Yu ɔ sɔmbɔdi na yu famili gɛt Multiple Sclerosis (MS)? If na so, yu dɔktɔ go dɔn advays yu fɔ bigin tek wan pil we dɛn kɔl Kladribin. We yu yɛri dis nem, yu go gɛt bɔku kwɛstyɔn dɛn. "Us kayn mɛrɛsin dis?", "Wetin go apin to am?", "Ɛni sayd ɛfɛkt de?" Sɔntɛm yu go de wɔnda. Nɔ fred am atɔl. Insay dis atikul tide, wi go tɔk bɔt dɛn Cladribine pils ya insay wan rili simpul ɛn klia we, lɛk padi to yu.
Fɔ tɔk am simpul wan, wetin na Kladribin?
Kladribin na wan pil we dɛn kin yuz fɔ mɛn wan sik we dɛn kɔl multiple sclerosis (MS) . Bɔt nɔto ɔltɛm dɛn kin gi am to ɔlman we gɛt MS. Bɔku tɛm, dɔktɔ dɛn kin gi dɛn dis mɛrɛsin we ɔda tritmɛnt dɛn nɔ dɔn wok ɔ we i nɔ kin izi fɔ lɛ dɛn tek am.
So aw dis mɛrɛsin de wok? Tink bɔt am, wi bɔdi gɛt difɛns sistɛm, wi kɔl am di imyun sistɛm . I wok na fɔ fɛt fɔrina jem ɛn protɛkt wi frɔm sik. bכt insay sik dεm lεk MS, dis imyun sistεm kin bi sכmtεm tu aktif (overactive) εn bigin fכ atak di bכdi in כwn gud sεl dεm. Wetin di Cladribine pils de du na fɔ slo di ɔvaaktiv imyun sistɛm smɔl ɛn mek i kol.
Wetin na di bɛnifit dɛn we dis kin gɛt?
- I de stɔp ɔ delay fɔ mek di sayn dɛn we de sho se di sik wɔs.
- Ridyus di nɔmba fɔ di flawa-ap dɛn.
Dɛn kin si dis mɛrɛsin mɔ na Sri Lanka ɛn ɔlsay na di wɔl ɔnda di brand nem MAVENCLAD .
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin dis mɛrɛsin:
Dis na pat we rili impɔtant. Kladribin na wan mɛrɛsin we rili pawaful. So, i impɔtant fɔ mek yu dɔktɔ no bɔt ɛni ɔda wɛlbɔdi prɔblɛm we yu go gɛt. Si di tebul we de dɔŋ ya. If yu gɛt ɛni wan pan dɛn sik ya, mek shɔ se yu tɛl yu dɔktɔ bifo yu bigin fɔ tek di mɛrɛsin.
| Yu wɛlbɔdi kɔndishɔn | Wetin mek yu fɔ tɛl di dɔktɔ? (Simply) |
|---|---|
| If yu dɔn gɛt kansa ɔ yu gɛt kansa naw | Bikɔs dis mɛrɛsin de afɛkt di imyun sistɛm, dɛn fɔ tek tɛm tek spɛshal tɛm bɔt di risk fɔ gɛt kansa. |
| At we nɔ de wok fayn ɔ ɔda tin dɛn we gɛt prɔblɛm wit in at | Fɔ sɔm pipul dɛm, dis mɛrɛsin kin afɛkt aw dɛn at de wok. |
| HIV ɔ AIDS kɔndishɔn dɛn | Kladribin nɔ fayn fɔ yuz pan pasɛnt dɛn we dɔn ɔlrɛdi wik dɛn imyun sistɛm bikɔs ɔf dɛn sik ya. |
| Infεkshכn dεm we de naw (e.g. TB (TB), fεnshכn, baktriyal כ vayral infεkshכn dεm) . | Bikɔs Kladribin de stɔp di imyun sistɛm, wan infɛkshɔn we dɔn ɔlrɛdi de na di bɔdi kin rili bad. |
| Kidni ɔ liva sik | Bikɔs dɛn ɔgan ya de involv fɔ pul di mɛrɛsin na di bɔdi, di sik we dɛn gɛt kin chenj di we aw di mɛrɛsin de wok. |
| If yu jɔs gɛt di vaysin ɔ yu dɔn arenj fɔ gɛt wan tumara bambay | I denja mɔ fɔ tek layf vayrɔs vaysin wit dis mɛrɛsin. |
| Alɛji to Cladribine ɔ ɔda mɛrɛsin, it, ɔ day | Dis impɔtant fɔ no bifo tɛm if yu kin gɛt alɛji. |
| If yu ɔ yu patna de tray fɔ gɛt bɛlɛ ɔ yu dɔn ɔlrɛdi gɛt bɛlɛ | Dis mɛrɛsin kin mek di pikin we de na di bɛlɛ bad bad wan. Dis rili impɔtant. |
| If yu de gi yu pikin in bɛlɛ (Breastfeeding) . | Di mɛrɛsin kin pas tru di mama in milk ɛn i kin ambɔg di pikin. |
Aw ɛksaktɔli yu kin yuz dɛn pils ya?
Di tin we impɔtant pas ɔl na fɔ fala wetin di dɔktɔ tɛl yu fɔ du. Bɔt lɛ wi no aw fɔ yuz dis mɛrɛsin in jɔnaral.
- Dis pil fɔ tek yu mɔt wit wan glas wata.
- Tray fɔ tek am di sem tɛm ɛvride.
- Di tin we impɔtant pas ɔl: Nɔ brok, krɔs, ɔ chew di tablɛt. Swɛla di wan ol tablɛt wan tɛm.
- Yu kin tek am bifo ɔ afta yu it, bɔt if yu bɛlɛ at, i bɛtɛ fɔ tek am wit it.
- Tek di mɛrɛsin lɛk aw dɛn tɛl yu fɔ tek am te di dɔktɔ tɛl yu fɔ stɔp.
Di ‘Saykul’ fɔ tek mɛrɛsin
Dis mɛrɛsin nɔto sɔntin we yu kin tek ɔltɛm. Dɛn kin tek am insay ‘saykl’. Fɔ tɔk am simpul wan, sɔm de dɛn de we yu kin tek di mɛrɛsin ɛn sɔm de dɛn de we yu nɔ kin tek am. I rili impɔtant fɔ fala dis schedule di rayt we. Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we. If yu nɔ ɔndastand sɔntin, aks yu dɔktɔ fɔ mek i klarify. If yu tek mɔ pas di mɔni we yu tɛl yu fɔ tek, dat kin mek yu gɛt siriɔs sayd ɛfɛkt.
Impɔtant: If yu de tek ɔda mɛrɛsin, nɔ tek dɛn di sem tɛm wit Kladribin. Aks yu dɔktɔ ɔmɔs awa afta yu tek Cladribine yu fɔ tek ɔda mɛrɛsin.
Tek tɛm we yu de ol di mɛrɛsin.
Fɔ tek tɛm wit dis mɛrɛsin bak. Was yu an fayn fayn wan wit sop ɛn wata bifo yu ol di pil ɛn afta yu dɔn ol am. Yu dɔktɔ go gi yu patikyula instrɔkshɔn bɔt dis.
Ovadosage
If yu tink wantɛm wantɛm se yu dɔn tek dis mɛrɛsin tumɔs, nɔ de te. Wantɛm wantɛm, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital , ɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu.
Wetin fɔ du if yu mis wan doz fɔ mɛrɛsin?
If yu mis wan doz, tek am jɔs afta yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek yu nɛks doz, skip di doz we yu mis ɛn tek yu nɛks doz di tɛm we yu dɔn sɛtul. Nɔ ɛva tek dɛbul doz fɔ mek di doz we yu mis.
Us ɔda mɛrɛsin dɛn kin miks wit Cladribine?
If yu tek sɔm ɔda mɛrɛsin dɛn wit Kladribin, dat kin mek yu denja.
Nɔ tek dɛn tin ya wit Kladribin:
- Layf vayrɔs vaysin: Vaysin lɛk mizɛl, mɔmp, rubɛla (MMR), ɛn ɔral polio de insay dis kategori. Bikɔs di imyun sistɛm kin wik we yu gɛt dɛn vaysin ya, yu kin stil gɛt di sik if yu gɛt wan.
Cladribine kin intarakt bak wit dɛn mɛrɛsin ya:
- Sɔm antivayrɔs drɔgs we dɛn kin gi fɔ HIV ɔ Epatitis.
- כda mεdikeshכn dεm we de sכpres di imyun sistεm (e.g., antikansa dεm, drog dεm we de mek dεn nכ rijek di כgan dεm we dεn transplant).
Di tin we impɔtant pas ɔl na fɔ gi yu dɔktɔ wan kɔmplit list fɔ ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn, Ayurveda ɔ ɛbul mɛrɛsin, ɛn pen kil). Dɔn i kin mek di tritmɛnt plan we sef fɔ yu.
Tin dɛn we yu fɔ tek tɛm wit mɔ we yu de tek mɛrɛsin
Yu nid fɔ pe atɛnshɔn smɔl mɔ to yu bɔdi we yu de tek dis mɛrɛsin.
- Fɔ chɛk yu dɔktɔ ɔltɛm: Yu dɔktɔ go nid fɔ si yu ɔltɛm. Dɔn bak, yu go nid fɔ du blɔd tɛst ɔltɛm fɔ chɛk yu blɔd sɛl dɛn (espɛshali di limfosayt dɛn) we yu de tek dis mɛrɛsin.
- Risk fɔ gɛt infɛkshɔn: As wi bin dɔn tɔk, we yu tek dis mɛrɛsin, yu bɔdi in ebul fɔ fɛt sik (immunity) de go dɔŋ smɔl. So, yu kin gɛt infɛkshɔn izi wan. If yu gɛt sɔm sayn dɛn lɛk fiva, kol, trot we de at, kɔf, ɔ kol, nɔr de mɛn yusɛf ɛn kɔl yu dɔktɔ wantɛm wantɛm. I fayn bak fɔ lɛ wi nɔ de nia say dɛn usay sik pipul dɛn kin de wit dɛn as mɔ as yu ebul.
- Risk fɔ gɛt kansa: Stɔdi dɔn sho se if yu tek dis mɛrɛsin, i kin mek yu gɛt sɔm kayn kansa smɔl. Nɔr frayd fɔ dis, bɔt tɔk bɔt dis risk wit yu dɔktɔ.
- Bεlε εn we yu de gi pikin bεlε (i rili impɔtant):
- Fɔ uman dɛn: Nɔ tek dis mɛrɛsin if yu de plan fɔ gɛt bɛlɛ, yu gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ. Yu fɔ tek bɛlɛ tɛst bifo yu bigin dis mɛrɛsin fɔ mek shɔ se yu nɔ gɛt bɛlɛ. Yu fɔ yuz wan we we rili wok fɔ mek yu nɔ bɔn pikin we yu de tek di mɛrɛsin ɛn fɔ 6 mɔnt afta yu tek di las pil .
- Fɔ man: If yu patna ebul fɔ gɛt bɛlɛ, yu fɔ yuz kɔndɔm we yu de du mami ɛn dadi biznɛs we yu de tek dis mɛrɛsin ɛn fɔ 6 mɔnt afta yu dɔn tek di las doz. dis go mek di mεdisin nכ pas to yu patna tru sεmεn εn i go ambɔg di pikin we de bכn.
- Fɔ gi yu pikin in mama in bɛlɛ: Nɔ gi yu pikin in mama in bɛlɛ we yu de tek dis mɛrɛsin ɛn fɔ 10 dez afta di las doz .
Wetin na di bad tin dɛn we kin apin to pɔsin?
Lɛk ɔl mɛrɛsin, Cladribine kin mek yu gɛt sayd ɛfɛkt, pan ɔl we nɔto ɔlman kin gɛt am. Dis dɔŋ ya na wan list fɔ di sayd ɛfɛkt dɛn we pɔsin kin gɛt.
| Siriɔs sayd ɛfɛkt dɛm we dɛn fɔ ripɔt to di dɔktɔ wantɛm wantɛm | |
|---|---|
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong ɔ trot, i nɔ izi fɔ blo. |
| At we nɔ de wok fayn | I nɔ izi fɔ blo, yu anklɛ, yu fut ɔ yu an kin swel, yu bɔdi kin gɛt bɔku bɔku wet wantɛm wantɛm, yu kin taya pasmak. |
| Sik we de prɛd | Fiva, kol, kɔf, trot we de at, wund we nɔ de wɛl, pen we yu de pis, ɛn bɔdi nɔ de fil fayn. |
| Di sayn dɛn we de sho se pɔsin in liva wund | Pen na di ɔp rayt say na di bɛlɛ, yu nɔ de want fɔ it, yu nɔ de fil fayn, yu de stɔl we gɛt layt kɔlɔ, yu urine we gɛt dak yɔlɔ ɔ brawn, ɛn yu skin ɔ yu yay de yɔlɔ. |
| Di kwaliti dɛm we gɛt fɔ du wit di nervɔs sistɛm | Diziz, nɔr de balans, kɔnfyus, i nɔr kin izi fɔ tɔk. |
| Sayd ɛfɛkt dɛn we nɔ kin siriɔs, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| Ed de at | Bak pen |
| Vɔmit | Trot de at |
| Nos we de rɔn ɔ we de stɔp | |
Dis list nɔ de inklud ɔl di sayd ɛfɛkt dɛn we pɔsin kin gɛt. If yu gɛt ɛni ɔda sayn we nɔ kɔmɔn, tɔk to yu dɔktɔ bɔt dɛn bak.
Aw yu kin protɛkt ɛn kip yu mɛrɛsin?
- Kip am usay pikin ɛn animal dɛn we yu lɛk nɔ go ebul fɔ rich .
- Stɔr am na rum tɛmpracha (bitwin 20 ɛn 25 digri sɛlshiɔs).
- Kip di mɛrɛsin insay di ɔrijinal bɔtul ɔ paket we dɛn bin gɛt am insay.
- Protɛkt frɔm mɔstɔ. Kip di bɔtul kap tayt tayt wan.
- Nɔ yuz mɛrɛsin dɛn we dɔn pas. Aks yu dɔktɔ aw fɔ trowe di mɛrɛsin dɛn we dɔn pas ɔ we yu nɔ nid igen, sef wan.
Mɛsej we dɛn kin kɛr go na os
- Kladribin na pawaful mɛrɛsin we dɛn kin yuz fɔ mɛn di sik we dɛn kɔl multiple sclerosis (MS). Yuz dis ɔltɛm ɔnda dɔktɔ advays nɔmɔ.
- Fɔ fala di ‘saykl’ schedule we yu dɔktɔ gi yu ɛksaktɔli. Nɔ ɛva tek pas di mɔni we dɛn tɛl yu fɔ tek.
- Tɛl yu dɔktɔ bɔt ɛni ɔda mɛrɛsin we yu gɛt ɛn ɔl di ɔda mɛrɛsin dɛn we yu de tek.
- We yu de tek di mɛrɛsin, tek tɛm bad bad wan bɔt di sayn dɛm we de sho se yu gɛt di sik lɛk fiva ɛn kɔf. If yu gɛt ɛni kayn sik, tɛl yu dɔktɔ wantɛm wantɛm.
- Mek shɔ se yu fala di advays fɔ mek yu nɔ gɛt bɛlɛ (fɔ uman ɛn man). Dis rili impɔtant.
- Dis mɛrɛsin na fɔ yu nɔmɔ. Nɔ ɛva sheb dis mɛrɛsin wit ɔda pɔsin.
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