So wode nnuru a wɔde siw awo ano redi dwuma sɛ ɔkwan a wɔfa so yɛ abusua nhyehyɛe? Anaasɛ woredwen ho? Ɛwom sɛ ɛyɛ ɔkwan a etu mpɔn yiye de, nanso ɛho hia yiye sɛ wubehu nnuru yi ho nsɛm yiye, sɛnea ɛka nipadua no, ne nea ɛsɛ sɛ wohwɛ yiye wɔ ho bere a wode redi dwuma no. Enti ɛnnɛ yɛbɛka eyi ho asɛm.
Dɛn ne abusua nhyehyɛe ho nnuru yi?
Sɛ yɛbɛka no tiawa a, eyinom yɛ aduru bi a hormone wom. Pill pɔtee a yɛreka ho asɛm wɔ asɛm yi mu no kura mmea hormone ahorow abien , estrogen ne progestin . Dwumadi titiriw a saa nnuru yi yɛ ne sɛ ebesiw nyinsɛn ano.
Ɔkwan bɛn so na ɛba saa? Fa no sɛ, ɔsram biara ɔbea nipadua yi nkesua fi awotwaa mu. Yɛfrɛ eyi ovulation. Sɛ nyinsɛn betumi aba a, ɛsɛ sɛ saa nkesua yi ne mmadwoa bi bom. Enti hormone ahorow a ɛwɔ saa nnuru yi mu no mma wo nipadua no ntumi nkɔ ovulating, kyerɛ sɛ, ɛmma ɛmo . Esiane sɛ ɛmo nni hɔ nti, ɔkwan biara nni hɔ a nyinsɛn betumi afa so. Wɔ aduruyɛ mu no, yɛfrɛ eyi nnuru a wɔde siw nyinsɛn ano a wɔnom.
Wɔ nyinsɛn a wosiw ano akyi no, ɛtɔ mmere bi a nnuruyɛfo betumi akyerɛw saa nnuru yi ama ɔhaw afoforo a ɛfa hormone ho.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi saa aduru yi ase
Eyi ne ɔfã a ɛho hia sen biara. Saa nnuru yi nyɛ nea wɔde ma obiara. Enti, ɛho hia sɛ wode w’akwahosan ho nkyerɛkyerɛmu a edi mũ ma wo duruyɛfo. Sɛ wowɔ tebea horow a edidi so yi mu biara anaasɛ woanya bi wɔ w’abakɔsɛm mu a, hwɛ hu sɛ wobɛka ho asɛm akyerɛ wo duruyɛfo.
| Aduruyɛ tebea/asiane a ɛde ba | Ntease a enti ɛsɛ sɛ ɛhaw yɛn ho |
|---|---|
| Mogya ntini mu yare, abakɔsɛm a ɛfa mogya a ɛtɔ, anaa ɔyare a ɛma obi hwe ase ho | Saa nnuru yi betumi ama asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no ayɛ kɛse kakra. |
| Nufu, awotwaa, awotwaa, awotwaa, anaa mmerɛbo mu kokoram | Hormone ahorow betumi anya kokoram ahorow bi nyin so nkɛntɛnso. |
| Mogya Nhyɛso a Ɛkɔ Anim | Nnuru a wɔde yɛ nnuru no betumi ama mogya mmoroso akɔ soro bio. |
| Asikreyare, srade a ɛdɔɔso anaa triglycerides | Saa tebea horow yi ma asiane a ɛwɔ hɔ sɛ obi benya komayare no yɛ kɛse, na nnuru no nso betumi anya nkɛntɛnso ketewaa bi. |
| Komayare, abakɔsɛm a ɛkyerɛ sɛ obi anya komayare, anaa koma mu ntini mu haw | Ɛsɛ sɛ wɔyɛ ahwɛyiye kɛse bere a wɔrekyerɛw nnuru yi ama komayarefo no. |
| Atiridiinini, titiriw nea ɛde aniwa a ɛyɛ basaa ba | Ɛtɔ mmere bi a, atiridiinini betumi asɛe anaasɛ asiane a ɛwɔ hɔ sɛ obi benya akisikuru no betumi ayɛ kɛse. |
| mmerɛbo mu yare, asaabo mu yare, anaa akisikuru mu yare | Saa akwaa yi ka ɔkwan a wɔfa so yi hormone ahorow fi nipadua no mu no. |
| Sɛ woyɛ obi a ɔnom sigaret (titiriw sɛ woadi boro mfe 35 a) . | Eyi yɛ asiane a emu yɛ den yiye, na ɛma asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no yɛ kɛse. |
| Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaa worema nufu a | Saa nnuru yi mfata sɛ wɔde di dwuma wɔ nsɛm a ɛtete saa mu. |
| Tebea horow te sɛ Systemic Lupus Erythematosus (SLE), Protein C/S a enni nipadua no mu | Asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no yɛ kɛse bere a tebea horow yi wɔ hɔ no. |
Sɛ wowɔ saa nneɛma yi bi a, ebia saa aduru yi remfata wo. Enti, ɛho hia yiye ma w’ankasa ahobammɔ sɛ wo ne wo duruyɛfo bɛkasa a womfa biribiara nsie .
Ɔkwan bɛn so na wɔde saa nnuru yi bedi dwuma yiye?
Eyi yɛ mmerɛw koraa, nanso ɛyɛ biribi a ɛsɛ sɛ wɔde nteɛso yɛ.
- Nom aduru no bere koro mu da biara: Sɛ́ wo su no, nom aduru no bere koro mu da biara . Ɛyɛ papa sɛ wode alarm bɛhyɛ wo fon so de akae wo.
- Sɛnea wɔahyehyɛ no nnidiso nnidiso wɔ aduru no so: Fa nnuru no nnidiso nnidiso sɛnea wɔakyerɛw nna ne agyan a ɛwɔ aduru no mu no.
- Wɔ aduan ho: Nnipa binom betumi anya akisikuru bere a wɔanom nnuru yi akyi. Nea ɛbɛyɛ na eyi so atew no, wubetumi anom aduru no bere a woadidi anaasɛ bere a woadi awie no.
- Na sɛ wopa aduru bi nso ɛ?: Sɛ wo werɛ fi sɛ wobɛnom aduru bi a, hwɛ akwankyerɛ a ɛka wo nnuru a wode ahyɛ mu no ho. Mpɛn pii no, sɛ wopa aduru biako a, wɔka kyerɛ wo sɛ nom bere a wokae ara pɛ na fa aduru a edi hɔ no wɔ bere a wɔahyɛ ato hɔ no mu. Nanso, sɛ wopa nnuru bɛboro biako a, ebia nea etu mpɔn no so bɛtew. Wɔ tebea horow a ɛtete saa mu no, ɛyɛ nea asiane biara nni ho sɛ wode awo ano aduru foforo te sɛ kɔndɔm bedi dwuma akosi sɛ wo nna a edi hɔ no. Sɛ w’adwene mu yɛ wo naa a, bisa wo duruyɛfo.
Ahwɛyiye: Sɛ wususuw sɛ woanom aduru yi dodo 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 wo nkutoo dea. Mfa nkyerɛ afoforo da.
Nnuru afoforo a ebia ɛne saa nnuru yi bedi nkitaho
Sɛ worenom saa nnuru yi a, ɛsɛ sɛ wohwɛ yiye wɔ nnuru afoforo a wonom no nso ho. Nnuru bi betumi atew nnuru a wɔde di dwuma yi so anaasɛ ɛbɛma nsunsuanso bɔne a efi mu ba no ayɛ kɛse.
Wɔhyɛ nyansa denneennen sɛ ɛnsɛ sɛ wode nnuru a edidi so yi nni dwuma:
- Dasabuvir a wɔde di dwuma; ombitasvir a wɔde di dwuma; paritaprevir a wɔde di dwuma; ritonavir a wɔde di dwuma
- Ombitasvir a wɔde di dwuma; paritaprevir a wɔde di dwuma; ritonavir a wɔde di dwuma
Nea ɛka ho no, nnuru afoforo pii betumi ne saa nnuru yi adi nkitaho. Nhwɛso ahorow bi ne:
- Nnuru bi a ekum ɔyare mmoawa , titiriw nea wɔde sa nsamanwaw, te sɛ rifampin.
- Nnuru a wɔde sa akisikuru (sɛ nhwɛso no, phenobarbital, carbamazepine, phenytoin).
- Nnuru bi a wɔde sa HIV/AIDS (e.g. ritonavir).
- Nneɛma a wɔde nhabannuru yɛ te sɛ St. John’s Wort .
- Nnuru a ɛko tia fungal (sɛ nhwɛso no, griseofulvin).
- Nnuru bi a wɔnom ma asikreyare, srade, ne mogya mmoroso.
Saa list yi nwie pɛyɛ. Enti ka nnuru a wonom nyinaa (a vitamin, nhabannuru, ne nnuru a wɔde kum ɛyaw ka ho) kyerɛ wo duruyɛfo . Afei nso, hwɛ hu sɛ wobɛbɔ wo duruyɛfo amanneɛ wɔ wo sigaretnom ne nsanom ho.
Nneɛma a ɛsɛ sɛ wususuw ho bere a wode nnuru a wɔde sa yare redi dwuma no
Sigaretnom ne asiane a ɛwɔ hɔ
Nea ɛho hia paa: Sɛ wonom sigaret bere a worenom nnuru yi a, asiane a ɛwɔ hɔ sɛ mogya bɛtɔ na woabɔ akisikuru no yɛ kɛse koraa. Asiane yi yɛ kɛse titiriw sɛ woadi boro mfe 35 a. Enti, yɛtu wo fo denneennen sɛ sɛ worenom saa aduru yi a, kwati sigaretnom koraa .
Nsɛntitiriw afoforo a ɛho hia
- Nhwehwɛmu a Wɔayɛ ho Nhyehyɛe: Bere a worenom saa nnuru yi no, kɔ nhwehwɛmu a wɔayɛ ho nhyehyɛe (sɛ nhwɛso no, mogya mmoroso nhwehwɛmu, nufu mu nhwehwɛmu, Pap smear) sɛnea wo duruyɛfo kyerɛ no.
- Wosusuw sɛ woanyinsɛn: Sɛ wunya adwenem naayɛ ketewaa bi mpo sɛ woanyinsɛn a, gyae aduru no nom ntɛm ara na kɔ oduruyɛfo nkyɛn.
- Ahohoro: Ɛtɔ mmere bi a, saa nnuru yi betumi ama wo nipadua no akura nsu mu, na ama wo nsateaa, wo nsa, ne wo nan ho ahonhon. Sɛ wote nka saa a, ka kyerɛ wo duruyɛfo .
- Owia a wobɛte nka: Ebia wo honam ani bɛte nka kakra wɔ owia hann ho bere a worenom saa nnuru yi. Enti, ɛyɛ papa sɛ wode nnuru a ɛbɔ wo ho ban fi owia ho bedi dwuma na wohyɛ ntade a ɛkata wo nipadua so bere a worekɔ owia mu no.
- Ahobammɔ biara nni hɔ a ɛmma wontumi nnya nyarewa a wonya fi nna mu: Ma eyi ntra w’adwenem. Saa nnuru yi bɔ wo ho ban fi nyinsɛn ho nkutoo. Wɔmmɔ wo ho ban mfi HIV (AIDS) anaa nyarewa afoforo a wonya fi nna mu (STI) ho. Ɛsɛ sɛ wode akwanside kwan te sɛ kɔndɔm di dwuma.
Nneɛma bɔne a ebetumi afi mu aba
Te sɛ nnuru biara no, saa nnuru yi betumi de ɔhaw ahorow bi aba. Wɔn mu dodow no ara nyɛ aniberesɛm na ɛkɔ bere a nipadua no de aduru no yɛ ne su no. Nanso, sɛnkyerɛnne ahorow bi wɔ hɔ a ɛsɛ sɛ yɛma yɛn ani da hɔ titiriw.
| Nsunsuanso bɔne | Nkyerɛmu |
|---|---|
| Nneɛma bɔne a anibere wom a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo no ntɛm ara | |
| Mogya a ɛretu ho sɛnkyerɛnne | Nan mu yaw, ɛho ahonhon, ɔhyew, ɛyɛ den sɛ wobɛhome, koko a ɛyɛ den. |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare a ɛma obi hwe ase | Anim, abasa, anaa nan a ɛyɛ mmerɛw mpofirim anaa ɛyɛ mmerɛw, kasa a ɛyɛ den, adwene a ɛyɛ basaa, nantew a ɛyɛ den, tiyɛ a emu yɛ den. |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ mmerɛbo asɛe | Ɛyaw a ɛba yafunu no nifa so atifi, aduan ho akɔnnɔ a ɛyera, akisikuru, nsu a ɛyɛ kɔla a ɛyɛ hann, nsu a ɛyɛ kɔkɔɔ/biribiri tuntum, aniwa/honam ani yɛ kɔkɔɔ. |
| Nsɛnkyerɛnne afoforo a anibere wom | Mogya mmoroso a ɛkɔ soro, atiridiinini foforo anaa nea ɛreyɛ kɛse, adwenemhaw, nsu a ɛba ɔbea awotwaa mu a ɛnyɛ ne kwan so. |
| Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo | |
| Nufu mu yaw | Ɛyaw anaasɛ ɛyɛ den wɔ nufu mu. |
| Brayɛ a ɛnkɔ so daa | Nsonsonoe kakra a ɛwɔ brayɛ bere ntam. Eyi yɛ ade a ɛfata wɔ asram kakraa a edi kan no mu. |
| Honam ani kɔla a ɛsakra | Nsonsonoe tuntum a ɛwɔ anim anaa honam ani a owia abɔ. |
Nkrasɛm a Wɔde Kɔ Fie
- Abusua nhyehyɛe ho nnuru yɛ ɔkwan a etu mpɔn yiye a wɔfa so siw nyinsɛn ano, nanso sɛ wɔde di dwuma yiye na wɔde di dwuma bere koro mu da biara nkutoo a .
- Ansa na wubefi saa nnuru yi ase no, ka w’akwahosan ho abakɔsɛm nyinaa ne nnuru afoforo a wonom nyinaa kyerɛ wo duruyɛfo .
- Sɛ worenom saa nnuru yi a, kwati sigaretnom koraa . Ɛyɛ asiane kɛse, titiriw sɛ woadi boro mfe 35 a.
- Saa nnuru yi mmɔ obi ho ban mfi nna mu nyarewa a HIV ka ho ho . Ɔkwan bi te sɛ kɔndɔm ho hia ma ɛno.
- Sɛ wunya ɔhaw biara a emu yɛ den te sɛ tiyɛ a emu yɛ den, wo koko mu yaw, anaa wo nan a ɛho ahonhon a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Sɛ wowɔ ɔhaw anaa biribi a ɛhaw wo a, nsuro sɛ wo ne wo duruyɛfo bɛkasa.
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