If yu gɛt dayabitis, yu go mɔs de wɔri bɔt di wɛlbɔdi na yu yay. Yu dɔktɔ go dɔn tɛl yu se dayabitis kin afɛkt yu yay, wan sik we dɛn kɔl Dayabitik Makyula Ɛdima (DME). So, we i kam pan fɔ trit dis sik, yu dɔn ɛva yɛri bɔt ‘klinik trial’? We yu yɛri dis nem, i kin mek yu fred smɔl. Sɔntɛm yu go de tink se, “Dɛn de tɛst mi?” Bɔt i nɔto sɔntin we wi fɔ fred. Tide, lɛ wi tɔk bɔt wetin i rili bi, us bɛnifit i kin briŋ to yu, ɛn if i fayn fɔ yu.
Fɔ tɔk am simpul wan, wetin na klinik trial?
Tink bɔt ɛni mɛrɛsin we yu bay na di famasi. Frɔm di mɛrɛsin fɔ fiva ɛn kɔf to di mɛrɛsin fɔ yu dayabitis ɛn blɔd prɛshɔn, ɔltin kin gɛt strɔng tɛst bifo i rich na yu an. Dat tɛst na wetin wi kɔl `Klinik Trayal`.
Fɔ tɔk am simpul wan, dis na di we aw dɛn kin tɛst nyu mɛrɛsin bifo dɛn gi am to pipul dɛn fɔ si if i rili wok (i wok fayn) ɛn i sef fɔ yuz (i sef) . Dɛn kin du dis di kayn we we dɛn rili plan fɔ du, ɛn di dɔktɔ dɛn ɛn di wan dɛn we de du risach kin rili wach dɛn. Fɔ dis, dɛn kin wach wan grup fɔ sik pipul dɛn we kin volontia fɔ gi dɛn dis nyu tritmɛnt ɛn dɛn kɔndishɔn rili gud gud wan. So dis no lek bi "guinea pig" at ol. Dɛn kin du dis ɔnda rili fɔmal, ɛtikul lɔ dɛn, ɛn wit di peshɛnt sef as di prɔyoritɛt.
Na afta dɛn dɔn pas dɛn kayn tɛst dɛn de fayn fayn wan, institiushɔn dɛn lɛk di Nashɔnal Mɛdisin Rigyulatɔri Ɔtoriti (NMRA) na Sri Lanka kin gi pɔsin rayt fɔ yuz di mɛrɛsin na di kɔntri.
Wetin na di bɛnifit dɛm fɔ klinik trial fɔ pɔsin we gɛt DME?
Yu kin de tink se, "Okay, na dat, bɔt wetin mek a de put an pan dis? Wetin na di bɛnifit fɔ mi?" Fɔ tru, bɔku bɛnifit dɛn de. Mek wi tek wan luk pan dem.
| Bɛnifit | Dis min se... |
|---|---|
| Akses to di kɔt-ɛj tritmɛnt dɛn | Yu go gɛt di chans fɔ tray nyu tritmɛnt we nɔ hit di men makit yet. I kin bi mɛrɛsin we yu dɔktɔ nɔ kin ebul fɔ gi yu. |
| Abiliti fɔ gɛt bɛtɛ rizɔlt | Sɔmtɛm dɛn nyu tritmɛnt ya kin woke pas di tritmɛnt dɛm wae dɔn de, dat min se yu kin si fayn ɔr kin kɔntrol yu sik kwik kwik wan. |
| Rili klos mɛdikal supavayshɔn | Yu go gɛt mɔ atɛnshɔn ɛn supavayshɔn pas aw yu go gɛt mɔ we yu go na klinik. Dɛn go tɛst yu ɔltɛm, ɛn di dɔktɔ dɛn go de chɛk yu sik ɔltɛm. |
| Fɔ ɛp di tumara bambay | We yu put yu an pan am, yu de ɛp fɔ mek sayɛns ɔndastand mɔ bɔt DME ɛn ɛp fɔ gi bɛtɛ tritmɛnt to ɔda pipul dɛn we gɛt dis sik tumara bambay. |
Wetin na di gol dɛn we di wan dɛn we de du di risach gɛt?
Bɔku men gol dɛn de fɔ di risach we dɛn de du naw bɔt DME.
- Fɔ ridyus di nɔmba fɔ di wan dɛn we de go na di klinik: Imajin aw i go izi fɔ yu if yu nɔ nid fɔ go na ɔspitul bɔku tɛm fɔ gɛt injɛkshɔn na yu yay. Risach pipul dɛn de tray fɔ fɛn drɔgs we go las fɔ lɔng tɛm.
- Pil instead of injection: Sɔm pipul dɛn kin si am se i nɔ kin izi fɔ put injekshɔn na dɛn yay. Wetin fɔ du if dɛn go ebul fɔ kɔntrol dis sik wit wan pil we dɛn de tek ɛvride insted? Dis na ɔda big eria we dɛn de du risach.
- Fɔ mek di tritmɛnt wok fayn mɔ ɛn mɔ: Wan ɔda gol na fɔ fɛn mɛrɛsin dɛn we bɛtɛ ɛn we go wok pas di mɛrɛsin dɛn we dɔn de.
Aw klinik trial kin wok?
Dɛn kin sheb dɛn trial ya to tu men kayn. Bɔt lɛ wi tɔk bɔt di kayn we we pipul dɛn kin yuz mɔ. Dɛn kɔl am `Intavɛnshɔnal Trayal`.
Dis kin min se di wan dɛn we de du risach kin gi wan tritmɛnt (lɛk mɛrɛsin ɔ injɛkshɔn) ɛn stɔdi bɔt di tin dɛn we i kin du. Dɛn kin du dis difrɛn difrɛn we dɛn.
Bɔt bɔku tɛm, dɛn kin yuz wan we we dɛn kɔl ‘Randomized Controlled Trial’ . Pan ɔl we di nem kɔmplikt smɔl, di kɔnsɛpt simpul.
Imajin se 100 pipul dɛn bin volontia fɔ du dis tɛst.
1. Divayz insay grup dɛn:Dɛn kin sheb dɛn 100 pipul ya to tu grup dɛn we gɛt 50 pipul dɛn, ɛn dɛn nɔ kin pik dɛn.
2. Fɔ gi tritmɛnt:
- Di fɔs grup (50 pipul dɛm): dɛn go gi dɛn di nyu tritmɛnt we dɛn dɔn tɛst.
- Di sɛkɔn grup (di ɔda 50): go kɔntinyu fɔ gɛt di bɛst, standad tritmɛnt we dɛn de yuz naw fɔ DME. Dɛn kɔl dis grup di `Kɔntrol Grup`.
3. Kɔmpia: Afta sɔm tɛm, dɛn kin kɔmpia di tin dɛn we di tu grup dɛn gɛt. Aw di nyu tritmɛnt bɛtɛ pas di ol tritmɛnt? Yu tink se i nɔ gɛt bɔku bad bad tin dɛn we kin apin to am? Yu tink se i sef? Dɛn kin mɛzhɔ ɔltin kɔrɛkt wan tru dis.
If yu nɔ kɔmpia am to wan kɔntrol grup dis we, i nɔ pɔsibul fɔ pruv bay sayɛns aw nyu mɛrɛsin rili wok. Na dat mek dis we fɔ du tin rili impɔtant.
Aw a go put an pan sɔntin lɛk dis?
Dis na di kwɛstyɔn we impɔtant pas ɔl. If yu intres pan dis, di fɔs ɛn impɔtant tin we yu fɔ du na fɔ tɔk to yu yay ɔspitul dɔktɔ ɔ dayabitis dɔktɔ we de trit yu.
- Yu dɔktɔ no yu mɛrɛsin ɛn yu wɛlbɔdi istri bɛtɛ, so i go gi yu di bɛst advays fɔ no if i fayn fɔ mek yu tek pat pan dis kayn tɛst ɔ nɔ fayn.
- Dɛn kin du dɛn kayn stɔdi dɛn ya ɔltɛm na big gɔvmɛnt ɔspitul dɛn na Sri Lanka, mɔ di wan dɛn we gɛt fɔ du wit di mɛdikal fakulti dɛn. Yu dɔktɔ go ebul fɔ no if tɛst de we dɛn de du naw we fit yu ɛn rifer yu fɔ am.
- Nɔ ɛva disayd lɛk dis fɔ yusɛf we yu nɔ go to yu dɔktɔ.
Bifo yu tek pat, di tim we de in chaj fɔ di stɔdi go ɛksplen ɔltin to yu (wetin dɛn go du, di prɔblɛm dɛn we kin apin, di bɛnifit dɛn). Dɛn go gɛt yu kɔnsɛntmɛnt we dɛn rayt afta yu dɔn aks ɛni kwɛstyɔn ɛn yu dɔn satisfay ɔl. Dɔn bak, if yu nɔ fil fayn ɛnitɛm we yu de stɔdi, yu gɛt di rayt fɔ lɛf fɔ stɔdi.
Mɛsej we dɛn kin kɛr go na os
- Klinik trial na fɔmal stɔdi we dɛn kin du fɔ kɔnfɔm if nyu mɛrɛsin sef ɛn if i wok bifo dɛn gi am to pipul dɛn.
- We yu tek pat pan trial lɛk dis, yu, we gɛt DME, gɛt di chans fɔ gɛt di laytst tritmɛnt dɛn we nɔ de naw ɛn fɔ gɛt bɛtɛ mɛdikal supavayshɔn.
- Dis na big ɛp fɔ yu ɛn ɔda pipul dɛm wae kin sɔfa wit dis sik tumara bambay.
- If yu intres pan dis, fɔs ɛn fɔs, tɔk to yu dɔktɔ ɛn aks am fɔ advays.
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