I nɔ kin izi fɔ tɔk bɔt di fred ɛn wɔri we wi kin fil we wi kam fɔ no se wi gɛt kansa. Bɔt bikɔs ɔf di advans mɛdikal sayɛns we dɔn kam to wi tide, tritmɛnt dɛn de we rili fayn fɔ mɛn kansa. yu no se, sכm kayn kεnsar de we de gro bay we wi de "fid" wi כwn bכdi in כwn kεmikכl dεm we dεn kכl כmon? We dɛn de trit dis kayn kansa, fɔ kɔntrol aw dɛn ɔmon dɛn de de mek, rili impɔtant. Tide wi go tɔk bɔt wan pan dɛn kayn spɛshal tritmɛnt dɛn de. Di nem na ‘Kεmikכl Kastrεshכn’. Pan ɔl we di nem kin tan lɛk se i de mek pɔsin fred smɔl, fɔ tru, dis na tritmɛnt we kin mek bɔku pipul dɛn we gɛt kansa fil fayn.
Fɔ tɔk am simpul wan, wetin na Kɛmikal Kastreshɔn?
Okay, mek wi ɛksplen dis simpul wan. ‘Kεmikכl Kastεshכn’ na di yus fכ dכg כ kεmikכl fכ stכp fכ mek sεks כmon dεm na wi bכdi. Dɛn ɔmon dɛn ya kin kɔmɔt na di blɔd bay difrɛn gland dɛn na wi bɔdi. Dɛn ɔmon ya de kɔntrol bɔku tin dɛn na wi bɔdi; tin dεm lεk εnεji, growth, εn mכd. Sεks כmon dεm rili implεnt fכ tin dεm lεk puberty εn riprodaktiv hεlth.
Bɔt sɔm kayn kansa, lɛk prɔstat kansa ɛn sɔm kayn bɔdi kansa, kin dipen pan dɛn sɛks ɔmon ya fɔ mek dɛn gro. Jɔs lɛk aw plant nid wata fɔ mek i gro, na so dɛn kansa sɛl dɛn ya nid ɔmon fɔ mek i gro. So, Kεmikכl Kastεshכn tritmεnt de ridyus di כmכnt כf dεn sεks כmon dεm ya na di bכdi. afta dat di kansa sεl dεm de lכs di "fud" we dεn nid, εn dεn gro de stכp כ slo.
Bɔku ɔda nem dɛn de we dɛn kin yuz fɔ dis tritmɛnt. We yu yɛri dɛn, dis go klia to yu:
- Medikal Kastrashɔn
- Ɔmon Tɛrapi
- Androjen Dipreshɔn/Diprɛsiv/Sɔpreshɔn Tɛrapi
כl dεn nem ya min di sem tin: dεn de ridyus di lεvεl כf sεks כmon dεm na di bכdi.
Us kɔndishɔn dɛn kin yuz dis tritmɛnt fɔ?
Dɔktɔ dɛn kin yuz dis tritmɛnt mɔ fɔ di tumbu dɛn we de dipen pan di ɔmon dɛn we gɛt fɔ du wit mami ɛn dadi biznɛs, mɔ:
- Prɔstat Kansa: Bɔku tɛm na di man ɔmon we dɛn kɔl tɛstostɛron kin mek dis kansa we de pan man dɛn.
- Breast Cancer: Di uman hכmon dεm we dεn kכl εstrogen εn progesterone de infכlכw di growth fכ sכm kayn brεst kεnsar na uman dεm.
- Man Breast Cancer: Pan ɔl we dis nɔ kin apin so ɔltɛm, dɛn kin yuz ɔmon tritmɛnt bak fɔ dis.
Wan ɔda nem we dɛn kin kɔl sɛks ɔmon na andrɔjen.. Ɔlman de mek androgen, bɔt man dɛn de mek mɔ pan dɛn. Testosterone na wan big androgen. Dis ɔmon impɔtant fɔ mek di prɔstat gland gro ɛn wok. We kansa kam, na dis ɔmon de mek di kansa gro.
Wetin kin apin bifo dɛn bigin fɔ trit am?
Bifo yu dɔktɔ tɛl yu fɔ tek ɔmon tritmɛnt, dɛn nid fɔ no gud gud wan if yu kayn kansa go ansa am fayn. Dis go gɛt fɔ du wit sɔm tɛst dɛn. Dɛn tɛst ya kin no di kayn kansa ɛn di stej we i dɔn skata.
Sɔm pan di tɛst dɛn we dɛn kin du fɔ dis na:
- CT skan we dɛn kin du
- PET skan we dɛn kin du
- Ɛndoskopi we dɛn kin du
- Bayopsi - Fɔ tek smɔl sampul pan di kansa sɛl dɛm fɔ egzamin.
- Blɔd tɛst fɔ si if pɔsin gɛt kansa
Sɔntɛnde, mɔ if yu want fɔ ridyus yu tɛstostɛron lɛvɛl fɔ ɔltɛm, yu dɔktɔ kin tɔk bɔt wan ɔpreshɔn we dɛn kɔl ɔkiɛktɔmi . Dis min se dɛn fɔ ɔpreshɔn wan ɔ ɔl tu di tɛstikul dɛn. Dis na sɔlv we go de sote go. Wan ɔda tin we dɛn kin du na fɔ ɔpreshɔn fɔ pul di tisu nɔmɔ we de mek tɛstostɛron. Bɔt wetin wi de tɔk bɔt ya na kemikal kastrashɔn, nɔto ɔpreshɔn. Na tritmɛnt fɔ sɔm tɛm wit mɛrɛsin.
Wetin kin apin we dɛn de trit am?
Dis nɔto tritmɛnt fɔ wan tɛm nɔmɔ. Dis na tin we dɛn kin kɔntinyu fɔ du. Bɔku tɛm, yu dɔktɔ go gi yu dɛn mɛrɛsin ya as injɛkshɔn ɔ as smɔl tin we dɛn kin put ɔnda yu skin (implant). Bɔt sɔm mɛrɛsin dɛn de bak we dɛn kin gɛt as pils.
Dipen pan di kayn mɛrɛsin ɛn di doz fɔ di mɛrɛsin we dɛn gi yu, yu kin nid fɔ ripit dis tritmɛnt wan tɛm insay di mɔnt, wan tɛm ɛvri tri mɔnt, ɔ wan tɛm insay di ia.
We dɛn de trit prɔstat kansa, bɔku we dɛn de we dis mɛrɛsin de wok:
- i de ridyus di prodakshכn fכ andrכjen dεm (especially tεstostεron) frכm di tεstikul dεm.
- i de blכk di abiliti fכ di andrכjen dεm na di bכdi fכ tay εn wok wit di kεnsar sεl dεm.
- i de stכp di prodakshכn fכ andrכjen frכm כda pat dεm na di bכdi (nכto jכs di tεstikul dεm).
Us mɛrɛsin dɛn kin yuz fɔ dis?
Bɔku men klas dɛn de we dɛn kin yuz fɔ mɛn prɔstat kansa. Lɛ wi tek tɛm luk dɛn gud gud wan.
| Kategori fɔ drɔgs | Aw i de wok simpul wan | Ɛgzampul dɛn (brand nem dɛn fɔ mɛrɛsin dɛn) . |
|---|---|---|
| GnRH Agonist dɛn | dis fכs kin mek di tεstostεron lεvεl inkrεs wan wan (wan tεstostεron fכm). Dɔn di bɔdi kin bigin fɔ ignore di signal fɔ mek di ɔmon. Afta sɔm dez, i kin lɛf smɔl fɔ lɛ di tɛstostɛron we dɛn de mek kin stɔp ɔltogɛda. | Goserɛlin (Zoladex®), Luprɔlayd (Lupron®), Triptorelin (Trelstar®) |
| GnRH Antagonist dɛn | Dis mɛrɛsin nɔ de mek di ɔmon lɛvɛl go ɔp wantɛm wantɛm lɛk di kayn we aw dɛn bin de tek am trade. I de stɔp di we aw dɛn de mek tɛstostɛron dairekt wan. fכ dat, di ‘Tεstosterone Flare’ nכ de apin. | Degarelix (Firmagon®), Rɛlugoliks (Orgovyx®) ɛn di ɔda wan dɛn we de na di wɔl. |
| Anti-androgen Tritmɛnt dɛn | Bifo dɛn stɔp di ɔmon dɛn we dɛn de mek, dɛn tin ya de mek di androjen ɔmon dɛn we de na di bɔdi nɔ go tay pan di kansa sɛl dɛn. In ɔda wɔd, ki de, bɔt di lɔk (risɛptɔ) we i fit insay de blok. | Bikalutamayd (Casodex®), Ɛnzalutamid (Xtandi®), Apalutamid (Erleada®) . |
| Androjen Sεntesis Inhibitor dεm | dis mεdikeshכn de stכp di prodakshכn fכ andrכjen dεm εnisay na di bכdi (tεstikul dεm, adrenal gland dεm, ivin kεnsar sεl dεm). | Abiraterɔn (Zytiga®), Kɛtokonazɔl (Nizoral®) . |
Yu tink se dɛn kin yuz dis we bak fɔ gɛt bɔdi kansa?
Yɛs. Dɔktɔ dɛn kin tɔk bak bɔt dis ɔmon tɛrapi fɔ brɔst kansa we de dipen pan ɛstrojen ɛn/ɔ prɔjɛstɛron. I de wok bay we i de blok di uman in ɔmon dɛn we de mek ɔ i de stɔp dɛn fɔ du sɔntin pan di kansa sɛl dɛn. Difrɛn kayn mɛrɛsin de fɔ dis bak:
- Mεdikeshכn dεm lεk Tamoxifen de wok bay we dεn de stכp di כmon εstrojen fכ atak di kεnsar sεl dεm.
- di aromatase inhibito dεm (e.g. Anastrozole, Letrozole) de wok bay we dεn de blכk wan εnzym we de prodyuz εstrojen na di bכdi.
- di mεdikeshכn dεm lεk Goserelin εn Leuprolide (dεn kin yuz dεm bak fכ prכstat kεnsar) kin stכp di ovaria fכ wok fכ sכm tεm εn dεn kin ridyus di εstrojen prodakshכn. Dis tan lɛk we pɔsin kin lɛf fɔ gɛt bɛlɛ fɔ sɔm tɛm.
Wetin yu kin ɛkspɛkt afta yu dɔn gɛt tritmɛnt?
Dɛn mɛrɛsin ya kin bigin fɔ wok jɔs lɛk aw yu bigin fɔ tek dɛn. Dɛn kin gɛt ɛfɛkt as lɔng as yu tek dɛn.
di men ifekt na we di sεks drayv/libido de dכn. Di rεspכns to mεntal כ fכshal stimulashכn kin rεdכks. Fɔ ɛgzampul, di frɛkuɛns we pipul dɛn kin tink bɔt mami ɛn dadi biznɛs kin stɔp.
Bɔt di tin we impɔtant pas ɔl na ya na di men bɛnifit we dis gɛt. Kεmikכl Kastrεshכn nכ de fכ כltεm. I kin chenj.
Afta yu dɔn stɔp di tritmɛnt, yu bɔdi kin bigin fɔ mek ɔmon dɛn bak. Along wit dis, yu sex drive de kam bak to in previous level. dis na di big advantej fכ dis pas כpεrayshכn fכ pul di tεstikul כ ovaria.
Ɛni risk ɛn sayd ɛfɛkt de fɔ dis tritmɛnt?
Lɛk ɛni mɛrɛsin, ɔmon tritmɛnt kin gɛt bad bad tin dɛn. Nɔto ɔlman kin gɛt dɛn ɔl. Ɛn aw dɛn tin ya kin tranga kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Yu dɔktɔ go tɔk to yu bɔt di sayd ɛfɛkt dɛm fɔ di mɛrɛsin we yu de tek.
In jɛnɛral, dis na sɔm pan de kɔmɔn sayd ɛfɛkt dɛm wae kin apun wae yu de tek dis tritmɛnt fɔ lɔng tɛm:
- Low sex drive
- Sɔdɛn filin fɔ wam na di bɔdi (Hɔt flash) .
- Ɔstioporosis we pɔsin kin gɛt
- Ridyushɔn pan di mɔsul mas
- Inkris bɔdi fat dipɔzishɔn
- Di risk fɔ gɛt at sik kin bɔku
- Pwɛl hat ɔr de chenj in maynd
- Anemia we nɔ gɛt bɛtɛ blɔd
- Di ia we de na di bɔdi we dɔn go dɔŋ
- Smɔl smɔl brɔst gland dɛn na man dɛn
Nɔ fred fɔ dɛn sayd ɛfɛkt ya. Dɛn kin ebul fɔ kɔntrol bɔku pan dɛn. Fɔ ɛgzampul, yu dɔktɔ kin tɛl yu fɔ tek kalsiɔm ɛn vaytamɛn D ɛn ɛksesaiz fɔ ɛp fɔ mek yu bon wik. So e fayn fɔ tɔk to yu dɔktɔ bɔt ɛni prɔblɛm we yu go gɛt.
Sɔm kwɛstyɔn dɛn we dɛn kin aks bɔku tɛm
Dis na tritmɛnt we de mek pɔsin fil pen?
If yu tek di mɛrɛsin as pil, nɔ pen nɔ de. If yu tek am as injɛkshɔn, yu kin fil smɔl pen ɔ bɔn we dɛn gi yu di injɛkshɔn. Bɔt bɔku tɛm i nɔ kin las fɔ lɔng tɛm.
I pɔsibul fɔ gɛt erection afta tritmɛnt?
Yɛs, arousal kin apin. Bɔt bikɔs i nɔ kin want fɔ du mami ɛn dadi biznɛs, i nɔ kin apin ɔltɛm lɛk aw i bin de bifo. Ɛn di kayn we aw di arousal kin chenj bak.
- Nɔto strɔng lɛk aw i bin de bifo
- Nɔ ebul fɔ mentein fɔ lɔng tɛm
- Di frɛkuɛns we di tin kin apin kin go dɔŋ
Yu tink se vasectomy bak na wan kayn kastreshɔn?
Nɔ, nɔto so atɔl. Vasectomy na wan we fɔ kɔntrol di pikin. i de nכmכ de mek di sεl dεm nכ kכmכt na di penis wit sεmεn. I nɔ de afɛkt di ɔmon lɛvɛl we yu gɛt, di we aw yu want fɔ du mami ɛn dadi biznɛs, ɔ di we aw yu de du mami ɛn dadi biznɛs.
Di tin we impɔtant pas ɔl na dat, tritmɛnt fɔ kansa na wan joyn. Na nɔmal tin fɔ gɛt kwɛstyɔn, wɔri, ɛn fred we yu de travul. Tɔk bɔt ɔl dɛn tin ya wit yu dɔktɔ. If nid de, yu kin go bak fɔ gɛt savis lɛk advays. Nɔto yu wan de.
Mɛsej we dɛn kin kɛr go na os
- Kεmikכl kastrash כn nכto כpεrayshכn. Na kansa tritmɛnt we de yuz mɛrɛsin fɔ stɔp di bɔdi fɔ mek di ɔmon dɛn we de mek pɔsin du mami ɛn dadi biznɛs wit ɔda pɔsin fɔ sɔm tɛm.
- Dɛn kin yuz dis mɔ fɔ prɔstat kansa ɛn sɔm kayn bɔdi kansa.
- Wan pan di big bɛnifit dɛn we dis tritmɛnt gɛt na dat i kin chenj . We dɛn dɔn stɔp di mɛrɛsin, di ɔmon lɛvɛl kin kam bak to nɔmal.
- Sɔm bad tin dɛn lɛk we yu nɔ want fɔ du mami ɛn dadi biznɛs, wam wam bɔdi, ɛn yu bon dɛn kin wik, bɔt yu dɔktɔ kin ɛp yu fɔ kɔntrol dɛn.
- Tɔk to yu dɔktɔ opin wan bɔt ɛni kwɛstyɔn, wɔri, ɔ fred we yu go gɛt. Di kɔrɛkt infɔmeshɔn ɛn sɔpɔt rili impɔtant we dɛn de travul.
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