Yu dɔktɔ dɔn tɛl yu se yu gɛt blad kansa ɛn yu nid fɔ gɛt BCG tritmɛnt? Na nɔmal tin fɔ fil smɔl fɔ fred ɛn fred we yu yɛri dat. "Us kayn mɛrɛsin dis?", "Dis go mek yu fil sik?", etc. Bɔku kwɛstyɔn dɛn go mɔs kam na yu maynd. Bɔt dis na tritmɛnt we dɛn kin yuz bɔku bɔku wan ɛn dɛn dɔn sho se i kin wok fayn fɔ bɔku pipul dɛn we gɛt blad kansa we kin bigin. So tide, lɛ wi tɔk smɔl bɔt wetin na BCG tritmɛnt, aw dɛn kin du am, ɛn wetin yu nid fɔ no.
Wetin na BCG tritmɛnt rili?
Fɔ tɔk am simpul wan, BCG (Bacillus Calmette-Guerin) na tritmɛnt we dɛn kin gi insay yu blad. Dis na di mɛrɛsin we dɛn kɔl intravesical immunotherapy . Na mɛrɛsin we gɛt wata. Yu go dɔn yɛri bɔt di TB (TB) vaysin. di BCG mεdisin dεn de mek am bay we dεn wik di baktri dεm `(Mycobacterium bovis)`, we na di sem kayn baktri dεm we dεn yuz fכ mek da vaysin de. I kin tan lɛk se yu de mek yu fred smɔl we yu se "put baktri na yu bɔdi", bɔt wetin i de du na fɔ wik di baktri dɛm di we we nɔ go ambɔg yu bɔdi ɛn mek yu yon imyun sistɛm fɔ fɛt di kansa sɛl dɛm.
Bɔku tɛm dis tritmɛnt kin bigin afta dɛn dɔn ɔpreshɔn di blad kansa. Dɛn kɔl dis ɔpreshɔn TURBT (transurethral resection of bladder tumor) . Afta dat, dɛn kin gi BCG tritmɛnt fɔ pwɛl ɛni kansa sɛl we lɛf.
Us kayn sik dɛn kin gi dis BCG tritmɛnt fɔ?
Dɛn kin yuz BCG tɛrapi mɔ fɔ mɛn blad kansa we kin bigin . Dis min se di kansa nɔ dɔn spre to di mɔsul layt na di blad. fכ egzampl, i rili ifektiv fכ kכndishכn dεm lεk `(carcinoma in situ)` (kansa we de rεst usay i bigin) εn `(non-muscle invasive bladder cancers - NMIBCs)`.
di tin we impɔtant pas ɔl na dat, if di kansa dɔn skata (metastasized) to ɔda pat dɛn na di bɔdi we nɔ de na di blad, BCG tritmɛnt nɔ go wok fayn.
Naw, dɛn de du klinik trial fɔ si if dɛn kin yuz BCG fɔ trit tin dɛn lɛk fibromyalgia ɛn dayabitis, bɔt dɛn nɔ dɔn rich ɛni patikyula kɔnklushɔn yet.
BCG na wan kayn kemotɛrapi?
Nɔ, na dis say bɔku pipul dɛn kin kɔnfyus. BCG nɔto kemotɛrapi. Kimotɛrapi min fɔ gi pawaful mɛrɛsin dɛn we de kil di kansa sɛl dɛn dairekt wan. Bɔt BCG na imyunotɛrapi.. Dat min se dis mɛrɛsin nɔ de kil di kansa sɛl dɛn dairekt wan. bifo dat, i de "wayp" yu bכdi in כwn imyun sistεm , tren am fכ no εn atak di kεnsar sεl dεm. I tan lɛk se wi de sho wi yon ami di ɛnimi ɛn ɛp dɛn fɔ fɛt.
Aw fɔ pripia bifo BCG tritmɛnt?
Yu dɔktɔ go ɛksplen klia wan wetin yu nid fɔ du bifo yu gɛt tritmɛnt. Jɛnɛral wan, yu fɔ fala dɛn instrɔkshɔn ya:
- Nɔ drink tin dɛn we gɛt kafinɛ lɛk kɔfi ɛn ti fɔ 4 awa bifo yu trit yu.
- Dɔn bak, if yu de tek diuretics/wata pills, tɔk to yu dɔktɔ bɔt am ɛn nɔ tek am 4 awa bifo yu tritmɛnt.
- Afta yu rich na ɔspitul, yu fɔ pis fayn fayn wan ɛn ɛmti yu blad bifo yu bigin tritmɛnt.
Dɛn kin du dɛn tin ya so dat di BCG mɛrɛsin we dɛn gi go de fayn fayn wan na di blad ɛn gi maksimal rizɔlt.
Wetin kin apin we dɛn de trit am?
Bifo di tritmɛnt bigin, di eria go numb fɔ mek shɔ se yu nɔ fil ɛni diskɔmfɔt. Dɔn, di dɔktɔ ɔ di nɔs go put wan tin tiub (kateta) tru yu urethra insay yu blad. Dis kin fil smɔl fɔ lɛ yu nɔ fil fayn, bɔt i nɔ go mek yu fil bad. di BCG sכlushכn go injεkt insay yu blad tru di tכb. We dɛn dɔn injɛkt di mɛrɛsin ɔl, dɛn go pul di tiub. Dɔn yu kin go na os.
Bɔt ivin afta yu dɔn go na os, yu fɔ tray nɔ fɔ pis fɔ at le ɔda awa . If yu kɔnt ɔl di mɛrɛsin, i fayn fɔ kip di mɛrɛsin na yu blad fɔ tu awa . Insay dɛn tu awa ya, dɛn kin aks yu fɔ chenj yu bɔdi pozishɔn (tɔn rawnd) ɛvri 15 minit. Dis na fɔ mek shɔ se di mɛrɛsin rich ɔl di pat dɛn na yu blad. Afta di tu awa dɔn, yu kin pis nɔmal wan.
Yu tink se dis tritmɛnt kin pas to ɔda pipul dɛn? Us tin dɛn fɔ tek tɛm wit?
Yɛs, dis rili impɔtant. Di BCG vaysin gɛt layf, bɔt wik, baktri dɛm. So, dɛn baktri ya kin kɔmɔt frɔm yu to ɔda pɔsin. Fɔ mek dis nɔ apin, yu fɔ fala dɛn tin ya fɔ di fɔs siks awa afta ɛni tritmɛnt :
- Nɔ yuz pɔblik tɔylɛt. Yuz yu yon tɔylɛt na os as yu ebul.
- Drink bɔku wata ɛn wata. Dis go mek yu urine dilute ɛn ridyus di kɔnsɛntreshɔn fɔ di baktri dɛm.
- Sidɔm we yu de pis. Dis go mek di urine we de kɔmɔt na do nɔ bɔku.
- Di tin we impɔtant pas ɔl: Afta yu dɔn pis, tɔn 2 kɔp blich we nɔ dil insay di tɔylɛt bol, lɔk di lid, ɛn lɛ i sidɔm fɔ 15-20 minit.Lɛf am fɔ lɛk wan awa so ɛn afta dat, yu fɔ was am. Dis go kil ɛni baktri we go de na di tɔylɛt.
- If yu nɔ ebul fɔ urinary ɛn yu bed klos dɔti wit urine, was am apat na di was mashin. Nɔ put dɛn togɛda wit ɔda pipul dɛn klos.
- If yu yuz inkontinɛns pad, sok am insay smɔl blich bifo yu pul am, put am insay plastic bag, tay am tayt, ɛn trowe am na dɔti.
- If yu du mami ɛn dadi biznɛs we yu de du tritmɛnt, yu fɔ rili yuz kɔndɔm . Aks yu dɔktɔ fɔ no mɔ bɔt dis.
Ɛni sayd ɛfɛkt de fɔ BCG tritmɛnt?
Jɔs lɛk ɛni tritmɛnt, BCG tritmɛnt kin mek sɔm sayd ɛfɛkt. Bɔt bɔku tɛm, dɛn tin ya nɔ kin siriɔs ɛn dɛn kin stɔp insay tu to tri dez.
| Kɔmɔn, kɔmɔn sayd ɛfɛkt dɛn | Rare side effects wae dɛn fɔ tek in kɔnt |
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Yu dɔktɔ go gi yu mɛrɛsin fɔ mɛn dɛn kɔmɔn sayd ɛfɛkt ya. Yu kin tek wan kɔmɔn mɛrɛsin fɔ mɛn pen lɛk paracetamol fɔ fiva ɛn pen.
Us tɛm a fɔ kɔl di dɔktɔ?
Na nɔmal tin fɔ gɛt smɔl fiva ɛn bɔdi pen afta yu dɔn trit yu. Bɔt if yu si ɛni wan pan di sayn dɛn we de dɔŋ ya, yu fɔ kɔntak yu dɔktɔ wantɛm wantɛm.
- Ay fiva (we i pas 38.5°C ɔ 101.3°F) .
- If yu kol ɛn yu de shek shek
- If di blad de pen (bladder spasms) .
- Siriɔs nɔs ɔ vɔmit
Simptom dɛm lɛk dis kin sho se yu gɛt wan sik lɛk infekshɔn, so i impɔtant fɔ go to dɔktɔ.
I pɔsibul fɔ mek kansa kam bak afta BCG tritmɛnt?
Dis na kwɛstyɔn bak we rili impɔtant. Jɔs lɛk ɛni tritmɛnt fɔ kansa, risk de fɔ mek kansa kam bak afta BCG. Akɔdin to stɛtistik, te to 40% pan di pipul dɛm wae de gɛt BCG tritmɛnt kin gɛt dɛn kansa kam bak.
Bɔt na sɔntin we impɔtant fɔ ɔndastand. Ivin if kansa kam bak, nɔr kin wɔs ɔr kin skata ɔltɛm. di kεnsar dεm we lכw grεd we de fכs, nכ kin spre to כda pat dεm na di bכdi.
Na smɔl tɛm nɔmɔ, agresiv kansa kin kam afta BCG tritmɛnt. If dis apin, yu dɔktɔ kin tɛl yu fɔ pul di sistɛktɔmi, we min se yu fɔ pul di wan ol blad. Dis na di rizin we mek i impɔtant fɔ de chɛk-ap ɔltɛm afta dɛn dɔn trit yu.
Mɛsej we dɛn kin kɛr go na os
- BCG nɔto kemotɛrapi. Na imyunotɛrapi we de yuz yu yon imyun sistɛm fɔ fɛt di blad kansa sɛl dɛn.
- Mek shɔ se yu fala di tin dɛn we yu fɔ tek tɛm wit fɔ protɛkt ɔda pipul dɛn (lɛk fɔ was di blich dɔŋ di tɔylɛt, fɔ was klos dɛn wan bay wan) fɔ di fɔs 6 awa afta ɛni tritmɛnt.
- Smɔl smɔl sayd ɛfɛkt dɛm lɛk urinary tract infection ɛn smɔl fiva kin kɔmɔn ɛn i go dɔn insay tu to tri dez.
- Bɔt if yu gɛt ay fiva (we pas 38.5°C), yu kol, ɔ yu de fil bad bad wan, nɔ wet ɛn tɛl yu dɔktɔ wantɛm wantɛm.
- Fɔ dil wit kansa nɔ kin izi. Tɔk opin wan wit yu dɔktɔ bɔt ɔl di tin dɛn we de mɔna yu ɛn di tin dɛn we yu de fred. I go gi yu bɔku trɛnk.
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