Yu dɔktɔ dɔn tɛl yu bɔt wan kayn mɛrɛsin we dɛn kɔl SERM ɔ SERD fɔ trit bɔdi kansa? Nɔ wɔri, dɛn nem ya kin tan lɛk se dɛn kɔmplikt smɔl. Tide, wi go tɔk simpul wan bɔt wetin dɛn bi, aw dɛn de wok, ɛn wetin yu nid fɔ no bɔt dɛn. Dis na tu kayn drɔgs we rili impɔtant we kin ɛp wi fɔ fɛt bɔdi kansa .
Wetin na SERM dɛn? Aw dɛn kin wok?
Fɔ tɔk am simpul wan, SERM (Selective Estrogen Receptor Modulators) na wan kayn mɛrɛsin we de stɔp di brɛst kansa sɛl dɛn we de gro. Bɔt dɛn kin jɔs wok pan wan patikyula kayn kansa. Dat na di kayn kansa we dɛn kɔl Estrogen Receptor-Positive . Na 75% pan di brɔst kansa dɛm we dɛn kin si na wi kɔntri de pan dis kayn.
imajin, dεn kεnsar sεl dεm ya gεt sכm "antena" dεm na dεn sεf. Insay mɛrɛsin, wi kin kɔl dɛn riseptɔ dɛn ya . we di כmon εstrojen na wi bכdi de atak dεn antena dεm ya, di kεnsar sεl de gεt signal fכ "divayd εn gro mכr."
Dis na wetin SERM dɛn kin du:
Dɛn kin go ɛn blok dɛn ɛntena dɛn de, dat na di riseptɔ dɛn. Dɔn di ɛstrojen ɔmon nɔ gɛt say fɔ kam ɛn atak insɛf. biכs i nכ de gεt di signal, di growth fכ di kεnsar sεl dεm de stכp כ dεn de kכntro bכku pan am.
Di impɔtant tin na, dɛn kɔl am ‘sɛlektiv’ fɔ rizin. pan ɔl we dɛn drɔgs ya kin mek di ɛstrojen nɔ wok na di bɔdi, dɛn kin mek di ɔmon wok fayn fayn wan na ɔda pat dɛn na di bɔdi lɛk di bon dɛn ɛn di uterus. Na dat mek dɛn spɛshal.
Di kayn SERM dɛn ɛn aw dɛn de yuz dɛn
Bɔku men kayn SERM dɛn de we dɛn dɔn gri fɔ fɔ gɛt bɔdi kansa.
| Nem fɔ di drɔg | Men yus kes dɛn |
|---|---|
| Tamoksifen we gɛt di sik |
|
| Toremifen we dɛn kɔl toremifen | |
| Raloksifen we dɛn kɔl Raloxifen |
So wetin na SERD dɛn?
SERD (Selective Estrogen Receptor Downregulators) na wan kayn mɛrɛsin we de wok smɔl pas SERM. lεk SERM dεm, dεn de blכk di εstrojen rεsεpכta dεm bak. bכt apat frכm dat, di SERD dεm de ridyus di nכmba fכ di rεsεpכta dεm (dכwnrεgulεt) εn dεn de chenj di fכnshכn fכ di rεmεnεnt rεsεpכta dεm, we de mek dεn nכ de wok bכku.
Naw, tu kayn SERD dɛn de we dɛn dɔn gri fɔ:
- Fulvestrant we de du tin
- Elacestrant we dɛn kɔl Elacestrant
dis dεm dεn kin gi mεntal fכ advans, כmon rεsεptכr-positiv εn HER2-nεgεtiv brεst kεnsar dεm. HER2-nεgεtiv min se di kεnsar sεl dεm nכ gεt wan protin we dεn kכl HER2 na dεn sεf we de εp dεn fכ gro.
Aw fɔ yuz dis mɛrɛsin?
- SERMs: Bɔku pan dɛn kin kam insay pil fɔm. Yu dɔktɔ go tɛl yu fɔ tek 20mg to 40mg fɔ wan de. If yu de tek dɛn mɛrɛsin ya fɔ mek kansa nɔ kam bak, bɔku tɛm yu go nid fɔ kɔntinyu fɔ tek dɛn fɔ 5 to 10 ia.
- SERDs: Fɔ ɛgzampul, Fulvestrant de kam as injɛkshɔn.Tu. Dɛn kin gi dɛn tu injɛkshɔn ya na wan mɔsul na di bɔdi. Dɛn kin gi dɛn tri tɛm insay di fɔs mɔnt we dɛn de trit dɛn ɛn afta dat dɛn kin gi dɛn wan tɛm insay di mɔnt.
Insay us sityueshɔn dɛn kin gi SERM ɛn SERD?
Bɔku tin dɛn de we yu dɔktɔ kin tɛl yu fɔ gi yu dɛn tritmɛnt ya.
| Chans | Fɔ ɛksplen |
|---|---|
| Bifo dɛn du di ɔpreshɔn (Neoadjuvant Therapy) . | If yu tumbu big, dɛn kin gi yu dis mɛrɛsin bifo dɛn du yu ɔpreshɔn fɔ mek i smɔl ɛn mek i izi fɔ pul am. |
| Afta dɛn dɔn du ɔpreshɔn (Adjuvant Therapy) . | Dɛn kin gi dis tritmɛnt fɔ pwɛl ɛni smɔl smɔl kansa sɛl we kin lɛf afta dɛn dɔn du di ɔpreshɔn ɛn fɔ mek di kansa nɔ kam bak. |
| Fɔ Let-Stage Kansa | If di kansa dɔn skata to ɔda pat dɛn na di bɔdi we nɔ de na di bɔdi, dɛn mɛrɛsin ya kin ɛp fɔ kɔntrol ɔ slo fɔ mek i gro. |
| Fɔ Prɛvenshɔn | Ivin if yu nɔ bin dɔn gɛt brɔst kansa, if yu risk fɔ gɛt am pas di avɛrej bikɔs ɔf tin dɛn lɛk jɛnɛtiks, dɛn kin gi yu SERM fɔ ridyus da risk de. |
Wetin na di sayd ɛfɛkt ɛn risk dɛm wae dɛn tritmɛnt ya kin gɛt?
Lɛk ɛni mɛrɛsin, dɛn tin ya kin gɛt bad bad tin dɛn. Bɔt nɔto ɔlman kin gɛt dɛn. I impɔtant fɔ no bɔt di sayd ɛfɛkt dɛm we pɔsin kin gɛt.
Sayd ifɛkt dɛn we SERM dɛn gɛt
Di sayd efεkt dεm we dεn kin si bכku tεm na di sem lεk di wan dεm we dεn kin gεt we i de mεnopos.
- Hot flash dɛn we de shayn
- Vagina dray, dischaj, ɔ layt blɔd
- Nayt swet dɛn
- Vɔmit
- Di we aw pɔsin de fil kin chenj
Di sayd ɛfɛkt dɛn we nɔ kin apin so ɔltɛm bɔt we kin rili siriɔs:
- sכm sכm inkrεs pan di risk fכ uterin kεnsar
- Blɔd we de klɔt na di leg (Deep Vein Thrombosis, ɔ DVT) ɔ blɔd we de klɔt na di lɔng (Pulmonary Embolism) .
- Katarakt we pɔsin kin gɛt
- di bon dεm we uman dεn kin tכn bifo dεn mεnopos
Sayd ifekt dɛm fɔ SERD dɛm
- Pen fɔ sɔm tɛm na di say we dɛn injɛkshɔn
- Vɔmit
- Bɔn, mɔsul, ɔ jɔyn pen
- Ed de at
- Fɔ wok tranga wan
- Hot flash dɛn we de shayn
I rili impɔtant: SERD kin ridyus di nɔmba fɔ di pletlɛt dɛn, we kin ɛp fɔ mek blɔd klɔt. Dis kin mek di risk fɔ mek blɔd kɔmɔt smɔl. Dɔn bak, dɛn nɔ kin ɛva tɛl yu fɔ tek dɛn tu mɛrɛsin ya we yu gɛt bɛlɛ ɔ if yu de tray fɔ gɛt bɛlɛ . I impɔtant fɔ yuz wan we we nɔ gɛt ɔmon fɔ kɔntrol pikin we yu de tek dɛn mɛrɛsin ya ɛn fɔ at le wan ia afta yu dɔn stɔp di tritmɛnt.
If yu dɔktɔ tɛl yu bɔt dis tritmɛnt, tɔk to am bɔt am. Nɔ fred fɔ aks kwɛstyɔn dɛn lɛk, "Us bɛnifit dis mɛrɛsin go gi mi?", "Us sayd ɛfɛkt a kin ɛkspɛkt?", ɛn "Aw lɔŋ a go nid fɔ tek dis mɛrɛsin?"
Mɛsej we dɛn kin kɛr go na os
- SERM dεm εn SERD dεm na hεli ifektiv tritmεnt fכ εstrojen rεsεptכr-positiv brεst kεnsar. Dɛn kin blok di akshɔn we di ɔmon we dɛn kɔl ɛstrojen, we impɔtant fɔ mek di kansa sɛl dɛn gro.
- Nɔto ɔl dɛn mɛrɛsin ya fayn fɔ ɔlman. Na yu dɔktɔ nɔmɔ go ebul fɔ no di bɛst tritmɛnt fɔ yu bay di kayn kansa, yu ej, ɛn yu wɛlbɔdi.
- Sɔm bad bad tin dɛn kin apin, bɔt bɔku pan dɛn kin ebul fɔ kɔntrol. Tɔk to yu dɔktɔ bɔt ɛni prɔblɛm we yu gɛt, ilɛksɛf i smɔl.
- I rili impɔtant fɔ avɔyd bɛlɛ we yu de tek dis mɛrɛsin. Mek shɔ se yu go to yu dɔktɔ bɔt di rayt we fɔ mek yu nɔ bɔn pikin.











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