Wan imejensi we kin kam wit kansa tritmɛnt: Lɛ wi lan bɔt Tumor Lysis Syndrome!

Fɔ liv wit kansa na rial strɛs. Pan ɔl we tritmɛnt dɛn lɛk kemotɛrapi kin ɛp fɔ pwɛl di kansa sɛl dɛn, sɔntɛnde dɛn tritmɛnt dɛn de kin mek dɛn gɛt prɔblɛm dɛn we dɛn nɔ bin de ɛkspɛkt. Tide, wi go tɔk bɔt wan imejensi we nid fɔ pe atɛnshɔn wantɛm wantɛm ɛn we kin ivin mek pɔsin in layf de pan denja . Dɛn kɔl dis Tumor Lysis Syndrome.

Wetin na di Tumor Lysis Syndrome? Lɛ wi ɔndastand am simpul wan.

Fɔ tɔk am simpul wan, Tumor Lysis Syndrome na wan grup we gɛt siriɔs sik dɛn we kin apin we bɔku bɔku kansa sɛl dɛn day wan tɛm ɛn di tin dɛn we de insay dɛn sɛl dɛn de kɔmɔt na di blɔd. Imajin, dis sik kin apin insay sɔm awa afta yu bigin fɔ trit kansa. E kin kam kwik kwik wan ɛn bi sik wae nid fɔ gɛt mɛrɛsin kwik kwik wan. So, dɔktɔ dɛn kin de wach dis ɔltɛm.

Bɔt gud nyus de. Dɔktɔ dɛn gɛt we fɔ mek di Tumor Lysis Syndrome nɔ apin . Dɛn kin du dis bay we dɛn de no udat de pan ay risk ɛn tek step fɔ ridyus da risk de.

Wetin kin apin to wi bɔdi we dis kayn tin de apin?

We di kansa sɛl dɛn gɛt strɛs, mɔ frɔm tritmɛnt dɛn lɛk kemotɛrapi, dɛn kin brok. Dɔn, di kemikal ɛn pɔyzin dɛn we de insay dɛn sɛl dɛn de kin gɛda bɔku bɔku wan wantɛm wantɛm na di blɔd. Di prɔblɛm kin bigin we wi bɔdi nɔ ebul fɔ pul dɛn tin ya kwik kwik wan. Dis tumor lysis syndrome kin mɔs afɛkt wi at, kidni, ɛn mɔsul dɛm. Lɛ wi si wetin na dɛn tin ya we kin apin:

• Hyperuricemia - Dis min se di lεvεl dεm fכ di yurik asid de go כp: We di yurik asid na di bכdi de inkrεs, i kin de na di kidni dεm, we kin mek di kidni dεm nכ de wok fayn εn ivin di kidni dεm nכ de wok fayn. Tink bɔt am lɛk we wata paip dɔn klɔg.
• haypafכsfatεmia - dat min se di fכsfכr lεvεl dεm de inkrεs: di fכsfכr lεvεl dεm we de go כp na di bכdi de intafεr bak di kidni fכ wok.
• Hyperkalemia - Dis min se di potassium lɛvɛl bɔku: We di potassium lɛvɛl bɔku, yu kin gɛt sɔm sayn dɛn lɛk nɔs, vɔmit, ɛn dayarɛa. Nɔto dat nɔmɔ, bɔt yu at kin chenj, ɛn dis kin mek yu at at pwɛl, ɛn sɔntɛm yu kin ivin gɛt at atak. Dis na tin we denja smɔl, nɔto so?
• Yuremia: Dis kin apin we di kidni dɛn stɔp fɔ filta di pɔyzin dɛn we de kɔmɔt na di blɔd. Yuremia kin mek yu gɛt siriɔs prɔblɛm wit di bon dɛm, di mɔsul dɛm, di at, ɛn di blɔd vesel dɛm.
• Hypocalcemia - Lכw kalsiכm lεvεl: lכw kalsiכm lεvεl na di bכdi kin mek chenj na di at ritm, mכsul dεm kramp, kכnfyushכn, sכmtεm sכmtεm εn tingling na di limb dεm. Sɔntɛnde, ivin day bikɔs in at nɔ de wok.

De tin wae impɔtant pas ɔl: Tumor Lysis Syndrome kin kam wae wan ɔr mɔr pan dɛn tin ya kam togɛda.

Yu tink se Tumor Lysis Syndrome na imejensi?

Yɛs, fɔ tru! Tumor Lysis Syndrome na wan mɛdikal imejensi we nid fɔ gɛt tritmɛnt kwik kwik wan. So, i rili impɔtant fɔ mek wi no bɔt dis.

Udat kin fɔdɔm pan dis sik?

Nɔto ɔlman wae gɛt kansa tritmɛnt kin gɛt Tumor Lysis Syndrome. If yu de gɛt kansa tritmɛnt, i fayn fɔ aks yu dɔktɔ bɔt dis. In jɛnɛral, pipul dɛm wae gɛt kemotɛrapi fɔ dɛn kayn kansa ya kin gɛt dis sik:

• Akyu Limfosaytik Lukimia
• Agresiv Nɔn-Hɔdgkin Limfoma, lɛk Bɔkit Limfoma ɛn Difyuz Big B-sɛl Limfoma
• Akyu Maylɔyd Lukimiya (AML) .
• B-sεl Akyu Limfoblastik Lukimiya (ALL) .
• Smɔl Sɛl Lɔng Kansa

Dɔn bak, sɔm ɔda kayn kansa dɛn de we, we dɛn trit dɛn, dɛn kin gɛt dis sik smɔl. Bɔt i nɔ dɔn go kpatakpata. Ɛgzampul dɛn:

• Anaplastic Large Cell Lymphoma - Dis na kansa we nɔ kin bɔku, we kin gro sloslo na di imyun sistɛm.
• Kronik Limfosaytik Lukimiya (CLL) .
• Nyuroblastoma we dɛn kɔl Nyuroblastoma
• Brɔst Kansa
• Sɔft Tisu Sarkoma
• Medulloblastoma we gɛt di sik
• Merkel Sεl Kansa

Wetin na ɔda tin dɛn we kin mek pɔsin gɛt Tumor Lysis Syndrome?

Dɔktɔ dɛn no se sɔm pipul dɛn kin gɛt dis sik. Dɛn kin tek spɛshal tin dɛn fɔ tek tɛm bifo dɛn gi dɛn kayn pipul dɛn ya kemotɛrapi. Na sɔm tin dɛn we kin mek di prɔblɛm bɔku:

• Fɔ gɛt bɔku bɔku wayt blɔd sɛl dɛn.
• Yurik asid lɛvɛl na di blɔd dɔn ɔlrɛdi bɔku.
• Fɔ gɛt prɔblɛm wit yu kidni.
• Di wata we de insay di bɔdi we de dɔŋ (Dehydration).
• Fɔ gɛt kansa we i gɛt siriɔs stej (Leta stej kansa).
• Fɔ gɛt big big tumbu dɛn.

Dis sik kin apin if yu nɔ gɛt kemotɛrapi?

Yɛs, bɔt i nɔ kin apin so ɔltɛm . We i du dat, dɔktɔ dɛn kin kɔl am Spontaneous Tumor Lysis Syndrome.

Wetin na di sayn dɛm wae de sho se yu gɛt Tumor Lysis Syndrome?

Dɛn sayn ya kin apin insay 12 to 72 awa afta dɛn bigin fɔ tek kimotɛrapi. Na dis na wetin dɛn bi:

• Nɔs ɛn vɔmit.
• Rɔnbɛlɛ.
• di chenj dεm we de apin na di כmכnt כf urine we yu de pas (i kin inkrεs כ dכn).
• Wiknɛs ɛn Letargy.
• Blɔd we de na di urine (Hematuria).
• Epileptic kondishɔn, dat na, sik we de mek pɔsin sik.
• Mɔsul dɛn we kin mek pɔsin kray.
• Sinkɔp we dɛn kɔl Syncope.
• Di at we nɔ de bit ɔltɛm.
• Lɔw blɔd prɛshɔn (Hypotension).
• Jɔyn Pen.

If yu gɛt wan ɔ mɔ pan dɛn sayn ya we yu de du tritmɛnt fɔ kansa, yu fɔ tɛl dɔktɔ wantɛm wantɛm.

Wetin mek di Tumor Lysis Syndrome kin apin?

Fɔ tɔk am simpul wan, dis kin apin we di tritmɛnt fɔ kansa kin mek bɔku bɔku kansa sɛl dɛn day wantɛm wantɛm ɛn kwik kwik wan. di tin dεm we de insay di sεl dεm we de day (lεk potashכm, fכsfכr, εn yurik asid) kin kכmכt wan wan insay di bכdi.

Nɔmal wan, na wi kidni dɛn kin filta dɛn tin ya we wi nɔ want. Bɔt, we bɔku bɔku sɛl dɛn day wan tɛm, di kidni dɛn nɔ kin ebul fɔ du dis wok. I tan lɛk se dreyn de klos we bɔku bɔku dɔti kam insay wan tɛm. Dɔn dɛn pɔyzin ya kin bigin fɔ gɛda na di bɔdi.

Aw dɔktɔ dɛn kin no bɔt dis sik?

Di men tin we dɔktɔ dɛn de pe atɛnshɔn pan na fɔ mek dɛn nɔ gɛt Tumor Lysis Syndrome. Fɔ du dis, dɛn go de du blɔd ɛn urine tɛst ɔltɛm fɔ mek shɔ se yu kidni dɛn de wok fayn ɛn dɛn de pul di pɔyzin dɛn na yu bɔdi.

Wetin na di tritmɛnt fɔ Tumor Lysis Syndrome?

Di fɔs tin we dɔktɔ dɛn kin tray fɔ du na fɔ mek dis nɔ apin. Dɛn kin du dis bay we dɛn de no di wan dɛn we gɛt ay risk ɛn tek spɛshal tin dɛn fɔ tek tɛm wit dɛn. Bɔt, if di sik apin, dɛn kin bigin fɔ trit am wantɛm wantɛm.

Tin dɛn we yu fɔ du fɔ mek yu nɔ gɛt:

• Intravenous (IV) Hydration: Dis de ɛp fɔ mek yu gɛt gud haydreshɔn lɛvɛl, i de mek yu pis, ɛn ɛp fɔ pul di pɔyzin dɛn na di bɔdi kwik kwik wan.
• Fɔ gi mɛrɛsin dɛn we de mek di yurik asid kristal dɛn nɔ de na di kidni: Sɔm mɛrɛsin dɛn de we de ɛp fɔ kɔntrol di yurik asid lɛvɛl.

Tritmɛnt if di sik apin:

• Gi diuretik: Dis kin ɛp fɔ pul di pɔyzin na di bɔdi kwik kwik wan.
• GLISH: Fɔ gi mɛrɛsin we de pul di potashɔm ɛn fɔsfɔr we pasmak.
• Gi mεdikeshכn dεm we de sכlv yurik asid kristכl dεm we dεn fכm na di kidni dεm.
• Dayalaysis: If yu kidni nɔ de wok fayn, yu kin nid fɔ dayalaysis fɔ pul di pɔyzin we de na yu blɔd. Dis tan lɛk we yu de du di wok we yu kidni dɛn de du wit atifishal wan.

Yu tink se dɛn kin mɛn di Tumor Lysis Syndrome?

Yɛs, fɔ tru! Klose to 90 pan ɔl pipul dɛm wae gɛt dis sik kin wɛl. Di tin we impɔtant pas ɔl na fɔ no am kwik ɛn bigin fɔ trit am kwik.

Wetin kin apin afta dɛn dɔn trit dis sik?

Tumor Lysis Syndrome kin mek sɔm damej pan yu kidni dɛm. So, if yu gɛt dis sik, i rili impɔtant fɔ aks yu dɔktɔ if yu nid ɔda tritmɛnt ɔ spɛshal kia te yu kidni dɛn wɛl.

Di tritmɛnt fɔ kansa de go bifo ɛvride, ɛn dis de mek wi ebul fɔ pwɛl di kansa sɛl dɛn kwik kwik wan. Bɔt sɔntɛnde, we dɛn sɛl ya day, di kemikal ɛn pɔyzin we dɛn kin pul kin mek pɔsin gɛt wan bad bad sik we dɛn kɔl Tumor Lysis Syndrome. Dis kin gɛt big impak pan di at ɛn kidni dɛm.

Fɔ dɔn, wetin fɔ mɛmba (Take-Home Message) .

Di tritmɛnt fɔ kansa na prɔblɛm. Insay dis tɛm, i impɔtant fɔ no bɔt imejensi lɛk Tumor Lysis Syndrome. If yu de gɛt kansa tritmɛnt, mek shɔ se yu aks yu dɔktɔ if yu de pan denja fɔ dis sik. Dɛn go ɛksplen de risk to yu ɛn du ɔl wetin dɛn ebul fɔ protɛkt ɔ trit dis sik if i apin. Nɔ ignore ɛni sayn, ɛn tɛl dɔktɔ wantɛm wantɛm if yu notis ɛnitin we nɔ kɔmɔn. Fɔ kia fɔ yu wɛlbɔdi na di tin we impɔtant pas ɔl!

` Tumor laysis sindrom, kansa tritmɛnt, kemotɛrapi, kidni sik, haypakalemia, haypayurisemia, mɛdikal imejensi