Di wɔd "kemotherapy" ɔ "chemo" kin briŋ frayd ɛn wɔri to bɔku pan wi. Sɔntɛm, dɔktɔ dɔn tɛl yu ɔ pɔsin we yu lɛk bɔt dis tritmɛnt. Ɔ sɔntɛm yu jɔs want fɔ no mɔ bɔt am. Ilɛk wetin na di rizin, di fred we kin kam na yu maynd we yu yɛri dis nem, na tin we rayt. Bɔt fɔ tru, kemotɛrapi na wan pan di wɛpɔn dɛn we gɛt pawa pas ɔl ɛn we de wok fayn fɔ fɛt kansa. So tide, lɛ wi put sɔm pan di tin dɛn we wi de fred na sayd ɛn tɔk simpul ɛn ɔnɛs bɔt wetin i rili bi, aw i de wok, ɛn wetin mek sayd ɛfɛkt kin apin.
Wetin rili na kemotɛrapi?
Fɔ tɔk am simpul wan, kemotɛrapi na wan kayn mɛrɛsin we dɛn kin gi fɔ kil di kansa sɛl dɛn ɔ fɔ stɔp dɛn fɔ gro. Dɛn drɔgs ya rili pawaful. Dɛn kɔl dɛn "kemo drɔgs."
Fɔ ɔndastand aw dis kin wok, lɛ wi fɔs luk di sɛl dɛn na wi bɔdi. Wi bɔdi gɛt bɔku bɔku sɛl dɛn. Di sɛl dɛn we gɛt wɛlbɔdi kin sheb we dɛn nid dɛn, dɛn kin mek nyu sɛl dɛn, ɛn dɛn kin day we dɛn nɔ nid dɛn igen. Dis na tin we rili ɔganayz. Wi de kɔl dis di `Sɛl Saykl`.
Bɔt kansa sɛl dɛn na difrɛn, mɔ we dɛn nɔ kin no wetin go apin. Dɛn nɔ de wok insay dis ɔda. Dɛn kin kɔntinyu fɔ sheb ɛn gro we dɛn nɔ ebul fɔ kɔntrol dɛnsɛf, bɔt dɛn nɔ kin day. Dis divεlכpmεnt we dεn nכ kכntrol na in de fכm tכmכro. Dɛn tin ya kin pwɛl di tisu dɛn we gɛt wɛlbɔdi bak.
Dis na di say we di kemotɛrapi kin kam insay.Di men tin we di kemotɛrapi kin want fɔ du na fɔ sheb di sɛl dɛn kwik kwik wan. Bikɔs kansa sɛl dɛn na wan kayn sɛl we kin sheb kwik kwik wan, kemotɛrapi kin go stret to dɛn kansa sɛl dɛn ya. I de stɔp di we aw dɛn sɛl dɛn de sheb ɛn pwɛl dɛn. Dat min se i de stɔp nyu kansa sɛl dɛn fɔ mek dɛn nɔ fɔm.
Yu tink se na fɔ kansa nɔmɔ dɛn kin yuz kemotɛrapi?
Bɔku tɛm, na yɛs. Kimotɛrapi na di men tritmɛnt fɔ kansa. Yu dɔktɔ we de mɛn yu kansa kin tɛl yu fɔ tek kemotɛrapi apat frɔm ɔda tritmɛnt dɛn. Fɔ ɛgzampul:
- Ɔpreshɔn: Dɛn kin gi kemotɛrapi fɔ mek di tumbu smɔl bifo dɛn kɔt am ɛn pul am. Dɛn kin gi kemotɛrapi bak fɔ kil ɛni kansa sɛl we lɛf afta dɛn dɔn du di ɔpreshɔn.
- Radieshɔn Tɛrapi: If yu gi redyushɔn tɛrapi wit kemotɛrapi, dat kin mek di tritmɛnt go bifo.
- Ɔda tritmɛnt dɛm: Sɔntɛnde dɛn kin gi am togɛda wit di mɔdan tritmɛnt dɛm lɛk `Immunotherapy` ɔ `Targeted Therapy`.
Bɔt sɔm kayn tin dɛn de we dɛn nɔ kin yuz kemotɛrapi fɔ kansa nɔmɔ, bɔt dɛn kin yuz am bak fɔ sɔm ɔda mɛrɛsin dɛn.
- Di sik dɛn we pɔsin kin gɛt we i de fɛt insɛf:Insay dɛn sik ya, di difɛns sistɛm na wi bɔdi (immune system) kin mistek atak wi yon wɛlbɔdi sɛl dɛn. Di mɛrɛsin dɛn we dɛn kin yuz fɔ kimotɛrapi kin kɔntrol di we aw dɛn difɛns sɛl dɛn ya we de wok pasmak kin gro, ɛn dis kin mek di damej we dɛn kin du to di bɔdi nɔ bɔku.
- Blɔd Disɔda: Insay sɔm blɔd dizayd, wi bon mɛro kin mek blɔd sɛl dɛn we nɔ de wok. If na so i bi, i kin nid fɔ transplant stem sɛl. Bifo dat, dɛn kin gi kemotɛrapi fɔ pwɛl dɛn nɔmal sɛl dɛn ya ɛn mek ples fɔ nyu sɛl dɛn we gɛt wɛlbɔdi.
Wetin na di kayn mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn pipul dɛn?
Pan ɔl we dɛn kɔl am "chemo," i nɔto jɔs wan drɔg. Bɔku kayn kemo drɔgs de. Dɛn sheb dɛn to sɔm kayn kategori bay wetin dɛn mek wit ɛn aw dɛn kin kil kansa sɛl dɛn. Yu dɔktɔ go pik di mɛrɛsin ɔr kɔmbayn mɛrɛsin wae bɛtɛ fɔ yu bay di kayn kansa wae yu gɛt, aw fa i dɔn skata (stej), ɛn yu ɔl wɛl bɔdi.
Sɔntɛnde, instead fɔ jɔs gi wan drɔg, dɛn kin gi sɔm drɔgs togɛda. Wi kɔl dis kɔmbayn kemotɛrapi . Dɛn kin du dis fɔ mek di tritmɛnt wok fayn. Na bikɔs ɛni wan pan di mɛrɛsin dɛn kin atak di kansa sɛl dɛn difrɛn we. I kin ɛp bak fɔ mek di bɔdi nɔ gɛt di sem mɛrɛsin.
Di tebul we de dɔŋ ya sho sɔm men klas dɛn fɔ kemotɛrapi drɔgs.
| Kemo grup nem | Aw dɛn kin wok? | Sɔm ɛgzampul dɛn |
|---|---|---|
| Alkylating Agent dɛn we de mek di bɔdi | Dɛn tin ya kin pwɛl di DNA fɔ di kansa sɛl dɛn, ɛn dis kin mek dɛn nɔ ebul fɔ sheb. Wan patikyula kayn we dɛn kin yuz fɔ trit di bren tɔŋ dɛn bak de insay dis grup. | Sayklofosfamid, Kaboplatin, Sisplatin |
| Antimɛtabolit dɛn | Dɛn tin ya kin trik di kansa sɛl. Dɛn kin mek lɛk se na di raw matirial dɛn we dɛn nid fɔ mek DNA, we dɛn nid fɔ mek di sɛl dɛn sheb, dɔn dɛn kin ambɔg da prɔses de. I tan lɛk se yu gi di rɔng brik fɔ bil wɔl. | Mεtכtreksεt, 5-fluorourasil, Gεmsitabin |
| Topoisomerase Inhibitor dɛn we dɛn kin yuz | di kεnsar sεl dεm gεt spεshal εnzym (`Topoisomerase`) we de εp di DNA fכ rεplik we i divayd. Dɛn drɔgs ya kin stɔp di wok we da ɛnzaym de du. | Etoposide, Irinotekan, Topotekan, ɛn ɔda pipul dɛn |
| Mitotik Inhibitɔ dɛn | Bɔku tɛm, dɛn kin mek dɛn tin ya wit plant dɛn. Na dat mek dɛn kin kɔl dɛn bak ‘plant alkaloids.’ wetin dεn de du na fכ stכp di prכsεs (`Mitosis`) usay di kεnsar sεl dεm de sheb εn fכm tu sεl dεm. | Paklitaksɛl, Dɔsɛtaksɛl, Vinkristin |
| Antibayɔtiks fɔ Antitumor | dis dεm de stכp bak di DNA we de insay di kεnsar sεl dεm fכ rεplik. Sɔntɛnde, dɛn kin ivin pwɛl di DNA. Dɛn tin ya nɔ tan lɛk di antibayɔtiks we wi kin tek fɔ infɛkshɔn. | Dɔksorubisin, Bliɔmaysin, Maytomaysin-C |
De tin wae impɔtant pas ɔl na dat yu nɔr nid fɔ wɔri bɔt de kayn mɛrɛsin ɛn dɛn nem. Yu dɔktɔ go disayd us tritmɛnt go fayn fɔ yu ɛn ɛksplen am klia wan to yu.
Lɛ wi tɔk bɔt di sayd ɛfɛkt dɛm we ɔlman de fred.
We yu de tɔk bɔt kemo, i nɔ pɔsibul fɔ lɛ yu nɔ tɔk bɔt di sayd ɛfɛkt dɛn. Dis na wetin de mek bɔku pipul dɛn fred. So wetin mek dɛn bad bad tin ya kin apin?
Mɛmba se wi bin dɔn tɔk se kemotɛrapi de tɔch di sɛl dɛn we de sheb kwik kwik wan . Nɔto kansa sɛl dɛn nɔmɔ, bɔt sɔm wɛlbɔdi sɛl dɛn na wi bɔdi kin sheb bak kwik kwik wan. Fɔ ɛgzampul:
- Di sɛl dɛn we de na di rut dɛn na wi ia
- Sεl dεm we de layn di mכt εn di dijestiv trakt
- Sεl dεm we de fכm blכd na di bon mכro
Di mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn pipul dɛn we gɛt kemotɛrapi nɔ kin ebul fɔ no di difrɛns bitwin di kansa sɛl dɛn ɛn di sɛl dɛn we gɛt wɛlbɔdi. So, pan ɔl we dɛn de atak di kansa sɛl dɛn, dɛn kin pwɛl dɛn wɛlbɔdi sɛl dɛn ya we de sheb kwik kwik wan. Na dat mek sayd ɛfɛkt kin apin.
Bɔt di bɛst tin ya na dat wi wɛlbɔdi sɛl dɛn kin ebul fɔ wɛl frɔm dis damej. Bɔt kansa sɛl dɛn nɔ ebul, dɛn jɔs de day.
Kɔmɔn sayd ɛfɛkt dɛn
Di sayd ɛfɛkt kin difrɛn difrɛn wan bay di kayn kemotɛrapi we yu de gɛt. Nɔto ɔlman kin gɛt di sem sayd ɛfɛkt. Di wan dɛn we kɔmɔn na:
- Taya: Dis na tin we bɔku pipul dɛn kin gɛt.
- Nɔs ɛn Vɔmit: Bɔt naw, rili gud mɛrɛsin dɛn de fɔ kɔntrol dis.
- Di ia we de lɔs: Nɔto ɔl di kemo drɔgs kin mek yu ia lɔs. Ivin if dɛn du dat, di ia go gro bak afta di tritmɛnt dɔn.
- Sɔm na yu mɔt: Smɔl smɔl sɔri kin kam insay di mɔt.
- I nɔ kin want fɔ it igen: Di we aw di it kin te kin chenj.
- Dayarɛa ɔ kɔnstipɛshɔn
- Di blɔd sɛl dɛn we de bɔku: Di bon mɛrɔ kin afɛkt, we kin mek di rɛd blɔd sɛl dɛn go dɔŋ, i kin mek di blɔd nɔ gɛt bɛtɛ blɔd , ɛn di wayt blɔd sɛl dɛn kin go dɔŋ, ɛn dis kin mek nyutropenia . We nyutropenia apin, di bɔdi in ebul fɔ fɛt di jem dɛn kin go dɔŋ, we kin mek i izi fɔ mek infɛkshɔn apin.
Di tin we impɔtant pas ɔl: Nɔ stɔp di tritmɛnt bikɔs ɔf dɛn sayd ɛfɛkt ya. We ɛn mɛrɛsin de fɔ mɛn ɛn ridyus ɔl dɛn sayd ɛfɛkt ya. Yu dɔktɔ ɛn di wan dɛn we de wok na yu nɔs go du dɛn bɛst fɔ ɛp yu.
Ustɛm a fɔ tɔk to di dɔktɔ?
I impɔtant fɔ gɛt gud kɔmyunikeshɔn bitwin yu ɛn yu dɔktɔ we yu de du yu kemo tritmɛnt. Nɔr frayd fɔ tɛl yu dɔktɔ bɔt ɛni diskɔmfɔt ɔr sayd ɛfɛkt wae yu de gɛt.
- If yu gɛt sayd ɛfɛkt dɛn we yu nɔ go ebul fɔ bia, tɛl mi wantɛm wantɛm.
- Tel mi if di mɛrɛsin fɔ nɔs ɛn pen nɔ de wok.
- If yu gɛt infekshɔn lɛk fiva ɔ kol, tɛl wi wantɛm wantɛm.
Yu dɔktɔ kin gi yu difrɛn mɛrɛsin ɔ chenj di doz ɔ schedule fɔ yu kemotɛrapi. Mɛmba se nɔto yu wan de go tru dis waka.
Mɛsej we dɛn kin kɛr go na os
- Kimotɛrapi na pawaful ɛn fayn tritmɛnt fɔ fɛt kansa. Nɔ fred am we yu nɔ nid fɔ fred.
- I de wok bay we i de tɔch di sɛl dɛn we de sheb kwik kwik wan, lɛk di kansa sɛl dɛn.
- di sayd ifekt dεm kin apin biכs di hεlty sεl dεm we de sheb kwik kwik wan kin afekt bak. Bɔt bɔku pan dɛn sayd ɛfɛkt ya na fɔ shɔt tɛm nɔmɔ ɛn dɛn kin ebul fɔ kɔntrol dɛn.
- Tɔk opin wan wit yu dɔktɔ bɔt ɛni prɔblɛm we yu go gɛt. Dɛn kin rɛdi ɔltɛm fɔ ɛp yu.
- I rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn gud gud wan ɛn fɔ atɛnd di tritmɛnt apɔntinmɛnt dɛn we dɛn dɔn plan fɔ du.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt