We dɛn no se yu ɔ pɔsin we yu sabi gɛt bɔdi kansa, i nɔmal fɔ fil bɔku fred ɛn wɔri we di dɔktɔ se, "A nid fɔ gɛt kemotɛrapi." We wi yɛri di wɔd "chemo," bɔku tɛm wi kin pikchɔ wan tranga, penful ɛkspiriɛns. Bɔt if wi rili no bɔt dis tritmɛnt, da fred de kin ridyus bad bad wan. So tide, lɛ wi tɔk bɔt wetin rili bi kimotɛrapi fɔ bɔdi kansa, wetin mek dɛn kin du am, ɛn aw wi fɔ dil wit am.
Wetin na kemotɛrapi?
Fɔ tɔk am simpul wan, kemotɛrapi na pawaful kayn mɛrɛsin we dɛn kin gi fɔ kil kansa sɛl dɛn. Dɛn mɛrɛsin ya kin kil kansa sɛl dɛn na yu bɔdi, ɔ kansa sɛl dɛn we dɔn skata frɔm yu bɔdi to ɔda pat dɛn na yu bɔdi. Di wan dɛn we de mɛn kansa kin gi dis tritmɛnt bifo ɔ afta dɛn du ɔpreshɔn pan di bɔdi kansa.
Sɔntɛnde, na wan kayn kemotɛrapi mɛrɛsin nɔmɔ dɛn kin yuz, ɔda tɛm dɛn kin gi bɔku mɛrɛsin dɛn togɛda. Dɛn kin gi kemotɛrapi bak wit ɔda tritmɛnt dɛn.
Dis tritmɛnt kin mek pɔsin gɛt sayd ɛfɛkt. Bɔt nɔ wɔri bɔt dɛn. Yu dɔktɔ go gi yu di mɛrɛsin ɛn advays we yu nid fɔ kɔntrol dɛn bad bad tin dɛn de. Sɔm sayd ɛfɛkt kin de fɔ sɔm tɛm afta di tritmɛnt dɔn, ɛn yu dɔktɔ go tɛl yu bak bɔt dɛn.
Us kes dɛn kin yuz kemotɛrapi fɔ bɔdi kansa?
Dɛn kin yuz kemotɛrapi pan difrɛn tin dɛn ɛn fɔ difrɛn tin dɛn. Lɛ wi tek wan luk pan wetin dɛn bi.
| Di chans fɔ gi tritmɛnt | Di men gol fɔ tritmɛnt |
|---|---|
| Bifo dɛn du di ɔpreshɔn (Neoadjuvant Chemotherapy) . | We di tɔŋ smɔl, dat kin ɛp di dɔktɔ we de du di ɔpreshɔn fɔ pul am izi wan. Minimizing di rimobul di hεlty brεst tisu. I kin ɛp bak fɔ no bifo tɛm aw di mɛrɛsin dɛn we dɛn kin gi kin wok fɔ di kansa. |
| Afta dɛn dɔn du di ɔpreshɔn (Adjuvant Chemotherapy) . | Fɔ pwɛl di maykroskɔpik kansa sɛl dɛm we kin de na di bɔdi afta dɛn dɔn ɔpreshɔn, we kin mek di kansa nɔ kam bak. |
| Fɔ kansa we dɔn skata to ɔda pat dɛn na di bɔdi (Metastatic Breast Cancer) . | If di kansa dɔn pas pas di bɔdi to ɔda pat dɛn na di bɔdi, dɛn kin yuz kemotɛrapi as di men tritmɛnt fɔ kɔntrol am. |
| Fɔ sɔm patikyula kayn kansa dɛn |
|
Wetin na di kemotɛrapi mɛrɛsin dɛn we dɛn kin yuz mɔ?
Bɔku kayn kemotɛrapi mɛrɛsin dɛn de we dɛn kin yuz fɔ mɛn bɔdi kansa. Yu dɔktɔ go pik di mɛrɛsin we go fayn fɔ yu ɔ di kɔmbayn mɛrɛsin bay di kayn ɛn stej we yu gɛt kansa, ɛn yu wɛlbɔdi kɔndishɔn.
Sɔm pan di drɔgs klas dɛm we dɛn kin yuz mɔ na:
- Antrasayklin: fכ egzampl, dεn dεm lεk `dכksorubisin (Adriamycin®)` εn `εpirubisin (Ellence®)`.
- Taxanes: Drug dεm lεk `paclitaxel (Taxol®)` εn `docetaxel (Taxotere®)`.
- Ɔda mɛrɛsin dɛn: Drug dɛn lɛk `5-fluorouracil (5-FU®)`, `capecitabine (Xeloda®)`, `sayklofosfamid (Cytoxan®)` ɛn `carboplatin (Paraplatin®)`.
Apat frɔm dat, dɛn kin yuz ɔda mɛrɛsin dɛn lɛk gemcitabine (Gemzar®) ɛn vinorelbine (Navelbine®) bak fɔ mɛtastas brɔst kansa.
Di tin we impɔtant pas ɔl na dat na yu dɔktɔ we de mɛn yu kansa de disayd di mɛrɛsin we dɛn de gi yu. So nɔ jomp to kɔnklushɔn bɔt yu mɛrɛsin bay wetin yu rid na intanɛt ɔ wetin ɔda pipul dɛn se. Aks yu dɔktɔ ɔl yu kwɛstyɔn dɛn.
Wetin na di bad tin dɛn we kin apin we pɔsin de tek kimotɛrapi?
Di sayd ɛfɛkt dɛm we di kemotɛrapi kin gɛt kin difrɛn difrɛn wan bay di kayn mɛrɛsin we dɛn gi yu, di doz, ɛn di tɛm we dɛn tek di tritmɛnt. Bɔrku sayd ɛfɛkt kin go afta tritmɛnt dɔn, bɔt sɔm kin las fɔ sɔm wik ɔr mɔnt.
Mɔs kɔmɔn sayd ɛfɛkt dɛn
- Kemo bren fɔg: I nɔ kin izi fɔ mɛmba ɛn fil lɛk se yu nɔ ebul fɔ kɔnsɛntret. Dis kin las fɔ lɛk 6 to 12 mɔnt afta di tritmɛnt dɔn.
- Taya: Yu kin fil taya pasmak ɔl di tɛm we yu de trit yu ɛn fɔ 3-6 mɔnt afta dat.
- Nɔs ɛn vɔmit: Dis kin bigin we yu de trit yu ɛn i kin las fɔ 2-3 wik afta i dɔn. Bɔt naw, rili gud mɛrɛsin dɛn de fɔ kɔntrol am.
Ɔda sayd ɛfɛkt dɛn
- Prɔblɛm dɛn we de na di dijestiv sistɛm: Kɔnstipɛshɔn ɛn dayarɛa kin apin.
- Di chenj na di ia: Di ia kin lɔs we dɛn de trit am. Bɔku pipul dɛn kin gɛt dis, bɔt mɛmba se dis na fɔ shɔt tɛm nɔmɔ. I go gro bak afta di tritmɛnt dɔn. I kin gɛt difrɛn kɔlɔ ɔ tɛkstɔr pas aw i bin de bifo.
- Apɛtit: Yu apɛtit kin go dɔŋ we yu de trit yu. Dis go kam bak to nɔmal wans di tritmɛnt dɔn.
- Skin ɛn nel kin chenj: Di skin kin dray ɛn it. Nɛl kin brok ɛn brok izi wan.
- Pɛriferal nyuropathy: Dis kin mek yu an ɛn fut nɔ gɛt bɛtɛ trɛnk ɛn pen. Bɔku tɛm dis kin go afta dɛn dɔn dɔn di tritmɛnt.
Aw dɛn kin gi kemotɛrapi?
Dɛn kin gi kemotɛrapi difrɛn difrɛn we dɛn.
1. Oral: Na mɛrɛsin we dɛn kin tek wit mɔt we tan lɛk tablɛt ɔ kapsul.
2. Intravenous (IV): Fɔ gi di mɛrɛsin dairekt insay wan vein tru wan salin tiub.
Fɔ mek dɛn nɔ chuk di vein dɛn bɔku tɛm, sɔntɛnde dɔktɔ dɛn kin yuz spɛshal tin dɛn.
- Sɛntral Layn: Na lɔng, tin plastic tiub we dɛn kin put insay big vein na di nɛk, chɛst, ɔ an.
- PICC Layn: na tכb we dεn put tru wan vein na di an εn we de go to wan big vein nia di at.
- Chemo Port: Na smɔl tin we dɛn kin du ɔpreshɔn pan ɔnda di skin na di chɛst. Yu kin yuz am fɔ gi mɛrɛsin izi wan bay we yu put nidul insay.
Aw lɔng di tritmɛnt kin tek?
Dis go difrɛn difrɛn wan fɔ yu tritmɛnt plan. Bɔku tɛm, di kemotɛrapi fɔ bɔdi kansa kin las fɔ tri to siks mɔnt . Sɔntɛnde, i kin lɔng lɛk wan ia.
Dɛn kin gi di tritmɛnt insay "saykl" .
- Bɔku tɛm yu go nid fɔ gɛt bɔku tritmɛnt dɛn.
- Wan sɛshɔn kin gɛt fɔ du wit tu ɔ tri dez tritmɛnt.
- Dɛn tritmɛnt ya kin bi wan tɛm insay di wik, wan tɛm ɛvri tu wik, ɔ wan tɛm ɛvri tri to 4 wik.
- Afta ɛni sɛshɔn, dɛn kin gi yu bɔdi tɛm fɔ rɛst ɛn wɛl. Dɛn kɔl dis "rɛst tɛm."
Aw yu kin pripia bifo yu gɛt tritmɛnt?
Bifo yu bigin fɔ trit yu, yu dɔktɔ go no di doz fɔ di mɛrɛsin we yu nid, ɛn i go tink bɔt tin dɛn lɛk di kayn ɛn stej we yu gɛt kansa, di tin dɛn we yu dɔn tɛst, ɛn yu bɔdi mas indeks (BMI).
Dis na di bɛst tɛm fɔ aks yu dɔktɔ ɔl di kwɛstyɔn dɛn we yu gɛt. Aks dɛm klia wan bɔt di tritmɛnt, di sayd ɛfɛkt dɛm, ɛn wetin dɛn go du fɔ yu.
Bɔku tin dɛn de we yu kin du fɔ rɛdi fɔ yu tritmɛnt de dɛn:
- Aks pɔsin fɔ ɛp yu wit yu os wok fɔ wan ɔ tu dez afta yu dɔn gɛt tritmɛnt.
- Arenj fɔ mek pɔsin go wit yu fɔ go ɛn kam bak na di tritmɛnt.
- Pik fayn klos we nɔ gɛt bɛtɛ tin fɔ wɛr we yu de trit yu.
- Bring sɔntin we go ambɔg yu, lɛk buk ɔ ɛdsɛt fɔ lisin to myuzik.
- Drink ekstra wata di de bifo di tritmɛnt, bikɔs kemotɛrapi kin mek yu bɔdi nɔ gɛt wata.
Ustɛm fɔ go to yu dɔktɔ wantɛm wantɛm
Yu go si yu dɔktɔ ɔltɛm we yu de trit yu. Bɔt if yu gɛt ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
| Simptom dɛm wae nid fɔ pe atɛnshɔn kwik kwik wan | |
|---|---|
| Fiva | Di tɛmpracha na di bɔdi pas 100.4 Fɛnayt (38 Sɛlshiɔs). |
| Chɛst pen ɔ i nɔ kin izi fɔ blo | I kin pen na yu chɛst wantɛm wantɛm ɔ yu nɔ kin blo fayn. |
| Fɔ fil kol ɛn shek shek | Fɔ shek shek ɛn fil kol fɔ no rizin. |
| I nɔ kin no natin wantɛm wantɛm | Kɔnfyushɔn ɔ delirium wantɛm wantɛm. |
| Di ed we de at bad bad wan | Wan bad bad ed we de at wit nɛk we de stif. |
Mɛsej we dɛn kin kɛr go na os
- Kimotɛrapi na tritmɛnt we rili wok ɛn we bɔku pipul dɛn kin yuz fɔ mɛn bɔdi kansa. Nɔ fred am we yu nɔ nid fɔ fred.
- Dɛn kin yuz dis tritmɛnt pan difrɛn tin dɛn, lɛk bifo, afta dɛn du ɔpreshɔn, ɔ fɔ kansa we dɔn skata ɔlsay na di bɔdi.
- Na nɔmal tin fɔ gɛt sayd ɛfɛkt, bɔt yu mɛdikal tim kin ɛp yu fɔ kɔntrol ɛn manej dɛn.
- I rili impɔtant fɔ mek yu gɛt gud it , fɔ du layt ɛksɛsayz as yu ebul, ɛn fɔ mek yu gɛt gud maynd wɛlbɔdi ɔl di tɛm we yu de du di tritmɛnt.
- Tɔk to yu dɔktɔ opin wan bɔt ɛni kwɛstyɔn, fred, ɔ tin we de mɔna yu. Fɔ gɛt di rayt infɔmeshɔn na di bɛst we fɔ mek yu nɔ fred.
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