So wo duruyɛfo akyerɛw wo anaa obi a ɔwɔ w’abusua mu aduru bi a wɔfrɛ no Phenobarbital? Sɛ saa a, ɛho hia sɛ wuhu nea saa aduru yi yɛ ankasa. Ebia wobɛte ehu nka kakra bere a wote din no, nanso mma ɛnhaw wo. Momma yɛnka aduru yi ho asɛm wɔ nsɛm a ɛnyɛ den mu, nea ɛyɛ, sɛnea wɔde di dwuma, ne nea ɛsɛ sɛ yɛhwɛ yiye wɔ ho.
Dɛn ankasa ne Phenobarbital?
Sɛ yɛbɛka no tiawa a, ɛyɛ aduru a ɛma yɛn ntini a ɛyɛ den no dwo. Fa ntini a ɛwɔ w’amemene mu no sɛ ɛde anyinam ahoɔden nkrasɛm nketenkete mena. Wɔ tebea te sɛ akisikuru mu, a ɛyɛ bere a akisikuru ba no, anyinam ahoɔden nkrasɛm yi fi ase tu kwan ntɛmntɛm yiye na ɛnyɛ nea wɔahyɛ da ayɛ a wontumi nni so. Ɛno ne bere a akisikuru ba.
Phenobarbital yɛ adwuma denam ntini a ɛyɛ adwuma boro so a ɛma ɛyɛ komm na ɛhyɛ saa anyinam ahoɔden nkrasɛm a ɛyɛ basabasa no so. Eyi nti na wɔde di dwuma titiriw de siw akisikuru ano na esiw ano no .
Ɛnyɛ ɛno nko, nnuruyɛfo de saa aduru yi di dwuma esiane nneɛma afoforo pii nti:
- Sɛ wopɛ dadwen a emu yɛ den a: Tew dadwen a ɛdɔɔso dodo sɛ ɛbɛma adwene no adwo no so.
- Sɛnea ɛbɛyɛ a ɔbɛma ɔyarefo no ada: Sɛnea ɛbɛyɛ a ɔbɛma ɔyarefo no adwo na ama wada ansa na wɔayɛ oprehyɛn bi.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom nnuru
Eyi ho hia paa. Ɛho hia ma w’ahobammɔ sɛ wo duruyɛfo no hu ayaresa tebea foforo biara a ebia wowɔ. Sɛ wowɔ tebea horow a wɔabobɔ din wɔ ase ha no bi a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo ansa na woafi saa aduru yi ase.
| Yare anaa tebea | Dɛn nti na ɛsɛ sɛ wobɔ amanneɛ? |
|---|---|
| Sɛ wonom nsa daa a | Nsã ne aduru yi a wɔde ka bom no betumi ama obi ada dodo na ɛde asiane aba. |
| Asaabo mu yare | Esiane sɛ woyi aduru no fi nipadua no mu denam asaabo so nti, ebia ɛho behia sɛ wɔyɛ nsakrae wɔ dodow a wɔde ma no mu. |
| Mmɛn mu yare | mmerɛbo no na ɛyɛ saa aduru yi ho adwuma. Sɛ mmerɛbo no yɛ mmerɛw a, aduru no nkɛntɛnso betumi ayɛ kɛse. |
| Ahurututu mu nyarewa te sɛ ayamtu | Ɛtɔ mmere bi a, saa aduru yi betumi ama ahome ayɛ den kakra. |
| Yare bi a wɔntaa nhu a wɔfrɛ no Porphyria | Ebia saa aduru yi bɛma porphyria asɛe kɛse. |
| Sɛ na nnubɔnenom bi wɔ hɔ a | Esiane sɛ saa aduru yi nso tumi ma obi yɛ ade tra so nti, ɛsɛ sɛ oduruyɛfo no hu saa. |
| Sɛ wo anaa w’abusua muni bi anya adwene sɛ obekum ne ho a | Saa aduru yi betumi aka nnipa binom adwene, enti eyi ho hia yiye. |
| Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a | Saa aduru yi betumi aka akokoaa a ɔwɔ awotwaa mu no. |
| Sɛ wɔma akokoaa no nufu a | Aduru no tumi fa nufusu mu kɔ akokoaa no nkyɛn. |
Ɔkwan bɛn so na ɛsɛ sɛ mede saa aduru yi di dwuma?
- Dose a ɛfata: Fa dodow no sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ. Mma ɛnnyɛ kɛse anaasɛ ɛntew so.
- Afiri a wɔde susuw aduru: Esiane sɛ eyi yɛ srade nti, fa kuruwa anaa nsenia a wɔahyɛ no agyirae soronko susuw aduru no. Mfa ofie teaspoon nsusuw , efisɛ ɛnyɛ pɛpɛɛpɛ. Sɛ wunni afiri a ɛte saa a wode susuw nneɛma a, wubetumi abisa wo duruyɛfo anaa nnuruyɛfo bi ama no.
- Sɛ wode aduan di dwuma: Sɛ wote nka sɛ wo yafunu ayɛ wo yaw a, fa aduru no ka aduan anaa nufusu kuruwa ho.
- Bere a ɛsɛ mu: Bɔ mmɔden sɛ wobɛnom w’aduru no bere koro mu da biara. Eyi bɛboa ma aduru no dodow a ɛwɔ wo nipadua mu no akɔ so ayɛ pɛ.
- Nnyae mpofirim: Eyi ne ade a ɛho hia sen biara. Sɛ wonom saa aduru yi kyɛ na afei wugyae mpofirim a wunnya wo duruyɛfo afotu a, ɛwɔ asiane kɛse mu sɛ wo akisikuru no mu bɛyɛ den . Sɛ wugyae a, wo duruyɛfo no bɛtew dodow no so nkakrankakra.
Na sɛ menom nnuru a ɛboro so nso ɛ?
Sɛ wususuw sɛ woanom aduru yi dodo a, kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo ntɛm ara . Ɛno ne ade a ahobammɔ wom sen biara a ɛsɛ sɛ woyɛ. Sɛnea ɛbɛyɛ foforo no, wubetumi afrɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ akɔhwehwɛ afotu.
Nneɛma afoforo a ebia ɛne aduru yi bedi nkitaho
Phenobarbital tumi ne nnuru afoforo di nkitaho, enti ɛsɛ sɛ woka nnuru afoforo a worenom nyinaa (a vitamin ne nhabannuru ka ho) kyerɛ wo duruyɛfo.
| Nnuru a ɛnsɛ sɛ wɔde ka aduru yi ho da | |
|---|---|
| Nnuru bi a wɔde sa HIV anaa AIDS (wɔde cobicistat ma) . | Primidone (eyi nso yɛ aduru a wɔde sa akisikuru) . |
| Barbiturates ahorow afoforo | Voriconazole (aduru a ɛko tia fungal) . |
| Nnuru ne nneɛma afoforo a ebetumi de ɔhaw aba | |
| Nsã anaa nnuru a nsa wom | Nnuru a wɔde sa adwenemyare ne dadwen |
| Nnuru a ekum histamine (ma atiridiinini, akisikuru) . | Nnuru a wɔde kum ɛyaw (titiriw nnuru a ano yɛ den a wɔde kum ɛyaw) . |
| Nnuru a wɔde da | Nnuru a ɛma ntini mu dwo |
| Steroid ahorow (e.g. Prednisone) . | |
Nneɛma a ɛsɛ sɛ ɛtra w’adwenem bere a worenom nnuru no
- Dae ne adwenemhaw: Ebia aduru yi bɛma woate nka sɛ woda na w’adwene tu fra . Enti , nka kar (kar, sakre, kar a ɛwɔ ntwahonan abiɛsa) anaasɛ mfa mfiri nni dwuma kosi sɛ wubehu sɛnea aduru yi ka wo. Sɛ woyɛ obi a ne mfe akɔ anim a, hwɛ yiye bere a woresɔre afi baabi a wugyina hɔ anaasɛ wufi baabi a wote ase no. Sɛ ɛnte saa a, ebia w’adwene betu na woahwe ase.
- Honam ani yare: Ɛtɔ mmere bi a, bere a wɔafi aduru no ase akyi adapɛn bi mpo no, honam ani yare a emu yɛ den betumi aba. Sɛ wunya nsensanee kɔkɔɔ anaa kɔkɔɔ wɔ wo honam ani a atiridiinini, nipadua mu yaw, na afei akisikuru na wo honam ani fi ase tew a, kɔ oduruyɛfo nkyɛn ntɛm ara .
- Awo ano aduru: Ebia saa aduru yi bɛma awo ano aduru a wɔde siw awo ano anyɛ adwuma yiye . Enti, sɛ wode nnuru a wɔde siw awo ano redi dwuma a, wo ne wo duruyɛfo nkasa mfa ɔkwan foforo a wɔfa so siw ano (te sɛ kɔndɔm) a wode bedi dwuma no ho.
- Adwene mu akwahosan: Ebia nnipa binom a wɔnom aduru yi benya adwene a ɛbɛma wɔakum wɔn ho anaa adwenemhaw a ɛkɔ soro. Sɛ worenya nsusuwii a ɛhaw adwene, wote nka sɛ anidaso biara nni wo so, anaasɛ woresusuw sɛ wode w’asetra bɛba awiei a, yɛsrɛ wo, mma wo nkutoo nhu amane. Ka kyerɛ wo duruyɛfo ntɛm ara .
Nsunsuanso bɔne a ebetumi afi aduru no mu aba
| Nneɛma bɔne a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo no ntɛm ara | |
|---|---|
| Nneɛma a ɛma obi ho yɛ no hyew a emu yɛ den | Wora mu akisikuru, ɛyaw, anofafa/tɛkrɛma/anim a ɛho ahonhon, ɛyɛ den sɛ wobɛhome. |
| Ntini a ɛwɔ mfinimfini no mu adwenemhaw (CNS adwenemhaw) . | Ɔhome a ɛyɛ brɛoo anaa nea emu nnɔ, nna a ɛtra so, adwene a ɛyɛ basaa, ne ɛyɛ den sɛ ɔbɛsɔre. |
| Adwene mu nsakrae | Adwene a ɛne sɛ obekum ne ho, adwenemhaw, basabasayɛ. |
| Nneɛma bɔne a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo sɛ ɛkɔ so anaasɛ ɛhaw adwene a | |
| Adwene a ɛyɛ basaa | Dae a ɛma obi da |
| Tipaeɛ | Abofono |
Nkrasɛm a Wɔde Kɔ Fie
- Phenobarbital yɛ aduru a ɛho hia a wɔde siw akisikuru ano a ɛsɛ sɛ wɔde di dwuma wɔ oduruyɛfo afotu nkutoo ase.
- Fa dodow a ɛfata wɔ bere a ɛfata mu. Mfa teaspoon nsusuw wɔ fie.
- Mma nnyae nnuru no nom mpofirim da a wonkɔ wo duruyɛfo nkyɛn. Saa a wobɛyɛ no betumi ama akisikuru no ayɛ kɛse.
- Kwati sɛ wobɛnom nsa koraa bere a worenom aduru no.
- Kwati karka ne nneɛma a asiane wom efisɛ ebia nna betumi aba.
- Ka nnuru afoforo a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo.
- Sɛ wuhu biribi te sɛ honam ani akisikuru a emu yɛ den anaa adwene mu nsakrae a, hwehwɛ aduruyɛfo afotu ntɛm ara.
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