So wo duruyɛfo akyerɛw morphine ama wo anaa obi a ɔwɔ w’abusua mu ama ɛyaw a emu yɛ den? Esiane sɛ ɛyɛ aduru a wɔde kum ɛyaw a ano yɛ den yiye nti, ebia wubenya nsɛmmisa pii wɔ ho. "So ɛyɛ hu sɛ wode bedi dwuma?", "Dɛn ne nea efi mu ba?", "Dɛn na ɛsɛ sɛ mehwɛ yiye bere a merenom no?" Ebia wowɔ nsɛmmisa te sɛ eyi nso. Nha wo ho. Yɛbɛka eyinom nyinaa ho asɛm tiawa na emu ada hɔ nnɛ.
Dɛn ne Morphine yi?
Sɛ yɛbɛka no tiawa a, morphine yɛ aduru a ano yɛ den a wɔde kum ɛyaw a nnuruyɛfo kyerɛw ma de siw ɛyaw a emu yɛ den ano . Wɔde di dwuma bere a wontumi mfa nnuru a wɔde kum ɛyaw a wɔde di dwuma daa nni ɛyaw no so, anaa bere a nipadua no ntumi nnye nnuru no ano.
Eyi ka nnuru kuw bi a wɔfrɛ no opioids ho. Saa aduru yi yɛ adwuma denam ɛyaw ho nsɛnkyerɛnne a ɛkɔ yɛn amemene no mu a esiw ano no so. Enti, ɛmfa ho sɛnea ɛyaw no mu yɛ den no, yɛnte nka kakraa bi.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom nnuru
Ansa na wubefi ase de morphine adi dwuma no, ɛho hia yiye sɛ wode w’akwahosan ho nkyerɛkyerɛmu a edi mũ ma wo duruyɛfo. Hwɛ hu sɛ wobɛka akyerɛ wɔn sɛ wowɔ tebea horow a edidi so yi mu bi a:
| W’akwahosan tebea | Dɛn nti na ɛsɛ sɛ wobɔ amanneɛ? |
|---|---|
| Ti a opira, amemene mu akisikuru | Morphine tumi ma nhyɛso a ɛwɔ amemene no mu no yɛ kɛse. |
| Akisikuru, ahurututu mu yare, anaa ɔhome a ɛyɛ den | Saa aduru yi betumi ayɛ nea asiane wom efisɛ etumi ma ɔhome brɛoo. |
| Asaabo anaa mmerɛbo mu yare | Ebia ɔkwan a wɔfa so yi nnuru fi nipadua no mu no bɛka. |
| Nnubɔne anaa nsa a wɔde di dwuma ɔkwammɔne so | Eyi nso yɛ aduru a asiane wom sɛ obi de ne ho bɛhyɛ mu, enti ɛho hia sɛ wɔhwɛ so yiye. |
| Nyarewa a ɛwɔ dwensɔtwaa anaa akisikuru mu | Saa tebea horow yi betumi abɛyɛ aniberesɛm. |
| Akisikuru anaasɛ akisikuru | Asiane a ɛwɔ hɔ sɛ obi benya akisikuru no betumi ayɛ kɛse. |
| MAOI nnuru a wɔnom wɔ nnafua 14 a atwam no mu | Eyi betumi de nneyɛe a emu yɛ den yiye na asiane wom aba. |
| Wonyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaasɛ worema nufu | Esiane sɛ aduru yi betumi aka akokoaa no nti, aduruyɛ mu afotu ho hia. |
| Aduru anaa aduan foforo biara ho akisikuru | Hu sɛnea ebetumi aba sɛ wo ho yɛ wo hyew wɔ morphine ho. |
Ɔkwan bɛn so ankasa na wode saa aduru yi di dwuma?
Ɛho hia yiye sɛ wubedi ɔkwan pɔtee a wɔfa so de eyi di dwuma no akyi.
- Fa dodow a wo duruyɛfo akyerɛ wo nkutoo: Nnom nea ɛboro nea oduruyɛfo no ka kyerɛ wo no da.
- Susuw yiye: Esiane sɛ aduru yi ba sɛ nsu nti, fa nsenia anaa kuruwa soronko bi susuw. Mfa ofie teaspoon nsusuw, efisɛ ɛnyɛ pɛpɛɛpɛ.
- Fa no bere a ɛfata mu: Nom aduru no wɔ bere a ɛfata mu, nnɔnhwerew kakraa biara, sɛnea wo duruyɛfo akyerɛ wo no.
- Sɛ wo yafunu mu yɛ wo yaw a: Sɛ wote nka sɛ ɛhaw wo bere a woanom aduru no awie a, fa ka aduan anaa nufusu kuruwa biako ho.
- Kwati sɛ wubegyae mpofirim: Nnyae aduru no nom mpofirim a wo duruyɛfo nka ho afotu. Saa a wobɛyɛ no betumi de ɔhaw ahorow a emu yɛ den aba (nsɛnkyerɛnne a ɛkyerɛ sɛ obi atwe ne ho afi ho).
Nea ɛho hia paa: Wɔakyerɛw saa aduru yi ama wo nkutoo.Mfa aduru yi nkyɛ obi foforo da. Ɛyɛ mmara so bu na asiane wom kɛse.
Sɛ wopa dose 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? (Nnuru a wɔde ma boro so) .
Sɛ wususuw sɛ woanom nnuru pii a, yɛ ho biribi ntɛm ara. Eyi betumi de nkwa ato asiane mu.
1. Frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no ntɛm ara .
2. Bere koro no ara mu no, fa ɔyarefo no kɔ ayaresabea a ɛbɛn wo no Emergency Treatment Unit (ETU) .
Nnuru afoforo a ebetumi ne saa aduru yi adi nkitaho (Drug Interactions) .
Ɛho hia sɛ woka nnuru foforo biara, vitamin, anaa nhabannuru a worenom ho asɛm kyerɛ wo duruyɛfo, efisɛ nnuru bi betumi ne morphine ayɛ adwuma na ɛde tebea horow a ɛyɛ hu aba.
| Nnuru a ɛnsɛ sɛ wɔde ka morphine ho da | |
|---|---|
| |
| Nnuru a ebia ɛne morphine di nkitaho ma enti ɛsɛ sɛ wɔbɔ oduruyɛfo amanneɛ | |
| Nnuru ahorow a wɔde di dwuma | Nhwɛso ahorow |
| Nsaden | Nsã biara a wɔnom. |
| Nnuru bi a wɔde sa atiridiinini ne ɔfe (Antihistamines) . | Nnuru a ɛma obi da, te sɛ Piriton. |
| Nnuru a wɔde sa adwenemyare (Adwenemhaw, Dadwen) . | Nnuru te sɛ Amitriptyline, Fluoxetine, Sertraline. |
| Nnuru a wɔde sa nna a wontumi nna | Nnuru te sɛ diazepam. |
| Nnuru afoforo a ano yɛ den a wɔde kum ɛyaw anaa ɔfe | Nnuru te sɛ Tramadol ne Codeine. |
*Saa list yi nwie pɛyɛ. Ka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo.*
Hwɛ yiye wɔ saa nneɛma yi ho bere a worenom nnuru no.
Nsonsonoe a ɛda abodwokyɛre ne ade a ɛma obi yɛ ade tra so ntam
Ehu a nnipa pii wɔ no mu biako ne sɛ nnuru a ɛte sɛɛ no bɛka wɔn ho. Ɛsɛ sɛ yɛte nneɛma abien ase wɔ ha.
1. Abodwokyɛre: Sɛ wonom morphine bere tenten a, ebia dodow a na woadi kan no rennɔɔso bio sɛ ɛbɛma ɛyaw no afi hɔ. Eyi kyerɛ sɛ ɛho hia sɛ wɔde dodow a ɛkɔ soro kakra ma na ama wɔatumi asiw ɛyaw no so. Eyi yɛ ade a ɛfata . Eyi nyɛ ade a ɛma obi yɛ ade tra so.
2. Ade a ɛma obi yɛ ade tra so: Ade a ɛma obi yɛ ade tra so ne su a ɛne sɛ ɔde nnubɔne bi bedi dwuma de agye n’adwene mu anigye a onni aduruyɛ mu ntease biara. Sɛ worenom esiane ɛyaw nti wɔ nnuruyɛfo afotu so a, ɛnyɛ ade a ɛma obi yɛ ade tra so.
Hwɛ yiye wɔ Naloxone ho
Naloxone yɛ aduru a egye nkwa a ebetumi asan opioid aduru te sɛ morphine a wɔnom boro so no. Dodow a ɛboro so betumi aba bere a wonom aduru no pii anaasɛ wode ka biribi te sɛ nsa ho no. Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anom boro so ne sɛ ɔbɛhome brɛoo koraa, ɔda a ɔda kɛse, na ontumi sɔre bere a ɔkasa mpo . Wo ne wo duruyɛfo nka eyi ho asɛm ne sɛnea wubenya Naloxone na wode adi dwuma sɛ ɛho hia a.
Nsɛntitiriw afoforo a ɛho hia
- 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 bere a worenom aduru yi.
- Nsã: Kwati sɛ wobɛnom nsa koraa bere a worenom morphine no. Ebetumi de asiane kɛse aba.
- Akisikuru: Akisikuru yɛ aduru yi a ɛtaa ba. Enti nom nsu pii na di nnuan a ahoɔdennuru wom pii (nnuaba, nhabannuru).Sɛ ɛyɛ den ma wo sɛ wobɛtow wo ho bɛboro nnafua 3 a, ka kyerɛ wo duruyɛfo.
Nsunsuanso bɔne a ebetumi aba esiane nnuru nti
| Nneɛma bɔne a anibere wom a ɛsɛ sɛ wobɔ wo duruyɛfo anaa ETU amanneɛ ntɛm ara | |
|---|---|
| Nneɛma a ɛma obi ho yɛ no yaw | Wora mu akisikuru, ɛyaw, anim, anofafa, tɛkrɛma a ɛho ahonhon. |
| Ɔhome mu haw (CNS Depression) . | Ɔhome brɛoo paa, ɛyɛ den sɛ ɔbɛhome, nna a ɛtra so, ontumi sɔre. |
| Mogya mmoroso a ɛso tew | Adwene a ɛyɛ basaa, aniwa a ɛyɛ kusuu, akisikuru. |
| Nsunsuansoɔ bɔne a ɛbɛtumi aba, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ oduruyɛfoɔ amanneɛ | |
| Ayamtim | Di nnuru a yɛaka ho asɛm wɔ atifi hɔ no akyi. |
| Adwene a ɛyɛ basaa, nna a ɛma obi da | Ebia ɛbɛtew bere a nipadua no de aduru no yɛ ne su no. |
| Akisikuru, ɔfe | Wobetumi atew so denam aduru no a wɔde ka aduan ho no so. |
| Ano a ɛyɛ nwunu | Ebia aduru a asikre nnim ne nsu a wɔnom bɛboa. |
Ɔkwan bɛn so na wobetumi ama nnuru ayɛ nea asiane biara nni ho?
- Twe wo ho fi mmofra ne afieboa ho: Sɛ aduru yi kɔ abofra anaa afieboa nsa a, ebetumi akum obi.
- Fa to baabi a ɛhɔ yɛ dwoodwoo: Sɛnea ɛbɛyɛ a wobɛbɔ ho ban afi korɔnbɔ ho no, fa sie baabi a ahobammɔ wɔ a ɛnyɛ den sɛ obiara ntumi nnya.
- Nnuru a Aka: Sɛ wowɔ nnuru bi a aka a, tow gu yiye. Sɛ ɛno ntumi nyɛ yiye a, hohoro wɔn kɔ tiafi no mu. Mfa nnuru a ne bere atwam nni dwuma.
Nkrasɛm a Wɔde Kɔ Fie
- Morphine yɛ aduru a ano yɛ den a wɔde kum ɛyaw a ɛsɛ sɛ wɔde di dwuma wɔ nnuruyɛfo hwɛ ase nkutoo.
- Hwɛ hu sɛ wobɛka nnuru afoforo a wonom nyinaa ne w’ayaresa tebea nyinaa akyerɛ wo duruyɛfo.
- Mfa saa aduru yi nkyerɛ afoforo da. Ɛyɛ asiane kɛse.
- Hu nnuru a wɔde di dwuma boro so ho sɛnkyerɛnne (dae a ɛtra so, ɛyɛ den sɛ wobɛhome) na kɔ Dwumadibea a Ɛhwɛ Nneɛma a Egye Ntɛmpɛ So (ETU) ntɛm ara.
- Kwati sɛ wubegyae aduru no mpofirim a wunni aduruyɛfo afotu.
- Fa aduru no to baabi a ahobammɔ wɔ a mmofra ne afieboa ntumi nkɔ hɔ bere nyinaa.
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