Ɛtɔ mmere bi a, HIV a wobɛtra ase no betumi ayɛ den, nanso wunim sɛ sɛ wonya ayaresa a ɛfata a, wubetumi abɔ bra a ɛfata na apɔwmuden wom. Ɛho hia sɛ wote nnuru a worenom wɔ saa ayaresa akwantu yi mu ase. Ɛnnɛ, yɛreka nnuru abiɛsa a ekum ɔyare mmoawa a wɔaka abom titiriw a ebetumi aboa ma wɔasiw HIV ano ho asɛm. Momma yɛnhwɛ nea ɛyɛ, sɛnea ɛyɛ adwuma, ne nea ɛsɛ sɛ wuhu.
Momma yɛnhwehwɛ nea aduru yi yɛ ankasa.
Sɛ yɛbɛka no tiawa a, eyi yɛ nnuru abiɛsa a wɔaka abom. Ɛne sɛ, nnuru abiɛsa a ekum ɔyare mmoawa , Emtricitabine, Rilpivirine, ne Tenofovir Disoproxil Fumarate, nyinaa wɔ aduru biako mu. Wɔ yɛn man mu no, wobetumi ahu saa aduru yi wɔ brand din `Complera` ase.
N’adwuma titiriw ne sɛ ɛbɛtew HIV mmoawa (viral load) dodow a ɛwɔ wo nipadua mu no so, ahyɛ wo nipadua mu ahoɔden a ɛko tia nyarewa no mu den, na aboa wo ma woanya apɔwmuden.
Kae: Saa aduru yi yɛ HIV aduru, na ɛnyɛ aduru. Afei nso, saa aduru yi brɛ asiane a ɛwɔ hɔ sɛ wɔde HIV bɛka afoforo no so, nanso ɛnsiw ano koraa. Enti, ɛho hia paa sɛ yɛbɛkɔ so adi akwan a ahobammɔ wom akyi.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi ase anom nnuru
Ansa na wobɛsi gyinae sɛ saa aduru yi fata wo anaa no, ɛho behia sɛ wo duruyɛfo hu w’akwahosan ho abakɔsɛm nyinaa. Hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ wowɔ tebea horow a edidi so yi mu biara a:
| Wo tebea no | Dɛn nti na ɛho hia sɛ wobɔ oduruyɛfo no amanneɛ? |
|---|---|
| Nnompe mu haw (e.g. nnompe mu yare) . | Ɛtɔ mmere bi a aduru a wɔfrɛ no Tenofovir betumi aka nnompe a ɛyɛ den. |
| Asaabo mu yare | Esiane sɛ nnuru yi nam asaabo mu fi nipadua no mu nti, ɛho hia sɛ wuhu sɛnea w’asaabo yɛ adwuma. |
| Mmɛn mu yare, titiriw Hepatitis B | Hepatitis B ho sɛnkyerɛnne betumi ayɛ kɛse bere a wɔagyae saa aduru yi no. Ebia mmerɛbo dwumadi nso bɛka. |
| Adwenemhaw anaa adwene a ɛne sɛ obekum ne ho | Ɛsɛ sɛ oduruyɛfo no hu nneɛma a ɛwɔ aduru yi mu no bi, efisɛ ebetumi ama obi anya adwene mu nsakrae. |
| Koma mu yare | Ɛho hia sɛ oduruyɛfo no hu komayare ahorow bi. |
| Nnuru, nnuan, anaa nneɛma afoforo ho akisikuru | Eyi ho hia sɛ wuhu sɛ ebia wo ho nyɛ wo hyew wɔ biribiara a ɛwɔ aduru yi mu ho anaa. |
| Nyinsɛn a obi benyin anaasɛ ɔrehwɛ akokoaa kwan | Ɛsɛ sɛ wo ne wo duruyɛfo susuw aduru yi a wɔde bedi dwuma bere a wonyinsɛn no ho. |
| Nufu a wɔde ma | Wɔnkamfo nufu mma ɛnanom a wɔwɔ HIV, enti wo ne wo duruyɛfo nka eyi nso ho asɛm. |
Ɔkwan bɛn so na ɛsɛ sɛ mede aduru no di dwuma?
Sɛnea ɛbɛyɛ na woanya aduru yi so mfaso kɛse no, ɛho hia yiye sɛ wode di dwuma yiye.
- Fa ka aduan ho: Fa saa aduru yi ne nsu kuruwa biako ka aduan ho . Mfa no bere a wo yafunu da mpan. Rilpivirine yɛ nea nipadua no twetwe yiye bere a wɔde ka aduan ho no.
- Fa no bere ano: Fa yɛ wo su sɛ wobɛnom w’aduru no bere koro mu da biara. Eyi bɛboa ma aduru no dodow a ɛwɔ wo mogya mu no akɔ so ayɛ pɛ.
- Ntwa nnuru dodow a wɔde ma no so: Ade a ɛho hia sen biara wɔ HIV ayaresa mu ne sɛ wobɛnom w’aduru a worenhwere dodow biako mpo. Sɛ wo ho tɔ wo mpo a, nnyae wo nnuru nom kosi sɛ wo duruyɛfo bɛka akyerɛ wo.
- Dɛn nti na ɛnyɛ papa sɛ wobehuw nnuru dodow a wɔde ma no so? Sɛ wuhuruw dodow a wɔde ma no so a, mmoawa no betumi anya ahoɔden a ɛko tia aduru yi. Sɛ ɛba saa a, ɛbɛyɛ den sɛ wɔde saa aduru yi ne HIV nnuru afoforo bedi mmoawa no so.
Na sɛ mepa nnuru dodow bi nso ɛ?
Sɛ wo werɛ fi sɛ wobɛnom dose bi a, fa no bere a woakae ara pɛ. Nanso, sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ bere a wokae (sɛ nhwɛso no, ennu nnɔnhwerew 12) a, twa dodow a woayera no so na fa wo dodow a edi hɔ no wɔ bere a woahyɛ da ayɛ no mu. Mfa nnuru mmɔho abien da.
Na sɛ menom nnuru pii nso ɛ?
Sɛ wususuw sɛ woadi mfomso anom aduru yi dodo a, mma wo ho nnpopo. Frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ ntɛm ara. Anaasɛ kɔ ayaresabea a ɛbɛn wo no Emergency Treatment Unit (ETU) .
Nnuru afoforo a ebetumi ne saa aduru yi adi nkitaho (Drug Interactions) .
Ɛho hia paa sɛ wobɛka nnuru, vitamin, ne aduru biara a worenom ho asɛm kyerɛ wo duruyɛfo, efisɛ nnuru bi betumi aka HIV aduru yi a etu mpɔn.
| MMFA saa aduru yi nka biribiara ho. | |
|---|---|
| PPI nnuru a wɔde sa yafunu mu yare | Nnuru te sɛ Esomeprazole, Omeprazole, Lansoprazole, ne Pantoprazole. Eyinom brɛ HIV nnuru a ɛkɔ nipadua no mu no ase kɛse. |
| Nnuru bi a wɔde ma wɔ akisikuru (Seizure medicines) . | Nnuru te sɛ Carbamazepine, Phenobarbital, Phenytoin. |
| Rifampin, Rifapentine, Ɔde ne nsa kyerɛɛ ne so | Eyinom yɛ nnuru a ekum ɔyare mmoawa a wɔde ma nsamanwaw. |
| Ɔhotefo Yohane a ɔyɛ ɔkraman | Ɛyɛ nhabannuru a wɔde yɛ adwene mu yiyedi. |
| Dexamethasone a wɔde ma | (Sɛ wofa nnuru bɛboro biako bere koro mu a). |
| Sɛ worenom eyinom a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo (BƆ WO DƆKƆTƆ AMA) . | |
| Nnuru afoforo a wɔde sa yafunu mu yare (antacids, H2-blockers) . | Nnuru a ɛko tia acid te sɛ Digene, Gaviscon anaa nnuru te sɛ Famotidine, Cimetidine. Ɛsɛ sɛ wɔnom eyinom nnɔnhwerew kakraa bi ansa na wɔama HIV aduru anaa bere a wɔawie. |
| Nnuru a ekum ɔyare mmoawa ne nnuru a ekum fungal ahorow bi | Nnuru te sɛ Clarithromycin ne Ketoconazole. |
| Methadone a wɔde di dwuma | Aduru a wɔde sa nnubɔne a wɔde di dwuma ɔkwammɔne so. |
Nsunsuanso bɔne a ebetumi aba bere a wɔnom aduru no
Te sɛ aduru biara no, saa aduru yi betumi de ɔhaw ahorow aba nnipa binom so. Ebi yɛ nketewa, bere a afoforo nso hwehwɛ sɛ wodi ho dwuma ntɛm ara.
Nneɛma bɔne a anibere wom a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo no ntɛm ara:
- Honam ani yare a emu yɛ den: atiridiinini, nipadua mu yaw, akisikuru kɔkɔɔ, honam ani a ɛyɛ kurukuruwa anaasɛ ɛho tew. Anim, anofafa, ne akuru nketenkete a ɛwɔ kɔn anaa asen mu a ɛho ahonhon.
- Nneɛma a ɛma obi ho yɛ no hyew: honam ani akisikuru , ɛyaw, akisikuru.
- Nsɛnkyerɛnne a ɛkyerɛ sɛ mmerɛbo asɛe: nsu a ɛyɛ kɔkɔɔ anaa bruu tuntum, aniwa ne honam ani yɛ kɔkɔɔ, ɛyaw wɔ yafunu no atifi nifa so, ɔbrɛ kɛse, akisikuru.
- Nsɛnkyerɛnne a ɛkyerɛ sɛ asaabo asɛe: Ɛyɛ den sɛ wobɛtow nsu anaasɛ nsakrae a ɛba nsu dodow a ɛba no mu.
- Lactic Acidosis ho sɛnkyerɛnne: ɛyɛ den sɛ wobɛhome, ntini mu yaw, yafunu mu yaw a ɛyɛ soronko, akisikuru, ɔfe, adwenemhaw.
- Adwene mu nsakrae: adwenemhaw a emu yɛ den, adwene a ɛne sɛ obekum ne ho, basabasayɛ.
- Nsakrae a ɛba koma a ɛbɔ mu: Sɛ wote nka sɛ wo koma rebɔ ntɛmntɛm anaasɛ ɛnte saa.
Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo:
- Dae a ɛhaw adwene anaasɛ adaeso a ɛyɛ soronko
- Tipaeɛ
- Ayamtuo
- Nsakrae a ɛba honam ani kɔla mu (titiriw nsateaa ne nan ase) .
- Nsakrae a ɛba ɔkwan a wɔfa so de nipadua mu srade gu mu (sɛ nhwɛso no, srade a ɛkɔ soro wɔ yafunu, akyi, ne asen ho, akwaa a ɛyɛ mmerɛw).
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
- Saa aduru yi yɛ aduru a ɛko tia HIV, nanso ɛnsa no koraa.
- Nom aduru no bere koro mu da biara, ne aduan . Mma ntwa adidi bi so da.
- Hwɛ hu sɛ wobɛka nnuru afoforo, vitamin, ne ayaresa tebea afoforo a worenom nyinaa ho asɛm akyerɛ wo duruyɛfo.
- Sɛ wunya ɔhaw biara a emu yɛ den te sɛ honam ani yare a emu yɛ den, aniwa a ɛyɛ kɔkɔɔ, yafunu mu yaw a emu yɛ den, anaa adwene mu nsakrae a, hwehwɛ ayaresa ntɛm ara.
- Wɔakyerɛw saa aduru yi ama wo nkutoo. Mfa nkyerɛ afoforo da.
- Wo ne wo duruyɛfo a wobɛkɔ so adi nkitaho daa na woakɔ ayaresabea sɛnea wɔahyɛ da ayɛ ho nhyehyɛe no ho hia yiye ma wo yiyedi.
👩🏽 ⚕️ Nsɛmmisa foforo (FAQs)
💬 Dɛn na wɔde Emtricitabine, Rilpivirine, ne Tenofovir (Tenofovir / Odefsey, Complera) di dwuma?
Eyi yɛ ART - Antiretroviral Therapy a etu mpɔn kɛse ne nnuru 3 a aba foforo a ɛwɔ aduru biako mu (Single-tablet Regimen) a ɛwɔ nnurutɔnbea ahorow a wɔde ko tia ‘AIDS / HIV (Human Immunodeficiency Virus)’ mmoawa no a wɔaka abom! Sɛ wɔnom saa aduru yi pɛnkoro da biara (ne aduan ka ho) wie a, esiw HIV mmoawa no kwan sɛ ɛbɛdɔɔso wɔ mogya no mu 100%, na ɛhyɛ mmoawa no so ma ɛyɛ ɔyare mmoawa dodow a wontumi nhu.
💬 Ɔkwan bɛn so na saa aduru yi (Complera/Odefsey) siw HIV mmoawa no kwan koraa sɛ ɛbɛdɔɔso (a ɛbɛkɔ)?
Sɛ mmoawa bi betumi ayɛ wɔn ho foforo a, ɛsɛ sɛ ɛhyɛn yɛn nkwammoaa no biako mu na ɛsuasua ne mfitiase nkrasɛm (RNA) no kɔ yɛn DNA mu. Afiri a mmoawa no de yɛ eyi ne Reverse Transcriptase enzyme. Saa aduru yi fi afã abien no nyinaa na ɛde ‘nneɛma a ɛnteɛ (NRTI/Emtricitabine/Tenofovir)’ ne ‘abo a esiw ano (NNRTI/Rilpivirine)’ gu saa afiri no mu. Afei HIV mmoawa no ntumi nsan nkɔ bio da na ɛbɛyɛ mmerɛw.
💬 Dɛn ne nsunsuansoɔ titire ne asiane a ɛyɛ hu paa (Black Box Warning) a ɛbɛtumi aba berɛ a wɔrenom HIV aduru yi?
Asiane kɛse a ɛwɔ nnuru 3 yi mu no fi Tenofovir! Eyi betumi ama ɔyarefo no nnompe ayɛ mmerɛw/abubu ntɛmntɛm (Bone loss / Osteoporosis) na asaabo no agyae koraa (Lactic acidosis / Renal Toxicity). Afei nso, sɛ ‘ɔkɔm de wo a wunni aduan (yafunu da mpan)’ esiane biribiara nti a, nnom saa aduru yi! (Rilpivirine ntumi nkɔ nipadua no mu, aduru no nyɛ adwuma)!
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