Yu dɔktɔ dɔn gi yu ɔ sɔmbɔdi na yu famili fɔ bigin tek di mɛrɛsin we dɛn kɔl Rituximab? Na nɔmal tin fɔ mek yu fred smɔl ɛn want fɔ no mɔ we yu yɛri di nem fɔ dis kayn pawaful drɔg. "Wetin go apin wit dis?", "Wetin a fɔ wɔri bɔt?", ɛn ɔda tin dɛn Yu go mɔs gɛt bɔku kwɛstyɔn dɛn na yu maynd. Na dat mek, tide, wi go tɔk rili simpul ɛn fayn bɔt dis drɔg Rituximab, wetin i de du, ɛn wetin tin fɔ wɔri bɔt we yu de tek am.
Fɔ tɔk am simpul wan, wetin na Rituximab?
Rituximab na wan spɛshal mɛrɛsin we de insay wan klas ɔf drɔgs we dɛn kɔl monoklɔnal antibodi. Tink bɔt am lɛk prɔtin we dɛn mek spɛshal wan na lɛbɔtri fɔ ɛp wi bɔdi in difɛns sistɛm (immune system). Di men wok we i de du na fɔ no ɛn atak ɛn pwɛl sɔm sɛl dɛn we nɔ de na wi bɔdi, mɔ di kansa sɛl dɛn. I kin ɛp bak fɔ kɔntrol sɔm sik dɛn we kin kam bikɔs di imyun sistɛm nɔ de wok fayn.
Bɔku tin dɛn de we dɛn kin yuz dis mɛrɛsin mɔ fɔ.
| Di sik kategori | Nem fɔ di sik |
|---|---|
| Di kayn Kansa dɛn we pɔsin kin gɛt | Limfoma we nɔto Hɔdgkin |
| Kronik limfosaytik lukimiya (CLL) . | |
| Di sik dɛn we pɔsin kin gɛt we i de fɛt insɛf | Rimatɔyd at at sik |
| Granulomatosis wit polyangiitis | |
| Maykroskɔpik polyangiitis | |
| Pemphigus vulgaris - na wan sik we de mek pɔsin in skin |
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin tritmɛnt
Dis rili impɔtant. Fɔ yu sef, yu fɔ rili tɛl yu dɔktɔ if yu gɛt ɛni wan pan dɛn tin ya bifo yu bigin tritmɛnt.
- Chɛst pen ɔ at sik: If yu gɛt at sik ɔ yu dɔn gɛt chɛst pen bifo.
- Infεkshכn: εni infεkshכn we de naw, spεshal wan vayral infεkshכn lεk chikinpoks, hεpi, εn epataytis B.
- Imyun sistɛm wik: If yu gɛt ɛni prɔblɛm wit yu imyun sistɛm.
- At nɔ de bit ɔltɛm: If di at nɔ de bit ɔltɛm.
- Kidni sik: If yu gɛt ɛni sik we gɛt fɔ du wit di kidni.
- Lɔw blɔd sɛl dɛn: If ripɔt de se di wayt blɔd sɛl, pletlɛt, ɔ rɛd blɔd sɛl dɛn nɔ de na di blɔd.
- Lɔng sik: If yu gɛt ɛni lɔng sik.
- Fɔ gɛt di vaysin: If yu jɔs gɛt di vaysin ɔ yu de plan fɔ gɛt wan tumara bambay.
- Alɛji: If yu gɛt alɛji to Rituximab, ɛni ɔda mɛrɛsin, it, ɔ day.
- Bεlε כ we yu de gi bεlε: If yu bεlε, yu de tray fכ bεlε, כ yu de gi bεlε.
Aw dɛn kin gi dis mɛrɛsin to di bɔdi?
Dis mɛrɛsin nɔto sɔntin we yu kin yuz na os. Na dɔktɔ ɔ nɔs we tren na ɔspitul ɔ klinik kin gi am as infushɔn insay wan vein. Dis prɔses kin tek sɔm awa.
Di tin we impɔtant pas ɔl na fɔ go na ɔspitul di de we dɛn dɔn sɛtul fɔ gɛt tritmɛnt. If fɔ sɔm rizin yu nɔ ebul fɔ go di de we dɛn dɔn plan fɔ go, mek shɔ se yu kɔl yu dɔktɔ ɛn mek i no.
Ivin fɔ pikin dɛm, dɛn kin gi dis mɛrɛsin pan sɔm spɛshal kes dɛm (fɔ ɛgzampul, pikin dɛm we dɔn pas 6 mɔnt). Bɔt dɛn kin tek tɛm du am ɛn na di advays we spɛshal dɔktɔ gi dɛn nɔmɔ.
Wetin a go du if a tek bɔku mɛrɛsin?
Dɛn kin gi dis na ɔspitul, so di chans fɔ mek dis apin rili smɔl. Bɔt if yu tink se yu dɔn tek am pasmak, ripɔt am wantɛm wantɛm to di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU). Ɔda we de fɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ gɛt advays.
Tin dɛn we yu fɔ tek tɛm wit mɔ we yu de tek di mɛrɛsin
- Protekshɔn frɔm infɛkshɔn:Dis mɛrɛsin kin mek yu nɔ ebul fɔ fɛt di sik, ɛn dis kin mek yu gɛt mɔ sik ɛn gɛt infɛkshɔn. So, if yu gɛt sɔm kayn sik lɛk fiva, kol, ɔr yu trot we de at, nɔr de mɛn yusɛf ɛn tɛl yu dɔktɔ. Nɔ go na say dɛn we pipul dɛn kin gɛda ɛn spɛn tɛm wit pipul dɛn we sik as yu ebul.
- Skin kin chenj: Sɔntɛnde, ivin sɔm wiks afta yu dɔn bigin fɔ tek di mɛrɛsin, siriɔs tin kin apin to yu skin. If yu gɛt rɛd ɔ pepul blista, sos, skin we de pul, ɔ fiva, tɛl yu dɔktɔ wantɛm wantɛm.
- Infusion reactions: Sɔm pipul dɛn kin gɛt alɛji we dɛn gi di mɛrɛsin insay dɛn bɛlɛ. Fɔ ridyus dis, yu dɔktɔ kin gi yu ɔda mɛrɛsin (e.g., Panadol, Pyridoxine) bifo di injɛkshɔn. If yu fil ɛni prɔblɛm we yu de gi yu di injɛkshɔn, tɛl di nɔs ɔ dɔktɔ wantɛm wantɛm.
- Bεlε εn we yu de gi pikin in bεlε: Dis rili impɔtant. Yu fɔ avɔyd fɔ gɛt bɛlɛ we yu de tek dis mɛrɛsin ɛn fɔ 12 mɔnt afta yu dɔn stɔp di tritmɛnt . Tɔk to yu dɔktɔ bɔt aw fɔ yuz bɔn kɔntrol. Dɔn bak, nɔ fɔ gi pikin in bɛlɛ fɔ 6 mɔnt afta yu dɔn stɔp di tritmɛnt .
- Di tin dɛn we kin apin to dɛn bren: Na smɔl tɛm nɔmɔ, sɔm sik pipul dɛn kin gɛt siriɔs infɛkshɔn we kin afɛkt di bren bikɔs ɔf dis mɛrɛsin. Tɛl yu dɔktɔ wantɛm wantɛm if yu gɛt ɛni prɔblɛm ɔ chenj na yu yay, tink, tɔk, waka, ɔ tinap .
Di sayd ɛfɛkt dɛn we di mɛrɛsin kin gɛt
Lɛk ɛni mɛrɛsin, Rituximab kin mek yu gɛt sayd ɛfɛkt. Bɔt, nɔto ɔlman kin gɛt dɛn. Lɛ wi tek tɛm luk dɛn na di tebul we de dɔŋ ya.
| Klasifikeshɔn fɔ di sayd ɛfɛkt dɛn we Rituximab gɛt | |
|---|---|
| Sayd ɛfɛkt dɛn we yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm | |
| Alɛji we pɔsin kin gɛt | Skin rash, i de it; swel na di fes, di lip, di tong. |
| Sayn dɛn we de sho se pɔsin gɛt di sik | Fiva, kol, kɔf, trot we de at, urinary tract infection. |
| Di sayn dɛm we de sho se pɔsin gɛt at atak | I nɔ kin izi fɔ yu fɔ blo; pen ɔ tayt na di chɛst, nɛk, bak, ɔ an. |
| Di bɔdi we de swel (Edima) . | We yu gɛt bɔku bɔku wet wantɛm wantɛm; di ankles, fut, an dɛn we de swel; i nɔ kin izi fɔ yu fɔ blo. |
| Kidni dɛn we dɔn pwɛl | di urine we de kכmכt dכn כ chenj. |
| Liva we dɔn pwɛl | Dak yɔlɔ/brawn urine, yu yay ɔ skin de yɔlɔ, pen na di ɔp rayt pat na di bɛlɛ, yu nɔ go want fɔ it. |
| Siriɔs riakshɔn dɛn na di skin | Rɛd, blista, pil pan di skin (ivin insay di mɔt). |
| Blɔd we nɔ de kɔmɔt fayn | Brus ɔ blɔd de kɔmɔt na di skin fɔ natin. |
| Tin dɛm wae nɔr kin siriɔs, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| Ed de at | Kɔmɔn ed pen. |
| Pen na di jɔyn dɛn | Pen na di jɔyn dɛn. |
| Mɔsul dɛn kin pen | Mɔsul dɛn de twitch ɔ pen. |
| Vɔmit | Fɔ fil lɛk se yu de vɔmit. |
Ɔda mɛrɛsin dɛm wae kin intarakt wit Rituximab (Interactions) .
I rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn ɛn ɛbul mɛrɛsin dɛn). Tin dɛm wae kin intarakt wit Rituximab mɔr lɛk:
- Layf vaysin: Yu fɔ avɔyd fɔ gɛt layf vaysin we yu de tek dis mɛrɛsin.
- Cisplatin: Rituximab kin intarakt wit Cisplatin, we na ɔda kansa mɛrɛsin.
Dis list nɔ kɔmplit, so duya tɛl yu dɔktɔ bɔt ɔltin we yu de tek.
Mɛsej we dɛn kin kɛr go na os
- Rituximab na pawaful, spɛshal mɛrɛsin we dɛn kin gi na ɔspitul fɔ kansa ɛn imyun sistɛm sik dɛn.
- Bifo yu bigin fɔ trit yu, tɛl yu dɔktɔ bɔt ɔl yu mɛrɛsin ɛn di mɛrɛsin dɛn we yu de tek.
- Yu fɔ no bɔt di infushɔn riakshɔn ɛn sayn dɛm fɔ infɛkshɔn (fiva, kɔf) we yu de gi di mɛrɛsin.
- Go to dɔktɔ wantɛm wantɛm if yu gɛt siriɔs sayd ɛfɛkt lɛk we yu skin de blist, i nɔ izi fɔ blo, ɔ yu chɛst de pen.
- I impɔtant fɔ avɔyd bɛlɛ ɛn gi pikin in bɛlɛ (6 mɔnt) we yu de trit yu ɛn fɔ lɔng tɛm we yu dɔktɔ se (12 mɔnt).
- I rili impɔtant fɔ atɛnd yu tritmɛnt apɔntinmɛnt dɛn we yu nɔ mis ɛni apɔntinmɛnt.
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