Dɛn dɔn no se yu ɔ pɔsin we de nia yu gɛt Tubakulosis (TB) ɛn bigin fɔ trit am? If na so, yu go dɔn yɛri bɔt di mɛrɛsin we dɛn kɔl ‘Isoniazid’ (INH). Pan ɔl we di nem kin tan lɛk se i kɔmplikt smɔl, nɔ wɔri. Dis na wan mɛrɛsin we rili impɔtant ɛn pawaful we de fɛt TB. So, fɔ klia ɔl yu dawt ɛn fred, lɛ wi tɔk bɔt dis drɔg na simpul ɛn klia we tide.
Wetin na dis mɛrɛsin we dɛn kɔl Isoniazid (INH)?
Fɔ tɔk am simpul wan, Isoniazid na mɛrɛsin we dɛn kin gi fɔ mɛn ɔ protɛkt TB (TB). Tubakulɔsis na sik we baktri kin kam wit. Dis mεdisin de wok bay we i de stכp di TB baktri dεm we de gro na di bכdi.
Sɔntɛnde, dɛn kin yuz dis mɛrɛsin fɔ ɔda rizin dɛn lɛk aw di dɔktɔ advays. Bɔt, mɛmba ɔltɛm se, yu fɔ yuz am jɔs lɛk aw di dɔktɔ tɛl yu.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin fɔ tek mɛrɛsin
Bifo yu bigin dis mɛrɛsin, i rili impɔtant fɔ mek yu dɔktɔ no gud gud wan bɔt yu wɛlbɔdi prɔblɛm. Mek shɔ se yu tɛl yu dɔktɔ if yu gɛt ɛni wan pan dɛn tin ya:
| Yu wɛlbɔdi kɔndishɔn | Wetin mek yu fɔ tɛl di dɔktɔ? |
|---|---|
| Shuga | Isoniazid kin mek chenj na di blɔd shuga lɛvɛl. |
| HIV stetmɛnt | I kin bi se intarakshɔn de bitwin HIV tritmɛnt ɛn Isoniazid. |
| Fɔ drink rɔm ɔltɛm | Di risk fɔ mek di liva pwɛl rili bɔku. |
| Kidni sik | Di doz fɔ di mɛrɛsin kin nid fɔ chenj. |
| Liva sik | Dis rili impɔtant bikɔs isoniazid kin afɛkt di liva. |
| Malnutrishɔn | Di we aw di mɛrɛsin de wok na di bɔdi kin afɛkt. |
| Nyurolɔjik disɔda lɛk we di an ɛn fut dɛn kin swɛla | Dis mɛrɛsin kin gɛt risk fɔ mek yu gɛt periferik nyuropathy. |
| Fɔ gɛt bɛlɛ, fɔ tray fɔ gɛt bɛlɛ, ɔ fɔ gi pikin in bɛlɛ | Yu fɔ tɔk to yu dɔktɔ bɔt di tin dɛn we kin apin to di pikin. |
| Alɛji fɔ ɔda mɛrɛsin, it, ɔ tin dɛn | Fɔ no if yu gɛt alɛji fɔ Isoniazid ɔ ɛni wan pan di tin dɛn we de insay am. |
Aw ɛksaktɔli a kin yuz dis mɛrɛsin?
Dis na di pat we yu nid fɔ tek tɛm wit pas ɔl . Fɔ mek yu go ebul fɔ yuz di mɛrɛsin fayn fayn wan, yu nid fɔ yuz am di rayt we.
- Tek ɛmti bɛlɛ: Dis na di tin we impɔtant pas ɔl. Isoniazid tablɛt dɛn fɔ tek we yu ɛmti bɛlɛ. Dat min se, tek dɛn at le 30 minit bifo yu it ɔ 2 awa afta yu it . Nɔ tek dis mɛrɛsin wit it. Dis go mek di mɛrɛsin nɔ go insay di bɔdi.
- Wit wan glas wata: Tek di pil wit wan ful glas wata.
- Na di rayt tɛm: Gɛt di abit fɔ tek yu mɛrɛsin lɛk di sem tɛm ɛvride.
- Nɔ skip dos: Dis tan lɛk fɔ fɛt ɛnimi. If wi stɔp fɔ fɛt fɔ wan de, di ɛnimi go strɔng bak. Semweso, if wi mis wan doz fɔ mɛrɛsin, di TB jem dɛn kin strɔng bak ɛn nɔ ebul fɔ tek di mɛrɛsin (Drug Resistance). So , nɔ skip wan doz fɔ mɛrɛsin fɔ ɛni rizin.
- Nɔ stɔp ilɛksɛf i fayn:Ivin if yu fil fayn afta sɔm dez, nɔ stɔp fɔ tek di mɛrɛsin te yu dɔktɔ tɛl yu fɔ tek am. I impɔtant fɔ tek di mɛrɛsin fɔ di ful kɔs fɔ di tritmɛnt (6 mɔnt ɔ mɔ).
Wetin yu kin du if yu mis wan doz fɔ mɛrɛsin?
If yu mis wan doz, tek am jɔs afta yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek yu nɛks doz, skip di doz we yu mis ɛn tek yu nɛks doz di tɛm we yu dɔn sɛtul. Nɔ ɛva tek dɛbul doz fɔ mek di doz we yu mis.
Wetin a go du if a tek bɔku mɛrɛsin?
If yu tink se yu dɔn tek bɔku mɛrɛsin, go na di Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm . Ɔ, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital.
Ɔda mɛrɛsin dɛm wae kin intarakt wit Isoniazid
Dis na pɔynt bak we rili impɔtant. Isoniazid na wan mɛrɛsin wae kin intarakt wit ɔda mɛrɛsin dɛm.
Mek shɔ se yu tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛm wae yu de tek (mɛrɛsin fɔ ɔda sik dɛm, pen kil, vaytamɛn, tradishɔnal ɛvbɔdi, sɔpɔtmɛnt). Tɛl yu dɔktɔ bak if yu de smok ɔ drink rɔm.
If yu tek sɔm mɛrɛsin dɛn wit Isoniazid, dat kin mek yu gɛt siriɔs prɔblɛm.
- Acetaminophen (lɛk Panadol): If yu tek am bɔku tɛm, di ifɛkt pan di liva kin go ɔp.
- Antasid dεm (lεk Digene, Aludrox): dεn ya de ridyus di absכpshכn fכ Isoniazid insay di bכdi. So, nɔ tek antisid 2 awa bifo ɔ afta yu tek Isoniazid.
- Dayabitis mɛrɛsin: Isoniazid kin chenj di we aw dɛn mɛrɛsin ya de wok.
- Mɛrɛsin fɔ sik we de mek pɔsin sik (lɛk Carbamazepine, Phenytoin) .
- Tiofilin (na mɛrɛsin fɔ asma) .
Dis list nɔ kɔmplit, so i impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek.
Wetin ɔda tin a fɔ no we a de tek di mɛrɛsin?
- Mɛdikal tɛst: Yu dɔktɔ go de chɛk yu ɔltɛm. I go ɔda fɔ mek dɛn du blɔd tɛst (Liver Function Tests - LFTs) fɔ chɛk aw yu liva de wok. Nɔ skip dɛn tɛst ya ɛn mek dɛn du dɛn ɔltɛm.
- Nɔ drink rɔm: Nɔ drink rɔm ɔltogɛda we yu de tek Isoniazid. We dɛn tu jɔyn togɛda, dat kin mek di liva pwɛl bad bad wan.
- Vitamin: Dis mɛrɛsin kin mek di lɛvɛl na di vaytamɛn B6 ɛn vaytamɛn D na di bɔdi go dɔŋ. Fɔ mek yu nɔ gɛt di prɔblɛm dɛn we kin apin to di nerv dɛn, bɔku tɛm yu dɔktɔ go gi yu wan vaytamɛn B6 (Pyridoxine) pil. Nɔ skip dat sɛf. I impɔtant bak fɔ it tin dɛn we gɛt fayn fayn tin dɛn fɔ it.
Us sayd ɛfɛkt dɛn a kin gɛt?
Lɛk ɛni mɛrɛsin, Isoniazid kin mek sɔm pipul dɛn gɛt sayd ɛfɛkt. Bɔt, nɔto ɔlman kin gɛt dɛn. De impɔtant tin na fɔ no wetin na dɛn sayd ɛfɛkt ya ɛn aw dɛn siriɔs.
| Siriɔs sayd ɛfɛkt dɛn we nid fɔ go to dɔktɔ wantɛm wantɛm | |
|---|---|
| Simptom dɛm we gɛt fɔ du wit di liva | Yu yay ɔ yu skin kin yɔlɔ, yu urine kin dak, yu kin taya pasmak, yu kin fil pen na di ɔp rayt say na yu bɛlɛ, yu kin gɛt nɔys, yu kin vɔmit, yu nɔ kin want fɔ it. |
| Di sayn dɛm we gɛt fɔ du wit di nerv dɛm | Yu nɔ de fil fayn, yu de bɔn, yu de fil pen, ɔ yu de fil lɛk yu de swɛt na yu an ɔ fut. |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na yu fes, lip ɔ tong, i nɔ izi fɔ blo. |
| Ɔda siriɔs sayn dɛn | Yu kin chenj yu yay, yu yay kin fil pen, yu kin gɛt fiva, yu kin gɛt sik, yu kin mɛmba prɔblɛm. |
| Sayd ɛfɛkt dɛn we nɔ kin siriɔs, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de: | |
| Smɔl smɔl tin we kin mek yu bɛlɛ nɔ fil fayn | Bloating, dayarɛa. |
| Ɔda | Ɛd we de at, we yu nɔ de slip, we yu bɔdi de big ɔ we yu de fil pen. |
Aw yu kin kip yu mɛrɛsin sef?
- Kip am usay pikin dɛn nɔ go ebul fɔ rich.
- Stɔr am na rum tɛmpracha (bitwin 15-30 sɛlshiɔs), fa frɔm layt ɛn mɔstɔ, insay kɔntena we nɔ gɛt briz.
- Trowe di mɛrɛsin we dɔn pas.
Mɛsej we dɛn kin kɛr go na os
- Ɔltɛm tek Isoniazid (INH) pan ɛmti bɛlɛ (bifo ɔ 2 awa afta yu it).
- Tek di mɛrɛsin fɔ di ful tɛm we yu dɔktɔ tɛl yu fɔ tek, ɛn nɔ skip ɛni dos . Nɔ stɔp di tritmɛnt ilɛksɛf yu fil fayn.
- Nɔ drink rɔm ɔltogɛda we yu de tek dis mɛrɛsin.
- If yu notis ɛni siriɔs sayd ɛfɛkt lɛk fɔ yɔlɔ na yu yay/skin, yu urine dak, ɔ yu limbs na yu an, kɔntak yu dɔktɔ wantɛm wantɛm.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek (inklud vaytamɛn ɛn ɛbul mɛrɛsin dɛn).
- Mek shɔ se yu tek di vaytamɛn B6 pil we yu dɔktɔ gi yu.
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