I at fɔ put insay wɔd dɛn di fred, wɔri, ɛn nɔ shɔ we kin kam we dɛn no se yu gɛt bɔdi kansa. Bɔt di tin we impɔtant pas ɔl we yu fɔ no na dat, di tritmɛnt dɛn we dɛn kin yuz fɔ mɛn kansa dɔn go bifo bɔku tide. Tide, wi go tɔk bɔt wan pan dɛn kayn nyu, advans tritmɛnt dɛn de. Dɛn kɔl am Datroway. Lɛ wi si wetin na Datroway ɛn if i go ɛp yu.
Us kayn mɛrɛsin na Datroway? Aw i kin wok?
Fɔ tɔk am simpul wan, Datroway na wan tritmɛnt we dɛn kin yuz fɔ mɛn pipul dɛn we dɛn de yuz di bɛst tɛknɔlɔji. Insay mɛrɛsin, wi kin kɔl dis Antibodi Drug Conjugate (ADC) . Tink bɔt am lɛk spɛshal kɔriɔ savis. Dis drɔg mɔlyul gɛt tri men pat dɛn.
1. Antibodi: Dis na wi kuria in "address finder". I de fɛn wan patikyula protin (wan protin we dɛn kɔl Trop-2) na di say we di kansa sɛl dɛn de ɛn i de atak am. I wok na fɔ pik ɛn kech di kansa sɛl dɛn nɔmɔ, ɛn i nɔ go ambɔg di sɛl dɛn we gɛt wɛlbɔdi.
2. Anti-kansa mεdisin ( kemothεrapi ): Dis na di "pakεj" we de insay di kכriכ. Dis na di mɛrɛsin we de pwɛl di kansa sɛl dɛn.
3. Linker: Dis pat de kכnekt di antibodi εn di anti-kansa dכg. Dɛn kin tay di tu togɛda we dɛn de travul insay di blɔd, dɔn dɛn kin separet afta dɛn dɔn go insay di kansa sɛl.
So, we di Datroway drɔg go insay di bɔdi, di antibodi we de insay de fɛn di kansa sɛl dɛn dairekt wan ɛn atak insɛf. Dɔn, da linka de kin brok, ɛn i kin pul di anti-kansa drɔg dairekt insay di kansa sɛl. Dis we ya, di kansa sɛl kin pwɛl insay. Di big bɛnifit fɔ dis we na dat di damej we de pan wɛlbɔdi sɛl dɛn kin ridyus bad bad wan.
Aw dɛn kin gi Datroway tritmɛnt?
Datroway na tritmɛnt wae dɛn kin gi na ɔspitul, klinik, ɔr tritmɛnt sɛnta ɔnda yu dɔktɔ in sɔpɔtishɔn. dεn de gi am as salin sכlushכn tru wan vein (intravenכs - IV infushכn ) .
- Doz: Di doz fɔ di mɛrɛsin we dɛn de gi yu na di wet we yu bɔdi gɛt.
- Schedule: Dɛn kin gi dis tritmɛnt ɛvri tri wik . Yu dɔktɔ go disayd ɔmɔs sɛshɔn yu nid.
- Fɔ pripia: Bifo dɛn gi yu di salin, dɛn go gi yu sɔm ɔda mɛrɛsin dɛn fɔ mek yu nɔ gɛt nɔs, vɔmit, ɛn ɛni alɛji we go apin bikɔs ɔf di salin.
- Di tɛm fɔ trit:Di fɔs tritmɛnt sɛshɔn kin tek lɛk 90 minit so. If yu nɔr gɛt ɛni impɔtant sayd ɛfɛkt di fɔs tɛm, dɛn kin gi yu tritmɛnt dɛn we go kam afta dat insay lɛk 30 minit.
- Wach: Afta di fɔs tu tritmɛnt dɛm, di mɛdikal wokman dɛm go wach yu fɔ at le wan awa. If no prɔblɛm nɔ de, dɛn go wach yu fɔ lɛk 30 minit so insay di sɛshɔn dɛn we go kam afta dat ɛn afta dat dɛn go alaw yu fɔ go na os.
Aw a go no if dis tritmɛnt fayn fɔ mi?
Datroway nɔto tritmɛnt fɔ ɔl kayn bɔdi kansa . Yu dɔktɔ go jɔs tɛl yu dis tritmɛnt if yu kansa mit dɛn tin ya:
- Di kansa fɔ bi ɔmon riseptɔ-pɔzitiv ɛn HER2-nɛgitiv .
- we dεn nכ kin pul di kεnsar kכmplit wan wit כpεrayshכn (`unresectable`) כ i dכn spre to כda pat dεm na di bכdi (`mεtastatik`).
Di tin we impɔtant pas ɔl na dat fɔ mek yu fit fɔ gɛt dis tritmɛnt, yu fɔ dɔn gɛt ɛndokrin-based tritmɛnt ɛn ɔda kemotɛrapi tritmɛnt dɛn bifo.
So, di bɛst tin fɔ disayd if dis tritmɛnt fayn fɔ yu na yu dɔktɔ we de mɛn yu kansa go disayd . I go luk ɔl yu mɛdikal rɛkɔd dɛn ɛn disayd dis.
Sayd ɛfɛkt ɛn aw fɔ kɔntrol dɛn?
Lɛk ɛni tritmɛnt fɔ kansa, Datroway kin mek sɔm sayd ɛfɛkt dɛn. Bɔt di gud nyus na dat, we dɛn de fɔ kɔntrol bɔku pan dɛn tin ya. Lɛ wi tek tɛm luk pan di men sayd ɛfɛkt dɛm we pɔsin kin gɛt ɛn wetin yu kin du bɔt dɛn.
| Sayd ɛfɛkt we pɔsin kin gɛt | Aw fɔ manej |
|---|---|
| Prɔblɛm dɛn we gɛt fɔ du wit di yay (Dray yay, rɛd, pen, blurred vishɔn) | Yuz di ay drɔp dɛn we yu dɔktɔ tɛl yu fɔ yuz fɔ lɔbrik at le 4 tɛm insay di de. Nɔ wɛr kɔntakt lens we yu de trit yu. Tɛl yu dɔktɔ wantɛm wantɛm if yu notis ɛni chenj ɔ diskɔmfɔt na yu yay. I go mɔs bi se dɛn go sɛn yu to dɔktɔ we de mɛn yu yay. |
| Sɔl dɛn na yu mɔt | Kip ays kiub ɔ smɔl ays wata na yu mɔt we yu de gi di salin sɔlvushɔn. Yuz di spɛshal wata we yu dɔktɔ tɛl yu fɔ was yu mɔt lɛk aw dɛn tɛl yu. If ɛni mɔt sos de gro ɔ wɔs, tɛl yu dɔktɔ wantɛm wantɛm. |
| Nɔs ɛn vɔmit | Tek di mɛrɛsin we yu dɔktɔ gi yu fɔ mek yu nɔ fil fayn, di rayt tɛm, bifo ɛn afta yu trit yu. |
Dɛn tin ya na di sayd ɛfɛkt dɛn we kin apin mɔ. If yu gɛt ɛni ɔda prɔblɛm apat frɔm dɛn tin ya, nɔ ɛva fred fɔ tɔk to yu dɔktɔ bɔt am.
Wetin na di tin dɛn we wi fɔ pe atɛnshɔn mɔ to?
We yu de tek Datroway tritmɛnt, sɔm tin dɛn de we yu fɔ pe spɛshal atɛnshɔn to.
Prɔblɛm dɛn we gɛt fɔ du wit di lɔng
Na sכm pipul dεn kin gεt inflameshn na di lכng dεm (`Interstitial Lung Disease` כ `Pneumonitis`) bikoz fכ dis tritmεnt. So if yu gɛt sɔm sayn dɛn lɛk fɔ kɔf, i nɔ izi fɔ blo, yu de swɛt, fiva, ɔ yu chɛst tayt , nɔ ignore am ɛn tɛl yu dɔktɔ wantɛm wantɛm . If nid de, di dɔktɔ go bigin fɔ trit am.
Bɛlɛ ɛn kɔntrol fɔ bɔn pikin
Dis na tin we rili impɔtant.
- Datroway tritmɛnt kin ambɔg pikin we nɔ bɔn yet. So, dɛn go tɛst yu fɔ si if yu gɛt bɛlɛ bifo yu bigin fɔ tek di tritmɛnt.
- If yu na uman we ebul fɔ bɔn pikin, yu fɔ yuz wan we we rili wok fɔ mek yu nɔ bɔn pikin we yu de trit yu ɛn fɔ 7 mɔnt afta di las doz .
- If yu na man ɛn yu patna ebul fɔ gɛt bɛlɛ, yu fɔ yuz fayn fayn bɔn kɔntrol we yu de trit yu ɛn fɔ 4 mɔnt afta di las doz .
If yu gɛt ɛni kwɛstyɔn bɔt dis, nɔ shek fɔ tɔk to yu dɔktɔ.
Mɛsej we dɛn kin kɛr go na os
- Datroway na wan tritmɛnt we dɛn dɔn tɔk bɔt, we dɛn dɔn advans fɔ sɔm kayn bɔdi kansa. I tan lɛk "guided missile" we de luk fɔ ɛn pwɛl di kansa sɛl dɛn.
- Dis tritmɛnt nɔ fayn fɔ ɔlman. Yu dɔktɔ we de mɛn kansa go disayd if i fayn fɔ yu.
- Dɛn kin gi di tritmɛnt as salin sɔlvushɔn tru wan vein, wan tɛm ɛvri tri wik.
- Sɔm sayd ɛfɛkt lɛk aw yu kin gɛt prɔblɛm wit yu yay, yu mɔt kin gɛt sɔri, ɛn yu kin gɛt nɔys. Bɔt dɛn kin ebul fɔ kɔntrol dɛn tin ya. Tɛl yu dɔktɔ wantɛm wantɛm bɔt ɛnitin we nɔ fayn.
- If yu gɛt sɔm sayn dɛm lɛk wae yu nɔr kin ebul fɔ blo fayn, nɔr ignore dɛm. Go to dɔktɔ wantɛm wantɛm.
- I impɔtant fɔ avɔyd fɔ gɛt bɛlɛ we yu de trit yu ɛn fɔ sɔm tɛm afta yu gɛt bɛlɛ.
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