Yu dɔktɔ dɔn tɛl yu ɔ pɔsin we yu sabi gɛt wan kayn kansa we dɛn kɔl nyuroɛndokrin tɔŋ? Dɔn yu go dɔn yɛri bɔt dis spɛshal tritmɛnt we dɛn kɔl Lutetium Lu 177 Dotatate. Na kɔmplikɛt nem, bɔt fɔ tɔk am simpul wan, na drɔg we de wok lɛk ‘targeted attack’ we de fɛn ɛn pwɛl kansa sɛl dɛn. Lɛ wi tɔk mɔ bɔt am.
Wetin rili dis mɛrɛsin de du?
Fɔ tɔk am simpul wan, nyuro ɛndɔkrin tɔmɔs na wan kayn kansa we de divɛlɔp na di sɛl dɛn we de mek ɔmon dɛn na wi bɔdi. Dis drɔg we dɛn kɔl Lutetium Lu 177 Dotatate, de fɛn dɛn kansa sɛl dɛn de, atak dɛn, ɛn pul smɔl ɛnaji (raydieshɔn) fɔ kil dɛn kansa sɛl dɛn de ɔ stɔp dɛn fɔ mek dɛn nɔ skata. Dis min se i nɔ jɔs bi drɔg, i tan lɛk redyushɔn tɛrapi we de tɔch di kansa sɛl dɛn.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin tritmɛnt
Bifo yu disayd if dis tritmɛnt fayn fɔ yu, i impɔtant fɔ tɛl yu dɔktɔ bɔt yu kɔmplit wɛlbɔdi istri. Mek shɔ se yu tɛl yu dɔktɔ if yu gɛt ɛni wan pan di sik dɛn we de dɔŋ ya.
| Yu wɛlbɔdi biznɛs | A fɔ tɛl di dɔktɔ? |
|---|---|
| Kidni sik | Dɛn fɔ tɔk am. |
| Liva sik | Dɛn fɔ tɔk am. |
| Di blɔd sɛl dɛn we nɔ bɔku (wayt blɔd sɛl, pletlɛt, ɔ rɛd blɔd sɛl) . | Dɛn fɔ tɔk am. |
| Alɛji fɔ dis mɛrɛsin ɔ ɔda mɛrɛsin, it, ɔ day | Dɛn fɔ tɔk am. |
| If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ | I rili impɔtant. I fɔ se bifo tritmɛnt. |
| If yu na mama we de gi pikin in bɛlɛ | Dɛn fɔ tɔk am. |
Aw yu kin gɛt dis mɛrɛsin?
Dis mɛrɛsin nɔto sɔntin we yu kin kɛr go na os. Dɛn kin gi am as infushɔn tru wan vein, lɛk salin, bay wan mɛdikal tim na ɔspitul ɔ klinik.
Ivin fɔ pikin dɛn we dɔn pas 12 ia, dɛn kin gi dis tritmɛnt pan sɔm spɛshal kes dɛn. Bɔt, spɛshal tin dɛn de we wi fɔ tek tɛm wit we wi nid fɔ fala.
Bikɔs dɛn kin gi dis na ɔspitul, di risk fɔ ɔvados kin rili smɔl. Bɔt if yu tink se sɔntin dɔn apin, ripɔt am wantɛm wantɛm to di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) ɔ di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital .
Tin dɛm wae yu fɔ tek tɛm wit mɔ wae yu de trit yu
Bɔrku tin de wae yu fɔ tink bɔt fɔ yu sef ɛn fɔ de sef fɔ di wan dɛm wae de arawnd yu wae yu de du dis tritmɛnt.
Sayd ɛfɛkt ɛn diskɔmfɔt
Na nɔmal tin fɔ fil smɔl we yu de trit kansa, bikɔs i kin afɛkt di sɛl dɛn we gɛt wɛlbɔdi bak. Dis kin kɔmɔn fɔ tritmɛnt fɔ kansa. So, tɛl yu mɛdikal tim bɔt ɛni sayd ɛfɛkt we yu gɛt. Bɔt, nɔ stɔp di tritmɛnt te yu dɔktɔ tɛl yu fɔ du dat.
Tek tɛm bɔt di redioaktiviti.
Dis rili impɔtant. Afta yu dɔn gɛt dis mɛrɛsin, i kin gɛt redioaktiviti na yu urine fɔ te 30 dez .
So, fɔ mek shɔ se di wan dɛn we de na os wit yu, mɔ yɔŋ pikin dɛn ɛn uman dɛn we gɛt bɛlɛ, nɔ gɛt dis raytin, yu fɔ fala di instrɔkshɔn dɛn we yu mɛdikal tim dɔn gi yu strikt wan . Fɔ ɛgzampul:
- Yuz wan sɛpret tɔylɛt.
- Fɔ was tu tɛm afta yu dɔn yuz di tɔylɛt.
- Fɔ stɔp di tɛm we yu de spɛn fɔ de nia ɔda pipul dɛn.
Di dɔktɔ go gi yu klia instrɔkshɔn dɛn lɛk dis.
Bεlε, bεlε εn fεtiliti
- Dis mɛrɛsin kin mek dɛn bɔn siriɔs prɔblɛm.I pɔsibul fɔ bɔn pikin. So, dɛn kin du tɛst fɔ mek shɔ se yu nɔ gɛt bɛlɛ bifo dɛn bigin fɔ tek di tritmɛnt.
- If yu na uman we ebul fɔ bɔn pikin, yu fɔ yuz wan we we pɔsin kin rili abop pan fɔ kɔntrol bɔn pikin we yu de du tritmɛnt ɛn fɔ 7 mɔnt afta yu dɔn stɔp fɔ trit yu.
- If yu patna kin ebul fɔ bɔn pikin, i fɔ yuz bɔn kɔntrol we pɔsin kin abop pan we i de trit am ɛn fɔ 4 mɔnt afta i dɔn stɔp di tritmɛnt.
- Nɔ gi pikin bɔbi we yu de trit yu ɛn fɔ 2.5 mɔnt afta di las doz.
- Dis mɛrɛsin kin afɛkt di we aw pɔsin kin bɔn pikin. If yu gɛt ɛnitin fɔ wɔri bɔt dis, tɔk to yu dɔktɔ.
Protɛkt yusɛf frɔm infɛkshɔn
Dis mɛrɛsin kin mek di bɔdi nɔ ebul fɔ fɛt sik. Dat mek,
- If yu gɛt sɔm sayn dɛm lɛk fiva, kol, ɔr trot we de at, nɔr de mɛn yusɛf ɛn tɛl yu dɔktɔ.
- Tray fɔ de fa frɔm pipul dɛn we sik.
- Nɔ tek mɛrɛsin fɔ mɛn pen lɛk aspirin, asetaminofɛn, ɛn ibuprofen we yu nɔ gɛt yu dɔktɔ in advays, bikɔs dɛn tin ya kin stɔp di fiva ɛn mek i nɔ izi fɔ no if yu gɛt di sik.
- We yu de brus ɛn yuz flos, du am sloslo, bikɔs yu gam dɛn kin blɔd mɔ. If yu de du ɛni tit tritmɛnt, tɛl yu dɛntist se yu de tek dis mɛrɛsin.
Wetin na di sayd ɛfɛkt dɛm we dis mɛrɛsin kin gɛt?
Lɛk ɛni mɛrɛsin, dis wan kin gɛt sayd ɛfɛkt. Sɔm siriɔs, sɔm kɔmɔn.
| Tayp fɔ di sayd ɛfɛkt | Sayn dɛn |
|---|---|
| If yu gɛt dɛn sik ya, tɛl yu dɔktɔ wantɛm wantɛm. | |
| Alɛji riakshɔn / Angioedema | Skin rash, it, swel na yu fes, yay, lip, tong, an ɔ fut, i nɔ izi fɔ swɛla ɔ blo. |
| Kidni injury | di urine we de kכmכt dכn, di ankכl, an, כ fut de swel. |
| Liva injuri | Pen na di ɔp rayt say na di bɛlɛ, yu nɔ kin want fɔ it, yu nɔ kin fil fayn, yu kin gɛt layt kɔlɔ, yu kin gɛt dak yɔlɔ ɔ brawn urine, yu yay ɔ yu skin kin yɔlɔ, yu kin taya we nɔ kɔmɔn. |
| Di blɔd shuga we de go ɔp (Hyperglycemia) . | Tɔsti mɔ, pis ɔltɛm, taya we nɔ kɔmɔn, yu nɔ de si fayn. |
| Sik we de prɛd | Fiva, kol, kɔf, trot we de at. |
| Di nɔmba fɔ di rɛd blɔd sɛl dɛn we de go dɔŋ | Taya we nɔ kɔmɔn, diziz, ed we de at, i nɔ kin izi fɔ blo. |
| Blɔd ɔ brus we nɔ kɔmɔn | Brus ɛn blɔd we nɔ ɛksplen we nɔ go stɔp. |
| Bɔku tɛm, dɛn tin ya nɔ kin siriɔs, bɔt if dɛn kɔntinyu fɔ de, tɛl yu dɔktɔ. | |
| Prɔblɛm dɛn we de na di dijestiv sistɛm | Dayarɛa, Nɔs, Bɛlɛ pen, Vɔmit. |
Mɛsej we dɛn kin kɛr go na os
- Lutetium Lu 177 Dotatate na wan targeted rεdyushכn tεrapi we dεn gi fכ sכm nyuroεndokrin kεnsar dεm.
- Bifo yu bigin fɔ trit yu, tɛl yu dɔktɔ bɔt ɔl yu wɛlbɔdi prɔblɛm, di mɛrɛsin dɛn we yu de tek, ɛn di alɛji.
- Afta yu dɔn gɛt tritmɛnt, yu urine go gɛt redioaktiv, so fala yu dɔktɔ in instrɔkshɔn dɛn fayn fayn wan fɔ protɛkt ɔda pipul dɛn.
- Dis mɛrɛsin kin rili bad we uman gɛt bɛlɛ. So, yuz bɔn kɔntrol we pɔsin kin abop pan we yu de trit am ɛn fɔ sɔm tɛm afta dat. Nɔ gi pikin in bɛlɛ.
- If yu gɛt ɛni sayn lɛk bad bad alɛji, fiva, ɔ sayn fɔ se yu liva ɔ kidni dɔn pwɛl, tɛl yu dɔktɔ wantɛm wantɛm.
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