So wɔakyerɛw Mercaptopurine (6-MP) nnuru ama wo? Momma yɛnka eyi ho asɛm tiawa!

Ɛtɔ mmere bi a nnuruyɛfo kyerɛw aduru bi a wɔde sa yare a emu yɛ den sen sɛnea yesusuw, ɛnte saa? Wɔ tebea a ɛte saa mu no, ɛho hia paa sɛ wuhu nea aduru no yɛ ankasa. Ɛnnɛ yɛrebɛka aduru bi a ɛyɛ soronko kakra ho asɛm, a ɛne Mercaptopurine , aduru bi a nnipa binom nso frɛ no 6-MP . Ebia wɔama wo anaa obi a wunim no saa aduru yi. Enti momma yɛnka ho asɛm nkɔ akyiri kakra, ɛnte saa?

Enti, aduru bɛn na saa Mercaptopurine yi yɛ?

Sɛ yɛbɛka no tiawa a, Mercaptopurine yɛ nnuru a wɔde sa yare a esiw kokoram nkwammoaa nyin ano. Sɛ yɛbɛka no pɛpɛɛpɛ a, ɛhwɛ ma kokoram nkwammoaa no mu paapae na enyin. Ebetumi nso atew yɛn nipadua mu tumi a ɛko tia nyarewa no dwumadi so.

Wɔtaa de saa aduru yi sa mogya mu kokoram ahorow bi te sɛ mogya mu kokoram a emu yɛ den . Nanso, ɛtɔ mmere bi a nnuruyɛfo betumi akyerɛw saa aduru yi ama tebea afoforo. Wo duruyɛfo bɛkyerɛkyerɛ nea enti a wɔama wo saa aduru yi mu. Sɛ wowɔ nsɛmmisa foforo biara a, ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo anaa nnuruyɛfo.

Wobetumi ahu saa aduru yi wɔ gua so wɔ din Purinethol ase .

Nneɛma bɛn na ɛho hia sen biara a ɛsɛ sɛ woka kyerɛ oduruyɛfo no ansa na woafi saa aduru yi ase?

Eyi ho hia paa. Ansa na wubefi ase de Mercaptopurine adi dwuma no, nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ woka kyerɛ wo duruyɛfo no ampa . Efisɛ saa nsɛm yi ne nea wo duruyɛfo de bedi dwuma de akyerɛ aduru no dodow a wɔde bɛma wo, anaasɛ de ahu sɛ saa aduru yi fata wo anaasɛ ɛnte saa.

Saa nokwasɛm ahorow no ni:

• Sɛ wowɔ asaabo mu yare a .
• Sɛ wowɔ mmerɛbo mu yare a .
• Sɛ wo mogya mu nkwammoaa dodow sua – kyerɛ sɛ, sɛ amanneɛbɔ kyerɛ sɛ wowɔ mogya mu nkwammoaa fitaa, mogya mu nkwammoaa kɔkɔɔ, anaa mogya mu nkwammoaa dodow a ɛba fam a.
• Sɛ wowɔ awosu mu tebea bi a wɔfrɛ no nucleotide diphosphatase (NUDT15) a enni nipadua mu (wobetumi de sɔhwɛ titiriw bi ahu eyi).
• Sɛ wo nsa aka vaccine biara nnansa yi ara, anaasɛ wɔayɛ nhyehyɛe sɛ wobɛnya bi daakye a.
• Sɛ wowɔ awosu mu tebea foforo a wɔfrɛ no thiopurine methyltransferase (TPMT) a enni nipadua mu (wobetumi de sɔhwɛ titiriw bi nso ahu eyi).
• Sɛ wo ho yɛ wo hyew wɔ mercaptopurine, nnuru foforo biara, aduan, nnuru a wɔde yɛ nneɛma, anaa nneɛma a wɔde siesie nneɛma ho a.
• Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a, ɛnyɛ hwee.
• Sɛ woyɛ ɛna a ɔma nufu a.

Ɛho hia paa ma w’ankasa akwahosan sɛ wobɛka saa nneɛma yi ho asɛm akyerɛ wo duruyɛfo a womfa nsie.

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

Saa aduru yi ba wɔ aduruyɛ mu. Ɛsɛ sɛ wode saa nnuru yi ka nsu kuruwa biako ho. Di wo duruyɛfo akwankyerɛ anaa akwankyerɛ a ɛwɔ nnuru no so no akyi sɛnea wɔde ama no pɛpɛɛpɛ. Fa dodow a wɔahyɛ ato hɔ no wɔ bere a wɔahyɛ no mu. Mma nnnom mpɛn pii anaa nsen nea wo duruyɛfo bɛka akyerɛ wo no.

Ade a ɛho hia sen biara ne sɛ worennyae aduru yi nom mpofirim a wo duruyɛfo mfa afotu mma. Saa a wobɛyɛ no betumi aka wo tebea no.

Sɛ wode saa aduru yi rema mmofra nkumaa a , ɛsɛ sɛ wo ne wo mmofra oduruyɛfo kasa fa ho. Ɛwom sɛ wɔkyerɛw saa aduru yi ma mmofra wɔ nsɛm bi a wɔapaw mu de, nanso nneɛma bi wɔ hɔ a ɛsɛ sɛ wɔhwɛ yiye wɔ ho.

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

Sɛ wususuw sɛ woanom aduru yi pii wɔ akwanhyia mu a, frɛ beae a wɔhwɛ awuduru so anaa ayaresabea dwumadibea a ɛhwɛ ntɛmpɛ a ɛbɛn wo no ntɛm ara. Mma nsɛe bere.

Yɛsrɛ sɛ hyɛ no nsow: Wɔakyerɛw saa aduru yi ama wo nkutoo. Mfa aduru yi nkyɛ obi foforo biara esiane biribiara nti.

Na sɛ mepa nnuru dodow bi nso ɛ?

Ɛtɔ mmere bi a, ebetumi aba sɛ wobɛpa dose bi, ɛnte saa? Sɛ ɛba saa a, nnom nnuru mmɔho abien mfa nsiesie dodow a woahwere no. Twa dose a woayera no so na fa wo dose a edi hɔ no wɔ bere a wotaa de di dwuma no mu. Sɛ w’adwene mu yɛ wo naa wɔ eyi ho a, bisa wo duruyɛfo.

Nnuru afoforo bɛn na ebetumi ne aduru yi adi nkitaho?

Eyi nso yɛ asɛm a ɛho hia paa. Nnuru bi wɔ hɔ a ebetumi de ɔhaw aba bere a wɔde mercaptopurine ka ho no.

Mfa Mercaptopurine nka nnuru yi ho da:

• Febuxostat (eyi yɛ aduru a wɔde ma tebea horow te sɛ gout) .

Saa nnuru yi nso betumi ne mercaptopurine adi nkitaho, a ɛkyerɛ sɛ ebetumi asiw wɔn ho wɔn ho kwan. Enti sɛ worenom eyinom a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo sɛ:

• Allopurinol (a ɛno nso yɛ aduru a wɔde sa gout ne asaabo mu abo bi) .
• 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, anaa sulfasalazine
• Nnuru a wɔde bɔ mmoawa a nkwa wom ho ban
• Trimethoprim-sulfamethoxazole (eyi yɛ aduru a ekum ɔyare mmoawa) .

Saa list yi nwie pɛyɛ. Ka nnuru (a wɔakyerɛw ama wo anaasɛ wɔantɔn), nhabannuru, vitamin, ne aduannuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo.Afei nso, sɛ wonom sigaret, wonom nsa, anaa wode nnubɔne foforo di dwuma a, ka kyerɛ wo duruyɛfo. Saa nneɛma yi betumi ne wo nnuru no adi nkitaho.

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

Mercaptopurine yɛ aduru a ano yɛ den kakra, enti ɛsɛ sɛ wohwɛ yiye titiriw wɔ nneɛma bi ho bere a worenom no.

• Sɛ wote nka sɛ wo ho nyɛ wo dɛ kakra: Ebia wobɛte nka sɛ wo ho nyɛ wo dɛ kakra na wo ho nyɛ wo den bere a worenom aduru yi no. Nea enti a ɛte saa ne sɛ ɛnyɛ kokoram nkwammoaa nko na nnuru a wɔde ko tia kokoram yi ka wɔn, na mmom ɛka nkwammoaa a wɔwɔ apɔwmuden nso. Sɛ wunya ɔhaw biara a, ka kyerɛ wo duruyɛfo . Nanso, ɛho hia sɛ wonom aduru no sɛnea wɔakyerɛw ama wo, sɛ ɛnyɛ dɛ mpo a, kosi sɛ wo duruyɛfo bɛka akyerɛ wo sɛ gyae.
• Hwɛ yiye wɔ nyarewa ho: Sɛ wowɔ yare ho sɛnkyerɛnne te sɛ atiridiinini, atiridiinini, menewam yaw, ɔfe, anaa hwene a ɛretu a, nnyɛ wo ho aduru. Wo ne wo duruyɛfo anaa akwahosan ho ɔbenfo nkasa ntɛm ara na woanya afotu. 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. Sɛ nhwɛso no, eye sɛ wobɛto mmeae a nnipa ahyɛ hɔ ma ne ayarefo a wɔbɛkɔ akɔsra wɔn no ano hye.
• Ɛnyɛ den sɛ wobɛpirapira na mogya atu: Saa aduru yi betumi ama woapirapira ntɛmntɛm, anaasɛ mpo mogya atɔ wo ntɛmntɛm esiane apirakuru nketenkete nti. Sɛ mogya tu anaa akuru a ɛyɛ soronko a, ka kyerɛ wo duruyɛfo.
• Owia ho nkate: Ebia wo honam ani bɛte nka kɛse wɔ owia hann ho bere a worenom aduru yi no. Enti, kwati owia hann tẽẽ sɛnea wubetumi biara. Sɛ wokɔ abɔnten a, hyɛ ntade a ɛkata wo nipadua so yiye, hyɛ kyɛw, na fa aduru a ɛbɔ wo ho ban fi owia ho di dwuma. Mfa owia akanea anaa mpa/ntanning beds nni dwuma.
• Kokoram ho asiane: Wɔkyerɛ sɛ aduru yi a wɔnom no betumi ama asiane a ɛwɔ hɔ sɛ obi benya kokoram ahorow bi no ayɛ kɛse kakra. Enti, wo ne wo duruyɛfo nka eyi ho asɛm na hu asiane a ɛwɔ mu no.
• Nyinsɛn ne mma a wobɛwo: Eyi ho hia paa!
• Mmea: Nnyinsɛn bere a worenom aduru yi ne asram 6 bere a woagyae aduru no akyi. Sɛ worebɔ mmɔden sɛ wubenyinsɛn anaa wususuw sɛ ebia woanyinsɛn a, ka kyerɛ wo duruyɛfo ntɛm ara.
• Mmarima: Mmɔ mmɔden sɛ wobɛwo ba bere a worenom saa aduru yi ne asram 3 bere a woagyae aduru no akyi.

Saa aduru yi betumi apira akokoaa a ɔhyɛ yafunu mu no kɛse, enti hwɛ yiye paa wɔ eyi ho.

• Nufu: Mma wo ba no nufu bere a worenom aduru yi ne dapɛn biako bere a woagyae aduru no akyi.
• Nkɛntɛnso a Enya wɔ Awo So:Saa aduru yi betumi aka sɛnea wubetumi awo mma. Sɛ wowɔ eyi ho haw bi a, wo ne wo duruyɛfo anaa akwahosan ho ɔbenfo nkasa.

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

Te sɛ nnuru nyinaa no, Mercaptopurine betumi de ɔhaw ahorow bi aba. Nanso, ɛnyɛ obiara na onya bi. Ɛsɛ sɛ wɔbɔ wɔn mu bi ho amanneɛ kyerɛ oduruyɛfo ntɛm ara, bere a wobetumi agyina afoforo ano bere tiaa bi.

Sɛ wunya saa nsunsuanso bɔne yi bi a, ka kyerɛ wo duruyɛfo anaa akwahosan ho ɔbenfo ntɛm ara :

• Nneɛma a ɛma obi ho yɛ no hyew: Honam ani akisikuru, ɛyaw, akisikuru; anim, ano, anaa tɛkrɛma a ɛho ahonhon.
• Ɔhome a ɛyɛ den.
• Nsɛnkyerɛnne a ɛkyerɛ sɛ mogya mu nkwammoaa dodow so tew: Saa aduru yi betumi ama mogya mu nkwammoaa fitaa, mogya mu nkwammoaa kɔkɔɔ, ne mogya mu nkwammoaa a ɛba fam. Eyi betumi ama asiane a ɛwɔ hɔ sɛ obi benya ɔyare mmoawa ne mogya a ɛbɛtɔ no ayɛ kɛse.
• Nsɛnkyerɛnne a ɛkyerɛ sɛ mogya nkwammoaa a ɛwɔ mogya mu no sua anaa mogya tu: ɛnyɛ den sɛ ɛbɛpira, akyerɛ nsensanee kɔkɔɔ a ɛwɔ honam ani, nsu tuntum a ɛyɛ tarry, ne mogya a ɛwɔ nsu mu.
• Nsɛnkyerɛnne a ɛkyerɛ sɛ mogya mu nkwammoaa kɔkɔɔ a ɛba fam: ɔbrɛ a ɛyɛ soronko, ɔbrɛ a ɔte nka, ɔtotɔ piti, ɔte nka sɛ ne ho dwiriw no, na 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 mmerɛbo apira: Nsu a ɛyɛ kɔkɔɔ anaa bruu tuntum; sɛ obi te nka sɛ ne ho nyɛ no dɛ anaasɛ wowɔ atiridii anaa sɛnkyerɛnne a ɛte sɛ atiridii; nsu a ɛyɛ mmerɛw; aduan ho akɔnnɔ a ɛyera; abofono; ɛyaw a ɛba yafunu no fã a ɛwɔ soro nifa so; mmerɛwyɛ anaa ɔbrɛ a ɛyɛ soronko; aniwa anaa honam ani a ɛyɛ kɔkɔɔ.
• Menewa mu yaw a emu yɛ den.
• Yafunu mu a ɛyɛ hyew.

Mpɛn pii no, ɛho nhia sɛ wobɔ wo duruyɛfo amanneɛ wɔ saa nsunsuanso bɔne yi ho (nanso sɛ ɛkɔ so anaasɛ ɛhaw wo a, ka kyerɛ wo duruyɛfo ):

• Ayamtuo.
• Nwi a ɛtɔ.
• Ano mu akuru.
• Ɔfe a wɔfe.

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.

Ɔkwan bɛn so na wode aduru no sie?

Ɛsɛ sɛ wɔde saa aduru yi sie baabi a mmofra ntumi nkɔ hɔ .

Fa sie wɔ dan mu hyew (a ɛwɔ digrii Celsius 20 kosi 25 / digrii Fahrenheit 68 ne 77 ntam). Bɔ ho ban fi nsu ho. Fa aduru toa/packet no to mu denneennen. Mfa nnuru a ne bere atwam nni dwuma, tow gu.

Nneɛma a ɛsɛ sɛ yɛkae!

Okay, enti yɛkaa mercaptopurine ho asɛm pii, ɛnte saa?

Nea ɛho hia sen biara ne sɛ eyi yɛ aduru a ɛsɛ sɛ wɔde di dwuma sɛnea wɔakyerɛ no pɛpɛɛpɛ, wɔ nnuruyɛfo afotu ase.

• Tie biribiara a wo duruyɛfo bɛka no yiye na di akyi.
• Sɛ wowɔ nsɛmmisa anaa adwenem naayɛ bi a, nsuro sɛ wubebisa oduruyɛfo no.
• Hu nneɛma bɔne a efi mu ba, titiriw sɛ wuhu sɛnkyerɛnne ahorow a emu yɛ den a yɛkaa ho asɛm no bi a, na ka kyerɛ wo duruyɛfo ntɛm ara.
• Sɛ wode nnuru afoforo redi dwuma a, mma wo werɛ mmfi sɛ wobɛka ho asɛm akyerɛ wo duruyɛfo .
• Di akwankyerɛ a ɛfa nyinsɛn ne nufu a wɔde ma ho no akyi pɛpɛɛpɛ.

Saa aduru yi boa ma wosa wo tebea no. Enti, nya nnuruyɛfo no mu ahotoso na di wɔn akwankyerɛ akyi. Mepɛ sɛ wo ho tɔ wo ntɛm!

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