Wi ɔl no se fɔ gɛt kansa tritmɛnt nɔto izi waka. We yu de travul, yu fɔ yuz difrɛn kayn mɛrɛsin dɛn. Trabectedin na pawaful injεkshכn we dεn kin gi spεshal fכ wan kayn kεnsar we dεn kכl ‘Sarcoma’. Yu kin gɛt bɔrku kwɛstyɔn na yu maynd bɔt dis mɛrɛsin. Dat na nɔmal tin. So tide, insay dis atikul, wi go tɔk bɔt dis mɛrɛsin, wetin kin apin to am, ɛn wetin wi fɔ tek tɛm wit.
Us kayn mɛrɛsin na Trabectedin?
Fɔ tɔk am simpul wan, trabɛktɛdin na wan mɛrɛsin we de kil di kansa sɛl dɛn . Fɔ tɔk di kɔrɛkt tin, na pat pan wan kemotɛrapi we dɛn kin yuz fɔ mɛn pipul dɛn. Di men wok we i de du na fɔ stɔp di kansa sɛl dɛn we de sheb kwik kwik wan na di bɔdi fɔ gro ɛn pwɛl dɛn. Dɛn kin fɛn dis mɛrɛsin mɔ ɔnda di brand nem Yondelis.
Dɛn kin gi yu dis mɛrɛsin as infushɔn insay wan vein. Dis nɔto sɔntin we yu go ebul fɔ du na os. Na pɔsin we tren fɔ mɛn pipul dɛn we de wok na ɔspitul ɔ klinik kin gi yu . Dɔn bak, bifo ɛni tritmɛnt, dɛn go gi yu wan spɛshal infɔmeshɔn liflet (MedGuide) bɔt dis mɛrɛsin. I rili impɔtant fɔ tek tɛm rid ɛn ɔndastand am ɛvri tɛm.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin tritmɛnt
Bifo yu bigin dis mɛrɛsin, i impɔtant fɔ gi yu dɔktɔ kɔmplit diskripshɔn bɔt yu wɛlbɔdi kɔndishɔn. Mek shɔ se yu tɛl dɛn bɔt ɛni wan pan dɛn tin ya, mɔ if yu gɛt dɛn:
| Di tin we de apin to yu | Wetin mek yu nid fɔ tɛl di dɔktɔ? |
|---|---|
| At sik | Sɔntɛnde dis mɛrɛsin kin afɛkt di we aw di at de wok. |
| Kidni sik | Di kidni na di we aw di bɔdi de filta di dɔti tin dɛn. If yu gɛt prɔblɛm wit yu kidni, di sayd ɛfɛkt dɛn we di mɛrɛsin kin gɛt kin bɔku. |
| Liva sik | Di liva de ple big pat fɔ pul dis mɛrɛsin na di bɔdi. If prɔblɛm de wit di liva, di tin dɛn we di mɛrɛsin kin du kin bɔku we i nɔ nid fɔ du dat. |
| Di blɔd kɔnt we nɔ bɔku | If yu rɛd blɔd sɛl, wayt blɔd sɛl, ɔ pletlɛt dɔn ɔlrɛdi smɔl, dis mɛrɛsin kin mek di sik wɔs. |
| Mɔsul dɛn kin pen ɔ wikɛd | Bikɔs dis mɛrɛsin kin afɛkt di mɔsul dɛn, di dɔktɔ fɔ no bɔt ɛni prɔblɛm we de. |
| Tray fɔ gɛt bɛlɛ ɔ fɔ gɛt bɛlɛ | Dis mɛrɛsin kin rili ambɔg di pikin we de na in bɛlɛ, so mek shɔ se yu tɛl dɛn bɔt am. |
| Fɔ gi pikin in mama in bɛlɛ | di tin dεm we de insay di mεdikal kin pas to di pikin tru in mama in milk. Dis kin ambɔg di pikin. |
| Alɛji to ɔda mɛrɛsin ɔ it dɛn | Tɛl yu dɔktɔ bɔt ɛni alɛji we yu gɛt. |
Speshal pɔynt dɛn we yu fɔ tink bɔt we yu de yuz di mɛrɛsin
Bɛlɛ ɛn kɔntrol fɔ bɔn pikin
Dis na tin we rili impɔtant.
- Fɔ uman dɛn: Nɔ gɛt bɛlɛ we yu de tek dis mɛrɛsin ɛn fɔ 2 mɔnt afta yu dɔn stɔp di tritmɛnt.
- Fɔ man dɛn: Yuz wan we we pɔsin kin rili abop pan fɔ kɔntrol pikin we yu de trit am ɛn fɔ 5 mɔnt afta di las doz.
Dis mɛrɛsin kin rili ambɔg di pikin we nɔ bɔn yet. Dɔn bak, nɔ fɔ gi pikin in bɛlɛ ɔltogɛda we yu de tek dis tritmɛnt.
Protekshɔn frɔm infɛkshɔn
Dis mɛrɛsin de mek yu bɔdi in imyun sistɛm wik, we min se yu kin sik mɔ.
- Stay away frɔm pipul dɛm wae gɛt kol ɛn flu.
- Fiva, kol, trot we de atIf yu gɛt sɔm kayn sik lɛk dis, nɔr tek mɛrɛsin lɛk paracetamol fɔ yusɛf. Kɔl yu dɔktɔ wantɛm wantɛm.
- Tek tɛm we yu de brus yu tit ɛn yuz tutpik. Blɔd we de kɔmɔt na di gɔm ɛn infɛkshɔn kin apin mɔ. If yu de du ɛni tit tritmɛnt, tɛl yu dɛntist se yu de tek dis mɛrɛsin.
Intarakshɔn wit ɔda drɔgs ɛn it dɛm
Trabectedin kin intarakt wit sɔm ɔda mɛrɛsin dɛm wae yu de tek. So, tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn ɛn ɛbul mɛrɛsin dɛn) . Tek tɛm mɔ bɔt dɛn tin ya:
- Di tin dɛn we de mek pɔsin fil pen: Nɔ tek mɛrɛsin lɛk aspirin ɛn ibuprofen if yu dɔktɔ nɔ advays yu. Dɛn tin ya kin stɔp di fiva ɛn mek i nɔ izi fɔ no if pɔsin gɛt infekshɔn.
- Mɛrɛsin fɔ HIV ɔ AIDS
- Sɔm antibayɔtiks: Fɔ ɛgzampul, klarithromycin, telithromycin.
- Antifungals: Mεdikeshכn dεm lεk kεtokonazכl εn itrakonazכl.
- Mεdikeshכn dεm fכ εpilepshכn: lεk carbamazepine εn phenytoin.
- St. John’s Wort na wan tin we dɛn kin mek wit ɛbul.
- Grep jus: Nɔ drink grep jus we yu de tek dis mɛrɛsin, bikɔs i kin chenj di tin dɛn we di mɛrɛsin kin du.
Us sayd ɛfɛkt dɛn kin apin?
Lɛk ɛni antikansa drɔg, Trabectedin kin mek yu gɛt sayd ɛfɛkt. Dis na bikɔs dis mɛrɛsin kin afɛkt ɔl tu di kansa sɛl dɛn ɛn di wɛlbɔdi sɛl dɛn te to sɔm mak. Di tin we impɔtant pas ɔl na fɔ no bɔt dɛn sik ya ɛn tɛl yu dɔktɔ we nid de.
| Sayd ɛfɛkt/simptom | Wetin yu fɔ du? |
|---|---|
| Dɛn tin ya kin rili siriɔs: tɛl yu dɔktɔ wantɛm wantɛm. | |
| Alɛji riakshɔn: skin de rɔsh, it, swel na di fes/lip. | Go to dɔktɔ wantɛm wantɛm. |
| Di sayn dɛm we de sho se di liva dɔn pwɛl: di yay ɔ di skin de yɔlɔ, di urine we de dak yɔlɔ/brawn, pen na di rayt say na di bɛlɛ, i nɔ de want fɔ it. | Dis na siriɔs sayn dɛm. Tɛl yu dɔktɔ wantɛm wantɛm. |
| Di sayn dɛm we de sho se di mɔsul dɛn dɔn pwɛl: di urine dak, i nɔ kin izi fɔ pis, di mɔsul dɛn kin pen bad bad wan. | Tɛl di dɔktɔ wantɛm wantɛm. |
| Sayn dɛm fɔ blɔd: smɔl smɔl rɛd spat dɛn ɔnda di skin, brus, blak stɔl, ɛn blɔd na di urine. | Tɛl di dɔktɔ wantɛm wantɛm. |
| Di sayn dɛm fɔ infekshɔn: fiva, kol, kɔf, trot we de at. | Tɛl di dɔktɔ wantɛm wantɛm. |
| I nɔ kin izi fɔ blo, di chɛst kin pen, di leg/an/ankles kin swel. | Tɛl di dɔktɔ wantɛm wantɛm. |
| Tin dɛm wae yu fɔ tɛl yu dɔktɔ if dɛn kin kɔmɔn bɔt dɛn kin kɔntinyu fɔ de | |
| Nɔs, fɔ vɔmit | Yu kin aks yu dɔktɔ fɔ mɛrɛsin fɔ kɔntrol dɛn tin ya. |
| Kɔnstipɛshɔn, ed we de at, we yu nɔ want fɔ it | If dɛn tin ya kɔntinyu fɔ de, tɛl yu dɔktɔ. |
| Taya pasmak, nɔ ebul fɔ slip | Dɛn tin ya kin bi pat pan di tritmɛnt, bɔt if dɛn tu bɔku fɔ bia, tɔk to yu dɔktɔ. |
If yu tink se yu dɔn tek dis mɛrɛsin tumɔs, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta wantɛm wantɛm na di Kolombo Nashɔnal Ospital , ɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu.
Na nɔmal tin fɔ fil sik ɔr nɔr fil fayn wae yu de trit yu. Bɔt nɔ stɔp di tritmɛnt pas yu dɔktɔ tɛl yu fɔ du dat. Tɔk to am opin wan bɔt ɛnitin we de mɔna yu.
Mɛsej we dɛn kin kɛr go na os
- Trabectedin na pawaful mɛrɛsin we dɛn kin yuz fɔ mɛn wan kayn kansa we dɛn kɔl sarkoma. Dɛn kin gi am na ɔspitul we dɔktɔ de kia fɔ am.
- Bifo yu bigin fɔ trit yu, mek shɔ se yu tɛl yu dɔktɔ bɔt ɔl yu mɛrɛsin ɛn ɔl di mɛrɛsin dɛn we yu de tek.
- Nɔ gɛt bɛlɛ ɛn gi pikin in bɛlɛ ɔltogɛda we yu de tek dis mɛrɛsin. Yuz bɔn kɔntrol we pɔsin kin abop pan.
- If yu gɛt ɛni siriɔs sayd ɛfɛkt lɛk fiva, brus, ɔ yu skin yɔlɔ, tɛl yu dɔktɔ ɛn nɔ de te.
- Na nɔmal tin fɔ fil bad we yu de trit yu. Bɔt nɔ ɛva disayd fɔ stɔp di tritmɛnt fɔ yusɛf. Tɔk to yu dɔktɔ ɔltɛm.
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