Yɛn nyinaa nim sɛ kokoram a yɛbɛko atia no nyɛ akwantu a ɛyɛ mmerɛw. Wɔ saa akwantu yi mu no, ebia wo duruyɛfo bɛkyerɛw nnuru ahorow ama wo. Sunitinib yɛ nnuru a ɛte saa no mu biako, na ɛde n’ani si kokoram nkwammoaa so na esiw wɔn nyin ano. Enti, sɛ wɔakyerɛw saa aduru yi ama wo a, sɛ wunim no yiye na emu da hɔ a, ɛbɛyɛ mmoa kɛse wɔ w’ayaresa akwantu no mu. Momma yɛnka eyi ho asɛm.
Aduru bɛn na Sunitinib yɛ?
Sɛ yɛbɛka no tiawa a, Sunitinib yɛ aduru a ɛhyɛ "ayaresa a wɔde asi wɔn ani so" mu. Eyi kyerɛ sɛ saa aduru yi nka nipadua no mu nkwammoaa biara kɛkɛ, na mmom ɛkyerɛ protein pɔtee bi a ɛboa ma kokoram nkwammoaa nyin na ɛtrɛw na esiw ano. Eyi te sɛ nea wode w’ani asi ɔtamfo bi so tẽẽ.
Wɔde saa aduru yi sa kokoram ahorow a edidi so yi titiriw:
- GIST (Gastrointestinal Stromal Tumors): Eyi yɛ akisikuru pɔtee bi a ɛba yɛn aduan mu.
- Asaabo mu Kokoram a Ɛkɔ Anim: Bere a asaabo mu kokoram atrɛw akɔ nipadua no afã afoforo.
- Pancreatic Neuroendocrine Tumors: Eyi nso yɛ kokoram soronko bi a ɛba dwensɔtwaa mu.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi ase anom nnuru
Ansa na wubefi Sunitinib ase no, ɛho hia yiye sɛ woka w’akwahosan ho abakɔsɛm a edi mũ kyerɛ wo duruyɛfo. Nea enti a ɛte saa ne sɛ ebia saa aduru yi ne aduruyɛ mu tebea horow bi bedi nkitaho. Hwɛ pon a ɛwɔ ase hɔ no. Sɛ wowɔ saa tebea horow yi bi a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo.
| Tebea a ɛsɛ sɛ wobɔ ho amanneɛ | Dɛn nti na ɛte saa? (Nea enti a ɛsɛ sɛ oduruyɛfo no hu) . |
|---|---|
| Mogya a ɛtɔ ho haw anaasɛ akuru a ɛnyɛ den | Saa aduru yi betumi ama asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no ayɛ kɛse. |
| Nsõ ho haw ahorow, sɛ wode aduru a wɔde yɛ nsensan di dwuma a | Ɛsɛ sɛ wodi kan yɛ nhyehyɛe sɛ wɔbɛsa wɔn sẽ, efisɛ nnuru betumi aka anom dompe no. |
| Asikyireyareɛ | Ebia asikre dodow a ɛwɔ mogya mu no bɛka. |
| Sɛ wɔrebɛyɛ wo oprehyɛn nnansa yi ara a | Esiane sɛ ɛka akuru no yare nti, ɛsɛ sɛ wogyae aduru no ansa na wɔayɛ oprehyɛn ne bere a wɔayɛ no oprehyɛn akyi. |
| Koma mu yare, mogya mmoroso, koma a ɛbɔ denneennen | Aduru no betumi aka koma no dwumadi ne mogya mmoroso. |
| Asaabo (a ɛnyɛ kokoram) anaa mmerɛbo mu yare | Sɛnea saa akwaa ahorow yi yɛ adwuma no ka sɛnea aduru no tumi yɛ adwuma no. |
| Thyroid yareɛ | Aduru no betumi aka thyroid hormone dodow. |
| Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaa worema nufu a | Eyi ho hia paa! Saa aduru yi betumi apira akokoaa a ɔwɔ awotwaa mu no kɛse. |
| Sunitinib anaa nnuru anaa nnuan afoforo ho akisikuru | Ɛho hia sɛ wobɔ eyi amanneɛ na wɔakwati sɛ obi ho bɛtɔ no. |
Wode saa aduru yi di dwuma dɛn?
Ɔkwan a wɔfa so de eyi di dwuma no yɛ mmerɛw yiye, nanso ɛho hia yiye.
- Fa nsu kuruwa mene aduru no nyinaa.
- Wubetumi anom eyi ansa na woadi anaasɛ woadi awie. Ɛrenyɛ ɔhaw.
- Ade a ɛho hia sen biara ne sɛ wobɛnom aduru no sɛnea oduruyɛfo no akyerɛ no pɛpɛɛpɛ, wɔ bere a wɔakyerɛw ama no no mu.
- Esiane biribiara nti, nnyae nnuru nom anaasɛ ɛnsesa dodow a wɔde ma no da a wunnya wo duruyɛfo afotu.
Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?
Sɛ wopa dose bi a, fa no bere a woakae ara pɛ. Nanso, sɛ ennu nnɔnhwerew 12 kosi wo dodow a edi hɔ a wobɛnom no so 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 abien prɛko pɛ da.
Na sɛ menom nnuru pii nso ɛ?
Sɛ wususuw sɛ woanom nnuru pii sen sɛnea wususuw a, mma wo ho nnyɛ wo hu na kɔ ayaresabea a ɛbɛn wo no ntɛm ara Emergency Department (ETU) . Anaasɛ frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no .
Nneɛma afoforo a ebetumi ne Sunitinib adi nkitaho
Eyi nso ho hia paa. Sɛ worenom Sunitinib a, ɛho hia sɛ woka nnuru a worenom nyinaa (a nnuru a wɔde sa tebea afoforo, vitamin, aduru a wɔde di dwuma wɔ amanne kwan so, nhabannuru ka ho) kyerɛ wo duruyɛfo. Nnuru bi betumi ne Sunitinib adi nkitaho na ɛtew ne nkɛntɛnso so, ama ne nkɛntɛnso ayɛ kɛse, anaasɛ ɛde nsunsuanso bɔne a ɛyɛ hu aba.
Hwɛ yiye titiriw wɔ nea edidi so yi ho:
- Nnuru bi a wɔde sa HIV anaa mmerɛbo mu yare
- Nnuru a wɔde sa fungal yare (e.g. ketoconazole, itraconazole) .
- Nnuru bi a ekum ɔyare mmoawa (e.g. clarithromycin) .
- Nnuru bi a wɔde sa akisikuru (e.g. carbamazepine, phenytoin) .
- Nnuru a wɔde yɛ nhabannuru a wɔfrɛ no St. John’s Wort
- Nnuru afoforo a ɛma QT ntam kwan kyɛ
- Grapefruit nsu: Eyi yɛ biribi a nnipa pii nnim. Grapefruit nsu a wɔnom betumi aka ɔkwan a Sunitinib fa so yɛ adwuma. Enti, kwati grapefruit ne grapefruit nsu koraa bere a worenom saa aduru yi no.
Nsɛntitiriw a ɛsɛ sɛ wohwɛ yiye bere a worenom aduru no
Nsõ ne anom akwahosan
Ɛtɔ mmere bi a, saa aduru yi tumi ka anom dompe (Osteonecrosis of the jaw). Enti, ɛbɛyɛ papa sɛ wobɛkɔ akɔhwɛ sẽ ho oduruyɛfo ansa na woafi aduru no ase na woasiesie nsensan ho haw biara. Afei nso, ka kyerɛ wo sẽ ho oduruyɛfo sɛ worenom saa aduru yi. Nyansa wom sɛ wobɛkwati sẽ oprehyɛn kɛse bere a worenom aduru no.
Oprehyɛn ne kuru a wɔsa
Sunitinib betumi ama akuru no sa brɛoo. Sɛ worekɔyɛ oprehyɛn a, ka kyerɛ wo oncologist. Wɔtaa kamfo kyerɛ sɛ wonnyae aduru no nom adapɛn 3 ansa na wɔayɛ oprehyɛn no na wɔasan afi ase bere a kuru no ayɛ yiye (anyɛ yiye koraa no adapɛn 2 wɔ oprehyɛn no akyi).
Nyinsɛn, awo ne nufu a wɔde ma
Eyi ho hia paa!Sɛ woyɛ ɔbea a, kwati sɛ wubenyinsɛn koraa bere a worenom aduru yi ne anyɛ yiye koraa no adapɛn 4 bere a woagyae aduru no akyi. Sɛ woyɛ ɔbarima a, kwati sɛ wubenyinsɛn bere a worenom aduru no ne anyɛ yiye koraa no adapɛn 7 bere a woagyae aduru no akyi.
Saa aduru yi betumi apira akokoaa a ɔhyɛ yafunu mu kɛse. Enti, ɛho hia sɛ wɔde awo ano aduru a wotumi de ho to so di dwuma wɔ saa bere yi mu. Afei nso, kwati sɛ wobɛma nufu bere a worenom saa aduru yi ne adapɛn 4 bere a woagyae no.
Dɛn ne nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ aduru biara no, Sunitinib betumi anya nsunsuanso bɔne. Nanso, ɛnyɛ obiara na onya bi. Nea ɛho hia sen biara ne sɛ wubehu eyinom na sɛ wuhyia ɔhaw biara a, wobɛbɔ wo duruyɛfo amanneɛ ntɛm ara.
| Nneɛma bɔne a ɛsɛ sɛ wobɔ wo duruyɛfo anaa ayaresabea amanneɛ ntɛm ara | |
|---|---|
| Nneɛma a ɛma obi ho yɛ no hyew | Wora mu akisikuru, ɛyaw, anim, anofafa, tɛkrɛma a ɛho ahonhon |
| Ɔhome a ɛyɛ den, koko mu yaw | Ebia koma anaa ahurututu no bɛka. |
| Yafunu mu yaw a emu yɛ den, mogya a ɛtɔ anaasɛ akuru a ɛyɛ soronko | Ebetumi ayɛ mogya a ɛretu wɔ nipadua no mu ho sɛnkyerɛnne. |
| Nan, nansoaa a ɛho ahonhon, mu duru a ɛkɔ soro mpofirim | Ebetumi aba sɛ koma anaa asaabo mu haw bi bɛba. |
| Anom yaw (titiriw bere a wɔayi ne sẽ akyi) . | Ebia ɛbɛyɛ nkɛntɛnso a ɛwɔ anom dompe no so. |
| Honam ani a ɛyɛ kɔkɔɔ, akisikuru, ne nea ɛho tew | Nsɛnkyerɛnne a ɛkyerɛ sɛ honam ani yɛ adwuma denneennen. |
| Mogya mmoroso, tiyɛ, akisikuru | Nkɛntɛnso a enya wɔ ntini anaa mogya mmoroso so. |
| Sɛ ɛkɔ so anaasɛ ɛhaw wo a, ka kyerɛ wo duruyɛfo. | |
| Ayamtuo | Akisikuru a ɛma obi ho yɛ hyew. |
| Akisikuru ne ɔfe | Akisikuru ne ɔfe. |
| Ano mu akuru | Akuru a ɛwɔ ano no mu. |
| Honam ani nsakrae | Wora a ɛyɛ kɔkɔɔ, ɛyow, ɛpaapae, na ɛyɛ yaw wɔ nsateaa ne nan ase. |
| Nwi kɔla sesa | Nwi kɔla a ɛma hann. |
| Ɔbrɛ | Ɔbrɛ a wɔte nka wɔ ɔkwan soronko so. |
| Aduan ho akɔnnɔ a ɛyera ne nsakrae a ɛba wɔ dɛ mu | Aduan ho akɔnnɔ a ɛso tew ne aduan dɛ a ɛsakra. |
Nkrasɛm a Wɔde Kɔ Fie
- Sunitinib yɛ aduru titiriw bi a ɛde n’ani si kokoram nkwammoaa so.
- Di wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ. Nnyae aduru no nom da anaasɛ w’ankasa nnsesa dodow a wɔde ma no.
- Ka nnuru afoforo, nhabannuru, ne bobe nsu a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo.
- Kwati nyinsɛn ne nufu a wobɛma no koraa bere a worenom aduru no ne bere tenten a wo duruyɛfo ka kyerɛ wo no. Awo ano aduru a wotumi de ho to so a wɔde bedi dwuma ho hia.
- Sɛ wunya ɔhaw biara a emu yɛ den te sɛ ahome a ɛyɛ den, mogya a ɛtɔ soronko, anaa nipadua a ɛho ahonhon a, kɔ wo duruyɛfo anaa ayaresabea a ɛbɛn wo no nkyɛn ntɛm ara.
- Wo ne wo duruyɛfo nkasa mfa nsɛmmisa anaa nsɛm biara a ɛhaw wo ho. Wɔyɛ krado bere nyinaa sɛ wɔbɛboa wo.
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