I doctor-in nangmah emaw, i chhungte tu emaw chuan bladder cancer a nei tih a hrilh hian BCG enkawlna pawh an sawi thei bawk. He hming i hriat hian tlem chuan hlauthawng leh hriat lohvin a awm thei. Mahse, lungngai suh. Hei hi bladder cancer hmasa ber nei tam tak tan chuan enkawlna hlawhtling tak a ni. Vawiin hian BCG enkawlna chu eng nge a nih, engtin nge a tih tih leh a hnua thil thlengte chu awlsam tak, hriatthiam awlsam takin kan sawi dawn a ni.
BCG enkawlna hi a awlsam zawngin eng nge ni?
Okay, sawi hmasak ber tur chu, hei hi cancer enkawlna a ni lo va, ' chemotherapy ' a ni lo . Hei hi thil danglam tak a ni. ‘Immunotherapy’ kan ti a.
A awlsam zawngin, hei hian nangmah ngeiin i immune system hmangin bladder-a cancer cells te chu a tichhia a ni. Kan taksa chhunga vengtute hi tlem an muhil deuh niin han ngaihtuah teh. He damdawi hian chu vengtute chu a kaitho a, "Hetah hian hmelma a awm a, kal la, bei rawh," a ti a.
He liquid medicine BCG an tih hi tuberculosis vaccine siamna atana hman thin bacteria `(Mycobacterium bovis)` atanga siam a ni . Mahse, lungngai suh, hei hian chu bacteria version chak lo tak tak a keng tel a ni. Chuvangin taksa tan harsatna a thlen tam lo ang.
He enkawlna hi a tlangpuiin bladder-a cancer natna awmte chu operation hmanga lakchhuah a nih hnuah a ni. He surgery hi `(TURBT)` kan ti bawk.
He enkawlna hi eng dinhmunah nge hman a nih?
BCG enkawlna hi bladder cancer hmasa ber tan hman a ni ber . Chu chu cancer chu bladder wall muscle-a a la darh loh lai a ni. Doctor-te chuan heng natnate hi `(carcinoma in situ)` emaw `(non-muscle invasive bladder cancers - NMIBCs)` emaw an ti a.
Pawimawh tak chu he enkawlna hi cancer hi bladder-ah chauh a awm chauhvin a hlawk thei a ni. Cancer hi taksa peng dangah a darh (metastasized) a nih chuan BCG enkawlna a hlawk lo ang.
Tunah hian BCG enkawlna hian fibromyalgia leh zunthlum ang chi natna tan a hlawkpui dawn em tih zirchianna kalpui mek a ni a, mahse thutlukna nghet tak siam a la ni lo.
Engtin nge enkawl hmain ka inbuatsaih ang?
Hei hi a awlsam hle. Hemi chungchangah hian i doctor chuan thupek chiang tak a pe ang che. A tlangpuiin, i enkawl hma darkar 4-ah caffeinated drinks coffee leh tea leh diuretics te in tawh lo turin an ti ang che. Tin, damdawi in i thlen hunah chuan enkawlna i tan hmain i zun a, i bladder i empty a ngai dawn bawk.
Enkawl lai hian eng nge thleng?
Thil ngaihtuah tur a awm lo, hei hi thil awlsam tak a ni.
1. Pakhatnaah chuan i awmna hmun numb turin damdawi pek i ni ang a, chutiang chuan i rilru hahna i neih loh nan.
2. Tichuan, doctor chuan uluk takin i zunthlum (urethra) -ah tube te tak te ( catheter ) a thun ang a, BCG damdawi chu i bladder-ah a inject ang.
3. Chutianga tih zawh chuan tube chu lakchhuah a ni ang. In lamah i haw thei ang.
Mahse thil pakhat a awm. He damdawi hi darkar 2 tal bladder ah dah a ngai a ni . Chuvangin damdawi i hnawih hnu darkar 2 chhung chu zun loh tur a ni. Darkar 2 hnuah chuan a pangngaiin i zun thei tawh ang.
Hei hi mi dangte hnenah pawh kai darh theih a ni em? - Hemi chungchangah hian a bik takin fimkhur rawh!
Hei hi a pawimawh hle. Yes , he damdawi hian bacteria nung, chak lo tak tak a neih avangin, midangte nen a inzawm chuan eng emaw chen a nghawng thei a ni. Chuvangin, enkawlna i neih apiangin darkar 6 hmasa berah a hnuaia mite hi i tih tur a ni :
- Mipui inthiarna hmang suh.
- I zun tihthianghlim nan tui leh tui tam tak in thin ang che.
- Toilet-a kal dawnin zun a chhuah loh nan thut laiin zun tur a ni.
- I zun zawh hnuah toilet bowl-ah bleaching powder emaw liquid emaw cup 2 vel theh la, a khuhna chu khar la, minute 15-20 vel dah la, chutah chuan silfai rawh.
- Urinary incontinence i neih a, i thawmhnaw chungah a lut a nih chuan chu thawmhnaw chu washing machine-ah a hranin silfai ang che. Midang thawmhnaw nen dah khawm suh.
- Incontinence pad i hman chuan i lakchhuah hmain bleach tlem teah hnim la, plastic bag-ah dah la, seal la, bawlhhlawh bawmah paih rawh.
Tin, sex hman danah pawh fimkhur tur a ni. Treatment period chhung zawnga sex i hman chuan , condom hman a ngai a ni. Hemi chungchang hi i doctor nen inbia la, thurawn chiang tak la rawh.
Enkawlna hian eng hlawkna leh side effect nge a neih?
Damdawi dang ang bawkin a thatna leh a side effect tenau te a nei bawk. A thatna chungchang hi han sawi hmasa ila. ``TURBT`` surgery hmanga BCG enkawlna hi bladder cancer hmasa ber tan chuan enkawlna tha takah ngaih a ni. Cancer cells te than dan a control a, nakin lawkah bladder pumpui lakchhuahna tur ``cystectomy`` surgery neih a ngaihna a ti tlem bawk.
Tunah chuan a side effects kan en ang. Heng zinga a tam zawk hi enkawl hnu ni 2-3 chhungin a thleng a, a bo vek.
| BCG enkawlna avanga side effects awm thei | |
|---|---|
| Side effect awm tlangpui (darkar 24-48 hmasa chhung) . | |
| Zun nen thisen chhuak tlem | Hei hi ni khat emaw ni hnih emaw chhungin a bo tlangpui. |
| Chau tih hriatna | Chawlh hahdam deuh rawh. |
| Khawsik na lo (37.5 - 38 Celsius vel) . | Doctor thurawn angin paracetamol hi i ei thei bawk. |
| Zun laiin kang, zun tam | Hei pawh hi ni engemaw zat hnuah a reh mai ang. |
| Taksa, ruh natna | Hengte hi thil tlanglawn tak a ni. |
| Side effects awm tlem thei, mahse report nghal tur a ni | |
| Vun a hring chhuak | Luak chhuak leh luak chhuak |
| Zun theih lohna | Testicles-ah a hring/na a awm |
| BCG bacteria thisen chhunga lut (BCG sepsis) . | Liver-a nghawng a neih dan (Hepatitis) . |
Engtikah nge doctor ka hmuh nghal ang?
Khawsik na lo leh taksa na hi a awm fo nachungin, a hnuaia symptoms te hi i neih chuan i doctor chu i call nghal vat tur a ni . A nih loh leh damdawi in hnai ber Emergency Department (ETU)-ah kal rawh.
- Khawsik hi 38.5 Celsius (101.3 Fahrenheit) aia sang a nih chuan.
- I lum leh khur i hriat chuan.
- I khur nasa hle a nih chuan.
- Bladder spasms avanga natna nasa tak i neih chuan.
Cancer hi enkawl hnuah a lo kir leh thei ang em?
Cancer enkawlna dang ang bawkin, cancer chu a lo let leh theihna a awm. Statistics atanga a lan dan chuan BCG enkawltu zinga 40% vel chuan an cancer chu a lo kir leh dawn a ni. Mahse hetah hian hriatthiam tur pawimawh tak a awm. Cancer chu a lo let leh a nih pawhin a nasat em avangin a na lo tlangpui.
A tam zawkah chuan low-grade cancer hi a lo lang leh thin. Mahse, a tlem berah chuan cancer a nasat chuan i doctor chuan cystectomy hmanga bladder lakchhuah a rawt thei a ni.
Take-Home Thuchah a ni
- BCG hi bladder cancer hmasa ber tan chuan immunotherapy tha tak a ni. Chemotherapy a ni lo.
- Enkawl dan hi hlauh tur a ni lova, mahse enkawl hnu darkar 6 hmasa berah faina lamah fimkhur hle a ngai a ni.
- Side effect tenau, urinary tract infection leh khawsik tlem te te hi a awm fo thin. Mahse, khawsik sang leh khawsik ang chi symptoms i neih chuan doctor pan nghal tur a ni.
- Bladder cancer i vei tih i hriat chuan i rilru hah lutuk hi thil pangngai a ni. Zawhna emaw, ngaihtuahna emaw i neih apiang chu i doctor nen zalen takin sawipui rawh. I mamawh zawng zawng a pe ang che.











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