BCG Enkawl dan: He bladder cancer enkawlna (BCG Treatment) chungchanga i hriat tur

I doctor chuan bladder cancer i neih thu leh BCG enkawlna i neih a ngai tih a hrilh che em? Chu thu i hriat chuan tlem a hlauhthawn leh hlauhna i neih chu thil pangngai a ni. "Hei hi eng damdawi nge a nih?", "Hei hian natna a thlen ang em?", etc. Zawhna tam tak i rilruah a lo lang mai thei. Mahse hei hi damdawi hman lar tak a ni a, bladder cancer hmasa ber vei tam takah chuan a hlawhtling hle tih hmuhchhuah a ni. Chuvangin vawiinah hian BCG enkawlna chu eng nge a nih, engtin nge a tih tih leh i hriat tur te chu tawi te tein i sawi dawn nia.

BCG enkawlna hi eng nge ni tak tak?

A awlsam zawngin BCG (Bacillus Calmette-Guerin) hi i bladder chhunga pek thin a ni. Hei hi damdawi lam chuan intravesical immunotherapy an ti a . Damdawi tui tak a ni. Tuberculosis (TB) vaccine chungchang hi i hre tawh mai thei. BCG damdawi hi bacteria `(Mycobacterium bovis)` tihchak loha siam a ni a, chu chu chu vaccine siamna atana hman bacteria chi khat a ni. "I taksaah bacteria dah" i tih hian a hlauhawm deuhin a lang thei a, mahse a tih chu i taksa tichhe lo turin bacteria chu a tichak lo va, nangmah ngei pawhin cancer cell do turin i immune system a tichak a ni.

He enkawlna hi bladder cancer chu surgery hmanga lakchhuah a nih hnuah a tan fo thin. He surgery hi TURBT (bladder tumor transurethral resection) tih a ni. Chumi hnuah chuan cancer cell la awm zawng zawng tihchhiat nan BCG treatment pek a ni.

He BCG enkawlna hi eng natna chi hrang hrangah nge pek a nih?

BCG therapy hi bladder cancer hmasa ber enkawlna atan hman a ni ber . Chumi awmzia chu cancer hi bladder muscle layer-ah a darh lo tihna a ni. Entirnan, `(carcinoma in situ)` (a bul tanna hmuna cancer awm reng) leh `(non-muscle invasive bladder cancers - NMIBCs)` ang chi dinhmun atan a tangkai hle.

Tunah hian BCG hi fibromyalgia leh diabetes ang chi natna enkawlna atana hman theih a nih leh nih loh enfiahna tur clinical trial neih mek a ni a, mahse thutlukna chiang tak siam a la ni lo.

BCG hi chemotherapy chi khat a ni em?

Ni lo , hetah hian mi tam tak an buai thin. BCG hi chemotherapy a ni lo. Chemotherapy-ah hian cancer cells direct-a that thei damdawi chak tak tak pek a ni. Mahse BCG hi immunotherapy a ni.. Chu chu he damdawi hian cancer cells direct-in a that lo tihna a ni. Chu ai chuan, i taksa ngeia immune system chu a "wipes" zawk a , cancer cells hriatchhuah leh beih turin a zirtir a ni. Kan sipaite ngei pawh hmelma hmuhtir a, anmahni bei tura puih ang mai a ni.

BCG enkawl hmaa inbuatsaih dan tur?

I doctor chuan enkawl hmaa i tih tur chu chiang takin a hrilhfiah ang che. A tlangpuiin heng thupekte hi i zawm tur a ni:

• Enkawl hma darkar li chhung chu caffeine awmna in tur, coffee leh tea te in loh tur a ni.
• Tin, diuretics/water pills i ei a nih chuan i doctor nen sawiho la, i enkawl hma darkar li chhung chu ei loh tur a ni.
• Damdawi in thlen hnuah uluk taka zun la, enkawl tan hmain i zun (bladder) kha khar hmasa phawt tur a ni.

Heng thilte hi BCG damdawi pek chu bladder-ah a awm tha a, result sang ber a pek theih nan tih a ni.

Enkawl lai hian eng nge thleng?

Enkawlna tan hmain a hmun chu a numbed ang a, chu chu i rilru hahna i neih loh nan a ni. Tichuan, doctor emaw nurse emaw chuan i urethra kaltlangin tube (catheter) te tak te chu i bladder-ah a dah lut ang. Hei hi tlem a nuam lo deuhin a lang thei a, mahse a na vak lovang. BCG solution chu tube hmangin i bladder-ah a inject ang. Damdawi chu a inject kim tawh chuan tube chu lakchhuah a ni ang. Chumi hnuah chuan i haw thei ang.

Mahse, in lama i haw hnuah pawh darkar khat tal chu zun loh i tum tur a ni . A vaiin, damdawi chu i bladder-ah darkar hnih chhung dah a tha . Heng darkar hnih chhung hian minute 15 danah i taksa dinhmun thlak (turn around) turin an ti thei che a ni. Hei hi damdawi chu i bladder hmun zawng zawng a thlen theih nan a ni. Darkar hnih a ral hnuah chuan a pangngaiin i zun thei tawh ang.

He enkawlna hi midangte hnena kai theih a ni em? Eng fimkhurna nge tih tur?

Ni e, hei hi a pawimawh hle. BCG vaccine-ah hian bacteria nung, mahse chak lo tak tak a awm a ni. Chuvangin heng bacteria te hi nangmah atang hian midang hnenah a kai thei a ni. Chutiang a nih loh nan, enkawlna apiangah darkar ruk hmasa berah hengte hi i zawm tur a ni :

• Mipui inthiarna hmang suh. A theih ang angin in lamah mahni toilet hmang la.
• Tui leh tui tam tak in thin ang che. Hei hian i zun a ti dilute ang a, bacteria concentration a ti tlem bawk ang.
• I zun laiin thu rawh. Hei hian zun chhuak a ti tlem ang.
• A pawimawh ber: I zun zawh chuan toilet bowl-ah undiluted bleach cup 2 theh la, a khuhna chu khar la, minute 15-20 vel thut tir rawh.Darkar khat vel dah la, chutah chuan flush rawh. Hei hian toilet chhunga bacteria awm thei zawng zawng a that vek ang.
• Urinary incontinence i neih a, i khum thawmhnaw chu zun a tihbawlhhlawh a nih chuan washing machine-ah a hranin silfai tur a ni. Midang thawmhnaw nen dah khawm suh.
• Incontinence pad i hman chuan i lakchhuah hmain bleach tlem teah hnim la, plastic bag-ah dah la, nghet takin khih la, bawlhhlawh bawmah paih rawh.
• Enkawl laiin sex i hman chuan condom i hmang ngei ang . Hemi chungchang hi doctor zawt la.

BCG enkawlna hian side effect a nei em?

Enkawlna dang ang bawkin BCG enkawlna hian side effect engemaw zat a nei thei a ni. Mahse, hengte hi a nasat loh avangin ni hnih atanga ni thum chhungin a reh thin.

I doctor chuan heng side effects tlanglawn tak takte hi enkawl turin damdawi a pe ang che. Khawsik leh natna tan chuan natna tidamtu hman tlanglawn tak, paracetamol ang chi i ei thei bawk.

Engtik hunah nge doctor ka biak ang?

• Khawsik sang (38.5°C aia sang emaw 101.3°F emaw) .
• I vawt a, i khur a nih chuan
• Bladder a na a nih chuan (bladder spasms) .
• Nausen nausea emaw, luak chhuak emaw

Hetiang symptoms hian infection ang chi condition a tilang thei a, chuvangin doctor thurawn lak a pawimawh hle.

BCG enkawl hnuah cancer hi a lo let leh thei ang em?

Hei pawh hi zawhna pawimawh tak a ni. Cancer enkawlna dang ang bawkin BCG hnuah cancer lo kir leh theihna a awm. Statistics atanga a lan dan chuan BCG enkawlna dawngtu zinga 40% thlengin an cancer chu a lo let leh thei a ni.

Mahse hetah hian hriatthiam tur pawimawh tak a awm. Cancer hi a lo let leh a nih pawhin a na zual lo va, a darh zel lo. Low-grade cancer hi a tir lamah chuan taksa peng dangah a darh lo tlangpui.

A tlem berah chuan BCG enkawl hnuah aggressive cancer a lo awm thei. Chutiang a nih chuan i doctor chuan cystectomy tih a rawt thei a, chu chu bladder pumpui lakchhuah a ngai a ni. Hei vang hian enkawl zawhah check-up neih fo a pawimawh hle.