So wo duruyɛfo akyerɛw wo aduru bi a ɛbɛma woatumi asiw wo HIV tebea ano? Ebia aduru no din yɛ Dolutegravir ne Rilpivirine a wɔaka abom. Ɛtaa ba wɔ brand din JULUCA ase. Mma edin ahorow a ɛyɛ den kakra no nhaw wo. Wɔ asɛm yi mu no, yɛbɛka aduru yi, nea ɛyɛ wo nipadua, ne ahwɛyiye a ɛsɛ sɛ woyɛ bere a wode redi dwuma no ho asɛm, wɔ ɔkwan a ɛyɛ mmerɛw yiye a wubetumi ate ase so.
Dɛn ne aduru yi a wɔfrɛ no Dolutegravir; Rilpivirine a wɔde ma?
Sɛ yɛbɛka no tiawa a, eyi yɛ nnuru abien a ekum ɔyare mmoawa a wɔaka abom a ɛyɛ adwuma tia HIV mmoawa no. Eyi atirimpɔw titiriw ne sɛ wobɛhwɛ HIV mmoawa no dwumadi so wɔ wo nipadua mu na atew n’ahoɔden so.
Fa no sɛ kyɛm a ɛtew mmoawa no tumi so. Eyi na ɛhwɛ mmoawa no trɛw na ɛkɔ so nyin wɔ nipadua no mu no so kɛse.
Nanso ha no ɛsɛ sɛ wokae biribi a ɛho hia paa . Saa aduru yi nsa HIV koraa. Ɛne sɛ, ɛnyɛ aduru, na mmom ɛyɛ ayaresa . Afei nso, sɛ wonom saa aduru yi mpo a, asiane a ɛwɔ hɔ sɛ wode HIV mmoawa no bɛkɔ obi foforo mu no rennyi mfi hɔ koraa. Saa asiane no so tew kɛse. Enti, ɛsɛ sɛ wokɔ so di akwan a ahobammɔ wom akyi.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi ase anom nnuru
Ɛho hia yiye sɛ wo duruyɛfo hu w’akwahosan ho abakɔsɛm nyinaa 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 a woremfa biribiara nsie .
- Berɛbo mu yare: Sɛ wowɔ mmerɛbo mu yare bi a woadi kan anya a, yɛsrɛ sɛ ka ho asɛm kyerɛ yɛn.
- Adwene mu akwahosan ho nsɛm: Ɛho hia sɛ woma wo duruyɛfo hu sɛ woanya adwene, nhyehyɛe, anaa mmɔden a wobɛbɔ sɛ wubekum wo ho bere bi a atwam, anaasɛ sɛ obi a ɔwɔ w’abusua mu wɔ eyi ho abakɔsɛm a.
- Nneɛma a ɛma obi ho yɛ no hyew: Sɛ wowɔ Dolutegravir, Rilpivirine, anaa nnuru, nnuan, anaa nnuru foforo biara a ɛwɔ aduru yi mu ho akisikuru bi a, ka kyerɛ wo duruyɛfo.
- Nyinsɛn: Eyi ho hia yiye sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaasɛ woreyɛ nhyehyɛe sɛ wubenyinsɛn ntɛm a . Saa aduru yi betumi aka akokoaa a ɔhyɛ yafunu mu no.
- Nufu a Woma: Sɛ woyɛ ɛna a ɔma nufu a, ɛsɛ sɛ woka ho asɛm nso kyerɛ wo duruyɛfo.
Ɔkwan bɛn so ankasa na mede saa aduru yi di dwuma?
Sɛnea ɛbɛyɛ a wubenya aduru yi so mfaso kɛse no, ɛho hia yiye sɛ wuhu sɛnea wode bedi dwuma yiye.
- Fa ka aduan ho: Ɛsɛ sɛ wode saa aduru yi ka nsu kuruwa ne aduan ho . Mfa yafunu a hwee nni mu.
- Fa no bere ano: Bɔ mmɔden sɛ wobɛnom w’aduru no bɛyɛ bere koro mu da biara, sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ. Ma eyi nyɛ wo su.
- Mma nnuru dodow a wɔde ma no nmpa wo ti so: Ɛmfa ho sɛnea wote nka sɛ wo ho ye no, ntwa nnuru dodow no so anaasɛ nnyae wo nnuru no a wo duruyɛfo nka ho afotu. Sɛ wohuruw dodow a wɔde ma no a, ebetumi ama HIV mmoawa no anya ahoɔden a ɛko tia saa aduru yi. Sɛ woyɛ saa a, ebia saa aduru yi, ne HIV nnuru afoforo nso rennyɛ adwuma mma wo daakye.
- Na sɛ wonom nnuru pii nso ɛ?: Sɛ wususuw sɛ woanom nnuru pii a, frɛ National Poisons Information Center a ɛwɔ Colombo National Hospital ntɛm ara , anaa kɔ Emergency Treatment Unit (ETU) a ɛwɔ ayaresabea a ɛbɛn wo no.
- Na sɛ mepa dose bi nso ɛ?: Fa dose a ayera no bere a woakae ara pɛ. Nanso, sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ no a, twa dodow a woayera no so na fa dodow a edi hɔ no wɔ bere a woahyɛ da ayɛ no mu. Mfa nnuru mmɔho abien da.
Saa aduru yi yɛ wo nkutoo dea. Mfa w’aduru nkyɛ afoforo, sɛ mpo wɔn nso wɔ sɛnkyerɛnne koro no ara a wote no a.
Nnuru afoforo a ebetumi ne saa aduru yi adi nkitaho (Drug Interactions) .
Eyi yɛ ɔfã a ɛho hia paa. Nnuru bi betumi de ɔhaw aba bere a wɔde ka aduru yi ho no. Enti ka nnuru a worenom nyinaa (a vitamin, nhabannuru, ne nnuru a wɔde ka aduan ho ka ho) kyerɛ wo duruyɛfo .
Nnuru bi a ebetumi de ɔhaw aba aduru yi ho wɔ pon a ɛwɔ ase ha no so.
| Dolutegravir a wɔde di dwuma; Nkitahodi a ebetumi aba ne Rilpivirine | |
|---|---|
| Nnuru a ɛnsɛ sɛ wɔnom bom da | |
| Phoenix/Nnuru bi a wɔde sa akisikuru | Carbamazepine, Oxcarbazepine, Phenobarbital, Phenytoin a wɔde di dwuma wɔ ɔkwan a ɛyɛ nwonwa so |
| Nnuru bi a wɔde sa yafunu mu yare (Proton Pump Inhibitors) . | Esomeprazole, Pantoprazole, Omeprazole, Lansoprazole, Rabeprazole a wɔde ma |
| Nnuru bi a wɔde sa fungal infections | Fluconazole, Itraconazole, Ketoconazole, Posaconazole, Voriconazole a wɔde di dwuma |
| Nnuru bi a wɔde sa nsamanwaw | Rifampin, Rifapentine, Ɔde ne nsa kyerɛɛ ne so |
| Nnuru afoforo | Dexamethasone, Dofetilide, Ɔhotefo Yohane aduru, Cisapride, Pimozide, Thioridazine, Ziprasidone |
| Nnuru a ebetumi ama nkitahodi aba na ɛsɛ sɛ wɔnom wɔ nnuruyɛfo afotu ase | |
| Nnuru bi a ekum ɔyare mmoawa | Clarithromycin, Erythromycin, Rifabutin a ɛyɛ aduru a ɛma mogya tu |
| Nnuru afoforo a wɔde sa yafunu mu yare (Antacids) . | Aluminium hydroxide, Magnesium hydroxide, Kalsium carbonate, Cimetidine, Famotidine a wɔde yɛ nneɛma a ɛyɛ fɛ |
| Nneɛma a wɔde ka ho | Calcium a wɔde ma, Iron a wɔde ma |
| Nnuru afoforo | Metformin, Methadone, Sucralfate, nnuru a ɛka koma no nnyigyei (nnuru a ɛma QT ntam kwan kyɛ) . |
Saa nsɛm a wɔahyehyɛ yi nwie pɛyɛ, enti ɛyɛ nea asiane biara nni ho sɛ wobɛka biribiara a wobɛnom ho asɛm akyerɛ wo duruyɛfo.
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom aduru no
- Nhwehwɛmu a wɔyɛ no daa: Kɔ wo duruyɛfo nkyɛn bere ne bere mu. Obetumi ayɛ mogya adwuma a ɛho hia de ahu sɛnea aduru no renya wo nipadua no so nkɛntɛnso.
- Honam ani yare a emu yɛ den: Eyi ho hia yiye. Sɛ wo honam ani akisikuru a ɛwɔ sɛnkyerɛnne te sɛ atiridii anaa atiridiinini, wɔ adapɛn anaa asram kakraa bi akyi bere a woafi aduru no ase a, ka kyerɛ wo duruyɛfo ntɛm ara . Saa akisikuru yi betumi adan kɔkɔɔ anaa kɔkɔɔ, afei akisikuru na ayɛ. Anaasɛ ebetumi ayɛ akisikuru kɔkɔɔ a ntini a ɛho ahonhon wɔ anim, anofafa, anaa kɔn/abasa. Eyi betumi ayɛ tebea bi a emu yɛ den a wɔfrɛ no DRESS syndrome a ɛhwehwɛ sɛ wɔsa no ntɛm ara no ho sɛnkyerɛnne.
- Mmɛn a ɛsɛe: Nsu a ɛyɛ kɔkɔɔ/biribiri tuntum, aniwa anaa honam ani yɛ kɔkɔɔ, yafunu no atifi nifa so ɛyaw, ne ɔbrɛ kɛse betumi ayɛ mmerɛbo mu haw ho sɛnkyerɛnne. Ka kyerɛ wo duruyɛfo ntɛm ara.
- Adwene mu nsakrae: Sɛ wunya adwene mu nsakrae, adwenemhaw, anaa wususuw sɛ wubekum wo ho a, ka kyerɛ wo duruyɛfo anaa wo dɔfo bi ntɛm ara.
Nsunsuanso bɔne a aduru no de ba
| Nsunsuanso bɔne no su | Esu |
|---|---|
| Nneɛma a ɛsɛ sɛ wobɔ oduruyɛfo no amanneɛ ntɛm ara |
|
| Nneɛma a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo |
Sɛ wuhu sɛnkyerɛnne foforo biara a ɛyɛ soronko a wɔanka ho asɛm wɔ saa nsɛm yi mu a, wo ne wo duruyɛfo nkasa mfa ho nso.
Nkrasɛm a Wɔde Kɔ Fie
- Bere nyinaa fa saa aduru yi ka aduan ho , wɔ bere a wɔakyerɛw ama wo no mu, sɛnea wo duruyɛfo akyerɛ wo no. Mma nntwa nnuru dodow a wɔde ma no so.
- Ka nnuru afoforo, vitamin, ne nnuru a wɔde ka ho a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo. Ɛnsɛ sɛ wɔde nnuru bi, titiriw nea wɔde sa yafunu mu yare no ka eyi ho.
- Sɛ wunya atiridiinini ka honam ani akisikuru a emu yɛ den , adwene mu nsakrae, anaa mmerɛbo a asɛe ho sɛnkyerɛnne ahorow ho a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Kae sɛ eyi yɛ HIV ayaresa, na ɛnyɛ aduru. Kɔ so yɛ nna a ahobammɔ wom .
- Kwati sɛ wubenyinsɛn bere a worenom aduru yi. Sɛ woreyɛ nhyehyɛe sɛ wubenyinsɛn a, di kan ne wo duruyɛfo nkasa.
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