Brɔst kansa na tin we de mek bɔku pipul dɛn fred. Bɔt di impɔtant tin fɔ no na dat, bɔku tɛm, bɔdi kansa nɔ kin mek pɔsin fil pen we i bigin. Pen kin bigin fɔ apia nɔmɔ we di sik dɔn go bifo. Bɔt ivin da tɛm de, yu nɔ nid fɔ wɔri. Bɔrku tin de wae yu ɛn yu dɔktɔ kin du fɔ kɔntrol ɔr ridyus de pen. De tin wae impɔtant pas ɔl ya na fɔ tɔk opin wan bɔt wetin yu de fil, wae min se yu nɔr fɔ ayd ɛnitin bɔt de pen, wit yu kansa kia tim.
Aw ɛksaktɔli yu kin tɛl di dɔktɔ bɔt yu pen?
De pen wae yu de fil kin rili difrɛn frɔm de pen wae ɔda pɔrsin de fil. Na dat mek dɔktɔ dɛn gɛt wan we we dɛn kin yuz fɔ ɔndastand di rayt we aw yu de fil. Yu ansa to dɛn kwɛstyɔn ya go ɛp yu dɔktɔ fɔ no di rayt tin we mek yu de fil pen ɛn gi yu di bɛst tritmɛnt fɔ am.
Imajin se we yu go to dɔktɔ, i aks yu sɔm kwɛstyɔn dɛn lɛk dis.
| Di kwɛstyɔn we di dɔktɔ aks | Fɔ tɔk am simpul wan, dat min se... |
|---|---|
| Onset (Ustɛm i bigin?) | Ustɛm yu bigin fɔ fil dis pen fɔ di fɔstɛm? Yɛstide? Wan wik bifo dis tɛm? |
| Di say we dɛn de (Usay i de?) | Usay ɛksaktɔli na di bɔdi di pen de? Na wan ples de? Na bɔku say dɛn? |
| Di tɛm we i tek (Aw lɔng i dɔn tek?) | Yu tink se di pen we pɔsin kin fil ɔltɛm? Ɔ i kin kam ɛn go? If na so i bi, aw lɔng i kin las? |
| Di kwaliti dɛm (nature of pen) . | Us kayn pen dis? Yu tink se i de mek pɔsin fil pen? Na fɔ chuk pɔsin? Yu tink se i de tingling? Yu tink se i tayt? |
| Aggravating (Wetin na aggravating?) . | Dis pen kin wɔs we yu du ɛnitin? (e.g., we yu de muv, waka, we yu de kɔf) |
| Rilivin (Wetin de rili fri?) | We yu du ɛnitin, dat kin ɛp fɔ mek yu nɔ fil pen? (e.g. fɔ ledɔm, tek mɛrɛsin, fɔ put sɔm ɔyl) |
| Timing (Wetin yu de kam?) | Yu tink se di pen kin kam pan wan patikyula tɛm pan di de? Na mɔnin? Na nɛt? Afta yu dɔn it? |
| Severity (di kayn pen we yu de fil bad bad wan) . | If dɛn aks yu fɔ rayt yu pen frɔm 0 to 10 (0 = nɔ pen, 10 = pen we yu nɔ go ebul fɔ bia), ɔmɔs pɔynt yu go gi yu pen? |
Mɛmba se, "palliative care " na spɛshal mɛdikal savis wae inklud pen mɛnejɛmɛnt, saykolojik rilif, ɛn sɔshal sɔpɔt. I nɔr kin jɔs de pan di tɛm wae pɔrsin kin sik. I de ɛp fɔ mek yu kwaliti layf bɛtɛ pan ɛni stej.
Usay yu go fil di pen?
di say we di pen de na di say we di kansa dɔn skata na di bɔdi ɛn di sayz fɔ di nyu tumbu dɛn we de fɔm.
- Bon dεm: We kansa spre to di bon dεm, i kin mek yu fil pen, εspεshali we yu de muv di bon dεm. Bɔku uman dɛn kin tɔk se dis pen na shap pen we dɛn kin chuk dɛn ɛn we kin wek dɛn na nɛt .
- Bren: Ɛd pen na sɔntin we ɔlman kin gɛt. Bɔt if di bɔdi kansa we dɔn go bifo go skata to di bren, i kin mek yu ed pen ɔltɛm, ɛn i kin mek yu fil se yu de prɛs insay yu ed.
- Skin: Sɔntɛnde yu kin fil pin ɛn nidul na yu skin. Dɔktɔ dɛn kin kɔl dis nyuropatik pen.
- Bεlε: Bεlε kin pen kin bi sayn fכ liva prכblεm. Dis sik kin kam bikɔs di liva dɔn big. I kin fil lɛk pen we nɔ de mek pɔsin fil pen ɛn we kin de fɔ lɔng tɛm .
- Lכng : We kansa spre to di lכng כ di layn we de rawnd dεm (pleura), i kin mek yu fil pen we de te. I kin mek bak yu kɔf ɔltɛm. Dis kɔf kin mek bak pen na di rib ɛn chɛst eria.
- Limf no dɛm: Di limf no dɛm we dɔn swel na sayn we de sho se yu dɔktɔ nid fɔ chɛk fɔ si if di kansa dɔn skata to ɔda pat dɛm na di bɔdi. di limf no dεm we swεla kin mek yu prεshכn εn pen we yu tכch am.
Di mɛrɛsin dɛn we dɛn kin yuz fɔ mek pɔsin fil pen
Afta dɛn dɔn gɛt ditayli diskripshɔn fɔ yu pen, yu mɛdikal tim go pik di rayt mɛrɛsin fɔ yu. Dis kin gɛt fɔ du wit fɔ yuz wan mɛrɛsin we nɔ de mek yu fil pen ɔltɛm, ɛn afta dat yu fɔ ad wan mɛrɛsin we strɔng pas am we di pen rili bad.
Di drɔgs dɛn we dɛn kin yuz mɔ:
- Nɔnsterɔyd anti-inflammatory drɔgs (NSAID): Dis kategori inklud drɔgs lɛk ` Acetaminophen` , `Aspirin`, `Ibuprofen`. Dɛn tin ya kin rili wok fɔ bon pen ɛn pen we kin kam bikɔs ɔf inflamɛns.
- Antidipreshan: Mεdikeshכn lεk `Amitriptyline` εn `Nortriptyline` kin εp fכ kכntrכl di nerve pen. Dɛn kin yuse di antidipreshan `Duloxetine` bak fɔ trit di pen na di nerve.
- Mεdikeshכn dεm we de fכ mek yu gεt sik: Mεdikeshכn dεm lεk Gabapentin εn Pregabalin, we dεn kin yus fכ trit εpilepshכn, kin εp bak bכku bכku wan fכ rεliv di nerv pen we kεnsar kin kam wit.
- Tɔpik pen kil: Sɔntɛnde, yu dɔktɔ kin tɛl yu sɔntin lɛk Lidocaine pat as ɔda rilif fɔ di nerve pen we yu nɔ go ebul fɔ kɔntrol ɔltogɛda wit ɔva-di-kɔnta mɛrɛsin.
- Kɔtikosterɔyd: Dɛn kin yuz mɛrɛsin lɛk Dexamethasone fɔ mɛn bon pen ɛn nerve pen.
- Opiates: Fɔ bad bad pen we nɔ de dɔn we ɔda mɛrɛsin nɔ go ebul fɔ kɔntrol, yu dɔktɔ kin gi yu wan opioid lɛk Codeine, Morphine, ɔ Oxycodone. Dɛn tin ya kin wok di sem we lɛk ɛndɔfin, we na natura l pen kil we wi bɔdi kin mek.
I rili impɔtant: Opioid na wan kayn drɔg we kin mek pɔsin adikshɔn. So , tek dɛn ɔltɛm jɔs lɛk aw yu dɔktɔ tɛl yu, insay di kɔrɛkt doz.Dɛn fɔ yuz dɛn tin ya. Bɔt mɛmba dis bak, i fayn fɔ yuz dɛn mɛrɛsin ya fɔ kansa pen ɔnda dɔktɔ in sɔpɔtishɔn. Dɛn nɔ kin adikshɔn. Jɔs bikɔs yu fɔ inkrisayz di doz fɔ di mɛrɛsin bikɔs di pen dɔn bɔku, nɔ min se yu dɔn adikshɔn to am.
Tritmɛnt dɛn we nɔto mɛrɛsin
Apat frɔm mɛrɛsin, yu dɔktɔ kin tink bak bɔt dɛn tritmɛnt ya fɔ ɛp fɔ ridyus yu pen:
- Ɔpreshɔn: Dɛn kin ɔpreshɔn fɔ pul ɔl ɔ pat pan di kansa tɔŋ we de mek pɔsin fil pen.
- Radiation therapy: Dɛn kin yuz redyushɔn fɔ shrink di tumor. Sɔntɛnde, if dɛn nɔ pɔsibul fɔ du ɔpreshɔn, dɛn kin yuz wan we we dɛn kɔl rediofrikyuɛnsi ablashɔn (wan fayn fayn tin we de yuz redio wev dɛn we gɛt ay ɛnaji fɔ tɔch di tumbu).
- Ɔda tritmɛnt dɛn: Kimotɛrapi ɔ ɔmon tɛrapi kin mek yu nɔ fil pen bak.
- Nεv blכk: If yu injεkt wan nεv dεm we de mek yu sכmtεm sכmtεm rawnd di nerv i kin stכp di pen signal dεm fכ rich di bren.
- Nεv stimulashכn: I de pul di pen bay we yu de gi sכmtεm sεns to di εria we di pen de. Yu kin du dis bay we yu yuz ɔt, kol, masaj, mɛntɔl, kapsaysin (we dɛn pul frɔm chili pepa). wan egzampl fכ dis na wan tin we dεn kכl TENS (transcutaneous electrical nerve stimulation).
Ɔda tin dɛn we yu kin du yusɛf
Apat frɔm mɛrɛsin, bɔku tin dɛn de we yu kin tray fɔ ɛp fɔ kɔntrol yu pen. Yu kin ivin ebul fɔ ridyus di pen we yu nid fɔ tek bay we yu yuz wan pan dɛn tin ya.
- Akupankcha: Na we fɔ mek pɔsin nɔ fil pen bay we pɔsin we tren fɔ mɛn pɔsin kin put fayn fayn nidul dɛn na sɔm patikyula say dɛn na di bɔdi. Dis na wan kayn tradishɔnal Chaynish mɛrɛsin.
- Cognitive Behavior Therapy: Dis na kɔyl savis wae de ɛp yu fɔ chenj di we aw yu de ansa ɛn kɔntrol di tin dɛm wae de mek yu fil bad ɛn fil wae de mek yu fil pen.
- Muvmɛnt tɛrapi: Fɔ ɛksesaiz saful saful lɛk yoga ɛn tai chi kin ɛp fɔ mek yu fil fayn, fɔ mek yu blɔd go ɔlsay, ɛn fɔ mek yu gɛt wɛlbɔdi ɔlsay.
- Di we aw yu de blo: Dis na fayn we fɔ kɔntrol di pen we yu de fil wantɛm wantɛm. I de mek yu nɔ wɔri ɛn gi yu bɔku trɛnk fɔ bia wit bad bad pen.
Tɔk to yu dɔktɔ bɔt ɔl dɛn tin ya. Mɛmba se yu nɔ nid fɔ sɔfa tru pen nɔmɔ. We dɛn de fɔ mek wi ebul fɔ kɔntrol am.
Mɛsej we dɛn kin kɛr go na os
- Pen kin kam pan pɔsin we gɛt bɔdi kansa we dɔn go bifo, bɔt dɛn kin ebul fɔ kɔntrol am . So nɔ sɔfa yu wan.
- Tɛl yu dɔktɔ bɔt de pen wae yu de fil - aw i tan, aw i de fil, ɛn aw i kin tranga - nɔr fɔ ayd ɛnitin .
- Palliative care nɔto jɔs fɔ di ɛnd ɔf layf. I de ɛp fɔ mek yu kwaliti layf bɛtɛ ɛnitɛm .
- Tɔk bɔt difrɛn tritmɛnt dɛn we yu kin gɛt wit yu dɔktɔ, lɛk fɔ tek mɛrɛsin, ɔpreshɔn, ɛn fɔ du yoga ɛn ɛksesaiz fɔ blo.
- Ɔltɛm fala dɔktɔ advays, mɔ we yu de tek mɛrɛsin fɔ mek yu fil pen.
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