Na nɔmal tin fɔ fil bɔku fred we yu dɔktɔ tɛl yu se kansa dɔn skata insay yu bɛlɛ, dat na yu bɛlɛ. Apat frɔm di kemotɛrapi we dɛn kin yuz ɔltɛm, tide wi go tɔk bɔt wan tritmɛnt we go wok mɔ ɛn we go spɛshal fɔ dɛn kes ya. Dɛn kɔl dis HIPEC. Lɛ wi si aw i tan lɛk.
Fɔ tɔk am simpul wan, wetin na HIPEC?
Di ful minin fɔ HIPEC na Hyperthermic Intraperitoneal Chemotherapy . Pan ɔl we di nem kin tan lɛk se i kɔmplikt, wetin kin apin rili simpul. Dis na tu pat pan kansa tritmɛnt.
Imajin se yu gɛt kansa tumbu insay yu bɛlɛ (abdominal cavity). dis kכva na di say we wi imכtant כgan dεm lεk wi liva εn bεlε de.
1. Fɔs tin we yu fɔ du: Di dɔktɔ dɛn go du ɔpreshɔn fɔs ɛn pul ɔlmost ɔl di kansa tumbu dɛn we yu kin si insay di bɛlɛ.
2. Sɛkɔn step: Dɔn, fɔ pwɛl ɛni kansa sɛl we lɛf we di yay nɔ de si, dɛn kin injɛkt wan kemotɛrapi sɔlvushɔn we gɛt bɔku ɔt (Hyperthermic) dairekt insay di bɛlɛ (intraperitoneal) fɔ was fayn fayn wan ɛn opin di kaviti.
Fɔ tɔk am simpul wan, dis tritmɛnt na fɔ pul di kansa tumbu dɛn ɛn fɔ was di insay pat na di bɛlɛ wit kemotɛrapi drɔgs we dɛn dɔn ɔt fɔ pwɛl ɛni kansa sɛl we lɛf.
Us kayn kansa dɛn kin gi dis tritmɛnt fɔ?
Dɛn kin yuz HIPEC tritmɛnt fɔ kansa we dɔn skata (mɛtastas) frɔm ɔdasay na di bɔdi to di bɛlɛ, dat na di bɛlɛ. Sɔntɛnde dɛn kin yuz am bak fɔ kansa we kin bigin na di bɛlɛ insɛf.
| Di kayn kansa we yu gɛt | Tɔk bɔt |
|---|---|
| Kansa dɛn we De Metastas | |
| Kansa na di adrenal gland | Apɛndiks Kansa |
| Kansa na di kɔlon | Kansa we de na di kɔlɔrɛkt |
| Kansa na ovarian | Kansa na di ovarian |
| Bɛlɛ kansa | Bɛlɛ Kansa |
| Kansa na di liva | Liva Kansa |
| Kansa na di adrenal gland | Adrenal Kansa we de mek pɔsin gɛt kansa |
| Praymari Pɛritonial Kansa dɛn | |
| Praymari bɛlɛ kaviti kansa | Praymari Pɛritonial Kansa |
| Pɛritonial mɛsotelioma | Pɛritonial Mɛsotelioma |
| Pseudomyxoma we gɛt di sik we dɛn kɔl peritonei | Pseudomyxoma Pɛritoni we dɛn kɔl Pseudomyxoma |
Di impɔtant tin na dat HIPEC tritmɛnt nɔ kin mɛn di kansa ɔltogɛda. Bɔt dis tritmɛnt kin mek di wan dɛn we sik kin liv lɔng ɛn gɛt bɛtɛ kwaliti layf . Yu dɔktɔ go ɛksplen to yu di bɛnifit ɛn bad tin dɛn we dis tritmɛnt gɛt.
Aw yu fɔ rɛdi bifo dɛn du dis ɔpreshɔn?
Dis na rili siriɔs, big ɔpreshɔn ɛn tritmɛnt. So, i rili impɔtant fɔ mek yu gɛt di bɛst bɔdi ɛn maynd wɛlbɔdi bifo yu du am. Yu dɔktɔ go tɛl yu ɔl wetin yu nid fɔ no fɔ pripia yu. Dis kin inklud:
- If yu de smok, stɔp am kpatakpata.
- Fɔ avɔyd fɔ drink rɔm.
- Strɔng yu lɔng dɛn bay we yu de du ɛksɛsayz fɔ blo (yuz divays lɛk insentif spiromita).
- Fɔ jɔyn sɔpɔt grup wit ɔda pipul dɛm wae de fɛt kansa lɛk yu ɔr fɔ mit wit kɔstɔma kin bi fayn we fɔ mek yu maynd gɛt trɛnk.
Wetin kin apin we dɛn de trit am?
As wi bin dɔn tɔk bɔt, dis na tu pat.
Pat Wan: Saytɔriduktiv Ɔpreshɔn (CRS) .
Dis na di fɔs ɛn big tin we yu fɔ du. Di dɔktɔ dɛn we de du ɔpreshɔn go kɔt ɛn pul ɔl di kansa we de gro ɛn di sik we de insay yu bɛlɛ we yu kin si. Yu go de ɔnda jenɛral anestezi ɔl dis ɔl di prɔsidyu. So yu nɔ go fil ɛni pen. Yu go de na dip slip.
Pat Tu: HIPEC Tritmɛnt
Dɛn kin du dis pat jɔs afta dɛn dɔn pul di kansa tɔŋ, we yu de ɔnda anestezi.
1. Fɔ put tiub: Di dɔktɔ go mek smɔl say na di skin na yu bɛlɛ ɛn put tiub (kateta) tru am insay yu bɛlɛ. Dɛn kin kɔnɛkt dis tiub to wan mashin we de wam di kemotɛrapi mɛrɛsin dɛn.
2. Fɔ gi di kemotɛrapi we dɛn dɔn ɔt: Dis mashin de mek di kemotɛrapi wam te i rich lɛk 41 digri sɛlshiɔs (108 digri F). Dɔn dɛn kin pɔmp di wata we dɔn ɔt tru di tiub insay yu bɛlɛ.
3. Fɔ gi di mɛrɛsin: Dɔn, di dɔktɔ go tɔn yu bɔdi smɔl smɔl frɔm wan say to di ɔda say fɔ mek shɔ se di mɛrɛsin rich ɔlsay na yu bɛlɛ. Jɔs lɛk aw wi kin shek bɛsin, dis kin was yu bɛlɛ insay fayn fayn wan wit di mɛrɛsin.
4. Fɔ pul di mɛrɛsin: Afta lɛk 30 to 90 minit, dɛn kin pul di kemo drɔgs we dɛn bin sɛn insay di bɛlɛ bak. Dɔn, dɛn kin was di bɛlɛ bak wit salin sɔlshɔn.
5. Fɔ stich di say dɛn we dɛn kɔt: Fɔ dɔn, dɛn kin stich ɔl di say dɛn we dɛn kɔt we dɛn de du di ɔpreshɔn.
di ol prכsεs, inklud כpεrayshכn εn HIPEC, kin tek εnisay frכm 5 to 10 awa , i dipכnt pan aw fa di kansa dכn spre insay di bεlε.
Wetin na di bɛnifit ɛn risk dɛm fɔ HIPEC tritmɛnt?
Lɛk ɛni tritmɛnt, HIPEC gɛt bɛnifit ɛn risk.
| Bɛnifit dɛn | Risk dɛn we kin apin |
|---|---|
| Kimotɛrapi we gɛt ay kɔnsɛntreshɔn: Bikɔs dɛn kin kɛr di mɛrɛsin dɛn we dɛn kin yuz fɔ kimotɛrapi go dairekt na di say we di kansa sɛl dɛn de, dɛn kin gi dɛn di dos dɛn we strɔng pas di kemotɛrapi we dɛn kin gi ɔltɛm. We dɛn ɔt di mɛrɛsin dɛn, dat kin mek dɛn ebul fɔ kil kansa mɔ. | Di prɔblɛm dɛn we kin apin we dɛn du ɔpreshɔn: Di prɔblɛm dɛn we kin apin we dɛn du ɛni big ɔpreshɔn, lɛk fɔ blɔd pasmak ɛn fɔ gɛt infɛkshɔn, kin apin to dis wan bak. |
| Di sayd ɛfɛkt dɛn we kin ridyus: Bikɔs na insay di bɛlɛ nɔmɔ dɛn kin gi di mɛrɛsin, smɔl pan am kin go insay di blɔd ɛn travul ɔlsay na di bɔdi. Dis kin mek yu nɔ gɛt bɔku prɔblɛm dɛn we kin apin we yu de tek kimotɛrapi ɔltɛm, lɛk we yu ia kin lɔs ɛn we yu vɔmit pasmak. | Spɛshal risk: Sɔm patikyula risk kin de dipen pan di kayn kemotɛrapi we dɛn gi yu ɛn di kayn kansa we yu gɛt. Yu dɔktɔ go ɛksplen dɛn tin ya to yu wan bay wan. |
| Dɛn kin dɔn di tritmɛnt wan tɛm: Nɔ nid fɔ go tru bɔku bɔku rawnd dɛn lɛk di kemotɛrapi we dɛn kin gi ɔltɛm. Dɛn kin du dis tritmɛnt wan tɛm wit di ɔpreshɔn. | Tɛm fɔ wɛl: Bikɔs dis na big ɔpreshɔn, i kin tek sɔm wik ɔ mɔnt fɔ mek i wɛl. |
Wetin kin apin afta dɛn dɔn trit am?
Tin kin chenj dipen pan yu kɔndishɔn afta dɛn dɔn du yu ɔpreshɔn.
- Stay na di Intensive Care Unit (ICU): Dɛn kin kip yu na di ICU fɔ sɔm dez afta dɛn dɔn du di ɔpreshɔn, usay dɛn go de wach yu gud gud wan. Yu kin kɔnɛkt bak to ventilator fɔ ɛp yu fɔ blo.
- Fɔ it tru tiub: te yu bɔdi wok bak to nɔmal, dɛn kin gi yu likwid it tru wan tiub we dɛn put insay yu nos.
- Di sayd ɛfɛkt dɛm: Dɛn tin ya kin apin insay di tɛm we pɔsin de wɛl:
- Fɔ ful-ɔp di bɛlɛ
- Kɔnstipɛshɔn ɔ dayarɛa
- Taya pasmak
- Nɔs ɛn vɔmit
- Pen arawnd di rod dɛn we dɛn dɔn kɔt
- Swɛlin (bikɔs ɔf di salin sɔlshɔn we dɛn kin yuz fɔ was insay di bɛlɛ) .
Aw lɔng i kin tek fɔ mek i wɛl?
I kin tek ɛnisay frɔm 4 to 12 wiks fɔ mek i wɛl frɔm dis tritmɛnt. Dis kin min fɔ sɔm dez to tu wiks na di ɔspitul. Yu dɔktɔ go gi yu instrɔkshɔn bɔt aw fɔ kia fɔ yusɛf afta yu dɔn go na os.
Us tɛm a fɔ kɔl di dɔktɔ?
If yu gɛt ɛni wan pan dɛn sik ya afta yu dɔn go bak na os, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm.
Go to dɔktɔ kwik kwik wan if yu fiva pas 38.3 digri sɛlshiɔs (101°F), yu gɛt nɔys ɛn vɔmit ɔltɛm, di say we yu kɔt dɔn swel bad bad wan, i wam, ɛn di pus de kɔmɔt, ɔ yu pen de wɔs. Dɛn tin ya kin bi sayn fɔ se yu gɛt infekshɔn.
Di kayn mɛrɛsin dɛn we dɛn kin yuz fɔ HIPEC
Bɔku kayn kemotɛrapi mɛrɛsin dɛn de we dɛn kin yuz fɔ dis tritmɛnt. Di dɔktɔ go ɛksplen us mɛrɛsin dɛn de gi yu ɛn wetin mek dɛn de gi yu.
- Kaboplatin we dɛn kɔl
- Sisplatin we dɛn kɔl Cisplatin
- Dɔksorubisin we dɛn kɔl
- Maytomaysin we dɛn kɔl mitomycin
- Oksaliplatin we dɛn kɔl
Dɔktɔ dɛn kin jɔs advays HIPEC tritmɛnt if di bɛnifit dɛn klia wan pas di risk dɛn. If dɛn tɛl yu dis tritmɛnt, mek shɔ se yu aks yu dɔktɔ wetin mek ɛn wetin yu go gɛt fɔ du am bay aw yu sik.
Mɛsej we dɛn kin kɛr go na os
- HIPEC na wan patikyula tritmɛnt fɔ kansa we dɔn spre to di bɛlɛ. I gɛt fɔ du wit ɔpreshɔn fɔ pul di kansa sɛl dɛn ɛn injekt kemotɛrapi drɔgs we dɛn dɔn ɔt insay di bɛlɛ.
- Dis nɔr kin bi kɔmplit mɛrɛsin fɔ kansa, bɔt e kin ɛp bɔrku wan fɔ mek yu liv lɔng ɛn fɔ ridyus di sayn dɛm.
- Bikɔs dis na big ɔpreshɔn, i rili impɔtant fɔ mek yu rɛdi gud gud wan pan yu bɔdi ɛn yu maynd.
- I kin tek sɔm wik ɔ mɔnt fɔ mek i wɛl, ɛn di sayd ɛfɛkt dɛn kin apin insay da tɛm de.
- I impɔtant fɔ mek yu tɔk to yu dɔktɔ opin wan ɛn gud gud wan bɔt if dis tritmɛnt fayn fɔ yu ɛn wetin i fayn ɛn bad.
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