Na nɔmal tin fɔ fil smɔl frayd ɛn fred we yu ɔ pɔsin we yu lɛk go bigin fɔ tek kemotɛrapi. Bɔt fɔ no gud gud wan bɔt di tritmɛnt ɛn di mɛrɛsin na di bɛst we fɔ pul da fred de. Tide wi de tɔk bɔt wan pan dɛn kayn spɛshal kemotɛrapi mɛrɛsin ya, we na Busulfan. Dis na drɔg we dɛn kin gi fɔ rɛdi di sik pipul dɛn fɔ big tritmɛnt, lɛk fɔ transplant stem sɛl, mɔ fɔ di wan dɛn we gɛt lukimiya lɛk Chronic Myelogenous Leukemia (CML).
Fɔ tɔk am simpul wan, wetin na Busulfan?
Busulfan na wan mɛrɛsin we rili pawaful fɔ tek kimotɛrapi. Di men wok we i de du na fɔ pwɛl di kansa sɛl dɛn. εspεshali bifo dεn transplant bon mכro, dis mכg de pul di bon mכro sεl dεm we sik כ kansa na di bכdi εn mek rum fכ nyu hεlty stεm sεl dεm fכ transplant.
Dis mɛrɛsin nɔto pil we yu kin tek go na os. na injεkshכn we dεn de gi tru wan vein, lεk salin (infushכn). Ɛn na ɔspitul ɔ klinik nɔmɔ dɛn kin gi am na di dɔktɔ dɛn we gɛt spɛshal trenin. So mɛmba se yu de na say we sef.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin tritmɛnt
Bifo yu bigin fɔ tek Busulfan tritmɛnt, i rili impɔtant fɔ gi yu dɔktɔ wan kɔmplit pikchɔ bɔt yu wɛlbɔdi. Dis infɔmeshɔn go ɛp fɔ no di bɛst ɛn sef tritmɛnt fɔ yu. If ɛni wan pan dɛn tin ya apin to yu, mek shɔ se yu tɛl yu dɔktɔ.
| Situeshɔn we yu nid fɔ ripɔt | Tɔk bɔt |
|---|---|
| Bɛlɛ ɔ we yu de gi pikin in bɛlɛ | Mek shɔ se yu tɛl yu dɔktɔ if yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu tink se yu gɛt bɛlɛ. Dɔn bak, tɛl yu dɔktɔ if yu de gi pikin in bɛlɛ. |
| Alɛji dɛn we pɔsin kin gɛt | Tɛl wi if yu gɛt ɛni alɛji to Busulfan ɔ ɛni ɔda kemotɛrapi drɔg, ɛni ɔda mɛrɛsin, it, ɔ day. |
| Injury na ed ɔ seiz | If yu bin dɔn gɛt siriɔs ed injuri bifo ɔ yu gɛt histri fɔ gɛt sik dɛn we de mek yu sik. |
| Infɛkshɔn dɛn we dɔn de | If yu gɛt ɛni infɛkshɔn naw (especially vayral infɛkshɔn lɛk chikinpoks ɔ hεpi). |
| Liva ɔ lɔng sik dɛn | If yu gɛt liva sik, lɔng ɔr respiratory sik lɛk asma. |
| Blɔd prɔblɛm dɛn | If yu nɔ gɛt bɔku rɛd blɔd sɛl, wayt blɔd sɛl, ɔ pletlɛt na yu blɔd, ɔ if yu gɛt wan sik lɛk thalassemia. |
| Redyushɔn tɛrapi | If yu jɔs dɔn gɛt ɔ yu de gɛt raytin tritmɛnt naw. |
Tin dɛm wae yu fɔ tek tɛm wit mɔ wae yu de trit yu
Yu bɔdi kin biev smɔl difrɛn we we yu de tek dis mɛrɛsin, ɛn i impɔtant fɔ no bɔt dat.
Tek tɛm bad bad wan bɔt infɛkshɔn.
Busulfan kin ridyus di nɔmba fɔ di wayt blɔd sɛl dɛn na yu bɔdi we de fɛt sik. Dis min se yu kin gɛt infɛkshɔn izi wan.
- Nɔ de fa frɔm pipul dɛm wae gɛt sɔm kayn sik lɛk fiva, kol, bɔdi pen, ɛn trot wae de at as yu ebul.
- If yu fil lɛk se yu de kam dɔŋ wit fiva, kol, kɔf, ɔ trot we de at, nɔr de mɛn yusɛf ɛn tɛl yu dɔktɔ ɔr di ɔspitul usay dɛn de trit yu wantɛm wantɛm.
Wach fɔ blɔd ɛn brus.
Dis mɛrɛsin kin ridyus di nɔmba fɔ di pletlɛt dɛn we de ɛp fɔ mek blɔd klɔt. Dat mek,
- Si if yu brus izi pas aw yu kin brus.
- Pe atɛnshɔn to di gam we de blɔd, blɔd we de kɔmɔt na yu nos, blɔd we de na di urine, ɛn blak stɔl.
- If yu si sɔntin lɛk dis, tɛl yu dɔktɔ wantɛm wantɛm.
Bɛlɛ ɛn Fɛtiliti
Dis na tin we rili impɔtant. Duya, pe atɛnshɔn mɔ to dis.
Fɔ uman dɛn: I impɔtant fɔ avɔyd fɔ gɛt bɛlɛ ɔltogɛda we yu de tek dis mɛrɛsin ɛn fɔ 6 mɔnt afta yu dɔn stɔp di tritmɛnt. Risk de fɔ mek di pikin we nɔ bɔn yet gɛt siriɔs prɔblɛm.
Fɔ man: Yu fɔ avɔyd fɔ bɔn pikin we yu de tek dis mɛrɛsin ɛn fɔ 3 mɔnt afta yu dɔn stɔp fɔ trit yu.
Nɔ gi pikin in bɛlɛ we yu de tek dis mɛrɛsin fɔ ɛni rizin. Dɔn bak, dis tritmɛnt kin afɛkt di we aw yu go ebul fɔ bɔn pikin tumara bambay. If yu gɛt ɛnitin fɔ wɔri bɔt ɔ fɔ fred bɔt dis, tɔk to yu dɔktɔ bɔt am opin wan.
Wetin na di sayd ɛfɛkt dɛn we di mɛrɛsin kin gɛt?
Lɛk ɛni pawaful mɛrɛsin, Busulfan kin gɛt sayd ɛfɛkt. Sɔm pan dɛn tin ya fɔ ripɔt wantɛm wantɛm, ɛn ɔda wan dɛn nɔ kin rili siriɔs. Mek wi brok dem down.
| Sayd ɛfɛkt dɛn we yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm | |
|---|---|
| Alɛji Riakshɔn | Skin rash, it, swel na di fes, lip ɔ tong. |
| I nɔ izi fɔ blo | I nɔ izi fɔ blo, pen na yu chɛst. |
| Di sik dɛn we kin mek pɔsin sik | Wan sik we de mek pɔsin sik wantɛm wantɛm. |
| Di sayn dɛm we de sho se di liva dɔn pwɛl | di yay ɔ di skin de yɔlɔ, di urine we de dak yɔlɔ/brawn, pen na di ɔp rayt say na di bɛlɛ, nɔs, yu nɔ de want fɔ it. |
| Di sayn dɛn we de sho se di blɔd sɛl dɛn nɔ bɔku | Di sayn dɛm fɔ infekshɔn: fiva, kol, trot we de at. Sayn dɛm fɔ blɔd: yu de brus we nɔ kɔmɔn, yu gɛt rɛd spat ɔnda yu skin, yu gɛt blak stɔl. Di sayn dɛm fɔ anemia: yu taya pasmak, yu kin gɛt paleness, yu kin fɔdɔm. |
| Bɛlɛ pen bad bad wan ɔ vɔmit | Bɔrku pen na yu bɛlɛ ɔ yu de vɔmit we yu nɔ go ebul fɔ stɔp. |
| Tin dɛm wae nɔr kin denja, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
|---|---|
| Rɔnbɛlɛ | Bɛlɛ we de at |
| Ed de at | Wan wan tɛm, ed kin at |
| Wɔri | Fɔ fil se yu de wɔri, yu nɔ de rɛst |
| Sɔl dɛn na yu mɔt | Sɔl dɛn we de mek pɔsin fil pen insay di mɔt ɔ na di lip |
| Nɔ ebul slip | I nɔ kin izi fɔ mek yu slip na nɛt |
Prɔblɛm dɛn we pɔsin kin gɛt wit ɔda mɛrɛsin dɛn
Ɔda mɛrɛsin dɛn we yu de tek kin intarakt wit Busulfan. So, yu fɔ tek tɛm wach ɔl di mɛrɛsin dɛn we yu de tek.Tɛl yu dɔktɔ bɔt yu mɛrɛsin dɛn. Dis min se nɔto jɔs di mɛrɛsin dɛn we yu dɔktɔ gi yu, bɔt i min bak ɛni ɔva-di-kɔnta we de mek yu nɔ fil pen (e.g., asetaminofɛn), vaytamɛn, ɛbul ɔ Ayurveda/Sinhala mɛrɛsin, ɛn it sɔpɔtmɛnt. Mek shɔ se yu tɛl yu dɔktɔ bɔt ɛni wan pan dɛn mɛrɛsin ya we yu de tek:
- `Asetaminofɛn` (lɛk Panadol) .
- `Itrakonazɔl` (wan antifɔngal) .
- `Mɛtronidazɔl`
- Phenytoin (na mɛrɛsin fɔ sik we de mek pɔsin sik) .
- Layf vaysin dɛn
Bɔt di mɛrɛsin we dɛn fɔ tek
Bikɔs dɛn kin gi dis mɛrɛsin na ɔspitul, if yu nɔ ebul fɔ gɛt tritmɛnt di de we dɛn dɔn sɛtul, duya kɔl yu dɔktɔ wantɛm wantɛm ɛn tɛl am. Nɔ stɔp ɔ chenj di tritmɛnt fɔ ɛni rizin. If yu tink se yu dɔn tek di mɛrɛsin pasmak, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta wantɛm wantɛm na di Kɔlɔmbɔ Nashɔnal Ospital , ɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu.
Mɛsej we dɛn kin kɛr go na os
- Busulfan na pawaful kemotɛrapi mɛrɛsin we dɛn kin gi bifo dɛn transplant bon mɛrɔ. Na ɔspitul pipul dɛn we dɔn tren kin gi am.
- Mek shɔ se yu tɛl yu dɔktɔ bɔt ɔl yu mɛrɛsin ɛn ɔl di mɛrɛsin dɛn we yu de tek bifo yu gɛt tritmɛnt.
- We yu de trit yu, tek tɛm fɔ si sayn dɛn we de sho se yu gɛt infekshɔn (fiva, kɔf) ɛn sayn dɛn we de sho se yu de blɔd (brɔs we nɔ kɔmɔn, blak stɔl). If yu saspek ɛnitin, tɛl yu dɔktɔ wantɛm wantɛm.
- I rili impɔtant: Uman dɛn fɔ avɔyd fɔ gɛt bɛlɛ fɔ 6 mɔnt afta dɛn dɔn trit am, ɛn man fɔ 3 mɔnt.
- Tɔk to yu dɔktɔ opin wan bɔt ɛni kwɛstyɔn, fred, ɔ tin we de mɔna yu. Mɛmba se nɔto yu wangren de.
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