Wi ɔl no se fɔ fɛt kansa nɔto izi waka. We yu de travul, yu dɔktɔ kin gi yu difrɛn mɛrɛsin dɛn. Sunitinib na wan pan dɛn kayn mɛrɛsin ya, we de tɔch di kansa sɛl dɛn ɛn stɔp dɛn fɔ gro. So, if dɛn dɔn gi yu dis mɛrɛsin, fɔ no am simpul wan ɛn klia wan go ɛp yu fɔ du yu tritmɛnt joyn. Lɛ wi tɔk bɔt dis.
Us kayn mɛrɛsin na Sunitinib?
Fɔ tɔk am simpul wan, Sunitinib na drɔg we de insay di kategori fɔ "targeted therapy." dis min se dis dכg nכ de jכs afekt εvri sεl na di bכdi, bכt i de no εn stכp spεshal protin dεm we de εp di kansa sεl dεm fכ gro εn spre. Dis tan lɛk we yu de tɔch ɛnimi dairekt wan.
Dɛn kin yuz dis mɛrɛsin mɔ fɔ mɛn dɛn kayn kansa ya:
- GIST (Gastrointestinal Stromal Tumors): Dis na wan patikyula kayn tכmכro we de apin na wi dijestiv sistεm.
- Advans Kidni Kansa: We kidni kansa dɔn spre to ɔda pat dɛn na di bɔdi.
- Pankrias Nyuroεndokrin Tכmכro dεm: Dis na spεshal kayn kεnsar bak we de apin na di pankrias.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin fɔ tek mɛrɛsin
Bifo yu bigin fɔ tek Sunitinib, i rili impɔtant fɔ tɛl yu dɔktɔ bɔt yu kɔmplit wɛlbɔdi istri. Dis na bikɔs dis mɛrɛsin kin miks wit sɔm kayn mɛrɛsin. Si di tebul we de dɔŋ ya. If yu gɛt ɛni wan pan dɛn sik ya, mek shɔ se yu tɛl yu dɔktɔ.
| Situeshɔn we yu nid fɔ ripɔt | Wetin mek na so i bi? (Di rizin we mek di dɔktɔ fɔ no) |
|---|---|
| Blɔd disɔda ɔ izi brus | Dis mɛrɛsin kin mek yu gɛt mɔ blɔd. |
| Dental prɔblɛm, if yu yuz denture | Dɛn fɔ plan fɔ mɛn dɛn tit bifo tɛm, bikɔs mɛrɛsin kin afɛkt di jawbon. |
| Shuga | Di shuga we de na di blɔd kin afɛkt. |
| If yu go gɛt ɔpreshɔn jisnɔ | Bikɔs i kin afɛkt di we aw wund kin wɛl, dɛn fɔ stɔp di mɛrɛsin bifo ɛn afta dɛn du di ɔpreshɔn. |
| At sik, ay blɔd prɛshɔn, at ritm dizayd | Di mɛrɛsin kin afɛkt di we aw di at de wok ɛn di blɔd prɛshɔn. |
| Kidni (ɔda pas kansa) ɔ liva sik | Di wok we dɛn ɔgan ya de du kin afɛkt di we aw di mɛrɛsin de wok. |
| Tayrɔyd sik | Di drɔg kin afɛkt di tayroyd ɔmon lɛvɛl. |
| If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ | Dis rili impɔtant! Dis mɛrɛsin kin mek di pikin we de na di bɛlɛ bad bad wan. |
| Alɛji to Sunitinib ɔ ɔda mɛrɛsin ɔ it dɛn | I impɔtant fɔ tɛl dis fɔ mek yu nɔ gɛt alɛji. |
Aw yu kin yuz dis mɛrɛsin?
Di we aw fɔ yuz dis rili simpul, bɔt i rili impɔtant.
- Swɛla di mɛrɛsin ɔl wit wan glas wata.
- Yu kin tek dis bifo ɔ afta yu it. I nɔ go bi prɔblɛm.
- Di tin we impɔtant pas ɔl na fɔ tek di mɛrɛsin jɔs lɛk aw di dɔktɔ tɛl yu fɔ tek am, di tɛm we yu tɛl yu fɔ tek am.
- Nɔ ɛva, fɔ ɛni rizin, stɔp fɔ tek mɛrɛsin ɔ chenj di doz if yu dɔktɔ nɔ advays yu.
Wetin fɔ du if yu mis wan doz fɔ mɛrɛsin?
If yu mis wan doz, tek am jɔs afta yu mɛmba. Bɔt if i nɔ rich 12 awa te yu tek di nɛks doz, skip di doz we yu mis ɛn tek yu nɛks doz di tɛm we yu dɔn sɛtul. Nɔ ɛva tek tu dos wan tɛm.
Wetin a go du if a tek bɔku mɛrɛsin?
If yu tink se yu dɔn tek mɔ mɛrɛsin pas aw yu tink, nɔ panik ɛn go wantɛm wantɛm na di ɔspitul we de nia yu Imejɛnsi Dipatmɛnt (ETU) . Ɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital .
Ɔda tin dɛm wae kin intarakt wit Sunitinib
Dis na tin bak we rili impɔtant. We yu de tek Sunitinib, i impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud mɛrɛsin fɔ ɔda kɔndishɔn, vaytamɛn, tradishɔnal mɛrɛsin, ɛbul prɔdak). Sɔm mɛrɛsin kin miks wit Sunitinib ɛn ridyus in ifɛkt, inkrisayz in ifɛkt, ɔ kɔz denja sayd ɛfɛkt.
Tek tɛm mɔ bɔt dɛn tin ya:
- Sɔm mɛrɛsin fɔ HIV ɔ epataytis
- Mεdisin dεm fכ fכn infεkshכn (e.g. ketoconazole, itraconazole) .
- Sɔm antibayɔtiks (e.g. klarithromycin) .
- Sɔm mɛrɛsin fɔ mek yu gɛt sik (e.g. carbamazepine, phenytoin) .
- Di herbal prodakt we dɛn kɔl St. John’s Wort
- Ɔda mɛrɛsin dɛn we de mek di QT intaval lɔng
- Grep jus: Dis na sɔntin we bɔku pipul dɛn nɔ no. If yu drink grep jus, i kin afɛkt di we aw Sunitinib de wok. So, nɔ it grep ɛn grep jus ɔltogɛda we yu de tek dis mɛrɛsin.
Speshal pɔynt dɛn we yu fɔ no we yu de tek di mɛrɛsin
Tit ɛn ɔral wɛlbɔdi
Dis mεdisin kin afekt di jawbon sכmtεm (Osteonecrosis of the jaw). So, i go fayn fɔ mek yu go to dɛntist bifo yu bigin fɔ tek di mɛrɛsin ɛn sɔlv ɛni prɔblɛm wit yu tit. Dɔn bak, tɛl yu dɛntist se yu de tek dis mɛrɛsin. I fayn fɔ mek yu nɔ du big ɔpreshɔn pan yu tit we yu de tek di mɛrɛsin.
Ɔpreshɔn ɛn wund wɛl
Sunitinib kin slo di hiling prɔses fɔ wund dɛn. If dɛn go du ɔpreshɔn pan yu, tɛl yu dɔktɔ we de mɛn yu kansa. I kin fayn fɔ stɔp fɔ tek di mɛrɛsin 3 wik bifo dɛn du di ɔpreshɔn ɛn fɔ bigin am bak afta di wund dɔn wɛl (at le 2 wik afta di ɔpreshɔn).
Bεlε, bכn pikin εn fכ gi pikin bεlε
Dis rili impɔtant!If yu na uman, nɔ gɛt bɛlɛ ɔltogɛda we yu de tek dis mɛrɛsin ɛn fɔ at le 4 wik afta yu dɔn stɔp di mɛrɛsin. If yu na man, nɔ gɛt bɛlɛ we yu de tek di mɛrɛsin ɛn fɔ at le 7 wik afta yu dɔn stɔp di mɛrɛsin.
Dis mɛrɛsin kin ambɔg di pikin we nɔ bɔn yet bad bad wan. So, i impɔtant fɔ yuz wan we we pɔsin kin abop pan fɔ kɔntrol pikin dɛn insay dis tɛm. Dɔn bak, nɔ gi pikin in bɛlɛ we yu de tek dis mɛrɛsin ɛn fɔ 4 wik afta yu dɔn stɔp.
Wetin na di bad tin dɛn we kin apin to pɔsin?
Lɛk ɛni mɛrɛsin, Sunitinib kin gɛt sayd ɛfɛkt. Bɔt, nɔto ɔlman kin gɛt dɛn. Di tin we impɔtant pas ɔl na fɔ no bɔt dɛn tin ya ɛn fɔ tɛl yu dɔktɔ wantɛm wantɛm if yu gɛt ɛni prɔblɛm.
| Sayd ɛfɛkt dɛm wae yu fɔ ripɔt to yu dɔktɔ ɔr ɔspitul kwik kwik wan | |
|---|---|
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong |
| I nɔ izi fɔ blo, pen na yu chɛst | Di at ɔ di lɔng dɛn kin afɛkt. |
| Bɛlɛ pen bad bad wan, blɔd we nɔ kɔmɔn ɔ brus | I kin bi sayn fɔ blɔd we de insay pɔsin in bɔdi. |
| Swel na di leg, ankles, we yu de gɛt wet wantɛm wantɛm | I kin gɛt prɔblɛm wit in at ɔ in kidni. |
| Jaw pen (especially afta yu pul yu tut) . | I kin bi impak pan di jawbone. |
| Rɛd, blista, ɛn peel na di skin | Wan sayn fɔ se yu gɛt siriɔs riakshɔn na yu skin. |
| Ay blɔd prɛshɔn, ed we de at, we pɔsin kin gɛt sik | Ifekt pan di nervous system ɔr blɔd prɛshɔn. |
| Tɛl yu dɔktɔ if i kɔntinyu fɔ de ɔ i de mɔna yu. | |
| Rɔnbɛlɛ | Fɔ mek yu bɔdi wam. |
| Nɔs ɛn vɔmit | Nɔs ɛn vɔmit. |
| Sɔl dɛn na yu mɔt | Sɔl dɛn we de insay di mɔt. |
| Skin kin chenj | Di skin kin yɔlɔ, i kin dray, i kin krak, ɛn di skin kin at na di an ɛn di fut. |
| Di kɔlɔ we di ia kin chenj | Di kɔlɔ we de mek di ia layt. |
| Taya | Fɔ fil taya we nɔ kɔmɔn. |
| Nɔbɔdi nɔ kin want fɔ it ɛn chenj di we aw yu de te | I nɔ kin want fɔ it bɛtɛ ɛn i kin chenj di we aw di it de te. |
Mɛsej we dɛn kin kɛr go na os
- Sunitinib na spɛshal mɛrɛsin we de tɔch kansa sɛl dɛn.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we. Nɔ ɛva stɔp fɔ tek di mɛrɛsin ɔ chenj di doz fɔ yusɛf.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn, ɛbul prɔdak, ɛn grep jus we yu de tek.
- Nɔ gɛt bɛlɛ ɛn gi pikin in bɛlɛ ɔltogɛda we yu de tek di mɛrɛsin ɛn fɔ lɔng tɛm we yu dɔktɔ tɛl yu fɔ du am. I impɔtant fɔ yuz di tin dɛn we pɔsin kin abop pan fɔ kɔntrol di pikin.
- If yu gɛt ɛni bad bad sayd ɛfɛkt lɛk fɔ mek yu nɔ ebul fɔ blo fayn, blɔd we nɔ kɔmɔn, ɔ yu bɔdi de swel, go wantɛm wantɛm to yu dɔktɔ ɔ di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU).
- Tɔk to yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu. Dɛn kin rɛdi ɔltɛm fɔ ɛp yu.
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