Ɛyɛ ade a ɛfata sɛ wobɛte ehu ne ehu nka kakra bere a wo anaa wo dɔfo bi reyɛ afi ase sa kokoram no. Titiriw sɛ wote aduru bi a wɔfrɛ no ‘chemotherapy’ ho asɛm a, nneɛma pii ba w’adwenem. Ɛnnɛ yɛbɛka aduru titiriw bi a wɔde sa kokoram a ɛte saa ho asɛm. Ɛno ne aduru a wɔfrɛ no Asparaginase Erwinia Chrysanthemi (Recombinant) a ɛba wɔ din Rylaze ase. Esiane sɛ saa din yi yɛ den kakra nti, yɛbɛfrɛ no Rylaze kɛkɛ. Asɛm yi bɛbɔ mmɔden sɛ ebebua wo nsɛmmisa a ɛfa aduru yi ho wɔ ɔkwan a ɛnyɛ den so.
Dɛn ne Rylaze (Asparaginase)?
Sɛ yɛbɛka no tiawa a, eyi yɛ nnuru a wɔde sa yare a wɔde ma de kum kokoram nkwammoaa. Wɔmfa nni dwuma mma kokoram nyinaa, na mmom wɔde di dwuma titiriw ma kokoram ahorow abien a ɛfa mogya ho. Eyinom ne:
- Leukemia a Ɛyɛ Hu (ALL) .
- Lymphoblastic Lymphoma a Ɛyɛ Ntini a Ɛyɛ Fɛ
Saa aduru yi yɛ adwuma wɔ ɔkwan a ɛyɛ nwonwa yiye so. Kokoram nkwammoaa hia amino acid bi a wɔfrɛ no asparagine na ama anyin. Nkwammoaa a ɛte apɔw a ɛfata wɔ yɛn nipadua mu no betumi ama eyi ankasa ayɛ asparagine. Nanso saa mogya mu kokoram nkwammoaa ne lymphoma kokoram nkwammoaa yi nni saa tumi no. Enti saa Rylaze aduru yi sɛe na ɛsɛe asparagine a ɛwɔ mogya no mu yi. Afei kokoram nkwammoaa no hwere aduannuru a wohia na wowuwu. Nkwammoaa a ɛte apɔw betumi ayɛ asparagine a wohia no, enti ɛnpira wɔn kɛse.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi ase anom nnuru
Ansa na wubefi saa ayaresa yi ase no, ɛho hia yiye sɛ wobɔ wo duruyɛfo amanneɛ wɔ w’akwahosan ho abakɔsɛm a edi mũ ho. Hwɛ hu sɛ wobɛka akyerɛ no sɛ wowɔ tebea horow a edidi so yi mu biara a:
| W’akwahosan tebea | Dɛn nti na ɛho hia sɛ yɛbɔ ho amanneɛ? |
|---|---|
| Mogya a ɛtɔ ho haw anaa mogya a ɛtwetwe ho haw | Saa aduru yi betumi aka sɛnea mogya tu no. |
| Asikyireyareɛ | Aduru no betumi ama asikre dodow a ɛwɔ mogya mu no akɔ soro. |
| Sɛ wowɔ pancreatitis a | Saa aduru yi ntaa mma obi nya dwensɔtwaa mu yare. |
| Mmɛn mu yare | Aduru no betumi aka mmerɛbo no dwumadi. |
| Aduru, aduan, anaa ade a wɔde yɛ ade ho akisikuru | Sɛnea ɛbɛyɛ a wɔbɛhwɛ asiane a ɛwɔ aduru no ho akisikuru mu. |
| Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a | Eyi ho hia yiye . Aduru no betumi apira akokoaa a ɔhyɛ yafunu mu no. |
| Sɛ wɔma akokoaa no nufu a | Aduru no tumi fa nufusu mu kɔ akokoaa no nkyɛn. |
Mɛyɛ dɛn ama wo aduru yi?
Eyi nyɛ aduru a wubetumi de akɔ fie. Aduruyɛfo a wɔatete wɔn wɔ ayaresabea anaa ayaresabea na wɔde ma wo . Wɔtaa de ma sɛ aduru a wɔde twitwiw ntini bi mu .
Ɛho hia paa sɛ wobɛnom w’aduru no nna a wɔahyɛ ama wo no. Mma nna yi ntwa mu esiane biribiara nti. Sɛ biribi nti wuntumi nnom w’aduru no da a wɔahyɛ no a, frɛ wo duruyɛfo ntɛm ara na ma wɔnhu.
Esiane sɛ wɔde saa aduru yi ma wɔ oduruyɛfo hwɛ ase nti, hokwan biara nni hɔ sɛ ‘wɔnom boro so’. Nanso, sɛ wote nka sɛ wo ho nyɛ wo dɛ wɔ ɔkwan soronko so bere a woanom aduru no akyi a, ka kyerɛ nnuruyɛfo no ntɛm ara. Sɛ biribi si ntɛm a, wubetumi afrɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no nso .
Nneɛma a ɛsɛ sɛ wususuw ho bere a wɔreyɛ ayaresa no
Aduruyɛfo a wɔhwɛ wɔn so bere nyinaa
Nnuruyɛfo no bɛhwɛ wo tebea no yiye paa wɔ bere a worenom saa ayaresa yi nyinaa mu. Wɔbɛhyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu daa . Wɔbɛhwɛ sɛ aduru no reyɛ adwuma, sɛ aka wo mmerɛbo, ne sɛnea asikre dodow a ɛwɔ wo mogya mu no te.
Nyinsɛn ne nufu a wɔde ma
Eyi yɛ asɛm a ɛhaw adwene kɛse.
Nnyinsɛn bere a worenom aduru yi. Kwati sɛ wubenyinsɛn anyɛ yiye koraa no asram 3 bere a woagyae aduru no akyi .
Ebia nnuru a wɔtaa de siw awo ano a hormone wom rennyɛ adwuma yiye wɔ aduru yi ho. Enti, hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa afa ɔkwan foforo a ahobammɔ wom a wɔfa so siw awo ano a ɛfata wo ho. Saa aduru yi betumi apira akokoaa a ɔhyɛ yafunu mu kɛse.
Afei nso, kwati sɛ wobɛma wo ba no nufu bere a worenom aduru no ne dapɛn biako bere a woagyae no.
Nnuru afoforo a wobɛma woahu
Ka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo. Nea ɛka eyi ho ne nnuru a wɔde sa tebea afoforo, vitamin ahorow, nnuru a wɔde kum ɛyaw, nnuru a wɔde nhabannuru yɛ, Ayurvedic nnuru, ne nnuru a wɔde ka ho. Ebia nnuru bi ne Rylaze bedi nkitaho. Nhwɛsoɔ:
- Corticosteroids (sɛ nhwɛso no, Prednisolone) .
- Methotrexate a wɔde di dwuma
- Vincristine na ɔkyerɛwee
- Zonisamide a wɔde yɛ aduru
- Cytarabine a wɔfrɛ no Cytarabine
- Thyroid hormone ahorow a ɛma nipadua no yɛ adwuma
Saa nsɛm a wɔahyehyɛ yi nni mũ, enti ɛho hia yiye sɛ woka biribiara a worenom ho asɛm kyerɛ wo duruyɛfo.
Nsunsuanso bɔne a ebetumi aba esiane nnuru nti
Te sɛ aduru biara no, eyi betumi de ɔhaw ahorow aba. Ɛnyɛ obiara na onya wɔn. Nanso, ɛho hia sɛ wuhu eyi sɛnea ɛbɛyɛ a sɛ yare no ho sɛnkyerɛnne bi sɔre a, wubetumi ayɛ ho biribi ntɛm.
| Nsunsuanso bɔne | Nsɛnkyerɛnne a worehyia |
|---|---|
| Nneɛma bɔne a anibere wom a ɛsɛ sɛ wɔbɔ oduruyɛfo anaa ayaresabea adwumayɛfo amanneɛ ntɛm ara | |
| Nneɛma a ɛma obi ho yɛ no hyew | Wora mu akisikuru, ɛyaw, anim, anofafa, tɛkrɛma a ɛho ahonhon, ɛyɛ den sɛ wobɛhome. |
| Mogya a ɛtɔ a ɛnyɛ ne kwan so | Nsu tuntum anaa mogya, nsu a ɛyɛ kɔkɔɔ/biribiri tuntum, ɔfe a ɛte sɛ kɔfe a wɔayam, mogya a efi hwene/anom, nsensanee kɔkɔɔ wɔ honam ani. |
| Mogya a ɛtwetwe | Koko mu yaw, ahome a ɛyɛ tiaa, nan a ɛyɛ yaw, ɛho ahonhon, anaa ɔhyew. |
| Pancreatitis a ɛyɛ yare | Ɛyaw a emu yɛ den wɔ yafunu no atifi, ɛhyerɛn kɔ akyi, atiridiinini, akisikuru, ne ɔfe. |
| Mmɛn a wɔapirapira | Aniwa ne honam ani yɛ kɔkɔɔ (jaundice), nsu a ɛyɛ kɔkɔɔ/biribiri tuntum, ɛyaw wɔ yafunu no atifi nifa so, ɔbrɛ kɛse. |
| Asikre a ɛwɔ mogya mu a ɛkɔ soro | Ɔkɔm a ɛkɔ soro soronko, sukɔm a ɛboro so , nsu a wɔtaa tow, aniwa a wontumi nhu ade yiye, ɔbrɛ a ɛtra so. |
| Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo | |
| Tipaeɛ | Tiyɛ a ɛyɛ yaw wɔ ɔkwan a ɛkɔ akyiri so. |
| Akɔnnɔ | Aduan ho akɔnnɔ a ɛyera. |
| Ntini mu yaw | Nipadua mu yaw. |
| Ano mu akuru | Akuru nketenkete a ɛwɔ ano no mu. |
Sɛ wuhu sɛnkyerɛnne foforo biara a ɛyɛ soronko a enni saa din yi mu a, yɛsrɛ sɛ ka ho asɛm nso kyerɛ wo duruyɛfo.
Nkrasɛm a Wɔde Kɔ Fie
- Rylaze (Asparaginase) yɛ nnuru a wɔde sa mogya mu kokoram a wɔfrɛ no leukemia ne lymphoma.
- Wɔde saa aduru yi ma wɔ ayaresabea anaa ayaresabea a aduruyɛfo hwɛ so.
- Ka w’ayaresa tebea nyinaa ne nnuru afoforo a wonom nyinaa kyerɛ wo duruyɛfo.
- Sɛ wunya ɔhaw biara a emu yɛ den te sɛ akisikuru ho sɛnkyerɛnne, mogya a ɛtɔ soronko, anaa yafunu mu yaw a emu yɛ den a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Kwati nyinsɛn koraa bere a wɔreyɛ ayaresa no ne asram 3 wɔ ɛno akyi.
- Sɛ wowɔ nsɛmmisa anaa nsɛm bi a ɛhaw wo a, nsuro da sɛ wo ne wo duruyɛfo bɛkasa. Wɔwɔ hɔ sɛ wɔbɛboa wo.
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