So wo duruyɛfo akyerɛw wo aduru bi a wɔfrɛ no Tolmetin a wode sa nkwaa mu yaw, wo hohoro, anaa ntini mu yare? Eyi yɛ aduru a wɔde ma nnipa pii wɔ yɛn man yi mu ma ɛyaw ahorow. Enti, sɛ́ obi a ɔde saa aduru yi di dwuma no, ɛho hia yiye ma w’ahobammɔ sɛ wubehu ho biribiara. Ɛnnɛ, yɛbɛka aduru yi ne nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a wode redi dwuma no ho asɛm kɛkɛ.
Dɛn ankasa ne Tolmetin?
Sɛ yɛbɛka no tiawa a, Tolmetin yɛ aduru a wɔde kum ɛyaw. Wɔ aduruyɛ mu no, ɛka nnuru bi a wɔfrɛ no NSAID (Non-Steroidal Anti-Inflammatory Drug) ho . Nnuru ahorow yi siw ɛyaw, ɔfe, ne ɔfe a ɛwɔ nipadua no mu so titiriw. Saa aduru yi betumi ama obi ho atɔ no afi nneɛma te sɛ nkwaa mu yaw, ntini mu yaw, ne ɔhaw a ntini mu yare de ba no mu.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom saa aduru yi
Eyi ho hia paa. Ansa na ɔbɛkyerɛw Tolmetin ama wo no, ɛho hia sɛ wo duruyɛfo no hu w’akwahosan tebea no yiye. Hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ wowɔ tebea horow a edidi so yi mu biara a:
- Komayare anaa mogya a ɛkɔ nipadua no mu ho haw: Sɛ wowɔ mogya mmoroso, komayare, koma a entumi nyɛ adwuma yiye, anaasɛ wɔayɛ wo oprehyɛn a wɔde siw kwan so nnansa yi ara (Coronary Artery Bypass Graft - CABG).
- Mogya a ɛtwetwe: Sɛ wowɔ mogya a ɛtwetwe anaa mogyatɔw ho haw afoforo a.
- Yafunu ne dwensɔtwaa mu haw: Sɛ woadi kan anya yafunu mu akuru anaa yafunu mu mogya a ɛretu a.
- Asaabo anaa mmerɛbo mu yare: Sɛ wowɔ asaabo mu yare anaa mmerɛbo mu yare a.
- Ɔhome mu haw: Sɛ wowɔ ahurututu mu nyarewa te sɛ ayamtu a.
- Nneɛma afoforo: Sɛ woyɛ obi a ɔnom nsa kɛse , nom sigaret , wo mogya mu nkwammoaa kɔkɔɔ dodow sua, wo nsu mu nsu, anaasɛ worenom steroid (e.g., prednisone).
- Allergies: Sɛ wowɔ allergy wɔ Tolmetin, NSAID nnuru afoforo a wɔde kum ɛyaw (e.g. aspirin, ibuprofen), nnuru afoforo, nnuan anaa nneɛma a wɔde sie ho a.
- Nyinsɛn ne nufu a wɔde ma: Sɛ worebɔ mmɔden sɛ wubenyinsɛn, woanyinsɛn, anaasɛ worema nufu a , ɛho hia yiye sɛ wobɛbɔ wo duruyɛfo amanneɛ .
Sɛ wo ne wo duruyɛfo bɛkasa a womfa saa nsɛm yi nsie a, ɛnyɛ sɛ ɛbɛboa wo ma woanya ahobammɔ nko, na mmom ɛbɛboa wo ma woanya w’aduru no so mfaso kɛse nso.
Ɔkwan bɛn so na ɛsɛ sɛ mede aduru no di dwuma?
Sɛ aduru bi bɛyɛ adwuma yiye a, ɛsɛ sɛ wɔde di dwuma yiye.
- Di wo duruyɛfo akwankyerɛ akyi: Fa dodow a wo duruyɛfo akyerɛ wo no, wɔ bere a wɔakyerɛw ama wo no mu. Di nnuru a wɔakyerɛw ama wo no akyi sɛnea ɛka no pɛpɛɛpɛ.
- Mene capsule no nyinaa: Mbubu, nbubu, anaa nwe capsule yi. Fa nsu kuruwa mene no nyinaa.
- Ansa na wodidi anaa bere a woadi akyi: Ɛyɛ papa sɛ wobɛnom aduru yi bere a yafunu da mpan . Ɛne sɛ, anyɛ yiye koraa no, simma 30 ansa na wɔadidi, anaasɛ nnɔnhwerew 2 wɔ adidi akyi .
- Sɛ wo yafunu yɛ wo yaw a: Nnipa binom betumi anya yafunu mu yaw anaasɛ wɔn ho nyɛ wɔn dɛ bere a wɔnom aduru yi no. Sɛ eyi ba a, wubetumi abisa wo duruyɛfo no sɛnea wode aduru a ɛfata a ekum asikre bɛnom ho.
- Sɛ woadi boro mfe 65 a: Ebia nnipa a wɔn mfe akɔ anim bɛte nka sɛ aduru yi nkɛntɛnso mu yɛ den kakra. Enti, ebia wobehia dodow a ɛba fam. Wo duruyɛfo nso besi eyi ho gyinae.
- Wɔ mmofra fam: Ɛwom sɛ wobetumi akyerɛw saa aduru yi ama mmofra a wɔadi boro mfe 2 wɔ nsɛm titiriw bi mu de, nanso ɛho hia sɛ wɔyɛ ahwɛyiye soronko.
Sɛ wopa dose bi anaasɛ wonom pii a, dɛn na ɛsɛ sɛ woyɛ?
Sɛ wopa dose bi a: Fa dose a woayera 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 dodow a edi hɔ no wɔ bere a woahyɛ da ayɛ no mu. Mfa nnuru mmɔho abien da.
Dodose a wɔde di dwuma boro so: Eyi yɛ asɛm a egye ntɛmpɛ. Sɛ wususuw sɛ woanom saa aduru yi dodo a, kɔ Emergency Department (ETU) a ɛbɛn wo no hɔ ntɛm ara. Anaasɛ frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no .
Nnuru afoforo a ɛnsɛ sɛ wɔde di dwuma ne saa aduru yi na ebetumi ne no adi nkitaho
Sɛ worenom Tolmetin a, ɛsɛ sɛ wohwɛ yiye kɛse bere a wode nnuru afoforo redi dwuma no. Ebetumi ne nnuru bi adi nkitaho anibere so.
| Nnuru a Ɛne Tolmetin Nkitahodi | |
|---|---|
| Nnuru a ɛnsɛ sɛ wɔnom bom da | |
| Cidofovir a wɔde di dwuma | Methotrexate a wɔde di dwuma |
| Nnuru ne nneɛma afoforo a ebetumi ama obi ayɛ n’ade na ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo | |
| Nsaden | Aspirin ne nnuru afoforo a aspirin wom |
| NSAID afoforo (sɛ nhwɛso no, Ibuprofen, Naproxen) . | Mogya mmoroso aduru |
| Diuretics (nnuru a ɛma nsu fi nipadua no mu) . | Lithium a wɔde yɛ nneɛma |
| Nnuru ahorow a wɔde yɛ nnuru (Prednisone, Cortisone) . | Nnuru a wɔde siw mogya a ɛbɛtɔ ano (e.g. Warfarin) . |
Saa nsɛm a wɔahyehyɛ yi nwiei, enti ka nnuru a wonom nyinaa (a vitamin ne nhabannuru ka ho) kyerɛ wo duruyɛfo .
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho titiriw bere a worenom aduru no
Hwɛ yiye wɔ yafunu mu akisikuru ne mogya a ɛretu ho.
Saa aduru yi betumi asɛe yafunu no mu nneɛma, na ama yafunu no mu akuru na mogya atu. Ɛtɔ mmere bi a eyi betumi asi a wɔmmɔ wɔn kɔkɔ . Sigaretnom, nsa a wɔnom, nkwakoraa ne mmerewa, ne akwahosan pa a wunni no ma asiane a ɛwɔ hɔ no yɛ kɛse. Sɛ wo yafunu mu yɛ wo yaw kɛse, wofe mogya (te sɛ kɔfe a wɔayam), anaasɛ wofa nsu tuntum anaa mogya mu , hwehwɛ aduruyɛfo afotu ntɛm ara .
Koma mu yare ne akisikuru ho asiane
NSAID te sɛ Tolmetin a wode bedi dwuma bere tenten no betumi ama asiane a ɛwɔ hɔ sɛ wubenya komayare ne akisikuru no ayɛ kɛse kakra. Saa asiane yi yɛ kɛse mpo sɛ wowɔ komayare dedaw a. Sɛ worenom aspirin de asiw komayare ano a, hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa ansa na wode Tolmetin adi dwuma.
Honam ani yare a emu yɛ den a ebetumi aba
Nnipa binom betumi anya honam ani yare a emu yɛ den wɔ adapɛn kakraa bi akyi bere a wɔafi aduru yi ase no. Sɛ wowɔ atiridiinini, wo nipadua mu yaw, wo honam ani akisikuru kɔkɔɔ anaa kɔkɔɔ a akyiri yi ɛyɛ akisikuru na ɛho tew, anaasɛ w’anim anaa w’ano hohoro, ne ntini a ɛho ahonhon a, ka kyerɛ wo duruyɛfo ntɛm ara.
Sɛ woanyinsɛn na worehwɛ akokoaa kwan a
Saa aduru yi a wɔnom wɔ nyinsɛn no adapɛn 20 kosi 30 ntam no betumi apira akokoaa a ɔhyɛ yafunu mu no. Enti, sɛ wonom saa aduru yi saa bere no a, ɛsɛ sɛ wohwɛ oduruyɛfo a ɔhwɛ wo so yiye. Mfa saa aduru yi nnom wɔ nyinsɛn no dapɛn a ɛto so 30 akyi. Afei nso, ebia saa aduru yi benya awo so nkɛntɛnso bi.
Dae a obi da ne adwenemhaw
Saa aduru yi betumi ama woate nka sɛ woada anaasɛ wo ho ayɛ wo yaw. Enti, kwati sɛ wobɛka kar anaa wode mfiri bedi dwuma kosi sɛ wubehu sɛnea aduru no ka wo. Ne titiriw no, sɛ woabɔ akwakoraa a, nsɔre mpofirim mfi baabi a wote. Sɔre brɛoo.
Dɛn ne nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ aduru biara no, Tolmetin betumi de ɔhaw ahorow aba. Ebi betumi ayɛ aniberesɛm, bere a afoforo nso abu so.
| Tolmetin ho nsunsuanso bɔne a ebetumi aba | |
|---|---|
| Nneɛma bɔne a anibere wom a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo no ntɛm ara | |
| Nneɛma a ɛma obi ho yɛ no hyew | Wora mu akisikuru, akisikuru; anim, anofafa, tɛkrɛma a ɛho ahonhon. |
| Mogya a ɛretu ho sɛnkyerɛnne | Nsu a ɛyɛ tuntum anaa mogya wom; nsu a ɛyɛ kɔkɔɔ anaa bruu tuntum; ɔfe a ɛte sɛ kɔfe a wɔayam; nsensanee kɔkɔɔ a ɛwɔ honam ani; mogya a ɛyɛ soronko a efi anom anaa hwene mu. |
| Mogya a ɛretu ho sɛnkyerɛnne | Koko mu yaw; ɛyɛ den sɛ wobɛhome; ɛyaw, ɔfe, anaa ɔhyew a ɛba nan bi mu. |
| Koma mu yare/koma a entumi nyɛ adwuma yiye | Ɔhome a ɛyɛ den; ɛyaw anaa nea ɛyɛ den wɔ koko, kɔn, anaa abasa mu; ɔbrɛ a ɛyɛ soronko; koma a ɛbɔ ntɛmntɛm anaasɛ ɛnyɛ daa; mu duru a ɛkɔ soro mpofirim; nansoaa ne anan a ɛho ahonhon. |
| 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, nsa, anaa nan a ɛyɛ mmerɛw mpofirim anaa ɛyɛ mmerɛw. |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ asaabo/mrɛbo asɛe | Ɛyɛ den sɛ wobɛtow nsu anaasɛ nsakrae a ɛba wɔ nsu dodow mu; nsu a ɛyɛ kɔkɔɔ/biribiri tuntum; aniwa anaa honam ani a ɛyɛ kɔkɔɔ; ɛyaw a ɛba yafunu no fã a ɛwɔ soro nifa so; aduan ho akɔnnɔ a ɛyera. |
| Nneɛma bɔne a ɛtaa ba, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo | |
| Adwene a ɛyɛ yaw, tiyɛ | Gas a ɛretwam |
| Koma a ɛyɛ yaw, yafunu mu yaw | Aso a ɛrebɔ wɔ aso mu |
| Atiridiinini, akisikuru, ɔfe | |
Nkrasɛm a Wɔde Kɔ Fie
- Tolmetin yɛ aduru a ɛsɛ sɛ wɔnom wɔ oduruyɛfo afotu ase nkutoo. Fa dodow a wɔakyerɛw ama no, sɛnea wɔakyerɛ no.
- Ka ayaresa tebea horow a wowɔ nyinaa (titiriw koma, asaabo, yafunu mu haw) ne nnuru afoforo a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo.
- Sɛ wunya ɔhaw biara a emu yɛ den te sɛ yafunu mu yaw a emu yɛ den, nsu tuntum, koko mu yaw, ahome a ɛyɛ den, anaa honam ani akisikuru a emu yɛ den a, hwehwɛ ayaresa ntɛm ara.
- Sɛ worenom saa aduru yi a, nnom nnuru afoforo a wɔde kum ɛyaw te sɛ Aspirin ne Ibuprofen a wunnyaa wo duruyɛfo no kwan.
- Kwati sɛ wobɛnom nsa bere a worenom Tolmetin no. Ɛma asiane a ɛwɔ hɔ sɛ yafunu mu mogya bɛtu no yɛ kɛse.
- Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaa worema nufu a, hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa ansa na woanom aduru yi.
👩🏽 ⚕️ Nsɛmmisa foforo (FAQs)
💬 Tolmetin / Tolectin tablets/capsules yɛ aduru a tumi wom paa ma yareɛ bɛn?
Eyi nyɛ wo Panadol (Paracetamol) a ɛyɛ mmerɛw! Eyi yɛ aduru a tumi wom yiye, a ɛnyɛ steroid a ɛko tia ɔyare mmoawa (NSAID) a ɛma wotumi di ɔfe a wontumi nnyina ano, ɔfe ne nnompe mu yaw a nnompe mu yare, ntini mu yare ne mmofra ntini mu yare (JIA) de ba no so 100%.
💬 Sɛ wo nkwaa ahonhon na ɛyɛ yaw a, wobɛyɛ dɛn atumi ayi ɛyaw no afi hɔ koraa denam saa nnuru (Tolmetin) yi a wobɛnom so?
Sɛ nkwaa bi pira a, yɛn nipadua no yɛ nnuru bi a wɔfrɛ no ‘Prostaglandins’ ma ɛyɛ yaw na ɛho ahonhon/yɛ kɔkɔɔ wɔ beae no. Saa nnuru no, enzyme/afiri bi a wɔfrɛ no ‘COX (Cyclooxygenase)’ na ɛyɛ! Sɛ saa aduru yi hyɛn nipadua no mu pɛ a, esiw/toto mu koraa na ɛto saa COX mfiri no nyinaa (COX-1 ne COX-2). Afei, nipadua no ntumi nyɛ Prostaglandins, na ɛho ahonhon ne ɛyaw a ɛwɔ nkwaa no mu no sa ntɛm ara wɔ bere tiaa bi mu.
💬 Dɛn ne ‘asiane a ɛyɛ hu’ (Black Box Warning) a ɛsɛ sɛ nnipa a wɔnom saa ɛyaw ano aduru a ano yɛ den (Tolmetin) yi hu?
Ɛyaw no afi hɔ, nanso asiane ahorow no mu yɛ den koraa! Asiane kɛse ne sɛ, sɛ wonom eyi a, wo dwensɔtwaa/yafunu betumi ayɛ tokuru a wommɔ wo ho kɔkɔ biara, wubetumi afe mogya (Gastrointestinal bleeding/ulcers) na woawu! Ade foforo a ɛyɛ hu sen biara ne sɛ asiane a ɛwɔ hɔ sɛ ‘komayare a ɛba mpofirim’ ne akisikuru (Cardiovascular thrombotic events) no kɔ soro 100%, titiriw no, ɛnsɛ sɛ komayarefo nom eyinom!


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