Na nɔmal tin fɔ fil smɔl frayd ɛn fred we dɛn tɛl yu se yu go bigin fɔ tek kimotɛrapi as kansa tritmɛnt. Bɔt if dɛn tɛl wi gud gud wan bɔt dis tritmɛnt ɛn di mɛrɛsin dɛn we dɛn kin gi wi, dat kin mek wi nɔ fred bad bad wan. Tide wi de tɔk bɔt ‘Thiotepa’, we na spɛshal injɛkshɔn we dɛn kin gi fɔ dis kayn kansa tritmɛnt. If dɛn de gi dis to yu ɔ di pɔsin we yu lɛk, dis atikul go rili ɛp yu.
Wetin na Tiotepa?
Fɔ tɔk am simpul wan, Thiotepa na kemotɛrapi mɛrɛsin we de fɛt di kansa sɛl dɛn. Di men wok we dis drɔg de du na fɔ kɔntrol di we aw di kansa sɛl dɛn na wi bɔdi de sheb ɛn gro kwik kwik wan.
Dɛn kin yuz dis mɛrɛsin fɔ mɛn difrɛn kayn kansa. Fɔ ɛgzampul:
- Brɔst kansa
- Kansa na ovarian
- Blada kansa
Apat frɔm dat, dis mɛrɛsin de ɛp fɔ kɔntrol di wata we de gɛda na di bɔdi we gɛt sɔm kansa dɛn. Dɛn kin yuz am bak fɔ ridyus di graft rijɛkt pan yɔŋ pikin dɛn we gɛt thalassemia afta dɛn dɔn transplant dɛn bon mɛro.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin tritmɛnt
I rili impɔtant fɔ mek yu mɛdikal tim no gud gud wan bɔt yu wɛlbɔdi biznɛs bifo dɛn gi yu dis mɛrɛsin. So, if yu gɛt ɛni wan pan dɛn tin ya, mek shɔ se yu tɛl yu dɔktɔ.
- Wan infεkshכn kכndyushכn we de naw (especially vayral infεkshכn lεk chikinpoks εn hεpi).
- Kidni ɔ liva sik.
- Blɔd prɔblɛm lɛk we di pletlɛt dɛn nɔ de bɔku, di rɛd blɔd sɛl dɛn, ɔ di wayt blɔd sɛl dɛn.
- Raydyushɔn tɛrapi we dɛn jɔs dɔn ɔ we dɛn de du .
- Alɛji riakshɔn to Thiotepa, ɔda antikansa drɔgs, ɔda mɛrɛsin, it, day ɔ prɛzɛvɛtiv.
- If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ .
Aw dɛn kin gi dis mɛrɛsin to di bɔdi?
Dis nɔto mɛrɛsin we yu kin kɛr go na os. Na ɔspitul ɔ klinik na pɔsin we sabi kia fɔ wɛlbɔdi biznɛs we dɔn gɛt spɛshal trenin pan dis eria kin gi am.
Bɔku tɛm, dɛn kin gi dis as tin we dɛn kin put insay wan vein, lɛk salin . Sɔntɛnde, dɛn kin gi am bak dairekt insay di blad ɔ insay wan bɔdi kaviti.
If yu de gi yu pikin dis mɛrɛsin, tɔk bɔt am wit yu dɔktɔ we de mɛn pikin dɛn. Insay sɔm kes dɛn we dɛn kin pik, dɛn kin gi am to pikin dɛn we yɔŋ lɛk wan mɔnt, bɔt spɛshal tin dɛn de we dɛn fɔ tink bɔt.
Wetin fɔ du if yu tek di mɛrɛsin pasmak?
Dis nɔ kin apin bikɔs dɛn kin gi am na ɔspitul. Bɔt if yu tink se yu dɔn tek di mɛrɛsin pasmak, 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.
Wetin a go du if a mis apɔntinmɛnt fɔ tek mɛrɛsin?
I rili impɔtant fɔ tek dis mɛrɛsin di rayt tɛm. If yu nɔ ebul fɔ go na ɔspitul di de we dɛn dɔn plan fɔ go, kɔl yu dɔktɔ wantɛm wantɛm ɛn mek dɛn no.
Ɔda tin dɛm wae kin miks wit dis mɛrɛsin
I rili impɔtant: Nɔ gɛt layf vayrɔs vaysin fɔ ɛni rizin we yu de tek dis mɛrɛsin.
Dɔn bak, dɛn mɛrɛsin ya kin miks wit dis.
- Klaritromaysin we dɛn kɔl
- Sayklɔfosfamid
- Itrakonazɔl we dɛn kɔl
- Fɛnitoin we dɛn kɔl
- Rifampin bin de du am
- Ritonavir we dɛn kɔl
Dis list nɔ go kɔmplit, so mek shɔ se yu tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn, ɔyl, ɛn sɔpɔtmɛnt), if yu de smok, ɛn if yu de drink rɔm.
Tin dɛn we yu fɔ tink bɔt we yu de du tritmɛnt
Bikɔs kemotɛrapi kin afɛkt di sɛl dɛn we gɛt wɛlbɔdi bak, i nɔmal fɔ mek yu fil sɔm kayn prɔblɛm ɛn pen. Bɔt if yu gɛt ɛni bad bad tin we kin apin to yu, mek yu dɔktɔ no. Nɔ stɔp di tritmɛnt te yu dɔktɔ tɛl yu fɔ stɔp, ilɛksɛf i nɔ fayn fɔ yu.
- Protɛkt yusɛf frɔm infɛkshɔn: If yu gɛt sɔm sayn dɛm fɔ kol, lɛk fiva, kol, ɛn trot we de at, nɔr de mɛn yusɛf ɛn tɔk to yu dɔktɔ. Dis mɛrɛsin kin mek yu bɔdi nɔr ebul fɔ fɛt sik (immunity). So tray fɔ de fa frɔm pipul dɛn we sik.
- Wach fɔ blɔd: Dis mɛrɛsin kin mek yu gɛt mɔ blɔd ɔ brus. Tɛl yu dɔktɔ if yu notis ɛni blɔd ɔ brus we nɔ kɔmɔn.
- Blɔd tɛst: Yu go nid fɔ mek dɛn du blɔd wok ɔlsay na yu tritmɛnt. Nɔ skip dɛn tin ya.
Spɛshal ɔwe bɔt bɛlɛ ɛn fɔ bɔn pikin
Dis pat rili impɔtant. Duya una pe atɛnshɔn gud wan.
Uman dɛn fɔ avɔyd fɔ gɛt bɛlɛ we dɛn de tek dis mɛrɛsin ɛn fɔ 6 mɔnt afta dɛn dɔn stɔp am. Man dɛn fɔ avɔyd bak fɔ bɔn pikin dɛn we dɛn de tek dis mɛrɛsin ɛn fɔ wan (1) ia afta dɛn dɔn stɔp am.
Dis na bikɔs dis mɛrɛsin kin ambɔg di pikin we nɔ bɔn yet bad bad wan. Aks yu dɔktɔ fɔ no mɔ bɔt dis. Nɔ gi yu pikin in bɛlɛ we yu de tek dis mɛrɛsin.
Dɔn bak, dis mɛrɛsin kin afɛkt di we aw pɔsin kin bɔn pikin. If yu gɛt ɛnitin fɔ wɔri bɔt dis, tɔk to yu dɔktɔ bifo yu bigin fɔ trit yu.
Us sayd ɛfɛkt dɛn we a go gɛt?
Nɔto ɔlman kin gɛt sayd ɛfɛkt, bɔt sɔm pipul dɛn kin gɛt am. I impɔtant fɔ no bɔt dɛn tin ya.
| Sayd ɛfɛkt we pɔsin kin gɛt | Tɔk bɔt |
|---|---|
| Tin dɛn fɔ ripɔt to yu dɔktɔ wantɛm wantɛm | |
| Di sayn dɛn we de sho se pɔsin gɛt di sik | Fiva ɔ kol, kol, kɔf, trot at, pen we yu de pis. |
| Di sayn dɛn we de sho se pɔsin de blɔd | Brus we nɔ kɔmɔn, smɔl smɔl rɛd spat na di skin, blɔd na di urine, vɔmit we tan lɛk kɔfi grɔn, blak ɔ blɔd stɔl, blɔd we de kɔmɔt na di gam/nos. |
| Di sayn dɛn we de sho se di rɛd blɔd sɛl dɛn nɔ de bɔku | Fɔ fil se yu taya ɔ yu wik pasmak, yu de fɔdɔm, ɔ yu de fɔdɔm. |
| Di sayn dɛm we de sho se di liva dɔn pwɛl | Dak yɔlɔ/brawn urine, yu yay ɔ skin de yɔlɔ, pen na di ɔp rayt pat na di bɛlɛ, nɔs, yu nɔ de want fɔ it. |
| Prɔblɛm dɛn we de na di skin | Skin de rεd, blista, pεl (ivin insay di mכt). |
| Ɔda siriɔs sayn dɛn | Siz, kɔnfyushɔn, hallucinations, ɛn slip bad bad wan. |
| Tɛl yu dɔktɔ if i kɔntinyu fɔ de ɔ i de mɔna yu. | |
| Kɔmɔn sayd ɛfɛkt dɛn | Dayarɛa, mɔt sos, pen, rɛd, ɔ swel na di say we dɛn injekt am. |
Mɛsej we dɛn kin kɛr go na os
- Thiotepa na wan kemotɛrapi drɔg we de kɔntrol aw di kansa sɛl dɛn de gro.
- Bifo yu bigin fɔ trit yu, tɛl yu dɔktɔ bɔt ɔl yu mɛrɛsin ɛn di mɛrɛsin dɛn we yu de tek.
- Tek tɛm wit infɛkshɔn ɛn injury we yu de tek dis mɛrɛsin. If yu gɛt sɔm sayn dɛn lɛk fiva ɔ blɔd, go to dɔktɔ wantɛm wantɛm.
- Fɔ fala di advays bɔt bɛlɛ (fɔ uman ɛn man) rili strikt wan. Dis na tin we pɔsin fɔ du.
- Fil fri fɔ tɔk to yu dɔktɔ bɔt ɛni sayd ɛfɛkt ɔ prɔblɛm we yu go gɛt.
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