Bere a wo duruyɛfo no akyerɛ sɛ wowɔ HIV akyi no, ebia wɔaka akyerɛ wo sɛ fi ase nom nnuru a wɔaka abom yi. Esiane sɛ ɛwɔ din abiɛsa (Efavirenz, Lamivudine, Tenofovir) nti, ebetumi ayɛ te sɛ nea ɛyɛ basaa kakra mfiase no. Nanso mma ɛnhaw wo. Eyi yɛ nnuru a wɔde siw HIV ano wɔ wiase nyinaa a wɔaka abom a etu mpɔn yiye. Enti ɛnnɛ, momma yɛnka saa aduru yi ho asɛm, sɛnea ɛyɛ adwuma wɔ nipadua no mu, sɛnea wɔnom, ne nea ɛsɛ sɛ yɛhwɛ yiye wɔ ho wɔ ɔkwan a ɛyɛ mmerɛw na ɛnyɛ den sɛ wɔbɛte ase so.
Dɛn na ɛba wɔ nnuru a wɔaka abom yi ho ankasa?
Sɛ yɛbɛka no tiawa a, eyi yɛ nnuru ahorow abiɛsa a wɔaka abom. Yɛfrɛ eyinom "nnuru a ɛko tia ɔyare mmoawa." Nea saa aduru yi yɛ ne sɛ esiw HIV mmoawa a ɛwɔ wo nipadua mu no kwan sɛ ɛntrɛw nkɔ akyiri, kyerɛ sɛ, ɛhyɛ mmoawa no so na ɛnnɔɔso.
Fa HIV mmoawa no sɛ ɔtamfo a ɔtow hyɛ wo nipadua no ahobammɔ nhyehyɛe (immune system) so. Saa aduru yi brɛ saa ɔtamfo no tumi ase na ɛma wotumi di so. Eyi ma wo nipadua mu tumi a ɛko tia nyarewa no tumi yɛ adwuma denneennen bio.
Ade a ɛho hia paa: Saa aduru yi nsa HIV koraa. Ɛne sɛ, ɛnnyi mmoawa no mfi nipadua no mu koraa. Nanso ɛhyɛ mmoawa no a ɛtrɛw wɔ nipadua no mu no so yiye, na ɛboa wo ma wunya asetra a ahoɔden wom na ɛfata bere tenten.
Ade foforo a ɛsɛ sɛ wokae ne sɛ, sɛ wonom saa aduru yi mpo a, asiane a ɛwɔ hɔ sɛ wode HIV bɛkɔ obi foforo mu no mfi hɔ koraa. Enti, ɛho hia paa sɛ yɛbɛkɔ so adi nna mu nneyɛe a ahobammɔ wom akyi. Afei nso, saa aduru yi mmɔ wo ho ban mfi nyarewa afoforo a wonya fi nna mu (STI) ho.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi saa aduru yi ase
Ansa na wo duruyɛfo bɛkyerɛw saa aduru yi no, ebehia sɛ ohu w’akwahosan ho abakɔsɛm nyinaa. Enti sɛ wowɔ tebea horow a wɔabobɔ din wɔ ase ha no bi a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo. Mfa biribiara nsie, efisɛ ɛho hia paa ma w’ahobammɔ.
| Yare anaa nneɛma afoforo | Dɛn nti na ɛno ho hia? |
|---|---|
| Nnompe mu haw (sɛ nhwɛso no, nnompe mu yare) . | Ɛtɔ mmere bi a, ade a ɛwɔ aduru yi mu, Tenofovir, betumi aka nnompe a ɛyɛ den. |
| Koma mu yare | Wɔ tebea horow bi mu no, sɛnea koma no bɔ denneennen no betumi aka. |
| Abakɔsɛm a ɛfa adwenemyare (te sɛ adwenemhaw, dadwen) anaa nnuru a wɔde di dwuma ɔkwammɔne so ho | Nneɛma a wɔde yɛ Efavirenz no betumi aka adwenemyare. Ɛho hia sɛ wuhu eyi sɛ woadi kan anya ɔhaw ahorow a. |
| Pancreatitis a ɛyɛ yare | Saa aduru yi ntaa mma obi nya dwensɔtwaa mu yare. Asiane no yɛ kɛse sɛ woanya bi pɛn a. |
| Akisikuru anaa akisikuru (Akisikuru) . | Esiane sɛ saa aduru yi betumi aka ntini ahorow no nti, ɛsɛ sɛ wuhu sɛnea ebetumi aba sɛ akisikuru betumi aba. |
| Nnuru, nnuan anaa nneɛma afoforo ho akisikuru | Sɛ wowɔ aduru yi mu nneɛma anaa biribi foforo biara ho adwenemhaw bi a, ɛho hia sɛ wobɔ yɛn amanneɛ. |
| Sɛ worebɔ mmɔden sɛ wubenyinsɛn anaasɛ woanyinsɛn a | Ɛsɛ sɛ wo ne wo duruyɛfo kasa fa ahobammɔ a ɛwɔ aduru yi mu bere a wonyinsɛn no ho. |
| Sɛ wɔma akokoaa no nufu a | Saa aduru yi betumi afa nufusu so akɔ akokoaa no nkyɛn, enti wo ne wo duruyɛfo nsusuw eyi ho. |
Ɔkwan bɛn na eye sen biara a wobɛfa so anom aduru no?
Eyi ne ɔfã a ɛho hia sen biara a ɛsɛ sɛ wudi akyi pɛpɛɛpɛ. Sɛ wubenya aduru no so mfaso kɛse a, ɛsɛ sɛ wonom no sɛnea wɔakyerɛ wo no pɛpɛɛpɛ.
- Fa nsuo ka ho: Fa nsuo kuruwa mene saa aduru yi nyinaa.
- Fa yafunu a hwee nni mu: Eyi ho hia yiye. Ɛsɛ sɛ wonom aduru noAnyɛ yiye koraa no, fa simma 30 ansa na woadi, anaa nnɔnhwerew 2 wɔ adidi akyi. Sɛ wɔnom yafunu a hwee nni mu a, nipadua no twetwe aduru no yiye.
- Fa ansa na woada: Mpɛn pii no, sɛ wonom saa aduru yi ansa na woada a, ɛkyerɛ sɛ adwenemhaw anaa nna biara a ebetumi de aba no bɛba bere a woada no, enti ɛrensiw wo awia dwumadi ahorow kwan.
- Ntwa nnuru dodow a wode ma no so esiane biribiara nti: Nom w’aduru no bere koro mu da biara, sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ. Sɛ wohuruw dodow a wɔde ma no a, ebetumi ama HIV mmoawa no atumi ako atia aduru no. Ɛnyɛ aduru yi nko na eyi betumi ama na mmom HIV nnuru afoforo nso anyɛ adwuma yiye wɔ wo nipadua mu. Eyi yɛ asiane kɛse.
- Nnyae kosi sɛ wo duruyɛfo bɛka akyerɛ wo sɛ: Ɛmfa ho sɛnea wote nka sɛ wo ho ye no, kɔ so nom saa aduru yi kosi sɛ wo duruyɛfo bɛka akyerɛ wo sɛ gyae.
Sɛ wonom boro so a , dɛn na wobɛyɛ ?
Sɛ wususuw sɛ woanom nnuru pii sen sɛnea wususuw a, nntwentwɛn wo nan ase. Kɔ ayaresabea a ɛbɛn wo no Emergency Department (ETU) ntɛm ara. Anaasɛ frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ no na woanya afotu.
Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?
Ɛtɔ da bi a yɛn nyinaa werɛ fi nneɛma. Sɛ wopa dose bi a, mma ɛnhaw wo.
- Fa dodow a woayera no bere a woakae ara pɛ.
- Nanso, sɛ ɛkame ayɛ sɛ bere adu sɛ wobɛma wo dodow a edi hɔ bere a wokae a, twa dodow a woayera no so na fa dodow a edi hɔ no ara kwa wɔ bere a wɔahyɛ da ayɛ no mu.
- Mfa nnuru mmɔho abien mfa nsiesie dodow a woayera no.
Nneɛma titiriw a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom nnuru no
Ɛsɛ sɛ wohwɛ w’akwahosan so kakra bere a wode saa aduru yi redi dwuma no.
- Aduruyɛ mu nhwehwɛmu a wɔyɛ no daa: Wo duruyɛfo bɛtaa aka akyerɛ wo sɛ wɔnyɛ wo mogya mu nhwehwɛmu. Ma wɔnyɛ saa sɔhwɛ ahorow no nyinaa wɔ bere ano. Wɔbɛboa wo ma woahu sɛnea aduru no renya wo nipadua no so nkɛntɛnso, sɛ ebia wotumi di mmoawa no so, ne sɛ ebia w’akwaa te sɛ wo mmerɛbo ne w’asaabo reyɛ adwuma yiye anaa.
- Honam ani yare a emu yɛ den: Nnipa binom betumi anya honam ani yare a emu yɛ den wɔ adapɛn anaa asram kakraa bi akyi bere a wɔafi aduru yi ase no. Sɛ wowɔ atiridiinini, wo nipadua mu yaw, wo honam ani nsensanee kɔkɔɔ anaa kɔkɔɔ, akisikuru, wo honam ani a ɛrepaapae, anaasɛ ntini a ɛho ahonhon wɔ w’anim, w’ano, wo kɔn, anaa w’abasa mu a, kɔ oduruyɛfo nkyɛn ntɛm ara.
- Mfiri a wɔde ka kar ne nea wɔde di dwuma: Saa aduru yi betumi ama nnipa binom adwenem ayɛ wɔn naa na ayɛ den sɛ wɔde wɔn adwene besi biribi so. Enti, kwati sɛ wobɛka kar anaa wode mfiri bedi dwuma kosi sɛ wubehu sɛnea aduru yi ka wo ankasa.
- Nsã a wɔnom:Sɛ obi ne nsa ka saa aduru yi ho a, ebetumi ama nneɛma bɔne te sɛ adwenemhaw ne nna a ɛma obi da no ayɛ kɛse. Ɛnyɛ papa nso mma wo mmerɛbo.
- Hepatitis B: Sɛ wowɔ HIV ne Hepatitis B a, sɛ wugyae saa aduru yi mpofirim a, ebetumi ama wo Hepatitis B ho sɛnkyerɛnne no ayɛ kɛse. Enti, hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa afa aduru no a wubegyae ho.
- Nyinsɛn a Wosiw Ano: Sɛ wode nnuru a wɔde siw awo ano (a estrogen ne progestin wom) redi dwuma a, saa aduru yi a wobɛnom no betumi atew sɛnea etu mpɔn no so. Enti, wo ne wo duruyɛfo nkasa mfa awo ano aduru foforo te sɛ kɔndɔm a wode bedi dwuma de aka nea wode bedi dwuma ho.
Nsunsuanso bɔne a aduru no de ba
Te sɛ aduru biara no, eyi betumi de ɔhaw ahorow aba. Nanso ɛnyɛ obiara na onya bi. Ebinom yɛ aniberesɛm, bere a afoforo nso yɛ nea ɛfata. Nea ɛho hia sen biara ne sɛ wubehu eyinom na sɛ wuhu biribi a anibere wom a, hwehwɛ aduruyɛfo afotu ntɛm ara.
Nneɛma bɔne a anibere wom a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo no ntɛm ara
Sɛ wuhu sɛnkyerɛnne a ɛwɔ ase ha no bi a, kɔ oduruyɛfo nkyɛn anaa kɔ ayaresabea a ɛnkyɛ.
| Nsunsuanso bɔne | Sɛnea wote nka |
|---|---|
| Nneɛma a ɛma obi ho yɛ no yaw | Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon, ɛyɛ den sɛ wobɛhome. |
| Mmenebɔ mu Opira | Ɛyaw a ɛba yafunu no nifa so atifi, aduan ho akɔnnɔ a ɛyera, akisikuru, nsu a ɛyɛ kɔla a ɛyɛ hann, nsu a ɛyɛ kɔkɔɔ anaa bruu tuntum, aniwa anaa honam ani yɛ kɔkɔɔ, ne ɔbrɛ a ɛtra so. |
| Adwene ne nneyɛe mu nsakrae | Dadwen a emu yɛ den, ahomegye a enni hɔ, adwene a ɛyɛ basaa, nsusuwii hunu, abufuw, adwene a ɛne sɛ obekum ne ho, adwenemhaw. |
| Pancreatitis a ɛyɛ yare | Yafunu mu yaw a emu yɛ den a ɛhyerɛn kɔ akyi, ɛyaw a ɛyɛ kɛse bere a wodidi anaa wɔde wɔn nsa ka yafunu no, atiridiinini, akisikuru, ne ɔfe. |
| Asaabo mu Opira | Nsu a ɛba no so tew, nansoaa, nsa, anaa anan a ɛho ahonhon. |
| Lactic Acidosis (lactic acid a ɛkɔ soro wɔ mogya mu) . | Ntini mu yaw anaasɛ ɛyɛ den, yafunu mu yaw, ahome a ɛyɛ den, ɔhaw a ɛyɛ yaw wɔ ɔkwan a ɛkɔ akyiri so ne ɔbrɛ. |
| Ntini mu ntini mu haw ahorow | Akwaa a ɛyɛ mmerɛw anaa ɛyaw, ntini a ɛyɛ mmerɛw, anisoadehu a ɛsakra, kasa a ɛyɛ den, nantew a ɛyɛ den, akisikuru. |
Nsunsuanso bɔne a ɛtaa ba nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo
Mpɛn pii no, eyinom brɛ ase wɔ nna kakraa bi mu, nanso sɛ ɛkɔ so anaasɛ ɛhaw wo pii a, wo ne wo duruyɛfo nkasa.
- Akyi yaw
- Ayamtuo
- Tipaeɛ
- Abofono
- Yafunu mu yaw
- Dae a wontumi nna anaasɛ adaeso a ɛyɛ nwonwa
Nnuru afoforo a ɛnsɛ sɛ wɔde ka aduru yi ho na ebetumi de ɔhaw aba
Eyi yɛ ɔfã a ɛho hia paa. Ɛsɛ sɛ woka nnuru afoforo a worenom nyinaa (a vitamin ne nhabannuru ka ho) kyerɛ wo duruyɛfo. Nnuru bi tumi ne HIV aduru yi di nkitaho na ɛde ɔhaw a emu yɛ den ba.
Nnuru a ɛnsɛ sɛ wɔnom bom da:
- Aduru foforo biara a nneɛma a ɛwɔ saa aduru yi mu (efavirenz, emtricitabine, lamivudine, tenofovir) wom .
- Disopyramide a wɔde yɛ aduru
- Elbasvir a ɔyɛ ɔmanpanyin; grazoprevir a wɔde di dwuma
- Rifapentine a wɔde yɛ nnuru
- Voriconazole a wɔde ma
Nnuru afoforo a ebetumi de ɔhaw aba (sɛ worenom eyinom a, ka kyerɛ wo duruyɛfo):
- Nnuru a ɛma mogya mu srade so tew (sɛ nhwɛso no, Atorvastatin, Simvastatin) .
- Nnuru a ekum ɔyare mmoawa (sɛ nhwɛso no, Clarithromycin, Rifampin) .
- Nnuru a ɛko tia fungal (sɛ nhwɛso no, Ketoconazole, Itraconazole) .
- Nnuru a wɔde sa komayare ne mogya mmoroso (e.g. Diltiazem, Verapamil) .
- Nnuru a wɔde ko tia akisikuru (sɛ nhwɛso no, Carbamazepine, Phenytoin) .
- Nnuru a wɔde sa adwenemyare (e.g. Bupropion, Sertraline) .
- Nnuru a ɛma ɛyaw ano brɛ ase (NSAIDS) (sɛ nhwɛso no, Ibuprofen, Naproxen) .
- Warfarin (aduru a ɛma mogya yɛ mmerɛw) .
- Nnuru a wɔde sa HIV anaa ɔyare mmoawa afoforo
Saa nsɛm a wɔahyehyɛ yi nwiei, enti ɛyɛ nea asiane biara nni ho sɛ wobɛka nnuru a wonom nyinaa ho asɛm akyerɛ wo duruyɛfo.
Nkrasɛm a Wɔde Kɔ Fie
- Saa aduru yi siw HIV mmoawa a ɛtrɛw wɔ wo nipadua mu no so. Ɛnsa yareɛ no, nanso ɛboa wo ma wobɔ bra pa.
- Nom aduru no wɔ yafunu a hwee nni mu , bere koro no ara mu da biara, sɛnea oduruyɛfo no kae no. Mma nnhuw dose bi so da.
- Ka nyarewa foforo biara a wowɔ ne nnuru foforo biara a wonom ho asɛm kyerɛ wo duruyɛfo.
- Sɛ wunya ɔhaw biara a emu yɛ den, te sɛ honam ani akisikuru a emu yɛ den, mmerɛbo mu haw, anaa adwene mu nsakrae a emu yɛ den a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Sɛ wote nka sɛ ankonam anaa woayɛ basaa bere a worenom aduru yi a, wo ne wo duruyɛfo, w’abusua muni, anaa w’adamfo bi a wowɔ ne mu ahotoso nkasa. Ɛnyɛ wo nko ara.
- Sɛ wosa wo yare yie a, wobɛtumi ne HIV atra ase yie.
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