So wo duruyɛfo kyerɛw saa aduru yi esiane sɛ wowɔ HIV nti? Sɛ saa a, ebia wowɔ nsɛmmisa bi, ebia nneɛma bi a ɛhaw wo mpo, wɔ aduru yi ho. Ɛno yɛ ade a ɛfata. Enti ɛnnɛ, momma yɛnka nneɛma a ɛho hia sen biara a ɛsɛ sɛ wuhu fa aduru yi ho ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw na ɛyɛ adamfofa su so. Momma yɛnhwɛ nea ɛyɛ ankasa, sɛnea wode bedi dwuma ankasa, ne ahwɛyiye titiriw a ɛsɛ sɛ woyɛ.
Dɛn na aduru yi yɛ ankasa?
Sɛ yɛbɛka no tiawa a, eyi yɛ nnuru abien a wɔaka abom. Ɛne sɛ, wɔde Lamivudine ne Tenofovir Disoproxil Fumarate bom yɛ aduru biako. Eyinom ka nnuru a ekum ɔyare mmoawa a ɛsa HIV yare no kuw no ho.
Aduru yi adwuma titiriw ne sɛ ɛbɛma HIV mmoawa no atrɛw wɔ wo nipadua mu, kyerɛ sɛ, ɛbɛma mmoawa no adɔɔso. Eyi brɛ ɔhaw a ɛba wo nipadua mu tumi a ɛko tia nyarewa so no ase na ɛboa wo ma wunya asetra pa.
Nanso ɛho hia sɛ yɛkae sɛ saa aduru yi nsa HIV yareɛ anaa AIDS koraa. Afei nso, sɛ worenom saa aduru yi mpo a, hokwan da so ara wɔ hɔ sɛ wobɛtumi de HIV mmoawa no akɔma obi foforɔ. Enti, ɛho hia sɛ wodi akwan a ahobammɔ wom akyi. Ɛnmmɔ wo ho ban mfi nyarewa afoforo a wonya fi nna mu (STI) ho nso.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi ase anom nnuru
Sɛnea ɛbɛyɛ a wubenya ahobammɔ na w’ayaresa no ayɛ yiye no, ɛho hia sɛ woka nsɛm a edidi so yi kyerɛ wo duruyɛfo ansa na woafi saa aduru yi ase. Mfa biribiara nsie.
- Nnompe mu haw: Sɛ woanya tebea bi a ɛfa nnompe ho (te sɛ nnompe mu yare) bere bi a atwam a.
- Asaabo mu yare: Sɛ wowɔ tebea biara a ɛfa asaabo ho a.
- Mmɛn mu yareɛ: Sɛ wowɔ mmerɛbo mu yareɛ (e.g. Hepatitis B).
- Pancreatitis: Sɛ woanya saa tebea yi pɛn a.
- Allergies: Ka kyerɛ yɛn sɛ wowɔ allergy bi, ɛnyɛ nneɛma a ɛwɔ aduru yi mu nko, na mmom aduru foforo biara, aduan, anaa nneɛma a wɔde siw ano nso.
- Nyinsɛn: Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaa wowɔ anidaso sɛ wobɛnyinsɛn nnansa yi ara a.
- Sɛ woyɛ ɛna a ɔma nufu a: Sɛ woyɛ ɛna a worema wo ba nufu a.
Oduruyɛfo no begyina saa nsɛm yi so asi gyinae sɛ ebia aduru yi fata wo anaasɛ ɛnsɛ, anaasɛ ɛsɛ sɛ wɔsesa dodow a wɔde ma no.
Ɔkwan bɛn so ankasa na mede saa aduru yi di dwuma?
Sɛ wubenya aduru no so mfaso kɛse a, ɛho hia paa sɛ wuhu sɛnea wode bedi dwuma yiye.
- Fa saa aduru yi ne nsu kuruwa biako.
- Wubetumi anom eyi ansa na woadi anaasɛ woadi awie. Nanso, sɛ ɛtɔ mmere bi a wote nka sɛ wo yafunu ayɛ wo yaw a, eye sɛ wode bɛka aduan ho.
- Ade a ɛho hia sen biara ne sɛ wobɛnom saa aduru yi sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ, wɔ bere a ɛfata mu, a worennya da koro mpo. Sɛ wutwa w’aduru no so a, HIV mmoawa no betumi atumi ako atia saa aduru yi ne nnuru afoforo. Sɛ ɛba saa a, ɛbɛyɛ den paa sɛ wɔbɛsa.
- Kɔ so nom saa aduru yi kosi sɛ wo duruyɛfo bɛka akyerɛ wo sɛ gyae. Nnyae nom mpofirim, sɛ wo ho tɔ wo mpo a.
Sɛ wonom boro so a, dɛn na wobɛyɛ?
Sɛ wususuw sɛ woanom nnuru pii sen sɛnea wususuw a, kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo ntɛm ara. Anaasɛ frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ no na woanya afotu.
Na sɛ mepa nnuru dodow bi nso ɛ?
Sɛ wo werɛ fi sɛ wobɛnom 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 abien bere koro mu da mfa nsiesie dodow a woahwere no.
Nnuru afoforo a ebia ɛne aduru yi bedi nkitaho
Bere a worenom saa aduru yi no, nnuru afoforo bi a wobɛnom no betumi de ɔhaw ahorow aba anaasɛ ɛbɛtew aduru yi a etu mpɔn no so. Enti, ka nnuru a worenom nyinaa (a vitamin ne nhabannuru ka ho) kyerɛ wo duruyɛfo. Nnuru bi a ebetumi ne saa aduru yi adi nkitaho wɔ ase ha.
| Nnuru a wɔde di dwuma no fã | Nhwɛso ahorow |
|---|---|
| HIV nnuru afoforo | Atazanavir, Darunavir, Emtricitabine, Lopinavir a wɔde di dwuma wɔ aduruyɛ mu; ritonavir, aduru a wɔfrɛ no Saquinavir |
| Nnuru a wɔde sa ɔyare mmoawa afoforo | Acyclovir, Adefovir, Cidofovir, Ganciclovir, Ribavirin, Ledipasvir a wɔde yɛ nnuru a wɔde siw yare ano; sofosbuvir a wɔde di dwuma |
| Nnuru bi a ekum ɔyare mmoawa | Gentamicin, Tobramycin, Trimethoprim a wɔde yɛ aduru a wɔfrɛ no Trimethoprim |
| Nnuru a wɔde sa ɛyaw ne ɔfe (NSAIDs) . | Ibuprofen, Nnuru a Wɔde Di Dwuma |
| Foforɔ | Nnuru a Interferon, Sorbitol wom |
Saa nsɛm a wɔahyehyɛ yi nwie pɛyɛ, enti ɛbɛyɛ papa sɛ wobɛka biribiara a worenom ho asɛm akyerɛ wo duruyɛfo.
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom nnuru no
- Kɔ ayaresabea hɔ wɔ nna a wɔahyɛ ato hɔ mu kɔhwɛ sɛnea w’ayaresa no rekɔ so. Afei nso, mma mogya mu nhwehwɛmu biara a ɛho hia nmpa wo ti so.
- Sɛ wunya sɛnkyerɛnne foforo biara a, wo ne wo duruyɛfo nka ho asɛm.
- Wo ne wo duruyɛfoɔ nkasa pefee na hwehwɛ afotuo wɔ sɛdeɛ wobɛsiw HIV mmoawa no ano na wɔrennya afoforɔ.
- Hyɛ no nsow titiriw: Sɛ wowɔ Hepatitis B yare mmoawa a ɛka HIV ho a, nnyae saa aduru yi nom esiane biribiara nti a wo duruyɛfo nka ho afotu. Saa a wobɛyɛ no betumi ama wo Hepatitis B tebea no mu ayɛ den mpofirim.
Dɛn ne nnuru no mu nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ aduru biara no, eyi betumi de ɔhaw ahorow bi aba. Nanso ɛnyɛ obiara na onya bi. Ma yɛnhwɛ nea wɔyɛ ne nea sɛ ɛba a, ɛsɛ sɛ yɛyɛ.
| Nsunsuanso bɔne | Nkyerɛmu |
|---|---|
| Nneɛma bɔne a anibere wom a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo no ntɛm ara | |
| Nneɛma a ɛma obi ho yɛ no hyew | Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon, ɛyɛ den sɛ wobɛhome. |
| Mmɛn a wɔapirapira | Ɛyaw a ɛba yafunu no nifa so atifi, aduan ho akɔnnɔ a ɛyera, akisikuru, aniwa anaa honam ani yɛ kɔkɔɔ, nsu a ɛyɛ kɔkɔɔ/biribiri tuntum, ɔbrɛ a ɛyɛ soronko. |
| Asaabo mu opira | Nsu a wɔtow so tew, nansoaa, nsa, anaa anan a ɛho ahonhon. |
| Lactic acid dodow a ɛkɔ soro | Ntini mu akisikuru anaa ɛyaw, yafunu mu yaw, ahome a ɛyɛ den, ɔbrɛ a ɛtra so. |
| Pancreatitis a ɛyɛ yare | Ɛyaw a emu yɛ den wɔ yafunu no atifi (ɛyaw yi betumi ayɛ te sɛ nea ɛrekɔ w’akyi), ɛyaw a ɛyɛ kɛse bere a wudidi, atiridiinini, akisikuru, ne ɔfe. |
| Nnompe mu yaw | Nnompe mu yaw foforo anaa nea emu yɛ den. |
| Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo | |
| Tipaeɛ | Tiyɛ a ɛyɛ yaw wɔ ɔkwan a ɛkɔ akyiri so. |
| Nnuan a wɔmfa nni dwuma yiye/akisikuru | Yafunu a ɛyɛ mmerɛw anaa yafunu a ɛnyɛ dɛ. |
| Abofono | Sɛ wote nka sɛ wobɛfe. |
| Nsakrae a ɛba adwene mu tebea mu | Nkate te sɛ adwenemhaw a ɛba anaasɛ ɛkɔ soro . |
Nkrasɛm a Wɔde Kɔ Fie
- Saa aduru yi siw HIV yare mmoawa ano, nanso ɛnsa no koraa.
- Nom w’aduru no bere ano, sɛnea wo duruyɛfo ka kyerɛ wo no, a da koro mpo nmpa. Mma nnhuw dose bi so da.
- Hwɛ hu sɛ wobɛka nnuru foforo biara a worenom ne ayaresa tebea foforo biara a wowɔ ho asɛm akyerɛ wo duruyɛfo.
- Hwehwɛ ayaresa ntɛm ara sɛ wunya sɛnkyerɛnne ahorow a ɛkyerɛ sɛ biribi a ɛyɛ hu (e.g., yafunu mu yaw kɛse, honam ani/aniwa a ɛyɛ kɔkɔɔ, ɛyɛ den sɛ wobɛhome).
- Sɛ wowɔ nsɛmmisa anaa nsɛm bi a ɛhaw wo wɔ aduru yi ho a, nsuro sɛ wo ne wo duruyɛfo bɛka ho asɛm pefee.
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