So oduruyɛfo bi akyerɛw wo aduru bi a wɔfrɛ no ‘Prednisolone’ ama wo pɛn wɔ tebea horow te sɛ ayamtu, ntini mu yare, anaa honam ani akisikuru ho? Nnipa pii suro kakra bere a wɔte aduru yi din a. Eyi te saa efisɛ nnipa pii nim sɛ ɛyɛ ‘steroid’ bi. Nnipa binom suro sɛ wɔbɛfa esiane asɛm a wɔka sɛ, "Steroids nyɛ papa mma nipadua no" nti. Enti, dɛn ankasa ne prednisolone yi? Dɛn na ɛyɛ nipadua no? Nneɛma bɛn na ɛsɛ sɛ wohwɛ yiye wɔ ho bere a wode redi dwuma no? Ɛnnɛ, yɛbɛka eyinom nyinaa ho asɛm tiawa koraa, wɔ ɔkwan a wubetumi ate ase so.
Sɛ yɛbɛka no tiawa a, dɛn ne Prednisolone?
Prednisolone yɛ aduru a ɛwɔ corticosteroid kuw no mu. Ɛnsɛ sɛ wɔde frafra anabolic steroids a wɔde yɛ ntini mu ntini. Wɔyɛ soronko koraa.
Sɛ yɛbɛka no tiawa a, saa aduru yi yɛ nneɛma atitiriw abien:
1. Ɔfe a ɛba nipadua no mu a wobɛtew so: Fa no sɛ sɛ wunya ayamtu a, wo mframa kwan no hohoro. Sɛ wowɔ ntini mu yare a, wo nkwaa hohoro. Sɛ wo honam ani yɛ wo yaw a, wo honam ani yɛ kɔkɔɔ na ɛho ahonhon. Nea aduru yi yɛ ne sɛ ɛhwɛ sɛnea nipadua no yɛ n’ade a ɛde saa ɔfe ne kɔkɔɔ no ba no so.
2. Nkwammoaa a ɛko tia nyarewa no dwumadi boro so a wobedi so: Wɔ nyarewa bi mu no, yɛn ankasa nipadua mu tumi a ɛko tia nyarewa no yɛ adwuma boro so na efi ase tow hyɛ yɛn ankasa nipadua mu nkwammoaa so. Prednisolone di saa dwumadi a ɛboro so yi so na ɛmma nipadua no sɛe.
Bio nso, wɔde saa aduru yi nso ma sɛ nea wɔde besi hormone ‘Cortisol’ a efi awosu mu yɛ wɔ yɛn nipadua mu no ananmu, sɛ ɛso tew esiane biribi nti a.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom nnuru
Ansa na wo duruyɛfo bɛkyerɛw saa aduru yi no, ɛho hia yiye sɛ wuhu w’ayaresa ho abakɔsɛm nyinaa. Nea enti a ɛte saa ne sɛ, ɛsɛ sɛ nnipa a wɔwɔ ayaresa tebea horow bi hwɛ yiye paa bere a wɔrenom aduru yi no. Sɛ wowɔ tebea horow a wɔabobɔ din wɔ ase ha no bi a, hwɛ hu sɛ wobɛka ho asɛm akyerɛ wo duruyɛfo .
- Asikyireyareɛ
- Mogya mmoroso anaa komayare foforo
- Aniwa mu nhyɛso a ɛkɔ soro (glaucoma) .
- Yafunu mu akuru anaa dwensɔtwaa mu nyarewa (e.g. Colitis, Diverticulitis) .
- Asaabo mu yare anaa mmerɛbo mu yare
- Mprempren tebea a ɛde ɔyare mmoawa ba (e.g. nsamanwaw, akokɔsrade, akisikuru, akisikuru) .
- Nnompe mu yare (yare a ɛma nnompe yɛ mmerɛw) .
- Thyroid ho haw ahorow
- Adwene mu akwahosan ho haw ahorow
- Sɛ woadi kan anya prednisolone anaa aduru anaa aduan foforo biara ho adwenemhaw a.
- Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn aAnaasɛ sɛ woyɛ ɛna a ɔma nufu a
Ɛho hia paa ma w’ahobammɔ sɛ wode saa nsɛm yi ma oduruyɛfo no.
Ɔkwan bɛn so na mede saa aduru yi di dwuma pɛpɛɛpɛ?
Di akwankyerɛ ahorow yi akyi na ama woanya nnuru no so mfaso kɛse na woatew nea efi mu ba no so.
- Fa nsu kuruwa mene aduru no.
- Sɛnea ɛbɛyɛ a yafunu renhaw wo no, fa saa aduru yi ka aduan anaa nufusu kuruwa biako ho bere nyinaa. Eyi ho hia paa.
- Sɛ ɛsɛ sɛ wonom pɛnkoro da biara a, ɛbɛyɛ papa sɛ wobɛnom anɔpa efisɛ esuasua abɔde mu nkwaadɔm dwumadi a ɛwɔ yɛn nipadua mu no.
- Fa dodow a wo duruyɛfo akyerɛ wo nkutoo. Mma dodow a wɔde ma no nkɔ soro anaasɛ ɛntew so da.
Nea ɛho hia sen biara: Nnyae aduru yi nom mpofirim esiane biribiara nti a wunnya wo duruyɛfo afotu. Saa a wobɛyɛ no betumi de ɔhaw kɛse aba. Sɛ ɛho hia sɛ wugyae nnuru no nom a, wo duruyɛfo bɛkyerɛ wo sɛnea wobɛtew dodow no so nkakrankakra.
Na sɛ mepa nnuru dodow bi nso ɛ?
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 mmɔho abien da.
Na sɛ menom nnuru pii nso ɛ?
Sɛ wususuw sɛ woanom boro dodow a wɔakyerɛw ama wo no a, frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no ntɛm ara . Anaasɛ kɔ ayaresabea a ɛbɛn wo no Emergency Treatment Unit (ETU) .
Nsunsuanso bɔne a aduru no de ba
Te sɛ nnuru biara no, prednisolone betumi de ɔhaw ahorow aba nnipa binom so. Eyinom mu dodow no ara bɛba bere tiaa bi pɛ na akɔ. Nanso, nneɛma bi wɔ hɔ a ɛsɛ sɛ yɛma yɛn ani da hɔ.
| Nsunsuanso bɔne | Nkyerɛmu |
|---|---|
| Nsɛnkyerɛnne a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara | |
| Nneɛma a ɛma obi ho yɛ no hyew | Honam ani akisikuru, ɛyaw, anofafa, tɛkrɛma, anim anaa menewa a ɛho ahonhon. |
| Cushing yare no ho sɛnkyerɛnne ahorow | Srade a ɛboaboa ano (ntrɛwmu) wɔ yafunu, kɔn, ne akyi atifi, nsensanee kɔkɔɔ/pink wɔ honam ani, ne honam ani a ɛyɛ tratraa a ɛyɛ mmerɛw sɛ ɛbɛpira. |
| Asikre dodow a ɛkɔ soro wɔ mogya mu (Hyperglycemia) . | Sukɔm a ɛkɔ soro soronko, nsu a wɔtaa tow, ɔbrɛ a ɛtra so, aniwa a ɛyɛ kusuu. |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare mmoawa | Atiridiinini, atiridiinini, ɔfe, menewam yaw, akuru a ɛnsa, nsu mu yare. |
| Adwene ne nneyɛe mu nsakrae | Dadwen, ahomegye a enni hɔ, adwene mu basaayɛ, adwenemhaw, abufuw. |
| Mogya a ɛretu wɔ yafunu mu | Nsu tuntum anaa tarry, mogya a ɛfe a ɛte sɛ kɔfe a wɔayam. |
| Nipadua a ɛho ahonhon | Asen, nsa, anaa anan a ɛho ahonhon. |
| Nsɛnkyerɛnne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ oduruyɛfo amanneɛ | |
| Acne a ɛwɔ nipadua no mu | Acne, titiriw wɔ anim, koko, ne akyi. |
| Aduan ho akɔnnɔ a ɛkɔ soro ne mu duru a ɛkɔ soro | Ɔkɔm a ɛkɔ soro ma enti ne mu duru yɛ kɛse bere a ɔnom aduru no. |
| Asoroben | Ɛyɛ den sɛ wobɛda anadwo. |
| Tiyɛ, akisikuru | Ti a ɛyɛ yaw kakra anaasɛ ɛyɛ akisikuru. |
So ɛsɛ sɛ mehaw me ho wɔ nnuru afoforo ho bere a merenom saa aduru yi no?
Yiw, koraa. Prednisolone yɛ aduru a ebetumi ne nnuru afoforo pii adi nkitaho. Enti, ka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo (a nnuru a wɔkyerɛw ma wo, nnuru a wɔde kum ɛyaw, vitamin, nhabannuru, ne nnuru a wɔde di dwuma wɔ amanne kwan so ka ho).
Ɛho hia titiriw sɛ wobɔ wo duruyɛfo amanneɛ sɛ worenom nnuru a edidi so yi a:
- Nnuru a wɔde kum ɛyaw (sɛ nhwɛso no, NSAID te sɛ Aspirin, Ibuprofen, Naproxen) .
- Asikreyare aduru
- Nnuru a ɛma mogya yɛ mmerɛw (e.g. Warfarin) .
- Nnuru ahorow bi a ekum ɔyare mmoawa ne nnuru a ekum fungal
- Nnuru a wɔde siw awo ano
- Steroid ahorow afoforo
Sɛ wode biribiara a wobɛnom no din a edi mũ ma wo duruyɛfo a, ebetumi aboa ma woakwati ɔhaw ahorow a ɛho nhia.
Nkrasɛm a Wɔde Kɔ Fie
- Prednisolone yɛ aduru a mfaso wɔ so yiye a ɛboa wɔ tebea horow pii mu. Nsuro, na mmom di wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ.
- Nea ɛho hia sen biara ne sɛ worennyae w’aduru nom mpofirim da a wo duruyɛfo mfa afotu mma.
- Fa aduru no ka aduan anaa nufusu kuruwa ho bere nyinaa. Eyi bɛbɔ wo yafunu ho ban.
- Mma wo werɛ mmfi sɛ wobɛka nyarewa foforo biara a wowɔ ne nnuru foforo biara a wonom ho asɛm akyerɛ wo duruyɛfo.
- Sɛ wunya sɛnkyerɛnne ahorow a ɛkyerɛ sɛ woanya ɔyare mmoawa (atiridiinini, ɔfe), asikre a ɛdɔɔso wɔ wo mogya mu, anaa w’adwene mu nsakrae bere a worenom aduru no a, ka kyerɛ wo duruyɛfo ntɛm ara.
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