So wɔakamfo Inotuzumab Ozogamicin aduru a wɔde bɔ wo ho ban akyerɛ wo? Momma yɛnka ho asɛm!

Ɛtɔ da bi a, sɛ nnuruyɛfo fi ase ma yɛnom aduru foforo a, sɛ yɛte edin no a, yɛn ho yeraw yɛn kakra, ɛnte saa? Na saa na ɛte wɔ aduru yi a wɔfrɛ no Inotuzumab Ozogamicin no ho. Ɛyɛ aduru titiriw ankasa, a wɔde sa mogya mu kokoram bi a wɔfrɛ no Acute Lymphoblastic Leukemia (ALL) titiriw. Enti, momma yɛnka aduru yi ho asɛm tiawa, nea ɛyɛ wo nipadua, ne nneɛma bɛn na ɛsɛ sɛ yɛma yɛn ani da hɔ? Mma ɛnhaw wo, yɛbɛkyerɛkyerɛ ne nyinaa mu wɔ ɔkwan a wobɛte ase so.

Aduru bɛn na Inotuzumab Ozogamicin yɛ?

Nea edi kan no, ma yɛnhwɛ nea aduru yi yɛ. Inotuzumab Ozogamicin yɛ `monoclonal antibody` a ɛyɛ ` chemotherapy` aduru a ɛboa ma wɔsɛe kokoram nkwammoaa . Sɛ yɛbɛka no tiawa a, wɔayɛ saa aduru yi sɛnea ɛbɛyɛ a ebehu kokoram nkwammoaa a ɛwɔ yɛn nipadua mu no nkutoo na ɛbɛtow ahyɛ so. Ɛyɛ adwuma te sɛ aprɛm a ɛkɔ baabi a wɔreto no tẽẽ. Eyi boa ma nkwammoaa a ɛwɔ apɔwmuden a ɛsɛe ade no so tew.

Dɛn ne aduru yi din?

Wɔtaa tɔn saa aduru yi wɔ edin `BESPONSA` ase. Nanso, sɛ mpo wo duruyɛfo no anka saa din yi ankyerɛ wo a, aduru no kura ade koro no ara a ɛyɛ adwuma `Inotuzumab Ozogamicin`.

Nneɛma a ɛsɛ sɛ woka kyerɛ w’akwahosan kuw no ansa na woafi saa aduru yi ase

Ansa na wubefi ase anom Inotuzumab Ozogamicin no, nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ne ayarehwɛfo . Ɛyɛ papa sɛ woremfa saa nneɛma yi nsie, ɛnte saa? Efisɛ saa nsɛm yi bɛboa wo ma wode ayaresa no ama dwoodwoo. Fa no sɛ wodi kan hu akwanside ahorow a ɛda w’anim bere a worekɔ kwan so no. Afei yebetumi ahwɛ yiye.

Enti, akyinnye biara nni ho sɛ ka saa nneɛma yi ho asɛm sɛ:

• So wowɔ komayare bi ? Ebia biribi te sɛ koma a ɛbɔ a ɛnteɛ ?
• So ɔhaw bi wɔ mmerɛbo ( mmerɛbo mu yare ) no ho ? Mmɛn yɛ akwaa a ɛho hia paa wɔ yɛn nipadua mu.
• Ebia wo mogya dodow bɛba fam esiane nnuru bi a woadi kan anom nti.So ɛba fam? Ɛno kyerɛ sɛ mogya mu nkwammoaa fitaa, mogya mu nkwammoaa kɔkɔɔ, ne nea ɛkeka ho.
• So calcium, magnesium, anaa potassium sua wɔ wo mu ? Eyinom ho hia paa ma yɛn nipadua no yɛ adwuma.
• So woanya Inotuzumab Ozogamicin, aduru foforo biara, aduan, ade a wɔde yɛ nneɛma, anaa ade a wɔde siesie nneɛma ho adwene pɛn? Anaasɛ woayɛ w’ade wɔ ɔkwan soronko so pɛn?
• So woanyinsɛn mprempren? Anaasɛ worebɔ mmɔden sɛ wubenyinsɛn?
• So woyɛ ɛna a ɔma nufu?

Sɛ saa nneɛma yi mu biara fa wo ho a, akyinnye biara nni ho sɛ ɛsɛ sɛ woka kyerɛ wo duruyɛfo. Eyi ho hia paa ma w’ahobammɔ.

Ɔkwan bɛn so na wɔde saa aduru yi bɛma wo?

Wɔde saa aduru yi ma wo sɛ ``infusion'' a ɛkɔ ntini bi mu. Sɛ yɛbɛka no tiawa a, ɛte sɛ nea wɔde nkyene rema wo. Wɔyɛ eyi wɔ ayaresabea anaa ayaresabea a oduruyɛfo anaa akwahosan ho adwumayɛfo a wɔatete no wɔ hɔ nkutoo. Eyi nyɛ aduru a wubetumi de akɔ fie.

Sɛ wode saa aduru yi rema mmofra nkumaa a, ebia ɛho behia sɛ wo ne wo mmofra oduruyɛfo susuw ho na wohwɛ yiye titiriw, efisɛ ɛsono mmofra nkumaa nipadua wɔ mpanyimfo ho.

Sɛ wonom nnuru pii a, dɛn na ɛsɛ sɛ woyɛ?

Esiane sɛ eyi yɛ aduru a wɔde di dwuma wɔ ayaresabea nti, ɛho nhia sɛ wohaw wo ho sɛ wobɛnom aduru a ɛboro so wɔ akwanhyia mu. Aduruyɛ kuw no hwɛ yiye paa wɔ eyi ho. Nanso, sɛ wususuw sɛ biribi asi a, kae sɛ wobɛbɔ amanneɛ akyerɛ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ anaa baabi a wɔhwɛ awuduru so (mpɛn pii no, ayaresabea dan a wɔhwɛ wɔn a wɔwɔ Sri Lanka ntɛm ara).

Nea ɛho hia: Saa aduru yi yɛ ma wo nkutoo. Mma obi foforo mfa nni dwuma, sɛ mpo wɔn nso wɔ sɛnkyerɛnne koro no ara a wowɔ no a.

Na sɛ mepa aduruyɛ ho nhyehyɛe bi nso ɛ?

Wɔ saa ayaresa yi mu no, nna bi wɔ hɔ a wo duruyɛfo bɛka akyerɛ wo sɛ bra mu mmɛpɛ w’aduru. Ɛsɛ sɛ wokɔ saa nna no mu pɛpɛɛpɛ. Ɛnyɛ adwene pa sɛ wubehuw bere a ɛsɛ sɛ wonom nnuru no. Saa a wobɛyɛ no betumi aka sɛnea w’ayaresa no bɛyɛ yiye. Sɛ wuntumi nkɔ nna a wɔahyɛ da ayɛ no mu a, hwɛ hu sɛ wobɛfrɛ wo duruyɛfo anaa akwahosan ho ɔbenfo na woaka akyerɛ wɔn. Afei wɔbɛkyerɛ wo nea ɛsɛ sɛ woyɛ akyi.

Nnuru afoforo bɛn na ebetumi ne saa aduru yi adi nkitaho (abɔ abira)?

Afei momma yɛnhwɛ nnuru kakraa bi a wɔnkamfo nkyerɛ sɛ wɔmfa nni dwuma ne `Inotuzumab Ozogamicin`. Akyinnye biara nni ho sɛ ɛnsɛ sɛ wɔka eyinom bom:

• `Cisapride`
• `Dronedarone` na ɛyɛ adwuma
• `Pimozide a wɔde yɛ adwuma`
• `Thioridazine a wɔde yɛ adwuma`

Bio nso, nnuru afoforo bi wɔ hɔ a ebetumi ne Inotuzumab Ozogamicin adi nkitaho. Nhwɛsoɔ:

• Nnuru afoforo a ebetumi ama koma no ayɛ basaa no bi ne nea ɛma QT ntam kwan kyɛ (e.g., dofetilide, ziprasidone). QT ntamgyinafo yɛ nea wɔde susuw anyinam ahoɔden a ɛwɔ koma no mu wɔ ECG so. Saa ntamgyinafo yi a wɔkyɛ no betumi aka sɛnea koma no bɔ no.

Saa nsɛm a wɔahyehyɛ yi nni mũ, ɛnte saa? Enti, ka nnuru a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo (wɔakyerɛw ama wo, a wɔmfa nnuru nhyɛ mu, nhabannuru, vitamin, aduan a wɔde ka aduan ho). Sɛ wonom sigaret, wonom nsa, anaa wode nnubɔne a mmara mma ho kwan di dwuma a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo nso. Nneɛma bi betumi ne w’aduru no adi nkitaho.

Dɛn na ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom aduru yi?

Sɛ wɔma wo saa aduru yi a, wo duruyɛfo bɛhwɛ wo yiye. Wɔbɛyɛ nneɛma te sɛ mogya adwuma nso bere a worenom saa aduru yi. Eyi bɛhwɛ sɛ aduru no reyɛ adwuma ne sɛ ebia nsunsuanso bɔne bi wɔ hɔ anaa.

Saa aduru yi a wobɛnom no betumi abrɛ tumi a wo nipadua wɔ sɛ ɛbɛko atia yare (immunity) no ase. Enti, sɛ wunya yare no ho sɛnkyerɛnne te sɛ atiridiinini, atiridiinini, atiridiinini, menewam yaw, anaa ɔfe a, nnyɛ wo ho aduru. Frɛ wo duruyɛfo anaa akwahosan ho ɔyaresafo ntɛm ara na woanya afotu. Bɔ mmɔden sɛ wobɛtwe wo ho afi ayarefo ho sɛnea wubetumi biara.

Ade foforo nso ne sɛ, saa aduru yi betumi ama asiane a ɛwɔ hɔ sɛ mogya bɛtɔ wo no ayɛ kɛse, na ebia wo ho bɛtɔ wo ntɛm. Sɛ wuhu sɛ mogya biara retu (sɛ nhwɛso no, mogya a ɛretu fi hwene, ano, anaa anom, nsu tuntum, anaa nsu a ɛyɛ kɔkɔɔ/biribi tuntum) a, ka kyerɛ wo duruyɛfo.

Adwene titiriw a ɛfa nyinsɛn, nufu a wɔde ma ne awo ho

Eyi yɛ ade a ɛho hia paa. Ɛsɛ sɛ woma eyi tra w’adwenem.

• Nyinsɛn: Nnyinsɛn bere a worenom aduru yi, ne anyɛ yiye koraa no asram 8 bere a woagyae aduru no akyi . Sɛ worebɔ mmɔden sɛ wubenyinsɛn, anaasɛ wususuw sɛ ebia woanyinsɛn a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo.
• Mmarima: Sɛ ɔbarima bi renom saa aduru yi a, ɛnsɛ sɛ ɔwo abofra bere a ɔrenom aduru no ne anyɛ yiye koraa no asram 5 bere a wagyae aduru no. Saa aduru yi betumi de ɔhaw a emu yɛ den aba akokoaa a ɔhyɛ yafunu mu no so. Bisa wo duruyɛfo anaa nnuruyɛfo ma ɔmma wo nsɛm pii.
• Nufu a wɔde ma: Mma wo ba no nufu bere a worenom aduru yi ne anyɛ yiye koraa no asram 2 bere a woagyae aduru no akyi .
• Awo a wɔde ma:Saa aduru yi betumi aka sɛnea wubetumi awo mma (awo). Sɛ wowɔ eyi ho haw bi a, wo ne wo duruyɛfo nka ho asɛm.

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

Te sɛ aduru biara no, Inotuzumab Ozogamicin betumi de nsunsuanso bɔne bi aba. Ɛsɛ sɛ wobɔ wɔn mu bi ho amanneɛ kyerɛ wo duruyɛfo ntɛm ara. Mpɛn pii no, afoforo nyɛ ɔhaw kɛse, nanso sɛ wɔkɔ so yɛ a, ɛbɛyɛ papa sɛ wobɛka akyerɛ wo duruyɛfo . Momma yɛnhwɛ wɔn wɔ ɔkwan soronko so.

Nneɛma bɔne a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara:

Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, ka kyerɛ wo duruyɛfo anaa akwahosan ho ɔyaresafo ntɛm ara sɛnea wubetumi :

• Nneɛma a ɛma obi ho yɛ no hyew: Honam ani akisikuru, ɛyaw anaa akisikuru, anim, anofafa anaa tɛkrɛma a ɛho ahonhon.
• Mogya dodow a ɛba fam: Saa aduru yi tumi ma wo mogya mu nkwammoaa fitaa, mogya mu nkwammoaa kɔkɔɔ, ne mogya mu nkwammoaa kɔkɔɔ so tew. Eyi betumi ama woanya ɔyare mmoawa, na ebetumi ama mogya nso atu wo.
• Mogya mu nkwammoaa kɔkɔɔ a ɛba fam ho sɛnkyerɛnne: ɔbrɛ a ɛyɛ soronko, ɔbrɛ, ɔtopae, adwene a ɛyɛ basaa, na ebia ɔtotɔ piti.
• Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare no: atiridii anaa atiridiinini, ɔfe, menewa mu yaw, ɛyaw anaa ɛyɛ den sɛ ɔbɛtow.
• Nsɛnkyerɛnne a ɛkyerɛ sɛ mogya nkwammoaa a ɛwɔ nipadua no mu no sua anaasɛ mogya retu: Akuru, kyerɛ nsensanee kɔkɔɔ a ɛwɔ honam ani.
• Nsɛnkyerɛnne afoforo a ɛkyerɛ sɛ mogya retu: nsu a mogya ayɛ no anaasɛ tar; nsu a ɛyɛ kɔkɔɔ anaa bruu tuntum; mogya a wɔfe anaa ade a ɛyɛ bruu a ɛte sɛ kɔfe a wɔayam; mogya a ɛyɛ soronko a efi aniwa, anom, anaa hwene mu ba.
• Nsɛnkyerɛnne a ɛkyerɛ sɛ nsakrae a asiane wom aba koma a ɛbɔ anaa koma a ɛbɔ mu ho haw mu: koko mu yaw; adwenemhaw a ɛma obi ho kyere no; koma a ɛbɔ ntɛmntɛm anaasɛ ɛnyɛ daa; koma a ɛbɔ denneennen; sɛ ɔte nka sɛ wayɛ mmerɛw, ne ti ayɛ hare; ɛyɛ den sɛ wobɛhome.
• Nsɛnkyerɛnne ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ mmerɛbo apira: Nsu a ɛyɛ kɔkɔɔ anaa bruu tuntum; te nka sɛ ne ho nyɛ no den, atiridiinini; nsu a ɛyɛ mmerɛw; aduan ho akɔnnɔ a ɛyera; abofono; ɛyaw a ɛba yafunu nifa a ɛwɔ soro no mu; ɔbrɛ anaa ɔbrɛ a ɛyɛ soronko; aniwa anaa honam ani a ɛyɛ kɔkɔɔ.

Nneɛma bɔne a mpɛn pii no enhia sɛ wonya aduruyɛ mu afotu (nanso sɛ ɛkɔ so anaasɛ ɛhaw adwene a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo ):

Mpɛn pii no, saa nneɛma yi brɛ ase wɔ nna kakraa bi mu. Nanso sɛ wɔkɔ so, anaasɛ wɔhaw wo pii a, ka kyerɛ wo duruyɛfo.

• Akwanside a wɔde siw kwan
• Akɔnnɔ
• Ayamtuo
• Tipaeɛ
• Yafunu mu yaw
• Ɔbrɛ
• Ɔfe a wɔfe

Saa nsɛm a wɔahyehyɛ yi nyɛ nea ebetumi afi mu aba nyinaa. Sɛ wuhu biribi a ɛyɛ soronko a, wo ne wo duruyɛfo nka ho asɛm. Ebia wobɛpɛ nso sɛ wobɔ FDA (Food and Drug Administration) amanneɛ wɔ 1-800-FDA-1088. (Wɔ Sri Lanka no, wɔnam wo duruyɛfo so bɔ eyinom ho amanneɛ.)

Ɔkwan bɛn so na wode aduru yi sie?

Eyi renyɛ ɔhaw mma wo. Esiane sɛ wɔde saa aduru yi ma wo wɔ ayaresabea anaa ayaresabea nti, ɛnsɛ sɛ wode kɔ fie na wode sie. Aduruyɛ adwumayɛfo no na wɔbɛhwɛ so. Enti ɛho nhia sɛ wohaw wo ho sɛ aduru no bɛkɔ bɔne anaasɛ ɛbɛkɔ obi foforo nsam.

Nea etwa to no, nneɛma a ɛho hia sen biara a ɛsɛ sɛ wokae ne:

Okay, yɛaka saa aduru yi ho asɛm pii, Inotuzumab Ozogamicin, ɛnte saa? Ɛyɛ den sɛ wobɛkae ne nyinaa prɛko pɛ. Nanso ɛho hia sɛ yɛma saa nneɛma yi tra w’adwenem:

• Eyi yɛ aduru titiriw a wɔde ko tia kokoram, enti ɛho hia sɛ wɔfa ayaresa no sɛnea oduruyɛfo no kyerɛ no pɛpɛɛpɛ.
• Hwɛ hu sɛ wobɛka nyarewa foforo biara a wowɔ, nnuru afoforo a wonom, ne akisikuru biara a wowɔ ho asɛm akyerɛ wo duruyɛfo. Mfa biribiara nsie, ade ketewaa mpo.
• Hwɛ nneɛma bɔne a efi mu ba no yiye. Sɛ wuhu sɛnkyerɛnne biara, titiriw sɛnkyerɛnne a ɛkyerɛ sɛ woanya ɔyare mmoawa, mogya retu wo, anaa mmerɛbo mu haw a, ka kyerɛ wo duruyɛfo ntɛm ara.
• Di afotu a ɛfa nyinsɛn, nufu, ne awo ho no akyi yiye. Eyi ho hia paa ma wo ne wo ba a ɔhyɛ yafunu mu no ahobammɔ.
• Sɛ wowɔ nsɛmmisa anaa nsɛm bi a ɛhaw wo wɔ aduru yi ho a, ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo, ɔyarehwɛfo, anaa nnuruyɛfo. Wɔwɔ hɔ sɛ wɔbɛboa wo.

Kae sɛ, sɛ wobɔ wo amanneɛ wɔ aduru yi ho a, ɛbɛboa wo ma woatoa saa ayaresa yi so yiye. Ɛnyɛ wo nko ara, nnuruyɛfo kuw no ka wo ho bere nyinaa. Ɛho hia paa sɛ wo ne wɔn bɛkɔ so anya abusuabɔ pa. Yɛpɛ sɛ wo ho tɔ wo ntɛm!

` Inotuzumab Ozogamicin, BESPONSA, mogya mu kokoram, Acute Lymphoblastic Leukemia, kokoram aduru, nnuru a wɔde sa yare, nea efi mu ba