So ɛsɛ sɛ wokɔ tiafi nso mpɛn pii? So ɛtɔ mmere bi a, wunya ɔpɛ mpofirim sɛ wobɛtow nsu na wote nka sɛ wuntumi nhyɛ wo so? Eyi yɛ tebea a ɛhyɛ abufuw na ɛhaw adwene ankasa. Sɛ mpo wo ne wo nnamfo rekɔ akwantu anaasɛ worekɔ apontow bi ase a, wote ehu nka sɛ, "Na sɛ ɛsɛ sɛ mekɔ tiafi nso ɛ?". Tolterodine yɛ aduru a wo duruyɛfoɔ taa kyerɛw ma saa tebea yi a wɔfrɛ no "Overactive Bladder". Momma yɛnka eyi ho asɛm wɔ ɔkwan tiawa bi a wubetumi ate ase so.
Dɛn ne Tolterodine? Sɛ yɛbɛka no tiawa a...
Fa no sɛ yɛn akisikuru no sɛ balloon a nsu ahyɛ mu ma. Nsu a yɛn asaabo yɛ no boaboa ano nkakrankakra wɔ saa kotoku a wɔfrɛ no akisikuru yi mu. Sɛ ɛyɛ ma sɛnea ɛsɛ a, ntini a ɛwɔ akisikuru no afasu mu no twetwe, na ɛkyerɛ yɛn sɛ "yɛnkɔ tiafi mprempren."
Nanso, wɔ tebea a wɔfrɛ no "akisikuru a ɛyɛ adwuma boro so" yi mu no, ntini a ɛwɔ akisikuru no mu no yɛ nea ɛyɛ mmerɛw dodo na efi ase twetwe ansa na ayɛ ma koraa mpo. Ɛno nti na ɛsɛ sɛ wotaa tow wo ho ntɛmntɛm no.
Saa aduru yi a wɔfrɛ no Tolterodine no yɛ adwuma denam wo akisikuru mu ntini a ɛyɛ adwuma boro so a ɛma ɛyɛ mmerɛw no so. Saa aduru yi ka nnuru kuw bi a wɔfrɛ no ``antispasmodics.'' Sɛ ntini no dwo a, wo akisikuru no tumi kura nsu pii mu kyɛ. Eyi kyerɛ sɛ worennya ɔpɛ pii sɛ wobɛkɔ tiafi na ɛbɛyɛ mmerɛw sɛ wubedi wo nsu so.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi saa aduru yi ase
Ansa na wo duruyɛfo bɛkyerɛw Tolterodine ama wo no, ɛsɛ sɛ onya w’akwahosan ho mfonini a edi mũ . Enti, sɛ wowɔ tebea horow a wɔabobɔ din wɔ ase ha no bi a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo. Mfa wɔn nsie. Eyi bɛboa wɔn ma wɔasi gyinae sɛ ebia aduru yi fata wo, sɛ wuhia ayaresa foforo, anaasɛ ɛsɛ sɛ wɔsesa dodow a wɔde ma no.
| Akwahosan tebea anaa nokwasɛm | Nkyerɛmu |
|---|---|
| Ɛyɛ den sɛ wobɛtow nsu | Sɛ ɛyɛ den ma wo dedaw sɛ wobɛtow wo ho anaasɛ wopɛ sɛ woto wo ho koraa a, ka saa. |
| Glaucoma tebea a ɛma obi nya atiridiinini | Sɛ wowɔ glaucoma, tebea a ɛma aniwa no mu nhyɛso kɔ soro a, saa aduru yi betumi aka wo. |
| Ɔhaw ahorow a ɛba dwensɔtwaa mu | Sɛ wowɔ tebea horow te sɛ dwensɔtwaa mu akwanside a. |
| Koma mu yare | Koma mu nnyigyei a ɛnkɔ so pɛpɛɛpɛ, anaasɛ sɛ obi wɔ abusua no mu wɔ abakɔsɛm a ɛte saa ho a. |
| Asaabo anaa mmerɛbo mu yare | Sɛ w’asaabo anaa wo mmerɛbo ntumi nyɛ adwuma yiye a, ebia ɔkwan a wɔfa so yi aduru no fi wo nipadua mu no bɛka. |
| Myasthenia gravis a ɛwɔ nipadua no mu | Eyi yɛ tebea a ɛma ntini ahorow yɛ mmerɛw. |
| Nneɛma a ɛma obi ho yɛ no hyew | Sɛ wo ho yɛ wo hyew wɔ tolterodine anaa nnuru a ɛte saa (fesoterodine), nnuru afoforo, nnuan, anaa nneɛma a wɔde siesie nneɛma ho a. |
| Nyinsɛn anaa nufu a wɔde ma | Eyi yɛ ade a ɛsɛ sɛ woka ho asɛm sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaasɛ worema nufu a. |
Ɔkwan bɛn so ankasa na wode saa aduru yi di dwuma?
Eyi yɛ mmerɛw yiye.
- Fa nsu kuruwa mene saa aduru yi .
- Bɔ mmɔden sɛ wobɛnom w’aduru no bere koro mu da biara , sɛnea wo duruyɛfo akyerɛ wo no. Eyi bɛboa ma aduru no a etu mpɔn wɔ wo nipadua mu no akɔ so ayɛ pɛ.
- Kɔ so fa aduru no di dwuma kosi sɛ wo duruyɛfo bɛka akyerɛ wo sɛ "gyae mprempren. "Sɛ wususuw sɛ wo ho atɔ wo kakra mpo a, nnyae mpofirim.
- Ebia mmofra behia ɔhwɛ soronko bere a wɔrenom aduru yi, enti wo ne wo duruyɛfo nkasa mfa ɛno nso ho asɛm.
Nea ɛho hia sen biara: Wɔakyerɛw saa aduru yi ama wo nkutoo. Mfa mma w’adamfo anaa w’abusua muni bi a ɔwɔ yare no ho sɛnkyerɛnne te sɛ wo. Ebetumi ayɛ nea asiane wom.
Sɛ wonom nnuru pii a, dɛn na ɛsɛ sɛ woyɛ? (Nneɛma a wɔde ma boro so) .
Fa no sɛ woanom aduru yi dodo wɔ akwanhyia mu. Sɛ eyi ba a , kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo no nkyɛn a ntwentwɛn wo nan ase. Anaasɛ frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no . Mfa eyi nyɛ hwee, efisɛ sɛ wonom aduru biara pii a, ebetumi de ɔhaw ahorow aba.
Na sɛ mepa nnuru dodow bi nso ɛ?
Ɛnyɛ bere nyinaa na yɛkae biribiara, enti ebia yɛn werɛ befi sɛ yɛbɛnom yɛn nnuru.
- Nom dodow a woayera no bere a woakae ara pɛ .
- Nanso, sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ bere a wokae a, twa dodow a woayera no so na fa wo dodow a edi hɔ no ara kwa wɔ bere a woahyɛ da ayɛ no mu.
- Mfa nnuru abien prɛko pɛ esiane biribiara nti. Eyi bɛma asiane a ɛwɔ hɔ sɛ obenya nsunsuanso bɔne ne nnuru a wɔde di dwuma boro so no ayɛ kɛse.
Nnuru afoforo a ebetumi ne saa aduru yi adi nkitaho (Interactions) .
Sɛ wonom Tolterodine a, ebia ɛne nnuru afoforo bi a worenom no adi nkitaho. Enti, ka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo, a vitamin, nhabannuru, ne nnuru a wɔde ka aduan ho ka ho .
Nnuru bi a ebetumi ne Tolterodine adi nkitaho wɔ ase ha:
- Nnuru bi a ekum ɔyare mmoawa te sɛ Clarithromycin ne Erythromycin
- Cyclosporine a wɔde di dwuma
- Nnuru a wɔde sa adwenemhaw, te sɛ Fluoxetine
- Nnuru a wɔde sa fungal yare (sɛ nhwɛso no, fluconazole, itraconazole, ketoconazole) .
- Nnuru a wɔde sa ɔhaw a ɛma obi kae ade (e.g. galantamine, donepezil) .
- Vinblastine a wɔde yɛ aduru
Saa nsɛm a wɔahyehyɛ yi nwiei, enti ɛyɛ nea asiane biara nni ho sɛ wobɛka biribiara a worenom ho asɛm akyerɛ wo duruyɛfo.
Nneɛma a ɛsɛ sɛ ɛtra w’adwenem bere a worenom nnuru no
- Aduruyɛ mu nhwehwɛmu: Kɔ wo duruyɛfo nkyɛn na kɔhwɛ wo ho. Ebia ebegye bere kakra ansa na nea afi aduru yi mu aba no ada adi. Enti nya abotare.
- Asetra mu nsakrae: So wunim sɛ tii, kɔfe, anonne a caffeine wom, ne nsaSo ɛhaw wo sɛ ebia wo akisikuru ho haw no mu bɛyɛ den? Enti ɛyɛ papa sɛ wubedi eyinom so kakra bere a worenom aduru yi no. Afei nso, sɛ woma wo dwensɔtwaa yɛ adwuma yiye a worennya akisikuru a, ebetumi atew akisikuru ho sɛnkyerɛnne ahorow so nso.
- Dae ne ani a ɛda hɔ: Saa aduru yi betumi ama nnipa binom adwenem ayɛ wɔn naa, wɔada, na wɔahu ade yiye . Enti, kwati dwumadi ahorow a ehia sɛ woma w’ani da hɔ, te sɛ karka anaa mfiri a wode bedi dwuma, kosi sɛ wubehu sɛnea eyi ka wo ankasa. Gyina hɔ brɛoo bere a wosɔre fi baabi a wote no. Nsã a wɔnom betumi ama saa nsunsuanso bɔne yi ayɛ kɛse.
- Ano a ɛyɛ mmerɛw: Ano a ɛyɛ mmerɛw yɛ ade a ɛtaa ba wɔ aduru yi mu. Gum a asikre nnim a wobɛwe, ahwiesa a asikre nnim a wobɛnom, ne nsu pii a wobɛnom da mũ no nyinaa betumi aboa. Sɛ eyi kɔ so anaasɛ emu yɛ den a, ka kyerɛ wo duruyɛfo.
- Aniwa a ɛyɛ kusuu: Ebia wubehu sɛ w’ani ayɛ kusuu anaasɛ wubehu ade yiye. Sɛ wohyɛ ahwehwɛ a wɔde hwɛ ahwehwɛ a, ebia wo ho bɛtɔ wo kakra. Wubetumi de srade a wɔde gu mu adi dwuma. Sɛ ɔhaw no kɔ so a, kɔ oduruyɛfo nkyɛn.
Dɛn ne nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ aduru biara no, Tolterodine betumi de ɔhaw ahorow aba nnipa binom so. Eyinom bi yɛ aniberesɛm, na afoforo nso yɛ brɛoo. Nea ɛho hia ne sɛ wubehu eyinom na sɛ ɛho hia a, wobɛyɛ ho biribi ntɛm.
| Nneɛma bɔne a anibere wom a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara | |
|---|---|
| Nneɛma a ɛma obi ho yɛ no yaw (Allergic reactions / angioedema) . | Wora mu akisikuru, ɛyaw, anim, aniwa, anofafa, tɛkrɛma, nsa anaa anan a ɛho ahonhon, ɛyɛ den sɛ wobɛmene anaa wobɛhome. |
| Koma mu nnyigyei sesa | Koma a ɛbɔ ntɛmntɛm anaasɛ ɛnteɛ, adwenemhaw, ɔtopae, koko mu yaw, ahome a ɛyɛ den. |
| Nsɛnkyerɛnne afoforo a anibere wom `(Anticholinergic toxicity)` | Anim a ɛyɛ kɔkɔɔ, aniwa a ɛyɛ mmerɛw, ano ne honam ani a ɛyɛ kusuu dodo, adwene a ɛyɛ basaa, ɛyɛ den sɛ wobɛtow, akisikuru. |
| Mpɛn pii no ɛnyɛ aniberesɛm (nanso sɛ ɛkɔ so anaasɛ ɛhaw adwene a, ka kyerɛ wo duruyɛfo ) . | |
| Adwene a ɛyɛ basaa | Dae a ɛma obi da |
| Aniwa a ɛyɛ mmerɛw | Tipaeɛ |
| Abofono | Yafunu mu yaw |
Sɛ wuhu sɛnkyerɛnne foforo biara a ɛyɛ soronko a enni saa din yi mu a, nsuro sɛ wo ne wo duruyɛfo bɛkasa afa ho.
Wobɛyɛ dɛn de nnuru asie na woatow agu dwoodwoo?
- Fa aduru no sie baabi a mmofra ne afieboa ntumi nkɔ hɔ .
- Fa sie digrii Celsius 15 kosi 30 (15-30°C), a ɛyɛ dan mu hyew a ɛfata. Twe wo ho fi ɔhyew ne nsu a ɛboro so ho.
- Mfa nnuru a ne bere atwam nni dwuma da .
- Ɛyɛ papa sɛ wubebisa wo duruyɛfo sɛnea wobɛtow nnuru a ne bere atwam anaasɛ enhia bio agu. Nnuru bi mfata sɛ wɔtow gu nwura mu. Enti, tow gu sɛnea wo duruyɛfo akwankyerɛ kyerɛ no.
Nkrasɛm a Wɔde Kɔ Fie
- Tolterodine yɛ aduru a wɔde sa hia a ehia sɛ wɔtaa tow nsu ne sɛnea ɛyɛ den sɛ wobedi nsu so esiane akisikuru a ɛyɛ adwuma boro so nti.
- Ansa na wubefi saa aduru yi ase no, hwɛ hu sɛ wobɛka aduruyɛ mu tebea foforo biara a wowɔ ne nnuru a worenom nyinaa ho asɛm akyerɛ wo duruyɛfo.
- Fa w’aduru no sɛnea wo duruyɛfo kyerɛ no pɛpɛɛpɛ, wɔ bere a ɛfata mu. Mma w’ankasa nnsesa dodow a wode ma no da anaasɛ nnyae aduru no nom mpofirim.
- Sɛ wunya ɔhaw biara a anibere wom te sɛ w’anim a ɛho ahonhon, ɛyɛ den sɛ wobɛhome, anaa koma a ɛbɔ ntɛmntɛm a, kɔ ayaresabea ntɛm ara.
- Esiane sɛ aduru no betumi ama obi ada anaasɛ wayɛ basaa nti, kwati karka ne nneɛma a asiane wom kosi sɛ wubenya ahotoso wɔ nea ebefi mu aba no ho.
- Saa aduru yi yɛ wo nkutoo dea. Mfa nkyerɛ afoforo da.











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