So woredwen ɔkwan bi a wɔfa so yɛ abusua nhyehyɛe ho? Afei ebia wunim akwan dodow a ɛwɔ hɔ mprempren a wubetumi apaw bi. Nneɛma pii wɔ hɔ te sɛ awo ano aduru, IUD, kɔndɔm. Eyinom mu no, ɔkwan a wɔka ho asɛm na ɛyɛ mmerɛw sen biara ne awo ano aduru a wɔde siw ano ɔsram biara. Enti ɛnnɛ, momma yɛnka tuo a ɛte saa biako ho asɛm, awo ano aduru, a wɔde hormone abien a wɔfrɛ no `Estradiol Cypionate` ne `Medroxyprogesterone` a wɔde bom na ɛyɛ. Sɛ wunim eyi ho asɛm yiye a, ɛbɛyɛ mmerɛw sɛ wobɛpaw nea ɛfata wo yiye, ɛnte saa?
Sɛ yɛbɛka no tiawa a, aduru bɛn na eyi yɛ?
Eyi yɛ hormone injection a wɔayɛ ama mmea titiriw de asiw nyinsɛn a wɔmpɛ ano. Sɛ yɛbɛka no tiawa a, ɛyɛ aduru a wɔde twitwiw nipadua no ɔsram biara . Injection biako ma awo ano aduru ho banbɔ ɔsram biako (bɛyɛ nnafua 28-30).
Ɛwɔ nkwaadɔm abien a wɔayɛ a efi awosu mu wɔ ɔbea nipadua mu. Eyinom ne estrogen ne progestin. Saa nkwaadɔm abien yi bom yɛ adwuma ma wo nipadua no ntumi nkɔ ovulating, a ɛyɛ bere a woyi nkesua fi mmadwoa mu. Wɔma nsu a ɛwɔ wo awotwaa mu no nso yɛ den, na ɛma ɛyɛ den sɛ mmadwoa bɛkɔ mu. Eyi ne ɔkwan a wofa so siw nyinsɛn ano.
Nea ɛho hia: Ɛwom sɛ seesei wɔagyae saa aduru yi wɔ aman bi mu, te sɛ United States de, nanso wɔde nnuru a ɛte saa ara di dwuma wɔ aman ahorow mu, a Sri Lanka ka ho. Ɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa ansa na woasi gyinae sɛ ɛfata wo anaasɛ ɛnte saa.
Nneɛma bɛn na ɛsɛ sɛ woka kyerɛ oduruyɛfo no ansa na woabɔ wo ho ban?
Ansa na wode saa vaccine yi bedi dwuma no, ɛho hia yiye sɛ wo duruyɛfo no nya w’akwahosan tebea no ho ntease a edi mũ. Saa hormone vaccine yi ne aduruyɛ mu tebea horow bi nhyia. Sɛ woanya tebea horow a ɛwɔ ase ha yi bi anaasɛ woanya bi a, hwɛ hu sɛ wobɛka ho asɛm akyerɛ wo duruyɛfo.
| Aduruyɛ tebea a wowɔ/na wowɔ | Dɛn nti na ɛho hia sɛ woka kyerɛ oduruyɛfo no ? |
|---|---|
| Sɛ woyɛ obi a ɔnom sigaret a | Sigaretnom, titiriw sɛ woadi boro mfe 35 a, ɛma asiane a ɛwɔ hɔ sɛ mogya bɛtɔ ne akisikuru no yɛ kɛse kɛse bere a wɔde ka hormone a wɔde twitwiw nipadua no ho no. |
| Mogya ntini mu yare, mogya a ɛtɔ, anaa akisikuru | Saa vaccine yi betumi ama saa asiane no akɔ soro bio. |
| Nufu, awotwaa, awotwaa, awotwaa, anaa mmerɛbo mu kokoram | Kokoram a egyina hormone so betumi ayɛ kɛse. |
| Mogya a ɛtɔ wɔ ɔbea no awotwaa mu a wontumi nkyerɛkyerɛ mu | Ɛsɛ sɛ wodi kan hwehwɛ nea enti a ɛte saa no mu. |
| Mogya mmoroso, komayare, srade a ɛkɔ soro | Saa tebea horow yi betumi ayɛ den denam hormone ahorow a wɔde di dwuma no so. |
| Asikyireyareɛ | Ebia asikre dodow a ɛwɔ mogya mu no bɛsakra. |
| Atiridiinini, mmerɛbo anaa asaabo mu yare | Saa tebea horow yi betumi asɛe anaasɛ aka sɛnea aduru no yɛ adwuma yiye. |
| Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a | Ɛnsɛ sɛ wɔde saa vaccine yi ma bere a wɔyem. |
Bio nso, mma wo werɛ mmfi sɛ wobɛka nnuru, nnuan, anaa nnuru afoforo a ɛma wo ho yɛ wo hyew ho asɛm.
Ɔkwan bɛn so na wɔde saa vaccine yi di dwuma?
Eyi nyɛ tuo a wubetumi de ama wo ho wɔ fie. Oduruyɛfo anaa ɔyarehwɛfo a wɔatete no na ɔde gu wo ntini mu (mpɛn pii no wo akyi anaa wo nsa) .
- Vaccination a edi kan: Wɔtaa de vaccination a edi kan no ma wɔ nnafua 5 a edi kan wɔ wo bra mfiase no mu .
- Afei: Ɛsɛ sɛ wofa tuo a edi hɔ no ɔsram biara (nnafua 28-30 biara). Ɛho hia paa sɛ woma nna no yɛ pɛpɛɛpɛ.
Sɛ wopa da a wode bɛbɔ wo ho ban no a, dɛn na woyɛ?
Ɛho hia sɛ wofa wo tuo no da a wɔahyɛ da ayɛ no na ama woakɔ so akura wo awo ano aduru ahobammɔ mu. Sɛ wopa da a woahyɛ da ayɛ ho nhyehyɛe no a, frɛ wo duruyɛfo anaa ayaresabea ntɛm ara na woasan ayɛ nhyehyɛe foforo. Sɛ ɛboro nnafua 33 (bɛboro adapɛn 4) fi bere a wotoo tuo a etwa to no a, ɛho behia sɛ woyɛ nyinsɛn mu nhwehwɛmu ansa na woatow wo tuo a edi hɔ no.
Nneɛma afoforo a ebia ɛne aduru yi bedi nkitaho
Nnuru afoforo bi a worenom betumi atew awo ano aduru yi a etu mpɔn no so. Eyi kyerɛ sɛ sɛ wo ne saa nnuru no fa saa aduru yi a, ebia wobɛkɔ asiane mu sɛ wubenyinsɛn. Enti, ɛho hia paa sɛ woka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo .
Nhwɛso ahorow bi ni:
- Nnuru bi a ekum ɔyare mmoawa - titiriw nea wode sa nsamanwaw, te se Rifampin.
- Nnuru a wɔde ma ma akisikuru (fits) - te sɛ `Carbamazepine`, `Phenytoin`, `Topiramate`.
- Nnuru a wɔde sa HIV yareɛ - te sɛ `Ritonavir`.
- Nnuru a wɔde ka aduan ho - titiriw St. John's wort.
- Nnuru a wɔde ko tia fungal.
Saa nsɛm a wɔahyehyɛ yi nyɛ nea edi mũ. Enti, hwɛ hu sɛ wobɛka nnuru a worenom nyinaa (a vitamin, Panadol, Ayurvedic nnuru, nhabannuru) , nnuru biara a wode ma wo, ne sɛ wonom sigaret anaa wonom nsa ka ho akyerɛ wo duruyɛfo.
Nneɛma a ɛsɛ sɛ wode sie w’adwenem bere a worebɔ wo ho ban no
- Sigaretnom ne mogya a ɛtɔ: Sɛnea yɛadi kan aka no, eyi yɛ asɛm a ɛho hia paa . Sɛ worenom hormone injection te sɛ eyi, titiriw sɛ woadi boro mfe 35 a, sigaretnom ma asiane a ɛwɔ hɔ sɛ mogya bɛtɔ, komayare, ne akisikuru no yɛ kɛse. Enti, yɛtu wo fo denneennen sɛ kwati sigaretnom koraa esiane w’ankasa ahobammɔ nti.
- Nnompe ahoɔden: Sɛ wɔde saa vaccine yi di dwuma bere tenten (bɛboro mfe 2) a, hokwan wɔ hɔ sɛ calcium dodow a ɛwɔ nipadua no mu no so bɛtew na nnompe no ayɛ mmerɛw (Osteoporosis). Enti, gye sɛ akwan foforo a wɔfa so siw awo ano no mfata wo, wo ne wo duruyɛfo nkasa bio mfa nkɔ so de saa vaccine yi di dwuma bɛboro mfe 2 ho. Nya afotu nso wɔ sɛnea wubenya calcium ne vitamin D na ama wo nnompe ayɛ den ho.
- Ahobammɔ biara nni hɔ a wɔde bɛbɔ wɔn ho ban afi nna mu nyarewa ho: Eyi nso ho hia yiye. Saa aduru yi siw nyinsɛn ano, nanso ɛmma ahobammɔ biara mfi HIV (AIDS) anaa nyarewa afoforo a wonya fi nna mu (STDs) ho. Enti, sɛ wobɛbɔ wo ho ban afi nyarewa a ɛtete saa ho a, akyinnye biara nni ho sɛ ɛsɛ sɛ wode akwanside kwan te sɛ kɔndɔm di dwuma.
- Aduruyɛ mu nhwehwɛmu a wɔyɛ no daa:Bere a worenom saa vaccine yi no, ɛho hia sɛ wobɛkɔ wo duruyɛfo nkyɛn bere ne bere mu akɔhwɛ wo. Ɛho hia sɛ wɔyɛ nufu mu nhwehwɛmu daa na wɔyɛ Pap smear.
- Dodow a wɔde di dwuma boro so: Esiane sɛ oduruyɛfo bi na ɔde saa vaccine yi ma nti, asiane a ɛwɔ hɔ sɛ wɔbɛnom boro so no sua koraa. Nanso, sɛ wususuw sɛ eyi asi a, bɔ National Poisons Information Center a ɛwɔ Colombo National Hospital anaa Emergency Treatment Unit (ETU) a ɛbɛn wo no amanneɛ ntɛm ara.
Dɛn ne nsunsuanso bɔne a ebetumi afi mu aba?
Sɛnea ɛte wɔ aduru biara ho no, saa aduru yi betumi anya nkɛntɛnso bɔne. Ebi yɛ aniberesɛm, ebi nso abu so. Ɛho hia sɛ wohu eyinom.
| Nsunsuansoɔ bɔne a ɛyɛ hu a ɛhia sɛ wɔkɔ ayaresabea ntɛm ara (kɔ Emergency Department - ETU) . | |
|---|---|
| ⚫ Tiyɛ a emu yɛ den mpofirim | ⚫ Koko mu yaw, ɛyɛ den sɛ wobɛhome |
| ⚫ Anisoadehu mu nsakrae (anisoadehu a ɛyɛ kusuu, anisoadehu mmɔho abien) . | ⚫ Ɔkasa anaa ntease a ɛyɛ den, nkae a ɛyɛ den |
| ⚫ Anim, nsa, anaa nan a ɛyɛ mmerɛw mpofirim anaa ɛyɛ mmerɛw (titiriw wɔ nipadua no fã biako) . | ⚫ Nan mu yaw, ɛho ahonhon, ɛyɛ kɔkɔɔ, na ɛyɛ hyew (nsɛnkyerɛnne a ɛkyerɛ sɛ mogya atɔ mu) . |
| ⚫ Wora anaa aniwa a ɛyɛ kɔkɔɔ, nsuo a ɛyɛ tuntum, nsuo a ɛyɛ bruu | ⚫ Akuru anaa nsakraeɛ a ɛba nufu mu, nsuo a ɛfiri nufu no mu |
| Ɛyɛ daa, nanso sɛ ɛkɔ so anaasɛ ɛhaw wo a, ka kyerɛ wo duruyɛfo . | |
| ⚫ Nufu mu yaw anaasɛ ɛyɛ den | ⚫ Adwene mu nsakrae, adwenemhaw a emu nyɛ den |
| ⚫ Yafunu mu yaw, yafunu a ɛyɛ ma | ⚫ Nsakrae a ɛba brayɛ mu, mogya a ɛba kakra |
| ⚫ Nwi a ɛtɔ, mu duru a ɛsakra | ⚫ Vaginal itching, sɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare mmoawa |
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
- Eyi yɛ awo ano aduru a hormone wom a wɔnom pɛnkoro ɔsram biara.
- Ansa na wobɛnya vaccine no, hwɛ hu sɛ wobɛka w’ayaresa tebea nyinaa ne nnuru a worenom nyinaa ho asɛm akyerɛ wo duruyɛfoɔ.
- Saa vaccine yi mfa ahobammɔ biara mma wɔ nna mu nyarewa a HIV (AIDS) ka ho. Fa ɔkwan bi te sɛ kɔndɔm di dwuma.
- Sɛ woyɛ obi a ɔnom sigaret, titiriw ɔbea a wadi boro mfe 35 a, ebia saa aduru yi renfata wo efisɛ asiane a ɛwɔ hɔ sɛ mogya bɛtɔ na woanya akisikuru no dɔɔso yiye.
- Sɛ wunya ɔhaw bi a emu yɛ den te sɛ wo koko mu yaw mpofirim, ɛyɛ den sɛ wobɛhome, ɛyɛ den sɛ wobɛkasa, anaasɛ wo nipadua no fã biako ayɛ wo yaw a, kɔ Dwumadibea a Ɛho Hia Ntɛmntɛm (ETU) a ɛbɛn wo ntɛm ara.
- Ansa na wobɛpaw ɔkwan biara a wɔfa so siw awo ano no, wo ne wo duruyɛfo nsusuw mfaso ne ɔhaw ahorow a ɛwom ho na paw ɔkwan a ɛfata wo yiye.
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