Na nɔmal tin fɔ fil smɔl frayd ɛn fred we yu dɔktɔ gi yu mɛrɛsin we dɛn kɔl Mɛlfalan fɔ yu ɔ pɔsin na yu famili. We wi yɛri di wɔd " kansa mɛrɛsin," wi ɔl kin kray smɔl. Bɔt nɔ fred. Fɔ no gud gud wan bɔt ɛni tritmɛnt na di bɛst tin fɔ mek yu ebul fɔ go tru da joyn de fayn fayn wan. So tide, lɛ wi tɔk rili simpul ɛn fayn bɔt dis mɛrɛsin we dɛn kɔl Mɛlfalan. I tan lɛk se yu yon padi, we na dɔktɔ, de ɛksplen am to yu.
Fɔ tɔk am simpul wan, wetin na Mɛlfalan?
Melphalan na wan kemotɛrapi mɛrɛsin we de fɛt di kansa sɛl dɛn . Fɔ tɔk di kɔrɛkt tin, i de mek di kansa sɛl dɛn nɔ gro sloslo, dat na di rit we dɛn de sheb ɛn bɔku. Dis we ya, di men wok we i de du na fɔ kɔntrol di kansa sɛl dɛn.
Dɛn kin yuz dis mɛrɛsin mɔ fɔ mɛn:
- Fɔ ovarian kansa .
- Multiple myeloma na wan kayn kansa we kin kam na di bon mכro .
Sɔntɛnde, dɔktɔ dɛn kin yuz dis mɛrɛsin fɔ ɔda kayn kansa bak. Na Sri Lanka, yu kin fɛn dis mɛrɛsin ɔnda di brand nem `Alkeran`.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin fɔ tek mɛrɛsin
Dis rili impɔtant. Dis mεdisin kin intarakt wit sɔm kכndyushכn dεm na yu bכdi. So, if yu gɛt ɛni wan pan di sik dɛn we de dɔŋ ya, mek shɔ se yu tɛl yu dɔktɔ bifo yu bigin fɔ tek di mɛrɛsin. Nɔ ayd dɛn tin ya, bikɔs i rili impɔtant fɔ yu sef.
| Di tin we de apin to yu | Wetin mek i impɔtant fɔ tɛl di dɔktɔ? |
|---|---|
| Kidni ɔ Liva sik | Dɛn ɔgan ya na dɛn kin pul drɔgs na di bɔdi. If dɛn nɔ de wok fayn, dɛn kin nid fɔ chenj di doz fɔ di mɛrɛsin. |
| Di blɔd sɛl dɛn we nɔ bɔku | Fɔ ɛgzampul, if yu gɛt smɔl wayt blɔd sɛl, rɛd blɔd sɛl, ɔ pletlɛt, dis mɛrɛsin kin mek di sik wɔs. So yu dɔktɔ fɔ no bɔt dat. |
| Infekshɔn we de naw | Bikɔs dis mɛrɛsin de ridyus di bɔdi in immunity, if infekshɔn dɔn ɔlrɛdi de, dɛn fɔ trit am. |
| If yu dɔn gɛt kemotɛrapi ɔ redyushɔn tɛrapi bifo | Di tritmɛnt dɛn we dɛn bin dɔn du trade kin dɔn afɛkt di bon mɛrɔ, so yu fɔ tink bɔt dis we yu de gi yu dis mɛrɛsin. |
| Alɛji to Melphalan ɔ ɔda mɛrɛsin ɔ it dɛn | I rili impɔtant fɔ no bɔt ɛni kayn alɛji. |
| If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ | Dis rili impɔtant. Dis mɛrɛsin kin mek di pikin we de na di bɛlɛ bad bad wan. I kin pas bak insay di pikin tru in mama in milk. Wi go tɔk mɔ bɔt dis. |
Wetin na di bɛst we fɔ yuz dis mɛrɛsin?
Di tin we impɔtant pas ɔl na fɔ tek di rayt doz lɛk aw yu dɔktɔ tɛl yu.
- Tek dɛn pils ya wit wan glas wata.
- Di tin we impɔtant pas ɔl na fɔ tek dis mɛrɛsin wit ɛmti bɛlɛ. Dat min se at le wan awa bifo yu it ɔ tu awa afta yu it . Nɔ tek am wit it. If yu tek am wit it, dat kin mek di mɛrɛsin nɔ go insay di bɔdi.
- Tray fɔ tek yu mɛrɛsin di sem tɛm ɛvride, as mɔ as yu ebul. Dis go ɛp fɔ mek di lɛvɛl dɛn we di mɛrɛsin de na yu bɔdi nɔ chenj.
- Nɔ stɔp fɔ tek yu mɛrɛsin te yu dɔktɔ se, "If, stɔp."
Wonin: Dɛn dɔn gi yu dis mɛrɛsin fɔ yu nɔmɔ. Nɔ sheb am wit ɛni ɔda pɔsin fɔ ɛni rizin.
Wetin fɔ du if yu mis wan doz fɔ mɛrɛsin?
If yu fɔgɛt fɔ tek wan doz wantɛm wantɛm, nɔ wɔri. Skip di doz we yu mis ɛn tek yu nɛks doz di tɛm we yu kin tek. Nɔ ɛva tek tu pils wan tɛm fɔ mek di doz we yu dɔn fɔgɛt.
Wetin a go du if a tek bɔku mɛrɛsin?
If yu tink se yu dɔn tek mɔ mɛrɛsin pas aw yu tink, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital wantɛm wantɛm ɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu .
Us ɔda tin dɛn kin miks wit dis mɛrɛsin?
Melphalan na wan pawaful drɔg. So, i kin miks wit ɔda mɛrɛsin dɛn. So, yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, lɛk vaytamɛn dɛn, ɛbul mɛrɛsin dɛn, ɛn sɔpɔtmɛnt dɛn .
| Kayn | Ɛgzampul dɛn ɛn diskripshɔn dɛn |
|---|---|
| Tin dɛn we nɔ fayn fɔ bay | |
| Layf vaysin dɛn | Yu bɔdi in imyun sistɛm kin wik we yu tek dis mɛrɛsin. If yu gɛt layf vaysin (e.g. mizɛl, mɔmp, rubɛla - MMR) dis tɛm, yu kin sik frɔm da vaysin de. So aks yu dɔktɔ bifo yu gɛt ɛni vaysin insay dis tɛm. |
| Ɔda drɔgs fɔ yuz wit kɔt | |
| Sɔm ɔda mɛrɛsin dɛn | Mεdikeshכn dεm lεk Carmustine, Cisplatin, εn Cyclosporine kin intarakt wit Melphalan. So, i impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek. |
Tin dɛn we yu fɔ tek tɛm wit mɔ we yu de tek di mɛrɛsin
Di tritmɛnt fɔ kansa kin tranga, bɔt if yu mɛmba dɛn tin ya, yu go ebul fɔ mɛn am izi wan.
Fɔ fil se i nɔ fayn
Kimotɛrapi de wok bay we i de kil di sɛl dɛn we de sheb kwik kwik wan. Kansa sel dεm na sεl dεm we de sheb kwik kwik wan. Bɔt sɔm sɛl dɛn we gɛt wɛlbɔdi na wi bɔdi (fɔ ɛgzampul, di ia sɛl dɛn, di sɛl dɛn we de na di layn na di mɔt, di blɔd sɛl dɛn) dɛnsɛf kin sheb kwik kwik wan. So dɛn drɔgs ya kin afɛkt dɛn wɛlbɔdi sɛl dɛn de bak. Na dat mek yu nɔ kin fil fayn, yu taya, ɔ yu kin fil lɛk se yu nɔ de fil fayn. Dis na nɔmal tin. Bɔt tɛl yu dɔktɔ bɔt ɛni sayd ɛfɛkt we yu gɛt. Nɔ stɔp fɔ tek yu mɛrɛsin we yu nɔ gɛt yu dɔktɔ in advays jɔs bikɔs i nɔ fayn fɔ yu.
Una tek tɛm wit infɛkshɔn!
Dis rili impɔtant. Melphalan de mek yu bɔdi in imyun sistɛm wik . Dis min se i de ridyus di nɔmba fɔ di wayt blɔd sɛl dɛm we de fɛt sik. So yu kin gɛt infɛkshɔn izi wan.
- If yu gɛt sɔm sayn dɛn lɛk fiva, kol, trot we de at , ɔ kɔf , kɔl yu dɔktɔ wantɛm wantɛm. Nɔ de mɛn yusɛf.
- Ridyus fɔ go na ples dɛn we pipul dɛn kin bɔku.
- Stay away frɔm pipul dɛm wae sik (wit fiva, kol).
- Wash yu an bɔku tɛm wit sop.
Wach fɔ blɔd ɛn brus.
Dis mɛrɛsin kin ridyus di nɔmba fɔ di pletlɛt dɛn bak, we na sɛl dɛn we de ɛp fɔ mek blɔd klɔt. Dat mek,
- If ivin smɔl wund kɔntinyu fɔ blɔd, .
- If yu gɛt blu brus ɔlsay na yu bɔdi fɔ natin, .
- If yu gɔm dɛn de blɔd, .
Tɛl yu dɔktɔ wantɛm wantɛm.
Bεlε, bεlε εn fεtiliti
Dis kin apin to man ɛn uman.
- We yu gɛt bɛlɛ: If yu gɛt bɛlɛ we yu de tek dis mɛrɛsin, yu pikin we nɔ bɔn yet kin gɛt siriɔs prɔblɛm dɛn we i bɔn. So, i impɔtant fɔ yuz wan we we pɔsin kin rili abop pan fɔ kɔntrol di pikin we yu de tek di mɛrɛsin ɛn fɔ lɔng tɛm we yu dɔktɔ tɛl yu afta yu dɔn stɔp.
- Fɔ man dɛm: If yu de tek Melphalan, mek shɔ se yu patna protɛkt frɔm bɛlɛ. I rili impɔtant fɔ yuz kɔndɔm we yu de du mami ɛn dadi biznɛs insay dis tɛm.
- Fɔ gi pikin in mama in bɛlɛ: Nɔ gi pikin in mama in bɛlɛ we yu de tek dis mɛrɛsin.
- Fεtiliti: Dis mεdisin kin afekt yu ebul fכ bכn pikin (fεtiliti). If yu gɛt ɛnitin fɔ wɔri bɔt dis, tɔk to yu dɔktɔ bifo yu bigin fɔ trit yu.
Di sayd ɛfɛkt dɛn we di mɛrɛsin kin gɛt
Lɛk ɛni mɛrɛsin, Mɛlfalan kin mek pɔsin gɛt sayd ɛfɛkt. Sɔm dɛn kin nid fɔ pe atɛnshɔn to dɛn wantɛm wantɛm, ɛn ɔda wan dɛn kin stɔp as tɛm de go.
| Sayd ɛfɛkt we pɔsin kin gɛt | Tɔk bɔt |
|---|---|
| If yu gɛt dɛn sik ya, tɛl yu dɔktɔ wantɛm wantɛm. | |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong ɔ trot, i nɔ izi fɔ blo. |
| Sayn dɛn we de sho se pɔsin gɛt di sik | Fiva, kol, kɔf, trot we de at, wund we nɔ de wɛl, pen we yu de pis. |
| Di sayn dɛn we de sho se di rɛd blɔd sɛl dɛn nɔ de bɔku | Taya we nɔ kɔmɔn, we yu kin fil lɛk se yu nɔ gɛt bɛtɛ trɛnk, yu ed kin tɔn, yu ed kin at, yu nɔ kin ebul fɔ blo. |
| Blɔd ɔ brus we nɔ kɔmɔn | Bluish pat na di bɔdi fɔ no rizin, blɔd de kɔmɔt na di gɔm, blɔd de kɔmɔt na di nos. |
| If dɛn sayn ya nɔ de apin ɔ i de mɔna yu, tɛl yu dɔktɔ. | |
| Rɔnbɛlɛ | Go pan wan loose bɛlɛ. |
| Nɔs ɛn Vɔmit | Wan sik wae kin afɛkt bɔrku pipul dɛm. Ɔda mɛrɛsin dɛn de fɔ kɔntrol dɛn tin ya. |
| Sɔm na yu mɔt ɔ yu trot | Rɛd, swel, pen, ɔ sos insay di mɔt. |
Aw yu kin kip yu mɛrɛsin sef?
- Mek shɔ se yu kip am usay pikin ɛn animal dɛn we yu lɛk nɔ go ebul fɔ rich .
- Dis mɛrɛsin fɔ de na frij .
- Kip am na ples we layt nɔ fɔ fɔdɔm pan am .
- Nɔ yuz mɛrɛsin we dɔn pas.
- Aks yu dɔktɔ ɔ ɔspitul klinik aw fɔ trowe di mɛrɛsin dɛn we yu nɔ yuz ɔ we dɔn pas, fayn fayn wan.
Mɛsej we dɛn kin kɛr go na os
- Melphalan na wan tritmɛnt fɔ kansa. Yu fɔ tek am ɛmti bɛlɛ (wan awa bifo ɔ tu awa afta yu it).
- Nɔ ɛva stɔp fɔ tek mɛrɛsin ɔ chenj di doz if yu dɔktɔ nɔ advays yu.
- Yu imyuniti go ridyus we yu de tek di mɛrɛsin. So if yu gɛt ɛni sayn fɔ infekshɔn lɛk fiva ɛn kɔf, tɛl yu dɔktɔ wantɛm wantɛm. Nɔ go na pɔblik.
- Yu fɔ no if ɛni blɔd ɔ brus we nɔ kɔmɔn. If yu notis ɛnitin lɛk dat, mek yu dɔktɔ no.
- Nɔ gɛt bɛlɛ ɔ bɔn pikin we yu de tek dis mɛrɛsin. I impɔtant fɔ yuz bɔn kɔntrol we pɔsin kin abop pan.
- Nɔr frayd fɔ tɔk to yu dɔktɔ bɔt ɛnitin we nɔr de fil fayn, sayd ɛfɛkt, ɔr tin wae de mɔna yu. Fɔ tɔk to pipul dɛn opin wan na di men tin we go mek yu gɛt di bɛst tritmɛnt.
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