We yu dɔktɔ tɛl yu ɔ sɔmbɔdi na yu famili gɛt blad kansa, dɛn kin tɔk bak bɔt BCG tritmɛnt. Yu kin fil lɛk se yu de fred smɔl ɛn yu nɔ no am we yu yɛri dis nem. Bɔt nɔ wɔri. Dis na tritmɛnt wae kin rili woke fayn fɔ bɔrku pipul dɛm wae gɛt blad kansa wae de bigin. Tide, wi go tɔk bɔt wetin na BCG tritmɛnt, aw dɛn kin du am, ɛn wetin kin apin afta am na wan we we rili simpul, we pɔsin kin ɔndastand.
Wetin na BCG tritmɛnt insay simpul wɔd dɛn?
Okay, di fɔs tin fɔ se na, dis nɔto kansa tritmɛnt, i nɔto ‘ kemotɛrapi ’. Dis na sɔntin we difrɛn. Wi kin kɔl am ‘immunotherapy’.
Fɔ tɔk am simpul wan, dis de yuz yu yon imyun sistɛm fɔ pwɛl di kansa sɛl dɛn na di blad. Imajin se di gad dɛn we de na wi bɔdi kin slip smɔl. Dis mɛrɛsin wek dɛn gad dɛn de ɛn tɛl dɛn se, "Ɛnimi de ya, go atak."
Dis likwid mɛrɛsin we dɛn kɔl BCG na di sem baktri `(Mycobacterium bovis)` we dɛn kin yuz fɔ mek di vaysin fɔ TB . Bɔt nɔ wɔri, dis gɛt wan vɛshɔn we wik pasmak pan da baktri de. So i nɔ go du bɔku bad tin to di bɔdi.
Dis tritmɛnt kin bigin afta dɛn dɔn pul di kansa tɔŋ dɛn na di blad wit ɔpreshɔn. Wi kin kɔl dis ɔpreshɔn bak `(TURBT)`.
Us kɔndishɔn dɛn kin yuz dis tritmɛnt fɔ?
Dɛn kin yuz BCG tritmɛnt mɔ fɔ blad kansa we kin bigin . Dat min se we di kansa nɔ skata yet to di mɔsul dɛn na di blad wɔl. dכkta dεn kכl dεn kכndyushכn dεm ya `(carcinoma in situ)` כ `(non-muscle invasive bladder cancers - NMIBCs)`.
Impɔtant tin na dat, dis tritmɛnt kin wok fayn nɔmɔ we di kansa de na di blad nɔmɔ. If di kansa dɔn skata (metastasized) to ɔda pat dɛn na di bɔdi, BCG tritmɛnt nɔ go wok.
Naw, dɛn de du risach fɔ si if BCG tritmɛnt go bɛnifit fɔ sik dɛn lɛk fibromyalgia ɛn dayabitis, bɔt dɛn nɔ dɔn rich ɛni strɔng kɔnklushɔn yet.
Aw a fɔ pripia bifo a gɛt tritmɛnt?
Dis na tin we rili simpul. Yu dɔktɔ go gi yu klia instrɔkshɔn bɔt dis. Bɔku tɛm, dɛn go aks yu fɔ stɔp fɔ drink drink dɛn we gɛt kafinɛ lɛk kɔfi ɛn ti ɛn diuretics 4 awa bifo yu tritmɛnt. Dɔn bak, we yu rich na ɔspitul, yu go nid fɔ pis ɛn ɛmti yu blad bifo di tritmɛnt bigin.
Wetin kin apin we dɛn de trit am?
Natin nɔ de fɔ wɔri bɔt, dis na rili simpul prɔses.
1. Fɔs, dɛn go gi yu mɛrɛsin fɔ mek yu nɔ fil fayn so dat yu nɔ go fil ɛni prɔblɛm.
2. Dɔn, di dɔktɔ go tek tɛm put wan smɔl tiub ( kateta ) insay yu urethra ɛn injekt di BCG mɛrɛsin insay yu blad.
3. We dem don du dat, dem go komot di tiub. Yu kin go na os.
Bɔt wan tin de. Dis mɛrɛsin nid fɔ de na di blad fɔ at le 2 awa . So, yu nɔ fɔ pis fɔ 2 awa afta yu dɔn put di mɛrɛsin. Afta 2 awa, yu kin pis nɔmal wan.
Yu tink se dis kin pas to ɔda pipul dɛn? - Tek tɛm mɔ wit dis!
Dis rili impɔtant. Yes , bikɔs dis mɛrɛsin gɛt layf, wik baktri dɛm, i kin gɛt sɔm ifɛkt pan ɔda pipul dɛm if i kam insay dɛn. So, yu fɔ du dɛn tin ya insay di fɔs 6 awa afta ɛni tritmɛnt :
- Nɔ yuz pɔblik tɔylɛt.
- Drink bɔku wata ɛn wata fɔ mek yu urine dil.
- We yu de go na tɔylɛt, pis we yu sidɔm fɔ mek yu nɔ urine kɔmɔt.
- Afta yu dɔn pis, tɔn lɛk 2 kɔp bleaching powder ɔ likwid insay di tɔylɛt bol, lɔk di lid, lɛf am fɔ 15-20 minit, dɔn flush am.
- If yu gɛt urinary incontinence ɛn i go pan yu klos, was dɛn klos dɛn de apat na di was mashin. Nɔ put dɛn togɛda wit ɔda pipul dɛn klos.
- If yu yuz inkontinɛns pad, bifo yu pul am, ad smɔl blich pan am, sok am, put am insay plastic bag, sial am, ɛn trowe am na di dɔti.
Dɔn bak, yu fɔ tek tɛm we yu de du mami ɛn dadi biznɛs. If yu du mami ɛn dadi biznɛs di wan ol tritmɛnt tɛm , i fɔ yuz kɔndɔm. Tɔk to yu dɔktɔ bɔt dis ɛn gɛt patikyula advays.
Wetin na di bɛnifit ɛn sayd ɛfɛkt dɛn we di tritmɛnt gɛt?
Lɛk ɛni tritmɛnt, i gɛt in bɛnifit ɛn smɔl smɔl sayd ɛfɛkt dɛn. Lɛ wi tɔk bɔt di bɛnifit dɛn fɔs. BCG tritmεnt wit ``TURBT`` כpεrayshכn dεn kin kכnsidr am as rili ifektiv tritmεnt fכ di εli stej blad kεnsar. i de kכntro di growth fכ di kεnsar sεl dεm εn i de ridyus di risk fכ du ``cystectomy`` כpεrayshכn fכ pul di כl blad insay di fכs tεm.
Naw lɛ wi luk di sayd ɛfɛkt dɛn. Bɔrku pan dɛn kin apin insay di fɔs 2-3 dez afta dɛn dɔn trit am ɛn dɛn kin go.
| Sayd ifekt dɛm fɔ BCG tritmɛnt | |
|---|---|
| Kכmכn sayd ifekt dεm (insay di fכs 24-48 awa) . | |
| Smɔl blɔd we de kɔmɔt wit yu urine | Bɔku tɛm, dis kin go insay wan ɔ tu dez. |
| Fɔ fil se yu taya | Gɛt sɔm rɛst. |
| Mild fiva (arawnd 37.5 - 38 sɛlshiɔs) . | Yu kin tek paracetamol pan di advays we yu dɔktɔ gi yu. |
| Bɔn we yu de pis, fɔ pis ɔltɛm | Dis sɛf go stɔp insay sɔm dez. |
| Bɔdi, pen na di jɔyn dɛn | Dɛn tin ya na kɔmɔn tin dɛn. |
| Sayd ɛfɛkt dɛm we kin apin smɔl, bɔt dɛn fɔ ripɔt am wantɛm wantɛm | |
| Rash na di skin | Vɔmit ɛn nɔs |
| Nɔ ebul fɔ pis | Swɛlin/pen na di tɛstikul dɛn |
| BCG baktri dεm we de kam insay di bכdi (BCG sepsis) . | Di tin dɛn we kin apin to di liva (Epatitis) . |
Ustɛm a fɔ go to dɔktɔ wantɛm wantɛm?
Pan ɔl we yu kin gɛt smɔl fiva ɛn bɔdi pen, if yu si ɛni wan pan di sayn dɛn we de dɔŋ ya, yu fɔ kɔl yu dɔktɔ we yu nɔ go te . Ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
- If di fiva pas 38.5 Sɛlshiɔs (101.3 Fɛnayt).
- If yu fil kol ɛn yu de shek shek.
- If yu de shek shek bad bad wan.
- If yu de gɛt siriɔs pen bikɔs ɔf blad spasm.
Yu tink se kansa kin kam bak afta dɛn dɔn trit am?
Jɔs lɛk ɛni ɔda tritmɛnt fɔ kansa, risk de fɔ mek di kansa kam bak. Statistikin sho se lɛk 40% pan di pipul dɛm wae gɛt BCG tritmɛnt go gɛt dɛn kansa kam bak. Bɔt sɔntin de we impɔtant fɔ ɔndastand na ya. Ilɛksɛf di kansa kam bak, bɔku tɛm i nɔ kin rili bad.
Bɔku tɛm, kansa we nɔ gɛt bɛtɛ grɛt kin kam bak. Bɔt i nɔ kin apin so ɔltɛm, if di kansa de ambɔg yu, yu dɔktɔ kin tɛl yu fɔ pul di blad.
Mɛsej we dɛn kin kɛr go na os
- BCG na imyunotɛrapi we rili wok fɔ di blad kansa we de bigin. I nɔto kemotɛrapi.
- Di tritmɛnt nɔto sɔntin we yu fɔ fred, bɔt yu nid fɔ tek tɛm bad bad wan fɔ di fɔs 6 awa afta di tritmɛnt.
- Smɔl smɔl sayd ɛfɛkt dɛm lɛk urinary tract infection ɛn smɔl fiva kin kɔmɔn. Bɔt if yu gɛt sɔm sayn dɛn lɛk ay fiva ɛn kol, go to dɔktɔ wantɛm wantɛm.
- Na nɔmal tin fɔ fil bad we yu kam fɔ no se yu gɛt blad kansa. Tɔk opin wan wit yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu. I go gi yu ɔl di sɔpɔt we yu nid.
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