Sɛ wɔresa wo anaa obi a ɔbɛn wo kokoram a, ebia wunim asɛmfua ‘chemotherapy’. Nnuru titiriw a wɔde di dwuma wɔ saa ayaresa yi mu biako ne Liposomal Doxorubicin. Sɛ wote aduru yi ho asɛm a, ebia wobɛte ehu ne ehu kakra nka. Nanso sɛ wusua ho ade pii a, wubehu sɛ saa suro no ho nhia. Ɛnnɛ, yɛbɛka aduru yi, nea ɛyɛ, ne biribiara a ɛsɛ sɛ wuhu ho asɛm tiawa.
Aduru bɛn na eyi yɛ?
Sɛ yɛbɛka no tiawa a, eyi yɛ nnuru a wɔde sa yare a ekum kokoram nkwammoaa. Wɔde sa kokoram ahorow pii, titiriw Kaposi sarcoma , multiple myeloma , ne awotwaa mu kokoram .
Wɔfrɛ no ‘Liposomal’ esiane biribi nti. Wɔnam aduru bi a wɔfrɛ no doxorubicin a wɔde hyɛ srade nketenkete (liposomes) mu no so na ɛyɛ saa aduru yi. Ɛte sɛ nea wode aduru no abɔ ade ketewaa bi mu. Saa kwan yi boa ma aduru no kɔ baabi a kokoram nkwammoaa no wɔ tẽẽ na ɛyɛ adwuma, bere a ɛmma nkwammoaa a ɛwɔ apɔwmuden no sɛe no kɛse no. Wobetumi anya saa aduru yi wɔ din a wɔde frɛ no Doxil anaa Lipodox ase.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom nnuru
Ansa na obesi gyinae sɛ ɔbɛma wo saa aduru yi no, ɛho behia sɛ wo duruyɛfo hu w’akwahosan ho abakɔsɛm nyinaa. Enti hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ wowɔ nea edidi so yi mu biara a:
- Ɛfa mogya mu nyarewa afoforo a wowɔ ho.
- Sɛ wowɔ komayare a.
- An existing infection , titiriw ɔyare mmoawa te sɛ akokɔsrade ne akisikuru.
- Sɛ wowɔ mmerɛbo mu yare a .
- Sɛ woanya mframa a wɔde sa yare nnansa yi anaasɛ woreyɛ mprempren a .
- Sɛ wo ho yɛ wo hyew wɔ doxorubicin, nnuru afoforo a wɔde sa yare, soyabean, nnuru afoforo, nnuan, anaa nneɛma a wɔde sie ho a.
- Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a .
- Sɛ woyɛ ɛna a ɔma nufu a .
Sɛ wode saa nsɛm yi ma pɛpɛɛpɛ a, ɛbɛboa nnuruyɛfo kuw no ma wɔasa wo yare a ahobammɔ wom na etu mpɔn.
Ɔkwan bɛn so na wɔde aduru yi ma nipadua no?
Saa aduru yi nyɛ biribi a wubetumi de akɔ fie. Oduruyɛfo anaa ayarehwɛfo adwumayɛfo a wɔatete wɔn titiriw ama eyi na ɔde ma wo wɔ ayaresabea anaa ayaresabea.
Mpɛn pii no eyiWɔde ma sɛ ade a wɔde fa ntini bi mu kɔ nipadua no mu te sɛ nkyene . Sɛ wote ɛyaw, ɔfe, kɔkɔɔ, anaa nkate biara a ɛyɛ soronko wɔ baabi a wɔde aduru yi rema wo bere a wɔde aduru yi rema wo no a, ka kyerɛ wo duruyɛfo anaa ɔyarehwɛfo ntɛm ara .
Sɛ nnuru no dodow kɔ soro a, dɛn na ɛsɛ sɛ woyɛ?
Esiane sɛ wɔde eyi ma wɔ ayaresabea a wɔhwɛ so nti, asiane kakraa bi na ɛwɔ hɔ sɛ wɔbɛnom boro so. Nanso, sɛ wususuw sɛ biribi asi a, ka kyerɛ wo duruyɛfo ntɛm ara. Sɛ biribi si ntɛm a, wubetumi afrɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea . Anaasɛ kɔ Emergency Treatment Unit (ETU) a ɛbɛn wo .
Na sɛ mepa da koro a mɛnom aduru no nso ɛ?
Ɛho hia yiye sɛ wobɛfa dodow no da a wɔahyɛ sɛ wobɛfa saa ayaresa yi. Sɛ biribi nti wuntumi mma da a wɔahyɛ da ayɛ no a, di kan bɔ wo duruyɛfo anaa ayaresabea amanneɛ na bisa afotu da a edi hɔ a ɛbɛba no.
Nneɛma a ɛsɛ sɛ wususuw ho bere a wɔreyɛ ayaresa no
Ɛsɛ sɛ wohwɛ wo nipadua yiye bere a worenom saa aduru yi no.
Akwahosan tebea ne sɔhwɛ ahorow a wɔyɛ no nyinaa
Bere a woreyɛ ayaresa no, wo duruyɛfo bɛhyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu daa (mogya adwuma) . Eyi betumi aboa ma woahu wo mogya mu nkwammoaa dodow ne sɛnea wo nipadua no mu dwumadi.
Esiane sɛ nnuru a wɔde sa yare nso ka nkwammoaa a wɔwɔ apɔwmuden nti, ebia wo ho nyɛ wo den kakra anaasɛ wobrɛ. Eyi yɛ ade a ɛfata. Nanso ka ɔhaw biara a wubenya ho asɛm kyerɛ wo duruyɛfo. Nnyae w’ayaresa no esiane sɛ wo ho nyɛ wo den nti gye sɛ wo duruyɛfo ka kyerɛ wo.
Nsu kɔla a ɛsakra
Ebia wo nsu bɛdan borɔdɔma kɔkɔɔ nna kakraa bi bere a woanom aduru no akyi. Eyi nyɛ mogya, na mmom aduru no mu nsunsuanso bɔne. Mma ɛnhaw wo wɔ ho. Nanso, sɛ wo nsu yɛ bruu tuntum anaa kɔfe kɔla a, ka kyerɛ wo duruyɛfo.
Nokwasɛm ahorow a ɛho hia a ɛfa nyinsɛn ne awo ho
Eyi yɛ ɔfã a ɛho hia paa.
- Wɔ mmea fam no: Kwati sɛ wubenyinsɛn koraa bere a worenom aduru yi ne asram 6 bere a woagyae ayaresa no akyi. Sɛ wunyinsɛn saa bere yi mu a, ebetumi apira akokoaa a ɔhyɛ yafunu mu no kɛse.
- Wɔ mmarima fam no: Kwati sɛ wobɛwo abofra bere a worenom saa aduru yi ne asram 6 bere a woagyae ayaresa no.
- Nkɛntɛnso a enya wɔ awo so: Saa aduru yi betumi ama mmea binom awotwaa no ayɛ adwuma yiye na mmarima mmadwoa dodow so atew. Eyi betumi aka sɛnea wubetumi awo mma daakye. Sɛ wowɔ eyi ho dadwen bi a, wo ne wo duruyɛfo nkasa ansa na woafi ayaresa ase .
Ɛfa Co-Enzyme Q-10 ho
Saa aduru yi ma nipadua no Co-Enzyme Q-10 yɛ kɛseEbia dodow no so bɛtew. Enti, wo ne wo duruyɛfo nsusuw nnuan a Co-Enzyme Q-10 wom ne sɛ ɛho hia a, vitamin ahorow a wobɛnom wɔ saa bere yi mu ho.
Nsunsuanso bɔne a ebetumi aba ne nkitahodi ahorow
Te sɛ nnuru biara no, ebetumi de ɔhaw ahorow aba. Ebetumi ne nnuru afoforo a worenom nso adi nkitaho.
| Nea ɛsɛ sɛ wohwɛ so yiye | Nkyerɛmu |
|---|---|
| Nsunsuanso bɔne a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara | |
| Nneɛma a ɛma obi ho yɛ no hyew | Wora mu akisikuru, akisikuru; anim, ano, tɛkrɛma a ɛho ahonhon; ɛyɛ den sɛ wobɛhome. |
| Mogya mu nkwammoaa dodow a ɛba fam ho sɛnkyerɛnne | Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare no: atiridiinini, atiridiinini, ɔfe, menewam yaw. Nsɛnkyerɛnne a ɛkyerɛ sɛ mogya retu: mogya a ɛyɛ nkekae, akuru a wɔanhyɛ da, mogya a ɛwɔ nsu mu, ne nsu tuntum. Mogya mu nkwammoaa kɔkɔɔ a ɛba fam: ɔbrɛ a ɛtra so, ne ho yɛ fitaa, ne ho totɔ piti. |
| Nsa ne nan ho yare | Honam ani a ɛyɛ mmerɛw, ɛhyew, ɛyɛ kɔkɔɔ, ɛho ahonhon, honam ani a ɛrepaapae, anaasɛ akisikuru nketenkete a ɛwɔ nsateaa ne ne nan ase. |
| Nsɛnkyerɛnne afoforo a anibere wom | Koko mu yaw; koma a ɛbɔ ntɛmntɛm anaasɛ ɛnyɛ daa; ano mu akuru; ɛyaw a emu yɛ den, ɛho ahonhon wɔ baabi a wɔde aduru no guu no; nansoaa, nan anaa nsa a ɛho ahonhon; ɔfe a emu yɛ den. |
| Sɛ ɛkɔ so anaasɛ ɛhaw adwene a, ka kyerɛ wo duruyɛfo. | |
| Nneɛma bɔne a ɛtaa ba | Atiridiinini, akisikuru, aduan ho akɔnnɔ a ɛyera, yafunu a ɛyɛ yaw, ti nhwi a ɛtɔ (eyi taa san kɔ sɛnea na ɛte bere a wɔasa no yare akyi), ne nnadewa kɔla a ɛsakra. |
| Nnuru afoforo a ɛnsɛ sɛ wɔde ka aduru yi ho na ebetumi ne no adi nkitaho | |
| Nnuru a ɛnsɛ sɛ wɔnom da | Zidovudine a wɔde ma |
| Nnubɔne a ebetumi de ntawntawdi aba | Nnuru a wɔde ma mogya mu nkwammoaa dodow kɔ soro (e.g. filgrastim, pegfilgrastim), nnuru a wɔde bɔ nkurɔfo ho ban. |
| Bisa oduruyɛfo ansa na woanom. | Nnuru a wɔde kum ɛyaw te sɛ acetaminophen, aspirin, ne ibuprofen (eyinom betumi ama mogya a ɛbɛtɔ obi no ayɛ kɛse). |
Saa list yi nyɛ nea ɛfa ne nyinaa ho. Enti, ka nnuru a wonom nyinaa (a vitamin ne nnuru a wɔde di dwuma wɔ amanne kwan so ka ho), sɛ wonom nsa, ne sɛ wonom sigaret ho asɛm kyerɛ wo duruyɛfo.
Nkrasɛm a Wɔde Kɔ Fie
- Liposomal Doxorubicin yɛ aduru a ano yɛ den a ɛko tia kokoram a adwumayɛfo a wɔatete wɔn de ma wɔ ayaresabea.
- Ɛho hia sɛ wobɔ wo duruyɛfo amanneɛ wɔ nnuru afoforo a wonom nyinaa ne w’ayaresa tebea nyinaa ho ansa na woafi ayaresa ase.
- Ɛyɛ ade a ɛfata sɛ wobɛte nka sɛ wo ho nyɛ wo dɛ kakra bere a woreyɛ ayaresa no, nanso kwati sɛ wubegyae ayaresa no a wunnya aduruyɛ mu afotu.
- Sɛ wunya ɔhaw bi a emu yɛ den te sɛ ahome a ɛyɛ den, wo koko mu yaw, wo ho wosow kɛse, anaasɛ wo ho yɛ wo hyew kɛse a, ka kyerɛ wo duruyɛfo anaa adwumayɛbea a wɔhwɛ ayaresa no ntɛm ara.
- Kwati sɛ wubenyinsɛn bere a wɔreyɛ ayaresa no ne asram 6 wɔ ɛno akyi. Eyi fa mmea ne mmarima nyinaa ho.
- Sɛ wowɔ w’awo (tumi a wubetumi awo) ho dadwen bi a, wo ne wo duruyɛfo nka ho asɛm pefee.
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