Yu dɔktɔ dɔn gi yu ɔ pɔsin na yu famili wan mɛrɛsin we dɛn kɔl Topotecan? Dis na rili spɛshal kemotɛrapi mɛrɛsin we de stɔp di kansa sɛl dɛn fɔ gro ɛn kil dɛn. Sɔm tin dɛn de we wi nid fɔ rili tek tɛm wit ɛn tek tɛm we wi de yuz dis kayn mɛrɛsin. So nɔ wɔri, wi go tɔk bɔt ɔltin simpul wan, di we we yu go ɔndastand.
Us kayn mɛrɛsin na Topotecan?
Fɔ tɔk am simpul wan, dis na mɛrɛsin we de mek pɔsin nɔ gɛt kansa. Dɛn kin yuz am mɔ fɔ trit wan kayn kansa we kin apin na di lɔng, we dɛn kɔl smɔl sɛl lɔng kansa. Bɔt sɔntɛnde, yu dɔktɔ kin gi yu dis mɛrɛsin fɔ ɔda kayn kansa bak. Na yu dɔktɔ go disayd dis bay aw yu sik.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin fɔ tek mɛrɛsin
Bifo yu bigin dis mɛrɛsin, i rili impɔtant fɔ gi yu dɔktɔ wan kɔmplit pikchɔ bɔt yu wɛlbɔdi kɔndishɔn. Na bikɔs da infɔmeshɔn de go ɛp fɔ mek dɛn trit yu sef wan. Mek shɔ se yu tɛl yu dɔktɔ if yu gɛt ɛni wan pan dɛn tin ya:
| Situeshɔn we dɛn fɔ ripɔt | Tɔk bɔt |
|---|---|
| Alɛji dɛn we pɔsin kin gɛt | If yu dɔn gɛt alɛji fɔ Topotecan ɔ ɛni ɔda mɛrɛsin, it, ɔ day. |
| Infɛkshɔn dɛn we dɔn de | If yu gɛt infekshɔn naw, mɔ di vayral infɛkshɔn lɛk chikinpoks ɔ hεpi. |
| Kidni sik | If yu gɛt ɛni sik na yu kidni. |
| Di blɔd sɛl dɛn we de go dɔŋ | If blɔd tɛst dɔn sho se yu gɛt smɔl wayt blɔd sɛl, rɛd blɔd sɛl, ɔ pletlɛt. |
| Sik dɛn we kin kam na di lɔng | If yu gɛt sik we yu de blo lɛk asma ɔ skata na yu lɔng. |
| Bεlε εn we i de gi pikin in bεlε | If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ, yu fɔ rili tɛl yu dɔktɔ. |
Aw a fɔ yuz dis mɛrɛsin?
Dɛn kin tek dis mɛrɛsin lɛk kapsul. Drink am wit wan glas wata. I nɔ mata if yu tek am bifo ɔ afta yu it. Bɔt di tin we impɔtant pas ɔl fɔ mɛmba na, nɔ brok, krɔs, ɔ chew di mɛrɛsin . I fɔ swɛla ɔl.
Tek dis mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu, di tɛm we dɛn tɛl yu fɔ tek, fɔ di nɔmba we dɛn tɛl yu fɔ tek. Nɔ stɔp fɔ tek am if yu dɔktɔ nɔ advays yu, ɔ tek am pas di mɔni we dɛn tɛl yu fɔ tek.
Impɔtant: Dɛn dɔn gi yu dis mɛrɛsin fɔ yu nɔmɔ. Nɔ ɛva sheb am wit ɛni ɔda pɔsin.
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, 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 a go du if a tek bɔku mɛrɛsin?
If yu tink wantɛm wantɛm se yu dɔn tek dis mɛrɛsin tumɔs, nɔ panik. Wantɛm wantɛm, kɔl 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 tin dɛm wae kin miks wit dis mɛrɛsin
I rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, lɛk di mɛrɛsin dɛn we dɛn kin gi yu ɛn di wan dɛn we yu kin bay, di mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn yu bɔdi, ɛn di vaytamɛn dɛn. Sɔm pan dɛn kin intarakt wit Topotecan ɛn mek dɛn gɛt sayd ɛfɛkt. Tek tɛm mɔ pan dɛn tin ya:
- Grepfruit jus we dɛn kin mek
- Amiodarone we gɛt di sik
- Azitromaysin we dɛn kɔl
- Kaptopril we dɛn kɔl
- Carvedilol we dɛn kɔl Carvedilol
- Antifungal mεdikeshכn dεm (e.g. kεtokonazכl, itrakonazכl) .
- Klaritromaysin we dɛn kɔl
- Sayklɔspɔrin we dɛn kɔl
- Ɛritromaysin we dɛn kɔl
- Verapamil we dɛn kɔl Vɛrapamil
- Ritonavir we dɛn kɔl
Dis list nɔr kɔmplit, so i go fayn fɔ tɛl yu dɔktɔ bɔt ɔltin wae yu de tek.
Tin dɛn we yu fɔ tek tɛm wit we yu de tek mɛrɛsin
Yu nid fɔ pe atɛnshɔn smɔl mɔ to yu bɔdi we yu de tek dis mɛrɛsin.
Protɛkt yusɛf frɔm infɛkshɔn
Kimotɛrapi de mek wi bɔdi nɔ ebul fɔ fɛt sik, ɔ di imyuniti. Dis kin mek yu gɛt mɔ chans fɔ gɛt infɛkshɔn.
- If yu gɛt sɔm sayn dɛn fɔ kol, lɛk fiva, kol, trot we de at, ɛn kɔf, nɔ trit yusɛf ɛn kɔl yu dɔktɔ wantɛm wantɛm.
- Minimiz kɔntakt wit ples dɛn we krawd ɛn sik pipul dɛn as mɔ as yu ebul.
Blɔd ɛn brus
Dis mɛrɛsin kin mek yu bɔdi brus izi wan ɛn mek yu blɔd bɔku ivin if yu wund smɔl.
- If yu gɛt blu/pepul brus na yu bɔdi fɔ natin, if smɔl smɔl rɛd spat dɛn de na yu skin, if yu stɔl tɔn blak, ɔ if yu gɛt blɔd na yu urine, tɛl yu dɔktɔ wantɛm wantɛm.
Dental wɛlbɔdi biznɛs
Tek tɛm bad bad wan we yu de brus ɛn yuz flos yu tit, bikɔs yu gam kin blɔd. Yuz tut brɔsh we gɛt saf brist. If yu go gɛt ɛni tit tritmɛnt, tɛl yu dɛntist se yu de tek dis mɛrɛsin.
Bɛlɛ ɛn Fɛtiliti
Dis na tin we rili impɔtant.
- Uman: Yu fɔ avɔyd fɔ gɛt bɛlɛ ɔltogɛda we yu de tek dis mɛrɛsin ɛn fɔ 6 mɔnt afta yu dɔn stɔp di tritmɛnt.
- Man: Yu fɔ avɔyd fɔ bɔn pikin we yu de tek dis mɛrɛsin ɛn fɔ 3 mɔnt afta yu dɔn stɔp fɔ trit yu.
- Dis mɛrɛsin kin ambɔg di pikin we de na in bɛlɛ bad bad wan.
- Dɔn bak, dis mɛrɛsin kin afɛkt uman dɛn fɔ bɔn pikin ɛn di man dɛn sperm kɔnt. If yu gɛt ɛnitin fɔ wɔri bɔt dis, tɔk to yu dɔktɔ opin wan.
Us sayd ɛfɛkt dɛn we a go gɛt?
Lɛk ɛni mɛrɛsin, dis kin mek pɔsin gɛt sayd ɛfɛkt. Nɔto ɔlman kin gɛt dɛn. Bɔt i impɔtant fɔ no bɔt dɛn.
| Sayd ɛfɛkt we pɔsin kin gɛt | Tɔk bɔt |
|---|---|
| Sayd ɛfɛkt dɛn we yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm | |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong. |
| I nɔ kin izi fɔ yu fɔ blo | Fɔ blo shɔt, i nɔ kin izi fɔ blo. |
| Rɔnbɛlɛ | Dayrɛa we kin rili bad ɔ we kin kɔntinyu fɔ de. |
| Di sayn dɛn we de sho se pɔsin de blɔd | Brus we nɔ ɛksplen, rɛd spat na di skin, blak stɔl, blɔd na di urine. |
| Di sayn dɛn we de sho se di rɛd blɔd sɛl dɛn nɔ de bɔku | Unusual taya, paleness, diziz, faint. |
| Sayn dɛn we de sho se pɔsin gɛt di sik | Fiva, kol, kɔf, trot we de at, pen we yu de pis. |
| Sayd ɛfɛkt dɛm wae nɔr kin nid fɔ go to dɔktɔ (ripɔt if i nɔr de chenj ɔr de mɔna yu) . | |
| Di ia we de lɔs | Di ia we de lɔs |
| Ed de at | Ed de at |
| Fil fɔ it | I nɔ kin want fɔ it igen |
| Nɔs ɛn vɔmit | Nɔs, fɔ vɔmit |
| Bɛlɛ de pen | Bɛlɛ de pen |
Mɛsej we dɛn kin kɛr go na os
- Topotecan na pawaful tritmɛnt fɔ kansa. Yuz am jɔs lɛk aw yu dɔktɔ tɛl yu fɔ du, ɛn nɔ chenj ɛni ɔda tin.
- Nɔ krɔs, krɔs, ɔ chew di mɛrɛsin. Swɛla am ɔl.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek.
- If yu notis sɔm sayn dɛn lɛk fiva, brus, ɔ blɔd we nɔ kɔmɔn, go to dɔktɔ wantɛm wantɛm.
- Nɔ gɛt bɛlɛ we yu de trit yu ɛn fɔ sɔm tɛm afta yu gɛt bɛlɛ.
- If yu gɛt ɛni kwɛstyɔn ɔ tin we de mɔna yu, nɔ shem fɔ tɔk to yu dɔktɔ. I go ɛp yu.
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