We wi de tɔk bɔt kansa tritmɛnt, sɔntɛnde di nem fɔ di mɛrɛsin dɛn we wi kin yɛri kin kɔmplikt smɔl, nɔto so? Wan pan dɛn nem dɛn de na Lutetium Lu 177 dotatate. Bɔt pan ɔl we di nem kɔmplikt, if wi jɔs ɔndastand aw i de wok, bɔku pan di tin dɛn we yu de fred ɛn dawt go dɔn. Tide, lɛ wi tɔk bɔt dis patikyula we fɔ trit pɔsin, lɛk se wi de tɔk to wi padi.
Wetin na dis Lutetium Lu 177 dotatate?
Fɔ tɔk am simpul wan, dis na wan patikyula mɛrɛsin we dɛn kin gi fɔ kil di kansa sɛl dɛn. Dis nɔ tan lɛk kemotɛrapi we dɛn kin tek ɔltɛm. Dɛn kɔl dis ‘targeted therapy’. Tink bɔt dis drɔg lɛk ‘smat bɔm’ we de go fɛn kansa sɛl dɛn ɛn atak dɛn.
Dɛn kin yuz dis tritmɛnt spɛshal wan fɔ trit wan kayn kansa we dɛn kɔl nyuroɛndokrin tɔŋ. Dis drɔg gɛt wan tin we gɛt redioaktiv. dis de atak spεsifi k protin dεm (rεsεptor dεm) we de na di sεf fכ di kεnsar sεl dεm. I tan lɛk se ki fit insay kihol. We i dɔn tay, di raytin we de kɔmɔt na di mɛrɛsin kin pwɛl di kansa sɛl frɔm insay. Dis we ya nɔ de mek di sɛl dɛn we gɛt wɛlbɔdi nɔ pwɛl bɛtɛ.
Wetin a fɔ tɛl di dɔktɔ bifo a bigin fɔ tek tritmɛnt?
Bifo yu gi yu dis tritmɛnt, yu dɔktɔ go nid fɔ no yu kɔmplit wɛlbɔdi istri. So, i rili impɔtant fɔ mek yu gi dis infɔmeshɔn kɔrɛkt wan ɛn nɔ ayd ɛnitin .
- Kidni ɔ liva sik: Mek shɔ se yu tɛl yu dɔktɔ if yu gɛt ɛni sik na yu kidni ɔ liva.
- Blɔd abnɔmal tin: If yu gɛt smɔl rɛd blɔd sɛl, wayt blɔd sɛl, ɔ pletlɛt, yu fɔ tɛl yu dɔktɔ bikɔs dis tritmɛnt kin mek dɛn tin ya wɔs.
- Alɛji: Duya tɛl wi if yu gɛt ɛni alɛji to dis mɛrɛsin, Lutetium Lu 177 dotatate, ɔ ɛni ɔda mɛrɛsin, it, ɔ day.
- Bεlε εn bεlε: Dis rili impɔtant if yu bεlε, yu de tray fכ bεlε, כ yu de gi bεlε. Tɔk opin wan wit yu dɔktɔ bɔt dis.
Aw fɔ gi dis mɛrɛsin to di bɔdi ɛn ɔda tin dɛn we yu fɔ tink bɔt
Dɛn kin gi dis mɛrɛsin as salin sɔlvushɔn insay wan vein (infushɔn). Dɛn kin du dis na ɔspitul ɔ klinik bay we dɛn dɔn tren fɔ mɛn pipul dɛn. So, i nɔto sɔntin we yu go ebul fɔ du na os.
Dɛn nid spɛshal kia we dɛn de gi dis mɛrɛsin to yɔŋ pikin dɛn. So, if dɛn dɔn gi yu pikin dis tritmɛnt, tek tɛm tɔk bɔt dis wit yu dɔktɔ we de mɛn pikin dɛn.
Wetin a go du if a mis wan doz?
If yu nɔ ebul fɔ go na di ɔspitul di de we yu dɔn sɛtul, duya tɛl yu dɔktɔ ɔ di ɔspitul wantɛm wantɛm. I rili impɔtant fɔ tek dis mɛrɛsin lɛk aw dɛn dɔn plan am ɛn nɔ skip di doz.
Wetin fɔ du if di doz go ɔp?
Bikɔs dɛn kin gi dis na ɔspitul, di chans fɔ mek dɛn tek am pasmak kin rili smɔl. Bɔt if yu tink se dis dɔn apin, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta wantɛm wantɛm na di Kɔlɔmbɔ Nashɔnal Ospital , ɔ go na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU).
Tin dɛn we wi nid fɔ tek tɛm mɔ bɔt we wi de trit wi
Yu nid fɔ tek kia smɔl mɔ pan yu wɛlbɔdi we yu de tek dis mɛrɛsin.
Bεlε, bεlε εn fεtiliti
Dis na tin we rili impɔtant.
- Uman: Nɔ gɛt bɛlɛ we yu de tek dis mɛrɛsin ɛn fɔ 7 mɔnt afta yu dɔn stɔp di tritmɛnt. Dis kin rili ambɔg di pikin we nɔ bɔn yet. Tɔk to yu dɔktɔ if yu de plan fɔ gɛt bɛlɛ.
- Man: If yu de tek dis tritmɛnt, nɔ fɔ bɔn pikin we yu de trit am ɛn fɔ 4 mɔnt afta yu dɔn stɔp.
- Fɔ gi yu pikin in bɛlɛ: Nɔ gi yu pikin in bɛlɛ 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.
Risk fɔ gɛt infɛkshɔn ɛn blɔd
Dis mɛrɛsin kin ridyus yu bɔdi in ebul fɔ fɛt sik (immunity).
- So tray fɔ de fa frɔm pipul dɛn we gɛt sik lɛk flu ɔ kol .
- If yu gɛt sɔm sayn dɛm lɛk fiva, kol, ɔr yu trot we de at, nɔr de mɛn yusɛf ɛn tɛl yu dɔktɔ wantɛm wantɛm.
- Tek tɛm we yu de brus yu tit ɛn yuz tutpik, bikɔs i kin mek yu gɔm blɔd. Yuz tut brɔsh we gɛt sɔft brist .
- If yu go gɛt dɛnt tritmɛnt, tɛl di dɛntist se yu de tek dis mɛrɛsin.
- If yu gɛt ɛni brus ɔ blɔd we nɔ kɔmɔn, tɛl yu dɔktɔ.
Jɛnɛral wɛlbɔdi ɛn ɔda mɛrɛsin dɛn
- Nɔ yuz tin dɛn we de mek yu nɔ fil pen (lɛk aspirin, ibuprofen) ɔ tin dɛn we de mek yu nɔ gɛt fiva (lɛk acetaminophen) we yu nɔ gɛt dɔktɔ advays, bikɔs dɛn tin ya kin stɔp di fiva we kin kam wit infɛkshɔn.
- Yu go nid fɔ du blɔd tɛst ɔltɛm (blɔd wok) we yu de tek dis tritmɛnt. Nɔ skip dɛn.
- Na nɔmal tin fɔ mek di bɔdi fil smɔl nɔ fayn ɛn taya bikɔs ɔf kansa tritmɛnt. Dis na bikɔs we di kansa sɛl dɛn pwɛl, di sɛl dɛn we gɛt wɛlbɔdi bak kin afɛkt. Kɔntinyu fɔ trit yu ilɛksɛf yu nɔ fil fayn te yu dɔktɔ tɛl yu fɔ stɔp.
Wetin na di bad tin dɛn we kin apin to pɔsin?
Lɛk ɛni mɛrɛsin, dis wan kin mek pɔsin gɛt sayd ɛfɛkt. Bɔt nɔto ɔlman kin gɛt dɛn. Sɔm dɛn siriɔs, sɔm dɛn nɔ at fɔ ɔndastand.
| Tayp fɔ di sayd ɛfɛkt | Diskripshɔn ɛn di simptom dɛm |
|---|---|
| Siriɔs sayn dɛm wae yu fɔ ripɔt to yu dɔktɔ kwik kwik wan | |
| Di tin dɛn we i kin du to di blɔd sɛl dɛn | - Di sayn dɛm fɔ infekshɔn: fiva, kol, trot we de at, kɔf - Sayn dɛm fɔ blɔd: i izi fɔ brus, smɔl smɔl rɛd spat na di skin, blɔd na di urine - Di sayn dɛm we de sho se di rεd blɔd sɛl dεm dכn dכn: yu taya pasmak, yu de pale, yu de fεn |
| Di chenj dɛn we de apin na di at rit | Chɛst pen, diziz, at de bit fast ɔ nɔ de bit ɔltɛm, i nɔ izi fɔ blo. |
| Ifekt pan di liva ɔ kidni | - Liva: dak yɔlɔ/brawn urine, yu yay ɔ skin de yɔlɔ, pen na di ɔp rayt say na di bɛlɛ, nɔs - di kidni dεm: di chenj we di urine de kכmכt, i at fכ pis |
| Di chenj dɛn we de apin na di blɔd shuga | - Lɔw blɔd shuga: yu de swet pasmak, yu de shek shek, yu de angri pasmak, yu de agyu, yu nɔ de no natin - Di blɔd shuga we bɔku: yu kin tɔsti pasmak, yu mɔt kin dray, yu kin pis bɔku tɛm |
| Ɔda siriɔs sayn dɛn | I nɔ kin izi fɔ blo, yu kin flash, yu kin gɛt dayarɛa, yu an ɛn fut dɛn kin swɛla, yu mɔsul dɛn kin pen ɔ yu kin stif. |
| Di sayn dɛm wae nɔr kin siriɔs, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| Dijestiv sistɛm | Nɔs, vɔmit, bɛlɛ pen, yu nɔ de want fɔ it, yu bɛlɛ nɔ de fil fayn |
| Ɔda jenɛral kwaliti dɛn | Kɔf, ia we de lɔs, an, fut, ɔ anklɛ we de swel. |
Mɛsej we dɛn kin kɛr go na os
- Lutetium Lu 177 dotatate na wan spεsifi k tritmεnt we de tכk εn pwεl di kεnsar sεl dεm.
- Bifo yu bigin fɔ trit yu, tɛl yu dɔktɔ bɔt ɔl yu wɛlbɔdi infɔmeshɔn ɛn ɔl di ɔda mɛrɛsin dɛn we yu de tek.
- Fɔ fala di instrɔkshɔn dɛn we dɛn gi yu strikt wan fɔ avɔyd fɔ gɛt bɛlɛ, fɔ bɔn pikin dɛn, ɛn fɔ gi pikin dɛn bɛlɛ we yu de du di tritmɛnt ɛn fɔ sɔm tɛm afta yu dɔn trit yu.
- Yu fɔ no di prɔblɛm we kin apin we pɔsin gɛt infɛkshɔn ɛn blɔd. If yu notis sɔm sayn dɛn lɛk fiva ɔ yu gɛt brus we nɔ kɔmɔn, tɛl yu dɔktɔ wantɛm wantɛm.
- Go to dɔktɔ wantɛm wantɛm if yu notis ɛni siriɔs sayd ɛfɛkt. Ripɔt bak ɛni kɔmɔn sayd ɛfɛkt we de kɔntinyu.
- Tɔk to yu dɔktɔ opin wan bɔt ɛni kwɛstyɔn, fred, ɔ dawt we yu gɛt. Dɛn de de fɔ ɛp yu.
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