Wi no aw i nɔ izi fɔ fɛt kansa. Sɔntɛnde, di tritmɛnt dɛn we yu kin gɛt lɛk kemotɛrapi ɛn redyushɔn kin mek yu gɛt ɔda prɔblɛm dɛn wit yu wɛlbɔdi. Yu dɔn ɛva tink se di tritmɛnt fɔ kansa kin afɛkt yu at? Na dat wi kin kɔl di mɛrɛsin we dɛn kɔl Cardiotoxicity . Nɔ fred we yu yɛri dis nem. Dis nɔto sɔntin we kin apin to ɔlman. Bɔt i rili impɔtant fɔ no bɔt dis. So tide wi go tɔk bɔt dis rili simpul wan, insay wan we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na Cardiotoxicity?
Cardiotoxicity na di damej we sɔm kansa tritmɛnt ɔ drɔgs kin kam wit wi at. Tink bɔt di mɛrɛsin we de kil kansa sɛl dɛn as wan rili pawaful wɔriɔ. We dis wɔriɔ de fɛt di kansa sɛl dɛn, sɔntɛnde di wɛlbɔdi sɛl dɛn na wi at we de nia wi kin pwɛl smɔl bak. Na dat na di kadyotoksisiti.
Di men tin we kin apin na dat di at kin gɛt prɔblɛm fɔ pɔmp blɔd ɔlsay na di bɔdi. Di at mɔsul kin wik. Sɔntɛnde, dis kin ivin mek pɔsin gɛt wan sik we dɛn kɔl Cardiomyopathy . dis min se di hat mכsul in ebul fכ pכmp blכd de rεdכks bכku bכku wan.
Wan spɛshal tin bɔt dis sik na dat, sɔmtɛm i kin apin sɔm ia afta dɛn dɔn dɔn fɔ gɛt kansa tritmɛnt. Dis risk kin pasmak pan big pipul dɛm wae dɔn gɛt kansa tritmɛnt wae dɛn bin smɔl.
Udat dɛn de pan denja pas ɔlman?
Pan ɔl we ɛnibɔdi we dɔn gɛt kansa gɛt chans fɔ gɛt dis sik, nɔto ɔlman kin gɛt dis sik. Bɔt sɔm pipul dɛn kin gɛt prɔblɛm smɔl.
- Pipul dɛn we de tek sɔm mɛrɛsin dɛn: Sɔm kemotɛrapi drɔgs ɛn ɔda tritmɛnt dɛn kin afɛkt di at. Wi go tok abaut dat in a bit.
- Pipul wae dɔn gɛt redyushɔn tɛrapi to di chɛst eria: We dɛn gi redyushɔn tɛrapi fɔ chɛst kansa, fɔ ɛgzampul, brɔst kansa, di raytin kin afɛkt di at bak to sɔm mak.
- Di wan dɛm wae bin gɛt kansa tritmɛnt wae dɛn bin yɔŋ: Dis risk kin bɔrku smɔl fɔ big pipul dɛm wae bin gɛt tritmɛnt wae dɛn bin yɔŋ.
Sɔm stɔdi dɔn sho se te to 20% pan di big pipul dɛm wae de gɛt kansa tritmɛnt kin gɛt sɔm kayn at sik, ɛn bitwin 7% ɛn 10% pan dɛn kin gɛt kadiomayopathy ɔr at pwɛl.
Us ifɛkt dɛn we di at kin gɛt pan di at?
Dis sik kin mek yu gɛt difrɛn kayn at prɔblɛm. Nɔr ɔl dɛn tin ya kin apin to ɔlman, bɔt i impɔtant fɔ no bɔt de tin wae kin mek yu gɛt dis sik. Si di tebul we de dɔŋ ya.
| Posisibul at kɔndishɔn | Fɔ tɔk am simpul wan... |
|---|---|
| Di sik we dɛn kɔl Cardiomyopathy | Di at mɔsul kin wik ɛn i nɔ kin ebul fɔ pɔmp blɔd fayn fayn wan. |
| Hat Atak / Mayokardial Infarkshɔn | Blɔk we wan vein we de gi blɔd to di at. |
| At we nɔ de wok fayn | Di at wik ɛn i nɔ ebul fɔ pɔmp blɔd fɔ mit di bɔdi in nid. |
| At we nɔ de bit ɔltɛm (Aritmia) . | Wan at bit we nɔ kɔmɔn, we de bit, ɔ we nɔ de bit ɔltɛm. |
| Di sik we de mek pɔsin gɛt at valv | di valv dεm we de wok lεk get insay di at nכ de wok fayn. |
| Ay/Lɔw Blɔd Prɛshɔn | Yu blɔd prɛshɔn nɔ de ɔp ɔ smɔl. |
| Fluid we de bɔku rawnd di at | di wata we de kכmכt na di tכn mεmbran we de kכba di at, we de mek di at prεshכn. |
Us sayn dɛn yu go gɛt?
Di hat simptom dɛm wae gɛt fɔ du wit cardiotoxicity kin apin wan wan ɔr kin kam smɔl smɔl. If yu de du ɔr yu jɔs dɔn fɔ gɛt kansa tritmɛnt, i impɔtant fɔ no bɔt dɛn sik ya.
Mɛmba se ɔda tin dɛn kin kam wit dɛn sik ya, bɔt if yu gɛt wan ɔ mɔ pan dɛn tin ya, yu fɔ tɔk to yu dɔktɔ.
| Di sayn we de sho se di sik de | Yu kin fil dis kayn we. |
|---|---|
| I nɔ izi fɔ blo (Dyspnea) . | A kin fil shɔt fɔ blo ɛn a kin swɛt we a waka smɔl, klaym wan stej, ɔ ivin jɔs tinap wansay. |
| Chest pen ɔ diskɔmfɔt | I kin tan lɛk se dɛn de swɛt yu chɛst, swɛt, ɔ jɔs de fil pen. |
| Leg we de swel (Edima) . | di say dεm lεk di leg dεm, di ankכl dεm, εn di fut dεm kin swεla εn kin throb we dεn prεs am wit finga. |
| Di we aw pɔsin de blo | I kin fil lɛk se yu at de bit ɛn bit fast, ɔ lɛk se i de skip wan bit. |
| Diziz ɛn fɔdɔm | Fɔ spin ɛn fɔ spin . Fɔ spin ɛn fɔ spin . |
| Distɛnshɔn na di bɛlɛ | di bכdi εria de sho se i swεla εn i big biכs fכ di wata we de kכmכt na di bכdi. |
Wetin na di men tin dɛm wae kin mek pɔrsin gɛt cardiotoxicity?
Pan ɔl we bɔku bɔku kayn tritmɛnt dɛn de fɔ mɛn kansa, sɔm men kayn tritmɛnt dɛn de we kin mek pɔsin gɛt dis sik mɔ.
1. Sɔm kemotɛrapi mɛrɛsin dɛn
Antrasayklin na wan klas ɔf kemotɛrapi drɔgs we pipul dɛn sabi mɔ fɔ dis. Wan ɛgzampul na Dɔksorubisin (Adriamycin®) . Bɔku tɛm dɛn kin yuz dɛn tin ya fɔ mɛn kansa lɛk lukimiya, limfoma, bɔdi kansa, ɛn mɔltipɛl mayloma.
2. Targeted Tɛrapi Drugs
Trastuzumab (Herceptin®) na ɛgzampul fɔ dis kayn mɛrɛsin. Dɛn kin yuz am fɔ mɛn bɔdi kansa ɛn bɛlɛ kansa. Risk de fɔ mek yu gɛt kadiomayopathy, mɔ we dɛn gi dis mɛrɛsin wit wan antrasayklin.
3. Radieshɔn tɛrapi to di chɛst eria
We dɛn gi di raytin to di chɛst fɔ wan kansa, lɛk bɔdi kansa ɔ Hodgkin’s Lymphoma, di raytin kin travul tru di at. As tɛm de go, dis kin pwɛl di blɔd vesel ɛn mɔsul dɛn na di at.
Aw dɔktɔ dɛn kin no bɔt dis sik?
If yu gɛt di sayn dɛm we wi dɔn tɔk bɔt, ɔ if yu de na grup we gɛt bɔku prɔblɛm, yu dɔktɔ go mɔs tɛl yu fɔ du tɛst fɔ no aw yu at de wok. di men tεst na fכ chεk di at in pכmp abiliti. Dɛn kin du dis bay we dɛn de yuz wan mɛzhɔmɛnt we dɛn kɔl di Left Ventricular Ejection Fraction (LVEF) . Fɔ tɔk am simpul wan, dis na di pasɛnt blɔd we di at de pɔmp kɔmɔt na di bɔdi ɛvri tɛm we i de bit.
Dis dɔŋ ya na sɔm tɛst dɛn we dɛn kin yuz fɔ no dɛn tin ya.
| Tɛst | Wetin yu de du wit dis? |
|---|---|
| Ikokardiogram (Echo) . | Dis na di wan we dɛn kin yuz mɔ. כltra saund wev dεm (lεk di skan dεm we wi kin gεt fכ si bebi dεm) fכ luk di at in bit, saiz, shep, εn aw i de pכmp bכdi. |
| MRI we de na di at | Yuz magnet ɛn redio wev dɛnI kin tek pikchɔ dɛn we rili klia ɛn we gɛt ditayli bɔt di at. Dɛn kin tek dis as di bɛst we fɔ no if pɔsin gɛt di at. |
| Tɛst fɔ Strɛs fɔ di Kadyak | Dɛn kin mɛzhɔ aw yu at kin du ɛksɛsayz bay we dɛn kin mek yu waka pan tredmil ɔ rayd baysikul. |
| Maltigɛt Akwishɔn (MUGA) Skan | di LVEF valyu dεn kin mכsu bay we dεn injεkt sכm sכm rεdioaktiv sכbstans we nכ de du bad to di bכdi εn yuz kεmεra fכ wach am de travul tru di at wit di bכdi. |
| Kadyak CT Skan we dɛn kin du | Dɛn kin mek wan 3D pikchɔ fɔ di at bay we dɛn yuz bɔku ɛkstrem rayt dɛn. Dis kin rili yusful fɔ pipul dɛm wae dɔn gɛt redyushɔn tɛrapi. |
Aw dɛn kin trit dis sik?
Di we aw dɛn kin trit yu, kin dipen pan aw yu at pwɛl ɛn di tin we kin mek yu gɛt am.
- Chenj di mɛrɛsin: If dɛn kɔnfyus se di kansa tritmɛnt we yu de tek naw de afɛkt yu at, yu dɔktɔ kin disayd fɔ stɔp di mɛrɛsin, ridyus di doz, ɔ chenj yu to ɔda mɛrɛsin.
- At mɛrɛsin: Yu dɔktɔ kin gi yu nyu mɛrɛsin fɔ ɛp fɔ mek yu at wok fayn ɛn fɔ kɔntrol di sayn dɛm. Fɔ ɛgzampul:
- ACE Inhibitors: Dɛn tin ya de mek di blɔd vesel dɛn big ɛn mek di blɔd flɔ fayn.
- Beta-blockers: Dɛn wan ya kin kɔntrol di at rit ɛn ridyus di prɛshɔn pan di at.
- Diuretics: Dɛn kin ɛp fɔ pul di wata we pasmak na di bɔdi tru di urine, we kin mek yu nɔ swel.
- Digoxin: I de rigul di at rit ɛn mek di at pɔmp blɔd fayn fayn wan.
Yu tink se dɛn go ebul fɔ mɛn dis sik kpatakpata?
Dis na kwɛstyɔn we bɔku pipul dɛn gɛt. Di ansa na, "Sɔntɛnde yu kin ebul, sɔntɛnde yu nɔ kin ebul."
- Bɔku tɛm, di kadyotoksisiti we kin kam wit drɔgs lɛk Trastuzumab (Herceptin®) kin chenj . Dis min se di at kin wok bak to nɔmal wans dɛn dɔn stɔp di tritmɛnt ɔr dɔn bigin fɔ tek ɔda mɛrɛsin.
- Antrasayklin ɔ Rɛdieshɔn TɛrapiBɔku tɛm di damej we dɛn kin gɛt nɔ kin chenj . If na so i bi, yu go nid fɔ tek mɛrɛsin we go ɛp yu at ɛn chenj yu layf fɔ di res ɔf yu layf.
Wetin dɛn kin du fɔ ridyus di prɔblɛm?
Fɔ bi ɔnɛs, no we nɔ de fɔ 100% fɔ mek dɛn nɔ gɛt di sik we dɛn kɔl cardiotoxicity. Na bikɔs da tritmɛnt de impɔtant fɔ mɛn kansa. Bɔt di impɔtant tin we yu go du na fɔ no dis sik kwik kwik wan.
- Tɔk to yu dɔktɔ: Bifo yu bigin fɔ trit kansa, tɔk to yu dɔktɔ opin wan bɔt di bɛnifit dɛn we di tritmɛnt go gi, ɛn bak di bad tin dɛn we kin apin to yu, lɛk di tin dɛn we kin apin to yu at.
- Chek-ap ɔltɛm: We yu de trit kansa ɛn afta yu dɔn du am, mek dɛn chɛk yu at ɔltɛm (e.g., ɛko skan) lɛk aw yu dɔktɔ tɛl yu. Dis go ɛp fɔ no ɛni prɔblɛm kwik ɛn bigin fɔ trit am.
Ustɛm fɔ go to dɔktɔ wantɛm wantɛm!
If yu de gɛt ɔ yu dɔn gɛt kansa tritmɛnt, ɛn yu gɛt ɛni wan pan dɛn bad bad sayn ya, go to di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- Wan at we de kɔntinyu fɔ rit ɔ we de go ɔp.
- Diziz, yu nɔ de si fayn, ɔ yu de fɔdɔm.
- Wantɛm we yu nɔ de blo fayn ɔ yu de fil pen na yu chɛst.
- Di lip ɔ trot we de swel.
- Di swel we nɔ kɔmɔn na di leg ɔ fut.
- di wet we yu de gεt pas 1.5 kg (3 paund) insay wan wik.
Dɛn sayn ya kin bi sayn fɔ se yu gɛt siriɔs at atak, so nɔr de delay.
Mɛsej we dɛn kin kɛr go na os
- Cardiotoxicity na damej pan di at we kin kam wit kansa tritmɛnt. Dis nɔr kin apin to ɔlman, bɔt de risk de.
- Ɔltɛm yu fɔ no bɔt sɔm sayn dɛm lɛk wae yu nɔr kin ebul fɔ blo fayn, yu chɛst kin pen, ɛn yu leg kin swel.
- Bifo yu bigin fɔ trit kansa, tɔk to yu dɔktɔ bɔt di gud ɛn bad tin dɛn ɛn di tin dɛn we kin apin to yu at.
- I rili impɔtant fɔ mek yu du yu at tɛst ɔltɛm (lɛk ɛko) lɛk aw yu dɔktɔ tɛl yu, we yu de du tritmɛnt ɛn afta yu dɔn trit yu.
- Di mɔ we dɛn no di prɔblɛm kwik kwik wan, na di mɔ dɛn go ebul fɔ trit am fayn fayn wan. Nɔ panik, mek dɛn no bɔt yu, ɛn wok togɛda wit yu dɔktɔ.
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