Nyinsɛn yɛ bere a ɛyɛ fɛ na anidaso wom. Nanso ɛyaw ne ɛyaw, akyi yaw, ne tiyɛ a ɛka ho no betumi ahaw yɛn kakra. Ɛyɛ ade a ɛfata sɛ ɛyaw ne ɛyaw foforo yi ba esiane nkwaadɔm mu nsakrae ne wo yafunu a ɛrenyin nti. Enti, wɔ mmere te sɛ eyinom mu no, ebia wubesusuw sɛ, "Oo, me yam a anka metumi anom aduru a wɔde kum ɛyaw." Nanso wunim sɛ ɛsɛ sɛ wo ne wo duruyɛfo hwehwɛ bere nyinaa ansa na woanom aduru biara bere a worehwɛ kwan no . So ɛsɛ sɛ wubisa nnuru a wɔde kum ɛyaw a wɔtɔn a wɔmfa nnuru nhyɛ mu nso ho asɛm? Mmuae tiawa ne sɛ: Yiw, ɛsɛ sɛ woyɛ saa. Bere a ebia ɛbɛyɛ te sɛ nea asiane biara nni ho da a ɛfata no, mmara no sesa bere a woso akokoaa no.
Acetaminophen - paracetamol a yen nyinaa nim no
Eyi yɛ aduru a yɛtaa de yɛ nneɛma te sɛ atiridiinini, tiyɛ, ne nkwaa mu yaw. Nnipa pii a wɔwɔ yɛn man yi mu nim eyi denam edin Paracetamol so . Wubetumi atɔ saa aduru yi afi nnurutɔnbea nkutoo anaasɛ wode afra nnuru afoforo mu.
Mmea a wɔyem dodow no ara nni ɔhaw biara sɛ wɔbɛnom paracetamol sɛ wɔn duruyɛfo ma kwan a. Nokwarem no, ɛno ne aduru a nnuruyɛfo taa kyerɛw ɛyaw ano ma mmea a wɔyem.
Nanso, sɛ wo ho nyɛ wo den wɔ aduru yi ho, wowɔ mmerɛbo mu yare , anaa wo duruyɛfo ka sɛ ɛmfata a, ɛsɛ sɛ wotwe wo ho fi paracetamol ho koraa.
Sɛ oduruyɛfo no ka sɛ ɛnyɛ hwee sɛ wobɛnom paracetamol mpo a, ade a ɛho hia sen biara a ɛsɛ sɛ wokae ne sɛ wode bedi dwuma bere a ɛho hia koraa, dodow a ɛba fam koraa, ne bere tiaa bi mu nkutoo .
Wɔnkyerɛe sɛ paracetamol ne nyinsɛn a wotu gu anaa awo mu dɛmdi a emu yɛ den wɔ abusuabɔ, nanso nhwehwɛmu ahorow bi ada no adi sɛ asiane ketewaa bi wɔ mu.
- Nhwehwɛmu bi kyerɛ sɛ paracetamol a wɔnom da biara da bere tenten (nnafua 28 anaa nea ɛboro saa) no betumi ama asiane a ɛwɔ hɔ sɛ obi benya adwene a ɛyɛ den dodo (ADHD) anaasɛ nkɔso a ɛkyɛ kakra wɔ abofra a ɔhyɛ yafunu mu no mu no ayɛ kɛse kakra.
- Nhwehwɛmu afoforo ada no adi sɛ paracetamol a wɔnom da biara wɔ nyinsɛn no fã a ɛto so abien mu no ma asiane a ɛwɔ hɔ sɛ akokoaa no benya tebea horow te sɛ ahurututu anaa ayamtu no yɛ kɛse.
Nanso, nhwehwɛmu ahorow yi mu biara nsii so dua sɛ paracetamol na ɛde ɔhaw ahorow yi ba. Nhwehwɛmu pii ho hia na ama yɛate abusuabɔ yi ase yiye. Nanso, nyansa wom sɛ wobɛkwati sɛ wobɛnom nnuru a ɛho nhia.
NSAIDs (Nnuru a ɛnyɛ steroid a ɛko tia ɔyareɛ) - ɛhia sɛ wohwɛ yie paa wɔ yeinom ho!
Ebia woanom ibuprofen pii wɔ w’asetra mu. Nanso sɛ wunyinsɛn a, ebia wo duruyɛfo bɛka akyerɛ wo sɛ fa ɔkwan foforo a ahobammɔ wom a wɔfa so sa atiridiinini, tiyɛ, ne ntini mu yaw di dwuma. Wɔfrɛ eyinom sɛ nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa (NSAIDs), na ɛnyɛ nea asiane biara nni ho kɛse mma mmea a wɔyem. Nnuru te sɛ Ibuprofen, Naproxen, Aspirin, ne Diclofenac hyɛ saa kuw yi mu.
Dɛn nti na NSAIDs yɛ asiane?
- Nyinsɛn a ɛba ntɛm: Nhwehwɛmu ahorow bi ada no adi sɛ NSAID a wɔnom ntɛm wɔ nyinsɛn mu no betumi ama asiane a ɛwɔ hɔ sɛ nyinsɛn no atu no ayɛ kɛse kakra . Nhwehwɛmu ahorow bi nso kyerɛ sɛ asiane ketewaa bi wɔ hɔ sɛ awo mu dɛmdi wɔ akokoaa no koma anaa ne yafunu mu. Ɛwom sɛ wonnya nyɛɛ saa abusuabɔ yi ho adanse pintinn de, nanso nnuruyɛfo kamfo kyerɛ sɛ kɔhwehwɛ ɔkwan a ahobammɔ wom te sɛ paracetamol sen sɛ wode wo ho bɛto asiane mu.
- Wɔ nyinsɛn no asram 3 a etwa to mu: Wɔnkamfo NSAID nkyerɛ wɔ saa bere yi mu. Nea enti a ɛte saa ne sɛ wobetumi ama mogya ntini bi a ɛho hia wɔ wo ba koma mu (ductus arteriosus) atoto ansa na wɔawo no. Eyi betumi ama mogya mmoroso aba akokoaa no ahurututu mu.
Ɛnyɛ ɛno nko, NSAID a wobɛnom no betumi ama ayɛ den ama wo sɛ wobɛkɔ awo mu na ama nsu a ɛwɔ awotwaa mu a atwa wo ba no ho ahyia no so atew. Esiane saa nneɛma yi nti, sɛ worenom NSAID a, ɛsɛ sɛ woyɛ no wɔ oduruyɛfo a ɔhwɛ so yiye nkutoo ase .
| Nnuru ahorow a wɔde di dwuma | Ahobammɔ a ɛwɔ nyinsɛn mu |
|---|---|
| Acetaminophen/Paracetamol a wɔde yɛ aduru | Mpɛn pii no, asiane biara nni ho sɛ wobɛfa wɔ nnuruyɛfo afotu ase, nanso sɛ ɛho hia a, wɔ dodow a ɛba fam koraa mu, bere tiaa bi mu nkutoo. |
| NSAID ahorow (sɛ nhwɛso no, Ibuprofen, Diclofenac) . | Wɔnkamfo nkyerɛ. Asiane kɛse, titiriw wɔ asram 3 a atwam no mu. Ɛnsɛ sɛ wɔnom da a aduruyɛfo nhwɛ wɔn so. |
Opioid-type nnuru a ano yɛ den a wɔde kum ɛyaw
Eyinom yɛ nnuru a ano yɛ den yiye a wɔde kum ɛyaw a nnuruyɛfo akyerɛw ama wɔn. Nhwɛso ahorow bi ne Codeine, Morphine, ne Oxycodone .
Nhwehwɛmu ahorow bi kyerɛ sɛ saa aduru yi a wɔde di dwuma bere a wɔyem no betumi ama asiane a ɛwɔ hɔ sɛ awo mu dɛmdi ahorow bi, titiriw komayare, bɛkɔ soro wɔ akokoaa no mu. Ebetumi ama asiane a ɛwɔ hɔ sɛ wɔbɛwo ntɛm, awo ntɛm, anaa mpo awo a wɔawuwu no ayɛ kɛse.
Sɛ na worenom opioids ama aduruyɛ tebea bi ansa na worenyinsɛn a, sɛ wugyae mpofirim bere a woanyinsɛn pɛ a, ebetumi apira wo ne wo ba no. Enti, mpɛn pii no, wo duruyɛfo no bɛtew wo dodow so nkakrankakra na ama woahwɛ ahu sɛ asiane biara nni ho mma wo ne wo ba no.
Eyi ho hia yiye: Sɛ ɛna no nom opioid nnuru bere a ɔyem a, akokoaa no betumi ayɛ ne su wɔ awotwaa no mu. Esiane sɛ akokoaa no nnya aduru no wɔ awo akyi nti, akokoaa no benya ‘nsɛnkyerɛnne a ɛkyerɛ sɛ wagyae aduru no’. Yɛfrɛ eyi ‘Neonatal Abstinence Syndrome’ (NAS) . Eyi betumi ayɛ tebea a emu yɛ den. Ebetumi de ɔhaw ahorow te sɛ awo mu duru a ɛba fam ne ɔhome a ɛyɛ den aba.
Nkrasɛm a Wɔde Kɔ Fie
- Mfa nnuru biara a wɔde kum ɛyaw nni dwuma mma ɛyaw biara a wubenya wɔ nyinsɛn mu a wonkɔ wo duruyɛfo nkyɛn. Saa mmara yi nsakra sɛ ɛyɛ aduru a wɔtɔn a wɔmfa nnuru nhyɛ mu mpo a.
- Mpɛn pii no, nnuruyɛfo kamfo acetaminophen (paracetamol) nkutoo kyerɛ, nanso sɛ ɛho hia a, eye sɛ wobɛnom no dodow a ɛba fam koraa na bere tiaa bi .
- NSAIDs (e.g., Ibuprofen, Diclofenac) betumi ayɛ asiane kɛse, titiriw wɔ nyinsɛn asram 3 a etwa to no mu. Ɛnsɛ sɛ wɔnom da a oduruyɛfo nhwɛ wɔn so.
- Opioid nnuru a wɔde kum ɛyaw, sɛ oduruyɛfo kyerɛw ma no mpo a, ebetumi de ɔhaw ahorow a emu yɛ den aba akokoaa no so. Sɛ worenom dedaw, anaasɛ wote ɛyaw kɛse a, wo ne wo duruyɛfo nkasa ntɛm ara na wonsusuw ɔkwan a ahobammɔ wom sen biara ho.
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