We yu de fɛt kansa, na nɔmal tin fɔ fil smɔl frayd ɛn fred we yu yɛri di wɔd ‘raydieshɔn tɛrapi’. Bɔt we yu yɛri di wɔd ‘raydieshɔn to di wan ol bɔdi’, da fred de kin ivin big. Bɔt di Tɔtɔl Bɔdi Irɛdieshɔn (TBI) we wi de tɔk bɔt tide, if dɛn ɔndastand am kɔrɛkt wan, i kin bi wan rili impɔtant ɛn sef step na yu tritmɛnt joyn. So lɛ wi fɛn di ansa to ɔl yu kwɛstyɔn dɛn bɔt am, nɔto so?
Wetin na Tɔtɔl Bɔdi Irɛdieshɔn (TBI)?
Fɔ tɔk am simpul wan, dis na wan kayn tritmɛnt bak we gɛt raytin. Bɔt i nɔ tan lɛk ɔda tritmɛnt dɛn we gɛt raytin. insted fכ tכpik fכ tכk bכt wan hכy dכz fכ rεdyushכn to jכs di tכmכro, TBI de gi wan rili lכw dכz fכ rεdyushכn to di כl bכdi insay wan we we dεn kכntrol.
Tink bɔt am lɛk we yu de pripia di grɔn na yu wan ol gadin bay we yu ad smɔl fɛtilayza, nɔto jɔs pul sɔm gras. Di men gol fɔ dis na fɔ rɛdi yu fɔ di nɛks big step fɔ tritmɛnt, we na fɔ transplant bon mɛro ɔ fɔ transplant stem sɛl.
Wetin mek yu nid dis tritmɛnt?
Bɔku men rizin dɛn de we mek yu dɔktɔ kin tɛl yu fɔ du dis tritmɛnt.
- Pwεl di kansa sεl dεm: Dis kin εp fכ pwεl di kansa sεl dεm we de ayd na say dεm we at fכ rich, spεshal wan na di bon mכro εn nerv sεstem.
- Fɔ mek ples fɔ mek yu transplant bon mɛro: If yu dɔn plan fɔ transplant bon mɛro, dis tritmɛnt de ɛp fɔ ridyus di nɔmba fɔ di ol bon mɛro sɛl dɛn fɔ mek ples fɔ nyu sɛl dɛn we gɛt wɛlbɔdi insay yu bɔdi.
- Kɔntrol yu imyun sistɛm: Fɔ mek yu transplant bon mɛro go bifo, yu bɔdi in imyun sistɛm nɔ fɔ rijek di nyu sɛl dɛn. Dis tritmɛnt de kɔntrol di wok we da imyun sistɛm de du sef wan, ɛn dis de mek di chans fɔ mek di transplant wok fayn.
Us kɔndishɔn dɛn kin yuz TBI tritmɛnt fɔ?
Dɛn kin gi Tɔtɔl Bɔdi Iraydieshɔn wit ɔda tritmɛnt dɛn fɔ kansa, lɛk kemotɛrapi. Na sɔm pan de sik dɛm wae dɛn kin trit wit am.
| Nem fɔ di sik (Kɔndishɔn) . | Wan shɔt introdukshɔn |
|---|---|
| Lukimiya | Wan kansa we de na di blɔd ɛn bon mɛro. |
| Limfoma we dɛn kɔl Limfoma | Wan kansa we kin apin na di limfatik sistɛm. |
| Mɔltipɛl Mayloma | Wan kansa we de na di plasma sɛl dɛn we de na di bon mɛro. |
| Maylodisplastik Sindrom we dɛn kɔl di sik | Na sik we de mek di blɔd sɛl dɛn we gɛt wɛlbɔdi na di bon mɛro nɔ de ɔltɛm. |
Wetin kin apin bifo ɛn we dɛn de trit am?
Fɔ plan bifo yu gɛt tritmɛnt
Dis tan lɛk we dɛn de rɛdi fɔ ple. Bifo dɛn gi di aktual raytin, ‘planin mitin’ (simulashɔn) de fɔ plan ɔltin ɛksaktɔli. Dis tɛm, dɛn kin du CT skan na yu, ɛn di pɔsin we de mɛn yu wit di raytin kin tek di tin dɛn we yu nid fɔ du. Dɛn kin put yu bɔdi na wan patikyula say, ɛn dɛn kin put sɔm smɔl smɔl mak dɛn na di skin fɔ mek i kɔntinyu fɔ de da pozishɔn de ɔlsay na di tritmɛnt. Bɔku tɛm, dɛn tin ya kin de fɔ ɔltɛm, bɔt dɛn kin rili smɔl, lɛk dɔt we de na tatu.
We dɛn de du tritmɛnt
Yu kin nid fɔ de na ɔspitul fɔ sɔm dez we yu de gɛt TBI tritmɛnt. Na dis na wetin kin apin we dɛn de trit am:
- Di raydyushɔn thɛrapist go put yu na di kɔrɛkt pozishɔn lɛk aw dɛn bin dɔn plan am.
- Fɔ ridyus di raytin doz to sɔm ɔgan dɛn lɛk di lɔng dɛn, dɛn kin put spɛshal shild dɛn oba dɛn say dɛn de.
- Di dɔktɔ we de mɛn di raytin go kɔmɔt na di rum. Yu go de yu wan di tɛm we dɛn de du di tritmɛnt. Bɔt nɔ wɔri, dɛn go de wach yu wit kamɛra, ɛn yu kin tɔk to dɛn tru intakɔm.
- Wan big mashin we dɛn kɔl linya aksilarayt de muv rawnd yu ɛn i de gi bim dɛn we gɛt raytin.
Bɔrku tɛm, wan tritmɛnt kin tek 60 minit. Yu kin gɛt di chans bak fɔ du ɔda tin dɛn insay dis tɛm, lɛk fɔ lisin to myuzik, if yu want. Bɔrku pipul kin gɛt dis tritmɛnt tu ɔr tri tɛm insay di de, fɔ tri to fayv dez.
Di tin we impɔtant pas ɔl na dat, dis tritmɛnt nɔ de mek pɔsin fil pen atɔl . Yu nɔ go fil ɛni raytin ɔ fil di mashin de nak yu bɔdi.
Wetin na di sayd ɛfɛkt ɛn risk dɛm?
Lɛk ɛni tritmɛnt fɔ kansa, TBI kin mek i gɛt bad bad tin dɛn. Bɔt bɔku tɛm, dɛn kin ebul fɔ kɔntrol dɛn tin ya. Dɛn sayd ɛfɛkt ya kin difrɛn difrɛn wan bay di nɔmba fɔ di tritmɛnt dɛn we yu de gɛt, di doz fɔ di raytin, ɛn yu ɔl wɛl bɔdi.
| Tayp fɔ di sayd ɛfɛkt | Wetin fɔ ɛkspɛkt |
|---|---|
| Sɔt tɛm sayd ɛfɛkt (sɔm de ɔ wik afta di tritmɛnt) . | |
| Nɔs ɛn vɔmit | Nɔs ɛn vɔmit. Mɛrɛsin dɛn de fɔ kɔntrol dɛn tin ya. |
| Taya | Fɔ fil se yu taya bad bad wan ɛn yu taya. |
| Di ia we de lɔs | Di ia we de lɔs ɛn bɔdi ia we de lɔs (bɔku tɛm na fɔ shɔt tɛm nɔmɔ) . |
| Rɔnbɛlɛ | Fɔ mek yu bɔdi wam. |
| Skin kin chenj | Skin we de it, dray, ɔ we nɔ gɛt kɔlɔ. |
| Di blɔd sɛl dɛn we de go dɔŋ | Dis kin mek yu gɛt mɔ risk fɔ gɛt infɛkshɔn, blɔd (e.g. nos blɔd , blɔd gam), ɛn ayɔn-deficiency anemia. |
| Di sayd ɛfɛkt dɛm we kin de fɔ lɔng tɛm (i kin apin smɔl smɔl) . | |
| Katarakt we pɔsin kin gɛt | Klaud na di lens na di yay. |
| Ifekt pan di ebul fɔ bɔn pikin (Infertility) . | Risk de fɔ mek pɔsin nɔ ebul fɔ bɔn pikin. |
| Ska we de na di lɔng dɛn (Pulmonary Fibrosis) . | Skar na di lכng tisu. |
| Di sik we dɛn kɔl haypotayroyd | Di tayroyd ɔmon we de mek di tayroyd nɔ de bɔku. |
Impɔtant: Pan ɔl we di risk fɔ gɛt sɛkɔn kansa afta dɛn dɔn transplant yu bon mɛrɔ kin go ɔp smɔl, i impɔtant fɔ mɛmba se di prɔblɛm dɛn we kin apin to yu wɛlbɔdi we yu nɔ transplant yu bɔdi kin bɔku pasmak .
Aw a kin tek kia ɔf misɛf afta tritmɛnt?
Fɔ kɔntrol di sayd ɛfɛkt dɛn kin mek dis tɛm izi.
- If yu fil se yu de nɔs, aks fɔ mɛrɛsin fɔ am.
- Fɔ fala yu dɔktɔ in advays bɔt aw fɔ kia fɔ yu skin. If dɛn tɛl yu fɔ yuz mɔstizayza, mek shɔ se yu du am.
- Slip fayn, ɛn if i pɔsibul, aim fɔ slip fɔ at le 8 awa insay wan nɛt .
- Tɔk bɔt aw yu de fil, aw yu de fred, ɛn aw yu at pwɛl wit pɔsin we yu trɔst ɔ pɔsin we de advays yu.
- Afta yu kɔmɔt na ɔspitul, if i pɔsibul, tek sɔm tɛm fɔ lɛf fɔ wok ɛn rɛst.
Us tɛm a fɔ kɔl di dɔktɔ?
If yu gɛt ɛnitin lɛk dis we yu de du tritmɛnt ɔ afta yu dɔn gɛt tritmɛnt, yu fɔ tɔk to yu dɔktɔ wantɛm wantɛm .
- Di sayn dɛn we de sho se pɔsin kin kol
- Fiva we nɔ gɛt rizin
- Skin chenj lɛk fɔ blista ɛn fɔ pul di skin
Mɛsej we dɛn kin kɛr go na os
- Total Body Irradiation (TBI) na spɛshal redyushɔn tritmɛnt we dɛn kin gi yu ɔl bɔdi pan smɔl doz fɔ rɛdi yu fɔ bon mɛrɔ transplant.
- Dis tritmɛnt nɔr kin mek yu fil pen, bɔt sɔm kayn sayd ɛfɛkt kin de fɔ shɔt tɛm (lɛk fɔ nɔs, taya, yu ia kin lɔs). Dɛn kin ebul fɔ kɔntrol dɛn tin ya.
- Tɔk opin wan wit yu dɔktɔ bɔt yu tritmɛnt plan, di sayd ɛfɛkt dɛm, ɛn ɛnitin we yu de fred ɔ wɔri bɔt.
- Di gol fɔ dis tritmɛnt na fɔ pwɛl di kansa sɛl dɛn na say dɛn we at fɔ rich ɛn ɛp fɔ mek yu bon mɛrɔ transplant go bifo.
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