Na nɔmal tin fɔ fil bad ɛn wɔri we dɛn no se yu ɔ pɔsin we yu lɛk gɛt kansa, mɔ di sik we dɛn kɔl akyu lukimiya. Sɔntɛnde lɛk dis, yu dɔktɔ go tɔk to yu bɔt difrɛn tritmɛnt dɛn. Wan pan dɛn tritmɛnt dɛn de na wan vaysin we dɛn kɔl Klɔfarabin. In brand nem na Klɔlar. Tide, lɛ wi tɔk bɔt dis mɛrɛsin, wetin i de du, ɛn wetin yu nid fɔ no bɔt.
Us kayn mɛrɛsin na dis Klɔfarabin?
Fɔ tɔk am simpul wan, klofarabin na wan mɛrɛsin we de fɛt di kansa sɛl dɛn. Dɛn kin yuz dis mɛrɛsin, mɔ pan kes dɛm we gɛt akyu lukimiya. Di kansa sɛl dɛn na wi bɔdi kin sheb ɛn gro kwik kwik wan. Dis mɛrɛsin de mek dɛn kansa sɛl dɛn de gro sloslo ɛn i de kɔntrol aw dɛn de skata . Dis na pat pan kansa tritmɛnt (kimotɛrapi).
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin dis mɛrɛsin
Fɔ mek yu mɛdikal tim go gi yu di bɛst ɛn sef tritmɛnt, i impɔtant fɔ mek dɛn no ɔl di tin dɛn bɔt yu wɛlbɔdi prɔblɛm. So, bifo yu bigin fɔ trit yu wit klofarabin, mek shɔ se yu tɛl yu dɔktɔ if yu gɛt ɛni wan pan dɛn tin ya:
- If yu gɛt prɔblɛm we de mek yu blɔd de kɔmɔt ɔ yu gɛt prɔblɛm we de mek yu blɔd nɔ de klɔt izi wan.
- If yu gɛt infekshɔn naw lɛk fiva, kɔf, ɔ kol.
- If yu gɛt ɛni sik na yu kidni .
- If yu dɔn ɛva gɛt alɛji fɔ klofarabin ɔ ɛni ɔda mɛrɛsin, it, ɔ day .
- If yu gɛt bɛlɛ ɔ yu plan fɔ gɛt bɛlɛ jisnɔ .
- If yu na mama we de gi pikin in bɛlɛ .
Nɔ ayd dis infɔmeshɔn frɔm di dɔktɔ, bikɔs ɔl dis infɔmeshɔn rili impɔtant fɔ yu sef.
Aw dɛn go gi yu dis mɛrɛsin?
Dis nɔto pil ɔ srɔp we yu kin kɛr go na os. Na ɔspitul ɔ klinik nɔmɔ dɛn kin gi am. Na dɔktɔ ɔ nɔs we tren kin gi am as injɛkshɔn na vein .
Sɔntɛnde, dɔktɔ dɛn kin gi pikin dɛn we ol wan ia dis mɛrɛsin, bɔt dɛn kin tek tɛm du am ɛn tek tɛm wit spɛshal tin dɛn.
Wetin fɔ du if dɛn ad di mɛrɛsin in doz?
Bikɔs dɛn kin gi dis na ɔspitul, di chans fɔ mek dɛn mis di doz kin rili smɔl. Bɔt if yu fil se yu dɔn tek ɔvados pan ɛni we ɔ if yu gɛt ɛni sayn, tɛl di mɛdikal tim wantɛm wantɛm. If ɛnitin apin, yu kin kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Nashɔnal Ospital na Kɔlɔmbɔ . Ɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu.
Wetin a go du if a mis wan doz fɔ tek mɛrɛsin?
I rili impɔtant fɔ tek dis mɛrɛsin di de dɛn we dɛn dɔn sɛtul ɛn di tɛm we dɛn dɔn sɛtul. If yu nɔ ebul fɔ go na ɔspitul fɔ tek yu doz di de we dɛn dɔn sɛtul, nɔ skip am. Kɔl yu dɔktɔ wantɛm wantɛm ɛn tɛl dɛn. Dɛn go tɛl yu wetin fɔ du nɛks.
Ɔda mɛrɛsin dɛm wae kin miks wit dis mɛrɛsin
I rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, nɔto jɔs di wan dɛn we yu dɔktɔ tɛl yu fɔ tek, bɔt yu kin tɛl yu bak fɔ mek yu nɔ gɛt pen, vaytamɛn dɛn, ɛbul mɛrɛsin dɛn, ɛn ɛni ɔda tin we yu de yuz. Sɔm mɛrɛsin kin miks wit klofarabin, we kin mek yu gɛt sayd ɛfɛkt we yu nɔ want ɔ chenj aw di mɛrɛsin de wok.
Dis dɔŋ ya na jɔs sɔm ɛgzampul dɛn. Dis list nɔ de ɔlsay.
| Kategori fɔ drɔgs | Ɛgzampul dɛn |
|---|---|
| Di tin dɛn we de mek pɔsin nɔ fil pen ɛn we de mek pɔsin nɔ gɛt fiva | NSAID dεm lεk Asetaminofεn, Aspirin, Ibuprofεn, Naproksen |
| Mɛrɛsin fɔ at sik ɛn ay blɔd prɛshɔn | Amiodarone, Methyldopa, difrɛn difrɛn tin dɛn we dɛn kin yuz fɔ pul wata |
| Mɛrɛsin dɛn we de mek pɔsin nɔ gɛt bɔku kɔlɔstrel | Atorvastatin, Simvastatin, ɛn ɔda pipul dɛn |
| Mɛrɛsin fɔ difrɛn infɛkshɔn (antibiotics/antifungals) . | Amfɔterisin B, Flukonazɔl, Kɛtokonazɔl, Asiklɔvir, Amɔksisilin, Jɛntamisin, Tɛtrasayklin, Vankomaysin, Rifampin |
| Mɛrɛsin fɔ epilepsy/seizure | Kabamazepin, Fɛnitoin, Valproik asid |
| Ɔda mɛrɛsin dɛn we de mek pɔsin nɔ gɛt kansa ɛn we de mek pɔsin nɔ ebul fɔ fɛt di sik | Sisplatin, Sayklɔspɔrin, Mɛtɔtrɛksɛt |
Tin dɛn we yu fɔ tek tɛm wit we yu de tek di mɛrɛsin
Di mɛdikal tim go wach yu gud gud wan we yu de tek dis mɛrɛsin, bɔt i impɔtant bak fɔ mek yu pe atɛnshɔn to yu bɔdi.
- Blɔd tɛst ɛn mɛdikal monitarin: We yu de du dis tritmɛnt, yu go nid fɔ du blɔd tɛst ɔltɛm fɔ chɛk yu blɔd sɛl kɔnt, kidni ɛn liva fɔ wok. Nɔ skip dɛn tin ya.
- Risk fɔ blɔd: Dis mɛrɛsin kin ridyus di nɔmba fɔ di sɛl dɛn na yu bɔdi we de ɛp yu blɔd fɔ klɔt (pletlɛt). Dis kin mek i nɔ izi fɔ ivin smɔl kɔt fɔ stɔp fɔ blɔd. Tɛl yu dɔktɔ wantɛm wantɛm if yu notis ɛni kayn brus we nɔ kɔmɔn, pepul spat, blɔd we de kɔmɔt na yu gam, ɔ blɔd na yu nos .
- Risk fɔ gɛt infɛkshɔn: Dis mɛrɛsin de mek yu bɔdi nɔ ebul fɔ fɛt di sik, so i kin izi fɔ mek yu gɛt infɛkshɔn. If yu gɛt sɔm sayn dɛn lɛk fiva, kol, trot we de at, ɔ kɔf , nɔr de mɛn yusɛf ɛn kɔl yu dɔktɔ wantɛm wantɛm. Nɔ mek yu nɔ go na say dɛn we pipul dɛn sik.
- Siriɔs riakshɔn na di skin: Sɔntɛnde, ivin sɔm wiks afta yu dɔn bigin fɔ tek di mɛrɛsin, siriɔs riakshɔn kin apin na yu skin. If yu notis ɛnitin lɛk rɛd ɔ pepul blista na yu skin wit fiva, skin we de pul, ɔ sos insay yu mɔt, nɔ ignore am. Go to dɔktɔ wantɛm wantɛm.
- Bεlε εn bεlε: Dis mεrεsin kin mek di pikin bכn siriכs difεkshכn if i tek am we i bεlε . So, yu fɔ avɔyd fɔ gɛt bɛlɛ we yu de trit yu ɛn fɔ 6 mɔnt afta yu dɔn stɔp di tritmɛnt. Dɔn bak, nɔ fɔ gi pikin in bɛlɛ we yu de trit yu ɛn fɔ 2 wik afta yu dɔn stɔp di tritmɛnt.
- Fεtiliti: Dis mεdisin kin afekt fεtiliti pan man εn uman. Dis min se i kin afɛkt di we aw yu go ebul fɔ bɔn pikin tumara bambay. If yu gɛt ɛnitin fɔ wɔri bɔt dis, tɔk to yu dɔktɔ bifo yu bigin fɔ trit yu.
Sayd ɛfɛkt dɛn we kin apin bikɔs ɔf dis mɛrɛsin
Lɛk ɛni mɛrɛsin, klofarabin kin mek pɔsin gɛt sayd ɛfɛkt. Nɔto ɔlman kin gɛt dɛn. Bɔt, i impɔtant fɔ no di wan dɛn we pɔsin kin gɛt.
| Sayd ɛfɛkt we pɔsin kin gɛt | Wetin yu de fil/si |
|---|---|
| Sayd ɛfɛkt dɛm we yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm | |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong, i nɔ izi fɔ blo. |
| Blɔd we nɔ de kɔmɔt fayn | Blak ɔ blɔd stɔl, vɔmit we tan lɛk kɔfi grɔn, rɛd/dak brawn urine, rɛd/pɔpul spat na di skin. |
| Kapilari Lik Sindrom we pɔsin kin gɛt | Pen na yu bɛlɛ ɔ yu mɔsul dɛm, yu taya pasmak, yu de fɔdɔm, yu nɔ de pul yu urine, yu anklɛ, yu an, ɛn fut dɛn de swel, ɛn i nɔ izi fɔ blo. |
| Di sayn dɛn we de sho se pɔsin gɛt di sik | Fiva, kol, kɔf, trot we de at, wund dɛn we nɔ de wɛl. |
| Kidni injury | di urine we de kכmכt dכn, di ankכl, an, εn fut dεm de swel. |
| Liva injuri | Pen na di ɔp rayt say na di bɛlɛ, yu nɔ de want fɔ it, yu nɔ de fil fayn, yu skin ɔ yu yay de yɔlɔ, yu urine we de dak yɔlɔ/brawn. |
| Tumɔr Lisis Sindrom (TLS) . | Nɔs, vɔmit, dayarɛa, yu nɔ de pis, yu at nɔ de bit ɔltɛm, yu mɔsul dɛn de twitch, yu kɔnfyus. |
| Sayd ɛfɛkt dɛn we nɔ kin siriɔs, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| Ed de at | - . |
| Fil fɔ it | - . |
| Nɔs ɛn vɔmit | - . |
| Pen na di an ɛn fut | - . |
Mɛsej we dɛn kin kɛr go na os
- Klɔfarabin na pawaful mɛrɛsin we dɛn kin gi insay di bɛlɛ na ɔspitul fɔ mɛn lukimiya.
- Bifo yu bigin fɔ trit yu, tɛl yu dɔktɔ ɔl di ɔda mɛrɛsin dɛn, vaytamɛn dɛn, ɛn alɛji dɛn we yu de tek.
- We yu de du tritmɛnt, if yu notis ɛni sayn fɔ blɔd we nɔ kɔmɔn, infɛkshɔn (fiva, kɔf), ɔ chenj bad bad wan na yu skin, go to dɔktɔ wantɛm wantɛm.
- Nɔ gɛt bɛlɛ we yu de tek dis mɛrɛsin ɛn fɔ 6 mɔnt afta yu dɔn stɔp. Nɔ gi pikin in bɛlɛ bak.
- Tɔk opin wan wit yu dɔktɔ ɔr mɛdikal tim bɔt ɛni kwɛstyɔn, fred, ɔ wɔri we yu gɛt. Dɛn de de fɔ ɛp yu.
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