Fa no sɛ obi a ɔwɔ w’abusua mu, ebia wo papa, wo maame, anaa obi a wunim no, renom aduru a ɛma mogya tu te sɛ Warfarin esiane komayare bi anaa biribi foforo nti. Saa aduru yi ho hia paa. Nanso sɛ akwanhyia bi si mpofirim na mogya tu pii, anaasɛ ɛsɛ sɛ woyɛ wo oprehyɛn ntɛm nso ɛ? Ɛyɛ den sɛ wobesiw mogya no ano efisɛ mogya no yɛ teateaa, ɛnte saa? Ɛnnɛ yɛreka aduru bi a ɛho hia yiye, a egye nkwa a ɛma wutumi di mogya a ɛba no so ntɛmntɛm wɔ nsɛm a egye ntɛmpɛ, a emu yɛ den a ɛte saa mu ho asɛm.
Sɛ yɛbɛka no tiawa a, dɛn ne Prothrombin Complex Concentrate (PCC)?
Eyi nyɛ aduru anaa aduru a wɔde hyɛ nipadua mu a anka wobɛnom. Prothrombin Complex Concentrate, anaa PCC, yɛ protein ahorow pii a wɔaka abom a ɛboa ma yɛn mogya tu. Yɛfrɛ saa nneɛma a ɛma mogya tu yi .
Nnuru a ɛma mogya yɛ mmerɛw te sɛ Warfarin (wɔ aduruyɛ mu no yɛfrɛ no saa Vitamin K antagonists yi) yɛ adwuma denam yɛn mmerɛbo a esiw ano sɛ ɛnyɛ saa nneɛma a ɛma mogya tu yi so. Ɛno nti na mogya no yɛ teateaa no. Nanso sɛ mogya tu mpofirim a, ɛsɛ sɛ yɛde nneɛma a ɛma mogya tu yi san kɔ nipadua no mu ntɛm. Ɛno na wɔde saa aduru a wɔfrɛ no PCC yi di dwuma. Ɛdan Warfarin tumi no ntɛmntɛm na ɛboa ma mogya tu no gyae. Kcentra yɛ aduru yi din a wonim no yiye.
Bere bɛn na wɔde saa aduru yi di dwuma?
Eyi nyɛ aduru a wɔde sa mogya a ɛba sɛnea ɛsɛ. Wɔde di dwuma wɔ nsɛm a emu yɛ den ne nea egye ntɛmpɛ nkutoo mu .
- Sɛ obi a ɔnom aduru a ɛma mogya tu te sɛ Warfarin nya mogya a ɛtɔ kɛse esiane akwanhyia anaa biribi foforo nti a.
- Sɛ ɛsɛ sɛ wɔyɛ obi a ɔnom warfarin oprehyɛn ntɛm a . Wɔde saa aduru yi ma ansa na wɔayɛ oprehyɛn na ama mogya a ɛbɛtɔ no so atew.
Nea ɛho hia paa ne sɛ oduruyɛfo a ɔresa wo yare no nkutoo na obetumi asi gyinae sɛ wobɛma saa aduru yi anaasɛ woremfa mma, bere a wode bɛma, ne dodow a wode bɛma.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanya saa ayaresa yi
Esiane sɛ eyi yɛ aduru a tumi wom yiye nti, ɛho hia sɛ wobɔ wo duruyɛfo amanneɛ wɔ nyarewa foforo biara a wowɔ wɔ wo nipadua mu ho. Efisɛ ɛsɛ sɛ wohwɛ yiye kɛse bere a wode aduru yi redi dwuma wɔ ayaresa tebea horow bi mu no. Sɛ wowɔ tebea horow a edidi so yi mu biara a, ka kyerɛ wo duruyɛfo a womfa biribiara nsie .
| Aduruyɛ tebea a ɛsɛ sɛ wobɔ ho amanneɛ | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Koma mu yare anaa komayare a ɛbaa nnansa yi | Esiane sɛ PCC ma mogya a ɛtwetwe no yɛ kɛse nti, ɛho hia yiye sɛ wɔbɔ obiara a ɔwɔ komayare ho abakɔsɛm amanneɛ. |
| Abakɔsɛm a ɛfa ɔyare a ɛma obi hwe ase anaa TIA (Transient Ischemic Attack) ho . | Sɛ woadi kan anya akisikuru anaa mini-stroke (TIA) a, asiane wom sɛ wobɛma mogya atɔ wo. |
| DIC (Disseminated Intravascular Coagulation) ho abakɔsɛm . | Eyi yɛ tebea a emu yɛ den a mogya a ɛtwetwe ne mogya tu bere koro mu wɔ nipadua no nyinaa mu. |
| Abakɔsɛm a ɛfa heparin a ɛma mogya mu nkwammoaa a ɛma mogya tu (HIT) ho . | Tebea a mogya mu nkwammoaa nketenkete dodow sua esiane mogya mu nkwammoaa foforo a wɔfrɛ no heparin ho akisikuru nti. |
| Nyarewa a ɛwɔ ntini a ɛwɔ nan mu (Peripheral vascular disease) . | Wɔ tebea horow a ɛtete saa mu no, asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no yɛ kɛse. |
| Nneɛma afoforo a ɛma obi ho yɛ no yaw | Sɛ wo ho nyɛ wo den wɔ aduru yi ho a, heparin, nnuru afoforo, nnuan, anaa nnuru a wɔde yɛ nneɛma. |
| Nyinsɛn anaa akokoaa a wɔrehwɛ kwan | Oduruyɛfo no resusuw ho titiriw sɛ ɔde eyi bɛma ɛnanom a wɔyem ne wɔn a wɔma wɔn nufu. |
Ɔkwan bɛn so na wɔde aduru yi ma nipadua no?
Eyi nyɛ aduru a wobetumi anom wɔ fie. Wɔde saa aduru yi a wɔfrɛ no PCC no ma wɔ ayaresabea anaa ayaresabea nkutoo . Wɔde ma nipadua no sɛ aduru a wɔde fa ntini mu, te sɛ saline , a oduruyɛfo anaa ɔyarehwɛfo a wɔatete no na ɔde ma.
Sɛ wode saa aduru yi rema mmofra a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ mmofra oduruyɛfo nkyɛn.
Sɛ wɔnom aduru yi boro so wɔ akwanhyia mu a, nnuruyɛfo no bɛyɛ ho biribi ntɛm ara efisɛ eyi yɛ ayaresabea tebea a egye ntɛmpɛ. Nanso, sɛ wususuw sɛ biribi te sɛ eyi a, ɛho hia sɛ wobɔ ayaresabea no Emergency Treatment Unit (ETU) amanneɛ ntɛm ara. Sɛ ɛho hia a, wubetumi nso afrɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ akɔhwehwɛ afotu.
Nsunsuanso bɔne bɛn na yebetumi ahwɛ kwan?
Te sɛ aduru biara no, saa aduru yi betumi de ɔhaw ahorow aba. Ebi yɛ aniberesɛm, ebi nso yɛ odwo. Nea ɛho hia sen biara ne sɛ wo duruyɛfo bɛhwɛ wo yiye bere a worenom saa aduru yi ne ɛno akyi no. Sɛ wuhu sɛnkyerɛnne biara a ɛyɛ soronko a, ɛsɛ sɛ wobɔ amanneɛ ntɛm ara.
| Nneɛma bɔne ahorow a efi mu ba | |
|---|---|
| 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, ɛyaw, anim, ano anaa tɛkrɛma a ɛho ahonhon. |
| Mogya a ɛtwetwe no ho sɛnkyerɛnne | Ɔhome a ɛyɛ den, koko mu yaw, nan bi a ɛho ahonhon (Deep Vein Thrombosis - DVT), anim, nsa anaa nan a ɛyɛ mmerɛw anaa ɛyɛ mmerɛw mpofirim (akisikuru ho sɛnkyerɛnne), kasa a ɛyɛ den, tiyɛ a emu yɛ den, nantew a ɛyɛ den, adwenemhaw. |
| Nsɛnkyerɛnne afoforo a anibere wom | Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare no te sɛ aniwa a ɛsakra, adwene a ɛyɛ basaa, atiridii anaa atiridiinini, ne ɔfe. |
| Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo | |
| Tipaeɛ | Ebia tiyɛ a ɛyɛ yaw wɔ ɔkwan a ɛkɔ akyiri so. |
| Akisikuru ne ɔfe | Yafunu mu yare anaa ɔfe betumi aba. |
| Asoroben | Ebia nna bɛhaw. |
So ɔhaw ahorow betumi aba wɔ nnuru afoforo ho?
Yiw, PCC betumi ne nnuru bi adi nkitaho. Eyi betumi de ɔhaw aba bere a wɔde di dwuma ne nnuru afoforo, titiriw Factor VIIa a ɛboa ma mogya tu no.
Enti, ɛho hia sɛ woka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo. Eyi nkyerɛ sɛ ɛnyɛ nea wo duruyɛfo akyerɛw ama wo no nko, na mmom nea wofa fi nnurutɔnbea nso, vitamin ahorow, aduannuru a wɔde ma, Sinhala nnuru, Ayurvedic nnuru , ne nea ɛkeka ho Afei nso, sɛ wonom sigaret anaa wonom nsa a, ka kyerɛ no.
Nkrasɛm a Wɔde Kɔ Fie
- Prothrombin Complex Concentrate (PCC) yɛ aduru titiriw bi a egye nkwa a wɔde ma de siw mogya a ɛba mpofirim a emu yɛ den ano wɔ ayarefo a wɔnom nnuru a ɛma mogya yɛ mmerɛw te sɛ Warfarin no mu.
- Eyi nyɛ aduru, ɛyɛ aduru a wɔde fa ntini mu wɔ ayaresabea nkutoo. Wɔmfa nni dwuma wɔ fie.
- Hwɛ hu sɛ wobɛka w’ayaresa ho abakɔsɛm nyinaa akyerɛ wo duruyɛfo, titiriw komayare, ɔyare a ɛma obi hwe ase, ne nea ɛma obi ho yɛ no hyew.
- Sɛ worenom aduru no a, sɛ wunya ɔhaw bi a emu yɛ den te sɛ ahome a ɛyɛ den, wo koko mu yaw, wo nan a ɛho ahonhon, anaasɛ wo ho yɛ wo yaw ho sɛnkyerɛnne a, bɔ nnuruyɛfo amanneɛ ntɛm ara.
- Sɛ wowɔ aduru yi ho dadwen bi a, wo ne wo duruyɛfo nsusuw ho. Ɛho hia kɛse sɛ wubenya nsɛm a ɛyɛ nokware afi oduruyɛfo a ɔresa wo yare no hɔ sen sɛ wobɛhwehwɛ nsɛm wɔ intanɛt so.
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