So ɛtɔ mmere bi a wote nka sɛ wo ntini reyɛ mmerɛw nkakrankakra, te sɛ nea wunni nkwa? Titiriw no, so wowɔ sɛnkyerɛnne ahorow te sɛ w’aniwa a ɛrehwe ase, ɛyɛ den sɛ wobɛkasa, wobɛmene aduan, anaa wo nsa ne anan a ɛyera? Eyinom betumi ayɛ ntini mu mmerɛwyɛ ho sɛnkyerɛnne, anaasɛ nea yɛfrɛ no wɔ aduruyɛ mu `(Myasthenia Gravis)`. Enti sɛ wowɔ saa tebea yi a, ebia wo duruyɛfo akyerɛw wo aduru bi a wɔfrɛ no `Neostigmine`. Ɛnnɛ, momma yɛnka saa aduru yi, sɛnea ɛyɛ adwuma, nneɛma a ɛsɛ sɛ yɛhwɛ yiye wɔ ho bere a yɛde redi dwuma, ne nea efi mu ba no ho asɛm.
Dɛn ne Neostigmine?
Sɛ yɛbɛka no tiawa a, Neostigmine yɛ aduru a ɛboa ma wo ntini ahoɔden tu mpɔn. Yɛn ntini ne yɛn ntini ahorow nam nnuru bi so di nkitaho. Wɔ `Myasthenia Gravis` fam no, saa nkitahodi yi nkɔ yiye. Neostigmine yɛ adwuma denam nnuru a ɛde nkrasɛm no kɔ hɔ a ɛma ɛtra hɔ kyɛ no so, na ɛhyɛ abusuabɔ a ɛda ntini ne ntini ahorow no ntam no mu den. Eyi boa ma ntini ahorow no san nya ahoɔden na ɛma ɛyɛ mmerɛw sɛ wɔbɛyɛ da biara da nnwuma.
Ɛtɔ da bi a wobetumi de saa aduru yi adi dwuma ama ayaresa tebea afoforo, enti sɛ wowɔ nsɛmmisa foforo bi fa eyi ho a, ɛbɛyɛ papa sɛ wubebisa wo duruyɛfo.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi ase anom nnuru
Ansa na wubefi ase anom Neostigmine no, ɛho hia yiye sɛ wobɛbɔ wo duruyɛfo amanneɛ wɔ aduruyɛ mu tebea foforo biara anaasɛ akisikuru a wowɔ ho, efisɛ ebia saa aduru yi ne ayaresa tebea horow bi bedi nkitaho.
| Sɛ wowɔ saa tebea horow yi a, ka kyerɛ wo duruyɛfo. |
|---|
| - ayamtu anaase ahome mu haw foforo |
| - a ɛyɛ den sɛ wobɛtow nsuo |
| - komayare, titire no komayare a ennye daa anaase ewo brɛoo |
| - a ewo yafunu mu yare anaase peritonitis |
| - asaabo mu yare |
| - a ewo akisikuru |
| - a ewo yafunu mu anaase akuru |
| - a ɛyɛ thyroid yareɛ |
| - Vagotonia tebea a ewo ho |
| - a ɛma obi ho yɛ no hyew wɔ neostigmine, bromides anaa nnuru foforo, nnuan, anaa nnuru a wɔde yɛ nneɛma ho |
| - se woye nyinsɛn, worebɔ mmɔden sɛ wobɛnyinsɛn, anaasɛ worenom nufu a |
Ɔkwan bɛn so na ɛsɛ sɛ mede saa aduru yi di dwuma?
Eyi yɛ mmerɛw yiye.
- Fa nsu kuruwa mene saa aduru yi.
- Fa dodow a wɔakyerɛw ama wo no nkutoo, wɔ bere a wo duruyɛfo akyerɛ wo no mu. Mma nntwa nnuru dodow a wɔde ma no so.
- Sɛ wo ho tɔ wo mpo a, nnyae aduru no nom mpofirim a wo duruyɛfo nka ho afotu.
- Ebia mmofra behia ɔhwɛ soronko bere a wɔde aduru yi redi dwuma no, enti wo ne mmofra oduruyɛfo nkasa na ama woanya afotu.
Sɛ wɔma nnuru no dodow kɔ soro a, dɛn na ɛsɛ sɛ woyɛ?
Sɛ wususuw sɛ woanom boro dodow a wɔakyerɛw ama wo no so wɔ akwanhyia mu a, frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no a ɛnkyɛ, anaa kɔ ayaresabea a ɛbɛn wo no Dwumadibea a Ɛhwɛ Ahoɔden a Egye Ntɛmntɛm (ETU) nkyɛn. Fa eyi sɛ asɛm a egye ntɛmpɛ.
Nea ɛho hia sen biara no, wɔakyerɛw aduru yi ama wo nkutoo. Mfa w’aduru nkyɛ obi foforo da.
Na sɛ mepa nnuru dodow bi nso ɛ?
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.
Nnuru afoforo a ebetumi ne aduru no adi nkitaho (Nkitahodi) .
Sɛ worenom nnuru afoforo bere a worenom Neostigmine a, ɛsɛ sɛ woka ho asɛm nso kyerɛ wo duruyɛfo, efisɛ nnuru bi betumi ne no adi nkitaho.
| Nnuru ahorow a ebetumi de ɔhaw aba |
|---|
| - nnuru a ekum ɔyare mmoawa bi (e.g. kanamycin, neomycin, streptomycin) . |
| - antihistamines ma allergy, ɔfe, atiridiinini, ne nna |
| - Nnuru a wode ma akoma mu yare |
| - a wode ma ntini mu ahomegye |
| - nnuru bi a wode ma anesthesia anaase ɛyaw ano aduru bere a wɔreyɛ oprehyɛn |
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), sɛ wonom sigaret, ne sɛ wonom nsa ho asɛm kyerɛ wo duruyɛfo.
Nneɛma a ɛsɛ sɛ wususuw ho bere a worenom aduru no
- Kɔ wo duruyɛfo nkyɛn daa kɔhwɛ wo. Sɛ wo yare no ho sɛnkyerɛnne reyɛ kɛse anaasɛ ɛreyɛ yiye a, ka kyerɛ wo duruyɛfo.
- Ɛho hia paa sɛ wode aduruyɛ ho ID krataa anaa abɔso a ɛkyerɛ sɛ wowɔ Myasthenia Gravis ne nnuru a worenom ne ne dodow bɛkɔ bere nyinaa. Ebetumi agye wo nkwa wɔ tebea a egye ntɛmpɛ mu.
Dɛn ne nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ aduru biara no, Neostigmine betumi de ɔhaw ahorow aba nnipa binom so. Eyinom bi yɛ aniberesɛm, ebi nso nyɛ aniberesɛm saa.
| Nneɛma bɔne a anibere wom a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo no ntɛm ara | |
|---|---|
| - allergy (honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma a ɛho ahonhon) . | - a ɛyɛ den sɛ wobɛhome |
| - a esesa wo anisoadehunu mu | - koko mu yaw |
| - mmerɛwyɛ, nantew a ɛyɛ den | - a ɛyɛ adwenemhaw, akisikuru |
| - a ennye daa anaase ewo brɛoo paa | - a ewo mogya so |
| - Gye no ɔhyɛ so | - nipadua mu mmerɛwyɛ a ɛnteɛ |
| Nneɛma bɔne a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo sɛ ɛkɔ so anaasɛ ɛhaw adwene a | |
| - Ayamtuo | - a ehia se wotaa toto nsuo |
| - a ewo nnompe dodoo wo ano | - a ewo fifiri mu |
| - a ewo ntini mu | - a ɛyɛ yaw, yafunu mu yaw, yafunu a ɛyɛ yaw |
Saa nsɛm a wɔahyehyɛ yi nka nsunsuanso bɔne a ebetumi aba nyinaa ho. Sɛ wuhu biribi a ɛyɛ soronko ka eyinom ho a, wo ne wo duruyɛfo nka ho asɛm.
Ɔkwan bɛn so na ɛsɛ sɛ mede aduru no sie?
Fa saa aduru yi sie baabi a mmofra ntumi nkɔ hɔ . Ɛyɛ papa sɛ wode besie wɔ dan mu hyew (a ɛwɔ digrii Celsius 15-30 ntam). Tow aduru biara a ne bere atwam gu.
Nkrasɛm a Wɔde Kɔ Fie
- Neostigmine yɛ aduru a ɛho hia a ɛhyɛ ntini mu den a wɔde ma tebea a wɔfrɛ no Myasthenia Gravis no.
- Fa dodow a wo duruyɛfo akyerɛ wo no, wɔ bere a ɛfata mu, na nnyae aduru no nom da a wunnya afotu.
- Ka nnuru afoforo a wonom nyinaa ne ayaresa tebea foforo biara a wowɔ ho asɛm kyerɛ wo duruyɛfo.
- Sɛ wunya ɔhaw biara a emu yɛ den (te sɛ ɛyɛ den sɛ wobɛhome, wo koko mu yaw, akisikuru) a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Saa aduru yi yɛ wo nkutoo dea. Mfa nkyerɛ afoforo da.
- Wubetumi adi w’akwahosan ho dwuma yiye denam aduruyɛ mu nhwehwɛmu a wobɛkɔ so daa no so.
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