Hyperthyroidism, a ɛyɛ thyroid ntini a ɛte sɛ ntontom a ɛwɔ yɛn kɔn mu no yɛ hormone dodo no yɛ akwahosan tebea a nnipa pii a wɔwɔ yɛn man yi mu nso wɔ. Nnuru atitiriw a nnuruyɛfo kyerɛw ma sɛ eyi ayaresa no mu biako ne Propylthiouracil. Yɛn nyinaa nim eyi denam edin tiawa PTU so. Enti sɛ wɔakyerɛw saa aduru yi ama wo a, ɛho hia yiye sɛ wubehu ho biribiara a ɛnyɛ den na emu da hɔ.
Aduru bɛn na ɛyɛ PTU (Propylthiouracil)?
Sɛ yɛbɛka no tiawa a, PTU yɛ aduru a ɛka kyerɛ wo thyroid gland sɛ "yɛ adwumaden kakra, afei nyɛ hormone kakraa bi." Ɛne sɛ, nea aduru yi yɛ ne sɛ ɛtew thyroid hormone dodow a thyroid gland no yɛ no so.
Nnuruyɛfo de saa aduru yi di dwuma titiriw:
- Di thyroid hormone a ɛboro so so (Hyperthyroidism).
- Hwɛ wo hormone dodow so ansa na woayɛ wo thyroid oprehyɛn.
- Ansa na wɔde radioactive iodine ayɛ aduru.
Ɛtɔ da bi a, ebia wo duruyɛfo bɛkyerɛw saa aduru yi ama wo wɔ tebea afoforo ho, enti sɛ wowɔ nsɛmmisa bi a, bisa wo duruyɛfo no ho asɛm.
Nneɛma bɛn na ɛsɛ sɛ meka kyerɛ oduruyɛfo no ansa na mede saa aduru yi adi dwuma?
Ansa na wubefi ase de PTU adi dwuma no, ɛho hia sɛ wobɔ wo duruyɛfo amanneɛ wɔ nneɛma a edidi so yi ho, efisɛ eyinom betumi aka w’ayaresa no tẽẽ.
- Sɛ wowɔ mmerɛbo mu yare a: Ɛtɔ mmere bi a PTU betumi aka mmerɛbo no, enti sɛ wowɔ mmerɛbo mu haw bi a woadi kan anya a, ɛsɛ sɛ wo duruyɛfo hu.
- Sɛ wowɔ mogya mu haw bi te sɛ mogya mu nkwammoaa fitaa dodow a ɛba fam a: Eyi ho hia yiye efisɛ saa aduru yi betumi ama wo mogya mu nkwammoaa fitaa dodow so atew bio.
- Sɛ wowɔ akisikuru wɔ PTU anaa aduru foforo biara, aduan, anaa aduru a wɔde yɛ ade ho a.
- Sɛ worebɔ mmɔden sɛ wubenyinsɛn anaasɛ woanyinsɛn dedaw a: Ɛsɛ sɛ wo ne wo duruyɛfo kasa titiriw fa aduru yi a wode bedi dwuma bere a wonyinsɛn no ho.
- Sɛ woyɛ ɛna a ɔma nufu a.
Ɔkwan bɛn so ankasa na wode saa aduru yi di dwuma?
Eyi yɛ aduru a wode fa w’ano nom. Ɛho hia yiye sɛ wobɛfa dodow a wɔakyerɛw ama wo no, sɛnea wo duruyɛfo ka kyerɛ wo no pɛpɛɛpɛ, wɔ bere a wɔakyerɛw ama wo no mu. Fa aduru no sɛnea wo duruyɛfo ka kyerɛ wo no pɛpɛɛpɛ, mprɛnsa da biara. Nnom pii nsen nea wususuw sɛ ɛsɛ sɛ wonom anaasɛ nnyae.
Ade a ɛho hia sen biara ne sɛ worennyae aduru yi nom mpofirim a wo duruyɛfo mfa afotu mma. Saa a wobɛyɛ no betumi ama wo yare no ho sɛnkyerɛnne asan aba bio.
Wɔntaa nkamfo saa aduru yi mma mmofra. Nanso, wɔ tebea horow a ɛntaa nsi mu no, wobetumi de saa aduru yi ama mmofra a wɔadi boro mfe 6 wɔ aduruyɛfo hwɛ ase. Wo duruyɛfo nkutoo na obetumi asi gyinae.
Na sɛ mepa nnuru dodow bi nso ɛ?
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 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 mfa nsiesie dodow a wo werɛ afi no.
Na sɛ menom nnuru pii nso ɛ?
Sɛ wususuw sɛ woanom nnuru pii sen sɛnea wususuw a, kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo ntɛm ara. Anaasɛ frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ no na woanya afotu.
Nnuru afoforo a ebetumi ne PTU adi nkitaho
Sɛ worenom PTU na worenom nnuru afoforo bi nso a, ebia nkitahodi bɛda abien no ntam. Enti, ɛho hia paa sɛ woka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo.
| Aduru ko a wɔde yɛ | Tebea a wɔde dii dwuma |
|---|---|
| Aminophylline, Nneɛma a Wɔde Yɛ Adwuma | Wɔ ɔhome mu nyarewa te sɛ ayamtu ho |
| Nnuru te sɛ Metoprolol, Propranolol | Sɛ wopɛ mogya mmoroso a, komayare |
| Digoxin a wɔde di dwuma | Wɔ komayare ho |
| Warfarin a wɔde di dwuma | Sɛnea ɛbɛyɛ a mogya antɔ (sɛnea ɛbɛyɛ a mogya no ayɛ teateaa) . |
Saa list yi nwie pɛyɛ.Enti, mma wo werɛ mmfi sɛ wobɛka nnuru a wonom nyinaa (a vitamin, nhabannuru, ne nnuru a wɔde ka ho) ho asɛm akyerɛ wo duruyɛfo. Afei nso, sɛ wonom sigaret anaa wonom nsa a, ka kyerɛ wɔn.
Nsunsuanso bɔne a ebetumi afi aduru yi mu aba
Te sɛ nnuru biara no, PTU betumi de ɔhaw ahorow bi aba. Eyinom bi hwehwɛ sɛ wodi ho dwuma ntɛm ara, bere a afoforo nso nyɛ aniberesɛm kɛse.
| PTU ho nsunsuanso bɔne | |
|---|---|
| Nneɛma bɔne a anibere wom a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo no ntɛm ara | |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ mmerɛbo asɛe | Nsu a ɛyɛ kɔkɔɔ/biribiri tuntum, aniwa anaa honam ani yɛ kɔkɔɔ, ɛyaw wɔ yafunu no atifi nifa so, aduan ho akɔnnɔ a ɛyera, akisikuru, ɔbrɛ a ɛtra so. |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare mmoawa (esiane mogya mu nkwammoaa fitaa dodow a ɛba fam nti) . | Atiridiinini, awɔw, menewam yaw, ano a ɛyɛ yaw. |
| Nneɛma a ɛma obi ho yɛ no yaw | Honam ani akisikuru, ɛyaw, anim, ano anaa tɛkrɛma a ɛho ahonhon, ɛyɛ den sɛ wobɛhome. |
| Nsɛnkyerɛnne afoforo a anibere wom | Nkwaa mu yaw, mogya anaa akuru a ɛyɛ soronko, aniwa a ɛsakra, akwaa a ɛyɛ mmerɛw, ɛyɛ den sɛ wobɛtow. |
| Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm (nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo ) . | |
| Nneɛma nketenkete a efi mu ba | Akisikuru, ɔfe, yafunu a ɛyɛ yaw, tiyɛ, adwenemhaw, nna, nsakrae a ɛba wɔ dɛ mu, ti nhwi a ɛtɔ. |
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom nnuru no
- Aduruyɛ mu nhwehwɛmu daa: Kɔ wo duruyɛfo nkyɛn daa na hwɛ sɛ wo tebea no retu mpɔn anaa. Ɔbɛhyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu (`mogya dodow`, `thyroid dwumadi nhwehwɛmu`). Mma nntwa eyinom so.
- Hwɛ yiye sɛ wubehu sɛnkyerɛnne ahorow a ɛkyerɛ sɛ woanya ɔyare mmoawa: Sɛ wunya atiridii anaa wo menewa mu yaw a, mmu w’ani ngu so. Ebetumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ mogya mu nkwammoaa fitaa dodow so atew, enti frɛ wo duruyɛfo ntɛm ara.
- Nyinsɛn: Sɛ woreyɛ nhyehyɛe sɛ wubenyinsɛn a, ka kyerɛ wo duruyɛfo ansa na woafi aduru yi ase. Sɛ wususuw sɛ ebia woanyinsɛn bere a worenom aduru yi a, ka kyerɛ wo duruyɛfo ntɛm ara.
- Oprehyɛn: Sɛ wɔreyɛ wo oprehyɛn biara a, hwɛ hu sɛ wobɛka akyerɛ oduruyɛfo a ɔyɛ oprehyɛn no sɛ worenom PTU.
Nkrasɛm a Wɔde Kɔ Fie
- Bere nyinaa nom PTU aduru no sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ, wɔ bere a ɛfata mu.
- Nnyae nnuru nom anaasɛ nsakra dodow a wɔde ma no da a wunni aduruyɛ mu afotu biara.
- Sɛ wunya sɛnkyerɛnne te sɛ atiridiinini, wo menewa mu yaw, anaa w’ani anaa wo honam ani yɛ kɔkɔɔ a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Ka nnuru afoforo, vitamin, ne nnuru a wɔde di dwuma wɔ amanne kwan so a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo.
- Aduruyɛ mu nhwehwɛmu ne mogya mu nhwehwɛmu a wobɛkɔ daa no ho hia ma wo yiyedi.
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