We dɛn no se yu ɔ pɔsin we yu lɛk gɛt kansa, na nɔmal tin fɔ mek yu kɔnfyus ɛn ivin fred fɔ di tritmɛnt. Ɛspɛshali we di dɔktɔ tɔk bɔt nyu mɛrɛsin, i kin at fɔ no di rayt tin we i bi. Na dat mek, tide wi go tɔk bɔt di vaysin `Trabectedin`, we dɛn kin yuz fɔ mɛn kansa . Insay dis atikul, wi go tɔk bɔt dis mɛrɛsin insay wan rili simpul, izi fɔ ɔndastand, wetin i de du, wetin yu nid fɔ tek tɛm wit we yu de tek am, ɛn us sayd ɛfɛkt i kin mek yu gɛt.
Us kayn mɛrɛsin na Trabectedin?
Fɔ tɔk am simpul wan, Trabectedin na wan mɛrɛsin we de kɔntrol ɔ slo di kansa sɛl dɛn we de gro . Dɛn kin put am na di klas as kemotɛrapi tritmɛnt. Spɛshal wan, dɛn kin yuz dis drɔg fɔ trit wan kayn kansa we dɛn kɔl ` Sarcoma `.
Naw yu kin de wɔnda wetin na `Sarcoma`. Na wan kayn kansa we kin apin na di kɔnektiv tisu dɛm na wi bɔdi. Tink bɔt wi bon, mɔsul, fat tisu, blɔd vesel ... `Sarcoma` na di kansa we kin apin na ples lɛk dat. So `Trabectedin` de stכp dεn kεnsar sεl dεm fכ divayd εn spre. Yu kin fɛn dis mɛrɛsin na di makit ɔnda di brand nem `Yondelis`.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin tritmɛnt
Dis rili impɔtant. Bifo yu bigin fɔ tek `Trabectedin` tritmɛnt, i impɔtant fɔ mek yu dɔktɔ no bɔt yu kɔmplit wɛlbɔdi istri . Dis mεdisin kin intarakt wit כda mεdikal kכndyushכn wae yu kin gεt. So, if yu gɛt ɛni wan pan dɛn tin ya, mek shɔ se yu tɛl yu dɔktɔ bɔt am.
- At sik : Tɛl wi if yu dɔn gɛt ɔr yu gɛt hat sik naw. Sɔm kansa mɛrɛsin kin afɛkt di we aw di at de wok te to sɔm mak.
- Kidni sik:di kidni dεm na dεn de filta bכku pan di west prכdak dεm na wi bכdi. Na di sem tin kin apin to mɛrɛsin dɛn. So if ɛni wikɛd tin de na di kidni, i impɔtant fɔ mek di dɔktɔ no bɔt am.
- Liva sik: Liva na ɔda impɔtant pat na wi bɔdi. di liva de mεtabolayz di mεdisin dεm. So, ɛni sik we de na di liva kin afɛkt di we aw di mɛrɛsin de wok.
- Lɔw blɔd sɛl lɛvɛl: Tɛl wi if yu dɔn ɛva gɛt smɔl wayt blɔd sɛl, rɛd blɔd sɛl, ɔ pletlɛt na yu blɔd.
- Mɔsul dɛn we de at ɔ wikɛd: If yu kin gɛt mɔsul dɛn we de at ɔ wikɛd bɔku tɛm, lɛ wi no.
- Alɛji: Dis bak rili impɔtant. If yu gɛt alɛji, nɔto fɔ Trabectedin nɔmɔ, bɔt bak to ɛni ɔda mɛrɛsin, it, day, ɔ prɛzɛvɛtiv, yu fɔ rili tɛl yu dɔktɔ bɔt am.
- Bɛlɛ ɔ tray fɔ gɛt bɛlɛ: If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu tink se yu gɛt bɛlɛ, yu fɔ tɛl yu dɔktɔ bifo yu bigin dis tritmɛnt. Dis mɛrɛsin kin ambɔg pikin we nɔ bɔn yet.
- Fɔ gi pikin in mama in bɛlɛ: If yu na mama we de gi pikin in bɛlɛ, yu fɔ tɛl di dɔktɔ bak.
I rili impɔtant fɔ yu sef fɔ tɔk opin wan wit di dɔktɔ ɛn nɔ ayd dis infɔmeshɔn.
Aw a go gi yu dis mɛrɛsin?
`Trabectedin` nɔto pil ɔ srɔp we yu kin tek na os. Na injɛkshɔn we dɛn kin put insay wan vein. Dis min se na wan mɛdikal tim we dɛn dɔn tren de gi yu dis tritmɛnt na ɔspitul ɔ klinik.
Dɛn kin gi dis mɛrɛsin insay di bɛlɛ tru wan bɔtul we gɛt salin. Dis prɔses kin tek sɔm tɛm. Ɛnitɛm we yu gɛt tritmɛnt, dɛn go gi yu wan spɛshal infɔmeshɔn liflet we dɛn kɔl `MedGuide`. I gɛt bɔku impɔtant tin dɛn bɔt dis mɛrɛsin. I rili impɔtant fɔ rid am gud gud wan bifo ɛni tritmɛnt.
Wetin fɔ du if dɛn ad di mɛrɛsin in doz?
Bikɔs dɛn kin gi dis mɛrɛsin na ɔspitul, ɔnda di dairekt supavayshɔn fɔ dɔktɔ ɛn nɔs dɛn, di risk fɔ ɔvados kin rili smɔl. Bɔt if yu gɛt ɛnitin we nɔ kɔmɔn, tɛl di dɔktɔ dɛn wantɛm wantɛm. If nɔto dat, kɔl yu dɔktɔ. If ɛnitin apin, yu kin kɔl bak di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ gɛt advays.
Wetin a go du if a mis wan tritmɛnt sɛshɔn?
Dɛn kin gi dis tritmɛnt pan wan patikyula schedule. So, i rili impɔtant fɔ mek yu gɛt tritmɛnt jɔs di de ɛn tɛm we di dɔktɔ gi yu. Nɔ mis tritmɛnt sɛshɔn fɔ ɛni rizin. If fɔ sɔm rizin yu nɔ ebul fɔ kam di de we dɛn dɔn sɛtul, kɔl bifo tɛm ɛn tɛl yu mɛdikal tim ɛn arenj fɔ kam leta.
Ɔda tin dɛm wae kin intarakt wit Trabectedin
Ɔda mɛrɛsin dɛn we yu kin tek kin afɛkt di we aw dis mɛrɛsin de wok. Dɔn bak, Trabectedin kin chenj di we aw ɔda mɛrɛsin dɛn de wok. Dis na wetin wi kɔl intarakshɔn.
So, tɛl yu dɔktɔ bɔt ɔl wetin yu de yuz. Dat min se:
- Di mɛrɛsin dɛn we dɔktɔ dɛn kin gi fɔ ɔda sik dɛn
- Drug dɛn we nɔ gɛt prɛskrishɔn
- Vitamin, tin dɛn we dɛn mek wit ɛbul, ɔ ɔda tin dɛn we dɛn kin yuz fɔ it
- Sinhala ɔ Ayurveda mɛrɛsin dɛn
Dis dכn ya na sכm tin dεm we kin intarakt wit `Trabectedin`.
- Antivayrɔs drɔgs we dɛn kin gi fɔ HIV ɔ AIDS
- sכm antibaytik dεm, fכ egzampl `klarithromycin` εn `telithromycin`.
- sכm mεdikeshכn dεm we dεn kin gi fכ fכn infεkshכn, fכ egzampl `ketoconazole`, `itraconazole`.
- Sɔm mɛrɛsin dɛm wae dɛn kin yuse fɔ trit sik dɛm lɛk wae pɔrsin kin gɛt sik wae de mɛk pɔrsin fil bad (lɛk carbamazepine ɛn phenytoin) .
- Grepfruit jus we dɛn kin mek
- Di herbal prodakt we nem Sɛnt Jɔn in wɔt
- Drugs lɛk `Rifampin`
Dis list nɔ kɔmplit. So, na fɔ yu yon sef fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, ɛn bak if yu de smok ɔ drink rɔm.
Tin dɛm wae yu fɔ tek tɛm wit mɔ wae yu de trit yu
Yu mɛdikal tim go wach yu wɛlbɔdi gud gud wan ɔl di tɛm we yu de trit yu, ɛn yu fɔ kia fɔ yu bɔdi bak.
Fɔ fil jɔs lɛk aw i nɔ wɛl
Kimotɛrapi kin afɛkt ɔl tu di kansa sɛl dɛn ɛn di wɛlbɔdi sɛl dɛn na wi bɔdi. So na nɔmal tin fɔ fil taya, taya, ɛn bɔku tɛm yu nɔ kin wɛl we yu de trit yu. Ivin if yu gɛt dɛn kayn prɔblɛm ya, kɔntinyu fɔ gɛt tritmɛnt te yu dɔktɔ tɛl yu fɔ stɔp. Bɔt mek shɔ se yu tɛl yu mɛdikal tim bɔt ɛni sayd ɛfɛkt we yu gɛt.
Risk fɔ gɛt di sik
Dis mɛrɛsin kin mek yu bɔdi in imyun sistɛm wik, we min se yu kin sik mɔ.
- Yu gɛt fiva, kol, trot we de at, ɛn kɔf.If yu gɛt sɔm sayn dɛn fɔ kol, lɛk we yu nos de rɔn, nɔ tray fɔ tek mɛrɛsin fɔ yusɛf, bɔt kɔl yu dɔktɔ wantɛm wantɛm fɔ advays.
- Nɔto fɔ go na say dɛn we pipul dɛn kin bɔku ɛn fɔ spɛn tɛm wit sik pipul dɛn as mɔ as yu ebul.
Yuz mɛrɛsin dɛn we de mek pɔsin fil pen
I rili impɔtant fɔ no if yu gɛt fiva dis tɛm. If yu tek pen kil lɛk `Aspirin`, `acetaminophen` (Panadol), `ibuprofen`, `naproxen` i kin stɔp di bɔdi in fiva ɛn mek infɛkshɔn nɔ apin. So, nɔ yuz ɛni wan pan dɛn pen kil ya if yu nɔ go to yu dɔktɔ.
Dental wɛlbɔdi biznɛs
We dɛn de trit yu, yu gam kin blɔd mɔ. Infεkshכn kin apin bak. So na fɔ rili ɔmbul ɛn tek tɛm we yu de brus ɛn yuz flos yu tit. If yu nid fɔ gɛt ɛni tit tritmɛnt, mek shɔ se yu tɛl yu dɛntist se yu de tek Trabectedin.
Bɛlɛ ɛn fɔ bɔn pikin dɛn
Dis na tin we rili impɔtant fɔ uman ɛn man.
- Fɔ uman dɛn: Yu fɔ avɔyd fɔ gɛt bɛlɛ we yu de tek dis mɛrɛsin ɛn fɔ 2 mɔnt afta yu dɔn tek di las doz. Dis mɛrɛsin kin mek di pikin we nɔ bɔn yet gɛt siriɔs prɔblɛm wit in bɛlɛ. Yu fɔ gɛt bɛlɛ tɛst bifo yu bigin tritmɛnt fɔ mek shɔ se yu nɔ gɛt bɛlɛ. Yu fɔ yuz bak wan we we pɔsin kin abop pan fɔ kɔntrol bɔn pikin insay dis tɛm. Tɔk to yu dɔktɔ bɔt dis.
- Fɔ man dɛm: Yu fɔ avɔyd fɔ bɔn pikin we yu de tek dis mɛrɛsin ɛn fɔ 5 mɔnt afta yu dɔn tek di las doz. I impɔtant fɔ yuz kɔndɔm we yu de du mami ɛn dadi biznɛs insay dis tɛm.
- Fɔ gi pikin in mama in bɛlɛ: Nɔ gi pikin in mama in bɛlɛ ɔltogɛda we yu de tek dis mɛrɛsin.
- Fεtiliti: Dis mεdisin kin afekt fεtiliti. If yu gɛt ɛnitin fɔ wɔri bɔt dis, tɔk to yu dɔktɔ.
Sayd ɛfɛkt dɛn we yu fɔ wach fɔ
Lɛk ɛni mɛrɛsin, `Trabectedin` kin mek yu gɛt sayd ɛfɛkt. Nɔto ɔlman kin gɛt dɛn. Bɔt, i impɔtant fɔ mek wi no bɔt dɛn. Lɛ wi sheb dɛn sayd ɛfɛkt ya to tu kategori.
| Sayd ɛfɛkt we pɔsin kin gɛt | Diskripshɔn ɛn wetin fɔ du |
|---|---|
| Sayd ɛfɛkt dɛm we yu fɔ ripɔt to yu mɛdikal tim wantɛm wantɛm | |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong ɔ trot, i nɔ izi fɔ blo. Dɛn tin ya na imejensi ɛn dɛn nid fɔ gɛt tritmɛnt kwik kwik wan. |
| Kapilari lik sindrom | Pen na di bɛlɛ ɔ di mɔsul dɛm, taya we nɔ kɔmɔn, fɔdɔm, yu nɔ de urine, yu anklɛ, an, ɛn fut dɛn de swel, ɛn i nɔ izi fɔ blo. |
| At we nɔ de wok fayn | I nɔ izi fɔ blo, yu anklɛ, yu fut, ɔ yu an dɛn kin swel, yu bɔdi kin gɛt bɔku bɔku wet wantɛm wantɛm, yu kin fil lɛk se yu taya ɔ yu wik pasmak. |
| Sayn dɛn we de sho se pɔsin gɛt di sik | Fiva, kol, kɔf, trot we de at, wund we nɔ de wɛl, pen we yu de pis. |
| Di sayn dɛn we de sho se pɔsin in liva wund | Pen na di ɔp rayt say na di bɛlɛ, yu nɔ de want fɔ it, yu nɔ de fil fayn, yu de stɔl we gɛt layt kɔlɔ, yu urine we gɛt dak yɔlɔ ɔ brawn, ɛn yu skin ɔ yu yay de yɔlɔ. |
| Injury na di mɔsul dɛn | Taya we nɔ kɔmɔn, pen na di mɔsul, dak yɔlɔ ɔ brawn urine, di urine we de kɔmɔt na di bɔdi nɔ de bɔku. |
| Blɔd ɔ brus we nɔ kɔmɔn | Blɔd we nɔ de stɔp ivin frɔm smɔl wund, we kin mek yu gɛt brus we nɔ nid fɔ de ɔnda di skin. |
| Pen na di say we dɛn injɛkshɔn | Rɛd, swel, wam, pen, ɔ blista/wund rawnd di say we dɛn injεkt. |
| Sayd ɛfɛkt dɛm wae nɔr kin siriɔs, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu ɔr de mɔna yu: | |
| Prɔblɛm dɛn we de na di dijestiv sistɛm | Kɔnstipɛshɔn, Dayarɛa, Nɔs, Vɔmit. |
| Ɔda prɔblɛm dɛn we kin apin | Taya, ed we de at, we yu nɔ want fɔ it. |
Mɛsej we dɛn kin kɛr go na os
- `Trabectedin` na pawaful mɛrɛsin we dɛn kin yuz fɔ trit wan kayn kansa we dɛn kɔl `Sarcoma.` Dɛn kin gi am na ɔspitul, ɔnda dɔktɔ in sɔpɔtishɔn.
- Tɛl yu dɔktɔ bɔt ɛni ɔda mɛrɛsin we yu gɛt, ɔl di mɛrɛsin dɛn we yu de tek (inklud di Sinhala mɛrɛsin dɛn), ɛn alɛji bifo yu bigin tritmɛnt.
- If yu gɛt fiva, sayn dɛn fɔ se yu gɛt infekshɔn, blɔd we nɔ kɔmɔn, ɔ ɔda bad bad tin dɛn we kin apin we yu de trit yu, go to dɔktɔ wantɛm wantɛm.
- I impɔtant fɔ mek uman ɛn man yuz di we dɛn we dɛn kin abop pan fɔ kɔntrol di pikin fɔ mek dɛn nɔ gɛt bɛlɛ we dɛn de trit dɛn ɛn fɔ sɔm tɛm afta dɛn dɔn gɛt bɛlɛ.
- Tɔk to yu dɔktɔ opin wan bɔt ɛni kwɛstyɔn, fred, ɔ wɔri we yu gɛt bɔt yu tritmɛnt. Dɛn kin rɛdi ɔltɛm fɔ ɛp yu.
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