Adwenemhaw, anaa sɛnea yɛn nyinaa nim no, ɛnyɛ mmerɛwyɛ wɔ adwene mu, ɛyɛ aduruyɛ mu tebea a ehia sɛ wɔsa. Wɔ tebea horow a ɛtete saa mu no, nea ɛka adwene mu ayaresa ho no, ɛtɔ mmere bi a nnuru nso ho hia. Aduru biako a wɔkyerɛw ma de sa adwenemhaw a ɛte saa ne Trimipramine. Sɛ wo duruyɛfoɔ akyerɛw saa aduru yi ama wo a, ɛho hia paa sɛ wobɛte ho asɛm yie. Momma yɛnka eyi ho asɛm tiawa.
Dɛn na ɛba wɔ aduru yi ho ankasa?
Sɛ yɛbɛka no tiawa a, Trimipramine ka nnuru bi a wɔfrɛ no tricyclic antidepressants (TCAs) ho. Nnuru bi a ɛwɔ amemene no mu boa ma yɛn adwene yɛ adwuma yiye. Ne titiriw no, wɔfrɛ wɔn serotonin ne norepinephrine. Nnuru yi kari pɛ betumi asesa wɔ adwenemhaw ho.
Nea saa aduru yi yɛ ne sɛ ɛma saa nnuru abien no dodow kɔ soro wɔ amemene no mu, na ɛma w’adwene tu mpɔn. Ɛte sɛ nea woadan switch abien a ɛhwɛ anigye ne kommyɛ so.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom nnuru
Ansa na wo duruyɛfo bɛkyerɛw saa aduru yi ama wo no, ɛsɛ sɛ onya w’akwahosan ho mfonini a edi mũ. Enti, sɛ wowɔ tebea horow a edidi so yi mu biara a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo a womfa biribiara nsie. Eyi ho hia paa ma w’ankasa ahobammɔ.
| Yare anaa nneɛma afoforo | Dɛn nti na ɛsɛ sɛ woka kyerɛ oduruyɛfo no ? |
|---|---|
| Sɛ wowɔ obi a ɔnom nsa a | Sɛ wɔde nsa ne aduru yi bom a, ebetumi ama nea efi mu ba no ayɛ kɛse. |
| Adwene mu nyarewa te sɛ adwenemhaw anaa adwenemhaw | Saa aduru yi betumi asesa saa sɛnkyerɛnne ahorow no. |
| Ɛyɛ den sɛ wobɛtow nsu, prostate haw | Saa aduru yi betumi ama nsu a ɛkɔ nipadua no mu no ayɛ kɛse. |
| Koma mu yare, koma a ɛnyɛ adwuma yiye, komayare a ɛba nnansa yi | Saa aduru yi betumi aka koma no dwumadi. |
| Glaucoma yare a ɛma obi nya atiridiinini | Ebetumi aba sɛ aniwa mu nhyɛso bɛkɔ soro. |
| Mmɛn anaa asaabo mu yare | Ebia ɔkwan a wɔfa so yi nnuru fi nipadua no mu no bɛka. |
| Ahurututu anaa ɔhome mu nyarewa te sɛ ayamtu | Asiane a ɛwɔ nsunsuanso bɔne bi mu no betumi ayɛ kɛse. |
| Akisikuru anaa Akisikuru | Asiane ahorow a ɛwɔ tebea horow yi mu no betumi ayɛ soronko. |
| Thyroid nyarewa ahorow | Ebia abusuabɔ bi wɔ hormone dodow ne sɛnea aduru no tu mpɔn no ntam. |
| Adwene a ɛne sɛ obekum ne ho, mmɔden a wɔbɔ, anaa abusua abakɔsɛm a ɛte saa | Ebia saa nsusuwii ahorow yi bɛdɔɔso wɔ aduru no mfiase, enti ɛho hia sɛ wɔhwɛ so yiye. |
| Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a | Ɛsɛ sɛ wo ne wo duruyɛfo kasa fa nkɛntɛnso a ebetumi aba akokoaa no so no ho. |
| Sɛ wɔma akokoaa no nufu a | Ɛsɛ sɛ wosusuw ho sɛ ebia aduru no betumi afa nufusu mu akɔ akokoaa no nkyɛn anaa. |
| Nnuru, nnuan, anaa nneɛma a wɔde yɛ nneɛma afoforo ho akisikuru | Sɛnea ɛbɛyɛ a wobehu sɛ ebia aduru no anaa nneɛma a wɔde yɛ no ho adwenemhaw bi wɔ hɔ anaa. |
Ɔkwan bɛn so na ɛsɛ sɛ mede aduru no di dwuma?
Fa saa aduru yi ne nsu kuruwa biako. Fa dodow a wo duruyɛfo akyerɛ wo no, wɔ bere a wɔakyerɛw ama wo no mu. Mfa nea ɛboro dodow a wo duruyɛfo akyerɛ wo no da.
Nea ɛho hia paa: Nnyae aduru yi nom mpofirim a wunnya wo duruyɛfo afotu. Saa a wobɛyɛ no betumi ama wo tebea no asɛe anaasɛ ɛde ɔhaw afoforo a anibere wom aba. Sɛ wugyae saa aduru yi nom a, yɛ saa sɛnea wo duruyɛfo bɛkyerɛ wo, na fa nkakrankakra tew dodow no so.
Na sɛ menom nnuru pii nso ɛ? (Nnuru a wɔde ma boro so) .
Sɛ wususuw sɛ woanom nnuru pii a, ɛyɛ ntɛmpɛ. Ntɛm ara frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea , anaa kɔ ayaresabea a ɛbɛn wo no Ayaresa a Ɛho Hia Ntɛmntɛm (ETU) . Eyi nyɛ agoru.
Kae sɛ, wɔakyerɛw aduru yi ama wo nkutoo. Mfa saa aduru yi mma obi foforo esiane sɛ ɔwɔ yare no ho sɛnkyerɛnne koro no ara te sɛ wo nti.
Nnuru afoforo a ebia ɛne aduru yi bedi nkitaho
Eyi ho hia paa. Sɛ wonom saa aduru yi a, ebetumi ne nnuru afoforo bi adi nkitaho. Eyi betumi de ɔhaw ahorow a ɛyɛ hu aba. Enti ka nnuru, nhabannuru, ne vitamin biara a wobɛnom ho asɛm kyerɛ wo duruyɛfo.
| Mfa Trimipramine nka eyinom ho da | |
|---|---|
| MAOI ahorow (sɛ nhwɛso no, Marplan, Nardil, Parnate) . | Linezolid a wɔfrɛ no linezolid |
| Methylene blue (wɔde fa ntini mu) . | Pimozide a wɔde yɛ nnuru |
| Phenothiazine ahorow te sɛ Thioridazine | Nnuru bi a ɛhwɛ sɛnea koma no bɔ so |
| Cisapride na ɔkyerɛwee | St. John’s Wort (nhabannuru a wɔde yɛ aduan) . |
| Ɔhaw ahorow nso betumi aba wɔ saa aduru yi ho (ka kyerɛ wo duruyɛfo). | |
| Mogya mmoroso nnuru (e.g. Clonidine) . | Nnuru a wɔde sa akisikuru (e.g. Carbamazepine) . |
| Barbiturates (sɛ nhwɛso no, Phenobarbital) . | Cimetidine a wɔde di dwuma |
| Thyroid hormone ahorow a ɛma nipadua no yɛ adwuma | Nnuru a wɔde sa ɛyaw a wɔkyerɛw ma obi |
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom nnuru no
Adwene mu nsakrae ne adwene a ɛne sɛ obekum ne ho
Eyi ne ade a ɛho hia sen biara. Ɛtɔ mmere bi a, titiriw wɔ adapɛn kakraa a edi kan a wɔde sa yare no mu anaa bere a wɔsesa dodow a wɔde ma no, adwenemhaw ho sɛnkyerɛnne betumi akɔ soro anaasɛ adwene foforo a ɛbɛma wɔakum wɔn ho betumi ada adi. Sɛ wo anaa w’abusua mufo hu saa nneɛma yi a , wo ne wo duruyɛfo nkasa ntɛm ara.
- Sɛ wote nka sɛ wo ho yeraw wo anaa wohaw wo ho a
- Sɛ wote nka sɛ wo ho adwo wo kɛse na wo bo fuw a, .
- Sɛ mpofirim ara wobɛyɛ nnam dodo a
- Sɛ wuntumi nna a
- Sɛ wote nka sɛ w’adwenemhaw no reyɛ kɛse a
Dae a obi da ne adwenemhaw
Saa aduru yi betumi ama woate nka sɛ woada anaasɛ wo ho ayɛ wo yaw. Enti, nka kar anaa mfa mfiri nni dwuma kosi sɛ wubehu sɛnea aduru yi ka wo. Mma nsɔre mpofirim mfi baabi a wotena, titiriw sɛ woabɔ akwakoraa a. Eyi betumi ama w’adwene atu afra na woahwe ase. Kwati nsa a wobɛnom. Eyi betumi ama woate nka sɛ woda kɛse mpo.
Ano a ɛyɛ mmerɛw, akisikuru ne nneɛma afoforo
- Ano a ɛyɛ nwunu:Wobetumi adi eyi so denam nneɛma te sɛ aduru a asikre nnim a wɔwe ne nsu pii a wɔnom so.
- Akisikuru: Sɛ woankɔ wo dwensɔtwaa mu nnafua 2-3 a, wo ne wo duruyɛfo nkasa. Sɛ wudi aduan a ahoɔdennuru pii wom na wonom nsu pii a, ebetumi aboa.
- Owia a wobɛte nka: Ebia wo honam ani bɛte owia hann bere a worenom aduru yi no. Enti, hyɛ ntade a ɛbɔ wo ho ban na fa aduru a ɛbɔ wo ho ban di dwuma bere a worekɔ owia mu no.
Nsunsuanso bɔne bɛn na ebia menya?
Te sɛ aduru biara no, eyi betumi anya ɔhaw ahorow. Ebi yɛ aniberesɛm, ebi nso abu so. Momma yɛnhwɛ nea wɔyɛ.
| Nneɛma bɔne a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo no ntɛm ara | |
|---|---|
| Nneɛma a ɛma obi ho yɛ no yaw (honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma a ɛho ahonhon) . | Adwene a ɛne sɛ obekum ne ho , adwene a ɛsakra |
| Nsakrae a ɛba koma a ɛbɔ mu (koma a ɛbɔ ntɛmntɛm anaasɛ ɛnteɛ, koko mu yaw, ɛyɛ den sɛ ɔbɛhome) . | Aniwa mu yaw mpofirim , aniwa a ɛyɛ kusuu, nkaa a wohu a atwa akanea ho ahyia |
| Serotonin Syndrome: Nsɛnkyerɛnne a ebetumi aba ne: ahomegye, adwene a ɛyɛ basaa, koma bɔ ntɛmntɛm, ntini a ɛyɛ den anaasɛ ɛtwetwe, fifiri a ɛboro so, atiridiinini, ɔfe, ne akisikuru. | |
| Sɛ ɛkɔ so anaasɛ ɛhaw wo a, ka kyerɛ wo duruyɛfo . | |
| Ano a ɛyɛ nwunu | Dae a ɛma obi da |
| Adwene a ɛyɛ basaa | Akwanside a wɔde siw kwan |
| Nsakrae a ɛba nna ho akɔnnɔ anaa dwumadi mu | Wosow a ɛnyɛ den (Awosow) . |
Nkrasɛm a Wɔde Kɔ Fie
- Mma nnnyae saa aduru yi nom mpofirim da a wo duruyɛfo nka ho afotu.
- Ka nnuru afoforo, vitamin, ne nhabannuru a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo. Ebia wɔn mu binom ne saa aduru yi bedi nkitaho.
- Sɛ wunya nsakrae mpofirim wɔ wo nkate anaa wo nneyɛe mu, anaasɛ wususuw sɛ wubekum wo ho, titiriw wɔ ayaresa no mfiase a, ka kyerɛ wo duruyɛfo ntɛm ara.
- Kwati sɛ wobɛnom nsa bere a worenom aduru yi.
- Kwati sɛ wobɛka kar anaasɛ wobɛyɛ nneɛma a ɛhwehwɛ sɛ woma w’ani da hɔ kosi sɛ wubehu sɛnea aduru no ka wo.
- Dodow a wɔnom boro so no yɛ ade a egye ntɛmpɛ. Sɛ eyi ba a, kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo no ntɛm ara.
👩🏽 ⚕️ Nsɛmmisa foforo (FAQs)
💬 Dɛn na wɔde Trimipramine / Surmontil capsules di dwuma?
Eyi yɛ adwenemyare nnuru a akyɛ na tumi wom sen biara wɔ nnuruyɛ mu (TCA - Tricyclic Antidepressant class) a wobetumi de adi ‘Adwenemhaw’ a emu yɛ den so no mu biako! Wɔde di dwuma ma ayarefo a wontumi nnya ayaresa a wonhuu nkɔso/nsakrae biara ɛmfa ho sɛ wɔde adwenemyare nnuru foforo (SSRI/SNRI) afoforo no nyinaa di dwuma ne titiriw ma wɔn a ‘wɔn nna a wontumi nna a emu yɛ den a adwenemhaw kɛse wom’.
💬 Ɔkwan bɛn so na saa aduru yi (Trimipramine) yi adwenemhaw fi hɔ bere a ɛhyɛn amemene mu no?
Adwenemhaw fi amemene no mu nnuru a ɛma anigye/ɛma ahoɔden (Serotonin, Norepinephrine) a ɛso tew. Nea saa aduru yi yɛ ne sɛ 100% siw nnuru a ɛyɛ anigye a amemene no gyae no a wɔsan gye no ano. Afei saa nnuru no ahyɛ amemene no ma, na ɔyarefo no adwenemhaw no sa koraa. Afei nso, esiane sɛ esiw histamine kwan nti, ɛma ‘aduru a ɛma obi dwo’.
💬 Sɛ wokɔ so nom saa nnuru yi (TCA) a, nsunsuansoɔ bɛn na ɛyɛ ahometew paa a ɛbɛtumi aba?
Eyi yɛ aduru dedaw (TCA) enti ɛwɔ nsunsuanso bɔne pii! Ɛwɔ ‘anticholinergic’ tumi, a ɛma ano yɛ kusuu, akisikuru, aniwa a ɛyɛ mmerɛw, na ɛyɛ den sɛ ɔbɛtow nsu. Afei nso, asiane kɛse wɔ hɔ sɛ ɔyarefo no koma bɛsakra na abɔ no sɛnea ɛnteɛ (Arrhythmia/QT Prolongation), a ɛyɛ tebea a edi awu, enti ɛsɛ sɛ oduruyɛfo no hwɛ ECG no daa.
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