Ɛtɔ mmere bi a, ɛyaw a yɛte no tumi yɛ den araa ma nnuru a wɔde kum ɛyaw a ɛnyɛ den no ntumi nni so. So wo nso wote ɛyaw a emu yɛ den saa? Sɛ nnuru afoforo a wɔde kum ɛyaw no ntumi nyɛ adwuma anaasɛ wuntumi nnyina ano a, oduruyɛfo betumi akyerɛw wo aduru a ano yɛ den te sɛ eyi. Eyi yɛ nnuru abien a wɔfrɛ no oxycodone ne aspirin a wɔaka abom. Ɛnnɛ, yɛbɛka eyi ho asɛm kɔ akyiri, tiawa koraa.
Dɛn na ɛba wɔ aduru yi ho ankasa?
Sɛ yɛbɛka no tiawa a, eyi yɛ nnuru ahorow abien a wɔaka abom.
1. Oxycodone: Eyi yɛ aduru a ano yɛ den a wɔde kum ɛyaw. Wɔ aduruyɛ mu no, yɛfrɛ eyi sɛ ``Opioid'' aduru bi. Ɛyɛ adwuma denam ɛyaw ho nsɛnkyerɛnne a esiw kɔ amemene no so no so. Ɛte sɛ nea wɔato ɔkwan a ɛde ɛyaw nkrasɛm no kɔ no mu.
2. Aspirin: Ebia woate eyi ho asɛm. Ɛka ``NSAIDs'' kuw no ho. Ɛno kyerɛ sɛ Non-Steroidal Anti-Inflammatory Drug. Ne dwumadi titiriw ne sɛ ɛbɛtew ɔfe ne ɔfe a ɛwɔ nipadua no mu so.
Enti sɛ wɔka abien yi bom a, wotumi di ɛyaw a emu yɛ den so . Wobetumi ahu saa aduru yi wɔ gua so wɔ din te sɛ `(Endodan)`, `(Percodan)` ase.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom nnuru
Ansa na wode saa aduru yi bedi dwuma no, ɛho hia yiye sɛ wode w’akwahosan ho nkyerɛkyerɛmu a edi mũ ma wo duruyɛfo. Hwɛ hu sɛ wobɛka akyerɛ wɔn sɛ wowɔ tebea horow a edidi so yi mu bi a:
| Gyinabea | Nkyerɛmu |
|---|---|
| Mogya a ɛretu | Mogya a ɛtɔ ho haw anaa mogya a ɛtwetwe ho haw. |
| Ti ne amemene | Amemene mu akisikuru, ti a opira, akisikuru. |
| Nnuan a wɔyam | Yafunu mu akisikuru, dwensɔtwaa mu nyarewa, akisikuru a ɛtaa ba. |
| Ɔhome nhyehyɛe | Ahurututu mu yare, ayamtu, anaa ɔhome mu haw afoforo. |
| Ayaresa mu tebea afoforo | Komayare, adrenal ntini no dwumadi a ɛso tew. |
| Asetra kwan | Nsã a wɔtaa nom, nnubɔne afoforo a wɔde di dwuma (Substance use disorder). |
| Nnuru afoforo | Sɛ woanom MAOI nnuru (e.g. Parnate, Nardil) wɔ nnafua 14 a atwam no mu a. |
| Nneɛma a ɛma obi ho yɛ no hyew | Sɛ wo ho nyɛ wo hyew wɔ aspirin, oxycodone, anaa nnuru afoforo, nnuan, anaa nnuru a wɔde yɛ nneɛma ho a. |
| Mmere titiriw | Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaa worema nufu a. |
Ɔkwan bɛn so na wɔde aduru yi bedi dwuma yiye?
- Fa saa aduru yi ne nsu kuruwa biako .
- Fa no sɛnea oduruyɛfo no akyerɛ no pɛpɛɛpɛ, wɔ bere a ɛfata mu.
- Sɛ wote nka sɛ yafunu ayɛ wo yaw a, fa ka aduan ho . Anaasɛ ɛnyɛ hwee sɛ wobɛnom ansa na woadi anaasɛ woadi awie.
- Kɔ so nom aduru no kosi sɛ wo duruyɛfo bɛka akyerɛ wo sɛ gyae. Nnyae mpofirim.
- Ebia nnipa a wɔadi boro mfe 65 no bɛte nka kɛse wɔ aduru yi nkɛntɛnso ho, enti wobetumi akyerɛw wɔn dodow a ɛba fam.
- Wɔmpene so sɛ wɔmfa saa aduru yi nni dwuma wɔ mmofra mu . Enti, kwati sɛ wode bɛma mmofra.
Kɔkɔbɔ: Wɔakyerɛw saa aduru yi ama wo nkutoo. Mma nnkyɛ obi foforo biara esiane biribiara nti.
Sɛ dodow a wɔde ma no kɔ soro (overdose) a, dɛn na ɛsɛ sɛ woyɛ?
Sɛ wususuw sɛ woanom boro dodow a wɔakyerɛw ama wo no so a, yɛ ho biribi ntɛm ara . Sɛ ɛbɛyɛ yiye a, frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea . Anaasɛ kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo ntɛm ara sɛnea wubetumi. Eyi yɛ biribi a ɛnsɛ sɛ wɔtwentwɛn so.
So ɔhaw ahorow betumi aba wɔ nnuru afoforo ho?
Yiw, koraa. Hokwan kɛse wɔ hɔ sɛ saa aduru yi ne nnuru afoforo bedi nkitaho. Enti ka nnuru a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo, a vitamin ne nhabannuru ka ho.
| Mfa no nka nnuru yi ho da! | |
|---|---|
| Cidofovir a wɔde di dwuma | Defibrotide a wɔde hyɛ nipadua mu |
| Ketorolac na ɛyɛ aduru | Methotrexate a wɔde di dwuma |
| Probenecid a wɔde yɛ nnuru | |
| Hwɛ yiye paa bere a wode nnuru yi bom redi dwuma no. | |
| Nsaden | Ebia obi bɛda denneennen na ayɛ den sɛ ɔbɛhome. |
| Nnuru afoforo a wɔde kum ɛyaw | NSAIDs te sɛ Ibuprofen ne Naproxen, ne opioid nnuru afoforo a wɔde kum ɛyaw. |
| Nnuru a ɛko tia mogya a ɛtwetwe mogya | Nnuru te sɛ Warfarin, Apixaban, Rivaroxaban. |
| Nnuru a wɔde sa adwenemyare | Nnuru a wɔde sa adwenemhaw ne dadwen. |
| Nnuru a wɔde sa nna a wontumi nna | Ebia obi bɛda na wahome brɛoo. |
| Nnuru a wɔde sa akisikuru | Nnuru pii a wɔde sa akisikuru, ɔfe, ne atiridiinini (antihistamines). |
Saa nsɛm a wɔahyehyɛ yi nwiei, enti ɛbɛyɛ papa sɛ wobɛka nnuru a wonom nyinaa ho asɛm akyerɛ wo duruyɛfo.
Nneɛma a ɛsɛ sɛ wususuw ho bere a worenom nnuru no
Ɛfa ɛyaw ne nnuru dodow a wɔde ma ho
Sɛ wonom saa aduru yi kyɛ a, wo nipadua betumi ayɛ ne su (tolerance). Eyi kyerɛ sɛ ebia wubehia dodow a ɛkɔ soro kakra na ama woatumi adi wo yaw no so sen kan no. Eyi yɛ ade a ɛfata. Eyi nkyerɛ sɛ woayɛ "addicted" wɔ aduru no ho. Addiction yɛ aduru bi a wɔde di dwuma a wonni aduruyɛ mu ntease biara. Esiane sɛ wote ɛyaw nti, wowɔ aduruyɛ mu ntease a enti ɛsɛ sɛ wonom saa aduru yi.
Nea ɛho hia sen biara ne sɛ worennyae nnuru no nom mpofirim a wunnya aduruyɛ mu afotu. Saa a wobɛyɛ no betumi ama woanya yare a emu yɛ den a ɛkyerɛ sɛ obi agyae. Sɛ ɛho hia sɛ wugyae aduru no nom a, wo duruyɛfo no bɛtew dodow no so nkakrankakra.
Dae, ɔhome a ɛyɛ den ne Naloxone
Ebia saa aduru yi bɛma woate nka sɛ woada na w’adwene atu afra. Enti , kwati sɛ wobɛka kar anaa wode mfiri bedi dwuma bere a worenom aduru yi. Nsã a wɔnom betumi ama tebea yi asɛe kɛse.
Sɛ worenom nnuru afoforo a ɛma woda (e.g. nnuru a wɔde da, nnuru a ɛma wo ho dwo) a, asiane wɔ hɔ sɛ wobɛhome brɛoo paa (CNS adwenemhaw). Sɛ ɛyɛ den ma wo sɛ wobɛhome, wobrɛ wɔ ɔkwan soronko so, anaasɛ woda araa ma wuntumi sɔre , na ɛyɛ ntɛmpɛ. Kɔ ayaresabea ntɛm ara. `(Naloxone)` yɛ ayaresa a egye ntɛmpɛ ma `(Opioid)` a wɔnom boro so. Bisa wo duruyɛfo no eyi ho asɛm.
Yafunu mu haw ahorow
- Akisikuru: Eyi yɛ aduru yi a ɛtaa ba. Sɛ woankɔ wo dwensɔtwaa mu nnafua 3 a, frɛ wo duruyɛfo.
- Yafunu mu akuru ne mogya a ɛtɔ:Saa aduru yi betumi ama yafunu mu akuru na mogya atu. Eyi betumi asi a wɔremmɔ kɔkɔ . Sɛ wo yafunu mu yɛ wo yaw, wofe mogya, wofe biribi a ɛte sɛ kɔfe a wɔayam, anaa wo nsu tuntum a, hwehwɛ aduruyɛfo afotu ntɛm ara.
Nsɛntitiriw afoforo a ɛho hia
- Honam ani hwɛbea: Ɛtɔ mmere bi a, bere a wɔafi aduru no ase akyi adapɛn kakraa bi mpo no, akisikuru a ɛyɛ kɔkɔɔ anaa kɔkɔɔ anaasɛ honam ani a ɛrepaapae betumi aba a atiridiinini, nipadua mu yaw, ne akisikuru ka ho. Sɛ eyi ba a, kɔ oduruyɛfo nkyɛn ntɛm ara.
- Nyinsɛn: Aduru yi a wɔnom bere a wɔyem no betumi ama awo mu dɛmdi a emu yɛ den aba akokoaa no so. Enti, ɛsɛ sɛ mmea a wɔyem ne wɔn a wɔwɔ anidaso sɛ wobenyinsɛn no ne wɔn duruyɛfo kasa fa eyi ho.
- Ano a ɛyɛ nwunu: Sɛ w’ano yɛ nwunu a, aduru a asikre nnim a wobɛwe, ahwiesa a wɔannom, anaa nsu pii a wobɛnom betumi aboa.
Dɛn ne nsunsuanso bɔne a ebetumi afi mu aba?
| Nneɛma bɔne a anibere wom a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo no ntɛm ara | |
|---|---|
| Nneɛma a ɛma obi ho yɛ no hyew | Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon. |
| Mogya a ɛretu | Nsu tuntum anaa mogya, mogya a ɛfe anaa ade bi a ɛte sɛ kɔfe a wɔayam, nsu a ɛyɛ bruu tuntum/kɔkɔɔ. |
| Ɔhome a ɛyɛ den | Ɔhome a ɛyɛ brɛoo, ɛyɛ den sɛ ɔbɛhome, nna a ɛtra so, adwenem naayɛ. |
| Asaabo anaa mmerɛbo mu haw ahorow | Nsu a ɛba no so tew, nansoaa, nsa, ne anan a ɛho ahonhon, aniwa anaa honam ani yɛ kɔkɔɔ, na ɛyaw wɔ yafunu no atifi nifa so. |
| Aso a ɛyɛ mmerɛw | Aso a ɛbɔ anaasɛ aso a ɛyɛ mmerɛw. |
| Ɛtaa ba (nanso sɛ ɛkɔ so anaasɛ ɛhaw adwene a, ka kyerɛ wo duruyɛfo) . | |
| Ayamtim | Adwene a ɛyɛ basaa, nna a ɛma obi da |
| Ano a ɛyɛ nwunu | Tiyɛ, aduan ho akɔnnɔ a ɛyera |
| Akisikuru, ɔfe | Yafunu mu a ɛyɛ mmerɛw |
Nkrasɛm a Wɔde Kɔ Fie
- Eyi yɛ aduru a ano yɛ den a wɔde sa ɛyaw a emu yɛ den. Fa di dwuma sɛnea wo duruyɛfo kyerɛ no.
- Ka nnuru afoforo a wonom nyinaa ne nyarewa biara a wowɔ ho asɛm kyerɛ wo duruyɛfo.
- Mfa aduru yi nkyɛ obi foforo da, na fa sie baabi a ahobammɔ wɔ a mmofra ne afieboa ntumi nkɔ hɔ.
- Sɛ wuhu sɛnkyerɛnne ahorow a emu yɛ den te sɛ ahome a ɛyɛ den, nsu a ɛyɛ tuntum, anaa mogya a wobɛfe a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Kwati sɛ wubegyae aduru no mpofirim a wunnya wo duruyɛfo afotu.
- Ɛho hia paa ma w’ahobammɔ sɛ wobɛkwati nsa a wobɛnom ne kar a wobɛka bere a worenom saa aduru yi.
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