Sɛ yɛte sɛ yɛwɔ kokoram na yɛte n’ayaresa ho asɛm a, ɛyɛ ade a ɛfata sɛ yɛte ehu ne dadwen kakra nka. Titiriw sɛ yɛte asɛmfua ‘chemotherapy’ a, nnipa pii ho dwiriw wɔn. Enti ɛnnɛ yɛrebɛka aduru pɔtee bi a wɔde sa kokoram a ɛte saa ho asɛm. Ɛno ne Asparaginase Erwinia aduru a wɔfrɛ no chrysanthemi. Ɛwom sɛ saa din yi ware kakra de, nanso ne dwumadi ho nimdeɛ a wubehu no ho hia wo ne w’abusua yiye.
Sɛ yɛbɛka no tiawa a, dɛn ne aduru yi?
Eyi yɛ nnuru a wɔde sa yare a wɔde kum kokoram nkwammoaa. Sɛ yɛbɛka no pɛpɛɛpɛ a, ɛyɛ enzyme. Ɛyɛ adwuma denam amino acid ‘Asparagine’ a ɛhia sɛ kokoram nkwammoaa nyin no so. Ɔkwan foforo so no, ɛte sɛ nea "ɔkɔm de" kokoram nkwammoaa no na wɔasɛe wɔn.
Wɔde saa aduru yi sa mogya mu kokoram bi a wɔfrɛ no acute lymphoblastic leukemia (ALL) titiriw . Ɛtɔ mmere bi a nnuruyɛfo nso betumi akyerɛw ama kokoram ahorow afoforo. Wobetumi de adi gua wɔ edin `(Erwinase)` anaa `(Erwinaze)` ase.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi ayaresa ase
Ansa na ɔde aduru yi bɛma wo no, ɛho behia sɛ wo duruyɛfo hu w’akwahosan ho abakɔsɛm nyinaa. Eyi bɛboa wɔn ma wɔasi gyinae sɛ ebia saa ayaresa yi yɛ nea asiane biara nni ho na ɛfata wo anaa. Enti, sɛ wowɔ tebea horow a edidi so yi mu biara a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo.
- Mogya a ɛtɔ ho haw: Sɛ wowɔ mogyatɔw anaa ɔhaw bi a wo mogya ntumi nkɔ ntɛmntɛm a.
- Asikreyare: Saa aduru yi betumi asakra asikre dodow a ɛwɔ mogya mu, enti ɛho hia sɛ wɔbɔ asikreyare ho amanneɛ.
- Mogya a ɛtɔ ho abakɔsɛm: Sɛ woadi kan anya mogya a ɛtɔ wɔ nipadua no mu baabiara (te sɛ nan, ahurututu mu).
- Pancreatitis: Sɛ woadi kan anya pancreatitis a.
- Mmɛn mu yare: Sɛ wowɔ mmerɛbo mu yare biara a.
- Allergies: Sɛ wowɔ allergy wɔ Asparaginase aduru yi anaa aduru foforo biara, aduan, anaa aduru a wɔde yɛ ade ho a.
- Nyinsɛn anaa mmɔden a worebɔ sɛ wubenyinsɛn: Sɛ woanyinsɛn, anaasɛ woreyɛ nhyehyɛe sɛ wobɛwo akokoaa ntɛm a, akyinnye biara nni ho sɛ ɛsɛ sɛ woka kyerɛ wo duruyɛfo .
- Nufu a wɔde ma: Sɛ worema abofra nufu a.
Wobɛyɛ dɛn ama saa aduru yi?
Eyi nyɛ aduru anaa srade a wubetumi de akɔ fie. Eyi yɛ aduru a wɔde twitwiw nipadua mu, a wɔde ma wɔ ayaresabea anaa ayaresabea., Oduruyɛfo anaa ɔyarehwɛfo a wɔatete no de bɛhyɛ wo ntini mu (wɔ ntini mu) anaa ntini mu (wɔde fa ntini mu). Enti, wɔyɛ saa ayaresa yi wɔ aduruyɛfo hwɛ ase bere nyinaa.
Ade a ɛho hia sen biara ne sɛ worenpa wo duruyɛfo nkyɛn anaa nnuru a wobɛnom. Sɛ biribi nti woantumi ankɔ ayaresabea da a wɔahyɛ no a, bɔ ayaresabea anaa wo duruyɛfo no amanneɛ ntɛm ara.
Na sɛ aduru no dodow kɔ soro nso ɛ?
Esiane sɛ wɔde eyi ma wɔ ayaresabea nti, hokwan a ɛwɔ hɔ sɛ eyi bɛba no sua koraa. Nanso, sɛ wususuw sɛ biribi asi, mfomso mpo a, ka kyerɛ oduruyɛfo anaa ɔyarehwɛfo a ɔwɔ ayaresa dan no mu ntɛm ara. Sɛnea ɛbɛyɛ foforo no, frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no . Anaasɛ kɔ ayaresabea a ɛbɛn wo no Emergency Treatment Unit (ETU) .
Nsunsuanso bɔne a ebetumi aba bere a wɔreyɛ ayaresa no
Sɛnea ɛte wɔ nnuru a wɔde sa yare biara ho no, saa aduru yi betumi de ɔhaw ahorow aba. Nanso, ɛnyɛ obiara na onya saa nneɛma bɔne yi nyinaa. Afei nso, wotumi di wɔn mu dodow no ara so. Nea ɛho hia sen biara ne sɛ sɛ wowɔ sɛnkyerɛnne bi a ɛyɛ soronko a, wobɛka akyerɛ wo duruyɛfo, a womfa nsie.
Ma yɛnhwɛ nea saa nsunsuanso bɔne yi yɛ.
| Nsunsuanso bɔne no su | Mpopoeɛ |
|---|---|
| 🚨 Nneɛma bɔne a anibere wom a ɛsɛ sɛ wɔbɔ oduruyɛfo amanneɛ ntɛm ara | |
| Nneɛma a ɛma obi ho yɛ no hyew | Wora mu akisikuru, akisikuru; anim, ano anaa tɛkrɛma a ɛho ahonhon; ɛyɛ den sɛ wobɛhome. |
| Mogya a ɛretu | Nsu a ɛyɛ tuntum anaa tarry; nsu a ɛyɛ kɔkɔɔ anaa bruu tuntum; ɔfe a ɛte sɛ kɔfe a wɔayam; nsensanee kɔkɔɔ a ɛwɔ honam ani; mogya a ɛyɛ soronko a efi aniwa, anom, anaa hwene mu ba. |
| Mogya a ɛtwetwe | Koko mu yaw; ɛyɛ den sɛ wobɛhome; ɛyaw, ahonhon, anaa ɔhyew a ɛba nan bi mu. |
| Mmɛn a wɔapirapira | Nsu a ɛyɛ kɔkɔɔ anaa bruu tuntum; aniwa anaa honam ani a ɛyɛ kɔkɔɔ (jaundice); atenka a wɔte nka sɛ wayɛ mmerɛw; ɛyaw a ɛba yafunu no fã a ɛwɔ soro nifa so; aduan ho akɔnnɔ a ɛyera. |
| Pancreatitis a ɛyɛ yare | Ɛyaw a emu yɛ den wɔ yafunu mu a ɛte sɛ nea ɛrekɔ akyi, ɛyaw a ɛkɔ soro bere a wɔadi anaa bere a wɔde wɔn nsa aka yafunu no, atiridiinini, akisikuru, ɔfe. |
| Asikre a ɛwɔ mogya mu a ɛkɔ soro | Ɔkɔm anaa sukɔm a ɛkɔ soro wɔ ɔkwan soronko so, nsu a wɔtaa tow, aniwa a wontumi nhu ade yiye, ɔbrɛ a ɛtra so. |
| 🙂 Nsunsuansoɔ bɔne a ɛtaa nyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ oduruyɛfoɔ amanneɛ. | |
| Tipaeɛ | Tiyɛ a ɛyɛ yaw wɔ ɔkwan a ɛkɔ akyiri so. |
| Akɔnnɔ | Aduan ho akɔnnɔ a ɛso tew. |
| Ntini mu yaw | Sɛ wote nka sɛ wo nipadua no yɛ wo yaw. |
| Ano mu akuru | Akuru a ɛwɔ ano anaa anofafa so. |
Nneɛma afoforo a ɛsɛ sɛ yɛhwɛ yiye wɔ ho
Nyinsɛn ne nufu a wɔde ma
Eyi ho hia paa.
Kwati sɛ wubenyinsɛn koraa bere a worenom aduru yi ne anyɛ yiye koraa no asram 3 bere a woagyae ayaresa no akyi.
Saa aduru yi betumi apira akokoaa a ɔhyɛ yafunu mu kɛse. Ebia akwan a wofa so siw awo ano a ɛwɔ hormone (te sɛ nnuru a wɔde siw awo ano) no rentumi ne aduru yi nyɛ adwuma yiye. Enti, wo ne wo duruyɛfo nkasa mfa ɔkwan foforo a ahobammɔ wom a wode besiw awo ano a wode bedi dwuma no ho.
Afei nso, kwati sɛ wobɛma wo ba no nufu bere a wɔreyɛ ayaresa no ne asram 3 wɔ bere a woagyae no akyi.
Nkitahodi a ɛda nnuru afoforo ntam
Nnuru afoforo a worenom no betumi ne Asparaginase aduru yi adi nkitaho. Enti, ɛsɛ sɛ woka nnuru a worenom nyinaa kyerɛ wo duruyɛfo, ɛnyɛ nea wo duruyɛfo akyerɛw ama wo no nko, na mmom nea wotɔ fi nnurutɔnbea, Ayurvedafo amammerɛ mu nnuru, nhabannuru tii, vitamin, ne aduannuru a wɔde ka aduan ho nso. Titiriw nnuru te sɛ `(corticosteroids)`, `(methotrexate)`, `(vincristine)` betumi ne saa aduru yi adi nkitaho.
Nkrasɛm a Wɔde Kɔ Fie
- Asparaginase Erwinia chrysanthemi yɛ nnuru pɔtee bi a wɔde sa mogya mu kokoram te sɛ acute lymphoblastic leukemia (ALL).
- Ansa na wubefi ayaresa ase no, ka nyarewa afoforo a wowɔ nyinaa, nnuru a wonom nyinaa, ne akisikuru biara a wowɔ ho asɛm kyerɛ wo duruyɛfo.
- Eyi yɛ aduru a wɔde bɔ nkurɔfo ho ban a wɔde ma wɔ ayaresabea, wɔ aduruyɛfo hwɛ ase. Ɛho hia paa sɛ wonya ayaresa wɔ bere ano.
- Sɛ wuhu sɛnkyerɛnne ahorow te sɛ akisikuru a emu yɛ den, mogya a ɛtɔ soronko, anaa yafunu mu yaw a emu yɛ den a, bɔ wo duruyɛfo amanneɛ ntɛm ara anaa kɔ ayaresabea no Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) nkyɛn.
- Kwati sɛ wubenyinsɛn bere a woreyɛ ayaresa ne asram 3 bere a woagyae no. Wo ne wo duruyɛfo nkasa mfa ɔkwan a ahobammɔ wom a wode siw awo ano a wode bedi dwuma no ho.
- Wo ne w’aduruyɛfo kuw no nkasa pefee. Wo ne wɔn nsusuw nsɛmmisa, ehu, anaa dadwen biara ho. Kae sɛ ɛnyɛ wo nkutoo na wowɔ saa akwantu yi mu.
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