So worepere ɛyaw a wuntumi nnyina ano, a ɛtra hɔ kyɛ? Ɛtɔ mmere bi a, sɛ nnuru a wɔde kum ɛyaw a ɛnyɛ den mma wo ho atɔ wo a, ebia wo duruyɛfo bɛkyerɛw wo aduru a ano yɛ den te sɛ Morphine. Eyi yɛ aduru a ɛsɛ sɛ wɔde ahwɛyiye kɛse di dwuma na aduruyɛfo afotu nkutoo na wɔde di dwuma. Enti, momma yensua ho ade pii nnɛ.
Aduru bɛn na eyi yɛ?
Sɛ yɛbɛka no tiawa a, Morphine yɛ ɛyaw ano aduru a ano yɛ den a wɔde sa ɛyaw a emu yɛ den na enni sabea . Ɛka nnuru kuw bi a wɔfrɛ no opioids ho. Nea ɛma ɛyɛ soronko ne sɛ ɛyɛ aduru a "ɛtrɛw bere tenten". Eyi kyerɛ sɛ wɔde nkakrankakra fi aduru no mu fi saa aduru yi mu kɔ nipadua no mu, na ɛhyɛ ɛyaw no so nnɔnhwerew pii.
Nea ɛho hia sen biara ne sɛ wɔde saa aduru yi di dwuma ma ɛyaw a ɛtra hɔ kyɛ nkutoo. Ɛmfata mma ɛyaw a ɛba mpofirim.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom saa aduru yi
Morphine nyɛ aduru a ɛfata obiara, enti ɛho hia sɛ wode w’ayaresa tebea no ho abakɔsɛm a edi mũ ma wo duruyɛfo. Hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ wowɔ tebea horow a edidi so yi mu biara a:
| Akwahosan tebea horow a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ |
|---|
| • Amemene mu akisikuru anaasɛ ti a opira kɛse |
| • Nnubɔne anaa nsa a wɔde di dwuma ɔkwammɔne so |
| • Ahurututu mu yare, ayamtu, anaa ɔhome mu haw afoforo |
| • Asaabo anaa mmerɛbo mu yare |
| • Adrenal gland no dwumadi a ɛba fam |
| • Thyroid yare |
| • Pancreatic anaa Gallbladder yare |
| • Akisikuru a ɛma obi ho kyere no |
| • Ɔdwensɔtwaa mu haw anaasɛ ɛyɛ den sɛ wobɛpopa |
| • Sɛ woanom MAOI aduru a ekum adwenemhaw (e.g. Parnate, Nardil) wɔ nnafua 14 a atwam no mu a |
| • Sɛ wo ho yɛ wo hyew wɔ morphine anaa nnuru afoforo, nnuan, anaa nnuru a wɔde yɛ nneɛma ho a. |
| • Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaa worema nufu a |
Ɔkwan bɛn so na ɛsɛ sɛ mede aduru no di dwuma?
Fa nsu kuruwa mene saa capsule yi nyinaa. Mmu, nbubu, anaa nwe capsule no esiane biribiara nti. Saa a wɔbɛyɛ no betumi ama nnuru dodow a ɛsɛ sɛ wɔtwe nkakrankakra wɔ nnɔnhwerew pii mu no nyinaa atwe prɛko pɛ, na ama wɔanom boro so a asiane wom. Eyi betumi de nkwa ato asiane mu.
Sɛ wote nka sɛ ɛhaw wo bere a woanom aduru no akyi a, fa ka aduan bi anaa nufusu kuruwa biako ho.
Na sɛ ɛyɛ den sɛ wɔbɛmene capsule no nso ɛ?
Ɛyɛ den ma nnipa binom sɛ wɔbɛmene capsules. Sɛ saa a, bue capsule no yiye na fa aba nketewa a ɛwɔ mu no gu aduan a ɛyɛ nwini na ɛyɛ mmerɛw te sɛ apɔw-mu-teɛteɛ so. Afei mene ade no nyinaa a wonwe. Mfa nsie mma akyiri yi. Afei fa nsu hohoro w’ano na mene nsu no. Mma aba no ntra w’anom.
Fa aduru no sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ, wɔ bere a ɛfata mu. Mfa nea ɛboro dodow a wɔakyerɛw ama wo no da.
Kɔkɔbɔ: Sɛ wususuw sɛ woanom nnuru pii a, frɛ National Poisons Information Center a ɛwɔ Colombo National Hospital , ntɛm ara , anaa kɔ Emergency Treatment Unit (ETU) a ɛbɛn wo no nkyɛn.
Nnuru afoforo a ebia ɛne aduru yi bedi nkitaho
Morphine tumi ne nnuru afoforo pii di nkitaho, enti ɛho hia sɛ woka nnuru a worenom (wɔakyerɛw ama wo, nea wɔtɔn, nhabannuru, ne vitamin) nyinaa kyerɛ wo duruyɛfo.
| Nnuru ahorow a wɔde di dwuma | Nhwɛso ahorow |
|---|---|
| Kwati sɛ wobɛnom Morphine ne eyinom koraa. | |
| MAOIs (aduru bi a wɔde sa adwenemhaw) . | Marplan, Nardil, Parnate, ne wɔn a wɔka wɔn ho no |
| Nnuru afoforo | Linezolid, Methylene bruu, Samidorphan na ɛwɔ hɔ |
| Sɛ worenom nnuru yi a, wo ne wo duruyɛfo nsusuw ho. | |
| Nsaden | - . |
| Nnuru a wɔde sa akisikuru, ɔfe, ne atiridiinini (Antihistamines) . | Piriton, Cetirizine a wɔde yɛ nnuru |
| Nnuru a wɔde sa dadwen anaa nna | Diazepam, Alprazolam a wɔde yɛ aduru a wɔfrɛ no Alprazolam |
| Nnuru afoforo a wɔde sa adwenemhaw | Amitriptyline, Fluoxetine a wɔde yɛ aduru a wɔfrɛ no Fluoxetine |
| Nnuru afoforo a ano yɛ den a wɔde kum ɛyaw anaa nnubɔne | Tramadol, Codeine a wɔde yɛ nnuru |
| Nnuru a ɛma ntini mu dwo | - . |
Saa nsɛm a wɔahyehyɛ yi nwie pɛyɛ, enti ka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo.
Nneɛma a ɛsɛ sɛ ɛtra w’adwenem bere a worenom nnuru no
- Abodwokyɛre: Bere kɔ so no, ebia nnuru dodow koro no ara rentumi nni ɛyaw koro no ara so bio. Wɔfrɛ eyi ``abodwokyɛre.'' Eyi yɛ ade a ɛyɛ daa. Sɛ wo yaw no ano mmrɛ a, ka kyerɛ wo duruyɛfo. Ɔbɛyɛ nsakrae wɔ dodow a wɔde ma no mu sɛ ɛho hia a.
- Nnubɔne a wotumi gyina ano ne nea ɛma obi yɛ ade tra so: Sɛ wonom saa aduru yi kyɛ a, wo nipadua no yɛ ne su. Ɛnyɛ ade a ɛma obi yɛ ade tra so. Aduru a ɛma obi yɛ ade tra so yɛ suban ho haw a ɛba bere a wɔde nnubɔne di dwuma a wonni aduruyɛ mu ntease biara. Sɛ ɛho hia sɛ wugyae aduru no nom wɔ oduruyɛfo afotu so a, nnyae mpofirim. Wɔtew dodow a wɔde ma no so nkakrankakra na wɔakwati nsunsuanso bɔne.
- Hwɛ yiye wɔ Naloxone ho: Naloxone yɛ aduru a egye ntɛmpɛ a wɔde ma de dan opioid a wɔnom boro so no nkɛntɛnso. Ɛho hia sɛ obi a ɔnom aduru yi abusua no hu eyi. Bisa wo duruyɛfo no ɔkwan a wobɛfa so anya bi.
- Dae ne adwenemhaw: Ebia saa aduru yi bɛma woate nka sɛ woda na w’adwene tu fra. Enti, nka kar anaa mfa mfiri nni dwuma kosi sɛ wubehu sɛnea ɛka wo. Hwɛ yiye bere a woresɔre anaa woretra ase ntɛm no, titiriw sɛ woabɔ akwakoraa a.
- Nsã: Kwati sɛ wobɛnom nsa koraa bere a worenom morphine no. Ebetumi de nsunsuanso bɔne a ɛyɛ hu aba.
- Akisikuru: Akisikuru yɛ aduru yi mu nsunsuanso bɔne a abu so yiye. Sɛ woankɔ wo dwensɔtwaa mu nnafua 3 a, ka kyerɛ wo duruyɛfo.
Dɛn ne nsunsuanso bɔne a ebetumi afi mu aba?
| Nsunsuanso bɔne |
|---|
| Bɔ wo duruyɛfo anaa ETU amanneɛ ntɛm ara. |
| • Allergic reactions - honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon. |
| • Ɔhome a ɛyɛ den, ɔhome a ɛyɛ brɛoo anaasɛ ɛnyɛ den, nna a ɛtra so, adwene a ɛyera. |
| • Mogya mmoroso a ɛba fam - adwenemhaw, adwenemhaw, ani a ɛyɛ kusuu. |
| • Nsɛnkyerɛnne a ɛkyerɛ sɛ adrenal dwumadi so tew - akisikuru, ɔfe, aduan ho akɔnnɔ a ɛyera, ɔbrɛ kɛse. |
| Sɛ eyinom kɔ so anaasɛ ɛhaw adwene a, ka kyerɛ wo duruyɛfo. |
| • Ayamtim |
| • Adwene a ɛyɛ basaa, nna a ɛma obi da |
| • Ano a ɛyɛ nwunu |
| • Tiyɛ, akisikuru, ɔfe |
Ɔkwan bɛn so na wokora nnuru so na wotow gu?
Eyi yɛ aduru a ano yɛ den yiye, enti fa to baabi a ahobammɔ wɔ a mmofra ne afieboa ntumi nkɔ hɔ . Bɔ ho ban mfi korɔnbɔ ho efisɛ wobetumi de adi dwuma ɔkwammɔne so.
Mfa aduru yi nkyɛ obi foforo da. Saa a wɔbɛyɛ no yɛ nea mmara mma ho kwan na asiane wom kɛse.
Ɛho hia sɛ wɔtow nnuru a wɔmfa nni dwuma anaasɛ ne bere atwam no gu yiye. Ɛyɛ papa sɛ wode bɛhyɛ ayaresabea anaa nnurutɔnbea bi a wɔhwɛ nnuru a wɔtow gu no nsa. Sɛ eyi ntumi nyɛ yiye a, hohoro wɔn wɔ tiafi mu, ɛwom sɛ nyansa wom sɛ wobɛkɔ wo duruyɛfo nkyɛn de.
Nkrasɛm a Wɔde Kɔ Fie
- Morphine yɛ aduru a ano yɛ den a wɔde ma ɛyaw a emu yɛ den a enni sabea a nnuru afoforo a ɛma ɛyaw ano brɛɛ ase nkutoo.
- Mmu, nsɛe, anaa nwe capsule no. Mene no nyinaa.
- Ka nnuru afoforo a wonom nyinaa ne ayaresa tebea horow a wowɔ nyinaa kyerɛ wo duruyɛfo.
- Kwati sɛ wobɛnom nsa bere a worenom aduru yi. Kwati sɛ wobɛka kar efisɛ ebetumi ama woada.
- Wɔakyerɛw saa aduru yi ama wo nkutoo. Mfa nnkyɛ obiara. Fa sie baabi a ahobammɔ wɔ a mmofra ntumi nkɔ hɔ.
- Sɛ wuhu nnuru a wɔde di dwuma boro so ho sɛnkyerɛnne te sɛ ɛyɛ den sɛ wobɛhome anaasɛ wobɛda dodo a, kɔ ayaresabea ntɛm ara.
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