So wo duruyɛfo akyerɛw wo aduru bi a wɔfrɛ no Vandetanib? Anaasɛ wɔakyerɛw aduru yi ama obi a ɔbɛn wo? Eyi yɛ aduru a wɔtaa de sa kokoram ahorow bi a ɛba wɔ thyroid gland (medullary thyroid cancer) mu. Nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ yɛhwɛ yiye wɔ ho bere a yɛde aduru yi redi dwuma no. Enti mma ɛnhaw wo, momma yɛnka ne nyinaa ho asɛm tiawa na emu nna hɔ.
Know your body mass index (BMI) and weight classification
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi ase anom nnuru
Ansa na wubefi saa aduru yi ase no, ɛho hia yiye sɛ woka w’akwahosan ho abakɔsɛm nyinaa kyerɛ wo duruyɛfo. Nea enti a ɛte saa ne sɛ aduruyɛ mu tebea horow bi betumi ama ayɛ nea asiane wom sɛ wɔde saa aduru yi bedi dwuma. Sɛ wowɔ tebea horow a wɔabobɔ din wɔ ase ha no bi a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo.
- Komayare: So wowɔ komayare bi, koma a ɛbɔ daa, anaasɛ abakɔsɛm a ɛkyerɛ sɛ QT ntam kwan kyɛ?
- Mogya mmoroso: So wowɔ mogya mmoroso?
- Mogya a ɛtɔ ho haw: So wowɔ mogyatɔw anaa mogya a ɛtwetwe ho haw bi?
- Mmɛn anaa asaabo mu yare: So wowɔ mmerɛbo anaa asaabo mu yare bi?
- Ahurututu mu nyarewa: So wowɔ ɔhome mu haw anaa ahurututu mu nyarewa afoforo te sɛ ayamtu?
- Nneɛma a ɛwɔ mogya mu: So wɔaka akyerɛ wo pɛn sɛ calcium, magnesium, anaa potassium dodow a ɛwɔ wo mogya mu no sua?
- Thyroid hormone dodow: So thyroid-stimulating hormone (TSH) dodow a ɛwɔ mogya no mu no kɔ soro?
- Tebea afoforo: So wowɔ akisikuru, akisikuru, honam ani nyarewa anaa honam ani nkate?
- Oprehyɛn: So ɛrenkyɛ wɔbɛyɛ wo oprehyɛn? Anaasɛ wɔayɛ wo oprehyɛn nnansa yi?
- Allergies: So allergy bi wɔ Vandetanib aduru yi, nnuru afoforo, nnuan, anaa nnuru a wɔde yɛ nneɛma ho?
- Nyinsɛn ne nufu a wɔde ma: So woanyinsɛn? Worebɔ mmɔden sɛ wubenyinsɛn? Anaasɛ woyɛ ɛna a ɔma nufu?
Mfa nsɛm yi mu biara nsie. Ɛho hia paa ma w’ahobammɔ sɛ oduruyɛfo no nim eyinom nyinaa.
Ɔkwan bɛn so ankasa na mede saa aduru yi di dwuma?
Ɔkwan a wɔfa so de aduru yi di dwuma no yɛ mmerɛw yiye, nanso ɛho hia sɛ wodi akwankyerɛ no akyi pɛpɛɛpɛ.
- Fa nsu kuruwa mene saa aduru yi nyinaa .
- Mmu, nbubu, anaa nwe tablet no.
- Fa aduru no sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ, wɔ bere a wɔakyerɛw ama wo no mu. Mma nnnom nsen mpɛn dodow a wɔakyerɛw ama no da biara.
- Nnyae aduru no nom a wunnya wo duruyɛfo afotu . Saa a wobɛyɛ no betumi ama wo tebea no asɛe kɛse.
- Sɛ wɔkyerɛw saa aduru yi ma wo a, wo nsa bɛka nsɛm titiriw kratasin (MedGuide) a ɛfa ho. Ɛne nnuru biara a wɔkyerɛw ma no ba. Kenkan no yiye bere nyinaa.
Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?
Sɛ wo werɛ fi sɛ wobɛnom dose bi a, fa no bere a woakae ara pɛ. Nanso, sɛ ennu nnɔnhwerew 12 kosi sɛ wobɛma wo dodow a edi hɔ no a, twa dodow a woayera no so. Fa dodow a edi hɔ no ara wɔ bere a wɔahyɛ da ayɛ no mu. Mfa nnuru abien prɛko pɛ da mfa nsiesie dodow a woayera no.
Sɛ wonom nnuru pii a, dɛn na ɛsɛ sɛ woyɛ?
Sɛ wususuw sɛ woanom nnuru pii sen sɛnea wususuw a, kɔ ayaresabea Emergency Treatment Unit (ETU) a ɛbɛn wo ntɛm ara . Anaasɛ frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no.
Nnuru afoforo a ɛnsɛ sɛ wɔde di dwuma ne saa aduru yi na ebetumi ne no adi nkitaho
Vandetanib yɛ aduru a ɛtumi ne nnuru foforɔ di nkitaho, enti ɛsɛ sɛ woka nnuru a worenom nyinaa (a vitamin ne nhabannuru ka ho) kyerɛ wo duruyɛfoɔ.
| Nnuru a wɔde di dwuma no fã | Nhwɛso ahorow |
|---|---|
| Nnuru a ɛnsɛ sɛ wɔde Vandetanib ka ho da | |
| Nnuru ahorow ahorow | Cisapride, Dronedarone, Pimozide, Thioridazine, Ziprasidone a wɔde yɛ aduru a wɔde siw yare ano |
| Nnuru afoforo a ebetumi ne Vandetanib adi nkitaho | |
| Nnuru a wɔde sa koma bɔ a ɛnbɔ daa | Nnuru te sɛ Amiodarone, Sotalol, Quinidine, Procainamide |
| Nnuru a wɔde sa akisikuru | Carbamazepine, Phenobarbital, Phenytoin, aduru a ɛma nipadua no yɛ adwuma |
| Nnuru ne nhabannuru afoforo | Digoxin, Metformin, Rifampin, Ɔhotefo Yohane Nsõ (Hypericum perforatum) . |
| Nnuru a ɛma koma no QT ntam kwan kyɛ | Nnuru te sɛ Dofetilide, Ziprasidone |
Saa list yi nwie pɛyɛ. Enti ka aduru biara a wonom ho asɛm kyerɛ wo duruyɛfo, sɛ́ ɛyɛ oduruyɛfo na ɔkyerɛw maa wo, nea woatɔ afi nnurutɔnbea, anaa nhabannuru.
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom aduru no
Nyinsɛn ne nufu a wɔde ma
Eyi ho hia yiye . Nnyinsɛn bere a worenom aduru yi. Ɛsɛ sɛ mmea de awo ano aduru a etu mpɔn di dwuma bere a wɔrenom saa aduru yi ne asram 4 bere a wɔagyae no akyi . Ebetumi apira akokoaa a ɔwɔ awotwaa mu no kɛse. Afei nso, mma wo ba no nufu bere a worenom saa aduru yi ne asram 4 bere a woagyae no.
Ansa na wɔreyɛ no oprehyɛn
Sɛ worekɔyɛ oprehyɛn a, ɛsɛ sɛ woka ho asɛm kyerɛ wo duruyɛfo. Ebia saa aduru yi bɛma akuru a wɔde yɛ oprehyɛn no sa akyɛ. Enti, ɛsɛ sɛ wugyae saa aduru yi nom ɔsram biako ansa na wɔayɛ oprehyɛn no. Sɛ woyɛ oprehyɛn no wie a, anyɛ yiye koraa no, ɛsɛ sɛ wotwɛn adapɛn 2 ansa na woafi aduru no ase bio. Ɛsɛ sɛ wofi ase de aduru no di dwuma bere a kuru no asa koraa akyi. Wo ne wo duruyɛfo nka eyi ho asɛm.
Owia ho banbɔ
Ebia saa aduru yi bɛma wo honam ani ayɛ mmerɛw kɛse wɔ owia hann ho (photosensitivity). Enti, kwati owia hann tẽẽ sɛnea wubetumi bere a worenom aduru no ne asram 4 bere a woagyae no. Sɛ wokɔ abɔnten a, hyɛ ntade a ɛkata wo nipadua so yiye na fa ade pa a ɛbɔ wo ho ban fi owia ho di dwuma. Mfa owia akanea anaa mpa a wɔde hyɛ wo honam ani hwɛbea nni dwuma.
Nsɛntitiriw afoforo
- Ebia wobɛte nka sɛ woada anaasɛ wo ho ayɛ wo yaw bere a worenom aduru yi no. Enti, kwati dwumadi ahorow a ehia sɛ woma w’ani da hɔ, te sɛ karka anaa mfiri a wode bedi dwuma, kosi sɛ wubehu sɛnea aduru yi ka wo.
- Wo duruyɛfo bɛhwɛ sɛnea wo mogya yɛ adwuma ne sɛnea wo koma yɛ adwuma (te sɛ ECG) daa. Hwɛ hu sɛ wobɛkɔ saa sɔhwɛ ne ayaresabea ahorow no.
Nsunsuanso bɔne bɛn na ebia menya?
Te sɛ nnuru nyinaa no, eyi betumi anya ɔhaw ahorow. Ebi yɛ aniberesɛm, ebi nso abu so.
| Sɛ wuhu saa sɛnkyerɛnne ahorow yi a, kɔ oduruyɛfo anaa ETU nkyɛn ntɛm ara. | |
|---|---|
| Nneɛma a ɛma obi ho yɛ no hyew | Wora mu akisikuru, ɛyaw, anim, anofafa, tɛkrɛma a ɛho ahonhon. |
| Koma mu yare | Koko mu yaw, koma a ɛbɔ ntɛmntɛm anaasɛ ɛnteɛ, adwenemhaw, adwenemhaw. |
| Mogya a ɛretu | Mogya a ɛwɔ nsu mu anaa nsu tuntum mu, kɔfe a wɔfe, akisikuru a ɛyɛ soronko, ne nsu a ɛyɛ kɔkɔɔ/biribi tuntum. |
| Nea ɛfa honam ani ho | Kɔkɔɔ, akisikuru, honam ani a ɛyɛ mmerɛw (anom mpo). |
| Ntini a ɛma nipadua no yɛ adwuma | Tiyɛ a emu yɛ den, akisikuru, aniwa a ɛsakra, adwene a ɛyɛ basaa, ɛyɛ den sɛ ɔbɛkasa, anim, abasa, anaa nan a ɛyɛ mmerɛw mpofirim anaa ɛyɛ mmerɛw. |
| Nsɛnkyerɛnne afoforo a anibere wom | Ɔhome a ɛyɛ den, atiridiinini, nsu a ɛyɛ mmerɛw, aniwa anaa honam ani yɛ kɔkɔɔ (jaundice), nan anaa anansoaa a ɛho ahonhon. |
| Nsunsuanso bɔne a mpɛn pii no enhia sɛ wokɔ ayaresabea (nanso sɛ ɛkɔ so a, ka kyerɛ wo duruyɛfo ) . | |
| |
Nkrasɛm a Wɔde Kɔ Fie
- Vandetanib yɛ aduru titiriw a wɔde sa thyroid kokoram. Fa di dwuma sɛnea wo duruyɛfo tu fo no pɛpɛɛpɛ .
- Hwɛ hu sɛ wobɛka nnuru afoforo a wonom nyinaa ne ayaresa tebea biara a wowɔ ho asɛm akyerɛ wo duruyɛfo.
- Kwati nyinsɛn ne nufu a wobɛma bere a worenom aduru no ne asram 4 bere a woagyae no.
- Sɛ wuhu sɛnkyerɛnne ahorow te sɛ tiyɛ a emu yɛ den, wo koko mu yaw, mogya a ɛtɔ soronko, anaa honam ani yare a emu yɛ den a, hwehwɛ ayaresa ntɛm ara.
- Ebia owia hann bɛte wo nka, enti fa ahwɛyiye bɔ wo ho ban fi owia ho.
- Saa aduru yi yɛ wo nkutoo dea. Mfa nnkyerɛ afoforo. Fa sie baabi a mmofra ntumi nkɔ.
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