom so.
- Ano a ɛyɛ nwunu: Ano a ɛyɛ nwunu yɛ ade bɔne a ɛtaa ba. Wobetumi adi eyi ho dwuma denam aduru a asikre nnim a wɔbɛwe ne nsu pii a wɔbɛnom so.
Dɛn ne nnuru no ho nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ aduru biara no, Milnacipran betumi de ɔhaw ahorow aba. Ɛnyɛ obiara na onya wɔn. Ebinom yɛ aniberesɛm, na ebinom nso yɛ odwo.
| Nneɛma bɔne a anibere wom a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo no ntɛm ara | |
|---|---|
| Nneɛma a ɛma obi ho yɛ no hyew | Wora mu akisikuru, ɛyaw, anim, anofafa, tɛkrɛma a ɛho ahonhon, ɛyɛ den sɛ wobɛhome. |
| Mogya a ɛtɔ a ɛnyɛ ne kwan so | Nsu tuntum a ɛte sɛ kɔfe a wɔayam anaasɛ mogya ayɛ no ma, mogya a ɛfe, nsu a ɛyɛ kɔkɔɔ/biribiri tuntum, ne nsensanee nketenkete kɔkɔɔ/akuturuku wɔ honam ani. |
| Nsakrae a ɛba koma a ɛbɔ mu | Sɛ wote nka sɛ wo koma rebɔ ntɛmntɛm, wo moma so ayɛ wo den. |
| Serotonin Yare a Ɛyɛ Fɛ | Ahomegye, adwene a ɛyɛ basaa, fifiri a ɛboro so, atiridiinini, ntini a ɛyɛ den anaasɛ ɛtwetwe, ɔfe, akisikuru. |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ mmerɛbo asɛe | Ɛyaw a ɛba yafunu no nifa so atifi, aduan ho akɔnnɔ a ɛyera, aniwa anaa honam ani yɛ kɔkɔɔ, nsu a ɛyɛ kɔkɔɔ/biribiri tuntum. |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ sodium sua wɔ nipadua no mu | Ntini mu mmerɛwyɛ, ɔbrɛ a ɛtra so, tiyɛ, adwene a ɛyɛ basaa. |
| Nsɛnkyerɛnne afoforo a anibere wom | Akisikuru, aniwa a ɛyɛ yaw mpofirim, aniwa a ɛyɛ kusuu, adwene a ɛne sɛ obekum ne ho, ɛyɛ den sɛ ɔbɛtow nsu. |
Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm
Mpɛn pii no, eyinom kɔ wɔ nna kakraa bi mu. Nanso sɛ wɔkɔ so, anaasɛ wɔhaw wo pii a, ka kyerɛ wo duruyɛfo.
- Akisikuru, ɔfe
- Ayamtim
- Ano a ɛyɛ nwunu
- Adwene a ɛyɛ basaa
- Fifiri a ɛboro so
- Nsakrae a ɛba nna ho akɔnnɔ anaa dwumadi mu
Nkrasɛm a Wɔde Kɔ Fie
- Milnacipran yɛ aduru titiriw bi a wɔde sa fibromyalgia .
- Ansa na wubefi saa aduru yi ase no, ka nnuru afoforo a wonom nyinaa ne ayaresa tebea biara a wowɔ ho asɛm kyerɛ wo duruyɛfo .
- Mma nnyae nnuru a wobɛnom mpofirim da a wunni aduruyɛ mu afotu.
- Hwɛ yiye paa wɔ adwene mu nsakrae, basabasayɛ, anaa adwene a ɛne sɛ wubekum wo ho wɔ bere a edi kan a wobɛnom aduru no mu no ho. Sɛ wuhyia eyinom mu biara a, ka kyerɛ wo duruyɛfo ntɛm ara.
- Saa aduru yi yɛ wo nkutoo dea. Mfa nnkyɛ obi foforo biara.
- Fa aduru no sie baabi a ɛhɔ yɛ hyew , baabi a mmofra ntumi nkɔ hɔ .
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