Sɛ wo anaa w’abusua mu obi wɔ tebea bi te sɛ Multiple Sclerosis (MS) a, ɛyɛ ade a ɛfata sɛ wobɛte ehu kakra nka na wopɛ sɛ wuhu bere a worefi aduru foforo ase no. Titiriw bere a woresua aduru bi te sɛ Cladribine ho ade no, ebia wobɛpɛ sɛ wuhu sɛnea ɛyɛ adwuma ne nea ɛsɛ sɛ wohwɛ yiye. Enti ɛnnɛ, momma yɛnka saa aduru yi ho asɛm, sɛnea wo ne w’adamfo bi bɛkasa no.
Dɛn ne Cladribine?
Sɛ yɛbɛka no tiawa a, Cladribine yɛ aduru a wɔde sa nnipa a wɔwɔ tebea bi a wɔfrɛ no Multiple Sclerosis (MS) . Ɛba wɔ aduruyɛ mu. Ebia wunim no denam brand din `MAVENCLAD` so.
Afei ma yɛnhwɛ nea ɛbɛba. MS yɛ yare a ɛtra hɔ kyɛ a ɛka yɛn ntini ahorow. Ɛtɔ da bi a, sɛnkyerɛnne ahorow no betumi asɛe mpofirim. Yɛfrɛ eyi sɛ nea ɛsan ba bio. Enti nea Cladribine aduru yi yɛ ne sɛ ɛboa ma yare no nnyɛ kɛse bio.
Nanso ɛho hia sɛ wokae eyi. Cladribine nyɛ aduru a wɔde sa MS. Nanso ebetumi aboa wo ma woadi yare no so na woatra ase sɛnea ɛsɛ.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi saa aduru yi ase
Ansa na wo duruyɛfo bɛkyerɛw saa aduru yi no, ɛsɛ sɛ onya w’akwahosan tebea no ho mfonini a edi mũ. Saa aduru yi mfata obiara. Enti, sɛ wowɔ tebea horow a edidi so yi mu biara a, hwɛ hu sɛ wobɛka ho asɛm akyerɛ wo duruyɛfo.
- Kokoram tebea: Sɛ mprempren wowɔ kokoram anaasɛ woanya bi bere bi a atwam a.
- HIV anaa AIDS: Tebea horow a ɛma nipadua no tumi ko tia nyarewa.
- Ɔhaw afoforo a ɛko tia nyarewa: Tebea biara a ɛtew tumi a wo nipadua no tumi ko tia nyarewa (immunity).
- Mprempren nyarewa: Nyarewa biara, titiriw ɔyare mmoawa te sɛ akisikuru anaa akisikuru.
- Asaabo anaa mmerɛbo mu yare: Saa akwaa yi na ɛma nnuru yi fi nipadua no mu na eyi fi nipadua no mu, enti ɛho hia sɛ wuhu sɛ ebia ɔhaw bi wɔ wɔn dwumadi mu anaa.
- Mogya mu nkwammoaa dodow a ɛba fam: Mogya mu nkwammoaa fitaa, mogya mu nkwammoaa kɔkɔɔ, anaa mogya mu nkwammoaa a ɛba fam.
- Sɛ wo nsa aka vaccine nnansa yi ara anaasɛ wɔayɛ nhyehyɛe sɛ wobɛnya bi daakye a.
- Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a.
- Sɛ woyɛ ɛna a worema nufu a.
- Sɛ wo ho yɛ wo hyew wɔ cladribine anaa aduru foforo biara, aduan, anaa ade a wɔde yɛ ade ho a.
Ɛho hia paa ma w’ankasa ahobammɔ sɛ wobɛka akyerɛ oduruyɛfo no a womfa saa nneɛma yi nsie.
Ɔkwan bɛn so na ɛsɛ sɛ mede aduru no di dwuma?
Ɔkwan a wɔfa so de eyi bedi dwuma no yɛ mmerɛw yiye.
- Fa nsu kuruwa mene saa aduru yi.
- Wobetumi anom ansa na wɔadi anaasɛ wɔadi awie. Sɛ wo yafunu mu yɛ wo yaw a, ɛbɛyɛ papa sɛ wode bɛka aduan ho.
- Fa dodow pɔtee a wo duruyɛfo akyerɛ wo no. Mfa dodow a wɔakyerɛw ato hɔ no nnwe.
- Nnyae nnuru no nom mpofirim a wunni aduruyɛ mu afotu.
Wo duruyɛfoɔ bɛma wo nsɛm krataa soronko bi (MedGuide) a ɛfa saa aduru yi ho. Yɛsrɛ sɛ monkenkan no yiye bere a mo nsa aka no.
Sɛ dodow a wɔde ma no kɔ soro a, dɛn na ɛsɛ sɛ woyɛ?
Sɛ wususuw sɛ woanom nnuru pii a, kɔ ayaresabea Emergency Unit (ETU) ntɛm ara. Anaasɛ frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ no na woanya afotu.
Na sɛ mepa nnuru dodow bi nso ɛ?
Ɛnyɛ adwene pa sɛ wubehuw aduru yi dodow so. Sɛ woyɛ saa a, wo ne wo duruyɛfo nkasa na ama woanya afotu wɔ nea ɛsɛ sɛ woyɛ ho.
Nnuru afoforo a ebetumi ne saa aduru yi adi nkitaho (Interactions) .
Cladribine yɛ aduru a ɛtumi ne nnuru foforɔ bi di nkitaho, enti ɛsɛ sɛ woka nnuru a worenom nyinaa (wɔakyerɛw ama wo, a wɔmfa nnuru nhyɛ mu, nhabannuru, vitamin) kyerɛ wo duruyɛfoɔ.
| Nkitahodi a ɛda Cladribine ntam | |
|---|---|
| Mfa eyinom nka ho koraa: | |
| Nnuru a wɔde bɔ mmoawa a nkwa wom ho ban | S.e.: Akisikuru, akisikuru, rubella (MMR), akokɔsrade ho nnuru. |
| Nneyɛe nso betumi aba wɔ eyinom ho (hwehwɛ aduruyɛ mu afotu): | |
| Nnuru a wɔde siw awo ano | Nnuru bi a wɔde kum HIV anaa mmerɛbo mu yare |
| Nnuru afoforo a esiw nipadua no mu tumi a ɛko tia nyarewa ano | Nnuru ahorow a wɔde yɛ nnuru (Prednisone, Cortisone) . |
| Rifampicin (aduru a wɔde sa nsamanwaw) . | John’s Wort (aduru a wɔde nhabannuru yɛ) . |
| Cyclosporine, Curcumin, aduru a wɔfrɛ no Curcumin | Na nnuru afoforo pii nso... |
Nea ɛho hia: Eyi nyɛ nsɛm a wɔahyehyɛ a edi mũ, enti ɛho hia sɛ woka biribiara a worenom ho asɛm kyerɛ wo duruyɛfo.
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho titiriw bere a worenom nnuru no
Ɛsɛ sɛ wohwɛ yiye kakra wɔ w’akwahosan ho bere a worenom aduru yi no.
Asiane a ɛwɔ hɔ sɛ obi benya nyarewa
Cladribine betumi ama wo nipadua mu ahoɔden a ɛko tia nyarewa no ayɛ mmerɛw kakra. Eyi kyerɛ sɛ ɛnyɛ den sɛ wubenya nyarewa. Enti sɛ wowɔ sɛnkyerɛnne ahorow te sɛ atiridiinini, atiridiinini, menewam yaw, anaa ɔfe , nnyɛ wo ho aduru na wo ne wo duruyɛfo nkasa. Bɔ mmɔden sɛ wobɛtwe wo ho afi nnipa a wɔyare ho.
Asiane a ɛwɔ hɔ sɛ ɔyare mmoawa a emu yɛ den bɛka amemene no
Ɛntaa mma sɛ ayarefo binom betumi anya amemene no mu yare a emu yɛ den (PML - Progressive Multifocal Leukoencephalopathy) esiane saa aduru yi nti. Eyi betumi de nkwa ato asiane mu. Enti, sɛ wuhu sɛnkyerɛnne biara te sɛ nsakrae a ɛba w’ani so, ɛyɛ den sɛ wubesusuw nneɛma ho, kasa a ɛyɛ mmerɛw, ɛyɛ den sɛ wobɛnantew anaa wubegyina hɔ, anaasɛ worenkari pɛ a, ka kyerɛ wo duruyɛfo ntɛm ara. Sɛ wuntumi nkɔ ne nkyɛn a, hwehwɛ aduruyɛfo foforo ntɛm ara.
Hwɛ yiye wɔ nnuru a wɔde bɔ nkurɔfo ho ban ho.
Ebia saa aduru yi bɛma wo nipadua no ntumi nyɛ adwuma yiye wɔ nnuru a wɔde bɔ wo ho ban ho. Sɛ ɛho hia sɛ wonya nnuru biara a wɔde bɔ wo ho ban a, ka kyerɛ wo duruyɛfo sɛ worenom cladribine.
Afotu titiriw a ɛfa nyinsɛn ne mma ho
Eyi ho hia paa.
- Mmea: Kwati sɛ wubenyinsɛn bere a worenom aduru yi ne asram 6 bere a woagyae aduru no akyi .
- Mmarima: Sɛ worenom saa aduru yi a, kwati sɛ wobɛwo abofra bere a worenom aduru no ne asram 6 bere a woagyae no.
Nea enti a ɛte saa ne sɛ saa aduru yi betumi apira akokoaa a ɔhyɛ yafunu mu kɛse. Bisa wo duruyɛfo ma ɔmma no eyi ho nsɛm pii.
Dɛn ne nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ aduru biara no, cladribine betumi de ɔhaw ahorow aba. Ebi yɛ aniberesɛm, bere a afoforo nso abu so.
| Nsunsuanso bɔne a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara | |
|---|---|
| Nneɛma a ɛma obi ho yɛ no hyew | Wora mu akisikuru, ɛyaw, anim, anofafa, tɛkrɛma a ɛho ahonhon. |
| Ntini a ɛma nipadua no yɛ adwuma no su ahorow | Anisoadehu sesa, adwene mu naayɛ, nkae a ɛyera, kari pɛ a ɛyera. |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare mmoawa | Atiridii anaa atiridiinini, ɔfe, menewa mu yaw, ɛyaw bere a woretow. |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ mmerɛbo asɛe | Nsu a ɛyɛ kɔkɔɔ anaa bruu tuntum, aniwa anaa honam ani yɛ kɔkɔɔ, ɛyaw wɔ yafunu no atifi nifa so, aduan ho akɔnnɔ a ɛyera, akisikuru. |
| Nneɛma a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo | |
| Tipaeɛ | Akyi yaw |
| Abofono | Nkwaa mu yaw |
| Nwi a ɛtɔ | Asoroben |
Nkrasɛm a Wɔde Kɔ Fie
- Cladribine yɛ aduru a ɛko tia MS a emu yɛ den, nanso ɛnyɛ aduru.
- Ka w’akwahosan ho nsɛm nyinaa ne nnuru afoforo a wonom nyinaa kyerɛ wo duruyɛfo.
- Bere a worenom saa aduru yi no, hwɛ yiye paa wɔ ɔyare mmoawa ho sɛnkyerɛnne te sɛ atiridiinini ne ɔfe ho. Sɛ wowɔ sɛnkyerɛnne bi a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Kwati sɛ wubenyinsɛn bere a worenom aduru no ne asram 6 bere a woagyae no. Saa afotu yi fa mmea ne mmarima nyinaa ho.
- Mma nnyae w’aduru no nom anaasɛ nsakra dodow a wode ma no da a wunnya wo duruyɛfo afotu. Sɛ wowɔ nsɛmmisa bi a, wo ne wo duruyɛfo nkasa.
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