Ebia wɔatumi ayɛ w’asaabo foforo na worefi asetra foforo ase a wowɔ anidaso foforo. Wɔ akwantu foforo yi mu no, yɛn botae titiriw ne sɛ yɛbɛbɔ saa asaabo a ɛsom bo a wo nipadua anya no ho ban. Tacrolimus yɛ aduru a ɛho hia yiye a ɛboa ma nipadua no pow asaabo foforo yi. Enti, ɛnnɛ yɛbɛka saa aduru yi ho asɛm, ɔkwan pa a wɔfa so de di dwuma, ne nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho.
Dɛn na ɛba wɔ aduru yi ho ankasa?
Sɛ yɛbɛka no tiawa a, yɛn nyinaa wɔ nipadua mu ahoɔden a ɛko tia nyarewa. Ɛte sɛ asraafo dɔm a wɔbɔ ɔman bi ho ban. Ɛyɛ saa nhyehyɛe yi na ɛbɔ yɛn ho ban fi nyarewa ho denam atamfo te sɛ mmoawa, mmoawa, ne mmoawa a wofi abɔnten ba a wɔko tia so.
Nanso, sɛ yɛde akwaa foforo te sɛ asaabo hyɛ yɛn nipadua mu a, nipadua no mu tumi a ɛko tia nyarewa no hu no sɛ “ɔtamfo a ɔyɛ ɔhɔho.” Enti, nhyehyɛe no fi ase tow hyɛ asaabo foforo no so sɛ n’asɛyɛde a ɛtaa yɛ. Yɛfrɛ eyi "akwaa a wɔpow."
Saa aduru yi a wɔfrɛ no tacrolimus , yɛ adwuma denam wo nipadua mu ahoɔden a ɛko tia nyarewa no dwumadi a ɛhwɛ so kodu baabi, na "ɛma ɛyɛ komm" no so. Afei egyae tow hyɛ asaabo foforo no so na efi ase yɛ adwuma te sɛ nea ɛyɛ w’ankasa wo nipadua no fã.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom aduru no
Ɛho hia yiye sɛ wo duruyɛfo hu w’akwahosan ho abakɔsɛm nyinaa ansa na wakyerɛw saa aduru yi ama wo. Enti, mfa biribiara nsie na wo ne wo duruyɛfo nkasa nneɛma yi ho asɛm pefee.
- Sɛ wowɔ asikreyare a .
- Sɛ wowɔ komayare anaa mogya mmoroso a .
- Sɛ wowɔ ɔhaw afoforo wɔ wo nipadua mu ahoɔden a ɛko tia nyarewa no ho a .
- Sɛ ɔyare mmoawa bi wɔ hɔ dedaw a .
- Sɛ wowɔ mmerɛbo anaa asaabo mu yare afoforo a.
- Sɛ wo nsa aka vaccine nnansa yi ara anaasɛ wɔayɛ nhyehyɛe sɛ wobɛnya bi daakye a.
- Sɛ wo ho yɛ wo hyew wɔ tacrolimus anaa aduru foforo biara, aduan, anaa biribi ho a.
- Sɛ woanyinsɛn , worebɔ mmɔden sɛ wubenyinsɛn , anaasɛ worema nufu a .
Ɔkwan pa a wɔfa so de saa aduru yi di dwuma
Sɛnea aduru yi di yiye no gyina sɛnea wofa no yiye na wofa no bere nyinaa no so. Enti di akwankyerɛ ahorow yi akyi pɛpɛɛpɛ.
- Fa no bere koro mu da biara: Fa saa aduru yi bere koro mu da biara. Sɛ ɛyɛ anɔpa nnɔnwɔtwe a, fa no anɔpa nnɔnwɔtwe da biara. Ma eyi nyɛ wo su.
- Fa yafunu a hwee nni mu:Sɛ wopɛ sɛ wunya nea eye sen biara a, anyɛ yiye koraa no, fa aduru no dɔnhwerew biako ansa na woadi anaa nnɔnhwerew abien wɔ bere a woadi akyi .
- Mene capsule no nyinaa: Mbubu, nbubu, anaa nwe capsule no. Fa nsu kuruwa mene no nyinaa.
- Grapefruit Nsu: Nnom grapefruit anaa grapefruit nsu bere a worenom saa aduru yi esiane biribiara nti. Ebetumi asesa ɔkwan a nipadua no fa so twetwe aduru no na ɛde ɔhaw ahorow a ɛyɛ hu aba.
- Nnyae kosi sɛ wo duruyɛfo bɛka akyerɛ wo sɛ: Ɛmfa ho sɛnea wote nka sɛ wo ho ye no, nnyae w’aduru nom kosi sɛ wo duruyɛfo bɛka akyerɛ wo.
Sɛ wɔma aduru no dodow kɔ soro a (Overdose) .
Sɛ wususuw sɛ woanom boro dodow a wɔakyerɛw ama wo no so wɔ akwanhyia mu a, kɔ ayaresabea a ɛbɛn wo no ntɛm ara Emergency Department (ETU) . Sɛnea ɛbɛyɛ a, frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ no na woanya afotu.
Na sɛ mepa nnuru dodow bi nso ɛ?
Ɛnyɛ adwene pa sɛ wobɛpa w’aduru no, nanso sɛ wopa a, mma ɛnhaw wo.
Fa no sɛ woyɛ obi a ɔnom wo pill anɔpa nnɔnwɔtwe. Wo werɛ fi. Sɛ wokae wɔ nnɔnhwerew 14 ntam (i.e. ansa na anadwo nnɔn du adu) a, fa dodow a woayera no bere a woakae ara pɛ. Efi ade kyee no, fa sɛnea wotaa yɛ no anɔpa nnɔnwɔtwe.
Nanso, sɛ wokae bɛboro nnɔnhwerew 14 akyi (sɛ nhwɛso no, anadwo nnɔn 11) a, twa dodow a woayera no so koraa. Fa dodow a edi hɔ no wɔ bere a wɔtaa fa no mu, a ɛyɛ anɔpa nnɔnwɔtwe. Mfa nnuru mmɔho abien da.
Nnuru ne nneɛma afoforo a ebetumi de ɔhaw aba aduru yi ho
Tacrolimus yɛ aduru a ɛyɛ mmerɛw yiye. Ebetumi ne nnuru afoforo, nnuru a wɔde kum ɛyaw, vitamin, ne nhabannuru mpo a worenom no adi nkitaho. Enti, ɛho hia sɛ wobɔ wo duruyɛfo amanneɛ wɔ biribiara a worenom ho, mpo ɛyaw ano aduru a ɛnyɛ den a wunya fi nnurutɔnbea hɔ.
Nneɛma yi bi wɔ ase hɔ. Ma ɛntra w’adwenem sɛ eyi nyɛ nsɛm a wɔahyehyɛ a edi mũ.
| Nneɛma a wɔde yɛ adwuma no su | Nhwɛso ne nsɛm titiriw a wɔakyerɛw |
|---|---|
| Nneɛma a ɛnsɛ sɛ wofa da | Borɔdɔma nsu, cyclosporine, cidofovir, nnuru bi a ekum fungal (e.g. Ketoconazole, Voriconazole) . |
| Nneɛma a ɛsɛ sɛ wogye wɔ aduruyɛ mu afotu nkutoo so |
|
Nea ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom aduru no
- Ahobammɔ a wɔbɔ fi nyarewa ho: Saa aduru yi ma wo nipadua mu tumi a ɛko tia nyarewa no brɛ ase, enti ɛda adi sɛ wubenya ɔyare mmoawa. Eyi kyerɛ sɛ atiridiinini, atiridiinini, ne ɔfe betumi atrɛw ntɛm. Enti, kwati mmeae a nnipa ahyɛ hɔ ma ne mmeae a ayarefo wɔ hɔ sɛnea wubetumi biara. Sɛ wunya yare no ho sɛnkyerɛnne te sɛ atiridiinini, nipadua mu yaw, anaa wo menewa mu yaw a, nnyɛ wo ho aduru na bɔ wo duruyɛfo amanneɛ ntɛm ara.
- Nyinsɛn a Wobesiw Ano: Kwati sɛ wubenyinsɛn bere a worenom aduru yi. Ebetumi apira akokoaa a ɔhyɛ yafunu mu no. Ɛsɛ sɛ mmea ne mmarima nyinaa de akwan a ɛfata a wɔfa so siw awo ano di dwuma sɛnea wɔn duruyɛfo tu fo no.
- Kokoram ho asiane: Ebia asiane a ɛkɔ soro kakraa bi pɛ na ɛwɔ hɔ sɛ wobenya kokoram ahorow bi (titiriw honam ani kokoram ne lymphoma) bere a wɔde nnuru a ɛma nipadua no tumi ko tia nyarewa yi di dwuma bere tenten no. Eyi nyɛ biribi a ɛsɛ sɛ yesuro, na mmom ɛyɛ biribi a ɛsɛ sɛ yɛma yɛn ani da hɔ. Wo duruyɛfo bɛhwɛ wo yiye.
- Owia ho banbɔ: Ebia saa aduru yi bɛma wo honam ani ayɛ mmerɛw kɛse wɔ owia hann ho. Enti, ɛho hia sɛ wohyɛ ntade a nsa tenten, kyɛw, ne ade pa a ɛbɔ wo ho ban fi owia ho bere a worefi adi akɔ owia mu no.
- Asikre dodow a ɛwɔ mogya mu: Saa aduru yi betumi ama asikre dodow a ɛwɔ mogya mu no akɔ soro. Sɛ wowɔ asikreyare a, hwɛ asikre dodow a ɛwɔ wo mogya mu no.
- Aduruyɛ mu nhwehwɛmu a wɔyɛ no daa: Ntwa ayaresabea ne mogya mu nhwehwɛmu a wo duruyɛfo akyerɛw ama wo no biara so. Saa nhwehwɛmu ahorow yi ho hia na ama woatumi ahwɛ nnuru dodow a ɛwɔ wo nipadua mu ne sɛnea w’asaabo yɛ adwuma.
Nsunsuanso bɔne bɛn na ebia menya?
Sɛnea ɛte wɔ aduru biara ho no, tacrolimus betumi de ɔhaw ahorow bi aba. Hwɛ yiye wɔ sɛnkyerɛnne ahorow a edidi so yi ho.
| Nneɛma bɔne a anibere wom a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo no ntɛm ara | |
|---|---|
| Nneɛma a ɛma obi ho yɛ no hyew | Wora mu akisikuru, ɛyaw, anim, ano anaa tɛkrɛma a ɛho ahonhon. |
| Koma mu haw ahorow | Koko mu yaw, ahome a ɛyɛ den, adwenemhaw, koma a ɛbɔ ntɛmntɛm anaasɛ ɛnyɛ daa. |
| Asikre a ɛwɔ mogya mu a ɛkɔ soro | Ɔkɔm a ɛboro so, sukɔm dodo, nsu a wɔtaa tow, ɔbrɛ a ɛtra so, aniwa a ɛyɛ kusuu. |
| Asaabo a ɛsɛe | Ɛyɛ den sɛ wobɛtow wo ho anaasɛ nsakrae a ɛba wo nsu dodow a wobɛtow mu. |
| Ntini mu ntini mu haw ahorow | Tiyɛ, adwene a ɛyɛ basaa, akisikuru, anisoadehu a ɛsakra, wosow. |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare mmoawa | Atiridii, awɔw , ɔfe, menewam yaw. |
| Nsunsuanso bɔne a ɛtaa ba a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo no sɛ ɛkɔ so a | |
| Nnuan a wɔyam no mu haw ahorow | Akisikuru, akisikuru, yafunu mu yaw. |
| Asoroben | Ɛyɛ den sɛ wobɛda anadwo. |
| Nipadua mu ahonhon (Edema) . | Nneɛma a ɛho ahonhon wɔ mmeae te sɛ anansoaa, anan, ne nsa, mu duru a ɛkɔ soro mpofirim. |
Nkrasɛm a Wɔde Kɔ Fie
- Fa tacrolimus bere koro mu da biara, wɔ yafunu a hwee nni mu.
- Mma nnom bobe aba anaa bobe aba nsu esiane biribiara nti.
- Sɛ wopa dodow bi a, fa no wɔ nnɔnhwerew 14 ntam. Nanso nnom nnuru abien prɛko pɛ da.
- Ka nnuru afoforo, vitamin, ne nhabannuru a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo.
- Sɛ wunya ɔyare no ho sɛnkyerɛnne te sɛ atiridii anaa atiridiinini a, ka kyerɛ wo duruyɛfo ntɛm ara.
- Hwɛ hu sɛ wobɛkɔ ayaresabea nhyehyɛe ne mogya mu nhwehwɛmu a wo duruyɛfo hyɛ nyinaa. W’akwahosan ne w’ahobammɔ gyina abusuabɔ pa a ɛda wo ne wo duruyɛfo ntam so.
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