So wo duruyɛfo akyerɛw wo aduru bi a wɔfrɛ no Verapamil a wode sa mogya mmoroso, wo koko mu yaw, anaa koma a ɛbɔ a ɛnteɛ? Sɛ saa a, asɛm yi bɛyɛ nea ɛho hia wo paa. Momma yɛnka saa aduru yi, sɛnea ɛyɛ adwuma, nea ɛsɛ sɛ yɛhwɛ yiye wɔ ho bere a yɛrenom, ne biribiara ho asɛm, wɔ ɔkwan a ɛyɛ mmerɛw na ɛyɛ adamfofa su so.
Dɛn ne Verapamil?
Sɛ yɛbɛka no tiawa a, Verapamil yɛ aduru a wɔde sa tebea horow te sɛ mogya mmoroso ne koko mu yaw (angina). Ɛtɔ mmere bi nso a wɔde sa koma a ɛbɔ ntɛmntɛm anaasɛ ɛnteɛ (arrhythmia).
Afei ma yɛnhwɛ sɛnea eyi yɛ adwuma wɔ nipadua no mu. Susuw yɛn mogya ntini no ho sɛ ntini nketenkete. Sɛ ntini a ɛwɔ saa ntini yi afasu mu no mu yɛ den a, baabi a mogya fa mu no yɛ teateaa. Afei ɛsɛ sɛ koma no yɛ adwumaden kɛse na ama mogya no akɔ. Eyi ne nea yɛfrɛ no mogya mmoroso.
Verapamil ka nnuru bi a wɔfrɛ no calcium channel blockers ho . Saa aduru yi yɛ adwuma denam calcium a ɛhyɛn ntini mu nkwammoaa a ɛwɔ mogya ntini ne koma mu no so. Sɛ calcium dodow sua a, ntini a ɛyɛ den no dwo kakra. Afei mogya ntini no trɛw, na ɛma mogya fa mu a biribiara nsiw kwan. Eyi ma adwuma a ɛwɔ koma no so no so tew na ɛhwɛ mogya mmoroso so. Koko mu yaw (angina) ba bere a koma no nnya mframa pa a ɛdɔɔso no. Sɛ mogya ntini no trɛw a, koma no nya mogya pii, na ɛma ɛyaw no so tew.
Nnuruyɛfo betumi akyerɛw saa aduru yi nso ama tebea afoforo, enti sɛ wowɔ nsɛmmisa bi a, bisa wo duruyɛfo.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi ase anom nnuru
Ansa na wubefi ase de Verapamil adi dwuma no, ɛho hia yiye sɛ woka w’ayaresa ho abakɔsɛm kyerɛ wo duruyɛfo. Hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ wowɔ tebea horow a edidi so yi mu biara a:
- Duchenne Muscular Dystrophy: Eyi yɛ awosu mu yare a ɛma ntini mu yɛ mmerɛw. Sɛ wowɔ saa tebea yi a, ma wo duruyɛfo nhu.
- Koma mu yare: Sɛ woanya komayare pɛn anaasɛ wɔahu sɛ woanya komayare a, ɛsɛ sɛ woka ho asɛm kyerɛ wo duruyɛfo.
- Koma a ɛbɔ anaasɛ ɛbɔ daa: Sɛ wo koma bɔ brɛoo yiye (bradycardia) anaasɛ nneɛma afoforo a ɛnyɛ daa a, ka kyerɛ wo duruyɛfo ansa na woanom aduru yi.
- Mmɛn mu yare: Sɛ wo mmerɛbo no ntumi nyɛ adwuma yiye a, ebia ɛho behia sɛ wo duruyɛfo yɛ nsakrae wɔ dodow a wode ma no mu efisɛ egye bere tenten ansa na aduru no afi wo nipadua mu.
- Mogya mmoroso a ɛba fam:Sɛ woyɛ obi a mpɛn pii no wo mogya mmoroso a, ka ɛno nso ho asɛm.
- Allergies: Hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ wowɔ allergy bi wɔ verapamil anaa nnuru foforo biara, aduan, nnuru a wɔde yɛ nneɛma, anaa nneɛma a wɔde sie ho a.
- Nyinsɛn anaa mmɔden a worebɔ sɛ wubenyinsɛn: Sɛ woanyinsɛn anaasɛ worehwɛ kwan sɛ wobɛwo akokoaa ntɛm a, wo ne wo duruyɛfo nka ho asɛm.
- Nufu a wɔde ma: Sɛ woyɛ ɛna a woma nufu a, hwehwɛ aduruyɛ mu afotu efisɛ saa aduru yi betumi afa nufusu so akɔ wo ba no nkyɛn.
Ɔkwan bɛn so ankasa na mede saa aduru yi di dwuma?
Ma nsɛntitiriw yi ntra w’adwenem bere a wode aduru yi redi dwuma no.
1. Fa w’aduru no sɛnea wo duruyɛfo ka kyerɛ wo no pɛpɛɛpɛ: Fa w’aduru no sɛnea wɔakyerɛw wɔ krataa no so no pɛpɛɛpɛ, bere koro no ara mu da biara, na nnyae w’aduru no no kosi sɛ wo duruyɛfo bɛka akyerɛ wo.
2. Sɛ wɔde aduan di dwuma anaasɛ wonni bi: Wobetumi anom saa aduru yi ansa na wɔadi anaasɛ wɔadi awie. Nanso, sɛ wo yafunu mu yɛ wo yaw a, ɛbɛyɛ papa sɛ wode bɛka aduan ho.
3. Mfa bobe nsu nka ho: Eyi ho hia yiye . Kwati sɛ wobɛnom grapefruit anaa grapefruit nsu bere a worenom verapamil no. Grapefruit nsu betumi ama aduru no dodow akɔ soro wɔ wo nipadua mu a ɛho nhia, na ebetumi ama asiane a ɛwɔ hɔ sɛ ebefi mu aba no ayɛ kɛse.
4. Wɔ mmofra fam: Sɛ wode saa aduru yi rema mmofra a, ebia ɛho behia sɛ wɔhwɛ yiye titiriw. Enti di oduruyɛfo no akwankyerɛ akyi.
Sɛ wonom boro so a, dɛn na wobɛyɛ?
Sɛ wususuw sɛ woanom nnuru pii sen sɛnea wususuw a, kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo ntɛm ara . Anaasɛ frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ no na woanya afotu.
Nea ɛho hia sen biara ne sɛ wɔkyerɛw saa aduru yi ma wo nkutoo. Mfa w’aduru nkyerɛ afoforo da.
Sɛ wopa dose bi a, dɛn na ɛsɛ sɛ woyɛ?
Sɛ wo werɛ fi sɛ wobɛnom dose bi a, fa 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 wo dodow a edi hɔ no wɔ bere a woahyɛ da ayɛ no mu. Mfa nnuru abien bere koro mu da mfa nsiesie dodow a woahwere no.
Nneɛma afoforo a ebetumi ne Verapamil adi nkitaho
Verapamil yɛ aduru a ebetumi ne nnuru afoforo, nnuan, ne nhabannuru ayɛ adwuma. Eyi kyerɛ sɛ sɛ wode ka nneɛma afoforo ho a, ebetumi asakra sɛnea Verapamil yɛ adwuma yiye anaasɛ ɛbɛma ne nsunsuanso bɔne no ayɛ kɛse. Enti hwɛ yiye paa wɔ nneɛma a edidi so yi ho.
| Nneɛma a ɛnsɛ sɛ wode Verapamil fa da | |
|---|---|
| Cisapride na ɔkyerɛwee | Aduru a wɔde sa yafunu mu yare |
| Disopyramide a wɔde yɛ aduru | Aduru a ɛma koma bɔ a ɛnteɛ |
| Dofetilide a wɔde yɛ aduru | Aduru a ɛma koma bɔ a ɛnteɛ |
| Grapefruit nsu a wɔde yɛ | Eyi ma aduru no dodow kɔ soro wɔ nipadua no mu. |
| Hawthorn a ɔyɛ ɔkraman | Nnuadewa a wɔde yɛ ade |
| Pimozide a wɔde yɛ nnuru | Aduru a wɔde sa adwenemyare |
| Aburow a wɔde mmɔkaw ayɛ kɔkɔɔ | Aduru a wɔde ma srade a ɛwɔ nipadua mu no so tew |
| Sɛ worenom eyinom a, ka kyerɛ wo duruyɛfo. | |
|---|---|
| Barbiturates (sɛ nhwɛso no, phenobarbital) . | Nnuru a wɔde sa nna ne akisikuru |
| Cimetidine a wɔde di dwuma | Aduru a wɔde sa yafunu mu yare |
| Cyclosporine a wɔde di dwuma | Aduru a ɛma nipadua no tumi ko tia nyarewa |
| Lithium a wɔde yɛ nneɛma | Aduru a wɔde sa adwenemyare |
| Nnuru afoforo a wɔde sa koma a ɛyɛ den | Sɛ nhwɛso no: amiodarone, digoxin, flecainide |
| Nnuru afoforo a wɔde sa mogya mmoroso | Nnuru afoforo a wɔde hyɛ nkurɔfo so |
| Nnuru a wɔde sa akisikuru | Sɛ nhwɛso no: carbamazepine, phenytoin a wɔde yɛ aduru |
| Nnuru a wɔde sa nsamanwaw | Nhwɛso: Rifampin, rifabutin a wɔde yɛ nneɛma |
| Nnuru a wɔde sa ayamtu | Sɛ nhwɛso no: Theophylline, aminophylline a wɔde yɛ aduru |
Saa list yi nwie pɛyɛ. Enti ma wo duruyɛfo no nkyerɛw nnuru a wonom nyinaa (a vitamin ne nhabannuru ka ho) . Afei nso, sɛ wonom sigaret, wonom nsa, anaa wode nnubɔne foforo di dwuma a, hwɛ hu sɛ wobɛka akyerɛ wɔn.
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom aduru no
- Aduruyɛ mu nhwehwɛmu a wɔyɛ no daa: Kɔ wo duruyɛfo nkyɛn wɔ baabi a wɔhwɛ wo daa na hwɛ wo tebea no.
- Susuw wo mogya mmoroso: Susuw wo mogya mmoroso wɔ fie, sɛnea wo duruyɛfo kamfo kyerɛ no. Hu nea ɛsɛ sɛ wo mogya mmoroso a ɛfata yɛ, ne nea ɛsɛ sɛ woyɛ sɛ ɛkɔ soro anaasɛ ɛkɔ fam a.
- Hwɛ yiye bere a worenom nnuru afoforo no:Sɛ worenom nnuru a wɔde sa ɔfe, atiridiinini, anaa ɛyaw a wɔtɔn bere a worenom Verapamil a, di kan kɔ wo duruyɛfo nkyɛn. Nnuru bi betumi ama wo mogya mmoroso akɔ soro.
- Tiyɛ ne adwenemhaw: Ebia saa aduru yi bɛma woada kakra na woayɛ basaa. Enti, kwati sɛ wobɛka kar anaa wode mfiri bedi dwuma kosi sɛ wubehu sɛnea aduru yi ka wo.
- Sɔre brɛoo: Sɛ wosɔre fi baabi a wote anaa woda hɔ a, nsɔre mpofirim na mmom brɛoo. Eyi betumi aboa ma wɔasiw adwenem naayɛ ne adwenemhaw ano.
- Nsã: Sɛ wonom nsa bere a worenom saa aduru yi a, ebetumi ama nneɛma bɔne te sɛ adwenemhaw ayɛ kɛse.
Nsunsuanso bɔne bɛn na ebia menya?
Te sɛ aduru biara no, Verapamil betumi de ɔhaw ahorow bi aba. Nanso, ɛnyɛ obiara na onya bi. Momma yɛnhwɛ nea wɔyɛ.
| Nneɛma bɔne a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo no ntɛm ara | |
|---|---|
| Nneɛma a ɛma obi ho yɛ no hyew | Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon. |
| Koma a entumi nyɛ adwuma yiye | Ɔhome a ɛyɛ den, nansoaa, nan anaa nsa a ɛho ahonhon, mu duru a ɛkɔ soro mpofirim, ɔbrɛ a ɛtra so. |
| Koma a ɛbɔ brɛoo | Adwene a ɛyɛ basaa, akisikuru, ɛyɛ den sɛ ɔbɛhome, ɔbrɛ a ɛtra so. |
| Mmɛn a wɔapirapira | Ɛyaw a ɛba yafunu no nifa so atifi, aduan ho akɔnnɔ a ɛyera, akisikuru, nsu a ɛyɛ kɔla a ɛyɛ hann, nsu a ɛyɛ kɔkɔɔ anaa bruu tuntum, ne honam ani anaa aniwa a ɛyɛ kɔkɔɔ. |
| Mogya mmoroso a ɛba fam | Adwene a ɛyɛ basaa, akisikuru, aniwa a ɛyɛ kusuu. |
| Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo: | |
| Ayamtim | Yafunu a ɛyɛ kusuu. |
| Adwene a ɛyɛ basaa | Sɛ wote nka sɛ n’adwene atu afra. |
| Tipaeɛ | Tipaeɛ. |
| Abofono | Sɛ wote nka sɛ wobɛfe. |
Saa nsɛm a wɔahyehyɛ yi nka nsunsuanso bɔne a ebetumi aba nyinaa ho. Sɛ wuhu sɛnkyerɛnne biara a ɛyɛ soronko a, yɛsrɛ wo, kɔ wo duruyɛfo nkyɛn kɔhwehwɛ afotu.
Ɔkwan bɛn so na wɔkora nnuru so?
- Twe wo ho fi mmofra ne afieboa ho.
- Fa sie baabi a ɛhɔ yɛ hyew (a ɛyɛ digrii Celsius 20 kosi 25) a hann ntumi nkɔ hɔ.
- Tow aduru biara a aka wɔ da a ne bere atwam akyi no gu.
Nkrasɛm a Wɔde Kɔ Fie
- Verapamil yɛ aduru a wɔde sa mogya mmoroso, koko mu yaw, ne koma a ɛbɔ a ɛnteɛ.
- Fa w’aduru no da biara, wɔ bere a ɛfata mu, sɛnea wo duruyɛfo akyerɛ wo no. Nnyae aduru no nom mpofirim.
- Ka nnuru afoforo a worenom nyinaa (a vitamin ka ho) kyerɛ wo duruyɛfo.
- Kwati sɛ wobɛnom bobe nsu koraa bere a worenom aduru yi no.
- Fa ahwɛyiye di dwuma bere a woreka kar anaa wode mfiri redi dwuma efisɛ ebia adwenemhaw ne akisikuru betumi aba.
- Sɛ wunya ɔhaw biara a anibere wom te sɛ ahome a ɛyɛ den, wo nan a ɛho ahonhon, ɔbrɛ a ɛtra so, anaa wo honam ani yɛ kɔkɔɔ a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Sɛ wowɔ nsɛmmisa bi fa aduru yi ho a, wo ne wo duruyɛfo nka ho asɛm.











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