Yu dɔktɔ dɔn gi yu ɔ pɔsin we yu sabi di mɛrɛsin we dɛn kɔl Tamoxifen fɔ bɔdi kansa? We dat apin, i nɔmal fɔ gɛt kwɛstyɔn dɛn ɛn fil fɔ fred smɔl. "Wetin go apin?", "Wetin na di sayd ifekt dɛm?", "Wetin a fɔ no?", ɛn ɔda tin dɛm Yu go mɔs gɛt bɔku kwɛstyɔn na yu maynd. So tide, lɛ wi tɔk bɔt ɔl dat simpul ɛn klia wan, lɛk se yu de tɔk to yu padi.
Wetin na Tamoxifen?
Fɔ tɔk am simpul wan, tamoxifen na spɛshal mɛrɛsin we dɛn kin gi fɔ stɔp di brɔst kansa sɛl dɛn fɔ gro ɛn fɔ trit kansa we dɔn ɔlrɛdi de. Sɔm kayn bɔdi kansa nid wan ɔmon we dɛn kɔl ɛstrojen, we dɛn kin mek na wi bɔdi, fɔ mek i gro, jɔs lɛk aw plant nid wata.
Tink bɔt dɛn kansa sɛl ya as smɔl ɛnimi dɛn we de luk fɔ "fud" we dɛn kɔl ɛstrojen. wetin di dכg we tamoxifen de du na fכ go insay di brεst tisu εn blok di we fכ dis כmon εstrojen fכ tay di kεnsar sεl dεm. in oda wod, i de stכp di kεnsar sεl dεm fכ gεt "fud". Dɔn dɛn sɛl dɛn de nɔ kin ebul fɔ skata ɔ gro igen.
Yu dɔktɔ kin gi yu dis mɛrɛsin fɔ ɔda sik dɛn apat frɔm bɔdi kansa. So fala wetin yu dɔktɔ tɛl yu ɔltɛm.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin fɔ tek mɛrɛsin
Bifo yu bigin fɔ tek dis mɛrɛsin, i rili impɔtant fɔ gi yu dɔktɔ wan kɔmplit pikchɔ bɔt yu wɛlbɔdi kɔndishɔn. Bikɔs da infɔmeshɔn de go sho aw dis mɛrɛsin fayn fɔ yu ɛn aw dɛn fɔ gi am. If yu gɛt ɛni wan pan dɛn tin ya we de dɔŋ ya, mek shɔ se yu tɛl yu dɔktɔ.
| Situeshɔn we yu nid fɔ ripɔt | Wetin mek yu fɔ bisin bɔt am? |
|---|---|
| If yu dɔn gɛt blɔd we de klɔt ɔ yu dɔn gɛt strok trade | Tamoxifen kin mek di blɔd klɔt smɔl. |
| kכndishכn dεm lεk uterin kεnsar, uterin fibroid, כ εndometriosis | i impɔtant fɔ no dis bikɔs dis mɛrɛsin kin afɛkt di layn na di uterus. |
| Liva sik | Bikɔs di liva de ɛp fɔ pul drɔgs na di bɔdi, i impɔtant fɔ no bɔt di wok we i de du. |
| Di ay kɔlɔstrel lɛvɛl na di blɔd | Sɔntɛnde dis mɛrɛsin kin afɛkt di kɔlɔstrel lɛvɛl. |
| If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu na mama we de gi pikin in bɛlɛ | Dis rili impɔtant. Dis mɛrɛsin kin ambɔg di pikin we nɔ bɔn yet ɛn i kin pas to di pikin tru in mama in milk. |
| If yu gɛt alɛji to ɔda mɛrɛsin, it ɔ tin dɛn | Dis impɔtant fɔ no if yu gɛt alɛji to Tamoxifen ɔ ɛni wan pan di tin dɛn we de insay am. |
Aw ɛksaktɔli a kin yuz dis mɛrɛsin?
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn: Tek di kɔrɛkt doz jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek. Nɔ inkrisayz ɔ ridyus di doz.
- Tek am di sem tɛm: Tray fɔ tek yu mɛrɛsin di sem tɛm ɛvride as yu ebul. Wae yu dɔn mek dis bi abit ɛvride, yu nɔr go fɔgɛt.
- Wit ɔ atɔl it: Dɛn kin tek dis mɛrɛsin bifo ɔ afta it. Bɔt if yu bɛlɛ at ɔ yu at de bɔn, i bɛtɛ fɔ tek am wit it.
- Nɔ stɔp: Nɔ stɔp fɔ tek yu mɛrɛsin te yu dɔktɔ tɛl yu fɔ tek am. I impɔtant fɔ dɔn di mɛrɛsin we dɛn dɔn tɛl yu fɔ tek, ilɛksɛf yu fil fayn.
Wetin fɔ du if yu mis wan doz fɔ mɛrɛsin?
If yu fɔgɛt fɔ tek wan doz, tek am jɔs lɛk aw yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek yu nɛks doz we yu mɛmba, skip di doz we yu mis ɛn tek yu nɛks doz di tɛm we yu dɔn sɛtul. Nɔ ɛva tek tu doz wan tɛm fɔ mek di doz we yu mis.
Wetin yu go du if yu tek bɔku mɛrɛsin? (Ovados) .
If yu tink se yu dɔn tek bɔku mɛrɛsin, nɔ panik. Wantɛm wantɛmKɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital, ɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu.
Ɔda mɛrɛsin dɛm wae kin miks wit dis mɛrɛsin (Drug Interactions) .
We dɛn tek sɔm mɛrɛsin dɛn togɛda, dɛn kin afɛkt di we aw dɛnsɛf de wok. Dis na wetin wi kɔl Drug Interaction''. So, i impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn dɛn, ɛbul mɛrɛsin dɛn, ɛn sɔpɔtmɛnt dɛn).
| Nɔ ɛva tek Tamoxifen wit dis mɛrɛsin. | |
|---|---|
| - Sisaprid we dɛn kɔl Cisapride | - Dronedarone we de na di wɔl |
| - Pimozayd we yu de yuz | - Tioridazin we dɛn kɔl |
| Tɛl yu dɔktɔ if yu de tek dɛn mɛrɛsin ya. | |
| - Ɔda kansa drɔgs lɛk Anastrozole, Letrozole | - Blɔd tin dɛn lɛk Warfarin |
| - Di mɛrɛsin dɛn we de mek pɔsin nɔ fil bad lɛk Paroxetine | - Antiepileptic drɔgs lɛk Carbamazepine ɛn Phenytoin |
| - Rifampin (na mɛrɛsin fɔ TB) . | - Ɔda mɛrɛsin dɛn we de afɛkt di at ritm (QT intaval) . |
Tin dɛn we yu fɔ no we yu de tek Tamoxifen
- Di dɔktɔ dɛn we dɛn kin chɛk ɔltɛm:Mek shɔ se yu kip yu fɔlɔp apɔntinmɛnt wit yu dɔktɔ. Dɛn go wach aw yu de go bifo ɛn du yu brɔst ɛgzam, mamogram, ɛn pelvik ɛgzam ɔltɛm.
- Nɔ gɛt bɛlɛ: Dis rili impɔtant . Nɔ gɛt bɛlɛ ɔltogɛda we yu de tek dis mɛrɛsin ɛn fɔ 2 mɔnt afta yu dɔn stɔp am. I pɔsibul fɔ mek di pikin we nɔ bɔn yet gɛt siriɔs prɔblɛm. So tɔk to yu dɔktɔ bɔt di rayt we fɔ kɔntrol di pikin.
- Nɔ gi yu pikin in bɛlɛ: Nɔ gi yu pikin in bɛlɛ we yu de tek dis mɛrɛsin ɛn fɔ 3 mɔnt afta yu dɔn stɔp am.
- Fεtiliti: Dis mεdikal kin afekt fεtiliti na sכm uman dεm. If yu gɛt ɛnitin fɔ wɔri bɔt dis, tɔk to yu dɔktɔ bɔt am.
Lɛ wi lan bɔt di bad tin dɛn we kin apin to wi.
Lɛk ɛni mɛrɛsin, Tamoxifen kin gɛt sayd ɛfɛkt. Bɔt nɔto ɔlman kin gɛt dɛn. Sɔm kin siriɔs, ɛn ɔda wan dɛn kin kɔmɔn. Di impɔtant tin na fɔ no bɔt dɛn ɛn tek akshɔn kwik if nid de.
| Go to yu dɔktɔ ɔ di ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm. | |
|---|---|
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong ɔ trot. |
| Di sayn dɛn we de sho se blɔd dɔn rɔtin | Leg pen, swel ɔ fil wam, at fɔ blo, chɛst pen. |
| Di sayn dɛn we de sho se pɔsin gɛt strok | Wantɛm we yu fes, yu an, ɔ yu fut kin wik, yu nɔ kin ebul fɔ tɔk, yu kin kɔnfyus, yu nɔ kin ebul fɔ waka, yu ed kin at, yu kin chenj yu si. |
| Di sayn dɛn we de sho se pɔsin in liva wund | Pen na di ɔp rayt say na di bɛlɛ, yu nɔ de want fɔ it, yu nɔ de fil fayn, yu skin ɔ yu yay de yɔlɔ, yu urine dak. |
| Ɔda siriɔs sayn dɛn | Afta yu dɔn pas we yu dɔn menɔpauz, di sayn dɛm fɔ infekshɔn lɛk we yu de blɔd na yu vagina, pen na yu bɛlɛ, yu gɛt brus ɔ blɔd we nɔ kɔmɔn, fiva, ɛn kol. |
| If dɛn tin ya de kɔntinyu ɔ de mɔna yu, tɛl yu dɔktɔ. | |
| Hot flash dɛn we de shayn | Wantɛm wantɛm, i kin wam pasmak. |
| Di we aw pɔsin de fil kin chenj | Di chenj we pɔsin kin chenj ɔltɛm na di we aw pɔsin de fil. |
| Dischaj we de kɔmɔt na di vagina | Dischaj we de kɔmɔt na di vagina. |
Mɛsej we dɛn kin kɛr go na os
- Tamoxifen na wan impɔtant mɛrɛsin we de wok bay we i de blok di ɔmon we dɛn kɔl ɛstrojen fɔ mek pɔsin gɛt bɔdi kansa.
- Bifo yu bigin fɔ tek di mɛrɛsin, tɛl yu dɔktɔ bɔt ɔl yu mɛrɛsin ɛn ɔl di ɔda mɛrɛsin dɛn we yu de tek.
- Tek di mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu, di rayt tɛm. Nɔ ɛva tek tu dos di sem tɛm.
- Yu fɔ no bɔt di bad bad tin dɛn we kin apin to pɔsin, lɛk sayn dɛn we de sho se yu blɔd dɔn rɔtin ɔ yu gɛt strok. If yu gɛt ɛni wan pan dɛn tin ya, go to dɔktɔ wantɛm wantɛm.
- Nɔ gɛt bɛlɛ we yu de tek dis mɛrɛsin ɛn fɔ 2 mɔnt afta yu dɔn stɔp.
- Fɔ atɛnd tɛst ɔltɛm ɛn apɔntinmɛnt wit yu dɔktɔ rili impɔtant fɔ mek yu gɛt wɛlbɔdi.
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