Yɛn nyinaa nim sɛ kokoram ayaresa, kyerɛ sɛ, nnuru a wɔde sa yare no nyɛ ade a ɛyɛ mmerɛw. Bere a wɔresa yare no, ayaresa no mu nsunsuanso bɔne te sɛ akisikuru ne ɔfe no ma nipadua ne adwene no yɛ basaa kɛse. Enti, ɛnnɛ yɛreka aduru titiriw bi a nnuruyɛfo de di saa ɔhaw yi so, kyerɛ sɛ, wɔde siw akisikuru ne ɔfe ano ho asɛm.
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Sɛ yɛbɛka no tiawa a, dɛn ne aduru yi?
Saa aduru yi wɔ din abien: Fosnetupitant ne Palonosetron . Ɛyɛ nnuru a wɔde twitwiw nneɛma abien yi a wɔaka abom. N’adwuma titiriw ne sɛ ebesiw akisikuru ne ɔfe a kokoram ayaresa (chemotherapy) de ba no ano.
Sɛ yɛbɛka no tiawa a, nnuru bi a ɛwɔ yɛn nipadua mu de nsɛnkyerɛnne kɔ amemene no mu a ɛka sɛ "Ɛsɛ sɛ mefe mprempren." Saa aduru yi siw saa nsɛnkyerɛnne no kwan sɛ wɔde bɛmena. Sɛ yɛbɛka no pɛpɛɛpɛ a, eyinom ka nnuru a ekum akisikuru kuw no ho, anaasɛ wɔfrɛ no wɔ aduruyɛ mu sɛ antiemetics.'' Esiane sɛ wɔde eyi ma ansa na wɔafi ayaresa no ase nti, hokwan a ɛwɔ hɔ sɛ obi benya akisikuru ne ɔfe no so tew kɛse.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom saa aduru yi
Ansa na ɔde aduru yi bɛma wo no, ɛho hia paa sɛ wo duruyɛfo no hu w’akwahosan tebea a edi mũ. Nea enti a ɛte saa ne sɛ ebia saa aduru yi ne w’ayaresa tebea horow bi bedi nkitaho. Enti, sɛ wowɔ tebea horow a edidi so yi mu biara a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo .
| Wo tebea no | Dɛn nti na ɛho hia oduruyɛfo no ? |
|---|---|
| Asaabo mu yare | Esiane sɛ wɔfa asaabo so yi nnuru fi nipadua no mu nti, ɛho hia sɛ wohu sɛnea asaabo no yɛ adwuma. |
| Mmɛn mu yare | Esiane sɛ mmerɛbo no yɛ nnuru ho adwuma nti, ne dwumadi betumi aka nnuru no dodow. |
| Nneɛma a ɛma obi ho yɛ no hyew | Sɛ wo ho nyɛ wo hyew wɔ saa aduru yi anaa nnuru afoforo a ɛte saa a ekum akisikuru (e.g. ondansetron, granisetron) ho a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo. Afei nso, sɛ wowɔ nnuru, nnuan, anaa nnuru a wɔde yɛ nneɛma afoforo ho akisikuru bi a, ka kyerɛ wɔn. |
| Sɛ woanyinsɛn anaasɛ worehwɛ akokoaa kwan a | Ɛho hia sɛ wohwehwɛ aduruyɛfo afotu ansa na wode aduru biara adi dwuma bere a wonyinsɛn no. |
| Sɛ ɛna bi rema ne ba nufu a | Ɛsɛ sɛ oduruyɛfo no hu sɛ ebia nnuru no mu nneɛma betumi afa nufusu mu akɔ akokoaa no nkyɛn anaa. |
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Eyi nyɛ aduru a wubetumi de akɔ fie.
- Wɔde eyi ma sɛ aduru a wɔde twitwiw ntini bi mu .
- Wɔde ma wɔ ayaresabea anaa ayaresabea bi a nnuruyɛfo hwɛ so nkutoo.
- Sɛ wode saa aduru yi rema mmofra nkumaa a, ebia ɛho behia sɛ wɔhwɛ yiye titiriw. Wo ne wo duruyɛfo nka eyi ho asɛm.
Nea ɛho hia: Sɛ wususuw sɛ woanom aduru yi pii wɔ akwanhyia mu a, ɛsɛ sɛ wofrɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no ntɛm ara , anaasɛ wokɔ ayaresabea a ɛbɛn wo no Ayaresa a Ɛho Hia Ntɛmntɛm (ETU) no.
So ebetumi ne nnuru afoforo adi nkitaho?
Yiw, koraa. Ɛho hia paa sɛ wobɛka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo. Nnuru bi betumi ne saa vaccine yi adi nkitaho na ɛde nsunsuanso a wɔmpɛ aba. Ka vitamin, nhabannuru, anaa nnuru a wɔde ka aduan ho a worenom ho asɛm kyerɛ wo duruyɛfo. Hwɛ yiye titiriw wɔ nnuru a edidi so yi ho:
- Nnuru afoforo bi a wɔde sa kokoram
- Nnuru a wɔde sa tebea horow te sɛ adwenemhaw ne dadwen
- Nnuru a wɔde sa fungal yare (e.g. ketoconazole, itraconazole) .
- Nnuru bi a wɔde da
- Nnuru a ɛmma mogya ntumi nkɔ (e.g. warfarin) .
- Nnuru a wɔde kum ɛyaw, sɛ nhwɛso no (Fentanyl), (Tramadol)
- Nnuru te sɛ Dexamethasone, Midazolam, Rifampin
- Nnuru a ɛyɛ MAOIs kuw no dea
- Methylene blue (wɔde fa ntini mu) .
Saa nsɛm a wɔahyehyɛ yi nwie pɛyɛ, enti hwɛ hu sɛ wobɛka nnuru a worenom nyinaa akyerɛ wo duruyɛfo.
Dɛn ne nsunsuanso bɔne a ebetumi afi mu aba?
Sɛnea ɛte wɔ nnuru biara ho no, nneɛma bɔne bi wɔ hɔ a ebetumi aba. Ebinom hwehwɛ sɛ wɔde wɔn adwene si so ntɛm ara, bere a afoforo nso ntaa nyɛ aniberesɛm.
| Sɛ wuhu saa sɛnkyerɛnne ahorow yi a, ka kyerɛ wo duruyɛfo anaa ɔyarehwɛfo ntɛm ara. | |
|---|---|
| Nsunsuanso bɔne | Nsɛnkyerɛnne a ebetumi aba |
| Nneɛma a ɛma obi ho yɛ no hyew | Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon, ɛyɛ den sɛ wobɛhome. |
| Serotonin Yare a Ɛyɛ Fɛ | Dadwen, adwene a ɛyɛ basaa, koma bɔ ntɛmntɛm anaasɛ ɛnteɛ, ntini a ɛyɛ den anaasɛ ɛtwetwe, fifiri a ɛboro so, atiridiinini a ano yɛ den, akisikuru, ɔfe, akisikuru. (Eyi yɛ tebea a emu yɛ den yiye) |
| Mpɛn pii no, eyinom nyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ka kyerɛ wo duruyɛfo. | |
| Ayamtim | Ɛyɛ den sɛ wobɛkɔ tiafi. |
| Ɔbrɛ | Ɔbrɛ a ɛboro so wɔ nipadua no mu. |
| Tipaeɛ | Ti a ɛtaa yɛ no yaw. |
| Yafunu a ɛyɛ basaa | Yafunu a ɛyɛ hyew anaasɛ ɛnyɛ dɛ. |
Saa nsɛm a wɔahyehyɛ yi nka nsunsuanso bɔne a ebetumi aba nyinaa ho. Sɛ wuhu biribi a ɛyɛ soronko ka eyinom ho a, yɛsrɛ sɛ bɔ nnuruyɛfo amanneɛ.
Nkrasɛm a Wɔde Kɔ Fie
- Fosnetupitant a ɔyɛ ɔyarefo; Palonosetron yɛ aduru a wɔde twitwiw nipadua no mu de siw akisikuru ne ɔfe a kokoram ayaresa (chemotherapy) de ba no ano.
- Ansa na wobɛnom saa aduru yi no, ɛho hia sɛ woka akisikuru biara a wowɔ, aduruyɛ mu tebea afoforo, ne nnuru afoforo a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo.
- Eyi yɛ aduru a wɔde ma wɔ ayaresabea anaa ayaresabea, wɔ nnuruyɛfo a wɔhwɛ so.
- Sɛ wunya akisikuru ho sɛnkyerɛnne biara (honam ani akisikuru, ɛho ahonhon) anaa sɛnkyerɛnne ahorow a ɛbata serotonin syndrome (atiridiinini a emu yɛ den, basabasayɛ) ho bere a worenom aduru no anaa bere a worenom aduru no akyi a, ka kyerɛ nnuruyɛfo no ntɛm ara .
- Sɛ wowɔ nsɛmmisa bi fa saa aduru yi ho a, ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo.
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