Aduru a ɛbɛma w’adwene ho adwo: Momma yɛnka Perphenazine ho asɛm; Amitriptyline aduru a wɔde hyɛ nipadua mu!

Ebia woyɛ obi a worehu amane wɔ awerɛhow mu, anaasɛ dadwen kɛkɛ. Ɛtɔ mmere bi a, saa nneɛma yi mu yɛ den dodo kakra, na ɛbɛyɛ den sɛ wobɛyɛ wo da biara da dwumadi ahorow, ɛnte saa? Ɛnnɛ yɛrebɛka aduru bi a nnuruyɛfo taa kamfo kyerɛ a ebetumi aboa wo ho asɛm. Eyi yɛ nnuru abien a wɔfrɛ no perphenazine ne amitriptyline a wɔaka abom.

Dɛn ne aduru yi? (Perphenazine; Amitriptyline) Dɛn na ɛyɛ?

Sɛ yɛbɛka no tiawa a, aduru a wɔfrɛ no Perphenazine yi; Wɔde amitriptyline sa adwenemyare te sɛ adwenemhaw ne dadwen . Ɛtɔ mmere bi a, wobetumi de adi dwuma nso ama tebea horow te sɛ adwenemhaw .

Susuw ho hwɛ, yɛn amemene no wɔ nnuru a ɛboa ma yɛdi yɛn adwene, yɛn nneyɛe, ne yɛn nsusuwii so. Ɛte sɛ kar engine. Wɔfrɛ saa nnuru yi Dopamine, Norepinephrine, ne Serotonin . Nea aduru yi yɛ ne sɛ ɛboa ma saa nnuru no dodow san ba amemene no mu kodu baabi, na ɛboa ma wo nkate tu mpɔn. Nokwarem no, ɛyɛ nnuru abien a wɔaka abom: biako yɛ aduru a ekum adwenemhaw , na biako nso yɛ nnuru a ekum adwenemhaw a ɛwɔ ahoɔden abiɛsa (TCA) . Wɔde nnuru a ekum adwene mu yare yi sa adwenemyare ahorow.

Ebia wo duruyɛfo nso bɛkyerɛw saa aduru yi ama wo wɔ tebea afoforo ho. Enti sɛ wowɔ nsɛmmisa bi a, ɛbɛyɛ papa sɛ wubebisa wo duruyɛfo anaa nnuruyɛfo.

Wobetumi ahu saa aduru yi wɔ gua so wɔ din ahorow te sɛ Etrafon, Etrafon-A, ne Triavil ase.

Dɛn na ɛsɛ sɛ meka kyerɛ me duruyɛfo ansa na mede saa aduru yi adi dwuma?

Eyi yɛ asɛm a ɛho hia paa. Ansa na wubefi ase anom saa aduru yi no, nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ woka kyerɛ wo duruyɛfo anaa ayaresa kuw no ampa . Saa nsɛm yi bɛboa wɔn ma wɔasi gyinae sɛ ebia saa aduru yi fata wo anaasɛ ɛsɛ sɛ wohwɛ yiye titiriw.

Saa nneɛma no ni:

• So wowɔ adwenemyare bi te sɛ adwenemhaw ?
• So woanya, anaasɛ mprempren, wo dwensɔtwaa asiw?
• So wowɔ adwenemhaw , yare a ɛma wo werɛ fi?
• So wowɔ asikreyare ? Sɛ saa a, so worehwɛ so?
• So ɛyɛ den ma wo sɛ wobɛmene aduan?
• So wowɔ glaucoma ?
• So ɛyɛ den ma wo sɛ wubedi wo ntini ahorow so?
• So woapira wo ti kɛse pɛn?
• So wowɔ komayare? (Eyi ho hia yiye, efisɛ saa aduru yi betumi aka koma no bɔ)
• So wotaa nom nsa?
• So wowɔ asaabo mu yare?
• So wowɔ mmerɛbo mu yare?
• So wowɔ mogya mu nkwammoaa dodow a ɛba fam, sɛ nhwɛso no, mogya mu nkwammoaa fitaa, mogya mu nkwammoaa kɔkɔɔ, anaa mogya mu nkwammoaa kɔkɔɔ a ɛba fam?
• So wowɔ mogya mmoroso a ɛba fam?
• So wowɔ ahurututu mu yare anaa ɔhome mu haw te sɛ ayamtu ?
• So wowɔ Parkinson yare ?
• So tebea bi wɔ hɔ a wɔfrɛ no pheochromocytoma ?
• So woanya akisikuru pɛn?
• So wo anaa w’abusua mu biara anya adwene, nhyehyɛe anaa mmɔden a wɔbɔ sɛ wobekum wɔn ho?
• So wowɔ thyroid yare?
• So wowɔ ɔhaw wɔ wo nsu a wobɛfa mu?
• So wo ho yɛ wo hyew wɔ amitriptyline, perphenazine, nnuru afoforo, nnuan, nnuru a wɔde yɛ nneɛma, anaa nneɛma a wɔde siesie nneɛma ho?
• So woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn?
• So woyɛ ɛna a ɔma nufu?

Sɛ saa nneɛma yi mu biara fa wo ho a, ka kyerɛ wo duruyɛfo a womfa biribiara nsie .

Ɔkwan bɛn so ankasa na wode saa aduru yi di dwuma?

Ɛsɛ sɛ wɔde ano nom saa aduru yi, na wɔde nsu kuruwa ka ho. Fa no sɛnea wɔakyerɛ wɔ nnuru a wɔakyerɛw ama no so pɛpɛɛpɛ, bere ne dodow a wɔakyerɛw ama no. Wubetumi anom ansa na woadidi anaa bere a woadi akyi. Ɛho hia yiye sɛ wobɛnom dodow a ɛfata wɔ bere a ɛfata mu. Nnom pii nsen nea oduruyɛfo no ka kyerɛ wo sɛ fa no, anaasɛ nnom no mpɛn pii.

Nea ɛho hia sen biara: Nnyae aduru yi nom mpofirim a wunnya wo duruyɛfo afotu. Saa a wobɛyɛ no betumi de ɔhaw ahorow a emu yɛ den aba anaasɛ ɛbɛma wo tebea no asɛe kɛse.

Sɛ wonya saa aduru yi fi nnurutɔnbea hɔ a, wo nsa bɛka akwankyerɛ krataa titiriw bi (MedGuide) a ɛka ho. Ɛsɛ sɛ wokenkan eyi yiye bere biara a wubenya aduru no anaasɛ bere a wobɛsan ahyɛ mu ma no, ɛyɛ? Nsɛm pii a ɛho hia ma wo wom.

Ɛsɛ sɛ wɔhwɛ yiye titiriw bere a wɔde aduru yi rema mmofra no, enti wo ne w’aduruyɛfo kuw no nkasa mfa ho.

Dodow a ɛboro so: Sɛ wususuw sɛ woanom aduru yi dodo a, frɛ beae a wɔhwɛ awuduru so anaa ayaresabea dan a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ ntɛm ara.

Ade foforo: Saa aduru yi yɛ ma wo nkutoo. Mfa nnkyɛ obi foforo biara.

Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?

Sɛ wopa dose bi a, fa no bere a woakae ara pɛ. Nanso, sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ no a, twa dodow a woayera no so na fa wo dodow a edi hɔ no wɔ bere a woahyɛ da ayɛ no mu. Mfa nnuru abien prɛko pɛ da mfa nsiesie dodow a woayera no. Saa a wobɛyɛ no betumi de ɔhaw ahorow aba.

Nnuru afoforo bɛn na ebetumi ne aduru yi adi nkitaho?

Eyi nso yɛ asɛm a ɛho hia paa. Nnuru bi te sɛ perphenazine betumi de ɔhaw aba bere a wɔde ka amitriptyline ho no.

Mfa saa aduru yi nka nnuru a edidi so yi ho da:

• Linezolid a wɔfrɛ no linezolid
• MAOI nnuru (sɛ nhwɛso no, Carbex, Marplan, Nardil, Parnate, ne Xadago) .
• Methylene bruu a ɛyɛ bruu
• Metoclopramide a wɔde di dwuma

Saa aduru yi nso betumi ne nea edidi so yi adi nkitaho:

• Nsaden
• Nnuru bi a wɔde sa akisikuru, ɔfe, ne atiridiinini (Antihistamines) .
• Atropine a wɔde di dwuma
• Nnuru bi a wɔde sa akisikuru ho haw (sɛ nhwɛso no, oxybutynin, tolterodine) .
• Nnuru bi a wɔde sa adwenemhaw, dadwen, anaa adwene mu tebea horow
• Nnuru bi a wɔde sa koma a ɛbɔ a ɛnteɛ (sɛ nhwɛso no, amiodarone, dofetilide, encainide, flecainide, propafenone, quinidine) .
• Nnuru bi a wɔde da
• Nnuru bi a wɔde sa yafunu mu haw (e.g. dicyclomine, hyoscyamine) .
• Nnuru bi a wɔde sa kankyee yare (e.g., scopolamine) .
• Cimetidine a wɔde di dwuma
• Epinephrine a wɔde di dwuma
• Ethchlorvynol a wɔde yɛ aduru
• Nnuru a wɔde kum nipadua no nyinaa (sɛ nhwɛso no, halothane, isoflurane, methoxyflurane, propofol) .
• Ipratropium a ɛyɛ aduru a wɔfrɛ no Ipratropium
• Levodopa anaa nnuru afoforo a wɔde sa Parkinson yare
• Lithium a wɔde yɛ nneɛma
• Mogya mmoroso aduru
• Nnuru a wɔde ko tia akisikuru (sɛ nhwɛso no, phenobarbital, primidone, phenytoin) .
• Nnuru a ɛma ntini mu dwo a wɔde yɛ oprehyɛn
• Nnuru a wɔde yɛ nnubɔne a wɔde sa ɛyaw
• Topiramate a wɔde yɛ aduru

Saa list yi nwie pɛyɛ. Enti, ka nnuru, nhabannuru, nnuru a wɔkyerɛw ma wo, ne aduannuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo. Afei nso, sɛ wonom sigaret, wonom nsa, anaa wode nnubɔne a mmara mma ho kwan di dwuma a, ka kyerɛ wo duruyɛfo. Nneɛma bi betumi ne w’aduru no adi nkitaho.

Dɛn na ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom aduru yi?

Kɔ wo duruyɛfo nkyɛn daa na woakɔhwɛ wo daa bere a worenom aduru yi no. Sɛ wo yare no ho sɛnkyerɛnne no ankɔ yiye anaasɛ emu yɛ den a, ka kyerɛ wo duruyɛfo. Sɛnea yɛadi kan aka no, nnyae aduru no nom a wunnya wo duruyɛfo afotu. Saa a wobɛyɛ no betumi ama obi ayɛ n’ade a anibere wom. Wo duruyɛfo bɛkyerɛ wo nnuru dodow a ɛsɛ sɛ wonom.

Ahwɛyiye titiriw: Ɛsɛ sɛ ayarefo ne wɔn mmusua ma wɔn ani da hɔ wɔ adwene foforo anaa nea ɛreyɛ kɛse a ɛne sɛ wobekum wɔn ho anaa adwenemhaw ho. Afei nso, ma w’ani da hɔ wɔ nsakrae a ɛba mpofirim wɔ adwene mu, te sɛ basabasayɛ, ahomegye, ehu, abufuw, nitan, basabasayɛ, ahopere, ahomegye kɛse, anigye dodo ne adeyɛ a ɛboro so, anaasɛ nna a wontumi nna ho. Sɛ eyi ba a, wo ne w’akwahosan kuw no nkasa ntɛm ara, titiriw wɔ ayaresa no mfiase anaasɛ bere a woasesa wo dodow a wode ma no akyi.

• Dae/Adwennwen: Saa aduru yi betumi ama woate nka sɛ woda anaasɛ w’adwene mu yɛ wo naa. Enti, nka kar, mfa mfiri nni dwuma, anaa nyɛ biribi foforo biara a ɛhwehwɛ sɛ wode w’adwene si biribi so kosi sɛ wubehu sɛnea aduru yi ka wo ankasa. Nnyina hɔ anaa ntra ase mpofirim, titiriw sɛ woabɔ akwakoraa a. Eyi betumi atew hokwan a ɛwɔ hɔ sɛ obi ho bɛtɔ no anaasɛ ɔbɛtotɔ piti no so.
• Nsã: Nsã betumi asiw aduru yi a etu mpɔn no kwan. Enti, kwati nsa a wobɛnom.
• Nnuru afoforo: Nnom nnuru a wɔde sa ɔfe, atiridiinini, anaa akisikuru a wunni kan nkyerɛ wo duruyɛfo. Nneɛma a ɛwɔ nnuru yi mu no bi betumi ama nea efi mu ba no ayɛ kɛse.
• Asikre dodow a ɛwɔ mogya mu: Saa aduru yi betumi ama asikre dodow a ɛwɔ mogya mu no akɔ soro. Sɛ wowɔ asikreyare a, bisa w’akwahosan kuw no sɛ ɛsɛ sɛ woyɛ nsakrae biara wɔ w’aduan anaa nnuru mu anaa.
• Ano a ɛyɛ nwunu: Ebia w’ano bɛte nka sɛ ayow. Anom a asikre nnim a wobɛwe, ahwiesa a ɛyɛ den a asikre nnim a wobɛnom, ne nsu pii a wobɛnom betumi aboa ma eyi afi hɔ. Sɛ ɔhaw yi kɔ so anaasɛ emu yɛ den a, ka kyerɛ w’akwahosan kuw no.
• Aniwa a ɛyɛ kusuu ne aniwa a ɛyɛ kusuu: Saa aduru yi betumi ama aniwa ayɛ kusuu na aniwa nhu ade yiye. Sɛ wohyɛ ahwehwɛ a wɔde hwɛ ahwehwɛ a, ebia wo ho bɛtɔ wo kakra. Ebia nnuru a wɔde srade gu aniwa so no bɛboa. Sɛ ɔhaw yi kɔ so anaasɛ emu yɛ den a, kɔ w’ani duruyɛfo nkyɛn.
• Akisikuru: Saa aduru yi betumi ama obi anya akisikuru. Bɔ mmɔden sɛ anyɛ yiye koraa no, wobɛkɔ wo dwensɔtwaa mu pɛnkoro nnansa biara. Sɛ woankɔ wo dwensɔtwaa mu nnansa akyi a, frɛ w’akwahosan kuw no.
• Owia ho nkate:Ebia saa aduru yi bɛma woayɛ mmerɛw kɛse wɔ owia hann ho. Enti, kwati owia hann. Sɛ ɛsɛ sɛ wupue kɔ owia mu a, hyɛ ntade a ɛbɔ wo ho ban na fa aduru a ɛbɔ wo ho ban fi owia ho gu so. Mfa owia akanea anaa mpa/ntanning beds nni dwuma.
• Nipadua mu hyew a wɔhwɛ so ho haw ahorow: Saa aduru yi betumi de ɔhaw ahorow aba wo nipadua mu hyew so. Ebetumi atew sɛnea wo nipadua no yɛ n’ade wɔ awɔw bere ho no so. Kwati sɛ wobɛkɔ abɔnten wɔ awɔw bere mu sɛnea wubetumi biara. Sɛ ɛsɛ sɛ wupue a, hyɛ ntade a ɛyɛ hyew. Ebetumi nso atew sɛnea wo nipadua no yɛ n’ade wɔ ɔhyew ho no so. Enti kwati sɛ wobɛma wo ho ayɛ hyew dodo. Mma nteɛteɛ w’apɔw mu ntra so. Kwati owia hann sɛnea wubetumi biara. Sɛ ɛsɛ sɛ wupue kɔ owia mu a, hyɛ ntade a emu yɛ hare na ɛyɛ nwini. Nom nsu pii. Sɛ ɛyɛ den ma wo sɛ wobɛhwɛ wo nipadua mu hyew so a, wo ne w’akwahosan kuw no nkasa ntɛm ara.
• Oprehyɛn: Sɛ wobɛyɛ oprehyɛn biara a, ka kyerɛ w’aduruyɛfo kuw no sɛ worenom saa aduru yi.

Dɛn ne aduru yi mu nsunsuanso bɔne a ebetumi afi mu aba?

Te sɛ aduru biara no, eyi betumi de ɔhaw ahorow bi aba. Ebi nyɛ aniberesɛm, nanso ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara.

Nneɛma bɔne a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo/ayaresa kuw no ntɛm ara:

• Nneɛma a ɛma obi ho yɛ no hyew: honam ani akisikuru, ɛyaw, akisikuru, anim, anofafa, tɛkrɛma, anaa menewa a ɛho ahonhon.
• Koma mu nnyigyei sesa: koma bɔ ntɛmntɛm anaasɛ ɛnte saa, adwenemhaw, adwenemhaw, koko mu yaw, ahome a ɛyɛ den.
• Neuroleptic Malignant Syndrome (NMS) no betumi ayɛ: atiridiinini kɛse, ntini a ɛyɛ den, fifiri a ɛkɔ soro, koma a ɛbɔ ntɛmntɛm anaasɛ ɛnyɛ daa, ne adwene a ɛyɛ basaa.
• Prolactin dodow a ɛkɔ soro: Nufu mu nyin a wɔnhwɛ kwan, nufu mu nsu a ɛba, nna ho akɔnnɔ anaa dwumadi mu nsakrae, brayɛ a ɛnkɔ so daa.
• Nyarewa: Atiridiinini, atiridiinini, ɔfe, anaa menewam yaw.
• Mogya mmoroso a ɛba fam: adwenemhaw, adwenemhaw, aniwa a ɛyɛ mmerɛw.
• Aniwa mu yaw anaa aniwa a ɛsakra mpofirim: sɛ nhwɛso no, aniwa a ɛyɛ kusuu, halos a wohu a atwa akanea ho ahyia, anaasɛ aniwa a ɛyera.
• Adwene a ɛne sɛ obekum ne ho anaasɛ obepira ne ho, adwene a ɛyɛ den, adwenemhaw ho nkate.
• Extrapyramidal Symptoms (EPS) betumi ayɛ: nipadua a wontumi nni so na ɛyɛ mpɛn pii, ntini a ɛyɛ den anaasɛ ɛtwetwe, wosow, kari a ɛnkari pɛ anaasɛ ɔhaw ahorow a ɛfa sɛnea nneɛma bom yɛ adwuma ho, ahomegye, nantew a ɛsakrasakra.

Nsunsuanso bɔne a mpɛn pii no enhia sɛ wɔde kɔ ayaresabea (nanso sɛ ɛkɔ so anaasɛ ɛhaw adwene a, ka kyerɛ wo duruyɛfo/ayaresa kuw no):

• Nsakrae a ɛba nna ho akɔnnɔ anaa dwumadi mu
• Ayamtim
• Adwene a ɛyɛ basaa
• Dae a ɛma obi da
• Ano a ɛyɛ nwunu
• Mu duru a ɛkɔ soro

Saa nsɛm a wɔahyehyɛ yi nka nsunsuanso bɔne a ebetumi aba nyinaa ho. Wo ne wo duruyɛfo nkasa na ɔmma wo aduruyɛ mu afotu wɔ nneɛma bɔne a efi mu ba ho.

Wobɛyɛ dɛn akora saa aduru yi so yiye?

Fa saa aduru yi sie baabi a mmofra ntumi nkɔ hɔ .

Fa sie wɔ dan mu hyew (digrii Celsius 20 kosi 25, digrii Fahrenheit 68 kosi 77). Bɔ ho ban fi hann ho. Fa toa/packet no to mu denneennen. Tow aduru biara a atwam bere a ne bere atwam no gu.

Kae ade a ɛho hia sen biara no! (Nkrasɛm a Wɔde Kɔ Fie)

Okay, yɛaka aduru yi a wɔfrɛ no Perphenazine ho asɛm pii; Amitriptyline, ɛnte saa? Kae sɛ eyi yɛ aduru a ɛho hia a ebetumi aboa w’adwene. Nanso, adeɛ a ɛho hia paa ne sɛ wobɛfa no sɛdeɛ wo duruyɛfoɔ ka kyerɛ wo no pɛpɛɛpɛ, dodoɔ a wobɛka akyerɛ wo, ne berɛ a wobɛka akyerɛ wo.

Sɛ wowɔ nsɛmmisa anaa nsɛm bi a ɛhaw wo a, hwɛ hu sɛ wubebisa wo duruyɛfo, nnuruyɛfo, anaa akwahosan ho ɔyaresafo. Mfa biribiara nsusuw ho da.

Saa kratawa yi yɛ nsɛm a wɔaboaboa ano kɛkɛ. Ebia ɛrenka nsɛm no nyinaa ho asɛm. Enti, wo ne wo duruyɛfo nkasa na di saa ayaresa yi akyi sɛnea wubetumi biara. Yɛpɛ sɛ wo ho tɔ wo ntɛm!

` Perphenazine, amitriptyline, adwenemhaw, dadwen, adwenemyare, nnuru a ɛde ba, adwenemyare