Yu dɔktɔ dɔn tɛl yu ɔ sɔmbɔdi na yu famili gɛt blad kansa? Dɔn yu go dɔn yɛri bɔt wan tritmɛnt we dɛn kɔl BCG. Bɔku pipul dɛn kin fred smɔl we dɛn yɛri dis nem, bikɔs i nɔ tan lɛk mɛrɛsin we dɛn kin tek ɔltɛm. Bɔt no rizin nɔ de fɔ mek wi fred. So tide wi go tɔk bɔt wetin na dis BCG tritmɛnt, aw dɛn kin du am, ɛn ɔltin we yu nid fɔ no bɔt am insay wan rili simpul ɛn padi we.
Wetin na BCG tritmɛnt rili?
Fɔ tɔk am simpul wan, BCG na sɔlv we gɛt wan wik we na wan baktri we dɛn kɔl Bacillus Calmette-Guerin . Yu go dɔn yɛri dis nem bifo, bikɔs na di sem baktri dɛm we dɛn kin yuz na di vaysin fɔ mek yu nɔ gɛt TB. Bɔt nɔ wɔri, dis tritmɛnt nɔ go mek yu gɛt TB.
wetin kin apin insay dis kes na dat dεn kin injεkt dis baktriyal sכlushכn dairekt insay yu blad. Dɔn, yu bɔdi in yon imyun sistɛm kin wok wantɛm wantɛm. dat min se i de mek yu yon bכdi in difεns fכ fכt (gεn di kεnsar sεl dεm). dis imyun sistεm we dεn stimulate de fכn di kεnsar sεl dεm na di wכl dεm na di blad εn atak εn pwεl dεm. Dis nɔto dairekt kansa sɛl-kil `kimotɛrapi` drɔg, bɔt na we fɔ kɔntrol kansa bay we dɛn de yuz di bɔdi in yon fɛt abiliti.
Na Sri Lanka, yu kin fɛn dis tritmɛnt ɔnda brand nem dɛm lɛk `Theracys` ɔ `TICE BCG`.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin tritmɛnt
Dis tritmɛnt nɔto fɔ ɔlman. So, e fayn fɔ tɔk to yu dɔktɔ opin wan bɔt yu wɛl bɔdi prɔblɛm. If yu gɛt ɛni wan pan dɛn tin ya, mek shɔ se yu tɛl dɛn bifo yu bigin fɔ trit yu.
- if di wכl fכ bכdi vεsεl wik εn bulge lεk balכn (an `aneurysm`).
- If yu gɛt blɔd na yu urine.
- If yu dɔn gɛt blad bayɔpsi insay di las tu wiks.
- If yu gɛt fiva ɔ ɔda infekshɔn naw.
- If yu gɛt prɔblɛm wit yu imyun sistɛm.
- If yu gɛt ɔda kansa lɛk lukimiya ɔ limfoma.
- If yu gɛt nyurolɔjik sik dɛn lɛk `myasthenia gravis`.
- If yu de kam ɔ yu dɔn gɛt ɔgan transplant.
- if yu gεt atifishal implant dεm na yu bכdi (e.g. atifishal joyn dεm, prosthεtik hat valv dεm, atεrial graft dεm).
- If yu jɔs dɔn gɛt ɔ yu de du redyushɔn tɛrapi.
- If yu gɛt TB naw ɔ yu dɔn gɛt am trade.
- If yu gɛt alɛji fɔ BCG, lɛtɛks, ɔ ɛni ɔda mɛrɛsin ɔ it.
- If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ, dis rili impɔtant.
Aw dɛn kin gi BCG tritmɛnt ɛn wetin fɔ du afta dat
Dɛn nɔ go gi yu dis mɛrɛsin fɔ kɛr go na os. Na ɔspitul ɔ klinik na di wan dɛn we gɛt spɛshal trenin fɔ kia fɔ wɛlbɔdi biznɛs kin gi am.
fכs, dεn kin put wan tin tכb (kateta) insay yu blad, we dεn kin injεkt di BCG sכlushכn tru. Dis kin fil bad smɔl, bɔt i nɔ kin rili pen. Afta di injεkshכn, dεn kin pul di tiub. Dɔn dɛn go tɛl yu fɔ kip di injɛkshɔn na yu blad fɔ 1 to 2 awa . Yu fɔ tray nɔ fɔ pis insay dis tɛm. Dɛn kin aks yu fɔ ledɔm ɔ rol frɔm wan say to di ɔda say so dat di injɛkshɔn go rich ɔl di pat dɛn na yu blad.
De tin wae impɔtant pas ɔl na wetin fɔ du afta yu dɔn gɛt tritmɛnt. Bikɔs dis mɛrɛsin gɛt layf baktri dɛm, yu nid fɔ mek dɛn nɔ pas am to ɔda pipul dɛn tru yu urine. Na dat mek yu nid fɔ fala di instrɔkshɔn dɛn we de dɔŋ ya.
Mek shɔ se yu du dɛn tin ya ɛvri tɛm we yu de pis fɔ di fɔs 6 awa afta yu dɔn trit yu.
| Wetin fɔ du | Wetin mek ɛn aw fɔ du am? |
|---|---|
| Sidɔm ɛn pis. | Ivin if yu na man, duya sidɔm na tɔylɛt ɛn pis. Dis go ɛp fɔ mek di urine nɔ kɔmɔt na do. Nɔ yuz pɔblik tɔylɛt ɔ pis na do. |
| Put blich insay di tɔylɛt. | Afta yu dɔn fɔ pis, tɔn 2 kɔp blich we nɔ dil insay di tɔylɛt bol. Klos di tɔylɛt lid, lɛf am fɔ lɛk 15-20 minit , dɔn yu fɔ was am. Dis go kil ɛni baktri we de na di urine. |
| Wash yu an ɛn di say we yu kin put yu bɔdi. | Afta yu dɔn yuz tɔylɛt, was yu an ɛn di say we de rawnd yu bɔdi fayn fayn wan wit sop. |
| Drink mɔ wata. | Afta yu dɔn pis fɔ di fɔs tɛm, drink bɔku wata ɛn wata ɔl di de. Dis go mek yu urine dilute ɛn ridyus inflamɛns na yu blad. |
| If yu nɔ ebul fɔ kɔntrol di we aw yu de pis | If yu gɛt inkɔntinɛns ɛn i go pan yu klos, was am apat na di was mashin wantɛm wantɛm. Nɔ put dɛn wit ɔda klos. If yu yuz inkontinɛns pad, sok am insay smɔl blich bifo yu trowe am, put am insay plastic bag, sial am, ɛn put am na dɔti. |
Ɔda impɔtant tin dɛn we yu fɔ no
Wetin a go du if a mis wan doz fɔ tek mɛrɛsin?
Dis tritmɛnt kin te fɔ sɔm wiks, so i rili impɔtant fɔ go na ɔspitul di de we dɛn dɔn plan fɔ du. If yu nɔ ebul fɔ go di de we dɛn dɔn plan fɔ go, kɔl yu dɔktɔ ɔ klinik wantɛm wantɛm ɛn mek dɛn no.
Yu tink se intarakshɔn de wit ɔda mɛrɛsin dɛn?
Yɛs. Sɔm mɛrɛsin kin ambɔg di wok we dis tritmɛnt de du. Na mɔ:
- Antibayɔtiks
- Immunosuppressant drɔgs (e.g. kɔtikosterɔyd, ɔda kansa mɛrɛsin dɛm) .
- Mɛrɛsin fɔ TB
So, tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn ɛn ɛbul prɔdak dɛm), ɛn if yu de smok ɔ drink rɔm.
Tin dɛn we yu fɔ tink bɔt we yu de du tritmɛnt
Yu kin fil fiva ɛn gɛt pen ɛn pen fɔ wan ɔ tu dez afta yu dɔn trit yu. Dis na nɔmal tin. Bɔt if dɛn sik ya de te pas tu dez, i de wɔs, ɔ if yu gɛt ɛni ɔda sayn we nɔ kɔmɔn ɔ we rili bad, kɔl yu dɔktɔ wantɛm wantɛm.
Nɔ gɛt bɛlɛ we yu de tek dis mɛrɛsin. Dis mɛrɛsin kin ambɔg di pikin we nɔ bɔn yet bad bad wan. Dɔn bak, nɔ fɔ gi pikin in bɛlɛ. If yu de du mami ɛn dadi biznɛs, yuz kɔndɔm ɔltɛm . Aks yu dɔktɔ fɔ advays bɔt aw lɔng fɔ du dis.
Yu fɔ no bɔt di bad tin dɛn we kin apin to yu
Jɔs lɛk ɛni ɔda mɛrɛsin, BCG tritmɛnt kin mek yu gɛt sayd ɛfɛkt. Sɔm pan dɛn tin ya kin apin, ɛn ɔda wan dɛn kin siriɔs.
| Di kayn sayd ɛfɛkt dɛn we pɔsin kin gɛt | |
|---|---|
| Siriɔs sayd ɛfɛkt dɛm we yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm | |
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| Sayd ɛfɛkt dɛn we nɔ kin siriɔs, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
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Wetin a go du if a tek bɔku mɛrɛsin?
Bikɔs dɛn kin gi dis tritmɛnt na ɔspitul, no we nɔ de fɔ mek yu tek am pasmak. Bɔt if yu gɛt siriɔs sik afta yu dɔn trit yu, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta wantɛm wantɛm na di Kolombo Nashɔnal Ospital , ɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu.
Mɛsej we dɛn kin kɛr go na os
- BCG na tritmɛnt we de mek yu bɔdi in yon imyun sistɛm fɔ fɛt blad kansa.
- Dɛn kin gi dis tritmɛnt na di ɔspitul, tru wan tiub (kateta) we dɛn kin put insay di blad.
- Fɔ di fɔs 6 awa afta yu dɔn trit yu, mek shɔ se yu fala spɛshal tin dɛn fɔ klin, lɛk fɔ was di tɔylɛt wit blich, fɔ protɛkt ɔda pipul dɛn.
- Bifo yu bigin fɔ trit yu, tɛl yu dɔktɔ bɔt ɔl yu mɛrɛsin ɛn di mɛrɛsin dɛn we yu de tek.
- Go to dɔktɔ wantɛm wantɛm if yu gɛt siriɔs sayd ɛfɛkt lɛk ay fiva, i nɔ izi fɔ blo, ɔ blɔd na yu urine.
- Nɔ gɛt bɛlɛ we yu de trit yu ɛn yuz kɔndɔm we yu de du mami ɛn dadi biznɛs.
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