Momma yensua nnuru a wɔde sa nsamanwaw (Isoniazid; Rifampin) ho ade .

Ebia wo duruyɛfo aka akyerɛ wo sɛ ebia wowɔ nsamanwaw (TB). Nnuru titiriw a wɔde sa eyi no mu biako na wɔfrɛ no `Isoniazid; Rifampin` na ɔkyerɛwee. Sɛ yɛbɛka no tiawa a, eyi yɛ `Antibiotic` a ekum nsamanwaw mmoawa no. Nanso kae sɛ ɛrensa nyarewa a mmoawa de ba te sɛ atiridiinini anaa atiridiinini.

Nneɛma bɛn na ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na wode aduru yi adi dwuma?

Ansa na wubefi ase anom saa aduru yi no, ɛho hia yiye sɛ wobɛma wo duruyɛfo no ahu w’akwahosan ho mfonini a emu da hɔ. Efisɛ tebea horow bi betumi asesa ɔkwan a wofa so de aduru yi di dwuma, anaasɛ ebia ebehia sɛ wohwɛ yiye titiriw. Hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ wowɔ nea edidi so yi mu biara a:

• Asikreyare: Sɛ asikre dodow a ɛwɔ wo mogya mu no dɔɔso a.
• Gout : Tebea a nkwaa no ho ahonhon na ɛyɛ yaw esiane uric acid a ɛkɔ soro nti.
• HIV anaa AIDS tebea horow: Eyinom yɛ tebea horow a ɛka nipadua no mu tumi a ɛko tia nyarewa no.
• Sɛ woyɛ obi a ɔnom nsa daa a: Sɛ wode nsa ka aduru yi ho a, ebetumi apira mmerɛbo no.
• Asaabo mu yare: Sɛ asaabo no ntumi nyɛ adwuma yiye a.
• Mmɛn mu yare: Sɛ ɔhaw bi wɔ mmerɛbo no ho a.
• Aduan pa a wunni: Eyi kyerɛ sɛ wunnya aduannuru a wuhia no.
• Ntini mu yare te sɛ nsateaa ano a ɛyɛ mmerɛw: Sɛ wowɔ akwaa a ɛyɛ mmerɛw, anaa ɔhaw afoforo a ɛfa ntini ho a.
• Sɛ wohyɛ ahwehwɛ a wɔde hwɛ ahwehwɛ a: Ebia saa aduru yi bɛhwehwɛ sɛ wodan kɔ ahwehwɛ so. Wo ne wo duruyɛfo nka eyi ho asɛm.
• Sɛ woadi kan anya aduru yi (Isoniazid, Rifampin), anaasɛ aduru foforo, aduan, anaa aduru foforo, te sɛ ``Rifabutin'' ho akisikuru a.
• Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a.
• Sɛ woyɛ ɛna a ɔma nufu a.

Ɛdenam saa nneɛma yi a ɔbɛka akyerɛ wo duruyɛfo no so no, obetumi ayɛ ayaresa a ɛfata wo yiye ho nhyehyɛe.

Ɔkwan bɛn so ankasa na wode saa aduru yi di dwuma?

Ɛho hia yiye sɛ wode saa aduru yi di dwuma yiye na ama obi ho atɔ no ntɛmntɛm . Ɛsɛ sɛ wonom no bere a ɛfata mu, dodow a ɛfata mu, sɛnea oduruyɛfo no ka no.

• Ɛsɛ sɛ wode w’ano fa: Fa nsu kuruwa mene aduru no.
• Fa no bere koro mu da biara: Ɛyɛ papa sɛ wobɛnom w’aduru no bere koro mu da biara, sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ.
• Fa yafunu a hwee nni mu:Eyi ne ade a ɛho hia sen biara. Anyɛ yiye koraa no, ɛsɛ sɛ wonom saa aduru yi dɔnhwerew biako ansa na woadi anaa nnɔnhwerew abien wɔ bere a woadi akyi. Ɛno na aduru no bɛtwe akɔ nipadua no mu yiye. Sɛ nhwɛso no, sɛ wudidi anɔpa nnɔnwɔtwe a, nom aduru no ansa na anɔpa nnɔnson anaa anɔpa nnɔn du akyi.
• Fa di dwuma bere a wɔakyerɛw ama wo no: Ɛsɛ sɛ wonom saa aduru yi kosi sɛ oduruyɛfo no bɛka sɛ, "Ɛdɔɔso, gyae." Sɛ wo ho tɔ wo wɔ nna kakraa bi akyi mpo a, nnyae nom . Sɛ woyɛ saa a, nsamanwaw mmoawa no rennyi mfi hɔ koraa, yare no betumi asɛe bio, na mmoawa no mpo betumi asesa ma ayɛ nea aduru no ntumi. Ɛno yɛ nea asiane wom.
• Sɛ worenom nnuru a ekum asikre: Sɛ worenom nnuru a ekum asikre ma komayare anaa yafunu mu yare a, nnom bere koro mu ne TB aduru yi. Ɛyɛ papa sɛ wobɛnom nnuru a ekum asikre anyɛ yiye koraa no dɔnhwerew biako bere a woanom TB aduru no akyi.
• Sɛ wɔde ma mmofra a: Nnuruyɛfo kyerɛw saa aduru yi ma mmofra a wɔadi boro mfe 15 wɔ nsɛm titiriw bi mu. Nanso nneɛma bi wɔ hɔ a ɛsɛ sɛ yɛhwɛ yiye wɔ ho. Enti, sɛ wode saa aduru yi rema abofra a, wo ne wo duruyɛfo nkasa yiye na nya afotu.
• Nnuru a wɔnom boro so: Sɛ wususuw sɛ woanom nnuru pii a, kɔ ayaresabea dwumadibea a ɛhwɛ ntɛmpɛ a ɛbɛn wo no ntɛm ara, anaa frɛ baabi a wɔhwɛ awuduru so.
• Saa aduru yi yɛ ma wo nkutoo: Oduruyɛfo no akyerɛw saa aduru yi ama wo nkutoo. Mfa w’aduru mma obi foforo, sɛ mpo yare a ɛte sɛ wo wɔ no.

Kae sɛ nsamanwaw nyɛ yare a ɛsɛ sɛ wobu no adewa. Enti, ɛho hia sɛ nkwa no nom aduru no sɛnea oduruyɛfo no ka no pɛpɛɛpɛ, wɔ bere a wɔakyerɛw ama no no mu!

Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?

Oh, ebetumi asi. Obiara werɛ fi. Fa w’aduru no bere a woakae ara pɛ. Nanso, sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ (sɛ nhwɛso no, wɔ nnɔnhwerew kakraa bi mu) 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 abien prɛko pɛ da, anaasɛ nnom boro dodow a wɔkamfo kyerɛ no so. Saa a wobɛyɛ no betumi de ɔhaw ahorow aba.

Nnuru foforo bɛn na ɛnsɛ sɛ mede di dwuma wɔ aduru yi ho, anaasɛ ɛsɛ sɛ mehwɛ yiye wɔ ho?

Eyi nso yɛ asɛm a ɛho hia paa. Nnuru bi betumi de ɔhaw aba bere a wɔde ka `Isoniazid; Rifampin` na ɔkyerɛwee. Ɛnyɛ papa sɛ wobɛnom eyi ne nnuru bi koraa . Nnuru a ɛtete saa no bi ne:

• `Artemether a ɛyɛ fɛ; lumefantrine` (aduru a wɔde sa asramma) .
• `Atomoxetine a wɔde yɛ adwuma`
• Nnuru bi a wɔde ko tia HIV anaa mmerɛbo mu yare
• `Elagolix`
• `Idelalisib`
• `Isavuconazonium a ɛwɔ nipadua no mu`
• `Lonafarnib`
• `Lorlatinib`
• `Lurasidone`
• `Praziquantel`
• `Ranolazine a wɔde yɛ adwuma`
• `Voriconazole a wɔde ma`

Ebia nnuru afoforo bi wɔ hɔ a enni saa din yi mu. Enti, sɛ wohyɛ saa TB aduru yi ase a, ɛsɛ sɛ woka nnuru a worenom mprempren nyinaa (a wo duruyɛfo akyerɛw ama wo, woatɔ afi nnurutɔnbea, aduru a wɔde di dwuma wɔ amanne kwan so, vitamin, biribiara) kyerɛ wo duruyɛfo.

Afei nso, nnuru afoforo bi wɔ hɔ a ɛsɛ sɛ wohwɛ yiye paa sɛ wode nsamanwaw aduru yi bɛnom. Nhwɛso kakraa bi ni:

• Acetaminophen (Paracetamol) a wɔde yɛ aduru a wɔfrɛ no Acetaminophen (Paracetamol) .
• Antacids (fa no akyiri yi sɛnea yɛadi kan aka no) .
• Nnuru bi a wɔde sa mogya mmoroso, komayare, ne komayare
• Nnuru bi a wɔde sa adwenemhaw, dadwen, anaa adwene mu yare
• Nnuru bi a wɔde sa asikreyare (e.g. glipizide, glyburide) .
• Nnuru bi a wɔde sa fungal yare (e.g., fluconazole, itraconazole) .
• Nnuru bi a wɔde sa akisikuru (e.g. carbamazepine, phenytoin) .
• Nnuru bi a ɛboa wo ma woda
• Nnuru a ɛmma mogya ntumi nkɔ (e.g. warfarin) .
• Hormone ahorow, a nnuru a wɔde siw awo ano ka ho
• Nnuru a ɛte sɛ steroid (sɛ nhwɛso no, prednisolone) .

Saa list yi nwie pɛyɛ. Ka nnuru, nhabannuru, vitamin, anaa nnuru foforo biara a wonom, ne sɛ wonom sigaret, wonom nsa, anaa wode nnuru foforo di dwuma ho asɛm kyerɛ wo duruyɛfo. Nneɛma bi betumi ne aduru yi adi nkitaho.

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

Ɛyɛ papa sɛ wobɛhwɛ nsakrae a ɛba wo nipadua mu bere a worenom aduru no.

• Sɛ yare no ho sɛnkyerɛnne no ankɔ yiye anaasɛ ɛnsɛe: Sɛ wote nka sɛ wo yare no ho sɛnkyerɛnne no nnya nkɔso ɛmfa ho sɛ wonom nnuru, anaasɛ ɛreyɛ kɛse a, ka kyerɛ wo duruyɛfo ntɛm ara.
• Akisikuru: Sɛ wo ho yɛ wo yaw bɛboro nna abien, anaasɛ wo nsu mu nsu pii a, nnom nnuru a wɔtɔn a wɔmfa nnuru nhyɛ mu. Wo ne wo duruyɛfo nkasa ntɛm ara.
• Honam ani yare a emu yɛ den: Eyi yɛ biribi a ɛsɛ sɛ ɛhaw yɛn ho. Eyinom betumi asi wɔ adapɛn anaa asram pii akyi bere a wɔafi aduru no ase no. Sɛ wunya atiridiinini, sɛ akisikuru no dan kɔkɔɔ anaa kɔkɔɔ na afei akisikuru na wo honam ani tew, anaasɛ wo ho yɛ kɔkɔɔ a ntini a ɛho ahonhon wɔ w’anim, w’ano, wo kɔn, anaa w’abasa so a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo ntɛm ara.
• Mogya mu adwuma: Wo duruyɛfo bɛhyɛ sɛ wɔnyɛ wo mogya mu nhwehwɛmu mpɛn pii mfa nhwɛ sɛnea wo mogya te bere a worenom aduru yi. Hwɛ hu sɛ wobɛma wɔayɛ.
• Aniwa a ɛsakra: Ebia wɔbɛhwɛ w’ani so ansa na woafi ase anom aduru no ne bere a worenom no. Sɛ wuhu nsakrae biara wɔ w’ani so (te sɛ w’ani a ɛyɛ kusuu, nhumu a ɛnyɛ den) a, ka kyerɛ wo duruyɛfo ntɛm ara.
• Awo ano aduru: Sɛ wode nnuru a wɔde siw awo ano redi dwuma a, ebia ɛrenyɛ adwuma yiye bere a worenom aduru yi no. Enti, wo ne wo duruyɛfo nkasa mfa awo ano aduru foforo a wode bedi dwuma ho.
• Vitamin B6 ne Vitamin D: Bere a worenom saa aduru yi no, ɛsɛ sɛ wohwɛ hu sɛ worenya Vitamin B6 ne Vitamin D a ɛdɔɔso. Wo ne wo duruyɛfo nkasa fa nnuan ne vitamin a worenom no ho. Ebia wo duruyɛfo nso bɛkamfo akyerɛ sɛ fa saa vitamin ahorow yi nka ho.

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

Te sɛ aduru biara no, eyi betumi de ɔhaw ahorow aba nnipa binom so. Nanso ɛnyɛ obiara na ɔbɛyɛ saa. Ebinom yɛ aniberesɛm na ɛsɛ sɛ woka kyerɛ wo duruyɛfo ntɛm ara. Wɔn mu binom yɛ nea ɛfata na ebefi hɔ nna kakraa bi akyi.

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

• Nneɛma a ɛma obi ho yɛ no hyew: Honam ani akisikuru, ɛyaw, akisikuru, anim, anofafa, tɛkrɛma, ne menewa a ɛho ahonhon.
• Mogya a ɛtɔ: Nsu tuntum, tar, kɔfe a wɔayam, nsu a ɛyɛ kɔkɔɔ anaa bruu tuntum, nsensanee nketenkete kɔkɔɔ/kɔla kɔkɔɔ wɔ honam ani, ɛnyɛ den sɛ ɛbɛpirapira anaasɛ mogya bɛtu.
• Mmɛn mu opira: Ɛyaw wɔ yafunu no nifa so atifi, aduan ho akɔnnɔ a ɛyera, akisikuru, nsu a ɛyɛ kɔla a ɛyɛ hare, nsu a ɛyɛ kɔkɔɔ/biribiri tuntum, aniwa/honam ani yɛ kɔkɔɔ, ɔbrɛ a ɛtra so.
• Akisikuru, atiridiinini, ne ntini a ɛho ahonhon.
• Honam ani a ɛyɛ kɔkɔɔ, akisikuru, ɛho tew, ne nea ɛrepaapae (wɔ mmeae a wɔmene nnompe mpo).
• Atiridiinini a emu yɛ den, atiridiinini.
• Ɔhome a ɛyɛ den.
• Tebea bi a wɔfrɛ no TTP (Thrombotic Thrombocytopenic Purpura): nsensanee a ɛyɛ kɔkɔɔ wɔ honam ani anaa ano mu, honam ani a ɛyɛ mmerɛw, aniwa/honam ani yɛ kɔkɔɔ, ɔbrɛ kɛse, atiridiinini, koma a ɛbɔ ntɛmntɛm anaasɛ ɛnyɛ daa, adwene a ɛyɛ basaa, aniwa a ɛsakra, ɛyɛ den sɛ ɔbɛkasa/anantew.

Sɛ wuhu biribi te sɛ eyi a , kɔ oduruyɛfo nkyɛn a ɛnkyɛ.

Nsunsuanso bɔne a mpɛn pii no ɛnyɛ asɛm kɛse, nanso sɛ ɛkɔ so a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo :

• Nipadua mu nsu te sɛ nsu, nnompe, ne fifiri kɔla a ɛsakra (ebia ɛbɛyɛ borɔdɔma-kɔkɔɔ, a ɛyɛ ade a ɛfata, mma ɛnhaw wo).
• Kesereneeyɛ.
• Adwene a ɛyɛ basaa.
• Dae a ɛma obi da.
• Ɔbrɛ.
• Gas a ɛwɔ yafunu mu.
• Tipaeɛ .
• Koma a ɛyɛ yaw.
• Aduan ho akɔnnɔ a ɛyera.
• Abofono.
• Ɛyaw, akisikuru, anaa akwaa a ɛyɛ mmerɛw.
• Ɔfe a wɔfe.

Sɛ saa nneɛma yi kɔ so, anaasɛ ɛhaw wo a, ka kyerɛ wo duruyɛfo.

Wobɛyɛ dɛn de aduru no asie yiye? Sɛ ɛyɛ dedaw a, wobɛyɛ dɛn atow agu?

Ɛho hia nso sɛ wode w’aduru sie yiye.

• Fa sie baabi a mmofra ne afieboa ntumi nkɔ hɔ.
• Fa sie wɔ dan mu hyew (digrii Celsius 25 / Fahrenheit 77). Twe wo ho fi nsu a ɛboro so ho.
• Mfa nnuru a ne bere atwam nni dwuma. Tow wɔn gu.

Sɛnea wɔtow nnuru dedaw anaa nea enhia bio gu:

• Ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wubebisa nnurutɔnbea anaa mmarahyɛ bagua bi na wode eyinom ahyɛ baabi a wɔwɔ nhyehyɛe a wɔde san de nnuru kɔ.
• Sɛ ɛnte saa a, hwɛ nnuru a wɔde ahyɛ mu anaa krataa a ɛwɔ mu no mu hwɛ sɛ wobetumi atow agu nwura mu anaasɛ wɔahohoro mu wɔ tiafi mu anaa. Sɛ wunnim a, bisa wo duruyɛfo anaa nnuruyɛfo.
• Sɛ wubetumi atow agu nwura mu a, yi aduru no fi kotoku no mu, fra biribi te sɛ mpataa nwura, dɔte, anaa kɔfe a wɔayam mu, fa gu kotoku anaa ade a wotumi to mu mu, na tow gu nwura mu.

Nkrasɛm a Wɔde Kɔ Fie

Okay, enti momma yɛnkae wo nsɛntitiriw a ɛho hia sen biara a efi nea yɛaka ho asɛm no mu bio.

Isoniazid a wɔde yɛ nnuru; Rifampin yɛ aduru a ekum ɔyare mmoawa a wɔde ma nsamanwaw.

Sɛnea oduruyɛfo no ka no, ɛho hia sɛ wonom aduru yi bere a wo yafunu da mpan, bere a ɛfata, ne bere tenten a ɛfata .

Hwɛ hu sɛ wobɛka nnuru foforo biara a wonom ne nyarewa foforo biara a wowɔ ho asɛm akyerɛ wo duruyɛfo.

Hwɛ nneɛma bɔne a ebefi mu aba, titiriw sɛ wuhu sɛ wo honam ani yɛ wo yaw a emu yɛ den, mmerɛbo mu haw, anaa mogya retu a, na kɔ oduruyɛfo nkyɛn ntɛm ara.

Nnyae aduru no nom fã. Sɛnea ɛbɛyɛ a wo ho bɛtɔ wo koraa no, nom aduru no bere tenten biara a oduruyɛfo no bɛka akyerɛ wo no.

Sɛ wowɔ nsɛmmisa foforo bi fa eyi ho a, ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo anaa nnuruyɛfo. Mepɛ sɛ mo akwahosan pa!

` Isoniazid, Rifampin, Nsamanwaw, TB, nnuru a ekum ɔyare mmoawa, nsamanwaw, nnuru a ekum ɔyare mmoawa, nnuru, nea efi mu ba