Sɔntɛnde, bikɔs ɔf ɔpreshɔn ɔ ɔda mɛrɛsin, dɛn kin gɛt fɔ pul wan pat pan wi smɔl intestinal. Dis kin mek di bɔdi nɔ ebul fɔ tek di it ɛn wata we de kɔmɔt na di it we wi de it ɛn drink fayn fayn wan. Dis na wetin wi kin kɔl shɔt bɔdi sindrom, ɔ `Shɔt bɔdi sindrom (SBS). Wan spɛshal mɛrɛsin we kin ɛp yu pan dis kayn tin na `Teduglutide`. So tide, lɛ wi tɔk bɔt dis `Teduglutide` injɛkshɔn, aw fɔ yuz am, ɛn us tin dɛn fɔ tek tɛm wit.
Wetin na Teduglutide?
Fɔ tɔk am simpul wan, `Teduglutide` na wan mɛrɛsin wae dɛn kin yuse fɔ trit pipul dɛm wae gɛt `Short Bowel Syndrome`. Bikɔs yu insay shɔt, i nɔ kin izi fɔ tek di tin dɛn we de insay di it nɔmal wan. Tink bɔt yu insay lɛk spɔnj. Afta dɛn dɔn du di ɔpreshɔn, di sayz fɔ da spɔnj de dɔn smɔl. `Teduglutide` de gi da smɔl spɔnj de `boost` so dat i go ebul fɔ absɔb wata ɛn nyutriɛnt dɛn bɛtɛ.
Dis kin ɛp yu bɔdi fɔ tek mɔ tin dɛn ɛn wata we de kɔmɔt na it ɛn drink. dis kin mek sכm pipul dεm nכ nid fכ it bכku bכku intravenכs (dεn kin it tru wan tiub). Na Sri Lanka, dis mɛrɛsin de ɔnda di brand nem `Gattex`.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin fɔ tek mɛrɛsin
Bifo yu bigin dis tritmɛnt, i rili impɔtant fɔ tɔk to yu dɔktɔ bɔt yu kɔmplit wɛlbɔdi istri. I impɔtant fɔ tɔk bɔt dɛn tin ya fɔ mek yu sef.
| Yu gɛt dɛn sik ya? | Wetin mek i impɔtant fɔ notis pɔsin? |
|---|---|
| Kansa ɔ wan histri bɔt kansa | Dis mɛrɛsin kin gɛt fɔ du wit sɔm kayn kansa risk, so i impɔtant fɔ mek di dɔktɔ no bɔt dis. |
| Di polip dɛn we de na di kɔlɔn | I impɔtant fɔ pul dɛn polip ya kpatakpata bifo dɛn bigin di mɛrɛsin. |
| Di sik we de na di gal blad | Bikɔs dis mɛrɛsin gɛt smɔl risk fɔ mek i gɛt prɔblɛm wit di gal blad. |
| Di sik we de na di pankrias | Na bikɔs risk de fɔ gɛt pankrias. |
| At sik ɔ kidni sik | Ɔnda dɛn kayn tin ya, i kin nid fɔ chenj di doz ɔ di we aw dɛn de yuz di mɛrɛsin. |
| If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ | Yu fɔ tɔk to yu dɔktɔ bɔt di prɔblɛm dɛn we kin apin to di pikin we nɔ bɔn yet. |
| If mama de gi in pikin in bɛlɛ | I impɔtant fɔ go to dɔktɔ fɔ advays if di mɛrɛsin de pas to di pikin tru in mama in milk. |
| Alɛji to ɔda mɛrɛsin, it, ɔ tin dɛn | Fɔ mek yu nɔ gɛt alɛji fɔ di mɛrɛsin. |
Aw ɛksaktɔli dɛn kin yuz dis vaysin?
Dɛn kin gi dis mɛrɛsin as injɛkshɔn ɔnda di skin. Nɔ wɔri, yu dɔktɔ ɔ nɔs we tren go sho yu aw fɔ gi yusɛf dis injɛkshɔn na os. Dɛn go ɛksplen ɔltin frɔm aw fɔ pripia di mɛrɛsin to aw fɔ gi di injɛkshɔn.
Di tin we impɔtant pas ɔl na dat, nɔ ɛva trowe nidul ɛn sirinj dɛn we yu dɔn yuz na di dɔti. Dɛn fɔ put dɛn na spɛshal kɔntena we gɛt shap tin dɛn. If yu nɔ gɛt wan, aks yu dɔktɔ bɔt aw fɔ gɛt wan.
Wetin fɔ du if yu mis wan doz fɔ mɛrɛsin?
If yu mis wan doz, tek am jɔs afta yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek yu nɛks doz, skip di doz we yu mis ɛn tek yu nɛks doz di tɛm we yu dɔn sɛtul. Nɔ ɛva tek tu dos di sem tɛm.
Wetin a go du if a tek bɔku tin bay mistek?
If yu tink se yu dɔn tek dis mɛrɛsin tumɔs, nɔ panik ɛn kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital wantɛm wantɛm . Ɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu.
Tin dɛn we yu fɔ mɛmba we yu de tek dis mɛrɛsin
I rili impɔtant fɔ mek yu gɛt tayt padi biznɛs wit yu dɔktɔ ɔlsay na dis tritmɛnt.
- Fɔ chɛk yu dɔktɔ ɔltɛm: Si yu dɔktɔ ɔltɛm fɔ chɛk yu sik. Tɛl yu dɔktɔ if yu sik dɛn de bɛtɛ ɔr de wɔs.
- Blɔd tɛst: Yu dɔktɔ kin ɔda fɔ mek dɛn du bɔku blɔd tɛst (blɔd wok) fɔ chɛk aw yu bɔdi de wok we dɛn de trit yu.
- Yu fɔ no bɔt di prɔblɛm dɛn we kin mek yu gɛt kansa: Tɔk klia wan wit yu dɔktɔ bɔt di prɔblɛm we kin mek yu gɛt sɔm kayn kansa (espɛshali kansa na yu bɔdi) we yu de tek dis mɛrɛsin. Na notin fɔ fred, bɔt i impɔtant fɔ no.
- Polips: Dis na tin we rili impɔtant. Bifo yu bigin fɔ tek di mɛrɛsin, dɛn fɔ chɛk yu kɔlon fɔ si if ɛni polip de. If ɛni wan de, dɛn fɔ pul dɛn. Yu dɔktɔ go kɔntinyu fɔ chɛk fɔ dɛn tin ya we yu de tek di mɛrɛsin.
Di sayd ɛfɛkt dɛn we di mɛrɛsin kin gɛt
Lɛk ɛni mɛrɛsin, Teduglutide kin mek yu gɛt sayd ɛfɛkt. Sɔm kin siriɔs, ɛn ɔda wan dɛn kin kɔmɔn. I impɔtant fɔ no bɔt dɛn tin ya.
| Klasifikɛshɔn fɔ di sayd ɛfɛkt dɛn | |
|---|---|
| 🚨 Dɛn fɔ ripɔt siriɔs sayd ɛfɛkt to di dɔktɔ wantɛm wantɛm. | |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong ɔ trot, i nɔ izi fɔ blo. |
| Di bɔdi we de blok | Bɛlɛ kramp bad bad wan, nɔ ebul fɔ pul dɔti ɔ pas di briz, i nɔ kin want fɔ it, i kin vɔmit. |
| Prɔblɛm dɛn we de na di gal blad | Big pen na di ɔp rayt bɛlɛ, nɔs, vɔmit, fiva. |
| Inflameshɔn na di pankrias (Pancreatitis) . | Siri pen we de stat na di midul pat na di bɛlɛ ɛn rayt to di bak, pen we kin wɔs afta yu it ɔ we yu tɔch di bɛlɛ, fiva, nɔs, ɛn vɔmit. |
| ✅ Tin dɛm we nɔ kin siriɔs, bɔt dɛn fɔ ripɔt to dɔktɔ if dɛn kɔntinyu | |
| Bɛlɛ de blo/bɛlɛ nɔ de fil fayn | Nɔs ɛn vɔmit |
| Rɛd, it, ɔ pen na di say we dɛn injekt | Di an, fut, ɔ anklɛ dɛn kin swel |
| Simptom dɛm wae tan lɛk kol (kɔmɔn kol) . | |
Ɔda mɛrɛsin dɛn we kin miks wit Teduglutide
Dis mɛrɛsin kin chenj di we aw yu insay de tek ɔda mɛrɛsin. So, tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn ɛn ɛbul mɛrɛsin dɛn) . Ɛspɛshali if yu de tek ɛni wan pan dɛn mɛrɛsin ya:
- Sɔm mɛrɛsin wae kin mek pɔrsin in maynd kol ɔr kin slip
- Mεdisin dεm fכ εpilepshכn (lεk `carbamazepine`, `phenobarbital`, `phenytoin`)
- Imyun suprεshכn dεm lεk `Cyclosporine`, `Sirolimus`, `Tacrolimus`
- Mɛrɛsin fɔ at sik lɛk `Digoxin` ɛn `Quinidine`
- Blɔd tin dɛn lɛk `Warfarin`
- `Litiɔm`
- `Tiofilin` ɔ `aminofilin`
Dis list nɔ kɔmplit, so i bɛtɛ fɔ tɛl yu dɔktɔ bɔt ɔltin we yu de tek.
Mɛsej we dɛn kin kɛr go na os
- Teduglutide na spɛshal injɛkshɔn we de ɛp di bɔdi fɔ tek di nyutriɛnt fɔ pipul dɛn we gɛt Short Bowel Syndrome.
- Bifo yu bigin fɔ trit yu, mek shɔ se yu tɛl yu dɔktɔ bɔt ɛni kansa, kɔlon polip, ɔ ɔda mɛrɛsin we yu gɛt.
- Lan aw fɔ yuz di vaysin kɔrɛkt wan. Trowe di nidul dɛn we yu dɔn yuz fayn fayn wan.
- If yu gɛt siriɔs bɛlɛ pen ɔ yu gɛt alɛji (skin rash, swelling), go to dɔktɔ wantɛm wantɛm.
- Dis mɛrɛsin na fɔ yu nɔmɔ. Nɔ ɛva sheb am wit ɛni ɔda pɔsin.
- If yu gɛt ɛni kwɛstyɔn bɔt dis mɛrɛsin, nɔr frayd fɔ tɔk to yu dɔktɔ.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Us sik dɛn de yuz di Teduglutide / Gattex vaysin fɔ?
Dis na vaysin we nɔ bɔku, bɔt we de sev layf! Dɛn kin gi am fɔ pipul dɛm wae gɛt ‘Short Bowel Syndrome (SBS).’ Dis min se pipul dɛm we dɛn dɔn pul bɔku pat pan dɛn intestinal bikɔs ɔf sɔm sik/ɔpareshɔn, dɛn fɔ kɔntinyu fɔ gi dɛn tin na dɛn bɛlɛ (IV/TPN) bikɔs dɛn nɔ kin ebul fɔ tek it ivin afta dɛn dɔn it. Dɛn kin injɛkt dis vaysin na di bɛlɛ ɛvride, i kin mek di smɔl intestin big ɛn divɛlɔp, ɛn i kin chenj di we aw di it de tek di it.
💬 Aw dis drɔg (Teduglutide) de mek di intestin we lɛf big/grɔw?
Dis vaksin na di sem tin wit di ɔmon (GLP-2) we wi intestinal dɛn kin mek bay wilful! dis, we dεn gi am, i de fכs di rεmεnεnt sεl dεm na di sכmכl intestin fכ ‘promot mכkus growth’. dis de mek di say we de insay di intestכn de inkrεs εn i de tik. dis de mek di bכdi tek 100% pan di it εn wata we wi de it, εn i de mek wi stכp fכ gi it tru wan vein (TPN).
💬 Wetin na di denja denja fɔ di wan dɛn we de injekt dis multi-million dollar intestinal growth vaccine (Gattex)?
di big denja na dat dis de mek di intestinal ‘grow abnכmal’, we de put yu pan big risk fכ divεlכp ‘nyu kεnsar (Kansa / Polyps)’ na di intestכn! So, di wan dεm we gεt dis prכsidכm fכ fכ tru fכ du kכlonoskopi εvri 6 mכnt fכ egzamin di intestin wit kεmεra. di כda tin we denja na dat dis kin mek ston dεm fכm na di intestinal/gal blad εn blכk di intestכn kכmplit wan (Intestinal Obstruction).
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