Wetin na Multiple Myeloma? Lɛ wi tɔk bɔt dis siriɔs sik!

Yu dɔn ɛva yɛri bɔt wan sik we dɛn kɔl Multiple Myeloma? Sɔntɛm di nem tan lɛk se i strenj smɔl to yu, ɔ sɔntɛm yu nɔ yɛri bɔt am atɔl. Na tru tru, na kansa we nɔ kin bɔku, bɔt we kin rili bad ɛn we kin afɛkt wi blɔd. E fayn fɔ no bɔt am, bikɔs if yu no am kwik, dat kin ɛp yu fɔ kɔntrol yu sik ɛn liv yu bɛst layf.

Wetin na Multiple Myeloma?

Okay, mek wi si wetin na dis multiple myeloma. Fɔ tɔk am simpul wan, na kansa we kin apin na wan kayn sɛl we dɛn kɔl plasma sɛl na wi blɔd.

Naw yu go de wɔnda, "Wetin na dɛn plasma sɛl ya?" Dis na wan kayn wayt blɔd sɛl na wi bɔdi. Fɔ ɛksplen mɔ, dɛn na wan rili impɔtant pat pan wi imyun sistɛm , di sistɛm we de protɛkt wi frɔm sik. Sɔntɛnde dɛn kin kɔl dɛn tin ya bak B-sɛl . Na dɛn plasma sɛl ya de mek antibodi ɔ imyunoglobulin . Na dɛn antibodi ya de fɛt di jem, baktri, ɛn vayrɔs dɛn we de kam insay wi bɔdi ɛn protɛkt wi frɔm sik. Dɛn tan lɛk smɔl bɔdi gad dɛn na wi bɔdi.

So, we di mכltipl myeloma de divεlכp, dεn hεlth, gud plasma sεl dεm ya kin chenj fכ sכm rizin εn bi abn כmal kansa sεl dεm . Dɔn dɛn nɔmal sɛl dɛn ya kin bigin fɔ sheb ɛn bɔku kwik kwik wan, ɛn dɛn nɔ kin ebul fɔ kɔntrol dɛn. di abnכmal plasma sεl dεm we de divεlכp dis we dεn de prodyuz abnכmal, yusles antibodi dεm bak. Wi kin kɔl dɛn M protin ya .

dis abnכmal sεl dεm de mכltiply εn prodyuz M protin dεm, we kin mek prכblεm. Dɛn kin pwɛl yu bon dɛn ɛn afɛkt di we aw yu kidni de wok. Dɛn kin ambɔg bak di bon mɛro fɔ mek di wayt blɔd sɛl dɛn, rɛd blɔd sɛl dɛn, ɛn pletlɛt dɛn we gɛt wɛlbɔdi, we kin ɛp fɔ mek di blɔd klɔt.

Yu tink se dis na sik we pɔsin nɔ go ebul fɔ mɛn?

Infakt, naw, no mɛrɛsin nɔ de fɔ Multiple Myeloma. Na dat na di tru tin we rili sɔri. Bɔt nɔr wɔri , dɔktɔ kin trit de sayd ɛfɛkt ɛn sayn dɛm fɔ dis sik. Dɛn kin slo bak fɔ mek di sik nɔ bɔku.

Bɔrku pipul kin gɛt sɔm kayn tɛm wae dɛn nɔr gɛt ɛni sayn fɔ wɛl afta dɛn dɔn trit dɛn. Wi kin kɔl dis wan rɛmishɔn tɛm. Dat min se, afta yu dɔn trit yu, yu kin liv nɔrmal wan wae nɔr gɛt sayn dɛm fɔ multiple myeloma. Fɔ sɔm pipul dɛm, dis rɛmishɔn tɛm kin te fɔ lɔng tɛm.

Aw kɔmɔn tin na Multiple Myeloma?

Dis na sik we nɔ kin rili apin.. Statistikin sho se na lɛk 7 pan 100,000 pipul dɛn kin gɛt dis sik ɛvri ia. Insay kɔntri lɛk Amɛrika, dɛn se na lɛk 100,000 pipul dɛn de sɔfa wit dis sik. Pan ɔl we dɛn nɔ gɛt ɛni rayt data bɔt ɔmɔs pipul dɛn gɛt dis sik na wi kɔntri, dɛn kin tek dis as sik we nɔ kin apin so ɔltɛm.

Udat kin gɛt dis sik pas ɔlman?

Multiple myeloma kin bɔku pan man dɛn pas uman dɛn . Dɛn dɔn si bak se i kin afɛkt sɔm etnik grup dɛn pas ɔda wan dɛn. Fɔ ɛgzampul, blak pipul dɛn kin gɛt dis sik tu tɛm pas wayt pipul dɛn.

We i kam pan di ej, dɛn kin no am mɔ pan pipul dɛn we ol bitwin 40 ɛn 70. Di avɛrej ej we dɛn kin no bɔt am na bitwin 65 ɛn 74. Dat min se i kin apia we yu dɔn ol smɔl.

Aw Multiple Myeloma kin afɛkt di bɔdi?

Sɔm pipul dɛn nɔ kin gɛt ɛni sayn fɔs, bɔt tin dɛn lɛk fɔ tɛst blɔd kin sho sayn fɔ se dɛn kin gɛt mɔltipɛl mayloma tumara bambay.

fכ egzampl, we dεn aspirayt כ bayopsi na di bon mכro, i kin sho se di plasma sεl dεm we nכ nכmal εn di jεnεtik mכtεshכn dεm. Dis kin min se yu gɛt wan sik bifo yu gɛt kansa we dɛn kɔl smoldering multiple myeloma (SMM) , we na wan prɛkursɔ fɔ multiple myeloma. bכdi εn urine tεst kin no bak di M protin dεm we di abnכmal plasma sεl dεm de mek. dis kכndyushכn dεn kכl am monoklonal gammopathy of undetermined signifikans (MGUS) . Dɔktɔ dɛn go de wach yu gud gud wan fɔ dɛn tin ya.

Di sayn dɛm fɔ multiple myeloma kin apin smɔl smɔl as tɛm de go. Dɛn kin tan lɛk di sayn dɛm fɔ ɔda sik dɛm. Na dis na de men tin wae kin kam wit dis sik ɛn de tin wae kin mek pɔrsin gɛt dis sik:

• Anemia: Na sik wae yu bɔdi nɔr gɛt inof rεd blɔd sɛl. Dis kin apin bikɔs di plasma sɛl dɛn we nɔ nɔmal kin ful-ɔp di bon mɛro, ɛn dis kin mek i nɔ mek wɛlbɔdi rɛd blɔd sɛl dɛn.
• Baktri infεkshכn, spεshal nyumonia: Apat frכm di rεd bכdi sεl dεm, abnכmal plasma sεl dεm de inkrεs, we de krawd di hεlty wayt blכd sεl dεm we de fכt infεkshכn. Dis kin mek am izi fɔ mek infɛkshɔn kam.
• Trombocytopenia: Na smɔl nɔmba fɔ di pletlɛt dɛn we de na yu blɔd. Plɛtlɛt na sɛl dɛn we de ɛp yu blɔd fɔ klɔt. di plasma sεl dεm we nכ nכmal kin ambɔg bak fכ mek dεn pletlet dεm ya.
• Bon pen/bon fraktכs:Plasma sɛl dɛn we nɔ de wok kin pwɛl di bon tisu dɛn, ɛn dis kin mek di bon dɛn wik, dɛn kin fil pen, ɛn i kin brok izi wan. Dɛn kin kɔl dis bak ɔstiɔlaytik lɛshɔn .
• Kidni prɔblɛm/we nɔ de wok fayn: Na wi kidni dɛn de filta di dɔti ɛn pɔyzin we de na wi bɔdi. di m protin dεm kin intafεr di kidni dεm fכ filta prכsεs εn damej dεm.
• amyloidosis: Dis na we abnכmal protin dεm (amyloid protin dεm) de dכn na difrεn כgan dεm na di bכdi.
• Hypercalcemia: Di bɔku bɔku kalsiɔm we kɔmɔt na di bon dɛn we dɔn pwɛl ɛn we wik kin gɛda na di blɔd.
• Hyperviscosity syndrome: di M protin dεm de mek di bכdi tik, we min se di at fכ wok tranga wan fכ pכmp bכdi.
• Cryoglobulinemia: Sɔntɛnde, bɔku bɔku mayloma kin mek di prɔtin dɛn we de na di blɔd gɛda togɛda we kol.

Wetin na di sayn dɛm fɔ Multiple Myeloma?

Multiple myeloma kin mek yu gɛt difrɛn kayn sayn dɛm. Bɔt bɔku pipul dɛn kin gɛt bon pen fɔs , mɔ na dɛn spayna ɛn rib. Na sɔm ɔda sayn dɛn ya:

• Wik ɛn swɛt na di an ɛn fut dɛn. If di bon dεm na di spayna dεm dכn pwεl, dεn kin kכlכp εn prεs pan di spεnal kכd.
• Taya - Dis min se yu de fil tumɔs taya fɔ du ɛvride wok, fil wik. Dɛn tin ya kin bi sayn dɛn we de sho se pɔsin nɔ gɛt bɛtɛ blɔd.
• Nɔs ɛn vɔmit . Dis kin bi sayn fɔ wan sik we dɛn kɔl hypercalcemia.
• Nɔr kin lɛk fɔ it ɛn/ɔr kin fil fɔ tɔsti pas aw yu kin fil. Dɛn tin ya kin bi bak sayn dɛm fɔ aypa kalsiɔm.
• We yu de lɔs yu wet we yu nɔ ɛksplen .
• Fiva we dɛn nɔ ɛksplen . Dis kin bi sayn fɔ se yu gɛt baktriyal infɛkshɔn.
• I izi fɔ mek yu brus ɔ blɔd . dis min se di bכdi nכ ebul fכ mek inof pletlet dεm bikoz fכ di plasma sεl dεm we nכ nכmal.
• Memory loss , nɔ ebul fɔ kɔnsɛntret, fil "foggy".

Mɛmba se if yu gɛt wan ɔ tu pan dɛn sayn ya, dat nɔ min se yu gɛt mɔltipɛl mayloma. Bɔt if dɛn sik ya kɔntinyu, i go fayn fɔ mek yu go to dɔktɔ ɛn mek dɛn chɛk yu.

Wetin na de tin wae kin mek pɔrsin gɛt Multiple Myeloma?

Dɔktɔ ɛn risach pipul dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin kin mek pɔsin gɛt mɔltipɛl mayloma, bɔt sɔm tin dɛn de we dɛn kin tink se ɛn dɛn de du risach bɔt:

• jεnεtik mכtεshכn: dεn de du risach fכ si if wan link de bitwin mכtεshכn dεm na sכm jin dεm ( oncogenes ) we de kכntro di growth fכ wi sεl dεm εn mכltipכl mayloma. Dɛn dɔn si bak se bɔku pipul dɛn we gɛt dis sik nɔ kin gɛt sɔm pat dɛn na sɔm kromozom dɛn.
• Di tin dɛn we de apin na di envayrɔmɛnt: Sɔm stɔdi dɛn dɔn sho se we pɔsin gɛt raytin, peshɛnt sayd, fɛtilayza, ɛn kemikal dɛn lɛk Ejen Ɔrɛnj kin gɛt fɔ du wit am bak.
• Fɔ gɛt sik wae de mek yu bɔdi wam: Fɔ ɛgzampul, wae yu gɛt dis sik wae de kam fɔ lɔng tɛm lɛk at sik, tayp 2 dayabitis, ɛn rεumatoid at.
• Fat pasmak: Dis min se yu fɔ gɛt bɔku bɔku fat na yu bɔdi.

Dis na di tin dɛm we dɛn de sɔprayz naw. Bɔt dɛn nɔ dɔn pruv yet se ɛni wan pan dɛn tin ya na di rizin.

Aw dɔktɔ dɛn kin no bɔt dis sik?

Dɔktɔ kin fala sɔm tin dɛn fɔ no if i gɛt mɔltipɛl mayloma.

Fɔs, dɛn go chɛk yu bɔdi . Dɛn go tek tɛm chɛk yu sayn dɛm. Dɛn go aks yu bak bɔt yu famili mɛdikal istri. Dɔn, dɛn kin du bɔku tɛst fɔ no if pɔsin gɛt di sik. Di infɔmeshɔn we dɛn go gɛt frɔm ɔl dis go sho di stej we di kansa de, lɛk di sayz we di tumbu gɛt ɛn aw fa i dɔn skata.

Us tɛst dɛn kin du fɔ dis?

Dɔktɔ dɛn kin du difrɛn tɛst fɔ no if yu gɛt mɔltipɛl mayloma, ɛn if na so, if i dɔn bigin ɔ i dɔn skata smɔl. Na sɔm pan dɛn:

• Complete Blood Count (CBC): Dis de sho di nɔmba fɔ di rɛd blɔd sɛl dɛn, di wayt blɔd sɛl dɛn, ɛn di amɔnt ɔf ɛmoglobin we de na yu rɛd blɔd sɛl dɛn.
• Blɔd kemistri tɛst: Dis go chɛk yu kriaytinin lɛvɛl (we de mɛzhɔ aw yu kidni dɛn de wok fayn), albumin protin lɛvɛl, kalsiɔm lɛvɛl, ɛn laktat dihaydrojɛnɛz (LDH) lɛvɛl. LDH kin bi wan tumor mak.
• Kwantitativ imyunoglobulin tεst: Dis bכdi tεst de mכsu di lεvεl dεm fכ difrεn kayn antibodi dεm na yu bכdi.
• εlektrofכresis: dis tεst de chεk fכ di prεsεns fכ M protin dεm na di bכdi.
• Yurin tɛst: Dɛn kin tɛst wan urine sɛmpul we dɛn gɛda fɔ 24 awa.yu kin chεk fכ כda protin we dεn kכl Bence Jones protin, we na כda mak fכ mכltipכl mayloma.
• X-ray: Dɛn kin yuz ɛkstrem rayt fɔ si if multiple myeloma dɔn pwɛl di bon dɛn.
• CT Scan (Computed Tomography - CT scan): Dis na ɔda tɛst fɔ luk fɔ di bon dɛn we dɔn pwɛl.
• MRI skan (Magnetic Resonance Imaging - MRI): Dis de yuz pawaful magnet ɛn redio wev fɔ mek ditayli pikchɔ dɛn fɔ yu bon ɛn spayna. Dɛn kin yuz am fɔ luk fɔ tin dɛn lɛk plasmacytomas , we na tumbu dɛn we de fɔm insay grup dɛn we gɛt plasma sɛl dɛn we nɔ nɔmal.
• PET skan (Positron Emission Tomography - PET scan): Dis na ɔda kayn skan we dɛn kin yuz fɔ no di plasmacytomas.
• Bon mכro bayopsi: Dכkta dεm de tek sכm sכm bon mכro εn analכz am fכ di pasεnshכn fכ di nכmal εn abnכmal plasma sεl dεm. Dɛn kin chɛk bak fɔ chenj na DNA we kin mek pɔsin gɛt kansa.

Aw dɛn kin no di stej dɛm fɔ Multiple Myeloma?

Dɔktɔ dɛn kin no di stej we di kansa gɛt mɔltipɛl mayloma ɛn ɔda kansa dɛn bay we dɛn kin no aw di kansa dɔn skata ɛn aw fa i dɔn skata. Dɛn kin yuz dis stej fɔ plan tritmɛnt. di prכsεs fכ no di stej fכ mכltipכl maylכma de bigin bay we dεn kכl di sik insay wan pan fכ kεtכgrεf:

1. MGUS (Monoclonal Gammopathy of Undetermined Significance): we dεn tεst di bכdi de sho sכm M protin. Na lɛk 1% - 2% pan di pipul dɛm we gɛt MGUS kin gɛt mɔltipɛl mayloma.

2. Solitary or isolated plasmacytomas: dis na kכlכsta dεm fכ abnכmal plasma sεl dεm we de fכm wan wan, na wan ples.

3. SMM (Smoldering Multiple Myeloma): Dis na wan sik we de bifo kansa we de bifo Multiple Myeloma. Pipul dεm we gεt SMM kin gεt sכm kayn sik, εn sho sכm M protin na di bכdi εn inkrεs pan di plasma sεl dεm na di bon mכro.

4. Mכltipכl Mayloma: Dis klasification min se tεst dεn sho mכltipכl kכlכsta dεm fכ abnכmal plasma sεl dεm, hכy lεvεl fכ M protin na di bכdi כ urine, εn hכy pasεnshכn fכ abnכmal plasma sεl dεm na di bon mכro. Bɔrku tɛm dɛn pipul ya kin gɛt anemia, hypercalcemia, kidney failure, ɛn osteolytic lesions.

Dɔn, dɔktɔ dɛn kin yuz di Rivays Intanɛshɔnal Stej Sistɛm (R-ISS).di stej fכ mכltipכl mayloma dεn kin no bay we dεn de yuz wan mεtכd we dεn kכl R-ISS sistεm. dis sistεm de bays pan di lεvεl dεm fכ albumin, beta-2 maykroglobulin, εn laktat dεhaydrojenεz na di bכdi. I de tek tɛm bak we dɛn de tɛst fɔ no if sɔm patikyula jin dɛn nɔ de wok.

Wetin na di tritmɛnt dɛm fɔ Multiple Myeloma?

Dɔktɔ dɛn kin trit mɔltipɛl mayloma bay di sayn dɛm we yu gɛt ɛn aw di sik dɔn rich. Fɔ ɛgzampul, pipul dɛm wae gɛt MGUS nɔr kin nid tritmɛnt kwik kwik wan. Bɔt dɛn dɔktɔ go de wach dɛn wɛlbɔdi ɔltɛm. Dɛn kin mek wan tritmɛnt plan bak fɔ tek akshɔn kwik kwik wan if di sik de kam.

If yu gɛt sayn dɛm fɔ multiple myeloma, dɔktɔ dɛn kin yuz dɛn tritmɛnt ya:

• Di mɛrɛsin fɔ pen: Bɔrku pipul dɛn nid dɛn tin ya bikɔs dɛn kin gɛt bad bad pen na dɛn bon.
• Antibayɔtik: As di imyun sistɛm de wik, di sik kin kam pan pɔsin. Yu dɔktɔ kin gi yu antibayɔtik fɔ trit dɛn sik ya.
• Stɛroyd: Stɛroyd, we dɛn gi am bɔku bɔku wan, i kin kil di kansa sɛl dɛn ɛn ridyus di inflamɛns.
• Kimotɛrapi: Dɛn kin yuz kemotɛrapi fɔ ridyus di nɔmba fɔ di plasma sɛl dɛn we nɔ fayn.
• Immunotherapy: Dis tritmɛnt de mek yu imyun sistɛm mek mɔ sɛl dɛn we de fɛt kansa.
• Radiation therapy: Dis tritmɛnt de pwɛl di kansa sɛl dɛn ɛn i de mek di bon tumor dɛn smɔl.
• stεm sεl transplant: Stem sεl na wan kayn spεshal sεl we de insay wi bon mכro כ blכd. Dɛn kin ɛp fɔ mek nyu plasma sɛl dɛn we gɛt wɛlbɔdi. Dɔktɔ dɛn kin se dɛn fɔ transplant ɔtɔlɔg stem sɛl . Dis involv fɔ yuz wɛlbɔdi stem sɛl dɛn frɔm yu yon bɔdi fɔ tek ples fɔ stem sɛl dɛn we dɔn pwɛl ɔ we nɔ gɛt wɛlbɔdi. Na smɔl tɛm nɔmɔ dɛn kin gɛt wɛlbɔdi stem sɛl frɔm ɔda pɔsin we gi am. Dɛn kɔl dis alɔjɛnik stem sɛl transplant .

Aw lɔŋ yu kin liv wit Multiple Myeloma?

Sɔm pipul dɛn kin liv wit multiple myeloma fɔ 10 ia ɔr mɔr. Jɔs lɛk bɔku kansa, fɔ no am kwik ɛn fɔ trit am kwik na di men tin.Dis na wetin de ɛp pipul dɛn fɔ liv lɔng. fכ egzampl, lεk 78% pan di pipul dεm we gεt wan plasmacytoma stil de alayv fayv ia afta dεn no di sik. di כvala fayv ia rεt fכ pipul dεm we gεt mכltipכl maylכma de frכm 40% to 82%. Dɛn figa ya na di R-ISS stej sistɛm we wi bin dɔn tɔk bɔt.

Bɔt mɛmba se dɛn nɔmba dɛn ya na avrej. Dɛn nɔr kin tek yu ej ɔr ɔl yu wɛl bɔdi, we na fɔ yusɛf. If yu gɛt multiple myeloma, yu dɔktɔ kin gi yu di bɛst infɔmeshɔn bɔt yu sik.

Yu tink se dɛn go ebul fɔ mek dis nɔ apin?

Nɔ, naw, no we nɔ de fɔ mek dɛn nɔ gɛt bɔku bɔku mayloma. Risach pipul dɛm de tray fɔ fɛn we fɔ stɔp di stej bifo kansa we dɛn kɔl SMM (Smoldering Multiple Myeloma) fɔ bi aktif multiple myeloma.

Aw yu de kia fɔ yusɛf?

Multiple myeloma kin afɛkt ɔlman difrɛn we. Fɔ ɛgzampul, pipul dɛm wae gɛt MGUS ɔr SMM nɔr nid tritmɛnt kwik kwik wan. Bɔt dɛn go nid fɔ go to dɛn dɔktɔ ɔltɛm fɔ mek dɛn du tɛst dɛn. If yu de na remission frɔm multiple myeloma, yu dɔktɔ go schedule fɔ chɛk-ap ɛn tɛst bay yu kɔndishɔn.

If yu de liv wit Multiple Myeloma, sɔm tin dɛn de we yu kin du fɔ mek yu kɔntinyu fɔ gɛt wɛlbɔdi:

• It tin dɛn we gɛt fayn fayn tin dɛn ɛvride. Multiple myeloma kin mek yu nɔ want fɔ it. So tray fɔ it 4 to 5 smɔl smɔl it dɛn ɛvride.
• If yu na pɔsin we de smok, tray fɔ lɛf fɔ smok.
• Gi yu bɔdi di rɛst we i nid ɛn slip fayn.
• Protɛkt yusɛf frɔm infɛkshɔn. Aks yu dɔktɔ bɔt aw fɔ mek yu nɔ gɛt di sik.
• Du sɔm ɛksesaiz, bɔt aks yu dɔktɔ fɔs. I go tɛl yu us kayn ɛksesaiz we fayn fɔ yu.
• Pe atɛnshɔn to yu maynd wɛlbɔdi, bak. Na nɔmal tin fɔ fil bad, wɔri, ɛn pwɛl hat wae yu de dil wit dis kayn sik. Bɔt if dis pwɛl hat ɔr wɔri kin teik pas tu wiks, ɔr kin ambɔg yu ɛvride, tɔk to yu dɔktɔ bɔt am.
• If yu de na remission , yu kin gladi se tritmɛnt dɔn dɔn. Bɔt yu kin wɔri bak se di kansa go kam bak. Tɔk to yu dɔktɔ bɔt yu sik ɛn wetin fɔ ɛkspɛkt fɔ go bifo.

Multiple myeloma na wan blɔd kansa we nɔ kin apin so ɔltɛm. Pan ɔl we dɛn nɔ go ebul fɔ mɛn am, dɔktɔ dɛn kin trit di sik dɛn we gɛt fɔ du wit am, di sayn dɛn we i kin gɛt, ɛn kɔntrol aw di sik de skata. Sɔm pipul dɛn kin liv wit dis sik fɔ lɔng lɔng tɛm. Ɔda wan dɛn de insay rɛmishɔn. Bɔt, fɔ liv wit kansa wae nɔr de go ɛn kin kam bak nɔr kin izi. E min fɔ liv wit tritmɛnt ɛn tɛst ɛvride na yu layf. Dɔktɔ dɛn ɔndastand dɛn prɔblɛm dɛn ya. If yu nid ɛp fɔ lan fɔ liv wit mɔltipɛl mayloma, aks yu dɔktɔ. Dɛn kin tɛl yu bɔt savis ɛn program dɛn we go ɛp yu.

Di tin we impɔtant pas ɔl we wi want fɔ kɛr go na os

Okay, so, di impɔtant tin dɛm we yu nid fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt na dɛn wan ya:

• Multiple Myeloma na wan blɔd kansa we nɔ kin apin so ɔltɛm we kin apin na di plasma sɛl dɛn .
• Pan ɔl we dɛn nɔ go ebul fɔ mɛn am ɔl, tritmɛnt kin kɔntrol di sayn dɛn, mek pɔsin liv lɔng, ɛn mek in layf bɛtɛ .
• If yu gɛt sɔm sayn dɛn lɛk bon pen, taya bad bad wan, ɔ yu kin gɛt infɛkshɔn ɔltɛm , go to dɔktɔ wantɛm wantɛm.
• Di mɔ we dɛn no di sik kwik kwik wan, na di mɔ i go bi se di tritmɛnt go wok fayn.
• We yu de liv wit dis sik, i rili impɔtant fɔ kia fɔ yusɛf gud gud wan, fala yu dɔktɔ in advays, ɛn kɔntinyu fɔ gɛt trɛnk na yu maynd .

Nɔ wɔri, nɔto yu wan de. Mɛdikal sayɛns de go bifo, ɛn nyu tritmɛnt dɛn de kɔmɔt ɔltɛm. Yu dɔktɔ ɛn di tim we de kia fɔ yu wɛlbɔdi biznɛs rɛdi ɔltɛm fɔ ɛp yu.

` mכltipכl mayloma, plasma sεl dεm, bכdi kεnsar, bon mכro, M protin, kεnsar simptom dεm, kεnsar tritmεnt