Ðewohĩ èle atikewo nom na nulɔdɔwo, asrã, aɖuɖɔtoe enuenu, alo ʋuʋu ƒe dɔléle. Togbɔ be atike siwo wozãna na nɔnɔme ɖesiaɖe to vovo hã la, atike siawo ƒe akpa gãtɔ le atike gbogbo ɖeka me. Emae nye atike vɔ̃ɖiwo ƒe hatsotso si ŋu míaƒo nu tsoe egbea. Woyɔa wo be anticholinergics. Ðewohĩ mèse ŋkɔ sia kpɔ o, gake ɖewohĩ èle atike siawo dometɔ ɖeka zãm xoxo.
Kpuie ko la, nukawoe nye atike siawo siwo tsia ʋumenugbagbeviɣidɔ nu?
Be míase esia gɔme la, mina míaƒo nu tso míaƒe ŋutilã ƒe lãmekawo ŋu vie gbã. Lãmetsiŋusẽ ƒe lãmenugbagbevi siwo le míaƒe ŋutilã me ɖɔlia gbedasiwo kple wo nɔewo, abe posudɔwɔla si le lɛtawo ɖom ɖe amewo ene. Míeyɔa atike siwo tsɔa gbedasi siawo be ahɔhɔ̃mekawo ƒe dɔwɔwɔ. Dɔla tɔxɛ mawo dometɔ ɖekae nye acetylcholine .
Míaƒe Autonomic Nervous System ƒe akpa aɖe koŋue wòwɔa dɔ le. Woyɔa esia be Parasympathetic Nervous System. Togbɔ be ŋkɔa ɖi nya sesẽ vie hã la, eƒe dɔa le bɔbɔe ŋutɔ. Enye nusi dzraa míaƒe ŋutilã ɖo be "Agbɔ ɖe eme eye wòaɖu nu." Ema fia nuwo abe míaƒe dzi ƒe tsotso ƒe dziɖeleameƒo, aɖuɖɔ kple nuɖuɖume tsiwo ɖeɖe ɖa, kple tsinyegoe ƒe dɔwɔwɔ dzi ɖuɖu ene.
Fifia, nusi Anticholinergic atikewo wɔna enye be wodoa kplamatse dɔla ma si woyɔna be Acetylcholine ƒe dɔwɔwɔ. Eyae nye be woxea mɔ nɛ. Emegbe woɖea nuwɔna aɖewo siwo kpena ɖe ŋuwò "gbɔa ɖe eme eye nèɖua nu" dzi kpɔtɔna vie. Esia ɖea vi na mí ŋutɔ le atikewɔwɔ ƒe nɔnɔme aɖewo me.
Dɔléle ka ƒomevie wozãa atike siawo na?
Atike siwo wu 600 ye li siwo te ŋu tsia ʋumenugbagbeviɣidɔ nu. Esiae nye atike aɖewo ƒe dɔwɔwɔ vevitɔ. Ate ŋu anye ame bubuwo ƒe nugbegblẽ le ame ŋu hã. Na míakpɔ nusiwo koŋ wozãna le atike siawo zazã me ɖa.
| Atikea ƒe ŋkɔ (kpɔɖeŋu) . | Nudzɔdzɔ siwo wozãna koŋ |
|---|---|
| Atropine si wotsɔna ƒoa ƒui | Abe dzi ƒe tsotso blewu le mɔ si mesɔ o nu (bradycardia) kple aɖi aɖewo dada ene. |
| Benztropine, si nye Trihexyphenidyl ƒe atike | Be woaɖu dzesiwo abe ʋuʋudedi si Parkinson ƒe dɔlélea hena vɛ ene dzi. |
| Diphenhydramine si nye atike si woyɔna be diphenhydramine | Enɔa nulɔdɔtike geɖe kple alɔ̃dɔtike aɖewo me. |
| Ipratropium, Atike si woyɔna be Tiotropium | Enɔa atike siwo wogbɔna siwo wozãna na gbɔgbɔmedɔlélewo abe asrã kple COPD ene me. |
| Oxybutynin, Solifenacin, Tolterodine ƒe dɔlékuiwo | Wozãnɛ hã abe atike ene tsɔ léa aɖuɖɔtoe enuenu (Urge Incontinence) kple tsinyegoe ƒe lãmekawo ƒe tete nu. Eva abe atike si wotsɔna daa fifia si gbɔ eme (Hyperhidrosis) hã ene. |
| Scopolamine ƒe atike | Wonae na ʋuʋudedi kple ʋuʋudedi si dzɔna ne wole mɔ zɔm (ʋuʋudedi). |
| Glycopyrrolate, si nye Vecuronium, si woyɔna be Vecuronium | Wozãnɛ tsɔ ɖea aɖuɖɔ ƒe dodo dzi kpɔtɔna hafi wowɔa dɔ nɛ eye wònaa lãmekawo tua ame ne wole amekokoa wɔm. |
Tsɔ kpe ɖe eŋu la, blanuilélenutsitike aɖewo, tagbɔdɔlélawo ƒe atikewo, kple nulɔdɔtike aɖewo (antihistamines) hã ate ŋu anye atike sia si tsia ʋumenugbagbeviɣidɔ nu abe eƒe nugbegblẽ le ame ŋu ene.
Viɖe kawo kple nugbegblẽ le atike sia ƒomevi ŋu?
Viɖe siwo le eŋu
Viɖe geɖe le atike siawo ŋu. Ɣeaɖewoɣi la, woɖea ame ƒe agbe . Le kpɔɖeŋu me, ne woɖu aɖi aɖe abe nudzodzoeviwutike ene la, wonaa atike aɖe si woyɔna be Atropine abe atike ene. Atike sia kpena ɖe ame ŋu hã be dzi ƒe tsotso gagbugbɔna ne eɖiɖi le mɔ si me afɔku le nu.
Le veviẽ:Ne ame aɖe ɖu aɖi aɖe la, kplɔ dɔnɔa yi kɔdzi ƒe Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) si te ɖe eŋu enumake. Ele vevie hã be nàƒo ka na Dukɔa ƒe Aɖi Ŋuti Nyatakaka Dɔwɔƒe si le Colombo Dukɔa ƒe Kɔdzi hena nyatakaka bubuwo.
Le go bubu me la, atike sia kpena ɖe mía ŋu hã be míaƒe agbenɔnɔ nanyo ɖe edzi. Bu eŋu kpɔ, aleke gbegbe wòloloe nye si be ame aɖe si ƒoa asa na mɔzɔzɔ yiyi tsã le esi wòvɔ̃na be yeaɖe aɖuɖɔ ta, be wòate ŋu ano atikekui sue aɖe eye wòayi mɔzɔzɔ ma dzi kuxi aɖeke manɔmee? Nenema ke atike sia kpena ɖe ame aɖe si vɔ̃na tsã be yeayi nugododeƒe enuenu ŋu, be wòanɔ agbe si sɔ.
Nusiwo wògblẽna le ame ŋu
Abe atike ɖesiaɖe ene la, atike siawo siwo tsia ʋumenugbagbeviɣidɔ nu ate ŋu ahe nugbegblẽ le ame ŋu vɛ. Gake menye amesiamee xɔa wo o, eye woate ŋu ato vovo le atikeawo ƒe agbɔsɔsɔme, ƒe si amea xɔ, kple atikewɔwɔ ƒe nɔnɔme bubuwo nu. Ame tsitsiwo koŋue ate ŋu akpɔ nugbegblẽ le ame ŋu siawo.
Aɖaŋu sue aɖe si dzi nàto aɖo ŋku eƒe nugbegblẽ le ame ŋu siawo dzi enye si:
- "Hot as a hare" - Ŋutilã ƒe dzoxɔxɔ si dzi ɖe edzi.
- "Ŋkuagbã abe ʋetsuvi ene" - Ŋkuwo ƒe ŋkumeʋuʋuwo kekena, si wɔnɛ be ŋkuwo megakpɔa nu nyuie o.
- "Dry as a bone" - aɖuɖɔ kple aɖatsi ƒe dodo dzi ɖe kpɔtɔ.
- "Dzĩ abe beet ene" - Ŋutilã ƒe dzodzro.
- "Mad as a hatter" - tɔtɔ, ŋkuɖoɖonudzi ƒe kuxiwo.
| Nusiwo dona tso eme zi geɖe | Numeɖeɖe bɔbɔe aɖe |
|---|---|
| Nu Ƒuƒu | Maseɖeamedzi si tsoa aɖuɖɔ ƒe dodo dzi ɖeɖe kpɔtɔ gbɔ. |
| Nukpɔkpɔ si me mekɔ o | Nukpɔkpɔ sesẽ le ŋkume ƒe lolome ta. |
| Aɖuɖɔtoe ƒe ŋutetemanɔamesi (Urinary Retention) . | Aɖuɖɔtoe ƒuƒlu keŋkeŋ sesẽ le tsinyegoe ƒe lãmekawo ƒe ɖiɖi ta. |
| Miléle | Nuɖuɖumeŋusẽ ƒe dɔwɔwɔ dzi ɖeɖe kpɔtɔ. |
| Tɔtɔ/Tagbɔdɔléle | Ate ŋu adzɔ vevietɔ le ame tsitsiwo gome. |
| Dzi ƒe tsotso kabakaba (Tachycardia) . | Dzi ƒe tsotso dzi ɖe edzi ƒe seselelãme. |
Ɣekaɣie wòle be makpɔ ɖɔkta?
Ne èle atike si le abe esia ene zãm la, kpɔ egbɔ be yeƒo nu kple yeƒe ɖɔkta le nɔnɔme siwo gbɔna me:
- Ne atike si nom nèle mehe gbɔdzɔe si nèdi vɛ na wò o.
- Ne esesẽ na wò be nàzã atike la abe alesi tututu ɖɔkta gblɔe ene.
- Ne atikeawo ƒe nugbegblẽ le ame ŋu le nu gblẽm le wò gbesiagbedɔwo ŋu (le kpɔɖeŋu me, ne nuɖuɖu sesẽ na wò le nu me ƒe ƒuƒu ta, alo ne ʋukuku alo agbalẽ xexlẽ sesẽ na wò le esi nèkpɔa nu nyuie o ta).
Vevietɔ wu la, mègadzudzɔ atike aɖeke nono alo atrɔ atikeawo ƒe agbɔsɔsɔme ne mèbia wò ɖɔkta gbã o. Esia wɔwɔ ate ŋu ana wò nɔnɔmea nagagblẽ ɖe edzi.
Ne nya aɖe le asiwò ku ɖe atike siawo ŋu la, mègavɔ̃ be yeabia wò ƒomea ƒe ɖɔkta o. Ate ŋu aɖe atike si nyo na wò, eƒe viɖewo, kple eƒe nugbegblẽ le ame ŋu me.
Gbedasi si Wotsɔ Yi Aƒeme
- Anticholinergics nye atike siwo bɔ tsɔ daa dɔléle vovovowo, siwo dometɔ aɖewoe nye nulɔdɔ, asrã, Parkinson ƒe dɔléle, kple aɖuɖɔtoemekuxiwo.
- Esiawo wɔa dɔ to mɔxexe ɖe atike aɖe si woyɔna be acetylcholine ƒe dɔwɔwɔ nu le ŋutilãa ƒe lãmekawo me.
- Nusiwo wògblẽna le ame ŋu abe nu ƒe ƒuƒu, ŋku ƒe ʋuʋu, dɔmeɖui, kple tɔtɔ ate ŋu ado mo ɖa. Afɔku sia lolo ŋutɔ le ame tsitsiwo gome.
- Mègadzudzɔ atike aɖeke nono alo atrɔ eƒe agbɔsɔsɔme gbeɖe atikewɔlawo ƒe aɖaŋuɖoɖo manɔmee o.
- Ne ètsi dzi ɖe wò atike alo eƒe nugbegblẽ le ame ŋu ŋu la, ame nyuitɔ si nàƒo nu kpliie nye wò ɖɔkta.











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Womeɖo nya aɖeke ɖe amewo haɖe o. Tsɔ wò nyaŋuɖoɖo kpe ɖe afisia zi gbãtɔ.
Tsɔ wò nyaŋuɖoɖo kpee