Wi ɔl no se fɔ fɛt kansa nɔto izi waka. We yu de travul, yu dɔktɔ go dɔn gi yu nyu mɛrɛsin. If di nem fɔ da mɛrɛsin de na Tucatinib, yu go mɔs gɛt bɔku kwɛstyɔn dɛn na yu maynd. "Wetin dis go du?", "Aw dis go afɛkt di bɔdi?", "Wetin na di sayd ɛfɛkt dɛm?", "Wetin a fɔ no?" I go mɔs bi se tin dɛn lɛk dat de rɔn na yu maynd. Nɔ wɔri, i rili nɔmal. Tide, wi go tɔk to yu lɛk yu padi bɔt dis mɛrɛsin, Tucatinib (we dɛn kin kɔl bɔku tɛm TUKYSA), insay wan simpul ɛn klia we.
Fɔ tɔk am simpul wan, wetin na Tucatinib?
Tucatinib na wan rili advans, spɛshal drɔg we de fɛt kansa sɛl dɛn. Wi kin kɔl dɛn kayn mɛrɛsin ya "targeted therapy." Tink bɔt dis we: kansa sɛl dɛn na rog sɛl dɛn we kin sheb kwik kwik wan ɛn we kin skata ɔlsay na di bɔdi we pɔsin nɔ ebul fɔ kɔntrol. Dɛn nid spɛshal mɛsej fɔ mek dɛn gro ɛn spre so kwik. Dɛn mɛsej ya kin kɔmɔt frɔm sɔm prɔtin dɛn we de na wi bɔdi.
Tucatinib de wok bay we i de inaktivat wan protin we de kכri dεn imכtant mεsej dεm ya we de tεl di kεnsar sεl dεm fכ "grכw εn spre." In ɔda wɔd dɛn, i de blok di rod we de kɛr dɛn mɛsej dɛn de. Dɔn, di ebul we di kansa sɛl dɛn kin ebul fɔ gro ɛn skata kin ridyus bad bad wan, ɔ dɛn kin ivin stɔp am ɔltogɛda.
Dɛn kin yuz dis mɛrɛsin mɔ fɔ:
- Fɔ bɔdi kansa
- Fɔ kɔlorektal kansa
Di impɔtant tin na dat dis nɔto mɛrɛsin fɔ ɔl kayn kansa. Yu dɔktɔ go jɔs gi yu am afta i dɔn chɛk aw yu kansa tan ɛn kɔnfirm se dis mɛrɛsin na di bɛst fɔ yu.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin fɔ tek mɛrɛsin
Bifo yu bigin dis mɛrɛsin, i rili impɔtant fɔ mek yu dɔktɔ gɛt kɔmplit pikchɔ bɔt yu wɛlbɔdi prɔblɛm. Bikɔs da infɔmeshɔn de go sho if dis mɛrɛsin sef fɔ yu ɛn aw di mɛrɛsin fɔ bi. So if yu gɛt ɛni wan pan dɛn tin ya, mek shɔ se yu tɛl yu dɔktɔ bɔt am ɛn nɔ ayd ɛnitin .
- Liva sik: If yu gɛt ɔ yu dɔn gɛt ɛni liva sik naw.
- Alɛji: If yu gɛt alɛji to dis mɛrɛsin, Tucatinib, ɛni ɔda mɛrɛsin, it, day, ɔ tin dɛn we de mek yu nɔ pwɛl.
- If yu de tray fɔ gɛt bɛlɛ ɔ yu gɛt bɛlɛ: If yu gɛt bɛlɛ ɔ yu op fɔ gɛt bɛlɛ, yu fɔ rili tɛl yu dɔktɔ.
- If yu de gi pikin in bɛlɛ: If yu na mama we de gi pikin in bɛlɛ, tɛl di dɔktɔ bak.
Aw ɛksaktɔli a kin yuz dis mɛrɛsin?
As di dɔktɔ se, fɔ tek di rayt doz di rayt tɛm kin rili afɛkt di sakrifays fɔ di tritmɛnt. If yu gɛt ɛni kwɛstyɔn bɔt dis, nɔ ɛva shem fɔ aks di dɔktɔ.
| Advays | Tɔk bɔt |
|---|---|
| Aw fɔ tek | Dis na wan pil we dɛn kin yuz fɔ it. Tek am jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek am. |
| Tɛm | Tray fɔ tek yu mɛrɛsin di sem tɛm ɛvride. If yu mek dis abit, dat go ɛp yu fɔ fɔgɛt fɔ tek yu mɛrɛsin smɔl tɛm. |
| Fɔ swɛla di pil | Swɛla di tablɛt ɔl wit wata. Nɔ ɛva brok, krɔs, ɔ chew di tablɛt. |
| Tek wit it | Yu kin tek am wit it ɔ yu nɔ it am. Bɔt if yu bɛlɛ at ɔ yu nɔs, if yu tek di mɛrɛsin wit smɔl it, dat kin ɛp fɔ mek yu nɔ fil fayn. |
| Fɔ stɔp di tritmɛnt | Kɔntinyu fɔ tek di mɛrɛsin te yu dɔktɔ tɛl yu fɔ stɔp. Nɔ stɔp fɔ tek di mɛrɛsin fɔ yusɛf, ilɛksɛf yu fil fayn smɔl. |
Wetin fɔ du if yu mis wan doz fɔ mɛrɛsin?
If yu fɔgɛt fɔ tek wan doz, nɔ wɔri. Dis na nɔmal tin. If yu du dat, skip di doz we yu mis ɔltogɛda . Tek yu nɛks doz na di tɛm we dɛn dɔn sɛtul. Nɔ tek tu pils wan tɛm fɔ mek di doz we yu nɔ tek. If yu du dat, dat kin mek di doz go ɔp.
Wetin a go du if a tek bɔku mɛrɛsin?
If yu ivin tink se yu dɔn tek mɔ mɛrɛsin pas aw yu tink, nɔ ignore am. Go wantɛm wantɛm na di ɔspitul we de nia yu Imejɛnsi Tritmɛnt Yunit (ETU). Ɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ advays.
Dɛn dɔn gi yu dis mɛrɛsin fɔ yu nɔmɔ. Fɔ yu mɛdikal kɔndishɔn nɔmɔ. So, nɔ ɛva sheb dis mɛrɛsin wit ɛni ɔda pɔsin.
Ɔda mɛrɛsin dɛm wae kin miks wit dis mɛrɛsin (Interactions) .
Dis na pat we rili impɔtant. Tucatinib na wan mɛrɛsin wae kin intarakt wit bɔrku ɔda mɛrɛsin dɛm. We tu mɛrɛsin dɛn miks dis we, ɔl tu di ɛfɛktiv we Tucatinib de du kin ridyus, ɔ di sayd ɛfɛkt dɛn kin go ɔp. So, gi yu dɔktɔ wan kɔmplit list fɔ ɔl di mɛrɛsin dɛn we yu de tek , lɛk di mɛrɛsin dɛn we dɛn kin gi yu, di mɛrɛsin dɛn we yu kin bay we yu nɔ de it, vaytamɛn dɛn, ɛbul mɛrɛsin dɛn, Ayurveda mɛrɛsin dɛn, ɛn ɛni ɔda tin we yu de yuz.
Dis dɔŋ ya na sɔm mɛrɛsin dɛm wae yu nɔr fɔ ɛva tek wit Tucatinib. Dis list nɔ kɔmplit. So, i impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek.
| Mɛrɛsin dɛn we nɔ fɔ ɛva tek wit Tucatinib | |
|---|---|
| Alfuzosin, Silodosin, ɛn ɔda pipul dɛn | Alprazolam, Triazolam, Midazolam, ɛn ɔda pipul dɛn |
| Lovastatin, Simvastatin (sɔm mɛrɛsin dɛn we de mek pɔsin nɔ gɛt bɔku kɔlɔstrel) . | Dihydroergotamine, Ergotamine (sɔm mɛrɛsin dɛn we dɛn kin yuz fɔ maygren) . |
| Dronedarone we gɛt di sik | Pimozayd we dɛn kɔl Pimozide |
| Lurasidone we gɛt di sik | Ranolazin we dɛn kɔl Ranolazin |
Apat frɔm dat, mɛrɛsin dɛn lɛk Digoxin, Gemfibrozil, ɛn Rifampin kin intarakt wit dis bak. So tɛl yu dɔktɔ ɔltɛm.
Tin dɛn we yu fɔ tek tɛm wit mɔ we yu de tek mɛrɛsin
Jɛnɛral diskɔmfɔt ɛn nɔ fɔ stɔp tritmɛnt
I nɔmal fɔ fil taya smɔl ɛn nɔ fil fayn we yu de tek kimotɛrapi, bikɔs i kin afɛkt di sɛl dɛn we gɛt wɛlbɔdi bak. Dis kin apin to bɔku pipul dɛn. If yu gɛt ɛni sayd ɛfɛkt, tɛl yu dɔktɔ. Bɔt nɔ stɔp fɔ tek di mɛrɛsin jɔs bikɔs yu nɔ fil fayn, pas nɔmɔ yu dɔktɔ tɛl yu fɔ stɔp.
Speshal tin dɛn fɔ tink bɔt fɔ gɛt bɛlɛ ɛn fɔ kɔntrol pikin
Dis rili impɔtant.
- Fɔ uman dɛn: Yu fɔ avɔyd fɔ gɛt bɛlɛ we yu de tek dis mɛrɛsin ɛn fɔ wan wik afta yu dɔn stɔp di tritmɛnt. Dis mɛrɛsin kin mek di pikin we nɔ bɔn yet gɛt siriɔs prɔblɛm wit in bɛlɛ. So, yu fɔ tek bɛlɛ tɛst bifo yu bigin tritmɛnt fɔ mek shɔ se yu nɔ gɛt bɛlɛ. I impɔtant fɔ yuz wan we we pɔsin kin abop pan fɔ kɔntrol di pikin we dɛn de trit am ɛn fɔ wan wik afta dat. Tɔk to yu dɔktɔ bɔt di we aw yu de du tin we fayn fɔ yu.
- Fɔ man dɛn: If yu de tek Tucatinib, i impɔtant fɔ mek yu patna nɔ gɛt bɛlɛ. So, i impɔtant fɔ yuz kɔndɔm we yu de du mami ɛn dadi biznɛs we yu de du tritmɛnt ɛn fɔ wan wik afta yu dɔn stɔp di tritmɛnt. If yu patna gɛt bɛlɛ we yu de tek dis mɛrɛsin, i kin mek di pikin we nɔ bɔn yet gɛt siriɔs prɔblɛm.
Fɔ gi pikin in mama in bɛlɛ
Nɔ gi yu pikin in bɛlɛ ɔltogɛda we yu de tek dis mɛrɛsin ɛn fɔ wan wik afta yu dɔn stɔp di tritmɛnt.
I kin afɛkt di we aw pɔsin kin bɔn pikin?
Dis mɛrɛsin kin afɛkt di we aw pɔsin kin bɔn pikin. If yu gɛt ɛnitin fɔ wɔri bɔt dis, tɔk to yu dɔktɔ bɔt am.
Sayd ɛfɛkt dɛn we kin apin bikɔs ɔf mɛrɛsin
Lɛk ɛni mɛrɛsin, Tucatinib kin mek sɔm sayd ɛfɛkt. Bɔt, nɔto ɔlman kin gɛt dɛn. Sɔm pipul dɛn nɔ kin gɛt ɛni sayd ɛfɛkt. De impɔtant tin na fɔ no wetin na dɛn sayd ɛfɛkt ya ɛn wetin fɔ du if dɛn apin.
| Siriɔs sayd ɛfɛkt dɛm we dɛn fɔ ripɔt to di dɔktɔ wantɛm wantɛm | |
|---|---|
| Siriɔs alɛji riakshɔn dɛn | Skin rash, it, swel na di fes, lip, tong ɔ trot, i nɔ izi fɔ blo. |
| Di sayn dɛn we de sho se pɔsin in liva wund | Pen na di ɔp rayt say na di bɛlɛ, yu nɔ kin want fɔ it, yu nɔ kin fil fayn, yu kin gɛt layt kɔlɔ, yu kin gɛt dak yɔlɔ ɔ brawn urine, yu yay ɔ yu skin kin yɔlɔ, yu kin taya we nɔ kɔmɔn. |
| Kɔmɔn sayd ɛfɛkt dɛm we kin apin ɛn dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| Rɔnbɛlɛ | Rɔnbɛlɛ. Tɛl yu dɔktɔ if dis bad ɔ i kin te fɔ sɔm dez. |
| Taya | Fɔ fil taya ɔltɛm. |
| Nɔs ɛn Vɔmit | Nɔs ɛn vɔmit. |
| Skin rash we de kɔmɔt na di skin | Rɛd spat ɔ lɛsin dɛn na di skin. |
| Bɛlɛ de pen | Pɔsin we de fil pen na di bɛlɛ. |
Aw fɔ kip mɛrɛsin fayn fayn wan?
- Kip fa frɔm pikin ɛn animal dɛn we yu de mɛn.
- Stɔr na rum tɛmpracha (bitwin 20-25 digri sɛlshiɔs). Protɛkt frɔm ɔt pasmak ɛn dairekt san layt.
- Kip di mɛrɛsin insay di ɔrijinal bɔtul ɔ paket te yu rɛdi fɔ tek am.
- Protɛkt frɔm mɔstɔ. Kip di bɔtul kap tayt tayt wan.
- If smɔl paket de insay di bɔtul we de tek wata, nɔ trowe am.
Mɛsej we dɛn kin kɛr go na os
- Tucatinib na wan tεrapi we dεn de tכk bכt we de stכp di gכt fכ di kεnsar sεl dεm. Tek am jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek am, ɛn di rayt tɛm.
- Mek shɔ se yu tɛl yu dɔktɔ bɔt ɛni ɔda mɛrɛsin, vaytamɛn, ɔ tradishɔnal mɛrɛsin we yu de tek.
- Nɔ gɛt bɛlɛ we yu de tek di pil ɛn fɔ wan wik afta yu dɔn stɔp. Yuz wan we we pɔsin kin rili abop pan fɔ kɔntrol pikin.
- Go to dɔktɔ wantɛm wantɛm if yu gɛt siriɔs sayd ɛfɛkt, lɛk sayn dɛn fɔ se yu liva dɔn pwɛl (yu yay de yɔlɔ, yu urine dak) ɔ yu gɛt siriɔs alɛji (di fes we de swel, i nɔ izi fɔ blo).
- If yu gɛt ɛni kwɛstyɔn ɔ tin we de mɔna yu, nɔ fred fɔ tɔk to yu dɔktɔ. Nɔto yu wan de pan yu tritmɛnt joyn.
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