Momma yensua aduru a wɔfrɛ no Mercaptopurine (6-MP) no ho ade?

So wo duruyɛfo akyerɛw Mercaptopurine ama wo anaa obi a wunim no? Ebia wowɔ nsɛmmisa pii fa nea aduru yi yɛ, nea ɛyɛ, sɛnea wɔde di dwuma yiye, ne ahwɛyiye a ɛsɛ sɛ woyɛ ho. Ɛnnɛ, yɛbɛka ne nyinaa ho asɛm wɔ ɔkwan tiawa bi so a wubetumi ate ase.

Aduru bɛn na Mercaptopurine yɛ?

Sɛ yɛbɛka no tiawa a, Mercaptopurine a ɛtɔ mmere bi a wɔfrɛ no 6-MP no yɛ aduru a esiw kokoram nkwammoaa nyin ano . Nea ɛkɔ akyiri no, ɛka nnuru bi a wɔfrɛ no chemotherapy ho. Ɛyɛ adwuma denam kokoram nkwammoaa a esiw ano sɛ wɔbɛpaapae na wɔanyin ntɛmntɛm dodo no so. Ɛtɔ mmere bi nso a wɔde di dwuma de siw nipadua no mu tumi a ɛko tia nyarewa ano. Wɔde sa mogya mu kokoram a emu yɛ den ahorow bi titiriw.

Susuw ho hwɛ, nkwammoaa a ɛwɔ yɛn nipadua mu no mu paapae na ɛreyɛ foforo bere nyinaa. Ɛno yɛ ade a ɛfata. Nanso wɔ kokoram mu no, nkwammoaa bi fi ase kyekyɛ ntɛmntɛm paa, na wontumi nni so. Mercaptopurine boa ma wogyae saa nkwammoaa mu mpaapaemu ntɛmntɛm a wontumi nni so no.

Ebia wo duruyɛfo nso bɛkyerɛw saa aduru yi ama tebea foforo. Enti sɛ wowɔ nsɛmmisa bi a, ɛbɛyɛ papa sɛ wubebisa wo duruyɛfo anaa nnuruyɛfo. Ebia saa aduru yi wɔ din ahorow pii ase, sɛ nhwɛso no, ebia woahu sɛ wɔfrɛ no PURIXAN.

Nneɛma bɛn na ɛsɛ sɛ meka kyerɛ oduruyɛfo no ansa na mafi saa aduru yi ase?

Ansa na wubefi ase anom saa aduru yi no, nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ne kuw a wɔhwɛ wo no. Saa nsɛm yi bɛboa wɔn ma wɔasi gyinae sɛ ebia saa aduru yi fata wo ne dodow a wɔde bɛma wo. Hwɛ hu sɛ wobɛka saa nneɛma yi nyinaa akyerɛ wɔn, ɛyɛ?

• Sɛ wowɔ asaabo mu yare a .
• Sɛ wowɔ mmerɛbo mu yare biara a .
• Sɛ wo mogya mu nkwammoaa dodow sua (sɛ nhwɛso no, mogya mu nkwammoaa fitaa, mogya mu nkwammoaa kɔkɔɔ, anaa mogya mu nkwammoaa a ɛba fam) a, wo duruyɛfo bɛhwɛ eyinom wɔ mogya ho amanneɛbɔ mu.
• Sɛ wowɔ tebea bi a wɔfrɛ no nucleotide diphosphatase (NUDT15) a enni hɔ (eyi yɛ awosu mu tebea a, ebia wo duruyɛfo betumi ayɛ nhwehwɛmu titiriw bi de ahwɛ sɛ eyi te anaa).
• Sɛ wo nsa aka vaccine nnansa yi ara anaasɛ woreyɛ nhyehyɛe sɛ wobɛnya bi nnansa yi ara a, ɛnyɛ hwee.
• Sɛ wowɔ tebea bi a wɔfrɛ no thiopurine methyltransferase (TPMT) a enni hɔ (eyi nso yɛ awosu mu tebea te sɛ NUDT15, na ebetumi nso asesa ɔkwan a aduru no fa so yɛ adwuma wɔ nipadua no mu).
• Sɛ woanya akisikuru soronko bi pɛn wɔ mercaptopurine, aduru foforo, aduan, nnuru a wɔde yɛ nneɛma, anaa nneɛma a wɔde siesie nneɛma ho.
• Sɛ wo nyinsɛn a , okay?Sɛ wowɔ anidaso sɛ wobɛwo ba a , eyi ho hia paa.
• Sɛ woyɛ ɛna a ɔma nufu a .

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

Eyi yɛ anom aduru a wɔde gyina hɔ. Ɛsɛ sɛ wofa no sɛnea wo duruyɛfo akyerɛw ama wo no pɛpɛɛpɛ, sɛnea akwankyerɛ a ɛwɔ nnuru a wɔakyerɛw ama wo no so kyerɛ no.

Ade a ɛho hia sen biara ne sɛ wobɛwosow toa no yiye ansa na woanom aduru no . Eyi bɛma nneɛma a wɔde yɛ aduan no afra yiye na woanya dodow pɔtee a wuhia.

Sɛ wopɛ sɛ wususuw aduru no a, fa susuw aduru titiriw a ɛka aduru no ho no nkutoo di dwuma . Mfa ofie teaspoon anaa tablespoon nsusuw, efisɛ wontumi nsusuw dodow pɔtee no. Kenkan Akwankyerɛ a Wɔde Di Dwuma a ɛwɔ nnuru a wɔde ahyɛ mu no so yiye. Ɛkyerɛkyerɛ anammɔn ahorow no mu anammɔn biara.

Nom w'aduru no wɔ bere a ɛfata mu ne bere a ɛfata mu . Nnom pii nsen nea wo duruyɛfo ka kyerɛ wo, anaasɛ nnom no mpɛn pii. Afei nso, nnyae w’aduru no nom mpofirim a wunnya wo duruyɛfo afotu . Saa a wobɛyɛ no betumi aka wo tebea no.

Sɛ wode saa aduru yi rema mmofra a, dɛn na woyɛ?

Nnuruyɛfo nso kyerɛw saa aduru yi ma mmofra wɔ nsɛm bi a wɔapaw mu. Nanso, nneɛma bi wɔ hɔ a ɛsɛ sɛ yɛhwɛ yiye wɔ ho bere a yɛde rema mmofra no. Enti, sɛ wode saa aduru yi rema wo ba a, ɛho hia sɛ wo ne wo mmofra oduruyɛfo susuw eyi ho yiye na wohwehwɛ afotu. Ebia dodow a wɔde ma no bɛyɛ soronko a egyina abofra no mu duru, ne tenten, ne n’ayaresa tebea so.

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

Sɛ wususuw sɛ woanom aduru yi dodo a, frɛ baabi a wɔhwɛ awuduru so anaa ayaresabea dan a ɛbɛn hɔ a wɔhwɛ ntɛmpɛ so ntɛm ara . Mma nsɛe bere. Ntwɛn nkosi sɛ wubenya nnuru a wɔde di dwuma boro so ho sɛnkyerɛnne.

Nea ɛho hia: Wɔakyerɛw saa aduru yi ama wo nkutoo. Mfa nkyerɛ afoforo da, sɛ mpo wɔn nso wɔ sɛnkyerɛnne koro no ara a wowɔ no a.

Sɛ wopa nnuru dodow bi a, dɛn na woyɛ?

Sɛ wopa dose bi a, twa dose a woayera no so . Fa wo dodow a edi hɔ no wɔ bere a wotaa fa no mu. Mfa nnuru abien prɛko pɛ da mfa nsiesie dodow a woahwere no . Saa a wobɛyɛ no betumi ama dodow a wɔde ma no akɔ soro na ɛde ɔhaw ahorow aba. Sɛ wotaa pa nnuru dodow a wɔde ma a, wo ne wo duruyɛfo nkasa. Ebia wubehia mmoa na wode ayɛ nkaebɔ nhyehyɛe.

Nnuru afoforo bɛn na ɛne aduru yi nhyia, anaasɛ ɛsɛ sɛ wɔde ahwɛyiye fa?

Sɛ wɔnom saa aduru yi a, ebia ɛne nnuru afoforo bi bedi nkitaho. Eyi kyerɛ sɛ, sɛ wɔde ka saa aduru no ho a, sɛnea aduru yi yɛ adwuma no betumi asesa anaasɛ nea efi mu ba no betumi ayɛ kɛse.

Mfa Mercaptopurine nka nnuru a edidi so yi ho da:

• Febuxostat (eyi yɛ aduru a wɔde sa gout) .

Saa nnuru yi nso betumi ne mercaptopurine adi nkitaho. Enti, sɛ worenom eyinom a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo sɛ:

• Allopurinol (eyi nso yɛ aduru a wɔde sa gout. Sɛ wofa eyi a, ɛho behia sɛ wotew mercaptopurine dodow a wode di dwuma no so) .
• Nnuru bi a ɛmma mogya ntumi nkɔ, sɛ nhwɛso no, warfarin
• Nnuru bi a wɔde sa tebea horow te sɛ akisikuru a ɛma obi ho kyere no: balsalazide, olsalazine, mesalamine, sulfasalazine
• Nnuru a wɔde bɔ mmoawa a nkwa wom ho ban (sɛ nhwɛso no, akisikuru, akisikuru, rubella (MMR), akokɔsrade ho nnuru) .
• Trimethoprim-sulfamethoxazole (eyi yɛ aduru a wɔtaa de kum ɔyare mmoawa) .

Saa nsɛm a wɔahyehyɛ yi nka nneyɛe a ebetumi aba nyinaa ho. Enti, ka nnuru a wonom (wɔakyerɛw ama wo anaasɛ wɔantɔn), nhabannuru, vitamin, ne aduannuru a wode di dwuma nyinaa ho asɛm kyerɛ wo duruyɛfo. Sɛ wonom sigaret, wonom nsa, anaa wode nnuru foforo 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?

Ebia wobɛte nka sɛ wo ho nyɛ wo dɛ anaasɛ wo ho nyɛ wo den sen sɛnea wotaa yɛ bere a worenom aduru yi no. Eyi yɛ ade a ɛfata efisɛ nnuru a wɔde sa yare nso betumi aka nkwammoaa a ɛte apɔw. Nanso, sɛ wunya ɔhaw biara a, ka kyerɛ wo duruyɛfo. Ɛsɛ sɛ wokɔ so nom aduru no sɛ ɛnyɛ wo dɛ mpo kosi sɛ wo duruyɛfo bɛka akyerɛ wo sɛ gyae .

• Mogya a ɛbɛtɔ ne akuru betumi ayɛ kɛse: Saa aduru yi betumi ama asiane a ɛwɔ hɔ sɛ mogya bɛtɔ wo na woapirapira no ayɛ kɛse . Sɛ wuhu mogya bi a ɛyɛ soronko (sɛ nhwɛso no, hwene mu mogya, anom), akisikuru a ɛnyɛ den, nsensanee kɔkɔɔ nketenkete a ɛwɔ wo honam ani, nsu tuntum, anaa mogya a ɛwɔ wo nsu mu a, ka kyerɛ wo duruyɛfo ntɛm ara. Hwɛ yiye na woanpira wo ho. Fa brɔs a ɛyɛ mmerɛw di dwuma bere a worehohoro wo sẽ no.

• Asiane a Ɛwɔ sɛ Wobɛnya Nyarewa: Sɛ wunya yare no ho sɛnkyerɛnne te sɛ atiridiinini, atiridiinini, menewam yaw, hwene a ɛretu, anaa ɔfe a, ka kyerɛ wo duruyɛfo ntɛm ara. Mma nnyɛ wo ho aduru . 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. Hwɛ yiye bere a worekɔ mmeae a nnipa ahyɛ hɔ ma no. Hohoro wo nsa mpɛn pii.

• Owia Nkate:Ebia wo honam ani bɛte nka kɛse wɔ owia ho bere a worenom aduru yi no. Enti hwɛ yiye wɔ owia ho sɛnea wubetumi biara. To owia hann a ano yɛ den a wobɛma no ano hye wɔ anɔpa 10 ne awia 4 ntam. Sɛ worekɔ owia mu a, hyɛ ntade a ɛkata wo nipadua so yiye, kyɛw a ano trɛw, ne ade a ɛbɔ wo ho ban fi owia ho (a ɛbɔ wo ho ban fi owia ho SPF 30 anaa nea ɛboro saa). Mfa owia akanea anaa mpa/ntanning beds nni dwuma.

• Kokoram ho asiane: Ebia asiane ketewaa bi wɔ hɔ sɛ obi benya kokoram ahorow bi (te sɛ honam ani kokoram) bere a wɔnom saa aduru yi bere tenten no. Wo ne wo duruyɛfo nka eyi ho asɛm na woanya nsɛm pii. Ɛno nti na ɛho hia sɛ yɛhwɛ yiye wɔ owia mu no.

• Ɛfa nyinsɛn ne mma ho:
• Mmea: Nnyinsɛn bere a worenom aduru yi ne asram 6 bere a woagyae aduru no akyi . Sɛ woreyɛ nhyehyɛe sɛ wubenyinsɛn anaa wususuw sɛ ebia woanyinsɛn a, ka kyerɛ wo duruyɛfo ntɛm ara. Wo ne wo duruyɛfo nka awo ano aduru a ɛfata ho asɛm.
• Mmarima: Mma nnwo abofra bere a worenom saa aduru yi ne asram 3 bere a woagyae aduru no akyi . Hwɛ hu sɛ wo hokafo no nnyinsɛn. 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: Mma wo ba no nufu bere a worenom aduru yi anaa dapɛn biako bere a woagyae aduru no akyi . Aduru no tumi fa nufusu mu kɔ akokoaa no nkyɛn.

• Awo: Saa aduru yi betumi aka sɛnea wubetumi awo mma, anaa awo. Eyi betumi aka mmarima ne mmea nyinaa. Sɛ wowɔ eyi ho dadwen bi a, wo ne wo duruyɛfo nkasa ansa na woafi ayaresa ase na woahu akwan a wubetumi afa so.

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

Te sɛ nnuru biara no, Mercaptopurine betumi anya nsunsuanso bɔne bi. Ɛsɛ sɛ wobɔ wɔn mu bi amanneɛ kyerɛ wo duruyɛfo ntɛm ara, bere a afoforo nso nyɛ aniberesɛm saa. Ma yɛnhwɛ nea wɔyɛ.

Ɛsɛ sɛ woka kyerɛ wo duruyɛfo anaa akwahosan ho ɔbenfo ntɛm ara sɛ wowɔ saa nsunsuanso bɔne yi bi a:

• Nneɛma a ɛma obi ho yɛ no hyew: Nsɛnkyerɛnne te sɛ honam ani akisikuru, ɛyaw, akisikuru, anim, anofafa, ne tɛkrɛma a ɛho ahonhon.
• Ɔhome mu haw ahorow.
• 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 asiane a ɛwɔ hɔ sɛ wubenya ɔyare mmoawa ne mogya a ɛbɛtɔ wo no ayɛ kɛse. Wo duruyɛfo bɛhwɛ wo mogya dodow daa.
• Nsɛnkyerɛnne a ɛkyerɛ sɛ mogya nkwammoaa a ɛba fam anaasɛ mogya tu:Honam ani a ɛyɛ akuru, kɔkɔɔ a ɛyɛ pintinn, nsu a ɛyɛ tuntum a ɛyɛ tar, ne mogya a ɛwɔ nsu mu.
• Mogya mu nkwammoaa kɔkɔɔ a ɛba fam ho sɛnkyerɛnne: ɔbrɛ a ɛyɛ soronko, ɔbrɛ a ɛyɛ soronko anaa ɔbrɛ a ɔte nka, ɔte nka sɛ wayɛ mmerɛw anaasɛ ne ti yɛ hare, na ɔhwe ase.
• Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare no: atiridii anaa atiridiinini, ɔfe, menewa mu yaw, ɛyaw anaa ɛyɛ den sɛ ɔbɛtow nsu.
• Nsɛnkyerɛnne ne sɛnkyerɛnne a ɛkyerɛ sɛ mmerɛbo apira: nsu a ɛyɛ kɔkɔɔ anaa bruu tuntum; yare a wɔte nka wɔ ɔkwan a ɛkɔ akyiri so anaasɛ sɛnkyerɛnne ahorow a ɛte sɛ atiridii; nsu a wɔde kɔla yɛ hann; aduan ho akɔnnɔ a ɛyera; abofono; yafunu a ɛwɔ soro nifa so no yaw; mmerɛw anaa ɔbrɛ a ɛyɛ soronko; aniwa anaa honam ani a ɛyɛ kɔkɔɔ.
• Nsɛnkyerɛnne ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ asikre a ɛwɔ mogya mu no so tew: dadwen a wɔte nka; kesereneeyɛ; adwenemhaw a ɛma obi ho kyere no; ɔkɔm a ɛkɔɔ soro; mmerɛw anaa ɔbrɛ a ɛyɛ soronko; fifiri a ɛyɛ fifiri; wosow a wɔwosow; awɔw a wɔte nka; abufuw a ɛma obi bo fuw; tipaeɛ; anisoadehu a ɛyɛ kusuu; koma a ɛbɔ ntɛmntɛm; n’adwene a wɔhwere.
• Menemkuro.
• Yafunu mu a ɛho ahonhon.

Nsunsuanso bɔne a mpɛn pii no enhia sɛ wokɔ ayaresabea (sɛ eyinom kɔ so anaasɛ ɛhaw wo a, ka kyerɛ wo duruyɛfo):

• Ayamtuo.
• Nwi a ɛtɔ (eyi yɛ bere tiaa mu de, ti nhwi bɛsan anyin bere a wɔagyae aduru no) .
• Ano mu akuru. (Bisa wo duruyɛfo no aduru bi a wɔde hohoro w’ano ho asɛm.)
• Ɔfe a wɔfe. (Sɛ worefe a, ka kyerɛ wo duruyɛfo , aduru wɔ hɔ ma ɛno.)

Saa nsɛm a wɔahyehyɛ yi nka nsunsuanso bɔne a ebetumi aba nyinaa ho. Sɛ wuhu biribi a ɛyɛ soronko ka eyinom ho a, yɛsrɛ wo kɔ wo duruyɛfo nkyɛn kɔhwehwɛ afotu.

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 baabi a ɛhɔ yɛ hyew digrii Celsius 15 kosi 25 (digrii Fahrenheit 59 kosi 77) . Eyi yɛ dan mu hyew a ɛfata. Mfa nsie baabi a ɛhɔ yɛ hyew anaa frigye, gye sɛ wo duruyɛfo ka kyerɛ wo sɛ ɛnte saa. Fa toa no to mu denneennen.

Nnuru toaSɛ wɔde di dwuma adapɛn 8 akyi a, ɛsɛ sɛ wɔtow aduru biara a aka no gu. Mfa nni dwuma. Asiane wom sɛ wode nnuru a ne bere atwam bedi dwuma.

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

Saa asɛm yi yɛ Mercaptopurine ho nsɛm tiawa kɛkɛ. Ebia ɛnyɛ nea ɛfa biribiara ho. Sɛ wowɔ nsɛmmisa foforo bi fa saa aduru yi ho a, ɛbɛyɛ papa sɛ wo ne wo duruyɛfo, nnuruyɛfo, anaa akwahosan ho ɔbenfo foforo bɛkasa. Mma w'ankasa nnom aduru biara da a wonkɔ oduruyɛfo nkyɛn . Wo duruyɛfo akwankyerɛ a wubedi akyi ne ɔkwan a eye sen biara a wobɛfa so anya apɔwmuden.

Kae sɛ ɛnyɛ wo nko ara. Nnuruyɛfo ne akwahosan akuw wɔ hɔ a wɔbɛboa wo. Nsuro sɛ wo ne wɔn bɛkasa pefee afa nsɛmmisa, ehu, anaa adwenem naayɛ biara a wowɔ ho. Wɔwɔ hɔ sɛ wɔbɛboa wo.

` Mercaptopurine, 6-MP, kokoram, mogya mu kokoram, nnuru a wɔde sa yare, nea efi mu ba, nnuru