Yu dɔktɔ dɔn tɛl yu ɔ sɔmbɔdi na yu famili fɔ gi yu di Nivolumab vaysin fɔ trit kansa? So, lɛ wi tɔk smɔl bɔt wetin na dis drɔg, wetin i de du, ɛn wetin yu nid fɔ no bɔt. Dis na kɔmpleks, bɔt i rili go bifo, so i impɔtant fɔ mek yu ɔndastand am gud gud wan.
Wetin na dis vaysin we dɛn kɔl Nivolumab?
Fɔ tɔk am simpul wan, Nivolumab (we dɛn kin kɔl bɔku tɛm di brand nem Opdivo) na wan vaysin we de pan wan spɛshal klas ɔf drɔgs we dɛn kɔl monoklonal antibodies . Dis min se na spɛshal prɔtin we dɛn mek fɔ mek wi bɔdi in yon imyun sistɛm wok, we de ɛp am fɔ no, atak, ɛn pwɛl di kansa sɛl dɛn. I nɔ tan lɛk kemotɛrapi, bɔt i de wok difrɛn we.
Dɛn kin yuz dis mɛrɛsin mɔ fɔ mɛn sɔm kayn kansa. Sɔm pan dɛn na:
- Kansa na di kɔlon
- Kansa na ed ɛn nɛk
- Hodgkin limfoma we dɛn kɔl limfoma
- Kansa na di lɔng
- Melanoma, na wan kayn kansa na di skin
Yu dɔktɔ kin gi yu dis mɛrɛsin bak fɔ ɔda kayn kansa wae nɔr de pan dis list, so tɔk to yu dɔktɔ bɔt if dis fayn fɔ yu.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin tritmɛnt
Bifo yu bigin dis mɛrɛsin, i rili impɔtant fɔ gi yu dɔktɔ kɔmplit diskripshɔn bɔt yu wɛlbɔdi kɔndishɔn. Bikɔs sɔm mɛrɛsin dɛn kin nid spɛshal kia we yu de yuz dis mɛrɛsin. Mek shɔ se yu tɛl dɛn bɔt dɛn tin ya mɔ:
- If yu gɛt sik dɛn we pɔsin kin gɛt we i de fɛt yu bɔdi , lɛk Kron sik, ɔlsa kɔlaytis , ɔ lupus.
- If yu bin dɔn gɛt allogeneic stem cell transplant bifo ɔ yu de plan fɔ gɛt wan.
- If yu dɔn gɛt redyushɔn tritmɛnt bifo tɛm to yu chɛst eria.
- If yu dɔn gɛt ɔgan transplant .
- If yu gɛt wan sik we de na yu nervɔs sistɛm , lɛk myasthenia gravis ɔ Guillain-Barre syndrome.
- If yu dɔn ɛva gɛt alɛji fɔ Nivolumab ɔ ɛni ɔda mɛrɛsin, it, ɔ day.
- If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ , dis rili impɔtant.
Aw fɔ gi dis mɛrɛsin ɛn wetin fɔ wach fɔ
Dɛn kin gi yu dis mɛrɛsin tru wan vein (dɛn kin injɛkt am insay wan vein). Dis nɔto sɔntin we yu kin du na os, bɔt dɛn kin du am na ɔspitul ɔ klinik ɔnda di sɔpɔtishɔn fɔ di dɔktɔ dɛn .
Bifo yu bigin fɔ trit yu, dɛn go gi yu wan spɛshal liflet (MedGuide) we gɛt infɔmeshɔn bɔt dis mɛrɛsin. I impɔtant fɔ rid ɛn ɔndastand am gud gud wan bifo ɛni tritmɛnt.
Tink bɔt wetin yu go du if yu mis wan doz fɔ tek mɛrɛsin. I rili impɔtant fɔ go to yu dɔktɔ in apɔntinmɛnt dɛn jɔs di de dɛn we dɛn gi yu. If fɔ sɔm rizin yu nɔ ebul fɔ go, kɔl yu mɛdikal tim wantɛm wantɛm ɛn mek dɛn no.
If yu tink se yu dɔn tek dis mɛrɛsin tumɔs, go na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm. Ɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ advays.
Tin dɛm wae yu fɔ tek tɛm wit mɔ wae yu de trit yu
Yu dɔktɔ go wach yu sik gud gud wan we yu de tek dis mɛrɛsin. Yu go nid bak fɔ du blɔd tɛst ɔltɛm .
Speshal atɛnshɔn bɔt bɛlɛ ɛn di pikin we dɛn de gi pikin milk:
- Fɔ uman dɛn: Nɔ gɛt bɛlɛ we yu de tek dis mɛrɛsin ɛn fɔ 5 mɔnt afta yu dɔn stɔp di mɛrɛsin. Dis kin rili ambɔg di pikin in wɛlbɔdi. If yu de plan fɔ gɛt bɛlɛ ɔ yu tink se yu gɛt bɛlɛ, tɛl yu dɔktɔ wantɛm wantɛm.
- Nɔ gi yu pikin in bɛlɛ ɔltogɛda we yu de tek dis mɛrɛsin ɛn fɔ 5 mɔnt afta yu dɔn stɔp.
Sayd ɛfɛkt dɛm wae kin kam wit dis mɛrɛsin
Lɛk ɛni mɛrɛsin, Nivolumab kin mek yu gɛt sayd ɛfɛkt. Bɔt, nɔto ɔlman kin gɛt dɛn. De tin wae impɔtant pas ɔl na fɔ no bɔt dɛn sik ya ɛn tɛl yu dɔktɔ wantɛm wantɛm if yu gɛt ɛni siriɔs sayn.
| Tayp fɔ di sayd ɛfɛkt | Sayn dɛn |
|---|---|
| Siriɔs sayd ɛfɛkt dɛm we yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm | |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong ɔ trot. |
| Prɔblɛm dɛn we de na di dijestiv sistɛm | Bɛlɛ pen bad bad wan, dayarɛa, blɔd na di stɔl, ɔ stɔl we blak ɛn tar. |
| I nɔ izi fɔ blo | Dray kɔf we nɔ ɛksplen, i nɔ izi fɔ blo. |
| 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. |
| Kidni injury | di urine we de kכmכt dכn, di ankכl, an, כ fut de swel. |
| Prɔblɛm dɛn we de wit di ɔmon gland dɛn | Tayrɔyd ɔmon dɛn we de go ɔp (Hyperthyroidism): At de bit kwik kwik wan, yu de lɔs yu wet, yu de swet pasmak, yu de shek shek, yu nɔ de rɛst. Hypothyroidism: I nɔ kin taya, yu nɔ kin ebul fɔ bia wit kol, yu kin gɛt bɛlɛ, yu ia kin lɔs, yu skin kin dray, yu kin gɛt bɔku bɔku wet, yu kin gɛt pwɛl hat. |
| Di blɔd shuga lɛvɛl (Hyperglycemia) . | Filin fɔ tɔsti bad bad wan, nid fɔ pis bɔku tɛm, fil taya we nɔ kɔmɔn, yu nɔ de si fayn. |
| Ɔda siriɔs sayn dɛn | Chɛst pen, di chenj we yu de si, di yay pen, di limb dɛn we de swɛt ɔ pen, di mɔsul dɛn we wik, we yu nɔ de balans, we yu gɛt blista ɔ we yu de pul di skin, inklud di mɔt, we yu de brus ɔ blɔd we nɔ kɔmɔn. |
| Sayd ɛfɛkt dɛn we nɔ kin siriɔs, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| We pɔsin taya | We pɔsin taya |
| Nɔs ɛn vɔmit | Nɔs ɛn Vɔmit |
| Fil fɔ it | I nɔ kin want fɔ it igen |
| Banbɛlɛ | Banbɛlɛ |
| Pen na di bon dɛn | Bɔn pen |
Dis list nɔ de inklud ɔl di sayd ɛfɛkt dɛn we pɔsin kin gɛt. If yu notis ɛni ɔda tin we difrɛn ɔ we nɔ kɔmɔn, tɔk to yu dɔktɔ bɔt am.
Mɛsej we dɛn kin kɛr go na os
- Nivolumab na spɛshal, advans vaysin we de ɛp di bɔdi in yon imyun sistɛm fɔ pwɛl di kansa sɛl dɛm.
- Bifo yu bigin fɔ trit yu, i rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl yu mɛrɛsin ɛn di mɛrɛsin dɛn we yu de tek.
- Wach fɔ sayn dɛm fɔ siriɔs sayd ɛfɛkt (especially tranga fɔ blo, siriɔs dayarɛa, yɔlɔ na yu skin/ay, skin blista). Go to dɔktɔ wantɛm wantɛm if yu notis ɛni wan pan dɛn tin ya.
- I rili impɔtant fɔ avɔyd fɔ gɛt bɛlɛ ɛn fɔ gi pikin in bɛlɛ ɔltogɛda we yu de tek dis tritmɛnt ɛn fɔ 5 mɔnt afta yu dɔn stɔp am.
- Nɔ mis di de dɛn we di dɔktɔ gi yu ɛn atɛnd di tritmɛnt. Nɔ fred fɔ tɔk to di dɔktɔ bɔt ɛni kwɛstyɔn ɔ prɔblɛm we yu gɛt.
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