So wɔahu sɛ wo anaa obi a ɔbɛn wo anya Nsanyare (TB) na wafi ase resa? Sɛ saa a, ebia woate aduru a wɔfrɛ no ‘Isoniazid’ (INH) ho asɛm. Ɛwom sɛ ebia edin no bɛyɛ te sɛ nea ɛyɛ den kakra de, nanso mma ɛnhaw wo. Eyi yɛ aduru a ɛho hia yiye na tumi wom a ɛko tia nsamanwaw. Enti, sɛnea ɛbɛyɛ na woayi w’adwenem naayɛ ne wo suro nyinaa afi hɔ no, momma yɛnka aduru yi ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw na emu da hɔ so nnɛ.
Dɛn ankasa ne aduru yi a wɔfrɛ no Isoniazid (INH)?
Sɛ yɛbɛka no tiawa a, Isoniazid yɛ aduru a wɔde sa nsamanwaw (TB) anaasɛ wɔde siw ano. Nsamanwaw yɛ yare a mmoawa de ba. Saa aduru yi yɛ adwuma denam TB mmoawa a wogyae nyin wɔ nipadua no mu no so.
Ɛtɔ da bi a, wobetumi de saa aduru yi adi dwuma esiane nneɛma afoforo nti sɛnea oduruyɛfo no afotu kyerɛ no. Nanso, kae bere nyinaa sɛ ɛsɛ sɛ wɔde di dwuma sɛnea oduruyɛfo no kyerɛ nkutoo.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi ase anom nnuru
Ansa na wubefi saa aduru yi ase no, ɛho hia yiye sɛ wo duruyɛfo no hu w’akwahosan tebea no yiye. Hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ wowɔ tebea horow a edidi so yi mu biara a:
| W’akwahosan tebea | Dɛn nti na ɛsɛ sɛ wobɔ oduruyɛfo no amanneɛ? |
|---|---|
| Asikyireyareɛ | Isoniazid betumi ama asikre dodow a ɛwɔ mogya mu no asesa. |
| HIV tebea | Ebia nkitahodi bi wɔ HIV ayaresa ne Isoniazid ntam. |
| Nsã a wɔtaa nom | Asiane a ɛwɔ hɔ sɛ mmerɛbo bɛsɛe no dɔɔso yiye. |
| Asaabo mu yare | Ebia ɛho behia sɛ wɔsesa aduru no dodow. |
| Mmɛn mu yare | Eyi ho hia yiye efisɛ isoniazid betumi aka mmerɛbo no. |
| Aduan pa a wonnya nni | Ɔkwan a aduru no fa so yɛ adwuma wɔ nipadua no mu no betumi aka. |
| Ntini mu yare te sɛ akwaa a ɛyɛ mmerɛw | Saa aduru yi de asiane ba sɛ ɛbɛma ntini mu yare a ɛwɔ nipadua no akyi aba. |
| Sɛ obi nyinsɛn, ɔbɔ mmɔden sɛ obenyinsɛn, anaasɛ ɔbɛma nufu | Ɛsɛ sɛ wo ne wo duruyɛfo kasa fa nkɛntɛnso a ebetumi aba akokoaa no so no ho. |
| Nnuru, nnuan, anaa nneɛma afoforo ho akisikuru | Sɛnea ɛbɛyɛ a wubehu sɛ ebia wo ho nyɛ wo hyew wɔ Isoniazid anaa nneɛma a ɛwom no bi ho anaa. |
Ɔkwan bɛn so ankasa na mede saa aduru yi di dwuma?
Eyi ne ɔfã a ɛsɛ sɛ wohwɛ yiye wɔ ho kɛse . Sɛ wubenya aduru no so mfaso kɛse a, ɛsɛ sɛ wode di dwuma yiye.
- Fa yafunu a hwee nni mu: Eyi ne ade a ɛho hia sen biara. Ɛsɛ sɛ wɔnom isoniazid aduru bere a yafunu da mpan. Ɛne sɛ, anyɛ yiye koraa no, fa wɔn simma 30 ansa na woadi anaa nnɔnhwerew 2 wɔ adidi akyi . Mfa saa aduru yi nka aduan ho. Eyi bɛma aduru no a ɛbɛtwe akɔ nipadua no mu no so atew.
- Fa nsu kuruwa biako: Fa aduru no ne nsu kuruwa a ɛyɛ ma.
- Bere a ɛsɛ mu: Fa yɛ wo su sɛ wobɛnom w’aduru bɛyɛ bere koro mu da biara.
- Ntwa nnuru dodow a wɔde ma no so: Eyi te sɛ nea woreko atia ɔtamfo. Sɛ yegyae akodi da koro a, ɔtamfo no bɛsan ayɛ den bio. Saa ara nso na sɛ yɛpa aduru dodow bi a, TB mmoawa no betumi ayɛ den bio na wɔatumi ako atia aduru no (Drug Resistance). Enti , ntwa nnuru dodow bi so esiane biribiara nti.
- Nnyae sɛ eye mpo a:Sɛ wo ho tɔ wo wɔ nna kakraa bi akyi mpo a, nnyae aduru no nom kosi sɛ wo duruyɛfo bɛka akyerɛ wo. Ɛho hia sɛ wobɛnom aduru no ama ayaresa no nyinaa (asram 6 anaa nea ɛboro saa).
Sɛ wopa nnuru dodow bi a, dɛn na woyɛ?
Sɛ wopa dose bi a, fa no bere a woakae 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 woayera no.
Na sɛ menom nnuru pii nso ɛ?
Sɛ wususuw sɛ woanom nnuru pii a, kɔ Emergency Department (ETU) a ɛbɛn wo ntɛm ara . Anaasɛ, frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no.
Nnuru afoforo a ebetumi ne Isoniazid adi nkitaho
Eyi nso yɛ asɛm a ɛho hia paa. Isoniazid yɛ aduru a ebetumi ne nnuru afoforo adi nkitaho.
Hwɛ hu sɛ wobɛka nnuru a wonom nyinaa (nnuru a wɔde sa tebea afoforo, nnuru a wɔde kum ɛyaw, vitamin, nhabannuru a wɔde di dwuma wɔ amanne kwan so, nnuru a wɔde ka aduan ho) akyerɛ wo duruyɛfo. Afei nso, sɛ wonom sigaret anaa wonom nsa a, ka kyerɛ wo duruyɛfo.
Nnuru bi a wɔde Isoniazid ka ho no betumi de ɔhaw ahorow a emu yɛ den aba.
- Acetaminophen (te sɛ Panadol): Sɛ wɔtaa nom a, nkɛntɛnso a ɛwɔ mmerɛbo no so no betumi ayɛ kɛse.
- Antacids (te sɛ Digene, Aludrox): Eyinom brɛ Isoniazid a ɛkɔ nipadua no mu no ase. Enti, kwati sɛ wobɛnom nnuru a ekum acid nnɔnhwerew 2 ansa na woanom Isoniazid anaasɛ bere a woanom akyi.
- Asikreyare nnuru: Isoniazid betumi asesa ɔkwan a nnuru yi fa so yɛ adwuma.
- Nnuru a wɔde sa akisikuru (te sɛ Carbamazepine, Phenytoin) .
- Theophylline (aduru a wɔde sa ayamtu) .
Saa nsɛm a wɔahyehyɛ yi nwie pɛyɛ, enti ɛho hia sɛ wobɔ wo duruyɛfo amanneɛ wɔ nnuru a worenom nyinaa ho.
Dɛn bio na ɛsɛ sɛ mihu bere a merenom aduru no?
- Aduruyɛ mu nhwehwɛmu: Wo duruyɛfo bɛhwɛ wo daa. Ɔbɛhyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu (Liver Function Tests - LFTs) de hwɛ sɛnea wo mmerɛbo no yɛ adwuma. Mma ntwa sɔhwɛ ahorow yi so na mma wɔnyɛ no daa.
- Kwati nsa: Kwati sɛ wobɛnom nsa koraa bere a worenom Isoniazid no. Sɛ wɔka abien no bom a, ebetumi asɛe mmerɛbo kɛse.
- Vitamins: Saa aduru yi betumi ama vitamin B6 ne vitamin D dodow a ɛwɔ nipadua no mu no so atew. Nea ɛbɛyɛ na woasiw nkɛntɛnso a ebetumi aba ntini no so ano no, wo duruyɛfo bɛtaa akyerɛw wo vitamin B6 (Pyridoxine) aduru bi. Mma ɛno nso ntwa so. Ɛho hia nso sɛ wudi aduan a ahoɔden wom.
Nneɛma bɔne bɛn na ebia menya?
Te sɛ aduru biara no, Isoniazid betumi de ɔhaw ahorow aba nnipa binom so. Nanso, ɛnyɛ obiara na onya bi. Nea ɛho hia ne sɛ wubehu nea saa nsunsuanso bɔne yi yɛ ne sɛnea ɛyɛ aniberesɛm.
| Nsunsuanso bɔne a anibere wom a ɛhwehwɛ sɛ wɔkɔ ayaresabea ntɛm ara | |
|---|---|
| Nsɛnkyerɛnne a ɛfa mmerɛbo ho | Aniwa anaa honam ani yɛ kɔkɔɔ, nsu a ɛyɛ tuntum, ɔbrɛ a ɛtra so, ɛyaw wɔ yafunu no atifi nifa so, akisikuru, ɔfe, aduan ho akɔnnɔ a ɛyera. |
| Nsɛnkyerɛnne a ɛfa ntini ahorow ho | Nsa anaa anan a ɛyɛ mmerɛw, ɔhyew, ɛyaw, anaasɛ ɛyɛ mmerɛw. |
| Nneɛma a ɛma obi ho yɛ no hyew | Honam ani akisikuru, ɛyaw, anim, ano anaa tɛkrɛma a ɛho ahonhon, ɛyɛ den sɛ wobɛhome. |
| Nsɛnkyerɛnne afoforo a anibere wom | Anisoadehu mu nsakrae, aniwa mu yaw, atiridiinini, akisikuru, nkae ho haw. |
| Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo: | |
| Yafunu mu yaw nketenkete | Bloating, akisikuru a ɛma obi ho kyere no. |
| Foforɔ | Tiyɛ, nna a wontumi nna, nufu a ɛyɛ kɛse anaa ɛyaw. |
Wobɛyɛ dɛn akora w’aduru no so yiye?
- Fa sie baabi a mmofra ntumi nkɔ hɔ.
- Fa sie wɔ dan mu hyew (ɛyɛ Celsius 15-30 ntam), baabi a hann ne nsu ntumi nkɔ mu, wɔ ade a mframa ntumi nkɔ mu mu.
- Tow nnuru a ne bere atwam gu.
Nkrasɛm a Wɔde Kɔ Fie
- Fa Isoniazid (INH) bere nyinaa bere a wo yafunu da mpan (ansa na woadidi anaa nnɔnhwerew 2 akyi).
- Nom aduru no bere tenten a wo duruyɛfo akyerɛw ama wo no nyinaa, a wunhuw dodow biara . Nnyae ayaresa sɛ wo ho atɔ wo mpo a.
- Kwati nsa koraa bere a worenom aduru yi.
- Sɛ wuhu sɛ nneɛma bɔne bi a anibere wom te sɛ aniwa/honam ani yɛ kɔkɔɔ, nsu a ɛyɛ tuntum, anaasɛ akwaa a ɛyɛ mmerɛw a, kɔ wo duruyɛfo nkyɛn ntɛm ara.
- Ka nnuru afoforo a worenom nyinaa (a vitamin ne nhabannuru ka ho) kyerɛ wo duruyɛfo.
- Hwɛ hu sɛ wobɛnom vitamin B6 aduru a wo duruyɛfo akyerɛw ama wo no.
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