Sɛ oduruyɛfo bi ka kyerɛ obi a ɔreko atia kokoram sɛ, "Momma yɛnyɛ laser ayaresa titiriw bi mprempren a, dɛn na wubesusuw?" Eyi nyɛ laser a wɔde di dwuma kwa. Nea woyɛ ne sɛ wobɛma nipadua no aduru titiriw bi a ɛbata kokoram nkwammoaa ho na ɛsɛe wɔn bere a laser hann no bɔ wɔn no. Wɔfrɛ aduru titiriw a ɛte saa no biako Porfimer. Momma yɛnka eyi ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw na emu da hɔ so nnɛ.
Dɛn ne saa Porfimer yi?
Sɛ yɛbɛka no tiawa a, porfimer yɛ aduru a ɛma hann yɛ mmerɛw. Ɔkwan a ɛyɛ adwuma no yɛ nwonwa. Fa no sɛ magnet a ɛbata kokoram nkwammoaa nkutoo ho.
Yɛde saa aduru yi fa ntini bi mu gu nipadua no mu. Afei aduru yi mu nneɛma nketenkete no tu fa nipadua no mu nyinaa, na ehu kokoram nkwammoaa pɔtee na ɛbata ho. Ɛnnya nkwammoaa a ɛte apɔw so nkɛntɛnso kɛse.
Bere a wɔde aduru no ama no akyi bɛyɛ nna abien no, oduruyɛfo no de laser kanea soronko bi kyerɛ baabi a kokoram no wɔ no. Aduru no mu nneɛma nketenkete a ɛbata kokoram nkwammoaa no ho no twetwe saa laser hann yi na ɛyɛ adwuma. Nnuru a efi mu ba no sɛe kokoram nkwammoaa a ɛbata ho no nkutoo. Yɛfrɛ saa adeyɛ yi nyinaa photodynamic therapy (PDT) .
Wɔde saa ayaresa kwan yi di dwuma titiriw ma:
- Wɔ esophageal kokoram ho
- Wɔ ahurututu mu kokoram ho
- Sa tebea bi a ɛba ansa na kokoram aba a wɔfrɛ no Barrett’s esophagus .
Sɛ eyi da nkyɛn a, wobetumi de saa aduru yi nso adi dwuma ama ayaresa tebea afoforo sɛnea oduruyɛfo no afotu kyerɛ no.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woasa yare
Ansa na wubefi saa ayaresa yi ase no, ɛho hia yiye sɛ wode w’akwahosan ho nkyerɛkyerɛmu a edi mũ ma wo duruyɛfo. Hwɛ hu sɛ wobɛka akyerɛ wɔn sɛ wowɔ tebea horow a edidi so yi mu bi a:
- Sɛ wowɔ esophageal akuru, fistulas, anaa varicose veins a.
- Sɛ wowɔ asaabo mu yare anaa mmerɛbo mu yare a.
- Sɛ wowɔ yare bi a ɛntaa nsi a wɔfrɛ no porphyria a.
- Sɛ woanya mframa a wɔde sa yare nnansa yi ara anaasɛ woreyɛ mprempren a.
- Sɛ wo nnuruyɛfo aka akyerɛ wo sɛ wo kokoram no atrɛw (atrɛw) akɔ mogya ntini kɛse bi mu a.
- Sɛ wowɔ akisikuru wɔ Porfimer anaa aduru foforo biara, aduan, anaa aduru a wɔde yɛ ade ho a.
- Sɛ woanyinsɛn , worebɔ mmɔden sɛ wubenyinsɛn , anaasɛ worema nufu a .
Wode saa aduru yi di dwuma dɛn?
Eyi nyɛ aduru a wubetumi de akɔ fie. Oduruyɛfo anaa ɔyarehwɛfo a wɔatete no titiriw ama eyi na ɔde twitwiw ntini bi mu wɔ ayaresabea anaa ayaresabea na ɛde saa aduru yi ma.
Sɛ wode saa aduru yi rema mmofra a, ɛho hia sɛ wɔhwɛ yiye titiriw. Wo ne wo mmofra oduruyɛfo nkasa mfa eyi ho.
Na sɛ aduru no dodow kɔ soro nso ɛ?
Ɛnyɛ nea ɛda adi sɛ eyi bɛba sɛnea wɔde ma wɔ ayaresabea no. Nanso, sɛ wususuw sɛ woanom aduru no dodo a, kɔ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no nkyɛn ntɛm ara , anaa kɔ Emergency Treatment Unit (ETU) a ɛbɛn wo no nkyɛn .
Na sɛ mepa dose bi nso ɛ?
Ɛho hia paa sɛ wubenya ayaresa wɔ da ne bere a oduruyɛfo no de ama wo no. Sɛ biribi nti wuntumi nkɔ saa bere no a, frɛ wo duruyɛfo ntɛm ara na ma onhu.
So nnuru afoforo betumi adi nkitaho?
Yiw, nnuru bi betumi ne aduru yi adi nkitaho. Enti ka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo (nnuru a wɔde sa tebea afoforo, vitamin, nhabannuru, aduan a wɔde ka aduan ho). Afei nso, sɛ wonom sigaret anaa wonom nsa a, ka kyerɛ wo duruyɛfo.
Ɔhaw ahorow betumi aba, titiriw, wɔ nnuru ahorow a edidi so yi ho:
- Nnuru a ekum ɔyare mmoawa ahodoɔ bi - sɛ nhwɛsoɔ no, fluoroquinolones, sulfonamides, ne tetracyclines.
- Asikreyare nnuru bi.
- Griseofulvin yɛ aduru a ekum fungal.
- Phenothiazines yɛ nnuru a wɔde sa adwenemyare.
- Thiazide diuretics yɛ nnuru a ɛma nsu a ɛkɔ nipadua no mu no yɛ kɛse.
Saa nsɛm a wɔahyehyɛ yi nwiei, enti ɛyɛ nea asiane biara nni ho sɛ wobɛka biribiara a worenom akyerɛ wo duruyɛfo .
Nneɛma a ɛsɛ sɛ wususuw ho bere a wɔreyɛ ayaresa no
Ɛsɛ sɛ wohwɛ wo ho yiye bere a woanom aduru yi awie no.
Ahobammɔ a wonya fi owia ne hann a ano yɛ den ho
Eyi ne afotu a ɛho hia sen biara na ɛsɛ sɛ wodi akyi . Sɛ wonom saa aduru yi wie a, wo honam ani bɛyɛ nea ɛyɛ mmerɛw kɛse wɔ hann ho. Enti, kwati owia hann tẽẽ anyɛ yiye koraa no nnafua 30 bere a woanom aduru no akyi . Sɛ ɛsɛ sɛ wupue a, hyɛ ntade a ɛkata wo nipadua nyinaa so na hyɛ kyɛw. Owia aduru mma ahobammɔ biara wɔ tebea yi mu . Afei nso, akyinnye biara nni ho sɛ ɛsɛ sɛ wokwati kanea a ɛhyerɛn wɔ dan mu ne mpa a wɔde hyɛ wo honam ani.
W’ani nso bɛyɛ nea ɛyɛ mmerɛw kɛse wɔ hann ho, enti hyɛ ahwehwɛ a ɛyɛ tuntum pa bere a anyɛ yiye koraa no wokɔ abɔnten ɔsram biako bere a woanom aduru no awie no.
Nyinsɛn ne nufu a wɔde ma
- Ɔbaa:Kwati sɛ wubenyinsɛn bere a worenom aduru yi ne asram 5 bere a woagyae ayaresa no akyi .
- Mmarima: Sɛ worenya saa ayaresa yi a, kwati sɛ wobɛwo abofra bere a wɔreyɛ ayaresa no ne asram 5 wɔ bere a woagyae no akyi .
- Kwati sɛ wobɛma wo ba nufu wɔ saa bere yi mu.
Saa aduru yi betumi apira akokoaa a ɔhyɛ yafunu mu kɛse.
Dɛn ne nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ aduru biara no, eyi betumi anya ɔhaw ahorow. Ebinom yɛ aniberesɛm, ebinom nso abu so.
| Nsunsuanso bɔne | Nkyerɛmu |
|---|---|
| Nneɛma bɔne a anibere wom a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara | |
| Nneɛma a ɛma obi ho yɛ no hyew | Wora mu akisikuru, ɛyaw, anim, ano anaa tɛkrɛma a ɛho ahonhon. |
| Ɔhome a ɛyɛ den | Ɔhome a ɛyɛ den, ahomegye a ɛyɛ den. |
| Koko mu yaw | Koko mu yaw a emu yɛ den mpofirim. |
| Mogya a wɔfefe | Mogya a wɔde ɔfe a ɛyɛ nwini. |
| Huraeɛ | Atiridiinini a ntease biara nnim. |
| Mogya a ɛyera ( mogya a ɛtɔ kɔ nipadua mu ) ho sɛnkyerɛnne . | Sɛ wote nka sɛ wabrɛ sen sɛnea ɔtaa yɛ, wote nka sɛ woatɔ piti, na wote nka sɛ nkwa nnim. |
| Ɛyɛ den sɛ wobɛmene | Ɛyɛ den sɛ wobɛmene aduan anaa anonne. |
| Mpɛn pii no ɛnyɛ aniberesɛm (nanso sɛ ɛkɔ so a, ka kyerɛ wo duruyɛfo) . | |
| Nnuan a wɔyam no mu haw ahorow | Akisikuru, akisikuru, akisikuru, ɔfe. |
| Anorexia a ɛma obi nya aduan | Aduan ho akɔnnɔ a ɛso tew. |
Sɛ wuhu sɛnkyerɛnne foforo biara a ɛyɛ soronko a wɔanka ho asɛm wɔ saa nsɛm yi mu a, wo ne wo duruyɛfo nkasa mfa ho nso.
Nkrasɛm a Wɔde Kɔ Fie
- Porfimer yɛ aduru titiriw bi a ɛde laser hann kɔ kokoram nkwammoaa so na ɛsɛe wɔn.
- Sɛ woyɛ saa ayaresa yi wie a, anyɛ yiye koraa no, wo honam ani ne w’ani bɛte hann nka kɛse nnafua 30 . Bɔ wo ho ban fi owia hann ne hann a ano yɛ den ho koraa. Nneɛma a wɔde siw owia ano no mma ahobammɔ biara .
- Ɛho hia sɛ wode nnuru afoforo, vitamin, ne akwahosan tebea horow a worenom nyinaa ho nkyerɛkyerɛmu a edi mũ ma wo duruyɛfo.
- Kwati sɛ wubenyinsɛn anaa wobɛwo mma bere a wɔreyɛ ayaresa no ne asram 5 wɔ bere a wɔawie no akyi.
- Sɛ wunya ɔhaw biara a emu yɛ den te sɛ ahome a ɛyɛ den, wo koko mu yaw, anaasɛ akisikuru a emu yɛ den a, ka kyerɛ wo duruyɛfo anaa ayaresabea ntɛm ara.
👩🏽 ⚕️ Nsɛmmisa foforo (FAQs)
💬 Dɛn na wɔde Porfimer Injection / Photofrin di dwuma?
Eyi yɛ kokoram ayaresa a ɛkɔ anim kɛse (Photodynamic Therapy / PDT) wɔ nnuruyɛ mu! Wɔde saa vaccine yi di dwuma kɛse de sɛe kokoram a emu yɛ den a ɛwɔ menewa/aso mu (esophageal cancer) ne ahurututu mu (NSCLC), a enhia sɛ wotwa na woyi fi hɔ wɔ oprehyɛn mu, denam ‘laser kanea’ a wɔde di dwuma de sɛe kokoram no so.
💬 Ɔkwan bɛn so na saa aduru yi (Porfimer) ne laser hann sɛe kokoram nkwammoaa?
Saa aduru yi ho nni mfaso mma wo, ɛyɛ adwuma wɔ ‘hann’ nkutoo so! (Afiri a ɛma mfonini te nka). Sɛ wɔde eyi gu ntini bi mu a, saa aduru yi kɔ mogya no mu na wɔde gu kokoram nkwammoaa no mu nna kakraa bi. Afei oduruyɛfo no de afiri bi hyɛ mu na ɔhyerɛn ‘laser kanea kɔkɔɔ (630nm Hann)’ wɔ kokoram no so! Sɛ hann no bɔ pɛ a, saa aduru yi yɛ adwuma wɔ kokoram no mu na ɛma ‘oxygen a awuduru wom (Singlet oxygen)’, na ɛsɛe kokoram no fi mu te sɛ ɔtopae a ɛrepae.
💬 Adɛn nti na woka sɛ ɛnsɛ sɛ wopue awia (Photosensitivity) wɔ saa vaccine yi akyi?
Eyi ne ɔhaw a ɛyɛ hu na ɛsõ sen biara wɔ saa ayaresa yi ho! Ɛnyɛ kokoram no nko na aduru no tra hɔ na mmom honam ani/ntini nso mu. Enti, sɛ wode wo ho to ‘owia hann (owia) anaa kanea a ano yɛ den’ mu nnafua 30-90 (asram 1-3) wɔ saa ayaresa yi akyi a, wo honam ani/nipadua nyinaa bɛhyew te sɛ nea ogya rehyew (Severe Photosensitivity Reaction)! Enti, ɛyɛ ahyɛde sɛ wobɛtra dan/atade a emu yɛ sum mu na ama woakata nipadua no so koraa.
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