So wo duruyɛfo aka akyerɛ wo anaa obi a ɔbɛn wo sɛ wubefi ase anom aduru bi a wɔfrɛ no Foscarnet? Anaasɛ woasusuw aduru yi ho pɛn? Saa aduru yi nyɛ biribi a wotaa tɔ fi nnurutɔnbea na wode di dwuma wɔ fie. Eyi yɛ aduru titiriw bi a wɔde ma wɔ ayaresabea, wɔ aduruyɛfo hwɛ ase. Enti ɛnnɛ, momma yɛnka aduru yi a wɔfrɛ no Foscarnet ho asɛm tiawa.
Dɛn ne Foscarnet?
Sɛ yɛbɛka no tiawa a, Foscarnet yɛ aduru a ekum ɔyare mmoawa . Ɛyɛ adwuma denam mmoawa bi a wɔhyɛn yɛn nipadua mu na wɔde nyarewa ba no so na esiw wɔn trɛw so.
Wɔtaa de saa aduru yi sa anaa wɔde siw herpes virus yare mmoawa ne cytomegalovirus (CMV) yareɛ ano. Eyi ho hia titiriw wɔ nnipa a wɔn nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw (te sɛ wɔn a wɔwɔ HIV anaa wɔn a wɔde nipadua foforo ma wɔn), efisɛ CMV betumi asɛe aniwa (retinitis) anaa akwaa afoforo kɛse. Saa aduru yi ho hia titiriw wɔ nsɛm a ɛtete saa mu.
Nea ɛho hia ne sɛ, eyi nyɛ aduru a wɔde sa atiridiinini. Eyi yɛ aduru a wɔde fa ntini mu (infusion) ma ɔyare mmoawa a emu yɛ den wɔ ayaresabea, a nnuruyɛfo ne ayarehwɛfo hwɛ so yiye.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi ase anom nnuru
Ansa na wubefi ase de Foscarnet ayɛ ayaresa no, ɛho hia yiye sɛ wobɔ wo duruyɛfo amanneɛ wɔ w’akwahosan ho abakɔsɛm a edi mũ ho, efisɛ akwahosan tebea horow bi hwehwɛ sɛ wɔhwɛ yiye titiriw bere a wode saa aduru yi redi dwuma no.
Sɛ wowɔ tebea horow a edidi so yi mu biara a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo.
| Akwahosan tebea | Dɛn nti na nhumu ho hia? (Nea ɛte saa ara) . |
|---|---|
| Asaabo mu yare | Wɔnam asaabo so yi saa aduru yi fi nipadua no mu. Sɛ asaabo no yɛ mmerɛw a, aduru no betumi aboaboa ano wɔ nipadua no mu na ama nea efi mu ba no ayɛ kɛse. |
| Koma mu yare | Ɛtɔ mmere bi a, saa aduru yi tumi ma koma bɔ a ɛnyɛ ne kwan so. |
| Calcium, magnesium, phosphorus, anaa potassium dodow a ɛba fam wɔ mogya mu | Foscarnet betumi ama nsakrae foforo aba saa mineral dodow yi mu, enti ɛho hia sɛ wudi kan hu eyi. |
| Akisikuru a ɛma obi ho kyere no | Asiane a ɛntaa nsi sɛ obi betumi anya akisikuru wɔ aduru yi ho. |
| Mogya dodow a ɛba fam | Ɛsɛ sɛ oduruyɛfo no hu sɛ mogya mu nkwammoaa fitaa, mogya mu nkwammoaa kɔkɔɔ, anaa mogya mu nkwammoaa dodow biara a ɛba fam. |
| Sɛ wonyinsɛn anaasɛ woreyɛ nhyehyɛe sɛ wobɛnyinsɛn/wobɛma nufu | Esiane sɛ wonnya nhuu ahobammɔ a aduru yi wɔ wɔ nyinsɛn ne nufu mu nti, ɛho hia sɛ woka eyi ho asɛm kyerɛ wo duruyɛfo . |
| Nnuru afoforo ho akisikuru | Sɛ wowɔ Foscarnet anaa aduru foforo biara, aduan, anaa ade a wɔde yɛ ade ho akisikuru a, yɛsrɛ wo ma yɛnhu. |
Na sɛ menom nnuru pii nso ɛ?
Wɔde eyi ma wɔ ayaresabea, enti hokwan a ɛwɔ hɔ sɛ eyi bɛba no sua koraa. Nanso, sɛ wususuw sɛ woanom aduru no pii a, ɛsɛ sɛ wobɔ nnuruyɛfo no amanneɛ ntɛm ara. Sɛnea ɛbɛyɛ foforo no, frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no . Wɔ tebea a egye ntɛmpɛ mu no, ɛho hia sɛ wokɔ ayaresabea a ɛbɛn wo no Emergency Treatment Unit (ETU) .
Nkitahodi a ɛda nnuru afoforo ntam
Foscarnet yɛ aduru a ebetumi ne nnuru afoforo adi nkitaho. Enti, ka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo (wɔakyerɛw ama wo, a wɔmfa nnuru nhyɛ mu, nnuru a wɔde di dwuma wɔ amanne kwan so, vitamin, nhabannuru).
Ɛnsɛ sɛ wɔde foscarnet ka nnuru a edidi so yi ho da.
- Cidofovir a wɔde di dwuma
- Cisapride na ɔkyerɛwee
- Dronedarone a wɔfrɛ no Dronedarone
- Pimozide a wɔde yɛ nnuru
- Thioridazine a wɔde ma
Nea ɛka ho no, ebetumi ne nnuru afoforo pii adi nkitaho. Nhwɛsoɔ:
- Nnuru afoforo a ebetumi aka asaabo (e.g. Amphotericin B, Gentamicin, NSAIDs nnuru a wɔde kum ɛyaw) .
- Nnuru a ɛka koma no bɔ (nnuru a ɛma QT ntam kwan kyɛ) .
- Nnuru afoforo a ekum ɔyare mmoawa (te sɛ Acyclovir, Ganciclovir) .
- Nnuru a ɛma nsu fi nipadua mu
- Aspirin a wɔde di dwuma
Saa list yi nwie pɛyɛ. Enti, ɛyɛ nea asiane biara nni ho sɛ wode nsɛm a wɔahyehyɛ a edi mũ bɛma wo duruyɛfo denam ka a wobɛka sɛ, "Merenom aduru yi" no so.
Nneɛma a ɛsɛ sɛ wususuw ho bere a wɔreyɛ ayaresa no
- Sɔhwɛ a Wɔayɛ ho Nhyehyɛe: Kɔ wo duruyɛfo nkyɛn wɔ nna a wɔahyɛ ato hɔ no mu sɛnea wɔakyerɛ wo no. Ɛho behia sɛ wohwɛ wo mogya mu mineral dodow, asaabo dwumadi, ne mogya mu nkwammoaa dodow mu daa. Mma nntwa sɔhwɛ ahorow yi so.
- Nsu a ɛho ayɛ fĩ: Sɛ wo ho yɛ wo yaw denneennen, wo ho yɛ wo yaw, anaa wofe, anaasɛ wo ho fifiri pii a, ka kyerɛ wo duruyɛfo anaa ɔyarehwɛfo. Nsu a ɛho ayɛ fĩ betumi ayɛ asiane bere a ɔnom aduru yi no.
- Ayɛ a ɛyɛ mmerɛw: Sɛ w’ano, w’ano, w’ano, wo nsa, anaa wo nan ho yɛ wo yaw anaasɛ wo ho yɛ wo yaw a, ka kyerɛ wo duruyɛfo anaa ɔyarehwɛfo ntɛm ara . Eyi betumi ayɛ sɛnkyerɛnne a anibere wom a ɛkyerɛ sɛ calcium dodow a ɛwɔ mogya mu no so atew.
- Adwene a ɛyɛ basaa ne nna a ɛyɛ den: Ebia saa aduru yi bɛma woate nka sɛ woda kakra anaasɛ wo ho bɛtɔ wo. Enti, kwati dwumadi ahorow a ehia sɛ woma w’ani da hɔ, te sɛ karka anaa mfiri a wode bedi dwuma, kosi sɛ wubehu sɛnea aduru no ka wo. Titiriw sɛ woyɛ obi a ne mfe akɔ anim a, nsɔre mpofirim mfi baabi a wotena anaa wugyina hɔ. Eyi betumi atew asiane a ɛwɔ hɔ sɛ obi bɛtɔ no na wahwe ase no so.
Nsunsuanso bɔne a aduru no de ba
Te sɛ aduru biara no, Foscarnet betumi de ɔhaw ahorow aba. Ebi yɛ aniberesɛm, ebi nso abu so.
| Nneɛma bɔne a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo/ɔyarehwɛfo ntɛm ara | |
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| Nneɛma a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo | |
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Nkrasɛm a Wɔde Kɔ Fie
- Foscarnet yɛ aduru a ano yɛ den a wɔde fa ntini mu wɔ ayaresabea ma ɔyare mmoawa a emu yɛ den.
- Ansa na wubefi ayaresa ase no, ɛho hia sɛ woka ayaresa tebea horow a wowɔ nyinaa ne nnuru a wonom nyinaa kyerɛ wo duruyɛfo.
- Sɛ wunya ɔhaw biara a anibere wom bere a woresa wo yare no, te sɛ akwaa a ɛyɛ wo yaw, ɛyɛ den sɛ wobɛhome, anaa nsakrae a ɛba wo koma mu a, bɔ nnuruyɛfo amanneɛ ntɛm ara.
- Mma nntwa mogya mu nhwehwɛmu a wɔayɛ ho nhyehyɛe ne nhwehwɛmu afoforo a wo duruyɛfo akyerɛw ama wo no so.
- Sɛ wowɔ nsɛmmisa bi fa saa aduru yi ho a, nsuro sɛ wo ne wo duruyɛfo bɛka ho asɛm pefee.
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