A ɔndastand di fred, wɔri, ɛn nɔ shɔ we yu kin fil we yu dɔktɔ tɛl yu ɔ pɔsin we yu lɛk se yu gɛt kansa. Na di sem tɛm, we yu dɔktɔ tɛl yu bɔt wan tritmɛnt we dɛn kɔl “R-CHOP,” yu go mɔs gɛt bɔku kwɛstyɔn dɛn we de kam na yu maynd, lɛk, “Wetin na am? Wetin i de du?” Nɔ wɔri. Tide, wi go tɔk bɔt wetin na R-CHOP, wetin i de du, ɛn aw fɔ dil wit am insay wan rili simpul we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na R-CHOP?
R-CHOP na wan kɔmbaynshɔn fɔ fayv mɛrɛsin dɛn we de kil kansa sɛl dɛn . Na tritmɛnt we rili fayn fɔ wan kayn kansa we dɛn kɔl non-Hodgkin lymphoma . Ɛni lɛta we de na di nem de tɔk bɔt wan mɛrɛsin we dɛn kin yuz fɔ dis tritmɛnt.
| Lɛta | Di mɛrɛsin ɛn di tin we i de du |
|---|---|
| R | Rituximab: Dis na tritmɛnt we dɛn kin yuz fɔ mɛn pipul dɛn. Spɛshal wan, dis drɔg de atak wan spɛshal prɔtin we de na di say we di kansa sɛl dɛn de. Dis kin mek wi bɔdi in imyun sistɛm ebul fɔ no ɛn pwɛl dɛn kansa sɛl ya izi wan. |
| C. C | Cyclophosphamide: Dis na wan mɛrɛsin we dɛn kin yuz fɔ mɛn pipul dɛn we gɛt kemotɛrapi. Di mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn pipul dɛn we gɛt kemotɛrapi kin wok bay we dɛn kin pwɛl di sɛl dɛn we kin sheb kwik kwik wan lɛk di kansa sɛl dɛn. |
| H | Dɔksorubisin haydroklɔrayd (Hydroxydaunomycin): Dis na kemotɛrapi mɛrɛsin bak. |
| O | Vincristine sulfate (Oncovin): Dis na ɔda kemotɛrapi mɛrɛsin. |
| P. P | Prɛdnison: Dis na wan kayn stɛroyd (kɔtikosterɔyd). I kin kil di kansa sɛl dɛn bak. I de ɛp bak fɔ ridyus di alɛji we kin apin wit ɔda R-CHOP mɛrɛsin dɛn. |
As yu si, dis involv kemotɛrapi drɔgs ɛn bak wan imyun -targeting drɔg (Rituximab). Na dat mek sɔmtɛm dɔktɔ dɛn kin kɔl dis tritmɛnt "immuno-chemotherapy."
Us kayn kansa dɛn kin yuz R-CHOP tritmɛnt fɔ?
Dɛn kin gi dis tritmɛnt mɔ fɔ wan kayn kansa we dɛn kɔl non-Hodgkin lymphoma . I kin rili wok bak fɔ di kayn we we kɔmɔn pas ɔl, we na difyuz big B-sɛl limfoma (DLBCL) . Apat frɔm dat, dɛn kin yuz R-CHOP bak fɔ dɛn kayn kansa ya :
- Advans folikul limfoma
- Mantɛl sɛl limfoma
- Waldenstrom makroglobulinemia
Sɔntɛnde, yu dɔktɔ kin disayd fɔ gi R-CHOP wit tritmɛnt fɔ ɔda kayn kansa.
Aw di tritmɛnt kin wok?
Dɛn kin gi R-CHOP tritmɛnt insay “saykl dɛn.” εvri saykl kin tek tri wik (21 dez). Tu pat dɛn de fɔ dis saykl:
1. Tritmɛnt de: Na di de dɛn we dɛn de gi yu mɛrɛsin.
2. Rɛst de: De fɔ alaw yu bɔdi fɔ wɛl ɛn wɛl bifo di nɛks rawnd.
Tritmɛnt de dɛn
Dɛn kin gi di mɛrɛsin fɔ fayv dez. Prednisone (di steroid ) na wan pil we yu de swɛla. di כda fכ mεdikeshכn dεm dεn de gi dεm as salin sכlushכ n insay wan vein (intravenous infusion – IV). Dis go mek yu go na ɔspitul ɔ klinik. Na de yu go sidɔm na chia we wan mashin de injɛkt di mɛrɛsin smɔl smɔl insay wan vein na yu bɔdi. Dis vein kin de na yu an, an, ɔr chɛst. if dεn gi di tritmεnt tru di chεst, dεn kin put wan sכmכl tin we dεn kכl `port-a-cath` (chemo port) כnda di skin.
Na di fɔs de we dɛn de trit yu, dɛn go gi yu mɛrɛsin fɔ mek yu nɔ gɛt nays. Dɛn go gi yu mɛrɛsin bak fɔ mek yu nɔ gɛt alɛji. Rituximab we dɛn kɔl RituximabNa nɔmal tin fɔ fil smɔl diziz ɛn wam we dɛn gi yu di mɛrɛsin. Na dat mek dɛn kin tek tɛm gi dis mɛrɛsin fɔs. Bɔt natin nɔ de fɔ wɔri bɔt, bikɔs dɛn go gi yu di mɛrɛsin we yu nid bifo tɛm fɔ mek yu nɔ gɛt siriɔs alɛji.
Di de dɛn fɔ rɛst
Insay wan tipik saykl, yu go gɛt lɛk 16 dez fɔ rɛst afta di tritmɛnt. Di bɔdi kin fil taya bad bad wan as di R-CHOP tritmɛnt de pwɛl di kansa sɛl dɛn. So i rili nɔmal fɔ fil taya bad bad wan insay dɛn de ya. Insay dis tɛm, i rili fayn fɔ aks yu fambul ɛn padi dɛn fɔ ɛp yu fɔ du di wok dɛn we yu de du ɛvride.
Insay dɛn rɛst de ya, if yu de fil se yu ebul fɔ du am, di dɔktɔ se yu fɔ du sɔm layt ɛksesaiz, lɛk fɔ waka. I rili impɔtant bak fɔ drink bɔku wata ɛn it tin dɛn we gɛt fayn fayn tin dɛn fɔ it .
Wetin na de risk ɛn sayd ɛfɛkt dɛm wae dis tritmɛnt kin gɛt?
Lɛk ɛni tritmɛnt, R-CHOP kin mek yu gɛt sayd ɛfɛkt. Bɔt mɛmba se yu dɔktɔ go gi yu di mɛrɛsin dɛn we yu nid fɔ mek yu nɔ gɛt ɔ kɔntrol bɔku pan dɛn bad bad tin ya. Nɔto ɔlman kin gɛt ɔl dɛn sayd ɛfɛkt ya. I kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Lɛ wi luk sɔm pan di bad tin dɛn we kin apin to pɔsin.
| Kɔmɔn sayd ɛfɛkt dɛn | Wetin fɔ no ɛn wetin fɔ du |
|---|---|
| Rɛd/pink urine | Dɔksorubisin gɛt rɛd kɔlɔ. Yu urine kin bi rɛd/pink fɔ te 48 awa afta yu dɔn trit yu. Dis na nɔmal tin, nɔ wɔri. |
| Nɔs ɛn vɔmit | Ivin if yu tek mɛrɛsin fɔ nɔs, yu kin stil fil nɔs smɔl. Bifo yu it big it dɛn we gɛt fat ɛn we gɛt spays, it smɔl it dɛn we yu kin it ɔltɛm. |
| Di ia we de lɔs | Dis kin kɔmɔn wit kemotɛrapi. di ia we de lכs kin bigin insay tri wiks afta di fכs doz. Bɔt di ia kin gro bak afta di tritmɛnt dɔn. |
| Chil ɛn fiva | Kimotɛrapi kin mek yu wayt blɔd sɛl nɔ bɔku, ɛn dis kin mek yu gɛt mɔ sik. Dɛn go gi yu wan shot we dɛn kɔl G-CSF, we de ɛp yu wayt blɔd sɛl dɛn fɔ gro. Bɔt if yu gɛt fiva, tɛl yu dɔktɔ wantɛm wantɛm. |
| Fɔ taya pasmak (Fatigue) . | Di tritmɛnt kin mek di rɛd blɔd sɛl dɛn go dɔŋ, ɛn dis kin mek di blɔd nɔ gɛt bɛtɛ blɔd. If yu fil se yu taya, rɛst. Aks fɔ ɛp fɔ du wok dɛn we yu de du ɛvride. |
| I izi fɔ brus/blɔd | dis kכndyushכn kin apin bikoz fכ di pletlet dεm we de dכn. Tek tɛm mek yu nɔ wund. Tɛl yu dɔktɔ if yu notis bɔku brus na yu bɔdi. |
| Numbness/tingling na di limb dɛm | Dɛn kɔl dis periferik nyuropathy. If yu fil se yu de swɛt ɔ yu de bɔn na yu an ɔ yu fut, tɛl yu dɔktɔ. |
Mɛmba se fiva kin bi sayn fɔ se yu gɛt siriɔs infekshɔn. If yu fiva pas 100.4°F (38°C), kɔl yu dɔktɔ ɔ ɔspitul wantɛm wantɛm.
Apat frɔm dɛn tin ya, yu kin gɛt mɔt sos, skin rɔsh, ed we kin at, kɔnstipɛshɔn ɔ dayarɛa, chɛst pen, yu nɔ kin ebul fɔ slip, ɛn yu kin chenj di we aw yu de fil. Tɔk to yu dɔktɔ bɔt ɛni wan pan dɛn tin ya.
Ustɛm a fɔ kɔl di dɔktɔ?
Tɛl yu dɔktɔ wantɛm if yu gɛt ɛni nyu sik ɔ if ɛni wan pan yu sik dɛn de wɔs we yu de trit yu, mɔ if yu gɛt fiva.
If ɛnitin apin lɛk we i nɔ izi fɔ blo ɔ we yu de fil pen wantɛm wantɛm na yu chɛst, go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
Aw a go mek dis tritmɛnt tɛm izi fɔ mi?
Dis fɛt nɔto wan we yu fɔ fɛt yu wan. Sɔm tin dɛn de we yu kin du fɔ mek dis tɛm izi.
- Mek yu no: Tɔk to yu dɔktɔ bɔt yu tritmɛnt ɛn wetin yu go ɛkspɛkt. Nɔ fred fɔ aks kwɛstyɔn.
- Aks fɔ ɛp: Aks fɔ ɛp frɔm yu fambul ɛn padi dɛn fɔ du wok na os, fɔ pripia tin fɔ it, ɛn fɔ go na ɔspitul.
- It ɛn drink fayn: It tin dɛn we gɛt fayn fayn tin dɛn fɔ it. Drink bɔku wata ɛn wata.
- Gɛt sɔpɔt: Aks yu dɔktɔ bɔt sɔpɔt grup dɛm usay ɔda pipul dɛm wae de go tru di sem tritmɛnt lɛk yu de gɛt kansa. Na big trɛnk fɔ gɛt pɔsin fɔ sheb yu ɛkspiriɛns wit.
Di fɔs wik dɛm fɔ R-CHOP tritmɛnt kin bi tranga tɛm. De de fɔ tek mɛrɛsin kin lɔng ɛn de sayd ɛfɛkt kin tranga fɔ dil wit. Bɔt fɔ bɔku pipul dɛn, di tin dɛn we kin kɔmɔt frɔm R-CHOP kin rili fayn fɔ tray. We dɛn jɔyn dɛn tri mɛrɛsin ya (targeted, chemo, ɛn steroids) kin wok fɔ kil di kansa sɛl dɛn fayn fayn wan. Dis kin mek yu nɔ gɛt di kansa kpatakpata, i kin dipen pan aw yu gɛt di sik.
Mɛsej we dɛn kin kɛr go na os
- R-CHOP na wan kɔmbaynshɔn we rili wok fɔ 5 drɔgs we dɛn kin yuz fɔ trit kansa lɛk nɔ-Hɔdgkin limfoma.
- Dɛn kin gi di tritmɛnt insay “saykl dɛn.” Insay dis tɛm, i kin kɔmɔn fɔ gɛt sɔm bad bad tin dɛn lɛk fɔ taya, fɔ nɔs, ɛn fɔ lɛ yu ia rɔtin.
- Dɛn kin ebul fɔ kɔntrol bɔku sayd ɛfɛkt dɛn. Ɔltɛm tɔk to yu mɛdikal tim bɔt dɛn.
- If yu gɛt fiva we yu de trit yu, tek am se na imejensi ɛn go to dɔktɔ wantɛm wantɛm.
- Yu nɔ nid fɔ go tru dis waka yu wan. Gɛt sɔpɔt frɔm yu fambul, padi dɛn, ɛn yu mɛdikal tim. Yu strɔng. Yu kin du dis.
R-CHOP, kansa, Nɔn-Hɔdgkin limfoma, kemotɛrapi, targeted tɛrapi, kansa tritmɛnt, sayd ɛfɛkt
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt