Nihal (wadi mfe 58) baa m’ayaresabea dapɛn a etwaam no a na ɔte nka sɛ ne ho yeraw no kɛse na wabrɛ. Ná onni asaabo mu yare biara, nanso mogya mu nhwehwɛmu daa no adi sɛ n’asaabo abien no nyinaa reyɛ adwuma ntɛmntɛm.
"Oduruyɛfo Priya, metaa nom Losartan ne aduru bi a ɛma me ho yɛ hyew da biara, a oduruyɛfo no kyerɛw maa me maa mogya mmoroso ne komayare. Nnansa yi ara, esiane ɛyaw a emu yɛ den wɔ me mmati mu nti, metɔɔ Diclofenac nnuru fii nnurutɔnbea bi a na oduruyɛfo nkyerɛw me na mekɔɔ so nom adapɛn pii. Seesei me nan abien no nyinaa ahonhon na ɛyɛ den ma me sɛ mɛhome," Nihal kyerɛkyerɛɛ mu.
Mede odwo ka kyerɛɛ Nihal sɛ, "Nihal, woadi mfomso a ɛyɛ hu kɛse a wunnim. Ɛdenam aduru a ɛma ɛyaw ano te sɛ diclofenac a wobɛnom ka mogya mmoroso nnuru ne nsu aduru a worenom no ho so no, ɛkame ayɛ sɛ mogya a ɛkɔ asaabo no mu no gyae koraa. Wɔ aduruyɛ mu no, yɛfrɛ eyi sɛ triple whammy . Eyi ama w'asaabo asɛe kɛse. Momma yɛnka eyi ho asɛm nnɛ ara kwa." sɛnea ɛbɛyɛ a obiara behu."
🚨 Red Flags of Kidney Failure a Ɛsɛ sɛ Ɛkanyan Aduruyɛ
Sɛ wuhu sɛnkyerɛnne ahorow a edidi so yi bere a wode nnuru a wɔde kum ɛyaw redi dwuma a wunhia oduruyɛfo a, ɛsɛ sɛ wokɔ ayaresabea ntɛm ara efisɛ ebetumi ayɛ asaabo a entumi nyɛ adwuma yiye ho sɛnkyerɛnne:
- Nan, anan, anan, anaa anim a ɛho ahonhon mpofirim (Fluid Retention).
- Ahome a ɛyɛ tiaa a emu yɛ den a ɛnyɛ nea ɛde ba a ɛda adi pefee.
- Ɔbrɛ, ɔbrɛ, anaasɛ nkwa a enni mu a wɔte nka wɔ ɔkwan soronko so.
- Nsu dodow a ɛba fam mpofirim kodu baabi a ɛba fam koraa (anaasɛ nsu a ɛba koraa).
Asiane a ɛyɛ komm a ɛwɔ nnuru a wɔde kum ɛyaw a wɔfrɛ no NSAID mu
Nnipa pii a wɔwɔ Sri Lanka tɔ NSAID (Non-Steroidal Anti-Inflammatory Drugs) fi nnurutɔnbea tẽẽ bere a wɔn nipadua mu yɛ wɔn yaw, wɔn ti yɛ wɔn yaw, anaa wɔn ntini mu yaw no.
Nhwɛso atitiriw no ne:
- Diclofenac a wɔde di dwuma
- Aspirin a wɔde di dwuma
- Ibuprofen a wɔde di dwuma
- Mefenamic Acid / Ponstan a wɔde yɛ aduru
Ɛwom sɛ nnuru yi betumi ama ɛyaw no ano abrɛ ase bere tiaa bi de, nanso sɛ wɔkɔ so de di dwuma a, ebetumi asɛe asaabo no dwumadi koraa. Asiane no yɛ kɛse titiriw bere a wɔde nnuru yi ka nnuru afoforo a wɔde sa mogya mmoroso ne komayare ho no.
Dɛn ne "Triple Whammy" a ɛma asaabo ntumi nyɛ adwuma yiye?
Ayarefo a wɔresa wɔn mogya mmoroso ne komayare no betumi de nnuru ahorow abiɛsa a edidi so yi adi dwuma abom a wonnim, na ama asaabo no a wɔde yiyi mu no ayɛ adwuma koraa. Wɔfrɛ eyi wɔ aduruyɛ mu sɛ "Triple Whammy":
1. 1. Nnipa a wɔte saa.ACE inhibitors anaa ARBs: Nnuru te sɛ Captopril , Enalapril , anaa Losartan a nnuruyɛfo kyerɛw ma de brɛ mogya mmoroso ase no trɛw efferent arterioles a ɛde mogya kɔ asaabo no mu na ɛtew nhyɛso a ɛwɔ asaabo no mu no so.
2. Diuretics (nsu mu nnuru): Nnuru a ɛboa nipadua no ma ɛnam nsu mu yi nkyene ne nsu a ɛboro so fi hɔ, na ɛno ma mogya dodow a ɛkɔ asaabo mu no so tew.
3. NSAID nnuru a wɔde kum ɛyaw (Diclofenac/Aspirin): Saa nnuru a wɔde kum ɛyaw yi siw prostaglandins a ɛboa ma mogya ntini a ɛwɔ asaabo no mu trɛw no kwan. Eyi ma afferent arterioles no yɛ teateaa kɛse.
Sɛ nneyɛe abiɛsa yi nyinaa kɔ so bere koro mu a, mogya dodow a ɛkɔ asaabo no mu no so tew kɛse, nhyɛso a wɔde yiyi mu no yera, na asaabo mu opira a emu yɛ den (AKI) ba.
Asiane a ɛwɔ nnuru a wɔbɛtɔ wɔ nnurutɔnbea ahorow mu wɔ ɔpɛ mu
Nnuruyɛfo na wɔyɛ nnurutɔnbea ahorow, na ɛnyɛ nnuruyɛfo a wotumi hu nyarewa. Esiane sɛ wonnim nnuru a ɛtra hɔ kyɛ a wonom mprempren nti, nnuru a wɔde kum ɛyaw a wobisa no a wɔde ma wo no betumi ama nnuru a edi awu te sɛ eyinom adi nkitaho.
Nnipa pii a wɔwɔ Sri Lanka de nnuru a wɔde kum ɛyaw a ɛnyɛ den mpo di dwuma bere tenten a wɔnte nea ɛde ba a emu yɛ den no ase biara.
Nea Wobɛyɛ & Nea Ɛnsɛ sɛ Woyɛ
| ✔️ Nneɛma a ɛsɛ sɛ woyɛ (Yɛ) . | ❌ Ɛnsɛ sɛ woyɛ saa |
|---|---|
| Sɛ wonom mogya mmoroso nnuru anaa nsuo a, bisa wo duruyɛfoɔ afotuo na sɛ ɛyaw a, fa aduru a asiane biara nni ho te sɛ paracetamol nko ara di dwuma. | Ntɔ nnuru a wɔde kum ɛyaw te sɛ diclofenac, ibuprofen, anaa aspirin mfi nnurutɔnbea tẽẽ na kɔ so nom a wunhia oduruyɛfo. |
| Anyɛ yiye koraa no, yɛ mogya mu nhwehwɛmu a ɛnyɛ den (Serum Creatinine/eGFR) pɛnkoro afe biara de hwɛ sɛnea asaabo no yɛ adwuma. | Mfa nnuru a wɔde kum ɛyaw a wɔfrɛ no NSAID nni dwuma da bere a wo ho ayɛ wo hyew anaasɛ wo nsu ayɛ wo hyew no. |
| Fa nnuru a wode bere tenten renom nyinaa ho nsɛm kyerɛ wo duruyɛfo bere biara a wubehu no. | Esiane sɛ ebia asaabo a asɛe no renkyerɛ yare no ho sɛnkyerɛnne wɔ mfiase nti, ntwɛn nkosi sɛ wo ho nyɛ wo den na woakɔ ayaresabea. |
❓ Nsɛmmisa afoforo bi a ebia wowɔ (FAQ) .
Ayarefo bɛn na wɔwɔ asiane mu ma "Triple Whammy" no? ▼
Saa asiane yi yɛ kɛse titiriw wɔ ayarefo a wɔrenom nnuru a esiw ACE inhibitors/ARBs ne diuretics (nsu mu nnuru) a wɔde sa mogya mmoroso, komayare, anaa asaabo a entumi nyɛ adwuma yiye, na wɔnom nnuru a wɔde kum ɛyaw (NSAID) nso no mu.
So ɛsɛ sɛ wɔyɛ me dialysis sɛ m’asaabo a entumi nyɛ adwuma yiye esiane nnuru a wɔde kum ɛyaw nti a? ▼
Sɛ asaabo mu opira a emu yɛ den ba a, ebia ɛho behia sɛ wɔyɛ dialysis bere tiaa bi na ama wɔatumi asiw awuduru a ɛwɔ nipadua no mu no so. Mpɛn pii no, sɛ wogyae nnuru a wɔde kum ɛyaw no ntɛm ara na wɔsa no yare a ɛfata a, asaabo no tumi ho tɔ no wɔ adapɛn kakraa bi mu.
So Paracetamol a wɔde di dwuma nso ma asaabo sɛe? ▼
Dabi, paracetamol yɛ nea asiane biara nni ho koraa ma asaabo bere a wɔnom no dodow a wɔkamfo kyerɛ (ɛnyɛ nea ɛboro 4g da biara) no. Esiane sɛ paracetamol nyɛ NSAID nti, ɛnsiw mogya a ɛkɔ asaabo mu no kwan.
Dɛn ne "Ayare Da Mmara"? ▼
Nna a wunya akisikuru a emu yɛ den, ɔfe, anaa atiridiinini kɛse na wo ho tɔ wo no, ɛsɛ sɛ wugyae nnuru te sɛ ACE inhibitors, ARBs, diuretics, ne NSAIDs bere tiaa bi wɔ nnuruyɛfo afotu ase de abɔ asaabo no ho ban, efisɛ mogya a ɛkɔ asaabo no mu no so tew.
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