We wi kam fɔ no se wi gɛt kansa ɛn yɛri bɔt aw fɔ mɛn am, i nɔmal fɔ lɛ wi fred smɔl ɛn wɔri. Ɛspɛshali we wi yɛri di wɔd ‘kimotɛrapi’, bɔku pipul dɛn kin shɔk. So tide wi go tɔk bɔt wan rili patikyula mɛrɛsin we dɛn kin yuz fɔ mɛn dis kayn kansa. Dat na Asparaginase Erwinia krisantemi. Pan ɔl we dis nem lɔng smɔl, fɔ no bɔt aw i de wok rili impɔtant fɔ yu ɛn yu famili.
Fɔ tɔk am simpul wan, wetin na dis mɛrɛsin?
Dis na kemotɛrapi mɛrɛsin we dɛn kin yuz fɔ kil kansa sɛl dɛn. Fɔ tɔk di kɔrɛkt tin, na ɛnzaym. i de wok bay we i de pwεl di amino asid ‘Asparagine’ we di kεnsar sεl dεm nid fכ gro. in oda wod, i lεk fכ "angri" di kεnsar sεl dεm εn pwεl dεm.
Dɛn kin yuz dis mɛrɛsin mɔ fɔ mɛn wan kayn blɔd kansa we dɛn kɔl akyu limfoblastik lukimiya (ALL) . Sɔntɛnde, dɔktɔ dɛn kin gi am bak fɔ ɔda kayn kansa. Dɛn kin mak am ɔnda di nem dɛn `(Erwinase)` ɔ `(Erwinase)`.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin tritmɛnt
Bifo yu gi yu dis mɛrɛsin, yu dɔktɔ go nid fɔ no yu kɔmplit wɛlbɔdi histri. Dis go ɛp dɛn fɔ disayd if dis tritmɛnt sef ɛn fayn fɔ yu. So, if yu gɛt ɛni wan pan dɛn tin ya, mek shɔ se yu tɛl yu dɔktɔ.
- Blɔd prɔblɛm: If yu gɛt prɔblɛm wit blɔd ɔ prɔblɛm usay yu blɔd nɔ kin klɔt izi wan.
- Dayabitis: Dis mɛrɛsin kin chenj di blɔd shuga, so i impɔtant fɔ no bɔt dayabitis.
- Wan histri bɔt blɔd we dɔn klɔt: If yu bin dɔn gɛt blɔd we dɔn klɔt ɛnisay na yu bɔdi (lɛk na yu leg, yu lɔng).
- Pankreas: If yu bin dɔn gɛt pankrias bifo.
- Liva sik: If yu gɛt ɛni kayn liva sik.
- Alɛji: If yu gɛt alɛji to dis Asparaginase mɛrɛsin ɔ ɛni ɔda mɛrɛsin, it, ɔ day.
- Bɛlɛ ɔ tray fɔ gɛt bɛlɛ: If yu gɛt bɛlɛ, ɔ yu plan fɔ bɔn pikin jisnɔ, yu fɔ rili tɛl yu dɔktɔ .
- Fɔ gi pikin in bɛlɛ: If yu de gi pikin in bɛlɛ.
Aw yu kin gi dis mɛrɛsin?
Dis nɔto pil ɔ srɔp we yu kin kɛr go na os. Dis na injɛkshɔn, we dɛn kin gi na ɔspitul ɔ klinik., Dɔktɔ ɔ nɔs we tren go injɛkt am na yu mɔsul (intramuscular) ɔ vein (intravenous). So, dɛn kin du dis tritmɛnt ɔltɛm ɔnda dɔktɔ in sɔpɔtishɔn.
Di tin we impɔtant pas ɔl na fɔ nɔ mis yu dɔktɔ apɔntinmɛnt ɔ mɛrɛsin. If fɔ sɔm rizin yu nɔ ebul fɔ go na ɔspitul di de we dɛn dɔn sɛtul, tɛl di ɔspitul ɔ yu dɔktɔ wantɛm wantɛm.
Wetin fɔ du if di doz fɔ di mɛrɛsin go ɔp?
Bikɔs dɛn kin gi dis na ɔspitul, di chans fɔ mek dis apin rili smɔl. Bɔt if yu tink se sɔntin dɔn apin, ilɛksɛf na mistek, tɛl di dɔktɔ ɔ nɔs we de na di tritmɛnt yunit wantɛm wantɛm. Ɔda we de fɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital . Ɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu.
Sɔm sayd ɛfɛkt dɛn we kin apin we dɛn de trit am
Jɔs lɛk ɛni ɔda kemotɛrapi tritmɛnt, dis mɛrɛsin kin mek pɔsin gɛt sayd ɛfɛkt. Bɔt nɔto ɔlman kin gɛt ɔl dɛn bad bad tin ya. Dɔn bak, dɛn kin ebul fɔ kɔntrol bɔku pan dɛn. De tin wae impɔtant pas ɔl na fɔ tɛl yu dɔktɔ if yu gɛt ɛni kayn sik wae nɔr kɔmɔn, ɛn nɔr fɔ ayd am.
Lɛ wi si wetin na dɛn sayd ɛfɛkt ya.
| Tayp fɔ di sayd ɛfɛkt | Sayn dɛn |
|---|---|
| 🚨 Siriɔs sayd ɛfɛkt dɛm we dɛn fɔ ripɔt to di dɔktɔ wantɛm wantɛm | |
| Alɛji we pɔsin kin gɛt | Skin rash, i de it; di fes, di lip ɔ di tɔŋ we de swel; i nɔ kin izi fɔ yu fɔ blo. |
| Blɔd we de kɔmɔt | Blak ɔ tar stɔl; urine we gɛt rɛd ɔ dak brawn; vɔmit we tan lɛk kɔfi grɔn; rɛd spat dɛn na di skin; blɔd we nɔ kɔmɔn frɔm di yay, di gɔm, ɔ di nos. |
| Blɔd we de klɔt | Chɛst de pen; i nɔ kin izi fɔ yu fɔ blo; pen, swel, ɔ fil wam na yu leg. |
| Liva injuri | Dak yɔlɔ ɔ brawn urine; di yay ɔ di skin kin yɔlɔ (jaundice); fɔ fil lɛk se yu taya; pen na di ɔp rayt say na di bɛlɛ; i nɔ kin want fɔ it igen. |
| Pankriaytis we gɛt sik | Bɔrku pen na di bɛlɛ we de fil lɛk se i de go bak, pen we kin bɔku afta yu it ɔ we yu tɔch di bɛlɛ, fiva, nɔs, vɔmit. |
| Di blɔd shuga we bɔku | I nɔ kin izi fɔ mek pɔsin angri ɔ tɔsti, i kin pis bɔku tɛm, i nɔ kin si fayn, i kin taya pasmak. |
| 🙂 Sayd ɛfɛkt dɛm we nɔ kin siriɔs, bɔt dɛn fɔ ripɔt to dɔktɔ if dɛn kɔntinyu fɔ de. | |
| Ed de at | Jɛnɛral ed pen. |
| Fil fɔ it | Di apɛtit we de go dɔŋ. |
| Mɔsul dɛn kin pen | Fɔ fil lɛk se yu bɔdi de at. |
| Sɔl dɛn na yu mɔt | Sɔl insay di mɔt ɔ na di lip. |
Ɔda tin dɛn we wi fɔ tek tɛm wit
Bεlε εn we i de gi pikin in bεlε
Dis rili impɔtant.
Nɔ gɛt bɛlɛ ɔltogɛda we yu de tek dis mɛrɛsin ɛn fɔ at le 3 mɔnt afta yu dɔn stɔp di tritmɛnt.
Dis mɛrɛsin kin ambɔg di pikin we nɔ bɔn yet bad bad wan. Yu ɔmon bɔn kɔntrol we yu de yuz (lɛk bɔn kɔntrol pils) nɔ go wok fayn wit dis mɛrɛsin. So, tɔk to yu dɔktɔ bɔt aw fɔ yuz ɔda we we nɔ bad fɔ mek yu nɔ bɔn pikin.
Dɔn bak, nɔ gi yu pikin in bɛlɛ we yu de trit am ɛn fɔ 3 mɔnt afta yu dɔn stɔp.
Intarakshɔn wit ɔda drɔgs
Ɔda mɛrɛsin dɛm wae yu de tek kin intarakt wit dis Asparaginase mɛrɛsin. So, yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, nɔto jɔs di wan dɛn we yu dɔktɔ gi yu, bɔt yu fɔ tɛl yu bak di wan dɛn we yu de bay na famasi, tradishɔnal Ayurveda mɛrɛsin dɛn, ɛbul ti, vaytamɛn dɛn, ɛn tin dɛn we yu kin yuz fɔ it. εspεshali mεdikeshכn dεm lεk `(corticosteroids)`, `(methotrexate)`, `(vincristine)` kin intarakt wit dis mεdisin.
Mɛsej we dɛn kin kɛr go na os
- Asparaginase Erwinia chrysanthemi na wan patikyula kemotɛrapi drɔg we dɛn kin gi fɔ blɔd kansa lɛk akyu limfoblastik lukimiya (ALL).
- Bifo yu bigin fɔ trit yu, tɛl yu dɔktɔ bɔt ɔl di ɔda sik dɛn we yu gɛt, ɔl di mɛrɛsin dɛn we yu de tek, ɛn ɛni alɛji we yu gɛt.
- Dis na vaysin we dɛn kin gi na ɔspitul, ɔnda dɔktɔ in sɔpɔtishɔn. I rili impɔtant fɔ gɛt tritmɛnt di rayt tɛm.
- If yu gɛt sɔm sayn dɛn lɛk bad bad alɛji, blɔd we nɔ kɔmɔn, ɔ we yu bɛlɛ de at bad bad wan, tɛl yu dɔktɔ wantɛm wantɛm ɔ go to di ɔspitul in Imejɛnsi Dipatmɛnt (ETU).
- Nɔ gɛt bɛlɛ we yu de trit yu ɛn fɔ 3 mɔnt afta yu dɔn stɔp. Tɔk to yu dɔktɔ bɔt aw fɔ yuz wan we we nɔ go mek yu bɔn pikin.
- Tɔk opin wan wit yu mɛdikal tim. Tɔk bɔt ɛni kwɛstyɔn, fred, ɔ wɔri wit dɛn. Mɛmba se nɔto yu wangren de du dis waka.
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