We yu de tɔk bɔt kansa tritmɛnt, yu go dɔn yɛri wɔd dɛn lɛk ‘Adjuvant Chemotherapy’ ɛn ‘Neoadjuvant Chemotherapy’. Dɛn wɔd ya kin tan lɛk se dɛn kɔmplikt smɔl ɛn dɛn kin ivin mek yu fred. Bɔt fɔ tru, dɛn nɔ kɔmplikt so. Tide, wi go tɔk bɔt dɛn tu tritmɛnt ya insay wan rili simpul we we yu go ɔndastand.
Wetin na ‘Adjuvant Kimotɛrapi’?
Fɔ tɔk am simpul wan, adjuvant kemotɛrapi na kemotɛrapi we dɛn kin gi *afta* yu men kansa tritmɛnt (lɛk ɔpreshɔn). Sɔntɛnde dɛn kin kɔl am "preventive chemotherapy."
Tink bɔt am dis we. Yu kin pul sɔm big big gras dɛn na yu gadin wit swɛlin. Bɔt sɔntɛm smɔl smɔl gras ɛn gras sid dɛn stil de we di yay nɔ go si na di grɔn, nɔto so? If yu lɛf dɛn, gras kin gro bak afta sɔm tɛm.
Adjuvant kemotɛrapi na sɔntin lɛk dat. Lɛ wi se yu dɔn pul di kansa kɔmɔt na yu bɔdi kpatakpata tru ɔpreshɔn. Bɔt sɔntɛnde, sɔm rili smɔl kansa sɛl dɛn kin lɛf sɔmsay na di bɔdi we nɔ de si wit di yay ɔ ivin we dɛn de skan no. Di gol fɔ dis tritmɛnt na fɔ fɛn ɛn pwɛl dɛn kansa sɛl dɛn we lɛf, ɛn dis go mek di kansa nɔ kam bak (fɔ kam bak) as i pɔsibul.
So wetin na ‘Neoadjuvant Chemotherapy’?
Dis na di kɔmɔn tin to wetin dɛn bin dɔn tɔk bifo. Nioadjuvant kemotɛrapi na kemotɛrapi we dɛn kin gi *bifo* di men tritmɛnt, dat na ɔpreshɔn.
Dis gɛt sɔm men tin dɛn we yu want fɔ du:
- Fɔ mek di tumbu smɔl: We dɛn gi dɛn kemotɛrapi bifo dɛn du di ɔpreshɔn fɔ mek di tumbu smɔl, i kin izi fɔ mek di dɔktɔ pul am we dɛn de du di ɔpreshɔn.
- Ɔpreshɔn fɔ ridyus di saiz fɔ di tumbu: Sɔntɛnde, dɛn kin nid fɔ du big ɔpreshɔn bikɔs di tumbu big. fכ egzampl, if dεn gεt brεst kansa, if dεn pul di כl brεst (mastectomy), εn dεn shrink di tכmכro bay neoadjuvant tεrapi, i kin pכsibul fכ komplit di prosidכs wit sכm כpεrayshכn we de pul di tכmכro nכmכ (lumpectomy).
- Fɔ mek di tritmɛnt go bifo: If yu du ɔpreshɔn fɔ pul di tumbu, dat kin mek di tritmɛnt go bifo.
Si dis tebul fɔ mek i izi fɔ yuz.
| Tin | Adjuvant Kimotɛrapi | Nioadjuvant Kimotɛrapi |
|---|---|---|
| Taim fo giv | Afta di men tritmɛnt (ɔpareshɔn) . | Bifo di men tritmɛnt (ɔpreshɔn) . |
| Di men tin we dɛn want fɔ du | Pwɛl di kansa sɛl dɛn we lɛf ɛn mek kansa nɔ kam bak | Fɔ mek di tumbu smɔl fɔ mek i izi fɔ du di ɔpreshɔn |
Wetin na di kɔmɔn sayd ɛfɛkt dɛm wae dɛn tritmɛnt ya kin gɛt?
Wan pan de tin wae bɔrku pipul kin frayd wae dɛn de tɔk bɔt kemotɛrapi na di sayd ɛfɛkt dɛm. Bikɔs di mɛrɛsin dɛn we dɛn kin yuz fɔ ɔl tu di tritmɛnt dɛn (e.g. 5-FU, Taxanes, Anthracyclines) kin bi di sem bɔku tɛm, di sayd ɛfɛkt dɛn bak kin rili fiba.
Wetin mek dɛn bad bad tin ya kin apin? Fɔ tɔk am simpul wan, di mɛrɛsin dɛn we dɛn kin yuz fɔ kimotɛrapi kin tɔch di sɛl dɛn we kin sheb kwik kwik wan . Kansa sεl dεm na wan kayn sεl we de sheb kwik kwik wan. Bɔt sɔm sɛl dɛn we gɛt wɛlbɔdi na wi bɔdi, fɔ ɛgzampul, di ia fɔlikul sɛl dɛn, di sɛl dɛn we de layn insay wi mɔt, di blɔd sɛl dɛn, ɛn di imyun sɛl dɛn, dɛnsɛf kin sheb kwik kwik wan. So kemotɛrapi drɔgs kin mek sɔm damej bak pan dɛn wɛlbɔdi sɛl dɛn ya. Na dat mek sayd ɛfɛkt kin apin.
Dis na sɔm pan di kɔmɔn sayd ɛfɛkt dɛm:
- We pɔsin taya
- Di ia we de lɔs
- Sɔl dɛn na yu mɔt
- Nɔs ɛn vɔmit
- Dayarɛa ɔ kɔnstipɛshɔn
- Di we aw pɔsin kin gɛt infɛkshɔn
- Prɔblɛm dɛn we kin kam wit di nerve, lɛk we di an ɛn fut dɛn kin swɛla
- Prɔblɛm dɛn fɔ kɔnsɛntret
Di tin we impɔtant pas ɔl na fɔ nɔ fred dɛn bad bad tin ya. Yu mɛdikal tim de fɔ ɛp yu fɔ manej dɛn ɛn fɔ mek dɛn nɔ gɛt bɛtɛ impak. Dɔn bak, nɔto ɔlman go gɛt ɔl dɛn bad bad tin ya. Jɔs bikɔs sɔm pipul dɛn nɔr gɛt sayd ɛfɛkt nɔr min se de tritmɛnt nɔr de woke.
Kwɛstyɔn dɛn we yu fɔ rili aks yu dɔktɔ
If yu dɔktɔ tɛl yu fɔ du dis kayn tritmɛnt, na yu rayt fɔ tɔk klia wan bɔt am. Nɔ ol ɛnitin bak. Na sɔm impɔtant kwɛstyɔn dɛn we yu kin aks.
| Aks bɔt Adjuvant Kimotɛrapi (afta dɛn du ɔpreshɔn) . | Aks bɔt Nioadjuvant Kimotɛrapi (bifo dɛn du di ɔpreshɔn) . |
|---|---|
| Aw dɛn go gi mi dis tritmɛnt? (Intravesically? As pils?) | Us kayn mɛrɛsin dɛn go gi mi fɔ dis tritmɛnt? |
| Aw lɔng dis tritmɛnt kin tek? | Aw lɔng dis tritmɛnt kin tek? |
| If dɛn nɔ tek dis tritmɛnt, wetin na di risk fɔ mek di kansa kam bak? | Aw dis tritmɛnt go afɛkt di ɔpreshɔn we a go du? |
| Wetin na di bad tin dɛn we kin apin to pɔsin? Aw lɔng dɛn go las? | Wetin na di bad tin dɛn we kin apin to pɔsin? Aw lɔng dɛn go las? |
| Aw yu kin kɔntrol dɛn bad bad tin dɛn de? | Wetin yu kin du bɔt dɛn bad bad tin dɛn de? |
| Ɛni ɔda we dɛn de fɔ du dis tritmɛnt? | Ɔda tin dɛn de we dɛn kin du insted ɔf dis tritmɛnt? |
Mɛmba se, tɔk opin wan bɔt ɔl dis wit yu dɔktɔ. I go lisin to ɔl di tin dɛn we yu de fred ɛn dawt. Na yu rayt, ɛn i go gi yu trɛnk fɔ bia fayn wit di tritmɛnt we yu de gi yu.
Mɛsej we dɛn kin kɛr go na os
- Adjuvant kemotɛrapi na kemotɛrapi we dɛn kin gi afta dɛn dɔn du big tritmɛnt, lɛk ɔpreshɔn. Di men gol na fɔ pwɛl ɛni kansa sɛl we lɛf ɛn mek di kansa nɔ kam bak.
- Nioadjuvant kemotɛrapi na kemotɛrapi we dɛn kin gi bifo wan big tritmɛnt, lɛk ɔpreshɔn. Di men gol na fɔ mek di tumbu smɔl, ɛn dis go mek i izi fɔ du di ɔpreshɔn ɛn i go wok fayn.
- Dɛn tu tritmɛnt ya kin mek dɛn gɛt sayd ɛfɛkt, bɔt difrɛn we dɛn ɛn mɛrɛsin dɛn de fɔ mɛn dɛn ɛn fɔ mek dɛn nɔ gɛt bɔku prɔblɛm dɛn.
- Tɔk wit yu dɔktɔ opin wan fɔ mek yu ɔndastand klia wan us tritmɛnt go fayn fɔ yu, ɛn wetin na di gud ɛn bad tin dɛn we i gɛt.
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