Sɔntɛm yu dɔktɔ dɔn gi yu ɔ sɔmbɔdi na yu famili wan mɛrɛsin we dɛn kɔl Cyclophosphamide. Na nɔmal tin fɔ fil smɔl frayd ɛn fred we yu yɛri dis nem, mɔ we i kam pan kemotɛrapi. Bɔt nɔ wɔri. Insay dis atikul, wi go tɔk bɔt dis mɛrɛsin, wetin i de du, ɛn wetin yu nid fɔ tek tɛm wit we yu de yuz am.
Wetin kin rili apin wit dis mɛrɛsin?
Fɔ tɔk am simpul wan, sayklofosfamid na wan kayn mɛrɛsin we dɛn kin yuz fɔ mɛn pipul dɛn we gɛt kemotɛrapi. Natin nɔ de fɔ fred we yu yɛri di wɔd kemotɛrapi, i jɔs min se i de kɔntrol di we aw di kansa sɛl dɛn de gro.
Tink bɔt kansa sɛl dɛn as bad sɛl dɛn we de sheb kwik kwik wan ɛn we wi nɔ ebul fɔ kɔntrol na wi bɔdi. Wetin dis mɛrɛsin de du na fɔ mek dɛn sɛl dɛn de gro sloslo, ɔ stɔp dɛn fɔ sheb.
Dɛn kin yuz dis mɛrɛsin mɔ fɔ mɛn difrɛn kayn kansa. Fɔ ɛgzampul:
- Limfoma we dɛn kɔl Limfoma
- Mayloma we gɛt di sik
- Lukimiya
- Brɔst Kansa
- Kansa na di ovarian
Apat frɔm dat, dɛn kin yuz dis mɛrɛsin bak fɔ mɛn wan sik na di kidni we dɛn kɔl nɛfrɔtik sindrom pan pikin dɛn. Yu dɔktɔ kin gi yu dis mɛrɛsin bak fɔ ɔda sik dɛn.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu tek dis mɛrɛsin
Bifo yu gi yu dis mɛrɛsin, yu dɔktɔ go nid fɔ gɛt kɔmplit pikchɔ bɔt yu wɛlbɔdi. So, if yu gɛt ɛni wan pan dɛn tin ya, mek shɔ se yu tɛl yu dɔktɔ.
- If yu gɛt at sik ɔ yu dɔn gɛt at bit we nɔr de bit ɔltɛm.
- Ɛni kayn sik we de kam naw (lɛk fiva, kɔf, kol).
- If yu gɛt kidni sik ɔ liva sik .
- If yu de du ɛmodayalis .
- If dɛn dɔn no se yu nɔ gɛt bɛtɛ blɔd bikɔs ɔf di tɛst we dɛn bin dɔn du trade.
- If yu jɔs dɔn du ɔ yu de du redyushɔn tɛrapi naw .
- If skata ɔ tik de na di lɔng dɛn.
- If i nɔ izi fɔ yu fɔ pis .
- If yu de tray fɔ gɛt bɛlɛ ɔ yu gɛt bɛlɛ naw.
- If dɛn de gi di pikin in mama in bɛlɛ.
- If yu dɔn gɛt alɛji fɔ sayklofosfamid ɔ ɛni ɔda mɛrɛsin, it, ɔ day.
Nɔ ayd dis infɔmeshɔn frɔm yu dɔktɔ. Dis na impɔtant tin fɔ yu sef ɛn fɔ mek yu tritmɛnt go bifo.
Aw a fɔ yuz di mɛrɛsin?
I rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan we yu de yuz dis mɛrɛsin.
- Swɛla dis tablɛt/kapsul wit wan glas wata.
- Nɔ brok, krɔs, ɔ chew di tablɛt. Swɛla am ɔl.
- Tek di mɛrɛsin di tɛm we dɛn tɛl yu fɔ tek am ɛn di tɛm we yu tɛl yu fɔ tek am lɛk aw di dɔktɔ tɛl yu fɔ tek am. Nɔ tek pas di mɔni we dɛn tɛl yu fɔ tek.
- Nɔ stɔp fɔ tek di mɛrɛsin wantɛm wantɛm if yu nɔ gɛt dɔktɔ advays.
If yu de gi dis mɛrɛsin to pikin dɛn, dɛn kin nid fɔ kia fɔ dɛn spɛshal wan. Tɔk to yu dɔktɔ we de mɛn pikin dɛn bɔt dis.
Wetin fɔ du if yu tek bɔku mɛrɛsin?
If yu tink se yu dɔn tek bɔku mɛrɛsin, go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm. Ɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ advays.
Impɔtant: Dɛn dɔn gi yu dis mɛrɛsin fɔ yu nɔmɔ. Nɔ ɛva sheb am wit ɛni ɔda pɔsin.
Wetin a go du if a mis wan doz fɔ tek mɛrɛsin?
Tek di doz we yu mis as 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 ɛva tek tu dos di sem tɛm.
Speshal pɔynt dɛn we yu fɔ no we yu de tek di mɛrɛsin
Dɔktɔ dɛn go de wach yu sik ɔltɛm we yu de tek dis mɛrɛsin, ɛn yu fɔ tek tɛm bak mɔ bɔt dɛn tin ya.
Wetin mek yu nid fɔ drink bɔku wata?
As yu dɔktɔ se, drink bɔku wata ɔ ɔda wata ɔl di de. Dis go ɛp fɔ pul di mɛrɛsin kɔmɔt na yu bɔdi ɛn nɔ go gɛt ɛni damej pan yu blad. So , pis bɔku tɛm, ivin na nɛt if yu fil se yu nid fɔ pis.
Bεlε εn we i de gi pikin in bεlε
- Nɔ gɛt bɛlɛ we yu de tek dis mɛrɛsin ɛn fɔ wan ia afta yu dɔn stɔp di mɛrɛsin .
- Man fɔ avɔyd fɔ bɔn pikin we dɛn de tek dis mɛrɛsin ɛn fɔ 4 mɔnt afta dɛn dɔn stɔp am , bikɔs dis mɛrɛsin kin mek di pikin we nɔ bɔn yet gɛt siriɔs prɔblɛm.
- Nɔ gi yu pikin in bɛlɛ we yu de tek dis mɛrɛsin ɛn fɔ wan wik afta yu dɔn stɔp .
Bɔt Fɛtiliti
Dis na tɔpik we rili impɔtant, bɔt i impɔtant fɔ no. dis mεdikeshכn kin mek di ovarian fεil εn rεdכks fεtiliti pan sכm uman dεm. I kin ridyus di sεl dεm bak pan man dεm. If yu gɛt ɛnitin fɔ wɔri bɔt dis, tɔk to yu dɔktɔ bɔt am.
Protɛkt yusɛf frɔm infɛkshɔn
Dis mɛrɛsin de na yu bɔdi.di ebul fכ fכt infεkshכn (immunity) de dכn. So nɔ de nia pipul dɛn we sik as yu ebul.
- If yu gɛt sɔm sayn dɛn lɛk fiva, kol, ɔ yu trot we de at , nɔ fɔ tek mɛrɛsin fɔ yusɛf ɛn kɔl yu dɔktɔ wantɛm wantɛm.
- Nɔ tek mɛrɛsin fɔ mek yu fil pen lɛk aspirin, paracetamol, ɔ ibuprofen if yu nɔ gɛt dɔktɔ advays. Dɛn tin ya kin stɔp di fiva ɛn mek i nɔ izi fɔ no if pɔsin gɛt infekshɔn.
Us sayd ɛfɛkt dɛn we a go gɛt?
Lɛk ɛni mɛrɛsin, dis wan kin mek sɔm bad bad tin dɛn apin. Nɔto ɔlman kin gɛt dɛn. Bɔt i impɔtant fɔ no bɔt dɛn.
| Posisibul sayd effekt dɛm fɔ Cyclophosphamide | |
|---|---|
| 🚨 Simptom fɔ ripɔt to yu dɔktɔ wantɛm wantɛm | |
| Alɛji dɛn we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip ɔ tong. |
| I nɔ kin izi fɔ yu fɔ blo | Short brith, inkris brith rεt. |
| Di sayn dɛn we de sho se pɔsin de blɔd | Blak, tar stɔl dɛn; urine we gɛt rɛd ɔ dak brawn; vɔmit we tan lɛk kɔfi grɔn; rɛd spat dɛn na di skin; blɔd we nɔ kɔmɔn frɔm di gɔm, nos, ɔ yay. |
| Di sayn dɛn we de sho se pɔsin gɛt at atak | Hat de bit fast fast, we nɔ de bit ɔltɛm; di wet we pɔsin kin gɛt wantɛm wantɛm; di ankles, fut, ɔ an dɛn we de swel. |
| Sayn dɛn we de sho se pɔsin gɛt di sik | Fiva; kol de kol; kɔf; trot de at; pen we yu de pis we yu de pis. |
| Di sayn dɛm we de sho se di kidni dɔn pwɛl | I nɔ izi fɔ pis ɔ chenj di urine we de kɔmɔt. |
| Di sayn dɛm we de sho se di liva dɔn pwɛl | Dak yɔlɔ ɔ brawn urine; fɔ fil lɛk se yu taya; stɔl dɛn we gɛt pale; i nɔ kin want fɔ it igen; pen na di ɔp rayt say na di bɛlɛ; di yay ɔ di skin we de yɔlɔ. |
| 🙂 If i kɔntinyu ɔ i de mɔna yu, tɛl yu dɔktɔ. | |
| Kɔmɔn sayd ɛfɛkt dɛn | Di ia we de lɔs, we i nɔ de want fɔ it, nɔs, dayarɛa, ed we de at, we yu nɔ de gɛt mɔnt, we yu skin de chenj. |
| Di sayn dɛn we de sho se pɔsin nɔ gɛt bɛtɛ blɔd | Fɔ fil se yu taya pasmak, yu nɔ gɛt layf, yu nɔ gɛt bɛtɛ maynd. |
Mɛsej we dɛn kin kɛr go na os
- Cyclophosphamide na pawaful mɛrɛsin we dɛn kin yuz fɔ mɛn kansa ɛn ɔda sik dɛn. Ɔltɛm fala wetin yu dɔktɔ tɛl yu fɔ du.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek ɛn ɔl di mɛrɛsin dɛn we yu gɛt.
- Drink bɔku wata ɔl di de fɔ protɛkt yu blad we yu de tek di mɛrɛsin.
- Nɔ gɛt bɛlɛ we yu de tek dis mɛrɛsin ɛn fɔ di tɛm we dɛn tɛl yu fɔ gɛt. Nɔ gi pikin in bɛlɛ.
- If yu gɛt sɔm sayn dɛn lɛk fiva, kol, ɔ blɔd we nɔ kɔmɔn, go to dɔktɔ wantɛm wantɛm.
- Dis mɛrɛsin na fɔ yu nɔmɔ. Nɔ ɛva sheb am wit ɔda pipul dɛn.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Cyclophosphamide tablet na wan rili pawaful mɛrɛsin we dɛn kin yuz fɔ mɛn us sik?
Dis nɔto ɔdinari mɛrɛsin! Dis na wan kemikal we rili pawaful we de pwɛl di DNA na wi bɔdi in sɛl dɛn (Alkylating Agent)! Dɛn kin yuz dis fɔ pwɛl blɔd ɛn limf gland kansa (Lukemia/Lymphoma), bɔdi kansa. Apat frɔm dat, pan siriɔs ɔtoimyun sik dɛn (Lupus/Nephrotic syndrome) we ɛni ɔda mɛrɛsin nɔ kin ebul fɔ kɔntrol, we kin pwɛl wi yon liva ɛn kidni, di bɔdi in imyuniti kin ridyus to ziro bay 100% (Immunosuppression) ɛn di pɔsin kin sev.
💬 Aw fɔ tek dis pil (Cyclophosphamide) de mek di sik bɛtɛ pan pipul dɛm we gɛt kansa ɛn siriɔs lupus?
di kεnsar sεl dεm de sheb dεn DNA pan wan rεt we dεn nכ kכntrol (dis na wetin kin apin we wi כwn imyun sistεm kray). We dis drɔg go insay di bɔdi, di liva kin chenj am to pawaful pɔyzin (Phosphoramide mustard). Da pɔyzin de go dairekt to di DNA mɔlyul dɛn na dɛn sɛl dɛn de we de sheb (Cross-links DNA strands) ɛn tɔn di DNA to ayɛn! Dɔn di sɛl dɛn nɔ kin ebul fɔ sheb, ɛn di kansa kin day rayt de (Apoptosis).
💬 Wetin na di ‘fatal dangers’ (Hemorrhagic Cystitis) we pipul dɛm we de tek dis mɛrɛsin (Cyclophosphamide) fɔ no bɔt?
Di big ɛn siriɔs denja na dat we wan sayd ɛfɛkt fɔ dis mɛrɛsin (Acrolein) go insay di blad, di blad kin wund ɔl ɛn bigin fɔ blɔd (Hemorrhagic Cystitis)! So, if yu drink dis, yu fɔ rili drink sɔm lita wata ɛvride! Di ɔda denja na dat i de kil kansa, ɛn bikɔs i de ridyus di bɔdi in imyuniti to ziro, ivin smɔl baktri kin mek di pɔsin day/go insay kɔma (High risk of fatal infections)!
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