So wunim Bedaquiline aduru a wɔde sa nsamanwaw no? Momma yɛnkasa!

So woahu sɛ wo anaa obi a wunim no anya Nsanyare (TB) na oduruyɛfo akyerɛw wo nnuru ama no? Saa bere no, ebia na wɔama wo saa aduru yi a wɔfrɛ no `(Bedaquiline)`. Eyi wɔ tumi kakra, na ɛyɛ aduru a ɛsɛ sɛ wɔde adwene si so titiriw. Enti, ɛho hia paa ma wo yiedie sɛ wobɛhunu aduru yi a wɔfrɛ no `(Bedaquiline)` yi ho asɛm pɛpɛɛpɛ. Momma yɛnka eyi ho asɛm nkɔ akyiri, ɛnte saa?

Dɛn ne aduru yi? Dɛn ne `(Bedaquiline)`?

Sɛ yɛbɛka no tiawa a, `(Bedaquiline)` yɛ aduru a wɔde sa nsamanwaw (TB) yareɛ a ɛwɔ w’ahurututu mu. Wɔtaa de di dwuma ma `(TB)` nsɛm a ɛyɛ den kɛse bere a nsamanwaw nnuru afoforo nyɛɛ adwuma. Ebia wobɛsan nso ahu `(Sirturo)` sɛ edin a wɔde frɛ saa aduru yi.

Nanso, ɛtɔ mmere bi a nnuruyɛfo betumi de saa aduru yi adi dwuma wɔ tebea afoforo nso ho. Enti sɛ wowɔ nsɛmmisa bi a, ɛbɛyɛ papa sɛ wubebisa wo duruyɛfo anaa onipa a ɔwɔ nnurutɔnbea hɔ no.

Nneɛma bɛn na ɛsɛ sɛ meka kyerɛ oduruyɛfo no ansa na manom saa aduru yi?

Ansa na wobɛhyɛ aseɛ de `(Bedaquiline)` adi dwuma no, ɛho hia sɛ woka deɛ ɛdidi soɔ yi ho asɛm kyerɛ wo duruyɛfoɔ anaa aduruyɛ kuo: Wei ho hia paa ɛfiri sɛ ɛbɛkyerɛ sɛ saa aduru yi fata wo ne sɛdeɛ ɛsɛ sɛ wɔde ma.

• Koma mu yare : Wowɔ komayare bi? So woanya komayare pɛn? Sɛ saa a, hwɛ hu sɛ wobɛka akyerɛ yɛn.
• Koma a ɛbɔ daa: So woanya tebea bi pɛn a na wo koma bɔ ntɛmntɛm anaasɛ na ɛyɛ ntɛmntɛm? Ɛsɛ sɛ yɛka eyi nso ho asɛm.
• Mogya mu nkyene a ɛba fam: So wɔadi kan ahu sɛ calcium, magnesium , anaa potassium sua wɔ wo mogya mu ?
• HIV anaa AIDS : Woanya `(HIV)` anaa wowɔ `(AIDS)`?
• Nsã a wɔnom : So wonom nsa daa? Sɛ saa a, yɛsrɛ sɛ ka saa.
• Berɛbo mu yare: So wowɔ mmerɛbo mu yare bi? So woanya jaundice bi dedaw, anaasɛ nnuruyɛfo aka akyerɛ wo sɛ wo mmerɛbo ayɛ mmerɛw? Sɛ wowɔ tebea horow yi bi a, akyinnye biara nni ho sɛ ɛsɛ sɛ woka kyerɛ.Efisɛ ɛtɔ mmere bi a aduru yi tumi ka mmerɛbo no.
• Thyroid Nyarewa: So ɔhaw bi wɔ thyroid gland no ho?
• Allergies: So wowɔ allergy bi wɔ aduru `(Bedaquiline)`, aduru foforo biara, aduan, nnuru a wɔde yɛ nneɛma, anaa nneɛma a wɔde siesie nneɛma ho? Ka kyerɛ yɛn, sɛ ɛyɛ ketewaa mpo a.
• Nyinsɛn: So woanyinsɛn mprempren? Anaasɛ wowɔ anidaso sɛ wubenyinsɛn?
• Sɛ woyɛ ɛna a ɔma nufu a: So woyɛ ɛna a ɔma nufu?

Sɛ woka saa nneɛma yi kyerɛ me a womfa nsie a, oduruyɛfo no betumi asa wo yare dwoodwoo.

Ɔkwan bɛn so na ɛsɛ sɛ mede saa aduru yi di dwuma?

Eyi nso yɛ biribi a ɛsɛ sɛ wuhu pɛpɛɛpɛ. Nea ɛho hia sen biara ne sɛ wobɛnom aduru no sɛnea oduruyɛfo no ka no pɛpɛɛpɛ.

• Ɛsɛ sɛ wode saa aduru yi ka nsu kuruwa biako ho.
• Ade a ɛho hia paa ne sɛ wobɛfa saa aduru yi ne aduane. Mfa no bere a wo yafunu da mpan. Sɛ wɔde ka aduan ho a, nipadua no twetwe aduru no yiye.
• Wɔde saa aduru yi bɛma wo wɔ akwahosan ho ɔbenfo te sɛ oduruyɛfo anaa ɔyarehwɛfo hwɛ ase.
• Nom w’aduru no bere a ɛfata ne bere a ɛfata. Mfa dodow a wo duruyɛfo ka kyerɛ wo sɛ fa no nnɔɔso anaa nnɔɔso.
• Sɛ wo ho tɔ wo mpo a, akyinnye biara nni ho sɛ ɛsɛ sɛ wuwie nnuru a wo duruyɛfo akyerɛw ama wo no nyinaa. Wɔ yare te sɛ nsamanwaw mu no, nnuru a wubegyae bere a wo ho atɔ wo kakra no yɛ asiane kɛse . Sɛ woyɛ saa a, ebia yare no bɛsan aba, na ebia aduru no rentumi nyɛ adwuma. Enti, nnyae nnuru no esiane biribiara nti anaasɛ nnyae nom ansa na oduruyɛfo no aka akyerɛ wo.

Nsɛm Titiriw (MedGuide): Bere biara a wubenya saa aduru yi afi nnurutɔnbea no, wɔbɛma wo akwankyerɛ krataa titiriw ``(MedGuide)`` a ɛka ho. Nsɛm a ɛho hia paa wɔ aduru yi ho. Hwɛ hu sɛ wobɛkenkan no yiye bere biara.

So ɛsɛ sɛ wɔde aduru yi ma mmofra nkumaa?

Sɛ wode saa aduru yi rema wo ba kumaa a, wo ne wo mmofra oduruyɛfo nka ho asɛm. Ɛtɔ da bi a, wɔ tebea soronko bi mu no, wobetumi akyerɛw saa aduru yi ama mmofra a wɔadi mfe 5 pɛ. Nanso, nneɛma bi wɔ hɔ a ɛsɛ sɛ yɛhwɛ yiye wɔ ho.

Na sɛ menom nnuru pii nso ɛ? (Nneɛma a wɔde ma boro so) .

Sɛ wususuw sɛ woanom nnuru pii sen sɛnea wususuw a, kɔ ayaresabea dan a wɔhwɛ ntɛmpɛ a ɛbɛn wo no mu anaa frɛ baabi a wɔhwɛ awuduru so ntɛm ara . Mma nsɛe bere.

Ade biako bio: Saa aduru yi yɛ wo nkutoo dea. Mfa mma w’adamfo, w’abusua muni, anaa obi foforo biara da , sɛ mpo wɔn tebea no te sɛ wo a. Nnuru ahorow yɛ adwuma ma nnipa ahorow.

Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?

Ɛho hia paa sɛ wobɛnom w’aduru no sɛnea wɔakyerɛw ama wo no pɛpɛɛpɛ. Afei nso, hwɛ hu sɛ wubedi wo duruyɛfo nkyɛn. Sɛ woankɔ bere a woahyɛ da ayɛ ho nhyehyɛe anaasɛ wuntumi nnom w’aduru no bere ano a, frɛ wo duruyɛfo anaa akwahosan ho ɔbenfo ntɛm ara. Wɔbɛkyerɛ wo nea ɛsɛ sɛ woyɛ akyi.

Nnuru afoforo bɛn na ebetumi ne aduru yi adi nkitaho?

Eyi nso yɛ asɛm a ɛho hia paa. Saa aduru yi a wɔfrɛ no ``Bedaquiline'' no tumi ne nnuru afoforo bi a worenom no adi nkitaho. Sɛ eyi ba a, ebia aduru biako a etu mpɔn no so bɛtew, ama ayɛ kɛse, anaasɛ ɛde ɔhaw ahorow a ɛyɛ hu bɛba.

Mfa `(Bedaquiline)` nka nnuru yi ho da:

• Nsaden
• `cisapride`
• `dronedarone`
• `pimozide a wɔde yɛ adwuma`
• `thioridazine a wɔde yɛ adwuma`

Afei nso, nnuru a edidi so yi betumi ne `(Bedaquiline) adi nkitaho:

• Nnuru a wɔde ko tia HIV anaa AIDS (sɛ nhwɛso no, efavirenz) .
• `arsenic trioxide a wɔde yɛ ade`
• Nnuru bi a ekum ɔyare mmoawa (sɛ nhwɛso no, azithromycin, chloroquine, ciprofloxacin, clarithromycin, erythromycin, gemifloxacin, levofloxacin, moxifloxacin, norfloxacin, ofloxacin, pentamidine, rifampin, rifapentine, rifabutin) .
• Nnuru bi a wɔde sa fungal yare (sɛ nhwɛso no, fluconazole, itraconazole, ketoconazole, posaconazole, voriconazole) .
• Nnuru bi a wɔde sa koma a ɛbɔ a ɛnteɛ (sɛ nhwɛso no, amiodarone, disopyramide, dofetilide, ibutilide, procainamide, propafenone, quinidine, sotalol) .
• Nnuru bi a wɔde sa akisikuru (e.g. chlorpromazine, droperidol) .
• Nnuru bi a wɔde sa adwenemyare (e.g. haloperidol) .
• `methadone a wɔde yɛ adwuma`
• Nnuru afoforo a ɛma koma no `QT ntam kwan` (kyerɛ sɛ, ɛde anyinam ahoɔden dwumadi a ɛnteɛ ba koma no mu) .
• `ziprasidone a wɔde yɛ adwuma`

Saa list yi nwie pɛyɛ. Ebia nnuru afoforo pii wɔ hɔ. Enti, ka nnuru a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo (wɔakyerɛw ama wo, a wɔmfa nnuru nhyɛ mu, nhabannuru, vitamin, aduan a wɔde ka aduan ho - biribiara). Afei nso, sɛ wonom sigaret, wonom nsa, anaa wode nnuru foforo di dwuma a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo . Nneɛma bi betumi ne aduru yi adi nkitaho.

Dɛn na ɛsɛ sɛ mehwɛ yiye wɔ ho bere a merenom aduru yi?

Ɛsɛ sɛ wode w’adwene si wo nipadua so kakra bere a worenom `(Bedaquiline)` no.

• Sɛ wo sɛnkyerɛnne (s.e. ɔfe, ahome a ɛyɛ tiaa, atiridii) ankɔ yiye anaasɛ ɛte sɛ nea ɛreyɛ kɛse a, ka kyerɛ wo duruyɛfo ntɛm ara.
• Ɛsɛ sɛ wokɔ wo duruyɛfo nkyɛn bere ne bere mu. Bere a worenom aduru yi no, ebia ebehia sɛ woyɛ mogya ho adwuma de hwɛ sɛnea wo mogya dodow ne sɛnea wo mmerɛbo no yɛ adwuma. Sɛ wo duruyɛfo ka kyerɛ wo sɛ yɛ nhwehwɛmu ahorow yi a, hwɛ hu sɛ wobɛyɛ.
• Sɛ woyɛ ɛna a ɔma nufu a:Wo ne wo duruyɛfo nkasa ansa na woama wo ba no nufu bere a worenom aduru yi. Sɛ worenom nufu a, ka kyerɛ wo duruyɛfo ntɛm ara sɛ ɛte sɛ nea wo ba no nsu ayɛ tuntum sen sɛnea ɔtaa yɛ, anaasɛ ɛte sɛ nea wɔn nsu mu yɛ hare sen sɛnea wɔtaa yɛ, anaasɛ ɛte sɛ nea wɔn aniwa reyɛ kɔkɔɔ a.

Dɛn ne aduru yi mu nsunsuanso bɔne a ebetumi afi mu aba?

Te sɛ aduru biara no, Bedaquiline betumi de ɔhaw ahorow bi aba. Ɛnyɛ obiara na onya bi, nanso eye sɛ wobɛma w’ani ada hɔ.

Nneɛma bɔne a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ntɛm ara:

Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, kɔ oduruyɛfo anaa ayaresabea ntɛm ara:

• Nneɛma a ɛma obi ho yɛ no hyew: Honam ani akisikuru, ɛyaw anaa akisikuru, anim, anofafa, anaa tɛkrɛma a ɛho ahonhon.
• Mogya a wɔfefe :
• Nsakrae a ɛyɛ hu a ɛba koma a ɛbɔ mu ho sɛnkyerɛnne: koko mu yaw; adwenemhaw a ɛma obi ho kyere no; sɛ wobɛte nka sɛ wo koma rebɔ ntɛmntɛm anaasɛ ɛnte saa; koma a ɛbɔ denneennen; akisikuru, adwenemhaw; ɛyɛ den sɛ wobɛhome.
• Nsɛnkyerɛnne a ɛkyerɛ sɛ mmerɛbo asɛe: nsu a ɛyɛ kɔkɔɔ anaa bruu tuntum; te nka sɛ ne ho nyɛ no den, atiridiinini; nsu a ɛyɛ mmerɛw; aduan ho akɔnnɔ a ɛyera; ɛyaw a ɛba yafunu no fã a ɛwɔ soro nifa so; ɔbrɛ anaa ɔbrɛ a ɛtra so; aniwa anaa honam ani a ɛyɛ kɔkɔɔ (jaundice).

Nsunsuanso bɔne a mpɛn pii no ɛnyɛ asɛm kɛse, nanso sɛ ɛkɔ so a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo :

Mpɛn pii no, eyinom nyɛ nea asiane wom, nanso sɛ ɛkɔ so anaasɛ ɛhaw wo a, ka kyerɛ wo duruyɛfo sɛ:

• Tiyɛ (tiyɛ) .
• Nkwaa mu yaw
• Abofono
• Yafunu mu yaw

Ebia nneɛma bɔne a ebetumi afi mu aba nyinaa nka saa nsɛm a wɔahyehyɛ yi ho. Sɛ wuhu biribi a ɛyɛ soronko a, bisa wo duruyɛfo no ho asɛm. Wubetumi nso abɔ amanneɛ akyerɛ FDA (Food and Drug Administration) wɔ 1-800-FDA-1088 (ɛwom sɛ eyi mfata wɔ Sri Lanka de, nanso sɛnea ɛbɛyɛ a wubehu ara kwa). Wɔ Sri Lanka no, ɛbɛyɛ papa sɛ wobɛka akyerɛ wo duruyɛfo.

Ɔkwan bɛn so na ɛsɛ sɛ wode w’aduru sie?

Ɛho hia nso sɛ wode w’aduru sie yiye.

• Fa sie baabi a mmofra ntumi nkɔ hɔ.
• Fa sie wɔ dan mu hyew (a ɛwɔ digrii Celsius 15 kosi 30 / digrii Fahrenheit 59 ne 86 ntam).
• Fa saa aduru yi sie mfitiase toa anaa packet a wɔde maa wo no mu.
• Tow aduru biara a ne bere atwam no gu.

Awiei koraa no, ade a ɛho hia sen biara

Sɛnea wubetumi ahu no, `(Bedaquiline)` yɛ aduru a ɛsɛ sɛ wɔde ahwɛyiye bi di dwuma. Nanso mma nsuro. Nea ɛho hia sen biara ne sɛ wubedi wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ. Sɛ woante biribi ase anaasɛ w’adwene mu yɛ wo naa a, bisa wo duruyɛfo anaa onipa a ɔwɔ nnurutɔnbea hɔ no ma ɔmma wo nkyerɛkyerɛmu.

Nsamanwaw yɛ yare a wotumi sa. Nanso ɛhwehwɛ sɛ wɔnom nnuru a ɛfata bere tenten a ɛfata. Mo mmoa ne ahoɔden a ɛsen biara a ɛbɛma woadi nkonim wɔ ɔko yi mu. Mepɛ sɛ wo ho tɔ wo ntɛm!

` Bedaquiline, Nsamanwaw, TB, Ahurututu mu Nyarewa, Nnuru, Nsunsuanso bɔne, Akwahosan Ho Afotu, Sirturo