So wo duruyɛfoɔ akyerɛw saa aduru yi ama wo anaa obi a ɔbɛn wo ama HIV? Sɛ saa a, asɛm yi bɛboa wo ma woayi nsemmisa, adwenem naayɛ, ne ebia ehu biara a ebia wowɔ wɔ aduru yi ho no afi hɔ. Ɛho hia paa sɛ wobɛfa ayaresa a ɛfata bere a wo ne HIV te. Enti momma yɛnka saa aduru a wɔde nnuru abien a wɔfrɛ no Atazanavir ne Cobicistat ka bom yɛ yi ho asɛm.
Aduru bɛn na eyi yɛ?
Sɛ yɛbɛka no tiawa a, eyi yɛ aduru a ekum ɔyare mmoawa a ɛko tia HIV mmoawa no. Ade titiriw a ɛwɔ eyi mu ne sɛ nnuru ahorow abien na ɛwɔ aduru biako mu.
1. Atazanavir: Eyi ne aduru titiriw a ɛhwɛ ma HIV mmoawa no dɔɔso wɔ nipadua no mu.
2. Cobicistat: Eyi yɛ adwuma te sɛ ‘booster’. Ɛne sɛ, ɛboa ma aduru Atazanavir tra yɛn nipadua mu kyɛ na ɛdɔɔso. Eyi ma aduru titiriw no tumi yɛ kɛse.
Wɔtaa de saa aduru yi ka nnuru afoforo a wɔde sa HIV ho. Wɔtaa tɔn no wɔ edin EVOTAZ ase .
Ɛho hia paa sɛ yɛhyɛ no nsow sɛ saa aduru yi ntumi nsa HIV koraa. Nanso ebetumi aboa wo ma woanya apɔwmuden denam mmoawa dodow a ɛwɔ wo nipadua mu a wobɛhwɛ so no so. Afei nso, sɛ wɔfa no yiye a, ebetumi atew asiane a ɛwɔ hɔ sɛ wɔde HIV mmoawa no bɛkɔ afoforo mu no so kɛse, sɛ ɛnyɛ eyi koraa mpo a.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom nnuru
Ɛho behia sɛ wo duruyɛfo nya w’akwahosan ho ntease a edi mũ ansa na wakyerɛw saa aduru yi ama wo. Enti, sɛ wowɔ tebea horow a edidi so yi mu biara a, hwɛ hu sɛ wobɛka ho asɛm akyerɛ wo duruyɛfo.
- Sɛ wowɔ asikreyare a .
- Sɛ wowɔ mogya a ɛtwetwe te sɛ hemophilia a .
- Sɛ wowɔ asaabo mu yare anaa mmerɛbo mu yare a .
- Sɛ wowɔ koma a ɛnyɛ adwuma yiye anaasɛ wowɔ komayare afoforo a.
- Sɛ wowɔ Atazanavir, Cobicistat, anaa aduru foforo biara, aduan, anaa ade a wɔde yɛ ade ho akisikuru a .
- Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a .
- Sɛ woyɛ ɛna a ɔma nufu a .
Wo duruyɛfo no begyina saa nsɛm yi so asi gyinae sɛ ebia saa aduru yi fata wo anaasɛ ɛnsɛ, ne sɛ ebia ɛsɛ sɛ wɔsesa dodow a wɔde ma no.
Ɔkwan bɛn so ankasa na mede saa aduru yi di dwuma?
Sɛ wopɛ sɛ wunya aduru bi so mfaso kɛse a, ɛsɛ sɛ wode di dwuma yiye.
- Fa saa aduru yi ne nsu kuruwa biako.Mene koraa.
- Hwɛ hu sɛ wode bɛka aduan ho . Mfa no bere a wo yafunu da mpan. Sɛ wɔde ka aduan ho a, nipadua no twe aduru no yiye.
- Bɔ mmɔden sɛ wobɛnom w’aduru no wɔ bere a ɛfata mu da biara. Ma eyi nyɛ wo su.
- Sɛ wo ho tɔ wo mpo a, nnyae aduru no nom esiane biribiara nti a wo duruyɛfo nka ho afotu.
- Mma nnyae nnuru a wɔde di dwuma. Sɛ woyɛ saa a, HIV mmoawa no betumi atumi ako atia saa aduru yi. Afei saa ayaresa yi betumi adi nkogu.
Sɛ wode saa aduru yi ma mmofra a...
Ɛtɔ mmere bi a wobetumi akyerɛw saa aduru yi ama mmofra, nanso ehia sɛ wɔyɛ ahwɛyiye soronko. Enti, sɛ wode saa aduru yi rema wo ba a, wo ne wo mmofra oduruyɛfo nkasa ho asɛm yiye.
Na sɛ wonom nnuru pii nso ɛ? (Nnuru a wɔde ma boro so) .
Sɛ wususuw sɛ woanom nnuru pii a, kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo ntɛm ara. Anaasɛ frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no .
Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?
Ɛyɛ yiye sɛ wo werɛ befi sɛ wobɛnom nnuru dodow bi. Sɛ ɛba saa a, mma ɛnhaw wo.
- Sɛ ɛboro nnɔnhwerew 12 ansa na wo dodow a edi hɔ no adu bere a wokae sɛ wobɛnom aduru no a, fa no bere a wokae ara pɛ.
- Nanso sɛ ennu nnɔnhwerew 12 kosi sɛ wobɛma wo dodow a edi hɔ a, twa dodow a woayera no so. Fa wo dodow a edi hɔ no wɔ bere a wɔahyɛ da ayɛ no mu.
- Mfa nnuru abien prɛko pɛ da sɛnea ɛbɛyɛ a wubesiesie dodow a wo werɛ afi no ara kwa. (Nnom nnuru mmɔho abien) .
Nnuru afoforo a ebia ɛne aduru yi bedi nkitaho
Eyi yɛ ɔfã a ɛho hia paa. Atazanavir a wɔde di dwuma; Cobicistat tumi ne nnuru afoforo pii di nkitaho. Enti, ka nnuru a worenom nyinaa (a vitamin, nhabannuru, ne nnuru a wɔtɔn ka ho) kyerɛ wo duruyɛfo .
Wɔakyerɛw nnuru bi a ebetumi ne aduru yi adi nkitaho wɔ pon a ɛwɔ ase ha no so.
| Nnuru a wɔde di dwuma no fã | Nhwɛso ahorow |
|---|---|
| Mfa saa aduru yi nka nnuru foforo biara ho. | |
| Nnuru bi a ɛma mogya mu srade so tew | Lovastatin, Simvastatin a wɔde yɛ aduru |
| Nnuru bi a wɔde sa tiyɛ (Ergot type) . | Dihydroergotamine, Nnuru a wɔfrɛ no Ergotamine |
| HIV/AIDS nnuru afoforo | Indinavir, Nnuru a Wɔde Di Dwuma |
| Nnuru bi a wɔde ma wɔ akisikuru ho | Carbamazepine, Phenobarbital, Phenytoin, aduru a ɛma nipadua no yɛ adwuma |
| St. John’s wort, a ɛyɛ nhabannuru bi | (Nnipa binom fa eyi sɛ adwenemhaw) . |
| Nnuru afoforo ahorow | Alfuzosin, Ranolazine, Lurasidone, Pimozide, Sildenafil (a wɔde ma ahurututu mu mogya mmoroso), Triazolam, Midazolam (anom aduru) . |
| Fa di dwuma wɔ oduruyɛfo afotu ase nkutoo efisɛ ebetumi ne saa aduru yi adi nkitaho. | |
| Nnuru a ekum ɔyare mmoawa, nnuru a ekum fungal | Clarithromycin, Itraconazole, Ketoconazole a wɔde di dwuma wɔ ɔkwan a ɛyɛ hu so |
| Nnuru a wɔde sa komayare ne mogya mmoroso | Amlodipine, Diltiazem, Digoxin, Verapamil a wɔde di dwuma wɔ aduruyɛ mu |
| Nnuru a ɛma mogya yɛ mmerɛw | Warfarin, Apixaban, Rivaroxaban, ne nnuru a wɔde sa yare a wɔfrɛ no Rivaroxaban |
| Nnuru a wɔde sa yafunu mu yare | Nnuru a ɛko tia acid, te sɛ Omeprazole, Famotidine |
| Nnuru a wɔde siw awo ano ne hormone ahorow | (Ebia eyinom ama adwumayɛ so atew) |
| Steroid ahorow ahorow | Prednisolone, Dexamethasone, Fluticasone (nneɛma a wɔde home) . |
Saa nsɛm a wɔahyehyɛ yi nwie pɛyɛ, enti ɛho hia yiye sɛ woka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo .
Nsunsuanso bɔne bɛn na ebia menya?
Te sɛ aduru biara no, eyi betumi de ɔhaw ahorow aba nnipa binom so, nanso ɛnyɛ obiara na onya bi.
| Nneɛma bɔne a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo no ntɛm ara | |
|---|---|
| Honam ani akisikuru a emu yɛ den | Nea ɛka atiridiinini ho ne honam ani akisikuru kɔkɔɔ anaa kɔkɔɔ, akisikuru, honam ani a ɛrepaapae, akuru a ɛwɔ ano no mu, ne ntini a ɛho ahonhon wɔ anim, anofafa, kɔn, anaa asen mu. |
| Aniwa anaa honam ani yɛ kɔkɔɔ , nsu a ɛyɛ tuntum | Eyinom betumi ayɛ mmerɛbo mu haw ho sɛnkyerɛnne. |
| Koma a ɛbɔ daa, adwenemhaw, te nka sɛ woatɔ piti | Ebetumi ayɛ komayare ho sɛnkyerɛnne. |
| Asikre dodow a ɛkɔ soro wɔ mogya mu ho sɛnkyerɛnne | Sukɔm a ɛkɔ soro, ɔkɔm, nsu a wɔtaa tow, ɔbrɛ a ɛtra so, aniwa a ɛyɛ kusuu. |
| Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo | |
| Ayamtuo | Tipaeɛ |
| Ntini mu yaw | Ɛyɛ den sɛ wobɛda |
| Adwene a ɛyɛ basaa | Nsakrae a ɛba ɔkwan a nipadua mu srade fa so sie mu (sɛ nhwɛso no, srade a ɛkɔ soro wɔ yafunu, akyi, ne kɔn ho, akwaa a ɛyɛ mmerɛw) . |
Nkrasɛm a Wɔde Kɔ Fie
- Hwɛ hu sɛ wobɛnom saa aduru yi ne aduan bi .
- Mma nnyae nnuruyɛ esiane biribiara nti. Fa no bere koro mu da biara da.
- Ka nnuru afoforo a worenom nyinaa (a vitamin ne Ayurvedic nnuru ka ho) ho asɛm kyerɛ wo duruyɛfo.
- Sɛ wuhu akisikuru a emu yɛ den ho sɛnkyerɛnne te sɛ honam ani akisikuru ne akisikuru a atiridii ka ho a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Sɛ woyɛ ɔbea a wode awo ano aduru redi dwuma a , wo ne wo duruyɛfo nkasa mfa awo ano aduru foforo (e.g. kɔndɔm) a wode bedi dwuma ho.
- Fa saa aduru yi sie baabi a ahobammɔ wɔ a ɛhɔ yɛ hyew, baabi a mmofra ntumi nkɔ hɔ.
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