Wetin na kemotɛrapi? Lɛ wi lan di ditil dɛn witout fred!

Yu go mɔs dɔn yɛri di wɔd ‘kimo’ ɔ ‘kimotɛrapi’, nɔto so? Yu go mɔs dɔn yɛri yu padi ɔ yu fambul de tɔk bɔt am we dɛn de trit dɛn fɔ kansa. Na nɔmal tin fɔ fil smɔl fɔ fred ɔ fred we yu yɛri dis wɔd. Bɔt tide, lɛ wi tɔk bɔt wetin na kemotɛrapi, wetin kin apin wit am, ɛn wetin yu fɔ fred ɔ nɔ fɔ fred, insay wan simpul we we yu go ɔndastand. Dɔn yu go ebul fɔ ɔndastand am mɔ.

Wetin rili na kemotɛrapi?

Fɔ tɔk am simpul wan, kemotɛrapi na spɛshal kayn mɛrɛsin we dɛn kin yuz fɔ pwɛl di kansa sɛl dɛn. Dɛn kin kɔl am bak ‘chemo’ fɔ shɔt. Dɛn drɔgs ya rili pawaful. Fɔ tɔk di kɔrɛkt tin, ‘kimo’ min kemikal, ɛn ‘tɛrapi’ min tritmɛnt. So, dis na tritmɛnt we de yuz kemikal.

Sɔntɛnde, dɛn kin yuz dɛn mɛrɛsin ya dɛn wan. Bɔt bɔku tɛm, dɔktɔ dɛn kin yuz bɔku kayn kemotɛrapi mɛrɛsin dɛn we dɛn jɔyn togɛda. Dɛn kin du dis fɔ atak di kansa sɛl dɛn frɔm difrɛn say dɛn ɛn pwɛl dɛn kpatakpata. I tan lɛk we yu atak ɛnimi frɔm difrɛn say dɛn pas fɔ atak ɛnimi frɔm wan say nɔmɔ. Di kɔmbayn drɔgs we dɛn gi kin dipen pan tin dɛn lɛk di kayn kansa ɛn aw fa i dɔn skata.

Lɛ wi tek wan luk pan aw kansa kin kam?

Fɔ ɔndastand dis, wi fɔs nid fɔ no smɔl bɔt di sɛl dɛn we de na wi bɔdi. Wi bɔdi gɛt bɔku bɔku smɔl smɔl sɛl dɛn. Dɛn sɛl dɛn ya kin sheb ɛn bɔku ɔltɛm, ɛn ol sɛl dɛn kin day.

Imajin se yu gɛt gadin na os. Insay da gadin de, wit fayn fayn flawa dɛn, gras dɛn de bak we kin ambɔg am. Na so i de insay wi bɔdi. Kansa na we sɔm sɛl dɛn na wi bɔdi bigin fɔ sheb we wi nɔ ebul fɔ kɔntrol ɛn tu kwik. dis sεl dεm we de divayd abnכmal wan de mek tכmכro. nכto כl di tכmכro dεm na kεnsar, bכt di kεnsar sεl dεm kin invayd כda hεlty tisu dεm εn spre frכm wan pat na di bכdi to כda pat (mεtastasis).

Aw kemotɛrapi kin wok?

Naw yu go de wɔnda, ‘Aw dɛn kemo drɔgs ya kin no ɛn kil di kansa sɛl dɛn nɔmɔ?’ di kεmo drog dεm de mεntal sεl dεm we de divayd kwik kwik wan. Kansa sεl dεm na wan kayn sεl we de sheb kwik kwik wan. So kemo drɔgs kin fɛn dɛn kansa sɛl ya we de sheb kwik kwik wan ɛn pwɛl dɛn, ɔ stɔp dɛn fɔ sheb mɔ.

Bɔt ɔda tin de ya. Insay wi bɔdi, kansa sɛl dɛn ɛn wɛlbɔdi sɛl dɛn de we kin sheb kwik kwik wan. Fɔ ɛgzampul:

• di sεl dεm we de na di rut dεm na wi ia (hair follicles) .
• Sεl dεm we de layn insay di mכt εn di intestinal dεm
• Blɔd sɛl dɛn we de fɔm na di bon mɛro

Di mɛrɛsin dɛn we dɛn kin yuz fɔ kimotɛrapi kin ambɔg di sɛl dɛn bak we gɛt wɛlbɔdi ɛn we kin sheb kwik kwik wan, bikɔs dɛn kin miks wit di sɛl dɛn we gɛt kansa. Na dat mek kemotɛrapi kin mek pɔsin gɛt sayd ɛfɛkt. Wi go tɔk bɔt dat leta.

Us kes dɛn kin yuz kemotɛrapi?

Dɛn kin yuz kemotɛrapi fɔ difrɛn tin dɛn.

• Di we aw pɔsin kin mɛn am: Sɔm kayn kansa kin wɛl ɔltogɛda bay we dɛn yuz kemotɛrapi nɔmɔ ɔ we dɛn put am togɛda wit ɔda tritmɛnt dɛn (lɛk ɔpreshɔn ɛn redyushɔn tɛrapi).
• Kɔntrol kansa: If di kansa nɔ ebul fɔ wɛl ɔl, kemotɛrapi kin ɛp fɔ stɔp am fɔ mek i nɔ skata mɔ, ɔ fɔ ridyus di saiz fɔ di tumbu ɛn kip di sik ɔnda kɔntrol. Dis kin mek di pɔsin we sik ebul fɔ liv lɔng.
• Palliative Care: We kansa dɔn skata ɛn i nɔ izi fɔ mɛn, dɛn kin yuz kemotɛrapi fɔ ridyus di sayn dɛm lɛk pen ɛn at fɔ blo, ɛn fɔ mek ɛvride layf izi smɔl. Dɛn kɔl dis palliative care .
• Bifo dɛn du ɔpreshɔn (Neoadjuvant Chemotherapy): Sɔntɛnde dɛn kin gi kemotɛrapi bifo dɛn pul wan kansa tumbu bay ɔpreshɔn fɔ mek i smɔl. Dis kin mek i izi fɔ du ɔpreshɔn ɛn i kin wok fayn. Dɛn kɔl dis neoadjuvant kemotɛrapi .
• Afta ɔpreshɔn (Adjuvant Chemotherapy): Afta dɛn dɔn pul wan kansa tumbu tru ɔpreshɔn, dɛn kin gi kemotɛrapi bak fɔ pwɛl ɛni smɔl kansa sɛl we kin stil lɛf na di bɔdi, we wi nɔ kin si. Dɛn kin du dis fɔ ridyus di risk fɔ mek di kansa kam bak. Dɛn kɔl dis adjuvant kemotɛrapi .

Di tin we impɔtant pas ɔl na fɔ mek yu dɔktɔ chɛk yu sik ɛn no di bɛst tritmɛnt plan fɔ yu.

Bɔku kayn kemotɛrapi mɛrɛsin dɛn de? Wetin mek dɛn de yuz ɛni wan pan dɛn?

Yɛs, bɔku bɔku difrɛn kayn kemotɛrapi mɛrɛsin dɛn de. Ɛni drɔg kin wok difrɛn we. Sɔm drɔgs dɛn kin mek di kansa sɛl dɛn nɔ sheb, ɛn ɔda wan dɛn kin pwɛl di DNA fɔ di kansa sɛl dɛn ɛn kil dɛn.

Dɔktɔ dɛn kin pik di kayn (ɔ kɔmbayn) kemotɛrapi drɔgs fɔ gi yu bay sɔm tin dɛn:

• Di kayn kansa wae yu gɛt: Di mɛrɛsin wae dɛn gi yu fɔ brɔst kansa nɔr de di sem wit di mɛrɛsin wae dɛn gi yu fɔ lɔng kansa.
• Stej we di kansa gɛt: Dis de tɔk bɔt aw fa di kansa dɔn skata ɛn aw i big.
• Yu jenɛral wɛl bɔdi: Tin dɛm lɛk yu ej ɛn if yu gɛt ɛni ɔda mɛrɛsin.
• If yu dɔn gɛt tritmɛnt fɔ kansa bifo.

Bɔku tɛm, kɔmbayn kemotɛrapi kin bɛtɛ pas wan drɔg kemotɛrapi. Dis na bikɔs ɛni mɛrɛsin kin atak di kansa sɛl dɛn difrɛn we dɛn, ɛn dis kin mek i nɔ kin izi fɔ mek di kansa sɛl dɛn rɔnawe pan di atak. Dɔn bak, di kansa sɛl dɛn kin ebul fɔ bia wit sɔm mɛrɛsin dɛn. If yu gi bɔku drɔgs togɛda, dat kin mek yu nɔ gɛt da prɔblɛm de.

Aw dɛn kin gi di bɔdi kemotɛrapi?

Bɔku we dɛn de fɔ gi pɔsin kemotɛrapi, i go dipen pan di kayn kansa, usay i de, ɛn di kayn mɛrɛsin we dɛn yuz.

• Intravenous (IV): Dis na di we we dɛn kin yuz mɔ. Jɔs lɛk aw dɛn de gi salin, dɛn kin put smɔl tiub (kanula) insay wan vein na di an ɔ ɔdasay, ɛn dɛn kin put di mɛrɛsin smɔl smɔl insay di bɔdi tru am. Sɔntɛnde, fɔ tritmɛnt fɔ lɔng tɛm, dɛn kin put smɔl tin (pɔt) ɔnda di skin na di chɛst ɛn dɛn kin gi di mɛrɛsin tru am.
• Oral: Sɔm kemotɛrapi drɔgs kin tek na os insay pil fɔm. Bɔt i rili impɔtant fɔ tek dɛn tin ya di rayt tɛm ɛn di rayt doz lɛk aw yu dɔktɔ tɛl yu.
• As injɛkshɔn: Dɛn kin gi sɔm mɛrɛsin dɛn as injɛkshɔn, ɔnda di bɔdi ɔ insay di mɔsul.
• Intrathecal: Fɔ trit kansa we dɔn skata to di bren ɔ spɛshal kɔd, sɔm tɛm dɛn kin injekt mɛrɛsin na di spaynal kanal.
• insay di bכdi kכva dεm (Intracavitary): fכ egzampl, dεn kin injεkt mεdikeshכn dairekt insay di bכdi kכva (Intraperitoneal) כ di pleura cavity we de kכba di lכng dεm (Intrapleural).
• Krim ɔ loshan we yu kin put pan yu bɔdi: Fɔ sɔm kayn kansa na yu skin, dɛn kin put krim we gɛt kemotɛrapi drɔgs pan di skin. Dis na sɔntin we nɔ kin apin so ɔltɛm.

Wetin mek di sayd ɛfɛkt dɛn we kemo kin gɛt kin apin? Wetin na dɛn?

Dis na wan pan de tin wae kin mek bɔrku pipul frayd wae dɛn de tɔk bɔt kemotɛrapi. As wi bin dɔn tɔk, kemo drɔgs kin tɔch di sɛl dɛn we de sheb kwik kwik wan. So, ɛn bak di kansa sɛl dɛn, dɛn mɛrɛsin ya kin afɛkt di sɛl dɛn we gɛt wɛlbɔdi ɛn we kin sheb kwik kwik wan na wi bɔdi. Na dat mek sayd ɛfɛkt kin apin.

Bɔt mɛmba dis:

• Nɔto ɔlman kin gɛt ɔl di sayd ɛfɛkt dɛn.
• Di kayn bad bad tin dɛn we kin apin to pɔsin kin difrɛn frɔm wan pɔsin to ɔda pɔsin.
• Bɔrku pan di sayd ɛfɛkt dɛm na fɔ shɔt tɛm nɔmɔ ɛn dɛn kin go wans dɛn dɔn dɔn di tritmɛnt.
• Naw bɔku gud mɛrɛsin dɛn de fɔ kɔntrol di bad tin dɛn we kin apin to pɔsin.

Na sɔm pan di kɔmɔn sayd ɛfɛkt dɛm:

• Di ia we de lɔs: Dis na wan sayd ɛfɛkt we bɔku pipul dɛn sabi. Bɔt nɔto ɔl di kemo drɔgs kin mek in ia lɔs. Ivin if yu lɔs yu ia, i go gro bak fayn fayn wan wans di tritmɛnt dɔn.
• Nɔs ɛn Vɔmit: Dis kin apin bak. Bɔt naw, rili gud mɛrɛsin dɛn de fɔ kɔntrol dis. Di dɔktɔ go gi yu dɛn tin ya bifo tɛm.
• Mɔt sos: Smɔl smɔl sos kin kɔmɔt insay di mɔt ɛn trot.
• Di we aw i nɔ want fɔ it ɛn di we aw i de te kin chenj.
• Dayarɛa ɔ Kɔnstipɛshɔn.
• Taya: Dis na tin we bɔku pipul dɛn kin gɛt. I impɔtant fɔ mek yu rɛst fayn fayn wan.
• Di blɔd sɛl dɛn we dɔn go dɔŋ:
• Di wayt blɔd sɛl dɛn we de dɔŋ (Neutropenia): Dis kin mek di risk fɔ gɛt infɛkshɔn bɔku. If yu gɛt sɔm kayn sik lɛk fiva ɛn kol, yu fɔ tɛl yu dɔktɔ wantɛm wantɛm.
• Lɔw rɛd blɔd sɛl (Anemia): Dis kin mek yu taya, wik, ɛn yu skin kin gɛt palɛ.
• Trombocytopenia: Dis kin mek yu blɔd ɛn brus.
• Skin kin chenj: Di skin kin dray, i kin it, ɛn i kin fil lɛk se di san de shayn.
• Di chenj dɛn we de apin na di nel dɛn: Di nel dɛn kin chenj in kɔlɔ ɛn i kin brok.

Dis kin tan lɛk se yu de mek yu fred smɔl. Bɔt yu mɛdikal tim go tich yu bɔt ɔl dɛn sayd ɛfɛkt ya ɛn ɛp yu fɔ kɔntrol dɛn. Nɔr frayd fɔ tɛl dɛm bɔt ɛni diskɔmfɔt wae yu de fil.

Wetin yu fɔ no bifo ɛn we yu de du kemotɛrapi?

Bɔrku tin de wae yu fɔ no bɔt bifo, wae yu de trit yu, ɛn afta yu dɔn trit yu.

• Tɔk to yu dɔktɔ: Aks yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu. Ɛksplen ɔltin, ivin di tritmɛnt plan, di bad tin dɛn we kin apin to am, ɛn wetin fɔ du bɔt dɛn.
• Gɛt di tɛst dɛn we yu nid: Bifo yu bigin fɔ tek kemo, yu dɔktɔ go aks yu fɔ du sɔm tɛst dɛn, lɛk fɔ tɛst yu blɔd ɛn fɔ tek ɛkstrem rayt. Dɛn tin ya go chɛk aw yu bɔdi de du di tritmɛnt fayn fayn wan.
• Bil sɔpɔt sistɛm: Di sɔpɔt ɛn lɔv we yu fambul, padi, ɛn pipul dɛn we yu lɛk de gi rili impɔtant insay dis tɛm. Na big trɛnk fɔ gɛt pɔsin fɔ ɛp yu.
• Pripia fɔ di de fɔ yu tritmɛnt: If yu de tek IV mɛrɛsin, i kin tek sɔm awa. Briŋ sɔntin fɔ rid ɔ lisin to insay da tɛm de. Wear fayn klos.
• Fɔ fala di instrɔkshɔn dɛn we di dɔktɔ gi yu: Fɔ fala di instrɔkshɔn dɛn we dɛn gi bɔt di tɛm we yu fɔ tek di mɛrɛsin ɛn di it we yu fɔ it.
• Yu fɔ no bɔt di bad tin dɛn we kin apin to yu: If yu notis ɛni nyu sayn ɔ ɛnitin we nɔ kɔmɔn, tɛl yu dɔktɔ ɔ nɔs wantɛm wantɛm.
• Gɛt bɔku rɛst, it tin dɛn we gɛt fayn fayn tin dɛn fɔ it, ɛn kɔntinyu fɔ klin: dɛn tin ya go gi yu bɔdi trɛnk fɔ bia wit di tritmɛnt.

Wetin kin apin afta di kemo dɔn dɔn?

We ɔl di kemotɛrapi saykl dɛn dɔn, i go tek sɔm tɛm fɔ mek yu bɔdi wɛl. Di sayd ɛfɛkt dɛn go stɔp smɔl smɔl. If yu ia dɔn ɔlrɛdi lɔs, i go bigin fɔ gro bak fayn fayn wan.

Bɔt, dɔktɔ dɛn nɔ kin fɔgɛt bɔt yu jɔs bikɔs di tritmɛnt dɔn dɔn.

• Fɔ fala di apɔntinmɛnt: Yu go nid fɔ kɔntinyu fɔ go to yu dɔktɔ ɛn du tɛst. Dis go chɛk fɔ si if di kansa dɔn kam bak ɔ if ɛnitin de we go ambɔg di tritmɛnt fɔ lɔng tɛm.
• Fɔ wɛl:Dis tɛm impɔtant fɔ mek yu bɔdi ɛn maynd wɛl. Yu kin aks fɔ advays bak if nid de.

So, wetin na di tin dɛm wae wi fɔ mɛmba bɔt kemotɛrapi?

Kimotɛrapi na rili impɔtant ɛn pawaful tritmɛnt fɔ kansa. We yu no dis, dat go ɛp yu fɔ bia wit dis tritmɛnt if yu ɔ pɔsin we yu sabi gɛt fɔ du dis tritmɛnt.

• Kimotɛrapi na spɛshal kayn mɛrɛsin we de pwɛl di kansa sɛl dɛn.
• I de wok bay we i de tɔch di sɛl dɛn we de sheb kwik kwik wan, so i kin afɛkt di kansa sɛl dɛn ɛn sɔm sɛl dɛn we gɛt wɛlbɔdi.
• Sɔm bad bad tin dɛn kin apin, bɔt bɔku tɛm na fɔ shɔt tɛm nɔmɔ ɛn dɛn kin ebul fɔ kɔntrol dɛn. Nɔ wɔri.
• Dɔktɔ dɛn kin pik di kimotɛrapi tritmɛnt plan we go fayn fɔ ɛni sikman.
• Nɔ fred fɔ aks di mɛdikal tim ɛni kwɛstyɔn ɔ tin we de mɔna yu. Dɛn de ya fɔ ɛp yu.
• Di sɔpɔt we famili ɛn padi dɛn de gi wi rili impɔtant pan dis waka. Nɔto yu wan de.

Kimotɛrapi kin tranga, bɔt if yu no di rayt tin, di mɛrɛsin we yu de sɔpɔt yu, ɛn di trɛnk we di wan dɛn we yu lɛk gɛt, yu go ebul fɔ win dis prɔblɛm.

` kemotɛrapi, kemotɛrapi, kansa tritmɛnt, sayd ɛfɛkt, Sinhala mɛdikal atikul