Ɛtɔ da bi a, ebia nnuru a ɛnyɛ den ntumi nsa nyarewa a yehu no. Titiriw wɔ ɔyare mmoawa a emu yɛ den kɛse ho no, ɛsɛ sɛ nnuruyɛfo de nnuru a ekum ɔyare mmoawa a ano yɛ den di dwuma. Enti sɛ oduruyɛfo no kyerɛw aduru bi a wɔfrɛ no "Polymyxin B" ma wo anaa obi a ɔwɔ w'abusua mu a, ɛyɛ ade a ɛfata koraa sɛ wobɛte nka sɛ wopɛ sɛ wuhu biribi kakra na ebia wo ho yeraw wo mpo. Ɛnnɛ, momma yɛnka nea Polymyxin B yɛ, sɛnea wɔde di dwuma, ne nneɛma a ɛsɛ sɛ yɛhwɛ yiye wɔ ho.
Dɛn ne Polymyxin B?
Sɛ yɛbɛka no tiawa a, Polymyxin B yɛ aduru a ekum ɔyare mmoawa a ano yɛ den yiye. Ɛka nnuru kuw a wɔfrɛ no "polymyxins" ho. Ne dwumadi titiriw ne sɛ ɛbɛsɛe mmoawa bi a wɔn ho yɛ hu a wɔhyɛn yɛn nipadua mu na wɔde nyarewa ba.
Ɛho hia sɛ yɛkae sɛ saa aduru yi yɛ adwuma ma mmoawa a wɔde nyarewa ba nkutoo. Ennya ɔyare mmoawa te sɛ atiridiinini, atiridiinini, ne ɔfe so nkɛntɛnso biara. Enti, sɛ oduruyɛfo bi kyerɛ wo na ɔkyerɛ wo pɛpɛɛpɛ nkutoo a, ɛsɛ sɛ wode di dwuma.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na wode aduru yi adi dwuma
Ansa na wo duruyɛfo bɛkyerɛw saa aduru yi no, ɛho behia sɛ onya w’akwahosan ho mfonini a edi mũ. Enti, sɛ wowɔ tebea horow a edidi so yi mu biara a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo.
- Asaabo mu yareɛ: Sɛ wowɔ asaabo mu yareɛ biara a, di kan ka ho asɛm kyerɛ yɛn, ɛfiri sɛ saa aduru yi nam asaaboɔ so yi fi nipadua no mu.
- Ahurututu mu yare: Sɛ ɔhaw bi wɔ ahurututu mu a, yɛsrɛ sɛ mommɔ yɛn amanneɛ.
- Ntini mu mmerɛwyɛ: Eyi yɛ nsɛm a ɛho hia yiye sɛ wowɔ ntini mu yare te sɛ Myasthenia Gravis a.
- Allergies: Sɛ wo ho ayɛ wo hyew wɔ Polymyxin B, nnuru afoforo a ekum ɔyare mmoawa, nnuru foforo biara, aduan, anaa ade a wɔde yɛ nneɛma ho bere bi a atwam a, ɛsɛ sɛ woda no adi.
- Nyinsɛn anaa akokoaa a worehwɛ kwan: Sɛ woanyinsɛn anaasɛ worehwɛ kwan sɛ wobɛwo akokoaa ntɛm a, ka kyerɛ wo duruyɛfo.
- Sɛ woyɛ ɛna a ɔma nufu a: Sɛ woyɛ ɛna a ɔma nufu a, hwɛ hu sɛ wobɛka ɛno nso ho asɛm.
Ɛho hia paa ma w’ankasa ahobammɔ sɛ wobɛka akyerɛ oduruyɛfo no a womfa saa nsɛm yi nsie.
Wobɛyɛ dɛn de saa aduru yi ahyɛ nipadua no mu?
Eyi nyɛ aduru a wubetumi anom wɔ fie. Polymyxin B yɛ aduru a wɔtaa de ma wɔ ayaresabea nkutoo, oduruyɛfo anaa ayarehwɛfo a wɔatete wɔn. Eyi te saa esiane ɔkwan a wɔfa so de ma nipadua no ne hia a ehia sɛ wɔhwɛ ɔyarefo no yiye wɔ saa bere no mu nti.
Akwan pii wɔ hɔ a wɔfa so ma saa aduru yi:
- Intravenous (IV): Wɔde fa ntini bi te sɛ nkyene so kɔ nipadua no mu.
- Intramuscular (IM): Wɔde gu ntini a emu dɔ te sɛ mmati anaa akyi.
- Intrathecal: Wɔ nsɛm a emu yɛ den yiye te sɛ meningitis mu no, nnuruyɛfo atitiriw na wɔde nnuru gu akyi berɛmo mu nsu no mu tẽẽ.
- Wɔ aniwa mu: Sɛ́ aniwa mu nsu titiriw a wɔde sa aniwa mu nyarewa.
- Sɛ wɔde hohoro honam ani (Irrigation solution): Ɛtɔ da bi a, sɛnea ɛbɛyɛ a wobetumi asiw ɔyare mmoawa a ɛwɔ akuru anaa ɔhyew mu ano no, wɔde saa aduru yi fra nsu bi mu na wɔde hohoro akuru no.
Nanso, wɔde eyi ma wɔ oduruyɛfo afotu nkutoo so.
So wobetumi de saa aduru yi ama mmofra nkumaa?
Aane. Ɛtɔ da bi a, ɛho hia sɛ wɔma mmofra nso saa aduru yi. Nanso ɛhwehwɛ sɛ wɔhwɛ so yiye. Ɛsono dodow a wɔde ma no gyina abofra no mu duru, mfe a wadi, ne n’ayaresa tebea so. Enti, wo ne wo ba mmofra oduruyɛfo nka eyi ho asɛm yiye.
Sɛ wonom boro so a, dɛn na wobɛyɛ?
Wɔde eyi ma wɔ ayaresabea, enti hokwan a ɛwɔ hɔ sɛ eyi bɛba no sua koraa. Nanso sɛ wususuw sɛ woanom nnuru a ɛboro so a, bɔ ayaresabea no Emergency Treatment Unit (ETU) amanneɛ ntɛm ara . Sɛnea ɛbɛyɛ foforo no, wubetumi afrɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ akɔhwehwɛ afotu.
Nnuru afoforo a ebetumi ne Polymyxin B adi nkitaho
Sɛ worenom nnuru foforo biara a, ɛho hia sɛ woka ne nyinaa ho asɛm kyerɛ wo duruyɛfo. Nnuru bi betumi ne Polymyxin B adi nkitaho, na ɛde ɔhaw ahorow aba anaasɛ ɛma nnuru no tumi yɛ kɛse. Nnuru a ebetumi ne Polymyxin B adi nkitaho no bi wɔ ase ha.
| Aduru ko a wɔde yɛ | Nhwɛso ne nsɛm a wɔakyerɛw |
|---|---|
| Nnuru a wɔde kum nipadua no | Nnuru a ɛma obi dwensɔ a wɔde di dwuma wɔ oprehyɛn mu. |
| Nnuru afoforo bi a ekum ɔyare mmoawa | Sɛ nhwɛso no: Amikacin, Gentamicin, Colistin, Tobramycin, Vancomycin. Eyinom nso betumi aka asaabo no, enti asiane no dɔɔso. |
| Nnuru a ɛma ntini mu dwo | Nnuru a wɔde ma sɛ ntini ahorow no dwo bere a wɔreyɛ oprehyɛn anaa tebea afoforo mu. |
| Nnuru bi a ɛma nsu fi nipadua mu | Nnuru a wɔde ma de tew nsu dodow a ɛwɔ nipadua no mu so. |
| Nnuru afoforo ne nnuru a wɔde ka ho | Afei nso ka nhabannuru, Sinhala/Ayurvedic nnuru, vitamin, ne nnuru a wɔde ka ho a worenom ho asɛm kyerɛ wo duruyɛfo. |
Nea ɛho hia ne sɛ saa nsɛm a wɔahyehyɛ yi nni mũ. Enti, ka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo, a nea wo duruyɛfo akyerɛw ama wo, nnuru a wɔtɔn, ne vitamin mpo ka ho .
So ɛsɛ sɛ yehu nea efi mu ba no nso?
Te sɛ aduru biara no, Polymyxin B betumi de ɔhaw ahorow aba nnipa binom so. Nanso, ɛnyɛ obiara na onya bi. Ɛho hia sɛ wuhu eyinom sɛnea ɛbɛyɛ a sɛ yare no ho sɛnkyerɛnne bi ba a, wubetumi ayɛ ho biribi ntɛm.
| Nsunsuanso bɔne | Nkyerɛkyerɛmu ne nea ɛsɛ sɛ wɔyɛ |
|---|---|
| Nneɛma bɔne a anibere wom a ɛsɛ sɛ wobɔ wo duruyɛfo anaa ɔyarehwɛfo amanneɛ ntɛm ara | |
| Nneɛma a ɛma obi ho yɛ no hyew | Wora mu akisikuru, akisikuru, ɛyaw, anim, ano anaa tɛkrɛma a ɛho ahonhon. Eyinom betumi ayɛ aniberesɛm kɛse. |
| Ɔhome a ɛyɛ den | Ahome a ɛyɛ tiaa, ahome a ɛyɛ tiaa. |
| Ntini a ɛma nipadua no yɛ adwuma no sesa | Dizziness , adwene a ɛyɛ basaa, ani a ɛyɛ kusuu, kari pɛ a ɛyera. |
| Ntini mu mmerɛwyɛ | Nkwa a enni nipadua no mu na emu yɛ duru wɔ nipadua no akwaa mu. |
| Nsu a wɔde gu nsu mu ho haw ahorow | Ɛyaw, ɛyɛ den, anaasɛ nsu a ɛtɔ so tew. Ebia eyi yɛ asaabo a asɛe ho sɛnkyerɛnne. |
| Nneɛma a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo | |
| Ɛyaw a ɛba baabi a wɔde aduru no guu no | Baabi a wɔde aduru no guu mu no a ɛyɛ kɔkɔɔ, ɛyaw, anaasɛ ɛho ahon. |
Sɛ wunya sɛnkyerɛnne foforo biara a ɛyɛ soronko a wɔanka ho asɛm wɔ saa nsɛm yi mu a, ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo no ho asɛm.
Nkrasɛm a Wɔde Kɔ Fie
- Polymyxin B yɛ aduru a ano yɛ den a wɔde kum ɔyare mmoawa a wɔde di dwuma ma ɔyare mmoawa a emu yɛ den nkutoo . Ɛnyɛ adwuma tia mmoawa a wɔde nyarewa ba.
- Ansa na wobɛnom saa aduru yi no, ka ayaresa tebea afoforo a wowɔ nyinaa (titiriw asaabo mu yare) ne nnuru afoforo a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo .
- Eyi yɛ aduru a nnuruyɛfo a ɔwɔ ayaresabea taa de ma. Ɛho hia yiye sɛ wobɛnom nnuru no nyinaa sɛnea oduruyɛfo no akyerɛ wo no.
- Sɛ wunya ɔhaw biara a anibere wom te sɛ ahome a ɛyɛ den, w’anim hohoro, anaasɛ w’adwene tu fra denneennen a , hwehwɛ aduruyɛfo afotu ntɛm ara .
- Sɛ wowɔ nsɛmmisa, dadwen, anaa ehu bi wɔ aduru yi ho a, mfa nsie wo ho, na mmom wo ne wo duruyɛfo nkasa pefee.
👩🏽 ⚕️ Nsɛmmisa foforo (FAQs)
💬 Nyarewa bɛn na wɔde Gentamicin Eye Drops di dwuma? Abusuabɔ bɛn na ɛne Polymyxin wɔ?
‘Gentamicin’ yɛ aduru a ekum ɔyare mmoawa a ano yɛ den yiye. Wɔde Gentamicin Eye Drops di dwuma wɔ aniwa mu bere a ɔyare mmoawa bi ahyɛ aniwa no mu, na ɛde kɔkɔɔ, tetew, na ɔyare mmoawa a emu yɛ den (Bacterial Conjunctivitis) aba no. ‘Polymyxin B’ a wokaa ho asɛm wɔ w’asɛm no mu no nso yɛ aduru foforo a ekum ɔyare mmoawa a wɔde sa ɔyare mmoawa a emu yɛ den. Ɛtɔ da bi a, wɔde nnuru abien a ekum ɔyare mmoawa yi bom na wɔde ma sɛ aniwa mu aduru de kum mmoawa a wɔn ho yɛ den kɛse (Ophthalmic combinations).
💬 So ɛyɛ ahobammɔ sɛ mɛkɔ nnurutɔnbea kɛkɛ na mabisa Gentamicin Eye Drops na mede ahyɛ m’ani so?
Mma nyɛ saa da! Wunnim sɛ ebia w’ani kɔkɔɔ no fi ɔyare mmoawa, mmoawa, anaa akisikuru bi. Sɛ wode Gentamicin (anti-bacterial) gu mmoawa bi so a, ɛremmoa. Na sɛ wokɔ so de eyinom di dwuma a wunni aduruyɛfo afotu a, wubetumi asɛe ani no na mpo w’ani aniwa ayera koraa (Anifurae)!
💬 Dɛn ne ‘Red Flags’ a ɛyɛ hu a ɛhwehwɛ sɛ wugyae Gentamicin eye drops a wode di dwuma ntɛm ara na wotu mmirika kɔ oduruyɛfo nkyɛn?
Ɛyɛ ade a ɛfata sɛ wobɛte aniwa mu ayɛ wo yaw bɛyɛ simma biako bere a wode aduru no ahyɛ wo ho awie no. Nanso asiane a ɛsen biara! 1) Sɛ aniwa no ho ahonhon kɛse na ɛyɛ kɔkɔɔ bere a wode saa nsu a ɛtɔ yi apete so akyi (Severe allergic reaction), 2) Sɛ aniwa no yɛ yaw araa ma wuntumi nhwɛ hann no a, 3) Sɛ w’aniwa no yɛ kusuu mpofirim (Sudden blurred vision) a, ɛsɛ sɛ wugyae aduru no ntɛm ara na wokɔ ayaresabea aniwa adwumayɛbea/emergency department!
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