So wowɔ tebea bi a wɔfrɛ no `Ulcerative Colitis` a ɛma yafunu mu yɛ wo yaw, ɛtaa hyɛ wo sɛ wobɛkɔ aguaree, na ɛtɔ mmere bi a mogya ba wo nsu mu ? Sɛ ɛte saa a, ebia wo duruyɛfo akyerɛw wo aduru bi a wɔfrɛ no `Mesalamine`. Ɛba wɔ brand din ahorow te sɛ `Delzicol`, `Asacol`, `Pentasa` ase. Enti, ɛnnɛ yɛbɛka saa aduru yi ho asɛm, nea ɛyɛ, sɛnea wɔde di dwuma, ne nea ɛsɛ sɛ wohwɛ yiye wɔ ho wɔ ɔkwan a ɛyɛ mmerɛw a wubetumi ate ase so.
Dɛn na ɛba wɔ aduru a wɔfrɛ no Mesalamine yi ho ankasa?
Sɛ yɛbɛka no tiawa a, `Mesalamine` yɛ aduru a ɛsa `Ulcerative Colitis`. Sɛ wowɔ saa yare yi a, wowɔ ɔfe, anaa tebea bi a ɛte sɛ ɔfe, wɔ wo dwensɔtwaa kɛse (digestive tract) fasu a ɛwɔ mu no mu. Fa no sɛ honam ani kuru, baabi a baabi a atwa ho ahyia no yɛ kɔkɔɔ, ahonhon, na ɛyɛ yaw.
Enti, nea saa `Mesalamine` aduru yi yɛ ne sɛ ɛhyɛ saa ɔfe no so na ɛtew so . Ɛka nnuru bi a wɔfrɛ no `salicylates` ho. Ɛnyɛ sɛ ɛhyɛ wo sɛnkyerɛnne ahorow so nko, na mmom ɛboa nso ma wosiw ɔyare no ano hyehye bere a yare no afi hɔ akyi.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom saa aduru yi
Ansa na wubefi ase anom Mesalamine no, ɛho hia yiye sɛ wode w’akwahosan ho nkyerɛkyerɛmu a edi mũ ma wo duruyɛfo. Hwɛ hu sɛ wobɛka akyerɛ no sɛ wowɔ tebea horow a wɔabobɔ din wɔ ase ha no bi a.
| Akwahosan tebea anaa ɔhaw | Dɛn nti na ɛno ho hia? |
|---|---|
| Asaabo mu yare | Efisɛ ɛtɔ mmere bi a mesalamine tumi ka asaabo no. |
| Mmɛn mu yare | Saa aduru yi betumi aka mmerɛbo no dwumadi nso. |
| Dwonku a ɛsiw anaasɛ Pyloric stenosis | Sɛ yafunu anaa dwensɔtwaa siw a, aduru no betumi asiw. |
| Mesalamine, aspirin, anaa nnuru/nnuan afoforo ho akisikuru | Sɛ wowɔ allergy a, ebia nneɛma a anibere wom bɛba. |
| Nyinsɛn a obi benyin anaasɛ ɔrebɔ mmɔden sɛ obenyinsɛn | Ɛho hia sɛ wohwehwɛ aduruyɛfo afotu ansa na woanom aduru biara bere a wonyinsɛn no. |
| Nufu a wɔde ma | Aduru no afã horow betumi afa nufusu so akɔ akokoaa no nkyɛn, enti ka eyi ho asɛm kyerɛ wo duruyɛfo. |
Ɔkwan bɛn so na ɛsɛ sɛ mede aduru no di dwuma?
Saa aduru yi a wode bedi dwuma yiye no ho hia yiye na ama woanya nea efi mu ba.
- Mene aduru a wɔde hyɛ mu no nyinaa: Mbubu, nbubu, anaa nwe aduru yi. Fa nsu kuruwa mene no nyinaa.
- Fa no bere ano: Bɔ mmɔden sɛ wobɛnom w’aduru no bere koro mu da biara sɛnea wubetumi biara. Eyi bɛboa ma aduru no dodow a ɛwɔ wo nipadua mu no akɔ so ayɛ pɛ.
- Ansa na woadi anaasɛ bere a woadi akyi?: Wubetumi de eyi aka aduan ho anaasɛ wunhia. Nanso, sɛ wo yafunu mu yɛ wo yaw anaa wo koma yɛ wo yaw a, ɛbɛyɛ papa sɛ wode bɛka aduan ho.
- Nnyae: Nnyae w’aduru nom kosi sɛ wo duruyɛfo bɛka akyerɛ wo. Ɛho hia sɛ wuwie ayaresa a wɔakyerɛw ama wo no, sɛ mpo wo sɛnkyerɛnne ahorow no tu mpɔn a.
- Wɔ mmofra nkumaa fam: Wobetumi akamfo aduru yi akyerɛ mmofra a wɔadi boro mfe 5 wɔ tebea horow bi mu. Nanso, akyinnye biara nni ho sɛ ɛsɛ sɛ wo ne wo duruyɛfo kasa fa ho.
Kɔkɔbɔ: Sɛ mpofirim ara wususuw sɛ woanom aduru yi a ɛboro dodow a wɔakyerɛw ama wo no so a, frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no ntɛm ara . Anaasɛ kɔ ayaresabea a ɛbɛn wo no Emergency Treatment Unit (ETU) . Saa aduru yi yɛ w’ankasa de bedi dwuma nkutoo, nkyɛ nkyerɛ afoforo.
Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?
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 mmɔho abien da.
Nneɛma a ɛsɛ sɛ ɛtra w’adwenem bere a wode aduru no redi dwuma no
- Nnuru afoforo: Sɛ worenom nnuru foforo biara a wɔde sa ɛyaw, te sɛ NSAIDs (e.g., ibuprofen, naproxen), anaa nnuru afoforo te sɛ azathioprine anaa mercaptopurine a, ka kyerɛ wo duruyɛfo. Eyinom betumi ne mesalamine adi nkitaho. Ɛyɛ papa sɛ wobɛka nnuru ne vitamin a worenom nyinaa ho asɛm akyerɛ wo duruyɛfo.
- Aduruyɛ mu nhwehwɛmu: Oduruyɛfo no bɛhwɛ wo daa. Kɔ wɔn nkyɛn wɔ mmere a ɛfata mu. Ka kyerɛ wɔn sɛ wo yare no ho sɛnkyerɛnne no reyɛ yiye anaasɛ ɛresɛe. Ebia wɔbɛhyɛ sɛ wɔmfa mogya nyɛ adwuma nso.
- Nneɛma a Wɔde Sesa: Nsakra Mesalamine a worenom no a wonkɔ wo duruyɛfo nkyɛn, efisɛ dodow a wɔde ma no nyɛ pɛ wɔ nnuru a wɔde di dwuma nyinaa ho.
- Bɔ wo ho ban fi owia ho: Ebia wo honam ani bɛte owia bere a worenom aduru yi. Enti, sɛ worekɔ abɔnten owia a, hyɛ ntade a nsa tenten na fa aduru a ɛbɔ wo ho ban fi owia ho di dwuma.
- Tablet shell with stool: Wɔ Mesalamine ahorow bi mu no, ebia tablet no akyi shell no rensɛe na ɛne stool no bɛtotɔ. Eyi nyɛ hwee sɛ ɛba pɛnkoro anaa mprenu a. Nanso sɛ eyi taa si a , ka ho asɛm kyerɛ wo duruyɛfo.
- Nom nsu pii: Bisa wo duruyɛfo no nsu nkuruwa dodow a ɛsɛ sɛ wonom da biara. Ɛho hia yiye sɛ wobɛkwati nsu a ɛho ayɛ fĩ.
Nneɛma bɔne a ebetumi afi mesalamine mu aba
Te sɛ aduru biara no, `Mesalamine` betumi de nsunsuanso bɔne bi aba. Nanso mma ɛnhaw wo, ɛnyɛ obiara na onya bi. Nea ɛho hia sen biara ne sɛ wubehu eyinom na sɛ wuhu biribi a anibere wom a, ka kyerɛ wo duruyɛfo ntɛm ara.
| Nsunsuanso bɔne a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara | |
|---|---|
| Nneɛma a ɛma obi ho yɛ no hyew | Wora mu akisikuru, ɛyaw, anim, anofafa, tɛkrɛma a ɛho ahonhon. |
| Asaabo mu opira | Nsu a ɛba no so tew, nansoaa, nsa, ne anan a ɛho ahonhon. |
| Mmɛn a wɔapirapira | Ɛyaw a ɛba yafunu nifa so atifi, aduan ho akɔnnɔ a ɛyera, aniwa/honam ani yɛ kɔkɔɔ, nsu a ɛyɛ kɔkɔɔ/biribiri tuntum. |
| Myocarditis a ɛyɛ mmerɛw | Ɔhome a ɛyɛ den, koko mu yaw, ɔbrɛ a ɛyɛ soronko, koma a ɛbɔ ntɛmntɛm. |
| Mesalamine a wontumi nnyina ano ho yare | Yafunu mu yaw a emu yɛ den, akisikuru a mogya wom, tiyɛ, atiridiinini, ntini mu yaw. |
| Honam ani haw ahorow a anibere wom | Kɔkɔɔ, akisikuru, honam ani a ɛyɛ mmerɛw (ebetumi nso aba ano wɔ ano). |
| Nneɛma a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo | |
| Yafunu mu yaw | Ayamtuo |
| Tipaeɛ | Abofono |
| Menemkuro | Nsɛnkyerɛnne a ɛte sɛ atiridii |
Wobɛyɛ dɛn abɔ w’aduru ho ban?
Fa nnuru sie baabi a mmofra ne afieboa ntumi nkɔ. Ɛyɛ papa sɛ wode sie wɔ dan mu hyew (a ɛwɔ digrii Celsius 20-25 ntam). Mfa nnuru a ne bere atwam nni dwuma. Tow gu sɛnea ɛsɛ. Wubetumi akɔ wo duruyɛfo nkyɛn wɔ eyi ho.
Nkrasɛm a Wɔde Kɔ Fie
- Mesalamine yɛ aduru a ɛtew ɔfe a ɛwɔ dwensɔtwaa mu a Ulcerative Colitis de ba no so.
- Fa nsu mene aduru yi nyinaa a ɛnbubu, mmɔ, anaasɛ ɛnwe .
- Sɛ wowɔ asaabo, mmerɛbo mu yare, anaa nneɛma afoforo a ɛma wo ho yɛ wo hyew a , hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo ansa na woafi aduru no ase.
- Sɛ wunya nsunsuanso bɔne a emu yɛ den (te sɛ yafunu mu yaw kɛse, honam ani akisikuru, nsu a wɔtow so tew) , hwehwɛ aduruyɛfo afotu ntɛm ara.
- Nnyae w’aduru nom kosi sɛ wo duruyɛfo bɛka akyerɛ wo. Sɛ wowɔ ɔhaw bi a, wo ne no nka ho asɛm.
👩🏽 ⚕️ Nsɛmmisa foforo (FAQs)
💬 Yareɛ bɛn na wɔde Mesalamine (Mesalamine / Asacol, Lialda) aduru di dwuma?
Eyi yɛ nnuru a etu mpɔn sen biara (5-Aminosalicylic acid / 5-ASA) wɔ wiase a ebetumi asa yafunu mu yaw a wontumi nnyina ano, akisikuru a mogya wom, ne akuru a emu yɛ den wɔ dwensɔtwaa mu (Ulcerative Colitis) no mu biako! Ɛma ɔfe a emu yɛ den no fi hɔ ntɛm ara na ɛma ɔyarefo no san ba ne kan.
💬 Ɔkwan bɛn so na saa nnuru yi (Mesalamine) sa dwensɔtwaa mu akuru/ɛhaw a emu yɛ den?
Nnuru a wɔfrɛ no ‘Prostaglandins/Leukotrienes’ a wɔyɛ wɔ dwensɔtwaa mu na ɛde dwensɔtwaa mu akuru/ɔfe ba. Ade titiriw a ɛwɔ saa aduru yi mu ne sɛ nipadua no ntumi nnye bere a ɛhyɛn yafunu mu mpo akyi, ɛpaapae tẽẽ wɔ dwensɔtwaa kɛse (colon) mu (Topical action). Sɛ ɛhyɛn dwensɔtwaa no mu a, esiw/to nnuru adwumayɛbea (COX/LOX) a ɛde akuru ba no nyinaa mu koraa. Afei ɔfe ne mogya a ɛretu no gyae wɔ hɔ ara.
💬 Asiane bɛn na ɛsɛ sɛ yɛhwɛ so bere a yɛrenom saa dwensɔtwaa mu aduru (Mesalamine) yi?
Eyi yɛ nea asiane biara nni ho koraa, nanso ebia nnipa binom benya ‘Mesalamine-induced Acute Intolerance Syndrome’, a ebetumi ama yafunu mu ayɛ wo yaw, mogya atu, na akisikuru a emu yɛ den! Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, ɛsɛ sɛ wugyae aduru no nom ntɛm ara. Afei nso, esiane sɛ wɔde aspirin/salicylate na ɛyɛ nti, ɛnsɛ sɛ nnipa a wɔn ho nyɛ wɔn den wɔ aspirin ho no nom saa aduru yi!
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