Wan nyu tritmɛnt fɔ mek di yay nɔ de si fayn! Mek wi lan bɔt di Verteporfin vaysin?

Ay dɛn tan lɛk tin, nɔto so? So sɔntɛnde, we sik dɛn we de ambɔg wi yay, wi kin rili fred. Bɔt nɔ wɔri, wit di advansmɛnt fɔ mɛdikal sayɛns, nyu tritmɛnt dɛn dɔn kam fɔ dɛn kayn sik ya. Tide, wi go tɔk bɔt wan pan dɛn spɛshal tritmɛnt dɛn de.

Wetin na dis Verteporfin?

Fɔ tɔk am simpul wan, Verteporfin nɔto jɔs wan drɔg. Na wan mɛrɛsin we dɛn kin yuz fɔ mɛn sɔm tin dɛn we kin ambɔg di yay. Yu go dɔn yɛri bɔt dis drɔg we gɛt di brand nem Visudyne.

Dɛn kin yuz dis mɛrɛsin:

• Makula Dijeneshɔn: Dis na di sik we di makula, we na impɔtant pat pan di retina, kin pwɛl. Dis kin mek yu nɔ de si fayn ɔ yu nɔ de si fayn. Dis sik kin kɔmɔn mɔ wit di ej.
• Pathologic Myopia: Sɔm pipul dɛn kin gɛt myopia, we na wan sik we dɛn nɔ kin ebul fɔ si klos. Sɔntɛnde dis kin tranga ɛn mek ɔda prɔblɛm ɛn damej insay di yay. Dɛn kɔl dis patɔlɔjik mayopia.
• Presumed Ocular Histoplasmosis: Dis na wan kכndyushכn we kin kכz fכ fכn infεkshכn we de afekt di yay. I kin mek di blɔd vesel dɛn we nɔ de insay di yay fɔm, we kin mek i blɔd ɛn i nɔ kin si fayn igen.

Di spɛshal tin bɔt dis Verteporfin drɔg na dat i nɔ jɔs de wok. Fɔ mek i ebul fɔ wok, i nid fɔ put am na spɛshal layt. Na dat wi kin kɔl fotodaynamik tɛrapi (PDT) . Lɛk ditektiv, dis drɔg kin go na di say we sik insay di yay ɛn bigin fɔ wok we di lɛsa layt hit am. Dis we ya, dɛn kin lɔk di blɔd vesel dɛn we dɔn pwɛl, ɛn dis kin mek di sik nɔ wɔs.

Di men gol fɔ dis tritmɛnt na fɔ stɔp yu yay sik fɔ wɔs ɛn fɔ kip yu yay naw as yu ebul.

Tin dɛm fɔ tɛl yu dɔktɔ bifo yu gɛt dis tritmɛnt

Naw, if yu dɔktɔ disayd fɔ gi yu dis kayn tritmɛnt, sɔm tin dɛn de we yu fɔ rili tɛl am. I rili impɔtant fɔ tɛl am dɛn tin ya we yu nɔ ayd , bikɔs na so i go gi yu di tritmɛnt sef wan.

Na sɔm tin dɛn we wi fɔ rili tɔk:

• If yu gɛt ɛni sik na yu liva .
• Wan patikyula sik de we dɛn kɔl Pɔfyuria . Dis na sik we nɔ kin apin so ɔltɛm we kin kɔmɔt frɔm in jɛnɛtiks ɔ we gɛt fɔ du wit wan kemikal we de na di blɔd.
• If yu jɔs dɔn gɛt redyushɔn tɛrapi , ɔ yu de tek am naw.
• If yu gɛt alɛji fɔ dis mɛrɛsin, Verteporfin, ɔ ɛni ɔda mɛrɛsin, it, day, ɔ tin dɛn we de mek yu nɔ pwɛl.
• If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ .
• If yu na mama we de gi pikin in bɛlɛ .

Aw yu kin yuz dis mɛrɛsin? / Aw dɛn kin du di tritmɛnt?

Okay, naw lɛ wi si aw dis tritmɛnt de wok. Dɛn kin du am di we we spɛshal smɔl.

1. Fɔ injekt di mɛrɛsin: Fɔs, dɛn kin injɛkt di mɛrɛsin we dɛn kɔl Verteporfin insay yu vein. I tan lɛk se dɛn de gi yu sɔl sɔlvushɔn. Na dɔktɔ ɔ pɔsin we tren fɔ mɛn pipul dɛn we de wok na ɔspitul ɔ klinik kin du dis.

2. Laser Tritmεnt (PDT): Afta di injεkshכn kכmplit, di sεkכn step fכ fכtodaynamik tεrapi (PDT) de bigin. Yu dɔktɔ go fɔs numb yu yay wit aydrop. Dɔn, dɛn go put spɛshal kɔntakt lens oba yu yay. Neks, fɔ smɔl pas wan minit, wan spɛshal laser layt go de na yu yay. Dis laser layt go mek di mɛrɛsin we dɛn bin dɔn injɛkt bifo tɛm wok. Nɔ wɔri, dis lɛsa nɔ de mek ɛni ɔt, so i nɔ go bɔn yu yay.

Sɔmtɛm, if yu gɛt prɔblɛm wit yu yay bak, yu kin nid ɔda tritmɛnt insay lɛk 3 mɔnt.

If dɛn gi am to pikin dɛn: Dɛn fɔ tek tɛm spɛshal we dɛn de gi dis mɛrɛsin to yɔŋ pikin dɛn. Yu dɔktɔ go ɛksplen dis to yu.

Ovados: If yu tink se yu dɔn tek dis mɛrɛsin tumɔs, kɔl ɔspitul imejensi rum ɔ pɔyzin kɔntrol sɛnta wantɛm wantɛm.

Nɔ sheb dis mɛrɛsin wit ɔda pipul dɛm: Dis mɛrɛsin na fɔ yu nɔmɔ. Nɔ sheb dis mɛrɛsin wit ɛni ɔda pɔsin.

Wetin a go du if a mis apɔntinmɛnt?

Dis mɛrɛsin nɔto fɔ yuz ɛvride. Dat min se, nɔto mɛrɛsin we dɛn kin tɛl yu fɔ tek ɛvride. Bɔt yu fɔ rili go na di fɔlɔp apɔntinmɛnt dɛm we yu dɔktɔ gi yu fɔ chɛk aw yu de du afta di tritmɛnt. Nɔ skip dɛn apɔntin dɛn de. If yu nɔ ebul fɔ go fɔ ɛni rizin, tɛl yu dɔktɔ bɔt am.

Ɔda tin dɛm wae kin intarakt wit dis mɛrɛsin (Interactions) .

Dis rili impɔtant. Yu fɔ tɛl yu dɔktɔ bɔt ɛni ɔda mɛrɛsin we yu de tek, ɛbul mɛrɛsin dɛn we yu de yuz, mɛrɛsin dɛn we nɔ gɛt prɛskrishɔn we yu de tek, ɔ di it we yu de tek. Dɔn bak, if yu de smok, drink rɔm, ɔ yuz ɔda drɔgs, tɛl dɛn bɔt dat. Bikɔs sɔm tin dɛn kin intarakt wit Verteporfin. If na so i bi, di mɛrɛsin nɔ go wok fayn ɔ i go mek i gɛt ɔda bad bad tin dɛn.

Na sɔm ɛgzampul dɛn bɔt tin dɛn we kin miks wit dis mɛrɛsin:

• Rum
• Aspirin ɛn drɔgs dɛn we tan lɛk aspirin
• Beta-karotin (dis gɛt fɔ du wit vaytamɛn A) .
• Calcium-channel blockers (e.g., mɛrɛsin fɔ ay blɔd prɛshɔn lɛk Diltiazem, Nifedipine, ɛn Verapamil) .
• Sɔm mɛrɛsin dɛn we de mek blɔd nɔ klɔt (fɔ ɛgzampul, `(Apixaban)`, `(Warfarin)`)
• Sɔm mɛrɛsin fɔ dayabitis (e.g. Glimepiride, Glipizide) .
• Dimetil sɔlfɔksayd `(Dimetil sɔlfɔksayd)`
• Griseofulvin (dis na wan antifungal) .
• Mannitol we dɛn kɔl
• Di mɛrɛsin dɛn we de mek pɔsin fil pen ɛn di mɛrɛsin dɛn we de mek pɔsin nɔ fil bad (NSAIDS) (e.g., Ibuprofen, Naproxen) .
• Phenothiazines (e.g., drɔgs we dɛn kin yuz fɔ trit maynd sik, lɛk Chlorpromazine) .
• Polymyxin B (dis na antibayɔtik) .
• Redyushɔn tɛrapi
• Sɔlfonamid mɛrɛsin dɛn (lɛk Sulfamethoxazole) .
• Tεtrasayklin na antibaytik dεm na di tεtrasayklin grup.
• Thiazide diuretics (mεdikal dεm we de mek yu de pis bכku, lεk Hydrochlorothiazide) .
• Vitamin A ɛn Vitamin E.

Dis list nɔ kin gɛt ɔltin, so i bɛtɛ fɔ tɛl yu dɔktɔ bɔt ɔltin we yu de tek.

Wetin yu fɔ tek tɛm wit afta yu dɔn gɛt tritmɛnt?

Dis na sɔntin we yu fɔ rili tek tɛm wit. Dis Verteporfin mɛrɛsin de mek yu skin ɛn yay rili sɛnsitiv to san layt ɛn brayt layt na os. I tan lɛk se yu de kam bɔn.

• Layt sεnsitiviti: Dis sεnsitiviti kin las fכ lεk 5 dez. So, insay dɛn 5 de ya, yu fɔ protɛkt yu skin ɛn yay frɔm dairekt san ɛn harsh layt sɔs na os (e.g., layt bɔl dɛn we nɔ gɛt shed we de nia yu).
• Di tin dɛn we yu fɔ tek tɛm wit: If yu de nia winda na os insay di de, mek shɔ se yu lɔk kɔtin ɔ shed fɔ mek di san nɔ shayn dairekt wan. Bɔt, i nɔ fayn bak fɔ de na daknɛs kpatakpata.Layt we de insay os go ɛp yu skin fɔ mek di mɛrɛsin nɔ wok. Yu kin wach TV ɔ go si fim. Bɔt tray fɔ put di tin dɛn we yu kin du na do ɛn fɔ wok na di yad bifo tɛm te ivintɛm, afta di san dɔn go dɔŋ.
• If yu go na do: If yu fɔ go na do insay di fɔs 5 dez afta dis tritmɛnt, mek shɔ se yu wɛr lɔng-sliv shit ɛn lɔng pant. If i pɔsibul, wɛr tik klos we gɛt layt kɔlɔ. Dɔn bak, wɛr sɔks, stɔkin, ɛn sus. Wear sanglas ɛn hat we gɛt wayd brim.
• Sanskrin nɔ de wok: I rili impɔtant fɔ no se sanskrin nɔ go wok dis tɛm. Dat min se, sanskrin nɔ go protɛkt yu frɔm di sɛnsitiviti we dis mɛrɛsin de mek yu gɛt.
• Avɔyd: San lamp, tan bed/bɔt. Nɔ put am pan brayt halogen layt dɛn.
• Afta 5 dez: Afta 5 dez, yu kin wok na do lɛk aw yu kin wok, ɛn nɔ gɛt spɛshal protɛkshɔn.
• Yu yay kin fil bad: Afta di mɛrɛsin dɔn west, yu yay kin fil smɔl mɔ to di san, brayt layt, ɛn motoka edlayt fɔ sɔm dez.
• Yu kin chenj yu yay ɛn aw yu de drayv: Afta yu dɔn gɛt tritmɛnt, yu kin gɛt chenj na yu yay fɔ sɔm tɛm. Dis kin mek i nɔ izi fɔ yu fɔ drayv ɔ fɔ yuz mashin dɛn. I bεst fɔ de fa frɔm dɛn kayn tin ya te dɛn sayn ya nɔr de igen.

Wetin na di sayd ɛfɛkt dɛm we dis mɛrɛsin kin gɛt?

Lɛk ɛni mɛrɛsin, Verteporfin kin mek sɔm sayd ɛfɛkt. Sɔm pan dɛn fɔ ripɔt to yu dɔktɔ wantɛm wantɛm, ɛn ɔda wan dɛn fɔ ripɔt afta sɔm tɛm if dɛn kɔntinyu fɔ de.

Di sayd ɛfɛkt dɛn we yu fɔ tɛl yu dɔktɔ ɔ dɔktɔ wantɛm wantɛm na:

• Alɛji riakshɔn: (Skin de rɔsh, it, ɔ ayv; I de swel na yu fes, yu lip, ɔ yu tɔng)
• Blisters, redness, swelling of skin: (Lɛk we yu bɔn bad bad wan) .
• Pen, rɛd, ɔ iritashɔn na di sayt usay dɛn injɛkt am
• Trobul fɔ blo

Sayd ɛfɛkt dɛn we nɔ kin nid dɔktɔ advays, bɔt yu fɔ ripɔt to yu dɔktɔ if dɛn kɔntinyu fɔ de ɔ we de mɔna yu:

• Blɔr vishɔn Ɔ chenj na di vishɔn

Dis list nɔ go gɛt ɔl di sayd ɛfɛkt dɛn we pɔsin kin gɛt, so if yu notis ɛnitin we nɔ kɔmɔn, aks yu dɔktɔ fɔ advays.

Usay yu kin kip dis mɛrɛsin?

Yu nɔ go alaw fɔ kip dis mɛrɛsin na os. I de na ɔspitul ɔ klinik, ɛn dɛn kin gi yu de.

Di tin dɛn we impɔtant pas ɔl fɔ mek yu mɛmba (Take-Home Message) .

Okay, so lɛ wi mɛmba yu bak bɔt sɔm pan di impɔtant tin dɛm we yu nid fɔ mɛmba bɔt dis Verteporfin tritmɛnt we wi bin tɔk bɔt tide.

"Fɔ tɔk am simpul wan, Verteporfin na layt-aktivɛt drɔg we dɛn kin yuz fɔ trit sɔm ay kɔndishɔn dɛn (e.g., makyula dijɛnɛreshɔn). Dɛn kɔl dis fotodaynamik tɛrapi (PDT)."

• Bifo yu du dis tritmɛnt , yu fɔ tɛl yu dɔktɔ ɔl yu wɛlbɔdi infɔmeshɔn ɛn di mɛrɛsin dɛn we yu de tek.
• Yu fɔ tek tɛm bad bad wan wit di san ɛn brayt layt fɔ 5 dez afta yu dɔn trit yu. Fɔ fala di tin dɛn we yu fɔ du fɔ mek yu nɔ gɛt prɔblɛm. Mɛmba se, sanskrin nɔ de wok fɔ dis!
• If yu gɛt ɛni ɔda kayn sayn ɔ sayd ɛfɛkt we nɔ kɔmɔn, tɛl yu dɔktɔ wantɛm wantɛm.
• Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn ɛksaktɔli ɛn nɔ skip fɔ fala di apɔntinmɛnt dɛn.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis tritmɛnt, nɔ shek fɔ aks yu dɔktɔ, fama, ɔ ɔda pɔsin we de kia fɔ yu wɛlbɔdi biznɛs. Dɛn go ebul fɔ ɛp yu.

` Vεrteporfin, Ay Sik, Makular Dijεnεreshכn, Fכtodaynamik Tεrapi, Ay Tritmεnt, PDT, Vεrteporfin, Aysayt