I doctor chuan nangmah emaw, i chhungte tu emaw chuan bladder cancer an nei tih a hrilh tawh em? Tichuan BCG tih damdawi i hre tawh mai thei. Mi tam tak chuan he hming an hriat hian an hlauthawng deuh thin a, a chhan chu damdawi pangngai ang a nih loh vang a ni. Mahse hlauhna tur a awm lo. Chuvangin vawiin hian he BCG enkawlna hi eng nge a nih, engtin nge a tih dan, leh a chungchanga hriat tur zawng zawng chu awlsam tak leh friendly takin kan sawi dawn a ni.
BCG enkawlna hi eng nge ni tak tak?
A awlsam zawngin BCG hi Bacillus Calmette-Guerin an tih bacterium chak lo tak awmna solution a ni. He hming hi i hre tawh ngei ang, a chhan chu TB venna atana vaccine-a hman bacteria ang chiah kha a nih vang a ni. Mahse, lungngai suh, he enkawlna hian TB natna a thlen dawn lo che.
Hetiang a nih chuan he bacteria solution hi i bladder-ah direct-in a inject a ni. Tichuan, i taksa ngeia immune system chu a thawk nghal a ni. Chu chu, mahni taksa invenna (defense) (cancer cells) do turin a tichak tihna a ni. He stimulated immune system hian cancer cells te chu bladder wall-ah a hmu a, a bei a, a tichhia a ni. Hei hi direct cancer cell-killing `chemotherapy` damdawi a ni lo va, taksain a do theihna hmanga cancer control dan a ni zawk.
Sri Lanka ramah chuan he enkawlna hi brand hming `Theracys` emaw `TICE BCG` emaw hmangin hmuh theih a ni.
Enkawlna i tan hmaa i doctor hnena i hrilh tur thilte
He enkawlna hi mi zawng zawng tan a ni lo. Chuvangin, i hriselna dinhmun chungchang hi doctor nen zalen taka sawipui a pawimawh hle . A hnuaia dinhmunte hi i neih chuan enkawlna i tan hmain hrilh hmasa phawt ang che.
- Thisen kalna kawng bang chu a chak lo va, balloon ang maia a bulh chuan (an `aneurysm`).
- I zun ah thisen a awm chuan.
- Kar hnih kalta chhunga bladder biopsy i neih tawh chuan.
- Tunah hian khawsik emaw natna dang emaw i neih chuan.
- Immune system lama harsatna i neih chuan.
- Cancer dang leukemia emaw lymphoma emaw i neih chuan.
- Neurological diseases `myasthenia gravis` ang chi i neih chuan.
- Organ transplant i neih dawn emaw, i nei tawh emaw a nih chuan.
- I taksaah artificial implants (e.g. artificial joint, prosthetic heart valve, arterial grafts) i neih chuan.
- Tun hnaia radiation therapy i neih tawh emaw, i la mek emaw a nih chuan.
- Tunah hian TB i vei emaw, a hmaa i lo vei tawh emaw a nih chuan.
- BCG, latex, emaw damdawi emaw ei tur dang emaw allergy i neih chuan.
- Naupai, nau pai tum emaw, nau hnute i pe emaw a nih chuan hei hi a pawimawh hle.
BCG enkawlna pek dan leh a hnua tih tur
He damdawi hi in lama hruai turin pek i ni lovang. Hospital emaw clinic emaw-ah healthcare staff bik training nei ten an pe thin.
A hmasa berin i bladder-ah tube te tak te (catheter) dah a ni a, chuta tang chuan BCG solution chu inject a ni. Hei hi tlem a nuam lo deuhin a lang thei a, mahse a hrehawm vak lo. Injection zawhah tube chu lakchhuah a ni. Chumi hnuah chuan injection chu i bladder ah darkar 1 atanga darkar 2 chhung dah turin an hrilh ang che . Hemi hun chhung hian zun loh i tum tur a ni. Injection hian i bladder hmun zawng zawng a thlen theih nan a sir lehlamah mu turin emaw, roll emaw turin an ti thei che a ni.
A pawimawh ber chu enkawl hnua tih tur a ni. He damdawi hian bacteria nung a pai avangin i zun hmanga midang hnena kai theih loh nan i ven a ngai a ni. Chuvangin a hnuaia instruction te hi i zawm a ngai a ni.
Enkawl hnu darkar 6 hmasa berah i zun apiangin a hnuaia mi ang hian tih ngei ngei tur a ni.
| Eng nge tih tur | Engvangin nge tih leh engtin nge tih ang? |
|---|---|
| Thu la, zun rawh. | Mipa i nih pawhin khawngaihin toilet-ah thu la, zun la. Hei hian zun a chhuah loh nan a pui ang. Mipui inthiarna hman emaw, pawn lama zun emaw loh tur. |
| Bleach chu toilet ah theh lut rawh. | I zun zawh hnuah toilet bowl chhungah undiluted bleach cup 2 theh lut ang che. Toilet khuhna kha khar la, minute 15-20 vel dah la, chutah chuan silfai rawh. Hei hian zun chhunga bacteria awm zawng zawng a that vek ang. |
| Kut leh mipat hmeichhiatna hmun sil tur. | Toilet i hman zawh chuan i kut leh i serh vel chu sahbawn hmangin uluk takin silfai thin ang che. |
| Tui in tam zawk rawh. | A vawi khatna atana i zun hnuah nilengin tui leh tui tam tak in tur a ni. Hei hian i zun a ti dilute ang a, i bladder-a inflammation a tihziaawm bawk ang. |
| I zun i thunun theih loh chuan | Incontinence i neih a, i thawmhnaw chungah a lut a nih chuan washing machine-ah a hranin silfai nghal rawh. Thawmhnaw dang nen dah suh. Incontinence pad i hman chuan i paih hmain bleach tlemteah hnim la, plastic bag-ah dah la, seal la, bawlhhlawh bawmah dah rawh. |
Thil pawimawh dang i hriat tur
Damdawi dose khat ka ei loh chuan engtin nge ni ang?
He enkawlna hi kar engemaw zat a daih tlangpui a, chuvangin ni ruat saah damdawi in pan a pawimawh hle. Hun ruat saah i kal thei lo a nih chuan i doctor emaw clinic emaw call nghal la, hriattir nghal rawh.
Damdawi dang nena inzawmna a awm thei em?
Awle. Damdawi thenkhat chuan he enkawlna thatna hi a tibuai thei a ni. A bik takin:
- Antibiotics damdawi a ni
- Immunosuppressant damdawi (e.g. corticosteroids, cancer damdawi dang) .
- Tuberculosis natna damdawi
Chuvangin, i damdawi ei zawng zawng (vitamin leh herbal products te pawh tel), leh zu i in emaw, zu i in emaw a nih chuan i doctor hnenah hrilh la.
Enkawl laia ngaihtuah tur thil
I khawsik i nei thei a, enkawl hnuah ni khat emaw ni hnih emaw chhung chu natna leh natna i nei thei bawk. Hei hi thil pangngai a ni. Mahse, heng symptoms te hi ni hnih aia rei a daih a, a na zual a, a nih loh leh symptom danglam emaw, na tak emaw i neih chuan doctor ko nghal rawh.
He damdawi hi i ei lai hian naupai suh . He damdawi hian nausen piang lai tan harsatna nasa tak a thlen thei a ni. Tin, nau hnute pek loh tur a ni. Sex i hman chuan condom hmang fo ang che . Hei hi eng chen nge tih tur tih hi doctor hnenah thurawn dil rawh.
Side effects te chu fimkhur rawh
Damdawi dang ang bawkin BCG enkawlna hian side effect a nei thei a ni. Chûng zînga ṭhenkhat chu a awm fo a, ṭhenkhat erawh chu a pawi hle thei thung.
| Side effect chi hrang hrang | |
|---|---|
| Side effect na tak tak, doctor hnenah report nghal tur a ni | |
|
|
| Side effects nasat loh tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
| |
Damdawi ka ei tam lutuk chuan engtin nge ni ang?
He enkawlna hi damdawi inah pek a nih avangin overdose theihna tur a awm lo. Mahse, enkawl hnua natna lan chhuahna na tak i neih chuan Colombo National Hospital-a National Poisons Information Center -ah call nghal la, a nih loh leh damdawi in hnai ber Emergency Treatment Unit (ETU)-ah kal nghal rawh.
Take-Home Thuchah a ni
- BCG hi i taksain a taksa hriselna a tichak a, bladder cancer dona atan a tichak a ni.
- He enkawlna hi damdawi inah pek thin a ni a, chu chu tube (catheter) hmanga bladder chhunga dah a ni.
- Enkawlna hnu darkar 6 hmasa berah chuan midangte venhimna atan faina dan bik, toilet chu bleach hmanga silfai ang chi te zawm ngei ngei tur a ni.
- Enkawl i tan hmain i damdawi lam dinhmun leh damdawi i ei zawng zawngte chu i doctor hnenah hrilh hmasa phawt ang che.
- Khawsik sang, thawk harsa, i zun chhunga thisen chhuak ang chi side effect na tak i neih chuan doctor pan nghal rawh.
- Enkawl laiin naupai loh tur a ni a, sex hman laiin condom hmang thin ang che.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh