Ebia wo duruyɛfo aka akyerɛ wo sɛ fa dry powder inhaler (DPI) sa mogya mmoroso wɔ w’ahurututu mu. Ebia wowɔ aduru bi a wɔfrɛ no Treprostinil nso wɔ wo nsam. Esiane sɛ eyi yɛ aduru soronko bi nti, momma yensua ho ade pii, ɛnte saa? Ɛnnɛ, yɛbɛka saa aduru yi, sɛnea wɔde di dwuma, ne nea ɛsɛ sɛ yɛhwɛ yiye wɔ ho ho asɛm.
Dɛn na ɛba wɔ aduru yi ho ankasa?
Wɔde saa aduru yi sa tebea bi a wɔfrɛ no Pulmonary Arterial Hypertension (PAH). Fa no sɛ mogya ntini a ɛde mogya fi yɛn koma mu kɔ yɛn ahurututu mu no asiw. Afei ɛsɛ sɛ koma no yɛ adwumaden kɛse na ama mogya akɔ ahurututu no mu. Eyi ne nea yɛfrɛ no PAH.
Sɛ yɛbɛka no tiawa a, sɛ wode saa afiri a wɔde home yi di dwuma a, aduru no fa wo home nhyehyɛe mu na ɛma mogya ntini a ɛwɔ w’ahurututu mu no dwo. Eyi ma nhyɛso a ɛwɔ saa nsukorade no mu no so tew. Eyi ma wo koma tumi popa mogya a ɔmmɔ mmɔden pii. Ne saa nti, wubetumi ahome ayɛ mmerɛw na woayɛ nnam.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi ase anom nnuru
Ɛho hia yiye sɛ wo duruyɛfo bɔ wo amanneɛ wɔ w’akwahosan tebea ho nsɛm bi ho ansa na woafi saa aduru yi ase.
| Tebea a ɛsɛ sɛ wobɔ ho amanneɛ | Dɛn nti na ɛno ho hia? |
|---|---|
| Sɛ wowɔ mmerɛbo mu yare a | Mmɛn na woyi aduru no fi nipadua no mu. Sɛ wowɔ mmerɛbo mu haw a, ebia ɛho behia sɛ wɔyɛ nsakrae wɔ dodow a wode ma no mu. |
| Sɛ wo mogya mmoroso a ɛba fam a | Saa aduru yi nso tumi ma mogya mmoroso so tew, enti sɛ wo mogya so tew dedaw a, ɛsɛ sɛ wohwɛ yiye wɔ ho. |
| Sɛ wowɔ ɔhome mu nyarewa afoforo te sɛ ayamtu anaa COPD a | Ɛtɔ mmere bi a, saa aduru yi betumi ama mframa kwan no asiw bio (akisikuru). Enti, sɛ wowɔ saa tebea yi bi a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo. |
| Sɛ wowɔ allergy wɔ biribiara ho a | Yɛsrɛ sɛ sɛ wowɔ aduru yi, nnuru afoforo, nnuan, anaa nnuru a wɔde yɛ nneɛma ho akisikuru bi a, ka kyerɛ yɛn. |
| Sɛ woanyinsɛn anaasɛ worehwɛ akokoaa kwan a | Wo ne wo duruyɛfo nkasa mfa nkɛntɛnso a aduru yi nya wɔ nyinsɛn mu no ho. |
| Sɛ ɛna bi rema ne ba nufu a | Wo ne wo duruyɛfo nkasa na ama woahwɛ ahu sɛ aduru no nam nufusu so kɔ wo ba no nkyɛn. |
Ɔkwan bɛn so na wode saa afiri a wɔde home yi di dwuma yiye?
Eyi yɛ aduru a wonom fa w’ano. Ɛsɛ sɛ wofa no sɛnea wo duruyɛfo ka kyerɛ wo no pɛpɛɛpɛ, wɔ bere a ɛfata mu, ne dodow a ɛfata mu. Wɔtaa nom nnɔnhwerew 4 biara. Mfa no ntra dodow a wɔahyɛ sɛ wɔmfa mma no da. Kɔ so nom kosi sɛ wo duruyɛfo bɛka akyerɛ wo sɛ gyae.
Nea ɛho hia yiye: Ɛsɛ sɛ wɔde saa aduru yi di dwuma ne aduru titiriw a wɔde home (Tyvaso DPI Inhaler) a ɛka ho no nkutoo. Afei nso, ɛsɛ sɛ woto inhaler dedaw no gu na wufi ase de foforo di dwuma nnafua 7 biara.
AKWANKYERƐ A WƆDE DI DWUMA a ɛka aduru no ho no kyerɛkyerɛ sɛnea wɔde di dwuma mu pefee. Kenkan no yiye. Sɛ woante ase a, bisa wo duruyɛfo ma ɔmma wo nsɛm pii.
Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?
Nha wo ho. Fa dodow a woayera no bere a woakae ara pɛ. Nanso sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ (sɛ nhwɛso no, ennu nnɔnhwerew 2) a, twa dodow a woayera no so na fa dodow a edi hɔ no bere ano. Mfa nnuru abien bere koro mu da.
Na sɛ menom nnuru pii nso ɛ?
Fa no sɛ woanom nnuru pii wɔ akwanhyia mu. Sɛ eyi ba a, mma wo ho nnyɛ wo hu, na mmom frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no ntɛm ara. Mfidie no bɛma wo afotuo a ɛhia. Anaasɛ kɔ ayaresabea a ɛbɛn wo no Emergency Treatment Unit (ETU).
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom aduru yi
- Dae ne adwenemhaw: Ebia aduru yi bɛma woate nka sɛ woda kakra na w’adwene tu fra. Enti, nyɛ biribiara a ɛhwehwɛ sɛ wode w’adwene si biribi so kɛse, te sɛ karka anaa mfiri a wode bedi dwuma, kosi sɛ wubehu sɛnea eyi ka wo ankasa.
- Mma nsɔre mpofirim: Titiriw sɛ woanyin a, nsɔre mpofirim mfi baabi a wote anaa mfi mpa so. Saa a wobɛyɛ no betumi ama w’adwene atu afra na wubetumi ahwe ase. Enti sɔre brɛoo.
- Asiane a ɛwɔ mogya a ɛbɛtɔ mu: Eyi betumi ama mogya a ɛbɛtɔ no ayɛ kɛse kakra. Sɛ wo ho yɛ wo yaw anaa mogya tu wo ntɛm a, ka kyerɛ wo duruyɛfo.
- Nnuru afoforo: Ka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo, a vitamin ne nnuru a wɔde di dwuma wɔ amanne kwan so (te sɛ kashaya, aristha) ka ho. Nnuru bi betumi ne eyi adi nkitaho. Eyi te saa titiriw wɔ nnuru afoforo a wɔde sa mogya mmoroso te sɛ Gemfibrozil ne Rifampin .
Dɛn ne nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ aduru biara no, eyi betumi anya ɔhaw ahorow. Ebi yɛ aniberesɛm, ebi nso abu so.
| Nsunsuanso bɔne | Nsɛnkyerɛnne a wuhu |
|---|---|
| Nsɛnkyerɛnne a emu yɛ den a ɛsɛ sɛ wɔbɔ oduruyɛfo amanneɛ ntɛm ara | |
| Nneɛma a ɛma obi ho yɛ no hyew | Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon. |
| Mogya a ɛtɔ a ɛnyɛ ne kwan so | Mogya a wɔfe (te sɛ kɔfe a wɔayam), nsu a ɛdannan tuntum anaa tarry, nsu a ɛdannan kɔkɔɔ/biribiri tuntum, nsensanee nketenkete kɔkɔɔ/akuturuku a epue wɔ nipadua no so, ne akisikuru a ntease biara nnim. |
| Mogya mmoroso a ɛba fam | Adwene a ɛyɛ basaa, aniwa a ɛyɛ bruu, ne adwene a ɛyera. |
| Ɔhome a ɛyɛ den | Wheezing, ɛyɛ den sɛ wobɛhome. |
| Mpɛn pii no, biribiara nni hɔ a ɛsɛ sɛ ɛhaw wo ho, nanso sɛ ɛkɔ so a, nneɛma bi a ɛsɛ sɛ yɛka ni: | |
| Ɔfe, menewa mu yaw ne hwene a ɛretu | Tebea a ɛtaa ba a nnuru a wɔhome de ba. |
| Tiyɛ, akisikuru, yafunu a ɛyɛ yaw | Wɔtaa hu eyinom wɔ mfiase. |
| Anim a ɛyɛ kɔkɔɔ | Bere a mogya ntini trɛw no, mogya a ɛkɔ anim no kɔ soro, na ɛma ɛyɛ kɔkɔɔ. |
Ɔkwan bɛn so na wɔkora nnuru ne afiri a wɔde home?
Eyi nso yɛ biribi a ɛsɛ sɛ wuhu no yiye.
- Blister cards a wɔanbue: Fa eyinom sie frigye mu. Nanso da biara wɔ frigye mu. Yi fi frigye mu simma 10 ansa na wode adi dwuma.
- Sɛ wɔde sie wɔ dan mu hyew mu a: Wobetumi de packets a wɔanbue no asie wɔ dan mu hyew mu (ɛyɛ Celsius 20-25 ntam) akosi adapɛn 5.
- Akisikuru a wɔabue: Ɛsɛ sɛ wɔde eyinom di dwuma wɔ nnafua 3 akyi bere a wɔabue no. Mfa nhama a wɔabue no nsan nkɔ frigye mu.
- Inhaler: Wobetumi de eyi asie frigye mu anaasɛ wɔ dan mu hyew mu. Hwɛ hu sɛ wobɛtow agu na woanya foforo bere a wode adi dwuma nnafua 7 akyi.
Sɛ woto nnuru a ne bere atwam anaasɛ wunhia bio gu nwura mu a, fa aduru no fra biribi te sɛ kɔfe a wɔayam, dɔte, anaa mpataa nwura mu, na fa to kotoku anaa ade mu yiye ansa na woatow agu.
Nkrasɛm a Wɔde Kɔ Fie
- Fa saa aduru yi di dwuma sɛnea wo duruyɛfo akyerɛ wo pɛpɛɛpɛ, wɔ bere a ɛfata ne dodow a ɛfata mu.
- Mma nnnyae nnuru no nom mpofirim a wo duruyɛfo nka ho afotu.
- Ka ayaresa tebea foforo biara a wowɔ ne nnuru a wonom nyinaa kyerɛ wo duruyɛfo.
- Sɛ nneɛma bɔne a anibere wom ba (akisikuru, mogya a ɛtɔ, adwenemhaw a emu yɛ den) a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Fa w’aduru ne nea wode home sie yiye. Mma wo werɛ mmfi sɛ wobɛsesa wo inhaler nnafua 7 biara.
- Saa aduru yi yɛ wo nkutoo dea. Mfa nkyerɛ afoforo da.
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