So woanya ɛyaw mpofirim a ɛyɛ wo koko pɛn? Ebinom fam no, ɛyaw yi trɛw kɔ wo nsa, wo mmati, ne wo kɔn mu. Wɔ aduruyɛ mu no, yɛfrɛ eyi angina. Ɛnnɛ, yɛreka aduru titiriw bi a nnuruyɛfo kyerɛw ma sɛ wɔmfa nni dwuma wɔ mmere a ɛte sɛɛ mu ho asɛm. Ɛno ne nitroglycerin powder a wɔde ma ma ɛwosow wɔ tɛkrɛma ase. Eyi yɛ aduru a ɛboa wɔ mmere te sɛ eyinom mu te sɛ nkwagyefo. Enti, ma yɛnhwɛ nea ɛyɛ, sɛnea yɛde bedi dwuma, ne nneɛma a ɛsɛ sɛ yɛhwɛ yiye wɔ ho.
Sɛ yɛbɛka no tiawa a, dɛn ne nitroglycerin?
Nitroglycerin yɛ aduru a wɔde siw koko mu yaw ano na wɔsa, kyerɛ sɛ angina. Susuw ntini a ɛde mogya kɔ wo koma mu no ho sɛ nsu nhama. Ɛtɔ da bi a, sɛ saa paipu yi yɛ teateaa a, koma no nnya mogya dodow a ehia. Ɛno na saa koko mu yaw no ba.
Saa nitroglycerin aduru yi yɛ adwuma denam mogya ntini a ayɛ teateaa no a ɛtrɛw (ɛma mogya ntini no dwo) so. Eyi ma ɛyɛ mmerɛw ma koma no sɛ ɛbɛbɔ mogya. Te sɛ ɔkwan a nnipa pii fa so a wɔtrɛw mu no ma ɛyɛ mmerɛw sɛ kar bɛtwam no. Eyi kyerɛ sɛ ɛnsɛ sɛ koma no yɛ adwumaden saa, na ɛyaw no so tew nkakrankakra. Eyi yɛ aduru a ɛka nnuru kuw bi a wɔfrɛ no nitrates ho.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom saa aduru yi
Ansa na wo duruyɛfo bɛkyerɛw saa aduru yi no, ɛho behia sɛ onya w’akwahosan ho mfonini a edi mũ. Enti, sɛ wowɔ tebea horow a wɔabobɔ din wɔ ase ha no bi a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo .
- Sɛ wowɔ mogya a ɛtɔ kɔ nipadua mu a .
- Sɛ wowɔ abakɔsɛm a ɛkyerɛ sɛ mogya retu w’amemene mu anaasɛ woapira wo ti a.
- Sɛ wowɔ komayare afoforo a.
- Sɛ wowɔ mmerɛbo mu yare a.
- Sɛ wo ho yɛ wo hyew wɔ nitroglycerin anaa aduru foforo biara, aduan, anaa ade a wɔde yɛ ade ho a.
- Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a.
- Sɛ woyɛ ɛna a worema nufu a.
Oduruyɛfo no begyina saa nsɛm yi so asi gyinae sɛ ebia saa aduru yi fata wo anaasɛ ɛnfata, ne sɛnea wɔde bɛma.
Ɔkwan bɛn so ankasa na wode saa aduru yi di dwuma?
Ɛho hia paa sɛ wubehu sɛnea wode eyi bedi dwuma yiye, efisɛ wɔde di dwuma wɔ tebea a egye ntɛmpɛ mu.
Ade a ɛho hia sen biara ne sɛ wode eyi bedi dwuma bere a wo koko mu yaw no afi ase ara pɛ . Ansa na ɛno mpo reba no, tena ase . Efisɛ nnipa binom tumi te nka sɛ wɔn adwene mu yɛ wɔn naa bere a wɔanom aduru no awie no. Eyi betumi atew hokwan a ɛwɔ hɔ sɛ obi bɛhwe ase no so.
Okay, afei ma yɛnhwɛ sɛnea yɛbɛyɛ no anammɔn biara:
1. Siesie packet no: Fa aduru packet no kura mu tẽẽ. Ɛsɛ sɛ notch a ɛwɔ packet no atifi ne agyan kɔkɔɔ no hwɛ soro. Afei, fa powder no fã bi gu packet no ase na boaboa powder no nyinaa ano gu ase.
2. Fa gu w’anom: Fa packet no kura slit no mu na fa bɛn w’ano sɛnea wubetumi. Afei tetew packet no mu fa agyan kɔkɔɔ no so.
3. Fa to tɛkrɛma ase: Ma wo tɛkrɛma so na fa powder a efi packet no mu nyinaa gu baabi a ɛwɔ wo tɛkrɛma ase.
4. To w’ano: To w’ano ntɛmntɛm na fa wo hwene mu home sɛnea ɛsɛ.
5. Nya abotare: Ma saa powder yi nwene wo tɛkrɛma ase. Nhohoro w’ano, nteɛteɛm, anaa nmene simma 5.
Mprempren ne ɔfã a ɛho hia sen biara:
- Mpɛn pii no, ɛsɛ sɛ wote ahotɔ nka wɔ simma 5 akyi bere a woanom aduru a edi kan no.
- Sɛ ɛyaw no ano ankɔ fam wɔ simma 5 akyi anaasɛ ɛte sɛ nea ɛreyɛ kɛse a, frɛ ambulance ntɛm ara anaa wo ne obi kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo.
- Wubetumi anom dose foforo wɔ simma 5 akyi bere a woretwɛn ambulance no anaasɛ worekɔ ayaresabea no.
- Kae sɛ, nnom nnuru bɛboro 3 wɔ simma 15 ntam.
Sɛ wo duruyɛfo de akwankyerɛ ahorow ama wo a, di saa akwankyerɛ ahorow no akyi bere nyinaa.
Nsunsuanso bɔne a ebetumi afi aduru no mu aba
Te sɛ nnuru biara no, nitroglycerin betumi de ɔhaw ahorow bi aba. Eyinom bi yɛ aniberesɛm, bere a afoforo nso abu so. Ɛho hia sɛ wohu eyinom.
| Nneɛma bɔne a efi mu ba no mu nkyekyɛmu | |
|---|---|
| Nneɛma bɔne a anibere wom a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara | |
| Nneɛma a ɛma obi ho yɛ no hyew | Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon. |
| Methemoglobinemia ho sɛnkyerɛnne ahorow | Tiyɛ a emu yɛ den, mmerɛwyɛ soronko, ahome a ɛyɛ den, akisikuru, ɔfe, koma bɔ ntɛmntɛm, honam ani bruu anaa anofafa. |
| Nhyɛso a ɛkɔ soro wɔ amemene no ho | Tiyɛ a emu yɛ den, aniwa a ɛyɛ kusuu, aniwa a ɛsakra, akisikuru, ɔfe. |
| Mogya mmoroso a ɛba fam | Adwene a ɛyɛ basaa, akisikuru, aniwa a ɛyɛ kusuu. |
| Koma a ɛbɔ brɛoo | Adwene a ɛyɛ basaa, akisikuru, adwene a ɛsakra, ahome a ɛyɛ den. |
| Koko mu yaw a ɛkɔ soro (Angina) . | Ɛyaw, nhyɛso, anaa nea ɛyɛ den a ɛkɔ soro wɔ koko, kɔn, akyi, anaa abasa mu. |
| Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo: | |
| Adwene a ɛyɛ basaa | Ebetumi aba bere a edi kan a wufi ase nom aduru no. |
| Flushing a wɔde wɔn ho hyɛ mu | Anim ne kɔn no fã yɛ kɔkɔɔ na ɛte sɛ nea ɛyɛ hyew. |
| Tipaeɛ | Ɛyɛ ɔhaw a ɛtaa ba nnipa pii so. |
Sɛ wonom nnuru pii a, dɛn na ɛsɛ sɛ woyɛ?
Sɛ wususuw sɛ woanom nnuru pii sen sɛnea wususuw a, frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no ntɛm ara anaa kɔ Emergency Treatment Unit (ETU) a ɛbɛn wo no nkyɛn .
Nneɛma bɔne a wɔde bedi dwuma wɔ aduru yi ho
Eyi ho hia paa. Nitroglycerin yɛ aduru a sɛ wɔde ka nnuru afoforo bi ho a, ebetumi anya nkɛntɛnso a asiane wom kɛse. Nnom nitroglycerin esiane biribiara nti , titiriw sɛ worenom nnuru a wɔabobɔ din wɔ ase ha no bi a.
- Nnuru a wɔde sa ɔbarima ne ɔbea nna a ɛnyɛ den: Avanafil, Sildenafil (a wonim no sɛ Viagra), Tadalafil, Vardenafil. Eyinom betumi ama mogya mmoroso akɔ fam wɔ ɔkwan a asiane wom na ɛde ne nkwa to asiane mu sɛ wɔde ka nitroglycerin ho a.
- Ergot alkaloids: Nnuru bi a wɔde sa atiridiinini, te sɛ Dihydroergotamine ne Ergotamine.
- Aduru bi a wɔfrɛ no Riociguat .
Saa nsɛm a wɔahyehyɛ yi nwiei, enti ka nnuru a wonom nyinaa (a vitamin ne nhabannuru ka ho) kyerɛ wo duruyɛfo.
Nneɛma afoforo a ɛsɛ sɛ yɛhwɛ yiye wɔ ho
- Fa saa aduru yi sie wo nkyɛn bere nyinaa . Wunnim bere anaa baabi a wo koko mu yaw bɛba da.
- Ebia wobɛte nka sɛ woada anaasɛ wo ti ayɛ wo yaw bere a woanom aduru yi awie no. Enti , kwati dwumadi ahorow a ɛhwehwɛ sɛ woma w’ani da hɔ, te sɛ karka anaa mfiri a wode bedi dwuma .
- Sɛ wosɔre fi baabi a wote anaasɛ woresɔre afi mpa so a, nsɔre mpofirim . Gyina hɔ brɛoo. Hwɛ yiye titiriw sɛ woabɔ akwakoraa a.
- Mfa nnuru a wɔde sa ɔfe, atiridiinini, anaa ɛyaw a wɔmfa nnuru nhyɛ mu a wunni kan nkɔ wo duruyɛfo nkyɛn. Nnuru bi betumi ama wo mogya mmoroso akɔ soro.
Nkrasɛm a Wɔde Kɔ Fie
- Wɔde nitroglycerin powder di dwuma ma koko mu yaw a ɛba mpofirim (angina). Fa no bere a ɛyaw no afi ase ara pɛ.
- Bere nyinaa tra baabi a ahobammɔ wɔ ansa na woanom aduru no.
- Fa powder no to wo tɛkrɛma ase na ma ɛnwo simma 5 a wommene anaa worenhohoro w’ano.
- Sɛ ɛyaw no ano antew wɔ simma 5 akyi wɔ aduru a edi kan no akyi anaasɛ ɛkɔ soro a, kɔ ayaresa a egye ntɛmpɛ (ETU) ntɛm ara.
- Mfa nitroglycerin nni dwuma wɔ nnuru a ɛma ɔbarima ne ɔbea nna mu ɔhaw (te sɛ Sildenafil/Viagra) ho da. Ɛyɛ asiane kɛse.
- Ɛho hia paa sɛ wobɛbɔ wo duruyɛfo amanneɛ wɔ nnuru a worenom nyinaa ho.
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