Fa no sɛ, wo koko mu yaw a emu yɛ den mpofirim... fifiri, na ɛyɛ den sɛ wobɛhome. Sɛ wuhu sɛ worenya komayare a, ɛyɛ hu dɛn? Ɛnnɛ yɛreka aduru titiriw bi a wɔde twitwiw ɔyarefo no nkwa wɔ bere a egye ntɛmpɛ, a ɛho hia saa wɔ asetra mu ho asɛm. Eyi yɛ aduru bi a wɔfrɛ no Tenecteplase.
Sɛ yɛbɛka no tiawa a, dɛn ne Tenecteplase?
Tenecteplase, anaa TNK-tPA, yɛ aduru a ano yɛ den yiye a ɛma mogya a ɛtɔ kɔ nipadua no mu no tew. Nnuruyɛfo nso frɛ no "clot-buster."
Afei, ma yɛnhwɛ sɛnea komayare ba. Sɛ mogya tu mpofirim wɔ mogya ntini (coronary artery) a ɛde mogya kɔ yɛn koma mu no mu a, mogya a ɛkɔ koma ntini no mu no gyae na saa fã no fi ase wu. Ɛno na wɔde saa aduru yi di dwuma. Tenecteplase a wɔde twitwiw nipadua no mu no yɛ adwuma denam mogya a asiw no a ɛpete ntɛmntɛm na ɛma mogya san kɔ koma no mu no so. Eyi te sɛ nea woyi akwansiw kɛse bi fi ɔkwan bi so na woma kar ahorow twam.
Nneɛma a ɛsɛ sɛ wobɔ oduruyɛfo no amanneɛ ansa na wode aduru yi ama
Esiane sɛ eyi yɛ aduru a ano yɛ den yiye nti, ebetumi ayɛ asiane sɛ wode bedi dwuma wɔ tebea horow bi a ɛwɔ wo nipadua mu ho. Enti, ansa na wobɛnom saa aduru yi no, sɛ wowɔ tebea horow a edidi so yi mu biara a, ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ampa :
| Tebea anaa hokwan a ebia wubenya | Dɛn nti na ɛsɛ sɛ yɛbɔ ho amanneɛ? |
|---|---|
| Aneurysm (mogya ntini bi fasu a ɛyɛ mmerɛw wɔ amemene no mu anaa baabi foforo) . | Asiane a ɛwɔ hɔ sɛ mogya bɛtu no dɔɔso yiye. |
| Mogya a ɛtɔ ho haw, mogya a ɛtwetwe ho haw | Ebia aduru no bɛma mogya atu a wontumi nni so. |
| Asikreyare Retinopathy (mogya a ɛtɔ wɔ aniwa mu esiane asikreyare nti) . | Mogya a ɛbɛtɔ aniwa mu no betumi ayɛ kɛse. |
| Ɔyare mmoawa a ɛba koma no mu ntini mu (Endocarditis) . | Asiane wɔ hɔ sɛ mogya bɛtu afi afã horow a ɔyare no wom no mu. |
| Nnansa yi ti a opirae, amemene mu yare, anaa akisikuru | Asiane a ɛwɔ hɔ sɛ mogya bɛtɔ amemene no mu no dɔɔso yiye. |
| Mogya mmoroso a wontumi nni so | Mogya mmoroso betumi ama ntini mu apae na mogya atu. |
| Nnansa yi oprehyɛn, awo, nipadua mu nhwehwɛmu, anaa opira a emu yɛ den | Mogya betumi asan afi ase afi mmeae a wɔyɛ oprehyɛn no. |
| Nnansa yi ara akisikuru | Amemene mu mogya foforo betumi atu. |
| Yafunu mu akisikuru anaa akuru a mogya tu | Mogya a efi yafunu anaa dwensɔtwaa mu no betumi ayɛ kɛse. |
| Sɛ obi nyinsɛn, ɔbɔ mmɔden sɛ obenyinsɛn, anaasɛ ɔbɛma nufu | Ɛsɛ sɛ oduruyɛfo no hu asiane a ebetumi aba ɛna no ne akokoaa no so. |
| Aduru anaa aduan foforo biara ho akisikuru | Sɛnea ɛbɛyɛ a wobesiw akisikuru ano. |
Wode saa aduru yi di dwuma dɛn?
Eyi nyɛ aduru a wubetumi akɔfa wɔ nnurutɔnbea de akɔ fie. Ayaresabea anaa ayaresabea nkutoo na wobetumi anya tenecteplase., aduru a wɔde bɔ nkurɔfo ho ban a oduruyɛfo anaa akwahosan ho ɔbenfo a wɔatete no de ma. Ɛno kyerɛ sɛ wɔde di dwuma wɔ tebea a egye ntɛmpɛ mu nkutoo, ma ɔyarefo a wɔde no akɔ ayaresabea.
Eyi yɛ aduru a wɔde twitwiw ntini bi mu, enti nea efi mu ba no ba ntɛm ara.
Sɛ wowɔ abofra kumaa na ɛho hia sɛ wode aduru yi ma wɔn a, ɛho hia sɛ wohwɛ no titiriw. Ɛsɛ sɛ wo ne wo duruyɛfo kasa fa eyi ho na wunya afotu.
Esiane sɛ wɔde saa aduru yi ma wɔ dodow a ɛfata mu wɔ ayaresabea nti, ɔhaw biara nni ho sɛ ‘wɔnom boro so’. Nanso, sɛ wususuw sɛ awuduru bi a ɛfa nnubɔne ho a, kɔ National Poisons Information Center a ɛwɔ Colombo National Hospital , no nkyɛn ntɛm ara, anaa kɔ Emergency Treatment Unit (ETU) a ɛbɛn wo no nkyɛn.
Nnuru afoforo a ɛne aduru yi di nkitaho (Drug Interactions) .
Ebia nnuru afoforo a worenom no ne saa aduru yi bedi nkitaho, enti ɛho hia yiye sɛ woka nnuru a worenom nyinaa kyerɛ wo duruyɛfo.
- Mfa saa aduru yi nka: Ɛnsɛ sɛ wɔde nnuru te sɛ Aminocaproic acid, Aprotinin, Tranexamic acid ka aduru yi ho.
- Hwɛ yiye titiriw sɛ worenom aduru yi a:
- Nnuru a ɛko tia mogya nkwammoaa - sɛ nhwɛso no `clopidogrel`, `ticlopidine`
- Aspirin ne nnuru a ɛtete saa
- Mogya a ɛma mogya yɛ mmerɛw - sɛ nhwɛso no `warfarin`, `heparin`, `enoxaparin`
- Nnuru a wɔde kum ɛyaw ne nnuru a ɛko tia ɔyare mmoawa (NSAIDs) - sɛ nhwɛso no `ibuprofen` anaa `naproxen`
Saa list yi nwie pɛyɛ. Ka nnuru a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo, a vitamin, nhabannuru, ne nnuru a wɔde ka aduan ho ka ho. Afei nso, sɛ wonom sigaret anaa wonom nsa a, ka kyerɛ wo duruyɛfo.
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a woanom aduru no awie no
Sɛ wɔma wo saa aduru yi wie a, nnuruyɛfo no bɛhwɛ wo yiye.
Ade titiriw a efi aduru yi mu ba ne asiane a ɛkɔ soro sɛ mogya bɛtɔ no . Saa nkɛntɛnso yi betumi atra hɔ nna pii.
Enti, ɛsɛ sɛ wohwɛ yiye paa wɔ saa bere yi mu.
- Sɛ worebɔ wo sẽ na worebɔ wo ho a, yɛ saa brɛoo na amma woansɛe wo sẽ.
- Bɔ mmɔden biara sɛ worenpira wo ho wɔ wo nipadua no baabiara.
- Sɛ wo duruyɛfo ka kyerɛ wo sɛ fa w’ahome wɔ mpa so a, di akyi pɛpɛɛpɛ. Eyi betumi aboa ma wɔasiw mogya a ebetumi aba esiane kankyee a ɛho nhia nti ano.
- Mfa nnuru a wɔde kum ɛyaw te sɛ aspirin ne ibuprofen nnansa yi a wunnya nnuruyɛfo afotu.
Dɛn ne nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ aduru biara no, eyi betumi anya ɔhaw ahorow. Ebinom yɛ aniberesɛm na ɛsɛ sɛ wɔbɔ ho amanneɛ ntɛm ara.
| Sɛnea nsunsuanso bɔne no te | Mpopoeɛ |
|---|---|
| Bɔ wo duruyɛfo anaa ayarehwɛfo amanneɛ ntɛm ara. | |
| Nneɛma a ɛma obi ho yɛ no yaw | Honam ani akisikuru, ɛyaw, anim, ano, anaa tɛkrɛma a ɛho ahonhon, ɛyɛ den sɛ wobɛhome. |
| Nsɛnkyerɛnne a Ɛkyerɛ sɛ Mogya Retu | Nsu a ɛyɛ tuntum anaa mogya wom; nsu a ɛyɛ kɔkɔɔ anaasɛ ɛyɛ bruu tuntum; nneɛma a ɛte sɛ kɔfe a wɔayam a wɔfe; nsensanee kɔkɔɔ a ɛwɔ honam ani; mogya a ɛyɛ soronko a efi aniwa, anom, anaa hwene mu ba. |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare a ɛma obi hwe ase | Anisoadehu sesa; kesereneeyɛ; kasa anaa ntease a ɛyɛ den; tiyɛ a emu yɛ den; anim, abasa, anaa nan a ɛyɛ mmerɛw anaa mmerɛwyɛ mpofirim; ɛyɛ den sɛ wobɛnantew, adwenemhaw. |
| Nsakrae a ɛba koma a ɛbɔ mu | Koma a ɛbɔ brɛoo anaasɛ ɛyɛ ntɛmntɛm wɔ ɔkwan a ɛnteɛ so. |
| Sɛ ɛkɔ so anaasɛ ɛhaw adwene a, ka kyerɛ wo duruyɛfo. | |
| Adwene a ɛyɛ basaa | Sɛ wote nka sɛ ne ti ayɛ hare. |
| Huraeɛ | Nipadua mu hyew. |
| Akisikuru, Ɔfe a Ɔfe | Yafunu a ɛyɛ yaw na ɔfe. |
Saa nsɛm a wɔahyehyɛ yi nka nsunsuanso bɔne a ebetumi aba nyinaa ho. Sɛ wowɔ nsɛmmisa bi fa eyi ho a, nsuro sɛ wubebisa wo duruyɛfo.
Nkrasɛm a Wɔde Kɔ Fie
- Tenecteplase yɛ aduru a ano yɛ den a egye nkwa a wɔde ma sɛ ɛbɛma mogya a ɛtwetwe a komayare de ba no apete. Wɔde ma wɔ ayaresabea nkutoo.
- Asiane titiriw ne nea emu yɛ den sen biara a ɛwɔ aduru yi mu ne mogya a ɛbɛtɔ. Enti, hwɛ yiye paa na woanpira nna kakraa bi bere a woanom aduru no akyi.
- Hwɛ hu sɛ wobɛka w’ayaresa tebea afoforo (titiriw mogya a ɛretu, oprehyɛn a woayɛ nnansa yi, mogya mmoroso) ne nnuru a worenom nyinaa ho asɛm akyerɛ wo duruyɛfo.
- Sɛ wuhu sɛ mogya retu wo soronko, sɛnkyerɛnne ahorow a ɛkyerɛ sɛ wo ho ayɛ wo hyew (te sɛ w’anim a ɛho ahonhon), anaa sɛnkyerɛnne ahorow a ɛkyerɛ sɛ woabɔ wo ho akisikuru (te sɛ wo ho atɔ wo mpofirim) a, bɔ nnuruyɛfo amanneɛ ntɛm ara.
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