So ɛtɔ mmere bi a wote yaw bi wɔ wo moma so a ɛte sɛ nea wɔrepiapia, wɔrepiapia, anaa adesoa a emu yɛ duru? Wɔ aduruyɛ mu no, wɔfrɛ eyi angina. Eyi yɛ tebea a ɛba bere a koma no nnya mogya a ɛdɔɔso no. Enti, nnuru a nnuruyɛfo taa kamfo kyerɛ sɛ wɔmfa nsiw koko mu yaw a ɛte sɛɛ a ɛfa komayare ho ano no mu biako ne Nitroglycerin ngo. Eyi yɛ biribi a wobetumi anya bere a wɔakyerɛw nnuru ama obi nkutoo. Enti ɛnnɛ, momma yɛnka sɛnea yɛde ngo yi bedi dwuma pɛpɛɛpɛ ne nea ɛsɛ sɛ yɛhwɛ yiye titiriw wɔ ho.
Dɛn ne Nitroglycerin srade?
Sɛ yɛbɛka no tiawa a, eyi yɛ aduru a ɛboa ma wo nipadua no mogya ntini trɛw na ɛma ɛyɛ mmerɛw. Wɔfrɛ saa aduru yi nitrates. Susuw ho hwɛ, sɛ nsu paipu siw a, ɛyɛ den sɛ nsu bɛsen, ɛnte saa? Saa ara nso na sɛ mogya ntini a ɛde mogya kɔ koma no mu no yɛ teateaa a, ɛsɛ sɛ koma no yɛ adwumaden kɛse na ama mogya no akɔ. Ɛno na saa koko mu yaw no ba.
Nitroglycerin ngo yɛ adwuma denam saa mogya ntini no a ɛtrɛw na ɛma mogya kɔ ntɛmntɛm no so. Eyi ma adwuma a ɛda koma no so no so tew. Eyi siw ɛyaw a ɛwɔ angina mu no ano.
Nea ɛho hia: Wɔde saa ngo yi siw angina ɛyaw ano, na ɛnyɛ sɛ wɔde sa koko mu yaw a ɛba mpofirim. Ebia wo duruyɛfo ama wo aduru foforo (GTN aduru) a wode bɛhyɛ wo tɛkrɛma ase ama ɛyaw a ɛba mpofirim.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na wode saa aduru yi adi dwuma
Ansa na wo duruyɛfo bɛkyerɛw saa aduru yi no, ebehia sɛ ohu w’ayaresa ho abakɔsɛm nyinaa. Enti, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ wowɔ tebea horow a edidi so yi mu biara a:
- Anemia , a ɛkyerɛ sɛ sɛ mogya nni hɔ a.
- Sɛ nnansa yi ara woapira wo ti , woabɔ wo stroke , anaasɛ wo amemene mu mogya atu a.
- Sɛ wowɔ mmerɛbo mu yare biara a .
- Sɛ woanya komayare pɛn a.
- Sɛ wo ho yɛ wo hyew wɔ nitroglycerin, aduru foforo biara, aduan, anaa ade a wɔde yɛ ade ho a.
- Sɛ woanyinsɛn anaasɛ wowɔ anidaso sɛ wubenyinsɛn a .
- Sɛ woyɛ ɛna a ɔma nufu a .
Oduruyɛfo no begyina saa nsɛm yi so asi gyinae sɛ ebia aduru yi fata wo anaasɛ ɛnfata.
Ɔkwan bɛn so ankasa na wode srade yi di dwuma?
Ɛho hia paa sɛ yɛde eyi di dwuma yiye. Mfomso ketewaa bi mpo betumi aka sɛnea aduru no tu mpɔn.
1. Nea edi kan koraa no, kae eyiEyi yɛ asɛmti a wɔde di dwuma nkutoo. Mfa w’ano nnom anaasɛ nnom wɔ ɔkwan foforo biara so.
2. Wo nsa bɛka krataa soronko bi a wɔde susudua a wɔde susudua ahyɛ so. Fa krataa yi susuw dodow a ɛfata bere nyinaa. Fa ngo no gu susudua a wo duruyɛfo ka kyerɛ wo (e.g. nsateakwaa 1) wɔ krataa no so.
3. Afei, fa ngo yi gu honam ani baabi a ɛho tew na ɛhɔ yɛ kusuu a nhwi kakraa bi na ɛwɔ mu, te sɛ moma so, yafunu, anaa abasa atifi .
4. Mfa nhyɛ honam ani a wɔatwitwa, nea wɔabɔ, akuru, akuru, anaa honam ani a ɛyɛ hyew .
5. Nea ɛho hia sen biara: Mfa ngo no npete wo honam ani . Nnyɛ saa. Fa petepete honam ani no so teateaa te sɛ krataa mpopaho.
6. Afei, fa krataa no to ade a wɔde akata so no so na fa oprehyɛn teyp kyekyere na amma anhinhim. Eyi remma ɛnkɔ wo ntade so. Wubetumi nso de plastic akata so sɛ ɛho hia a.
7. Sɛ wode aduru no gu wo ho wie a, fa samina hohoro wo nsa yiye efisɛ ebetumi akɔ wo nsateaa so.
8. Ansa na wode aduru a edi hɔ no bɛhyɛ wo ho no, yi krataa no fi baabi a wɔde nnuru dedaw no ayɛ no na tew baabi a ɛwɔ hɔ no yiye .
9. Sɛ wode nnuru gu honam ani baabi koro da biara a, ebetumi asɛe honam ani. Enti, dannan mmeae a wode aduru no gu so da biara da no . Sɛ wode guu wo koko nifa so nnɛ a, fa gu benkum so ɔkyena.
Nnyae saa aduru yi a wode bedi dwuma mpofirim a wunnya wo duruyɛfo afotu. Saa a wobɛyɛ no betumi ama wo koko mu ayɛ wo yaw bio.
Nnuru a ɛne wɔn ho wɔn ho di nkitaho ne asiane afoforo
Nitroglycerin yɛ aduru a ebetumi ne nnuru afoforo ayɛ adwuma denneennen, enti ɛsɛ sɛ wohwɛ yiye kɛse wɔ eyi ho.
| Nnuru a ebetumi aba sɛ ɛne nitroglycerin di nkitaho | |
|---|---|
| Mfa saa aduru yi nka aduru foforo biara ho da (ɛyɛ hu kɛse) . | |
| Aduru a Wɔde Sa Ɔbarima a Ɔyɛ Ɔbarima ne Ɔbea Nna (ED) . | Nnuru te sɛ Sildenafil (Viagra), Tadalafil (Cialis), ne Vardenafil. Sɛ wɔka eyinom bom a, ebetumi ama mogya mmoroso akɔ fam wɔ ɔkwan a ɛyɛ hu so na ɛde nkwa mpo ato asiane mu. |
| Nnuru bi a wɔde sa atiridiinini | Nnuru te sɛ Ergotamine ne Dihydroergotamine (DHE). |
| Riociguat na ɛwɔ hɔ | Eyi yɛ aduru titiriw a wɔde sa ahurututu mu mogya mmoroso. |
| Nkitahodi betumi aba wɔ aduru yi mu (ka kyerɛ wo duruyɛfo ) . | |
| Nnuru afoforo | Aspirin, Heparin (mogya a ɛma mogya tu), mogya mmoroso aduru, adwenemhaw aduru, angina nnuru afoforo. |
Nneɛma afoforo a ɛsɛ sɛ wususuw ho
- Adwene a ɛyɛ basaa ne nna a ɛyɛ den: Ebia saa aduru yi bɛma wo ho ayɛ wo yaw na woada. Enti, kwati dwumadi ahorow a ehia sɛ woma w’ani da hɔ, te sɛ karka anaa mfiri a wode bedi dwuma, kosi sɛ wubehu sɛnea aduru yi ka wo.
- Hwɛ yiye bere a woresɔre no: Sɛ wosɔre mpofirim anaa wosɔre fi baabi a wote a, ebetumi ama obi adwenem ayɛ no naa na watotɔ piti. Hwɛ yiye titiriw sɛ woabɔ akwakoraa a. Sɔre brɛoo bere nyinaa.
- Kwati nsa: Nsa betumi ama adwenemhaw ne nna a ɛyɛ den ayɛ kɛse.
- Sɛ wonom boro so a: Sɛ wususuw sɛ woanom boro so a, kɔ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ ntɛm ara . Anaasɛ kɔ Emergency Department (ETU) a ɛwɔ ayaresabea a ɛbɛn wo no.
Dɛn ne nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ nnuru nyinaa no, eyi betumi anya ɔhaw ahorow. Ebi yɛ aniberesɛm, ebi nso abu so.
| Nsunsuanso bɔne | Nea ɛsɛ sɛ wɔyɛ |
|---|---|
| Sɛ wuhu saa sɛnkyerɛnne ahorow yi a, ka kyerɛ wo duruyɛfo ntɛm ara anaa kɔ ETU. | |
| Nneɛma a ɛma obi ho yɛ no hyew (Skin rash , ɛyaw, anim/anofafa/tɛkrɛma a ɛho ahonhon) . | Hwehwɛ nnuruyɛfo afotu ntɛm ara. |
| Methemoglobinemia ho sɛnkyerɛnne ahorow (tiyɛ a emu yɛ den, ɔbrɛ a ɛyɛ soronko, ɛyɛ den sɛ ɔbɛhome, ɔfe, koma bɔ ntɛmntɛm, honam ani hwɛbea anaa anofafa a ɛyɛ bruu ) . | Eyi yɛ tebea a egye ntɛmpɛ a ɛka sɛnea mogya no tumi fa mframa pa na ehia sɛ wɔde obi kɔ ayaresabea ntɛm ara. |
| Nhyɛso a ɛkɔ soro wɔ amemene no ho (Tiyɛ a emu yɛ den yiye, aniwa nhu ade yiye, ɔfe) . | Hwehwɛ nnuruyɛfo afotu ntɛm ara. |
| Mogya mmoroso a ɛba fam (Adwene a ɛyɛ basaa, akisikuru, aniwa a ɛyɛ bruu) . | Ka kyerɛ wo duruyɛfo. Sɛ wote nka sɛ woatɔ piti a, tena ase anaa da. |
| Koko mu yaw a ɛkɔ soro (angina) . (Sɛ ɛyaw anaasɛ ɛyɛ den wɔ koko, kɔn, akyi, anaa abasa mu yɛ kɛse a) | Hwehwɛ nnuruyɛfo afotu ntɛm ara. |
| Nsɛnkyerɛnne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ oduruyɛfo amanneɛ | |
| Tipaeɛ | Eyi abu so kɛse wɔ mfiase no mu. Ɛtaa brɛ ase wɔ nna kakraa bi mu. Sɛ ɛkɔ so a, ka kyerɛ wo duruyɛfo . |
| Adwene a ɛyɛ basaa, nsu a ɛyɛ hyew | Eyinom nso abu so. Sɛ wɔkɔ so a, wo ne wo duruyɛfo nkasa. |
Nkrasɛm a Wɔde Kɔ Fie
- Wɔmfa nitroglycerin ngo mfa nsa koko mu yaw a ɛba mpofirim, na mmom wɔde siw ano .
- Ɛsɛ sɛ wɔde krataa titiriw a ɛka ho no na ɛyɛ aduru no, a wɔmfa nsɛe honam ani.
- Ɛyɛ asiane kɛse sɛ wode eyi bedi dwuma wɔ nnuru a ɛma ɔbarima ne ɔbea nna mu den te sɛ Viagra (sildenafil) ho. Ka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo.
- Hwɛ yiye bere a woreka kar anaa wode mfiri reyɛ adwuma no, efisɛ ebia adwenemhaw ne akisikuru betumi aba.
- Sɛ wunya ɔhaw biara a ɛyɛ soronko (titiriw w’anofafa a ɛyɛ bruu, tiyɛ a emu yɛ den) a, hwehwɛ aduruyɛfo afotu ntɛm ara .
- Fa saa aduru yi sie baabi a mmofra ntumi , wɔ dan mu hyew mu. Tow nnuru a ne bere atwam gu.
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