A ɔndastand aw i kin tranga fɔ no se yu ɔ pɔsin we yu lɛk gɛt prɔstat kansa. Ɛspɛshali we di kansa dɔn skata (metastatic) to ɔda pat dɛm na di bɔdi ɛn nɔr de ansa fayn to standad tritmɛnt dɛm, di frayd ɛn wɔri kin ivin big. Bɔt nɔ wɔri. We di mɛdikal sayɛns dɔn go bifo, naw sɔm patikyula tritmɛnt dɛn de we dɛn kin yuz fɔ mɛn dɛn kayn sik ya. Tide wi go tɔk bɔt wan pan di nyu ɛn impɔtant tritmɛnt dɛm. Dat na PSMA-Targeted Tɛrapi.
Wetin na dis PSMA targeted therapy?
Fɔ tɔk am simpul wan, dis na tritmɛnt we rili advans we de tɔch ɛn pwɛl di kansa sɛl dɛn nɔmɔ.
Imajin se di prɔstat kansa sɛl dɛn gɛt spɛshal ‘antena’ na do we kin no dɛn. Dis ɛntena na wetin wi kɔl PSMA , ɔ Prɔstat-spɛsifi k mɛmbran antijen, insay mɛrɛsin. dis na protin we de fכn bכku bכku wan na di sכfayz fכ di prכstat kεnsar sεl dεm.
Insay dis tritmɛnt, wi kin yuz sɔntin we de wok lɛk ‘mishɔl’. Dis ‘mishɔl’ kin fɛn di PSMA ɛntena na di kansa sɛl dɛn ɛn stik to am. Dis mishɔl nɔ jɔs de go, i de tek wan redioaktiv traysa wit am. Fɔ tɔk di kɔrɛkt tin, na sɔntin we dɛn kɔl Lutetium-177 . So we dis mishɔl stik to di kansa sɛl, da redioaktiv tin de kin tɔch di kansa sɛl nɔmɔ ɛn pwɛl am.
Di big bɛnifit fɔ dis tritmɛnt na dat i de go dairekt to di kansa sɛl dɛm, so di damej to ɔda wɛlbɔdi sɛl dɛm na di bɔdi nɔr kin bɔku.
Uskayn kes dɛn kin gi dis tritmɛnt?
Dɛn kin yuz PSMA tɛrapi fɔ advans prɔstat kansa , spɛshal wan:
- We i nɔ de ansa to di bɛsis tritmɛnt dɛn lɛk ɔpreshɔn ɔ redyushɔn.
- We di kansa dɔn skata to ɔda pat dɛn na di bɔdi, fɔ ɛgzampul, di bon dɛn (metastatic prostate cancer).
- Yu dɔktɔ kin tɛl yu dis tritmɛnt we ɔda tritmɛnt dɛn lɛk ɔmon tɛrapi ɔ kemotɛrapi nɔ ebul fɔ kɔntrol di kansa igen.
Yu tink se PSMA tritmɛnt kin mɛn kansa ɔltogɛda?
Dis na sɔntin we wi ɔl nid fɔ ɔndastand klia wan. PSMA tritmɛnt nɔto mɛrɛsin fɔ kansa. Di men gol dɛn na:
- Fɔ ridyus di saiz fɔ di tumbu dɛn.
- Fɔ kɔntrol di rit we kansa de gro.
- Fɔ ridyus di sayn dɛm lɛk pen we kansa kin kam wit.
- Fɔ mek di pɔsin in layf lɔng ɛn fɔ mek in layf bɛtɛ.
Wan ‘cure’ min se di kansa nɔ go ɛva kam bak. Bɔt afta dis tritmɛnt, dɛn kin gi di pɔsin sɔm tɛm we nɔ gɛt ɛni sayn ɛn di kansa nɔ de wok, we dɛn kɔl remission period .
Wetin a fɔ du bifo a gɛt tritmɛnt?
Bifo yu bigin dis tritmɛnt, yu dɔktɔ go tek tɛm chɛk yu. I impɔtant fɔ tɛl am bɔt yu kɔmplit mɛdikal istri, di tritmɛnt dɛn we yu bin dɔn gɛt trade, ɛn di mɛrɛsin dɛn we yu de tek naw. Dɔn bak, dis na fayn tɛm fɔ aks ɛni kwɛstyɔn we yu gɛt.
Apat frɔm dat, dɛn nid fɔ du dɛn tɛst dɛn ya.
| Tɛst | Fɔ tɔk am simpul wan... |
|---|---|
| Tɛst fɔ Blɔd | Fɔ gɛt aydia bɔt di ɔl wɛlbɔdi na di bɔdi ɛn di wok we di kansa de du. |
| CT Skan we dɛn kin du | de gi tri dimenshכnal (3D) pikchכ fכ di sכft tisu dεm εn bon dεm we de insay di bכdi. |
| MRI Skan we dɛn kin du | I de yuz magnet ɛn redio wev fɔ tek pikchɔ dɛn we rili klia bɔt di sɔft tisu dɛn. |
| PSMA PET Skan we yu de du | Dis rili impɔtant. Na ya, dɛn kin injɛkt wan redioaktiv tin we fiba di tritmɛnt insay di bɔdi ɛn dɛn kin map di rayt say we di kansa sɛl dɛn de. |
We dɔktɔ dɛn jɔyn ɔl dɛn tɛst ya, dɛn kin no usay di kansa sɛl dɛn de na yu bɔdi ɛn aw dis tritmɛnt fayn fɔ yu.
Aw dɛn kin du di tritmɛnt? Aw lɔng i kin tek?
Dis nɔto big ɔpreshɔn. Bɔku tɛm, dɛn kin put smɔl kanula na wan vein na yu an, ɛn dɛn kin injɛkt di mɛrɛsin insay yu bɔdi tru am. Dis kin tek sɔm minit dɛn. Dɛn kin gi yu mɛrɛsin bak fɔ mek yu nɔ gɛt tin dɛn lɛk nɔys.
Afta di tritmɛnt, yu go de ɔnda dɔktɔ fɔ sɔm awa ɛn afta dat yu kin go na os di sem de . Dis min se yu nɔ go nid fɔ de na ɔspitul.
Tipikli, dεn kin gi 6 tritmεnt dεm na 6 wik intaval. Dis min se di tכtal tritmεnt tεm na lεk 8 mכnt. Insay ɛni tritmɛnt tɛm, dɛn kin du blɔd tɛst fɔ no aw yu bɔdi de du di tritmɛnt ɛn ɛni bad bad tin we go apin to yu.
Wetin na di bad tin dɛn we kin apin to pɔsin?
Jɔs lɛk ɛni ɔda tritmɛnt fɔ kansa, sɔm sayd ɛfɛkt dɛn de we kin apin. Bɔt, bɔku tɛm, dɛn tin ya kin apin fɔ shɔt tɛm nɔmɔ. Di sayd ɛfɛkt dɛm we kin apin pas ɔl na:
- Dray mכt εn yay: Dis kin kכmכn sכmtεm biכs di saliva gland dεm gεt sכm sכm PSMA protin dεm bak.
- Taya: Fɔ fil taya na yu bɔdi.
- Nɔs ɛn vɔmit: Dɛn kin gi mɛrɛsin fɔ kɔntrol dis.
- I nɔ kin want fɔ it igen
- Di blɔd sɛl dɛn we de go dɔŋ: Mɔ di ɛmoglobin ɛn di pletlɛt dɛn we de na di blɔd kin go dɔŋ fɔ sɔm tɛm.
Dɛn sayd ɛfɛkt ya kin difrɛn frɔm wan pɔsin to ɔda pɔsin, so i impɔtant fɔ tɛl yu dɔktɔ bɔt ɛni prɔblɛm we yu gɛt.
Wetin yu kin du fɔ mek yu fil fayn we yu de trit yu?
Di tritmɛnt fɔ kansa kin tranga, pan ɔl we yu bɔdi ɛn maynd. Sɔm tin dɛn de we yu kin du fɔ mek dis tɛm izi smɔl.
Rɛst fayn fayn wan.
Rɛst we yu bɔdi fil taya. Tray fɔ slip fayn na nɛt. Nɔ it kafinɛ ɛn rɔm bifo yu go slip. Fɔ rayt insay jɔnal ɔ fɔ tink gud wan kin ɛp yu fɔ rilaks.
Du layt ɛksesaiz we yu fil fayn.
If yu nɔ taya, fɔ du layt ɛksesaiz, lɛk fɔ waka, kin bi fayn we fɔ mek yu bɔdi ɛn maynd gɛt nyu layf. Bɔt yu fɔ go to yu dɔktɔ ɔltɛm bifo yu bigin ɛni ɛksesaiz program .
It di it we balans.
Tin dɛn lɛk fɔ nɔs ɛn nɔ want fɔ it kin mek yu nɔ want fɔ it. Bɔt i impɔtant fɔ gɛt di it we yu bɔdi nid. Put tin dɛn we nɔ gɛt bɔdi, vɛjitebul, frut, ɔl gren, ɛn dairy we nɔ gɛt bɔku fat insay yu it. Yu kin gɛt advays frɔm yu dɔktɔ ɔ pɔsin we sabi bɔt it.
Gɛt di saykolojik sɔpɔt we yu nid.
Yu nɔ nid fɔ go tru dis waka yu wan. We yu tɔk to yu padi ɔ yu fambul we yu kin abop pan bɔt aw yu de fil, aw yu de fred, ɛn aw yu de wɔri, dat kin mek yu fil fayn.
Dɔn bak, aks yu dɔktɔ bɔt advays savis ɔ sɔpɔt grup fɔ dɛn kayn sik pipul ya. We yu tɔk to pipul dɛn we dɔn gɛt dɛn kayn tin ya, dat kin mek yu gɛt bɔku trɛnk.
Mɛsej we dɛn kin kɛr go na os
- PSMA-targeted therapy na wan patikyula tritmɛnt we dɛn kin yuz fɔ advans prɔstat kansa we dɔn spre to ɔda pat dɛn na di bɔdi.
- Pan ɔl we dis nɔto tritmɛnt we de mɛn kansa kpatakpata, i kin rili ɛp fɔ kɔntrol di kansa, fɔ ridyus di sayn dɛm, ɛn fɔ mek pipul dɛn liv bɛtɛ layf.
- Dis kin tɔch di kansa sɛl dɛn nɔmɔ, so di damej to di sɛl dɛn we gɛt wɛlbɔdi nɔ kin bɔku.
- Sɔm bad tin dɛn lɛk we yu mɔt dray ɛn we yu taya kin apin, bɔt bɔku tɛm dɛn kin kɔntrol dɛn.
- I rili impɔtant fɔ woke klos wit yu dɔktɔ ɔl di tɛm we yu de du di tritmɛnt ɛn tɛl am bɔt ɛni prɔblɛm we yu gɛt.
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