Ɛtɔ mmere bi a, yɛte nka sɛ yɛn ho yɛ yɛn yaw na yɛpɛ sɛ yɛfe, ɛnte saa? Saa tebea yi taa ba bere a yɛayɛ oprehyɛn kɛse akyi anaasɛ bere a yɛrenom kokoram nnuru (te sɛ nnuru a wɔde sa yare anaa mframa a wɔde sa yare) no. Enti, aduru titiriw bi wɔ hɔ a nnuruyɛfo de ma yɛn de boa yɛn wɔ mmere a ɛte sɛɛ mu. Ɛnnɛ yɛrebɛka aduru a ɛte saa biako ho asɛm, Ondansetron.
Aduru bɛn na Ondansetron yɛ?
Sɛ yɛbɛka no tiawa a, Ondansetron yɛ aduru a esiw akisikuru ne ɔfe ano. Yɛfrɛ eyi wɔ aduruyɛ mu sɛ ``Antiemetic'' aduruyɛ kuw . Ebia wobɛkae sɛ wɔ ayarefo binom fam no, ɛtaa ba sɛ wɔde nnuru a wɔde sa yare, mframa a wɔde sa yare, anaa oprehyɛn a wɔde sa yare no akyi no, ɛtaa tutu na wɔfe. Wɔde saa aduru yi di dwuma titiriw de tew ɔhaw a ɛte saa so. Susuw sɛnea wubetumi ahaw wo bere a wonom nnuru a wɔde sa yare no, na saa bere no, aduru a ɛte sɛɛ boa wo kɛse no ho hwɛ.
Ɔkwan bɛn so na saa aduru yi yɛ adwuma wɔ yɛn nipadua mu?
Ɛte sɛ nea ɛyɛ mmerɛw yiye, nanso nyansahu kakra wɔ mu. Nnuru bi wɔ yɛn nipadua mu a ɛde nsɛnkyerɛnne kɔ yɛn amemene mu a ɛka sɛ, "Mete nka sɛ me ho ayɛ me yaw, siesie wo ho sɛ wobɛfe." Nea saa aduru yi, Ondansetron, yɛ ne sɛ esiw saa nnuru no dwumadi ano (titiriw, ntini mu nkwaadɔm bi a wɔfrɛ no serotonin) . Sɛ yɛbɛka no pɛpɛɛpɛ a, ɛma saa nsɛnkyerɛnne no nkɔ amemene ne dwensɔtwaa mu. Afei wɔhyɛ akisikuru ne ɔfe no so kɛse. Ate aseɛ?
So edin afoforo wɔ hɔ a wɔde frɛ saa aduru yi wɔ gua so?
Yiw, ebia woahu saa aduru yi wɔ brand din `(Zofran)` ase. Ɛno yɛ din a wɔtaa frɛ no yiye. Nanso, hwɛ nnuru a wo duruyɛfo de ama wo no, afei wubetumi ahu no yiye. Ɛtɔ da bi a, wobetumi anya saa aduru yi wɔ din afoforo nso ase.
Nneɛma bɛn na ɛsɛ sɛ meka kyerɛ oduruyɛfo no ansa na manom saa aduru yi?
Eyi yɛ asɛm a ɛho hia yiye, mma wo werɛ mmfi . Ansa na wubefi ase anom Ondansetron no, nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ampa. Efisɛ ebia saa aduru yi ne akwahosan tebea horow bi nhyia, anaasɛ ebia ebehia sɛ wohwɛ yiye titiriw.
Saa nneɛma no ni:
- So wowɔ komayare bi ? (Sɛ nhwɛso no, koma no dwumadi a ɛyɛ mmerɛw, te sɛ koma a ɛbɔ ntɛmntɛm).
- So woanya koma a ɛbɔ a ɛnteɛ pɛn ? Eyi kyerɛ sɛ wo koma bɔ wɔ ɔkwan a ɛnteɛ so, ɛtɔ mmere bi a ɛbɔ ntɛmntɛm, ɛtɔ mmere bi a ɛyɛ brɛoo, anaasɛ ɛbɔ ntɛmntɛm.
- So wowɔ mmerɛbo mu yare ?
- So oduruyɛfo bi aka akyerɛ wo pɛn sɛ magnesium anaa potassium kakraa bi na ɛwɔ wo mu ? Eyinom yɛ nneɛma a ɛho hia yiye ma yɛn nipadua.
- So woanya aduru yi, Ondansetron, Granisetron ( a ɛno nso yɛ aduru a ɛte saa ara), aduru foforo biara, aduan, ade a wɔde yɛ ade, anaa ade a wɔde siw ano ho akisikuru pɛn?
- So woanyinsɛn? Anaasɛ wowɔ anidaso sɛ wubenyinsɛn?
- So woyɛ ɛna a ɔma nufu?
Sɛ woka saa nneɛma yi ho asɛm kyerɛ wo duruyɛfo no pefee a, obetumi asa wo yare wɔ ɔkwan a ɛfata sen biara so. Eyi yɛ w’ankasa ahobammɔ nti.
Ɔkwan bɛn so na ɛsɛ sɛ mede saa aduru yi di dwuma?
Saa aduru yi taa ba wɔ aduruyɛ mu. Wobetumi de ama nso sɛ nsu anaasɛ sɛ nnuru a wɔde ano nom a ɛpaapae.
- Ɛsɛ sɛ wɔde nsu kuruwa biako nom saa aduru yi. (Sɛ ɛyɛ aduru a ɛma ɛyɛ hyew a, fa kura w’anom na ma n’ankasa nwene.)
- Kae sɛ wobɛnom aduru no sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ, bere koro no ara mu, ne dodow koro no ara.
- Nom w’aduru no wɔ bere a ɛfata mu, wɔ bere a ɛfata mu . Nnom pii nsen nea wo duruyɛfo ka kyerɛ wo, anaasɛ nnom mpɛn pii. Sɛ nhwɛso no, sɛ wɔka kyerɛ wo sɛ fa mprɛnsa da biara a, ɛbɛyɛ papa sɛ wobɛfa no bɛyɛ nnɔnhwerew 8 ntam.
Bere bɛn na ɛsɛ sɛ wɔde saa aduru yi ma mmofra nkumaa?
Yiw, ɛtɔ mmere bi a nnuruyɛfo kamfo aduru yi kyerɛ mmofra nkumaa. Nanso, ɛhwehwɛ sɛ wɔhwɛ so yiye . Oduruyɛfo no gyina nneɛma te sɛ abofra no mfe ne ne mu duru so si dodow a wɔde bɛma no ho gyinae. Enti, sɛ wode saa aduru yi rema abofra a, hwɛ hu sɛ wo ne oduruyɛfo no bɛkasa afa ho. Mma abofra kumaa sika dodow a ɔpanyin de ma no da.
Sɛ wonom nnuru pii a, dɛn na ɛsɛ sɛ woyɛ? (Nneɛma a wɔde ma boro so) .
Sɛ ɛba saa a, kyerɛ sɛ, sɛ wususuw sɛ woanom nnuru pii sen sɛnea wususuwii a, kɔ ayaresabea a ɛbɛn wo no dwumadibea a wɔhwɛ ntɛmpɛ so ntɛm ara anaa frɛ baabi a wɔhwɛ awuduru ho nsɛm (wɔ Sri Lanka no, wubetumi afrɛ 1926). Mma nsɛe bere.
Nea ɛho hia: Wɔakyerɛw saa aduru yi ama wo nkutoo. Mfa saa aduru yi nkyɛ w’adamfo anaa w’abusua muni bi, sɛ mpo wɔn nso wɔ sɛnkyerɛnne koro no ara sɛ wo a. Ebia ɛsono aduru a ɛfata ma obiara.
Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?
Sɛ eyi ba a, fa dodow a woayera no bere a woakae ara pɛ. Nanso, sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ (i.e. wɔ nnɔnhwerew abien kosi abiɛsa ntam) a, twa dodow a woayera no so na fa wo dodow a edi hɔ no wɔ bere a wɔahyɛ no mu. Mfa nnuru abien prɛko pɛ da (`double dose`). Saa a wɔbɛyɛ no betumi ama nnuru dodow a wɔde di dwuma no akɔ soro na ɛde ɔhaw ahorow aba.
Nneɛma foforo bɛn na ebetumi ne saa aduru yi adi nkitaho (akasakasa)?
Eyi nso yɛ biribi a ɛsɛ sɛ yɛhwɛ yiye wɔ ho. Nnuru bi wɔ hɔ a ebetumi de ɔhaw aba bere a wɔde di dwuma wɔ Ondansetron ho no. Enti,Ɛho hia paa sɛ wobɛka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo (ɛnyɛ nea wo duruyɛfo akyerɛw ama wo nko, na mmom nea wotɔ fi nnurutɔnbea, vitamin, nnuru a wɔde di dwuma wɔ amanne kwan so, ne nhabannuru nso). Afei nso, sɛ wonom sigaret, wonom nsa, anaa wode nnubɔne foforo a mmara mma ho kwan di dwuma a, ka kyerɛ wo duruyɛfo.
Yɛhyɛ nyansa denneennen sɛ ɛnsɛ sɛ wonom Ondansetron ne nnuru a edidi so yi:
- Apomorphine (aduru a wɔde sa Parkinson yare) .
- Nnuru bi a wɔde sa fungal yare (sɛ nhwɛso no, fluconazole, itraconazole, ketoconazole, posaconazole, voriconazole) .
- Cisapride na ɔkyerɛwee
- Dronedarone (aduru a wɔde sa komayare) .
- Pimozide (aduru a wɔde sa adwenemyare) .
- Thioridazine (aduru a wɔde sa adwenemyare) .
Bio nso, nnuru afoforo bi wɔ hɔ a ebetumi de Ondansetron anya ɔhaw ahorow. Nhwɛso kakraa bi ni:
- Carbamazepine (aduru a wɔde sa akisikuru) .
- Nnuru bi a wɔde sa adwenemhaw, dadwen, anaa adwenemyare afoforo
- Fentanyl (aduru a ano yɛ den a wɔde kum ɛyaw) .
- Linezolid (aduru a ekum ɔyare mmoawa) .
- MAOI nnuru (e.g. Carbex, Eldepryl) (aduru dedaw bi a wɔde sa adwenemhaw) .
- Methylene blue (aduru a wɔde fa ntini mu) .
- Nnuru afoforo a ebetumi ama koma no ayɛ basaa (nnuru a ɛma QT ntam kwan kyɛ - s.e. dofetilide, ziprasidone) .
- Phenytoin (aduru a wɔde sa akisikuru) .
- Rifampicin (aduru a wɔde sa nsamanwaw) .
- Tramadol (aduru a wɔde kum ɛyaw) .
Saa list yi nwie pɛyɛ. Ɛno nti na yɛhyɛ nyansa sɛ ka biribiara a wobɛnom nkyerɛ wo duruyɛfoɔ sɛdeɛ ɛbɛyɛ a ɔbɛtumi akyerɛw aduru no ama wo dwoodwoo.
Dɛn na ɛsɛ sɛ yɛhwɛ yiye wɔ ho titiriw bere a yɛde aduru yi redi dwuma no?
Sɛ wuhu sɛnkyerɛnne biara a ɛkyerɛ sɛ wo ho yɛ wo hyew bere a wode aduru yi redi dwuma, te sɛ honam ani akisikuru, ɛyaw, honam ani a ɛyɛ kɔkɔɔ, w’anim, w’ano, wo tɛkrɛma, anaa wo menewa a ɛho ahonhon a, kɔ oduruyɛfo nkyɛn ntɛm ara. Ebia eyi bɛyɛ asɛm a egye ntɛmpɛ.
Dɛn ne aduru yi mu nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ aduru biara no, ondansetron betumi de ɔhaw ahorow bi aba. Ebi yɛ aniberesɛm, ebi nso nyɛ aniberesɛm saa.
Nneɛma bɔne a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara:
Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, ɛsɛ sɛ wohwehwɛ aduruyɛfo afotu ntɛm ara :
- Nneɛma a ɛma obi ho yɛ no hyew: honam ani akisikuru, ɛyaw, anofafa, anim, tɛkrɛma, menewa, ahome a ɛyɛ den sɛ wobɛhome.
- Nsɛnkyerɛnne a ɛkyerɛ sɛ dwensɔtwaa asiw (`Bowel blockage`): Yafunu mu yaw a emu yɛ den, ɛho ayɛ kurukuruwa, ontumi ntu nsu anaasɛ mframa ntumi nkɔ, aduan ho akɔnnɔ a ɛyera, ɔfe.
- Chest pain (`Angina`): Ɛyɛ yaw, ɛyɛ den, anaa ɛyɛ den wɔ koko, kɔn, akyi, anaa abasa mu.
- Koma mu nnyigyei a ɛsakra: Koma bɔ ntɛmntɛm anaasɛ ɛnteɛ, adwenemhaw, ɔtopae, koko mu yaw, na ɛyɛ den sɛ ɔbɛhome.
- Serotonin Syndrome no betumi ayɛ nea ɛda adi ne: ahomegye, adwene a ɛyɛ basaa, koma a ɛbɔ ntɛmntɛm anaasɛ ɛnyɛ daa, ntini a ɛyɛ den, ntini a ɛtwetwe, fifiri a ɛboro so, atiridiinini a ano yɛ den, akisikuru, atiridiinini, ɔfe, ne atiridiinini. Sɛ saa sɛnkyerɛnne ahorow yi mu bɛboro biako ba bere koro mu a, ebetumi ayɛ Serotonin Syndrome. Ɛyɛ tebea a asiane wom.
Nneɛma bɔne a mpɛn pii no enhia sɛ wonya aduruyɛ mu afotu (nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo ):
Mpɛn pii no, eyinom brɛ ase wɔ nna kakraa bi mu. Nanso, sɛ wɔkɔ so anaasɛ wɔhaw wo a, ka kyerɛ wo duruyɛfo sɛ:
- Akwanside a wɔde siw kwan
- Ayamtuo
- General a ɛnyɛ dɛ ne ɔbrɛ
- Tipaeɛ
Saa nsɛm a wɔahyehyɛ yi nka nsunsuanso bɔne a ebetumi aba nyinaa ho. Sɛ wuhu biribi foforo biara a, wo ne wo duruyɛfo nka ho asɛm.
Ɔkwan bɛn so na ɛsɛ sɛ mede saa aduru yi sie?
- Fa sie baabi a mmofra nkumaa ne afieboa ntumi nkɔ hɔ . Eyi ho hia paa. Nnuru nyɛ agode.
- Ɛsɛ sɛ wɔde aduru yi sie wɔ digrii Celsius 2 kosi 30 (digrii Fahrenheit 36 kosi 86). Ɛno kyerɛ sɛ wɔ dan mu hyew mu, ɛnsɛ sɛ ɛyɛ hyew dodo anaasɛ ɛnyɛ nwini dodo. Kwati sɛ wode besie mmeae a ɛhɔ yɛ nwini te sɛ aguaree.
- Mfa nnuru a ne bere atwam nni dwuma . Fa wɔn kɔ nnurutɔnbea na bisa sɛnea wɔtow gu yiye ho asɛm.
Awiei koraa no, nea ɛsɛ sɛ wokae (Take-Home Message) .
Ondansetron yɛ aduru a mfaso wɔ so kɛse a wɔde siw akisikuru ne ɔfe ano, titiriw ma wɔn a wɔreyɛ ayaresa te sɛ nnuru a wɔde sa yare, mframa a wɔde sa yare, ne oprehyɛn. Nanso, ɛho hia paa sɛ wudi oduruyɛfo no akwankyerɛ so pɛpɛɛpɛ bere a wode aduru yi redi dwuma no, na woka nyarewa afoforo a wowɔ ne nnuru afoforo a wonom ho asɛm kyerɛ oduruyɛfo no. Afei wubetumi anya aduru yi so mfaso dwoodwoo na woadi nkonim. Sɛ wowɔ ɔhaw anaa ɔhaw biara a, ntwentwɛn wo nan ase sɛ wo ne wo duruyɛfo bɛkasa. Mepɛ sɛ wo ho tɔ wo ntɛm!
` Ondansetron, Ondansetron, akisikuru, ɔfe, kokoram ayaresa, nnuru a wɔde sa yare, mframa a wɔde sa yare, oprehyɛn, nea efi mu ba, Zofran, aduru a ekum akisikuru, nnuru

💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment