We dɔktɔ tɛl yu ɔ pɔsin we yu sabi gɛt liva kansa ɛn se i nɔ pɔsibul fɔ du ɔpreshɔn, i nɔmal fɔ mek yu fil bɔku fred ɛn wɔri. Yu go de wɔnda se, "Wetin a de du naw?" Bɔt wit di tin dɛn we dɛn de du fɔ mek mɛrɛsin tide, tritmɛnt dɛn de we go mek wi gɛt bɔku fridɔm ɛn op ivin pan dɛn kayn tin dɛn de. Tide, wi go tɔk bɔt wan pan dɛn kayn spɛshal tritmɛnt dɛn de we dɔn go bifo. Dat na di Y-90 tritmɛnt.
Okay, so wetin na dis Y-90 tritmɛnt?
Fɔ tɔk am simpul wan, Y-90 tɛrapi na wan kayn redyushɔn tɛrapi we dɛn kin spɛshal fɔ liva kansa. "Y-90" ya na di sכt nem fכ di redioaktiv sכbstans "Yttrium-90".
Tink bɔt kansa tumbu as kamp fɔ wan wikɛd ɛnimi. Di blɔd vesel dɛn we de gi blɔd to da kamp de tan lɛk di rod dɛn we de kɛr it ɛn drink go na da kamp de. Insay dis tritmɛnt, dɔktɔ dɛn kin injɛkt bɔku bɔku maykroskɔpik bidz dɛn we gɛt wan redioaktiv tin we dɛn kɔl Y-90, we so smɔl dat yu nɔ kin ivin si dɛn wit nekɛd yay, insay di men blɔd vesel we de gi blɔd to di kansa tumbu.
Dɛn smɔl smɔl tin dɛn ya kin travul tru di blɔd ɛn lod insay di smɔl smɔl blɔd vesel dɛn we de insay di tumbu. We dɛn dɔn lod de, dɛn kin gi bɔku bɔku raytin dairekt to di kansa sɛl dɛn. di bεst pat na dat dis rεdyushכn de fכkus pan wan rili sכm εria, so i nכ de bכku כ nכ damej de pan di hεlty liva tisu we de rawnd di tכmכro.
Di impɔtant tin na dat, Y-90 tritmɛnt nɔ kin mɛn liva kansa ɔltogɛda. Bɔt i kin mek di tumbu dɛn smɔl , kɔntrol di sik, ɛn gi di pɔsin bɛtɛ chans fɔ liv lɔng we i nɔ gɛt ɛni sayn ɛn wit gud kwaliti layf.
Dɛn kin kɔl dis tritmɛnt wit sɔm ɔda nem dɛm, fɔ ɛgzampul, ``Transarterial Radioembolization - TARE'' ɛn ``Selective Internal Radiation Therapy - SIRT'', we yu dɔktɔ kin yuz.
Udat dis tritmɛnt fit fɔ?
Yu dɔktɔ go disayd if dis tritmɛnt fayn fɔ yu. Tipikli, dεn kin rεkomεnd fכ Y-90 tritmεnt pan dεn kes dεm ya:
- Fɔ di wan dɛn we gɛt kansa we kɔmɔt na di liva (primary cancer).
- Fɔ di wan dɛn we gɛt kansa we dɔn skata to di liva (mɛtastatik kansa) frɔm ɔda say.
- Dɛn kin yuz am bak fɔ sɔm kayn bayl dakt kansa.
Bɔku tɛm dɛn kin tink bɔt dis tritmɛnt we dɛn nɔ kin ebul fɔ du ɔpreshɔn fɔ pul di kansa tɔŋ.Sɔntɛnde, di kansa kin de rili nia di men blɔd vesel dɛn, ɛn if dɛn du ɔpreshɔn pan di liva, dat kin mek di liva pwɛl bad bad wan. If na so i bi, Y-90 tritmɛnt kin kɔntrol aw di kansa de gro ɛn mek di liva nɔ wok fayn.
Wan ɔda impɔtant tin na dat fɔ sɔm pipul dɛn, afta di fɔs Y-90 tritmɛnt dɔn mek di tumbu smɔl, dɛn kin ebul fɔ du ɔpreshɔn ɔ transplant dɛn liva leta. Dis kin bi impɔtant tin fɔ du fɔ mek yu wɛl.
Aw yu kin pripia bifo yu gɛt tritmɛnt?
Bifo yu gɛt tritmɛnt, yu dɔktɔ go tek tɛm chɛk yu fɔ mek shɔ se yu gɛt wɛlbɔdi. Bɔku tɛm, dis go gɛt fɔ du wit:
- Wan ɛgzam fɔ di bɔdi
- Blɔd tɛst dɛn
- Test fɔ di wok we di liva de du
Apat frɔm dat, yu dɔktɔ go tɔk to yu klia wan bɔt dɛn tin ya bifo yu gɛt tritmɛnt:
- Yu kɔmplit mɛdikal istri, ɛni alɛji we yu gɛt, ɛn if yu gɛt bɛlɛ.
- Us mɛrɛsin yu de tek naw ɛn us mɛrɛsin yu nid fɔ stɔp fɔ tek bifo yu gɛt tritmɛnt.
- Yu nid fɔ arenj fɔ mek pɔsin kɛr yu go na os afta yu dɔn gɛt tritmɛnt.
- Bifo yu trit yu, na tɛm fɔ lɛ yu stɔp fɔ it ɛn drink.
- Bɔt di ɔl di prɔses fɔ tritmɛnt.
Dis na di bɛst tɛm fɔ aks di dɔktɔ ɛni kwɛstyɔn ɔ dawt we yu gɛt.
Wi go tɔk bɔt aw di tritmɛnt de wok?
Di Y-90 tritmɛnt gɛt tu men step dɛn. Bɔku tɛm, dɛn kin du dɛn tu tin ya lɛk tu wiks so apat. Na wan spɛshal dɔktɔ de bifo dis prɔses.
| Step dɛn we yu fɔ du | Wetin de apin? |
|---|---|
| Step 1: Map Angiogram | Dis tan lɛk fɔ rɛdi fɔ di rial tritmɛnt. Na ya, dɛn kin kɔt wan rili smɔl pat na yu groin ɔ yu an, ɛn dɛn kin put wan rili tin tiub (kateta) tru am along di blɔd vesel dɛn we de gi blɔd to di kansa. Dɔn dɛn kin injɛkt wan spɛshal day .Dɛn mek di blɔd vesel dɛn we de kɛr di kansa fayn fayn wan. Dis na fɔ pik di rayt rod fɔ deliv di Y-90 patikyula dɛn. Dis kin tek lɛk 2-4 awa. |
| Step 2: Y-90 Infuzhɔn | Dis na di rial tritmɛnt. Jɔs lɛk bifo, dɛn kin put di kateshɔn insay, ɛn dɛn kin injɛkt bɔku bɔku redioaktiv Y-90 patikyula dɛn along di rod we dɛn dɔn map. dis patikyula dεm kin stכk insay di tכmכro εn bigin fכ mek rεdyushכn. Dis prɔses kin tek wan ɔ tu awa. 90% pan di raytin frכm dεn patikyula dεm ya de kכmכt insay 10 dez. Dɔn di patikyula tin dɛn kin stil de we nɔ de ambɔg di bɔdi. |
Wetin na di bɛnifit dɛn we Y-90 tritmɛnt kin gi?
Y-90 tεrapi gεt sεvεra advantej dεm pas tradishכnal rεdyushכn tεrapi (EBRT).
- Targeted therapy: Bikɔs di raytin de go dairekt to di kansa, na smɔl damej de pan di wɛlbɔdi tisu. So, di sayd ɛfɛkt dɛn nɔ bɔku.
- Minimally invasive: Nɔ big ɔspitul insishɔn nɔ de. Dɛn kin du am tru wan rili smɔl say we dɛn kɔt am, lɛk we dɛn put nidul insay. So, di tɛm we pɔsin kin wɛl kin shɔt ɛn i kin lɛf smɔl fɔ lɛ skata nɔ de.
- Kwik fɔ wɛl: Yu kin go bak to nɔmal layf kwik pas we yu du big ɔpreshɔn.
Ɛni sayd ɛfɛkt ɔ risk de?
Jɔs lɛk ɛni ɔda mɛrɛsin, i kin gɛt smɔl smɔl sayd ɛfɛkt ɛn kɔmplikeshɔn dɛn we nɔ kin apin so ɔltɛm.
Di kɔndishɔn dɛn we dɛn kin si bɔku tɛm
Na nɔmal tin fɔ lɛ yu fil taya fɔ wan ɔ tu wik afta yu dɔn gɛt tritmɛnt. Sɔm pipul dɛn kin gɛt wan sik we dɛn kɔl post-embolization syndrome (PES) . Dis inklud:
- Nɔs ɛn vɔmit
- Fil fɔ it
- Bɛlɛ de pen
- Fɔ fil se yu gɛt fiva
Dɛn sik ya kin bigin afta lɛk tri dez ɛn dɛn kin stɔp insay wan wik. If yu gɛt dɛn sik ya, tɛl yu dɔktɔ so dat i go gi yu di mɛrɛsin we yu nid.
Kɔmplikeshɔn dɛn we nɔ kin apin so ɔltɛm
- Infεkshכn: Infεkshכn kin kam na di say we dεn put di kateshכn. Dis kin nid fɔ gɛt antibayɔtiks.
- Alɛji: I pɔsibul fɔ gɛt alɛji to sɔntin lɛk di day we dɛn yuz. Na dat mek di dɔktɔ go aks yu bɔt yu alɛji bifo tɛm.
- כlsa na di bכdi: Na sכmtεm, dis kin apin if di Y-90 patikyula dεm go insay di bεlε כ sכmכl intestin. Bɔt dis risk rili smɔl bikɔs di dɔktɔ kin blok di blɔd vesel dɛn na dɛn say dɛn de we dɛn de du di map angiogram.
Wetin a fɔ tek tɛm wit afta a dɔn gɛt tritmɛnt?
Rɛst fayn fɔ sɔm dez afta yu dɔn trit yu. Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan, mɔ ɛni lɔ we se yu nɔ fɔ drayv ɛn du ɛksɛsayz.
Wan ɔda impɔtant tin na bɔt redioaktiviti. Ivin afta yu go na os frɔm ɔspitul, smɔl smɔl raytin frɔm di Y-90 patikyula dɛn go kɔmɔt fɔ sɔm dez. So yu dɔktɔ kin gi yu sɔm advays dɛn lɛk dis:
- Nɔ slip na di sem bed wit yu patna fɔ sɔm dez.
- Nɔ sidɔm nia pɔsin fɔ lɔng tɛm.
- Limit klos kɔntakt wit bɛlɛ uman ɛn di wan dɛn we gɛt wik imyun sistɛm.
Bɔt nɔ wɔri. Bikɔs Y-90 na tritmɛnt we dɛn kin yuz fɔ mɛn pipul dɛn, bɔku pan di raytin kin tek di kansa insɛf. So di risk to ɔda pipul dɛn frɔm yu rili smɔl.
If yu gɛt fiva, fil kol, yu gɛt swel, rɛd, ɔ wam usay dɛn put di kateshɔn, yu bɛlɛ de pen bad bad wan, ɔ yu leg dɛn de swɛla, tɛl yu dɔktɔ wantɛm wantɛm .
Na nɔmal tin fɔ fil fɔ fred we yu tink bɔt fɔ put redioaktiv tin na yu bɔdi. Bɔt Y-90 tritmɛnt na tritmɛnt we rili sef ɛn we go wok fɔ di liva kansa. I kin gi yu trɛnk bak fɔ liv lɔng ɛn nɔr gɛt sayn dɛm fɔ kansa. So, if yu dɔktɔ tɛl yu fɔ du dis tritmɛnt, tɔk to am fayn fayn wan ɛn aks ɔl yu kwɛstyɔn dɛn.
Mɛsej we dɛn kin kɛr go na os
- Y-90 na spɛshal tritmɛnt we de sɛn redioaktiv patikyula dɛn dairekt wan fɔ tɔch di liva tɔŋ dɛn.
- Pan ɔl we dis nɔ kin mɛn di kansa kpatakpata, i kin mek di tumbu smɔl, kɔntrol di sik, lɔng layf, ɛn mek in layf bɛtɛ.
- Dis nɔto big ɔpreshɔn. Bikɔs dɛn kin du am tru smɔl say we dɛn kɔt am, di tɛm fɔ wɛl kin shɔt ɛn di sayd ɛfɛkt dɛn nɔ kin bɔku.
- I impɔtant fɔ fala di instrɔkshɔn dɛn we dɛn gi fɔ protɛkt yusɛf frɔm redyushɔn fɔ sɔm dez afta yu dɔn trit yu.
- If yu gɛt ɛni kwɛstyɔn bɔt dis tritmɛnt, nɔr fred fɔ aks yu dɔktɔ.
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