We wi yɛri di wɔd kansa, bɔku pan wi kin fred bad bad wan. Wi nɔr kin gɛt gud pikchɔ bak na wi maynd bɔt di tritmɛnt dɛm wae dɛn kin gi wi di sem tɛm, dat na, kemotɛrapi. Bɔt tide wi go tɔk bɔt wan mɛrɛsin we yu go gɛt fɔ yuz we yu de du dis kayn tritmɛnt, we simpul lɛk fɔ tɔk to yu padi. Di nem fɔ dis mɛrɛsin na Chlorambucil. If di dɔktɔ dɔn gi yu ɔ pɔsin we yu sabi dis mɛrɛsin, dis atikul go rili impɔtant fɔ yu.
Wetin rili na Klorambusil?
Fɔ tɔk am simpul wan, klorambusil na wan kayn kemotɛrapi mɛrɛsin we de kil kansa sɛl dɛn. Kansa sel dεm na wi bכdi na sεl dεm we de sheb εn gro kwik kwik wan we dεn nכ de kכntrכl. So wetin dis drɔg de du na fɔ slo da kwik growth de. I tan lɛk se yu put di brek pan motoka we de spid.
Dɛn kin yuz dis mɛrɛsin spɛshal wan fɔ trit sɔm kayn lukimiya (blɔd kansa) ɛn limfoma (kansa na di limf no dɛm). Yu kin fɛn am na famasi dɛn ɔnda di brand nem `Leukeran`.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin fɔ tek mɛrɛsin
Dis rili impɔtant. Bifo yu dɔktɔ gi yu dis mɛrɛsin, i nid fɔ gɛt kɔmplit pikchɔ bɔt yu sik. So, if yu gɛt ɛni wan pan di sik dɛn we de dɔŋ ya, mek shɔ se yu tɛl yu dɔktɔ.
- Hed trauma: If yu dɔn gɛt injury na yu ed i nɔ tu te yet ɔ yu dɔn gɛt injury bifo .
- Liva Sik: If ɛni prɔblɛm de wit di liva, dɛn fɔ tɔk bɔt am, bikɔs di liva de ple big pat fɔ pul dis mɛrɛsin na di bɔdi.
- Lɔw Blɔd Kɔnt: If di ripɔt dɛn we dɛn bin dɔn gɛt trade dɔn sho se yu gɛt smɔl wayt blɔd sɛl, rɛd blɔd sɛl, ɔ pletlɛt.
- Radiation Therapy: If yu jɔs dɔn du redyushɔn tɛrapi ɔ yu de du am naw.
- Epilepsy ɔ Seizures: If yu gɛt sik wae de mek yu nɔr de fil fayn.
- Alɛji: If yu gɛt alɛji nɔto jɔs to dis klorambusil mɛrɛsin, bɔt yu gɛt alɛji bak to ɔda kemotɛrapi drɔgs, ɛni ɔda mɛrɛsin, it, ɔ day.
- Bɛlɛ: Dis na sɔntin we yu fɔ mɛmba if yu gɛt bɛlɛ , yu de tray fɔ gɛt bɛlɛ , ɔ yu tink se yu gɛt bɛlɛ .
- Fɔ gi yu pikin in mama in bɛlɛ: If yu de gi yu pikin in bɛlɛ.
Fɔ tɔk to yu dɔktɔ we yu nɔ ayd dis infɔmeshɔn rili impɔtant fɔ yu sef ɛn fɔ mek yu tritmɛnt go bifo.
Aw ɛksaktɔli a kin yuz dis mɛrɛsin?
Di we aw fɔ yuz dis rili simpul, bɔt i rili impɔtant.
1. Tek wit wan glas wata: Swɛla di tablɛt ɔl wit wan glas wata.
2. Tek di mɛrɛsin lɛk aw dɛn tɛl yu fɔ tek am: Tek di mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek am, jɔs lɛk aw dɛn tɛl yu fɔ tek am. If na wan tɛm insay di de, tray fɔ tek am di sem tɛm ɛvride.
3. Nɔ tek bɔku: Nɔ drink pas di doz we dɛn tɛl yu fɔ drink.
4. Nɔ stɔp: Nɔ ɛva stɔp fɔ tek yu mɛrɛsin if yu nɔ go to yu dɔktɔ fɔs. Ivin if yu nɔ fil fayn, na yu dɔktɔ nɔmɔ go disayd if yu fɔ stɔp di tritmɛnt ɔ nɔ fɔ stɔp.
If dɛn gi pikin dɛn: Dɛn nid spɛshal kia we dɛn de gi dis mɛrɛsin to pikin dɛn. Tɔk to yu dɔktɔ we de mɛn pikin dɛn bɔt dis.
If yu tek bɔku mɛrɛsin (Overdose):
If yu tink se yu dɔn tek mɔ mɛrɛsin pas aw yu tink, nɔ west ɛni tɛm . Wantɛm wantɛm kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital . Ɔ go na di ɔspitul we de nia yu in Imejɛnsi Tritmɛnt Yunit (ETU) kwik kwik wan.
Dis mɛrɛsin na fɔ yu nɔmɔ: Dɛn dɔn gi dis mɛrɛsin fɔ yu nɔmɔ. Nɔ gi am to ɔda pɔsin, ilɛksɛf di sayn dɛn we yu gɛt na di sem wit yu yon.
Wetin fɔ du if yu mis wan doz fɔ mɛrɛsin?
Sɔntɛnde, wi kin fɔgɛt fɔ tek wi mɛrɛsin. If dat apin, tek di doz we yu mis jɔs lɛk aw yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek di nɛks doz, skip di doz we yu mis ɛn tek di nɛks doz di tɛm we yu dɔn sɛtul. Nɔ tek tu doz mɛrɛsin wan tɛm fɔ ɛni rizin.
Ɔda tin dɛm wae kin miks wit dis mɛrɛsin
Sɔm mɛrɛsin dɛn kin miks wit klorambusil. So, tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (mɛrɛsin fɔ ɔda sik, pen kil, vaytamɛn, Ayurvedic/Sinhala mɛrɛsin, tradishɔnal mɛrɛsin).
- Nɔ tek di mɛrɛsin `Nalidixic acid` wit dis.
- Layf Vaysin: Yu fɔ avɔyd fɔ gɛt layf vaysin (lɛk mizɛl, mɔmp) we yu de tek dis mɛrɛsin. Bifo yu gɛt ɛni vaysin, tɛl yu dɔktɔ se yu de tek klorambusil.
Tin dɛn we yu fɔ mɛmba we yu de tek mɛrɛsin
We yu de du kemotɛrapi, yu fɔ tink smɔl mɔ bɔt yu bɔdi.
- Di imyuniti we dɔn go dɔŋ:Dis mɛrɛsin kin ridyus di nɔmba fɔ di wayt blɔd sɛl dɛn na yu bɔdi we de fɛt sik. Dis min se yu kin gɛt infɛkshɔn izi wan. So, nɔr de fa frɔm pipul dɛm wae gɛt sɔm kayn sik lɛk fiva, kol, kɔf, ɛn trot wae de at. If yu gɛt dɛn kayn sayn ya, nɔr de mɛn yusɛf ɛn tɛl yu dɔktɔ wantɛm wantɛm.
- Blɔd ɛn brus: Dis mɛrɛsin kin ridyus di nɔmba fɔ di pletlɛt dɛn bak, we kin ɛp fɔ mek blɔd klɔt. So, ivin smɔl injuri kin mek big big brus, blɔd kɔmɔt na di gam, ɛn blɔd na in nos. If yu notis ɛni blɔd we nɔ kɔmɔn, tɛl yu dɔktɔ .
- Blɔd tɛst: Yu dɔktɔ go gi yu blɔd tɛst ɔltɛm. Dis na aw i de wach aw yu blɔd de. Nɔ skip dɛn tɛst ya.
- Risk fɔ ɔda kansa: Na smɔl tɛm nɔmɔ, smɔl risk de fɔ gɛt ɔda kayn kansa we yu yuz dis mɛrɛsin fɔ lɔng tɛm. Nɔ wɔri bɔt dis. Yu dɔktɔ go wej di prɔblɛm ɛn bɛnifit dɛn bifo i gi yu dis tritmɛnt. If yu gɛt ɛnitin fɔ wɔri bɔt dis, tɔk to yu dɔktɔ.
Wetin yu nid fɔ no spɛshal wan bɔt bɛlɛ ɛn fɔ bɔn pikin
Dis na tin we rili impɔtant ɛn we impɔtant.
- Nɔ gɛt bɛlɛ: Nɔ gɛt bɛlɛ atɔl we yu de tek dis mɛrɛsin. Dɔn bak, man dɛn fɔ mek dɛn patna nɔ gɛt bɛlɛ. Dis mɛrɛsin kin rili ambɔg di pikin we de na in bɛlɛ.
- di ifekt pan fεtiliti: Dis mεdikeshכn kin mek uman dεn ovarian fεil εn di sεl dεm we man dεn kin dכn. Fɔ tɔk am simpul wan, i kin afɛkt di we aw pɔsin kin ebul fɔ bɔn pikin.
So, if yu gɛt plan fɔ bɔn pikin tumara bambay, tɔk opin wan bɔt am wit yu dɔktɔ bifo yu bigin fɔ trit yu . I go tɛl yu bɔt ɔda we dɛn fɔ du dat.
Us sayd ɛfɛkt dɛn we a go gɛt?
Lɛk ɛni mɛrɛsin, klorambusil kin gɛt sayd ɛfɛkt. Nɔto ɔlman kin gɛt dɛn, bɔt i impɔtant fɔ no bɔt dɛn.
| Tayp fɔ di sayd ɛfɛkt | Sayn dɛn |
|---|---|
| Sayd ɛfɛkt dɛm we yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm | |
| Alɛji Riakshɔn dɛn | Skin rash, it, swel na yu fes, lip ɔ tong, i nɔ izi fɔ blo. |
| Di sayn dɛn we de sho se di blɔd sɛl dɛn nɔ bɔku | Di sayn dɛm fɔ infekshɔn: fiva, kol, kɔf, trot we de at. Sayn dɛm fɔ blɔd: yu de brus we nɔ kɔmɔn, smɔl smɔl rɛd spat na yu skin, blɔd na yu urine, blak stɔl. Di sayn dɛm fɔ anemia: yu taya pasmak, yu kin gɛt paleness, yu kin fɔdɔm. |
| Simptom dɛm fɔ Liva Injury | di yay ɔ di skin we de yɔlɔ, di urine we de dak yɔlɔ/brawn, pen na di ɔp rayt say na di bɛlɛ, we yu nɔ de want fɔ it, yu nɔ de fil fayn. |
| Prɔblɛm dɛn we de na di nervɔs sistɛm | Siz, kɔnfyushɔn, shek shek, swɛt ɔ pen na di an ɛn fut. |
| Prɔblɛm dɛn we de na di skin | Skin de rεd, blista, pεl (ivin insay di mכt). |
| Ɔda | We uman dɛn kin stɔp fɔ gɛt mɔnt, i nɔ kin izi fɔ blo. |
| Sayd ɛfɛkt dɛm we dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu ɔ de mɔna am | |
| Prɔblɛm dɛn we de na di dijestiv sistɛm | Nɔs, vɔmit, dayarɛa. |
| Sɔl dɛn na Mɔt | Sɔl dɛn we de mek yu fil pen na yu mɔt ɔ yu lip. |
Aw a fɔ kip di mɛrɛsin?
Dis na tin bak we rili impɔtant. Fɔ mek di mɛrɛsin kɔntinyu fɔ gɛt di kwaliti, dɛn fɔ kip am fayn fayn wan.
- Stɔr dɛn na frij: Stɔr dɛn tablɛt ya na di tɛmpracha bitwin 2 ɛn 8 digri sɛlshiɔs (2-8 °C), lɛk na frij domɔt .
- Kip fa frɔm pikin dɛn: Kip am usay pikin dɛn nɔ go ebul fɔ rich.
- Protɛkt: Protɛkt frɔm mɔs ɛn layt.
- Afta i dɔn fɔ yuz am: Trowe ɛni mɛrɛsin we dɔn pas di de we i fɔ dɔn.
Kansa tritmɛnt na wan joyn. Sɔntɛnde, da waka de kin tranga. Bɔt nɔto yu wangren de. Yu dɔktɔ, di wan dɛn we de wok na di nɔs, ɛn yu famili de wit yu. Tɔk to dɛn bɔt ɛni kwɛstyɔn, fred, ɔ tin we de mɔna yu.
Mɛsej we dɛn kin kɛr go na os
- Chlorambucil na pawaful mɛrɛsin fɔ mɛn kansa we dɛn fɔ yuz nɔmɔ ɔnda dɔktɔ in advays.
- Nɔ ɛva bigin, stɔp, ɔ chenj di doz fɔ di mɛrɛsin we yu nɔ gɛt dɔktɔ advays.
- If yu notis sayn dɛm fɔ infekshɔn ɔ blɔd, lɛk fiva, kol, blɔd ɔ brus we nɔ kɔmɔn, tɛl yu dɔktɔ wantɛm wantɛm.
- If yu gɛt bɛlɛ, yu de plan fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ, tɔk to yu dɔktɔ bifo yu bigin di tritmɛnt.
- Gi yu dɔktɔ wan kɔmplit list fɔ ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn ɛn ɛbul prɔdak dɛm).
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