Momma yensua Imatinib tablets ho ade? Boa wɔ wo ko a wobɛko atia kokoram no mu!

So ɛsɛ sɛ wo anaa obi a wunim no ko tia kokoram pɛn? Wɔ mmere a ɛtete saa mu no, nnuruyɛfo kyerɛw nnuru ahorow ma yɛn, ɛnte saa? Imatinib yɛ aduru titiriw bi a ɛboa ma wodi kokoram nkwammoaa a ɛtete saa so. Momma yɛnka aduru yi ho asɛm nkɔ akyiri nnɛ, ɛnte saa?

Aduru bɛn na Imatinib yɛ?

Sɛ yɛbɛka no tiawa a, Imatinib yɛ aduru a ɛkɔ anim a ɛde n’ani si kokoram nkwammoaa so na ɛboa ma wogyae wɔn nyin. Te sɛ obi a ɔtow tuo no, ɛde n’ani si protein pɔtee bi a ɛwɔ kokoram nkwammoaa mu so bere a ɛmma nkwammoaa a wɔwɔ apɔwmuden pii sɛnea ɛbɛyɛ yiye biara no. Eyi ma kokoram nkwammoaa no brɛ ase sɛ wɔbɛpaapae na antrɛw.

Edin foforo a wɔde frɛ saa aduru yi wɔ gua so ne Gleevec . Ebia wo duruyɛfo nso de edin yi bɛfrɛ saa aduru yi.

Nyarewa bɛn na wɔde saa aduru yi di dwuma?

Wɔde saa aduru yi a wɔfrɛ no Imatinib no sa mogya mu kokoram ahorow bi titiriw , a ɛyɛ kokoram a ɛba mogya mu no. Nea ɛka ho no, ɛyɛ:

• Myelodysplastic Syndromes yɛ nyarewa a efi nnompe mu ntini mu.
• Wɔ kokoram ahorow afoforo bi ho.
• Wɔde di dwuma nso ma akisikuru soronko a ɛba yɛn aduan mu (i.e., dwensɔtwaa mu), a wɔfrɛ no GISTs (Gastrointestinal Stromal Tumors) .

Nanso kae sɛ, ɛtɔ mmere bi a nnuruyɛfo betumi de saa aduru yi adi dwuma wɔ tebea afoforo mu, enti sɛ wowɔ nsɛmmisa bi fa nea enti a wɔakyerɛw aduru yi ama wo ho a, ɛbɛyɛ papa bere nyinaa sɛ wubebisa wo duruyɛfo anaa nnuruyɛfo.

Nneɛma bɛn na ɛsɛ sɛ woka kyerɛ oduruyɛfo no ansa na woanom aduru no?

Ansa na wubefi ase anom Imatinib no, nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ampa . Sɛ woanka ankyerɛ wɔn a, ebia wɔremfata wo, anaasɛ wɔde ɔhaw afoforo bɛba. Enti hwɛ hu sɛ wobɛka akyerɛ wɔn sɛ:

• Sɛ wowɔ mogyatɔw ho haw ahorow a.
• Sɛ mprempren wowɔ ɔyare biara a - titiriw no, ɔyare mmoawa te sɛ akokɔsrade ne akisikuru.
• Sɛ wowɔ komayare anaa komayare a.
• Sɛ wowɔ asaabo mu yare a.
• Sɛ wowɔ mmerɛbo mu yare a.
• Sɛ wowɔ ahurututu mu yare a.
• Sɛ wowɔ yafunu mu haw a.
• Sɛ woanya Imatinib ho akisikuru wɔ bere a atwam no mu, anaasɛ aduru foforo biara, aduan, nnuru a wɔde yɛ nneɛma, anaa nneɛma a wɔde siesie nneɛma ho a.
• Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a.
• Sɛ woyɛ ɛna a ɔma nufu a.

Ɛho hia yiye ma w’ahobammɔ sɛ wode saa nsɛm yi ma oduruyɛfo no!

Ɔkwan bɛn so na wɔde aduru yi bedi dwuma yiye?

Ɛho hia paa sɛ wubehu ɔkwan pɔtee a wɔfa so fa saa aduru yi. Ɛsɛ sɛ wudi nea oduruyɛfo no ka no akyi pɛpɛɛpɛ.

• Ɛsɛ sɛ wɔde nsu kuruwa kɛse bi nom saa aduru yi . Mfa aduru no nnom nsu kakraa bi.
• Ɛyɛ papa sɛ wode bɛka aduan ho. Eyi betumi aboa ma yafunu a ɛyɛ yaw ne akisikuru so atew.
• Mfa saa aduru yi nka bobe nsu ho esiane biribiara nti. Ebia grapefruit nsu besiw aduru yi a etu mpɔn no kwan.
• Fa aduru no sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ, wɔ bere a ɛfata mu, dodow a ɛfata mu. Nnom nea ɛboro nea oduruyɛfo no ka kyerɛ wo no da, anaasɛ nnom mpɛn pii.
• Mma nnnyae saa aduru yi nom mpofirim a wunnya wo duruyɛfo afotu.

Ɛyɛ den ma nnipa binom sɛ wɔbɛmene nnuru a wɔde sa yare, ɛnte saa? Sɛ wowɔ saa ɔhaw no a, wo ne wo duruyɛfo, nnuruyɛfo, anaa akwahosan ho ɔbenfo nkasa. Wobetumi aboa wo wɔ saa asɛm no mu. Ebia akwan bi wɔ hɔ a wɔfa so de aduru no gu nsu mu na wɔnom, nanso ɛsɛ sɛ wɔyɛ saa wɔ oduruyɛfo no afotu ase nkutoo.

Na sɛ wɔde saa aduru yi ma mmofra nso ɛ...?

Yiw, wɔ nsɛm titiriw bi mu no, wobetumi de Imatinib ama mmofra a wɔadi mfe biako pɛ. Nanso mmofra oduruyɛfo na osi ɛno ho gyinae. Nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ yɛhwɛ yiye wɔ ho titiriw bere a yɛde rema mmofra no. Enti, sɛ wode saa aduru yi rema abofra a, ɛho hia sɛ wo ne oduruyɛfo no kasa fa ho na wokyerɛkyerɛ biribiara mu.

Sɛ wodi mfomso nom nnuru pii a, dɛn na woyɛ?

Sɛ ɛba saa a, kyerɛ sɛ, sɛ wususuw sɛ woanom pii sen sɛnea wususuwii a, ɛsɛ sɛ wofrɛ baabi a wɔhwɛ awuduru so anaa ayaresabea bi a ɛbɛn hɔ no dan a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ ntɛm ara. Mma nsɛe bere. Eyi yɛ aduru a wɔkyerɛw maa wo, nkyɛ obiara.

Sɛ woankɔ bere a wopɛ sɛ wonom nnuru a, dɛn na woyɛ?

Sɛ wo werɛ fi sɛ wobɛnom dodow bi wɔ akwanhyia mu a, fa no bere a wokae ara pɛ. Nanso, sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ no 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 mfa nsiesie dodow a wo werɛ afi no. Saa a wobɛyɛ no betumi ama nnuru dodow a wonom no ayɛ kɛse.

Nnuru afoforo bɛn na ebetumi ne aduru yi adi nkitaho?

Eyi ho hia yiye . Imatinib betumi ne nnuru afoforo bi a worenom no adi nkitaho. Wei kyerɛ sɛ, sɛ wɔde ka saa aduru no ho a, Imatinib no nkɛntɛnso betumi asesa, anaasɛ aduru foforo no nkɛntɛnso betumi asesa, anaasɛ nea efi mu ba no betumi akɔ soro.

Enti, sɛ wonom Imatinib a, ɛsɛ sɛ woka nnuru a worenom nyinaa (a wo duruyɛfo akyerɛw ama wo, nea wotɔ fi nnurutɔnbea, aduru a wɔde di dwuma wɔ amanne kwan so, nhabannuru, vitamin ahorow) kyerɛ wo duruyɛfo. Sɛ wonom sigaret, wonom nsa, anaa wode nnuru foforo di dwuma a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo nso.

Imatinib betumi ne nnuru a edidi so yi adi nkitaho:

• Nnuru bi a wɔde ko tia HIV anaa AIDS
• Bosentan na ɔkyerɛwee
• Cisapride na ɔkyerɛwee
• Clarithromycin a wɔde yɛ aduru
• Cyclosporine a wɔde di dwuma
• Dexamethasone a wɔde ma
• Diltiazem a wɔde di dwuma
• Ergot alkaloids (sɛ nhwɛso no, dihydroergotamine, ergonovine, ergotamine, methylergonovine) .
• Erythromycin a wɔde hyɛ nipadua mu
• Grapefruit anaa grapefruit nsuo - Sɛnea yɛadi kan aka no, akyinnye biara nni ho sɛ ɛsɛ sɛ wɔkwati eyi.
• Nnuru a ɛma mogya mu srade so tew (sɛ nhwɛso no, atorvastatin, lovastatin, simvastatin) .
• Nnuru a wɔde sa adwenemhaw, dadwen, anaa adwenemyare
• Nnuru a wɔde ko tia fungal (sɛ nhwɛso no, ketoconazole, itraconazole) .
• Nnuru a wɔde sa koma bɔ a ɛnteɛ (sɛ nhwɛso no, amiodarone, bepridil, dofetilide, encainide, flecainide, propafenone, quinidine) .
• Nnuru a wɔde sa akisikuru (sɛ nhwɛso no, carbamazepine, phenobarbital, phenytoin) .
• Nnuru a wɔde da
• NSAID ahorow (sɛ nhwɛso no, ibuprofen, naproxen) .
• Pimozide a wɔde yɛ nnuru
• Rifabutin a wɔde yɛ nnuru
• Rifampin na ɔkyerɛwee
• Sildenafil a wɔde yɛ aduru
• Sirolimus a wɔfrɛ no sirolimus
• Nnuadewa a wɔfrɛ no St. John’s wort
• Tacrolimus a wɔde di dwuma
• Nnuru a wɔde bɔ nkurɔfo ho ban
• Verapamil a wɔde yɛ aduru
• Warfarin - aduru a esiw mogya a ebetu

Saa nsɛm a wɔahyehyɛ yi nyɛ nea edi mũ. Enti , ɛbɛyɛ papa sɛ wobɛka nnuru a worenom nyinaa ho asɛm akyerɛ wo duruyɛfo. Titiriw no, wo ne wo duruyɛfo nkasa ansa na woanom nnuru te sɛ paracetamol, aspirin, ibuprofen, ketoprofen, ne naproxen.

Nneɛma bɛn na ɛsɛ sɛ yɛhwɛ yiye wɔ ho bere a yɛrenom nnuru no?

Wo duruyɛfo bɛhwɛ w’akwahosan so daa bere a worenom Imatinib no. Nea ɛka eyi ho ne mogya mu nhwehwɛmu a wɔbɛyɛ daa de ahwɛ sɛnea aduru no renya wo nipadua no so nkɛntɛnso ne sɛ ebia nsunsuanso bɔne bi wɔ hɔ anaa. Sɛ wunya sɛnkyerɛnne foforo biara a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo ntɛm ara.

Hwɛ yiye wɔ honam ani yare a emu yɛ den a ebetumi aba no ho.

Saa aduru yi betumi ama nnipa binom honam ani ayɛ wɔn yaw kɛse . Eyinom betumi aba bere a wɔafi aduru no ase akyi adapɛn anaa asram pii. Sɛ wo honam ani yɛ kurukuruwa a atiridii anaa yare bi a ɛte sɛ atiridii wɔ wo ho a, ka kyerɛ wo duruyɛfo ntɛm ara.Ebia akisikuru no bɛyɛ kɔkɔɔ anaa kɔkɔɔ, afei akisikuru na ayɛ. Anaasɛ, ebia ntini a ɛho ahonhon ne akisikuru kɔkɔɔ a ɛwɔ anim, anofafa, kɔn, anaa abasa mu.

Bɔ wo ho ban fi nyarewa ho

Sɛ wowɔ sɛnkyerɛnne te sɛ atiridiinini, atiridiinini, menewam yaw, anaa atiridiinini a, nnyɛ wo ho aduru. Frɛ wo duruyɛfo ntɛm ara na ɔmma no afotu. Saa aduru yi betumi atew tumi a wo nipadua no de ko tia nyarewa no so. Enti bɔ mmɔden sɛ wobɛtwe wo ho afi nnipa a wɔyare ho sɛnea wubetumi biara.

Asiane a ɛwɔ hɔ sɛ mogya bɛtu

Saa aduru yi betumi ama asiane a ɛwɔ hɔ sɛ mogya bɛtɔ wo anaasɛ wobɛbɔ wo ho akuturuku no ayɛ kɛse. Sɛ wotaa nya akuru, wo hwene mu mogya, mogya tu wo sẽ bere a worehohoro wo sẽ, anaa mogya foforo biara a ɛyɛ soronko a, ka kyerɛ wo duruyɛfo.

Dae a obi da ne adwenemhaw

Saa aduru yi betumi ama woate nka sɛ woada anaasɛ wo ho ayɛ wo yaw. Enti, kosi sɛ wubehu sɛnea aduru yi ka wo ankasa no, kwati sɛ wobɛka kar, wode mfiri bedi dwuma, anaasɛ wobɛyɛ biribiara a ɛhwehwɛ sɛ wode w’adwene si biribi so.

Ɔkwan bɛn so na saa aduru yi yɛ ma ɛnanom a wɔyem ne wɔn a wɔma wɔn nufu?

Eyi yɛ asɛm a ɛho hia paa .

• Nnyinsɛn bere a worenom aduru yi ne nnafua 14 bere a woagyae aduru no akyi.
• Sɛ ɔbea bi reyɛ nhyehyɛe sɛ obenyinsɛn, anaa osusuw sɛ ebia wanyinsɛn a, ɛsɛ sɛ ɔka kyerɛ ne duruyɛfo. Saa aduru yi betumi de nsunsuanso bɔne a emu yɛ den aba akokoaa a ɔhyɛ yafunu mu no so. Bisa wo duruyɛfo anaa nnuruyɛfo ma ɔmma wo nsɛm pii.
• Mma wo ba no nufu bere a worenom aduru yi ne ɔsram biako bere a woagyae aduru no akyi.

Dɛn ne aduru yi mu nsunsuanso bɔne a ebetumi afi mu aba?

Te sɛ aduru biara no, Imatinib betumi de ɔhaw ahorow aba nnipa binom so. Ɛnyɛ obiara na onya bi, nanso nnipa binom nya bi. Eyinom bi yɛ nneɛma a ɛsɛ sɛ woka ho asɛm kyerɛ wo duruyɛfo ntɛm ara , bere a afoforo nso nyɛ aniberesɛm kɛse na ebefi hɔ nna kakraa bi akyi. Nanso, sɛ wɔkɔ so anaasɛ wɔhaw adwene a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo .

Nneɛma bɔne a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ntɛm ara:

• Nsɛnkyerɛnne a ɛkyerɛ sɛ obi ho yɛ no yaw: honam ani akisikuru, ɛyaw anaa akisikuru, anim, anofafa, tɛkrɛma a ɛho ahonhon.
• Ɔhome mu haw ahorow.
• Nsakrae a ɛba wɔ anisoadehu mu.
• Nsu a ɛyɛ sum.
• Nkate a ɛyɛ yare wɔ ɔkwan a ɛkɔ akyiri so anaasɛ sɛnkyerɛnne ahorow a ɛte sɛ atiridiinini.
• Nsu a wɔde kɔla yɛ hann.
• Aduan ho akɔnnɔ a ɛyera.
• Mogya dodow a ɛso tew: Saa aduru yi betumi ama mogya mu nkwammoaa fitaa, mogya mu nkwammoaa kɔkɔɔ, ne mogya mu nkwammoaa dodow so atew. Eyi betumi ama asiane a ɛwɔ hɔ sɛ wubenya nyarewa ne mogya a ɛbɛtɔ wo no ayɛ kɛse.
• Ano mu akuru.
• Akisikuru, atiridiinini, ne ntini a ɛho ahonhon.
• Kɔkɔkɔɔ, akisikuru, honam ani a ɛbɛpae anaasɛ ayɛ mmerɛw nso betumi aba wɔ ano no mu.
• Yafunu atifi nifa so yaw.
• Nsɛnkyerɛnne a ɛkyerɛ sɛ mogya nkwammoaa a ɛba fam anaasɛ mogya retu: akuru, nsensanee kɔkɔɔ a ɛkyerɛ honam ani, nsu tuntum, tar, mogya a ɛwɔ nsu mu, hwene mu mogya.
• Mogya mu nkwammoaa kɔkɔɔ a ɛba fam ho sɛnkyerɛnne: mmerɛwyɛ soronko, ɔbrɛ, akisikuru, ne ti a ɛyɛ hare.
• Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare no: atiridii anaa atiridiinini, ɔfe, menewa mu yaw, ɛyaw anaa ɛyɛ den sɛ ɔbɛtow.
• Nan anaa nansoaa a ɛho ahonhon.
• Ɔhaw a ɛba wɔ nsu a wɔde fa mu anaasɛ nsakrae a ɛba wɔ nsu dodow mu.
• Ɔfe a wɔfe.
• Aniwa anaa honam ani a ɛyɛ kɔkɔɔ.

Nsunsuanso bɔne a mpɛn pii no enhia aduruyɛ (nanso ɛsɛ sɛ wɔbɔ oduruyɛfo amanneɛ sɛ ɛkɔ so anaasɛ ɛhaw adwene a):

• Aduan ho akɔnnɔ a ɛso tew.
• Ayamtuo.
• Dae a wontumi nna (ɛyɛ den sɛ wobɛda).
• Tipaeɛ.
• Koma a ɛyɛ yaw.
• Nkwaa mu yaw.
• Ntini mu akisikuru anaa ɛyaw.
• Abofono.
• Yafunu a ɛyɛ basaa.

Ebia nneɛma bɔne a ebetumi afi mu aba nyinaa nka saa nsɛm a wɔahyehyɛ yi ho. Sɛ wuhu biribi a ɛyɛ soronko a, bisa wo duruyɛfo no ho asɛm. Wubetumi nso abɔ amanneɛ akyerɛ FDA (Food and Drug Administration) wɔ 1-800-FDA-1088 (wɔ Sri Lanka no, wubetumi afa wo duruyɛfo so abɔ nnuru ho mmarahyɛ bagua a ɛfa ho no amanneɛ).

Ɔkwan bɛn so na ɛsɛ sɛ mede saa aduru yi sie?

Ɛsɛ sɛ wɔde saa aduru yi sie baabi a mmofra ntumi nkɔ hɔ . Ɛno ho hia paa.

• Fa aduru no sie wɔ dan mu hyew, digrii Celsius 15 kosi 30 (digrii Fahrenheit 59 kosi 86).
• Bɔ ho ban fi nsu ho. Ɛno kyerɛ sɛ mfa nsie mmeae a ɛhɔ yɛ nwini te sɛ aguaree.
• Fa toa no to mu denneennen.
• Mfa nnuru a ne bere atwam nni dwuma. Tow wɔn gu.

Saa kratawa yi yɛ nsɛm a wɔaboaboa ano nkutoo. Ebia nsɛm no nyinaa nni mu. Sɛ wowɔ nsɛmmisa foforo bi fa saa aduru yi ho a, wo ne wo duruyɛfo, nnuruyɛfo, anaa akwahosan ho ɔbenfo nkasa.

Nkrasɛm a Wɔde Kɔ Fie:

Okay, enti, efi nea yɛaka Imatinib ho asɛm no mu no, nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ wokae ampa :

• Imatinib yɛ aduru titiriw bi a ɛboa ma kokoram nkwammoaa nyin. Fa no sɛnea wo duruyɛfo ka kyerɛ wo no pɛpɛɛpɛ, wɔ bere a ɛfata mu, wɔ dodow a ɛfata mu.
• Fa ka aduan ne nsu pii ho. Ɛnsɛ sɛ wode grapefruit nsu ka ho da.
• Ka nnuru afoforo a wonom nyinaa ne w'ayaresa tebea nyinaa kyerɛ wo duruyɛfo . Eyi ho hia titiriw sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaa worema nufu a.
• Ɛho behia sɛ woyɛ wo mogya mu nhwehwɛmu daa. Hwɛ yiye wɔ honam ani nsakrae, ɔyare mmoawa ho sɛnkyerɛnne, ne mogya a ɛtɔ soronko ho. Sɛ wuhu biribi a ɛte saa a , ka kyerɛ wo duruyɛfo ntɛm ara.
• Yɛkaa nea ɛsɛ sɛ woyɛ nso sɛ wonom nnuru pii anaasɛ wopa aduan bi a, ɛnte saa? Kae saa nneɛma no.
• Fa aduru yi sie baabi a ɛhɔ yɛ nwini na ɛhɔ yɛ kusuu a mmofra ntumi nkɔ hɔ.

Kokoram a wɔko no nyɛ mmerɛw. Nanso sɛ wode nnuru a ɛkɔ akyiri te sɛ eyi di dwuma, na sɛ wudi oduruyɛfo no akwankyerɛ akyi yiye a, wubenya ahoɔden kɛse de adi nkonim wɔ ɔko yi mu. Ɛmfa ho ɔhaw biara a wowɔ no, nsuro sɛ wo ne oduruyɛfo bɛkasa. Yɛpɛ sɛ wo ho tɔ wo ntɛm!

` imatinib, gleevec, kokoram, mogya mu kokoram, GIST, nnuru, nea efi mu ba