Ɛtɔ mmere bi a, aduru biako pɛ rentumi nyɛ adwuma mma adwenemhaw. Sɛ wo duruyɛfo asɔ nnuru pii ahwɛ na wo tebea no nnyaa nkɔso a, ebia ade a edi hɔ ne sɛ wobɛsɔ biribi te sɛ Phenelzine ahwɛ. Nanso eyi yɛ aduru a ano yɛ den yiye, na ɛsɛ sɛ wohwɛ yiye paa. Enti momma yɛnka eyi ho asɛm pefee na ɛnyɛ den.
Dɛn ne Phenelzine (Nardil®)?
Sɛ yɛbɛka no tiawa a, Phenelzine yɛ aduru a wɔde sa adwenemhaw. Nnuruyɛfo taa kyerɛw ma nnipa a wɔamfa nnuru afoforo a ekum adwenemhaw no nni dwuma.
Eyi ka nnuru bi a wɔfrɛ no MAOI (Monoamine Oxidase Inhibitor) ho . Ɛwom sɛ edin no yɛ den kakra de, nanso nea ɛyɛ no yɛ mmerɛw yiye. Nnuru (neurotransmitters) wɔ yɛn amemene mu a ɛhwɛ yɛn adwene, anigye, ne kommyɛ so. Wɔn titiriw ne dopamine, norepinephrine, ne serotonin . Obi a ɔwɔ adwenemhaw betumi anya nnuru yi a ɛba fam. Enti nea Phenelzine aduru yi yɛ ne sɛ ɛma saa nnuru no dodow kɔ soro bio na ɛma wo nkate tu mpɔn.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi ase anom nnuru
Saa aduru yi mfata obiara. Enti, ɛho hia paa sɛ wode w’akwahosan ho nkyerɛkyerɛmu a edi mũ ma wo duruyɛfo. Sɛ wowɔ tebea horow a ɛwɔ ase ha no bi a, hwɛ hu sɛ wobɛka ho asɛm akyerɛ wɔn.
| Wo tebea no | Dɛn nti na ɛsɛ sɛ wobɔ amanneɛ? |
|---|---|
| Sɛ wowɔ mogya mmoroso, komayare, komayare, anaa akisikuru a | Saa aduru yi tumi ka mogya mmoroso, enti ebetumi ayɛ asiane ama nnipa a wɔwɔ komayare. |
| Ti a ɛtaa yɛ no yaw anaasɛ atiridiinini | Ɛsɛ sɛ oduruyɛfo no hu eyi, efisɛ tiyɛ a emu yɛ den betumi aba sɛ aduru no mu nsunsuanso bɔne. |
| Mmɛn anaa asaabo mu yare | Esiane sɛ wɔnam saa akwaa yi so yi nnuru fi nipadua no mu nti, sɛ wɔn dwumadi sɛe a, nnuru no nkɛntɛnso betumi asesa. |
| Glaucoma tebea a ɛma obi nya atiridiinini | Saa aduru yi betumi aka aniwa so nhyɛso. |
| Adwene mu nyarewa afoforo, adwene a ɛne sɛ obekum ne ho, anaa mmɔden a wadi kan abɔ | Saa aduru yi betumi ama nsusuwii a ɛte saa ayɛ kɛse wɔ nnipa binom mu wɔ mfiase, enti ɛho hia sɛ wɔhwɛ so yiye. |
| Sɛ wotaa nom nsa a | Nsã ne aduru yi a wɔde ka bom no betumi de asiane aba. |
| Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaa worema nufu a | Ɛsɛ sɛ wo ne wo duruyɛfo kasa fa sɛ ebia aduru no betumi aka wo ba no anaa. |
Ɔkwan bɛn so ankasa na wode saa aduru yi di dwuma?
Ɔkwan a wofa so de saa aduru yi di dwuma no ho hia yiye.
- Fa saa aduru yi ne nsu kuruwa biako.
- Fa dodow a wɔakyerɛw ama wo no nkutoo, bere a wo duruyɛfo akyerɛw ama wo no. Mfa dodow a wɔakyerɛw ato hɔ no nnnom da.
- Nea ɛho hia sen biara ne sɛ worennyae aduru yi nom mpofirim. Sɛ woyɛ saa a, wo sɛnkyerɛnne ahorow no betumi asɛe anaasɛ wubetumi anya nipadua mu ɔhaw afoforo. Sɛ wugyae nnuru no nom a, yɛ saa sɛnea wo duruyɛfo kyerɛ wo no, na fa nkakrankakra tew dodow no so.
- Sɛ wonom nnuru pii a: Sɛ mpofirim ara wususuw sɛ woanom aduru yi dodo a, frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no ntɛm ara . Anaasɛ kɔ Emergency Department (ETU) a ɛwɔ ayaresabea a ɛbɛn wo no. Mma nntwentwɛn wo nan ase.
- Sɛ wopa dose bi a: Sɛ wo werɛ fi sɛ wobɛnom dose bi a, fa no bere a wokae 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.
Saa aduru yi yɛ wo nkutoo dea. Mfa mma obi foforo, sɛ mpo wɔn nso wɔ yare no ho sɛnkyerɛnne te sɛ wo a.
Hwɛ yie! Mfa Phenelzine nni dwuma ne saa nneɛma yi!
Eyi ne asɛm yi fã a ɛho hia sen biara. Phenelzine betumi de asiane kɛse aba bere a wɔde ka nnuru afoforo, nnuan, ne anonne ho no.
Hwɛ nnuan ne anonne a Tyramine wom so titiriw!
Bere a worenom saa aduru yi no, ɛsɛ sɛ wokwati nnuan ne anonne a amino acid Tyramine wom koraa. Sɛ wɔka abien yi bom a, wo mogya mmoroso betumi akɔ soro mpofirim akodu baabi a asiane wom. Yɛfrɛ eyi Hypertensive Crisis . Eyi betumi ama obi ti ayɛ no yaw kɛse, wafe, ne kɔn mu ayɛ den, ne ho fifiri atɔ no, na ne koma abɔ ntɛmntɛm.
Nnuan a ɛsɛ sɛ wokwati:
- Cheese a ayɛ dedaw: Cheddar, blue cheese, Switzerland, parmesan.
- Nam a wɔayɛ ho adwuma: Soseji, salami, pepperoni, bacon, ne nea ɛkeka ho Nam ne mpataa a wɔayam no wusiw, ayɛ dedaw, na wɔde nkyene ahyɛ mu.
- Nsã: titiriw bobesa kɔkɔɔ, beer ahorow bi.
- Soya nneɛma: soya sauce, tofu (bean curd), miso soup.
- Nnuaba ne nhabannuru bi: banana a abere yiye, avocado, raisins, broad beans (fava beans).
- Nnuan a mmɔkaw wom (Yeast extracts): Te sɛ Marmite, Vegemite.
- Chocolate ne anonne a caffeine wom: kɔfe, tii, cola anonne.
Nea ɛho hia: Ɛsɛ sɛ wokwati saa nnuan ne anonne yi adapɛn abien bere a woagyae aduru yi akyi. Bisa wo duruyɛfo ma ɔmma no afotu pɔtee.
Mfa Phenelzine nka nnuru yi ho!
Nnuru a edidi so yi betumi de ɔhaw ahorow a emu yɛ den aba bere a wɔde ka aduru yi ho no. Hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ worenom eyinom mu biara a.
- Nnuru afoforo a wɔde kum adwenemhaw ne nnuru a wɔde sa adwenemyare
- Nnuru bi a wɔde sa atiridiinini, ɔfe, ne akisikuru (decongestants) .
- Nnuru a wɔde di dwuma wɔ aduan mu
- Nnuru bi a wɔde kum ɛyaw (sɛ nhwɛso no, Tramadol, Meperidine) .
- Aduru a wɔde sa atiridiinini
- Dextromethorphan (wohu wɔ ɔfe aduru pii mu) .
- Nnuru a wɔde kum nipadua no nyinaa anaa nea ɛwɔ mpɔtam hɔ
Saa list yi nwie pɛyɛ. Enti, ka nnuru a worenom nyinaa (a vitamin ne nhabannuru ka ho) kyerɛ wo duruyɛfo .
Nsunsuanso bɔne bɛn na ebia menya?
Te sɛ nnuru nyinaa no, eyi betumi anya ɔhaw ahorow. Ebinom yɛ nea ɛfata, bere a afoforo nso hwehwɛ sɛ wɔhwɛ so ntɛm ara.
| Nsunsuanso bɔne | Dɛn na ɛsɛ sɛ yɛyɛ? |
|---|---|
| Nneɛma bɔne a anibere wom a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo no ntɛm ara | |
| Mogya mmoroso a emu yɛ den: tiyɛ a emu yɛ den mpofirim, ɔfe, kɔn a ɛyɛ den, koma bɔ ntɛmntɛm, fifiri. | Kɔ ayaresabea a ɛbɛn wo no Emergency Department (ETU) ntɛm ara. |
| Nneɛma a ɛma obi ho yɛ no hyew: honam ani akisikuru, ɛyaw, anim a ɛho ahonhon, anofafa, tɛkrɛma, ahome a ɛyɛ den. | Hwehwɛ nnuruyɛfo afotu ntɛm ara. |
| Adwene mu nsakrae: Nsusuwii a ɛkɔ soro sɛ obekum ne ho, basabasayɛ a emu yɛ den, abufuw, nneyɛe a ɛyɛ basabasa. | Ka kyerɛ wo duruyɛfo anaa w’abusua muni bi ntɛm ara. |
| Nsunsuanso bɔne a ɛtaa ba a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo no sɛ ɛkɔ so a | |
| Adwene a ɛyɛ basaa, nna a ɛma obi da | Kwati sɛ wobɛka kar anaasɛ wode mfiri bedi dwuma. |
| Ano a ɛyɛ nwunu | Sɛ wowe aduru a asikre nnim na wonom nsu pii a, ebetumi aboa. |
| Dae a wontumi nna, akisikuru, akisikuru | Sɛ eyinom kɔ so anaasɛ ɛhaw adwene a, ka kyerɛ wo duruyɛfo. |
Nkrasɛm a Wɔde Kɔ Fie
- Phenelzine yɛ aduru a ano yɛ den yiye a wɔde sa adwenemhaw. Enti, di wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ.
- Nnyae aduru no nom mpofirim esiane biribiara nti a wonkɔ wo duruyɛfo nkyɛn.
- Kwati nnuan ne anonne a tyramine wom (te sɛ kyiisi a ayɛ dedaw, nam a wɔayɛ, bobesa kɔkɔɔ) koraa. Eyi betumi de nneyɛe a asiane wom kɛse aba.
- Ka nnuru afoforo a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo.
- Sɛ wuhu nsakrae biara wɔ w’adwene anaa wo nneyɛe mu (titiriw adwene a ɛne sɛ wubekum wo ho) wɔ bere a edi kan a wufi ase renom aduru no mu a , hwehwɛ aduruyɛfo afotu ntɛm ara.
- Kwati sɛ wobɛka kar kosi sɛ wubehu sɛnea aduru no ka wo, efisɛ ebia adwenemhaw ne nna a wobɛda.
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