So wubetumi asusuw mogya ntini a ɛde mogya fi yɛn koma mu kɔ yɛn ahurututu mu no so nkakrankakra, na ɛma mogya mmoroso kɔ soro kɛse? Ɛte sɛ nea worepiapia nsu paipu na nsu no ahoɔhare kɔ soro. Eyi ne nea yɛfrɛ no ‘ Pulmonary Arterial Hypertension’ anaa ‘PAH’ wɔ nnuruyɛ mu. Eyi yɛ tebea a ɛsono no kakra wɔ mogya mmoroso a ɛfata ho na ehia sɛ wɔde adwene si so titiriw. Eyi betumi de sɛnkyerɛnne ahorow te sɛ ahome a ɛyɛ tiaa, koko mu yaw, ne ɔbrɛ kɛse aba. Enti ɛnnɛ yɛrebɛka aduru titiriw bi a wɔde sa saa tebea yi ho asɛm, a ɛne Treprostinil injection.
Aduru bɛn na Treprostinil yɛ?
Sɛ yɛbɛka no tiawa a, Treprostinil (ahyɛnsode: Remodulin) yɛ aduru a wɔde ma nnipa a wɔwɔ ahurututu mu mogya mmoroso (PAH) a madi kan aka ho asɛm no. Saa aduru yi yɛ adwuma denam mogya ntini a ayɛ teateaa no a ɛtrɛw kakra, na ɛma ɛyɛ mmerɛw sɛ mogya bɛsen no so. Eyi ma adwuma a ɛwɔ koma no so no so tew na ɛboa ma wodi yare no ho sɛnkyerɛnne ahorow so. Ɛma ɛyɛ mmerɛw nso sɛ wobɛyɛ da biara da dwumadi ahorow. Eyi yɛ aduru a ɛho hia yiye a ɛboa ma asetra tu mpɔn.
Ebia wo duruyɛfo nso bɛkyerɛw saa aduru yi ama wo wɔ tebea afoforo ho, enti sɛ wowɔ nsɛmmisa bi fa eyi ho a, hwɛ hu sɛ wubebisa wo duruyɛfo.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi saa aduru yi ase
Ansa na wubefi saa aduru yi ase no, ɛho hia yiye sɛ wode w’akwahosan ho nkyerɛkyerɛmu a edi mũ ma wo duruyɛfo. Hwɛ hu sɛ wobɛka nea edidi so yi ho asɛm titiriw:
- Asaabo mu yare: Sɛ wowɔ tebea biara a ɛfa asaabo ho a.
- Mmɛn mu yare: Sɛ ɔhaw bi wɔ mmerɛbo no dwumadi mu a.
- Allergies: Hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ woanya Treprostinil, Epoprostenol, anaa aduru foforo biara, aduan, anaa ade a wɔde yɛ ade a.
- Nyinsɛn: Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaa worema nufu a, ɛsɛ sɛ wo ne wo duruyɛfo kasa ansa na woafi saa aduru yi ase.
Ɔkwan bɛn so na ɛsɛ sɛ mede saa aduru yi di dwuma?
Eyi nte sɛ pill anaa capsule a yɛtaa nom. Wɔnam pɔmpɛ ketewaa bi a ɛretu mmirika bere nyinaa (wɔkɔ so de gu mu) so de Treprostinil aduru no ma wo nipadua no . Aduru no fa afiri teateaa bi a wɔfrɛ no catheter a ɛbata pɔmpɛ yi ho so kɔ wo nipadua mu. Wobetumi afa akwan abien so ayɛ eyi:
1. Subcutaneous: Wɔde catheter no hyɛ honam ani na wɔde aduru no ma.
2. Ɛdenam ntini bi so (Intravenous): .Wɔde catheter no hyɛ mogya ntini (ntini) bi mu tẽẽ na wɔde aduru no ma.
Wɔbɛma wo ntetee a edi mũ yiye wɔ ayaresabea hɔ wɔ sɛnea wode eyi bedi dwuma, sɛnea wosiesie pɔmpɛ no, ne sɛnea wode catheter no bɛhyɛ mu no ho. Ɛho hia yiye sɛ wubedi akwankyerɛ a oduruyɛfo ne ayarehwɛfo de ama no akyi pɛpɛɛpɛ .
Nea ɛho hia yiye: Nnyae aduru yi nom esiane biribiara nti a wonkɔ w’aduruyɛfo kuw no nkyɛn. Sɛ wugyae mpofirim a, ebetumi ama wo tebea no asɛe kɛse.
Dɛn na wode nnade ne syringe a wɔde adi dwuma yɛ?
Mfa nnade ne syringe a wɔde adi dwuma ngu nwura mu da. Ɛsɛ sɛ wɔde gu ade titiriw bi (akorade a ano yɛ nnam) a wɔde ama mu. Sɛ wunni bi a, bisa wo duruyɛfo anaa ayaresabea sɛ ɔmma wo bi.
So ɛsɛ sɛ wɔde aduru yi ma mmofra?
Ebia mmofra behia ɔhwɛ soronko bere a wɔde aduru yi rema wɔn no, enti ɛho hia sɛ wo ne mmofra oduruyɛfo susuw eyi ho hwehwɛ afotu.
Na sɛ menom nnuru pii nso ɛ?
Sɛ wususuw sɛ woanom nnuru pii a, frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no ntɛm ara . Anaasɛ kɔ ayaresabea a ɛbɛn wo no Emergency Treatment Unit (ETU) .
Nnuru afoforo a ebetumi ne saa aduru yi adi nkitaho (Drug Interactions) .
Nnuru afoforo a worenom betumi ne Treprostinil adi nkitaho, enti ka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo (a vitamin, nhabannuru, ne nnuru a wɔde ka ho ka ho).
| Nnuru ahorow a wɔde di dwuma | Nneɛma a ɛsɛ sɛ yɛhwɛ yiye wɔ ho |
|---|---|
| Nnuru bi a wɔde sa mogya mmoroso | Sɛ wɔde eyinom ka Treprostinil ho a, mogya mmoroso betumi akɔ fam dodo. |
| Nnuru a ɛko tia mogya a ɛtwetwe mogya | Nhwɛsoɔ: Nnuru te sɛ Warfarin, Enoxaparin, Dabigatran, Apixaban. Eyinom betumi ama asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no ayɛ kɛse. |
| Nnuru a ɛma nsu fi nipadua mu | Ebetumi ama mogya mmoroso akɔ fam. |
| Nnuru afoforo | Nnuru te sɛ Gemfibrozil ne Rifampin betumi aka sɛnea aduru yi yɛ adwuma yiye. |
Nneɛma a ɛsɛ sɛ ɛtra w’adwenem bere a worenom nnuru no
- Hwɛ a wobɛhwɛ wo daa: Wo ne wo duruyɛfo nni nkitaho daa na woahwɛ sɛnea wo tebea no rekɔ so. Kɔ ayaresabea ahorow daa.
- Wora a atwa catheter no ho ahyia: Hwɛ were a atwa catheter no ho ahyia no daa. Sɛ ɛyɛ kɔkɔɔ, ɛyaw, ɛho ahonhon, anaasɛ nsu a ɛte sɛ akisikuru a ɛyɛ soronko a, bɔ w’akwahosan kuw no amanneɛ ntɛm ara. Eyi betumi ayɛ ɔyare mmoawa ho sɛnkyerɛnne.
- Sɛ wo tebea no mu yɛ den a: Ɛtɔ mmere bi a, wo tebea no betumi asɛe bere a woanom aduru yi mpo awie no. Sɛ wote nka saa, te sɛ sɛ ɛyɛ den ma wo sɛ wobɛhome anaasɛ wo koko yɛ wo yaw a, frɛ wo duruyɛfo ntɛm ara. Ebia ɛho behia sɛ wɔsesa wo dodow a wode ma no.
Nsunsuanso bɔne a ebetumi aba esiane nnuru nti
Te sɛ aduru biara no, Treprostinil betumi de ɔhaw ahorow aba. Eyinom bi yɛ aniberesɛm, bere a afoforo nso abu so.
| Nneɛma bɔne a efi mu ba no mu nkyekyɛmu | |
|---|---|
| Nsunsuanso bɔne a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara | |
| Nneɛma a ɛma obi ho yɛ no hyew te sɛ honam ani akisikuru, ɛyaw, akisikuru | Anim, ano, anaa tɛkrɛma a ɛho ahonhon |
| Ɔhome a ɛyɛ den | Koko mu yaw |
| Koma a ɛbɔ ntɛmntɛm, ɛbɔ, anaasɛ ɛnyɛ daa | Akisikuru, adwenemhaw, ne asehwe |
| Atiridii anaa awɔw a wɔte nka | Akuru, ɛyaw, anaa ɔfe wɔ baabi a wɔde aduru no guu no |
| Ɛyaw, akisikuru, anaa nkate a ɛyera wɔ nsa ne anan mu | Mmerewa anaa ɔbrɛ a ɛyɛ soronko |
| Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo | |
| Dompe anaa anom yaw | Ayamtuo |
| Flushing a wɔde wɔn ho hyɛ mu | Tipaeɛ |
| Akisikuru, ɔfe | |
Ɔkwan bɛn so na wɔkora nnuru so?
Sɛnea ɛbɛyɛ a aduru no bɛkɔ so ayɛ papa no, ɛho hia yiye sɛ wode sie yiye.
- Twe wo ho fi mmofra ne afieboa ho.
- Nnua a wɔanbue: Fa sie baabi a ɛhɔ yɛ hyew digrii Celsius 15 kosi 25.
- Bere a wɔabue ahina bi akyi: Sɛ wɔnom aduru a edi kan wie a, ɛsɛ sɛ wɔde toa no di dwuma wɔ nnafua 30 ntam.
- Aduru a ne bere atwam: Mfa nni dwuma esiane biribiara nti wɔ da a ne bere atwam no akyi.
- Nnuru a ɛwɔ pɔmpɛ no mu:
- Sɛ wɔde ma wɔ honam ani a: Wobetumi de aduru a ɛwɔ syringe biako mu no adi dwuma nnɔnhwerew 72. Nnɔnhwerew 72 akyi no, tow aduru a aka no gu.
- Sɛ wɔde fa ntini mu a: Wobetumi de aduru a ɛwɔ syringe biako mu no adi dwuma nnɔnhwerew 48. Tow aduru a aka no gu wɔ nnɔnhwerew 48 akyi.
Nkrasɛm a Wɔde Kɔ Fie
- Treprostinil yɛ aduru a ɛho hia yiye a wɔde siw ahurututu mu mogya mmoroso (PAH) ano. Ɛsɛ sɛ wode di dwuma sɛnea wo duruyɛfo kyerɛ no nkutoo.
- Ansa na wubefi saa aduru yi ase no, ka w’ayaresa tebea nyinaa ne nnuru afoforo a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo.
- Nnyae w’aduru nom a wunni aduruyɛfo afotu biara esiane biribiara nti. Ebetumi ayɛ nea asiane wom kɛse.
- Hwɛ yiye bere nyinaa sɛ ebia nsunsuanso bɔne a anibere wom te sɛ kɔkɔɔ, ɛyaw, ne ɔfe wɔ baabi a wɔde aduru no guu no, ne koko mu yaw ne ahome a ɛyɛ den. Sɛ wuhu eyinom mu bi a, ka kyerɛ wo duruyɛfo ntɛm ara.
- Ɛho hia yiye sɛ wode nnuru sie yiye na tow nnade a wɔde adi dwuma no gu dwoodwoo.
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