We yu dɔktɔ tɛl yu ɔ pɔsin we de nia yu gɛt rεnal sɛl kansa, i nɔmal fɔ mek yu want fɔ no mɔ ɛn fred smɔl bɔt di nɛks tritmɛnt. Wan pan dɛn tritmɛnt ya na wan vaysin we dɛn kɔl temirolimus. So tide, lɛ wi tɔk bɔt dis drɔg, jɔs lɛk aw yu go tɔk to yu padi, ɛn tray fɔ ansa ɛni kwɛstyɔn we yu gɛt.
Wetin rili na Temsirolimus?
Fɔ tɔk am simpul wan, temsirolimus na spɛshal mɛrɛsin we dɛn kin gi fɔ fɛt sɔm kayn kansa sɛl dɛn we de divɛlɔp na di kidni dɛn. Yu go dɔn yɛri bɔt am ɔnda di brand nem ``Torisel.'' In men wok na fɔ kɔntrol di grow we di kansa sɛl dɛn de gro bay we i de chenj di we aw wi bɔdi in imyun sistɛm de wok. Dis tan lɛk fɔ blok di rod dɛn we de ɛp di kansa sɛl dɛn fɔ gro ɛn gro fayn fayn wan. Dɛn kin klas dis as wan kayn kemotɛrapi.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin tritmɛnt
Bifo yu bigin dis tritmɛnt, i rili impɔtant fɔ gi yu dɔktɔ wan kɔmplit pikchɔ bɔt yu wɛlbɔdi. Nɔ ayd ɛnitin, yu tink se na smɔl tin. Bikɔs ivin da smɔl tin de kin afɛkt di we aw yu tritmɛnt go wok fayn. If yu gɛt ɛni wan pan dɛn tin ya, mek shɔ se yu tɛl yu dɔktɔ.
| Wɛlbɔdi kɔndishɔn/abit | Wetin mek yu fɔ notis? |
|---|---|
| Shuga | Dis mɛrɛsin kin afɛkt di blɔd shuga lɛvɛl. |
| At sik we pɔsin kin gɛt | Bikɔs i kin afɛkt di we aw di at de wok. |
| Fɔ gɛt ay kɔlɔstrel lɛvɛl na yu blɔd | Di drɔg kin chenj di kɔlɔstrel lɛvɛl mɔ. |
| Di imyun sistɛm we wik | Bikɔs di mɛrɛsin de afɛkt di imyuniti, i impɔtant fɔ no bɔt di wikɛd tin dɛn we dɔn de. |
| Infεkshכn dεm we de naw (especially vayrus dεm lεk chikinpoks εn hεpi) . | As di imyuniti de dכn, di infεkshכn dεm we de naw kin wכs. |
| Liva Sik we pɔsin kin gɛt | Bikɔs di liva de ɛp fɔ pul di mɛrɛsin kɔmɔt na di bɔdi. |
| di bכdi sεl dεm we de dכn (wayt bכdi sεl dεm, rεd blɔd sεl dεm, pletlεt dεm) . | Dis mɛrɛsin kin afɛkt di we aw dɛn de mek blɔd sɛl. |
| Di sik we de na di lɔng ɔ di we aw pɔsin de blo (lɛk asma) . | Risk de fɔ mek yu nɔ ebul fɔ blo fayn. |
| Fɔ tek mɛrɛsin fɔ mek blɔd nɔ klɔt ɔ fɔ trit am | Na bikɔs di risk fɔ mek blɔd kɔmɔt kin bɔku. |
| Tray fɔ gɛt bɛlɛ, fɔ gɛt bɛlɛ, ɔ fɔ gi pikin in bɛlɛ | Dis rili impɔtant . Di mɛrɛsin kin ambɔg di pikin we de na in bɛlɛ. |
| Alɛji to ɔda mɛrɛsin, it, ɔ day | Fɔ mek yu nɔ gɛt alɛji to di mɛrɛsin ɔ di tin dɛn we de insay am. |
Aw a go gi yu dis mɛrɛsin?
Dis nɔto mɛrɛsin we yu kin kɛr go na os. Dis na injεkshכn (infushכn) we dεn kin gi insay wan vein, lεk salin, bay wan mεdikal prכfεshכnal we dεn tren na כspitul כ klinik. Bɔku tɛm, dis na tin we kin tek lɛk 30 to 60 minit.
Wetin yu go du if yu mis wan doz fɔ mɛrɛsin?
I rili impɔtant fɔ tek yu mɛrɛsin di rayt tɛm ɛn di de we dɛn dɔn sɛtul fɔ dis tritmɛnt. If fɔ sɔm rizin yu nɔ ebul fɔ go di de we dɛn dɔn plan fɔ go, .Kɔl yu dɔktɔ ɔ klinik wantɛm wantɛm ɛn tɛl dɛn.
Wetin fɔ du if dɛn inkrisayz di doz fɔ di mɛrɛsin (ɔvados)?
Dɛn kin gi dis na ɔspitul, so di chans fɔ mek dis apin rili smɔl. Bɔt if yu tink se dis dɔn apin ɛni we, tɛl di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm. Yu kin kɔl bak di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ advays, if nid de.
Ɔda mɛrɛsin dɛm wae kin miks wit dis mɛrɛsin (Drug Interactions) .
Sɔm ɔda mɛrɛsin, vaytamɛn, ɔ ɛbul prɔdak dɛm we yu kin tek kin miks wit temsirolimus. So tɛl yu dɔktɔ bɔt ɔl wetin yu de tek. Tek tɛm mɔ pan dɛn tin ya:
- Antivayrɔs drɔgs we dɛn kin tek fɔ HIV ɔ AIDS
- Sɔm mɛrɛsin dɛn we dɛn kin yuz fɔ trit fɛns infɛkshɔn (e.g. ketoconazole, itraconazole) .
- Sɔm mɛrɛsin dɛn we dɛn kin yuz fɔ ay blɔd prɛshɔn (e.g. amlodipine, nifedipine) .
- Mεdisin dεm f כ sik (e.g. carbamazepine, phenytoin) .
- Sɔm antibayɔtiks (e.g. klarithromycin, rifampicin) .
- Dexamethasone, we na wan kayn stɛroyd
- Ɔda mɛrɛsin dɛn we de agens kansa lɛk `sunitinib`
- Grepfruit jus we dɛn kin mek
- Vaksin dɛn we dɛn kin yuz
Di tin we impɔtant pas ɔl na, nɔ bigin ɛni nyu mɛrɛsin, vaytamɛn, ɔ ɛbul prɔdak we yu nɔ aks yu dɔktɔ.
Tin dɛm wae yu fɔ pe spɛshal atɛnshɔn to wae yu de trit yu
Dis tɛm kin tranga smɔl, bɔt if yu no di rayt we ɛn kia fɔ yu, dis tɛm kin izi fɔ pas.
Dɛn kin chɛk dɛn ɔltɛm na dɔktɔ ɛn tɛst dɛn blɔd
Bɔku tɛm, yu dɔktɔ go aks yu fɔ mek dɛn du blɔd tɛst. Dɛn kin du dis fɔ chɛk aw di mɛrɛsin de afɛkt yu bɔdi ɛn fɔ si if yu liva, yu kidni, ɛn blɔd sɛl dɛn de wok fayn. I rili impɔtant fɔ mek yu nɔ skip dɛn tɛst ya.
Diskɔmfɔt ɛn infɛkshɔn
Bikɔs dis mɛrɛsin kin afɛkt di kansa sɛl dɛn ɛn di wɛlbɔdi sɛl dɛn, i nɔmal fɔ mek yu fil wik ɛn nɔ fil fayn. Bɔt kɔntinyu fɔ tek am te yu dɔktɔ tɛl yu fɔ stɔp. Dɔn bak, dis mɛrɛsin de mek yu bɔdi nɔ ebul fɔ fɛt sik (immunity) . So, nɔr de fa frɔm pipul dɛm wae gɛt kol ɛn flu as yu ebul.
If yu gɛt sɔm sayn dɛn lɛk fiva, kol, trot we de at, ɔ kɔf, nɔ ɛva tek mɛrɛsin fɔ yusɛf . Kɔl yu dɔktɔ wantɛm wantɛm.
Risk fɔ blɔd ɛn dɛn tit wɛlbɔdi
Dis mɛrɛsin kin mek yu blɔd bɔku bikɔs yu kɔt smɔl ɛn brus, ɛn yu kin brus izi wan. We yu de brus yu tit, yuz brɔsh we gɛt saf brist . If yu go go to dɛntist, tɛl dɛn se yu de tek dis mɛrɛsin.
Bεlε εn fכ gi pikin bεlε (i rili impɔtant!) .
- Uman: Nɔ gɛt bɛlɛ we yu de tek dis tritmɛnt ɛn fɔ 3 mɔnt afta yu dɔn stɔp di tritmɛnt.
- Man dɛm: Nɔ fɔ bɔn pikin we yu de tek dis tritmɛnt ɛn fɔ 3 mɔnt afta yu dɔn stɔp di tritmɛnt.
- Dis mɛrɛsin kin ambɔg di pikin we nɔ bɔn yet bad bad wan.
- Nɔ gi pikin bɔbi we yu de trit yu ɛn fɔ 3 wik afta di las doz.
Sayd ɛfɛkt dɛn we yu kin gɛt
Lɛk ɛni mɛrɛsin, temsirolimus kin gɛt sayd ɛfɛkt. Sɔm dɛn kin siriɔs, ɛn ɔda wan dɛn nɔ kin fred. Di impɔtant tin na fɔ no bɔt dɛn tin ya ɛn ripɔt dɛn to yu dɔktɔ kwik kwik wan.
| Tayp fɔ di sayd ɛfɛkt | Sayn dɛn |
|---|---|
| Sayd ɛfɛkt dɛn we yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm | |
| Alɛji Riakshɔn dɛn | Skin rash, it, swel na di fes, lip, tong, i nɔ izi fɔ blo. |
| Di sayn dɛn we de sho se pɔsin gɛt di sik | Fiva, kol, kɔf, trot we de at, urinary tract infection. |
| Di sayn dɛn we de sho se pɔsin de blɔd | I izi fɔ brus di skin, rɛd, fayn fayn say dɛn na di skin, blak ɔ blɔd stɔl, ɛn blɔd na di urine. |
| Di sayn dɛn we de sho se yu gɛt bɔku blɔd shuga | Fɔ fil se yu tɔsti pasmak, angri de bɔku, yu de pis ɔltɛm, yu taya pasmak, yu nɔ de si fayn. |
| Di sayn dɛn we de sho se Blɔd dɔn Klɔt | Wae yu nɔr de blo kwik kwik wan, yu chɛst de pen, yu leg de pen, yu de swel ɛn wam, yu nɔr kin ebul fɔ tɔk, yu fes ɔ yu an kin swɛla. |
| Di sayn dɛm we de sho se di liva/kidni dɔn pwɛl | Dak yɔlɔ/brawn urine, di yay/skin we de yɔlɔ, pen na di rayt say na di bɛlɛ, di urine we de kɔmɔt de go dɔŋ. |
| Tin dɛm fɔ tɛl yu dɔktɔ if dɛn kɔntinyu ɔr de mɔna yu | |
| Prɔblɛm dɛn we de na di dijestiv sistɛm | Kɔnstipɛshɔn, dayarɛa, vɔmit, nɔs, nɔ want fɔ it. |
| Ɔda prɔblɛm dɛn we kin apin | Mɔt so, jɔyn pen, mɔsul pen, nɔ de slip, anklɛ/an/fut de swel. |
Mɛsej we dɛn kin kɛr go na os
- Temsirolimus na pawaful mɛrɛsin fɔ kidni kansa. Dɛn kin gi am tru wan vein na ɔspitul.
- Mek shɔ se yu tɛl yu dɔktɔ bɔt ɔl yu wɛlbɔdi prɔblɛm ɛn ɔl di mɛrɛsin dɛn we yu de tek bifo yu bigin tritmɛnt.
- Protɛkt yusɛf frɔm infɛkshɔn we yu de du tritmɛnt. If yu notis ɛni sayn fɔ fiva ɔ kɔf, tɛl yu dɔktɔ wantɛm wantɛm.
- Tek tɛm mek yu nɔ blɔd ɛn yu nɔ gɛt brus. Nɔ tek mɛrɛsin fɔ mek yu fil pen if yu nɔ go to yu dɔktɔ.
- Nɔ bɔn pikin dɛn ɔltogɛda (fɔ uman ɛn man) we yu de trit am ɛn fɔ 3 mɔnt afta yu dɔn stɔp am.
- Tɔk to yu mɛdikal tim bɔt ɛni sayd ɛfɛkt, ilɛksɛf i tan lɛk se dɛn smɔl. Mɛmba se nɔto yu wangren de.
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