Fɔ fɛt kansa na rial prɔblɛm, nɔto so? Difrɛn tritmɛnt dɛn de we kin ɛp ɛn gi yu trɛnk pan dis joyn. Wan pan dɛn tritmɛnt ya na Carmustine , we yu go dɔn yɛri bak as BCNU . Yu kin fil fɔ fred smɔl we yu yɛri dis nem, ɛn dat na nɔmal tin. Bɔt tide, lɛ wi tɔk bɔt dis mɛrɛsin insay rili simpul wɔd dɛn, jɔs lɛk we wi de tɔk to wi padi. Dɔn yu go ebul fɔ ɔndastand am mɔ.
Us kayn mɛrɛsin na Kamɔstin? Wetin dɛn kin yuz am fɔ?
Fɔ tɔk am simpul wan, Carmustine na wan mɛrɛsin we de kil di kansa sɛl dɛn . Fɔ tɔk di kɔrɛkt tin, na wan kayn kemotɛrapi mɛrɛsin. Sɔm sɛl dɛn na wi bɔdi, mɔ di kansa sɛl dɛn, kin sheb ɛn bɔku kwik kwik wan. Dis drɔg de ambɔg di growth fɔ dɛn sɛl dɛn we de sheb kwik kwik wan ɛn i de kɔntrol dɛn.
Naw lɛ wi si us kayn kansa dɛn kin yuz dis mɛrɛsin mɔ fɔ:
- Bren tumor: Dɛn kin yuz dis fɔ difrɛn kayn tumbu ɔ kansa we kin apin na di bren.
- Multiple myeloma: Dis na wan kayn kansa we de kam na di bon mכro.
- Hodgkin’s disease: Dis na kansa we kin apin na di limfatik sistɛm .
- Nɔn-Hodgkin’s lymphomas: Dis na ɔda kayn kansa we kin apin na di limfatik sistɛm.
Apat frɔm di sik dɛn we wi dɔn tɔk bɔt, sɔntɛnde dɔktɔ dɛn kin yuz dis mɛrɛsin fɔ ɔda sik dɛn. So, if dɛn gi yu dis mɛrɛsin, i go fayn fɔ aks yu dɔktɔ ɔ fama fɔ ɛksplen wetin mek ɛn aw i de wok.
Wetin na di tin dɛm we a nid fɔ tɛl di dɔktɔ bifo a yuz dis mɛrɛsin?
Bifo yu bigin fɔ tek Carmustine, yu nid fɔ tɛl yu kia tim sɔm impɔtant tin dɛn. Dis infɔmeshɔn go ɛp dɛn fɔ disayd if dis mɛrɛsin fayn fɔ yu, ɔmɔs fɔ gi yu, ɛn us ɔda tin dɛn yu nid fɔ tek tɛm wit.
Na sɔm impɔtant tin dɛn we yu fɔ no bɔt:
- If yu gɛt infekshɔn naw: mɔ na wan vayral infɛkshɔn lɛk chikinpoks , hεpi, ɔr kolIf yu gɛt fiva, yu fɔ tɛl wi.
- Kidni sik : If yu gɛt ɛni kidni prɔblɛm.
- Liva sik : If prɔblɛm de we gɛt fɔ du wit di we aw di liva de wok .
- If di tin dɛn we de insay di blɔd nɔ bɔku: Dis min se di pletlɛt dɛn nɔ bɔku, di rɛd blɔd sɛl dɛn nɔ bɔku (we min se dɛn nɔ gɛt bɛtɛ blɔd), ɔ di wayt blɔd sɛl dɛn nɔ bɔku. Yu dɔktɔ fɔ no bɔt dɛn tin ya.
- Lɔng sik: If yu gɛt ɛni sik we gɛt fɔ du wit yu lɔng, lɛk we i nɔ izi fɔ blo.
- Alɛji riakshɔn: If yu dɔn gɛt alɛji ɔ histri fɔ alɛji to Carmustine, BCNU, ɔda kemotɛrapi drɔgs, ɛni ɔda mɛrɛsin, it, day, ɔ prɛzɛvɛtiv, yu fɔ tɛl yu dɔktɔ.
- If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ: Dis rili impɔtant.
- If yu na mama we de gi pikin in bɛlɛ.
I rili impɔtant fɔ yu yon sef fɔ tɛl di dɔktɔ klia wan, ɛn nɔ ayd dɛn tin ya.
Aw dɛn kin gi di Carmustine vaysin?
Dɛn kin gi yu dis mɛrɛsin as infushɔn ɔ injɛkshɔn insay wan vein. Dis nɔto mɛrɛsin we yu kin tek na os. Na pɔsin we sabi kia fɔ wɛlbɔdi biznɛs we dɔn gɛt spɛshal trenin, ilɛksɛf na ɔspitul ɔ klinik, de gi yu am.
Impɔtant: If yu de gi dis mɛrɛsin to yɔŋ pikin dɛn, tɔk bɔt am wit dɔktɔ we de mɛn pikin dɛn ɛn yuz dis tritmɛnt ɔnda spɛshal kia.
Wetin yu kin du if yu tek bɔku mɛrɛsin bay mistek?
If dis apin, we min se yu tink se yu dɔn ɔvados, yu fɔ kɔl pɔyzin kɔntrol sɛnta ɔ imejensi rum wantɛm wantɛm.
Duya mɛmba: Dɛn dɔn gi yu dis mɛrɛsin fɔ yu nɔmɔ. Nɔ ɛva sheb dis mɛrɛsin wit ɔda pɔsin.
Wetin yu kin du if yu mis wan doz fɔ mɛrɛsin?
I rili impɔtant fɔ tek yu mɛrɛsin di rayt tɛm ɛn di de we yu go apɔntin. If yu nɔ ebul fɔ kip yu apɔntinmɛnt, kɔl yu dɔktɔ ɔ pɔsin we de kia fɔ yu wɛlbɔdi biznɛs wantɛm wantɛm. Dɛn go tɛl yu wetin fɔ du nɛks.
Ɛni ɔda mɛrɛsin de we kin miks wit dis mɛrɛsin? (Drug Intarakshɔn) .
Yes, sɔm mɛrɛsin dɛn de we kin intarakt wit Carmustine, we min se dɛn kin krash. If dat apin, di wok we Carmustine de du kin chenj ɔ di sayd ɛfɛkt dɛn kin bɔku.
Na sɔm kayn mɛrɛsin dɛn ya:
- Cimetidine ( na mɛrɛsin we dɛn kin yuz fɔ sik dɛn lɛk gastritis) .
- Phenobarbital (dɛn kin gi fɔ sɔm epilepsy kɔndishɔn dɛn) .
- Phenytoin ɛn Fosphenytoin (dɛn kin yuz am bak fɔ ɛpilepshi) .
Dis list na jɔs sɔm ɛgzampul dɛn. So, yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (mɛrɛsin fɔ ɔda sik, vaytamɛn, tradishɔnal mɛrɛsin, ɛbul supamakit, mɛrɛsin we nɔ gɛt prɛskrishɔn, it supamakit, ɛn ɔda tin dɛn). Dɔn bak, if yu de smok, drink rɔm, ɔ yuz ɔda drɔgs, tɛl yu dɔktɔ bɔt dat. Bikɔs sɔm tin kin miks wit dis mɛrɛsin.
Wetin wi fɔ pe atɛnshɔn to we wi de tek mɛrɛsin?
We yu de tek Carmustine, yu dɔktɔ go de chɛk yu ɔltɛm.
- Jɛnɛral diskɔmfɔt: Na nɔmal tin fɔ fil smɔl nɔr kɔmfyut ɔr nɔr wɛl we yu de tek dis mɛrɛsin. Dis na bikɔs di kemotɛrapi mɛrɛsin dɛn nɔ kin afɛkt di kansa sɛl dɛn nɔmɔ bɔt i kin afɛkt di sɛl dɛn we gɛt wɛlbɔdi bak. Dis nɔto tin we nɔ kɔmɔn. If yu gɛt ɛni sayd ɛfɛkt, tɛl yu dɔktɔ. Kɔntinyu fɔ tek di mɛrɛsin ivin if i nɔ fayn fɔ yu, te yu dɔktɔ tɛl yu fɔ stɔp.
- Ɔda mɛrɛsin fɔ sayd ɛfɛkt: Sɔntɛnde, yu dɔktɔ kin gi yu ɔda mɛrɛsin fɔ ɛp fɔ kɔntrol di sayd ɛfɛkt dɛm fɔ dis mɛrɛsin. Fɔ fala di instrɔkshɔn dɛn fɔ yuz dɛn mɛrɛsin dɛn de jɔs lɛk aw dɛn gi dɛn.
- Fɔ protɛkt yusɛf frɔm infɛkshɔn: If yu gɛt fiva, kol, trot we de at, kɔf, ɔ ɔda tin dɛn we tan lɛk kol , kɔl yu dɔktɔ ɔ pɔsin we de kia fɔ yu wɛlbɔdi biznɛs wantɛm wantɛm fɔ advays. Nɔ de mɛn yusɛf. Dis mɛrɛsin kin mek yu bɔdi nɔr ebul fɔ fɛt sik (immunity). So, tray fɔ de fa frɔm pipul dɛn we sik as yu ebul.
- Tek tɛm wit blɔd ɛn brus: Dis mɛrɛsin kin mek yu gɛt mɔ blɔd ɔ brus izi wan. Tɛl yu dɔktɔ if yu gɛt blɔd we nɔ kɔmɔn (e.g., blɔd we de kɔmɔt na yu nos, blɔd na yu stɔl, blɔd na yu stɔl) ɔ yu gɛt brus.
- Risk fɔ gɛt kansa: Sɔm risk kin de fɔ gɛt sɔm ɔda kayn kansa wae yu de tek dis mɛrɛsin. Tɔk to yu dɔktɔ bɔt dis.
- Ifɛkt pan Fɛtiliti:Dis mɛrɛsin kin afɛkt di we aw man kin ebul fɔ bɔn pikin. If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt dis, tɔk to yu dɔktɔ ɔr pɔsin we de kia fɔ yu wɛlbɔdi biznɛs.
- Bεlε εn we dεn de gi pikin bεlε:
- Jɔs lɛk ɔl di mɛrɛsin dɛn, nɔ gɛt bɛlɛ fɔ 6 mɔnt afta yu dɔn stɔp di mɛrɛsin. If yu de plan fɔ gɛt bɛlɛ, ɔ yu tink se yu go gɛt bɛlɛ, tɛl yu dɔktɔ wantɛm wantɛm.
- Jɔs lɛk we man dɛn de tek dis mɛrɛsin, dɛn nɔ fɔ tray fɔ bɔn pikin fɔ 3 mɔnt afta dɛn dɔn stɔp di mɛrɛsin.
- Dis mɛrɛsin kin mek di pikin we nɔ bɔn yet gɛt siriɔs sayd ɛfɛkt. Aks yu dɔktɔ ɔ fama fɔ no mɔ.
- Nɔ gi pikin in bɛlɛ we yu de tek dis mɛrɛsin.
Wetin na di sayd ɛfɛkt dɛm we dis mɛrɛsin kin gɛt?
Lɛk ɛni mɛrɛsin, Carmustine kin mek sɔm bad bad tin dɛn apin. Bɔt nɔto ɔlman kin gɛt ɔl dɛn bad bad tin ya. Sɔm pan dɛn na tin dɛn we yu fɔ tɛl yu dɔktɔ bɔt wantɛm wantɛm, ɛn ɔda wan dɛn nɔ kin rili siriɔs ɛn dɛn kin go afta sɔm dez.
Sɔm bad tin dɛn we yu fɔ tɛl yu dɔktɔ bɔt wantɛm wantɛm:
If yu gɛt ɛni wan pan dɛn sik ya, yu fɔ tɛl yu dɔktɔ ɔ pɔsin we de kia fɔ yu wɛlbɔdi biznɛs kwik kwik wan:
- Alɛji riakshɔn: skin de rɔsh, it ɔ ayv, yu fes, yu lip ɔ yu tɔng de swel.
- Prɔblɛm fɔ blo.
- Pen na di jɔyn dɛn.
- Blɔd nɔ kin bɔku: Dis mɛrɛsin kin mek yu nɔ gɛt wayt blɔd sɛl, rɛd blɔd sɛl, ɛn pletlɛt, ɛn dis kin mek yu gɛt mɔ sik ɛn blɔd.
- Mɔsul dɛn kin pen.
- Di sik dɛn we kin mek pɔsin sik.
- Sayn dɛm fɔ se yu gɛt di sik: fiva ɔ kol, kɔf, trot we de at, pen ɔ i nɔ izi fɔ pis.
- Sayn dεm we de sho se di pletlεt dεm dכn dכn כ bכdi de bכn: yu de brus, yu de pכynt rεd spat dεm na di skin, blak, stכl dεm we de tar, blכd na di urine.
- Sayn ɛn simptom dɛm fɔ kidni injuri: I nɔ izi fɔ pis ɔ chenj di urine we yu de mek.
- We yu de lɔs yu wet (we nɔ gɛt rizin).
Sayd ɛfɛkt dɛm wae yu nɔr kin nid fɔ tɛl yu dɔktɔ bɔt , bɔt yu fɔ ripɔt if dɛn kɔntinyu fɔ de:
Bɔku tɛm, dɛn sayd ɛfɛkt ya nɔ kin siriɔs. Bɔt if dɛn kɔntinyu ɔ de mɔna yu bɔku, tɛl yu dɔktɔ se:
- Ed de at .
- I nɔ kin want fɔ it igen.
- Nɔs, fɔ vɔmit.
- Pen, rɛd, ɔ iritashɔn na di sayt usay dɛn injɛkt am.
Dis list nɔto ɔl di sayd ɛfɛkt dɛn we pɔsin kin gɛt. If yu notis ɛni ɔda tin we nɔ kɔmɔn, aks yu dɔktɔ bɔt am.
Usay yu kin kip dis mɛrɛsin?
Bikɔs dɛn kin gi yu dis mɛrɛsin na ɔspitul ɔ klinik, yu nɔ go ebul fɔ kɛr am go na os ɔ kip am. Na di wan dɛn we de wok na di ɔspitul gɛt fɔ du dis.
Di tin dɛn we impɔtant pas ɔl fɔ mek yu mɛmba (Take-Home Message) .
Okay, so wi bin tok plenti abaut di drug Carmustine, no bi so?
Di tin we impɔtant pas ɔl na dat, if yu gɛt ɛni kwɛstyɔn, dawt, ɔ fred bɔt dis tritmɛnt, nɔ fred fɔ tɔk to yu dɔktɔ, nɔs, ɔ fama. Dɛn de de fɔ ɛp yu.
- Carmustine na wan kemotɛrapi mɛrɛsin we de kɔntrol aw di kansa sɛl dɛn de gro.
- Bifo yu tek di mɛrɛsin, tɛl yu dɔktɔ bɔt ɔl yu wɛlbɔdi infɔmeshɔn ɛn ɔda mɛrɛsin dɛn we yu de tek.
- Tek yu tritmɛnt di de dɛn we dɛn dɔn sɛtul ɛn di we aw dɛn tɛl yu fɔ tek am. If yu mis ɛni apɔntinmɛnt, tɛl yu dɔktɔ wantɛm wantɛm.
- Yu fɔ no bɔt di bad tin dɛn we kin apin to yu. If yu gɛt ɛni siriɔs sayn, tɛl yu dɔktɔ wantɛm wantɛm.
- Protɛkt yusɛf frɔm infɛkshɔn ɛn tek tɛm fɔ mek yu blɔd kɔmɔt.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn bɔt bɛlɛ ɛn fɔ gi pikin in bɛlɛ.
Mɛmba se nɔto yu wangren de pan dis fɛt. Yu gɛt wan tim fɔ dɔktɔ dɛn fɔ ɛp yu ɛn kia fɔ yu. So kɔntinyu fɔ strɔng, fala di instrɔkshɔn dɛn we dɛn gi yu, ɛn fes dis tritmɛnt. Wi de wish yu fɔ wɛl kwik kwik wan!
` Carmustine, BCNU, kansa tritmɛnt, kemotɛrapi, bren kansa, maltipul mayloma, limfoma, kansa drɔgs, sayd ɛfɛkt
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