Wetin yu go tink if dɔktɔ tɛl pɔsin we de fɛt kansa se, "Lɛ wi du spɛshal lɛsa tritmɛnt naw?" Dis nɔto ɔdinari layz. Wetin yu de du na fɔ gi di bɔdi wan spɛshal mɛrɛsin we de stik to di kansa sɛl dɛn ɛn pwɛl dɛn we di lɛsa layt hit dɛn. Wan pan dɛn spɛshal mɛrɛsin dɛn de we dɛn kɔl Porfimer. Lɛ wi tɔk bɔt dis simpul ɛn klia we tide.
Wetin na dis Porfimer?
Fɔ tɔk am simpul wan, porfimer na drɔg we de mek layt fil. Di we aw i de wok rili wɔndaful. Tink bɔt am lɛk magnet we jɔs de stɔp pan kansa sɛl dɛn.
Wi kin injekt dis mɛrɛsin insay di bɔdi tru wan vein. Dɔn di patikyula tin dɛn we de insay dis mɛrɛsin kin travul ɔlsay na di bɔdi, spɛshal wan kin fɛn ɛn atak di kansa sɛl dɛn. I nɔ de afɛkt di sɛl dɛn we gɛt wɛlbɔdi lɛk aw i de.
Afta lɛk tu dez we dɛn gi di mɛrɛsin, di dɔktɔ kin dayrɛkt wan spɛshal layt we dɛn kin yuz fɔ mek di kansa na di say we di kansa de. di patikyula dεm na di dכg we de atak di kεnsar sεl dεm de abzכp dis lεzεr layt εn de bi aktif. di kεmikכl rεakshכn we de kכmכt de pwεl כnli di kεnsar sεl dεm we de atak dεm. Wi kɔl dis ɔl prɔses fotodaynamik tɛrapi (PDT) .
Dis tritmɛnt we dɛn kin yuz mɔ fɔ:
- Fɔ kansa na di ɛsophageal
- Fɔ lɛng kansa
- Trit wan sik we dɛn kɔl Barrett’s esophagus bifo yu gɛt kansa .
Apat frɔm dis, dɛn kin yuz dis mɛrɛsin bak fɔ ɔda mɛrɛsin dɛn lɛk aw di dɔktɔ advays.
Tin dɛn fɔ tɛl yu dɔktɔ bifo yu gɛt tritmɛnt
Bifo yu bigin dis tritmɛnt, i rili impɔtant fɔ gi yu dɔktɔ kɔmplit diskripshɔn bɔt yu wɛlbɔdi kɔndishɔn. Mek shɔ se yu tɛl dɛn if yu gɛt ɛni wan pan dɛn tin ya:
- If yu gɛt ɔlsa na yu εsophageal, fistulas, ɔ varicose veins.
- If yu gɛt sik na yu kidni ɔ yu gɛt liva sik.
- If yu gɛt wan sik we nɔ kin bɔku we dɛn kɔl pɔfyuria.
- If yu jɔs dɔn gɛt ɔ yu de tek redyushɔn tɛrapi naw.
- If yu dɔktɔ dɛn dɔn tɛl yu se yu kansa dɔn spre (metastasized) to wan big blɔd vesel.
- If yu gɛt alɛji fɔ Porfimer ɔ ɛni ɔda mɛrɛsin, it, ɔ day.
- If yu gɛt bɛlɛ , yu de tray fɔ gɛt bɛlɛ , ɔ yu de gi pikin in bɛlɛ .
Aw yu kin yuz dis mɛrɛsin?
Dis nɔto mɛrɛsin we yu kin kɛr go na os. Dɛn kin gi dis mɛrɛsin bay we dɛn injɛkshɔn na wan vein na ɔspitul ɔ klinik bay dɔktɔ ɔ nɔs we dɛn dɔn tren spɛshal wan fɔ dis.
If yu de gi dis mɛrɛsin to pikin dɛn, spɛshal kia yu nid fɔ de. Tɔk to yu dɔktɔ we de mɛn pikin dɛn bɔt dis.
Wetin fɔ du if di doz fɔ di mɛrɛsin go ɔp?
Dis nɔ kin apin as dɛn kin gi am na ɔspitul. Bɔt if yu tink se yu dɔn tek di mɛrɛsin tumɔs, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta wantɛm wantɛm na di Kɔlɔmbɔ Nashɔnal Ospital , ɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) we de nia yu .
Wetin a go du if a mis wan doz?
I rili impɔtant fɔ gɛt tritmɛnt di de ɛn di tɛm we di dɔktɔ gi yu. If fɔ sɔm rizin yu nɔ ebul fɔ go da tɛm de, kɔl yu dɔktɔ wantɛm wantɛm ɛn mek i no.
Yu tink se intarakshɔn de wit ɔda mɛrɛsin dɛn?
Yɛs, sɔm mɛrɛsin dɛn kin miks wit dis mɛrɛsin. So tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (mɛrɛsin fɔ ɔda kɔndishɔn, vaytamɛn, ɛbul mɛrɛsin, it we yu de it). Dɔn bak, tɛl yu dɔktɔ if yu de smok ɔ drink rɔm.
Prɔblɛm kin apin, mɔ wit dɛn kayn drɔgs ya:
- Sɔm kayn antibayɔtik - fɔ ɛgzampul, fluoroquinolones, sulfonamides, ɛn tetracyclines.
- Sɔm mɛrɛsin dɛn fɔ gɛt dayabitis.
- Griseofulvin na wan mɛrɛsin we de mek pɔsin nɔ gɛt bɛlɛ.
- Phenothiazines na mɛrɛsin wae dɛn kin yuse fɔ mɛntɛl sik.
- Thiazide diuretics na mɛrɛsin dɛn we de mek di urine kɔmɔt mɔ.
Dis list nɔr kɔmplit, so i go fayn fɔ tɛl yu dɔktɔ ɔltin wae yu de tek.
Tin dɛn we yu fɔ tink bɔt we yu de du tritmɛnt
Yu nid fɔ tek kia ɔf yusɛf gud gud wan afta yu dɔn tek dis mɛrɛsin.
Protɛkshɔn frɔm di san ɛn brayt layt
Dis na di advays we impɔtant pas ɔl ɛn we pɔsin fɔ fala . Afta yu dɔn tek dis mɛrɛsin, yu skin go rili fil fɔ layt. So, nɔ fɔ gɛt di san dairekt fɔ at le 30 dez afta yu dɔn tek di mɛrɛsin . If yu gɛt fɔ go na do, wɛr klos we de kɔba yu wan ol bɔdi ɛn wɛr hat. Sanskrin nɔ de gi ɛni protɛkshɔn pan dis kɔndishɔn . Dɔn bak, yu fɔ rili avɔyd brayt layt dɛn we de insay os ɛn bed dɛn fɔ tan.
Yu yay dɛn go rili fil fɔ layt bak, so wɛr gud dak sanglas we yu go na do fɔ at le wan mɔnt afta yu dɔn tek di mɛrɛsin.
Bɛlɛ ɛn pikin we de gi pikin milk
- Uman dɛn:Nɔ gɛt bɛlɛ we yu de tek dis mɛrɛsin ɛn fɔ 5 mɔnt afta yu dɔn stɔp di tritmɛnt.
- Man: If yu de gɛt dis tritmɛnt, nɔ fɔ bɔn pikin we yu de trit yu ɛn fɔ 5 mɔnt afta yu dɔn stɔp am.
- Nɔ gi yu pikin in bɛlɛ dis tɛm.
Dis mɛrɛsin kin ambɔg di pikin we nɔ bɔn yet bad bad wan.
Wetin na di bad tin dɛn we kin apin to pɔsin?
Lɛk ɛni mɛrɛsin, dis wan kin gɛt sayd ɛfɛkt. Sɔm pan dɛn siriɔs, sɔm pan dɛn kɔmɔn.
| Sayd ɛfɛkt we pɔsin kin gɛt | Tɔk bɔt |
|---|---|
| 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 ɔ tong. |
| I nɔ kin izi fɔ yu fɔ blo | I nɔ izi fɔ blo, i de swɛt. |
| Chɛst de pen | Wantɛm wantɛm, bad bad pen na in chɛst. |
| Fɔ kɔf blɔd | Fɔ kɔf blɔd wit mucus. |
| Fiva | Fiva we nɔ gɛt rizin. |
| Di sayn dɛn we de sho se pɔsin nɔ gɛt blɔd ( anemia ) . | Fɔ fil taya pas aw i kin fil, fɔ fil lɛk se yu dɔn taya, ɛn fil se yu nɔ gɛt layf. |
| I nɔ izi fɔ swɛla | I nɔ kin izi fɔ swɛla it ɔ drink. |
| Bɔku tɛm i nɔ kin siriɔs (bɔt tɛl yu dɔktɔ if i kɔntinyu fɔ de) . | |
| Prɔblɛm dɛn we de na di dijestiv sistɛm | Kɔnstipɛshɔn, dayarɛa, nɔs, vɔmit. |
| Anorexia we pɔsin kin gɛt | Di apɛtit we de go dɔŋ. |
If yu gɛt ɛni ɔda kayn sik we nɔ kɔmɔn we dɛn nɔ tɔk bɔt na dis list, tɔk to yu dɔktɔ bɔt dɛn bak.
Mɛsej we dɛn kin kɛr go na os
- Porfimer na spɛshal mɛrɛsin we de tɔch ɛn pwɛl kansa sɛl dɛn we yu de yuz lɛsa layt.
- Afta dis tritmɛnt, yu skin ɛn yu yay go rili sɛnsitiv to layt fɔ at le 30 dez . Protɛkt yusɛf frɔm di san ɛn brayt layt kpatakpata. Sanskrin nɔ de gi ɛni prɔtɛkshɔn .
- I impɔtant fɔ gi yu dɔktɔ kɔmplit diskripshɔn bɔt ɔl di ɔda mɛrɛsin dɛn, vaytamɛn dɛn, ɛn wɛlbɔdi prɔblɛm dɛn we yu de tek.
- Nɔ gɛt bɛlɛ ɔ bɔn pikin dɛn we yu de trit am ɛn fɔ 5 mɔnt afta i dɔn.
- If yu gɛt ɛni siriɔs sayd ɛfɛkt lɛk fɔ mek yu nɔ ebul fɔ blo fayn, yu chɛst de pen, ɔ yu gɛt siriɔs alɛji, tɛl yu dɔktɔ ɔ ɔspitul wantɛm wantɛm.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Wetin dɛn de yuz Porfimer Injection / Photofrin fɔ?
Dis na wan tritmɛnt we rili advans (Photodynamic Therapy / PDT) kansa tritmɛnt na mɛrɛsin! Dɛn kin yuz dis vaysin mɔ fɔ pwɛl di siriɔs kansa tumbu dɛn na di trot/yes (ɛsophageal cancer) ɛn di lɔng (NSCLC), we dɛn nɔ nid fɔ kɔt ɛn pul dɛn bay ɔpreshɔn, bay we dɛn de yuz ‘laser layt’ fɔ pwɛl di kansa.
💬 Aw dis drɔg (Porfimer) ɛn laser layt de pwɛl di kansa sɛl dɛm?
Dis mɛrɛsin nɔ gɛt yus to yu, i jɔs de wok pan ‘layt’! (Fotosensitizer) we de mek pɔsin fil fayn. We dɛn injɛkt dis na wan vein, dis mɛrɛsin kin go insay di blɔd ɛn put am insay di kansa sɛl dɛn fɔ sɔm dez. Dɔn di dɔktɔ put wan tiub ɛn shayn wan ‘rɛd lɛsa layt (630nm Layt)’ pan di kansa! As di layt hit so, dis mɛrɛsin de riak insay di kansa ɛn mek ‘tɔxik ɔksijɛn (Singlet oxygen)’, we de pwɛl di kansa frɔm insay lɛk bɔm we de bɔm.
💬 Wetin mek yu se yu nɔ fɔ go na do na di san (Photosensitivity) afta dis vaysin?
Dis na di prɔblɛm we denja pas ɔl ɛn we pas ɔl wit dis tritmɛnt! Di mɛrɛsin nɔ de jɔs de na di kansa bɔt i de de bak na di skin/tisu. So, if yu de pan ‘san layt (san) ɔ strɔng layt bɔl’ fɔ 30-90 dez (1-3 mɔnt) afta dis tritmɛnt, yu ɔl skin/bɔdi go bɔn lɛk se i de pan faya (Severe Photosensitivity Reaction)! So, i fɔ de na dak rum/dres fɔ kɔba di bɔdi kɔmplit wan.
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