So wo duruyɛfo aka akyerɛ wo anaa obi a ɔwɔ w’abusua mu sɛ mfi aduru bi a wɔfrɛ no Vincristine ase esiane kokoram nti? Ɛyɛ ade a ɛyɛ daa sɛ wobɛte ehu ne ehu kakra nka bere a wote asɛmfua ‘chemotherapy’ no. Nanso sɛ wɔbɔ yɛn amanneɛ yiye wɔ aduru yi ho a, wobetumi atew saa ehu ne adwenem naayɛ no so kɛse. Enti ɛnnɛ, momma yɛnka aduru yi a wɔfrɛ no Vincristine ho asɛm, te sɛ nea yɛne yɛn adamfo bi rekasa kɛkɛ.
Dɛn ankasa ne Vincristine?
Sɛ yɛbɛka no tiawa a, Vincristine yɛ nnuru a wɔde sa kokoram nkwammoaa a ɛma kokoram nkwammoaa nyin anaasɛ ɛma ɛyɛ brɛoo. Kokoram nkwammoaa a ɛwɔ yɛn nipadua mu no yɛ nkwammoaa bi a ɛpaapae na enyin ntɛmntɛm a wontumi nni so. Enti nea aduru yi yɛ ne sɛ ɛde breki to saa nkɔso a ɛba ntɛmntɛm no so.
Wɔde saa aduru yi di dwuma titiriw de sa mogya mu kokoram bi a wɔfrɛ no acute lymphocytic leukemia (ALL). Ebia wunim saa aduru yi denam brand din `Marqibo` so.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi ayaresa ase
Eyi ho hia paa. Ɛho hia yiye ma ayaresa no nkonimdi ne w’ahobammɔ sɛ nnuruyɛfo kuw no hu ayaresa tebea foforo biara a wowɔ. Enti, sɛ wowɔ nea edidi so yi bi a, mfa biribiara nsie na ka kyerɛ wo duruyɛfo.
- Nkwammoaa a ɛko tia nyarewa a ɛyɛ mmerɛw: Sɛ wo nipadua no tumi ko tia nyarewa no sua a.
- Mprempren nyarewa: Atiridiinini, ɔfe, anaa atiridii biara, titiriw ɔyare mmoawa te sɛ akokɔsrade ne akisikuru.
- Berɛbo mu yare: Sɛ wowɔ mmerɛbo mu yare biara a.
- Mogya mu nkwammoaa dodow a ɛba fam: Sɛ mogya mu nkwammoaa fitaa, mogya mu nkwammoaa kɔkɔɔ, anaa mogya mu nkwammoaa a ɛwɔ mogya mu no sua a.
- Ntini mu nyarewa: Sɛ nhwɛso no, sɛ wowɔ yare bi te sɛ Charcot-Marie-Tooth (CMT) anaa ntini mu yare foforo a.
- Digestive system haw: Sɛ ɔhaw bi wɔ dwensɔtwaa anaa yafunu mu a.
- Akwaa a ɛyɛ mmerɛw: Sɛ wowɔ ntini mu mmerɛwyɛ te sɛ nsateaa ano a ɛyɛ mmerɛw a.
- Allergies: Sɛ woanya allergy wɔ Vincristine aduru yi anaa aduru foforo biara, aduan, anaa aduru a wɔde yɛ ade ho pɛn a.
- Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a.
- Sɛ woyɛ ɛna a ɔma nufu a.
Saa nsɛm yi a wode bɛma wo duruyɛfo no bɛboa no ma wapaw ayaresa a ɛfata na ahobammɔ wom sen biara ama wo.
Ɔkwan bɛn so na wɔde aduru yi ma nipadua no?
Wɔde saa aduru yi ma sɛ wɔde gu ntini mu, te sɛ nkyene. Eyi nyɛ biribi a wubetumi ayɛ wɔ fie. Aduruyɛfo a wɔatete wɔn wɔ ayaresabea anaa ayaresabea na wɔde saa ayaresa yi ma . Enti ɛho nhia sɛ wohaw wo ho wɔ ho.
Sɛ wode saa aduru yi rema abofra a, ebia ɛho behia sɛ wɔhwɛ no yiye. Wo ne wo ba no duruyɛfo nka eyi ho asɛm.
Na sɛ menom nnuru pii nso ɛ?
Ɛnyɛ nea ɛda adi sɛ eyi bɛba wɔ ayaresabea. Nanso, sɛ wususuw sɛ woanom aduru bi a ɛboro so a, kɔ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ ntɛm ara. Anaasɛ, kɔ ayaresabea no Emergency Treatment Unit (ETU) nkyɛn .
Nnuru afoforo a ebia ɛne aduru yi bedi nkitaho
Eyi nso ho hia paa. Nnuru bi a worenom betumi aka sɛnea Vincristine no yɛ adwuma yiye. Enti, ka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo, a vitamin, nhabannuru, ne nnuru a wɔde ka aduan ho ka ho . Afei nso, sɛ wonom sigaret anaa wonom nsa a, ka kyerɛ wo duruyɛfo.
Titiriw no, sɛ worenom nnuru a edidi so yi mu biara a, akyinnye biara nni ho sɛ ɛsɛ sɛ woka kyerɛ wo duruyɛfo. Ebia wo duruyɛfo begyae wo nnuru no bere tiaa bi anaasɛ ɔbɛsesa.
- Carbamazepine a wɔde di dwuma
- Clarithromycin a wɔde yɛ aduru
- Itraconazole a wɔde ma
- Ketoconazole a wɔde ma
- Phenytoin a wɔfrɛ no phenytoin
- Rifampin na ɔkyerɛwee
- Ɔhotefo Yohane Wort
- Nnuru bi a wɔde sa HIV/AIDS (e.g. ritonavir, indinavir) .
Saa nsɛm a wɔahyehyɛ yi nni mũ, enti ɛho hia yiye sɛ wobɔ wo duruyɛfo amanneɛ wɔ nnuru a worenom nyinaa ho .
Nneɛma a ɛsɛ sɛ wususuw ho bere a wɔreyɛ ayaresa no
- Sɛ wote nka sɛ wo ho nyɛ wo den: Ɛyɛ ade a ɛfata sɛ wobɛte nka sɛ wo ho nyɛ wo den kakra anaasɛ woabrɛ bere a wɔreyɛ nnuru a wɔde sa yare no. Nea enti a ɛte saa ne sɛ nnuru no ka kokoram nkwammoaa ne yɛn nkwammoaa a ɛte apɔw no bi nso. Ka ɔhaw biara a wubenya ho asɛm kyerɛ wo duruyɛfo. Nanso nnyae w’ayaresa no kosi sɛ wo duruyɛfo bɛka akyerɛ wo.
- Mogya mu nhwehwɛmu: Ɛho behia sɛ woyɛ mogya mu nhwehwɛmu daa de hwɛ sɛnea wo mogya te bere a wɔreyɛ ayaresa no.
- Akisikuru: Saa aduru yi betumi ama obi anya akisikuru. Enti, hwɛ hu sɛ wobɛkɔ wo dwensɔtwaa mu nnafua 2 kosi 3 biara. Sɛ woankɔ wo dwensɔtwaa mu nnafua 3 a, frɛ wo duruyɛfo ntɛm ara.
- Nyinsɛn ne nufu a wɔde ma: Eyi ho hia paa.
- Mmea: Nnyinsɛn bere a worenom aduru yi ne asram 6 bere a woagyae ayaresa no.
- Mmarima: Bere a worenom saa aduru yi ne bere a woagyae ayaresa no akyiKwati sɛ wubenyinsɛn abofra asram 3 .
- Saa aduru yi betumi apira akokoaa a ɔhyɛ yafunu mu kɛse. Afei nso, mma wo ba no nufu bere a wɔreyɛ ayaresa no ne dapɛn biako wɔ bere a woagyae ayaresa no akyi .
- Nkɛntɛnso a enya wɔ awo so: Ebia saa aduru yi benya awo so nkɛntɛnso bi. Sɛ wowɔ eyi ho dadwen bi a, wo ne wo duruyɛfo nka ho asɛm pefee.
Nsunsuanso bɔne bɛn na ebia menya?
Te sɛ aduru biara no, eyi betumi anya ɔhaw ahorow. Nanso eyinom to obiara. Nnipa binom nkutoo na wonya wɔn. Ma yɛnhwɛ nea wɔyɛ.
| Nsunsuanso bɔne | Nkyerɛmu |
|---|---|
| Nneɛma a ɛsɛ sɛ wobɔ oduruyɛfo anaa ayaresabea amanneɛ ntɛm ara | |
| Nneɛma a ɛma obi ho yɛ no hyew | Wora mu akisikuru, ɛyaw, anim, ano anaa tɛkrɛma a ɛho ahonhon. |
| Ɔhome a ɛyɛ den | Ɔhome a ɛyɛ den, te nka sɛ wo koko mu ayɛ wo den. |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare mmoawa | Atiridiinini, atiridiinini, ɔfe, menewam yaw. |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ mmerɛbo asɛe | Nsu a ɛyɛ kɔkɔɔ/biribiri tuntum, aniwa a ɛyɛ kɔkɔɔ, ɛyaw wɔ yafunu no atifi nifa so, aduan ho akɔnnɔ a ɛyera. |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ mogya nkwammoaa dodow sua | Akuru a wontumi nkyerɛkyerɛ mu, nsensanee kɔkɔɔ nketenkete a ɛwɔ honam ani, ne nsu tuntum. |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ mogya mu nkwammoaa kɔkɔɔ a ɛba fam (anemia) . | Ɔbrɛ kɛse a wɔte nka, ɔbrɛ, honam ani hwɛbea, na ɔtotɔ piti. |
| Ɛyaw anaa akwaa a ɛyɛ mmerɛw | Ɛyaw, akisikuru, anaasɛ ɛyɛ mmerɛw wɔ nsa ne nan mu. |
| Nneɛma a ɛsɛ sɛ wɔbɔ oduruyɛfo no amanneɛ sɛ wɔkɔ so yɛ a | |
| Ayamtuo | Akisikuru a ɛma obi ho yɛ hyew. |
| Ɔbrɛ | Ɔbrɛ a ɛba obiara so. |
| Asoroben | Ɛyɛ den sɛ wobɛda anadwo. |
Nkrasɛm a Wɔde Kɔ Fie
- Vincristine yɛ nnuru a ano yɛ den a ɛma kokoram nkwammoaa nyin. Wɔde ma wɔ ayaresabea bi a aduruyɛfo hwɛ so.
- Hwɛ hu sɛ wobɛka nnuru afoforo, vitamin, ne ayaresa tebea afoforo a worenom nyinaa ho asɛm akyerɛ wo duruyɛfo.
- Akisikuru yɛ aduru yi mu nsunsuanso titiriw. Hu eyi na ka kyerɛ wo duruyɛfo sɛ woankɔ wo dwensɔtwaa mu nnafua 3 a.
- Sɛ wuhu sɛnkyerɛnne ahorow a emu yɛ den te sɛ akisikuru, ahome a ɛyɛ den, anaa atiridiinini a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Kwati nyinsɛn ne nufu a wobɛma no koraa bere a woreyɛ ayaresa no ne bere tenten a wo duruyɛfo kamfo kyerɛ no.
- Wo ne wo duruyɛfo nkasa pefee wɔ nsɛmmisa anaa nsɛm biara a ɛhaw wo ho. Wɔwɔ hɔ sɛ wɔbɛboa wo.
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