So wɔakyerɛw wo Capecitabine (Xeloda) aduru? Momma yɛnka eyi ho asɛm tiawa.

So wo duruyɛfo aka akyerɛ wo anaa obi a ɔwɔ w’abusua mu sɛ mfi aduru bi a wɔfrɛ no Capecitabine ase esiane kokoram nti? Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra, wopɛ sɛ wuhu nneɛma pii, na wunya nsɛmmisa pii bere a wote saa no. Sɛ yɛte asɛmfua "chemo" a, yɛtaa yɛ basaa. Enti, ɛnnɛ yɛbɛka saa aduru yi a wɔfrɛ no Capecitabine ho asɛm, nea ɛyɛ, sɛnea wɔde di dwuma, ne nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho wɔ ɔkwan a ɛyɛ mmerɛw yiye a wubetumi ate ase so.

Sɛ yɛbɛka no tiawa a, dɛn ne Capecitabine?

Capecitabine yɛ aduru titiriw bi a ekum kokoram nkwammoaa. Wɔ aduruyɛ mu no, yɛfrɛ eyi nnuru a wɔde sa yare. Wɔnom sɛ aduru a wɔde sa yare.

Wɔtaa de saa aduru yi di dwuma:

• Nufu mu kokoram
• Kokoram a ɛwɔ akyi berɛmo mu
• na wɔasa tebea horow te sɛ kokoram a ɛwɔ akyi berɛmo mu.

Sɛ yɛbɛka no tiawa a, saa aduru yi yɛ adwuma denam kokoram nkwammoaa a esiw kwan sɛ wɔbɛpaapae na wɔanyin no so. Ɛda adi sɛ wo duruyɛfo bɛkyerɛw ama wo wɔ edin a wɔde frɛ wo Xeloda ase.

Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi ase anom nnuru

Ɔfã yi ho hia yiye . Ɛho hia sɛ wo duruyɛfo hu w’akwahosan ho abakɔsɛm nyinaa na ama w’ayaresa no ayɛ yiye na wabɔ wo ho ban afi nsunsuanso bɔne a wompɛ ho.

Sɛ wowɔ nea edidi so yi mu biara a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo ansa na woafi Capecitabine ase:

• Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a: Eyi yɛ biribi a akyinnye biara nni ho sɛ ɛsɛ sɛ woka ho asɛm.
• Sɛ worema akokoaa nufu a.
• Sɛ wowɔ asaabo mu yare anaa mmerɛbo mu yare a.
• Sɛ wowɔ komayare a.
• Sɛ oduruyɛfo adi kan aka akyerɛ wo sɛ wowɔ enzyme DPD (dihydropyrimidine dehydrogenase) a enni mu a: Eyi yɛ den kakra. Sɛ yɛbɛka no tiawa a, ebia ɛbɛyɛ den ama nnipa a enzyme yi nni wɔn mu sɛ wobegyina aduru yi ano. Enti, ɛho hia paa sɛ wobɔ wo duruyɛfo amanneɛ wɔ eyi ho.
• Sɛ wɔaka akyerɛ wo sɛ wo mogya mu nkwammoaa fitaa anaa mogya mu nkwammoaa kɔkɔɔ dodow sua a.
• Sɛ worenom nnuru a ɛbɛma mogya no antɔ anaasɛ mogya no ayɛ mmerɛw (e.g. warfarin).
• Sɛ wowɔ tebea bi te sɛ nsu a ɛho ayɛ fĩ a.
• Sɛ woanya capecitabine, fluorouracil, anaa aduru anaa aduan foforo biara ho adwenemhaw a.

Ɔkwan bɛn so ankasa na wode saa aduru yi di dwuma?

Sɛnea ɛbɛyɛ na woanya aduru yi so mfaso kɛse no, ɛho hia yiye sɛ wobɛfa sɛnea wɔakyerɛw ama wo no.

• Fa nsu kuruwa mene tablets no.
• Ɛsɛ sɛ wɔnom saa nnuru yi wɔ simma 30 akyi bere a wɔadi no . Mfa yafunu a hwee nni mu.
• Mbubu, nbubu, anaa nwe nnuru a wɔde yɛ aduru no te sɛ anom. Mene tablet no nyinaa.
• Kɔ so nom aduru no kosi sɛ wo duruyɛfo bɛka akyerɛ wo sɛ gyae.

Nnuru a wɔde ma wɔ ‘kyinhyia’ mu.

Ebia wo duruyɛfo bɛka akyerɛ wo sɛ ɛho nhia sɛ wonom saa aduru yi bere nyinaa. Wɔde ma wɔ "kyinhyia" mu. Wei kyerɛ sɛ wobɛfa no nna kakraa bi (sɛ nhwɛso no, adapɛn 2), afei wugyae nom nna kakraa bi (sɛ nhwɛso no, dapɛn biako), na afei wufi ase bio. Wo duruyɛfo begyina wo tebea no so asi nhyehyɛe yi ho gyinae. Ɛho hia paa sɛ wubedi nhyehyɛe yi akyi pɛpɛɛpɛ. Sɛ obi nom boro dodow a wɔakyerɛw ama no a, ebetumi de ɔhaw ahorow a emu yɛ den aba.

Hwɛ yiye bere a woredi aduru no ho dwuma no.

Ɛyɛ papa sɛ wobɛhwɛ yiye bere a wode aduru yi redi dwuma no. Sɛ ɛbɛyɛ yiye a, fa nsateaa a ɛho tew di dwuma bere a woredi nnuru no ho dwuma no. Bisa wo duruyɛfo ma ɔmma no eyi ho nsɛm pii.

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

Sɛ wo werɛ fi sɛ wobɛnom dose bi a, twa so koraa. Fa wo dodow a edi hɔ no wɔ bere a wotaa fa no mu. Mfa nnuru abien prɛko pɛ da mfa nsiesie dodow a woayera no.

Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho kɛse bere a worenom nnuru no

Ɛsɛ sɛ wohwɛ yiye kakra wɔ wo nipadua ho bere a worenom aduru yi no.

Bɔ wo ho ban fi nyarewa ho.

Ebia saa aduru yi bɛma wo nipadua mu ahoɔden a ɛko tia nyarewa no ayɛ mmerɛw, na ɛkyerɛ sɛ ɛyɛ mmerɛw sɛ wobɛyare.

• Sɛ wunya yare no ho sɛnkyerɛnne te sɛ atiridiinini, atiridiinini, menewa mu yaw, anaa ɔfe , nnyɛ wo ho aduru na frɛ wo duruyɛfo ntɛm ara.
• Twe wo ho fi nnipa a wɔwɔ nyarewa te sɛ atiridiinini ne atiridiinini ho wɔ saa bere yi mu.

Mogya a ɛretu ne akisikuru

Ebia wobɛte mogya anaa akuru a ɛyɛ mmerɛw.

• Mma nnhohoro wo sẽ denneennen dodo. Fa brɔs a ɛyɛ mmerɛw a wɔde sẽ sẽ di dwuma .
• Sɛ wunya akuru anaa nsensanee a wontumi nkyerɛkyerɛ mu wɔ wo nipadua so, anaasɛ mogya retu wo hwene anaa wo hwene mu a, ka kyerɛ wo duruyɛfo.

Nyinsɛn ne nufu a wɔde ma

Eyi yɛ asɛm a ɛho hia yiye .

• Mmea: Kwati sɛ wubenyinsɛn koraa bere a worenom aduru yi ne asram 6 bere a woagyae aduru no akyi.
• Mmarima: .Kwati sɛ wubenyinsɛn bere a worenom aduru yi ne asram 3 bere a woagyae aduru no akyi.
• Kwati sɛ wobɛma nufu bere a worenom saa aduru yi ne adapɛn 2 bere a woagyae no.

Ɔyare a emu yɛ den, ɔfe, ne honam ani yare

• Sɛ wo yafunu mu yɛ wo yaw kɛse, wofe a ɛkɔ so , anaasɛ wo ho fifiri boro so a, ebia wo ho bɛtɔ wo sɛ nsu bɛtɔ wo. Enti ka kyerɛ wo duruyɛfo ntɛm ara.
• Ɛtɔ mmere bi a, saa aduru yi tumi ma honam ani yare a emu yɛ den. Sɛ wuhu sɛnkyerɛnne ahorow te sɛ akisikuru kɔkɔɔ, atiridii anaa atiridiinini , honam ani akisikuru anaasɛ ɛho ayɛ kurukuruwa , akuru a ɛwɔ w’ano mu , anaa w’anim anaa w’anofafa a ɛho ahonhon a , hwehwɛ ayaresa ntɛm ara .

Nsunsuanso bɔne bɛn na ebia menya?

Te sɛ aduru biara no, Capecitabine betumi de ɔhaw ahorow aba. Nanso, ɛnyɛ obiara na onya bi. Nea ɛho hia sen biara ne sɛ wubehu ɔhaw biara ntɛm na woaka akyerɛ wo duruyɛfo.

Na sɛ menom nnuru pii nso ɛ?

Sɛ wususuw sɛ woanom nnuru pii sen sɛnea wususuw a, kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo ntɛm ara. Anaasɛ frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ no na woanya afotu.