So woreyɛ nhyehyɛe sɛ wubetu kwan akɔ ɔman bi a asramma abu so mu? Anaasɛ woyɛ obi a woyɛ adwuma wɔ beae a ɛte saa? Sɛ saa a, ebia wo duruyɛfo akyerɛw wo aduru titiriw bi a ɛbɛma woabɔ wo ho ban afi asramma ho. Wɔfrɛ saa aduru no Tafenoquine, a yɛreka ho asɛm nnɛ. Ebia edin no bɛyɛ te sɛ nea ɛyɛ nwonwa kakra, nanso eyi yɛ aduru a ɛho hia yiye ma w’ahobammɔ. Ma yɛnhwɛ aduru yi, sɛnea wɔde di dwuma, ne nea ɛsɛ sɛ wohwɛ yiye wɔ ho.
Dɛn ne Tafenoquine?
Sɛ yɛbɛka no tiawa a, Tafenoquine yɛ aduru a esiw asramma kwan . Fa no sɛ ɔyare mmoawa ketewaa bi a efi nwansena mu ba yɛn nipadua mu na ɛtrɛw asramma. Nea Tafenoquine aduru yi yɛ ne sɛ ekum saa ɔyare mmoawa no ansa na anyin wɔ yɛn nipadua mu na ɛde yare no aba. Ɛte sɛ ɔwɛmfo a osiw ɔtamfo bi a ɔreba yɛn nipadua mu no kwan wɔ mfiase pɛɛ.
Nanso ade biako a ɛsɛ sɛ wokae ne sɛ eyi yɛ ma asramma nkutoo. Ɛrensa nyarewa biara a mmoawa anaa mmoawa de ba, te sɛ atiridiinini, atiridiinini, anaa ɔfe. Enti, sɛ oduruyɛfo no akyerɛw eyi ama obi de asiw asramma ano a, ɛsɛ sɛ wɔde di dwuma ma saa atirimpɔw no nkutoo.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom saa aduru yi
Eyi ne ɔfã a ɛho hia sen biara. Saa aduru yi tumi ne tebea horow bi a ɛwɔ wo nipadua mu no nyɛ adwuma bɔne. Enti, sɛ wowɔ nea edidi so yi mu biara a, akyinnye biara nni ho sɛ ɛsɛ sɛ woka kyerɛ wo duruyɛfo . Mfa biribiara nsie.
| W’akwahosan tebea | Dɛn nti na ɛho hia sɛ wobɔ oduruyɛfo no amanneɛ? (Nkyerɛkyerɛmu a ɛnyɛ den) |
|---|---|
| G6PD a enni hɔ | Eyi ne ade a ɛho hia sen biara. G6PD yɛ enzyme a ɛboa ma yɛn mogya mu nkwammoaa kɔkɔɔ no nya apɔwmuden. Wɔwo nnipa binom a saa enzyme yi nni hɔ. Sɛ wɔma nnipa a wɔte saa aduru yi a, tebea bi a emu yɛ den a wɔfrɛ no hemolytic anemia betumi aba, a mogya mu nkwammoaa kɔkɔɔ no sɛe ntɛmntɛm. Enti, wo duruyɛfo bɛka akyerɛ wo sɛ yɛ mogya mu nhwehwɛmu mfa nhwɛ wo G6PD dodow ansa na wama wo saa aduru yi. |
| Mmɛn anaa asaabo mu yare | Nneɛma abien a wɔde yiyi mu wɔ yɛn nipadua mu ne mmerɛbo ne asaabo. Nnuru a yɛnom no nam saa abien yi so yi fi nipadua no mu. Enti sɛ saa akwaa yi ntumi nyɛ adwuma yiye a, nnuru no betumi aboaboa ano wɔ nipadua no mu na ayɛ awuduru. Enti, ɛho hia sɛ wobɔ oduruyɛfo no amanneɛ wɔ eyi ho. |
| Adwene mu akwahosan ho haw ahorow | Sɛ wowɔ tebea bi a woadi kan anya te sɛ adwenemhaw a, ka ho asɛm kyerɛ wo duruyɛfo. Ɛtɔ mmere bi a, saa aduru yi betumi anya wo nkate so nkɛntɛnso kakra. Sɛ oduruyɛfo no nim a, obetumi ahwɛ wo yiye. |
| Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a | Eyi ho hia paa. Sɛ wonom saa aduru yi wɔ nyinsɛn mu a, ebetumi ama wo ba a ɔhyɛ yafunu mu no awo mu dɛmdi a emu yɛ den. Afei nso, ɛsɛ sɛ wokwati sɛ wubenyinsɛn anyɛ yiye koraa no asram 3 bere a woagyae aduru no akyi. Enti, wo ne wo duruyɛfo nkasa fa awo ano aduru a wotumi de ho to so a wode bedi dwuma bere a worenom saa aduru yi ne asram 3 bere a woagyae no ho. |
| Sɛ woyɛ ɛna a ɔma nufu a | Esiane sɛ saa aduru yi tumi fa nufusu mu kɔ akokoaa no nkyɛn nti, ɛsɛ sɛ ɛnanom a wɔma wɔn nufu ka ho asɛm kyerɛ wɔn duruyɛfo. |
| Nnuru, nnuan, anaa nneɛma afoforo ho akisikuru | Afei nso ka kyerɛ yɛn sɛ woadi kan anya Tafenoquine anaa aduru foforo biara, aduan, anaa aduru a wɔde yɛ aduru a. |
Ɔkwan pa a wɔfa so de aduru no di dwuma
Sɛnea oduruyɛfo no ka no, ɛho hia yiye sɛ wobɛnom dodow a ɛfata wɔ bere a ɛfata mu.
- Fa ka aduan ho: Fa saa aduru yi ka aduan ho bere nyinaa. Eyi bɛma asiane a ɛwɔ hɔ sɛ yafunu bɛhaw no so atew na aboa ma aduru no akɔ nipadua no mu yiye.
- Mene tablet no nyinaa: Fa nsu kuruwa mene tablet no nyinaa. Mmubu, ntwitwa, anaa nwe. Nea enti a ɛte saa ne sɛ wɔayɛ saa abopon yi sɛnea ɛbɛyɛ a ɛbɛpete nkakrankakra wɔ nipadua no mu. Sɛ wobubu wɔn a, ebetumi asɛe saa adeyɛ no.
- Fa no bere koro mu da biara: Sɛnea wubetumi biara no, bɔ mmɔden sɛ wobɛnom w’aduru no bere koro mu da biara. Eyi bɛboa ma aduru no dodow a ɛwɔ wo nipadua mu no akɔ so ayɛ pɛ.
- Fa adesua a wɔakyerɛ no nyinaa:Sɛ wote nka sɛ wo ho ye na wonyɛ yare mpo a, nom aduru no kosi sɛ wo duruyɛfo bɛka akyerɛ wo sɛ gyae. Sɛ wugyina fã a, ebia asramma mmoawa no rensɛe koraa.
- Sɛ wɔde ma mmofra a: Ɛtɔ mmere bi a wɔkyerɛw saa aduru yi ma mmofra a wɔadi boro mfe 16. Nanso ahwɛyiye soronko bi wɔ hɔ. Enti sɛ wode saa aduru yi rema abofra a, wo ne wo duruyɛfo nka ho asɛm.
Nea ɛho hia: Wɔakyerɛw saa aduru yi ama wo nkutoo. Mfa saa aduru yi nkyɛ obi foforo, sɛ mpo wɔn yare no ho sɛnkyerɛnne ne wo de no yɛ pɛ a. Ebetumi ayɛ nea asiane wom.
Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?
Ɛho hia yiye sɛ womma aduru yi dodow biako mpo nnyae. Nanso sɛ wo werɛ fi sɛ wobɛnom dose bi a, mma ɛnhaw wo. Mfa dodow a edi hɔ no bere a woakae ara pɛ. Anaasɛ nnom nnuru abien prɛko pɛ. Frɛ wo duruyɛfo ntɛm ara na ɔmma no afotu. Ɔbɛkyerɛ wo nea ɛsɛ sɛ woyɛ akyi.
Nnuru afoforo a ebetumi ne aduru yi adi nkitaho (Interactions) .
Nnuru bi betumi de ɔhaw aba bere a wɔde Tafenoquine di dwuma no, enti ɛsɛ sɛ woka biribiara a wonom kyerɛ wo duruyɛfo.
- Mfa eyinom nka Tafenoquine ho:
- Dofetilide (aduru a wɔde sa komayare) .
- Ɔhaw ahorow nso betumi aba wɔ eyinom ho:
- Metformin (asikreyare aduru a wɔtaa de sa) .
Saa list yi nwie pɛyɛ. Enti, ka nnuru foforo biara, vitamin, aduru a wɔde di dwuma wɔ amanne kwan so, Ayurveda nnuru, ne nhabannuru tii a worenom ho asɛm kyerɛ wo duruyɛfo. Afei nso, sɛ wonom sigaret anaa wonom nsa a, bɔ no amanneɛ wɔ ho.
Nsunsuanso bɔne a ɛsɛ sɛ wohwɛ yiye bere a worenom nnuru no
Te sɛ aduru biara no, Tafenoquine betumi de ɔhaw ahorow aba nnipa binom so. Ebinom yɛ nea ɛfata na ɛkɔ nna kakraa bi mu. Nanso ebinom yɛ aniberesɛm na ehia sɛ wɔde wɔn kɔ ayaresabea ntɛm ara.
| Nneɛma bɔne a anibere wom a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo no ntɛm ara | |
|---|---|
| Nneɛma a ɛma obi ho yɛ no hyew | Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon, ɛyɛ den sɛ wobɛhome. |
| Mogya mu nkwammoaa kɔkɔɔ a ɛpaapae ho sɛnkyerɛnne (Hemolytic anemia) . | Ɔbrɛ a ɛyɛ soronko, adwenemhaw, tiyɛ, ɔhome a ɛyɛ den, nsu a ɛyɛ bruu tuntum anaa tuntum, ne aniwa ne honam ani yɛ kɔkɔɔ. |
| Methemoglobinemia ho sɛnkyerɛnne ahorow | Tiyɛ, mmerɛwyɛ soronko, ahome a ɛyɛ den, akisikuru, ɔfe, koma a ɛbɔ ntɛmntɛm, anofafa anaa honam ani bruu. |
| Nsakrae a ɛba adwene tebea mu | Dadwen, ahomegye a enni hɔ, adwene a ɛyɛ basaa, nneɛma a enni hɔ a wohu anaa ɔte, abufuw, adwene a ɛne sɛ obekum ne ho, adwenemhaw. |
| Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo | |
| Ayamtuo | Adwene a ɛyɛ basaa |
| Tipaeɛ | Abofono |
| Ɔhaw a ɛba wɔ nna mu | Ɔfe a wɔfe |
Sɛ wuhu sɛnkyerɛnne foforo biara a ɛyɛ soronko a enni saa din yi mu a, ka ho asɛm nso kyerɛ wo duruyɛfo.
Na sɛ menom nnuru pii nso ɛ? (Nnuru a wɔde ma boro so) .
Sɛ wususuw sɛ woanom nnuru pii sen sɛnea wususuw wɔ akwanhyia mu a, kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo ntɛm ara. Anaasɛ, frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no . Mma nsɛe bere.
Ɔkwan bɛn so na wobetumi ama nnuru ayɛ nea asiane biara nni ho?
- Twe wo ho fi mmofra ne afieboa ho.Sɛ wɔde aduru yi sie baabi a wɔato mu, baabi a wɔn nsa ntumi nkɔ, baabi a wontumi nhu.
- Fa sie wɔ dan mu hyew mu. Mpɛn pii no, ɛyɛ digrii Celsius 20 kosi 25 (68-77 Fahrenheit). Bɔ ho ban fi ɔhyew ne nsu a ɛboro so ho. Mfa nnuru nsie mmeae a ɛhɔ yɛ nwini te sɛ aguaree.
- Tow nnuru a ne bere atwam gu. Sɛ da a ɛwɔ nnuru a wɔde ahyɛ mu no twam a, mfa nnuru no nni dwuma.
Wobɛyɛ dɛn ayi nnuru a wɔmfa nni dwuma no afi hɔ?
Ɛnyɛ adwene pa sɛ wobɛtow nnuru a ne bere atwam anaasɛ wompɛ agu nwura mu kɛkɛ anaasɛ wobɛhohoro akɔ tiafi mu. Wobetumi akowie nneɛma a atwa yɛn ho ahyia no mu. Bisa wo duruyɛfo no ɔkwan pa a wobɛfa so atow agu. Ɔkwan a ahobammɔ wom sen biara a wobɛfa so ayɛ eyi ne sɛ:
1. Yi nnuru no fi ade no mu.
2. Fa biribi te sɛ kɔfe a wɔayam, dɔte, anaa mpataa nwura fra yiye.
3. Fa saa afrafrade yi gu kotoku anaa ade a wotumi to mu mu.
4. Afei tow gu nwura mu.
Sɛ woyɛ eyi a, wubetumi asiw obi anaa aboa bi kwan sɛ ɔbɛnom aduru yi denam efĩ a wobɛkanyan no so.
Nkrasɛm a Wɔde Kɔ Fie
- Tafenoquine yɛ aduru a ɛmma asramma ntumi nnya, na ɛnyɛ aduru a wɔde sa no bere a ayɛ kɛse no. Ɛnyɛ adwuma nso mma atiridiinini ne atiridiinini.
- Ansa na wobɛnom aduru no, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ wowɔ G6PD a enni wo mu , mmerɛbo anaa asaabo mu yare, adwenemyare, anaasɛ sɛ woanyinsɛn anaasɛ woreyɛ nhyehyɛe sɛ wubenyinsɛn a .
- Mene aduru no nyinaa, a wunbubu, ne aduan, sɛnea wo duruyɛfo kyerɛ no. Fa aduru no nna dodow a wɔakyerɛw ama wo no nyinaa.
- Sɛ wunya ɔhaw biara a anibere wom, te sɛ w’ani anaa wo honam ani yɛ kɔkɔɔ, nsu a ɛyɛ tuntum, anaa w’ano yɛ bruu a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Saa aduru yi yɛ wo nkutoo dea. Mfa nnkyɛ obi foforo da.
- Sɛ wowɔ nsɛmmisa foforo bi fa saa aduru yi ho a, ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo.
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