Fa no sɛ obi a ɔbɛn wo mogya mmoroso paa mpofirim, anaa komayare a egye ntɛmpɛ na wɔde no akɔ ayaresabea. Afei ebia woate aduru titiriw bi a nnuruyɛfo nam nkyene aduru so de ma sɛ ayaresa a egye ntɛmpɛ ho asɛm. Nitroprusside yɛ aduru a ɛho hia yiye a wɔde di dwuma wɔ nsɛm a ɛtete saa mu. Eyi nyɛ aduru a wɔde bedi dwuma wɔ fie, na mmom ɛyɛ aduru titiriw bi a wɔde ma wɔ ayaresabea a wɔhwɛ so denneennen nkutoo. Enti ɛnnɛ, momma yɛnka aduru yi ho asɛm nkɔ akyiri kakra na ɛnyɛ den.
Dɛn na ɛba wɔ aduru yi ho ankasa?
Sɛ yɛbɛka no tiawa a, Nitroprusside yɛ aduru a ɛwɔ nnuru kuw bi a wɔfrɛ no vasodilators mu . Ebia asɛmfua ‘vasodilator’ no bɛyɛ te sɛ asɛm kɛse, nanso nea ɛkyerɛ no yɛ mmerɛw yiye. Nea aduru yi yɛ ne sɛ ɛtrɛw mogya ntini a ɛwɔ yɛn nipadua mu no mu na ɛma ɛyɛ mmerɛw.
Fa no sɛ sɛ nsu paipu siw kakra a, sɛ wotrɛw paipu no mu a, nsu no sen ntɛmntɛm a nhyɛso biara nni mu, ɛnte saa? Saa na ɛkɔ so wɔ ha nso. Sɛ mogya ntini trɛw a, baabi a mogya betumi asen pii wɔ hɔ. Esiane eyi nti, mogya mmoroso a na ɛkɔ soro dodo no so tew ntɛmntɛm. Afei nso, mmɔden a ɛsɛ sɛ koma no bɔ de bɔ mogya no so tew kɛse.
Esiane saa nneɛma yi nti, nnuruyɛfo de saa aduru yi di dwuma wɔ tebea abien mu titiriw:
- Di mogya mmoroso/mmarima mmoroso ho haw a emu yɛ den so .
- Tew nhyɛso a ɛba koma no so wɔ komayare tebea horow bi a emu yɛ den mu .
Nneɛma a ɛho hia a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na wode aduru yi ama wo
Ɛwom mpo sɛ eyi yɛ aduru a wɔde ma wɔ ayaresabea de, nanso ɛho hia sɛ oduruyɛfo no hu wo anaa ɔyarefo no aduruyɛ ho abakɔsɛm nyinaa. Akyinnye biara nni ho sɛ ɛsɛ sɛ wobɔ oduruyɛfo no amanneɛ sɛ wowɔ tebea horow a edidi so yi mu biara a:
- Nyarewa afoforo a wowɔ, titiriw:
- Aniwa mu yare bi
- Ti a na wapira dedaw
- Koma mu nyarewa afoforo
- Asaabo mu yare
- Mmɛn mu yare
- Anemia / mogya mu nkwammoaa kɔkɔɔ a ɛba fam
- Sɛ wo ho yɛ wo hyew wɔ nitroprusside anaa aduru foforo biara, aduan, anaa aduru a wɔde yɛ ade ho a.
- Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a .
- Sɛ woyɛ ɛna a ɔma nufu a .
Oduruyɛfo no begyina saa nsɛm yi so asi gyinae sɛ ɔbɛma wo saa aduru yi anaasɛ ɔremma wo, anaa ɔkwan a ɔbɛfa so ama wo.
Ɔkwan bɛn so na mede saa aduru yi di dwuma na sɛ menom boro so a, dɛn na ɛba?
Eyi nyɛ aduru a wubetumi de akɔ fie.Eyi yɛ aduru a wɔde ma denam nkyene a wɔde gu ntini mu so. Wɔde ma wɔ tebea te sɛ ayaresabea anaa ayaresabea baabi a wɔhwɛ wɔn a wɔyare denneennen nkutoo, a oduruyɛfo anaa ayarehwɛfo a wɔatete wɔn na ɔde ma. Wɔbɛkɔ so ahwɛ nneɛma te sɛ wo mogya mmoroso ne wo koma bɔ so.
So wode ma mmofra?
Wobetumi de saa aduru yi ama mmofra nkumaa, mpo mmofra a wɔawo wɔn foforo koraa, wɔ nsɛm titiriw bi mu. Nanso mmofra oduruyɛfo na osi gyinae no. Enti, sɛ wɔde ma abofra a, ahwɛyiye soronko bi wɔ hɔ a ɛfa ho.
Dodow a wɔnom boro so
Esiane sɛ wɔde ahwɛyiye kɛse ma eyi wɔ ayaresabea nti, hokwan a ɛwɔ hɔ sɛ wɔbɛnom boro so no sua koraa. Nanso, sɛ wususuw sɛ woanom aduru no pii a, ɛsɛ sɛ wobɔ nnuruyɛfo no amanneɛ ntɛm ara. Mpɛn pii no, sɛ awuduru biara ba a, yɛka sɛ frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no . Nanso, sɛ biribi foforo biara ba ayaresabea te sɛ eyi a, ɛho hia kɛse sɛ wobɛbɔ Emergency Treatment Unit (ETU) anaa nnuruyɛfo a wɔwɔ ward a ɛfa ho no amanneɛ tẽẽ.
Nnuru afoforo a ebia ɛne aduru yi bedi nkitaho
Nea ɛho hia sen biara: Ma wo duruyɛfo no nnuru a wonom nyinaa (a nnuruyɛfo afoforo akyerɛw ama wo, nea wɔtɔn wɔ aduruyɛdan mu, amammerɛ kwan so, vitamin ahorow, nhabannuru). Afei nso, sɛ wonom sigaret anaa wonom nsa a, ka kyerɛ wɔn. Nneɛma bi betumi ne aduru yi adi nkitaho.
Titiriw no, Nitroprusside betumi ne nnuru a edidi so yi adi nkitaho:
- Nnuru bi a wɔde di dwuma ma nna mu ɔhaw (e.g. Sildenafil, Tadalafil) .
- Riociguat (aduru a wɔde sa ahurututu mu mogya mmoroso) .
- Nnuru afoforo a wɔde sa mogya mmoroso, komayare, ne koma a ɛbɔ a ɛnteɛ
- Nnuru a wɔde kum nipadua no nyinaa a wɔde di dwuma bere a wɔreyɛ oprehyɛn no
Nneɛma bɔne bɛn na wobetumi ahu?
Te sɛ aduru biara no, Nitroprusside betumi de ɔhaw ahorow bi aba. Ɛsɛ sɛ wɔbɔ eyinom bi ho amanneɛ ntɛm ara, bere a afoforo nso nyɛ aniberesɛm saa.
| Nsunsuanso bɔne | Nkyerɛmu |
|---|---|
| Nneɛma a ɛsɛ sɛ wobɔ oduruyɛfo/ayarehwɛfo adwumayɛfo amanneɛ ntɛm ara | |
| Nneɛma a ɛma obi ho yɛ no hyew | Wora mu akisikuru, ɛyaw, anofafa/tɛkrɛma/anim a ɛho ahonhon. |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ acid a ɛkɔ mogya mu (Acidosis) . | Ɔhome a ɛkɔ soro, koma a ɛbɔ ntɛmntɛm, tiyɛ, adwene a ɛyɛ basaa, ɔbrɛ a ɛtra so, akisikuru, ɔfe. |
| Mogya mmoroso a ɛba fam yiye ho sɛnkyerɛnne | Adwene a ɛyɛ hu, te sɛ nea w’ani reyɛ bruu, te sɛ nea worebɛhwe ase, mmerɛwyɛ a ɛtra so. |
| Methemoglobinemia ho sɛnkyerɛnne ahorow | Wora a ɛyɛ fitaa, ɛyɛ fitaa, anaa bruu, tiyɛ, koma a ɛbɔ ntɛmntɛm, ahome a ɛyɛ tiaa, ɔbrɛ. |
| Mpɛn pii no, biribiara nni hɔ a ɛsɛ sɛ ɛhaw adwene, nanso sɛ ɛkɔ so a, nneɛma a ɛsɛ sɛ wɔbɔ ho amanneɛ | |
| Anim a ɛyɛ hyew | Anim no te nka sɛ ɛyɛ hyew na ɛdan kɔkɔɔ. |
| Ɛyaw a ɛba baabi a wɔde aduru no guu no | Ɛyaw, kɔkɔɔ, anaa ɔfe wɔ baabi a wɔde aduru no guu no. |
Ade foforo a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a wode nnuru rema no...
Esiane sɛ saa aduru yi brɛ mogya mmoroso ase nti, ebia wo ho bɛtɔ wo . Enti, nsɔre mfi baabi a wotena anaasɛ nsɔre mfi mpa so mpofirim. Saa a wobɛyɛ no betumi ama w’adwene atu afra na ama woahwe ase. Hwɛ yiye paa wɔ eyi ho, titiriw sɛ woabɔ akwakoraa a.
Nkrasɛm a Wɔde Kɔ Fie
- Nitroprusside yɛ aduru titiriw bi a wɔde fa ntini mu wɔ ayaresabea de siw mogya mmoroso ne komayare ahorow bi ano wɔ tebea horow a egye ntɛmpɛ mu.
- Eyi ma mogya ntini no trɛw na ɛtew adwuma a ɛda koma no so no so.
- Hwɛ hu sɛ wobɛka nyarewa foforo biara a wowɔ, nnuru a wonom nyinaa, ne akisikuru biara a wowɔ ho asɛm akyerɛ wo duruyɛfo.
- Hwɛ yiye bere a wogyina hɔ anaa wotena ase no, efisɛ bere a wɔde aduru no ama wo no betumi ayɛ wo yaw.
- Sɛ wunya ɔhaw biara a emu yɛ den te sɛ honam ani akisikuru, ahome a ɛyɛ den, anaasɛ adwenemhaw a ɛtra so a, bɔ nnuruyɛfo amanneɛ ntɛm ara.
- Sɛ wowɔ nsɛmmisa bi fa aduru yi ho a, ntwentwɛn wo nan ase sɛ wubebisa oduruyɛfo a ɔresa wo yare no.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment