Nea ɛsɛ sɛ wuhu fa Phenytoin nsu aduru ho ma fits

So wo duruyɛfo akyerɛw Phenytoin suspension ama wo anaa obi a ɔwɔ w’abusua mu ama akisikuru/akisikuru? Eyi yɛ aduru a ɛho hia yiye na atra hɔ akyɛ a wɔde siw akisikuru ano wɔ Sri Lanka ne wiase nyinaa. Enti ɛho hia paa sɛ wuhu saa aduru yi yiye bere a wode redi dwuma no. Ɛnnɛ, yɛbɛka ho asɛm tiawa na yɛate ase.

Dɛn ankasa ne Phenytoin?

Sɛ yɛbɛka no tiawa a, phenytoin yɛ aduru a ɛhwɛ sɛnea ntini mu nkwammoaa a ɛwɔ w’amemene mu no yɛ adwuma boro so no so . Ntini a ɛwɔ amemene no mu dwumadi a ɛkɔ soro mpofirim a wontumi nni so na ɛde akisikuru ba. Enti saa aduru yi yɛ adwuma denam saa ntini ahorow no a ɛma ɛyɛ komm na esiw akisikuru no ano na edi so no so. Ɛtɔ mmere bi a wobetumi de adi dwuma wɔ aduruyɛ mu nneɛma afoforo ho. Wo duruyɛfo bɛkyerɛkyerɛ eyi mu akyerɛ wo.

Nneɛma bɛn na ɛsɛ sɛ meka kyerɛ oduruyɛfo no ansa na mafi saa aduru yi ase?

Ansa na wubefi phenytoin ase no, ɛho hia yiye sɛ woka w’akwahosan ho abakɔsɛm a edi mũ kyerɛ wo duruyɛfo. Hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ wowɔ nea edidi so yi mu biara a:

• Sɛ wowɔ obi a ɔnom nsa a .
• Sɛ wofi Asia (awosu mu nneɛma bi betumi aka sɛnea woyɛ w’ade wɔ aduru no ho).
• Sɛ wowɔ mogya mu yare anaa mogya a ɛtwetwe ho haw a.
• Sɛ wowɔ asikreyare a .
• Sɛ wowɔ komayare anaa komayare a.
• Sɛ wowɔ asaabo mu yare a .
• Sɛ wowɔ mmerɛbo mu yare a .
• Sɛ wowɔ tebea bi a ɛntaa nsi a wɔfrɛ no Porphyria a .
• Sɛ worenya kokoram ho ayaresa a wɔde mframa a ano yɛ den a .
• Sɛ woresusuw ho sɛ wode w’asetra bɛba awiei a , woabɔ mmɔden pɛn, anaasɛ wowɔ abusua abakɔsɛm a ɛfa ho a.
• Sɛ wowɔ thyroid yare a .
• Sɛ wo ho yɛ wo hyew wɔ phenytoin anaa aduru foforo biara, aduan, anaa ade a wɔde siesie nneɛma ho a.
• Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a .
• Sɛ worema wo ba no nufu a .

Sɛ wode saa nsɛm yi sie a, ebetumi de ɔhaw a emu yɛ den aba. Enti wo ne wo duruyɛfo nsusuw eyinom nyinaa ho pefee.

Ɔkwan bɛn so na wɔde aduru no bedi dwuma yiye?

Esiane sɛ eyi yɛ aduru a ɛyɛ nsu nti, ɛho hia yiye sɛ wosusuw dodow pɔtee a wɔde ma no.

• Wosow yiye: Ansa na wode aduru toa no bedi dwuma.Wosow no yiye bere nyinaa, efisɛ nnuru nketenkete bi betumi akɔhyɛ toa no ase.
• Nsusuwii a ɛteɛ: Fa susudua kuruwa titiriw, syringe, anaa syringe/spoon/dropper a wɔnom a wo duruyɛfo anaa nnurutɔnbea de ama wo nkutoo na susuw w’aduru no. Mfa ofie teaspoon anaa tablespoon nsusuw. Wɔnnyɛ nokware.
• 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 mogya mu no akɔ so ayɛ pɛ.
• Sɛ wɔde aduan di dwuma anaasɛ wonni bi: Wobetumi anom eyi ansa na wɔadi anaasɛ wɔadi awie. Nanso, sɛ wo yafunu mu yɛ wo yaw a, ɛbɛyɛ papa sɛ wode bɛka aduan ho .
• Nnyae: Nnyae nnuru no nom mpofirim gye sɛ wo duruyɛfo ka kyerɛ wo sɛ yɛ saa. Saa a wɔyɛ no ma asiane a ɛwɔ hɔ sɛ akisikuru no bɛsan aba no yɛ kɛse.

Sɛ wode saa aduru yi rema mmofra a, wo ne wo duruyɛfo nka akwankyerɛ titiriw biara ho asɛm.

Ow! Na sɛ menom nnuru pii nso ɛ? (Nnuru a wɔde ma boro so) .

Sɛ wususuw sɛ woanya pii asen sɛnea wususuwii a, ntwentwɛn wo nan ase .

Kɔ ayaresabea Emergency Treatment Unit (ETU) a ɛbɛn wo ntɛm ara. Afei nso, sɛ ɛbɛyɛ yiye a, frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ no na woanya afotu. Eyi ho hia paa.

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

Sɛ wo werɛ fi sɛ wobɛnom dose bi a, fa no bere a woakae ara pɛ. Nanso, sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ 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 a wɔde di dwuma mmɔho abien da .

So nnuru foforo bi wɔ hɔ a ɛne aduru yi nhyia? (Nnuru a Wɔde Di Dwuma) .

Yiw, koraa. Phenytoin yɛ aduru a ebetumi ne nnuru afoforo pii adi nkitaho. Eyi kyerɛ sɛ sɛ wɔde ka nnuru afoforo ho a, ebia phenytoin a etu mpɔn no so bɛtew, akɔ soro, anaasɛ nea efi mu ba no betumi ayɛ kɛse.

Ka nnuru a wonom nyinaa (a vitamin, nhabannuru, ne nnuru a wɔde ka aduan ho ka ho) kyerɛ wo duruyɛfo . Nnuru bi a ebetumi de ɔhaw aba phenytoin ho wɔ ase ha.

• Nnuru bi a ekum ɔyare mmoawa (nea wɔde ma HIV anaa Hepatitis) .
• Nnuru a ekum fungal (sɛ nhwɛso no, (fluconazole), (ketoconazole)) .
• Nnuru afoforo a wɔde sa akisikuru (sɛ nhwɛso no, carbamazepine, valproic acid) .
• Nnuru a ɛmma mogya ntumi nkɔ (e.g. warfarin, aspirin) .
• Nnuru a ɛma mogya mu srade so tew (sɛ nhwɛso no, atorvastatin, simvastatin) .
• Aduru a wɔde sa adwenemhaw anaa dadwen
• Nnuru a ekum ɔyare mmoawa (sɛ nhwɛso no, (doxycycline), (chloramphenicol)) .
• Nnuru a wɔde sa yafunu mu yare/yafunu mu yare (e.g. antacids, omeprazole) .
• Nnuru a wɔde siw awo ano a hormone wom
• Steroid ahorow (e.g. (prednisone)) .
• Nsaden

Saa nsɛm a wɔahyehyɛ yi nwiei, enti ɛyɛ nea asiane biara nni ho sɛ wobɛka nnuru biara a wobɛnom ho asɛm akyerɛ wo duruyɛfo.

Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho titiriw bere a worenom nnuru no

• Wobɛhwɛ wo daa: Wo duruyɛfo bɛka akyerɛ wo sɛ wɔnyɛ wo mogya mu nhwehwɛmu daa. Eyi bɛma phenytoin dodow a ɛwɔ wo mogya mu no ahwɛ sɛ ɛsɛ sɛ wɔma dodow no kɔ soro anaasɛ wɔtew so anaa. Mma nntwa sɔhwɛ ahorow yi so.
• Honam ani yare a emu yɛ den: Nnipa binom betumi anya honam ani yare a emu yɛ den wɔ adapɛn anaa asram kakraa bi akyi bere a wɔafi aduru yi ase no. Sɛ wowɔ atiridiinini, wo nipadua mu yaw, wo honam ani akisikuru kɔkɔɔ anaa kɔkɔɔ, akisikuru, anaa akuru wɔ w’anom, w’anim anaa w’anofafa ho ahonhon, anaasɛ wo kɔn anaa wo nsateaa ho akisikuru a .
• Dae ne adwenemhaw: Saa aduru yi betumi ama obi ada na ne ho ayɛ no yaw. Enti , nka kar anaa mfa mfiri nni dwuma kosi sɛ wo nipadua no bɛyɛ nsakrae wɔ aduru no mu. Hwɛ yiye bere a woresɔre mpofirim afi baabi a wote ase no, titiriw sɛ woabɔ akwakoraa a.
• Nnuru a wɔde siw awo ano: Phenytoin a wɔnom no betumi atew nnuru a wɔde siw awo ano a etu mpɔn no so . Enti sɛ wonyɛ nhyehyɛe sɛ wobɛwo akokoaa a, wo ne wo duruyɛfo nkasa mfa awo ano aduru foforo (e.g., kɔndɔm) a wode bedi dwuma ho.
• Gum swelling: Eyi yɛ phenytoin a ɛtaa ba. Ntini no betumi anyin wɔ ɔkwan a ɛnteɛ so. Enti brush wo sẽ yiye da biara na kɔ wo sẽ ho oduruyɛfo nkyɛn daa .
• Vitamin a enni nipadua mu: Sɛ wɔde aduru yi di dwuma bere tenten a, ebetumi ama vitamin D ne folic acid dodow a ɛba fam. Enti, wo ne wo duruyɛfo nkasa mfa aduan a ahoɔden wom a wubedi ne vitamin a wɔde ma sɛ ɛho hia a wobɛnom ho.

Nsunsuanso bɔne a ebetumi aba esiane nnuru nti

Te sɛ aduru biara no, phenytoin betumi de ɔhaw ahorow aba. Ebi yɛ aniberesɛm, ebi nso abu so.