So woreyɛ nnuru a wɔde sa kokoram ? Afei ɛbɛyɛ sɛ wotee nka sɛ worenya ɔyare mmoawa bere nyinaa, ɛnte saa? Eyi yɛ biribi a ɛto nnipa pii ankasa. Nea enti titiriw a ɛte saa ne sɛ kokoram ayaresa ma mogya mu nkwammoaa fitaa dodow a ɛwɔ yɛn nipadua mu a ɛko tia nyarewa no so tew . Ɛnnɛ, yɛrebɛka aduru bi a ɛho hia paa a ɛboa ma wɔdi saa ɔhaw no ho asɛm.
Dɛn ne Tbo-Filgrastim?
Sɛ yɛbɛka no tiawa a, Tbo-Filgrastim te sɛ ɔsraani titiriw bi wɔ yɛn nipadua no nipadua mu ahoɔden a ɛko tia nyarewa no mu. Saa aduru yi ka nnuru kuw bi a wɔfrɛ no ``Granulocyte colony-stimulating factor'' ho. Sɛ yɛbɛka no pɛpɛɛpɛ a, nea saa aduru yi yɛ ne sɛ ɛkɔ yɛn nnompe mu ntini mu na ɛma no ‘sɛnkyerɛnne’ kakra. Saa sɛnkyerɛnne no ka sɛ, "Okay, kɔ adwuma mprempren, yehia akofo pii."
Saa akofo no yɛ mogya mu nkwammoaa fitaa soronko bi a wɔfrɛ no neutrophils . Saa neutrophils yi na wɔko tia mmoawa te sɛ mmoawa ne mmoawa a wɔhyɛn yɛn nipadua mu titiriw.
Afei, sɛ wɔma wo nnuru a, ɛnyɛ kokoram nkwammoaa nko na saa nnuru no betumi akum , na mmom yɛn nkwammoaa a ɛte apɔw a ɛpaapae ntɛmntɛm no nso, titiriw nkwammoaa a ɛyɛ neutrophils wɔ nnompe mu ntini mu no. Afei neutrophils dodow so tew kɛse. Wɔ aduruyɛ mu no, yɛfrɛ tebea yi ‘neutropenia a emu yɛ den’ . Nea Tbo-Filgrastim injection yɛ ne sɛ ɛbɛtew bere a saa neutrophils no sua no so sɛnea ɛbɛyɛ yiye biara na ɛbɔ wo ho ban fi asiane a ɛwɔ hɔ sɛ wubenya ɔyare mmoawa no ho. Saa aduru yi nso na wɔfrɛ no brand din ` Granix `.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi ase anom nnuru
Ansa na woasi gyinae sɛ saa aduru yi fata wo anaa no, ɛho behia sɛ wo duruyɛfo hu w’akwahosan tebea no ho abakɔsɛm a edi mũ. Enti, hwɛ hu sɛ wobɛka nea edidi so yi ho asɛm akyerɛ no:
- Sɛ worekɔyɛ nnompe mu nhwehwɛmu nnansa yi ara a.
- Sɛ wowɔ asaabo mu yare a .
- Sɛ wowɔ tebea bi a wɔfrɛ no ‘Sickle cell anemia’ a .
- Sɛ woadi kan anya aduru yi (tbo-filgrastim) anaa nnuru a ɛtete saa (filgrastim, pegfilgrastim) anaa aduru foforo biara, aduan, anaa aduru a wɔde yɛ ade a.
- Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a .
- Sɛ woyɛ ɛna a worema abofra nufu a .
Ɛho hia paa ma w’ahobanbɔ sɛ wode saa nsɛm yi ma oduruyɛfo no, enti kae sɛ wobɛka akyerɛ no a woremfa biribiara nsie.
Ɔkwan bɛn so na wɔde aduru no di dwuma?
Eyi yɛ aduru a wɔde twitwiw honam ani. Wɔtaa de ma wɔ ayaresabea anaa ayaresabea. Nanso ɛtɔ da bi a, ebia ɛho behia sɛ w’ankasa wode aduru yi twitwiw wo fie. Sɛ saa a, mma ɛnhaw wo. Wo duruyɛfo anaa ayarehwɛfo bɛkyerɛ wo ɔkwan pa a wobɛfa so ayɛ, efi aduru no a wobesiesie so kosi sɛ wɔde bɛma wo so. Kenkan akwankyerɛ a ɛka nnuru a wɔde ahyɛ mu no nso yiye.
Nsɛntitiriw kakraa bi
- Nnade a wɔtow gu: Ntow nnade ne syringe a wɔde adi dwuma ngu nwura mu da . Wɔn ho yɛ hu paa. Ɛsɛ sɛ wɔde gu ade titiriw bi a wɔde nnam ayɛ mu. Sɛ wunni bi a, wubetumi anya bi afi wo duruyɛfo anaa ayaresabea hɔ.
- Sɛ wɔde ma mmofra a: Sɛ wɔde saa aduru yi ma mmofra nkumaa a, kɔ mmofra oduruyɛfo nkyɛn.Ɛsɛ sɛ wo ne wo duruyɛfo kasa. Wɔ nsɛm titiriw bi mu no, wobetumi de eyi ama akokoaa a wadi ɔsram biako pɛ, nanso wɔde ahwɛyiye kɛse ne nnuruyɛfo hwɛ titiriw ase.
- Sɛ wonom boro so a: Sɛ wususuw sɛ woanom boro dodow a wɔakyerɛw ama wo no a, frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no ntɛm ara . Sɛ ɛnte saa a, kɔ ayaresabea a ɛbɛn wo no Emergency Treatment Unit (ETU) a wonntwentwɛn wo nan ase.
Nneɛma bɔne a efi mu ba ne nneɛma afoforo a ɛsɛ sɛ wususuw ho
Sɛnea ɛte wɔ aduru biara ho no, nsunsuanso bɔne bi wɔ hɔ a ebetumi aba bere a wɔnom aduru yi no. Ebi yɛ aniberesɛm, bere a afoforo nso abu so. Ɛho hia sɛ wohu eyinom.
| Side effect category | Mpopoeɛ |
|---|---|
| Nsunsuanso bɔne a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara | |
| Nneɛma a ɛma obi ho yɛ no hyew | Honam ani akisikuru, ɛyaw a emu yɛ den, anim, ano anaa tɛkrɛma a ɛho ahonhon. |
| Ɔhome a ɛyɛ den | Ahome a ɛyɛ tiaa |
| Yeaw | Ɛyaw a emu yɛ den wɔ yafunu anaa akyi berɛmo mu, mmati mu yaw, akyi yaw. |
| Asaabo mu haw ahorow | Ɛyɛ den sɛ wobɛtow nsu, nsakrae a ɛba nsu dodow a ɛba mu, mogya a ɛba nsu mu, nsu a ɛyɛ tumm. |
| Nsɛnkyerɛnne afoforo a anibere wom | Ɛyaw, akisikuru, koma a ɛbɔ ntɛmntɛm, fifiri a ɛboro so, nan, nansoaa anaa yafunu a ɛho ahonhon, ɔbrɛ a ɛtra so. |
| Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo | |
| Nnompe mu yaw | Eyi yɛ ɔhaw a ɛtaa ba. Saa ɛyaw yi betumi aba efisɛ nnompe mu ntini no yɛ adwuma. |
| Nyarewa nketenkete afoforo | Tiyɛ, ntini mu yaw, akisikuru, ɔfe. |
Nsɛntitiriw afoforo a ɛho hia
- Na sɛ mepa dose bi nso ɛ? Ɛho hia paa sɛ wobɛnom saa aduru yi sɛnea ɛsɛ sɛ wɔnom no pɛpɛɛpɛ. Sɛ wopa dose bi a, frɛ wo duruyɛfo ntɛm ara na ɔmmɛgye afotu.
- Nnuru afoforo: Sɛ worenom nnuru te sɛ lithium a, ka kyerɛ wo duruyɛfo . Afei nso, ma wo duruyɛfo no nkyerɛw nnuru a worenom nyinaa (a vitamin, aduannuru a wɔde ma, ne nhabannuru ka ho).
- Mogya mu nhwehwɛmu: Wo duruyɛfo bɛhyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu mfa nhwɛ sɛnea wo mogya mu nkwammoaa dodow te bere a worenom aduru yi. Ɛho hia sɛ woma wɔyɛ sɔhwɛ ahorow yi bere ano na worenhuruw.
- Fa sie: Fa sie frigye mu wɔ digrii Celsius 2 kosi 8 . Bɔ ho ban fi hann ho na fa sie mfitiase karton no mu. Tow nnuru a wɔmfa nni dwuma no gu sɛ afi frigye mu bɛboro nnafua 5 a. Mfa nnuru a ne bere atwam nni dwuma.
Nkrasɛm a Wɔde Kɔ Fie
- Tbo-Filgrastim yɛ aduru a ɛboa ma mogya mu nkwammoaa fitaa a wɔko tia ɔyare mmoawa a wɔfrɛ no neutrophils dodow kɔ soro, na ɛso tew esiane nneɛma te sɛ kokoram ayaresa (chemotherapy) nti.
- Ka w’ayaresa ho abakɔsɛm nyinaa kyerɛ wo duruyɛfo (titiriw sɛnea obi ho yɛ no hyew, asaabo mu yare, sickle cell anemia) ansa na woafi aduru no ase.
- Sua sɛnea wɔde vaccine no bɛhyɛ mu yiye ne sɛnea wobɛtow nnade a wɔde adi dwuma no agu dwoodwoo.
- Sɛ wunya nsunsuanso bɔne a emu yɛ den te sɛ ahome a ɛyɛ den, ɛyaw a emu yɛ den, anaasɛ akisikuru a, ka kyerɛ wo duruyɛfo ntɛm ara.
- Ɛho hia yiye sɛ wobɛnom dodow a wɔakyerɛw ama wo no wɔ bere a wɔakyerɛw ama wo no mu. Sɛ wopa dodow bi a, kɔ wo duruyɛfo nkyɛn ntɛm ara.
- Fa aduru no sie frigye mu sɛnea wɔakyerɛ no. Mfa nnuru a ne bere atwam anaa nea wɔankora so yiye nni dwuma.
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