So oduruyɛfo bi aka akyerɛ wo sɛ wowɔ mogya mmoroso, anaa "mogya mmoroso"? Anaasɛ obi wɔ w’abusua mu wɔ saa tebea yi mu? Sɛ saa a, ebia woate nnuru a wɔaka abom a wɔfrɛ no `(Moexipril; Hydrochlorothiazide)` yi ho asɛm. Wɔtaa hu nso wɔ gua so wɔ brand din `(Uniretic)` ase. Enti, ɛnnɛ yɛbɛka nea saa aduru yi yɛ, sɛnea ɛka nipadua no, ne nea ɛsɛ sɛ yɛhwɛ yiye wɔ ho titiriw bere a yɛde redi dwuma no ho asɛm.
Aduru bɛn na eyi yɛ? Ɔkwan bɛn so na ɛyɛ adwuma?
Sɛ yɛbɛka no tiawa a, Moexipril ne Hydrochlorothiazide (Moexipril; Hydrochlorothiazide) yɛ aduru a wɔde siw mogya mmoroso ano. Ɛyɛ nnuru abien a wɔaka abom ankasa.
1. Moexipril: Eyi ka nnuru bi a wɔfrɛ no ACE inhibitors ho. Fa mogya ntini a ɛwɔ wo nipadua mu no sɛ nsu afiri a ɛde nsu kɔ. Ɛtɔ mmere bi a, saa nsu afiri yi tumi siw kakra na ɛyɛ teateaa. Afei ɛbɛyɛ den sɛ mogya bɛfa wɔn mu, na nhyɛso no kɔ soro. ACE inhibitor yɛ adwuma denam saa mogya ntini no a ɛma ɛyɛ mmerɛw na ɛtrɛw so. Afei mogya no tumi fa wɔn mu ntɛmntɛm, na ɛma wo mogya so tew.
2. Hydrochlorothiazide: Eyi yɛ aduru bi a wɔfrɛ no diuretic. Sɛ yɛbɛka no tiawa a, ɛte sɛ "nsu aduru." Ɛyɛ adwuma denam boa a ɛboa w’asaabo ma woyi nsu ne nkyene a ɛboro so fi wo nipadua mu sɛ nsuo no so. Sɛ wo nipadua mu nsu so tew a, wo mogya so nso so tew.
Enti nnuru abien yi bom yɛ adwuma boa ma wo mogya mmoroso kɔ so yɛ nea ɛfata. Ebia wo duruyɛfo nso de saa aduru yi bedi dwuma wɔ nneɛma afoforo mu. Enti sɛ wowɔ nsɛmmisa bi a, ɛbɛyɛ papa sɛ wubebisa wo duruyɛfo anaa nnuruyɛfo.
Nneɛma bɛn na ɛsɛ sɛ meka kyerɛ oduruyɛfo no ansa na mafi saa aduru yi ase?
Ansa na ɔde aduru yi bɛma wo no, wo duruyɛfo no bebisa wo nsɛm bi. Ɛho hia paa sɛ woka nokware a womfa biribiara nsie. Nea enti a ɛte saa ne sɛ ebia saa aduru yi mfata mma nnipa a wɔwɔ nyarewa bi anaa tebea foforo bi. Enti, sɛ wowɔ tebea horow a edidi so yi mu biara a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo sɛ:
- Nnompe mu yare: Sɛ wowɔ tebea a ɛte saa a.
- Nsu a ɛba no so tew: Sɛ wo ntow nsu sɛnea wotaa yɛ no a.
- Asikreyare: Sɛ woyɛ obi a ɔwɔ asikreyare a.
- Koma anaa mogya ntini mu yare: Sɛ ɔhaw bi wɔ koma anaa mogya ntini mu a.
- Sɛ woredi aduan titiriw bi a: Sɛ nhwɛso no, aduan a nkyene nnim a wubedi.
- Mmerewa a ɛwɔ nipadua no mu tumi a ɛko tia nyarewa no mu: Sɛ nhwɛso no, tebea horow te sɛ `(Lupus)`.
- Asaabo mu yare:Sɛ ɔhaw bi wɔ asaabo no ho a.
- Mmɛn mu yare: Sɛ ɔhaw bi wɔ mmerɛbo no ho a.
- Mogya mmoroso a ɛba fam: Sɛ nhyɛso no so tew dedaw a.
- Sɛ woanya tebea bi pɛn wɔ bere a atwam a wo tɛkrɛma, w'anim, anaa w'ano hohoro, ɛma ɛyɛ den sɛ wobɛhome anaa wobɛmene, wo nne sesa, anaasɛ wo menewa mu yɛ den a, eyi betumi ayɛ tebea a wɔfrɛ no ``Angioedema''.
- Sɛ woanya komayare anaa akisikuru nnansa yi a.
- Sɛ wo ho nyɛ wo hyew wɔ moexipril, hydrochlorothiazide, sulfa nnuru, nnuru afoforo, nkoekoemmoa a wɔwe, nnuan, kɔla ahorow a wɔayɛ, anaa nneɛma a wɔde sie ho a.
- Sɛ wowɔ anidaso sɛ wubenyinsɛn, anaasɛ wususuw dedaw sɛ woanyinsɛn a.
- Sɛ woyɛ ɛna a worema nufu a.
Sɛ wo ne wo duruyɛfo bɛkasa pefee afa saa nneɛma yi ho a, ɛho hia yiye ma w’ahobammɔ ne w’ayaresa no nkonimdi.
Ɔkwan bɛn so na ɛsɛ sɛ mede saa aduru yi di dwuma?
Ɛsɛ sɛ wɔde ano nom saa aduru yi. Ɛyɛ papa sɛ wobɛnom bere koro mu da biara, sɛnea wo duruyɛfo aka akyerɛ wo no. Anyɛ yiye koraa no, wɔtaa nom dɔnhwerew biako ansa na wɔadi, bere a yafunu da mpan. Ɛsɛ sɛ wokɔ so nom kosi sɛ wo duruyɛfo bɛka akyerɛ wo sɛ gyae. Ɛnyɛ adwene pa sɛ wubegyae nom wɔ w’ankasa wo pɛ mu.
Nea ɛho hia: Sɛ wode saa aduru yi rema mmofra nkumaa a, akyinnye biara nni ho sɛ ɛsɛ sɛ wo ne wo duruyɛfo kasa fa ho. Ebia wobehia ɔhwɛ soronko.
Na sɛ menom nnuru pii nso ɛ?
Sɛ wususuw sɛ woanom aduru yi dodo a, kɔ ayaresabea dan a wɔhwɛ ntɛmpɛ a ɛbɛn wo no mu ntɛm ara, anaa frɛ baabi a wɔhwɛ awuduru so. Mma nsɛe bere.
Ade biako bio: Saa aduru yi yɛ wo nkutoo dea. Sɛ w’adamfo no nso yareɛ te sɛ wo mpo a, mma no aduru yi. Ebetumi ayɛ nea asiane wom.
Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?
Sɛ wo werɛ fi sɛ wobɛnom 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 mmɔho abien da.
Nneɛma foforo bɛn na ebetumi "akasa atia" saa aduru yi?
Nnuru, nnuan, anaa nneɛma afoforo bi a wonom betumi de ɔhaw aba bere a wɔde ka aduru yi (Moexipril; Hydrochlorothiazide) ho no. Wɔfrɛ eyi "nnubɔne nkitahodi."
Mfa saa aduru yi nka nnuru a edidi so yi ho:
- `Diazoxide a wɔde yɛ ade`
- `Sacubitril a ɛyɛ fɛ; valsartan`
Afei nso, nea edidi so yi betumi ne aduru yi adi nkitaho. Enti, sɛ worenom eyinom mu biara a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo:
- Barbiturates (sɛ nhwɛso no, phenobarbital) .
- Nnuru afoforo a ɛma mogya mmoroso so tew
- Corticosteroids (sɛ nhwɛso no, prednisone) .
- Asikreyare aduru
- Nnuru afoforo a ɛma nsu fi nipadua mu, titiriw triamterene, spironolactone, anaa amiloride
- Lithium a wɔde yɛ nneɛma
- NSAIDs (nnuru a wɔde sa ɛyaw ne ɔfe, s.e. ibuprofen anaa naproxen) .
- Potassium nkyene anaa potassium a wɔde ka ho
- Nnuru a wɔde kum ɛyaw a oduruyɛfo bi akyerɛw ama obi
- Nnompe mu ntini ahorow bi a ɛma nnompe mu ntini dwo (e.g. tubocurarine) .
- Nnuru bi a ɛma mogya mu srade so tew (e.g., `cholestyramine` anaa `colestipol`) .
Saa nsɛm a wɔahyehyɛ yi nyɛ nea edi mũ. Ebia pii wɔ hɔ. Enti, ka nnuru a wonom nyinaa (a wo duruyɛfo akyerɛw ama wo, nnuru a wɔde kum ɛyaw a wɔtɔn, vitamin ahorow, Ayurvedic nnuru mpo), nhabannuru a wode di dwuma, aduannuru a wonom, ne sɛ wonom sigaret, wonom nsa, anaa wode nnuru afoforo di dwuma ho asɛm kyerɛ wo duruyɛfo. Eyi bɛboa no ma wasa wo yare dwoodwoo.
Dɛn bio na ɛsɛ sɛ yɛhwɛ yiye wɔ ho bere a yɛrenom aduru yi?
Nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a wode aduru yi redi dwuma no:
- Hwɛ wo duruyɛfo daa: Hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn akɔhwɛ wo nkɔso na woahwɛ ahu sɛ aduru no reyɛ adwuma yiye. Sɛ wo duruyɛfo ka kyerɛ wo sɛ hwɛ wo mogya mmoroso wɔ fie a, yɛ saa. Bisa no nea ɛsɛ sɛ wo mogya mmoroso yɛ ne bere a ɛsɛ sɛ woma no hu. Afei nso, sɛ wo koma bɔ ntɛmntɛm anaasɛ ɛbɔ ntɛmntɛm a, ka kyerɛ wo duruyɛfo .
- Nom nsu pii na kwati sɛ wo ho bɛtɔ wo: Saa aduru yi betumi ama wo ho ayɛ wo hyew, enti bisa wo duruyɛfo sɛ nsu dodow a ɛsɛ sɛ wonom da biara. Sɛ wo ho yɛ wo yaw, wofe a emu yɛ den, anaa wo ho fifiri boro so a, ka kyerɛ wo duruyɛfo ntɛm ara. Saa aduru yi betumi ayɛ nea asiane wom sɛ wohwere nsu pii fi wo nipadua mu a.
- Mmea a wɔyem ne mmea a wɔrebɔ mmɔden sɛ wobenyinsɛn: Sɛ woanyinsɛn, anaa wususuw sɛ ebia woanyinsɛn a, ka kyerɛ wo duruyɛfo ntɛm ara. Saa aduru yi betumi de nsunsuanso bɔne a emu yɛ den aba wo ba a ɔhyɛ yafunu mu no so. Bisa wo duruyɛfo anaa nnuruyɛfo ma ɔmma wo nsɛm pii.
- Dae, adwenemhaw: .Ebia nnipa binom bɛte nka sɛ wɔada anaasɛ wɔn adwene atu afra bere a wɔanom aduru yi awie no. Enti, kwati sɛ wobɛka kar, wode mfiri bedi dwuma, anaa wobɛyɛ nnwuma afoforo a ɛhwehwɛ sɛ wode w’adwene si biribi so kosi sɛ wubehu sɛnea aduru yi ka wo. Hwɛ yiye bere a woresɔre anaa wotena ase mpofirim no, titiriw sɛ woabɔ akwakoraa a. Eyi betumi ama woahwe ase. Nsã a wɔnom betumi ama saa nna ne adwenemhaw yi asɛe kɛse. Enti twe wo ho fi nsa ho.
- Asikre dodow a ɛwɔ wo mogya mu: Sɛ wowɔ asikreyare a, saa aduru yi betumi ama asikre dodow a ɛwɔ wo mogya mu no akɔ soro kakra. Enti, bisa wo duruyɛfo sɛ ɛsɛ sɛ woyɛ nsakrae bi wɔ w’aduan anaa asikreyare nnuru mu anaa.
- Nkyene a wɔde si nkyene ananmu: Nnom nnuru a wɔde si nkyene ananmu gye sɛ wo duruyɛfo ka kyerɛ wo. Ebetumi ayɛ nea potassium pii wom.
- Owia ho nkate: Ebia wo honam ani bɛte nka kakra wɔ owia ho bere a worenom aduru yi no. Eyi kyerɛ sɛ ebia wo honam ani bɛhyew na ayɛ kɔkɔɔ ntɛmntɛm sen kan no. Tew owia a wobɛbɔ no so sɛnea wubetumi biara. Sɛ ɛsɛ sɛ wupue a, hyɛ ntade a ɛkata wo nipadua so yiye na fa aduru a ɛbɔ wo ho ban fi owia ho di dwuma. Sɛ wode owia akanea di dwuma a, ɛnyɛ papa mma wo saa bere yi nso.
- Ɔfe, atiridiinini, ne ɛyaw nnuru: Bisa wo duruyɛfo ansa na woanom ɔfe, atiridii, anaa ɛyaw nnuru foforo biara bere a worenom saa aduru yi. Nnuru bi betumi ama wo mogya mmoroso akɔ soro esiane nneɛma a ɛwɔ mu nti.
Dɛn ne aduru yi mu nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ nnuru nyinaa no, eyi betumi anya nkɛntɛnso bɔne bi. Nanso ɛnyɛ obiara na onya bi. Ebinom yɛ aniberesɛm na ɛsɛ sɛ woka kyerɛ wo duruyɛfo ntɛm ara. Ebinom nyɛ aniberesɛm saa, nanso sɛ ɛkɔ so a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo.
Nneɛma bɔne a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ntɛm ara:
- Allergic reactions anaa angioedema: Wora mu akisikuru, ɛyaw, anim, aniwa, anofafa, tɛkrɛma, nsa anaa anan a ɛho ahonhon, ɛyɛ den sɛ wobɛmene anaa wobɛhome.
- Nsu a ɛho ntew: Sukɔm dodo, ano a ɛyɛ nwunu, ɔtopae, adwenemhaw, tiyɛ, nsu a ɛyɛ kɔkɔɔ tuntum anaa bruu.
- Gout: Ɛyaw a emu yɛ den, ɛyɛ kɔkɔɔ, ɛyɛ hyew, anaasɛ ɛho ahonhon wɔ nkwaa no mu, titiriw nansoaa kɛse no.
- Potassium dodow a ɛkɔ soro wɔ mogya no mu: Ntini mu mmerɛwyɛ, koma bɔ ntɛmntɛm anaasɛ ɛnbɔ daa.
- Asaabo mu opira: Nsu a ɛba no so tew, nansoaa, nsa, anaa anan ho ahonhon.
- Mmɛn mu opira: Ɛyaw wɔ yafunu no nifa so atifi, aduan ho akɔnnɔ a ɛyera, akisikuru, nsu a ɛyɛ mmerɛw, nsu a ɛyɛ kɔkɔɔ anaa bruu tuntum, honam ani anaa aniwa a ɛyɛ kɔkɔɔ, ne ɔbrɛ a ɛyɛ soronko.
- Mogya mmoroso a ɛba fam: Adwene a ɛyɛ basaa, adwenemhaw, aniwa a ɛyɛ mmerɛw.
- Potassium dodow a ɛba fam wɔ mogya mu:Ntini mu yaw anaasɛ ɛyɛ den, mmerɛwyɛ anaa ɔbrɛ a ɛyɛ soronko, koma a ɛbɔ ntɛmntɛm anaasɛ ɛnteɛ, akisikuru.
- Aniwa mu yaw mpofirim anaasɛ aniwa a ɛsakra: aniwa a ɛyɛ kusuu, nkaa a wohu a atwa akanea ho ahyia, anaasɛ onhu ade yiye.
Sɛ wuhu saa sɛnkyerɛnne yi bi a, kɔ oduruyɛfo nkyɛn ntɛm ara.
Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ:
- Nsakrae a ɛba nna ho akɔnnɔ anaa dwumadi mu
- Ɛwa
- Adwene a ɛyɛ basaa
- Ɔbrɛ
- Tipaeɛ
- Yafunu a ɛyɛ yaw (e.g. akisikuru, ɔfe) .
Ebia wubenya nsunsuanso afoforo a wɔankyerɛw wɔ ha nso. Sɛ wuhu biribi a ɛyɛ soronko a, wo ne wo duruyɛfo nka ho asɛm.
Ɔkwan bɛn so na ɛsɛ sɛ mede saa aduru yi sie?
Ɛsɛ sɛ wɔde saa aduru yi sie baabi a mmofra ne afieboa ntumi nkɔ hɔ.
Fa sie wɔ dan mu hyew (a ɛyɛ digrii Celsius 20 kosi 25, digrii Fahrenheit 68 kosi 77 ntam). Bɔ ho ban fi nsu ho. Fa aduru toa/packet no to mu denneennen. Tow aduru biara a aka wɔ da a ne bere atwam akyi no gu.
Nneɛma a ɛho hia paa sɛ wobɛkae (Take-Home Message) .
Okay, enti momma yɛnhwɛ nneɛma a ɛho hia sen biara a ɛsɛ sɛ wokae fi nea yɛaka ho asɛm no mu kɛkɛ:
- Saa aduru yi yɛ mogya mmoroso. Fa no sɛnea oduruyɛfo no ka kyerɛ wo no pɛpɛɛpɛ, wɔ bere a ɛfata mu, wɔ dodow a ɛfata mu.
- Ka nnuru afoforo a wonom nyinaa ne nyarewa biara a wowɔ ho asɛm kyerɛ wo duruyɛfo.
- Ebia wobɛte nka sɛ woada na w’adwene atu afra bere a worenom aduru no. Enti hwɛ yiye. Nnom nsa.
- Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaa worema nufu a, ka kyerɛ wo duruyɛfo ntɛm ara.
- Sɛ wunya ɔhaw biara a anibere wom a , kɔ oduruyɛfo nkyɛn ntɛm ara.
- Sɛ wowɔ nsɛmmisa anaa adwenem naayɛ bi a, nsuro sɛ wubebisa wo duruyɛfo anaa nnuruyɛfo.
Eyi yɛ nea yɛaka ho asɛm wɔ aduru yi ho no mu nsɛm tiawa kɛkɛ. Ebia nsɛm pii wɔ hɔ a ɛkɔ akyiri sen eyi. Enti, di aduruyɛ mu afotu akyi bere nyinaa bere a woresisi w’akwahosan ho gyinae no.
` Moexipril, Hydrochlorothiazide, Moexipril, Hydrochlorothiazide, mogya mmoroso, nhyɛso aduru, ACE inhibitor, diuretic, nsunsuanso bɔne
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