Nea ɛsɛ sɛ wuhu fa morphine capsules (Morphine Sustained-Release) ho ma ɛyaw a emu yɛ den

Ebia worehu amane wɔ ɛyaw a wuntumi nnyina ano a ɛtra hɔ kyɛ mu. Ebia wo duruyɛfo ama wo nnuru afoforo pii a wɔde kum ɛyaw, na emu biara mmoaa no ankasa. Ɛno ne bere a ebia oduruyɛfo bi bɛkyerɛw aduru bi a wɔfrɛ no morphine. Ɛyɛ aduru a wɔde kum ɛyaw a ano yɛ den yiye. Enti ɛnnɛ, momma yɛnka saa aduru yi, sɛnea wɔde di dwuma, ne nea ebetumi ayɛ ho asɛm.

Dɛn ne morphine a ɛkɔ so daa yi?

Sɛ yɛbɛka no tiawa a, morphine yɛ aduru titiriw bi a wɔde siw ɛyaw a emu yɛ den a enni sabea ano. Ɛyɛ nnuru a wɔde kum ɛyaw a ano yɛ den a wɔfrɛ no opioid kuw bi muni. Saa aduru yi yɛ adwuma denam ɛyaw ho nsɛnkyerɛnne a esiw ano sɛ ɛnkɔ amemene no mu no so. Eyi ma ɛyaw a yɛte no so tew.

Ebia woahyɛ no nsow sɛ saa aduru yi din kyerɛ sɛ ‘Sustained-Release’. Eyi kyerɛ sɛ sɛ wonom saa aduru yi a, wɔde nkakrankakra yi aduru no kɔ nipadua no mu na ɛtra hɔ nnɔnhwerew pii, a ɛkyerɛ sɛ ɛyɛ adwuma bere tenten . Enti, wɔde di dwuma ma ɛyaw a ɛtra hɔ kyɛ, na ɛnyɛ ɛyaw a ɛba mpofirim.

Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom saa aduru yi

Ɛho behia sɛ wo duruyɛfo hu w’akwahosan ho abakɔsɛm nyinaa ansa na wakyerɛw saa aduru yi ama wo. Ɛsɛ sɛ woka kyerɛ wo duruyɛfo titiriw sɛ wowɔ tebea horow a wɔabobɔ din wɔ ase ha no bi a.

• Sɛ wowɔ amemene mu akisikuru a
• Sɛ wonom nnubɔne anaa nsa anaa wonom a
• Sɛ woapira kɛse wɔ wo ti so a
• Sɛ wowɔ komayare a
• Sɛ woyɛ obi a ɔnom nsa daa a
• Sɛ adrenal glands no nyɛ adwuma yiye a
• Sɛ wowɔ ahurututu mu yare, ayamtu, anaa ɔhome mu haw afoforo a
• Sɛ wowɔ akisikuru a
• Sɛ wowɔ yafunu anaa dwensɔtwaa mu haw a
• Sɛ woanom MAOI (e.g., Carbex, Eldepryl, Marplan, Nardil, Parnate) aduru a ekum adwenemhaw wɔ nnafua 14 a atwam no mu a
• Sɛ wo ho yɛ wo hyew wɔ morphine anaa aduru foforo biara, aduan, anaa kɔla a wɔde ayɛ ho a.
• Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaa worema nufu a

Ɛho hia paa ma w’ahobammɔ sɛ wobɛka saa nsɛm yi a womfa nsie.

Ɔkwan bɛn so ankasa na mede saa aduru yi di dwuma?

Esiane sɛ eyi yɛ aduru a tumi wom nti, ɛho hia yiye sɛ wobɛnom dodow a ɛfata wɔ bere a ɛfata mu, sɛnea oduruyɛfo no ka no.

• Fa nsu kuruwa mene saa capsule yi nyinaa .
• Mmu, nbubu, anaa nwe capsule no da. Saa a wɔbɛyɛ no betumi ama nipadua no agye nnuru a ehia nyinaa wɔ bere tenten mu, na ɛde dodow a ɛboro so a asiane wom aba.
• Sɛ ɛte sɛ nea aduru no yɛ den sɛ wobɛfa yafunu mu a, fa ka aduan anaa nufusu kuruwa biako ho.
• Sɛ ɛyɛ den ma wo sɛ wobɛmene aduru a wɔde hyɛ mu no a, fa ahwɛyiye bue aduru no na fa aba nketewa no gu mu, ne apɔw-mu-teɛteɛ a ɛyɛ nwini bi . Afei mene apɔw-mu-teɛteɛ no a wonwe . Mfa nsie mma akyiri yi. Mma nnyaw capsule no wɔ w’anom. Sɛ womene wie a, fa nsu hohoro w’ano na mene nsu no.
• Bɔ mmɔden sɛ wobɛnom w’aduru no bere koro mu da biara. Nnom nsen dodow a wo duruyɛfo ka kyerɛ wo sɛ fa no.

Sɛ woankɔ bere a wopɛ sɛ wonom nnuru a, dɛn na 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 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.

Nnuru afoforo a ebetumi ne aduru yi adi nkitaho (Interactions) .

Nnuru bi betumi de asiane aba bere a wɔde morphine ka ho no, enti ɛho hia sɛ woka nnuru afoforo a worenom nyinaa kyerɛ wo duruyɛfo.

Nea ɛka ho no, morphine tumi ne nea edidi so yi di nkitaho:

• Nsaden
• Nnuru a wɔde sa akisikuru, ɔfe ne atiridiinini (Antihistamines) .
• Aduru a wɔde sa dadwen anaa nna
• Nnuru bi a wɔde sa adwenemhaw (e.g. amitriptyline, fluoxetine) .
• Nnuru bi a wɔde sa atiridiinini
• Nnuru bi a wɔde sa ɔfe
• Nnuru a ɛma ntini mu dwo
• Nnuru afoforo a ano yɛ den a wɔde kum ɛyaw anaa ɔfe
• Nnuru a ɛma nsu fi nipadua mu
• Nnuru a wɔde kum nipadua no nyinaa

Saa list yi nwie pɛyɛ. Enti, ka nnuru a wonom nyinaa (a vitamin ne nnuru a wɔde di dwuma wɔ amanne kwan so ka ho) , ne sɛ ebia wonom sigaret, wonom nsa, anaa wode nnuru foforo di dwuma ho asɛm kyerɛ wo duruyɛfo.

Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho titiriw bere a worenom nnuru no

• Hwɛ ɛyaw no yiye: Sɛ wo yaw no ankɔ bere a woanom nnuru akyi, sɛ ɛyɛ kɛse, anaa sɛ wowɔ ɛyaw foforo a, ka kyerɛ wo duruyɛfo. Bere kɔ so no, ebia dodow a na worenom no rentumi nni wo yaw no so bio. Wɔfrɛ eyi sɛ obi a obenya abodwokyɛre. Eyi yɛ ade a ɛfata.
• Nsonsonoe a ɛda aduru a ɛma obi yɛ ade tra so ne ne su ntam: Bere a wokɔ so nom saa aduru yi no, wo nipadua no sua. Eyi nkyerɛ sɛ ɛyɛ wo dɛ. Ade a ɛma obi yɛ ade tra so ne adeyɛ a ɛne sɛ ɔbɛnom aduru no a atirimpɔw ne sɛ ɔbɛma akɔ soro a wonni aduruyɛ mu ntease biara. Wowɔ aduruyɛ mu ntease a enti wonom aduru no esiane sɛ wote ɛyaw nti.
• Nnyae aduru no nom mpofirim: Nnyae aduru no nom mpofirim a wo duruyɛfo nka ho afotu. Saa a wobɛyɛ no betumi ama wanya yare a ɛkyerɛ sɛ wagyae. Sɛ ɛho hia sɛ wugyae aduru no nom a, wo duruyɛfo no bɛtew dodow no so nkakrankakra.
• Hu Naloxone ho asɛm: Eyi yɛ aduru a egye ntɛmpɛ a egye nkwa a wɔde ma bere a wɔnom opioid boro so a. Wo ne wo duruyɛfo nkasa mfa sɛnea wubenya bi ho. Hu nnuru a wɔnom boro so ho sɛnkyerɛnne ahorow (ɔhome a ɛyɛ den, nna a ɛtra so, adwenem naayɛ). Ka eyi ho asɛm kyerɛ w’abusua na ka baabi a aduru yi wɔ ne sɛnea wɔde bedi dwuma kyerɛ wɔn. Bere a wɔama no Naloxone akyi mpo no, ɛho hia sɛ wɔde no kɔ ayaresabea ntɛm ara.
• 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 aduru yi ka wo. Sɛ woabɔ akwakoraa a, nsɔre anaa ntena ase mpofirim.
• Akisikuru: Akisikuru yɛ aduru yi a ɛtaa ba. Sɛ woankɔ wo dwensɔtwaa mu nnafua 3 a, ka kyerɛ wo duruyɛfo.

Nsunsuanso bɔne a ebetumi aba esiane nnuru nti

Ɔkwan bɛn so na wɔbɛbɔ aduru no ho ban na wɔayi afi hɔ?

• Fa sie baabi a mmofra ne afieboa ntumi nkɔ hɔ. Eyi yɛ aduru a ano yɛ den yiye. Sɛ obi foforo, titiriw abofra, fa a, ebetumi akum obi.
• Bɔ saa aduru yi ho ban fi korɔnbɔ ho .
• Tow nnuru a ne bere atwam anaa wɔmfa nni dwuma no gu wɔ ɔkwan a ɛfata so. Sɛ eyi ntumi nyɛ yiye a, hohoro mu kɔ tiafi no mu.